- Bacillus and Francisella bacterial research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Trauma and Emergency Care Studies
- Surgical site infection prevention
- SARS-CoV-2 and COVID-19 Research
- Global Health Workforce Issues
- Vaccine Coverage and Hesitancy
- Burn Injury Management and Outcomes
- Viral Infections and Outbreaks Research
- Disaster Response and Management
- Wound Healing and Treatments
- Spine and Intervertebral Disc Pathology
- Climate Change and Health Impacts
- Antifungal resistance and susceptibility
- School Health and Nursing Education
- Hemoglobinopathies and Related Disorders
- Scoliosis diagnosis and treatment
- Occupational Health and Performance
- Nail Diseases and Treatments
- Traumatic Brain Injury Research
- Hepatitis B Virus Studies
- Fibromyalgia and Chronic Fatigue Syndrome Research
- COVID-19 epidemiological studies
- Blood donation and transfusion practices
- Spinal Cord Injury Research
Office of the Secretary of Defense
2023
Health Affairs
2018-2023
Madigan Army Medical Center
2002-2011
Winn Army Community Hospital
2000
Walter Reed National Military Medical Center
1995-1998
Walter Reed Army Institute of Research
1994
Brief Communications15 August 1994Equilibration of Hemoglobin Concentration after Transfusion in Medical Inpatients Not Actively BleedingAndrew R. Wiesen, MD, Duane Hospenthal, PhD, John C. Byrd, Kevin L. Glass, Robin S. Howard, MA, and Louis F. Diehl, MDAndrew MDFrom the Walter Reed Army Center, Washington, D.C., PhDFrom MAFrom D.C.Author, Article, Disclosure Informationhttps://doi.org/10.7326/0003-4819-121-4-199408150-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload...
Management of combat-related trauma is derived from skills and data collected in past conflicts civilian trauma, information experience obtained during ongoing conflicts. The best methods to prevent infections associated with injuries observed military combat are not fully established. Current these types primarily controlled trials elective surgery as well retrospective studies interventions. following guidelines integrate available evidence expert opinion, within outside the US medical...
Substantial concern surrounds the potential health effects of anthrax vaccine, particularly adverse on reproductive processes.To determine whether receipt vaccination by reproductive-aged women has an effect pregnancy rates.Cohort study, based information from a computer database, aged 17 to 44 years who were stationed at Fort Stewart, Ga, or Hunter Army Airfield, January 1999 through March 2000.Pregnancy and birth rates outcomes.Of total 4092 women, 3136 received least 1 dose vaccine. There...
Cellular immune responses against protective antigen (PA) of Bacillus anthracis in subjects that received the anthrax vaccine adsorbed (AVA) were examined. Multiple CD4(+) T-cell epitopes within PA identified by using tetramer-guided epitope mapping. PA-reactive T cells with a CD45RA(-) phenotype also detected direct ex vivo staining peripheral blood mononuclear (PBMC) PA-specific tetramers. Surprisingly, PBMC nonvaccinees after single cycle vitro stimulation. However, occurred at lower...
The ongoing obesity epidemic has made recruiting qualified Army applicants increasingly difficult. A cohort of 10,213 enlisted subjects was enrolled in the Assessment Recruit Motivation and Strength (ARMS) study from February 2005 through September 2006. Overweight recruits obtained a waiver for enlistment (n = 990) if they passed screening physical fitness test. Recruits were evaluated enrollment into Weight Control Program (AWCP) discharged during 15 months following enlistment. Enrollment...
Approximately, 320 physicians enter active duty in the U.S. Army each year, replacing a similar number separating from service. Despite significant costs involved educating and training physicians, factors associated with continued service after completing obligations have not been well studied.A retrospective cohort study was conducted of all who graduated medical school 1987 or later entered physician on before December 31, 2015. A Cox proportional hazards model used to evaluate likelihood...
Reported confirmed cases represent a small portion of overall true for many infectious diseases. The undercounting can be considerable when significant infected individuals are asymptomatic or minimally symptomatic, as is the case with COVID-19. Seroprevalence studies an efficient way to assess extent which undercounted during large-scale outbreak and inform efforts improve identification reporting.A longitudinal seroprevalence study active duty U.S. military members was conducted from May...
Objective: To measure the pregnancy rate directly, to describe characteristics of women who become pregnant, and identify predictors pregnancy. No recent studies have estimated population rates using objective, laboratory-based criteria. Furthermore, none characterized predictive factors Methods: Population-based prospective cohort study 5,578 women, ages 18 44, on active duty at Fort Lewis, Washington, from 1995 1997. Main outcome measures were standardized incidence for Results: In cohort,...
Selective accession waivers for medically disqualifying conditions like spinal curvature are one way the military meets its manpower needs. We evaluated retention patterns during first 2 years of service a cohort recruits with pathological spine (spinal curvature). Recruits waived (n = 417), who accessed from 1998 to 2005 were identified and matched 3 qualified recruits. Kaplan–Meier survival analysis Cox proportional hazards model used compare adjusted attrition hazard estimates. Waived...
Today more than a half million persons in military service have received 2 anthrax vaccinations. In an attempt to allay concern over potential adverse health effects of vaccine, this cohort studywas planned show whether vaccination affects pregnancy rates and birth outcomes. The study population included 4092 women, 17 44 years age, stationed at one two bases Georgia during 15-month period 1999-2000, 3136 whom least dose vaccine. Among 513 pregnancies were 385 women who immunization before...
Atopic conditions account for approximately 35% of medical disqualifications among West Point applicants each year. There are limited outcome data concerning the utility atopic disqualification standards in predicting military success.Cadets entering United States Military Academy (USMA) from 2001-2004 were selected as cohort this study. They classified exposed (medical waiver an condition) and unexposed (no waiver) followed throughout their enrollment at USMA. The measures attrition school...