Copyright
United States. Congress. House. Committee on Veter.

Viewpoints on Veterans Affairs and related issues : hearing before the Subcommittee on Oversight and Investigations of the Committee on Veterans' Affairs, House of Representatives, One Hundred Third Congress, second session, May 4, 1994 online

. (page 9 of 23)
Online LibraryUnited States. Congress. House. Committee on VeterViewpoints on Veterans Affairs and related issues : hearing before the Subcommittee on Oversight and Investigations of the Committee on Veterans' Affairs, House of Representatives, One Hundred Third Congress, second session, May 4, 1994 → online text (page 9 of 23)
Font size
QR-code for this ebook


percent to rifampin or ethambu-
tol.'

MAIARIA — Of the four known
types of malarial parasites, two
types-plasmodium falciparum
and Plasmodium vivax - have
been reported in Vietnam refu-
gee camps. Standard diagnostic
tests, including blood smear for
recognition and speciation, are
extremely effective.

Treatment for Plasmodium
falciparum is usually initiated
with quinine sulfate. 650 mg
three times a day for three days,
along with paraprim, 25 mg
twice daily, and sulfadiazine.
500 mg four times a day for five
days.

In patients with Plasmodium
vivax, there is a 10 to 15 percent
incidence of glucose-6-phos-
phate dehydrogenase (G6PD) de-
ficient, so it is important to
screen for this abnormality be-
fore therapy. The recommended
treatment is 300 mg of chloro-
quine at 0. 6, 24, and 48 hours,
plus 15 mg of primaquine per
day for two weeks. If the patient
is G6PD deficient, primaquine
should be given in a dose of 45



INFECTIOUS DISEASES

PREVALENT IN

SOUTHEAST ASIA



72



mg once a week for eight weeks.
Carefully check for hemolysis.
INTESTINAL PARASITES —

Eosinophilia should alert the
physician to the presence of in-
testinal parasites. The most
common parasites found in Viet-
nam veterans are ascaris, lum-
bricoides. trichuris triciura and
strongyloides steracoralis.

Recent studies indicate that
1.6 to four percent of Vietnam
veterans were seropositive for
strongyloides. Serum IGG anti-
bodies against strongyloides us-
ing an immunoabsorbent assays
are particularly effective in es-
tablishing the diagnosis.'

Strongyloides is a nematoide
that is capable of persisting for



indefinite periods in its host
with little or no clinical manifes-
tations. A weakening of the host
resistance can result in exacerba-
tion of infection which can often
be lethal."

In most cases, patients with
strongyloides infection are
asymptomatic. When symptoms
do occur, they are usually gas-
trointestinal. The only clue to
diagnosis may be an elevated eo-
sinophil count."

As with strongyloides, both
trichuris and ascaris eggs are
demonstrated in the feces of in-
fected patients. Serial stool spec-
imens remain the cornerstone to
diagnosing intestinal parasites.'"



INFECTIOUS DISEASES
(continued)



RESOURCES



RESOURCES

1. Outpatient Clinics

Outpatient clinics (OC| are a
service of the U.S. Department of
Veterans Affairs. They provide a
variety of medical and psychiat-
ric services to ambulatory vet-
erans.

In Pennsylvania, outpatient
clinics are located at:

• Mlentown OC
2937 Hamilton Blvd.
Mlentown. PA 18104
1215) 776-4.304

• Harrisburg OC
Federal Building
228 Walnul St.
Harrisburg. PA 17108
|717) 782-4590

• Philadelphia OC:
llniversitv & Woodland Ave.
Philadelphia. PA 19104
(2151 823-5800

• Pittsburgh OC
1000 Liberty Ave,
Pittsburgh, PA 15222
(412) 644-b750



II. VA Hospitals/Agent Orange
Coordinators

The VA hospitals provide a
full range of services to veterans
with both inpatient and outpa-
tient needs. In addition, each De-
partment of Veteran Affairs med-
ical center has an Agent Orange
program for evaluating Vietnam
veterans .

