Central Texas Veterans Healthcare System

Temple, TX, United States

Central Texas Veterans Healthcare System

Temple, TX, United States

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Creech S.K.,Central Texas Veterans Healthcare System | Orchowski L.M.,University of Rhode Island
Traumatology | Year: 2016

Although numerous studies among civilian samples document prior sexual victimization as a robust predictor of sexual revictimization, less is known regarding sexual revictimization among women veterans. Among a sample of women veterans seeking primary care (N _ 101), the current study examined associations between sexual assault (via force) at 4 different time points: age 17 and younger (child), age 18 but before military service (adult premilitary), during military service (military), after military service (postmilitary). Across all comparisons, results indicated there are significant associations between forced sexual experiences before, during and after military service. Posttraumatic stress disorder (PTSD) symptoms were significantly and positively related to the number of time periods an individual experienced sexual victimization via force, as well as the total number of victimization experiences. The experience of sexual assault during military service was a stronger predictor of PTSD symptoms than the experience of sexual assault at any other time period. Among those women who experienced forced sex in the military, symptoms of PTSD were significantly higher in those women who experienced a sexual assault in both childhood and military service. Findings underscore the importance of screening for experiences of sexual trauma throughout the life span within a women’s primary care setting and suggest the need for further attention to prevention of sexual revictimization among women veterans. © 2016 American Psychological Association.


Lavery L.A.,Texas A&M University | LaFontaine J.,Texas A&M University | LaFontaine J.,Central Texas Veterans Healthcare System | Baxter C.L.,Texas A&M University | And 2 more authors.
Diabetes Care | Year: 2010

OBJECTIVE - To evaluate the frequency of foot prevention strategies among high-risk patients with diabetes. RESEARCH DESIGN AND METHODS - Electronic medical records were used to identify 150 patients on dialysis and 150 patients with previous foot ulceration or amputation with 30 months follow-up to determine the frequency with which patients received education, podiatry care, and therapeutic shoes and insoles as prevention services. RESULTS - Few patients had formal education (1.3%), therapeutic shoes/insoles (7%), or preventative podiatric care (30%). The ulcer incidence density was the same in both groups (210 per 1,000 person-years). In contrast, the amputation incidence density was higher in the dialysis group compared with the ulcer group (58.7 vs. 13.1 per 1,000 person-years, P<0.001). Patients on dialysis were younger and more likely to be of non-Hispanic white descent (P = 0.006) than patients with a previous history of ulcer or amputation. CONCLUSIONS - Prevention services are infrequently provided to high-risk patients. © 2010 by the American Diabetes Association.


PubMed | University of Calgary, University of Barcelona, Basildon & Thurrock University Hospitals, Central Texas Veterans Healthcare System and 4 more.
Type: Journal Article | Journal: Metabolic brain disease | Year: 2016

At the recent ISHEN (International Symposium of Hepatic Encephalopathy & Nitrogen Metabolism) conference in London, a whole session was dedicated to our increasing awareness of the importance of inflammation in the brain - termed neuroinflammation, in the development of Hepatic Encephalopathy (HE) - the neurological manifestations of advanced liver disease. In this review our ISHEN speakers further discuss the content of their sessional presentations and more broadly we discuss our understanding of the role of neuroinflammation in HE pathogenesis.


Mancini M.A.,Saint Louis University | Linhorst D.M.,Saint Louis University | Menditto A.A.,Fulton State Hospital | Coleman J.,Central Texas Veterans Healthcare System
Journal of Behavioral Health Services and Research | Year: 2013

This study evaluated a statewide demonstration project to implement a group-based intervention called Procovery in selected inpatient and community mental health centers. Procovery is a facilitated mutual support group designed to build hope and a sense of social inclusion by raising consciousness and helping people develop an understanding of the ways one can move toward recovery in their own lives. This evaluation sought to determine both consumer outcomes and perceptions of the program and implementation efforts held by consumers and the facilitators of the intervention. A multidimensional approach was used, including a quasi-experimental design with consumers, questionnaires and focus groups with the intervention facilitators, and individual interviews with administrators. The Procovery model was shown to have a positive impact on consumers' recoveries and was viewed favorably by consumers, facilitators, and administrators. Several barriers to effective implementation were identified. These findings and their implications for future practice and research are discussed.© 2013 National Council for Community Behavioral Healthcare.


Jinadatha C.,Central Texas Veterans Healthcare System | Jinadatha C.,Texas A&M University | Simmons S.,Xenex Disinfection Services | Dale C.,Xenex Disinfection Services | And 6 more authors.
American Journal of Infection Control | Year: 2015

The doffing of personal protective equipment (PPE) after contamination with pathogens such as Ebola poses a risk to health care workers. Pulsed xenon ultraviolet (PX-UV) disinfection has been used to disinfect surfaces in hospital settings. This study examined the impact of PX-UV disinfection on an Ebola surrogate virus on glass carriers and PPE material to examine the potential benefits of using PX-UV to decontaminate PPE while worn, thereby reducing the pathogen load prior to doffing. Ultraviolet (UV) safety and coverage tests were also conducted. PX-UV exposure resulted in a significant reduction in viral load on glass carriers and PPE materials. Occupational Safety and Health Administrationedefined UV exposure limits were not exceeded during PPE disinfection. Predoffing disinfection with PX-UV has potential as an additive measure to the doffing practice guidelines. The PX-UV disinfection should not be considered sterilization; all PPE should still be considered contaminated and doffed and disposed of according to established protocols. Copyright © 2015 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.


