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Adequacy of the Comprehensive Clinical Evaluation Program [[electronic resource] ] : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the Comprehensive Clinical Evaluation Program [[electronic resource] ] : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1997
Descrizione fisica 1 online resource (141 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Veterans - Medical care - United States
Persian Gulf War, 1991 - Health aspects - United States
Soggetto genere / forma Electronic books.
ISBN 1-280-18718-2
9786610187188
0-309-59142-2
0-585-00252-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910455958503321
Washington, D.C., : National Academy Press, c1997
Materiale a stampa
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Adequacy of the Comprehensive Clinical Evaluation Program [[electronic resource] ] : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the Comprehensive Clinical Evaluation Program [[electronic resource] ] : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1997
Descrizione fisica 1 online resource (141 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Veterans - Medical care - United States
Persian Gulf War, 1991 - Health aspects - United States
ISBN 1-280-18718-2
9786610187188
0-309-59142-2
0-585-00252-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910778776903321
Washington, D.C., : National Academy Press, c1997
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Adequacy of the Comprehensive Clinical Evaluation Program : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the Comprehensive Clinical Evaluation Program : a focused assessment / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C., : National Academy Press, c1997
Descrizione fisica 1 online resource (141 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Veterans - Medical care - United States
Persian Gulf War, 1991 - Health aspects - United States
ISBN 1-280-18718-2
9786610187188
0-309-59142-2
0-585-00252-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910827553103321
Washington, D.C., : National Academy Press, c1997
Materiale a stampa
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Adequacy of the Comprehensive Clinical Evaluation Program : a nerve agents / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the Comprehensive Clinical Evaluation Program : a nerve agents / / Committee on the Evaluation of the Department of Defense Comprehensive Clinical Evaluation Program, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1997
Descrizione fisica 1 online resource (62 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Veterans - Medical care - United States
Persian Gulf War, 1991 - Health aspects - United States
ISBN 1-280-19143-0
9786610191437
0-309-59040-X
0-585-08585-4
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910817014103321
Washington, D.C., : National Academy Press, 1997
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Adequacy of the Comprehensive Clinical Evaluation Program : Nerve Agents [[electronic resource]]
Adequacy of the Comprehensive Clinical Evaluation Program : Nerve Agents [[electronic resource]]
Autore Institute of Medicine Staff
Pubbl/distr/stampa Washington, DC, USA, : National Academies Press, 19970401
Descrizione fisica 1 online resource (62 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Medical care - Veterans - United States
Persian Gulf War, 1991 - Health aspects - United States
Persian Gulf Syndrome - diagnosis
Program Evaluation
Veterans Disability Claims
Outcome and Process Assessment, Health Care - organization & administration
ISBN 1-280-19143-0
9786610191437
0-309-59040-X
0-585-08585-4
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910456009003321
Institute of Medicine Staff  
Washington, DC, USA, : National Academies Press, 19970401
Materiale a stampa
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Adequacy of the comprehensive clinical evaluation program : nerve agents [[electronic resource]]
Adequacy of the comprehensive clinical evaluation program : nerve agents [[electronic resource]]
Autore Institute of Medicine Staff
Pubbl/distr/stampa Washington, DC, USA, : National Academies Press, 19970401
Descrizione fisica 1 online resource (62 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf War, 1991 - Veterans - Diseases - United States
Persian Gulf War, 1991 - Medical care - Veterans - United States
Persian Gulf War, 1991 - Health aspects - United States
Persian Gulf Syndrome - diagnosis
Program Evaluation
Veterans Disability Claims
Outcome and Process Assessment, Health Care - organization & administration
ISBN 1-280-19143-0
9786610191437
0-309-59040-X
0-585-08585-4
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910778667903321
Institute of Medicine Staff  
Washington, DC, USA, : National Academies Press, 19970401
Materiale a stampa
Lo trovi qui: Univ. Federico II
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Adequacy of the VA Persian Gulf registry and uniform case assessment protocol [[electronic resource] /] / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the VA Persian Gulf registry and uniform case assessment protocol [[electronic resource] /] / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1998
Descrizione fisica 1 online resource (204 p.)
Disciplina 616.9/8023
Soggetto topico Persian Gulf syndrome
Medical protocols
Soggetto genere / forma Electronic books.
