Abstract:
:This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The participants were drawn from an initial random list of 100 veterans, of whom 28 PGW and 20 era veterans had correct telephone data on file. Of those contacted, 86% of PGW veterans (24/28) and 85% of era veterans (17/20) agreed to participate. Significantly more PGW veterans with poorer global health after military service reported considering themselves now "especially sensitive to certain chemicals" (86%, 12/14) than did the PGW veterans or era veterans in stable health (both comparison groups 30%, 3/10). Among PGW veterans, the subset with worse health associated with marked increases in chemical odor intolerance since their military service had a significantly higher odds ratio for exposure to multiple chemicals, notably wartime pesticides and insect repellent, than did comparison groups. The high rate of chemical sensitivity of PGW veterans with deteriorated health is almost three times that in PGW-era veterans and in elderly primary care outpatient veterans at the same Department of Veterans Affairs medical center and in community-based civilian samples (i.e., 30%). These preliminary findings suggest the need for further study of chemical sensitivity, including tests for acquired increases in neural sensitizability to multiple low-level chemicals, in ill PGW veterans.
journal_name
Mil Medjournal_title
Military medicineauthors
Bell IR,Warg-Damiani L,Baldwin CM,Walsh ME,Schwartz GEsubject
Has Abstractpub_date
1998-11-01 00:00:00pages
725-32issue
11eissn
0026-4075issn
1930-613Xjournal_volume
163pub_type
杂志文章abstract::Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2002-07-01 00:00:00
abstract::Isotonic, isosmotic lavage is a safe and effective means of mechanical preparation of the large bowel for left colon surgery. In this prospective, randomized trial comparing lavage with a more traditional three-day bowel preparation, the lavage was well tolerated, led to decreased preoperative hospital days, and produ...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-04-01 00:00:00
abstract:Objective:Women are serving in the armed forces and deployed to areas of conflict in increasing numbers. Problems such as depressive symptoms and risks related to combat exposure can have negative effects on adjustment following service; understanding the relationship between these problems may contribute to strategies...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx065
更新日期:2018-03-01 00:00:00
abstract::Spectacle incompatibility has been a major problem in the fielding of advanced Army avionic and electro-optical systems. As a result, routine contact lens wear may be instituted as an option to spectacles. Refractive error data were extracted from the Aviation Epidemiological Data Registry, a computer-accessible repos...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.12.1026
更新日期:2005-12-01 00:00:00
abstract::Data from 12 Department of Veterans Affairs patients hospitalized for status asthmaticus were analyzed to determine the rate and degree of response to therapy. The time to achieve recovery was directly related to the level of baseline obstruction at the time of hospital admission. The recovery rate was constant and co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::Tick bites, associated clinical symptoms, and antibodies against Borrelia burgdorferi were investigated in 77 Finnish army recruits training during summer in an endemic region and 50 control recruits serving outside the habitat of ticks. During a follow-up of 6 months, 26.9% of the study recruits reported tick bites. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:To document the ongoing trauma experience of U.S. Army surgeons during peacetime clinical practice. METHODS:Surveys were mailed to the trauma directors of military surgical services worldwide. Questions focused on numbers of operative cases and availability of trauma resources. Laparotomy, thoracotomy, and v...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::In a deployment setting, orthopedic and musculoskeletal injuries represent the majority of both combat-related and noncombat-related injuries. To expeditiously and efficiently manage the large influx of patients, our experience revealed the tremendous benefits of having physical therapy colocated with an orthopedic su...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.3.220
更新日期:2006-03-01 00:00:00
abstract::The effects on hearing thresholds, sound attenuation, and consonant discrimination of wearing a balaclava under hearing-protecting earmuffs were studied. This combination is commonly worn during cold weather military operations. One group of 20 normal-hearing adults (10 male and 10 female subjects) was tested. Within-...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.10.976
更新日期:2006-10-01 00:00:00
abstract::Cutaneous leishmaniasis typically presents as a painless papule progressing to an ulcer or plaque. In this case study of the ear, the disease manifested as a small painful bump progressing into redness and swelling about the ear with purulent drainage. After multiple oral/intravenous antipseudomonal, antistaphylococca...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00054
更新日期:2017-07-01 00:00:00
abstract::The Assessment of Recruit Motivation and Strength (ARMS) project evaluated whether active duty Army enlistees who exceeded weight and body-fat standards but were able to pass the ARMS physical fitness test were at elevated risk of early attrition relative to the traditional recruit population. Attrition among 1146 ove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-02-7508
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to determine the incidence of iron deficiency anemia in an obstetrics clinic with a secondary objective to determine predictors of iron deficiency anemia. METHODS:This is a retrospective study of obstetric patients from the Charleston Area Medical Center Women's Medicine Center, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00445
