Parkinson’s disease (PD) is a complex neurodegenerative disorder that affects approximately 1% of the population age 65 and older and an estimated 110, 000 U.S. veterans.
What Happens to Veterans Discontinuing Depression Treatment?
Nearly half of veterans who discontinue treatment for depression end up going back within six months, with reengagement rates higher in those receiving both psychotherapy and antidepressant medications.
Bipolar Veterans Sometimes Struggle to Get Pain Treatment at VA
Bipolar veterans with chronic pain sometimes have problems receiving evidence-based treatment in the VA healthcare system, according to a new study.
No Benefit From Hospital Stay for Some Suicidal Veterans
Hospitalization for patients seeking emergency care immediately after a suicide attempt appeared beneficial, but that was not the case with those who had suicide ideation or whose attempt occurred more than a day before, according to a new study.
Not Just a Bulging Belly: DRA Causes Problems for Military Women
Diastasis recti abdominis (DRA) is a common condition in pregnant and postpartum women, occurring when the rectus abdominis muscles, commonly called the six-pack ab muscles, separate from being stretched.
Cardioprotective Drugs Not Also Used in Patients Needing Them Most
Even though the overall uptake of cardioprotective antihyperglycemic drugs has increased as second-line treatments for Type 2 diabetes mellitus, over the last decade, patients who actually have cardiovascular disease were less likely to be prescribed them compared to those without CVD.
Strict LDL-C Lowering Linked to Diabetes Progression
While some guidelines recommend statin use to achieve low-density lipoprotein cholesterol (LDL-C) goal under 70 mg/dL for primary prevention of atherosclerotic cardiovascular disease (ASCVD) in patients at higher risk, others recommend against a target LDL-C level.
Glycemic Control Not Affected Much By Neighborhood Factors
How do demographic, social and geographic factors affect glycemic control over time in veterans newly diagnosed with diabetes?
Traumatic Brain Injury Associated With Cognitive Decline in Later Life
In male veterans, having at least one traumatic brain injury is linked to having lower cognitive scores in later life, according to a twin study
DHA Restructures, Creating Nine Health Networks to Improve Care
In the first phase of a broader realignment, the Defense Health Agency has created nine Defense Health Networks (DHN) to take the place of what had been 20 direct-reporting medical markets, each a grouping of military hospitals and clinics with varying leadership rank structures.
VA Caught in Middle Over Scope-of-Practice Disputes Involving Physicians, Others
VA is working to establish a set of national credentials for more than 50 healthcare occupations, allowing the department to transfer care workers more easily from state to state.
VA Trying to Apply ‘Buy American’ to More Pharmaceuticals
During the first year of the pandemic, the nation learned just how susceptible its healthcare system was to supply-chain problems and how relying on overseas manufacturers for pharmaceuticals and medical supplies can be dangerous when shipping lanes slow or stop entirely
Concerns Raised About ‘Buggy’ Website; VA’s Dependence on It
VA’s main website, va.gov, and several of its support systems have been the victim of bugs that have caused tens of thousands of VA benefits claims to go unprocessed.
Pregnant Veterans Often Discontinue Antidepressants, Monitoring Needed
VA medical providers and veterans need more education about the risks and benefits from continuing antidepressants during pregnancy, according to a new study.
Combat-Related Extremity Amputation Negatively Affects Metabolic Regulation
Although amputations are medically necessary and could decrease pain, improve mobility and expedite return to activity, limb loss could negatively impact metabolic regulation and contribute to a higher risk of obesity, according to a recent military study.
Sustained Virologic Response in HCV Not Lower With Alcohol Use
Traditionally treatment for chronic hepatitis C virus (HCV) infection has been reserved for people who have abstained from alcohol—in some cases for as long as 12 months—largely due to concerns about adherence to treatment protocols, which stemmed from experience with previously used interferon-based regimens.
Army Names Kenney and Petty Best Medics for 2023
Anyone with a 68W military occupation specialty signs up to go above and beyond the call of duty as a matter of course. As combat medic specialists, they provide life-saving treatment in the chaos and trauma of battle and accept responsibility for the health and well-being of their fellow soldiers on base.
Bloodletting Is Among the Ingredients of Political Medicine
On Sept. 12, 2023, the Centers for Disease Control and Prevention (CDC) announced that every American 6 months and older should receive the updated COVID-19 vaccination from Pfizer-BioNTech or Moderna. Having avoided COVID-19 infection since its arrival on our shores in 2020, I was pleased that an updated booster would soon be available, and my wife scheduled a time for us to receive both the COVID-19 and flu vaccinations. Alas, my number was up, and the fickle finger of fate allowed COVID-19 to set up shop in my body.
CLL Patients at the VA Receive Evidence-Based Treatments
Chronic lymphocytic leukemia and small lymphocytic lymphoma (CLL/SLL) are the most common forms of adult leukemia. More than 13,000 veterans have the diagnosis, which is associated with the toxic exposures included in the Pact Act, according to the VA.
B-cell lymphoma Presenting With Cranial Nerve Palsy, Mononeuritis Multiplex
Diagnosing B-cell lymphoma-associated mononeuritis multiplex, a peripheral neuropathy, can be challenging because of its rarity and the potential co-existence of other causes of the symptoms.
Older Age of DLBCL Patients Makes Treatment Challenging
Nearly one-half (49%) of all veterans in the United States are 65 years or older. Most of those older veterans (5.5 million) served during the Vietnam era, while 183,000 were World War II veterans, according to the 2021 American Community Survey (ACS).
Adenoma Detection Rate, Other Factors Important in Avoiding Advanced CRC
Polypectomy can reduce the incidence of and mortality from colorectal cancer, the second-leading cause of cancer death worldwide.
Determining Risk Factors Could Allow Early Colorectal Cancer Screening
There is a troubling increase in the incidence of CRC in adults younger than age 50 in the United States and other high-income countries.
Outcomes Are Similar for Laparoscopic, Robotic Surgeries for Colon Cancer
Which is better: laparoscopic or robotic surgery? That is the question raised in a recent study from Yale University School of Medicine and the VA Connecticut Healthcare System in West Haven.
Anti-Suicide Program Offering Free Emergency Care Shows Some Success
At the beginning of this year, VA announced a program whereby veterans in suicidal crisis could go to any VA or non-VA healthcare facility for free emergency healthcare.
VA Has Good Record Hiring Some Minorities, but Few End Up in Top Management
Over the last decade, VA has increased the percentage of employees who are non-white, but those employees are more likely to be paid less, be fired more and receive fewer raises and awards, as well as, less vacation time, according to a new report.
Five Facilities Where New Cerner EHR Is Live Face Continuing Issues
As VA approaches the 3-year anniversary of the Cerner electronic health record system going live at its first site, the roll-out remains on indefinite hold as the department endeavors to fix problems at the five facilities where the system is active.
New Journal Article Decries Lack of Recognition for Military Medicine
A new Special Communication in JAMA Network Open decried that military medicine’s contribution to healthcare advances often are overlooked and that not enough communication occurs between civilian and military clinicians.
No Increase in Cancer Identified With Use of Ranitidine Vs. Other H2RAs
In 2020, the U.S. Food and Drug Administration asked manufacturers to remove from the market all products containing ranitidine, a histamine-2 receptor antagonist (H2RA) that has been widely used to treat gastroesophageal reflux disease and peptic ulcer disease.
Too Few VA Anal Cancer Exams in HIV Patients
Because human immunodeficiency virus (HIV) patients are at high risk for anal cancer, screenings are recommended annually for U.S. veterans with HIV.