A special coordinator for
Agent Orange services is as-
signed to each hospital. These
coordinators are:

• Frank Morillo
Altoona VA Hospital
Pleasant Valley Blvd.
Altoona. PA 16603
(814) 943-8164

• Linda McCabe
Butler VA Hospital
Butler, PA 16001
(412) 287-4781

• Joseph Ecker
Coatesville VA Hospital
Black Horse Rd.
Coatesville, PA 19320
(215) 384-7711



73



• Elaine Chaffee
Erie VA Hospital
135 East 38th St.
Erie. PA 16501
(814) 868-8661

• Scott WertE
Lebanon VA Hospital
State Dr.

Lebanon, PA 17042
(717) 272-6621

• Barbara Stewart
Philadelphia VA Hospital
Universitv and Woodland Aves.
Philadelphia. PA 19104

(215) 823-5800

• Cheryl Wehner
Pittsburgh VA Hospital
University Drive C
Pittsburgh. PA 15240
(412) 683-3000

• Madelyn Denson
Pittsburgh VA Hospital
Highland Dr
Pittsburgh. PA 15206
(412) 363-4900

• Teresa Norczvk
Wilkes-Barre'VA Hospital
1111 East End Blvd.
Wilkes-Barre, PA 18711
(717) 824-3521

III. Regional Offices

The following regional offices
of the Department of Veteran Af-
fairs are responsible for process-
ing requests for veterans' bene-
fits and insurance claims:

• Philadelphia VA Office
RO. Box 8079

5000 Wissahickon Ave.
Philadelphia. PA 19101
(800) 822-3920

• Pittsburgh VA Office
1000 Liberty Ave.
Pittsburgh. PA 15222
(800) 242-0233



rV. Veterans Centers

The Department of Veterans
Affairs has provided community-
based veteran centers to provide
treatment for Post-Traumatic
Stress Disorder (PTSD) and other
issues related to Vietnam service.
The seven Pennsylvania centers
and their team leaders are:

• Vet Center *210
1026 Arch St.
Philadelphia. PA 19107
(215) 627-0238

Team Leader: Ronald Green. MSW

• Vet Center #211
954 Penn Ave.
Pittsburgh. PA 15222
(4121 765-1193

Team Leader: Dave McPeak. MA. MPA

• Vet Center #218
1007 North Front St.
Harrisburg. PA 17110
(717) 782-3954

Team Leader: Claudia Dewane, MSW

• Vet Center #219
101 E. Olney Ave.
Philadelphia, PA 19120
(215) 924-4670

Team Leader: luan Malave, MSW

• Vet Center #220
500 Walnut St.
McKeesport, PA 15132
(412)678-7704

Team Leader: Dwayne Brokenbeck, MSW

• Vet Center #222

G. Daniel Baldwin Building

Suite 1 & 2 (Lobby)

1000 State St.

Erie. PA 16501

(814)453-7955

Team Leader: lack Ehrhardt. MSW

• Vet Center #229
959 Wyoming Ave.
Scranton. PA 18509
(717) 344-2676

Team Leader: Carol ArmiUe. MSW



RESOURCES
(continued)



74



RESOURCES
(continued)



Governor's Veterans Outreach
and Assistance Centers (VOAC)

The Governor's Veterans Out-
reach and Assistance Centers are
responsible for handling refer-
rals for any problems related to a
veteran's military service. These
centers, managed through the
state government system, also as-
sist veterans with employment
issues and other concerns. The
regional VOAC offices and their
directors follow;

• Erie VOAC
916 Peach SI,
Erie. PA 16501
(800] 352-0915 or
(814) 453-5719
Director: Elmer Smith. !r,

• Harrisburg VOAC
1500 North Second St.
Harrisburg. PA 17102
(BOO) 932-0930 or
(7171 234-1681

Director: Nicholas Kafkalas

• North Huntingdon VOAC
13380 Route 30

North Huntingdon. PA 15642
(800) 442-6815 or
(4121 864-7220
Director: Ed Neimensici

• Pottstown VOAC
25 Mosser Rd.
Pottstown, PA 19464
(800) 247-2323 or
(215) 326-5233
Director: James Dunning

• Wilkes-Barre VOAC
2 Wyoming Ave.
Wyoming. PA 18644
(800) 432-9735 or
(717) 693-2020
Director: Ronald Faust



VI. Specialized Treatment Units

• Media VA Oul-Patlent Center

This clinic is a comprehensive
mental health facility that offers a
full range of social work and psy-
chological services to veterans. It is
located at:

