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Current Issue

Hypoglycemia Concerns Help Drive Use of Continuous Glucose Monitoring at VA

As the VA increases its focus on minimizing hypoglycemia in veterans with type 2 diabetes, it expects that more physicians and veterans will consider using continuous glucose monitors to meet that goal.

Current Issue

Veterans Study Calls for Better Guidance on Lung Cancer Treatment

With increased imaging now detecting lung cancer nodules in sicker patients, a new report suggested that guidelines should be more directive in how to maximize benefit and minimize harm, while taking into account comorbidities and life expectancy.

Cardiology

NASA Partners with Academia for CVD Prediction Tool in Younger Adults

Federal medicine played a crucial role in the development of a new online tool to better predict which middle-aged adults are at the greatest risk of having acute myocardial infarction or stroke over the next decade.

Current Issue

Intensive Short-Term Therapy More Effective for PTSD in Veterans

Short-term intensive outpatient treatment is more effective for post-traumatic stress disorder in military veterans than longer-term therapy, a new study suggested.

Current Issue

VA/National Cancer Institute Partnership Increases Veteran Access to Trials

Thanks to a new partnership between the National Cancer Institute and the VA, veterans with cancer will now have greater access to potentially lifesaving clinical trials.

Current Issue

VA Continues Hepatocellular Screening, but Study Questions the Value

Although a recent study determined that screening veterans with cirrhosis for hepatocellular carcinoma did not reduce the risk of death associated with liver cancer, the VA has no plans to change its screening practices.

Current Issue

Could Bilirubin Measurements Predict, Prevent CV Events in HIV Patients?

For most people, mention of bilirubin, which is formed after the breakdown of red blood cells and is eliminated by the liver, elicits thoughts of jaundice—which occurs when the compound is too high.

Current Issue

VA Pilots Automated Nationwide MDRO Alert System

The VA has successfully piloted a nationwide system to alert VA facilities when patients are admitted with a history of infection with two challenging multidrug resistant organisms (MDROs).

Current Issue

Testosterone Therapy Not Linked to Aggressive Prostate Cancer in Veterans

Clinicians prescribing supplemental testosterone in men with low levels always have a nagging concern about the possible link between increasing hormone levels and prostate cancer.

Current Issue

Protocols to Prevent Pathogen Transmission Often Violated in Hospitals

Precautionary practices to prevent infectious agent transmission in hospitals often fail, according to a study looking at 325 patient rooms, including some at a VAMC.

Current Issue

Rural Veterans With MS Benefit from Clinical Video Telehealth Rehabilitation

Of the more than 28,000 veterans with multiple sclerosis (MS) who receive care at the VHA, almost 45% of them live in rural or highly rural areas, a recent conference presentation pointed out.

Current Issue

Flu Vaccination Rates Up for VA Health Care Staff, But Still Lag National Average

While the VA significantly lags behind other healthcare systems in mandating influenza vaccinations for healthcare workers, according to recent research, it is moving closer to the national average because of a directive issued last fall.

Current Issue

DoD Analysis Shows Flu Vaccine More Effective Than Expected in 2017

Predictions that the influenza vaccine would be largely ineffective in the U.S. based on results seen in Australia the previous summer troubled many federal infectious disease specialists going into last year's flu season.

Current Issue

Side-effects Differ Between Radiation Therapies for Prostate Cancer

A recent study compared patient-reported disease-specific functional outcomes after external beam radiation therapy (EBRT) and EBRT combined with low-dose-rate brachytherapy prostate boost (EB-LDR) among men with localized prostate cancer.

Current Issue

Parkinson’s Drug Not Associated With Higher Prostate Cancer Risk

An increased incidence of prostate cancer was observed in Parkinson's disease (PD) patients treated with entacapone during a pre-approval randomized clinical trial, according to a new study which noted that the relationship had not yet been intensely investigated.

Current Issue

Metformin Promising for Improving Prostate Cancer Survival

Metformin, a commonly used drug for patients with Type 2 diabetes mellitus (DM), has shown promise in helping to treat prostate cancer (PCa), according to a new study.

