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https://www.readbyqxmd.com/read/29747919/temporal-trends-in-coronary-angiography-and-percutaneous-coronary-intervention-insights-from-the-va-clinical-assessment-reporting-and-tracking-program
#1
Stephen W Waldo, Madhura Gokhale, Colin I O'Donnell, Mary E Plomondon, Javier A Valle, Ehrin J Armstrong, Richard Schofield, Stephan D Fihn, Thomas M Maddox
OBJECTIVES: The aim of this study was to evaluate temporal trends in characteristics and outcomes among patients referred for invasive coronary procedures within a national health care system for veterans. BACKGROUND: Coronary angiography and percutaneous coronary intervention remain instrumental diagnostic and therapeutic interventions for coronary artery disease. METHODS: All coronary angiographic studies and interventions performed in U...
May 14, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29745358/assessing-a-national-collaborative-program-to-prevent-catheter-associated-urinary-tract-infection-in-a-veterans-health-administration-nursing-home-cohort
#2
Sarah L Krein, M Todd Greene, Beth King, Deborah Welsh, Karen E Fowler, Barbara W Trautner, David Ratz, Sanjay Saint, Gary Roselle, Marla Clifton, Stephen M Kralovic, Tina Martin, Lona Mody
OBJECTIVECollaborative programs have helped reduce catheter-associated urinary tract infection (CAUTI) rates in community-based nursing homes. We assessed whether collaborative participation produced similar benefits among Veterans Health Administration (VHA) nursing homes, which are part of an integrated system.SETTINGThis study included 63 VHA nursing homes enrolled in the "AHRQ Safety Program for Long-Term Care," which focused on practices to reduce CAUTI.METHODSChanges in CAUTI rates, catheter utilization, and urine culture orders were assessed from June 2015 through May 2016...
May 10, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29730491/default-mode-network-abnormalities-in-posttraumatic-stress-disorder-a-novel-network-restricted-topology-approach
#3
Teddy J Akiki, Christopher L Averill, Kristen M Wrocklage, J Cobb Scott, Lynnette A Averill, Brian Schweinsburg, Aaron Alexander-Bloch, Brenda Martini, Steven M Southwick, John H Krystal, Chadi G Abdallah
Disruption in the default mode network (DMN) has been implicated in numerous neuropsychiatric disorders, including posttraumatic stress disorder (PTSD). However, studies have largely been limited to seed-based methods and involved inconsistent definitions of the DMN. Recent advances in neuroimaging and graph theory now permit the systematic exploration of intrinsic brain networks. In this study, we used resting-state functional magnetic resonance imaging (fMRI), diffusion MRI, and graph theoretical analyses to systematically examine the DMN connectivity and its relationship with PTSD symptom severity in a cohort of 65 combat-exposed US Veterans...