更新日期:2012-10-01 00:00:00
abstract::In the U.S. Army, motor vehicle crashes (MVCs), both privately owned and military, are a leading cause of injury and death. Few studies have described the distribution and trends of MVCs among Army personnel, which may have been impacted by current military missions. This descriptive study of risk factors and select o...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00482
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.2.166
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVES:To derive job condition scales for future studies of the effects of job conditions on soldier health and job functioning across Army Military Occupation Specialties (MOSs) and Areas of Concentration (AOCs) using Department of Labor (DoL) Occupational Information Network (O*NET) ratings. METHODS:A consolidat...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00446
更新日期:2014-07-01 00:00:00
abstract::This study determined the perception by 951 U.S. Army soldiers of positive and negative consequences of a peacekeeping deployment to Bosnia. Seventy-seven percent reported some positive consequences, 63% reported a negative consequence, and 47% reported both. Written comments were also provided. Of the 951 soldiers, 4...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.10.815
更新日期:2005-10-01 00:00:00
abstract::Rhabdomyolysis and myoglobinuric acute renal failure may occur following strenuous exercise and may be more common in less physically conditioned persons. A case of moderately severe acute renal failure after the exercise involved in a routine Army Physical Fitness Test (APFT) is described. This level of exertion, whi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract:INTRODUCTION:This study is the first to our knowledge to examine associations of survey-reported dietary supplement use with medical record diagnoses, rather than retrospective self-reported supplement use at the time of the medical encounter or case reports of adverse events. Dietary supplement (DS) use and adverse ev...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz053
更新日期:2019-10-01 00:00:00
abstract::Prostate cancer remains the second most commonly diagnosed cancer among the male population worldwide. Vitamin D deficiency has been linked to prostate cancer and its aggressiveness. Herein, we initiated a retrospective study to evaluate vitamin D status and monitoring in veterans with prostate cancer, and to examine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00540
更新日期:2014-01-01 00:00:00
abstract::The physiological and cognitive performance of acclimatized soldiers undertaking routine patrol and reconnaissance activities in the tropics was investigated. Data were obtained during a patrol and a reconnaissance exercise followed by a short assault. Ambient conditions were characterized by temperatures of 30 to 33 ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:INTRODUCTION:Upon injury, skeletal muscle undergoes a multiphase process beginning with degeneration of the damaged tissue, which is accompanied by inflammation and finally regeneration. One consequence of an injured microenvironment is excessive production of reactive oxygen species, which results in attenuated regene...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz232
更新日期:2020-01-07 00:00:00
abstract:OBJECTIVE:To deliver optimal patient care and promote wellness, naval providers and patients require convenient access to medical information from isolated duty stations. The Internet can lower barriers to accessing information. The goal of this study was to determine the technical feasibility of using the Internet to ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to describe the epidemiology of suicides among U.S. Air Force, Army, Marine Corps, and Navy recruits from 1980 through 2004. METHODS:Recruit suicides were identified through the Department of Defense Recruit Mortality Registry. We calculated crude, category-specific, and age-adj...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1024
更新日期:2007-10-01 00:00:00
abstract::A number of long-distance running events are held each year in the United States; the Army Ten Miler (ATM) is one such race held annually in Washington, DC. The purpose of the present study was to retrospectively analyze medical encounters for runners participating in the ATM from 1998 to 2004. Of the estimated 91,750...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00447
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00570
更新日期:2016-11-01 00:00:00
abstract::A systematic random sample of 962 dental records of soldiers in class 2 was reviewed by six general dentists and their estimates of periodontal and non-periodontal treatment time were recorded. The majority (88.9%) required some treatment. Periodontal treatment time ranged from 0 to 18 hours with a median and mode of ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:To investigate the delivery of health services to different ethnic groups in the war and postwar periods in the area of Livno, Bosnia and Herzegovina. METHODS:The total population, percentages by nationality, and numbers of persons medically or surgically treated at the War and General Hospital of Livno betw...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.9.810
更新日期:2005-09-01 00:00:00
abstract::This study compared general psychological symptoms measures on all Brief Symptom Inventory symptom dimensions and the Global Severity Index from samples of deployed and nondeployed U.S. Army soldiers. Psychological symptom measures were taken from samples of soldiers during deployment to operations in the Persian Gulf...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00