The Resource A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy, Robert P. Jackman ; Jeffrey J. Costello

A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy, Robert P. Jackman ; Jeffrey J. Costello

Label
A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy
Title
A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease
Title remainder
background to the change in policy
Statement of responsibility
Robert P. Jackman ; Jeffrey J. Costello
Title variation
Loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease
Title variation remainder
background to the change in policy
Creator
Contributor
Subject
Language
eng
Summary
PROBLEM: It was USN policy to disqualify submariners from returning to submarine duty for two years following a peptic ulcer. This resulted in a loss of experienced personnel which was considered to be unnecessary given the current medical advances in peptic ulcer therapy. This is an evaluation of the medical literature to provide background to why the current USN policy of disqualifying submariners from submarine duty following the diagnosis of peptic ulcer disease has been changed. FINDINGS: The medical literature shows that infection with Helicobacter pylori is causally related to the majority of both duodenal and gastric ulcer cases. The second most common cause of peptic ulcer results from the use of non-steroidal anti-inflammatory drugs such as ibuprofen (Motrin, Advil, etc). Repeated studies have demonstrated that eradication of Helicobacter pylori infection in patients with peptic ulcer disease results in a dramatic reduction of ulcer recurrence from as high as 74 to 95% to between 1.1% and 8%. This recurrence rate includes duodenal, gastric, and complicated ulcers. Re-infection with Helicobacter pylori is uncommon in western countries, with rates ranging between zero and 6.25% during the first year. Longer term studies reveal annual re-infection rates of 0.36% to 1.5%. APPLICATION: Results indicate that it is reasonable to return submariners to duty with a low expectation of complications contingent upon eradication of the bacteria Helicobacter pylori and complete healing of the peptic ulcer
Member of
Cataloging source
DTICE
http://library.link/vocab/creatorName
Jackson, Robert P
Funding information
Naval Medical Research Development Command
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
http://library.link/vocab/relatedWorkOrContributorName
  • Costello, Jeffrey J
  • United States
  • Naval Submarine Medical Research Laboratory
Series statement
Naval Submarine Medical Research Laboratory report
Series volume
no. 1210
http://library.link/vocab/subjectName
  • Helicobacter pylori infections
  • Submariners
  • Submarine medicine
Target audience
general
Label
A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy, Robert P. Jackman ; Jeffrey J. Costello
Link
Instantiates
Publication
Note
  • Title from title screen (viewed Sept. 5, 2012)
  • "25 Aug 1998."
Bibliography note
Includes bibliographical references (pages 16-20)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
19788384
Extent
1 online resource (28 pages)
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)ocn227880379
Label
A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy, Robert P. Jackman ; Jeffrey J. Costello
Link
Publication
Note
  • Title from title screen (viewed Sept. 5, 2012)
  • "25 Aug 1998."
Bibliography note
Includes bibliographical references (pages 16-20)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
19788384
Extent
1 online resource (28 pages)
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)ocn227880379

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