Strategies to protect the health of deployed U.S. forces : medical surveillance, record keeping, and risk reduction

Strategies to protect the health of deployed U.S. forces medical surveillance, record keeping, and risk reduction

Detalles Bibliográficos
Autor Corporativo: Institute of Medicine (U.S.). Medical Follow-up Agency (-)
Otros Autores: Joellenbeck, Lois M. (Lois Mary), 1963- (-), Russell, Philip K., Guze, Samuel B., 1923-
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, DC : National Academy Press c1999.
Edición:1st ed
Colección:Compass series (Washington, D.C.)
Materias:
Soldiers > Health and hygiene > United States.
Soldiers > Protection > United States.
Soldiers > Health risk assessment > United States.
Persian Gulf War, 1991 > Health aspects.
United States > Armed Forces > Sanitary affairs.
United States > Armed Forces > Medical care.
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009820301606719
Tabla de Contenidos:
  • Strategies to Protect the Health of Deployed U.S. Forces
  • Copyright
  • REVIEWERS
  • Preface
  • Acronyms
  • Contents
  • Executive Summary
  • MEDICALLY UNEXPLAINED SYMPTOMS
  • Recommendations
  • MEDICAL SURVEILLANCE
  • Recommendation
  • Recommendations (Additional Recommendations are in Chapter 4)
  • Recommendations
  • POSTDEPLOYMENT REINTEGRATION
  • Recommendations
  • MEDICAL RECORD KEEPING
  • Recommendations (Additional Recommendations are in Chapter 5)
  • Recommendations
  • Recommendation
  • RISK COMMUNICATION
  • Recommendation
  • RESERVES
  • Recommendation
  • CONCLUSIONS
  • 1 Introduction
  • EMPHASIS AND IMPLICIT ASSUMPTIONS
  • RELATED EFFORTS
  • STUDY PROCESS AND INFORMATION SOURCES
  • THE FUTURE MILITARY
  • 2 Risks to Deployed Forces
  • INFECTIOUS DISEASES
  • NON-BATTLE INJURIES
  • Heat and Cold Injuries
  • PSYCHOLOGICAL STRESS
  • TOXIC INDUSTRIAL CHEMICALS
  • CHEMICAL WEAPONS
  • BIOLOGICAL WEAPONS
  • PROTECTIVE MEDICATIONS
  • INTERACTIONS
  • 3 Medically Unexplained Symptoms
  • EPIDEMIOLOGY
  • PREDISPOSING FACTORS
  • Physiological Differences and Susceptibilities
  • Early Life Adversity
  • Chronic Medical Illness
  • PRECIPITATING FACTORS
  • PERPETUATING FACTORS
  • PROGNOSTIC INDICATORS
  • 4 Medical Surveillance
  • DOD POLICIES ON MEDICAL SURVEILLANCE
  • Force Health Protection
  • DoD Joint Directive
  • DoD Joint Instruction
  • DoD Joint Memorandum on Deployment Health Surveillance and Readiness
  • Joint Publication 4-02 Doctrine for Joint Health Service Support
  • National Science and Technology Council, Presidential Review Directive 5
  • CURRENT SERVICE PRACTICES AND PLANS
  • Garrison
  • Recruit Assessment Program
  • Periodic Health Assessments
  • Periodic Blood Draw
  • Surveillance for Drug-and Vaccine-Associated Adverse Events
  • Laboratory-Based Surveillance
  • Defense Medical Surveillance System.
  • Global Surveillance for Infectious Disease Threats to Military Operations - Role of Overseas Medical Laboratories
  • Deployment
  • Pre-and Postdeployment Questionnaires
  • Capture of Ambulatory Care and Inpatient Data During Deployments
  • Theater Medical Information Program
  • Identifying Deployed Populations
  • Deployment Exposure Data
  • Postdeployment Medical Surveillance
  • Immediate Postdeployment Surveillance
  • Routine Postdeployment Surveillance
  • Deployment-Related Registries
  • Long-Term Surveillance
  • Reproductive Outcomes
  • Confidentiality of Health Information
  • FINDINGS AND RECOMMENDATIONS
  • 5 Medical Record Keeping
  • INFORMATION NEEDS OF THE MILITARY HEALTH SYSTEM
  • Individual Care
  • Preventive Care
  • Medical Surveillance
  • Databases for Epidemiologic Studies
  • Longitudinal Record Keeping
  • MAJOR INFORMATION SYSTEMS ACTIVITIES
  • Composite Health Care System
  • Government Computer-Based Patient Record Project
  • Health Assessment Instruments
  • Preventive Health Care Application
  • Pre-and Postdeployment Questionnaires
  • Recruit Assessment Program
  • Deployment Medical Surveillance System
  • Personal Information Carrier
  • INFORMATION SYSTEMS ACQUISITION AND DEVELOPMENT PROCESS
  • CONFIDENTIALITY OF HEALTH INFORMATION
