Anthony Szema, B.S.E, M.D. 1,2,3,4,5 Matthew Burns, B.S.E., M.Phil. 3 Guadalupe Jimenez, B.S. 3,6 Brittany Dukes, B.S. 3,7
|
|
- Jane Watkins
- 6 years ago
- Views:
Transcription
1 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE WORKSHOP MAY 1, 2015 Clinical Assistant Professor, Department of Occupational Medicine, Epidemiology and Prevention, Hofstra North Shore-LIJ School of Medicine at Hofstra University 1 Adjunct Professor, Department of Technology and Society, College of Engineering and Applied Science, Stony Brook University 2 Three Village Allergy & Asthma, PLLC, South Setauket, NY 3 John T. Mather Memorial Hospital Internal Medicine Residency Program Faculty 4 World Trade Center Monitoring Program Consultant, Stony Brook University 5 Marine Corps/Navy Medic in Iraq and Afghanistan 6 St. Louis University Medical Student, 19 7 Anthony Szema, B.S.E, M.D. 1,2,3,4,5 Matthew Burns, B.S.E., M.Phil. 3 Guadalupe Jimenez, B.S. 3,6 Brittany Dukes, B.S. 3,7
2 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 2
3 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 3
4 VA BURN PIT REGISTRY MISSING QUESTIONS VA Burn Pits Registry does not ask about: 1. Impulse Oscillometry (measure of small airways narrowing and airway hyper-responsiveness) 2. Allergy skin testing 3. Patch testing for contact dermatitis to metals and chemicals 4
5 VA BURN PIT REGISTRY MISSING QUESTIONS 4. Exhaled breath condensate Nitric Oxide level for eosinophilic airway inflammation. 5. VA Burn Bits Registry does not ask about open lung biopsies or whether lung biopsies were checked for crystals, titanium, iron 5
6 VA BURN PIT REGISTRY MISSING QUESTIONS 6. Burn pits registry leaves out triad analogous to World Trade Center Related Illness: Sinusitis Gastro-Esophageal Reflux Disease (GERD) Late changes in spirometry 5 years out with airway hyper-responsiveness (methacholine challenge) 6
7 VA BURN PIT REGISTRY MISSING QUESTIONS 7. Does not ask about dust in Containerized Housing Units (CHU) 8. Does not ask about new-onset post deployment symptoms to dust mite antigens on return to US, which would suggest sensitization to dust-mite allergens in Iraq 7
8 VA BURN PIT REGISTRY MISSING QUESTIONS page 3 None of the questions on page asks if vehicles were powered with JP-8 jet fuel, which with exposure leads to inhalation of high concentrations of particulate matter containing benzene 8
9 VA BURN PIT REGISTRY MISSING QUESTIONS 10.Branch of service, rank, job, and what specifically did you burn (metals, plastics, electronics, etc.) and with what accelerant (JP-8) 11.Exposure to grinding metals, lathes 12.Exposure to asbestos in buildings/palaces 9
10 VA BURN PIT REGISTRY MISSING QUESTIONS 13. If lung biopsy was performed after exposure and if constrictive bronchiolitis was diagnosed 14. If soldiers requested evaluation at VA WRIIC 10
11 VA BURN PIT REGISTRY MISSING QUESTIONS 15. Spirometry or impulse oscillometry page 4 11
12 VA BURN PIT REGISTRY MISSING QUESTIONS 17. Asks only about current functional limitations not whether they were: Asymptomatic pre-deployment What was their pre and post deployment physical fitness run time Spirometry beforehand and whether there was no history of any allergies or asthma prior 12
13 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 13
14 VA BURN PIT REGISTRY LIMITATION A. page 1 Were you exposed to soot, ash, smoke or fumes from the Gulf Oil well fires? 2. Question is asked before burn pit question 14
15 VA BURN PIT REGISTRY LIMITATION D page 2 Were you near a burn pit during these dates (on the base or close enough to the base for your to see the smoke)? 4. Question ignores soldiers burning smaller burn pit fires in theater in forward operating bases 15
16 VA BURN PIT REGISTRY LIMITATION B. Page 1 Where did you spend most of your time during these dates? 6. Question ignores fact even large bases had classified longitude and latitude location and many soldiers cannot spell or pronounce or write names of cities and towns they were deployed to. 16
17 VA BURN PIT REGISTRY LIMITATION 7. All soldiers early in war passed through Balad Air Base as Camp Anaconda with 10 acre 24h a day 365 day a year burn pit 2003-Nov page 3 Were you ever close enough to feel the blast form an IED? 17
18 VA BURN PIT REGISTRY LIMITATION 9. Questions ignores blast from mortar fired rounds Omitted diagnoses of traumatic brain injury, which can result in lung injury from blast overpressure and shock waves Omitted diagnoses of PTSD, which is associated with cytokine release and asthma in civilian populations even among monozygotic twins 18