ISBN 1-280-18686-0
9786610186860
0-309-59177-5
0-585-03068-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910455378403321
Washington, D.C., : National Academy Press, 1998
Materiale a stampa
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Adequacy of the VA Persian Gulf registry and uniform case assessment protocol / / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the VA Persian Gulf registry and uniform case assessment protocol / / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Pubbl/distr/stampa Washington, D.C. : , : National Academy Press, , 1998
Descrizione fisica 1 online resource (204 pages) : forms
Disciplina 616.9/8023
Soggetto topico Persian Gulf syndrome
Medical protocols
ISBN 0-309-17411-2
1-280-18686-0
9786610186860
0-309-59177-5
0-585-03068-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Record Nr. UNINA-9910778619003321
Washington, D.C. : , : National Academy Press, , 1998
Materiale a stampa
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Adequacy of the VA Persian Gulf registry and uniform case assessment protocol / / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Adequacy of the VA Persian Gulf registry and uniform case assessment protocol / / Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol, Division of Health Promotion and Disease Prevention, Institute of Medicine
Edizione [1st ed.]
Pubbl/distr/stampa Washington, D.C., : National Academy Press, 1998
Descrizione fisica 1 online resource (204 pages) : forms
Disciplina 616.9/8023
Soggetto topico Persian Gulf syndrome
Medical protocols
ISBN 0-309-17411-2
1-280-18686-0
9786610186860
0-309-59177-5
0-585-03068-5
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Adequacy of the VA Persian Gulf Registry and Uniform Case Assessment Protocol -- Copyright -- Preface -- Acknowledgments -- Contents -- Executive Summary -- FINDINGS AND RECOMMENDATIONS -- Diagnostic Process -- Implementation and Administration -- Referrals -- Quality -- Patient Satisfaction -- Data Collection and Reporting -- Outreach -- Provider Education -- SUMMARY -- 1 Introduction -- 2 The Institute of Medicine's Persian Gulf Activities -- 3 The Department of Veterans Affairs Persian Gulf Registry and Uniform Case Assessment Protocol -- PERSIAN GULF REGISTRY -- PHASE II: UNIFORM CASE ASSESSMENT PROTOCOL -- REFERRAL -- DATA COLLECTION AND REPORTING -- PERSONNEL -- PERFORMANCE MONITORING -- DESCRIPTIVE STATISTICS -- OUTREACH -- PROVIDER EDUCATION -- 4 Committee on the Evaluation of the Department of Veterans Affairs Uniform Case Assessment Protocol -- SITE VISITS -- WRITTEN TESTIMONY -- VA Health Facilities -- Veterans' Service Organizations -- 5 Findings and Recommendations -- DISCUSSION -- DIAGNOSTIC PROCESS -- IMPLEMENTATION AND ADMINISTRATION -- Referrals -- Quality -- Patient Satisfaction -- Data Collection and Reporting -- OUTREACH -- PROVIDER EDUCATION -- 6 Conclusion -- References and Selected Bibliography -- Appendix A Health Consequences of Service During the Persian Gulf War: Initial Findings and Recommendations for Immediate… -- FINDINGS AND RECOMMENDATIONS -- DATA AND DATABASES -- Finding I -- Recommendations -- Finding 2 -- Recommendation -- Finding 3 -- Recommendations -- COORDINATION/PROCESS -- Finding 4 -- Recommendation -- Finding 5 -- Recommendations -- CONSIDERATIONS OF STUDY DESIGN NEEDS -- Finding 6 -- Recommendations -- Finding 7 -- Recommendations -- Finding 8 -- Recommendation -- Finding 9 -- Recommendations -- Finding 10 -- Recommendation -- Finding 11 -- Recommendation -- Finding 12 -- Recommendation -- Finding 13.
Recommendations -- Finding 14 -- Recommendations -- Appendix B Health Consequences of Service During the Persian Gulf War: Recommendations for Research and Information Systems -- CHARGE TO THE COMMITTEE: ITS FINDINGS AND RECOMMENDATIONS -- Overview -- THE COMMITTEE'S CHARGE -- Charge 1 -- Charge 2 -- Charge 3 -- FINDINGS AND RECOMMENDATIONS -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Finding -- Appendix C Evaluation of the U.S. Department of Defense Persian Gulf Comprehensive Clinical Evaluation Program: Overall… -- 1.) OVERALL ASSESSMENT OF THE CCEP GOALS PROCEDURES -- 2.) GENERAL RECOMMENDATIONS FOR THE IMPLEMENTATION OF THE CCEP -- 2.1.) Referrals of Patients from Phase I to Phase II of the CCEP -- 2.1.1.) Structure and revise the CCEP protocol and logistics to allow the majority of patients to receive a final diagnosis… -- 2.1.2.) Curtail diagnostic work-ups in patients not seriously disabled with minor complaints -- 2.1.3.) Require additional efforts to provide more care at the primary care level -- 2.1.4.) Continue referral of subgroups of patients whose illnesses are difficult to diagnose -- 2.2.) Systematic Guidelines for Psychiatric Referrals and Adequacy of Psychiatric Resources -- 2.2.1.) Develop explicit guidelines for the identification of Phase I patients who would benefit from a psychiatric… -- 2.2.2.) Alert primary care physicians about the high prevalence of psychiatric disorders -- 3.) SPECIFIC OBSERVATIONS OF AND RECOMMENDATIONS FOR THE IMPLEMENTATION OF THE CCEP -- 3.1.) Analysis and Interpretation of the CCEP Results -- 3.1.1.) Symptoms and diagnoses in the CCEP population -- 3.1.1.1.) No evidence has been found that the DoD has been trying to avoid reaching a single unifying diagnosis.
