may be divided into four groups. (In some cases more than one of these factors is present.) (1) As an accompaniment of organic heart disease. (2) Following infections. (3) In individuals with poor physique or insufficient training for the work required. (4) Orthostatic hypotension or tachycardia.-The blood pressure and pulse rate will be taken with the individual in the recumbent position and after standing 3 minutes. An increase in a normal recumbent pulse rate to 120 beats per minute or more when the individual stands or a decrease of a normal blood pressure (when the individual is recumbent) to values less than 90 systolic and 60 diastolic when the individual stands may be considered evidence of a definite physiologic disturbance and in itself cause for rejection unless the condition is very temporary following an illness, operation, or exhausted state. (New) Par. 65. Nonacceptable.-q. Neurocirculatory asthenia (effort syndrome) * * Cases of effort syndrome may occur— (1) As an accompaniment of organic heart disease. (2) Following infections. (3) In individuals with poor physique or insufficient training for the work required. (In some cases more than one of these factors is present.) It is important to observe that neurocirculatory asthenia should not be confused with tachycardia alone or increased blood pressure alone or both together although such conditions may be present with neurocirculatory asthenia. The diagnosis must be clear and based on the symptom complex. (New) Par. 65. Nonacceptable.-r. Orthostatic hypotension or tachycardia. The blood pressure and pulse rate will be taken with the individual in the recumbent position and after standing 3 minutes. An increase in pulse from normal in recumbent position to 120 beats per minute or more when the individual stands or a decrease of a normal blood pressure (when the individual is recumbent) to values less than 90 systolic and 60 diastolic when the individual stands may be considered evidence of a definite physiologic disturbance and in itself cause for rejection unless the condition is very temporary following an illness, operation, or exhausted state. (Old) Par. 64. Nonacceptable.-Not in MR 1-9, this section. (See par. 8 g.) (New) Par. 65. Nonacceptable.-s. Acute rheumatic fever, or verified history of single or recurrent attacks of rheumatic fever within the previous 2 years. SECTION XV ABDOMINAL ORGANS AND WALL (Old) Par. 68. General service.-i. Intestinal parasites or their eggs in the stools. (New) Par. 69. General service.-Not in new MR 1-9, this section. (See par. 8 j.) (Old) Par. 69. Limited service.-There are no defects of the abdominal organs or wall to warrant initial selection for limited service. (New) Par. 70. Limited service.-a. Hernia, inguinal, which has not descended into the scrotum; femoral. b. There are no other defects of the abdominal organs or wall to warrant initial selection for limited service. (Old) Par. 70. Nonacceptable.-a. Hernia, inguinal, femoral or post-operative. Umbilical hernia, if moderate or large in size. (New) Par. 71. Nonacceptable.-a. Hernia, inguinal, which has descended into the scrotum; recurrent; post-operative; ventral; umbilical, if moderate or large in size. (Old) Par. 70. Nonacceptable.-b. Chronic cholecystitis with or without cholelithiasis, if diagnosis is confirmed by usual laboratory procedures or authentic medical history. (New) Par. 71. Nonacceptable.-b. Acute or chronic cholecystitis (Old) Par. 70. Nonacceptable.-c. Ulcer of the stomach or duodenum, if diagnosis is confirmed by the usual laboratory procedures, or authentic medical history; also authentic history of gastric or duodenal ulcer. (New) Par. 71. Nonacceptable.-c. Ulcer of the stomach or duodenum, if diagnosis is confirmed by the usual laboratory procedures or authentic history of gastric or duodenal ulcer. (Old) Par. 70. Nonacceptable.-d. Surgical operations for gastric or duodenal ulcer. (New) Par. 71. Nonacceptable.-d. Authenticated history of surgical operations for gastric or duodenal ulcer. (Old) Par. 70. Nonacceptable.-e. Intestinal obstruction of any kind. (New) Par. 71. Nonacceptable.—e. Authenticated history of true intestinal obstruction of any kind. (Old) Par. 70. Nonacceptable.-g. Stricture of the rectum. (New) Par. 71. Nonacceptable.-g. Stricture or prolapse of the rectum. (Old) Par. 70. Nonacceptable.-i. Schistosomiasis. (New) Par. 71. Nonacceptable.-In par. 8 j of new MR 1-9. (Old) Par. 70. Nonacceptable.-j. Enlargement of the spleen associated with leukemia, Hodgkin's disease, or splenic anemia. (Old) Par. 70. Nonacceptable.-k. Great enlargement of the spleen from any cause. (New) Par. 71. Nonacceptable.-i. Enlargement of the spleen associated with leukemia, Hodgkin's disease, splenic anemia, or other disqualifying disease; great enlargement of the spleen from any cause. (Old) Par. 70. Nonacceptable.-1. Large internal and external hemorrhoids with or without prolapse of the rectum. (New) Par. 71. Nonacceptable.-j. External hemorrhoids sufficient in size to produce marked symptoms. Internal hemorrhoids if large or accompanied with hemorrhage, or protruding intermittently or constantly. (Old) Par. 70. Nonacceptable.