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003 OCoLC;

005 20141212032846.0;

006 m o d f ;

007 cr |||||||||||;

008 080513s1998 ctua ob f000 0 eng d;

027 a| NSMRL-1210;

029 0 a| DTICEb| ADA354037;

035 a| (Sirsi) o227880379;

043 a| n-us---;

049 a| ERE#;

074 a| 0385-C (online);

086 0 a| D 206.10:1210;

100 1 a| Jackson, Robert P.?| UNAUTHORIZED;

245 12 a| A new strategy to address loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease :b| background to the change in policy /c| Robert P. Jackman ; Jeffrey J. Costello.;

246 30 a| Loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease :b| background to the change in policy;

260 a| Groton, CT :b| Naval Submarine Medical Research Laboratory,c| [1998];

300 a| 1 online resource (28 pages) :b| illustrations.;

336 a| text2| rdacontent;

337 a| computer2| rdamedia;

338 a| online resource2| rdacarrier;

490 1 a| Naval Submarine Medical Research Laboratory report ;v| no. 1210;

506 a| APPROVED FOR PUBLIC RELEASE.;

520 a| 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.;

500 a| Title from title screen (viewed Sept. 5, 2012).;

536 a| Naval Medical Research Development Commandh| 63706N-M0096.002-5205;

500 a| "25 Aug 1998.";

504 a| Includes bibliographical references (p. 16-20).;

650 0 a| Helicobacter pylori infections.=| ^A524773;

650 0 a| Submarinersx| Government policyz| United States.=| ^A1012391;

650 0 a| Submarine medicinex| Government policyz| United States.=| ^A4356;

650 17 a| Medicine and Medical Research.2| scgdst;

650 17 a| Etiology.2| dtict;

650 17 a| Antiinflammatory agents.2| dtict;

650 17 a| Ulcers.2| dtict;

650 17 a| Submarine personnel.2| dtict;

650 27 a| Signs and symptoms.2| dtict;

650 27 a| Males.2| dtict;

650 27 a| Drugs.2| dtict;

650 27 a| Preventive medicine.2| dtict;

650 27 a| Healing.2| dtict;

650 27 a| Stomach.2| dtict;

650 27 a| Duodenum.2| dtict;

653 2 a| HELICOBACTER PYLORI;

653 2 a| PEPTIC ULCERS;

653 2 a| PE63706N;

700 1 a| Costello, Jeffrey J.?| UNAUTHORIZED;

710 1 a| United States.b| Naval Medical Research and Development Command.=| ^A1115149;

710 2 a| Naval Submarine Medical Research Laboratory.=| ^A469995;

776 08 i| Print version:a| Jackman, Robert P.t| New strategy to address loss of submarine qualifications in submariners who are Helicobacter Pylori positive and diagnosed with peptic ulcer diseasew| (OCoLC)639643434;

830 0 a| Report (Naval Submarine Medical Research Laboratory) ;v| no. 1210.=| ^A469993;

856 40 u| https://purl.fdlp.gov/GPO/gpo27844;

856 40 u| http://handle.dtic.mil/100.2/ADA354037;

949 a| Click on web addressw| ASISh| JOYNER94;

998 a| 3110093;

998 a| u3110093;

596 a| 1;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 3110093-1001l| JNETm| JOYNERr| Ys| Yt| JNE1DOu| 10/10/2012x| EDOCUMENTz| JERESOURCE;

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.

Author/creator	Jackson, Robert P.
Other author	Costello, Jeffrey J.
Other author	United States. Naval Medical Research and Development Command.
Other author	Naval Submarine Medical Research Laboratory.
Format	Electronic
Publication Info	Groton, CT : Naval Submarine Medical Research Laboratory, [1998]
Description	1 online resource (28 pages) : illustrations.
Supplemental Content	https://purl.fdlp.gov/GPO/gpo27844
Supplemental Content	http://handle.dtic.mil/100.2/ADA354037
Subjects	Helicobacter pylori infections. Submariners--Government policy. --United States. Submarine medicine--Government policy. --United States.

Portion of title	Loss of submarine qualifications in submariners who are Helicobacter pylori positive and diagnosed with peptic ulcer disease : background to the change in policy
Series	Naval Submarine Medical Research Laboratory report ; no. 1210 Report (Naval Submarine Medical Research Laboratory) ; no. 1210. ^A469993
Abstract	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.
General note	Title from title screen (viewed Sept. 5, 2012).
General note	"25 Aug 1998."
Bibliography note	Includes bibliographical references (p. 16-20).
Access restriction	APPROVED FOR PUBLIC RELEASE.
Funding information	Naval Medical Research Development Command 63706N-M0096.002-5205
Issued in other form	Print version: Jackman, Robert P. New strategy to address loss of submarine qualifications in submariners who are Helicobacter Pylori positive and diagnosed with peptic ulcer disease
Technical rpt#	NSMRL-1210
GPO item number	0385-C (online)
Govt. docs number	D 206.10:1210

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.

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