3.1.1.2.) Signs and symptoms in many patients can be explained by well-recognized conditions -- 3.1.1.3.) Provide more detailed information on specific diagnoses in future reports -- 3.1.1.4.) Investigate the diagnosis in patients with disability processing actions -- 3.1.1.5.) Don't view CCEP results as estimates of the prevalence of disability related to Persian Gulf service -- 3.1.2.) Evidence of a New, Unique Persian Gulf Syndrome -- 3.1.2.1.) There is a lack of clinical evidence of a unique Persian Gulf Syndrome -- 3.1.2.2.) Share the entire CCEP data set with qualified researchers outside of the DoD -- 3.1.3.) Potential Relationship of Illnesses in CCEP Patients to Service in the Persian Gulf -- 3.1.3.1.) Discuss the issue of causality explicitly and unambiguously in its future reports -- 3.1.3.2.) Determine the timing of the onset of disease -- 3.1.4.) Comparison of the CCEP Population with Other Populations -- 3.1.4.1.) Be cautious about comparison with other populations -- 3.1.4.2.) It's difficult to establish causal relationships by relying on CCEP data alone -- 3.1.4.3.) Consider the CCEP data to have high clinical utility -- 3.2.) Specific Medical Diagnosis -- 3.2.1.) Psychiatric Conditions -- 3.2.1.1.) Make patients aware of psychiatric conditions and their prevalence and morbidity -- 3.2.1.2.) Emphasize effects and diagnosis of psychosocial stressors -- 3.2.1.3.) Identify people with risk of developing depression or Post-Traumatic Stress Disorder (PTSD) -- 3.2.1.4.) Improve standardization of psychiatric evaluations -- 3.2.1.5.) Document and investigate the onset and course of symptoms and psychosocial stressors -- 3.2.1.6.) Standardize neuropsychological evaluations -- 3.2.1.7.) Standardize classification and coding of diseases -- 3.2.1.8.) Document headache categories differently.
3.2.1.9.) Add explicit written instruction on medical record-keeping and coding -- 3.2.1.10.) Expand discussion of psychological stressors -- 3.2.1.11.) Utilize results of on-going studies to revise CCEP -- 3.2.2.) Musculoskeletal Conditions -- 3.2.2.1.) Provide more details of diagnostic categorization of musculoskeletal conditions -- 3.2.2.2.) Place more emphasis on musculoskeletal conditions -- 3.2.3.) Signs, Symptoms, and Ill-Defined Conditions -- 3.2.3.1.) Clarify types of disorders included in the ICD-9 category -- 3.2.4.) Infectious Diseases -- 3.2.4.1.) Infectious disease is not a frequent cause of serious illness -- 3.2.4.2.) Veterans are not likely afflicted with some previously unknown pathogen -- 3.2.5.) Chronic Fatigue Syndrome, Fibromyalgia, and Multiple Chemical Sensitivity -- 3.2.5.1.) Estimating prevalence of chronic fatigue syndrome, fibromyalgia, and multiple chemical sensitivity is difficult -- 3.2.5.2.) Collect data using established diagnostic criteria for CFS and FM -- 3.2.5.3.) Established diagnostic criteria do not exist for MCS -- 3.2.5.4.) Include CFS, FM, and MCS in on-going and future epidemiological research studies -- 3.2.5.5.) Continue thorough workup to diagnose sleep disturbances and fatigue -- 3.3.) Use of the CCEP Results for Education Improvements in the Medical Protocol and Outcome Evaluations -- 3.3.1.) Use of the CCEP Results for Education -- 3.3.1.1.) Continue public release of analysis results of the CCEP on an on-going, periodic basis -- 3.3.1.2.) Distribute CCEP findings to all primary care physicians at MTFs and RMCs -- 3.3.1.3.) Develop a more concise version of the DoD report for active-duty service personnel and veterans -- 3.3.1.4.) Develop a more comprehensive document describing potential exposures in more detail -- 3.3.2.) Use of the CCEP Results to Improve the Medical Protocol.
