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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)
The symptoms of rabies can vary depending on the severity of the infection and the individual's overall health. Early symptoms may include fever, headache, weakness, and fatigue. As the disease progresses, symptoms can become more severe and can include:
* Agitation and confusion
* Seizures and paralysis
* Hydrophobia (fear of water)
* Spasms and twitching
* Increased salivation
* Fever and chills
* Weakness and paralysis of the face, arms, and legs
If left untreated, rabies is almost always fatal. However, prompt medical attention, including the administration of post-exposure prophylaxis (PEP), can prevent the disease from progressing and save the life of an infected person. PEP typically involves a series of injections with rabies immune globulin and a rabies vaccine.
Rabies is a significant public health concern, particularly in developing countries where access to medical care may be limited. According to the World Health Organization (WHO), there are an estimated 55,000-60,000 human deaths from rabies each year, mostly in Asia and Africa. In the United States, rabies is relatively rare, with only a few cases reported each year. However, it is still important for individuals to be aware of the risks of rabies and take precautions to prevent exposure, such as avoiding contact with wild animals and ensuring that pets are up-to-date on their vaccinations.
Combat disorders refer to a range of mental health conditions that can develop as a result of exposure to traumatic events during military service. These disorders can include post-traumatic stress disorder (PTSD), anxiety disorders, depression, substance abuse, and other conditions that can impact an individual's ability to function in daily life.
Combat disorders can be caused by a variety of factors, including the experience of combat itself, exposure to violence and trauma, and the stress of military service. These disorders can have a significant impact on an individual's quality of life, as well as their relationships and ability to perform their duties.
Treatment for combat disorders often involves a combination of psychotherapy and medication, and may also involve other forms of therapy such as cognitive-behavioral therapy (CBT) or eye movement desensitization and reprocessing (EMDR). It is important for individuals with combat disorders to seek medical attention if they are experiencing symptoms, as early treatment can help to improve outcomes and reduce the risk of long-term complications.
Examples of Combat Disorders
Some examples of combat disorders include:
1. Post-traumatic stress disorder (PTSD): This condition can develop after an individual experiences a traumatic event, such as combat or sexual assault. Symptoms may include flashbacks, nightmares, anxiety, and avoidance of triggers that remind the individual of the traumatic event.
2. Anxiety disorders: These conditions can cause excessive worry, fear, or anxiety that interferes with daily life. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder.
3. Depression: This condition can cause feelings of sadness, hopelessness, and a loss of interest in activities that were once enjoyed. It can also lead to changes in appetite, sleep patterns, and energy levels.
4. Substance abuse: This can include the misuse of alcohol or drugs as a way to cope with stress or trauma. Substance abuse can have serious consequences for an individual's physical and mental health, relationships, and career.
5. Traumatic brain injury (TBI): This occurs when the brain is injured as a result of a blow or jolt to the head, such as from an explosion or a fall. Symptoms may include memory problems, difficulty with concentration, and changes in mood or behavior.
Effects of Combat Disorders on Individuals and Families
Combat disorders can have a significant impact on individuals and their families. Some of the effects may include:
1. Emotional distress: Combat disorders can cause significant emotional distress, including anxiety, depression, and anger. This can affect not only the individual but also their family members and loved ones.
2. Relationship problems: The symptoms of combat disorders can strain relationships with family and friends, leading to feelings of isolation and loneliness.
3. Career difficulties: Combat disorders can make it difficult for individuals to maintain a career or job, leading to financial stress and instability.
4. Social challenges: The symptoms of combat disorders can make social interactions difficult, leading to feelings of embarrassment and stigma.
5. Health problems: Combat disorders can increase the risk of physical health problems, such as chronic pain, sleep disturbances, and gastrointestinal issues.
6. Financial stress: The cost of treatment and lost income due to career difficulties can lead to financial stress and instability for individuals and their families.
7. Legal issues: Some combat disorders, such as PTSD, may be accompanied by legal issues related to criminal behavior or other forms of self-destructive behavior.
8. Stigma: Combat disorders can carry a stigma, leading to feelings of shame and guilt for individuals and their families.
