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15 records – page 1 of 2.

Anaphylaxis: assessment of a disease-based military medical standard.

https://arctichealth.org/en/permalink/ahliterature131737
Source
Mil Med. 2011 Aug;176(8):889-95
Publication Type
Article
Date
Aug-2011
Author
Peter R Zeindler
Alan Gervais
Author Affiliation
Canadian Forces Environmental Medicine Establishment, 1133 Sheppard Avenue West, Toronto, Ontario M3K 2B3.
Source
Mil Med. 2011 Aug;176(8):889-95
Date
Aug-2011
Language
English
Publication Type
Article
Keywords
Anaphylaxis - epidemiology
Canada
Humans
Military Medicine - standards
Military Personnel - statistics & numerical data
Models, Statistical
Personnel Selection - standards
Physical Fitness
Recurrence
Risk assessment
Abstract
Although widespread, the use of disease-based employment medical standards is poorly understood or researched. A probabilistic model and threshold value are developed and applied to a military (Canadian Forces [CF]) medical standard for anaphylaxis. Frequency estimates of prevalence, occurrence, and impairing reactions are determined from the literature for military applicants and from medical chart review of military members identified by prescriptions for self-administered epinephrine. The prevalence of prescriptions is 1.13% (CI 1.05, 1.22) and 0.86% (CI 0.72, 1.00) in the CF Regular Force and applicant populations, respectively. The proposed model predicts the annual risk of an impairing allergic reaction in the CF population ranges from 0.1% to 0.16%/year, well below the proposed threshold of 0.5%. The majority of this risk arises from new cases and not recurrences. Requirement for care increases with recurrence. This model allows a useful method of disease-based medical standard review.
PubMed ID
21882778 View in PubMed
Less detail

[A new stage in the development of the regulation requirements for preserving and strengthening the health of servicemen].

https://arctichealth.org/en/permalink/ahliterature221707
Source
Voen Med Zh. 1993 Feb;(2):4-6
Publication Type
Article
Date
Feb-1993

Canadian forces evaluation of the EPINATO Health Surveillance System in Bosnia-Herzegovina.

https://arctichealth.org/en/permalink/ahliterature166805
Source
Mil Med. 2006 Oct;171(10):955-61
Publication Type
Article
Date
Oct-2006
Author
Jean L Wilson
Maureen T Carew
Barbara A Strauss
Author Affiliation
Canadian Forces Health Services Group Headquarters-Directorate of Force Health Protection, Ottawa, Ontario, K1A 0K6, Canada.
Source
Mil Med. 2006 Oct;171(10):955-61
Date
Oct-2006
Language
English
Publication Type
Article
Keywords
Bosnia-Herzegovina
Canada - epidemiology
Disease - classification
Epidemiologic Methods
Forms and Records Control - standards
Humans
Interviews as Topic
Medical Audit
Military Medicine - standards
Military Personnel - statistics & numerical data
Population Surveillance - methods
Program Evaluation
Public Health
Questionnaires
War
Abstract
The Canadian Forces (CF) adopted the EPINATO surveillance system in 1996 to monitor disease and injury morbidity in deployed settings. The Directorate of Force Health Protection, CF Health Services Group initiated an evaluation of EPINATO in Task Force Bosnia-Herzegovina in August 2003. Two methods were used to assess coding reliability: a chart audit and Sick Parade Register review. Stakeholder interviews were conducted evaluating data flow, reporting structure, and key system attributes. Reliability (K, 95% confidence interval) was good in 4 of 24 categories--sexually transmitted diseases, K = 0.75 (0.50, 1.00); eye disorders, K = 0.51 (0.15, 0.88); ears/nose/ throat, K = 0.51 (0.33, 0.69); lower respiratory infections, K = 0.49 (95% confidence interval 0.34, 0.65)-but otherwise was poor. EPINATO is not an effective, reliable tool for CF deployment health surveillance. An improved health surveillance system is required to ensure disease and injury aberrations are detected and optimal preventive programs and policies are in place for deployed CF military members.
PubMed ID
17076446 View in PubMed
Less detail

