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Pages 198-236

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From page 198... ... For exposure data - ASTM, 2003; DoD Form 2796 "Post Deployment Health Assessment Form"; DoD Form 2900 "Post Deployment Health Reassessment Form". Prepublication Copy – Uncorrected Proof Read the entire page →
From page 199... ... HEALTH DATA BASES The above described assessments generate data that are stored in several data bases or formats, thus requiring record linkage, and data entry, for analysis. One primary data base is the De Prepublication Copy – Uncorrected Proof 10-9 Read the entire page →
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From page 203... ... Exposures can occur throughout the continuum of military operations, such as industrial mainte nance facilities, administrative offices, hospitals, aboard ship, while operating weapon systems in training exercises, and while deployed in war fighting or other military opera Prepublication Copy – Uncorrected Proof Read the entire page →
From page 204... ... . The approach is applicable to assessing and man Prepublication Copy – Uncorrected Proof Read the entire page →
From page 205... ... . Some industrial hygiene exposure data have been collected and entered into the system through the DoD Industrial Hygiene Exposure Assessment Model released in January 2000 (DoD Industrial Hygiene Working Group, 2000) Read the entire page →
From page 206... ... . Prepublication Copy – Uncorrected Proof Read the entire page →
From page 207... ... With the exception of servicemembers who are being discharged from a military transfer facility to a local VA facility with significant residuals of traumatic injuries, the likelihood that a soldier's medical record, Prepublication Copy – Uncorrected Proof Read the entire page →
From page 208... ... For example, in 2005 the Office of Research and Development announced an invitation for research proposals on combat casualty neu Prepublication Copy – Uncorrected Proof Read the entire page →
From page 209... ... Dr. Kang has carried out studies of veterans in the following broad areas: mustard gas exposure, prisoners of war, radiation exposure, Vietnam veterans, Gulf War veterans, and women veterans. Read the entire page →
From page 210... ... 10-20 IMPROVING THE PRESUMPTIVE DISABILITY DECISION-MAKING PROCESS FOR VETERANS TABLE 10-3 Summary of VET Registry Projects Method of Recruitment Number of ParStudy Name recruitment period ticipants Twin pairs 1983 – 1986 Registry construction Military Records Record abstracts 1983 – 1986 14,750 7,375 Studies of the full registry Mail/ telephone Survey of Health follow-up 1987 10,979 4,774 Mail/ Telephone NHLBI VET Study of Follow-up Cardiovascular Disease 1990 8,169 3,698 Harvard Twin Study of Drug Telephone 1991–1993 10,979 3,698 Abuse and Dependence Male Health Survey Mail 1999 5,349 1,615 Studies of selected twins Impulsivity and aggression Mail/ 1992 796 314 Telephone Follow-up Consequences of drug abuse In-person 1995-1996 254 127 Alcohol and health services use Telephone 1995 2.936 Biologic markers for posttrau- In-person 1995-1998 322 161 matic syndrome disorder Telephone 1995-1996 2,003 322 (PTSD) Alcohol vulnerability In-person 1997–1999 760 380 PTSD Sleep study In-person Ongoing 11/22 9 Telephone xxx 207/248 248 Twin-family study of health Telephone & Ongoing 533 214 behaviors Mail xxx– PTSD MRI study 1 In-person Ongoing 48 45 xxx– PTSD MRI study 1 In-person Ongoing 52 xxx– Prepublication Copy – Uncorrected Proof Read the entire page →
From page 211... ... It is evident that the more recent the exposure, the larger the number of monographs devoted to it. Prepublication Copy – Uncorrected Proof Read the entire page →
From page 212... ... 1992. The health of former prisoners of war. Read the entire page →
From page 213... ... Prepublication Copy – Uncorrected Proof Read the entire page →
From page 214... ... Relating to Vietnam, CDC supported the following studies (Source: http://www.cdc.gov/nceh/veterans/default1.htm) : • Vietnam Experience Study • Postservice Mortality Among Vietnam Veterans Study • Agent Orange Validation Study • Selected Cancers Study. Read the entire page →
From page 215... ... that predisposes to the occurrence of a health-related event, or prior exposure to substances (or circumstances) known or suspected to Prepublication Copy – Uncorrected Proof Read the entire page →