1489 Baltimore Pike

Suite 107

Springfield. PA 19064

(215) 543-1588

Director: Gary Kunz

• Mental Hygiene Clinic of the
Philadelphia VA Medical Center

This center provides treatment
for Post-Traumatic Stress Disorder
and other psychiatric illnesses re-
lated to a veteran's military service.
The clinic is located at:

Broad and Cherry Sts

Philadelphia. PA 19102

(215) 597-0669

Director: Neal Daneils. PhD

• PTSD Program

The PTSD (Post-Traumatic Stress
Disorder) Program is an in-patient
facility located at the Veterans Ad-
ministration Medical Center in
Coatesville, The program special-
izes in treating veterans suffering
from long term combat reactions. Its
address and telephone number are:

VAMC

Coatesville. PA 19320

(215) 384-7711 (extension 649)

Director: Steve Silver. PhD



75



1. Heylin. Michael (Ed.) -The Dioxin Phenomenon," CHEMICAL & ENGINEERING NEWS. )une 6.
1983. p. 64

2. Poland A. and Glover E (19801 ■■2.3,7.8Telrachlorodibenzo-p-dinxin: Segmenlalion of Toxicity
with Ihe AhLocus.- MOLECULAR PHARMACOLOGY 17: 86-94,

3 Crow. K,D. (19781 "Chloracne: the Chemical Disease,- NEW SCIENTI.ST. pp. 78-80,
4, Taylor, |,D, (1979) -Environmental Chloracne: Update and Overview,- ANNUALS OF THE NEW
YORK ACADEMY OF SCIENCE 320: 295-307

5 JRB Associates (1980) REVIEW OF LITERATURE ON HERBICIDES, INCLUDING PHENOXY HER-
BICIDES AND ASSOCIATED DIOXINS. Volume I, Chapter 1, page 8

6 Goldstein. N P, lones. PH and Brown, I R (1959) -Peripheral Neuropathy after Exposure to an
Ester of Dichlorophenoxyacetic Acid ' lAMA, 171 (10) 1306-1309

7, Guzelian. PS, (1981) -Environmental Toxins and Ihe Liver ' PRACTICAL GASTROENTEROL-
OGY. 5, (4): pp- 24-30-

8, Strilc. I 1 TWA and Koeman. | H (Ed ). (19791 CHEMICAL PORPHYRIA IN MAN. Elsevier/
North-Holland Biomedical Press, Amsterdam, New York, Oxford,

9, Walker, A E, and Martin, I V (1979) 'Lipid Profiles in Dioxin-Exposed Workers," LANCET (1):
446-44 7

10 Cohn Wl , Boylan, ),),, Bianke. R.V,. Fariss. M,W,, Howell, I,R,, and Guzelian. PS, (1978)

■Treatment of Chlordecone IKepone) Toxicity with Cholestyramine," NEW ENGLAND lOURNAL
OF MEDICINE. 298: 243-248,

11 Taylor. ID,, pp, 295-307,

12 National Vietnam Veterans Coalition, (1988) "Agent Orange, Came the Dawn " VVA STAFF RE-
PORT 6: 1-4,

13, Macfarlane. 1 G,. Karnes, D,E (1988) -The Effects of Exposure to Agent Orange on the Citizens of
the Commonwealth,- The General Assembly of Virginia, Senate Document No, 29. Richmond.
VA. p, 3.

14, Ayres. S M . Webb. KB. Evans, RG, and Mikes), (1985) "Is 2.3, 7.8-TCDD (Dioxin) a Catx;ino-
gen for Humans'" ENVIRONMENTAL HEALTH PERSPECTIVES. 62:329-335,

15 Macfarlane, p, 5,

16, Kulka. R,A,. Schlenger, WE,. Fairbank, |,A,, Hough, R,L,, lordan, 8,K,, Marmar, C,R . Weiss.
D,S, (19881 CONTRACTUAL REPORT OF FINDINGS FROM THE NATIONAL VIETNAM VET-
ERANS READJUSTMENT STUDY, VOLUME 1: EXECUTIVE SUMMARY, DESCRIPTION OF
FINDINGS, AND TECHNICAL APPENDICES- Research Triange Park. NC: Research Triangle Insti-
tute

