United States Department of Agriculture: A cabinet department in the Executive Branch of the United States Government concerned with improving and maintaining farm income and developing and expanding markets for agricultural products. Through inspection and grading services it safeguards and insures standards of quality in food supply and production.United States Department of Homeland Security: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to domestic national security.Veterans: Former members of the armed services.United States Department of Veterans Affairs: A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.United States Department of Defense: A cabinet department in the Executive Branch of the United States Government whose mission is to provide the military forces needed to deter WARFARE and to protect the security of our country.Pathology, Veterinary: The field of veterinary medicine concerned with the causes of and changes produced in the body by disease.Veterinary Medicine: The medical science concerned with the prevention, diagnosis, and treatment of diseases in animals.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.United StatesRabies Vaccines: Vaccines or candidate vaccines used to prevent and treat RABIES. The inactivated virus vaccine is used for preexposure immunization to persons at high risk of exposure, and in conjunction with rabies immunoglobulin, for postexposure prophylaxis.Rabies: Acute VIRAL CNS INFECTION affecting mammals, including humans. It is caused by RABIES VIRUS and usually spread by contamination with virus-laden saliva of bites inflicted by rabid animals. Important animal vectors include the dog, cat, bat, fox, raccoon, skunk, and wolf.Veterans Health: The concept covering the physical and mental conditions of VETERANS.New YorkIndianaWashingtonOklahomaVeterans Disability Claims: Disorders claimed as a result of military service.Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.MontanaAfghan Campaign 2001-: Multinational coalition military operation initiated in October 2001 to counter terrorism and bring security to AFGHANISTAN in collaboration with Afghan forces.Public Health Administration: Management of public health organizations or agencies.Iraq War, 2003-2011: An armed intervention involving multi-national forces in the country of IRAQ.New York CityHawaii: A group of islands in Polynesia, in the north central Pacific Ocean, comprising eight major and 114 minor islands, largely volcanic and coral. Its capital is Honolulu. It was first reached by Polynesians about 500 A.D. It was discovered and named the Sandwich Islands in 1778 by Captain Cook. The islands were united under the rule of King Kamehameha 1795-1819 and requested annexation to the United States in 1893 when a provisional government was set up. Hawaii was established as a territory in 1900 and admitted as a state in 1959. The name is from the Polynesian Owhyhii, place of the gods, with reference to the two volcanoes Mauna Kea and Mauna Loa, regarded as the abode of the gods. (From Webster's New Geographical Dictionary, 1988, p493 & Room, Brewer's Dictionary of Names, 1992, p2330)Disease Outbreaks: Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS.CaliforniaVietnam Conflict: A conflict occurring from 1954 through 1975 within the Republic of Vietnam. It involved neighboring nations and the United States and other members of the Southeast Asia Treaty Organization.Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Combat Disorders: Neurotic reactions to unusual, severe, or overwhelming military stress.Military Personnel: Persons including soldiers involved with the armed forces.Gulf War: United Nations' action to intervene in conflict between the nation of Kuwait and occupying Iraqi forces, occurring from 1990 through 1991.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Meat: The edible portions of any animal used for food including domestic mammals (the major ones being cattle, swine, and sheep) along with poultry, fish, shellfish, and game.Eligibility Determination: Criteria to determine eligibility of patients for medical care programs and services.Stress Disorders, Post-Traumatic: A class of traumatic stress disorders with symptoms that last more than one month. There are various forms of post-traumatic stress disorder, depending on the time of onset and the duration of these stress symptoms. In the acute form, the duration of the symptoms is between 1 to 3 months. In the chronic form, symptoms last more than 3 months. With delayed onset, symptoms develop more than 6 months after the traumatic event.War: Hostile conflict between organized groups of people.Persian Gulf Syndrome: Unexplained symptoms reported by veterans of the Persian Gulf War with Iraq in 1991. The symptoms reported include fatigue, skin rash, muscle and joint pain, headaches, loss of memory, shortness of breath, gastrointestinal and respiratory symptoms, and extreme sensitivity to commonly occurring chemicals. (Nature 1994 May 5;369(6475):8)Military Medicine: The practice of medicine as applied to special circumstances associated with military operations.United States Government Agencies: Agencies of the FEDERAL GOVERNMENT of the United States.IraqCohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.State Government: The level of governmental organization and function below that of the national or country-wide government.Tobacco Industry: The aggregate business enterprise of agriculture, manufacture, and distribution related to tobacco and tobacco-derived products.Financing, Government: Federal, state, or local government organized methods of financial assistance.Social Responsibility: The obligations and accountability assumed in carrying out actions or ideas on behalf of others.Health Insurance Portability and Accountability Act: Public Law 104-91 enacted in 1996, was designed to improve the efficiency and effectiveness of the healthcare system, protect health insurance coverage for workers and their families, and to protect individual personal health information.Government Regulation: Exercise of governmental authority to control conduct.Fraud: Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter.Security Measures: Regulations to assure protection of property and equipment.Books