Cardiology

VA Research Determines Which Beta Blocker Is Better in Heart Failure

ST. LOUIS—Current clinical guidelines recommend the use of beta blockers in all heart failure patients with with reduced ejection fraction (HFrEF). Which beta blocker to use—carvedilol or metoprolol succinate—remained unclear, however, according to a recent... View Article

Current Issue

VA’s Use of Conservative Management for Prostate Cancer Sets Standard

The VA is taking a leading role in use of conservative treatment for veterans diagnosed with non-aggressive prostate cancer.

Current Issue

VA Launches Study to Address Liver Fluke/Bile Duct Cancer Concerns

A recently launched VA study of mortality in Vietnam veterans will examine whether exposure to liver flukes, a parasitic worm, increased the risk of cholangiocarcinoma or bile duct cancer in those veterans.

Current Issue

Algorithm Proposed to Improve Detection of MS Lesions

Magnetic resonance imaging (MRI) is considered crucial for in vivo detection and characterization of white matter lesions (WMLs) in multiple sclerosis.

Current Issue

Many Survey Respondents Say Marijuana Is Good for MS

Despite insufficient evidence regarding its risks and benefits, marijuana is increasingly available and aggressively marketed to the public, according to a new study which sought to understand the public's views on the risks and benefits of marijuana use.

August 2018

Incidence of NK/T-cell Lymphoma Rises Significantly in the United States

Limited data are available regarding the incidence, survival patterns, and long-term outcomes of natural killer/T-cell neoplasms in the United States.

August 2018

Early Therapy Helps Prevent Non-Hodgkin lymphoma, Other AIDS-related Cancer

Prevention of AIDS-defining cancers, such as non-Hodgkin lymphoma, can be helped by early, sustained antiretroviral therapy, which results in long-term viral suppression, a new study found.

August 2018

Zika Infection Had More Serious Effects in Older Veterans With Comorbidities

Zika virus infection had affected more than a half-million people in the Western Hemisphere by the end of 2016. Among those were more than 700 VA patients with confirmed or presumed possible infection.

August 2018

VA Study: 76% of Primary Care Prescriptions Deemed Inappropriate

The VA's success in reducing unnecessary antibiotic use in its hospitals has not trickled down to its outpatient clinics.

August 2018

Cautious Use of Prandial Insulin Urged for Older Veterans

A new VA study pointed out why prandial insulin should be used cautiously in older adults with complex comorbidities.

August 2018

Adherence to New Medications Is Critical for Veterans With Diabetes

How important is adherence to oral medications in reducing complications for veterans with diabetes?

August 2018

VA Research Links Global Air Pollution to Diabetes Risk

Air pollution, even at levels technically falling into safe ranges, are associated with an increased risk of diabetes, according to a new study involving VA researchers.

August 2018

Memory Problems Worsen Survival Rates in Older Blood Cancer Patients

About a third of hematologic cancer patients in a recent cohort study screened positive for executive dysfunction, and more than 17% had memory problems.

August 2018

New VA Analysis Refutes Link Between Heart Failure, Incident Cancer

With about 350,000 patients with heart failure diagnoses being treated in the VHA, recent studies suggesting that the cardiovascular condition increases risk of cancer have been worrisome.

August 2018

Too Little Sleep? Army Research Suggests Correct Caffeine Dosage

The Army's Performance Triad promotes quality sleep, physical activity and good nutrition, but when sleep suffers, a new tool developed by the Army can help.

August 2018

Even Mild TBI Can Dramatically Increase Risk of Developing Parkinson’s Disease

Mild traumatic brain injury, commonly known as concussion, appears to increase a patient's risk of developing Parkinson's disease by as much as 56%, a new veterans study found.

Cardiology

Medications, interventions underused in veterans with peripheral artery disease

Nearly 30% of veterans with peripheral artery disease (PAD) die within four years of diagnosis, while others experience limb amputation or critical limb ischemia.

Cardiology

Rank as socioeconomic proxy affects stroke outcomes in MHS patients

Do socioeconomic disparities exist in the U.S. military healthcare system with ischemic stroke admissions? A new study says they do.