  • SUMMARY
  • FINDINGS AND RECOMMENDATIONS
  • 6 Prevention Measures for Deployed Forces
  • RISK COMMUNICATION
  • PREVENTIVE MEASURES BEFORE DEPLOYMENT
  • Preventive Measures on Entrance into the Service
  • Risk Communication
  • Accession Standards
  • Retention Standards
  • Recruit Assessment Plan
  • Preventive Measures During Training and Routine Garrison Life
  • Doctrine
  • Training
  • Vaccines
  • Policy
  • Vaccine Acquisition and Supply
  • Identification of Biological Warfare Threats
  • Vaccine Coverage
  • Immunization Record Keeping
  • Anthrax Vaccine
  • Preventive Measures Immediately Before Deployment.
  • PREVENTIVE MEASURES DURING DEPLOYMENT
  • Risk Communication
  • Combat Stress Reactions and Control
  • Use of Investigational New Drugs by the Armed Forces
  • PREVENTIVE MEASURES AFTER DEPLOYMENT
  • Risk Communication
  • Reintegration
  • Medical Management and Symptomatic Treatment of Medically Unexplained Symptoms
  • FINDINGS AND RECOMMENDATIONS
  • 7 Postdeployment Reintegration
  • INTRODUCTION
  • Family-and Work-Related Problems of Deployment
  • Effects of Downsizing and Increased Operational Tempo
  • MILITARY REUNION AND REINTEGRATION LITERATURE REVIEW
  • Information Gathering
  • Family Factors
  • Reunion Period
  • Return Phase
  • Readjustment Phase
  • Reintegration Phase
  • Return of the Wounded or Ill
  • Role of Family in Readjustment
  • Family Roles in Readjustment in Non-Military Settings
  • Prevention of War-Related Stress for Family Members
  • PROGRAMS TO ASSIST FAMILIES AND SERVICE MEMBERS WITH REINTEGRATION
  • Navy Support Services
  • Army Support Services
  • Air Force Support Services
  • Programs to Help Support National Guard and Reserves
  • VA Support Programs
  • FINDINGS AND RECOMMENDATIONS
  • 8 Protecting the Health of the Reserve Component
  • DEMOGRAPHICS AND HEALTH ISSUES
  • Categories of Reserve Forces
  • Demographics
  • Deployments of Reserve Forces
  • Health Problems in Reserves
  • UNIQUE CIRCUMSTANCES
  • IMPLEMENTATION OF REPORT RECOMMENDATIONS
  • Medical Surveillance
  • Medical Record Keeping
  • Preventive Measures
  • Reintegration
  • FINDINGS AND RECOMMENDATIONS
  • References
  • APPENDIX A Population and Need-Based Prevention of Unexplained Physical Symptoms in the Community
  • SYNOPSIS
  • UNDERSTANDING MEDICALLY UNEXPLAINED PHYSICAL SYMPTOMS
  • EPIDEMIOLOGY OF SYMPTOMS AND SYMPTOM-BASED DISORDERS
  • Prevalence in the Community and Primary Care
  • Natural History of MUPS.
  • Prognostic Factors: Prediction of Outcomes and Assessment of Future Needs
  • PREVENTION OF SYMPTOMS AND SYMPTOM-BASED DISORDERS
  • Advantages of Population-Based Intervention
  • Advantages of Need-Based Intervention
  • Population-Based Care: Matching Resources to Needs
  • Implementing and Improving Population-Based Care
  • Information Systems
  • Practice Design
  • Patient Education and Clinical Risk Communication
  • Stepped-Care Approach to Population MUPS Management
  • Step One: Preevent Primary Prevention
  • Step Two: Postevent Primary Prevention
  • Step Three: Routine Primary Care
  • Routine Primary Care Physician Management
  • Teaching MUPS Management to Primary Care Physicians
  • Step Four: Collaborative Interventions in Primary Care
  • Step Five: Specialized Intensive Multimodal Care
  • Components of Specialized Services
  • Obstacles to Specialized Services
  • CONCLUSIONS
  • REFERENCES
  • APPENDIX B Statement of Task
  • APPENDIX C Roster and Biographies of Study Team
  • PRINCIPAL INVESTIGATORS
  • ADVISORS
  • BIOGRAPHIES
  • Principal Investigators
  • Advisors
  • APPENDIX D Principal Investigators' and Advisors' Meeting Dates and Locations
  • APPENDIX E Workshop Agendas
  • Appendix F Commissioned Papers
  • APPENDIX G Acknowledgments
  • APPENDIX H Department of Defense Directive 6490.2: Joint Medical Surveillance
  • APPENDIX I Department of Defense Instruction 6490.3 Implementation and Application of Joint Medical Surveillance for…
  • APPENDIX J Joint Chiefs of Staff Memorandum on Deployment Health Surveillance and Readiness, December 1998.

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