Functional status outcomes for assessment of quality in long-term care. (1/806)

OBJECTIVE: Although decline in functional status has been recommended as a quality indicator in long-term care, studies examining its use provide no consensus on which definition of functional status outcome is the most appropriate to use for quality assessment. We examined whether different definitions of decline in functional status affect judgments of quality of care provided in Department of Veterans Affairs (VA) long-term care facilities. METHODS: Six measures of functional status outcome that are prominent in the literature were considered. The sample consisted of 15 409 individuals who resided in VA long-term care facilities at any time from 4/1/95 to 10/1/95. Activities of daily living variables were used to generate measures of functional status. Differences between residents' baseline and semi-annual assessments were considered and facility performance using the various definitions of functional status were described. RESULTS: The percentage of residents seen as declining in functional status ranged from 7.7% to 31.5%, depending upon the definition applied. The definition of functional status also affected rankings, z-scores, and 'outlier' status for facilities. CONCLUSION: Judgments of facility performance are sensitive to how outcome measures are defined. Careful selection of an appropriate definition of functional status outcome is needed when assessing quality in long-term care.  (+info)

The hospital multistay rate as an indicator of quality of care. (2/806)

OBJECTIVES: To evaluate the hospital multistay rate to determine if it has the attributes necessary for a performance indicator that can be applied to administrative databases. DATA SOURCES/STUDY SETTING: The fiscal year 1994 Veterans Affairs Patient Treatment File (PTF), which contains discharge data on all VA inpatients. STUDY DESIGN: Using a retrospective study design, we assessed cross-hospital variation in (a) the multistay rate and (b) the standardized multistay ratio. A hospital's multistay rate is the observed average number of hospitalizations for patients with one or more hospital stays. A hospital's standardized multistay ratio is the ratio of the geometric mean of the observed number of hospitalizations per patient to the geometric mean of the expected number of hospitalizations per patient, conditional on the types of patients admitted to that hospital. DATA COLLECTION/EXTRACTION METHODS: Discharge data were extracted for the 135,434 VA patients who had one or more admissions in one of seven disease groups. PRINCIPAL FINDINGS: We found that 17.3 percent (28,300) of the admissions in the seven disease categories were readmissions. The average number of stays per person (multistay rate) for an average of seven months of follow-up ranged from 1.15 to 1.45 across the disease categories. The maximum standardized multistay ratio ranged from 1.12 to 1.39. CONCLUSIONS: This study has shown that the hospital multistay rate offers sufficient ease of measurement, frequency, and variation to potentially serve as a performance indicator.  (+info)

Positive predictive value of the diagnosis of acute myocardial infarction in an administrative database. (3/806)

OBJECTIVE: To determine the positive predictive value of ICD-9-CM coding of acute myocardial infarction and cardiac procedures. METHODS: Using chart-abstracted data as the standard, we examined administrative data from the Veterans Health Administration for a national random sample of 5,151 discharges. MAIN RESULTS: The positive predictive value of acute myocardial infarction coding in the primary position was 96.9%. The sensitivity and specificity of coding were, respectively, 96% and 99% for catheterization, 95.7% and 100% for coronary artery bypass graft surgery, and 90.3% and 99. 7% for percutaneous transluminal coronary angioplasty. CONCLUSIONS: The positive predictive value of acute myocardial infarction and related procedure coding is comparable to or better than previously reported observations of administrative databases.  (+info)

Relation of surgical volume to outcome in eight common operations: results from the VA National Surgical Quality Improvement Program. (4/806)

