Background: Severe upper limb injuries (SULI) may pose a significant public health challenge for the military; however, SULI has not been previously defined or studied in the US military. Objective: Determine SULI incidence, risk factors, and outcomes.
Materials And Methods: Active Component (AC) U.S. military personnel who served during January 1, 2003 to December 31, 2012 who met the case definition for SULI (N = 213,745) and a random sample from the same population without SULI were included. Data from the Defense Medical Surveillance System and Defense Medical Epidemiology Database was used to calculate incidence. Multiple logistic regression and Cox proportional hazards models were used to analyze SULI risk factors and attrition.
Results: SULI incidence was 15/1,000 person-years. Higher SULI risk was observed in men (OR 1.25; 95% CI 1.22-1.27), age 25-29 (OR 1.07; 95% CI 1.05-1.09) compared to age 20-24, E5-E9 (OR 1.14; 95% CI 1.12-1.17) compared to E1-E4, serving in Coast guard (OR 1.62; 95% CI 1.56-1.68) and Air Force (OR 1.17; 95% CI 1.14-1.19) relative to Army and with a deployment history (OR 2.16, 95% CI 2.12-2.19) while SULI risk was lower for blacks (OR 0.91; 95% CI 0.90-0.93) and those in the "other race" category (HR 0.81; 95% CI 0.80-0.84) compared to whites. SULI was associated with 23% increased risk of attrition (HR 1.23; 95% CI 1.22-1.24).
Conclusion: The study findings provide preliminary evidence on the incidence, natural history and distribution of SULI in this population. The findings indicate SULI may impact readiness and result in premature military separation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/milmed/usz139 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Increased Oxidative and Nitrative Stress and Decreased Sex Steroid Relaxation in a Vitamin D-Deficient Hyperandrogenic Rodent Model-And a Validation of the Polycystic Ovary Syndrome Model.
Nutrients
January 2025
Department of Obstetrics and Gynaecology, Semmelweis University, Üllői Street 78/a, 1082 Budapest, Hungary.
Background/objectives: Both hyperandrogenism (HA) and vitamin D deficiency (VDD) can separately lead to impaired vascular reactivity and ovulatory dysfunction in fertile females. The aim was to examine the early interactions of these states in a rat model of PCOS.
Methods: Four-week-old adolescent female rats were divided into four groups: vitamin D (VD)-supplemented ( = 12); VD-supplemented and testosterone-treated ( = 12); VDD- ( = 11) and VDD-and-testosterone-treated ( = 11).
Challenges of in Poultry: Biological Insights, Economic Impact and Management Strategies.
Insects
January 2025
Centre for Agricultural Genomics and Biotechnology, University of Debrecen, H-4032 Debrecen, Hungary.
Bird mites are parasites that feed on both wild and domesticated bird species, causing severe degradation in avian welfare. The chicken mite, in particular, is a widespread ectoparasite in poultry, responsible for several challenges faced by the poultry industry, including poor animal health, which causes significant economic losses. This review, based on our current knowledge, aims to provide a comprehensive insight into the biology and distribution of these mites, as well as their impact on poultry health and production.
View Article and Find Full Text PDFAntibiotic resistance gene levels within a highly urbanised estuary.
Mar Environ Res
January 2025
University of Technology Sydney, The School of Life Sciences, Ultimo, NSW, 2007, Australia. Electronic address:
Antibiotic resistant bacteria are increasingly being found in aquatic environments, representing a potential threat to public health. To examine the dynamics and potential sources of antibiotic-resistant genes (ARGs) in urbanised waterways, we performed a six-month temporal study at six locations within the Sydney Harbour estuary. These locations spanned a salinity gradient from seawater at the mouth of the harbour to freshwater at the more urbanised western sites.
View Article and Find Full Text PDFXenia Effect on Nutritional and Flavor Components of 'Jingbaili' Pear.
Foods
January 2025
Key Laboratory of Geriatric Nutrition and Health, School of Food and Health, Beijing Technology and Business University, Ministry of Education, Beijing 100048, China.
The 'Jingbaili' pear is a national geographical indication product of China, featuring an oblate shape and being rich in nutrients. But the quality of the 'Jingbaili' pear is unstable. Xenia can cause changes in the quality of pears, but the effect of xenia on the 'Jingbaili' pear is unknown, and its mechanism is still unclear.
View Article and Find Full Text PDFAntimicrobial-resistant genes in feces from otters () within the Peñas Blancas river basin, Costa Rica.
Heliyon
December 2024
Universidad Nacional, Costa Rica. Instituto Regional de Estudios en Sustancias Tóxicas (IRET), Costa Rica.
Antimicrobial resistance poses a growing threat to human health, yet its implications for wildlife remain a subject of ongoing research. River otters inhabiting the Peñas Blancas River face exposure to various anthropogenic activities in their habitat, potentially leading to the accumulation of antibiotic-resistant genes (ARGs) with unknown consequences for their health. This study aimed to identify specific ARGs in otter feces from this river basin, employing quantitative polymerase chain reaction (qPCR), DNA sequencing of ARGs, and phylogenetic analysis techniques.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!