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The Military Health System (MHS) is an interconnected network of Service Members whose mission is to support the lives and families of those who support our country. Everyday in the MHS advancements are made in the lab, in the field, and here at home. These are just a few articles highlighting those accomplishments that don't always make it to the front page of local papers.

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Traumatic brain injury: Stories of strength and resilience

Article
3/19/2019
Army Sgt. 1st Class Bradley Lee got help for traumatic brain injury and continues to serve. (DVBIC photo by Trent Watts)

Not everyone with a TBI experiences the same signs and symptoms

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Traumatic Brain Injury

Understanding your TRICARE explanation of benefits

Article
3/18/2019
Take Command of Your Health

While an EOB isn’t a bill, it’s still an important document to read through and understand

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TRICARE Health Program

Defense and Veterans Brain Injury Center releases new concussion screening tool

Article
3/15/2019
Military health care providers practice administering the MACE 2 during a two-day TBI workshop led by DVBIC at Fort Belvoir, Virginia. (Photo by Carlson Gray)

Providers who screen patients for concussion now have a new and improved tool

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Traumatic Brain Injury

Airmen perform in-flight Transportation Isolation System training

Article
3/14/2019
A C-17 Globemaster III is prepped to transport a Transportation Isolation System during a training exercise that allows Airmen to practice the most effective and safest form of transportation for patients and their medical professionals. Engineered and implemented after the Ebola virus outbreak in 2014, the TIS is an enclosure the Defense Department can use to safely transport patients with highly contagious diseases. (U.S. Air Force photo by Senior Airman Cody Miller)

This mission capability is the only one of its kind in the Department of Defense

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Health Readiness | Technology

Transformation, readiness topics of Navy surgeon general’s visit to Portsmouth

Article
3/13/2019
Navy Surgeon General, Vice Adm. Forrest Faison, visits Naval Medical Center Portsmouth's Branch Health Clinic Norfolk, Mar. 5, 2019. (U.S. Navy photo by Petty Officer 2nd Class Kris Lindstrom)

There is a great benefit when transformation is done right

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Military Hospitals and Clinics

What is a TRICARE Qualifying Life Event?

Article
3/12/2019
Every year during TRICARE Open Season, you can enroll in or change your TRICARE Prime or TRICARE Select health plan. Outside of TRICARE Open Season, you can only enroll in or make changes to your TRICARE Prime (including the US Family Health Plan) or TRICARE Select plan following a Qualifying Life Event (QLE). A QLE is a certain change in your life, such as marriage, birth of a child, change of address, or retirement from active duty. Different TRICARE health plan options may be available to you and your family members after a QLE. (U.S. Navy photo by Ensign Britney Duesler)

Life changes are inevitable, when they occur, your TRICARE health options may change too

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TRICARE Health Program

Mobile app aids ‘truly informed’ contraception conversations between patients, providers

Article
3/11/2019
A new app provides information about contraception with the goal of helping patients make informed decisions with their providers. The app includes a module to address the unique needs of servicewomen around deployment. (Photo by Sgt. Barry St. Clair)

Decide + Be Ready, an app that provides information on contraception for men and women, is designed to help patients make informed decisions with their providers. The app also includes a module to address the unique needs of service women around deployment and duties.

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Men's Health | Women's Health | Technology

Giving life through platelet donation

Article
3/8/2019
Air Force Staff Sgt. Rebekah Stover prepares the arm of high-volume donor Charles Dowd for an apheresis session where platelets are removed from his blood at the Armed Services Blood Bank Center at the Madigan Army Medical Center Annex on Joint Base Lewis-McChord, Washington (U.S. Army photo by Ryan Graham)

It would be hard to find a bigger cheerleader for all types of blood donation than Dowd

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Armed Services Blood Program

Sudden cardiac death in young athletes

Article
3/7/2019
High school basketball requires skill and rigorous training. In rare but highly publicized cases, it can also bring cardiac issues to the surface. (U.S. Army photo by Chuck Gannon)

Sudden cardiac events can occur in seemingly healthy young people in their teens or twenties, including young servicemembers

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Conditions and Treatments | Health Readiness | Heart Health | Preventive Health

