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Journal articles on the topic 'Boland Department of Veterans Affairs Medical Center'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2025

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1

Boland, Elaine, Christine Ramsey, Jennifer Goldschmied, and Philip Gehrman. "745 Association of Longitudinal Sleep Profiles with Cognitive Functioning in Bipolar Disorder." Sleep 44, Supplement_2 (2021): A290—A291. http://dx.doi.org/10.1093/sleep/zsab072.742.

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Abstract Introduction Emerging evidence suggests that some cognitive deficits in bipolar disorder may be attributed to sleep disturbance. However, current findings are limited by cross sectional analyses or longitudinal studies with sparse follow up on sleep quality. The current study examined longitudinal profiles of sleep as predictors of cognitive performance across a series of domains to better understand how sleep disturbance may impact in bipolar patients. Methods 241 bipolar disorder and 103 control participants had their sleep measured at baseline, 6- and 12-months using the Pittsburgh

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Nichols, Linda. "Reader's Comments on "Practicing Medical Anthropology at a Veterans Administration Medical Center"." Practicing Anthropology 36, no. 1 (2014): 48. http://dx.doi.org/10.17730/praa.36.1.x585785825154526.

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As an anthropologist in the Department of Veterans Affairs (VA) for the past 30 years, I read with some concern the article in the latest issue of Practicing Anthropology, "Practicing Medical Anthropology at a Veterans Administration Medical Center: An Investigation of the Health Care Experiences of WWII-Era Veterans" by Dr. Denver Lewellen (Practicing Anthropology 35[3]:44-48).

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Byrne, Thomas, Lara Troszak, Amanda M. Midboe, et al. "A Novel Measure to Assess Variation in Hepatitis C Prevalence Among Homeless and Unstably Housed Veterans, 2011-2016." Public Health Reports 134, no. 2 (2019): 126–31. http://dx.doi.org/10.1177/0033354918821071.

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We constructed a novel measure of homelessness to examine differences in hepatitis C virus (HCV) prevalence across 3 categories of unstably housed and homeless veterans and across US Department of Veterans Affairs Medical Center facilities. We used Veterans Affairs administrative data to classify a cohort of 434 240 veterans as at risk of homelessness, currently homeless, or formerly homeless, and we examined variation in HCV prevalence by using descriptive measures and mixed-effect logistic regression models. HCV prevalence was highest among veterans who were formerly homeless (16.7%; 32 490

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Der-Martirosian, Claudia, Anne R. Griffin, Karen Chu, and Aram Dobalian. "Telehealth at the US Department of Veterans Affairs after Hurricane Sandy." Journal of Telemedicine and Telecare 25, no. 5 (2018): 310–17. http://dx.doi.org/10.1177/1357633x17751005.

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Background Like other integrated health systems, the US Department of Veterans Affairs has widely implemented telehealth during the past decade to improve access to care for its patient population. During major crises, the US Department of Veterans Affairs has the potential to transition healthcare delivery from traditional care to telecare. This paper identifies the types of Veterans Affairs telehealth services used during Hurricane Sandy (2012), and examines the patient characteristics of those users. Methods This study conducted both quantitative and qualitative analyses. Veterans Affairs a

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Kerwick, Kit, Nancy Hilyard, Judith Schnack, Kathryn St. Morris, Cathy Verkaaik, and Martha Wiley. "ON THE SCENE: Department of Veterans Affairs Medical Center, San Diego, California." Nursing Administration Quarterly 19, no. 3 (1995): 45–73. http://dx.doi.org/10.1097/00006216-199501930-00009.

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6

Mirvis, David M., Leslie A. Ingram, Anne Osborne Kilpatrick, and Sandra Magnetti. "Medical School Affiliations With Department of Veterans Affairs Medical Centers: Attitudes of Medical Center Leadership." American Journal of the Medical Sciences 308, no. 3 (1994): 162–66. http://dx.doi.org/10.1097/00000441-199409000-00007.

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Markley, John Daniel, Leroy Vaughan, Michael Stevens, and Matthew Hitchcock. "Outpatient Fluoroquinolone Medication Use Evaluation at an Academic Veterans Affairs Medical Center." Infection Control & Hospital Epidemiology 41, S1 (2020): s341—s342. http://dx.doi.org/10.1017/ice.2020.953.

