- Occupational Health and Performance
- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Sports injuries and prevention
- Disaster Response and Management
- Musculoskeletal pain and rehabilitation
- Lower Extremity Biomechanics and Pathologies
- Traumatic Brain Injury and Neurovascular Disturbances
- Migration, Health and Trauma
- Healthcare professionals’ stress and burnout
- Injury Epidemiology and Prevention
- Occupational Health and Safety Research
- Medical Malpractice and Liability Issues
- Legal Education and Practice Innovations
- Foot and Ankle Surgery
- Dental Education, Practice, Research
- Hearing Loss and Rehabilitation
- Peripheral Artery Disease Management
- Health, psychology, and well-being
- Hearing, Cochlea, Tinnitus, Genetics
- Noise Effects and Management
- Resilience and Mental Health
- Bone fractures and treatments
Naval Health Research Center
2015-2025
Axiom (United States)
2021-2022
System Simulation (United Kingdom)
2022
Directorate of Health
2022
Bureau of Medicine and Surgery
2021
United States Department of Defense
2012
Science Applications International Corporation (United States)
2010
VA San Diego Healthcare System
2010
San Diego State University
2010
St Bartholomew's Hospital
2000
Objective To describe the prevalence and psychological correlates of traumatic brain injury (TBI) among injured male combatants in Iraq conflict. Participants A total 781 men during military combat between September 2004 February 2005. Main Outcome Measures Mental health diagnosis (ICD-9 290–319), particularly posttraumatic stress disorder mood/anxiety disorders, assigned through November 2006. Results 15.8% met criteria for TBI (13.4% mild, 2.4% moderate-severe TBI), 35.0% other head...
The prevalence of traumatic brain injury (TBI) has increased during the wars in Iraq and Afghanistan compared with 20th century military conflicts. aim this study was to elucidate injury-specific correlates combat-related TBI that have yet be clearly defined.Predominately Marine US service members who sustained injuries between March 2004 April 2008 identified from clinical records completed theater combat operations (n = 2074).Severity classified as mild, moderate, or severe....
Blast-related ear injuries are a concern during deployment because they can compromise servicemember's situational awareness and adversely affect operational readiness. The objectives of this study were to describe blast-related Operation Iraqi Freedom, identify the effect hearing protection worn at point injury, explore loss tinnitus outcomes within one year after injury. Expeditionary Medical Encounter Database was used military personnel who survived it linked with outpatient medical...
Military members screening positive for blast-related traumatic brain injury (TBI) may subsequently screen posttraumatic stress disorder (PTSD) or depression. The role of sleep as a mediating factor in the development mental health symptoms was explored.Prospective study with evaluated at two time points.Postdeployment service Iraq, Afghanistan, Kuwait during 2008 and 2009.There were 29,640 US Navy Marine Corps men (29,019 who did not PTSD baseline, 27,702 depression 27,320 baseline either...
Objective: To examine the association between postconcussive symptoms and mild traumatic brain injury (MTBI) among combat veterans while adjusting for posttraumatic stress disorder (PTSD) depression. Patients: Military personnel with provider-diagnosed MTBI (n = 334) or nonhead 658) were identified from Expeditionary Medical Encounter Database. Main Outcome Measures: Post-Deployment Health Assessments Re-Assessments used to self-rated health. Results: Personnel more likely report headache...
Primary objective: To assess the occurrence of ocular and visual disorders following blast-related traumatic brain injury (TBI) in Operation Iraqi Freedom.
We investigated the association of length time spent at home between deployments, or dwell time, with posttraumatic stress disorder (PTSD) and other mental health disorders.We included US Marine Corps personnel identified from military deployment records who deployed to Operation Iraqi Freedom once (n = 49,328) twice 16,376). New-onset diagnoses medical databases were included. calculated ratio dwell-to-deployment (DDR) as deployments divided by first deployment.Marines 2 had higher rates...
Traumatic brain injury (TBI) has emerged as a preeminent in Iraq and Afghanistan. The relationship between TBI post-injury alcohol use military personnel not been clearly defined. aim of this study was to examine the prevalence abuse disorders among combat-injured service members with mild (MTBI). Male U.S. combat injuries were identified from Expeditionary Medical Encounter Database (n = 3,123). Diagnoses collected standard inpatient ambulatory data records. Overall, slightly higher...
Assessment of acute mild traumatic brain injury (mTBI) symptoms after a combat blast could aid diagnosis and guide follow-up care. Our objective was to document mTBI following examine associations between mental health service discharge outcomes. A retrospective cohort study conducted with 1656 personnel who experienced blast-related in Iraq. Acute were ascertained from point-of-injury medical records. The posttraumatic stress disorder (PTSD), postconcussion syndrome (PCS), type examined....
Limited research exists on the relationship between physical injury and PTSD within military populations. The present study assessed postinjury rates of other psychological correlates among battle nonbattle injuries. A total 1,968 men (831 injuries 1,137 injuries) injured September 2004 February 2005 during Operation Iraqi Freedom (OIF) composed sample. Patients were followed through November 2006 for mental health diagnosis (ICD-9 290-319). Compared with injuries, those had a greater risk...
Cigarette smoking has been reported to be higher among deployed military men than similarly aged civilian or nondeployed men, but the short-term effect of on physical fitness these young healthy is unclear. This study examined self-reported status and change in objectively measured over 1-4 years while controlling for body mass index (BMI).This included a large sample male U.S. navy personnel who Iraq Kuwait between 2005 2008. A mixed modeling procedure was used determine factors...
Concussions are a predominant injury of the conflicts in Iraq and Afghanistan. The aims this study were to describe repeated concussive events among U.S. military personnel injured Operation Iraqi Freedom examine subsequent healthcare utilization. We reviewed clinical records from Expeditionary Medical Encounter Database identify service members with repeat concussions. abstracted demographic injury-specific variables, calculated time between events, identified utilization electronic medical...
In Operation Iraqi Freedom and Enduring Freedom, blast-related injuries associated with combat are frequent can result in traumatic brain injury (TBI) symptoms that may be difficult to distinguish from psychological problems. Using data the Post-Deployment Health Assessment Reassessment, we identified 12,046 male U.S. Navy sailors Marines reported exposure 2008 2009. Symptoms potentially TBI posttraumatic stress disorder (PTSD) were immediately after deployment compared present several...
The purpose of this study was to examine the role military occupation on new-onset post-traumatic stress disorder (PTSD) and depression among U.S. combat veterans recently returned from deployment Iraq. Enlisted, active duty Navy Marine Corps personnel without a history mental were identified records linked medical databases (n = 40,600). Multivariate logistic regression used association between postdeployment PTSD diagnoses by branch service. health care specialists had higher odds (odds...
Blast injury emerged as a primary source of morbidity among US military personnel during the recent conflicts in Iraq and Afghanistan, led to an array adverse health outcomes. Multimorbidity, or presence two more medical conditions individual, can complicate treatment strategies. To date, there is minimal research on impact multimorbidity long-term patient-reported We aimed define patterns population blast-injured personnel, examine these relation quality life (QOL).A total 1972 who...
Abstract Background Posttraumatic stress disorder (PTSD) and hearing loss are hallmark public health issues related to military service in Iraq Afghanistan. Although both significant individual contributors disability among veterans, their co-occurrence has not been specifically explored. Methods A total of 1179 male U.S. personnel who sustained an injury between 2004 2012 during operations or Afghanistan were identified from clinical records. Pre- postinjury audiometric data used define...