Current Issue

Psychologist works to make mental health units safe for suicidal veterans

Most people looking at a hospital room will see an environment specifically designed to keep human beings alive through even the most traumatic circumstances.

Current Issue

Even mild TBI increases veterans’ dementia risk

The risk of dementia is increased even in veterans who suffer mild traumatic brain injury (TBI) without loss of consciousness.

Current Issue

Deep brain simulation extends Parkinson’s survival

Deep brain stimulation (DBS) not only improves motor function in patients with Parkinson’s disease, as demonstrated in earlier studies, it also appears to extend life, according to new VA research.

Current Issue

Gene variant plus TBI worsens symptoms

A gene variant used to predict Alzheimer’s disease also appears to signal worse psychiatric symptoms in patients who have suffered a traumatic brain injury (TBI), a new study reported.

Current Issue

Thyroid status affects death risk in veterans with CKD

Patients with nondialysis-dependent chronic kidney disease (NDD-CKD) have a disproportionately higher prevalence of hypothyroidism compared with their non-CKD counterparts.

Current Issue

Suicide risk under-appreciated among advanced lung cancer patients

Much of the focus on suicide at the VA is on recently discharged servicemembers who suffer from conditions such as depression or post-traumatic stress disorder (PTSD).

2018 Compendium of Federal Medicine

New Agents Extend Options for Increased Survival in Metastatic Prostate Cancer

Accounting for nearly a third of all cancer diagnoses, prostate cancer is the most frequently diagnosed cancer in the VHA, where past research has suggested that the malignancy is caught earlier than in other healthcare systems.

2018 Compendium of Federal Medicine

Personalized Medicine Brightens Outlook for Most Common Kidney Cancer

In the past five years, 10 new system therapies have been approved for renal cell carcinoma (RCC), the most common type of kidney cancer.

2018 Compendium of Federal Medicine

Targeted Therapies Transform RCC Treatment Over Last Decade

In the last decade, the development of multiple molecular-targeted therapies has dramatically altered the treatment landscape for advanced renal cell carcinoma (RCC).

2018 Compendium of Federal Medicine

VA Mental Health Experts Urge Intensive Pre-Enlistment Schizophrenia Screening

The most common age for diagnosis of schizophrenia is late teens to early 30s.

2018 Compendium of Federal Medicine

Preventing, Treating Diabetic Foot Ulcers Are Complex Challenges at VA

Some of the risks of diabetic foot ulcers (DFUs) are well-known, including infection and, in the most severe cases, amputation.

2018 Compendium of Federal Medicine

Liver Cancer Continues to Rise, Even as VA Declares Victory Over HCV Infection

In March, then-VA Secretary David Shulkin, MD, announced at the annual Wharton Health Care Business Conference that the VA will have eliminated hepatitis C infections among all patients willing and able to be treated by next spring.

2018 Compendium of Federal Medicine

MS in Gulf War Veterans: Zeroing-In on Types, Disability Levels

While veterans serving in the military during the Gulf War era (GWE) appear to have higher risk for multiple sclerosis and a range of neurological illnesses, little has been documented previously on prevalent types of MS or other clinical features.

2018 Compendium of Federal Medicine

Undertreatment of Metastatic Pancreatic Cancer Treatment, Despite Guidelines

While many other cancers have seen dramatic improvement in outcomes in the past 20 years, pancreatic cancer remains one of the deadliest malignancies, regardless of stage at diagnosis, with an overall five-year survival rate of only 8%, according to the American Cancer Society.

2018 Compendium of Federal Medicine

Evidence of CV Benefit Influences Diabetes Treatment Recommendations

In a significant change, the American Diabetes Association’s 2018 guidelines advocate use of a glucose-lowering agent with proven cardiovascular benefit or mortality reduction in patients with Type 2 diabetes mellitus (T2DM) and co-morbid cardiovascular disease.

2018 Compendium of Federal Medicine

Diabetes Prevalence Higher Among Veterans Than General Population

Overall prevalence of diabetes was 20% for the general U.S. population but nearly 25% for veterans, according to a recent study using data from the National Health and Nutrition Examination Survey (NHANES).