19 VA BURN PIT REGISTRY LIMITATION 10. Length of entire questionnaire is too long and will deter veterans from completing this after the first visit. 11. No incentive or rewards are associated with participation so this may lead to an overall low participation rate. 19
20 VA BURN PIT REGISTRY LIMITATION B page 3 Question: How many days heavy smoke from weapon, signal smoke, mortars or other combat items? 13.Many soldiers have had multiple deployments and the number of times a week one was exposed may vary depending on the dates and location of deployment. 20
21 VA BURN PIT REGISTRY LIMITATION B page 4 Wore a mask? 15. Does not specify if mask was N95 or respirator with oxygen. Even a firefighter s tank only last 10 minutes. 16.Some troops wore neck gaiters over nose Not a mask 21
22 VA BURN PIT REGISTRY LIMITATION 17. Same page does not ask about daily or weekly sandstorm exposure during deployment dates. If available one could link NASA satellite imagery of storms moving from Africa to Iraq and correlate weather with self reported exposure and symptoms. 22
23 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 23
24 VA BURN PIT REGISTRY MISSING QUESTIONS IN COMPARISON TO BURNPITS360.org Burnspit360.org has DD214 forms anonymouslycoded and de-identified and linked to clinical data asks specific questions regarding veterans post deployment symptoms (N=48): 56 % reported general lung related symptoms (i.e. shortness of breath, chronic cough, asthma) 48% reported shortness of breath post-minimal activity 24
25 VA BURN PIT REGISTRY MISSING QUESTIONS IN COMPARISON TO BURNPITS360.org 16.67% reported post-deployment cancer diagnosis 27.08% reported chronic cough issues 12.5% reported asthma related symptoms 25
26 VA BURN PIT REGISTRY MISSING QUESTIONS IN COMPARISON TO BURNPITS360.org In Burnpits360.org database Whether or not veterans received post deployment testing : 8.33% received a lung biopsy 12.5% had PFTs performed Whether or not post deployment services were also offered was also recorded 26
27 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 27
28 VA BURN PIT REGISTRY MISSING QUESTIONS/LIMITATIONS SUMMARY 1. VA Burn Pits Registry does not ask about key exposures: What were they exposure to what type of trash was burned, and with which fuels--jp-8 or other accelerants? Were they exposed to vehicles running on JP-8? 28
29 VA BURN PIT REGISTRY MISSING QUESTIONS/LIMITATIONS SUMMARY 2. Where were they located if bases are classified? 3. Why were they not asked about personal burning in forward operating bases even in absence of large burn pits? 4. Sandstorm and IED questions are too limited ignoring traumatic brain injury and post-traumatic stress leading to Iraq Afghanistan War Lung Injury (IAW-LI) and asthma. 29
30 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE Missing questions Question limitations WORKSHOP VA burn pit registry missing questions in comparison to Burnpits360.org Limitations Summary 30
31 ANALYSIS OF VA BURN PITS REGISTRY: TESTIMONY TO NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE WORKSHOP MAY 1, 2015 Clinical Assistant Professor, Department of Occupational Medicine, Epidemiology and Prevention, Hofstra North Shore-LIJ School of Medicine at Hofstra University 1 Adjunct Professor, Department of Technology and Society, College of Engineering and Applied Science, Stony Brook University 2 Three Village Allergy & Asthma, PLLC, South Setauket, NY 3 John T. Mather Memorial Hospital Internal Medicine Residency Program Faculty 4 World Trade Center Monitoring Program Consultant, Stony Brook University 5 Marine Corps/Navy Medic in Iraq and Afghanistan 6 St. Louis University Medical Student, 19 7 Anthony Szema, B.S.E, M.D. 1,2,3,4,5 Matthew Burns, B.S.E., M.Phil. 3 Guadalupe Jimenez, B.S. 3,6 Brittany Dukes, B.S. 3,7
Utility of Lung Clearance Index (LCI) as a Noninvasive Marker of Deployment Lung Disease. Silpa Krefft, M.D., M.P.H. September 20, 2016
Utility of Lung Clearance Index (LCI) as a Noninvasive Marker of Deployment Lung Disease Silpa Krefft, M.D., M.P.H. September 20, 2016 Disclosures Mountain and Plains Education and Research Center: Pilot
More informationSolution Recommendations
About us BurnPits 360 is a national veterans service organization. Our mission is to provide resources, information, research, and legislative action as a pathway of advocacy for those affected by the
