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eterans with traumatic brain injury (TBI) differ from civilians with TBI in some key ways—with potentially important implications for long-term care and support of injured service members and their families. New research from the Veterans Administration TBI Model System is assembled in the July/August special issue of the Journal of Head Trauma Rehabilitation (JHTR). The official journal of the Brain Injury Association of America, JHTR is published by Wolters Kluwer. “The VA TBI Model System is uniquely positioned to inform policy about the health, mental health, socioeconomic, rehabilitation, and caregiver needs following TBI,” write Guest Editors Risa Nakase-Richardson, PhD, of James A. Haley Veterans’ Hospital, Tampa, Fla., and Lillian Stevens, PhD, of Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Va. The special issue presents initial reports from a Department of Veterans Affairs (VA)-specific database of patients representing all traumatic brain injury (TBI) severity levels. The findings will play a critical role in VA’s efforts to meet the long-term needs of veterans with TBI. VA TBI Model System Will Guide Care for Veterans and Families Affected by TBI The initial TBI Model System was developed by the National Institute on Disability and Rehabilitation Research— now the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)–in 1987. Over the years, 16 civilian hospitals have contributed data on the course of recovery and outcomes for more than 16,000 patients who received inpatient rehabilitation after TBI. The VA TBI Model System, created in response to a Congressional mandate, collects similar data on rehabilitation outcomes of military TBI. Since 2010, over 1,000 patients with TBI hospitalized at five regional VA Polytrauma Rehabilitation Centers have been added to the database. The five premiere VA Polytrauma Rehabilitation Centers offer inpatient rehabilitation with specialized capacity to treat the more severely injured veterans and active duty service members. Dr. Nakase-Richardson is the lead author of a study comparing the characteristics of 550 patients from the VA TBI Model System versus 5,270 patients from the original NIDILRR system. The results suggested that military and civilian cases of TBI differ in most characteristics/outcomes compared. For example, the data showed that violent causes of TBI were more common in the VA group, while falls were more common in civilian cases. Most violence-related TBI cases in veterans were related to deployment. At least 13 percent of the civilian TBI patients had previously served in the military. Dr. Nakase-Richardson and co-authors highlight the need for a complementary sample to broaden research findings to veterans and service members who seek primarily civilian health care. The differences between databases make it difficult to directly compare outcomes between the military and civilian TBI groups. The researchers emphasize the need for further studies to clarify the differences and their implications for treatment and outcomes. Other topics in the special issue include the critical long-term impact on families and caregivers; and new insights for promoting health, quality of life, and community re-entry (i.e., employment) for veterans and service members with TBI. These and future studies will have a major impact on VA's efforts to plan for ongoing care and support for the large numbers of veterans and families affected by TBI, according to Joel Scholten, MD, Director of Physical Medicine and Rehabilitation at the Veterans Health Administration. "Participation in the TBI Model System allows VA to continue to define the unique needs of Veterans following TBI and translate these findings into policy, essentially creating a model of continuous quality improvement for TBI rehabilitation within VA," said Scholten. Click here to read “Comparison of the VA and NIDILRR TBI Model System Cohorts.” Article: “Comparison of the VA and NIDILRR TBI Model System Cohorts” (doi: 10.1097/HTR.0000000000000334) ### About The Journal of Head Trauma Rehabilitation The Journal of Head Trauma Rehabilitation is a leading, peer-reviewed resource that provides up-to-date information on the clinical management and rehabilitation of persons with traumatic brain injuries. Six issues each year aspire to the vision of “knowledge informing care” and include a wide range of articles, topical issues, commentaries and special features. It is the official journal of the Brain Injury Association of America. About the Brain Injury Association of America The Brain Injury Association of America is the country’s oldest and largest nationwide brain injury advocacy organization. Our mission is to advance awareness, research, treatment and education and to improve the quality of life for all individuals impacted by brain injury. Through advocacy, we bring help, hope and healing to millions of individuals living with brain injury, their families and the professionals who serve them.  About Wolters Kluwer Wolters Kluwer N.V. (AEX: WKL) is a global leader in information services and solutions for professionals in the health, tax and accounting, risk and compliance, finance and legal sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services. Wolters Kluwer reported 2016 annual revenues of €4.3 billion. The company, headquartered in Alphen aan den Rijn, the Netherlands, serves customers in over 180 countries, maintains operations in over 40 countries and employs 19,000 people worldwide. Wolters Kluwer shares are listed on Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Wolters Kluwer has a sponsored Level 1 American Depositary Receipt program. The ADRs are traded on the over-the-counter market in the U.S. (WTKWY). For more information about our solutions and organization, visit www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.