9. Lack of support: Some combat disorders may not receive sufficient support from society or the medical community, leading to feelings of isolation and neglect.
Treatment Options for Combat Disorders
There are a variety of treatment options available for combat disorders, including:
1. Medications: Medications such as antidepressants and anti-anxiety drugs may be prescribed to help manage the symptoms of combat disorders.
2. Psychotherapy: Talk therapies such as cognitive-behavioral therapy (CBT) and psychodynamic therapy can be effective in treating combat disorders.
3. Group therapy: Group therapy can provide a sense of community and support for individuals with combat disorders.
4. Family therapy: Family therapy can help family members understand the combat disorder and learn how to support their loved one.
5. Alternative therapies: Alternative therapies such as acupuncture, yoga, and meditation may be helpful in managing the symptoms of combat disorders.
6. Residential treatment: In severe cases, residential treatment may be necessary to provide a structured and supportive environment for individuals with combat disorders.
7. Support groups: Joining a support group can provide a sense of community and understanding for individuals with combat disorders.
Combat disorders are a serious issue that can have long-lasting effects on the physical, emotional, and financial well-being of those who serve in the military. It is important to recognize the signs and symptoms of combat disorders and seek treatment as soon as possible. With proper treatment and support, individuals with combat disorders can lead fulfilling lives and achieve their goals.
The symptoms of PTSD can vary widely and may include:
1. Flashbacks or intrusive memories of the traumatic event
2. Nightmares or disturbed sleep
3. Avoidance of people, places, or activities that remind them of the event
4. Hypervigilance or an exaggerated startle response
5. Difficulty concentrating or memory problems
6. Irritability, anger, or other mood changes
7. Physical symptoms such as headaches, stomachaches, or muscle tension
The exact cause of PTSD is not fully understood, but it is thought to involve changes in the brain's response to stress and the release of chemical messengers (neurotransmitters) that help regulate emotions and memory.
PTSD can be diagnosed by a mental health professional using a combination of psychological evaluation and medical history. Treatment for PTSD typically involves therapy, medication, or a combination of both. Therapy may include exposure therapy, cognitive-behavioral therapy (CBT), or other forms of talk therapy. Medications such as selective serotonin reuptake inhibitors (SSRIs) and antidepressants may be used to help manage symptoms.
Prevention is an important aspect of managing PTSD, and this includes seeking support from friends, family, or mental health professionals soon after the traumatic event. Self-care practices such as exercise, meditation, or relaxation techniques can also be helpful in reducing stress and promoting emotional well-being.
The cause of PGS is not well understood and has been the subject of much debate and research. Some theories suggest that it may be related to exposure to chemical weapons, pesticides, or other toxic substances used during the war. Others have suggested that it may be due to stress-related factors, such as deployment in a combat zone and the psychological effects of war.
There is no single definition of PGS, but rather a range of symptoms and conditions that have been observed among Gulf War veterans. The U.S. Department of Veterans Affairs has recognized PGS as a condition that can be service-connected, meaning that it may be eligible for disability compensation for veterans who are affected by the syndrome.
PGS is also known as 'Gulf War Illness' or 'Gulf War Syndrome.' It is important to note that not all military personnel who served in the Gulf War have developed PGS, and the syndrome is not unique to the Gulf War. Similar symptoms have been reported by veterans of other conflicts, as well as by civilians who were exposed to environmental toxins or stressors.
