1,409 results match your criteria: "Durham Veterans Affairs Medical Center.[Affiliation]"
Telemed J E Health
September 2023
Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
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Gastroenterology
May 2023
Division of Gastroenterology, University of Washington School of Medicine, Seattle, Washington.
AIDS Care
December 2023
School of Nursing, University of Washington, Seattle, WA, USA.
The COVID-19 pandemic's impact on cardiovascular health behaviors including diet, physical activity, medication adherence, and self-care among people living with HIV (PLWH) remains unknown. Using qualitative analyses, we examined the impact of the COVID-19 pandemic on cardiovascular health behaviors among PLWH. Twenty-four PLWH were enrolled in this multisite study from September to October 2020.
View Article and Find Full Text PDFJ Cardiopulm Rehabil Prev
March 2023
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut (Dr Hu); Departments of Biostatistics (Dr Huang) and Medicine (Drs Mayberry, Kripalani, Roumie, and Bachmann), Vanderbilt University Medical Center, Nashville, Tennessee; Departments of Population Health Sciences and Medicine, Duke University Medical Center and Durham Veterans Affairs Medical Center, Durham, North Carolina (Dr Bosworth); Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri (Dr Freedland); Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, Tennessee (Drs Mayberry, Kripalani, Wallston, Roumie and Bachmann); and Medicine Service, Veterans Affairs Tennessee Valley Healthcare System-Nashville Campus, Nashville, Tennessee (Drs Roumie and Bachmann).
Purpose: Cardiac rehabilitation (CR), a program of supervised exercise and cardiovascular risk management, is widely underutilized. Psychological factors such as perceived health competence, or belief in one's ability to achieve health-related goals, may play a role in CR initiation. The aim of this study was to evaluate the association of perceived health competence with CR initiation among patients hospitalized for acute coronary syndrome (ACS) after adjusting for demographic, clinical, and psychosocial characteristics.
View Article and Find Full Text PDFJAMA Netw Open
February 2023
Division of Gastroenterology, Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle.
Importance: COVID-19 vaccination rates remain suboptimal in the US. Identifying factors associated with vaccination can highlight existing gaps and guide targeted interventions to improve vaccination access and uptake.
Objective: To describe incidence and patient characteristics associated with primary, first booster, and second booster COVID-19 vaccination in the Veterans Health Administration (VHA).
J Gen Intern Med
July 2023
Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Background: The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care.
View Article and Find Full Text PDFAlzheimers Res Ther
January 2023
Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA.
Lung Cancer
February 2023
Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, NC 27710, USA; Durham Veterans Affairs Medical Center, Durham, NC 27710, USA; Duke Global Health Institute, Duke University, Durham, NC, USA.
Lung cancer screening (LCS) decreases lung cancer related mortality among high-risk people who smoke cigarettes and has been endorsed by the US Preventive Services Task Force (USPSTF) since 2013. However, adoption of LCS has been limited, and disparities in LCS among racially and ethnically minoritized groups have become apparent. While recommendations to improve disparities in LCS have been made, there is a lack of information on how these recommendations have been implemented and their relative effectiveness in improving screening disparities.
View Article and Find Full Text PDFEur J Psychol
November 2022
Department of Neurology, Duke University, Durham, NC, USA.
Unlabelled: Prior literature illustrates that sexual minority people (e.g., bisexual, gay, queer) are at increased vulnerability for sexual violence victimization compared to heterosexual peers, including while in college.
View Article and Find Full Text PDFBMJ Open Qual
December 2022
Division of Gastroenterology, Durham Veterans Affairs Medical Center, Durham, North Carolina, USA
Clear documentation of instructions for resuming anticoagulant and antiplatelet (AC/AP) medications after gastrointestinal endoscopy is essential for high-quality postprocedure care. Yet, these recommendations are frequently absent, which may impact patient safety. We aimed to improve documentation of postprocedural AC/AP instructions through targeted interventions during outpatient endoscopy at a Veterans Affairs Medical Center using validated Quality Improvement methodology.
View Article and Find Full Text PDFJ Cataract Refract Surg
January 2023
From the Duke University Eye Center, Durham, North Carolina (Wisely, Aggarwal, Challa); Durham Veterans Affairs Medical Center, Durham, North Carolina (Pepin).
JMIR Form Res
December 2022
Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, United States.
Background: Suboptimal medication adherence is a significant problem for patients with serious mental illness. Measuring medication adherence through subjective and objective measures can be challenging, time-consuming, and inaccurate.
Objective: The primary purpose of this feasibility and acceptability study was to evaluate the impact of a digital medicine system (DMS) among Veterans (patients) with serious mental illness as compared with treatment as usual (TAU) on medication adherence.
LGBT Health
May 2023
Department of Dermatology, Duke University School of Medicine, Durham, North Carolina, USA.
Skin cancer is prevalent in sexual minority men but little is known about risk factors and screening specifically among couples in same-sex relationships (SSR). We aimed to compare sunburns, sun-protective behaviors, indoor tanning, and total body skin examinations (TBSEs) between people in SSR with those in opposite-sex relationships (OSR). We conducted a pooled cross-sectional analysis of 2000-2015 data from the National Health Interview Survey, a nationally representative survey of the United States civilian population.