The American Society of Anesthesiologists (ASA) will host the Run For The Warriors® 5K Run/Walk at 7 a.m. on Saturday, Oct. 21, beginning at the historic Boston Common. The race coincides with the ANESTHESIOLOGY® 2017 annual meeting and marks ASA’s eighth consecutive year of sponsorship. All proceeds from the Boston race will benefit Hope For The Warriors®, a national nonprofit organization that aims to enhance the quality of life for post 9/11 veterans, service members and military families. “ASA has a rich history of supporting the safety and welfare of our nation’s veterans and their families,” said ASA President Jeffrey Plagenhoef, M.D. “Run For The Warriors has become an ongoing part of the ANESTHESIOLOGY annual meeting, and we are grateful for the opportunity to continue providing veterans and service members with the support they have earned and deserve.” The Run For The Warriors race series gives wounded service members encouragement and the opportunity to pursue running or walking to assist in their physical and emotional rehabilitation. Registration is $40 with special pricing for service members. The event will end with an awards ceremony to honor local wounded heroes and families of the fallen, and provide a time to remember those who have served our country in the line of duty. “Hope For The Warriors is proud of our many long-standing successful partnerships that allow us to restore a sense of self, family, and hope to military families nationwide,” said Robin Kelleher, co-founder and president of Hope For The Warriors. “We are grateful to the American Society of Anesthesiologists for their involvement in our national Run For The Warriors series.” To register for the Boston Run For The Warriors, please visit https://www.asahq.org/annualmeeting/network/runforthewarriors. THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.   For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Join the ANESTHESIOLOGY® 2017 social conversation today. Like ASA on Facebook, follow ASALifeline on Twitter and use the hashtag #ANES17. HOPE FOR THE WARRIORS Founded in 2006, Hope For The Warriors is a national nonprofit dedicated to restoring a sense of self, family and hope for post 9/11 veterans, service members and military families. Since its inception, Hope For The Warriors has served more than 13,000 through a variety of support programs focused on transition, health and wellness, peer engagement and connections to community resources. The nonprofit’s first program, A Warrior’s Wish, has granted 165 wishes to fulfill a desire for a better quality of life or support a quest for gratifying endeavors. In addition, Run For The Warriors has captured the hearts of more than 22,000 since 2010. For more information, visit hopeforthewarriors.org, Facebook or Twitter. # # # CONTACT: American Society of Anesthesiologists   Theresa Hill Public Relations Director O: (847) 268-9246 C: (773) 330-5273 t.hill@asahq.org LaSandra Cooper Senior Public Relations ManagerO: (847) 268-9106 l.cooper@asahq.orgAshley Pekic Public Relations AssociateO: (847) 268-9222 a.pekic@asahq.org Hope For The Warriors® Erin McCloskey (336) 207-5222 erin@aspirecommunications.org
A new study presented this week at The Liver Meeting® – held by the American Association for the Study of Liver Diseases – found that daily aspirin therapy was significantly associated with a reduced risk in hepatitis  B virus‐related liver cancer. Hepatitis B is a viral infection that attacks the liver. HBV can be contracted through contact with an infected person’s blood or other bodily fluid, and the infection can either be acute or chronic. According to AASLD’s Guidelines for Treatment of Chronic Hepatitis B, an estimated 240 million people worldwide have chronic HBV, and the highest prevalence of the virus is in Africa and Asia. Death from HBV is commonly due to the development of cirrhosis (scaring of healthy liver tissue) or hepatocellular carcinoma (liver cancer). Past research suggests that daily aspirin therapy — which is often prescribed to prevent cardiovascular disease — may also prevent the development of cancer. However, clinical evidence is lacking for the effectiveness of aspirin