More informationTHE HEALTH AND ENVIRONMENTAL CONSEQUENCES OF SEPTEMBER 11. Philip J. Landrigan, MD, MSc Icahn School of Medicine at Mount Sinai
THE HEALTH AND ENVIRONMENTAL CONSEQUENCES OF SEPTEMBER 11 Philip J. Landrigan, MD, MSc Icahn School of Medicine at Mount Sinai The attacks on the World Trade Center produced the greatest acute environmental
More informationClinical Implications of Asthma Phenotypes. Michael Schatz, MD, MS Department of Allergy
Clinical Implications of Asthma Phenotypes Michael Schatz, MD, MS Department of Allergy Definition of Phenotype The observable properties of an organism that are produced by the interaction of the genotype
More informationSome Facts About Asthma
Some Facts About Asthma Contents What is asthma? Diagnosing asthma Asthma symptoms Asthma triggers Thanks What is asthma?? Asthma is a chronic lung-disease that inflames and narrows the airways (tubes
More informationASTHMA AND CHILDCARE PART 1. Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis
ASTHMA AND CHILDCARE PART 1 Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis OBJECTIVES By the end of training, participants will:
More informationVALUE OF LUNG BIOPSY IN WORKUP OF SYMPTOMATIC INDIVIDUALS
Lung Biopsy in Workup of Symptomatic Individuals Chapter 14 VALUE OF LUNG BIOPSY IN WORKUP OF SYMPTOMATIC INDIVIDUALS ROBERT MILLER, MD* INTRODUCTION THE MISHRAQ SULFUR MINE FIRE CONSTRICTIVE BRONCHIOLITIS
More informationCollecting research data in emergency situations: the example of the Fort McMurray wildfires. Nicola Cherry St John s OEMAC June 12 th 2017
Collecting research data in emergency situations: the example of the Fort McMurray wildfires Nicola Cherry St John s OEMAC June 12 th 2017 Problems for disaster epidemiology After a disaster: People disperse
More informationRespiratory System. Respiratory System Overview. Component 3/Unit 11. Health IT Workforce Curriculum Version 2.0/Spring 2011
Component 3-Terminology in Healthcare and Public Health Settings Unit 11-Respiratory System This material was developed by The University of Alabama at Birmingham, funded by the Department of Health and
More informationBurn Pit Exposure DBA Seminar Advanced Consulting January 16, 2013
Presented by: Laurence J Nelligan, CPCU, Director Chicago, IL 60601 November 25, 2012 Settlement: Iraq Veterans Awarded $85M in Personal Injury Lawsuit Against KBR, Halliburton November 16 2012 Portland,
More informationIncreasing Prevalence of Chronic Lung Disease in Veterans of the Wars in Iraq and Afghanistan
MILITARY MEDICINE, 181, 5:476, 2016 Increasing Prevalence of Chronic Lung Disease in Veterans of the Wars in Iraq and Afghanistan Mary Jo Pugh, PhD* ; Carlos A. Jaramillo, MD, PhD* ; Kar-wei Leung, BS
More informationAsthma and Air Pollution
Asthma and Air Pollution Health Effects Workshop Nov. 6, 2008 Joann Held with thanks to: Dave Brown Asthma and Airways Asthma Physiology A chronic disease that affects airways. The inside walls of airways
More informationGlossary of Asthma Terms
HealthyKidsExpress@bjc.org Asthma Words to Know Developed in partnership with Health Literacy Missouri Airways (Bronchi, Bronchial Tubes): The tubes in the lungs that let air in and out of the body. Airway
More informationAustralian Gulf War Veterans. Health Study. Executive Summary
Australian Gulf War Veterans Health Study 2003 Executive Summary Executive summary Introduction The Australian Gulf War Veterans Health Study is the first comprehensive health study of a group of Australian
More informationDiesel Exhaust: Health Effects. Research Needs
Diesel Exhaust: Health Effects and Research Needs Eric Garshick, MD, MOH Assistant Professor of Medicine VA Boston Healthcare System Channing Laboratory, Brigham and Womens Hospital Harvard Medical School
More informationHazardous Substances
1 9 x Which strains and pollutants is the lung subject to while working? x How do possible strains and pollutants affect us? 2 9 Potential danger Aerosols are extremely fine AIRBORNE particles as solid
More informationRespiratory Fitness Questionnaire
Part A, Section 1 and 2 (for full-face and SCBA respirators) Company Name: 1. Date: Part A. Section 1. (Mandatory) The following information must be provided by every employee who has been selected to
More informationAllergy and Immunology Review Corner: Chapter 75 of Middleton s Allergy Principles and Practice, 7 th Edition, edited by N. Franklin Adkinson, et al.