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- A .gov website belongs to an official government organization in the United States. (oregon.gov)
- Founded in 1985, Idaho Parents Unlimited, Inc. (IPUL) is a statewide organization which houses the Idaho Parent Training and Information Center, the Family to Family Health Information Center, Idaho Family Voices, and VSA Idaho, the State Organization on Arts and Disability. (isu.edu)
- On February 28, shortly before Lincoln was sworn in as president, the Provisional Confederate Congress had authorized the organization of a large Provisional Army of the Confederate States (PACS). (wikipedia.org)
- During 2005-2017, U.S. Department of Veterans Affairs medical centers across the United States experienced a sharp decline in S. aureus infections following introduction of a multifaceted infection control intervention. (cdc.gov)
- Clinical microbiology data from any patient admitted to an acute-care VAMC in the United States from 2005 through 2017 and trends in hospital-acquired MRSA colonization were examined. (cdc.gov)
- The purpose of this study is to examine the possible connections between TBI and PTSD, and the signs and symptoms of AD on Veterans as they age. (clinicaltrials.gov)
- The results will have major implications for identifying, subjects at increased risk for AD, a possible need for early detection of AD in military Veterans with histories of TBI and PTSD, and a possible need to employ prevention and treatment measures to avoid accelerated development of AD in US military Veterans. (clinicaltrials.gov)
- According to the National Center for PTSD , a program of the U.S. Department of Veterans Affairs, about six out of every 100 people will experience PTSD at some point in their lives. (nih.gov)
- This new law expands and extends eligibility for care and benefits for Veterans and survivors related to toxic exposures. (va.gov)
- You may also qualify for benefits such as disability compensation or veterans pension , but some of these have additional eligibility requirements, such as length or type of service, service-connected disability rating, age, income threshold, etc. (oregon.gov)
- 20. Eligibility for health care benefits for certain Filipino veterans in the United States. (nih.gov)
- Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. (ahrq.gov)
- An estimated 70% of veterans are overweight or obese, with a body mass index (BMI, in kg/m 2 ) of 25.0 or more, consistent with the prevalence of overweight and obesity among demographically similar nonveterans (1-4). (cdc.gov)
- One recent study reported a pain prevalence rate of 52 percent among 240 Veterans diagnosed with both solid tumors and hematological cancers. (nih.gov)
- The Confederate States Army , also called the Confederate Army or the Southern Army , was the military land force of the Confederate States of America (commonly referred to as the Confederacy) during the American Civil War (1861-1865), fighting against the United States forces to win the independence of the Southern states and uphold and expand the institution of slavery . (wikipedia.org)
- By 2007, all Department of Veterans Affairs medical centers (VAMCs) had initiated a multifaceted methicillin-resistant Staphylococcus aureus (MRSA) prevention program. (cdc.gov)
- In addition to the secret side agreement, the indictment describes a variety of ways in which the JV did not operate as a legitimate SDVOSB, but was essentially controlled by Otero and A&D. For example, although Ramsey (a service-disabled veteran) nominally served as president of Action and the JV, he actually worked full-time for another telecommunications company. (justice.gov)
- Explore VA life insurance options for Veterans, service members, and families. (va.gov)
- Resource website that connects wounded warriors, service members, veterans, their families, and caregivers to programs and services that support them. (oregon.gov)
- Besides the economic burden, the toll of hunger and these diseases disproportionately impact underserved communities, including NIH-designated populations that experience health disparities, people with disabilities, older adults, certain military families, and veterans. (nih.gov)
- 2. Families' perceptions of veterans' distress due to post-traumatic stress disorder-related symptoms at the end of life. (nih.gov)
- 8. Families' perceptions of end-of-life care in Veterans Affairs versus non-Veterans Affairs facilities. (nih.gov)
- Veterans with chronic neurologic conditions living remotely in New Mexico, southern Colorado, eastern Arizona, and western Texas were offered follow-up teleneurology care at 11 rural community-based outpatient clinics following initial evaluation at the Albuquerque, NM, neurology outpatient clinic. (nih.gov)
- 18. Measuring patient satisfaction in the pharmacy specialty immunization clinic: a pharmacist-run Immunization Clinic at the Veterans Affairs San Diego Healthcare System. (nih.gov)
- To improve the care of veterans who are obese and overweight, VA created and disseminated a clinic-based weight management program, the MOVE! (cdc.gov)
