Illness Among Persian Gulf War Veterans Case Validation Studies PDF Download
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| Author | : |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2001 |
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Download Illness Among Persian Gulf War Veterans: Case Validation Studies Book in PDF, ePub and Kindle
In 1996 we completed a population-based, cross-sectional/ cohort telephone survey of 4,886 military personnel to compare the prevalence of self-reported symptoms and illnesses among military personnel either deployed, or eligible but not deployed, to the Gulf War (JAMA, 1997). Our current study, a series of case-validation and case-control studies nested within our population-based study, should provide an estimate of the true magnitude of the problems. Because of the magnitude of the difference in prevalence between these groups, it is critical to explore and characterize their cognitive deficits, depression, and multisystemic conditions. The primary purpose of the current project is to compare the true rate of confirmed disease among samples of veterans not deployed, with and without these self-reported conditions. Furthermore, we also plan to identify risk factors for each disease outcome of interest including medical and family history, psychological factors, and occupational and environmental exposures for validated illness in a series of nested case-control studies. Year 4 has just been completed. Through September 2001, 578 subjects have been assessed, with a participation rate of 59%. Recruitment, assessment, and data collection, entry, and validation efforts are ongoing. We are in the process of data editing, database linkage and planning and programming analyses.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 131 |
| Release | : 2014-05-21 |
| Genre | : Medical |
| ISBN | : 0309298768 |
Download Chronic Multisymptom Illness in Gulf War Veterans Book in PDF, ePub and Kindle
More than 2 decades have passed since the 1990-1991 conflict in the Persian Gulf. During the intervening years, many Gulf War veterans have experienced various unexplained symptoms that many associate with service in the gulf region, but no specific exposure has been definitively associated with symptoms. Numerous researchers have described the pattern of signs and symptoms found in deployed Gulf War veterans and noted that they report unexplained symptoms at higher rates than nondeployed veterans or veterans deployed elsewhere during the same period. Gulf War veterans have consistently shown a higher level of morbidity than the nondeployed, in some cases with severe and debilitating consequences. However, efforts to define a unique illness or syndrome in Gulf War veterans have failed, as have attempts to develop a uniformly accepted case definition. Chronic Multisymptom Illness in Gulf War Veterans is a comprehensive review of the available scientific and medical literature regarding symptoms for chronic multisymptom illness (CMI) among the 1991 Gulf War Veterans. This report evaluates and summarizes the literature in an effort to identify appropriate terminology to use in referring to CMI in Gulf War Veterans. While the report does not recommend one specific case definition over another, Chronic Multisymptom Illness in Gulf War Veterans does recommend the consideration of two case definitions on the basis of their concordance with the evidence and their ability to identify specific symptoms commonly reported by Gulf War veterans. This report recommends that the Department of Veterans Affairs use the term Gulf War illness rather than CMI. The report recommends that that the Department of Veterans Affairs, to the extent possible, systematically assess existing data to identify additional features of Gulf War illness, such as onset, duration, severity, frequency of symptoms, and exclusionary criteria to produce a more robust case definition.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 136 |
| Release | : 1999-09-25 |
| Genre | : Medical |
| ISBN | : 0309065801 |
Download Gulf War Veterans Book in PDF, ePub and Kindle
Many individuals, groups, and federal agencies have a strong interest in finding answers to the numerous and complex questions regarding the health of Gulf War veterans. Various types of research and health measurement are needed to address these diverse issues. The Institute of Medicine (IOM) was asked by the Department of Veterans Affairs (VA) and the Department of Defense (DoD) to undertake a study to identify important questions concerning the health of Gulf War veterans and then to design a study to answer those questions. The committee determined that it is of fundamental importance to ask how healthy are Gulf War veterans? Are they as healthy as others? What characteristics are associated with differences between the health of Gulf War veterans and the health of others? To address these questions, it will be necessary to measure not only the health status of those who served in the Gulf War, but also to compare Gulf War veterans with other groups. Further, one must continue to follow these groups through time to determine whether the groups differ in the way their health status is changing. As the committee began to develop a design that would address the fundamental questions identified, it realized that such a study could have important implications for understanding not only the health of Gulf War veterans, but also the health of veterans of other conflicts.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 205 |
| Release | : 1996-10-10 |
| Genre | : Medical |
| ISBN | : 0309175526 |
Download Health Consequences of Service During the Persian Gulf War Book in PDF, ePub and Kindle
In January 1995 the Institute of Medicine released a preliminary report containing initial findings and recommendations on the federal government's response to reports by some veterans and their families that they were suffering from illnesses related to military service in the Persian Gulf War. The committee was asked to review the government's means of collecting and maintaining information for assessing the health consequences of military service and to recommend improvements and epidemiological studies if warranted. This new volume reflects an additional year of study by the committee and the full results of its three-year effort.
