04164nam 2200517 450 991078691060332120230803202358.00-309-29877-6(CKB)3710000000109549(EBL)3564297(SSID)ssj0001213737(PQKBManifestationID)11676293(PQKBTitleCode)TC0001213737(PQKBWorkID)11270933(PQKB)11638923(MiAaPQ)EBC3564297(Au-PeEL)EBL3564297(CaPaEBR)ebr10868184(OCoLC)880456748(EXLCZ)99371000000010954920140519h20142014 uy 0engurcnu||||||||txtccrChronic multisymptom illness in Gulf War veterans case definitions reexamined /Institute of Medicine (U.S.)Washington, District of Columbia :National Academies Press,2014.©20141 online resource (130 p.)Description based upon print version of record.0-309-29876-8 Includes bibliographical references at the end of each chapters.""Front Matter""; ""Reviewers""; ""Contents""; ""Summary""; ""1 Introduction""; ""2 Case Definitions""; ""3 Studies of Symptoms in Gulf War Veterans""; ""4 Factor Analysis and its Use in Studies of Symptoms in Gulf War Veterans""; ""5 Chronic Multisymptom Illness Case Definitions and Recommendations""; ""Appendix A: Additional Information about Factor Analysis and Cluster Analysis""; ""Appendix B: Percentages of Veterans Reporting Symptoms in Studies of Gulf War Veterans and Military Personnel"""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" -- Provided by publisher.Persian Gulf War, 1991VeteransMedical careUnited StatesGulf War illnesschronic multisymptom illnessCMIPersian Gulf War, 1991VeteransMedical care956.704427MiAaPQMiAaPQMiAaPQBOOK9910786910603321Chronic multisymptom illness in Gulf War veterans3790095UNINA