3.3.2.1.) Use CCEP examination results to improve standardization practices -- 3.3.2.2.) Refine questions related to potential psychological stressors -- 3.3.2.3.) Determine if lab tests or specialty consultations should be added to Phase I -- 3.3.2.4.) Compare and coordinate methods and clinical results of the CCEP and UCAP -- 3.3.3.) Use of the CCEP Results for Patient Outcome -- 3.3.3.1.) Perform targeted patient evaluations -- 3.3.3.2.) Communicate successful treatment methods between RMCs -- 3.3.3.3.) Review disorders among CCEP patients who have applied for disability payments or for medical discharge from the… -- 3.3.4.) Specialized Care Center (SCC) -- 3.3.4.1.) The DoD has made serious efforts to develop an SCC program that has ambitious goals -- 3.3.4.2.) Provide multidisciplinary treatment modalities -- 3.3.4.3.) Need for individualized follow-up and therapeutic regimens -- 3.3.4.4.) Develop objective measure of functional status for follow-up evaluation -- 3.3.4.5.) Evaluate the SCC program itself -- 3.3.4.6.) DoD has taken a serious approach to the treatment and rehabilitation of these patients in the SCC -- 3.3.4.7.) Investigate costs and benefits of the SCC program -- 3.3.4.8.) Identify the most effective elements of the SCC program -- 3.4.) Research Relevant to the CCEP -- 3.4.1.) Epidemiological Research Relevant to the CCEP -- 3.4.1.1.) Utilize on-going epidemiological studies for revising or improving the CCEP -- 3.4.1.2.) Acknowledge the serious limitations of the CCEP data for epidemiological purposes -- 3.4.2.) Exposure Assessment Research Relevant to the CCEP -- 3.4.2.1.) Investigate experiences of individuals in UICs with higher rates of CCEP participation -- 3.4.2.2.) Investigate exposures restricted to particular locations or special occupational groups.
COMMITTEE ON THE DOD PERSIAN GULF SYNDROME COMPREHENSIVE CLINICAL EVALUATION PROGRAM.
Record Nr. UNINA-9910826476103321
Washington, D.C., : National Academy Press, 1998
Materiale a stampa
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Combat casualty care : lessons learned from OEF and OIF / / editor in chief, Martha K. Lenhart ; medical content editor, Eric Savitsky ; military editor, Brian Eastridge
Combat casualty care : lessons learned from OEF and OIF / / editor in chief, Martha K. Lenhart ; medical content editor, Eric Savitsky ; military editor, Brian Eastridge
Pubbl/distr/stampa Falls Church, Va. : , : Office of the Surgeon General, Department of the Army, , 2012
Descrizione fisica 1 online resource ([778] pages) : color illustrations
Disciplina 616.9/8023
Soggetto topico Soldiers - Wounds and injuries - United States
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Modern warfare / Alec C. Beekley, Harold Bohman, and Danielle Schindler -- Weapons effects / Sidney B. Brevard, Howard Champion, and Dan Katz -- Fundamentals of combat casualty care / Robert T. Gerhardt ... [et al.] -- Damage control resuscitation / Jeremy G. Perkins and Alec C. Beekley -- Damage control surgery / Brian J. Eastridge ... [et al.] -- Maxillofacial and neck trauma / Robert G. Hale ... [et al.] -- Ocular trauma / Raymond I. Cho and Eric Savitsky -- Traumatic brain injury / Scott A. Marshall ... [et al.] -- Extremity injury / John F. Kragh Jr, Jess M. Kirby, and James R. Ficke -- Spinal trauma / Raymond F. Topp, Eric Savitsky, and William P. Cranston -- Pediatric trauma / Philip C. Spinella, Jonathan Martin, and Kenneth S. Azarow -- Acute burn care / Evan M. Renz and Leopoldo C. Cancio -- Critical care / David Norton, Phillip Mason, and Jay Johannigman.
Record Nr. UNINA-9910703496903321
Falls Church, Va. : , : Office of the Surgeon General, Department of the Army, , 2012
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