PubMed | Xenex Disinfection Services, Central Texas Veterans Healthcare System, Antimicrobial Test Laboratories and Texas A&M University
Type: Journal Article | Journal: American journal of infection control | Year: 2015

The doffing of personal protective equipment (PPE) after contamination with pathogens such as Ebola poses a risk to health care workers. Pulsed xenon ultraviolet (PX-UV) disinfection has been used to disinfect surfaces in hospital settings. This study examined the impact of PX-UV disinfection on an Ebola surrogate virus on glass carriers and PPE material to examine the potential benefits of using PX-UV to decontaminate PPE while worn, thereby reducing the pathogen load prior to doffing. Ultraviolet (UV) safety and coverage tests were also conducted. PX-UV exposure resulted in a significant reduction in viral load on glass carriers and PPE materials. Occupational Safety and Health Administration-defined UV exposure limits were not exceeded during PPE disinfection. Predoffing disinfection with PX-UV has potential as an additive measure to the doffing practice guidelines. The PX-UV disinfection should not be considered sterilization; all PPE should still be considered contaminated and doffed and disposed of according to established protocols.


Chemaly R.F.,University of Texas at San Antonio | Ghantoji S.S.,University of Texas at San Antonio | Huber T.,Central Texas Veterans Healthcare System | Raad I.I.,University of Texas at San Antonio | And 2 more authors.
Infection Control and Hospital Epidemiology | Year: 2015

Isolates from patients who acquired vancomycin-resistant enterococci (VRE) were examined for the frequency of genetically indistinguishable strains on leukemia and stem cell transplant units at a major cancer center for 1 year. A total of 14 strains recurred, primarily on the same floor and in the same service unit an average of 49 days apart. © 2015 by The Society for Healthcare Epidemiology of America. All right reserved.


Bockhold C.,Central Texas Veterans Healthcare System | Crumpler S.,Central Texas Veterans Healthcare System
Nursing | Year: 2015

Two distinct but preventable pulmonary-related blood transfusion reactions, transfusion-associated volume/circulatory overload (TACO) and transfusion-related acute lung injury (TRALI), are the leading causes of blood transfusion-related mortality. Refresh your knowledge of their presentation, prevention strategies, and treatment options. © 2015 Wolters Kluwer Health, Inc. All rights reserved.


PubMed | Central Texas Veterans Healthcare System
Type: Journal Article | Journal: Journal of traumatic stress | Year: 2015

U.S. combat veterans of the Iraq and Afghanistan wars have elevated rates of posttraumatic stress disorder (PTSD) compared to the general population. Self-compassion, characterized by self-kindness, a sense of common humanity when faced with suffering, and mindful awareness of suffering, is a potentially modifiable factor implicated in the development and maintenance of PTSD. We examined the concurrent and prospective relationship between self-compassion and PTSD symptom severity after accounting for level of combat exposure and baseline PTSD severity in 115 Iraq and Afghanistan war veterans exposed to 1 or more traumatic events during deployment. PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-IV (CAPS-IV) at baseline and 12 months (n =101). Self-compassion and combat exposure were assessed at baseline via self-report. Self-compassion was associated with baseline PTSD symptoms after accounting for combat exposure ( = -.59; p < .001; R(2) = .34; f(2) = .67; large effect) and predicted 12-month PTSD symptom severity after accounting for combat exposure and baseline PTSD severity ( = -.24; p = .008; R(2) = .03; f(2) = .08; small effect). Findings suggest that interventions that increase self-compassion may be beneficial for treating chronic PTSD symptoms among some Iraq and Afghanistan war veterans.


PubMed | Central Texas Veterans Healthcare System
Type: | Journal: Hepatology (Baltimore, Md.) | Year: 2016

The relationship between hepatitis B virus X protein (HBx), farsenoid X receptor (FXR) and hepatocellular carcinoma (HCC) is a complicated one in that we have a viral protein interaction that can drive tumorigenesis or inhibit HCC depending upon transactivation of full-length or truncated HBx. In the current article the authors have elegantly described a system of HBx-FXR interaction that demonstrates inhibition of HCC tumor growth via activation of full-length HBx. The paper employs both in vivo and in vitro studies including using FXR knockout mice crossed with HBx induced mice. Overall, studies on the interaction between HBx and FXR have been riddled with complication and this paper sheds important light on the relationship that may be key in developing much needed therapies for HCC. This article is protected by copyright. All rights reserved.

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