July 2015

Metabolic Demand No Greater for Young, Fit, Active Amputees

FORT SAM HOUSTON, TX — While previous research has reported greater metabolic demand of walking following transtibial amputation (TTA), primarily in older, less active and often dysvascular patients, a new study sought to determine if that is also the case… Read More

Increasing Physical Activity Among Older Veterans with Lower Limb-Loss

SEATTLE — What type of regular physical activity is performed by older veterans with limb loss? A study recently published the Journal of Rehabilitation Research & Development sought to determine that.1 Researchers from VA Puget Sound Health Care System in… Read More

Cognitive Training Improves Psychological Health in TBI Patients

DALLAS — Strategy-based cognitive training improved not only psychological and neural health for veterans and civilians with traumatic brain injury (TBI) but also cognitive performance, according to a new study. The DoD-funded study, published recently in the journal Neuropsychological Rehabilitation,… Read More

PTSD/Depression Combination Increases Anger in Veterans

IRVINE, CA — Veterans with post-traumatic stress disorder (PTSD) are much more likely to have their tempers erupt if they also are depressed, according to a new study. The study, led by researchers from the University of California Irvine, appeared… Read More

Medication, Surgery Combat Biological Changes Associated with Obesity

Medication, Surgery Combat Biological Changes Associated with Obesity

Overweight and Sustained Obesity Require Different Approaches By Annette M. Boyle PROVIDENCE, RI — Eat less, move more has long been the mantra for weight loss. But new research indicates the mainstays of diet and exercise simply aren’t enough for… Read More

A Call to Arms for CME

Today’s federal healthcare system faces unprecedented challenges related not only to active-duty military returning home with complex healthcare needs due to injury, but also with the long-term care of veterans’ clinical needs through the VA.

David Shulkin, MD, Confirmed as New VA  Under Secretary for of Health

David Shulkin, MD, Confirmed as New VA Under Secretary for of Health

By Sandra Basu WASHINGTON — The VA is set to welcome a new leader to the Veterans Health Administration. David Shulkin, MD, became the new VA undersecretary of health after the Senate confirmed his nomination by voice vote late last… Read More

Vendors: VA Payment to Outside Providers Increasingly Delayed

Vendors: VA Payment to Outside Providers Increasingly Delayed

Veterans’ Credit Ratings Could Be Jeopardized By Sandra Basu WASHINGTON — The VA is taking too long to reimburse non-VA healthcare providers, a problem that could result in veterans being billed for the services, panelists told a House of Representatives… Read More

Moderate A1c Reduction Lowers Heart Risks for Veterans With Diabetes

Moderate A1c Reduction Lowers Heart Risks for Veterans With Diabetes

VA Researchers Warn About Too ‘Tight’ Blood-Sugar Control By Brenda L. Mooney ANN ARBOR, MI — The VA’s balanced approach to glycemic control — keeping blood sugar levels low but not too low — appears to be the best course… Read More

VA’s Prescription Management Practices Come Under Fire From Legislators

VA’s Prescription Management Practices Come Under Fire From Legislators

By Sandra Basu WASHINGTON — Lawmakers charged that the VA is not doing enough to ensure that medication use is properly managed among veterans — particularly those already struggling with mental health issues. VA officials were questioned on prescription mismanagement… Read More

Gait Stride History Makes Leg Prosthetics More Accurate

CHICAGO — Major lower limb amputation accounted for up to 76% of amputations sustained by U.S. military personnel from 2001 to 2011. Although prosthetic lower limbs have been available, they traditionally have not restored full function. Now, according to a… Read More

VA Brain Researcher Named to Nursing Hall of Fame

VA Brain Researcher Named to Nursing Hall of Fame

By Steve Lewis WASHINGTON — Traumatic brain injury (TBI) is considered one of the signature injuries of recent military action in Afghanistan and Iraq. Christine E. Kasper, PhD, RN, senior research scientist in the Office of Nursing Services at VA… Read More

Carotid Endarterectomy: Too Much or Not Enough at VA?

Carotid Endarterectomy: Too Much or Not Enough at VA?

By Annette M. Boyle SAN FRANCISCO — For selected patients with carotid stenosis, national guidelines recommend revascularization for primary or secondary prevention of stroke. Increasingly, though, it appears that veterans who could benefit the most from these procedures do not… Read More

Staff Shortages Prevent Full Implementation of VA Stroke Directive

Staff Shortages Prevent Full Implementation of VA Stroke Directive

Effort Seeks to Standardize Care Across VAMCs By Annette M. Boyle INDIANAPOLIS — Since the publication of the VHA directive on treatment of acute ischemic stroke (AIS) in November 2011, VA medical facilities nationwide have responded by adding structure to… Read More