OBJECTIVE: To examine, in the Veterans Health Administration (VHA), the relation between surgical volume and outcome in eight commonly performed operations of intermediate complexity. SUMMARY BACKGROUND DATA: In multihospital health care systems such as VHA, consideration is often given to closing low-volume surgical services, with the assumption that better surgical outcomes are achieved in hospitals with larger surgical volumes. Literature data to support this assumption in intermediate-complexity operations are either limited or controversial. METHODS: The VHA National Surgical Quality Improvement Program data on nonruptured abdominal aortic aneurysmectomy, vascular infrainguinal reconstruction, carotid endarterectomy (CEA), lung lobectomy/pneumonectomy, open and laparoscopic cholecystectomy, partial colectomy, and total hip arthroplasty were used. Pearson correlation, analysis of variance, mixed effects hierarchical logistic regression, and automatic interaction detection analysis were used to assess the association of annual procedure/specialty volume with risk-adjusted 30-day death (and stroke in CEA). RESULTS: Eight major surgical procedures (68,631 operations) were analyzed. No statistically significant associations between procedure or specialty volume and 30-day mortality rate (or 30-day stroke rate in CEA) were found. CONCLUSIONS: In VHA hospitals, the procedure and surgical specialty volume in eight prevalent operations of intermediate complexity are not associated with risk-adjusted 30-day mortality rate from these operations, or with the risk-adjusted 30-day stroke rate from CEA. Volume of surgery in these operations should not be used as a surrogate for quality of surgical care.  (+info)

Patient factors related to the odds of receiving prevention services in Veterans Health Administration medical centers. (5/806)

OBJECTIVE: To examine the association between patient characteristics and the odds of receiving 13 health promotion/disease prevention services recommended by the US Preventive Services Task Force (USPSTF) for average-risk individuals. METHODS: A mail survey was sent to a random sample of 68,422 veterans who obtained primary care from any of the 153 Veterans Health Administration facilities in 1996; 44,304 responded (adjusted response rate was 68%). Multivariate logistic regression models were used. RESULTS: Demographic factors, health risk behaviors, and self-reported health were associated with the odds of receiving prevention services. Current smokers, heavy alcohol drinkers, and females were less likely to receive many health promotion services, whereas regular exercisers, overweight individuals, males, those reporting poorer health, individuals reporting high or controlled blood pressure, and those reporting high or controlled cholesterol levels were more likely to receive USPSTF-recommended prevention services. CONCLUSION: Substantial proportions of veterans were likely to obtain prevention services recommended by the USPSTF for average-risk individuals. Nevertheless, veterans who reported being current smokers, heavy drinkers, or female were less likely to obtain these services. These subgroups may benefit from additional initiatives.  (+info)

US Department of Veterans Affairs medical care system as a resource to epidemiologists. (6/806)

Epidemiologists have utilized several health care systems with large numbers of enrollees and centralized databases to achieve their research aims. Although containing many of the features that have made certain health care systems valuable to the conduct of epidemiologic research, the US Department of Veterans Affairs (VA) medical care system has not been well utilized by epidemiologists. This article will describe existing and planned features of this health care system that should be of interest to epidemiologists, including centralized databases that capture hospital discharge and outpatient clinic diagnostic data, a planned enrollment file that would contain all persons eligible for VA medical care, and the size and national dispersion of VA medical care facilities. Also, VA leadership has demonstrated an interest in the promotion of epidemiologic research by initiating several new programs, including the creation of three Epidemiologic Research and Information Centers (ERICs) to foster VA epidemiologic research, and announcing a program to support investigator-initiated epidemiologic research projects with VA funding. Epidemiologists with interests in medical problems that afflict veterans should consider partnerships with VA investigators to achieve their research aims.  (+info)

Outcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder. (7/806)

OBJECTIVE: To evaluate the effectiveness of a work therapy intervention, the Department of Veterans Affairs (VA) Compensated Work Therapy program (CWT), in the treatment of patients suffering from chronic war-related post-traumatic stress disorder (PTSD); and to demonstrate methods for using outcomes monitoring data to screen previously untested treatments. DATA SOURCES/STUDY SETTING: Baseline and four-month follow-up questionnaires administered to 3,076 veterans treated in 52 specialized VA inpatient programs for treatment of PTSD at facilities that also had CWT programs. Altogether 78 (2.5 percent) of these patients participated in CWT during the four months after discharge. STUDY DESIGN: The study used a pre-post nonequivalent control group design. DATA COLLECTION/EXTRACTION METHODS: Questionnaires documented PTSD symptoms, violent behavior, alcohol and drug use, employment status, and medical status at the time of program entry and four months after discharge from the hospital to the community. Administrative databases were used to identify participants in the CWT program. Propensity scores were used to match CWT participants and other patients, and hierarchical linear modeling was used to evaluate differences in outcomes between treatment groups on seven outcomes. PRINCIPAL FINDINGS: The propensity scaling method created groups that were not significantly different on any measure. No greater improvement was observed among CWT participants than among other patients on any of seven outcome measures. CONCLUSIONS: Substantively this study suggests that work therapy, as currently practiced in VA, is not an effective intervention, at least in the short term, for chronic, war-related PTSD. Methodologically it illustrates the use of outcomes monitoring data to screen previously untested treatments and the use of propensity scoring and hierarchical linear modeling to adjust for selection biases in observational studies.  (+info)