Allergy and Immunology Review Corner: Chapter 75 of Middleton s Allergy Principles and Practice, 7 th Edition, edited by N. Franklin Adkinson, et al. Chapter 75: Approach to Infants and Children with Asthma
More informationMilitary Operational Medicine Research Program
Mission Military Operational Medicine Research Program The mission of the Military Operational Medicine Research Program (MOMRP) is to develop effective countermeasures against stressors and to maximize
More informationInstitution. Case No. 1. weeks months years. 2. weeks months years. 3. weeks months years. 4. weeks months years. 5. weeks months years
ACRIN Study 4703 No. If this is a revised or corrected form, please box. Pt Questionnaire: Military History 1. Indicate your current military status: Active Duty Military Retired Military Veteran Family
More informationMichael S. Blaiss, MD
Michael S. Blaiss, MD Clinical Professor of Pediatrics and Medicine Division of Clinical Immunology and Allergy University of Tennessee Health Science Center Memphis, Tennessee Speaker s Bureau: AstraZeneca,
More informationThe Immune System A Fighting Machine Against Pathogens and Chemicals
The Immune System A Fighting Machine Against Pathogens and Chemicals Section B (Week 2): Environmental and Chemical Triggers of Immune System Function and Dysfunction 1. How does the environment affect
More informationTreatment Options for Complicated/Severe Asthma. Henry J. Kanarek, MD Kanarek Allergy Asthma Immunology
Treatment Options for Complicated/Severe Asthma Henry J. Kanarek, MD Kanarek Allergy Asthma Immunology www.kallergy.com 913-451-8555 Asthma Epidemiology World Health Organization, Asthma is one of the
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Afferent nerves, interactions of, in cough, 20 21 Airway, eosinophilic inflammation of, 124 narrowing of, in asthma, 126 protection of, terms
More informationAsthma. Guide to Good Health. Healthy Living Guide
Asthma Guide to Good Health Healthy Living Guide Asthma Chronic Fatigue Syndrome (CFS) Chronic Obstructive Pulmonary Disease (COPD) Coronary Artery Disease (CAD) Depression Hyperlipidemia Hypertension
More informationComplex Care Hub Manual Section: Asthma
Complex Care Hub Manual Section: Asthma Table of Contents 1 What is Asthma?... 2 2 What causes asthma?... 2 2.1 Triggers... 2 3 Signs and Symptoms... 2 4 Treatment... 2 4.1 Relievers... 2 4.2 Preventers...
More informationExercise and Air Pollution
Exercise and Air Pollution Two Major Groups of Air Pollutants Primary From a single source of pollution CO, sulfur oxides, nitrogen oxides, hydrocarbons, particulants Secondary Result from an interaction
More informationPERIODIC ASBESTOS MEDICAL QUESTIONNAIRE
Date: / / PERIODIC ASBESTOS MEDICAL QUESTIONNAIRE NAME: SS#: - - COMPANY: 1. OCCUPATIONAL HISTORY A. Have you ever worked full time (30 hours per week or more) for 6 months or more? IF YES, TO 1B: B. Have
More informationHealthPartners Care Coordination Clinical Care Planning and Resource Guide ASTHMA
The following evidence based guideline was used in developing this clinical care guide: National Institute of Health (NIH National Heart, Lung, and Blood Institute (NHLBI) and American Academy of Allergy,
More informationThe Respiratory System
The Respiratory System Learning Intention What will I know? 1. The function of the respiratory system. 2. The difference between respiration and the breathing. Success Criteria What can I do? 1. State
More informationPathway Project Team
Semantic Components: A model for enhancing retrieval of domain-specific information Lecture 22 CS 410/510 Information Retrieval on the Internet Pathway Project Team Susan Price, MD Portland State University
More informationAsthma By Mayo Clinic staff
MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints
More informationRespirator Medical Evaluation
Respirator Medical Evaluation Appendix C to Sec. 1910.134: OSHA Respirator Medical Evaluation Questionnaire (Mandatory) To the employer: Answer to questions in Section 1, and to question 9 in Section 2
More informationProfessor Stacey-Rae Simcox Stetson University College of Law Director, Veterans Advocacy Clinic
Professor Stacey-Rae Simcox Stetson University College of Law Director, Veterans Advocacy Clinic To assist veterans with filing claims for VA disability compensation/pension benefits Serve the veterans
More informationAsthma. The prevalence of asthma has been increasing worldwide, but why this is happening is not known.
Asthma What is asthma? Asthma is a chronic disorder of the airways of the lungs. The airways are reactive and may be inflamed even when symptoms are not present. The extent and severity of airway irritation
More information2. Has the child had a physician s diagnosis of atopic dermatitis or atopic eczema ever?