| Author | : Committee on Health Effects Associated with Exposures During the Gulf War |
| Publisher | : National Academies Press |
| Total Pages | : 426 |
| Release | : 2000-12-12 |
| Genre | : Medical |
| ISBN | : 0309171628 |
Download Gulf War and Health Book in PDF, ePub and Kindle
The men and women who served in the Gulf War theater were potentially exposed to a wide range of biological and chemical agents. Gulf War and Health: Volume 1 assesses the scientific literature concerning the association between these agents and the adverse health effects currently experienced by a large number of veterans.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 162 |
| Release | : 2001-08-30 |
| Genre | : Medical |
| ISBN | : 0309170494 |
Download Gulf War Veterans Book in PDF, ePub and Kindle
Ten years after the end of the Gulf War, questions continue to be raised about the health of U.S. service personnel who fought in that war. A primary concern is whether Gulf War veterans are receiving effective treatments for their health problems. Section 105 of the Veterans Program Enhancement Act of 1998 mandates that the Department of Veterans Affairs (VA) ask the Institute of Medicine (IOM) to convene a committee that would identify a method for assessing treatment effectiveness and describe already-validated treatments for Gulf War veterans' health problems, including the problem of medically unexplained symptoms. The specific charge to the committee is to (1) identify and describe approaches for assessing treatment effectiveness; (2) identify illnesses and conditions among veterans of the Gulf War, using data obtained from the VA and the Department of Defense (DoD) Gulf War Registries, as well as information in published articles; and (3) for these identified conditions and illnesses, identify validated models of treatment (to the extent that such treatments exist), or identify new approaches, theories, or research on the management of patients with these conditions if validated treatment models are not available.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 103 |
| Release | : 1994-12-30 |
| Genre | : Medical |
| ISBN | : 0309176530 |
Download Health Consequences of Service During the Persian Gulf War Book in PDF, ePub and Kindle
This initial volume in an ongoing study of the potential health consequences of service during the Persian Gulf War responds to a request from Congress to determine whether actions taken to evaluate health effects have been appropriate. It reflects the committee's examination of health outcomes and related research efforts, women's health and reproductive health issues, infrastructure and procedures for data collection, health services influences, the role of psychiatric diagnosis, and a review of the activities of boards and coordinating groups, as well as how issues stemming from involvement in the Persian Gulf might be relevant for possible future conflicts. While the committee continues its full-length study of the problem, the recommendations in this volume are for actions it feels should be taken immediately.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 517 |
| Release | : 2005-10-28 |
| Genre | : Medical |
| ISBN | : 0309095271 |
Download Gulf War and Health Book in PDF, ePub and Kindle
The third in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the long-term, human health effects associated with exposure to selected environmental agents, pollutants, and synthetic chemical compounds believed to have been present during the Gulf War. The committee specifically evaluated the literature on hydrogen sulfide, combustion products, hydrazine and red fuming nitric acid. Both the epidemiologic and toxicologic literature were reviewed.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 271 |
| Release | : 2020-10-23 |
| Genre | : Medical |
| ISBN | : 0309679109 |
Download Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations Book in PDF, ePub and Kindle
More than 3.7 million U.S. service members have participated in operations taking place in the Southwest Asia Theater of Military Operations since 1990. These operations include the 1990-1991 Persian Gulf War, a post-war stabilization period spanning 1992 through September 2001, and the campaigns undertaken in the wake of the September 11, 2001, attacks. Deployment to Iraq, Kuwait, Saudi Arabia, Bahrain, Gulf of Aden, Gulf of Oman, Oman, Qatar, the United Arab Emirates, and Afghanistan exposed service members to a number of airborne hazards, including oil-well fire smoke, emissions from open burn pits, dust and sand suspended in the air, and exhaust from diesel vehicles. The effects of these were compounded by stressors like excessive heat and noise that are inevitable attributes of service in a combat environment. Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations reviews the scientific evidence regarding respiratory health outcomes in veterans of the Southwest Asia conflicts and identifies research that could feasibly be conducted to address outstanding questions and generate answers, newly emerging technologies that could aid in these efforts, and organizations that the Veterans Administration might partner with to accomplish this work.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 243 |
| Release | : 2013-04-04 |
| Genre | : Medical |
| ISBN | : 0309278058 |
Download Gulf War and Health Book in PDF, ePub and Kindle
Chronic multisymptom illness (CMI) is a serious condition that imposes an enormous burden of suffering on our nation's veterans. Veterans who have CMI often have physical symptoms (such as fatigue, joint and muscle pain, and gastrointestinal symptoms) and cognitive symptoms (such as memory difficulties). For the purposes of this report, the committee defined CMI as the presence of a spectrum of chronic symptoms experienced for 6 months or longer in at least two of six categories-fatigue, mood, and cognition, musculoskeletal, gastrointestinal, respiratory, and neurologic-that may overlap with but are not fully captured by known syndromes (such as CFS, fibromyalgia, and IBS) or other diagnoses. Despite considerable efforts by researchers in the United States and elsewhere, there is no consensus among physicians, researchers, and others as to the cause of CMI. There is a growing belief that no specific causal factor or agent will be identified. Many thousands of Gulf War veterans1 who have CMI live with sometimes debilitating symptoms and seek an effective way to manage their symptoms. Estimates of the numbers of 1991 Gulf War veterans who have CMI range from 175,000 to 250,000 (about 25-35% of the 1991 Gulf War veteran population), and there is evidence that CMI in 1991 Gulf War veterans may not resolve over time. Preliminary data suggest that CMI is occurring in veterans of the Iraq and Afghanistan wars as well. In addition to summarizing the available scientific and medical literature regarding the best treatments for chronic multisymptom illness among Gulf War veterans, Gulf War and Health: Volume 9: Treatment for Chronic Multisymptom Illness recommends how best to disseminate this information throughout the VA to improve the care and benefits provided to veterans, recommends additional scientific studies and research initiatives to resolve areas of continuing scientific uncertainty and recommends such legislative or administrative action as the IOM deems appropriate in light of the results of its review.