A comparative evaluation of polytetrafluoroethylene, umbilical vein, and saphenous vein bypass grafts for femoral-popliteal above-knee revascularization: a prospective randomized Department of Veterans Affairs cooperative study. (8/806)

PURPOSE: Currently, the choice of a vascular prosthesis for a femoral-popliteal above-knee arterial bypass graft is left to the surgeon's preference, because the available information on comparative evaluations is inconclusive. The Department of Veterans Affairs (VA) Cooperative Study 141 was established to identify whether improved patency exists with different bypass graft materials for patients with femoral-popliteal above-knee bypass grafts. METHODS: Between June 1983 and June 1988, 752 patients at 20 VA medical centers were randomized to receive either an externally supported polytetrafluoroethylene (PTFE; N = 265), human umbilical vein (HUV; N = 261), or saphenous vein (SV; N = 226) for an above-knee femoral-popliteal bypass graft. The indication for the bypass grafting operation was limb salvage in 67.5% of the patients. Patients were observed every 3 months for the first year and every 6 months thereafter. All patients were instructed to take aspirin (650 mg) daily for the duration of the study.Doppler-derived ankle-brachial indices (ABIs) were determined preoperatively and serially postoperatively. A bypass graft was considered to be patent when the Doppler-derived postoperative ABI remained significantly improved (more than 0.15 units higher than their preoperative value) and additional objective information, such as angiograms or operations, did not contradict these observations. Patency failure also included bypass grafts that were removed because of an infection or aneurysmal degeneration. Patency rates were compared by using the Kaplan-Meier life table analysis. RESULTS: The cumulative assisted primary patency rates were statistically similar among the different conduit types at 2 years (SV, 81%; HUV, 70%; PTFE, 69%). After 5 years, above-knee SV bypass grafts had a significantly (P +info)