17, Horowitz. M,J, (1986) "Stress Response .Syndromes: A Review of Post-traumatic and Adjustment
Disorders,- HOSPITAL AND COMMUNITY PSYCHIATRY, 37: 241-249,

18, American Psychiatric Association, (1987) DIAGNOSTIC AND STATISTICAL MANUAL OF MEN-
TAL DISORDERS III, American Psychiatric Press. Washington. DC

19 Ibid,, p, 238,

20, American Psychiatric Association, (1988) LETS TALK FACTS ABOUT POST-TRAUMATIC
STRESS DISORDER APA Division of Public Affairs, Washington DC,

21, Lipton, M,, Schaffer, W, (1988) -physical Symptoms Related to Posl-lraumatic Stress Disorder in
an Aging Population,- MILITARY MEDICINE, 159: 316-318,

White. P. Faustman. W,. (1988) "Coexisting Physical Conditions Among inpatients with Post-
traumatic Stress Disorder" MILITARY MEDICINE. 154:66-70,

22 Friedman. M ), (1988) "Toward a Rational Pharmacotherapy for Post-traumatic Stress Disorder,"
THE AMERICAN lOURNAL OF PSYCHIATRY. 145:281-285,

23 Williams. Thomas (Ed), POST-TRAUMATIC STRESS DISORDER; A HANDBOOK FOR CLINI-
CIANS, 1987, Disabled American Veterans Press. Cincinnati. OH. p, 98

24 Ibid,, p, 95

25 Friedman, p 283,

26, Friedman, p 284

27, Rissing, ],P (1983) "Melioidosis: Recrudescence with a Strain Resistant to Multiple Antimicrobi-
als," AMERICAN REVIEW OF RESPIRATORY DISEASES 128: 173-175

28, Ibid,, p, 173,

29 Morrison, R,E,. Lamb. A,S,. Craig. D,B, and [ohnson, W.M, (1988) "Melioidosis: A Reminder,"
THE AMERICAN lOURNAL OF MEDICINE. 84: 965-907

30 Ibid,, p, 967,
31, Ibid,, p, 967
32 Rissing, p, 174

33, Morrison, p 967,

34, Rissing, p, 174,

35, Francke. E, (1982) "Medical Evaluation of Indoohinese Refugees," POSTGRADUATE MEDICINE
72(5|: 92-94,

36 Ibid,, p, 92,

37 Genia, R M , Weesner. R.. Douce. R.W,. Huilger-OConnor, T. and Walzer, PD, (1987) "Strongy-
loidiasis in US, Veterans of Ihe Vietnam and Other Wars," |AMA. 258(1): 49-52

38 Ibid . p 49

39, Genta. p, 51,

40, Kramer, K 1 (19831 "Parasitic Infestations in Southeast Asian Refugees " HAWAIIAN MEDICAL
lOURNAL 10: 12-16-



END NOTES



76



BIBLIOGRAPHY
(BY SUBIECT)



DIOXIN (TCDD)

General

Booth. W. -Agent Orange Study Hits Brick Wall ' SCIENCE 23: 1285-1286.

Centers for Disease Control (1987) "Poslservice Moilalily Among Vietnam Veterans." JAMA 257(6):

790-795.
Centers for Disease Control (1988) "Health Status of Vietnam Veterans: Physical Health." )AMA

259(18): 2708-2714.
Centers for Disease Control (1988) "Health Status of Vietnam Veterans: Reproductive Outcomes and

Child Health " |AMA 259(181: 2715-2719.
Evan P, Royal Commission (1985) THE USE AND EFFECTS OF CHEMICAL AGENTS ON AUSTRA-

Ll.«iN PERSONNEL IN VIETNAM: A FINAL REPORT Volumes 1-9. Australian Government Printing

Ser\'ice, Canberra. Australia.
Hobson, LB (1984) "Human Effects of TCDD Exposure." BULL. ENVIRON. CONTAM TOXICOL

33(6): 695-701
Hoffman, R.E. (1986) "Health Effects of Long-term Exposure to 2.3.7.8-Tetrachlorodibenzo-p-dioxin."