therapy in preventing HBV‐related liver cancer. Researchers at Taichung Veterans General Hospital in Taichung, Taiwan; E‐Da Hospital in Kaohsiung, Taiwan; Fu Jen Catholic University in New Taipei City, Taiwan; and National Taiwan University Hospital in Taipei conducted a nationwide cohort study to determine if aspirin therapy could, indeed, reduce liver cancer risk. “Liver cancer is the second leading cause of cancer death worldwide, and HBV is the most prevalent risk factor in our region, says Teng‐Yu Lee, MD, PhD, a researcher in the Department of Gastroenterology at Taichung Veterans General Hospital and lead investigator in the study. “HBV‐related liver cancer is therefore a major public health issue with a severe socioeconomic impact.” Although current antiviral medicines such as nucleos(t)ide analogue therapy could significantly reduce liver cancer risk, Dr. Lee notes these therapies do not completely eliminate the risk. Additionally, Dr. Lee says most HBV carriers are not indicated for antiviral therapy, so another effective way of reducing liver cancer risk needs to be developed. “Aspirin has been investigated to explore its chemopreventive effect in cancers that are related to chronic inflammation, particularly in the prevention of colorectal cancer. However, clinical evidence supporting the chemopreventive effect of aspirin therapy on liver cancer remains limited. Therefore, we conducted a large‐scale cohort study to evaluate the association of aspirin therapy with HBV‐related liver cancer.” The researchers retrieved medical records from the National Health Insurance Research Database between 1998 and 2012 for their study. They screened records of 204,507 patients with chronic hepatitis B, and excluded patients with other forms of infectious hepatitis. After excluding patients with liver cancer before the follow‐up index dates, 1,553 patients who had continuously received daily aspirin for at least 90 days were randomly matched 1:4 with 6,212 patients who had never received anti‐ platelet therapy by means of propensity scores consisting of baseline characteristics, the index date and nucleos(t)ide analogue (NA) use during follow‐up. The researchers analyzed both cumulative incidences of and hazard ratios for HCC development after adjusting for competing mortality. Cumulative incidence of liver cancer in the group treated with aspirin therapy was significantly lower than that in the untreated group in five years. In their multivariate regression analysis, the researchers found aspirin therapy was independently associated with reduced liver cancer risk. Sensitivity subgroup analyses also verified this association. Older age, male gender, cirrhosis and diabetes also were independently associated with an increased risk, but nucleos(t)ide analogue or statin use was associated with a decreased risk. “For effectively preventing HBV‐related liver cancer, the findings of this study may help hepatologists treat patients with chronic HBV infection in the future, particularly for those who are not indicated for antiviral therapy. We are pursuing prospective investigations for further confirming the findings,” says Dr. Lee. Dr. Lee will present “Association of Aspirin Therapy with Reduced Risk of Hepatocellular Carcinoma in Patients with Chronic Hepatitis B” at the Walter E. Washington Convention Center in Washington, D.C., on Monday, October 23 at 4:45 pm in Room 145. The corresponding abstract (223) can be found in the journal, HEPATOLOGY. About the AASLD AASLD is a medical subspecialty society representing clinicians and researchers in liver disease. The work of our members has laid the foundation for the development of drugs used to treat patients with viral hepatitis. Access to care and support of liver disease research are at the center of AASLD’s advocacy efforts. AASLD is the leading organization of scientists and healthcare professionals committed to preventing and curing liver disease. AASLD was founded in 1950 by a small group of leading liver specialists and has grown to an international society responsible for all aspects of hepatology. Press releases and additional information about AASLD are available online at www.aasld.org.