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Background: Fluoroquinolones (FQs) are one of the most commonly prescribed antibiotic classes in the United States. In recent years, their widespread use has come under heightened scrutiny due potential adverse drug reactions including risks of mental health side effects, serious blood sugar disturbances, and Food and Drug Administration (FDA) black-box warnings for tendinopathy, aortic aneurysm, and dissection. These warnings prompted the Department of Veterans Affairs Pharmacy Benefits Management Service to perform a nationwide FQ utilization review, which identified our facility for potenti

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Stajduhar, Peter, Janet A. Deneselya, Mathikere Rajachar, Gerhard Werner, David W. Kennard, and James M. Klingensmith. "Alternative Tertiary Care Pathways for a Rural Department of Veterans Affairs Medical Center." American Journal of Medical Quality 11, no. 3 (1996): 146–50. http://dx.doi.org/10.1177/0885713x9601100306.

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Washington, Donna L., Cindy Caffrey, Caroline Goldzweig, Barbara Simon, and Elizabeth M. Yano. "Availability of comprehensive women’s health care through Department of Veterans Affairs Medical Center." Women's Health Issues 13, no. 2 (2003): 50–54. http://dx.doi.org/10.1016/s1049-3867(02)00195-0.

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Harper, Richard J., and Greg C. Larsen. "Chest pain management at the Portland, Oregon Veterans Affairs medical center emergency department." ACC Current Journal Review 4, no. 3 (1995): 62–65. http://dx.doi.org/10.1016/1062-1458(95)99059-a.

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Blazy, Christopher, Andrew Siler, Chana Engelman, and Paul Kim. "Increasing Influenza Vaccinations Within the Emergency Department of a Veterans Affairs Medical Center." American Journal of Medical Quality 38, no. 2 (2023): 105–6. http://dx.doi.org/10.1097/jmq.0000000000000109.

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Schirmer, Patricia L., Renee C. Mercier, Russell A. Ryono, et al. "Comparative Assessment of Antimicrobial Usage Measures in the Department of Veterans Affairs." Infection Control & Hospital Epidemiology 33, no. 4 (2012): 409–11. http://dx.doi.org/10.1086/664759.

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We compared 2 data sources—antimicrobial orders and bar-coded medication administration (BCMA)—for calculating the number of grams used, grams used based on defined daily dose, and days of therapy at one Veterans Affairs Medical Center for 2009-2010. The number of grams used calculated from BCMA data provided the most informative antimicrobial utilization measure.

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Youngblood, Norman E., and Michael Brooks. "Website Accessibility: U.S. Veterans Affairs Medical Centers as a Case Study." Business and Professional Communication Quarterly 81, no. 4 (2018): 440–61. http://dx.doi.org/10.1177/2329490618778329.

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The Internet is a critical eHealth/eGovernment information source, and the U.S. Department of Veterans Affairs operates the United States’ largest integrated health care system. This case study used machine-based accessibility testing to assess accessibility for 116 VA Medical Center websites, based on U.S. Section 508 standards and international WCAG 2.0 guidelines. While we found accessibility issues on each website analyzed, problems were generally limited. Notable exceptions included PDF accessibility and fixed-text sizes. The study’s results offer implications for practitioners (accessibi

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Guerrero, Dubert M., Michelle M. Nerandzic, Lucy A. Jury, Shelley Chang, Robin L. Jump, and Curtis J. Donskey. "Clostridium difficile Infection in a Department of Veterans Affairs Long-Term Care Facility." Infection Control & Hospital Epidemiology 32, no. 5 (2011): 513–15. http://dx.doi.org/10.1086/659765.

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In a Veterans Affairs medical center, 39% of healthcare facility–onset, healthcare facility-associated Clostridium difficile infections had their onset in the affiliated long-term care facility (LTCF). Eighty-five percent of LTCF-onset patients had been transferred from the hospital within the past month. Delays in diagnosis and treatment were common for LTCF-onset patients.

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Huynh, Nam, Sujay Dayal, Srikar Sama, et al. "Inpatient Blood Transfusion Usage at a Community Veterans Affairs Teaching Hospital." Blood 144, Supplement 1 (2024): 7689. https://doi.org/10.1182/blood-2024-200414.

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Inpatient Blood Transfusion Usage at a Community Veterans Affairs Teaching Hospital Nam Huynh, MD1, Sujay Dayal, MD1, Srikar Sama, MD1, Aseel El-Jabali, MBBS1, Omar Mahmood, MD1,2, Wessel Meyer, MD1,3, Agnes Liman MD4 Alfredo Asuncion, MD4 1 Department of Internal Medicine, University of California San Francisco, Fresno, CA 2 Department of Hematology-Oncology, University of California San Francisco, Fresno, CA 3 Department of Internal Medicine, Fresno Veterans Affairs Medical Center, Fresno, CA 4 Department of Pathology, Fresno Veterans Affairs Medical Center, Fresno, CA Background Packed red

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Miller, K. E., E. M. Boland, E. A. Klingaman, and P. R. Gehrman. "0462 Identifying and Characterizing Insomnia Symptom Groups Across the Deployment Cycle in Current Army Soldiers." Sleep 43, Supplement_1 (2020): A177. http://dx.doi.org/10.1093/sleep/zsaa056.459.

