scholarly journals Health Services Use Among Gulf War Veterans and Gulf War–Era Nondeployed Veterans: A Large Population-Based Survey

2007 ◽  
Vol 97 (12) ◽  
pp. 2145-2148 ◽  
Author(s):  
Drew A. Helmer ◽  
Mindy E. Flanagan ◽  
Robert F. Woolson ◽  
Bradley N. Doebbeling
2002 ◽  
Vol 57 (3) ◽  
pp. 144-145 ◽  
Author(s):  
Han Kang ◽  
Carol Magee ◽  
Clare Mahan ◽  
Kyung Lee ◽  
Frances Murphy ◽  
...  

Lung ◽  
2014 ◽  
Vol 193 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Javier de Miguel Díez ◽  
Rodrigo Jiménez García ◽  
Valentín Hernández Barrera ◽  
Luis Puente Maestu ◽  
Maria Isabel del Cura González ◽  
...  

2002 ◽  
Vol 57 (4) ◽  
pp. 340-348 ◽  
Author(s):  
Linda A. McCauley ◽  
Sandra K. Joos ◽  
Andre Barkhuizen ◽  
Tomas Shuell ◽  
Wesley A. Tyree ◽  
...  

2006 ◽  
Vol 361 (1468) ◽  
pp. 605-618 ◽  
Author(s):  
Michael R Rose ◽  
Kelley Ann Brix

We present a review of neurological function in Gulf War veterans (GWV). Twenty-two studies were reviewed, including large hospitalization and registry studies, large population-based epidemiological studies, investigations of a single military unit, small uncontrolled studies of ill veterans and small controlled studies of veterans. In nearly all studies, neurological function was normal in most GWVs, except for a small proportion who were diagnosed with compression neuropathies (carpal tunnel syndrome or ulnar neuropathy). In the great majority of controlled studies, there were no differences in the rates of neurological abnormalities in GWVs and controls. In a national US study, the incidence of amyotrophic lateral sclerosis (ALS) seems to be significantly increased in GWVs, compared to the rate in controls. However, it is possible that military service, in general, might be associated with an increased risk of ALS, rather than Gulf War service in particular. Taken together, the conclusion is that if a neurological examination in a GWV is within normal limits, then extensive neurological testing is unlikely to diagnose occult neurological disorders.


2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 69-71
Author(s):  
A Dheri ◽  
E Kuenzig ◽  
D Mack ◽  
S Murthy ◽  
G G Kaplan ◽  
...  

Abstract Background Health services use in inflammatory bowel disease (IBD) patients cost the Canadian healthcare system $1.3 billion per year, but recent changes to care in children with IBD may have altered trends in health services use. Characterization of these trends would aid health policy makers plan for the healthcare needs of IBD children. Aims To quantify time trends in IBD health services use in children and all-cause health services use in children with and without IBD using a population-based cohort. Methods Using the Ontario Crohn’s and Colitis Cohort, children <18y with IBD diagnosed between 1994–2012 in Ontario were identified using validated algorithms from health administrative data, and matched on age, sex, rurality, and income to children without IBD. We evaluated trends in the number of IBD-specific and all-cause outpatient visits, emergency department (ED) visits, and hospitalizations using negative binomial regression. Cox proportional hazards regression models were used to describe changes in the hazard of intestinal resection (Crohn’s disease; CD) and colectomy (ulcerative colitis; UC) over time. Results are reported as annual percentage change (with 95%CI) for events within 5 years from the diagnosis/index date. Results IBD-specific hospitalization rates decreased by 2.5% (95%CI 1.8–3.2%) per year, but all-cause hospitalization rates in children without IBD decreased faster (APC, 95%CI: 4.3%, 3.5–5.1%, difference in rates p-value=0.0028). The hazard of intestinal resection for CD decreased by 6.0% (95%CI 4.6–7.3%) per year and the hazard of colectomy for UC decreased by 3.0% (95%CI 0.7–5.2%) per year. IBD-specific outpatient visit rates increased after 2005 by 4.0% (95%CI 3.1–4.9%) per year. Similar trends were not observed in children without IBD. Conclusions Decreasing hazards of intestinal resection and colectomy in children with IBD suggest changes in disease management, including more care being provided on an outpatient basis. Decreased hospitalization rates in IBD were mirrored by similar decreases in non-IBD children, indicating universal care changes. Understanding why these trends are occurring may help us better understand how to provide optimal care to children with IBD. Funding Agencies CIHRCanGIEC


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