| A Tale of Two Disability Coding Systems: The Veterans Administration Schedule for Rating Disabilities (VASRD) vs. Diagnostic Coding Using the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) |
JAN 2008 |
62 pages |
| Authors:
Nicole S. Bell; Ilyssa E. Hollander; Jeffrey O. Williams; Paul J. Amoroso; SOCIAL SECTORS DEVELOPMENT STRATEGIES INC BOSTON MA
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 | Disability rates have increased by approximately 10% per year over the past 25 years. Little is known about the etiology, in part because Veterans Administration Schedule for Rating Disabilities (VASRD) codes are not clinical diagnoses. This report describes results from analyses linking VASRD disability codes to International Classification of Disease, 9th Rev., Clinical Modification (ICD-9-CM) clinical diagnoses captured in hospital administrative records during disability case processing. Results suggest that while ... |
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| A Descriptive Study of US Army Soldiers Referred to, Evaluated by and Enrolled in the Army Substance Abuse Program, 1988-2003 |
SEP 2006 |
62 pages |
| Authors:
Ilyssa E. Hollander; Nicole S. Bell; Margaret Phillips; Paul J. Amoroso; Les MacFarling; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Alcohol abuse is a major concern in the US military since the use of alcohol is associated with a myriad of adverse outcomes that can affect both individual and collective health and performance of soldiers. The US Army Substance Abuse Program (ASAP) provides evaluation and treatment services for drug and alcohol abusers within the Armed Forces. ASAP is designed to identify and treat soldiers with potential to recover, and therefore ... |
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| A Baseline Historical Analysis of Neck and Back-Related Morbidity in the U.S. Army: Occupational Risks Potentially Related to Head-Supported Mass |
SEP 2005 |
68 pages |
| Authors:
Paul J. Amoroso; Nicole S. Bell; Holly Toboni; Mark Krautheim; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| This study documents the morbidity of neck and back injuries among U.S. Army Soldiers, focusing on populations at greatest potential risk (e.g.. pilots. parachutists). We hypothesize that individuals in occupations requiring the use of equipment that places a heavy load on the head will be at greater risk for acute and chronic neck and back injuries and musculoskeletal conditions. Analyses include calculation of frequencies and unadjusted rates of each health ... |
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| Transforming the Army Central Registry Family Violence File into a Relational Database for the Purpose of Facilitating Epidemiological Research |
JUL 2005 |
44 pages |
| Authors:
Cara Fuchs; Lauren Komp; Nicole S. Bell; James E. McCarroll; Paul J. Amoroso; SOCIAL SECTORS DEVELOPMENT STRATEGIES INC NATICK MA
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| The Army Central Registry (ACR) is a victim-based registry documenting substantiated spouse and child abuse events. ACR data were originally collected for administrative purposes and, without significant adaptation, are not immediately suitable for epidemiological analyses. Our ultimate research goal is to link ACR data for individuals involved in single or multiple events as victims, perpetrators, or both to health behavior, health outcome and demographic data. This will allow us to ... |
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| Epidemiology of Hospitalizations and Deaths from Heat Illness in Soldiers |
2005 |
8 pages |
| Authors:
Robert Carter III; Samuel N. Cheuvront; Jeffrey O. Williams; Margaret A. Kolka; Lou A. Stephenson; Michael N. Sawka; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA THERMAL AND MOUNTAIN MEDICINE DIVISION
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| Serious heat illness has received considerable recent attention due to catastrophic heat waves in the United States and Europe, the deaths of high-profile athletes, and military deployments. This study documents heat illness hospitalizations and deaths for the U.S. Army from 1980 through 2002. Hospitalization data were obtained from the Total Army Injury Health Outcomes Database (TAIHOD) coded according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). North ... |
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| Epidemiology of U.S. Army Cold Weather Injuries, 1980-1999 |
17 DEC 2003 |
8 pages |
| Authors:
David W. DeGroot; John W. Castellani; Jeffrey O. Williams; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA THERMAL AND MOUNTAIN MEDICINE DIVISION
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| Background: Cold weather injuries (CWI) are of great military concern due to their wide-ranging impact on military readiness. Previous short-term studies have identified CWI to be more prevalent in African-Americans, infantrymen, and lower ranking soldiers. The purpose of this cross-sectional study was to determine the occurrence of CWI hospitalizations in the U.S. Army from 1980-1999, and to identify possible trends, high-risk groups and/or activities. |
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| The Human Volunteer in Military Biomedical Research (Military Medical Ethics. Volume 2, Chapter 19) |
OCT 2002 |
99 pages |
| Authors:
Paul J. Amoroso; Lynn L. Wenger; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| There are extensive regulations and guidelines that govern what can, after appropriate review, be done in biomedicai and behavioral research involving human subjects. These policies, though they may prescribe what scientists should or should not do, cannot adequately cover everv situation researchers might currently encounter nor can they anticipate every potential situation that will arise in the future. When disregard for basic human rights in experimentation has occurred even in ... |
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| Stress, Behavior and Health: Developing a Model for Predicting Post-Deployment Morbidity, Mortality and Other Adverse Outcomes |
JUL 1999 |
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| Authors:
Nicole S. Bell; Paul J. Amoroso; Laura Senier; Jeffrey O. Williams; Michelle M. Yore; SOCIAL SECTORS DEVELOPMENT STRATEGIES INC NATICK MA
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 | The principal goal of this project is to document the utility of the Total Army Injury and Health Outcomes Database (TAIHOD) in measuring deployment-related health outcomes and risk factors for adverse health events. A secondary effort is to link self-reports of stress and subsequent increases in morbidity. In our first year we have demonstrated the utility of the TAIHOD in assessing baseline (prewar) characteristics of deployed and non-deployed Gulf War ... |
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