A UCLA Nursing professor has found that culturally tailored multimedia content holds great promise for encouraging Latina woman seek help for, and address the symptoms of, anxiety and depression. “In my previous research, I found that Latina participants were hard-working and dedicated to their families,” said MarySue Heilemann, an associate professor at the UCLA School of Nursing, the study’s lead author. “To them, getting much-needed mental health care felt selfish and indulgent. If it doesn’t help the family, they just won’t pursue it.” The research is published in JMIR Mental Health October 19. Heilemann focused her study on English-speaking Latinas because they report more anxiety, depression and suicide attempts than immigrants or Spanish-speaking only Latinas. To create compelling storylines that would attract her target audience, she teamed up with a Latino screenwriter-director and gathered input from focus groups of English-speaking Latina women. The resulting project is called “Catalina: Confronting My Emotions.” The videos, which were made available to participants on a password-protected website, focus on a fictional character named Catalina, a 28-year-old dealing with symptoms of depression and anxiety. The stories include drama, intrigue, tension and romance as Catalina decides whether to seek treatment. In one segment, she reflects on her experience after having a very positive session with a Latina nurse-therapist, Veronica. In other segments, Veronica speaks directly to the viewer, providing basic information about depression and anxiety, therapeutic exercises and how to seek help. All of the story videos are in English; a video with basic information about depression is also available in Spanish. Twenty-eight Latina women participated in the pilot study. Within one week after seeing the story-based videos, nearly 40 percent of them took action to get help and 82 percent discussed the content with others. “Our findings showed that the women found the intervention compelling, therapeutic and resourceful. We were thrilled to see that the stories really spoke to our participant,” Heilemann said. The intervention uses a type of platform known as “transmedia,” which involves digital storytelling across multiple platforms, extending from a webisode or television episode to bonus videos, video-logs, blogs, or interactive modules and are accessible on a smartphone, tablet or computer via the internet. Latinos are the largest ethnic minority group in the U.S., and they receive less mental health care than whites, even if they have insurance, despite more commonly reporting symptoms of depression and anxiety than whites. Another reason the program was designed for Latina women is their higher than average use of smartphones and the internet. Latinos use smartphones more than any other ethnic group, per a 2016 Nielsen report; and a Pew Research Center analysis found that a high percentage of both English- and Spanish-speaking Latinos use the internet. Heilemann hopes to produce more episodes for the series to bring the series to a larger audience. “Several women in the study said they wanted more — they wanted to know what happened to Catalina, if she continued with the therapy, if it was working,” Heilemann said. “So many people are struggling with anxiety and depression and don’t feel comfortable getting help. This creates a whole different avenue for them to access therapy discreetly.” Heilemann’s research is in line with the goals of UCLA’s Depression Grand Challenge, a campuswide effort to reduce the health and economic impacts of depression by half globally by the year 2050.   Journal Citation: Heilemann MV, Soderlund PD, Kehoe P, Brecht ML  Title: A Transmedia Storytelling Intervention With Interactive Elements to Benefit Latinas’ Mental Health: Feasibility, Acceptability, and Efficacy  JMIR Ment Health 2017;4(4):e47  ****URL: http://mental.jmir.org/2017/4/e47/ 
A test called the lung clearance index (LCI) is superior to standard tests in identifying patients with lung disease related to military deployment, suggests a study in the August Journal of Occupational and Environmental Medicine. Silpa Dhoma Krefft, MD, MPH, of National Jewish Health, Denver, and colleagues evaluated the LCI as a test for deployment-related lung disease. An "unknown number" of military personnel deployed to Iraq and Afghanistan have developed respiratory symptoms unexplained by traditional lung function tests and chest CT scans. This condition may be linked to burn pit emissions, desert dust, and other exposures during deployment. The LCI detects abnormalities of the small airways; it is most often used to assess early lung damage in children with cystic fibrosis (CF). The researchers evaluated its use in 28 patients with definite (17 cases) or probable (11 cases) deployment-related lung disease. Currently, a surgical sample of lung tissue (biopsy) is needed to confirm the diagnosis. The average LCI score was were higher for patients with symptoms of deployment-related lung disease, compared to a non-deployed control