[Current classification of diseases in informative and analytical activities of medical services during sanitary and epidemiological inspection].

https://arctichealth.org/en/permalink/ahliterature189249
Source
Voen Med Zh. 2002 Jun;323(6):61-6
Publication Type
Article
Date
Jun-2002

[Current stage in formation of a standard unified system of military medical examination].

https://arctichealth.org/en/permalink/ahliterature187379
Source
Voen Med Zh. 2002 Oct;323(10):13-7
Publication Type
Article
Date
Oct-2002

Malaria risk assessment and preventive recommendations: a new approach for the Canadian military.

https://arctichealth.org/en/permalink/ahliterature158802
Source
Mil Med. 2007 Dec;172(12):1250-3
Publication Type
Article
Date
Dec-2007
Author
Steve Schofield
Martin Tepper
Jeremy J H Tuck
Author Affiliation
Communicable Disease Control Program, Canadian Forces Medical Group Headquarters, 1745 Alta Vista, Ottawa, Ontario, Canada.
Source
Mil Med. 2007 Dec;172(12):1250-3
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Canada
Chemoprevention
Humans
Incidence
Internationality
Malaria - prevention & control - transmission
Military Medicine - standards
Military Personnel
Models, Statistical
Models, Theoretical
Practice Guidelines as Topic
Preventive Medicine
Risk assessment
Risk factors
Abstract
Western militaries deploying to international locations are often confronted with the threat of malaria. For the Canadian military, the consequent response has been prescriptive-any risk of malaria warrants use of personal protective measures and chemoprophylaxis. In reality, however, malaria risk is highly variable and a one-size-fits-all strategy to mitigation may not be appropriate. In line with this, the Canadian military has revised its approach to malaria risk assessment and preventive response. More effort is now spent on predictive modeling and, where risk is deemed to be low, chemoprophylaxis may not be recommended. We describe here an application of the revised methodology to the recent Canadian military deployment to Kandahar province, Afghanistan.
PubMed ID
18274023 View in PubMed
Less detail

[On evaluation of treatment-and-diagnostic work conducted in the troop link of military service].

https://arctichealth.org/en/permalink/ahliterature178183
Source
Voen Med Zh. 2004 Jul;325(7):7-10
Publication Type
Article
Date
Jul-2004

[Scientific research in military medicine as a factor in improving therapeutic and diagnostic services in sanatoria].

https://arctichealth.org/en/permalink/ahliterature239840
Source
Voen Med Zh. 1984 Dec;(12):12-4
Publication Type
Article
Date
Dec-1984

[The actual problems of improving the work of ambulatory-and-polyclinic institutions in the Russian Federation Armed Forces].

https://arctichealth.org/en/permalink/ahliterature165160
Source
Voen Med Zh. 2006 Nov;327(11):4-6, 96
Publication Type
Article
Date
Nov-2006
Author
I Iu Bykov
Source
Voen Med Zh. 2006 Nov;327(11):4-6, 96
Date
Nov-2006
Language
Russian
Publication Type
Article
Keywords
Ambulatory Care - standards
Hospitals, Military - standards
Humans
Military Medicine - standards
Russia
Abstract
The principle problems of improving the work of ambulatory-and-polyclinic link in 2007 include the analysis of its efficiency, the development of measures to improve the medical service quality, the introduction of modern methods for patient investigation and treatment. Besides it is necessary to control the realization of rights of Army and Navy veterans as well as the members of their families and other person groups to be treated on favorable terms. The main efforts should be concentrated on the link "medical station--polyclinic--hospital" avoiding the repeated diagnostic investigation, exclusion of polypragmasy. It is reasonable to widen the system of day hospitals and to transfer the medical service gravity center from hospital to ambulatory-and-polyclinic stage.
PubMed ID
17300053 View in PubMed
Less detail

[The improvement in the delivery of medical care to the wounded in war].

https://arctichealth.org/en/permalink/ahliterature213951
Source
Voen Med Zh. 1995 Nov;(11):23-6
Publication Type
Article
Date
Nov-1995

15 records – page 1 of 2.