Clinical Topics

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

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