- is the largest clinically based weight management program in the United States. (cdc.gov)
- Quality Enhancement Research Initiative in ischemic heart disease: a quality initiative from the Department of Veterans Affairs. (nih.gov)
- 1 Precision Monitoring to Transform Care Quality Enhancement Research Initiative, Health Services Research and Development, Department of Veterans Affairs, Indianapolis, Indiana. (nih.gov)
- Subjects: United States. (nih.gov)
- A 2021 industry report shows that more than 30% of mesothelioma claims come from military veterans. (mesothelioma.com)
- Apply for a printed Veteran ID card, get your VA benefit letters and medical records, and learn how to apply for a discharge upgrade. (va.gov)
- Beginning in 2005, in response to high rates of methicillin-resistant S. aureus (MRSA) infections, the U.S. Department of Veterans Affairs (VA) piloted an MRSA prevention program in 18 VA medical centers (VAMCs). (cdc.gov)
- 2 Health Services Research and Development Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Department of Veterans Affairs, Indianapolis, Indiana. (nih.gov)
- 9 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha. (nih.gov)
- The Veterans Health Administration is in a unique position to deliver specialty care to rural Veterans because it is mandated to deliver medical care to all eligible Veterans regardless of residence. (nih.gov)
- 7. The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development. (nih.gov)
- Researchers at a Veterans Affairs Medical Center and Cogito Corporation sought to explore the feasibility and acceptability of an mHealth app, the Cogito Companion. (jmir.org)
- We extracted data on program involvement, demographics, medical conditions, and outcomes from VA administrative databases in 4 Western states. (cdc.gov)
- Estimates show that in fiscal year 1994 (FY94), 12.5% of outpatients in the Veterans Health Administration (VHA) received diabetes-specific medications, accounted for almost 25% of all VHA pharmacy costs, had a hospitalization rate 1.6 times that of veterans without diabetes, and made 3.6 million outpatient visits to VA clinics. (nih.gov)
- Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. (ahrq.gov)
- Feasibility and acceptability of the Cogito Corporation platform to monitor mental health symptoms, behaviors, and facilitate follow-up in a sample of veterans were supported. (jmir.org)
- Veterans commonly experience symptoms, such as those associated with posttraumatic stress, mood, and anxiety disorders. (jmir.org)
- And find out what you're eligible for as a family member caring for a Veteran with disabilities. (va.gov)
- To evaluate reach, we estimated the percentage of eligible veterans who participated in the program and their representativeness. (cdc.gov)
- Less than 5% of eligible veterans participated, of whom half had only a single encounter. (cdc.gov)
- Army veterans and active-duty personnel may have faced exposure on military bases. (mesothelioma.com)
-  On February 28, 1861, the Provisional Confederate Congress established a provisional volunteer army and gave control over military operations and authority for mustering state forces and volunteers to the newly chosen Confederate president, Jefferson Davis . (wikipedia.org)
- On March 1, 1861, on behalf of the Confederate government, Davis assumed control of the military situation at Charleston, South Carolina , where South Carolina state militia besieged Fort Sumter in Charleston harbor, held by a small U.S. Army garrison. (wikipedia.org)
- By March 1861, the Provisional Confederate Congress expanded the provisional forces and established a more permanent Confederate States Army. (wikipedia.org)
- 1 1 Neurology Service, New Mexico Veterans Affairs Healthcare System , Albuquerque, New Mexico. (nih.gov)
- Learn more about the VA departments that manage our benefit and health care programs. (va.gov)
- Background: While the number of women veterans utilizing VA care is rising, many specialized, gender-specific services (e.g. mammography and prenatal care) are not available within the VA. In these instances, federal law enables the VA to pay for veterans' care at outside facilities when the VA does not offer needed care or on an emergency basis when travel to a VA site would not be feasible. (nih.gov)
- Despite increasing numbers of women veterans relying on outsourced care for gender-specific services, little is known about the quality of non-VA care, perceptions, and experiences of women veterans who utilize such care, or the experiences of VA providers coordinating care. (nih.gov)
- We investigated whether clinical video telehealth technologies can provide quality efficient neurologic follow-up care to Veterans living in the rural southwest United States. (nih.gov)
- Teleneurology to rural Veterans can provide quality neurologic care and overwhelming patient satisfaction and save considerable time and money. (nih.gov)
- This qualitative study of Veterans Affairs primary care physicians demonstrated enthusiasm for using prescription drug monitoring programs to enhance existing efforts to curb the opioid epidemic . (ahrq.gov)