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Abstract Introduction Most research conducted on insomnia and its development in military personnel focuses on cross-sectional data, precluding examination of the course of sleep changes over time. The present study characterized Army Soldiers based on insomnia symptom status trajectory from pre to post-deployment and explored baseline factors predictive of these trajectories in a sample of 7,245 soldiers across 3 Brigade Combat Teams. Methods Data were analyzed from the Army Study to Assess Risk and Resilience in Service members (STARRS)-All-Army Study (AAS) Pre Post Deployment Study, using s

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Makridis, Christos A., J. D. Kelly, and Gil Alterovitz. "The effects of department of Veterans Affairs medical centers on socio-economic outcomes: Evidence from the Paycheck Protection Program." PLOS ONE 17, no. 12 (2022): e0269588. http://dx.doi.org/10.1371/journal.pone.0269588.

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Do medical facilities also help advance improvements in socio-economic outcomes? We focus on Veterans, a vulnerable group over the COVID-19 pandemic who have access to a comprehensive healthcare network, and the receipt of funds from the Paycheck Protection Program (PPP) between April and June as a source of variation. First, we find that Veterans received 3.5% more loans and 6.8% larger loans than their counterparts (p < 0.01), controlling for a wide array of zipcode characteristics. Second, we develop models to predict the number of PPP loans awarded to Veterans, finding that the inclusio

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Schmitz, Susan, Tamar Wyte-Lake, and Aram Dobalian. "Facilitators and Barriers to Preparedness Partnerships: A Veterans Affairs Medical Center Perspective." Disaster Medicine and Public Health Preparedness 12, no. 4 (2017): 431–36. http://dx.doi.org/10.1017/dmp.2017.92.

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AbstractObjectiveThis study sought to understand facilitators and barriers faced by local US Department of Veterans Affairs Medical Center (VAMC) emergency managers (EMs) when collaborating with non-VA entities.MethodsTwelve EMs participated in semi-structured interviews lasting 60 to 90 minutes discussing their collaboration with non-VAMC organizations. Sections of the interview transcripts concerning facilitators and barriers to collaboration were coded and analyzed. Common themes were organized into 2 categories: (1) internal (ie, factors affecting collaboration from within VAMCs or by VA p

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Haverhals, Leah, Chelsea Manheim, Mary Nunnery, and Cari Levy. "IDENTIFYING EFFORTS AND CHALLENGES OF MARKETING THE DEPARTMENT OF VETERANS AFFAIRS MEDICAL FOSTER HOME PROGRAM." Innovation in Aging 7, Supplement_1 (2023): 886. http://dx.doi.org/10.1093/geroni/igad104.2850.

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Abstract The United States (US) Department of Veterans Affairs (VA) Medical Foster Home (MFH) program is a long-term care (LTC) option for Veterans needing nursing home-level care. In the MFH program, Veterans live in the home of a community-based caregiver who has been recruited and screened by VA staff. Since 2016, VA Offices of Rural Health and Geriatrics and Extended Care has expanded the program, and by 2026 the VA plans to have programs at every VA Medical Center. To describe current efforts to market the MFH program, we conducted a national survey of MFH staff between Dec. 2, 2021-Jan.

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Tsan, Grace L., Keely L. Hoban, Weon Jun, Kevin J. Riedel, Amy L. Pedersen, and John Hayes. "Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center." Journal of Rehabilitation Research and Development 52, no. 2 (2015): 193–200. http://dx.doi.org/10.1682/jrrd.2014.03.0077.

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Rice, L. B., E. C. Eckstein, J. DeVente, and D. M. Shlaes. "Ceftazidime-Resistant Klebsiella pneumoniae Isolates Recovered at the Cleveland Department of Veterans Affairs Medical Center." Clinical Infectious Diseases 23, no. 1 (1996): 118–24. http://dx.doi.org/10.1093/clinids/23.1.118.

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Yano, Elizabeth M., Donna L. Washington, Caroline Goldzweig, Cynthia Caffrey, and Carole Turner. "The organization and delivery of women’s health care in Department of Veterans Affairs Medical Center." Women's Health Issues 13, no. 2 (2003): 55–61. http://dx.doi.org/10.1016/s1049-3867(02)00198-6.

