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Adequacy of the Comprehensive Clinical Evaluation Program : Nerve Agents.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Staff, Institute of Medicine
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington : National Academies Press, 1997.
Colección:Online access: National Academy of Sciences National Academies Press.
Online access: NCBI NCBI Bookshelf.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Adequacy of the Comprehensive Clinical Evaluation Program
  • Copyright
  • Contents
  • Executive Summary
  • Introduction
  • The Comprehensive Clinical Evaluation Program
  • OVERVIEW
  • IMPLEMENTATION
  • CCEP: THE INITIAL IOM REPORT
  • CCEP: IOM REVIEW CONTINUED
  • Testing for and Identifying Health Effects of Exposure to Nerve Agents
  • Recommendations
  • References
  • Appendixes
  • Appendix A Recommendations of the Initial CCEP Committee
  • 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 CCEP2.1.1.) Structure and Revise the CCEP Protocol and Logistics to Allow the Majority of Patients to Receive a Final Diagnosisâ€?
  • 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 fro ... 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 Unifyin ...
  • 3.1.1.2.) Signs and Symptoms in Many Patients Can Be Explained by Well Recognized Conditions3.1.1.3.) 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 Gu ...
  • 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 DoD3.1.3.) 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