group. The difference narrowed and become nonsignificant on adjustment for age, body mass index, and smoking. An abnormal LCI score was more sensitive in identifying patients with deployment-related lung disease, compared to standard lung function tests or CT scans. An elevated LCI score was also a better indicator of abnormal results on lung biopsy. A noninvasive test such as the LCI could be a major advantage in detecting underlying lung disease in veterans with respiratory symptoms. Dr. Krefft and coauthors note the lack of "normative data" on LCI results in healthy adults—most previous studies of this test have focused on younger patients with CF. With further research, the LCI might prove useful in monitoring for stability or progression of deployment-related lung disease. It might also aid in assessing small airway abnormalities in larger groups of patients at risk of other occupational lung diseases. About the Author Dr. Krefft may be contacted for interviews at KrefftS(at)NJHealth.org About ACOEM ACOEM (www.acoem.org), an international society of 4,500 occupational physicians and other health care professionals, provides leadership to promote optimal health and safety of workers, workplaces, and environments. About the Journal of Occupational and Environmental Medicine The Journal of Occupational and Environmental Medicine (www.joem.org) is the official journal of the American College of Occupational and Environmental Medicine. Edited to serve as a guide for physicians, nurses, and researchers, the clinically oriented research articles are an excellent source for new ideas, concepts, techniques, and procedures that can be readily applied in the industrial or commercial employment setting.
The Post-9/11 G.I. Bill, which covers educational costs for veterans beyond tuition, has boosted college enrollment rates among veterans by 3 percentage points compared with the earlier G.I. Bill, finds a new study by NYU’s Steinhardt School of Culture, Education, and Human Development. However, the increase in enrollment was much larger immediately after the bill’s adoption and has waned in recent years.   The study, published online in the journal Educational Evaluation and Policy Analysis, a journal of the American Educational Research Association, comes days after Congress passed a major expansion to the G.I. Bill, which – if signed into law – will provide additional educational benefits to veterans.  The Servicemen’s Readjustment Act of 1944, commonly known as the G.I. Bill, helped pay for college and other training for millions of World War II veterans. Since its inception, the G.I. Bill has been updated to continue providing educational benefits, with the most recent expansion being the Post-9/11 Veterans Educational Assistance Act of 2008, or Post-9/11 G.I. Bill.  “The original G.I. Bill not only significantly improved the human capital in the United States after World War II, but also democratized American higher education and created a robust middle class. Education benefits provided by the bill allowed veterans to go back to college and obtain necessary knowledge and skills, while also serving as an important entry point back to civilian life,” said Liang Zhang, the study’s author and a professor of higher education at NYU Steinhardt.  The Post-9/11 G.I. Bill, which took effect in August 2009, offers more generous educational benefits than the previous version of the bill. It covers full tuition and fees at in-state public schools (or up to a set amount for tuition and fees at private institutions), a monthly housing allowance, and up to $1,000 a year for books and supplies. All veterans who have served since September 2001 are eligible for the Post-9/11 G.I. Bill, meaning that those who did not take advantage of benefits under the previous bill were retroactively eligible.  In this study, Zhang examined the impact of the Post-9/11 G.I. Bill – including its monthly housing allowance and stipend to cover miscellaneous educational costs – on veterans’ college participation.  Zhang used 11 years of data (2005 to 2015) from the American Community Survey, which resulted in a sample of approximately 200,000 veterans who have served in the post-9/11 era. This sample enabled a comparison between data from before and after the 2009 adoption of the Post-9/11 G.I. Bill in order to determine how veterans might have reacted differently to the bill over time.  Zhang found that the Post-9/11 G.I. Bill increased overall college enrollment by about 3 percentage points when compared with enrollment prior to the bill’s adoption. However, the effect was much larger immediately after the bill’s adoption (approximately 4 percentage points) and has waned in recent years (to about 2 percentage points), suggesting that part of the initial enrollment burst was due to the retroactive nature of the bill.  Despite the increase in enrollment, Zhang noted that the effect of the Post-9/11 G.I. Bill is much smaller than the effects of typical financial aid programs, which have been shown to improve enrollment by about 3 to 6 percentage points for every $1,000 reduction in college costs.  