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Nowakowski, Sara, Manasa Kokonda, Javad Razjouyan, Amir Sharafkhaneh, and Drew Helmer. "0889 Association of U.S. Military Burn Pit Smoke Exposure with Objective Sleep Parameters Among Smoking Veterans." SLEEP 47, Supplement_1 (2024): A382. http://dx.doi.org/10.1093/sleep/zsae067.0889.

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Abstract Introduction Burn pits (BPs) have been widely used by the U.S. military for waste disposal. Due to the obviously toxic nature of the BP emissions exposure (BPe) may contribute to diverse adverse health conditions, including sleep apnea. This study aimed to examine the association between self-estimated amount of BPe and objective sleep problems among smoking veterans. Methods Using polysomnography reports in the Veteran Affairs electronic medical records, sleep measures were extracted for 4940 Veterans and active-duty personnel (age 39.7±9.2 y, BMI 29.3±4.6 kg/m2, 16% female, 66% whit

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Lynch, Kimberly A., Matthew McCoy, and Sonya Gabrielian. "Veterans Finding Community and a “Home” Within an Emergency Housing Environment." Journal of Primary Care & Community Health 14 (January 2023): 215013192311804. http://dx.doi.org/10.1177/21501319231180448.

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In April 2020, the Department of Veterans Affairs responded to the COVID-19 pandemic and escalating unsheltered homelessness in Los Angeles by sanctioning a tent turned tiny shelter encampment at the West Los Angeles Veterans Affairs medical center. Initially, staff offered linkages to on-campus VA healthcare. However, as many Veterans living in the encampment struggled to avail themselves of these services, our “encampment medicine” team was launched to provide on-site care coordination and healthcare at the tiny shelters. This case study showcases the team’s engagement with a Veteran experie

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Rings, Jeffrey, Patricia Alexander, Valerie Silvers, and Peter Gutierrez. "Adapting the Safety Planning Intervention for Use in a Veterans Psychiatric Inpatient Group Setting." Journal of Mental Health Counseling 34, no. 2 (2012): 95–109. http://dx.doi.org/10.17744/mehc.34.2.a77036631424nmq7.

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The Department of Veterans Affairs (VA) recently has adopted the Safety Planning Intervention (SPI; Stanley & Brown, 2011), a brief collaborative intervention, for use with veterans who are at high risk of suicide. The SPI is a hierarchical list of strategies for veterans to use in coping with a suicidal crisis. Its developers recommended that it be used with individual psychiatric inpatients working toward discharge, but its utility in a group format has not previously been addressed. This article describes the facilitation of a safety planning group with psychiatric inpatients at a large

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Sedlis, Steven P., Vincent J. Fisher, David Tice, Rick Esposito, Lori Madmon, and Eric H. Steinberg. "Racial differences in performance of invasive cardiac procedures in a Department of Veterans Affairs Medical Center." Journal of Clinical Epidemiology 50, no. 8 (1997): 899–901. http://dx.doi.org/10.1016/s0895-4356(97)00089-9.

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Palalay, Hope, Allison Kelly, Loretta Simbartl, Shantini Gamage, Makoto Jones, and Gary Roselle. "Antimicrobial Stewardship Programs and Antibiotic Usage and Resistance in Department of Veterans’ Affairs Medical Centers." Infection Control & Hospital Epidemiology 41, S1 (2020): s123. http://dx.doi.org/10.1017/ice.2020.632.

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Background: Implementation of antimicrobial stewardship programs (ASPs) in acute-care facilities may optimize antibiotic use and decrease antibiotic resistance. To explore the relationship between ASPs and clinical outcomes, we reviewed bivariate relationships between VA Medical Center (VAMC) complexity level and presence of an ASP, presence of an ASP and inpatient antibiotic use, and antibiotic use and antibiotic resistance or Clostridioides difficile infection (CDI). Methods: We conducted a cross-sectional study of national data using the following elements: a detailed survey of antimicrobia

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Halpern, Neil A., Robert E. Thompson, and Robert J. Greenstein. "A Computerized Intensive Care Unit Order-Writing Protocol." Annals of Pharmacotherapy 26, no. 2 (1992): 251–54. http://dx.doi.org/10.1177/106002809202600222.

