Tuesday, June 13, 2017

Veterans: Protect Your Skin and Your Hearing for Tuesday, 13 June 2017 - Veterans Health in Washington, D.C., United States

Veterans: Protect Your Skin and Your Hearing for Tuesday, 13 June 2017 - Veterans Health in Washington, D.C., United States

Veterans Health Administration Update
 
 

Veterans Health Administration
Update

 
 
 
 
  

Inside Veterans Health

 
 
Veterans: Do you know the difference in Ultraviolet B and Ultraviolet A sun’s rays? And what is a safe decibel (dB) level of noise? Here are a few quick handy answers just in time for summer. Read the full story
Putting sunblock on your skin
 
 
Do you know the difference in Ultraviolet B and Ultraviolet A sun’s rays? And what is a safe decibel (dB) level of noise? Here are a few quick handy answers just in time for summer. by Matthew E. Freeman, Health Promotion Disease Prevention Committee, Veterans Hospital Columbia, Mo.                         

                                                                                                  
Ultraviolet Radiation
Protecting your skin from the harmful effects of the sun is very important during the spring and summer months. During the warmer months, the Earth is tilted in a way that allows more of the sun’s Ultraviolet B (UVB) rays to make it the surface. More UVB rays means hotter temperatures and an increased risk to skin. The sun’s Ultraviolet A (UVA) rays reach the Earth’s surface year round.
Harmful Effects
Ultraviolet A and B radiation from the sun can cause or contribute to a number of harmful effects to your skin including painful sunburn, cancer and aging. For those with fair skin, lupus, or those who take medications such as antibiotics or antihistamines, the risks are greater.
Protection
To protect yourself from the harmful effects of the sun, consider wearing protective clothing such as hats, long sleeves, pants, or even sun-safe clothing, which is designed to provide even more protection. Also, consider sunblock for UVA radiation or sunscreen for UVB radiation. To ensure maximum protection, choose a product that will protect against both UVA and UVB.

Hearing Protection

Noisy Activities
Warmer months mean more opportunities to engage in activities that could result in noise-induced hearing loss. These activities include boating, motorcycling, sporting events, music concerts, or even mowing the lawn.
Harmful Effects
The Occupational Health and Safety Administration (OSHA) sets safe noise levels at 85 dB. Noise levels higher than this can result in Noise Induced Hearing Loss (NIHL) or tinnitus. Those with NIHL have difficulty understanding other people when they talk, especially on the phone or in a noisy room. Tinnitus is a constant ringing, buzzing or roaring sound in one or both ears. The bad news is NIHL and tinnitus can be permanent, but the good news is they are preventable.
  • Typical Lawn Mower – 85 to 90 dB, hearing damage occurs in 8 hours at this level
  • Speedboat – can exceed 90 dB
  • Motorcycle – can exceed 95 dB
  • Sporting Event – as much as 115 dB, hearing damage can occur in 15 minutes
As a rule of thumb, if you have to shout to be heard by the person standing next to you or notice your ears are ringing after exposure, your environment is too loud.
Protection
Hearing protection is useful when you cannot or choose not to avoid noise exposure. The two most popular forms of hearing protection are earplugs and earmuffs. Earplugs are inserted into the ear canal and earmuffs cover the ears. You can use one or both to protect your hearing. Both forms of protection work by decreasing the volume, or dB, of the noise reaching the sensitive structures in your inner ear.
US Department of Veterans Affairs
Veterans Health Administration

810 Vermont Avenue, NorthWest
Washington, D.C. 20420, United States
877-222-VETS (877-222-8387)
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Review of Alleged Unauthorized Commitments for Prosthetic Purchases at VA Network Contracting Office 3 for Tuesday, 13 June 2017 - Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States

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Veterans Affairs Office of Inspector General (OIG).
In May 2015, members of Congress, Kathleen Rice and Mike Coffman, requested the OIG review allegations that a supervisor at a VA facility in Bronx, NY, made unauthorized commitments by splitting prosthetic purchases in increments below $25,000, in fiscal years 2011 and 2012. Congresswoman Rice, also asked the OIG to assess VA’s claim that related procurement records were destroyed during Hurricane Sandy in October 2012. We did not substantiate that the Purchase Card Program Manager (PCPM) unauthorized commitments by splitting prosthetic purchases. We did determined that the Network Contracting Office (NCO) 3 the PCPM erroneously reported approximately $54.4 million of prosthetic purchases in Federal Procurement Data System during FYs 2011 and 2012. This erroneous reporting included the alleged split purchases under review. The PCPM erroneously reported contract purchases because NCO 3 was not meeting a performance metric that measured acquisitions on contracts. This occurred because the NCO 3 Contract Manager did not provide oversight or ensure implementation of the required segregation of duties for FPDS reporting. This erroneous reporting of prosthetic purchases was eventually removed from FPDS, in 2013. We did identify 11 unauthorized commitments totaling about $457,000 for prosthetic purchases that exceeded the warrants of the purchasers. The facility was unable to provide documentation of compliance with VA policy showing that these payments had been made by purchase cardholders in accordance with their warrant authority. The unauthorized commitments must now be ratified. We did not substantiate VA’s claim that procurement records for prosthetic purchases at NCO 3 were destroyed during Hurricane Sandy. All the prosthetic procurement files had been stored on the 14th floor of the medical center and were not in an area affected by the hurricane. We recommended that the Executive Director, Service Area Office East, submit a ratification request for unauthorized commitments and consult with Regional Counsel to determine if the Executive Director should take actions related to erroneous reporting. We also recommended that the Executive Director conduct a review of Network Contracting Office operations to ensure internal controls, such as segregation of duties, are monitored and enforced. We received sufficient evidence to close recommendations 2 and 3 and will follow up on recommendation 1.

