A twin study of the effects of the Vietnam war on posttraumatic stress disorder

Article Abstract:

Three million Americans in the United States armed forces served in southeast Asia (SEA) during the Vietnam War between 1965 to 1975. The long-term effects of the Vietnam military experience on the physical and psychological health of veterans have gained much interest. The impact of military service during the Vietnam war era on posttraumatic stress disorder was examined in 2,092 identical male twin veterans. The posttraumatic stress syndrome is the development of characteristic symptoms after a psychologically traumatic event that is not within the range of usual human experience. Data for this study were collected by telephone and mail surveys. Among 715 identical twins, of which only one twin was in military service in Southeast Asia (SEA), posttraumatic stress disorder was strongly associated with military service in SEA. The prevalence of posttraumatic stress disorder was about 17 percent in twins who served in SEA as compared to five percent in the identical twin who did not serve in SEA. There was a nine-fold increase in the prevalence of posttraumatic stress disorder in a twin who experienced high levels of combat compared with that of an identical twin who did not serve in SEA. The results demonstrate that there is an increased prevalence of posttraumatic stress disorder among veterans who served in SEA even 15 years after the end of the Vietnam war. (Consumer Summary produced by Reliance Medical Information, Inc.)

Psychological aspects, Research, Vietnamese Conflict, 1961-1975, Post-traumatic stress disorder, Veterans, Twins

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Implantable insulin pump vs multiple-dose insulin for non-insulin-dependent diabetes mellitus: a randomized clinical trial

Article Abstract:

An implantable insulin pump appears to have many advantages over multiple daily insulin injections in people with adult-onset diabetes but is also more costly. This was demonstrated in a study of 121 men with non-insulin-dependent diabetes (NIDDM) who were randomly assigned to inject insulin or have an insulin pump surgically implanted. Both types of insulin administration lowered blood glucose levels, but the insulin pump reduced glucose fluctuations and reduced the incidence of hypoglycemia. Those with the pump did not gain weight and reported higher quality of life measures.

Drug therapy, Type 2 diabetes, Dosage and administration, Insulin, Drug infusion pumps

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Improving Residents' Compliance With Standards of Ambulatory Care: Results From the VA Cooperative Study on Computerized Reminders

Article Abstract:

A computerized reminder system may help medical interns and residents remember appropriate standards of ambulatory care. This was the conclusion of a study of 275 residents working in 12 VA ambulatory care clinics.

Training, Study and teaching, Residents (Medicine), Ambulatory medical care, Ambulatory care, Computer-based training, Computer based training

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