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OBJECTIVE: To present a computerized intensive care unit order-writing protocol. DESIGN: Descriptive report. SETTING: Eight-bed surgical intensive care unit, Department of Surgery, Department of Veterans Affairs Medical Center, Bronx, NY. METHODS: IBM-based, computer network program that provides user-friendly, logical, and comprehensive organ-system order sequences for patient management. RESULTS: Since July 1988, an order program that stresses (1) improved and more efficient patient care, (2) the use of program-integrated automatic safety features, (3) the substitution of computer entry for

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Pipkin, T. M., and P. L. Reedy. "Registered dietitian activities in a department of veterans affairs medical center: Patient care vs non-patient care." Journal of the American Dietetic Association 93, no. 9 (1993): A91. http://dx.doi.org/10.1016/0002-8223(93)91298-5.

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Taylor, Christopher L. "Neurosurgery at UT Southwestern Medical Center: 1956–2020." Journal of Neurosurgery 135, no. 6 (2021): 1849–56. http://dx.doi.org/10.3171/2020.12.jns203527.

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The history of neurosurgery at UT Southwestern Medical Center in Dallas, Texas, is reviewed. Kemp Clark, MD, started the academic neurosurgical practice at Parkland Hospital in 1956. Clark developed a robust training program that required the resident to operate early. In 1972, the Dallas Veterans Affairs Hospital was added to the training program. Duke Samson, MD, became chair in 1988. He emphasized technical excellence and honest reporting of surgical outcomes. In 1989, Zale Lipshy University Hospital opened and became a center for neurosurgical care, and Hunt Batjer, MD, became chair in 201

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Nowakowski, Sara, Javad Razjouyan, Manasa Kokonda, Israel Christie, and Drew Helmer. "0377 Sleep Health Disparities Among U.S. Military Personnel and Veterans Registered on the Burn Pit Registry." SLEEP 46, Supplement_1 (2023): A167—A168. http://dx.doi.org/10.1093/sleep/zsad077.0377.

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Abstract Introduction Disparities are underrecognized factors for sleep health. Additionally, there are concerns about sleep health among Veterens with exposure to burn pit smoke. This study aimed to examine the association between sex, race, and ethnicity and self-reported insomnia and sleep apnea symptoms in Veterans and active duty personnel. Methods Using items from the online health questionnaire of the VA/DoD Airborne Hazards and Open Burn Pit Registry administered between April 2014 and August 2022 to 320,231 Veterans and active duty personnel (age 40.1±9.2 y, 11% female, 75% white), we

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Der-Martirosian, Claudia, Deborah Riopelle, Diana Naranjo, Elizabeth M. Yano, Lisa V. Rubenstein, and Aram Dobalian. "Pre-earthquake Burden of Illness and Postearthquake Health and Preparedness in Veterans." Prehospital and Disaster Medicine 29, no. 3 (2014): 223–29. http://dx.doi.org/10.1017/s1049023x14000272.

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AbstractBackgroundDuring an earthquake, vulnerable populations, especially those with chronic conditions, are more susceptible to adverse, event-induced exacerbation of chronic conditions such as limited access to food and water, extreme weather temperatures, and injury. These circumstances merit special attention when health care facilities and organizations prepare for and respond to disasters.MethodsThis study explores the relationship between pre-earthquake burden of illness and postearthquake health-related and preparedness factors in the US. Data from a cohort of male veterans who were r

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Park, Lawrence P., Supriya Rao, Scott A. Nabity, David Abbott, Joyce Frederick, and Christopher W. Woods. "Automated detection of influenza-like illness using clinical surveillance markers at a Department of Veterans Affairs Medical Center." Emerging Health Threats Journal 4, no. 1 (2011): 7108. http://dx.doi.org/10.3402/ehtj.v4i0.7108.

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Bonfils, Kelsey, Julia Longenecker, Yeonjung Seo, et al. "0694 Sleep Disorders and Serious Mental Illnesses: Comorbidity, Treatment, & Demographic Factors in VA Health Record Data." SLEEP 46, Supplement_1 (2023): A305. http://dx.doi.org/10.1093/sleep/zsad077.0694.

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Abstract Introduction People diagnosed with serious mental illnesses (SMI), including schizophrenia-spectrum disorders, bipolar disorders, and major depression with psychosis, report high rates of clinically significant sleep disturbance. Yet, examination of how demographic- and health-related factors impact diagnosis and treatment in this group is scarce. We aimed to fill this gap by examining medical records of Veterans receiving treatment in VA VISN 4 healthcare facilities. Methods We used VA health record data to examine comorbidity between SMI and sleep diagnoses and receipt of sleep trea

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Kokonda, Manasa, Amir Sharafkhaneh, Javad Razjouyan, Drew Helmer, and Sara Nowakowski. "0472 Association of U.S. Military Burn Pit Smoke Exposure with Polysomnography Extracted Oxygen Saturation." SLEEP 47, Supplement_1 (2024): A203. http://dx.doi.org/10.1093/sleep/zsae067.0472.

