Whether secular trends in eGFR at dialysis initiation reflect changes in clinical presentation over time is unknown. We reviewed the medical records of a random sample of patients who initiated maintenance dialysis in the Department of Veterans Affairs (VA) in fiscal years 2000-2009 (n=1691) to characterize trends in clinical presentation in relation to eGFR at initiation. Between fiscal years ...

background: this study provided the theoretical basis for program development through a new conceptualization of the concept of family physician related health care. methods: critical interpretive synthesis (cis) was used to carry out qualitative analysis and synthesis of the literature from 2006 until 2015. at the beginning of cis, the search strategy was designed to access electronic database...

Approximately 15% of casualties in the Afghanistan (Operation Enduring Freedom [OEF]) and Iraq (Operation Iraqi Freedom [OIF]) conflicts received mild traumatic brain injury (TBI). To identify Veterans who may benefit from treatment, the Department of Veterans Affairs (VA) implemented a national clinical reminder in 2007 to screen for TBI. Veterans who screen positive are referred for a compreh...

The origins and physical significance of the Casimir effect are reviewed, linking the zero-point energy of the vacuum in quantum electrodynamics with a force between conducting plates. It is shown how, by the use of dimensional and other simple physical arguments, the major features of the phenomenon can be derived.