| LDR | | 05277cmm u2200757 i 4500 |
| 001 | | 000000322298 |
| 003 | | OCoLC |
| 005 | | 20230613114221 |
| 006 | | m d |
| 007 | | cr cn||||||||| |
| 008 | | 210202s2020 dcu ob 000 0 eng |
| 016 | 7 |
▼a 101776245
▼2 DNLM |
| 019 | |
▼a 1226761512
▼a 1227393809 |
| 020 | |
▼a 9780309681377 |
| 020 | |
▼a 0309681375 |
| 020 | |
▼a 9780309681407
▼q (electronic bk.) |
| 020 | |
▼a 0309681405
▼q (electronic bk.) |
| 020 | |
▼a 9780309681384 |
| 020 | |
▼a 0309681383 |
| 035 | |
▼a 2742041
▼b (N$T) |
| 035 | |
▼a (OCoLC)1237270501
▼z (OCoLC)1226761512
▼z (OCoLC)1227393809 |
| 040 | |
▼a NLM
▼b eng
▼e rda
▼c NLM
▼d N$T
▼d EBLCP
▼d YDX
▼d UKAHL
▼d OCLCF
▼d OCLCO
▼d 248032 |
| 042 | |
▼a pcc |
| 049 | |
▼a MAIN |
| 050 | 4 |
▼a JZ1480 |
| 060 | 00 |
▼a WL 340 |
| 082 | 04 |
▼a 327.73
▼2 23 |
| 245 | 03 |
▼a An assessment of illness in U.S. government employees and their families at overseas embassies /
▼c Julie A. Pavlin, David A. Relma, editors ; Standing Committee to Advise the Department of State on Unexplained Health Effects on U.S. Government Employees and Their Families at Overseas Embassies, Health and Medicine Division, Division on Engineering and Physical Sciences, National Academies of Sciences, Engineering, and Medicine.
▼h [electronic resource] |
| 264 | 1 |
▼a Washington, DC :
▼b National Academies Press,
▼c [2020] |
| 300 | |
▼a 1 online resource (1 PDF file (xii, 64 pages)). |
| 336 | |
▼a text
▼b txt
▼2 rdacontent |
| 337 | |
▼a computer
▼b c
▼2 rdamedia |
| 338 | |
▼a online resource
▼b cr
▼2 rdacarrier |
| 490 | 1 |
▼a Consensus study report |
| 504 | |
▼a Includes bibliographical references. |
| 520 | 3 |
▼a In late 2016, U.S. Embassy personnel in Havana, Cuba, began to report the development of an unusual set of symptoms and clinical signs. For some of these patients, their case began with the sudden onset of a loud noise, perceived to have directional features, and accompanied by pain in one or both ears or across a broad region of the head, and in some cases, a sensation of head pressure or vibration, dizziness, followed in some cases by tinnitus, visual problems, vertigo, and cognitive difficulties. Other personnel attached to the U.S. Consulate in Guangzhou, China, reported similar symptoms and signs to varying degrees, beginning in the following year. As of June 2020, many of these personnel continue to suffer from these and/or other health problems. Multiple hypotheses and mechanisms have been proposed to explain these clinical cases, but evidence has been lacking, no hypothesis has been proven, and the circumstances remain unclear. The Department of State asked the National Academies to review the cases, their clinical features and management, epidemiologic investigations, and scientific evidence in support of possible causes, and advise on approaches for the investigation of potential future cases. In An Assessment of Illness in U.S. Government Employees and Their Families at Overseas Embassies, the committee identifies distinctive clinical features, considers possible causes, evaluates plausible mechanisms and rehabilitation efforts, and offers recommendations for future planning and responses. |
| 536 | |
▼a This activity was supported by Contract 19AQMM19C0090 between the National Academy of Sciences and the Department of State. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. |
| 588 | |
▼a Description based on online resource; title from PDF title page (viewed August 31, 2021). |
| 590 | |
▼a WorldCat record variable field(s) change: 650 |
| 650 | 0 |
▼a Diplomatic and consular service, American
▼x Health and hygiene. |
| 650 | 0 |
▼a Neurologic manifestations of general diseases. |
| 650 | 0 |
▼a Diagnosis, Differential. |
| 650 | 0 |
▼a Chronic diseases. |
| 650 | 12 |
▼a Neurologic Manifestations |
| 650 | 22 |
▼a Diagnosis, Differential |
| 650 | 22 |
▼a Symptom Assessment |
| 650 | 22 |
▼a Chronic Disease |
| 650 | 22 |
▼a Occupational Exposure |
| 650 | 22 |
▼a Government Employees |
| 650 | 6 |
▼a Manifestations neurologiques des maladies. |
| 650 | 6 |
▼a Diagnostics diffe?rentiels. |
| 650 | 6 |
▼a Maladies chroniques. |
| 650 | 7 |
▼a Diplomatic and consular service, American
▼x Health and hygiene.
▼2 fast
▼0 (OCoLC)fst00894214 |
| 651 | 2 |
▼a United States |
| 651 | 2 |
▼a China |
| 651 | 2 |
▼a Cuba |
| 655 | 0 |
▼a Electronic books. |
| 655 | 4 |
▼a Electronic books. |
| 700 | 1 |
▼a Pavlin, Julie,
▼e editor. |
| 700 | 1 |
▼a Relman, David A.,
▼e editor. |
| 710 | 2 |
▼a National Academies of Sciences, Engineering, and Medicine (U.S.).
▼b Standing Committee to Advise the Department of State on Unexplained Health Effects on U.S. Government Employees and Their Families at Overseas Embassies.,
▼e issuing body. |
| 776 | 08 |
▼i Print version:
▼a National Academies of Sciences, Engineering, and Medicine
▼t An Assessment of Illness in U. S. Government Employees and Their Families at Overseas Embassies
▼d Washington, D.C. : National Academies Press,c2020
▼z 9780309681377 |
| 830 | 0 |
▼a Consensus study report. |
| 856 | 40 |
▼3 EBSCOhost
▼u https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=2742041 |
| 938 | |
▼a EBSCOhost
▼b EBSC
▼n 2742041 |
| 990 | |
▼a 관리자 |
| 994 | |
▼a 92
▼b N$T |