[Leukemia examination of personnel who were stationed in the Balkans. A statement from the Forsvarets Sundhedstjeneste].
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Biomedical subjects
Publications and source records attributed to E M Darre.
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One thousand and fifty-eight conscripts participating in an investigation of back problems among conscripts in 1979-80 were re-examined 12 years later with an identical questionnaire concerning back problems. The questionnaire was answered by seven hundred and eighty-four persons (74%). The lifetime prevalence for low-back trouble was 73%, the one-year prevalence 53% and the point prevalence 26%. At the time of follow-up the incidence of low-back trouble depended on ever having had back pains and on having an X-ray made because of back problems. The probability for sick leave from work caused by lowback trouble was increased when back troubles had been reported at the time of the initial investigation. A significant amount of the conscripts that had been rejected due to back problems (60%) had been unfit for work because of low-back trouble in the follow-up period, and 95% of them had had low-back trouble in the year before follow-up, compared to 51% of the other conscripts. Previous back trouble increases the risk of getting back trouble once again. The risk of sick leave from work caused by low-back trouble increases with the incidence of back trouble up to the investigation in 1979-80. Rejection from service due to back problems increases the risk of later low-back trouble and sick leave from work caused by low-back troubles.
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OBJECTIVE: To identify risk indicators for granting of disability pension (DP) during a period of 15 years. DESIGN: Follow-up study. The initial data were obtained from a health survey in a general population 1977/78. Variables were initially collected through questionnaires and objective measurements. Information about the end-point for the follow-up, granting of DP, was obtained from the Registry for Early Retirement Pension in 1992/93. Data analyses were performed by logistic regression and Cox analyses. SETTING: The Glostrup Population Studies, Glostrup University Hospital and The Danish Committee for the Assessment of Substandard Lives. POPULATION: General population of 892 persons, born in 1918, 1928, 1938, and 1948, and living in the municipality of Glostrup, Denmark. Eighty-four were granted DP during the 15 years follow-up. RESULTS: Ninety-six variables from the initial study were analysed, age and 18 variables were found to be risk indicators for DP. These were general health variables, including dyspnoea, colic, nervousness, previous hospitalizations and operations, self-reported poor general health the last year, and low general health risk-score by the doctor. Objective measurements included high Body Mass Index, low peak flow and isometric endurance of the back muscles. Among the occupational variables unemployment and sick leave were found to be risk indicators. In addition, low physical activity in leisure time, self-reported worse physical condition than those at the same age and smoking were also identified as risk indicators. CONCLUSION: The main indicators for granting of DP can be covered by the heading poor physical condition and general health.
The Defence Medical Training Centre has for a number of years been conducting exercises to give Danish National Service (conscript) surgeons and dentists the opportunity to observe and treat gunshot wounds. The exercises are intended to complement the theoretical training given at the Centre, which has been granted permission by the Ministry of Justice to use experimental animals in the training program. The animals used are shot in the abdomen and both thighs and are kept anesthetized during the exercise but, if possible, breathe spontaneously. Assisted ventilation is available at all times. The weapons used are military weapons: a low velocity 9-mm semiautomatic pistol, SIG P210, a medium velocity rifle, US M1 Carbine, and a high velocity rifle, the AK-74. The ammunition used is conventional, full metal jacketed bullets. Having been shot, the animals are given first aid by the participants who play the roles of ordinary soldiers. The animals are then taken to the regimental aid post, where they are attended by a surgeon for the first time. Intravenous tubes, chest tubes, hemostats, etc. are applied, whereupon the animals are transported by military ambulance to the field hospital. There the abdominal wounds are examined by laparotomy and relevant intraabdominal procedures are performed. The leg wounds are treated by debridement along the lines advocated by the Emergency War Surgery-NATO Handbook. This exercise allows the Defence Medical training Centre to teach wound ballistics in a realistic setting. It is hoped that the pupils will never need the skills acquired at the exercise, but, next to going to war or to some of the more violent parts of the world, Operation Exercise is the best preparation for the demands placed on a medical officer.
One hundred and twenty-three conscripts called up for national service in 1979-80 were re-examined 10 years after call up with a questionnaire identical to one answered at the time of call up. The study group consisted of three subgroups. Group A had been rejected for service because of back problems (back-rejects). Group B were conscripts with back symptoms at the time of call up, but all completed their national service (non back-rejects). Group C did not have back symptoms at the time of call up. The back-rejects had a significantly higher incidence of: back pain; radiating pain to lower extremities; contacts (hospital, G. P., radiographs etc.) and sick leave from job as compared to group B and C. Out of 19 conscripts with radiographically verified Mb. Scheuermann, 89% had back symptoms at the time of follow-up including all with lumbar and thoracolumbar Mb. Scheuermann. All conscripts in this study had a job at follow-up. It is recommended that the criteria for rejection of conscripts in Denmark concerning back symptoms and Mb. Scheuermann remains unchanged.
The effects of low level laser treatment in soldiers with achilles tendinitis were studied in a prospective, randomized and double blind trial. Eighty-nine soldiers were enrolled in the study. Forty-six were randomized to treatment with active laser and 43 to treatment with placebo laser. No statistically significant differences in the number of consultations, morning stiffness, tenderness, crepitation, swelling, redness, VAS-score of pain and degree of unfitness for duty were found between the two treatment groups.
During a period of 12 months of military conscription, all of the injuries occurring on the obstacle track at the Antvorskov Barracks in Slagelse were registered. During the period of investigation, the regulations for employing the track were altered so that the heights of jumping down from obstacles were considerably reduced. The object of this investigation was to demonstrate any possible effect on the pattern of injuries. During the period, a total of 26 injuries were registered (3.78 injuries/conscript/1,000 hours activity). As compared with previous investigations, the frequency of injuries was reduced and practically all of the serious injuries were prevented. The proposed alterations in the techniques are recommended in future when conscripts employ the military obstacle track.