Chemical Warfare and the Gulf War: A Review of the Impact on Gulf Veterans' Health

2003 ◽  
Author(s):  
James R. Riddle ◽  
Mark Brown ◽  
Tyler Smith ◽  
Elspeth C. Ritchie ◽  
Kelley A. Brix ◽  
...  
Keyword(s):  
Gulf War ◽  
Chemical Warfare ◽  
Veterans Health ◽  
The Impact

scholarly journals Chemical Warfare and the Gulf War: A Review of the Impact on Gulf Veterans' Health

2003 ◽  
Vol 168 (8) ◽  
pp. 606-613 ◽  
Author(s):  
James R. Riddle ◽  
Mark Brown ◽  
Tyler Smith ◽  
Elspeth Cameron Ritchie ◽  
Kelley Ann Brix ◽  
...  
Keyword(s):  
Gulf War ◽  
Chemical Warfare ◽  
Veterans Health ◽  
The Impact

scholarly journals Safety and efficacy of a single total dose infusion (1020 mg) of ferumoxytol

2021 ◽  
Vol 12 ◽  
pp. 204062072110060
Author(s):  
Harris Khan ◽  
Paige May ◽  
Elim Kuo ◽  
Preetika Pai ◽  
Katherine Boles ◽  
...  
Keyword(s):  
Single Dose ◽  
Total Dose ◽  
Treatment Option ◽  
Deficiency Anemia ◽  
Utilization Review ◽  
Veterans Health ◽  
Significant Difference ◽  
Dose Infusion ◽  
Iv Iron ◽  
The Impact

Purpose: Iron deficiency anemia (IDA) is the most common type of anemia. A single dose infusion of intravenous (IV) iron is a convenient treatment option. Ferumoxytol is an IV formulation of iron that is typically given in two doses of 510 mg each. Utilizing a single dose of 1020 mg over 15 min has previously been described as safe and effective. In July 2018, we began to administer a single 1020 mg dose of ferumoxytol to patients needing IV iron replacement at the North Florida/South Georgia Veterans Health System. To evaluate the impact of this change, a utilization review was conducted. Methods: Outcomes of all patients who received ferumoxytol injections in the 6 months prior to and after the dosing strategy change were analyzed. A total of 140 patients, who received 270 separate IV ferumoxytol infusions, were included in the analysis. Results: No significant difference in safety was observed, with one infusion reaction occurring in each group ( p = 1.00). Efficacy also appeared equivalent with no significant difference between the change in hemoglobin for those who received a single 1020 mg dose versus those who received two 510 mg doses ( p = 0.764). As expected, those who received a single total dose infusion of 1020 mg had less clinic utilization ( p < 0.0001). Conclusion: In summary, ferumoxytol administered as a 1020 mg single dose infusion was more convenient and should be considered a safe and effective treatment option for IDA.

scholarly journals Veteran Status Matters! Life Course Perspectives on the Health and Well-Being of Aging Veterans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 636-636
Author(s):  
Avron Spiro
Keyword(s):  
Life Course ◽  
Vietnam Veterans ◽  
Military Service ◽  
Combat Veterans ◽  
Well Being ◽  
Veterans Health ◽  
Negative Effects ◽  
Veteran Status ◽  
The Impact ◽  
Health And Well Being

Abstract Military service during early life can result in exposure to traumatic events that can reverberate throughout life. Although much attention is focused on the negative effects of military service, many veterans report positive effects. These papers explore life course effects of military service on veterans’ health and well-being. Three used national US longitudinal cohorts (HRS, MIDUS); two sampled veterans from Oregon or from Korea. Three compared veterans to non-veterans; two examined veterans only. Cheng and colleagues found that veterans in HRS are more likely to be risk-averse than non-veterans. Risk aversion matters because it determines how people make decisions and predicts a wide array of health and economic outcomes. Kurth and colleagues examined Oregon veterans from several wars, finding PTSD symptoms were highest among Vietnam combat veterans, the oldest cohort; there were no differences among non-combat veterans. Piazza and colleagues examined in MIDUS the impact of veteran status on cortisol, a stress biomarker, finding older veterans more likely had non-normative patterns than did younger or non-veterans. Lee and colleagues studied patterns of mental health among Korean Vietnam veterans, identifying two patterns as ‘normal’ and ‘resilient’ encompassing half the sample; these veterans demonstrated positive outcomes of military service. Frochen and colleagues compared depression trajectories between veterans and non-veterans in HRS, finding veterans had less depression than non-veterans, but among veterans, trajectories varied based on extent of service. in sum, these papers demonstrate that military service can have positive as well as negative effects on veterans’ health and well-being in later life. Aging Veterans: Effects of Military Service across the Life Course Interest Group Sponsored Symposium.