May 3, 2018: NeuroImage
https://www.readbyqxmd.com/read/29723021/promising-practices-in-vocational-services-for-the-community-reintegration-of-returning-veterans-the-individual-placement-and-support-model-and-beyond
#4
Nancy J Wewiorski, Jay A Gorman, Arielle A J Scoglio, Seiya Fukuda, Erin Reilly, Lisa Mueller, Maureen O'Connor, Walter E Penk, Charles E Drebing
Supporting returning veterans' job-seeking, hiring, and retention issues has become an essential goal for effective community reintegration. Given both the particular strengths and challenges associated with veterans transitioning from military to civilian life, multiple models for supported employment have become integrated into Veterans Affairs health care facilities across the nation. In this article, we review the state of vocational rehabilitation for veterans, with a particular focus on individual placement and support-supported employment (IPS-SE), the current vocational services model that is considered the gold standard of vocational rehabilitation...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29723015/using-peer-support-groups-to-enhance-community-integration-of-veterans-in-transition
#5
Charles E Drebing, Erin Reilly, Kevin T Henze, Megan Kelly, Anthony Russo, John Smolinsky, Jay Gorman, Walter E Penk
Peer support groups, also known as "self-help groups," provide a unique tool for helping veterans working through the military-to-civilian transition to achieve higher levels of social support and community integration. The number and variety of community-based peer support groups has grown to the point that there are now more visits to these groups each year than to mental health professionals. The focus of these groups on the provision of social support, the number and variety of groups, the lack of cost, and their availability in the community make them a natural transition tool for building community-based social support...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29723014/psychosocial-approaches-to-improving-the-military-to-civilian-transition-process
#6
Nathan D Ainspan, Walter Penk, Lisa K Kearney
This special issue of Psychological Services provides a glimpse of some of the most recent work in the arena of psychosocial interventions for military service members who are reintegrating into civilian society and becoming veterans. The psychological effects that can occur as members go through the military-to-civilian transition as they leave the military have been extensively recorded and treated. While psychosocial interventions have been utilized throughout history, we are seeing a new interest and recent renaissance in their use...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29588123/home-health-services-are-not-required-for-select-total-hip-arthroplasty-candidates-assessment-and-supplementation-with-an-electronic-recovery-application
#7
Roy I Davidovitch, Afshin A Anoushiravani, James E Feng, Kevin K Chen, Raj Karia, Ran Schwarzkopf, Richard Iorio
BACKGROUND: At our institution, all postoperative total hip arthroplasty (THA) candidates have received home health services (HHS), consisting of visiting nurses, physical and occupational therapists. However, with a more technologically inclined patient population, electronic patient rehabilitation applications (EPRAs) can be used to deliver perioperative care at the comfort of the patient's home. The aim of this study is to investigate the clinical utility and economic burden associated with digital rehabilitation applications in primary THA recipients...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29540119/primary-care-mental-health-integration-in-the-veterans-affairs-health-system-program-characteristics-and-performance
#8
Brittany L Cornwell, Laurie M Brockmann, Elaine C Lasky, Jennifer Mach, John F McCarthy
OBJECTIVES: The Veterans Health Administration (VHA) has achieved substantial national implementation of primary care-mental health integration (PC-MHI) services. However, little is known regarding program characteristics, variation in characteristics across settings, or associations between program fidelity and performance. This study identified core elements of PC-MHI services and evaluated their associations with program characteristics and performance. METHODS: A principal-components analysis (PCA) of reports from 349 sites identified factors associated with PC-MHI fidelity...
March 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29532466/academic-detailing-with-provider-audit-and-feedback-improve-prescribing-quality-for-older-veterans
#9
Ann E Vandenberg, Katharina V Echt, Lawanda Kemp, Gerald McGwin, Molly M Perkins, Anna K Mirk
Suboptimal prescribing persists as a driver of poor quality care of older veterans and is associated with risk of hospitalization and emergency department visits. We adapted a successful medication management model, Integrated Management and Polypharmacy Review of Vulnerable Elders (IMPROVE), from an urban geriatric specialty clinic to rural community-based clinics that deliver primary care. The goals were to promote prescribing quality and safety for older adults, including reduced prescribing of potentially inappropriate medications (PIMs)...
March 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29488873/description-normative-data-and-utility-of-the-hearing-aid-skills-and-knowledge-test
#10
Gabrielle H Saunders, Charlotte Morse-Fortier, Daniel J McDermott, Jay J Vachhani, Leslie D Grush, Susan Griest, M Samantha Lewis
BACKGROUND: The ability to manage hearing aids is crucial for successful outcomes and for maintaining hearing aid use. It is therefore important to have a tool that can effectively identify which hearing aid management skills are lacking so that the audiologist can provide additional education and training on that skill. Such a tool can also provide useful quantitative data for researchers. PURPOSE: To collect normative data (Experiment 1) and assess inter- and intrarater reliability (Experiment 2) for a hearing aid management assessment tool known as the Hearing Aid Skills and Knowledge (HASK) test...