Too much pressure: Hypertension a leading cause of heart disease

Article
3/5/2019
Navy Lt. Xin Wu, a nurse from Expeditionary Medical Facility Bethesda in Maryland, checks a patient's blood pressure at a health care clinic set up by the Air Guard and Navy Reserve at a high school in Beattyville, Kentucky. The clinic was part of a mission to train military medical personnel while offering free health care to Eastern Kentucky residents. (U.S. Air Force photo by Lt. Col. Dale Greer)

Healthy lifestyle now can help prevent disorder later

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Heart Health

Military health leaders take part in inaugural American Red Cross Advanced Life Support class

Article
3/4/2019
“It was important to me to have firsthand knowledge of the American Red Cross curriculum we’ll be rolling out to the rest of the MHS,” said Air Force Brig. Gen. Sharon Bannister, Deputy Assistant Director for Education and Training. Bannister said being able to train and test alongside students in their third year of medical school was one of the best parts of the day. (MHS photo)

The transition to the American Red Cross Resuscitation Suite officially began October 1, 2018

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Health Readiness

DoD recognizes Brain Injury Awareness month, promotes warfighter brain health

Article
3/1/2019
The Defense and Veterans Brain Injury Center is leveraging new technologies and cutting-edge research to develop concussion care tools and protocols that prioritize early identification and individualized treatment to maximize warfighter brain health. (MHS graphic)

Traumatic Brain Injury is a signature injury of current conflicts

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Traumatic Brain Injury

Brief Report: Male Infertility, Active Component, U.S. Armed Forces, 2013–2017

Article
3/1/2019
Sperm is the male reproductive cell  Photo: iStock

Infertility, defined as the inability to achieve a successful pregnancy after 1 year or more of unprotected sexual intercourse or therapeutic donor insemination, affects approximately 15% of all couples. Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male. A male factor contributes in part or whole to about 50% of cases of infertility. However, determining the true prevalence of male infertility remains elusive, as most estimates are derived from couples seeking assistive reproductive technology in tertiary care or referral centers, population-based surveys, or high-risk occupational cohorts, all of which are likely to underestimate the prevalence of the condition in the general U.S. population.

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Medical Surveillance Monthly Report

Testosterone Replacement Therapy Use Among Active Component Service Men, 2017

Article
3/1/2019
Anopheles merus

This analysis summarizes the prevalence of testosterone replacement therapy (TRT) during 2017 among active component service men by demographic and military characteristics. This analysis also determines the percentage of those receiving TRT in 2017 who had an indication for receiving TRT using the 2018 American Urological Association (AUA) clinical practice guidelines. In 2017, 5,093 of 1,076,633 active component service men filled a prescription for TRT, for a period prevalence of 4.7 per 1,000 male service members. After adjustment for covariates, the prevalence of TRT use remained highest among Army members, senior enlisted members, warrant officers, non-Hispanic whites, American Indians/Alaska Natives, those in combat arms occupations, healthcare workers, those who were married, and those with other/unknown marital status. Among active component male service members who received TRT in 2017, only 44.5% met the 2018 AUA clinical practice guidelines for receiving TRT.

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Medical Surveillance Monthly Report

Vasectomy and Vasectomy Reversals, Active Component, U.S. Armed Forces, 2000–2017

Article
3/1/2019
Sperm is the male reproductive cell  Photo: iStock

During 2000–2017, a total of 170,878 active component service members underwent a first-occurring vasectomy, for a crude overall incidence rate of 8.6 cases per 1,000 person-years (p-yrs). Among the men who underwent incident vasectomy, 2.2% had another vasectomy performed during the surveillance period. Compared to their respective counterparts, the overall rates of vasectomy were highest among service men aged 30–39 years, non-Hispanic whites, married men, and those in pilot/air crew occupations. Male Air Force members had the highest overall incidence of vasectomy and men in the Marine Corps, the lowest. Crude annual vasectomy rates among service men increased slightly between 2000 and 2017. The largest increases in rates over the 18-year period occurred among service men aged 35–49 years and among men working as pilots/air crew. Among those who underwent vasectomy, 1.8% also had at least 1 vasectomy reversal during the surveillance period. The likelihood of vasectomy reversal decreased with advancing age. Non-Hispanic black and Hispanic service men were more likely than those of other race/ethnicity groups to undergo vasectomy reversals.

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Medical Surveillance Monthly Report
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