Friday, May 18, 2012

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Breaking News

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Upcoming Events

05/19/12- 05/26/12
Comprehensive Dentistry
Seattle, Washington


05/21/12- 05/25/12
Cardiology Update for Primary Care
Sarasota, Florida

05/21/12- 05/25/12
39th Annual UCLA Family Medicine Refresher Course
Los Angeles, California


More Meetings & Events

 
 

Practitioner Forum

Try Abiding Instead of Hiding: An Approach to End-of-Life Care

Try Abiding Instead of Hiding: An Approach to End-of-Life Care

As a certified geriatric, hospice, and palliative care nurse practitioner, I’m required to do quality-of-life (QOL) gatherings and palliative care rounds. These gatherings and rounds focus on palliation, palliative care education, and symptom... More

Feature Article

Diagnosis, Treatment, and Monitoring of the Patient With REM Sleep Behavior Disorder

Diagnosis, Treatment, and Monitoring of the Patient With REM Sleep Behavior Disorder

Rapid eye movement (REM) sleep behavior disorder (RBD) is a complex, difficult condition that occurs with dreaming during the REM sleep stage. Other disorders may mimic RBD, making its diagnosis difficult... More

Feature Article

Clinical Pharmacy Specialists Help Achieve an LDL-Cholesterol Performance Goal in Veterans With Diabetes

Clinical Pharmacy Specialists Help Achieve an LDL-Cholesterol Performance Goal in Veterans With Diabetes

According to the American Diabetes Association (ADA), an estimated 25.8 million Americans have type 2 diabetes mellitus (DM), which accounts for 8.3% of the U.S. population.(1) The prevalence of type 2 DM in the VA population is substantially... More

Case in Point

Hepatocellular Carcinoma: To Biopsy or Not?

Hepatocellular Carcinoma: To Biopsy or Not?

Hepatocellular carcinoma (HCC) accounts for 90% of all primary liver cancers and is the third leading cause of cancer-related mortality. Although HCC is often deadly, it is potentially curable if diagnosed at an early stage.... More
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Editor’s Pick

Best of the May 2012 Issue
Editor-in-Chief James V. Felicetta, MD, comments and summarizes the May 2012 issue. ... More

The Sacred Art of Medical Teaching by William R. Finch, MD
Many of us spoke these noble words on graduation from medical school as part of the original Hippocratic oath. Most students probably forgot them rather quickly in the heady days of graduation and at the start of their internship, if indeed they... More
 

The Latest

Brain Stimulation Improves Brain Function in Alzheimer Disease
(HealthDay News) -- Deep brain stimulation can improve brain connectivity and function in patients with mild Alzheimer disease, and having a greater purpose in life reduces the effect of Alzheimer diseasepathology on cognitive function, accord... More

The Sacred Art of Medical Teaching
Many of us spoke these noble words on graduation from medical school as part of the original Hippocratic oath. Most students probably forgot them rather quickly in the heady days of graduation and at the start of their internship, if indeed the... More

High-Speed Hyponatremia: Exercise-Associated Hyponatremia in a Young Male Soldier
A 26-year-old male soldier in advanced individual training lost consciousness and experienced an acute mental status change during a long march on a warm day. He was found to be acutely hyponatremic with an elevated core body temperature. He wa... More

The Effect of Colestipol on Glycemic Control in Patients With Type 2 Diabetes
Diabetes mellitus is a complex disease, characterized by hyperglycemia, and can be associated with abnormalities in fat, carbohydrates, and protein metabolism that result from defects in insulin secretion, insulin action, or both. ... More

Try Abiding Instead of Hiding: An Approach to
End-of-Life Care
As a certified geriatric, hospice, and palliative care nurse practitioner, Im required to do quality-of-life (QOL) gatherings and palliative care rounds. These gatherings and rounds focus on palliation, palliative care education, and symptom ma... More

Timing IG Therapy, A Safe Choice for OA Pain
Guidelines recommend that interventions included in the resuscitation bundles used to treat septic patients are timely, but what constitutes timely is difficult to establish, given that the onset of sepsis and septic shock may be hard to determ... More

Joint Injections Don’t Raise Bleeding Risk
It isnt necessary to reduce the level of anticoagulation before joint injections and aspiration, say researchers from the Regions Hospital in St. Paul, Minnesota, and the University of Minnesota in Minneapolis, Minnesota. The procedures can be ... More

Optimizing Office Blood Pressure Measurement at a VAMC
Hypertension (HTN), the dominant contributor to global mortality, affects 29% of U.S. adults, 60% of Americans aged > 60 years, and more than 60% of patients in the VHA system.1-3 Among treated patients with HTN, only 69% nationally and 75% in ... More

