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Dental characteristics of a large military population useful for identification.

The number and complexity of dental restorations has decreased for younger Americans. Since the presence and extent of restorations are important data for forensic science identification purposes, the Computer-Assisted Postmortem Identification (CAPMI) system was used to assess the practical effect of the decreased selectivity expected as a result of improved dental health. Dental examination data from 7030 soldiers were recorded on optical mark read forms and entered into a database. The data were reorganized and analyzed to generate summary statistics about the incidence of each type of restoration (divided into 16 categories) for both anterior, posterior, upper, lower, and combined segments. Patients' ages ranged from 17 to 49 with a mean of 24 years 5 months. Sixty percent were from 18 to 25 years old. A characteristic is defined as any situation other than a virgin tooth; for example, extracted, missing, unerupted, or restored. The average subject had 7 dental characteristics with approximately 75% having 4 or more. Within the entire population, 9% had 32 unrestored teeth. 3.6% had only one characteristic. To test the selectivity and uniqueness of various combinations of dental characteristics, 363 simulations using the CAPMI system were made against the entire 7030 subject database. Sample records (33 per group) with 2, 3, 4, 5, 6, 7, 8, 9-11, 12-14, 15-18, and 19+ characteristics were chosen at random from the database and searches were made.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Report of the National Commission on Nurse Anesthesia Education. Current and future perspectives regarding the framework for nurse anesthesia education: military education of nurse anesthetists and the case for centralized academic programs with multiple clinical affiliates (USAF).

Almost 40 years after its beginnings, the Air Force Nurse Anesthetist Course entered into a contract with the University of Texas Health Science Center School of Nursing to centralize the academic component of the program and move it into a graduate degree framework. Advantages of such a move are seen to far outweigh any disadvantages of the program.

California↗

The Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine: status of the Federal Medical School after 25 years.

In its first 25 years, the Uniformed Services University of the Health Sciences (USUHS) has become a quality institution of medical education that provides a steady flow of career physicians for the military. It compares favorably with U.S. medical school averages in all aspects of undergraduate medical education: faculty, teaching facilities, matriculants, curriculum, student performance, and cost. USUHS provides excellent medical education and adds unique preparation for uniformed public service. It also provides military-specific graduate education, graduate medical education, continuing health education, medical research, clinical services, consultation, public service, and ties with international military, medical, and research institutions.

Accreditation↗

Comments on the Institute of Medicine's 2002 report on the safety of anthrax vaccine.

In April 2002, the prestigious Institute of Medicine of the National Academy of Sciences issued a final report on the safety and effectiveness of the anthrax vaccine currently in use by the United States military. It concluded that the present vaccine was completely safe and effective, but ignored evidence of several recent research studies from three different nations that have implicated vaccines, often including anthrax vaccine, in the epidemiology of Gulf War illnesses. Omissions and limitations of that report are discussed.

Academic Medical Centers↗

The application of the forensic sciences to human rights investigations.

Prior to the mid-1980's, human rights abuses were documented almost entirely through witness and victim testimony. In 1984-85, forensic scientists from the United States, working under the auspices of the American Association for the Advancement of Science, exhumed skeletal remains of disappeared persons in Argentina. They provided physical evidence for the trial of members of the deposed military junta and trained an Argentine forensic anthropology team. It became apparent that medical and forensic verification of torture and extrajudicial executions could provide irrefutable evidence that such activities had, in fact, taken place. Requests for assistance came from human rights groups throughout the world, and led to the development of an international protocol for the investigation of government sponsored murders. The United States based Physicians for Human Rights has now conducted missions to nearly 30 countries. The recent documentation of mass graves in El Salvador, Guatemala, Iraqi Kurdistan and the former Yugoslavia demonstrates how forensic scientists expose such crimes to international scrutiny, and the necessity of scientific evidence when confronting human rights violations.

Adult↗

The extent and patterns of usage of Agent Orange and other herbicides in Vietnam.

Herbicides including Agent Orange were sprayed by United States forces for military purposes during the Vietnam War (1961-1971) at a rate more than an order of magnitude greater than for similar domestic weed control. In 1974, the US National Academy of Sciences published estimates of the extent and distribution of herbicides sprayed. Here we present revised estimates, developed using more-complete data. The spray inventory is expanded by more than seven million litres, in particular with heavily dioxin-contaminated herbicides. Estimates for the amount of dioxin sprayed are almost doubled. Hamlet census data reveal that millions of Vietnamese were likely to have been sprayed upon directly. Our identification of specific military herbicide targets has led to a more coherent understanding of spraying. Common errors in earlier interpretations of the spray data are also discussed.

2,4,5-Trichlorophenoxyacetic Acid↗

Cosmetic neurology: the controversy over enhancing movement, mentation, and mood.

Advances in cognitive neuroscience and neuropharmacology are yielding exciting treatments for neurologic diseases. Many of these treatments are also likely to have uses for people without disease. Here, I review the ways in which medicine might make bodies and brains function better by modulating motor, cognitive, and affective systems. These potential "quality of life" interventions raise ethical concerns, some related to the individual and others related to society. Despite these concerns, I argue that major restraints on the development of cosmetic neurology are not likely. Neurologists and other clinicians are likely to encounter patient-consumers who view physicians as gatekeepers in their own pursuit of happiness.

Affect↗