Palliative Radiotherapy Within the Veterans Health Administration: Barriers to Referral and Timeliness of Treatment

2021 ◽  
pp. OP.20.00981
Author(s):  
Ruchika Gutt ◽  
Sheetal Malhotra ◽  
Michael P. Hagan ◽  
Steve P. Lee ◽  
Katherine Faricy-Anderson ◽  
...  
Keyword(s):  
Palliative Radiotherapy ◽  
Veterans Health Administration ◽  
Cord Compression ◽  
Veterans Health ◽  
Radiation Oncologist ◽  
Health Administration ◽  
Chi Square ◽  
Palliative Radiation Therapy ◽  
Chi Square Analysis ◽  
The Impact

PURPOSE: Most Veterans Health Administration hospitals do not have radiation oncology (RO) departments on-site. The purpose of this study is to determine the impact of on-site RO on referral patterns and timeliness of palliative radiation therapy (PRT). MATERIALS AND METHODS: A survey was sent to medical directors at 149 Veterans Health Administration centers. Questions evaluated frequency of referral for PRT, timeliness of RO consults and treatment, and barriers to referral for PRT. Chi-square analysis was used to evaluate differences between centers that have on-site RO and centers that refer to outside facilities. RESULTS: Of 108 respondents, 33 (31%) have on-site RO. Chi-square analysis revealed that RO consult within 1 week is more likely at centers with on-site RO (68% v 31%; P = .01). Centers with on-site RO more frequently deliver PRT for spinal cord compression within 24 hours (94% v 70%; P = .01). Those without on-site RO were more likely to want increased radiation oncologist involvement (64% v 26%; P < .001). Barriers to referral for PRT included patient ability to travel (81%), patient noncompliance (31%), delays in consult and/or treatment (31%), difficulty contacting a radiation oncologist (14%), and concern regarding excessive number of treatments (13%). Respondents with on-site RO less frequently reported delays in consult and/or treatment (6% v 41%; P < .0001) and difficulty contacting a radiation oncologist (0% v 20%; P = .0056) as barriers. CONCLUSION: Respondents with on-site RO reported improved communication with radiation oncologists and more timely consultation and treatment initiation. Methods to improve timeliness of PRT for veterans at centers without on-site RO should be considered.

Mustard Gas and American Race-Based Human Experimentation in World War II

2008 ◽  
Vol 36 (3) ◽  
pp. 517-521 ◽  
Author(s):  
Susan L. Smith
Keyword(s):  
World War Ii ◽  
Racial Differences ◽  
Cultural Beliefs ◽  
The United States ◽  
Chemical Warfare ◽  
Human Experimentation ◽  
United States Government ◽  
Mustard Gas ◽  
World War ◽  
The Impact

During World War II, scientists funded by the United States government conducted mustard gas experiments on 60,000 American soldiers as part of military preparation for potential chemical warfare. One aspect of the chemical warfare research program on mustard gas involved race-based human experimentation. In at least nine research projects conducted during the 1940s, scientists investigated how so-called racial differences affected the impact of mustard gas exposure on the bodies of soldiers. Building on cultural beliefs about “race,” these studies occurred on military bases and universities, which became places for racialized human experimentation.

Relationship of Psychiatric Status to Gulf War Veterans' Health Problems

1999 ◽  
Vol 61 (4) ◽  
pp. 532-540 ◽  
Author(s):  
Jessica Wolfe ◽  
Susan P. Proctor ◽  
Darin J. Erickson ◽  
Tim Heeren ◽  
Matthew J. Friedman ◽  
...  
Keyword(s):  
Health Problems ◽  
Gulf War ◽  
Veterans Health ◽  
War Veterans ◽  
Gulf War Veterans ◽  
Psychiatric Status ◽  
Relationship Of

scholarly journals Impact of Availability of Telehealth Programs on Documented HIV Viral Suppression: A Cluster-Randomized Program Evaluation in the Veterans Health Administration

2019 ◽  
Vol 6 (6) ◽  
Author(s):  
Michael E Ohl ◽  
Kelly Richardson ◽  
Maria C Rodriguez-Barradas ◽  
Roger Bedimo ◽  
Vincent Marconi ◽  
...  
Keyword(s):  
Primary Care ◽  
Viral Suppression ◽  
Veterans Health ◽  
Health Administration ◽  
Primary Care Clinics ◽  
Intention To Treat ◽  
Service Areas ◽  
Hiv Viral Suppression ◽  
Cluster Randomized ◽  
The Impact

Abstract Background Telehealth may improve care for people with HIV who live far from HIV specialty clinics. We conducted a cluster-randomized evaluation to determine the impact of availability of HIV telehealth programs on documented viral suppression in Veterans Administration clinics. Methods In 2015–2016, people who previously traveled to HIV specialty clinics were offered telehealth visits in nearby primary care clinics. Patients were cluster-randomized to immediate telehealth availability (n = 925 patients in service areas of 13 primary care clinics offering telehealth) or availability 1 year later (n = 745 patients in 12 clinics). Measures during the evaluation year included telehealth use among patients in areas where telehealth was available and documented HIV viral suppression (viral load performed and &lt;200 copies/mL). Impact of telehealth availability was determined using intention-to-treat (ITT) analyses that compared outcomes for patients in areas where telehealth was available with outcomes for patients where telehealth was not available, regardless of telehealth use. Complier average causal effects (CACEs) compared outcomes for telehealth users with outcomes for control patients with equal propensity to use telehealth, when available. Results Overall, 120 (13.0%) patients utilized telehealth when it was available. Availability of telehealth programs led to small improvements in viral suppression in ITT analyses (78.3% vs 74.1%; relative risk [RR], 1.06; 95% confidence interval [CI], 1.01 to 1.11) and large improvements among telehealth users in CACE analyses (91.5% vs 80.0%; RR, 1.14; 95% CI, 1.01 to 1.30). Conclusions Availability of telehealth programs improved documented viral suppression. HIV clinics should offer telehealth visits for patients facing travel burdens.

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