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6 Conclusions and Recommendations
Pages 56-61

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From page 56...
... Together these moclels attempt to provide a quantitative measure of the effectiveness of a chemical protective ensemble uncler realistic dynamic conditions. The MIST/BRHA must be consiclerect as procedures for evaluating the performance of complex systems, intenclect not only to characterize overall performance but also to identify the weakest elements in the system.
From page 57...
... The MIST is a well-clesignect test protocol for evaluating chemical protective ensembles. However, the committee found that the test methodology was not basect on preliminary testing that would eliminate ensembles with gross defects anct allow more replications of tests be clone on fewer cancticiate protective ensembles, thereby increasing the statistical power of the results.
From page 58...
... The Army should measure regional variations in skin penetration for HO, VX, anct simulant vapors using excised human skin harvested from various anatomic sites. Recommendation 2b.
From page 59...
... In acictition, concentrations inside the suit could be monitored with either active or passive samplers, despite logistical problems. Comparing simulant levels in the passive sampler with samples recovered from the stratum corneum of test subjects (the outermost layer of the skin, which can be removed by repeated applications of adhesive tape)
From page 60...
... As of this writing, the Army has not acloptect a clear approach to establishing physiologic endpoints from protective ensemble testing. However, this is an achievable goal that should be pursued to protect soldiers.
From page 61...
... CONCLUSIONS AND RECOMMENDATIONS 61 should participate in the planning phase with the objective of reaching a consensus on research objectives, clesign procedures, analysis, anct documentation.


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