lAMA 255(15): 2031-2038.
Leads from MMVVR. (1989) "Preliminary Report: 2.3.7,8-Tetrachlorodibenzo-p-dioxin Exposure in

Humans. lAMA 261(6): 831-832.
Macfarlane. ) G. (1988) THE EFFECTS OF EXPOSURE TO AGENT ORANGE ON THE CITIZENS OF

THE COMMONWEALTH The General Assembly of Virginia. Senate Document No. 29. Richmond,

VA.
Palca. ). (1986) "Dioxin Exposure: CDC Study Still at Square One." NATURE 320(6062|: 476.
Palinkas. LA. (1988) "Disease and Non-battle Injuries Among U.S. Marines in Vietnam." MILIT.

MED. 153(3): 150-155.
Scott. W), (1988) "Competing Paradigms in the .^Vssessment of Latent Disorders: The ("ase of Agent

Orange." SOCIAL PROB. 35(2): 145-161.
Stellman. S.D, (1986) "Estimation of Exposure to Agent Orange and Other Defoliants Among Ameri-
can Troops in Vietnam," AM. ), IND, MED, 9(4) 305-321.
U.S. Air Force (1984) An Epidemiologic Investigation of the Health Effects in Air Force Personnel

Following Exposure to Herbicide: Mortality Update. Epidemiology Division. USAF School of Aero-
space Medicine. Brooks AFB, TX,
Von Burg, R, (1988) "TCDD." J. APPL. TOXICOL. 8(2): 145-148.

Webb. K.B. (1988) "The Diagnosis of Dioxin-Related Illness." AM. ). PREV. MED. 2(2): 103-108.
Centers for Disease Control (1988) "Serum 2.3.7.8— tetrachlorodibenzo-p-dioxin Levels in U.S. Army

Vietnam-Era Veterans." )AMA 260(9): 1249-1254
Kahn. P.C. (1988) "Dioxinsand Dibenzofurans in Blood and AdiposeTissue of Agent Orange-Exposed

Vietnam Veterans and Matched Controls." lAMA 259(11): 1661-1667.
Leads from MMVVR (1988) "Serum 2.3.7.8-Tetrach)orodibenzo-p-dioxin Levels in Air Force Health

Study Participants." )AMA 259(24): 3533-3535

Carcinogenicity

Avres, S,M, (1985) "Is 2,3,7,8-TCDD (Dio

PERSPEC, 62: 329-335,
Hoar, S.K (1986) "Herbicide Use and Risk of Lvmpho

1141-1145,
Kang, H,K, (1986) "Soft Tissue Sarcomas and Military Service in Vietnam," ), OCCUP MED, 28(12):

1215-1218,
Kogan, M,D- (1988) "Soft Tissue Sarcoma Mortality Among Vietnam Veterans in Massachusetts,"

INT ), EPIDEMIOL- 153(4): 39-43
Puntoni, R, (1986) "Soft Tissue Sarcoma in Seveso," LANCET 2(8505): 525,

Toxic Effects on Organ Systems

Bvard, ),L, (1987) "The Toxicological Significance of 2.3.7.8-Telrachlorodibenzo-p-dioxin and Re-
lated Compounds in Human Adipose Tissue " |, TOXICOL, ENVIRON, HEALTH 22(4): 381-403,
Canga. L, (1988) "Heart as a Target Organ in 2.3.7.8-Telrachlorodibenzo-p-dioxin Toxicity." PROG.

NATL. ACAD. SCI. USA 85: (3) 905-909.
Greenlee, W,F (1985) "Actions of 2.3.7.8-Tetrachlorodibenzo-p-dioxin (TCDD) on Human Epidermal

Keratinocytes in CuUure," IN VITRO CELL DEV, BIOL, 21(9): 509-512,
Hassoun, E, A, (1987) "In Vivo and In Vitro Interactions of TCDD and Other Ligands of the Ah-

receptor: Effect on Embryonic and Fetal Tissue," ARCH, TOXICOL, 60(5): 145-49,
Hatch. M.C- (1986) •.'\genl Orange and Risks to Reproduction," TERATOGENESIS CARCINOC, MU-

T.\GEN, 6(3): 185-202,
lones, RE, (1986) "Further Discussion Concerning Porphyria Cutanea Tarda and TCDD Exposure,"