Online Supplement 2: Letter questionnaire RISK FACTORS FOR THE DEVELOPMENT OF ASTHMA 1. Have the child s parents had a history of asthma ever? 2. Has the child had a physician s diagnosis of atopic dermatitis
More informationNew York State Department of Health Center for Environmental Health
New York State Department of Health Center for Environmental Health March 2002 Evaluation of Asthma and Other Respiratory Hospital Admissions among Residents of ZIP Codes 14043 and 14227, Cheektowaga,
More informationOutdoor Air Quality: What Child Care Providers Should Know
Outdoor Air Quality: What Child Care Providers Should Know Name: First and Last Position: Child Care Name and Location: STARS Number: (required for STARS credit) Email: print clearly Phone number: Pause
More informationThe Workers Advisers Office (WAO)
The Workers Advisers Office (WAO) This factsheet has been prepared for general information purposes. It is not a legal document. Please refer to the Workers Compensation Act and the Rehabilitation Services
More informationYES YES YES YES NO NO NO NO YES YES YES YES YES YES YES YES YES YES YES YES NO NO NO NO NO NO NO NO NO NO NO NO YES
respirator. 1. Do you currently smoke tobacco, or have you smoked tobacco in the last month? 2. Have you ever had any of the following conditions? A. Seizures (fits) B. Diabetes (sugar disease) C. Allergic
More informationGet Healthy Stay Healthy
Asthma Management WHAT IS ASTHMA? Asthma causes swelling and inflammation in the breathing passages that lead to your lungs. When asthma flares up, the airways tighten and become narrower. This keeps the
More informationAmanda Hess, MMS, PA-C President-Elect, AAPA-AAI Arizona Asthma and Allergy Institute Scottsdale, AZ
Amanda Hess, MMS, PA-C President-Elect, AAPA-AAI Arizona Asthma and Allergy Institute Scottsdale, AZ Financial Disclosures Advanced Practiced Advisory Board for Circassia Learning Objectives 1. Briefly
More informationRespiratory Questionnaire
Respiratory Questionnaire Date: Name: SS#: Sex: M F Height: Weight: DOB: Age: Employer: Department: Job Title: Phone # where you can be reached regarding this questionnaire (include area code): What is
More informationEvaluations. Featured Speakers. Work Related Asthma: Recognition and Diagnosis. Disclosure Statements. Thank You to Our Sponsors: June 19, 2014
Evaluations Nursing Contact Hours, CME and CHES credits are available. Please visit www.phlive.org to fill out your evaluation and complete the post-test. Featured Speakers Work Related Asthma: Recognition
More informationb. Potentially harmful alcohol misuse remains a common behavioural problem, but has declined steadily from 16% in 2004/6 to 10% in 2014/16.
THE MENTAL HEALTH OF THE UK ARMED FORCES (September 2018 version) This briefing note provides an outline of the current evidence on UK military mental health, including prevalence rates of mental health
More informationPredictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape Province
Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape Province Adams S 1, Jeebhay MF 1, Lopata AL 2, Bateman ED 3, Smuts M 4, Baatjies R 1, Robins
More informationB Unit III Notes 6, 7 and 8
The Respiratory System Why do we breathe? B. 2201 Unit III Notes 6, 7 and 8 Respiratory System We know that our cells respire to produce ATP (energy). All organisms need energy to live, so that s why we
More informationQuestion 1: What is your diagnosis?
Case study title: Target group: Linked to modules: Outdoor air pollution (Clinical case) Paediatricians, General practitioners, Public health professionals Indoor air pollution, Outdoor air pollution,
More informationbehaviour are out of scope of the present review.
explained about the test, a trial may be done before recording the results. The maneuver consists initially of normal tidal breathing. The subject then inhales to maximally fill the lungs. This is followed
More informationRespiration.notebook March 07, Unit 3. Maintaining Dynamic Equilibrium. Oct 11 3:27 PM. Hodgkin s Disease STSE
Unit 3 Maintaining Dynamic Equilibrium Review STSE overview Respiratory system Respiratory Disorders Challenge Conclusions Oct 11 3:27 PM Hodgkin s Disease STSE Lymphatic system Humans have two circulatory
More informationAvg PM10. Avg Low Temp
Geography 532 Geography of Environmental Health Dr. Paul Marr Name: Ex 16- Seasonality, Time Delay, and Disease (10 pts) Below are asthma cases per month for the years 1992-1994. The table also includes
More informationCOMBAT RELATED POST TRAUMATIC STRESS DISORDER: A MULTIPLE-CASE REPORT USING VIRTUAL REALITY GRADED EXPOSURE THERAPY WITH PHYSIOLOGICAL MONITORING
COMBAT RELATED POST TRAUMATIC STRESS DISORDER: A MULTIPLE-CASE REPORT USING VIRTUAL REALITY GRADED EXPOSURE THERAPY WITH PHYSIOLOGICAL MONITORING CYBERTHERAPY 12 CONFERENCE ALEXANDIRA, VIRGINIA Dennis
More informationUrban Air Pollution in India is a matter of grave concern
Air Pollution Related Cellular Changes in The Lung in and Delhi Urban Air Pollution in India is a matter of grave concern 28 million urban Indians are exposed to alarmingly high level of pollutants Health
More informationDiagnosis, Treatment and Management of Asthma
Diagnosis, Treatment and Management of Asthma Asthma is a complex disorder characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation.
