U.S. Medicine
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Latest posts
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VA Survey Finds Primary Care Nurses Might Not Be Working to Full Scope of Practice
In the VHA’s Patient Aligned Care Teams (PACTS) system to provide optimal primary care (PC) for veterans, all members of the PACT are expected to function at the top of their training and scope. That is not the case, however, with nurses, according to a recent survey and…
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Larger Health Information Exchange Volume Improves Select Patient Outcomes
A greater volume of health information exchange, the electronic sharing of patient medical information among healthcare organizations, appears to affect patient outcomes for community care and VHA direct care settings differently. In one setting, it improves patient outcomes,…
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Very Low Percentages of Veterans Have Received Contraception Information from Providers
In U.S. veterans of reproductive age, having greater healthcare engagement and more reliance on providers as trusted sources of contraceptive information could improve their knowledge, according to a recent study. The post Very Low Percentages of Veterans Have Received…
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Cured, Prevented and Invented: The Military’s Long Reckoning with Viral Hepatitis
Hepatitis A, B, C and D sit at different points along the vaccine story this series has traced since 1777. One has a vaccine the Army itself invented. The post Cured, Prevented and Invented: The Military’s Long Reckoning with Viral Hepatitis appeared first on U.S. Medicine .
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The Geography of Disease and the Need for a Growing Vaccine Arsenal
A military confined to one continent faces one disease environment. A force that deploys anywhere on short notice faces all of them at once. The post The Geography of Disease and the Need for a Growing Vaccine Arsenal appeared first on U.S. Medicine .
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Vaccines Recommended for Veterans
The VA offers a broad vaccine menu, reflecting a population that skews older, often has multiple comorbidities and carries exposure risks specific to military service. The post Vaccines Recommended for Veterans appeared first on U.S. Medicine .
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The Military’s Long War on a Quick Killer, Meningococcal Disease
Few pathogens move with the speed of Neisseria meningitidis. Even with prompt antibiotic treatment, meningococcal disease still kills 10% to 15% of the people it infects, and a 2019 analysis of invasive cases in England found that 85% of disease-related deaths occurred within a…
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The Longest Battle: U.S. Military vs. Infectious Disease
This year marks the 250th anniversary of our nation—and of U.S. military efforts to protect troops from infectious disease. Surprised? Far from a recent and controversial development, the need to require actions that reduced the risk of an incapacitated fighting force was…
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OIG: VA Remains Challenged in Filling Medical, Other Staff Positions
According to the annual Office of Inspector General (OIG) staffing report, VA hospitals are facing an increase in hiring challenges compared to last year, with facilities reporting a total of 4,712 severe staffing shortages spread across 389 occupations. This is up from 4,434 in…
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VA Finally Announces Overhaul of Its Decentralized Police Force
After years of ignoring warnings that its decentralized police force resulted in inconsistent standards and lax security at hospitals, VA announced it will be overhauling the force, raising pay rates and creating a unified chain of command that it hopes will solve its…
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Tele-Robotic Surgery Appears to Be a Highly Feasible Surgical Option for Combat Casualties
Using tele-robotic surgery to provide surgical care for combat casualties is highly feasible, according to a recent study that found latency, or the time delay between an input command and the robotic platform’s response to that command, wasn’t a barrier to using the technology.…
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Young Veterans More Likely to Have Higher Levels of ‘Forever Chemicals’ Than Civilians
Young veterans are more likely to have higher levels of “forever chemicals” in their bloodstream than their civilian counterparts, a recent study has confirmed. While researchers could not say for sure what caused the elevated levels, it’s long been established that many…
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Two-Way Link Found Between TBI and Neurologic Disorders in Older Veterans
Older veterans who sustain a traumatic brain injury (TBI) are significantly more likely than their peers to have been diagnosed with neurologic conditions such as dementia, Parkinson’s disease, stroke or epilepsy even before the injury occurs, according to a new retrospective…
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Target Doses of ACE Inhibitors Reduce Risk of Death, Kidney Failure in Some HF Inpatients
In veteran patients with heart failure with reduced ejection fraction (HFrEF), using higher target doses of angiotensin-converting enzyme inhibitors (ACEIs) before discharge reduced the risks of death and kidney failure, according to a recent study. The post Target Doses of ACE…
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Severe Maternal Morbidity, 30-Day Readmissions Linked to Delivery Volumes at Military Hospitals
In women who delivered at U.S. military hospitals between fiscal years 2019 and 2023, obstetric delivery volume, the number of annual births was significantly associated with severe maternal morbidity and the possibility of 30-day readmissions, according to a recent study. The…
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Executive Order Pushes Technology Updates at DoD, VA
President Donald Trump has issued an executive order directing DoD and VA to update their technology and policies to allow for ongoing sharing of servicemember’s records from the moment they enroll in the military. The post Executive Order Pushes Technology Updates at DoD, VA…
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PTSD, Health-Related Social Needs Together Increase Cognitive Risks Significantly in Veterans
A recent study asked a question critically important to VHA clinicians: Are post-traumatic stress disorder (PTSD) and health-related social needs (HRSNs) associated with incident mild cognitive impairment, Alzheimer’s disease and Alzheimer’s disease-related dementias among U.S.…
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Later PSA Screening, Higher Initial PSA Linked to Metastatic Prostate Cancer in Veterans
Prostate cancer is the most commonly diagnosed cancer among U.S. veterans, with about 15,000 veterans diagnosed and treated through the VA each year. PSA screening can help detect prostate cancer early, but determining how screening can best identify men at risk for serious…
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New VA/DoD Obesity Guideline Strongly Recommends Semaglutide, Tirzepatide
A new synopsis of the VA/DoD clinical practice guideline for managing adult overweight and obesity pushes clinicians to look beyond a single number on the body mass index (BMI) when assessing health. The post New VA/DoD Obesity Guideline Strongly Recommends Semaglutide,…
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How Low Is Enough for PSA Levels After Prostate Cancer Treatment?
Reaching a prostate-specific antigen (PSA) level of less than 0.2 ng/mL after starting androgen deprivation therapy (ADT) can maximize the chance of survival, according to a new study. The post How Low Is Enough for PSA Levels After Prostate Cancer Treatment? appeared first on…