Clinical Topics

E-consults Drive Increased Involvement of VA Infectious Disease Specialists

E-consults Drive Increased Involvement of VA Infectious Disease Specialists

By Annette M. Boyle BOSTON—VA physicians in facilities across New England increasingly turn to infectious disease specialists at the VA Boston Healthcare System (VABHS) with questions about antibiotic resistance, Lyme disease and other issues, but the rise in demand has… Read More

Expedited ART Significantly Lowers Viral Load in HIV Patients

Expedited ART Significantly Lowers Viral Load in HIV Patients

By Brenda L. Mooney BETHESDA, MD—When it comes to treating acute HIV infection, sooner is better, noted a new study led by U.S. military researchers. The study, published in the Journal of the International AIDS Society, compared viral load in… Read More

VA Heart Failure Clinic Reduces Readmission Rates Nearly 85%

VA Heart Failure Clinic Reduces Readmission Rates Nearly 85%

By Annette M. Boyle LOS ANGELES—Appropriate and consistent use of medications markedly slows the progression of heart failure and reduces its mortality. Despite the clear benefits of medication, the number of heart failure patients who are nonadherent remains stubbornly high,… Read More

DoD Policies Ensure Sufficient Yellow Fever Vaccine Despite Global Shortage

DoD Policies Ensure Sufficient Yellow Fever Vaccine Despite Global Shortage

In mid-2016, Sanofi Pasteur announced that manufacturing issues could produce a YF-VAX shortage that might last for several months.

Is Aspirin Really a Wonder Drug for Cardiovascular Prevention?

Is Aspirin Really a Wonder Drug for Cardiovascular Prevention?

Since the mid-1980s, aspirin has been used as a preventive drug for cardiovascular disease. In fact, the U.S. Preventive Services Task Force (USPSTF) says that about 40% of American adults over 50 currently take a daily aspirin to prevent heart attacks or strokes.

Aggressive Therapy Doesn’t Always Lower Heart Rate in Heart Failure

BOSTON — A single heart rate (HR) measurement could be important in determining future prognosis of chronic heart failure with reduced ejection fraction (HFrEF). Still, according to a recent article in the American Journal of Cardiology, the importance of elevated HR across serial assessment… Read More

Centenarian Veterans Less Likely to Have Heart Failure

WASHINGTON – In general, older patients are more likely to have heart failure than younger ones. That is not true, however, with a group of men 100-years-old or older treated by the VA, according to a new study. Background information… Read More

How Do Long-Term Heart Failure Patients Differ from Recently-Diagnosed?

DURHAM, NC – How are long-term chronic heart failure (HF) survivors who are hospitalized for acute exacerbation different from patients with more recent HF diagnoses? A study led by Duke University and involving researchers from the San Francisco VAMC sought… Read More

Antipsychotic Use in Parkinson’s Ups Physical Morbidity Risks

PHILADELPHIA—Antipsychotic (AP) use in Parkinson’s disease (PD) patients is associated with increased physical morbidity, according to a study in the American Journal of Geriatric Psychiatry.1 The study, led by researchers from the Parkinson’s Disease Research, Education and Clinical Center at… Read More

TBI, OSA Combination Affects Cognitive Function

WASHINGTON—Patients with TBI are considered to be at high risk for the development of sleep disorders, especially obstructive sleep apnea (OSA). In a study published in the journal Neurology, researchers posited that the combination of traumatic brain injury (TBI) and… Read More

Treating Bladder Symptoms Appears to Reduce Falls in VA’s MS Patients

Treating Bladder Symptoms Appears to Reduce Falls in VA’s MS Patients

Many people with multiple sclerosis (MS) experience both falls and bladder dysfunction. In the past, those were generally considered common – but probably unrelated – issues.

Race and Rank: New Study Questions Equal Access to MHS Healthcare

Race and Rank: New Study Questions Equal Access to MHS Healthcare

Some Youths More Likely to Get Type 1 Diabetes Technology By Brenda L. Mooney BETHESDA, MD—The U.S. military touts the equal access to healthcare it offers to servicemembers and beneficiaries. Despite that, new research found significant disparities in the scope… Read More

DoD Advances Development of Freeze-Dried Plasma for Battlefield Deployment

DoD Advances Development of Freeze-Dried Plasma for Battlefield Deployment

For the first time since the Korean War, American troops have access to freeze-dried plasma in the field. Currently only available to special forces, the blood product has already saved lives.

Metformin Appears Safe for Heart Failure, Other Diabetes Co-Morbidities

DURHAM, NC – While recent changes to the U.S. Food and Drug Administration boxed warning for metformin are likely to increase the common diabetes drug’s use in patients with historical contraindications or precautions, prescribers are cautioned to understand the clinical… Read More