Job Stress and Dementia?, Stress Hyperglycemia
Job stress can do more than lead to burnout-it may raise the risk of later dementia and Alzheimer disease (AD), according to researchers from the Karolinska Institutet and Stockholm University, Stockholm, Sweden.... More

Nutritional Support Benefits Elderly Outpatients

Web Exclusive-Clinical Digest

Nutritional Support Benefits Elderly Outpatients

Providing elderly patients with extended nutritional support after theyre discharged from the hospital can have both health and economic benefits, according to a 3-month study by researchers at the VU University Medical Center in, Amsterdam, Th... More

Homeless Aid Project, Sexual Assault Response Reform, and More
In March 2012, VA announced a contest where developers are challenged to create easy, mobile access to resources that the homeless need. This contest taps the talent and compassion of the nations developer community, said Secretary of Veterans ... More

Meetings & Events

Meetings & Events

Meetings & Events

Featurign the Metabolic and Endocrine Disease Summit (MEDS)... More

Online Insurance Info, Online Weight Loss Info, and Online PTSD Support
The site http://www.healthcare.gov explains how users can take their health insurance needs into their own hands. The Find Insurance Options tab leads to a page where users choose the state they live in and the population demographic (ie, pregn... More

Embedding Specialty Services Into Primary Care
Drs. Hoffman and von Zabern have described an innovative model for integrating specialty care into a primary care setting.1 ... More

New-Onset Psychosis: Check Caffeine Use
Caffeine belongs to the xanthine chemical group and its stimulant effects are the result of its competitive antagonism on adenosine receptors A1 and A2A in the CNS. ... More
 

Patient Resources

Living With Multiple Sclerosis

If you receive a diagnosis of multiple sclerosis (scluh-roe-sis) (MS), living with this lifelong disease may require lifestyle changes. MS is a disease that causes the nerve's myelin coating to become inflamed and eaten away in patches. When th... More
 

Sponsored Programs

Type 2 Diabetes: Optimizing Patient Outcomes in the Federal Health Care System

Felicetta JV, Shivaswamy V, DeSouza CV, Reusch JEB, Wang CCL, Hobbs CJ, Unger J.


Clinical Advances in Oncology

Mahmoud F, Mehta P, Marr A, Silva E, Silberstein PT, Ganti AK, Klein M, Easton E, Gajra A, Huang C, Keefe S, Kelley MJ, Salama JK, Aytaman A, Aquino TA, Serafini FM, Leaf A, Somrov S, Beal A, Daratsos L, Kaufman M, Melis M, Vaena D, Vithala M, Oluwole O, Goodman SA, Haggstrom DA, Latini DM, Ballard EA, Moye J.

Managing Hepatitis C in the VA Health Care System

Durfee JM, Czarnogorski M, Backus LI, Mole L, Truong H, Belperio P, Smith JP, Ho SB, Sklar M, Groessl EJ, Fox RK, Taddei T, Garcia-Tsao G, Ross D, Beste L, Dieperink E, Downey K, Monto A, Dursa E, Gibert C.

Type 2 Diabetes: Optimizing Patient Outcomes in the Federal Health Care System

War on Pain: New Strategies in Pain Management for Military Personnel and Veterans

War on Pain: New Strategies in Pain Management for Military Personnel and Veterans

Buckenmaier CC, Gallagher RM, Cahana A, Clark ME, Avery Davis S, Brandon-Edwards H, Griffith S, Houston JS, Jankovich E, Kurihara C, Mackey S, Murphy Rupprecht C, Spevak C
 

Multimedia

FEATURED AUDIO

Best of the May 2012 Issue

Editor-in-Chief James V. Felicetta, MD, comments on and summarizes the May 2012 issue.... More
 
 

Digital Directory

Access the NEW 2012 DIGITAL Directory

The Federal Practitioner 2012 Directory of VA and DoD Health Care Facilities digital edition is now available—FREE access for all who receive the journal and register here.
 

Federal Marketing Guide

Purchase a Copy of the 2011 Federal Marketing Guide

The biannual Federal Marketing Guide, is a specially published educational booklet, describes pharmacy practices and related terminology for the Veterans Health Administration, the Military Health System, and the Indian Health System. A single copy of the Federal Marketing Guide sells for $15.00 plus $2.95 for shipping and handling. For bulk orders, email Peter DeYoe at fedpracpublisher@qhc.com.
 

Upcoming Articles

  • Focus on Capabilities Not Disabilities: Sports and Recreation for the Blind and Visually Impaired Service Member and Veteran
  • The Effects of a Formulary Conversion From Glipizide Sustained-Release to Glipizide Immediate-Release
  • Burn Scar Carcinoma: Diagnosis and Management of Patients With Marjolin’s Ulcer
  • Amyotrophic Lateral Sclerosis, Nutrition, and Feeding Tube Placement
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