ARCH. ENVIRON, HEALTH 41(1): 16-22
Kave, CI (1985) "Evaluation of Chromosomal Damage in Males Exposed to Agent Orange and Their

Families," 1 CRANIOFAC, GENET, DEV. BIOL, 1: 259-265.
Kayser, K, (1986) "Chronic Progredient Diffuse Alveolar Damage Probably Related to Exposure to

Herbicides " KLIN VVOCHENSCHR 64111: 44.48,



Carcinogen for Humans'" ENVIRON, HLTH,
and Soft-Tissue Saicoma " )AMA 256(9):



77



McKinnev. l-D- (1985) "Z.S.T.B-Tetrachlorodibenzo-p-dioxin (TCDDl as a Potent and Persistent Thy-
roxine Agonist." ENVIRON. HEALTH PERSPECTT. fil; 41-S3.

Osborne. R, (1987) "Evidence that 2.3.7.8-Tetrachlorodibenzo-p-dioxin and Thyroid Hormones Act
Through Different Mechanisms in Human Keratinocytes." TOXICOL APP PHARMACOL. 90(3);
522-531.

PuhveL S M (1988) "Effect of 2.3.7.8-Tetrachlorcdibenzo-pdioxin on Murine Skin " ]. irJVEST. DE-
RMATOL- 90(3): 354-358.

Roth. W. (1988) "Activity of Thyroid Hormone-Inducible Enzymes Following Treatment with 2.3,7.8-
Tetrachlorodibenzo-p-dioxin. " TOXICOL. APPL. PHARMACOL, 92(1): 65-74.

Russell. D.H (1988) "Hypothalmic Site of Action of 2.3.7.8-Tetrachlorodibenzo-p-dioxin." TOX-
ICOL APPL. PHARMACOL. 94(3): 496-502.

Shoaf. C R (1988) "2.3.7.8-Tetrachlorodibenzo-p-dioxin Toxicity Mechanisms." TOXICOL. APPL.
PHARM.^COL. 42(l):l-3.

Turk. VV. A (1988) "Dietary Iron and 2.3.7.e-Tetrachlorodibenzo-p-dioxin Induced Alterations in He-
patic Lipid Peroxidation Glutathione Content and Body Weight." DRUG CHEM. TOXICOL. 11(1):
55-70

INFECTIOUS DISEASES PREVALENT IN SOUTHEAST ASIA

Baker, RB. (1986) "Vivax Malaria " AM ) EMERC MED 4(1). 52-58.

Dhiensiri. T (1988) "Pulmonary Melioidosis: Clinical-Radiologic Correlation in 183 Cases in Norlh-
easlern Thailand." RADIOLOGY 166(3): 711-715.

Edirisinghe. ).S. (1987) "Changing Patterns of Clinical Malaria." CEYLON MED. ). 32(1): 35-42.

Francke. E. (1982) "Medical Evaluation of Indochinese Refugees." POSTGRADUATE MED. 72(5): 92-
93.

Centa.R.M. (1987) "Strongyloidiasis in U.S. Veteransof the Vietnam and Other Wars." JAMA 258(1):
49-52.

Gilles. H.M. (1989) "Malaria: An Overview." ). INFECT. DIS. 18(1): 11-23.

Gilles. H.M. (1987) "The Treatment and Prophylaxis of Malaria." ANN. TROP. MED. PARASITOL.
81(5): 607-617.

Hakim. S.Z. (1986) "Fatal Disseminated Strongyloidiasis in a Vietnam War Veteran." ARCH.
PATHOL. LAB. MED. 110(9): 809-812.

Hall. A. P. (1985) "Exchange Transfusion and Quinine Levels in Falciparum Malaria." ACTA LEIDEN
55: 121-128.

Harinsuta. C (1987) "Endemic Tropical Diseases of Southeast Asia." ANN. TROP. MED. PARASITOL.
81(5): 657-669.

)ohnson. R). (1983) "Paragonimiasis in Indochinese Refugees. Roentgenographic Findings with Clin-
ical Correlations." AM. REV. RESPIR. DIS. 128 (3): 534-538.

Khupulsup, K. (1986) "Application of Indirect Hemagglutination Test and Indirect Fluorescent Anti-
body Test for IG M Antibodv for Diagnosis of Melioidosis in Thailand." AM. ). TROP MED. HYG.
35(2'): 366-369.

