scholarly journals Proposed Iraq/Afghanistan War-Lung Injury (IAW-LI) Clinical Practice Recommendations: National Academy of Sciences’ Institute of Medicine Burn Pits Workshop

2015 ◽  
Vol 11 (6) ◽  
pp. 1653-1663 ◽  
Author(s):  
Anthony Szema ◽  
Niely Mirsaidi ◽  
Bhumika Patel ◽  
Laura Viens ◽  
Edward Forsyth ◽  
...  
Keyword(s):  
Lung Injury ◽  
Future Research ◽  
Institute Of Medicine ◽  
Department Of Veterans Affairs ◽  
Afghanistan War ◽  
National Academy Of Sciences ◽  
Academy Of Sciences ◽  
Improvised Explosive ◽  
Explosive Devices ◽  
Medical Symptoms

High rates of respiratory symptoms (14%) and new-onset asthma in previously healthy soldiers (6.6%) have been reported among military personnel post-deployment to Iraq and Afghanistan. The term Iraq/Afghanistan War-Lung Injury (IAW-LI) is used to describe the constellation of respiratory diseases related to hazards of war, such as exposure to burning trash in burn pits, improvised explosive devices, and sandstorms. Burnpits360.org is a nonprofit civilian website which voluntarily tracks medical symptoms among soldiers post-deployment to the Middle East. Subsequent to initiation of the Burnpits360.org website, the Department of Veterans Affairs started the Airborne Hazards and Open Burn Pit registry. This paper: (a) analyzes the latest 38 patients in the Burnpits360.org registry, validated by DD214 Forms; (b) compares strengths and weaknesses of both registries as outlined at the National Academy of Sciences Institute of Medicine Burn Pits Workshop; (c) further characterizes the spectrum of disease in IAW-LI; (d) describes the risk factors of affected populations; (e) summarizes current practices regarding management of the condition; and (f) defines future research objectives.

scholarly journals DRI: síntese comentada das novas propostas sobre recomendações nutricionais para antioxidantes

2001 ◽  
Vol 14 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Jaime AMAYA-FARFAN ◽  
Semíramis Martins Álvares DOMENE ◽  
Renata Maria PADOVANI
Keyword(s):  
Institute Of Medicine ◽  
National Academy Of Sciences ◽  
Food And Nutrition ◽  
Academy Of Sciences

Discute-se o conjunto dos recentes relatórios do Institute of Medicine e Food and Nutrition Board da US National Academy of Sciences, publicados entre 1998 e 2000, dando-se particular ênfase ao livro das propostas de Ingestão Alimentar de Referência para os denominados antioxidantes alimentares. O conceito das DRI engloba os já conhecidos valores de Recomendações de Cotas ou Doses Alimentares (RDA), os novos valores de Ingestão Adequada, Ingestão Máxima Tolerável e as Estimativas Médias dos Requerimentos. O termo RDA continua em uso, e é reservado para a recomendação mais apurada de um determinado nutriente, da qual se tenha informação. Na tabela da Ingestão Alimentar de Referência, encontram-se as Recomendações de Doses Alimentares atualizadas e complementadas com valores de Ingestão Recomendada de Nutrientes canadenses, ou completadas com valores de Ingestão Adequada. Valores de Ingestão Máxima Tolerável para os antioxidantes, exceto os carotenóides, são fornecidos em separado.

Comments on the Institute of Medicine's 2002 Report on the Safety of Anthrax Vaccine

2002 ◽  
Vol 91 (1) ◽  
pp. 187-191 ◽  
Author(s):  
Walter R. Schumm ◽  
Farrell J. Webb ◽  
Anthony P. Jurich ◽  
Stephan R. Bollman
Keyword(s):  
United States ◽  
The United States ◽  
Gulf War ◽  
Final Report ◽  
United States Military ◽  
Institute Of Medicine ◽  
National Academy Of Sciences ◽  
Anthrax Vaccine ◽  
Academy Of Sciences ◽  
Research Studies

In April 2002, the prestigious Institute of Medicine of the National Academy of Sciences issued a final report on the safety and effectiveness of the anthrax vaccine currently in use by the United States military. It concluded that the present vaccine was completely safe and effective, but ignored evidence of several recent research studies from three different nations that have implicated vaccines, often including anthrax vaccine, in the epidemiology of Gulf War illnesses. Omissions and limitations of that report are discussed.

Embedded Metal Fragments

2014 ◽  
Vol 32 (1) ◽  
pp. 63-78 ◽  
Author(s):  
John F. Kalinich ◽  
Elizabeth A. Vane ◽  
Jose A. Centeno ◽  
Joanna M. Gaitens ◽  
Katherine S. Squibb ◽  
...  
Keyword(s):  
Department Of Veterans Affairs ◽  
Potential Health ◽  
Rehabilitation Process ◽  
Metal Mixtures ◽  
History Of ◽  
Surgical Guidelines ◽  
Improvised Explosive ◽  
Nursing Professionals ◽  
Explosive Devices

The continued evolution of military munitions and armor on the battlefield, as well as the insurgent use of improvised explosive devices, has led to embedded fragment wounds containing metal and metal mixtures whose long-term toxicologic and carcinogenic properties are not as yet known. Advances in medical care have greatly increased the survival from these types of injuries. Standard surgical guidelines suggest leaving embedded fragments in place, thus individuals may carry these retained metal fragments for the rest of their lives. Nursing professionals will be at the forefront in caring for these wounded individuals, both immediately after the trauma and during the healing and rehabilitation process. Therefore, an understanding of the potential health effects of embedded metal fragment wounds is essential. This review will explore the history of embedded fragment wounds, current research in the field, and Department of Defense and Department of Veterans Affairs guidelines for the identification and long-term monitoring of individuals with embedded fragments.

Sign in / Sign up

Export Citation Format

Share Document