- The Veterans Affairs (VA) health care system is the largest provider of HIV care in the US, providing care for more than 25,000 HIV infected veterans in 2007. (confex.com)
- 1. Important aspects of end-of-life care among veterans: implications for measurement and quality improvement. (nih.gov)
- 6. Increasing access and quality in Department of Veterans Affairs care at the end of life: a lesson in change. (nih.gov)
- 10. Tailoring VA primary care to women veterans: association with patient-rated quality and satisfaction. (nih.gov)
- 11. Veterans' access to and use of Medicare and Veterans Affairs health care. (nih.gov)
- 16. Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York. (nih.gov)
- 19. Use of VA health care services by women veterans: findings from a national sample. (nih.gov)
- Although not all veterans seek care at Veterans Health Administration facilities [ 3 ], one recent study [ 4 ], using data from the 2012-2014 National Survey on Drug Use and Health, found that 34% of veterans with any mental illness had received at least one form of mental health treatment in the preceding 12 months. (jmir.org)
- We must expand and accelerate our potential to address the problems of inadequate symptom management and palliative care among diverse populations in the United States. (nih.gov)
- ODVA, as well as certified veteran service officers located throughout the state, can help you and your family navigate the complex landscape of veterans' benefits and identify all the programs and services available to you. (oregon.gov)
- and any additional officers or employees of the United States as the Secretary determines necessary for the Council to effectively carry out its functions. (nih.gov)
- In NHIS, a special diabetes supplement was administered the United States, the full extent of the diabetic foot to everyone who indicated they had physician-diag- problem is unknown, since this heterogeneous pa- nosed diabetes. (nih.gov)
- Members of the Air Force and Air Force veterans may have been exposed to asbestos through aircraft parts or base facilities . (mesothelioma.com)
Health and Huma1
- The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. (cdc.gov)
- 4 Department of Medicine, Indiana University School of Medicine, Indianapolis. (nih.gov)
- He had also been a United States senator from Mississippi and U.S. Secretary of War under President Franklin Pierce . (wikipedia.org)
- I am qualified to present because as Principal Investigator, I have oversight of a variety of implementation projects within the US Department of Veterans Affairs. (confex.com)
- The Department of Veterans Affairs (VA) offers comprehensive speech-language pathology services to veterans and service members. (nih.gov)
- Supporting permanency planning for children through innovative programs and relationship building with state welfare agencies and community partners. (isu.edu)
- Apply for vocational rehabilitation services, get support for your Veteran-owned small business, and access other career resources. (va.gov)
- The appearance of external hyperlinks does not constitute endorsement by the Oregon Department of Veterans' Affairs of the linked web sites, or the information, products or services contained therein. (oregon.gov)
- Thus, many HIV-positive veterans are diagnosed later in the disease, negatively impacting health outcomes as well as increased VA costs related to late treatment entry. (confex.com)
- SAN DIEGO, CA - Owners of local construction and telecommunications companies were arraigned in federal court today on charges that they fraudulently obtained more than $11 million in federal contracts specifically set aside for service-disabled veteran-owned businesses. (justice.gov)
- For example, the side agreement said the parties created the JV so that A&D could simply "use the Disabled Veteran Status of Action Telecom" to bid on contracts. (justice.gov)
- The information collected will help to learn more about how these injuries may affect Veterans of the Vietnam War as they grow older, as well as Veterans of the current wars in Iraq and Afghanistan, who also have these types of combat related injuries. (clinicaltrials.gov)
- 4. Nationwide veterans affairs quality measure for cancer: the family assessment of treatment at end of life. (nih.gov)
- United States occur in people with diagnosed diabe- tes, who represent only 3% of the U.S. population. (nih.gov)
- In the United States, this is the most common way that people get hepatitis C. (medlineplus.gov)
- This includes combat veterans and people who have experienced or witnessed a physical or sexual assault, abuse, an accident, a disaster, or other serious events. (nih.gov)
- You may also call the Florida Veterans Support Line at 1-844-MyFLVet (1-844-693-5838) or dial 211. (floridavets.org)
- This study is a first step toward a larger, more comprehensive study of dementia risk factors in Veterans. (clinicaltrials.gov)
- Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. (ahrq.gov)
- Delivery of specialty healthcare to rural citizens in the United States remains largely unmet. (nih.gov)