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Abstract Introduction Burn pits (BPs) have been widely utilized by the U.S. military for waste disposal. Due to toxic nature of the BP emissions, exposure may contribute to adverse health conditions, including nocturnal breathing problems. This study aimed to examine the association between self-estimated amount of BP emission exposure and oxygen (O2) levels during sleep. Methods Using polysomnography reports in the Veteran Affairs electronic medical records, oxygen saturation (SaO2) measures were extracted for 4940 Veterans and active-duty personnel (age 39.7±9.2 y, BMI 29.3±4.6 kg/m2, 16% fe

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Kokonda, Manasa, Javad Razjouyan, Amir Sharafkhaneh, Drew Helmer, and Sara Nowakowski. "0890 Polysomnography Extracted Sleep Health Disparities Among Burn Pit Registered U.S. Military Veterans." SLEEP 47, Supplement_1 (2024): A382. http://dx.doi.org/10.1093/sleep/zsae067.0890.

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Abstract Introduction Disparities are under-recognized factors for sleep health. Additionally, there are concerns about sleep health among Veterans with exposure to burn pit emissions during deployment. This study aimed to examine the association between age, sex, and race and objective sleep related problems in veterans and active duty personnel. Methods Using polysomnography reports between April 2000 and September 2022 in the Veteran Affairs electronic medical records, objective sleep problems were extracted to 4940 Veterans and active duty personnel (age 39.7±9.2 y, BMI 29.3±4.6 kg/m2, 16%

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Vaughn, Valerie M., Hallie C. Prescott, Sarah M. Seelye, Michael A. Rubin, Xiao Q. Wang, and Wyndy Wiitala. "Inpatient and Discharge Fluoroquinolone Prescribing in Veterans’ Affairs Hospitals Between 2014 and 2017." Infection Control & Hospital Epidemiology 41, S1 (2020): s487—s488. http://dx.doi.org/10.1017/ice.2020.1163.

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Background: Between 2007 and 2015, inpatient fluoroquinolone use declined in US Veterans’ Affairs (VA) hospitals. Whether fluoroquinolone use at discharge has also declined, in particular since antibiotic stewardship programs became mandated at VA hospitals in 2014, is unknown. Methods: In this retrospective cohort study of hospitalizations with infection between January 1, 2014, and December 31, 2017, at 125 VA hospitals, we assessed inpatient and discharge fluoroquinolone (ciprofloxacin, levofloxacin, and moxifloxacin) use as (1) proportion of hospitalizations with a fluoroquinolone prescrib

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Trivedi, Ranak. "MISSION AND VISION OF THE MULTISITE VA ELIZABETH DOLE CENTER OF EXCELLENCE (EDCOE) FOR VETERAN AND CAREGIVER RESEARCH." Innovation in Aging 6, Supplement_1 (2022): 44–45. http://dx.doi.org/10.1093/geroni/igac059.170.

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Abstract Enabling Veterans to remain safely in their homes is a Department of Veterans Affairs (VA) priority. Informal caregivers play a critical role in supporting Veterans with functional impairments through their own efforts and the use of home and community-based services (HCBS). The Elizabeth Dole Center of Excellence (EDCoE) for Veteran and Caregiver Research was created in 2018 as part of the VA Choose Home Initiative to expand VA capacity to deliver integrated, Veteran- and caregiver-partnered, data-driven approaches to care through a set of complimentary projects. The EDCoE is a virtu

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Haverhals, Leah, Roman Ayele, and Hillary Lum. "HOW CAREGIVERS AND OLDER US VETERANS MANAGED SOCIAL ISOLATION DURING THE COVID-19 PANDEMIC." Innovation in Aging 6, Supplement_1 (2022): 513. http://dx.doi.org/10.1093/geroni/igac059.1963.

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Abstract To protect themselves from contracting the SARS-CoV-2 virus, many older adults managing multiple medical conditions experienced increased social isolation. The objective of our qualitative research study was to describe how older Veterans receiving care from the United States (US) Department of Veterans Affairs (VA) healthcare system, and their caregivers, managed increased social isolation during the pandemic. We recruited Veterans and their caregivers residing in rural and urban areas who received care from either a tele-palliative care or a tele-geriatrics clinic connected to one V

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Wakefield, Douglas S., Robert L. Ludke, James E. Rohrer, et al. "Shifting the Financial Burden: The VA Ambulatory Care Discharge Policy." Health Services Management Research 5, no. 3 (1992): 162–72. http://dx.doi.org/10.1177/095148489200500301.