More informationA Self-Reporting Tool to Collect Individual Data for Respiratory Health Effects and Military Airborne Exposures
Appendix A APPENDIX A A Self-Reporting Tool to Collect Individual Data for Respiratory Health Effects and Military Airborne Exposures Veronique Hauschild, MPH Environmental Scientist, Injury Prevention
More informationExhaled Biomarkers Asthma & COPD. AS Paul DM Seminar 30 March 07
Exhaled Biomarkers Asthma & COPD AS Paul DM Seminar 30 March 07 Introduction Diagnosis and course of COPD/Asthma Clinical information Pulmonary function tests Arterial blood gases Chest X-raysX No direct
More informationAsthma (Short wind) in Children
In partnership: Asthma (Short wind) in Children The lungs You have two lungs. They sit inside your chest, above your stomach and surround your heart. The lungs have a very important job inside your body.
More informationHEALTH OUTCOMES USED IN DEPLOYMENT EPIDEMIOLOGY IMPROVING THE STATE OF SCIENCE BY IMPROVING OUTCOME ASSESSMENT
Defining Health Outcomes in Epidemiological Investigations Chapter 7 DISCUSSION SUMMARY: DEFINING HEALTH OUTCOMES IN EPIDEMIOLOGICAL INVESTIGATIONS OF POPULATIONS DEPLOYED IN SUPPORT OF OPERATION IRAQI
More informationChronic inflammation of the airways Hyperactive bronchi Shortness of breath Tightness in chest Coughing Wheezing
Chronic inflammation of the airways Hyperactive bronchi Shortness of breath Tightness in chest Coughing Wheezing Components of the respiratory system Nasal cavity Pharynx Trachea Bronchi Bronchioles Lungs
More informationBOOK 3: LIVING SMOKE-FREE
BOOK 3: LIVING SMOKE-FREE Start reading this book on your Quit Day. The information in this book will help you stay smoke-free. Read through it over the next few days. It is divided into five sections.
More informationPost 9/11: High Asthma Rates Among Children in Chinatown, New York
Post 9/11: High Asthma Rates Among Children in Chinatown, New York Anthony M. Szema, M.D. Khalil W. Savary, M.D. Benjamin L. Ying, M.D. Kevin Lai, M.D. Support Disclosures Stony Brook MD with Recognition
More informationExercise-Induced Bronchoconstriction (EIB) and Asthma (EIA) in the General Population and Asthmatic Subjects
Exercise-Induced Bronchoconstriction (EIB) and Asthma (EIA) in the General Population and Asthmatic Subjects Satoshi Honjo Department of Paediatrics National Hospital Organization Fukuoka National Hospital
More informationI have no perceived conflicts of interest or commercial relationships to disclose.
ASTHMA BASICS Michelle Dickens RN FNP-C AE-C Nurse Practitioner/Certified Asthma Educator Ferrell Duncan Allergy/Asthma/Immunology Coordinator, CoxHealth Asthma Center DISCLOSURES I have no perceived conflicts
More informationSignificance. Asthma Definition. Focus on Asthma
Focus on Asthma (Relates to Chapter 29, Nursing Management: Obstructive Pulmonary Diseases, in the textbook) Asthma Definition Chronic inflammatory disorder of airways Causes airway hyperresponsiveness
More informationFunction: to supply blood with, and to rid the body of
1 2 3 4 5 Bio 1102 Lec. 7 (guided): Chapter 10 The Respiratory System Respiratory System Function: to supply blood with, and to rid the body of Oxygen: needed by cells to break down food in cellular respiration
More informationContents. Background Sources Types Respiratory health effects Assessment methods In Kuwait Conclusion
Air Pollution Saleh Alshehabi Occupational Health Physician MBBS Faculty of Medicine, Kuwait University MSc Occupational Health & Safety Uni of Surrey, United Kingdom PhD Occupational & Environmental Health
More informationJohn R. Rinker II, MD University of Alabama at Birmingham Birmingham VA Medical Center August 28, 2012
John R. Rinker II, MD University of Alabama at Birmingham Birmingham VA Medical Center August 28, 2012 This continuing education activity is managed and accredited by Professional Education Service Group.
