Military medicine
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Helicobacter pylori has generated public health interest since its identification in 1983. Past studies have suggested that the bacterium plays a role in the pathogenesis of gastric cancer. More recent studies support the conclusion that the association of H. pylori with gastric cancer is causal. The purpose of this article is to review the available evidence supporting the association of H. pylori with gastric cancer. ⋯ New studies that focus on the epidemiology and pathology of H. pylori improve our understanding of its relationship with gastric cancer and advance the development of gastric cancer prevention and control strategies that are proposed.
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Multicenter Study
Demographic and psychosocial risk factors for preterm delivery in an active duty pregnant population.
The effects of work climate, pregnancy transitions stress, maternal medical conditions, health risk behaviors, psychological health, and demographic characteristics were examined among 269 pregnant military women. The study found that single and separated/divorced military women were at greater risk for preterm delivery than married women. ⋯ Psychosocial variables distinguished the three marital status groups--married, single, and separated/divorced--but none of these variables was related to preterm delivery. In a logistic regression analysis, marital status was a more significant predictor of preterm delivery than were medical conditions.
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Multicenter Study
Estimated cost of dental treatment for active duty and recruit U.S. military personnel.
This paper estimates the cost of restoring U. S. military personnel to optimal oral health. The data come from a 30-site oral health survey of Army, Navy, Marine Corps, and Air Force personnel conducted from February 1994 to January 1995. ⋯ Periodontal disease accounts for the greatest proportion (47%) of active duty treatment costs, and oral surgery accounts for the greatest proportion (32%) of recruit treatment costs. The cost of restoring U. S. service members to optimal oral health is substantial.
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To determine the relationship between length of soldier deployment and self-reports of moderate and severe spousal violence. ⋯ Deployment contributes a significant but small increase to the probability of self-reported spousal aggression during a 1-year period. Although deployment is a military operation, similar effects may be observed in certain civilian occupations.
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The patient satisfaction responses of active duty Army patients in military facilities were analyzed to determine (1) if patients differ along sociodemographic characteristics, (2) the predictors of satisfaction, and (3) the sociodemographic characteristics that moderate patients' satisfaction. Regression results suggest that access, communication, outcomes, and quality predict 42% of the variation in patients' satisfaction scores. ⋯ These findings suggest that patients' satisfaction differs significantly along age, rank, gender, education, race, health status, and utilization individually, but this difference predicts only 5% of patients' satisfaction ratings. This study provides areas of consideration for improving active Army patients' satisfaction in military facilities and suggests theoretically and empirically supported ways to prioritize scarce resources and optimize efforts when faced with constraints.