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From page 218... ... Agents Service veterans not included because To identify they are in medical problems Afghanistan associated with exposures in the Persian Gulf 23,624 Set up for WWII Ionizing Receipt of Purely voluntary; data from Ionizing Radiation and Cold War Radiation nasopharyngeal Registry exams Registryc 23,472 veterans treatment, birth defect (Started in 1986) males data, diagnoses if 152 Service in possible radiogenicManaged by the females Hiroshima and related diseases, Environmental Nagasaki, disability claims Agents Service gaseous diffusion plants, and area To identify K25 in United medical problems States; nuclear associated with weapons testing ionizing radiation exposure Prepublication Copy – Uncorrected Proof 10-28 Read the entire page →
From page 219... ... 2006. Patterns of health military status; branch of service; military service in Persian care seeking of Persian Gulf War Registry members prior Gulf area; dates and MOS of last two periods of service to deployment. Read the entire page →
From page 220... ... ALS Registry 1,602 Diagnoses of Health-care utilization, Data from existing VA files and self-referrals; a ALS within VA ALS Functional Rating consecutive registry Managed by the health-care Scale every 6 months Epidemiologic system and selfResearch and referrals Information Center in Durham, NC To identify and characterize veterans with ALS Prepublication Copy – Uncorrected Proof 10-30 Read the entire page →
From page 221... ... :129-32. Prepublication Copy – Uncorrected Proof 10-31 Read the entire page →
From page 222... ... hepatitis C within results, pharmacy use registry the VA healthManaged by the Center care system for Quality Management in Public Health in Palo Alto, CA To track overall trends in hepatitis C-related outcomes, health-care utilization planning, quality improvement of care Prepublication Copy – Uncorrected Proof 10-32 Read the entire page →
From page 223... ... Demographics Age, gender, race;martial status; Medical History: Pharmacy and medical services use; cost; diagnoses (total, schizophrenia, bipolar, other) ; GAF scores; mortality; VERA patient class; homelessness; service-connection;access to health care inpatient psychiatric care; inpatient rehabilitation; Prepublication Copy – Uncorrected Proof 10-33 Read the entire page →
From page 224... ... e More information can be found at http://www.hsrd.ann-arbor.med.va.gov/documents/3rdAnnual_psychosisVHA.pdf. SOURCE: Derived from a DoD/VHA, 2000; b DoD/VHA, 2005; c DoD/VHA, 2006; Kang, 2006; e SMITREC, 2001; d SMITREC, 2002 Prepublication Copy – Uncorrected Proof 10-34 Read the entire page →
From page 225... ... inpatient domiciliary care; inpatient nursing home care; outpatient care Prepublication Copy – Uncorrected Proof 10-35 Read the entire page →
From page 226... ... However, every effort should be made to find mechanisms for characterizing soldier exposure and health histories in manners that do not interfere with the broader issues of national security or mission success. DoD should Prepublication Copy – Uncorrected Proof 10-36 Read the entire page →
From page 227... ... was associated with combat exposure, with evidence for a positive close-response relationship. Prepublication Copy – Uncorrected Proof Read the entire page →
From page 228... ... , to be identified and actively followed forward through regular follow-up contacts from the registry staff. Trends in health of the registrants could be followed forward, and Prepublication Copy – Uncorrected Proof Read the entire page →
From page 229... ... It is critical that DoD and VA work together to define a common strategy for integrated health surveillance of soldiers and veterans. Fully leveraging the soldier–veteran exposure and health data is critical to the full understanding of disease etiology and causation, the establishment of relative risk, the adjudication of disability claims, and the treatment of disease. Read the entire page →
From page 230... ... VA should con Prepublication Copy – Uncorrected Proof Read the entire page →
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From page 233... ... 1992. The health of former prisoners of war. Read the entire page →
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From page 235... ... :175-189. Prepublication Copy – Uncorrected Proof Read the entire page →

From page 198...

... For exposure data - ASTM, 2003; DoD Form 2796 "Post Deployment Health Assessment Form"; DoD Form 2900 "Post Deployment Health Reassessment Form". Prepublication Copy – Uncorrected Proof