  • 1 In 2018, 14.6% of veterans enrolled for care reported being a current cigarette smoker. (cdc.gov)
  • The International Academy of Compounding Pharmacists: Government Affairs Lookback on 2017 Accomplishments and Look Ahead at 2018 Initiatives. (bioportfolio.com)
  • Spanish-American War veteran in Cypress Hills National Cemetery Medal of Honor recipient Anton Olsen in Cypress Hills National Cemetery Gravesites at Fort Logan National Cemetery during Memorial Day 2006 The following emblems and emblem numbers are publicized as available for Government headstones and markers as of September 2017. (wikipedia.org)
  • The sample consisted of 900 randomly selected veterans from the Minneapolis VA Medical Center meeting the same sampling eligibility criteria used for the national mailed survey. (knowcancer.com)
  • This "snapshot" presents a general overview of employment, vocational rehabilitation, and other work-related resources for veterans with disabilities. (naric.com)
  • The Obama administration is unfairly blocking tens of thousands of military veterans from owning guns, a Republican senator is charging. (prn.fm)
  • Marine Corps veterans have formed their own suicide-prevention network for reasons laid out in a very powerful article by Dave Philipps in the New York Times. (prn.fm)
  • The survey sample was drawn using a two stage procedure where we first randomly select 24 VA facilities stratified by size and racial mix and then select a simple random sample of 156 eligible veterans from each sampled facility. (knowcancer.com)
  • In addition to adversely affecting their health, the high prevalence of tobacco use among military and veteran personnel also has a significant financial impact. (cdc.gov)
  • The Office of Security and Law Enforcement (OS&LE) is the parent agency of the VA Police within the Law Enforcement Oversight & Criminal Investigation Division (LEO/CID) which provides national oversight to individual VA Police Services at each location throughout the United States. (wikipedia.org)
  • Although the Office of Security and Law Enforcement exists and policies and training are standardized, VA Police operate throughout the United States under the direction of individual facility directors (much like a municipal agency would function under a mayor), causing an extensive amount of difference in operational format. (wikipedia.org)
  • for injury or loss of property, or personal injury or death caused by the negligent or wrongful act or omission of any employee of the Government while acting within the scope of his office or employment, under circumstances where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred. (justia.com)
  • The Office of Research and Development (ORD) aspires to discover knowledge, develop VA researchers and health care leaders, and create innovations that advance health care for our Veterans and the Nation. (federallabs.org)
  • The heads of the executive departments are appointed by the President and take office after confirmation by the United States Senate, and serve at the pleasure of the President. (wikipedia.org)
  • Department of Veterans Affairs, Office of Publice Health website. (cambridge.org)
  • It is hypothesized that overweight veterans with diabetes who receive the TLC-PED intervention (versus those who do not) during their six month participation in a home based walking program will be more likely to engage in regular physical activity and obtain improvements in self-reported physical activity, and maintain these changes over a twelve month period. (clinicaltrials.gov)
  • VA's Research and Development program (VA Research), with its distinguished history of discovery and innovation dating back to 1925, today remains an essential part of VA's efforts to ensure the health and wellbeing of our nation's Veterans. (federallabs.org)
  • Additional beneficiaries under TRICARE Prime Remote program in the continental United States. (wikisource.org)
  • The United States scrapped its biological weapons program in the late 1960s and agreed in a 1997 treaty to destroy all of its chemical weapons. (indymedia.org)
  • 2012) (citing Ackermann v. 2 Harris indicates that he has brought his motion pursuant to Rule 46 of the Federal Rules of Civil Procedure, which states: A formal exception to a ruling or order is unnecessary. (justia.com)
  • GAO reviewed the Department of Veterans Affairs' new rule on diseases associated with exposure to contaminants in the water supply at Camp Lejeune. (gao.gov)
  • Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Veterans Affairs (VA) entitled "Diseases Associated With Exposure to Contaminants in the Water Supply at Camp Lejeune" (RIN: 2900-AP66). (gao.gov)
  • A United Airlines DC-8 jet bound for Idlewild (now Kennedy) Airport with eighty-four passengers and crew, and a TWA Super Constellation bound for La Guardia Airport with forty-four passengers and crew collided in midair over Staten Island, New York , during a snowstorm. (encyclopedia.com)
  • The United plane crashed in a Brooklyn tenement district, the TWA plane, in Staten Island harbor. (encyclopedia.com)
  • About 8.4% of mental health facilities in the United States are residential facilities for adults and about 7.5% are residential facilities for children's mental illness treatment needs. (healthyplace.com)
  • The heads of executive departments are included in the line of succession to the President, in the event of a vacancy in the presidency, after the Vice President, the Speaker of the House and the President pro tempore of the Senate. (wikipedia.org)
  • The primary role of VA Police is to serve as a protective uniformed police force in order to deter and prevent crime, maintain order, and investigate crimes (ranging from summary to felony offenses) which may have occurred within the jurisdiction of the Department or its federal assets. (wikipedia.org)
  • ensuring that the medical needs of the veterans/patients are being met while at the same time continuing to operate as a full federal law enforcement agency. (wikipedia.org)
  • reflected a broad- based consensus of participating federal agencies, which was reached with individual input from state and local health agencies, universities, professional societies, pharmaceutical companies, healthcare delivery organizations, agricultural producers, consumer groups, and other members of the public. (cdc.gov)
  • The United States federal executive departments are the primary units of the executive branch of the Federal government of the United States. (wikipedia.org)
  • In addition to the Veteran Educational Benefit programs, the Federal Student Aid programs such as the Federal Pell Grant or low-interest student loans are also available. (moorparkcollege.edu)
  • All students who are interested in receiving Federal (Pell Grant) and State (Hope Funding) must apply by completing the Free Application for Federal Student Aid (FAFSA) form online at fafsa.ed.gov . (laniertech.edu)
  • Following a timeline of the Korean War through to today's prosperous South Korea, this 160-page volume honors those veterans who served and sacrificed for a free Korea. (nd.gov)
  • QUALIFICATIONS - High school graduate or equivalent and must be at least 18 years of age - Ohio State Tested Nurse school nurse in Cincinnati, OH. (jobisjob.com)
  • Filing 7 60-Day Summons Issued re Complaint #1 as to Defendant The United States Department of Veterans Affairs. (justia.com)
  • Index of census record sheets for a special census of Civil War veterans living in Dakota Territory (South Dakota) in 1885. (cyndislist.com)
  • The study area (Galveston county and Chambers county, Texas) was divided into five strata based on FEMA maps of flooding after Hurricane Ike as well as United States Census data on poverty levels in the year 2000. (umich.edu)
  • Goal 2: Better define, characterize, and measure the impact of antimicrobial drug use in humans and animals in the United States. (cdc.gov)