Category: Clinical Topics

Pain Is a Growing Issue for Troops and Veterans; Safer Remedies Sought

Pain Is a Growing Issue for Troops and Veterans; Safer Remedies Sought

WASHINGTON – Trauma-related pain – both acute and chronic — has always been a universal problem among war-injured troops.

Evolution of Pioneer DCVAMC Clinic Tracks AIDS/HIV Treatment Through the Years

Evolution of Pioneer DCVAMC Clinic Tracks AIDS/HIV Treatment Through the Years

By Stephen Spotswood WASHINGTON – When the first Infectious Disease Clinic took place at the Washington, DC, VAMC in 1985, only a handful of HIV-infected patients took advantage. In fact, the disease hadn’t even been named “human immunodeficiency virus;” that… Read More

Computer Model: HCV, Associated Cancer Will Be Rare by 2036

Computer Model: HCV, Associated Cancer Will Be Rare by 2036

By Brenda L. Mooney PITTSBURGH – Will hepatitis C become a rare disease over the next two decades or so? The answer is yes, according to a computer simulation conducted by the University of Pittsburgh Graduate School of Public Health… Read More

Then and Now: VA Innovates in Epilepsy Treatment and Evaluation

Then and Now: VA Innovates in Epilepsy Treatment and Evaluation

By Annette M. Boyle ALBUQUERQUE – The VA has played a critical role in advancing epilepsy research since 1969, when the first VA unit to study epilepsy — and the first comprehensive epilepsy program in the country — opened in… Read More

VA’s Home-Based Care Program Reduces Hospitalization for Diabetes, Other Conditions

By Brenda L. Mooney BOSTON – When it comes to providing care to older patients with co-existing diabetes and other chronic illnesses, everything old is new again at the VA. A program offering old-fashioned house calls is showing promise in reducing… Read More

Discharge to Deployment: Military Diabetes Management Changes Over 50 Years

Discharge to Deployment: Military Diabetes Management Changes Over 50 Years

By Annette M. Boyle WASHINGTON – In 1964, a diagnosis of diabetes led to immediate discharge from the Army. Today, soldiers with well-managed diabetes can continue to have long and successful military careers. “With the increased understanding of diabetes and… Read More

Military Brings Treatment Closer to Troops to Combat Growing Depression Issues

By Sandra Basu WASHINGTON – Recent military actions in Iraq and Afghanistan have put the spotlight not only on PTSD and TBI, but also on depression, which often co-exists with both conditions. “The previously rising suicide rate [in the Army]… Read More

Complexity, Lack of Approved Therapies Challenges PTSD, TBI Treatment

Complexity, Lack of Approved Therapies Challenges PTSD, TBI Treatment

WASHINGTON – When the American Psychiatric Association first added post-traumatic stress disorder (PTSD) to its Diagnostic and Statistical Manual of Mental Disorders in 1980, it was quite controversial.

VA’s COPD Knowledge, Treatment Improving, But Still ‘Tip of the Iceberg’

VA’s COPD Knowledge, Treatment Improving, But Still ‘Tip of the Iceberg’

By Stephen Spotswood WASHINGTON – Chronic obstructive pulmonary disease (COPD) is sometimes referred to as the “quiet” or “silent” killer by clinicians trying to treat it. It presents few symptoms in its earliest stages and so is often not diagnosed… Read More

VA, DoD Remain on Front Lines in Ongoing War Against Cancer

VA, DoD Remain on Front Lines in Ongoing War Against Cancer

FORT LEWIS-MCCHORD, WA – The DoD’s leadership in cancer research started accidentally, but funding from Congress has ensured that both the Army and VA have remained on the front lines in the war on cancer during the past 50 years.

Military Focuses on Pre-Hospital Care to Further Improve Care of Injured Warriors

Military Focuses on Pre-Hospital Care to Further Improve Care of Injured Warriors

WASHINGTON – Despite all of the progress in battlefield medicine during the past 50 years, the greatest challenge remains how to keep critically injured military personnel alive until they can actually get to a hospital.

Mortality Rates Drop Dramatically with Wider Use of Anticoagulants

Mortality Rates Drop Dramatically with Wider Use of Anticoagulants

New Formulations Might Be More Effective By Annette M. Boyle BETHESDA, MD – In the last 50 years, the use of anticoagulants has transformed mortality rates for deep vein thrombosis (DVT), pulmonary embolism (PE) and atrial fibrillation, and new anticoagulants… Read More

What Is the Link Between RA and Peridontal Disease?

OMAHA – Could the periodontal region, much like the joints, be targeted in rheumatoid arthritis (RA)? Or does periodontal disease (PD) set off immune responses that are more severe in some forms of RA? Those are questions raised by a… Read More

Effectiveness, Cost Not Linked in Some RA Therapies

SALT LAKE CITY – Dose escalation was higher within the VA for some rheumatoid arthritis therapies, even when greater costs were not accompanied by increases in effectiveness. That’s according to a new study published recently in the Journal of Rheumatology… Read More

Infection Risk Similar with Non-Anti-TNF Agents for RA

BIRMINGHAM, AL – The comparative risk of infection associated with non-anti-tumor necrosis factor (anti-TNF) biologic agents appeared to be similar to anti-TNF biologic agents in rheumatoid arthritis (RA), according to a new veterans study. TheArthritis Care & Research study, led… Read More

Better Recruit Screening Probably Won’t Solve Military Suicide Crisis

Better Recruit Screening Probably Won’t Solve Military Suicide Crisis

SALT LAKE CITY – The roots of the rising suicide rates in servicemembers and veterans reach back into childhood home environments and pre-military experiences, according to a quartet of recent reports.

Male Breast Cancer at the VA Much Rarer Than the Female Disease, but More Deadly

Male Breast Cancer at the VA Much Rarer Than the Female Disease, but More Deadly

Annette M. Boyle WASHINGTON – Men are diagnosed with less than 0.1% of all breast cancers, but for those unfortunate few, the disease extracts a high toll — and a 65% increase in mortality risk compared to women. The interpretation… Read More

Who Has PTSD Now? New Definition Creates Challenges for Clinicians

Who Has PTSD Now? New Definition Creates Challenges for Clinicians

By Brenda L. Mooney SILVER SPRING, MD – A new study raises critical questions about the change in the definition of post-traumatic stress disorder (PTSD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and… Read More

What Is The Best Predictor of Heart Disease in CKD Patients?

BALTIMORE – The best indicator of the risk of heart disease in kidney disease patients appears to be calcium buildup in the coronary arteries as opposed to other risk factors, according to a new study. The findings were reported recently… Read More

New Guidelines Published for Renal Artery Stenting

CLEVELAND – Patients traditionally excluded from modern clinical trials could benefit from renal artery stenting to open blockages in the renal arteries, according to new recommendations. The report, published online by the journal Catheterization and Cardiovascular Interventions, was led by… Read More