More informationAsthma in the Athlete
Asthma in the Athlete Jorge E. Gomez, MD Associate Professor Texas Children s Hospital Baylor College of Medicine Assist Team Physician UH Understand how we diagnose asthma Objectives Be familiar with
More informationContent Indica c tion Lung v olumes e & Lung Indica c tions i n c paci c ties
Spirometry Content Indication Indications in occupational medicine Contraindications Confounding factors Complications Type of spirometer Lung volumes & Lung capacities Spirometric values Hygiene &
More informationMilitary deployed from World
Silpa D. Krefft, MD; Cecile S. Rose, MD, MPH; Samia Nawaz, MD; and York E. Miller, MD Deployment in southwest Asia is associated with a wide range of respiratory disorders related to tobacco use and to
More informationCivilian versus Military Trauma Management
Western University From the SelectedWorks of Vivian C. McAlister November, 2010 Civilian versus Military Trauma Management Vivian C. McAlister Available at: https://works.bepress.com/vivianmcalister/151/
More informationCHAPTER 7.1 STRUCTURES OF THE RESPIRATORY SYSTEM
CHAPTER 7.1 STRUCTURES OF THE RESPIRATORY SYSTEM Pages 244-247 DO NOW What structures, do you think, are active participating in the breathing process? 2 WHAT ARE WE DOING IN TODAY S CLASS Finishing Digestion
More informationIn case of an urgent concern or emergency, call 911 or go to the nearest emergency department right away.
Asthma Basics Patient and Family Education This teaching sheet contains general information only. Talk with your child s doctor or a member of your child s healthcare team about specific care of your child.
More informationAsthma in Pregnancy. Asthma. Chronic Airway Inflammation. Objective Measures of Airflow. Peak exp. flow rate (PEFR)
Chronic Airway Inflammation Asthma in Pregnancy Robin Field, MD Maternal Fetal Medicine Kaiser Permanente San Francisco Asthma Chronic airway inflammation increased airway responsiveness to a variety of
More informationBronchitis. Anatomy of the Lungs The lungs allow us to fill our blood with oxygen. The oxygen we breathe is absorbed into our blood in the lungs.
Bronchitis Introduction Bronchitis is an inflammation of the bronchial tubes, the airways that carry air to the lungs. It causes shortness of breath, wheezing and chest tightness as well as a cough that
More informationRESPIRATOR USE SCREENING QUESTIONNAIRE
RESPIRATOR USE SCREENING QUESTIONNAIRE Part A. Section 1. Personal Information 1. Today's date: 2. Your name: 3. Your age (to nearest year): 4. Sex (circle one): Male/Female 5. Your height: ft. in. 6.
More informationLecture 2 Chemical and Biological Agents
Lecture 2 Chemical and Biological Agents In the Chemical ad Biological section, Routes of exposure we will be covering: Forms of Chemical agents Examples of chemical agents Forms of Biological agents Classifications
More informationAsthma 2015: Establishing and Maintaining Control
Asthma 2015: Establishing and Maintaining Control Webinar for Michigan Center for Clinical Systems Improvement (Mi-CCSI) Karen Meyerson, MSN, APRN, NP-C, AE-C June 16, 2015 Asthma Prevalence Approx. 26
More informationOutcomes Summary. February 3-6, 2016 Keystone, Colorado
Outcomes Summary February 3-6, 2016 Keystone, Colorado Executive Summary Activity Details Background: The National Jewish Health Annual The Pulmonary and Allergy Update highlights insights and recent advances
More informationOccupational Disease Fatalities Accepted by the Workers Compensation Board
Occupational Disease Fatalities Accepted by the Workers Compensation Board Year to date, numbers as of December 31, 2015 Occupational disease fatalities are usually gradual in onset and result from exposure
More informationTable of Contents. What is COPD? 1. Slowing the Progression of COPD 2. Treatment for COPD 3. Proper Inhaler Technique 5. Breathing Exercises 6
1 Table of Contents What is COPD? 1 Slowing the Progression of COPD 2 Treatment for COPD 3 Proper Inhaler Technique 5 Breathing Exercises 6 Exercise 7 Nutrition 7 Avoiding Infection 8 Managing Daily Life
More informationLUNG-DAMAGING AGENTS AND TOXIC INDUSTRIAL CHEMICALS
Lung-Damaging Agents and Toxic Industrial Chemicals Chapter 4 LUNG-DAMAGING AGENTS AND TOXIC INDUSTRIAL CHEMICALS NATO Codes: CG, Cl Summary Signs and Symptoms: Central effects: Eye and airway irritation,
More informationVenango County Glowing with Hope If you want to give a light to others, you have to glow yourself! -Thomas S. Monson
Venango County is looking to partner with business and corporate sponsors for the Venango County Glowing for Hope 5k, our annual 5k walk/run event to highlight community support and appreciation for the
