Military medicine
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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.
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Automated external defibrillators (AEDs) have been proven in numerous studies to decrease the time interval from cardiac arrest to defibrillation, thus improving the survival rate for victims of ventricular fibrillation and pulseless ventricular tachycardia, the most common causes of reversible sudden cardiac death. Recent Department of Defense initiatives have mandated increased participation of Federal Fire Service units in the conduct of prehospital emergency medical care on military and other federal installations. ⋯ S. military installation under the medical direction of that installation's medical treatment facility. This "first step" in the integration of Federal Fire Services into emergency medical care, as well as potential future military applications for AEDs, are discussed.