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August 2010

Military Providers Care for Spectrum of Mental Health Illnesses

WASHINGTON, DC—While the nation’s attention is heavily focused on the treatment of war-related mental health issues, military providers are also busy caring for those psychiatric conditions that may not be war related.

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Managing Side Effects a Difficult Task when Treating Schizophrenia

BETHESDA, MD—Treating a complex disease like schizophrenia is difficult, and that difficulty is only compounded when it comes to prescribing medications to treat the disease. The antipsychotics generally used to treat schizophrenia are accompanied by a variety of sometimes-powerful, often inconvenient, side effects.

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Culturally Attuned Providers Important to IHS Healthcare

Schizophrenia is a chronic and incapacitating brain disorder that impacts both the patient with the condition and those who must care for them.

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Progress Notes August 2010

PLANS TO DEVELOP A FULLY AUTOMATED ONLINE CLAIMS SYSTEM for handling veterans’ disability compensation claims was announced by VA last month. According to the agency, the system will be more than a simple digitization of existing paper-based claims. It is designed to substantially reduce processing time and increase accuracy while simplifying the way that veterans interact with the claims process.

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Recent Clinical Trials–Cardiology

Warfarin vs Aspirin in Reduced Cardiac Ejection Fraction (WARCEF)

Objectives: Warfarin has proven effective in patients with ischemic heart disease, especially in the reduction of stroke, death, and re-infarction following myocardial infarction, and in the reduction of stroke in atrial fibrillation. Warfarin is the most promising unstudied intervention in patients with cardiac failure. This randomized, double-blind, multi-center study will define optimal antithrombotic therapy for patients with cardiac failure and patients with low ejection fraction.

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Army Task Force Report Calls for Comprehensive Pain Management Strategy

PENTAGON—The Army’s top doctor says leaders are embarking on efforts to standardize pain management across the Army. In May, a pain task force appointed by Lt Gen Army Surgeon General Eric Schoomaker, MD, released a report that found that MEDCOM and MHS lacked a comprehensive pain management strategy.

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Recent Clinical Trials—Womens Health

Ph I/II of Vitamin D on Bone Mineral Density & Markers of Bone Resorption

Purpose: Aromatase inhibitors are potent suppressors of breast cancer growth, but side effects include bone loss, fractures, arthralgias, and myalgias. We hypothesize vitamin D administration might be beneficial in treating these symptoms and to protect bone.

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Clinical Briefs August 2010

Implantable Telescope Approved for AMD FDA approved the Implantable Miniature Telescope (IMT) to improve vision in some patients with end-stage age-related macular degeneration (AMD) last month. Surgically implanted in one eye, the IMT is a small telescope that replaces the natural lens and provides an image that has been magnified more than two times.

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Committee Hearing Spotlights Diabetes Epidemic in Indian Country

WASHINGTON, DC— Many American Indians and Alaska Natives (AI/ANs) believe that it is inevitable that they will suffer from Type 2 diabetes, activists from Indian Country told a Senate committee.

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