Kondrashin, A.V. (1986) "Malaria in Southeast Asia." SOUTHEAST ASIAN ). TROP. TROP. MED.
PUB- HLTH. 17(41: 642-655.

Kramer. K-|- (1983) "Parasitic Infestations in Southeast Asian Refugees." HA. MED. |. 10: 12-16.

Lee. M K (19861 "Brain Abscess Due to Pseudomonas Pseudomallei." AUST. NZ. ). MED. 16 (1) 75-
77.

Lyimo. E.G. (1987) -"Chloroquine Administration in the Treatment of Malaria with Reference to
Brands. Specification and Dosage." EAST AFR. MED. |. 64(8): 551-557.

Manatsathit. S. (1985) "Chronic Diarrhea: A Prospective Study of Thai Patients at Chulalongkorn
Hospital. Bankok." SOUTHEAST ASI.^N |. TROP MED. PUB. HLTH 16(3): 447-452.

Morrison. RE. (1988) "Melioidosis: A Reminder" AM. ). MED 84(5): 965-967.

Morse. D.L (1985) "Tuberculin Conversions in Indochinese Refugees. An Assessment of Boosting
and Anergy. " AM. REV. RESPIR. DIS. 132(3): 516-519.

No)an. CM- (1986) "Active Tuberculosis After Isoniazid Chemoprophvlaxis of Southeast Asian Refu-
gees" AM REV RESP. DIS. 133(3): 431-436

Nutman, T B. (1978) "Eosinophilia in Southeast Asian Refugees: Evaluation at a Referral Center." ).
INFECT, DIS. 155(2): 309-313.

Ognibene. A. (1987) "Medical and Infectious Diseases in the Theatre of Operations." MILIT MED.
152(1) 14-18.

Pelletier. L.L. (1985) "Chronic Strongyloidiasis in Vietnam Veterans." AM. ). MED. 78: 139-140.

Pollei. S. (1986) "Follow-Up Chest Radiographs in Vietnam Veterans: Are They Useful'" RADIOL-
OGY 161: 101-102.

Shaefer. C.F (1983) "Melioidosis: Recrudescence with a Strain Resistant to Multiple Antimicrobials "
AM. REV RESPIR. DIS. 128(1|: 173-175.

Stuby. U. (1988) "Successful Treatment of Malaria Tropica with .^cute Renal Failure and Cerebral
Involvement by Plasmaphresis and Hemodialysis." INFECTION 16(6): 362-364.

WarreO. DA. (1985) "Clinical Management of Falciparum Malaria," ACTA LEIDEN 55: 99-113

White. N. I (1988) "Drug Treatment and Prevention of Malaria." EUR I CLIN. PHARMACOL 34(1)



BIBLIOGRAPHY
(BY SUBJECT)



78



POST-TRAUMATIC STRESS DISORDER AND OTHER PSYCHOLOGICAL PROBLEMS

American Psyihialric Associalion. |1!)87| DIAGNOSTIC AND STATISTTCAI, MANUAL OF MENTAL
DISORDERS (Third Edition Revised). Washinglon DC.

Barretl TW. 11988) "'Combat Leve) and Social Support in the Development of Post-traumatic Stress
Disorder in Vietnam Veterans.' BEHAV MODIF. 1211): 100-115.

Behar. D. (1987) "F)ashback and Post-traumatic Stress Symptoms in Combat Veterans." COMP. PSY-
CHIATRY 28(6). 459-466.

Brett. FA, (1986) ■DSM-III-R Criteria for Post-traumatic Stress Disorder." AM |, PSYCHIATRY
145110); 1232-1236-

Burslem. A. (1988) "Chronic Vietnam Post-traumatic Stress Disorder and Acute Civilian Post-
traumatic Stress Disorder." GEN. HOSP PSYCHIATRY 10(4): 245-249.

Centers for Disease Contro) (1988) "Heahh Status of Vietnam Veterans: Psychosocial Characteristics."
JAMA 259(18): 2701-2719

Friedman M,). (1988) "Toward Rational Pharmacotherapy for Post-traumatic Stress Disorder." AM. |.
PSYCHIATRY 145(3): 281-285.

