Risk Factors for Delayed Treatment of Gonorrhea and Chlamydia in Active-Duty Service Members.

Background: Sexually transmitted infections including gonorrhea and chlamydia are common in the active-duty military population, with historically higher rates than their civilian counterparts. Prevention and screening are 2 of the main strategies used to reduce the chronic medical complications and costs associated with untreated gonorrhea and chlamydia; however, there is little information in the literature regarding treatment time after a positive screening. To our knowledge, there has not yet been a study regarding delayed treatment of gonorrhea and chlamydia in the active-duty population.

Heterotopic ossification in high-grade open fractures sustained in combat: risk factors and prevalence.

Objectives: To determine the prevalence and identify the risk factors for heterotopic ossification (HO) formation in high-grade open fractures sustained during combat and to report on the results of HO excision.

Design: Retrospective.

Setting: United States Army level-1 trauma center.

Evaluation of the Patient-Generated Subjective Global Assessment (PG-SGA) as a predictor of febrile neutropenia in gynecologic cancer patients receiving combination chemotherapy: a pilot study.

Objective: Determine if pre-treatment Patient-Generated Subjective Global Assessment (PG-SGA) predicts febrile neutropenia (FN) in gynecologic cancer patients receiving primary combination chemotherapy.

Methods: Following IRB approval, clinicopathologic variables, pre-treatment laboratory values and PG-SGA were recorded from eligible patients. Bone marrow toxicity (CTC 3.

Surgically managed stage I endometrial cancer in a low-volume center: outcomes and complications in a military residency program.

Objective: The purpose of this study was to compare operative outcomes and complications for patients with endometrial cancer who underwent staging by laparoscopy vs laparotomy in a low-volume facility.

Study Design: Research was conducted with a retrospective cohort of surgical patients with clinical stage I endometrial cancer from 2004-2009.

Results: Eighty-six demographically similar patients (50 laparotomy and 36 laparoscopy) were identified.

Prevalence of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis among a largely middle-aged population utilizing ultrasound and liver biopsy: a prospective study.

Background & Aims: Prevalence of nonalcoholic fatty liver disease (NAFLD) has not been well established. The purpose of this study was to prospectively define the prevalence of both NAFLD and nonalcoholic steatohepatitis (NASH).

Methods: Outpatients 18 to 70 years old were recruited from Brooke Army Medical Center.

External validation of a virtual reality transurethral resection of the prostate simulator.

Purpose: Virtual reality surgical simulation is an emerging technology that may eventually fill the gaps in surgical education created by changes in our medical system. We assessed the construct validity of a commercially available, virtual reality transurethral prostate resection simulator.

Materials And Methods: Participants performed 2, 5-minute transurethral prostate resection exercises on a standardized virtual reality prostate.