SALT LAKE CITY—Patients with HIV infection have an increased risk of cardiovascular disease compared with uninfected individuals. Oftentimes, they receive antiretroviral therapy with atazanavir (ATV), which delays progression of atherosclerosis markers. Whether the treatment also... View Article
Antiretroviral therapy has extended the lives of veterans with human immunodeficiency virus (HIV) by decades, but a new threat could cut back their longevity.
Veterans living in rural areas face a lot of challenges, the most common of which is having to travel long distances to access VA medical care.
New veteran research is being touted as a way to better target lung-cancer prevention measures to high-risk groups.
With Type 2 diabetes increasingly common in HIV-infected individuals, are standard oral diabetes medications as effective in that population?
With chronic obstructive pulmonary disease (COPD) prevalence increasing among aging HIV-infected patients, a recent study sought to determine how that relates to frailty in veterans treated at the VA.
SAN DIEGO – Past research has shown that patients with HIV infection vaccinated early in the flu season are generally more likely to contract influenza or influenza-like illness (ILI), compared with those receiving late vaccination.... View Article
ANN ARBOR, MI — Oral pre-exposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) gained Food and Drug Administration approval in 2012, and many commentators hailed the therapy as a “once-in-a-generation” advance.
HOUSTON — After a decade of dramatically rising rates of hepatocellular carcinoma (HCC) among veterans, aggressive treatment of hepatitis C infections (HCV) appears poised to turn the tide.
SEATTLE — Pulmonary infections remain more common in patients with human immunodeficiency virus (HIV), compared with those who are uninfected.Surmising that an increase in chronic lung diseases among aging HIV positive patients could contribute to... View Article
Pre-infection Immunological Health Achieved in Some CasesBy Annette M. Boyle SAN ANTONIO — For years, clinicians have not recommended treating human immunodeficiency virus (HIV) patients with antiretroviral therapy (ART) before they saw a significant drop... View Article
Subhead: Post-operative Mortality Rates Low Among ART UsersBy Annette M. BoyleWEST HAVEN, CT — Historically, high post-operative mortality rates among HIV-infected patients caused many physicians and patients to defer or avoid surgery all together. For... View Article
Raymond Schinazi, PhD, Hon DSc, still remembers how the patients lined the corridors. They were all too thin, too pale and much too weak.
Amid all the outcry over the high cost of new hepatitis C therapies, including congressional hearings, a simple fact has been overlooked: The VA expects to save money in the long run because of the... View Article
Why Do Overweight Patients Live Longer with Heart Failure? Now the leading cause of hospital admissions in the VA Health Care System, heart failure is associated with high mortality rates and poor quality of life.
In this Issue: Focus on HIV-HCV New Treatments Offer More Options, Fewer Side Effects for HIV-Infected Veterans Despite High Costs, VA Makes Sure Veterans Have Access to Newest HCV Drugs Pharmacy Update Partnerships, Drive-Throughs Seek... View Article
Alliance Research Not Limited by Private-Sector Restraints By Annette M. Boyle BETHESDA, MD – In celebration of its second anniversary, the John P. Murtha Cancer Center at the Walter Reed National Military Medical Center, announced... View Article
VA Suggests High Price Could Be Offset Future Savings
By Brenda L. Mooney BOSTON – Rates of serologic testing for hepatitis B (HBV) at the VA fail to meet levels recommended by the American Association for the Study of Liver Diseases (AASLD) practice guideline,... View Article
Clinicians Find Advances ‘Mind-Boggling’ By Annette M. Boyle ATLANTA – Therapeutic options for patients with human immunodeficiency virus (HIV) continue to expand, enabling more veterans to begin treatment with fewer adverse side effects and far... View Article
By Annette M. Boyle WASHINGTON – While commercial insurers responded to the approval of the breakthrough drug sofosbuvir for hepatitis C (HCV) by implementing prescribing restrictions, limiting use to the sickest patients and charging higher... View Article
BOSTON – Patients with disfiguring and debilitating scars suffer poor cosmetic outcomes, restricted motion, pain and itching, despite traditional therapy such as expert wound care. A consensus report published earlier this year in JAMA Dermatology... View Article
We fear things in proportion to our ignorance of them. Christian Nestell Bovee (1820-1904) I had the honor of being invited recently to speak at the 39th annual Garland Lecture series at the Boston Medical... View Article
1964 S. Medicine publishes its first issue. The new Naval Station Hospital Saigon receives the first American combat casualties directly from the Vietnam War. 1965 A U.S. Marine Corps Hawk air defense missile battalion... View Article
By Stephen Spotswood WASHINGTON – When the first Infectious Disease Clinic took place at the Washington, DC, VAMC in 1985, only a handful of HIV-infected patients took advantage. In fact, the disease hadn’t even been... View Article
By Brenda L. Mooney PITTSBURGH – Will hepatitis C become a rare disease over the next two decades or so? The answer is yes, according to a computer simulation conducted by the University of Pittsburgh... View Article
In this Issue: Focus on Infectious Diseases HIV/HCV Co-Infected Patients Have No Safe Level of Alcohol Use VA’s Resistant Infection ‘Bundle’ Drives Down MRSA in Community Living Centers Pharmacy Update Milwaukee VA Develops Reversal Protocol... View Article
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... View Article
By Annette M. Boyle PHILADELPHIA – Otherwise “non-hazardous” levels of drinking pose a real danger for patients co-infected with human immunodeficiency virus (HIV) and hepatitis C virus. Drinking, even moderately, dramatically increases the risk of... View Article
More than 6,000 veterans with HCV have been treated at the VA in the past two years with the triple therapy of boceprevir or telaprevir plus ribavirin and interferon. In addition, hundreds of veterans have... View Article
Although widely used to monitor glucose control and — more recently — to diagnose diabetes, HbA1c screening lacks accuracy in a range of patients with hemoglobinopathies, kidney issues or HIV. A new study, supported by... View Article
Domestic Abuse Tied to Range of Health Issues By Annette M. Boyle BOSTON — Nearly 2 in 5 female veterans report experiencing intimate partner violence, as do up to 44% of active-duty women. The high... View Article
By Jonathan Woodson, MD, Assistant Secretary of Defense for Health Affairs Throughout every war, the Military Health System (www.health.mil) has made significant medical advancements to help protect our troops. Our innovations not only save the... View Article
SAN FRANCISCO — A mandatory vaccine program could attenuate at least some of the effect of acute respiratory infection (ARI) exposures among providers, according to a report from the Respiratory Protection Effectiveness Clinical Trial (ResPECT).