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The Department of Veterans Affairs is a primary source of health care services for many of the nation's uninsured and underinsured. Changes in congressionally mandated eligibility criteria and limited increases in appropriations have forced the Department to adopt a policy of discharging chronic but stable outpatients who have been treated for non-service-connected health conditions. Survey data from one VA medical center suggest that many, but not all, of those discharged: 1) have either Medicare or private insurance coverage; 2) have not sought or found alternative physician services in then

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Resnik, Linda J., and Matthew L. Borgia. "Factors Associated With Utilization of Preoperative and Postoperative Rehabilitation Services by Patients With Amputation in the VA System: An Observational Study." Physical Therapy 93, no. 9 (2013): 1197–210. http://dx.doi.org/10.2522/ptj.20120415.

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Background The Department of Veterans Affairs (VA) and the Department of Defense published evidence-based guidelines to standardize and improve rehabilitation of veterans with lower limb amputations; however, no studies have examined the guidelines' impact. Objectives The purposes of this study were: (1) to describe the utilization of rehabilitative services in the acute care setting by people who underwent major lower limb amputation in the VA from 2005 to 2010, (2) to identify factors associated with receipt of rehabilitation services, and (3) to examine the impact of the guidelines on servi

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Ramirez, Sonja M., Hillel Glover, Carroll Ohlde, et al. "Relationship of Numbing to Alexithymia, Apathy, and Depression." Psychological Reports 88, no. 1 (2001): 189–200. http://dx.doi.org/10.2466/pr0.2001.88.1.189.

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The present study assessed the relationship between numbing and three associated conditions of alexithymia, apathy, and depression, utilizing data collected on 353 Vietnam combat veterans diagnosed with Posttraumatic Stress Disorder from in- and out-patient settings and an outreach center at various Department of Veterans Affairs Medical Centers. All subjects completed four self-report measures: the Glover Numbing Scale©, the Beck Depression Inventory, the Apathy Evaluation Scale, and the Toronto Alexithymia Scale–20. The correlation matrix indicated that scores on the four measures were moder

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Chang, Bei-Hung, Nathan R. Stein, Kelly Trevino, Max Stewart, Ann Hendricks, and Lara M. Skarf. "End-of-life spiritual care at a VA medical center: Chaplains' perspectives." Palliative and Supportive Care 10, no. 4 (2012): 273–78. http://dx.doi.org/10.1017/s1478951511001003.

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AbstractObjective:Spiritual care is an essential component of quality palliative care. Recognizing the importance, the Department of Veterans Affairs (VA) mandates the inclusion of chaplains in a palliative care consult team (PCCT). The purpose of this study is to explain the process and content of spiritual care provided in a VA Medical Center from chaplains' perspectives.Method:Five Christian chaplains who provide care to patients at end of life were interviewed. Each interview was recorded and transcribed. Analysis based on the grounded theory was used to identify themes from each interview

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Kinoshita, L., E. Blank, M. Chen, et al. "0652 A Novel Cognitive-Behavioral Therapy to Increase PAP Adherence in Veterans With Posttraumatic Stress Disorder: Preliminary Results." Sleep 43, Supplement_1 (2020): A249. http://dx.doi.org/10.1093/sleep/zsaa056.648.

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Abstract Introduction The occurrence of obstructive sleep apnea (OSA) is high in veterans with posttraumatic stress disorder (PTSD). Our previous research on OSA in Vietnam-era veterans found that 69% had an AHI≥10 (Yesavage, 2012). Efficacious treatments are available for OSA, PAP therapy; however, veterans with OSA frequently fail to use them (Yesavage, 2012; Kuna, 2011). Of the veterans diagnosed with OSA, 63% were not using their prescribed PAP device. The reasons for low PAP adherence include discomfort using PAP and psychological barriers. We developed a novel cognitive-behavioral therap

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Nowakowski, Sara, Javad Razjouyan, Manasa Kokonda, Israel Christie, and Drew Helmer. "0373 Association of U.S. Military Burn Pit Smoke Exposure with Insomnia and Sleep Apnea Symptoms." SLEEP 46, Supplement_1 (2023): A165—A166. http://dx.doi.org/10.1093/sleep/zsad077.0373.