-m. Megacolon, diverticulitis, and ileitis. (New) Par. 71. Nonacceptable.-k. Megacolon, diverticulitis, ileitis, and ulcerative colitis. (See par. (Old) Par. 70. Nonacceptable.-Not in old MR 1-9, this section. 74 v.) (New) Par. 71. Nonacceptable.-7. Absence of one kidney. (See par. 8 m.) (New) Par. 71. Nonacceptable.-m. Splenectomy for any cause, other than trauma or congenital hemolytic icterus. (Old) Par. 70. Nonacceptable.-Not in old MR 1-9. (New) Par. 71. Nonacceptable.-n. Cirrhosis of the liver. NOTE SECTION XVI, Genito-urinary and Venereal Diseases of the old MR 1-9 has been revised and separated into two sections in the proposed MR 1-9 and appears in SECTION XVI, Veneral Diseases and SECTION XVII, Genito-urinary Diseases. The comparison of the essential changes in these sections follows by paragraph numbers and subparagraph letters: (Old) Par. 72. General service.-a. Gonorrhea, uncomplicated, acute or cchronic; syphilis, except cardiovascular, cerebrospinal, or visceral syphilis; un-complicated chancroid. (Acceptance of individuals with these conditions by Army examining boards at the initial examination will be deferred until facilities have been provided for their care and instructions for their acceptance have been issued by the War Department.) (New) Par. 73. General service.-a. Gonorrhea, uncomplicated, acute or chronic. (New) Par. 73. General service.-b. Syphilis, except cardiovascular, cerebrospinal or visceral. (New) Par. 73. General service.-c. Chancroid, uncomplicated. There are no venereal disease cri teria to warrant initial selection for limited service. (New, added) Par. 75. Nonacceptable.-c. Other complications of gonorrhea, including acute prostatitis, seminal vesiculitis, and epididymitis. (Old) Par. 74. Nonacceptable.-w. Amputation of the penis. (New) Par. 79. Nonacceptable.-k. Amputation of the penis, if the resulting stump is insufficient to permit normal function of micturition. (Old) Par. 74. Nonacceptable.-e. Surgical kidney with or without renal -calculus. (New) Par. 79. Nonacceptable.-d. Acute or chronic infections of the kidney. (Old) Par. 74. Nonacceptable.-m. Hypertrophy of the prostate gland. (New) Par. 79. Nonacceptable.-m. Hypertrophy of the prostate gland with urinary retention. SECTION XVIII ENDOCRINE AND METABOLIC DISORDERS (Old) Par. 77. Limited service.-b. Pellagra, beriberi, scurvy, and other nutritional deficiencies, if mild and remediable by diet and appropriate treatment. (New) Par. 82. Limited service.-b. Pellagra, beriberi, scurvy, sprue, and other nutritional deficiencies, if mild and remediable by diet and appropriate treatment. (Old) Par. 78. Nonacceptable.-c. Cretinism with imbecility or dwarfism. (New) Par. 83. Nonacceptable.-c. Cretinism. (Old) Par. 78. Nonacceptable.-d. Myxedema (with clinical manifestations and diagnosis not based solely on low basal metabolic rate). (New) Par. 83. Nonacceptable.-d. Myxedema, spontaneous or post-operative (with clinical * * *). (Old) Par. 78. Nonacceptable.-e. Gigantism or acromegaly, if markedly disfiguring or if associated with other symptoms of severe pituitary dysfunction. (New) Par. 83. Nonacceptable.-e. Gigantism or acromegaly. (Old) Par. 78. Nonacceptable.-k. Renal glycosuria. (New) Par. 83. Nonacceptable.-k. Persisting glycosuria. (Old) Par. 78. Nonacceptable.-n. Simmonds' disease. (Old) Par. 78. Nonacceptable.-o. Cushing's syndrome. (New) Par. 83. Nonacceptable.-n. Simmonds' disease; Cushing's syndrome; other diseases due to a disorder of the pituitary gland. 1 SECTION XIX DISEASES OF BLOOD AND BLOOD-FORMING TISSUES (Old) Par. 79. General service.-Not in old MR 1-9 in this section. (See Par. 6 b.) (New) Par. 84. General service.-b. Malaria, acute or chronic, mild. (Old) Par. 81. Nonacceptable.-i. Malaria, chronic, if severe. (New) Par. 86. Nonacceptable.-i. Malaria, chronic, if more than mild. (Old) Par. 81. Nonacceptable.--Not in old MR 1-9 in this section. 8 j.) (New) Par. 86. Nonacceptable.-k. Hodgkin's disease. (See par. NOTE. Just prior to the meeting of the Commission, the Neuropsychiatry Division, Surgeon General's Office, U. S. Army, had completed a proposed revision of the sections of Mobilization Regulations 1-9, dated 15 October 1942, relating to neuropsychiatric standards (Section XIX, NEUROLOGICAL DISORDERS: Section XX, PSYCHOSES, PSYCHONEUROSES, PERSONALITY DISORDERS; Section XXI, PURPOSELY CAUSED PHYSICAL DEFECTS; Section XXII, MALINGERING). This revision made no significant changes in the standards themselves but provided more suitable instructions for conducting the examination and interpreting the examiner's findings, and coincidentally provided a better arrangement and designation of sections. After slight modification of this revision, it was approved and incorporated in the accompanying draft of revision of Mobilization Regulations 1-9. To avoid adding length and bulk to this report, the above designated sections of the old Mobilization Regulations 1-9, and those of the proposed revision are not transcribed herein. |