March 2018: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/29486957/clinical-and-cognitive-correlates-of-unsheltered-status-in-homeless-persons-with-psychotic-disorders
#11
Katiah Llerena, Sonya Gabrielian, Michael F Green
Homeless persons with psychosis are particularly susceptible to unsheltered homelessness, which includes living on the streets, in cars, and other places not meant for human habitation. Homeless persons with psychosis have distinct barriers to accessing care and comprise a high-need and hard-to-serve homeless subpopulation. Therefore, this study sought to understand unsheltered homelessness in persons with psychosis and its relationship to cognitive impairment, clinical symptoms, and community functioning, examined both categorically and dimensionally...
February 24, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29416203/affective-and-cognitive-conditions-are-stronger-predictors-of-success-with-community-reintegration-than-gait-and-balance-performance-in-veterans-with-mild-traumatic-brain-injury
#12
Azadeh Leland, Kamran Tavakol, Joel Scholten, Alex V Libin, Debra Mathis, David Maron, Simin Bakhshi
Introduction: Optimal community reintegration is an integral part of the clinical management of patients with mild traumatic brain injury. Background/Objective: We sought the contribution and inter-relation of such variables as balance, executive function, and affective regulation to the community reintegration of veterans with mTBI. Methods: We examined the statistical relationship among the above variables by conducting a series of objective evaluations to assess the balance, gait, executive function, affective regulation, and scores representing the patients' issues with community reintegration...
December 2017: Medical Archives
https://www.readbyqxmd.com/read/29407545/exploring-cross-lagged-associations-between-spiritual-struggles-and-risk-for-suicidal-behavior-in-a-community-sample-of-military-veterans
#13
Joseph M Currier, Ryon C McDermott, Wesley H McCormick, Marc C Churchwell, Lori Milkeris
BACKGROUND: There is consensus that struggles with religious faith and/or spirituality likely contribute to risk for suicidal behavior in military populations. However, a lack of longitudinal information has limited the ability to clarify the temporal associations between these variables. METHODS: This study examined cross-lagged associations between key types of spiritual struggles (divine, morality, ultimate meaning, interpersonal relations, and doubting) and indices of risk for suicidal behavior (suicidal ideation and probability of future attempt) in a community sample of veterans who completed assessments spaced apart by six months...
April 1, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29393522/derivation-and-validation-of-a-clostridium-difficile-infection-recurrence-prediction-rule-in-a-national-cohort-of-veterans
#14
Kelly R Reveles, Eric M Mortensen, Jim M Koeller, Kenneth A Lawson, Mary Jo V Pugh, Sarah A Rumbellow, Jacqueline R Argamany, Christopher R Frei
STUDY OBJECTIVE: Prior studies have identified risk factors for recurrent Clostridium difficile infection (CDI), but few studies have integrated these factors into a clinical prediction rule that can aid clinical decision-making. The objectives of this study were to derive and validate a CDI recurrence prediction rule to identify patients at risk for first recurrence in a national cohort of veterans. DESIGN: Retrospective cohort study. DATA SOURCE: Veterans Affairs Informatics and Computing Infrastructure...
March 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29369660/posttraumatic-stress-disorder-and-interpersonal-process-in-homeless-veterans-participating-in-a-peer-mentoring-intervention-associations-with-program-benefit
#15
Elizabeth E Van Voorhees, Linda Resnik, Erin Johnson, Thomas O'Toole
Homelessness among veterans has dropped dramatically since the expansion of services for homeless veterans in 2009, and now engaging homeless veterans in existing programs will be important to continuing to make progress. While one promising approach for engaging homeless veterans in care is involving peer mentors in integrated services, posttraumatic stress disorder (PTSD) may diminish the effects of peer mentorship. This mixed methods study examined how interpersonal and emotional processes in homeless veterans with and without PTSD impacted their capacity to engage in relationships with peer mentors...