In addition, Zhang examined how the bill affected college enrollment among veterans ranging from 20 to 60 years old, given that veterans typically follow a different educational trajectory than that of nonveterans. He found that the Post-9/11 G.I. Bill has had a consistent and positive impact on college enrollment among veterans of all ages, even among older veterans who are usually considered less likely to enroll in college.  “This suggests that older veterans may be more responsive to financial incentives, echoing previous research findings that older students are more responsive to financial aid than younger students,” Zhang said.  Finally, Zhang looked at the levels of existing educational attainment among veterans, since the Post-9/11 G.I. Bill can be used for a variety of educational and training programs, including both undergraduate and graduate education. He found consistent and positive enrollment effects across veterans with all levels of education, with those already holding master’s degrees taking the most advantage of the bill’s educational benefits.  Zhang concluded that it is both important to evaluate the effect of veterans’ programs on college enrollment, as well as to consider the social impact of the bill – which is broader and more profound than any college-related outcomes could possibly measure.  “While providing generous education benefits to veterans could ease the financial burden of going to college, research shows that veterans can face additional challenges associated with service-related injuries and disabilities, as well as being older students. Higher education institutions must continue to better understand and support this growing, yet potentially vulnerable student population, to best serve those who served the country,” said Zhang.  About the Steinhardt School of Culture, Education, and Human Development (@nyusteinhardt) Located in the heart of Greenwich Village, NYU’s Steinhardt School of Culture, Education, and Human Development prepares students for careers in the arts, education, health, media, and psychology. Since its founding in 1890, the Steinhardt School's mission has been to expand human capacity through public service, global collaboration, research, scholarship, and practice. To learn more about NYU Steinhardt, visit steinhardt.nyu.edu.
In recent years, the Veterans Administration (VA) Healthcare System has expanded its efforts to target groups of veterans facing disparities in healthcare access and outcomes. An update on research toward advancing equitable healthcare for all veterans is presented in a September supplement to Medical Care, published by Wolters Kluwer. The special issue papers "add incrementally to the state of the science surrounding the equity of health and healthcare for potentially vulnerable veterans who are managed in the VA Healthcare System," according to a guest editorial by Drs. Said A. Ibrahim, Leonard E. Egede, and Michael J. Fine. Drs. Ibrahim and Fine are Directors of the VA's Center for Health Equity Research and Promotion (CHERP). Dr. Egede was previously Director of the Health Equity and Rural Outreach Innovation Center (HEROIC) New Studies on Reducing Health Disparities among Veterans The supplement presents original research and perspectives informing VA's efforts to ensure high-quality patient-centered care for all veterans. It grows out of a recent VA-sponsored "state of the science" conference, hosted by CHERP and HEROIC. The special issue was posted today on the Medical Care website. The supplement includes 12 original research papers, focusing on advancing health equity for three groups of vulnerable veterans: Racial and ethnic minorities. One study found lower rates of recommended psychotherapy or medications for African American and Latino veterans with posttraumatic stress disorder (PTSD). Another paper reported that veterans with multiple substance use disorders were more likely to be African American; they also had higher rates of homelessness and increased physical and mental health problems. Veterans from the lesbian, gay, bisexual, and transgender (LGBT) community. One study found that transgender veterans are generally satisfied with VA healthcare, although satisfaction with mental care was lower for transgender men. A survey of more than 5,000 transgender veterans suggested higher rates of PTSD and tobacco use disorder among those living in smaller towns. Studies of other sex/gender issues highlighted the impact of military sexual trauma and intimate partner violence among male and female veterans. Homeless veterans. One study evaluated a successful effort to reduce high use of emergency department care by homeless veterans. Another reported a high burden of physical and mental health problems in homeless women veterans. The supplement includes a review article showing a "dearth of interventions" to reduce disparities in recently recognized groups of vulnerable veterans, including the LGBT population. Another article paper highlights the role of implementation