Dual use of cigarettes and smokeless tobacco among active duty service members in the US military.

The high prevalence of dual use of cigarettes and smokeless tobacco is a unique tobacco use behavior in the US military population. However, dual tobacco use has rarely been addressed in active duty populations. We aimed to identify factors contributing to dual tobacco use among active duty service members from Army and Air Force.

Electronic Cigarette Use and Related Factors among Active Duty Service Members in the U.S. Military.

Introduction: Electronic cigarettes (e-cigarettes) are increasingly used in the U.S.A.

Deployment and Smokeless Tobacco Use Among Active Duty Service Members in the U.S. Military.

Introduction: The prevalence of smokeless tobacco use among U.S. active duty service members has been much higher than in the U.

Smokeless Tobacco Use and Related Factors: A Study in the US Military Population.

ObjectivesThe prevalence of smokeless tobacco use in the US military is alarmingly high. We aimed to identify factors related to smokeless tobacco use among active duty service members. Methods Participants (N = 2465) from Fort Bragg Army Base, North Carolina and Lackland Air Force Base, Texas completed a self-administered questionnaire.

Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool.

Purpose: Despite advancements in care, cancer survivors continue to report unmet needs following active cancer treatment. The Cancer Survivor Profile-Breast Cancer (CSPro-BC) application (app) was developed to help address these needs, using breast cancer survivors (BCS) as a pilot group. This paper describes the app development, BCS and nurse perceptions of the app, and changes made based on this feedback.

Fewer adverse events after reoperative parathyroidectomy associated with initial minimally invasive parathyroidectomy.

Background: This study compared reoperative complication rates after initial minimally invasive parathyroidectomy and standard cervical exploration.

Methods: Records from patients who underwent 1 reoperative parathyroidectomy at a single institution (1998 to 2012) were retrospectively reviewed.

Results: Seventy-seven patients were included; 74% underwent initial standard cervical exploration.

Prevalence and predictors of nonalcoholic steatohepatitis in obese patients undergoing bariatric surgery: a Department of Defense experience.

Nonalcoholic steatohepatitis (NASH) is a silent liver disease that can lead to inflammation and subsequent scaring. If left untreated, cirrhosis may ensue. Morbidly obese patients are at an increased risk of NASH.

Operative failure in minimally invasive parathyroidectomy utilizing an intraoperative parathyroid hormone assay.

Background: Minimally invasive parathyroidectomy (MIP) is a targeted operation to cure primary hyperparathyroidism utilizing intraoperative parathyroid hormone monitoring (IOPTH). The purpose of this study was to quantify the operative failure of MIP.

Methods: Utilizing institutional parathyroid surgery database, demographic, operative, and biochemical data were analyzed for successful and failed MIP.

The role of thyroidectomy in metastatic disease to the thyroid gland.

Background: Whether thyroidectomy for metastases to the thyroid is associated with a survival benefit remains debatable; in general, palliation and disease control are accepted goals in this setting. We evaluated the clinical features and overall survival of patients with thyroid metastasis treated by thyroid resection or nonoperatively.

Methods: This retrospective analysis included 90 patients identified with metastasis to the thyroid confirmed pathologically via thyroidectomy (n = 31) or fine-needle aspiration biopsy (n = 59).

Race does not impact pancreatic cancer treatment and survival in an equal access federal health care system.

Background: Black patients with pancreatic adenocarcinoma (PDAC) have been reported to undergo surgical resection less frequently and to have a shorter overall survival duration than white patients. We sought to determine whether disparities in clinical management and overall survival exist between black and white patients with PDAC treated in an equal access health care system.

Methods: Using the Department of Defense (DoD) tumor registry database from 1993 to 2007, patient, tumor, and treatment factors were analyzed to compare rates of therapy and survival between black and white patients.

Effect of race on thyroid cancer care in an equal access healthcare system.

Background: Thyroid cancer is more likely to present at an advanced age with larger tumor size in black patients. The aim of this study was to assess the influence of race on the presentation, treatment, and survival in an equal access healthcare system.

Methods: This retrospective study included all black and white patients with thyroid cancer who were treated at a Department of Defense facility from 1986 to 2008.

Effect of race on colon cancer treatment and outcomes in the Department of Defense healthcare system.

Purpose: The increase in mortality noted in African Americans with colon cancer is attributed to advanced stage at presentation and disparities in treatment received. The aim of this study was to assess the influence of race on the treatments and survival of colon cancer patients in an equal-access healthcare system.

Methods: This retrospective cohort study included African American and white patients with colon cancer treated at Department of Defense facilities.

Lymph node evaluation of colon cancer and its association with improved staging and survival in the Department of Defense Health Care System.

Background: Improved survival is associated with an increased number of lymph nodes (LNs) examined. The aim of this study was to assess whether the examination of >or=12 LNs is associated with more accurate colon cancer staging.

Methods: We queried the Department of Defense Automated Central Tumor Registry database for stage I-III colon cancer patients.

Elective inguinal hernia repair during Operation Iraqi Freedom.

Objective: While there have been many publications regarding trauma care in the deployed environment, there is little discussion on the management of the more mundane maladies. This article examines the role of elective surgical intervention for inguinal hernia repairs within theater. Current U.

Survival trends in children with hepatoblastoma.

Purpose: Hepatoblastoma (HB) is a relatively rare pediatric malignancy. In this study, we present demographic data and a survival analysis from the largest patient cohort with HB reported to date.

Methods: The surveillance, epidemiology, and end results database was queried from 1973 to 2005 for all patients diagnosed with HB.

Effect of location and speed of diagnosis on anastomotic leak outcomes in 3828 gastric bypass cases.

Introduction: Leaks after Roux-en-Y gastric bypass are a major cause of mortality. This study attempts to define the relationship between the leak site, time from surgery to detection, and outcome.

Methods: Retrospective review of 3,828 gastric bypass procedures.

Relationship between varying Roux limb lengths and weight loss in gastric bypass.

Background: The optimal Roux limb length for gastric bypass is unknown. Therefore, the effect of Roux limb length on weight loss and nutritional deficiency after a Roux-en-Y gastric bypass procedure was studied.

Methods: From September 2000 to February 2004, 165 Roux-en-Y gastric bypass surgeries were performed at William Beaumont Army Medical Center.