View Article and Find Full Text PDFMedicine (Baltimore)
November 2022
Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center; Department of Population Health Sciences, Duke University, Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and its long-term outcomes may be jointly caused by a wide range of clinical, social, and economic characteristics. Studies aiming to identify mechanisms for SARS-CoV-2 morbidity and mortality must measure and account for these characteristics to arrive at unbiased, accurate conclusions. We sought to inform the design, measurement, and analysis of longitudinal studies of long-term outcomes among people infected with SARS-CoV-2.
View Article and Find Full Text PDFJ Cataract Refract Surg
March 2023
From the Duke Eye Center, Durham, North Carolina (Aggarwal, Wisely, Challa); Durham Veterans Affairs Medical Center, Durham, North Carolina (Pepin, Bryan, Raghunathan, Challa); Duke Anesthesiology, Durham, North Carolina (Raghunathan).
Purpose: To characterize intraoperative complications, case complexity, and changes in complication rates with surgical experience for cataract surgeries involving residents at the Veterans Health Administration (VHA).
Setting: All VHA facilities where cataract surgery was performed.
Design: Multicenter, retrospective cohort study.
Am J Physiol Lung Cell Mol Physiol
November 2022
Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, North Carolina.
Pediatrics
December 2022
Population Health Sciences, Duke University, Durham, North Carolina.
Psychol Serv
August 2023
Department of Psychiatry, University of California, San Diego.
Premature dropout from posttraumatic stress disorder treatment (PTSD) hinders treatment response. Studies have primarily used quantitative methodology to identify factors that contribute to Veterans' premature dropout, which has yielded mixed results. Qualitative methods provide rich data and generate additional hypotheses about why Veterans discontinue PTSD treatment.
View Article and Find Full Text PDFRadiology
March 2023
From the Department of Radiology (M.A.N., M.R.B.), Division of Gastroenterology, Department of Medicine (C.A.M., M.R.B.), Department of Biostatistics & Bioinformatics (R. Lerebours, S.L., A.F.), Department of Pathology (C.G.), and Center for Advanced Magnetic Resonance Development (M.R.B.), Duke University Medical Center, Department of Radiology, Box 3808, Durham, NC 27710; Rutgers University Hospital, School of Medicine, Newark, NJ (M.C.); Liver Imaging Group, Department of Radiology (M.S.M., C.B.S.), and Division of Gastroenterology, Department of Medicine (R. Loomba), University of California at San Diego School of Medicine, San Diego, Calif; Department of Medicine, Durham Veterans Affairs Medical Center, Durham, NC (C.A.M.); and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minn (M.F.A.).
Background Several early-phase clinical trials for the treatment of nonalcoholic steatohepatitis (NASH) use liver fat content as measured with the MRI-derived proton density fat fraction (PDFF) for a primary outcome. These trials have shown relative reductions in liver fat content with placebo treatment alone, a phenomenon termed "the placebo effect." This phenomenon confounds the results and limits generalizability to future trials.
View Article and Find Full Text PDFGastrointest Endosc
November 2022
Portland Veterans Affairs Medical Center, Portland, Oregon, USA; Division of Gastroenterology and Hepatology, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Purpose: The current study aimed to determine baseline clinical features among adults receiving varied levels of care for transdiagnostic eating disorders (N = 5206, 89.9% female, mean age 29 years old) that may be associated with increased care utilization.
Methods: We used negative binomial regression models to evaluate associations among eating disorder diagnoses, other psychiatric features (e.
Kidney360
September 2022
Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina.
Background: Frailty is present in ≥50% of older adults receiving dialysis. Our objective was to a develop an administrative data-based frailty index and assess the frailty index's predictive validity for mortality and future hospitalizations.
Methods: We used United States Renal Data System data to establish two cohorts of adults aged ≥65 years, initiating dialysis in 2013 and in 2017.
JMIR Res Protoc
October 2022
Department of Population Health Science, Duke University School of Medicine, Durham, NC, United States.
Background: Health care providers are increasingly screening patients for unmet social needs (eg, food, housing, transportation, and social isolation) and referring patients to relevant community-based resources and social services. Patients' connection to referred services is often low, however, suggesting the need for additional support to facilitate engagement with resources. SMS text messaging presents an opportunity to address barriers related to contacting resources in an accessible, scalable, and low-cost manner.
View Article and Find Full Text PDFJ Gen Intern Med
May 2023
Seattle-Denver Center for Innovation, VA Puget Sound Health Care System, Seattle, WA, USA.
Background: Obesity (body mass index [BMI]≥30kg/m) among US adults has tripled over the past 45 years, but it is unclear how this population-level weight change has occurred.
Objective: We sought to identify distinct long-term BMI trajectories and examined associations with demographic and clinical characteristics.
Design: The design was latent trajectory modeling over 10 years of a retrospective cohort.
Ann Intern Med
December 2022
Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, Washington (K.B.).
Background: The effectiveness of a third mRNA COVID-19 vaccine dose (booster dose) against the Omicron (B.1.1.
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