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Report Could Add 23 Presumptive Conditions for Gulf War Veterans

A new report from the National Academies of Sciences, Engineering, and Medicine found that sufficient evidence supported an association between exposure to seven factors and detrimental reproductive effects in men or women who served in the Gulf War or developmental effects in their children.


Efficiency at Expense of Effectiveness? Legislators Blast VBA Management

Recent problems with initiatives implemented by the Veterans Benefits Administration point to much larger, systemic issues in how the agency rolls out new programs, according to the VA Office of the Inspector General.


Use of Non-VHA Pharmacies Increases Risks of Scheduled Drug Overdoses

Using multiple sources to get prescribed pain medications and other Schedule II through V drugs increases risks for veterans, a new study finds.


Featured Articles


Departments

Department of Veterans Affairs (VA)

Senate VA Committee Chair Vows to Pass 'Blue Water' Navy Benefits

Senate Committee on Veterans' Affairs Chairman Sen. Johnny Isakson (R-GA) vowed that addressing benefits for Blue Water Navy Veterans “is no longer going to be a question,” but that “how we do it is the only question.”

Department of Veterans Affairs (VA)

VHA Makes Progress in Improving Safety of Opioid Prescribing

VHA medical facilities should ensure that its providers are following three key opioid risk mitigation strategies, including conducting urine drug screening, a recent report recommended.

Department of Veterans Affairs (VA)

VA faces healthcare staffing shortages, barriers to hiring facility leaders

A facility-specific survey found that 138 of 140 VA facilities reported shortages of medical officers, with psychiatry and primary care positions being the most frequently listed.

Department of Veterans Affairs (VA)

Veteran nephrologist labors to improve ESRD treatment at VA

When Terrence O’Neil, MD, retired as chief of nephrology at the James H. Quillen VAMC in Johnson City in December 2016, he left in his wake decades of work treating kidney disease—nearly 35 years in the Air Force and DoD, plus 11 more at VA.

Department of Veterans Affairs (VA)

Committee approves bill to provide agent orange benefits to ‘blue water’ vets

A long sought-after bill that would make it easier for Blue Water Navy veterans to receive Agent Orange benefits has been passed by a key House of Representatives committee.

Department of Defense (DoD)

DoD acknowledges its medical adverse event reporting is ‘unreliable’

The process for tracking the DoD’s most serious adverse medical events is “fragmented, impeding the Defense Health Agency’s (DHA) ability to ensure that it has received complete information,” according to a new review.




Department of Defense (DoD)

Automation Speeds Results and Increases Accuracy for Point-of-Care Testing at Walter Reed NMMC

With a long history of point of care testing at both of its predecessor organizations, the Walter Reed National Military Medical Center (WRNMMC) laboratory services staff were keenly aware of the advantages of using portable testing devices to obtain rapid patient assessments.




Department of Veterans Affairs (VA)

Bill to Streamline, Expand VA’s Choice Program Signed Into Law

Legislation that would streamline VA’s community care programs into one program and expand VA’s caregiver program to veterans of all eras was signed into law earlier this month..





Clinical Topics

Oncology

Melanomas Associated With Internal Malignancy Risk

Genetic and environmental risk factors have been associated with the development of multiple primary melanomas (MPM) but a new study questioned whether those patients might have increased predisposition to developing internal malignancies.

Oncology

Some RCC Risk Factors Can Be Modified

Obesity, hypertension and smoking are the three modifiable risk factors that could aggressively be targeted to reduce renal cell carcinoma, according to a new study.

Infectious Disease

DHA Releases Interim Guidance for HIV Pre-Exposure Prophylaxis

The Defense Health Agency (DHA) has released interim guidance designed to optimize clinical use of human immunodeficiency virus (HIV) pre-exposure prophylaxis and reduce variability in access to prophylactic medication.

Infectious Disease

With Advancing Age, Veterans with HIV Face Novel Challenges

Thirty years ago, veterans with human immunodeficiency virus and their physicians focused on survival.

Mental Health

After 40 Years, VA Study Finds Antipsychotics No Help for Delirium

For more than 40 years, haloperidol and ziprasidone have been given to critically ill patients who develop delirium in hospital intensive care units.

Mental Health

Program Helps Reduce Domestic Violence Involving Returning Servicemembers

While intimate partner violence in the military population has been found to occur at about the same rate as the civilian population, servicemembers and veterans face unique challenges: a lack of separation between home and work life, long separations from family and repeated exposure to combat and other traumatic situations.




New Device Improves Balance in 100% of Veterans with Gulf War Illness

A new device that corrects vestibular dysfunction could be a key to treating many of the symptoms affecting the approximately 300,000 veterans who suffer from Gulf War Illness.





Non-Clinical Topics

Personnel

Efficiency at Expense of Effectiveness? Legislators Blast VBA Management

Recent problems with initiatives implemented by the Veterans Benefits Administration point to much larger, systemic issues in how the agency rolls out new programs, according to the VA Office of the Inspector General.

Pharmacy

Use of Non-VHA Pharmacies Increases Risks of Scheduled Drug Overdoses

Using multiple sources to get prescribed pain medications and other Schedule II through V drugs increases risks for veterans, a new study finds.

Pharmacy

Shared Antimicrobial Stewardship Surveillance System Saves Three VAMCs $2.3 Million

Three VAMCs that formed a collaborative group to optimize use of a shared clinical surveillance system saved more than $2.3 million in two years.

News

Report Questions Quality of Outsourced VA Benefit Examinations

A review of outsourcing by the Veterans Benefits Administration raised issues about the quality of contractor examinations and also questioned whether a proposed solution will work as intended.

Electronic Health Records

VA Examines Ways to Lessen Care Disruption During EHR Implementation

Clinician input will play an important part in decisions that need to be made regarding VA's new EHR, VA officials assured lawmakers last month.

Pharmacy

PhARMD Program Continues to Expand Pharmacists' Clinical Role in VA

A tool developed by the VA has raised the profile of pharmacists as critical members of patient care teams at the VA, leading to a doubling of the number of pharmacists serving as providers.




Pharmacy

Is It Time to Abandon One-Size-Fits-All Dosing for Antibiotics?

Increased obesity among veterans and the general population might be leading to more hospitalizations for infections and greater instance of failed treatment in patients who have been hospitalized.




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