Horowitz. ML (1986) "Stress Response Syndromes: A Review of Post-traumatic and Adjustment Dis-
orders." HOSPITAL AND COMMUNITY PSYCHIATRY 37: 241-249.

Kaylor. |.A. (1987) "Psychological Effects of Military Service in Vietnam." PSYCHOL. BULL. 102(2):
257-271-

Kul)ca. R.A (1988) CONTRACTUAL REPORT OF FINDINGS FROM THE NATIONAL VIETNAM VET-
ERANS READIUSTMENT STUDY Research Triangle Park. NC. Research Triangle Institute

Lew. C,|, (19881 "Agent Orange Exposure and Post-traumatic .Slre.ss Disorder " I NER\' MENT DIS.
176(4): 242-245

Lipton. M.I. (19881 "Physical Symptoms Related to Post-traumatic Stress Disorder in an Aging Popu-
lation." MILIT. MED.' 153(6): 316-318.

Modlin. H. (1986) "Post-lraumatic Stress Disorder: No Longer lust for War Veterans." POSTGRADU-
ATE MED 79(3): 26-44.

Nace. E.P (1988) "Post-traumatic Stress Disorder and Substance Abuse. Clinical Issues." RECENT
DEV ALCOHOL 6:9-26.

Pary, R. (1988) "Post-lraumalic Disorder in Vietnam Veterans." AM. FAM. PHYSICIAN 37(2): 145-



8) "Coping and Defending Styles Among Vieli
: Stress Disorder and Substance Use Disorders '
8) "Acute Versus Chronic Psychological Reactic



lam Veterans Seeking Treatment for
RECENT DEV ALCOHOL 6: 69-88.
ns to Combat." MILIT. MED. 153(7):



150

Pink. WE |19
Posl-lraumat

Rahe. R.H. (19
365-372

Roberts L. (19881 "Vietnam's Psychological Toll." SCIENCE 241(4867|; 240-242.

Scaturo, D,| (19881 "Psychotherapy with Traumatized Vietnam Combatants: An Overview of Individ-
ual. Family and Group Treatment Modalities," MILIT MED. 153(5): 262-269.

Solomon. Z.'|1988| "The Effects of Combat-Related Post-traumatic Stress Disorder on the Family."
PSYCHIATRY 51(3): 323-329.

True. WR (1988) "Stress Symplomalologv Among Vietnam Veterans. Analysis of the Veterans Ad-
ministration Survey of Veterans II " AM. |. EPIDEMIOL, 128|1): 85-92

White. PA (1989) "Coexisting Phvsica) Conditions Among Inpatients with Post-traumatic Stress Dis-
order " MIL, MED, 15417): 66-70,

Williams. T- 1 19871 POST-TRAUMATIC STRESS DISORDERS: A HANDBOOK FOR CLINICIANS. Dis-
abled American Veterans Press. Cincinnati. OH.

Woolfolk, R. I.. (1988) "Combat-Related Post-traumatic Stress Disorder, Pallerns of .Symptomatology in
Help-Seekiog Vietnam Veterans." |. NERV MENT. DIS. 176(2): 107-111



I BIBLIOGRAPHY
(BY SUB)ECT)



79



Pennsylvania Vietnam Vetefans Health Initiative Commission



Kx Officio Members

Paul Hastings

Allan S. Noonan. MD. MPH

Adjutant General Gerald T. Sager

Karen F. Snider

Legislalive Members
The Honorable Gibson E. Armstrong
The Honorable Robert E. Belfanti. Ir.
The Honorable Ronald E. Black
Senator Francis I. Lynch

Commission Members

Ronald A. Codario, MD

Ron F. Conley

Daniel H. Fraley

Barbara Dean Johnson

Michael Milne

John C. Phillips

Maurice F. Prout. PhD


1 2 3 4 5 6 7 9 11 12 13 14 15 16 17 18 19 20 21 22 23

Online LibraryUnited States. Congress. House. Committee on VeterViewpoints on Veterans Affairs and related issues : hearing before the Subcommittee on Oversight and Investigations of the Committee on Veterans' Affairs, House of Representatives, One Hundred Third Congress, second session, May 4, 1994 → online text (page 9 of 23)