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Abstract Introduction Burn pits (BPs) have been widely used by the U.S. military for waste disposal. Due to the obviously toxic nature of the BP emissions, exposure may contribute to diverse adverse health conditions, including sleep apnea. To our knowledge, this is the first study to examine the association between self-estimated amount of BP emission exposure and self-reported sleep complaints. Methods We used an online health questionnaire of the VA/DoD Airborne Hazards and Open Burn Pit Registry administered between April 2014 and August 2022 to 320,231 Veterans and active-duty personnel (

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Lacro, Jonathan P., Angela B. Kodsi, and Patricia L. Gilbert. "Psychopharmacists' Role in Neuroleptic Therapy a Pharmaceutical Care Approach." Journal of Pharmacy Technology 10, no. 4 (1994): 164–68. http://dx.doi.org/10.1177/875512259401000407.

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Objective: To describe the roles of the psychopharmacist in the use of neuroleptic therapy. Setting: A geriatric psychiatry ambulatory care clinic in a 400-bed Department of Veterans Affairs Medical Center, San Diego, California. Conclusions: In the pharmaceutical care model, the pharmacist is involved in several important roles in the provision of neuroleptic therapy. In the ambulatory care program, psychopharmacists provide important drug-related information to patients and consultation regarding potential neuroleptic-induced adverse effects. In addition, psychopharmacists serve as consultan

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Sikka, Veronica, Shane Saifman, Christian King, Suzanne Klinker, Theresa Mont, and Analia Castiglioni. "Integrating tele-urgent care in undergraduate medical education: a partnership between the US Department of Veterans Affairs and academia." Education for Health 37, no. 3 (2024): 218–24. http://dx.doi.org/10.62694/efh.2024.34.

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Background: The COVID-19 pandemic made clinical rotations for medical students difficult to maintain in person. Several medical schools adapted to the pandemic by providing some training in telemedicine. The use of telemedicine has grown exponentially in the United States in recent years and COVID-19 acted as an accelerant for its growth. What remains largely unknown is the longterm value and sustainability of telemedicine in medical education. This study aims to address this gap in the literature by examining the value of integrating a clinical virtual urgent care rotation in the training of

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Levy, Cari, Anne Hale, Emily Galenbeck, and Leah M. Haverhals. "VETCONNECT: A VA TELEHEALTH PROGRAM PROVIDING TREATMENT, EDUCATION AND TRANSITIONS OF CARE TO NURSING HOME VETERANS." Innovation in Aging 3, Supplement_1 (2019): S338—S339. http://dx.doi.org/10.1093/geroni/igz038.1228.

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Abstract Transporting nursing home Veterans to hospitals for outpatient care can present many challenges, including lengthy time in transit, coordination difficulties between the hospital and nursing home, and travel burden on Veterans. In June 2017, the VetConnect program began offering Veterans in Colorado residing in Department of Veterans Affairs (VA) contracted Community Nursing Homes (CNHs) and State Veteran Nursing Homes (SVHs) telehealth appointments in Geriatrics, Mental Health, Palliative Care, and Psychiatry via clinicians at the Rocky Mountain Regional VA Medical Center (VAMC). The

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Nowakowski, S., J. Razjouyan, A. D. Naik, et al. "1180 The Use Of Natural Language Processing To Extract Data From Psg Sleep Study Reports Using National Vha Electronic Medical Record Data." Sleep 43, Supplement_1 (2020): A450—A451. http://dx.doi.org/10.1093/sleep/zsaa056.1174.

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Abstract Introduction In 2007, Congress asked the Department of Veteran Affairs to pay closer attention to the incidence of sleep disorders among veterans. We aimed to use natural language processing (NLP), a method that applies algorithms to understand the meaning and structure of sentences within Electronic Health Record (EHR) patient free-text notes, to identify the number of attended polysomnography (PSG) studies conducted in the Veterans Health Administration (VHA) and to evaluate the performance of NLP in extracting sleep data from the notes. Methods We identified 481,115 sleep studies u

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Day, T. Eugene, Ajit N. Babu, Steven M. Kymes, and Nathan Ravi. "Discrete Event Simulation and Real Time Locating Systems." International Journal of E-Adoption 4, no. 4 (2012): 16–28. http://dx.doi.org/10.4018/jea.2012100102.

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The Veteran’s Health Administration (VHA) is the largest integrated health care system in the United States, forming the arm of the Department of Veterans Affairs (VA) that delivers medical services. From a troubled past, the VHA today is regarded as a model for healthcare transformation. The VA has evaluated and adopted a variety of cutting-edge approaches to foster greater efficiency and effectiveness in healthcare delivery as part of their systems redesign initiative. This paper discusses the integration of two health care analysis platforms: Discrete Event Simulation (DES), and Real Time L

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