Category: Clinical Topics

Too Low Systolic BP Dangerous for CKD Patients

MEMPHIS, TN – Lower is not better when it comes to systolic blood pressure in veterans with chronic kidney disease (CKD). That’s according to a new study published ahead of print recently in JAMA Internal Medicine. Noting that the effect… Read More

After Lackland Bat Infestation, 200 Air Force Trainees Received Rabies Prophylaxis

After Lackland Bat Infestation, 200 Air Force Trainees Received Rabies Prophylaxis

SAN ANTONIO – The largest ever military investigation of rabies exposure involved more than 900 Air Force personnel interviewed and 200 receiving post-exposure prophylaxis (PEP) at a cost of about $400,000.

Researchers Target Sleep to Improve Outcomes in Servicemembers with Mild TBI

Researchers Target Sleep to Improve Outcomes in Servicemembers with Mild TBI

ARLINGTON, VA – Up to 93% of servicemembers who sustain mild traumatic brain injuries (mTBIs) or concussions experience insomnia and more than a third develop obstructive sleep apnea. Sleep disturbances also can exacerbate other symptoms such as pain and irritability as well as impair cognition and social functioning.

Sleep Problems Complicate PTSD Recovery

BETHESDA, MD – Recovery from post-traumatic stress and mood disorders can be complicated by sleep problems, which are common among active-duty servicemembers, according to a new study. R. Gregory Lande, DO, the author of the study conducted at the Walter… Read More

Brief Cognitive Therapy Helps Insomnia Patients

GAINESVILLE, FL – Brief cognitive behavioral therapy can be highly effective in improving sleep in patients with insomnia. Sleep improved in 86% of insomnia patients who completed at least three sessions of cognitive behavioral therapy for insomnia (CBTI), according to… Read More

Sleep Quality Affects Physical Activity in PTSD

SAN FRANCISCO – The worse the sleep quality, the lower the physical activity levels in veterans with post-traumatic stress disorder (PTSD). That’s according to a study from the San Francisco VAMC and the University of California, San Francisco. The research,… Read More

PTSD Still Plagues More than 1 in 10 Vietnam Veterans 40 Years Later

PTSD Still Plagues More than 1 in 10 Vietnam Veterans 40 Years Later

WASHINGTON – Thousands of Vietnam-era veterans continue to suffer from post-traumatic stress disorder (PTSD), 41 years after the war ended, a recent congressionally mandated study shows.

Psychological Distress Affects Prostate Cancer Screening

BOSTON – As the debate continues about the benefit of routine prostate cancer screening, a new VA study raises a new concern: the role of psychological distress in the process. The study, led by researchers from the VA Boston Healthcare… Read More

Statins Reduce Recurrence after Prostate Cancer Surgery

DURHAM, NC – Patients should be prescribed statins after prostate cancer surgery, according to the authors of a new retrospective analysis which finds that men whobegin taking the cholesterol-lowering drugs after radical prostatectomy are less likely to have a recurrence… Read More

Prostate Cancer More Aggressive in Younger Men

ANN ARBOR, MI – Prostate cancer diagnoses are on the increase in younger men, and a new analysis suggested that the disease is typically more aggressive in those cases. The study, conducted by researchers from the Ann Arbor, MI, VAMC,… Read More

Statins Reduce Barrett’s Esophagus; Cancer Precursor Affects About 10% of Veterans

Statins Reduce Barrett’s Esophagus; Cancer Precursor Affects About 10% of Veterans

By Annette M. Boyle BETHESDA, MD – Veterans on statins have another good reason to continue to take their medication, according to new research. Statins not only reduce cholesterol, combat cardiovascular disease and potentially reduce the risk of prostate cancer,… Read More

Telecare Program Effectively Manages Pain, Reduces Opioid Use in VA Patients

Telecare Program Effectively Manages Pain, Reduces Opioid Use in VA Patients

By Brenda L. Mooney INDIANAPOLIS  –  A yearlong VA telecare program to manage chronic pain due to arthritis or other musculoskeletal disorders not only doubled the likelihood of improvement for veterans in the intervention program but also demonstrated that patients… Read More

Research Finds Unexpectedly High Rates of Pain, Opioid Use in Recently Deployed Soldiers

Research Finds Unexpectedly High Rates of Pain, Opioid Use in Recently Deployed Soldiers

By Annette M. Boyle SILVER SPRING, MD – Skyrocketing prescription opioid use in the civilian population has attracted widespread medical and media attention. While the DoD and VA implemented a pain management task force in 2010, relatively little research has… Read More

Institute of Medicine: DOD, VA Fail at Tracking Outcomes of PTSD Treatments

Institute of Medicine: DOD, VA Fail at Tracking Outcomes of PTSD Treatments

By Annette M. Boyle WASHINGTON – One of the signature injuries of the wars in Iraq and Afghanistan, post-traumatic stress disorder (PTSD), affected 13.5% of soldiers and caused 502,000 veterans to seek treatment in 2012. Despite the ubiquity of the… Read More

DoD Plays Role in Helping Contain Ebola Outbreak; Seeks a Cure

DoD Plays Role in Helping Contain Ebola Outbreak; Seeks a Cure

WASHINGTON – As the U.S. public health community desperately seeks to help contain what experts say is the largest Ebola outbreak in history and the first in West Africa, DoD also is monitoring the situation closely and has created an internal task force to “further review the situation.”

Should Digoxin Be Prescribed for Atrial Fibrillation?

Should Digoxin Be Prescribed for Atrial Fibrillation?

VA Study Latest in Debate about Old Drug’s Safety By Brenda L. Mooney PALO ALTO, CA – A new study is calling into question the practice of treating atrial fibrillation with digoxin, finding that patients on the digitalis derivative were… Read More

VA Studies Raise Key Issues about Trends in Type 2 Diabetes Treatment

VA Studies Raise Key Issues about Trends in Type 2 Diabetes Treatment

Early Insulin, Singular Focus on HbA1c Not Always Best By Brenda L. Mooney NASHVILLE — New VA research soon might change the way clinicians treat veterans with type 2 diabetes. Despite the increased push for early initiation of insulin in… Read More

Azithromycin Saves Lives of Older Pneumonia Patients Despite Cardiac Risks

Azithromycin Saves Lives of Older Pneumonia Patients Despite Cardiac Risks

By Brenda L. Mooney DALLAS – The suspected link between azithromycin and an increased incidence of cardiovascular events was borne out in a recent VA study of veterans hospitalized with pneumonia, but that was only part of the story: The… Read More

Less Diabetes Control in Non-adherence HIV Patients

DURHAM, NC – Poor adherence to antiretroviral therapy in veterans with human immunodeficiency virus (HIV) also is a good predictor of whether those same patients will achieve good control if they have diabetes. That’s according to a study from the… Read More

Diagnosis Prompts Weight Loss Efforts in Short Term

DURHAM, NC – Patients may rush to start a weight loss program upon diagnosis of an obesity-related disease but often are unable to sustain the effort on that basis alone, according to a new VA study. The study, published recently… Read More