GAINESVILLE, FL — When people want to describe themselves as uncoordinated, they might say they have trouble walking and chewing gum at the same time. However, the act of walking—one of the most basic human skills—is not nearly as simple as that phrase makes it sound.
Genetic Mutations Affecting Response to Drugs Are Common in Veterans
SALT LAKE CITY — A massive VA study revealed that 99% of veterans have at least one genetic mutation known to affect response to specific drugs, including some commonly prescribed antidepressants, anticoagulants, antivirals, oncology medications and statins. That raises the question of who should be tested for which variants and when, which has stirred lively debate within the VA.
Combat PTSD/TBI Increases Amygdala Size in Military Patients
SAN DIEGO — The region of the brain that processes fear, anxiety, aggression and similar emotions is larger in veterans and active-duty service members with combat-related post-traumatic stress disorder and mild traumatic brain injury than those with brain injuries only.
Processes Similar in Schizophrenia, Psychotic Biopolar Disorder
NASHVILLE, TN — Processes leading to impairment in schizophrenia and psychotic bipolar disorder might be more similar than previously assumed, according to a new study.
Some Veterans Want Family Involved With Mental Health Treatment
LOS ANGELES — One of the most difficult issues in caring for adults with severe mental illness, including at the VA, is balancing privacy regulations with family members’ desire to be in the know.
Year Supply of Contraceptives Prevents More Unintended Pregnancies
Birth Control Pill Change Could Save VA $2 Million Annually PITTSBURGH—What if there was a method to prevent nearly 600 unintended pregnancies and save the VA about $2 million a year in prenatal, birth and newborn care costs while also bolstering the reproductive...
VA Expands Parkinson’s Disease Services to Improve Patient Care
PHILADELPHIA—Building on the success of the Parkinson’s Disease Research, Education and Clinical Centers, established in 2001, the VA has expanded care for the nearly 100,000 veterans affected by the neurodegenerative disease through the creation of the National VA Parkinson’s Disease Consortium.
Treatment for Hepatitis C Might Lower the Risk of Parkinson’s Disease
WASHINGTON – In a case of welcome unintended consequences, the VA might be lowering the risk of Parkinson’s disease by treating another common condition: hepatitis C virus.
Monitor Veterans with Any Level of TBI for Parkinson’s Disease
SAN FRANCISCO—Traumatic brain injury has been called the “signature injury” of recent conflicts, with the DoD reporting nearly 384,000 TBIs sustained between 2000 and the first quarter of 2018.
Therapy Advances Help Veterans Manage Parkinson’s Disease ‘Off Episodes’
PHILADELPHIA—For five decades, physicians have used carbidopa/levodopa to treat the rigidity, tremors and slowed movement associated with Parkinson’s disease.
Court Ruling, New Law Support ‘Blue Water Veterans’ with Parkinson’s Disease
WASHINGTON—A recent political development, more than 50 years in the coming, has the potential to significantly change who receives benefits for Parkinson’s disease through the VA.
VA Study Shows Benefit of PCSK9 Inhibitors After Maximizing Other Therapies
HOUSTON—Veterans who have experienced acute coronary syndrome within the past year face a substantial risk of a repeat event. Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors significantly reduce that risk, but determining who would benefit most and...
Ensuring Community Providers Meet Veteran Suicide Prevention Standards
WASHINGTON — As leaders from across multiple federal agencies begin work on a roadmap to combat veteran suicide, they are searching for ways to turn existing efforts in towns, cities, counties and neighborhoods across the country into a net that can help catch struggling veterans.
Trying to Determine What Leads to Tobacco Cessation in Vets
MINNEAPOLIS — Incidental pulmonary nodules are commonly found on routine chest imaging, but not enough is known about smoking behaviors among patients with IPNs or characteristics of patient-clinician communication that may contribute to these behaviors.
Benzodiazepines Prescribed Long-Term for COPD/PTSD
SEATTLE — Symptoms of insomnia and anxiety are common among patients with chronic obstructive pulmonary disease, and that is especially the case among patients with comorbid mental health disorders such as posttraumatic stress disorder, according to a new study.