science in efforts to improve equity throughout the VA Healthcare System. Ensuring health equity takes on new importance with the passage of the Veterans Choice Act of 2014, under which some veterans are eligible to receive care from non-VA community providers, based on waiting times and travel distance to VA facilities. VA's health equity efforts have expanded to include a wide range of vulnerable veterans—not just racial/ethnic minorities, but also populations characterized by gender/gender identity, age, geographic location, religion, socioeconomic status, sexual orientation, mental illness, and disability. Drs. Ibrahim, Egede, and Fine hope the "first and second generation health equity studies" presented in the special issue will create a broader foundation of knowledge for future research—particularly as more veterans receive care outside the VA Healthcare System. A pair of editorials by VA leadership highlight VA's commitment to continued research and leadership in promoting health equity—including through the Veterans Choice Act and other new programs. Deputy Under Secretary for Health for Community Care Dr. Baligh R. Yehia and coauthors write, "As the largest integrated health care system in the nation, VA has an opportunity to lead the rest of the country in reducing health and health care disparities." Click here to read the September supplement issue. ### About Medical Care Rated as one of the top ten journals in health care administration, Medical Care is devoted to all aspects of the administration and delivery of health care. This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of health care. Medical Care provides timely reports on the findings of original investigations into issues related to the research, planning, organization, financing, provision, and evaluation of health services. In addition, numerous special supplementary issues that focus on specialized topics are produced with each volume. Medical Care is the official journal of the Medical Care Section of the American Public Health Association About Wolters Kluwer Wolters Kluwer N.V. (AEX: WKL) is a global leader in information services and solutions for professionals in the health, tax and accounting, risk and compliance, finance and legal sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services. Wolters Kluwer reported 2016 annual revenues of €4.3 billion. The company, headquartered in Alphen aan den Rijn, the Netherlands, serves customers in over 180 countries, maintains operations in over 40 countries and employs 19,000 people worldwide. Wolters Kluwer shares are listed on Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Wolters Kluwer has a sponsored Level 1 American Depositary Receipt program. The ADRs are traded on the over-the-counter market in the U.S. (WTKWY). Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry. For more information about our products and the organization, visit http://www.wolterskluwer.com/, follow @WKHealth or @Wolters_Kluwer on Twitter, like us on Facebook, follow us on LinkedIn, or follow WoltersKluwerComms on YouTube. For more information about Wolters Kluwer’s solutions and organization, visit www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.
Craig J. Bryan, executive director of the National Center for Veterans Studies at the University of Utah, testified today before the Senate Committee on Veterans’ Affairs on what more can be done to prevent veteran suicide. Bryan, who also is an assistant professor in the Department of Psychology, is a nationally recognized expert on military suicide and serves as a consultant to the Department of Defense for psychological health promotion initiatives and suicide prevention. He has conducted numerous studies about suicide risk and suicide prevention strategies. Craig J. Bryan | executive director, National Center for Veterans Studies, University of Utah | craig.bryan@utah.edu
argaret Meyers, MAE, CRNA a Certified Registered Nurse Anesthetists (CRNA), from Spokane, Wash. will receive the Helen Lamb Outstanding Educator Award during the American Association of Nurse Anesthetists (AANA) Annual Congress, September 8-12, 2017 in Seattle, Wash.   “I am humbled to be selected by the AANA for this award and am especially happy to receive it in Seattle,” said Margaret Meyers, MAE, CRNA.  “I enjoyed a faculty clinical practice, something I encourage all educators to maintain for that “in-the-trenches” real life experience.”  A CRNA for more than 40 years, Meyers is responsible for instructing, nurturing, and molding more than 200 registered nurses into CRNAs.  Providence Sacred Heart Medical Center Gonzaga University’s nurse anesthesia program has a rich 82-year history, and Meyers played an important role in that history as program administrator for 34 years.  Over the years she taught basic principles of anesthesia and research based anesthesia practice.  Meyers transitioned out as the program administer in 2015 and retired with the graduation of the last Masters cohort in 2016.     