The objective of this study was to assess the effectiveness and acceptance of Web-based (WB) versus face-to-face (FF) lecturing. There were 48 soldiers stationed at Fort Bragg, NC who completed the study, participating in either a Web-based or face-to-face lecture on nutrition for performance. The lecture was 30 minutes long. Participants completed a prequiz and survey before the lecture and a postquiz and survey at its conclusion. Results showed there was no difference in the effectiveness of the two mediums on the basis of postquiz scores (Web-based group = 75.68; face-to-face group = 73.27; p = 0.436). Change in scores from pre to post also showed no difference between the two groups (p = 0.375). Assessing the acceptance of the two teaching mediums, there was no significant difference reported, except for the instructor's ability to answer questions (p = 0.05). The conclusion of this study is that Web-based learning can be an effective and acceptable tool for registered dietitians to educate soldiers on nutrition for performance.

This study was performed to review the surgical treatment of obesity at a community military hospital and compare costs to TRICARE reimbursement rates (the cost of sending a patient to a civilian surgeon for obesity surgery). The preoperative, operative, and postoperative phases are described in detail. The expenses of five consecutive patients were calculated and averaged. Each operation at our hospital cost 1,710 dollars, whereas the TRICARE cost was at least 6,950 dollars. A saving of 5,240 dollars per operation was achieved in our military hospital. These five patients subjectively graded their outcomes as very good to excellent at a mean of 7.9 months from surgery. These patients lost an average of 70% of their excess body weight. All patients with weight-related comorbidities reported resolution of at least one problem.