Political Issues Related to VA’s Limited Approval of Esketamine for Depression
WASHINGTON — A VA panel this summer opted not to add the new depression medication esketamine, Spravato, to the department’s formulary in the usual way. This came despite strong support from President Donald Trump and an effort by VA officials to fast-track the drug for approved use at VA facilities.
Tests Show No Lung Changes for Recent Veterans
SAN ANTONIO — Significant airborne hazards were reported during military conflicts in southwest Asia, including geologic dusts, burn pit emissions, chemical exposures, and increased rates of smoking.
MHS Pharmacies Prescribed 6,200 Naloxone Kits Under New Directive
FALLS CHURCH, VA — In June 2018, Defense Health Agency Director Raquel Bono, MD, directed all MHS pharmacies to dispense the opioid reversal agent naloxone to eligible beneficiaries and those who request it without requiring a prescription. Since then, MHS pharmacists have provided more than 6,200 kits.
VA-led Study Finds U.S. MS Prevalence Is Double Previous Estimates
WASHINGTON—Researchers and policy makers estimated that 300,000 to 400,000 people in the U.S. had multiple sclerosis in 2010, but new data indicates that number grossly undercounted the number of people affected by the neurological disease.
Metformin Reduces Dementia Risk in Black Veterans With T2D
ST. LOUIS—Use of metformin for Type 2 diabetes significantly reduces the risk of dementia among African American male veterans older than 50, according to a large observational cohort study.
New Biomarker for MS Discovered; Could Replace MRI for Detection
BALTIMORE—A University of Maryland research team has discovered a biomarker that can determine whether a patients has multiple sclerosis or is relapsing, thanks to VA funding.
Decompensated Diabetes More Common in Certain Racial, Age Groups
ATLANTA—Which diabetes patients are most likely to have decompensated diabetes, defined as diabetic ketoacidosis and hyperosmolar hyperglycemic state?
Tight Glycemic Control Increases Fracture Risk in Veterans with Diabetes
DURHAM, NC — Diabetes mellitus among older men has been associated with increased bone mineral density but paradoxically increased fracture risk, according to a study in the Journal of Bone and Mineral Research.1
Debate Continues on Esketamine Efficacy and Safety for Depression Treatment
PHILADELPHIA—Is esketamine a revolutionary treatment for depression or just another moderately effective adjunctive medication with some potentially serious risks? The VA’s Medical Advisory Panel leaned toward the latter position when it decided in June to approve the use of esketamine on a nonformulary basis for individuals who have previously failed at least two trials of other antidepressants.
Army Doctor’s Unique Training Helps Improve Battlefield Medicine
SAN ANTONIO— Col. Andrew Cap, the division chief of Acute Combat Casualty Research at the Army Institute of Surgical Research, admits that he’s the last person you want to ask for advice on how to plan out a career in medical research.
VA: Blue Water Veterans Must Wait Until 2020 for Claims to Be Processed
WASHINGTON—Blue Water Navy veterans who want to file disability claims related to Agent Orange exposure will have to wait until next year to have their claims processed, VA announced last month.
Virtual Reality Tested for Phantom Limb Pain in Veteran Amputees
SAN DIEGO—Virtual reality appears to be a feasible way to treat phantom limb pain at the VA, according to a small new study. The report in Pain Medicine sought to describe the development of a virtual reality treatment for phantom limb pain and phantom sensations...
VA Researcher Helps Develop Promising New Pain Drug
NEW ORLEANS—A new drug with less risk for addiction and overdose compared to currently available opioid medications is showing promise, according to a recently published research article. The drug, developed at Southeast Louisiana Veterans Health Care System and...
Racial Disparities Found in BRCA Testing, Counseling
DURHAM, NC—Despite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades, a study argued. The review published in the Journal of Racial and Ethnic Health Disparities said its purpose was to summarize recent...
VA Guideline Addresses Dental Management of Head/Neck Cancer Patients
SAN FRANCISCO—Few protocols have been published for the dental management of patients with head and neck cancer to prevent complications from head and neck radiation therapy, according to a new study. The report in the Head & Neck journal pointed out that...