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Friday, May 18, 2012
Welcome!
Blog Community
We Would Be Remiss to Dismiss Metaphoric Experiences!
May, 09
Avatars That Look Like You and Healthy Behaviors
Apr, 24
Welcome to Our Blog!
Apr, 17
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Featured Topic
Diabetes
Homeless Aid Project, Sexual Assault Response Reform, and More
The Effect of Colestipol on Glycemic Control in Patients With Type 2 Diabetes
Should We Care Whether Statins Cause Diabetes?
Exercise Plus Virtual Reality, Metabolic Syndrome, and Enteral Feeding in Acute Lung Injury
A Shared Diabetes Clinic at a Veterans Affairs Medical Center
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05/19/12- 05/26/12
Comprehensive Dentistry
Seattle, Washington
05/19/12- 05/19/12
Neurology Update 2012: Practical Information for the Primary Care Provider
Sacramento, California
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
05/22/12- 05/24/12
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Practitioner Forum
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...
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Feature Article
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...
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Feature Article
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...
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Case in Point
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....
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Editor’s Pick
Audiocast
Best of the May 2012 Issue
Editor-in-Chief James V. Felicetta, MD, comments and summarizes the May 2012 issue. ...
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Guest Editorial
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...
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The Latest
Biweekly News Update
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...
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Guest Editorial
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
Case in Point
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...
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Feature
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
Practitioner Forum
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
Drug Monitor
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...
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Web Exclusive-Drug Monitor
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 ...
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Feature
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 ...
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Clinical Digest
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....
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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...
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Federal Health Matters
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 ...
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Meetings & Events
Meetings & Events
Featurign the Metabolic and Endocrine Disease Summit (MEDS)...
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Web Sitings
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...
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Reader Feedback
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 ...
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Online Exclusive
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. ...
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Patient Resources
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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...
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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.
Digital Edition
Special Needs of Menopausal Women in the Federal Health Care System
Staropoli C, Gunter JA, Lucas P, Wilson C.
Digital Edition with Audio Clips
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.
Digital Edition
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.
Digital Edition with Audio Clips
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
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
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Best of the May 2012 Issue
Editor-in-Chief James V. Felicetta, MD, comments on and summarizes the May 2012 issue....
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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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Brain Stimulation Improves Brain Function in Alzheimer Disease
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