Marine and Army veteran Jonathan Leubecky suffered from PTSD and several suicide attempts following deployment to Iraq. His first attempt to take his life was only two months after his return home in 2006.
Initiative Utilizing the VIONE Dashboard Reduces Polypharmacy in Veterans
Polypharmacy, the concurrent use of multiple and often unnecessary medications, poses significant health risks to patients, including frailty, hospital admissions, falls and even mortality.
Gut Microbiome May Hold Potential Early Biomarkers for Parkinson’s Disease
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
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
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.
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.
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.
Uterine Cancer Mortality Increased Sharply in Some Groups
Since the beginning of the 21st century, uterine cancer mortality has increased, especially among Black and Hispanic women, according to a new study.
Pandemic Declines in Cancer Diagnoses Persisted for Two Years
Early in the COVID-19 pandemic, significant declines in cancer diagnoses occurred. But what happened from the end of 2020, the first year, and after widespread vaccination occurred?
Daily Naltrexone Use Doesn’t Negatively Affect Performance in Soldiers
Daily use of naltrexone, a medication that blocks the effects of opioids with minimal side effects, doesn’t adversely affect the physical, cognitive or marksmanship performance of U.S. Army soldiers, according to a recent study.
Military Health Mammography Lapses During Pandemic Spotlights Disparities
Breast cancer screening within the Military Health System (MHS) plummeted by 74% in the early COVID-19 pandemic period and 22% in the late pandemic period, compared with the prepandemic period.
Frailty in Older Veterans Increases Their Risk for Long COVID Symptoms
Older veterans diagnosed with frailty are at much greater risk of developing long COVID after acute infection with SARS-CoV-2, according to a new study. Making that especially significant is that so many older VHA patients, including those living in the community, meet the criteria for frailty.
