Restorative Co-morbidities of VCD in the military.

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GERD and sensitivities were the most widely recognized co-morbidities. Fortifies the significance of evaluating co-dreary components and making suitable referrals. ...
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Joyce Gurevich-Uvena Joseph Parker Thomas Fitzpatrick Matthew Makashay Michelle Perello Elizabeth Blair Nancy Pearl Solomon Department of Internal Medicine Pulmonary Critical Care Department of Surgery Army Audiology and Speech Center Otolaryngology Head and Neck Service Medical Co-morbidities of VCD in the military Walter Reed Army Medical Center, Washington DC The perspectives communicated are those of the creators and don\'t mirror the official arrangement of the Department of the Army, the Department of Defense or the US Government.

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Background Common co-morbidities Asthma GERD Allergies + PND Chronic rhinosinusitis (Balkissoon, 2007; Brugman, 2003; Doshi & Weinberger, 2004; Mikita & Mikita, 2006; Mikita & Parker, 2006; Newman, Mason & Schmaling, 1995)

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Background More basic in females than guys 3.2:1 (Brugman, 2003) Paucity of information on VCD in military populace

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VCD Studies in the Military Craig, Sitz, Squire, Smith, & Carpenter (1992) 2 ladies, psychogenic Morris, Deal, Bean, Grbach, & Morgan (1999) 40 dynamic obligation military with exertional dyspnea VCD positive: 7 females, 3 guys (2.3:1) VCD negative: 10 females, 20 guys (0.5:1) Mikita & Parker (2006) 25 patients determined to have VCD 12 ladies, 13 men

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Background VCD Risk components Strenuous activity Psychological anxiety Military Factors Daily physical action prerequisites Bi-yearly Military Physical Fitness Test High push, exacerbated amid war-time (Craig et al., 1992; Morris et al., 1999)

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Rationale The rate of the clinical attributes of VCD are not settled in the military populace.

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Purpose To portray the demographic qualities of patients determined to have VCD seen at Walter Reed Army Medical Center To distinguish co-dismal conditions connected with VCD in these patients

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Methods Retrospective graph survey Case history meeting with discourse dialect pathologist Supplemented with symptomatic tests as accessible

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Methods 265 back to back patients from 1996-2001 determined to have VCD

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Methods Referred to Speech Pathology Clinic Referral Sources

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Selected information Age Gender Service Distribution Service Status Rank Compiled database in Excel GERD Asthma Allergies PND Methods

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Gender Female 171 Male 94 Female:Male (1.8:1)* *Females speak to 10.8% of military

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Service Distribution

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Service Status

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Service Status by Gender

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Active-Duty Rank/Pay Grade

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VCD and Co-Morbidities

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Number of Co-Morbidities

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Number of Co-Morbidities for Active versus Non-Active Duty

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Summary of Demographics 265 patients alluded to WRAMC 65% female, 35% male (1.8:1) 48% dynamic obligation Female:male proportion contrasted between dynamic (1.2:1) and non-dynamic obligation (2.8:1)

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Summary of Co-Morbidities Co-dreary conditions were basic GERD (33%) Allergies (32%) Asthma (20%) PND (15%) 20% of patients gave VCD alone 51% of patients had two or more co-morbidities Active-obligation patients had a tendency to have less co-morbidities than non-dynamic obligation patients (p=.058)

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Conclusions WRAMC Speech Pathology Clinic has had a generous number of referrals for VCD Referrals similarly spoke to dynamic and non-dynamic obligation patients Female to male proportion of patients with VCD in the military varies from different settings, apparently in light of the overwhelmingly male populace GERD and sensitivities were the most well-known co-morbidities Reinforces the significance of surveying co-sullen variables and making proper referrals.

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