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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Eat a rainbow of colorful produce for Tuesday, 13 June 2017 - Military Health System in Washington, D.C., United States

Health.mil

colorful produce

Eat a rainbow of colorful produce

For adults, the current daily recommendation is 2-3 cups of vegetables and 2 cups of fruit. Remember that raw, cooked, steamed, grilled, and broiled varieties all count, so fill half your plate with fruits and vegetables at mealtimes. (U.S. Army photo by Honey Nixon)
Power your performance with colorful produce! Eating colorful fruits and veggies can help reduce your risk of stroke, heart disease, diabetes, and some cancers too. They also contain water, electrolytes, vitamins, minerals, and carbohydrates – all essential nutrients for top performance in the gym or on the field.
Eat your greens and other colors in the produce “rainbow.”
  • Think pink. Lycopene is a powerful antioxidant that gives fruits and vegetables their red color, and it might reduce your risk of heart disease and some cancers. Enjoy lycopene-rich foods such as watermelon, pink grapefruit, and tomatoes.
  • Enjoy orange. Many yellow and orange vegetables and fruits get their color from beta-carotene. It’s an antioxidant that can reduce your risk of headaches, high blood pressure, and more. Choose sweet potatoes, mangoes, peaches, and others.
  • Get right with white. These fruits and vegetables contain potassium, fiber, and other nutrients. Fiber-filled fruits and vegetables can help lower your risk of obesity too. White produce includes bananas, white corn, cauliflower, and pears.
  • Pick purple. These vegetables and fruits get their color from anthocyanins, which is a powerful phytonutrient that might reduce your risk of chronic disease. Enjoy purple berries, grapes, eggplants, and more.
For adults, the current daily recommendation is 2-3 cups of vegetables and 2 cups of fruit. Remember that raw, cooked, steamed, grilled, and broiled varieties all count, so fill half your plate with fruits and vegetables at mealtimes.
Disclaimer: Re-published content may have been edited for length and clarity. Read original post. 

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Guard medics conduct medical evacuation training

Medics with the 108th Area Support Medical Company, 213th Regional Support Group, Pennsylvania Army National Guard, off-load a simulated casualty from a UH-60 Black Hawk operated by Soldiers from Detachment 2, Charlie Company, 2nd Squadron, 104th Regiment, 28th Combat Aviation Brigade, Pennsylvania Army National Guard during training. (U.S. Army photo by Staff Sgt. Coltin Heller)
FORT INDIANTOWN GAP, Pa. — Soldiers from the 108th Area Support Medical Company, 213th Regional Support Group, Pennsylvania Army National Guard moved rapidly to and from a UH-60 Black Hawk helicopter during a simulated medical evacuation exercise here recently.
The Soldiers spent the first part of the training working in groups practicing litter carrying techniques, calling medical evacuation and casualty loading procedures. Soldiers in the group took turns acting as the patient, while the others practiced lifting and moving techniques.
As the Soldiers conducted litter refresher training, a Black Hawk from Detachment 2, Charlie Company, 2nd Squadron, 104th Cavalry Regiment, 28th Combat Aviation Brigade, Pennsylvania Army National Guard, landed in a nearby field to assist the medics with their training.
The medics resumed their groups and practiced shuttling patients to and from the helicopter, which simulated real-world practices by lifting off and flying a short loop before landing and taking on another patient.
Army Staff Sgt. Larry Bergey, a combat medic with the 108th Area Support Medical Company, stressed the importance of the training.
“If we were ever in the position where we would have a casualty that we would need to be air lifted, we need to know how to properly communicate with aviation crews, as well as how to load the casualties to safely transport them,” Bergey said.
For Army Pfc. Logan Sawka, an ambulance driver and aide with the 108th Area Support Medical Company and recent graduate of combat medic advanced individual training, the training proved vital.
“You never know when you’re going to end up in a [medical evacuation] situation, have to call in a nine-line,” said Sawka. “That’s exactly the kind of stuff we’re doing.”
Sawka said the training was fun as well as valuable.
“I love it out here,” said Sawka, motioning to the training area. “It’s awesome. It’s the first time I ever got to ride in a Black Hawk. It’s great scenarios and great training.”

Disclaimer: Re-published content may have been edited for length and clarity. Read original post. 

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