Education Master of Anesthesiology Education degree from Gonzaga University in Spokane, Wash.. Bachelor’s of Arts degree from Gonzaga University, Spokane, Wash. Certificate in nurse anesthesia from Sacred Heart School of Anesthesia in Spokane, Wash. Diploma in nursing from Sacred Heart School of Nursing       Helen Lamb Outstanding Educator Award  The Helen Lamb Award was established in 1980 in memory of Helen Lamb Frost, an AANA founding member, past president, and nurse anesthesia educator.  This award recognizes the commitment of an individual to the educational standards of nurse anesthesia.           About the AANA Founded in 1931 and located in Park Ridge, Ill., and Washington, D.C., the American Association of Nurse Anesthetists (AANA) is the professional organization representing more than 52,000 Certified Registered Nurse Anesthetists (CRNAs) and student registered nurse anesthetists across the United States. As advanced practice registered nurses and anesthesia specialists, CRNAs administer approximately 43 million anesthetics to patients in the United States each year and are the primary providers of anesthesia care in rural America. In some states, CRNAs are the sole anesthesia professionals in nearly 100 percent of rural hospitals.   More Information Visit www.aana.com and www.future-of-anesthesia-care-today.com   Follow @aanawebupdates on Twitter Call Marlene McDowell, Assistant Director, Public Relations (847) 655-1145, or email mmcdowell@aana.com        
Cohen Veterans Bioscience today announced its partnership with the Open Commons Consortium to establish the Brain Commons – a one-of-a-kind cloud-hosted site for combining Big Data that will be critical for the understanding of brain conditions. The OCC platform is uniquely positioned to manage large-scale imaging data, genomic data, wearables, and clinical data, as well as enable machine learning and analytics at state-of-the-art computing speeds to accelerate our understanding of brain conditions and brain health. The Brain Commons database will be hosted at the University of Chicago's Open Commons Consortium – a leading organization in the drive to Open Data sharing, and a driving force in new technologies for Genomics data sharing. Its Chair, and Director of the Center for Data Intensive Science, Robert Grossman said, "We are thrilled to collaborate with a progressive organization like Cohen Veterans Bioscience to develop an entirely new way to bring together brain data from across the community. This has already been a powerful approach in cancer genomics, and we are excited to work with Dr. Haas and her team to see how our experience can now be extended to impact brain health." The Brain Commons will also leverage the partnership between Cohen Veterans Bioscience and Exaptive, Inc. to build a Cognitive City – a user interface to the Commons. The Cognitive City brings data, software tools, and people together in an ecosystem where interoperability, modularity, and community are core features and boundary-crossing through repurposing data and code is actively facilitated. "Just like physical cities are built where there are ample natural resources, a Cognitive City must be built atop an easily accessible supply of data," said Dave King, Founder and Chief Executive Officer, Exaptive, Inc. "The Brain Commons offers just such an abundance – a flexible repository that can scale in both breadth and depth, allowing for new types of analyses to be performed across diverse datasets."  "Many organizations are gathering excellent datasets but don't necessarily have the means to share them, and analyze them together. It is going to take a highly motivated, interconnected village to tackle the obstacles posed by brain diseases. We very much hope that the village will be the Brain Commons," said Dr. Jane Roskams, Executive Director for the Commons. About Cohen Veterans Bioscience Cohen Veterans Bioscience is a national, nonpartisan research 501(c)(3) organization dedicated to fast-tracking the development of diagnostic tests and personalized therapeutics for the millions of veterans and civilians who suffer the devastating effects of trauma-related and other brain disorders. To support & learn more about our research efforts, visit www.cohenveteransbioscience.org. About Open Commons Consortium The Open Commons Consortium (OCC) is a not for profit that manages and operates cloud computing and data commons infrastructure to support scientific, medical, health care and environmental research. OCC members span the globe and include over 30 universities, companies, government agencies and national laboratories. For more information, see occ-data.org About the Center for Data Intensive Science The Center for Data Intensive Science is a research center at the University of Chicago focused on data science and its applications to advancing biology, medicine, health care and the environment. It is part of University of Chicago Medicine & Biological Sciences, one of the nation's leading academic medical institutions. For more information, see cdis.uchicago.edu CONTACT: Cohen Veterans Bioscience, press@cohenbio.org