By Annette M. Boyle Jeffery McCombs, PhD LOS ANGELES — While achieving undetectable viral loads reduces the risk of death associated with hepatitis C by 45% and other adverse liver-related complications by 27%, only 4%... View Article
By Annette M. Boyle David Ross, MD, PhD WASHINGTON — New therapies for hepatitis C (HCV) are pouring out of the pharmaceutical pipeline and promising effective treatment with fewer side effects for many of the... View Article
By Annette M. Boyle Amy Justice, MD, Ph.D NEW HAVEN, CT — With human immunodeficiency virus (HIV) now being treated more like diabetes, hypertension and other chronic diseases, HIV patients face some of the same... View Article
By Annette M. Boyle LAS VEGAS, NV — Of the 30 finalists in this year’s Next Generation Pharmacist awards, 30% worked in military or public health pharmacies, the strongest representation seen in the awards program.... View Article
By Sandra Basu FORT LAUDERDALE, FL — The newly released National Research Action Plan has created a “common roadmap” for federal agencies to tackle mental health research to include PTSD, TBI and suicide, DoD and... View Article
By Stephen Spotswood SAN ANTONIO, TX – That soldiers come back from the battlefield bearing permanent reminders of their time there – scars they will live with for the rest of their lives – is... View Article
By Annette M. Boyle Rollin M. “Mac” Gallagher, MD, MPH PHILADELPHIA – More than 50% of all VHA patients and more than 90% of those with polytrauma report experiencing chronic pain and, for many, only... View Article
By Steve Lewis Ann Marie Nelson, MD, FASCP BETHESDA, MD – Ann Marie Nelson, MD, FASCP, a senior member of the Joint Pathology Center (JPC) in Bethesda, MD – the federal government’s premier pathology reference... View Article
PROVIDENCE, RI – A new, standardized measurement can help clinicians assess the effectiveness of teaching and learning for adults with prosthetics after upper-limb amputations. The tool, the Activities Measure for Upper-Limb Amputees (the AM-ULA), was... View Article
By Sandra Basu WASHINGTON — While battlefield injury, musculoskeletal injury and mental disorders top the list of reasons troops are medically evacuated from military theaters of operation, a variety of other conditions can force the... View Article
PROVIDENCE, RI – Active-duty women have far higher rates of sexually transmitted infections (STIs) than their male colleagues or civilian counterparts, and the military services are trying to help young servicemembers avoid the types of... View Article
By David Ross, MD, PhD, MBI, director, HIV, HCV and Public Health Pathogens Programs, Office of Public Health/Clinical Public Health Lorenzo L. McFarland, DHA, MSW, PMP, senior manager, Public Health Program, HIV, Hepatitis and Public... View Article
By Rear Adm. Scott F. Giberson, RPh, MPh, assistant Surgeon General and chief pharmacy officer, U.S. Public Health Service Rear Adm. Scott F. Giberson, RPh, MPh Pharmacists are the third-largest category (and second-largest professional discipline)... View Article
By Col. Chester “Trip” Buckenmaier III, MD, program director, Defense and Veterans Center for Integrative Pain Management Col. Chester “Trip” Buckenmaier III, MD In August 2009, the Pain Management Task Force (PMTF) was chartered by... View Article
Amygdala Volume Associated with Combat Veterans’ PTSD DURHAM, NC — Combat veterans with post traumatic stress disorder (PTSD) tend to have significantly smaller volume in an area of the brain critical for regulating fear and... View Article
By Brenda L. Mooney MINNEAPOLIS – In a rare study that looked at optimal treatment of urinary tract infections (UTI) in men, researchers from the Minneapolis Veterans Health Care System found that treating the condition... View Article
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