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2019 issues

VA Models Allow Earlier Identification of HCV Patients at Risk of Progression

ANN ARBOR, MI—New prognostic models developed by VA researchers can help clinicians identify which patients who have or have had chronic hepatitis C virus infection will develop cirrhosis or hepatocellular carcinoma. While the VA has... View Article

2019 issues

Fewer Than Half of Eligible Servicemembers Complete HPV Vaccine Series

FORT BRAGG, NC—Immunization rates of human papilloma virus (HPV) have risen among active duty forces, but many fail to complete the full vaccine series, despite recommendations from the Defense Health Agency.   “DHA fully endorses... View Article

2019 issues

How Does Breast Density Affect Cancer Risk, Tumor Type?

GAINESVILLE, FL—What is the association of mammographic breast density with breast cancer risk by tumor aggressiveness and by menopausal status and current postmenopausal hormone therapy? That question was addressed in an article in Breast Cancer... View Article

2019 issues

Surgery Delay Does Not Explain Racial Differences in Breast Cancer Survival

BETHESDA, MD—Black women die from breast cancer at a higher rate than white women, but exactly why remains unclear. A new study from the Military Health System just shot down one of the leading explanations... View Article

2019 issues

Greatest VA Weight Gains in Women Veterans Without Diabetes

ATLANTA—How does a diagnosis of diabetes affect weight management among U.S. veterans? A study in the journal Obesity (Silver Spring) sought to assess weight trends and diabetes prevalence among U.S. veterans.1 Atlanta VAMC researchers and... View Article

2019 issues

Diabetes Patients Do Well in Military Healthcare-to-VA Transition

SAN DIEGO—When service members leave active duty and receive healthcare in a different setting, care for conditions such as diabetes can suffer. A study in Military Medicine pointed out that changes in healthcare have been... View Article

2019 issues

NPs, PAs Have as Good Diabetes Outcomes as Physicians

DURHAM, NC—So-called physician extenders do as good a job as physicians at the VA in helping to achieve good outcomes in diabetes patients, according to a new study. The report in Annals of Internal Medicine... View Article

Current Issue

Veterans on Standard Diabetes Care Face Dangers from Hypoglycemia Subhead: Post-hoc VADT Analysis Links Low Blood Sugar to CV Events

BALTIMORE, MD—A post-hoc analysis of the Veterans Affairs Diabetes Trial (VADT) once again shines a spotlight on the dangers of hypoglycemia in veterans treated for Type 2 diabetes. The study published in Diabetes Care found... View Article

Current Issue

New Antibiotic Provides Powerful Option for Resistant Pneumonia, Skin Infections

A next-generation tetracycline, omadacycline could improve care for veterans with community-acquired bacterial pneumonia (CABP) and acute skin and skin structure infections (ABSSSI).

Current Issue

Physical Fitness Associated With Lower Parkinson’s Rates

While exercise is important physical therapy for Parkinson's disease, it might be more than that.

Current Issue

Surgical Staging Often Inadequate for Gallbladder Cancer

Guidelines frequently aren’t followed when it comes to radical cholecystectomy with regional lymphadenectomy for patients with T1b gallbladder cancer.

Current Issue

Prescribed Opioids Increase Risk of Pneumonia in Veterans

A study looking at whether taking prescribed opioids increased pneumonia risk in veterans with HIV vs. those without came to a disturbing conclusion: The likelihood is increased in both.

Current Issue

Use of Hospice During Treatment Has Limited VA Use

Unlike in most private sector settings, veterans with advanced cancer can receive hospice care concurrently with treatments such as radiation and chemotherapy.

Current Issue

Most Veterans Receiving VA Mental Healthcare Support Some Gun Restrictions

A survey of veterans receiving mental healthcare through VA found that the vast majority would favor at least one option to restrict firearm access with the goal of reducing dangers of self-harm.

Current Issue

Hypertension, MGUS Associated with Herbicide Exposure in Vietnam Veterans

Based on a new review, two conditions–one extremely common and the other rare–appear to be related to herbicide exposure during the Vietnam War era.

Current Issue

Detailed Medical History Crucial for Lung Disease Diagnosis

Both general medicine physicians and specialists can find interstitial lung disease (ILD) and pulmonary fibrosis confusing, according to a recent study.

Current Issue

Melanomas Associated With Internal Malignancy Risk

Genetic and environmental risk factors have been associated with the development of multiple primary melanomas (MPM) but a new study questioned whether those patients might have increased predisposition to developing internal malignancies.

Current Issue

Some RCC Risk Factors Can Be Modified

Obesity, hypertension and smoking are the three modifiable risk factors that could aggressively be targeted to reduce renal cell carcinoma, according to a new study.

Current Issue

DHA Releases Interim Guidance for HIV Pre-Exposure Prophylaxis

The Defense Health Agency (DHA) has released interim guidance designed to optimize clinical use of human immunodeficiency virus (HIV) pre-exposure prophylaxis and reduce variability in access to prophylactic medication.

Current Issue

With Advancing Age, Veterans with HIV Face Novel Challenges

Thirty years ago, veterans with human immunodeficiency virus and their physicians focused on survival.

Current Issue

After 40 Years, VA Study Finds Antipsychotics No Help for Delirium

For more than 40 years, haloperidol and ziprasidone have been given to critically ill patients who develop delirium in hospital intensive care units.

Current Issue

Is Prandial Insulin or Noninsulin Agent Better for T2D Treatment Intensification?

Some veterans with type 2 diabetes patients can't reach their hemoglobin A1c goal despite using metformin, basal insulin and a sulfonylurea. What should come next?

Current Issue

Program Helps Reduce Domestic Violence Involving Returning Servicemembers

While intimate partner violence in the military population has been found to occur at about the same rate as the civilian population, servicemembers and veterans face unique challenges: a lack of separation between home and work life, long separations from family and repeated exposure to combat and other traumatic situations.

Clinical Topics

New Device Improves Balance in 100% of Veterans with Gulf War Illness

A new device that corrects vestibular dysfunction could be a key to treating many of the symptoms affecting the approximately 300,000 veterans who suffer from Gulf War Illness.

Current Issue

‘Severe’ 2017-18 Influenza Season Hit VA Especially Hard

This likely will come as little surprise to healthcare professionals who soldiered through it, but the 2017-18 influenza season was the most severe since VA surveillance was initiated in 2009.

Current Issue

Better Survival for NSCLC Patients Treated by Military Medicine

Does universal healthcare access provided by the MHS translate into improved patient outcomes for non-small cell lung cancer?

Current Issue

Increasing Usage of SSRIs for Dementia Symptoms

Emerging data has suggested effectiveness for selective serotonin reuptake inhibitors for treatment of behavioral and psychological symptoms of dementia.

Current Issue

Caution Urged in Use of Sulfonylureas in Some T2 Diabetes Patients with CAD

VA clinicians should exercise caution with use of sulfonylurea in some patients with co-morbid type 2 diabetes and cardiovascular disease, according to new research.

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.