More informationNancy Davis, RRT, AE-C
Nancy Davis, RRT, AE-C Asthma Statistics 25.6 million Americans diagnosed with asthma 6.8 million are children 10.5 million missed school days per year 14.2 lost work days for adults Approximately 10%
More informationGUIDANCE ON METHODOLOGY FOR ASSESSMENT OF FOREST FIRE INDUCED HEALTH EFFECTS
GUIDANCE ON METHODOLOGY FOR ASSESSMENT OF FOREST FIRE INDUCED HEALTH EFFECTS David M. Mannino Air Pollution and Respiratory Health Branch Division of Environmental Hazards and Health Effects National Center
More informationDUST: It s a KILLER. Where there is a risk of exposure to DUST or FUMES to its employees, the employer must control or minimise these risks
DUST: The Dangers! DUST: It s a KILLER Standard site activities such as grinding, cutting or heating of materials all have the potential to create hazardous dust and fumes Where there is a risk of exposure
More informationThe Primary Prevention of Asthma
The Primary Prevention of Asthma Risk Factors Associated with Asthma Onset Ted Schettler Science and Environmental Health Network Collaborative on Health and Environment June, 2013 Asthma: a complex disease(s)
More informationAsthma and air pollution: health effects and prevention
Asthma and air pollution: health effects and prevention FuyuenYip PhD, MPH Air Pollution and Respiratory Health Branch Division of Environmental Hazards and Health Effects National Center for Environmental
More informationOPERATION IRAQI FREEDOM
Notes/Changes Briefer if service members are completing the health assessment through AKO you may hide/omit/modify slides 25 though 31. They are for use if the service member is filling out the hard copy
More informationGood Days Bad Days The Dog Days of Summer
Good Days Bad Days The Dog Days of Summer By John R. Goodman BS RRT When most people think of the term Dog Days of Summer, they are picturing very hot and humid days when the sun rises early and sets pretty
More informationLife-long asthma and its relationship to COPD. Stephen T Holgate School of Medicine University of Southampton
Life-long asthma and its relationship to COPD Stephen T Holgate School of Medicine University of Southampton Definitions COPD is a preventable and treatable disease with some significant extrapulmonary
More informationAmerican Osteopathic College of Occupational and Preventive Medicine 2011 Annual Meeting, Orlando, Florida, November 1, 2011
Occupational Lung Disease Practical Applications of The Respiratory Standard Lance Walker D.O. MPH Objectives 1. Review of Occupational Lung Diseases 2. OSHA Respiratory Standard Refresher 3. Discuss spirometry
More informationDealing with Asthma in Winter Weather
Dealing with Asthma in Winter Weather Asthma is a chronic disease affecting more that twenty million children and adults in America. It is likely that some of the individuals you support may have asthma.
More informationAsthma Management. Photo from
Asthma Management 1 Photo from www.nhlbi.nih.gov Course Overview 1. Recognition of the symptoms and signs Basic Knowledge of asthma Recognition of common symptoms Recognition of the signs of asthma including
More informationPeople with asthma who smoke. The combination of asthma, a chronic airway disease, and smoking increases the risk of COPD even more.
COPD Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, sputum (phlegm) production
More informationPULMONARY RESPONSE TO AIRBORNE HAZARDS: INTERPRETING CASES OF SUSPECTED DEPLOYMENT-RELATED LUNG DISEASE
Pulmonary Response to Airborne Hazards Chapter 4 PULMONARY RESPONSE TO AIRBORNE HAZARDS: INTERPRETING CASES OF SUSPECTED DEPLOYMENT-RELATED LUNG DISEASE TEE L. GUIDOTTI, MD, MPH, DABT* INTRODUCTION EXPOSURE
More informationRespiratory Health. Asthma and COPD
Respiratory Health Asthma and COPD Definition of asthma Working definition by AAH 2014: Chronic lung disease Can be controlled not cured Large variation in lung function Large variation in respiratory
More informationOccupational Disease Update November 5, 2014
Occupational Disease Update November 5, 2014 The causes of cancer and various illnesses are multifactoral, for the purposes of compensation a causal relationship between the workplace and the disease must
More informationRespiratory System. Introduction. Atmosphere. Some Properties of Gases. Human Respiratory System. Introduction
Introduction Respiratory System Energy that we consume in our food is temporarily stored in the bonds of ATP (adenosine triphosphate) before being used by the cell. Cells use ATP for movement and to drive
More information