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The Potential for Research to Advance Evidence-Based Care for Women Veterans
Presented by Carolyn Clancy, M.D., Interim Under Secretary for Health, Veterans Health Administration Department of Veterans Affairs.
With a health care system that was set up to serve primarily men, the Department of Veterans Affairs (VA) has historically not been well-positioned to serve women. Stepping up to meet the unique health care needs of a growing population of women veterans has been a major undertaking for VA. The number of women veterans using VA health care has more than doubled since 2000, from almost 160,000 to nearly 400,000 in 2013. The growth rate of women veterans using VA care has outpaced that of the male veteran population. Based on the upward trend in the number of women serving in all military service branches, the number of women veterans will continue to climb, bringing increased demands for health care--both from younger veterans and from older veterans, those aged 45 to 64, who today make up the largest subpopulation of female users of VA care. VA's research on a broad range of women's health issues is helping to improve the Department's ability to care for women Veterans of all eras.
Authors: Adriana Vieira-de-Abreu, Lori Fotheringham, Xing Yu, Deeksha Gambhir, Haibo Wang and Mary Elizabeth Hartnett
Objective: Preterm infants with intrauterine growth restriction (IUGR) can have poor postnatal growth and retinopathy of prematurity (ROP), a leading cause of blindness. Males with IUGR have worse overall outcomes, but the effect of IUGR on ROP remains unclear. Using an experimental model, we sought to determine the effect of IUGR on growth and ROP, by sex.
Methods: Using a well-established protocol, IUGR was created in rat pups by prenatal bilateral uterine artery ligation in pregnant dams 3 days before birth. Some IUGR pups and anesthesia controls were placed into a model of ROP, in which oxygen fluctuated between 50% and 10% every 24 hours, or into room air (RA). Lectin-stained retinal flat mounts were analyzed for retinal angiogenesis at days 0, 7, and 18.
Results: 4 female and 2 male IUGR pups died before birth. There were no differences in birthweight, mortality or retinal angiogenesis at day 18 in IUGR pups in RA, by sex. The differences in weight gain between birth and day 18 were 31.6+/-0.2 g in IUGR+RA and 14.5+/-0.6 gin IUGR+ROP (p<0.001). There was no avascular retina in the IUGR+RA group and 22.8+/-3% of total retina in the IUGR+ROP group (p<0.0001). There were no differences in weight gain or avascular retinal area, by sex.
Conclusions: In experimental IUGR, fluctuations in oxygen were associated with reduced body weight gain compared to RA and led to avascular retina, a prerequisite for ROP. Although no differences based on sex were noted, more studies are needed.
Authors: Iris Faraklas, Amalia Cochran
Authors: Jennifer Coombs, Virginia Valentin
Authors: Jeanne Le Ber, Alfred Mowdood, Louisa Stark, Jessi Van Der Volgen, John Langell, Jean P. Shipman
Authors: Jessica McPhail, Ryan Mooney, Anne Kirchhoff, Kathi Mooney,, Jennifer Wright, Theresa Werner, Anna Beck, Stephen Alder, Yelena Wu
Authors: Christina Sok, Jessica N. Sanders, David K. Turok, Pamela A. Royer, Ivana Thompson
Authors: Kyley Joell Cox, Christina A. Porucznik, Lindsey Canfield Schmidt, James A. VanDerslice, Joseph B. Stanford, Diana G. Wilkins, Eric Brozek
Authors: Lynn Maxfield, Eric J. Hunter, Simone Graetzer, Catherine Mellum, Tyler Duraes
Authors: Caren J Frost, Lisa Gren, Scott Benson, Rachel Jaggi
Authors: Sarah Hargus Ferguson, Shae D. Morgan, Lydia Rosado Rogers, Eric J. Hunter
Authors: Simonsen SE, Prevedel J, Davis F, Lee D, Mukundente V, Napia E, Nash I, Rickard S, Tavake-Pasi F, Alder SC, Aiono H, Ralls B, Stark LA, Sunada G, Eisenman P, Waitzman NJ, Johnston L, Hoggard J, Webber J, Frost C, Buder IA, Zick CD, Digre K
Authors: Terrell Messerly, Zac Hansen, Trever Ball, Dr. Janet Shaw
Authors: Djin Lai, BSN, RN; Maria Borrero, BS; Echo L. Warner, MPH; Fahina Tavake-Pasi; Ed Napia; Ivoni Nash; Valentine Mukundente; Pastor France A. Davis; Heather Aiono, MEd; Deanna Kepka, PhD, MPH
Authors: Heather Aiono, Sylvia Rickard, Pastor France A. Davis, O. Fahina Tavake-Pasi, Doriena Lee, Harmony Starr, Valentine Mukundente, Louisa A. Stark
Page updated: Tue, 2014-09-23