January 25, 2018: Psychological Services
https://www.readbyqxmd.com/read/29363176/differences-in-perceptions-of-and-practices-regarding-treatment-of-alcohol-use-disorders-among-va-primary-care-providers-in-urban-and-rural-clinics
#16
Jessica P Young, Carol E Achtmeyer, Kara M Bensley, Eric J Hawkins, Emily C Williams
BACKGROUND: Effective behavioral and pharmacological treatments are available and recommended for patients with alcohol use disorders (AUD) but rarely received. Barriers to receipt and provision of evidence-based AUD treatments delivered by specialists may be greatest in rural areas. METHODS: A targeted subanalysis of qualitative interview data collected from primary care providers at 5 Veterans Affairs clinics was conducted to identify differences in provider perceptions and practices regarding AUD treatment across urban and rural clinics...
January 23, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29284994/the-role-of-dual-tasking-in-the-assessment-of-gait-cognition-and-community-reintegration-of-veterans-with-mild-traumatic-brain-injury
#17
Azadeh Leland, Kamran Tavakol, Joel Scholten, Debra Mathis, David Maron, Simin Bakhshi
Background: This study focussed on the effect of dual versus single tasking on balance, gait and cognition in veterans with mild traumatic brain injury (mTBI). We examined the correlation between these parameters, with responses to questions on community reintegration activities. Method: 22 male and female veterans (aged 19-65) walked along a narrow and 6.1-meter long path, both at their self-selected and fastest but safe pace under single and dual tasking conditions...
December 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29200329/medical-legal-partnerships-at-veterans-affairs-medical-centers-improved-housing-and-psychosocial-outcomes-for-vets
#18
Jack Tsai, Margaret Middleton, Jennifer Villegas, Cindy Johnson, Randye Retkin, Alison Seidman, Scott Sherman, Robert A Rosenheck
Medical-legal partnerships-collaborations between legal professionals and health care providers that help patients address civil legal problems that can affect health and well-being-have been implemented at several Veterans Affairs (VA) medical centers to serve homeless and low-income veterans with mental illness. We describe the outcomes of veterans who accessed legal services at four partnership sites in Connecticut and New York in the period 2014-16. The partnerships served 950 veterans, who collectively had 1,384 legal issues; on average, the issues took 5...
December 2017: Health Affairs
https://www.readbyqxmd.com/read/29042341/pain-self-management-for-veterans-development-and-pilot-test-of-a-stage-based-mobile-optimized-intervention
#19
Sara S Johnson, Deborah A Levesque, Lynne E Broderick, Dustin G Bailey, Robert D Kerns
BACKGROUND: Chronic pain is a significant public health burden affecting more Americans than cardiovascular disease, diabetes, and cancer combined. Veterans are disproportionately affected by chronic pain. Among previously deployed soldiers and veterans, the prevalence of chronic pain is estimated between 44% and 60%. OBJECTIVE: The objective of this research was to develop and pilot-test Health eRide: Your Journey to Managing Pain, a mobile pain self-management program for chronic musculoskeletal pain for veterans...
October 17, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29017375/hiv-nurse-navigation-charting-the-course-to-improve-engagement-in-care-and-hiv-virologic-suppression
#20
Octaviana Hemmy Asamsama, Leah Squires, Alpha Tessema, Ephrem Rae, Karen Hall, Rush Williams, Debra Benator
This study represents one of the few exploring the effectiveness of an integrated HIV nurse navigation program on engagement and virologic outcomes. A navigator provided individualized care management (eg, pillbox renewals), intensive outreach, and collaboration with existing support systems (eg, families, community programs). Clinical data from the Veterans Affairs (VA) Medical Center site of a longitudinal, observational study of HIV in the District of Columbia (DC) cohort were used for comparison (N = 706)...
November 2017: Journal of the International Association of Providers of AIDS Care
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