An ALS System of Care was initiated at PVAMC
in 2011 using a multiphasic system redesign approach.
She is also the director of a focus area concentrated on restoring limb function for the VA RR&D Center for Neurorestoration and Neurotechnology, a collaboration between PVAMC
, Brown University and affiliated hospitals, whose researchers and clinicians are advancing neurotechnology to restore lost function.
operated a total of eight outpatient clinics, including five teleretinal imaging screening programs at CBOCs in Salem, West Linn, Bend, and Hillsboro, Oregon; and Vancouver, Washington.
Staff at PVAMC
also saw a benefit in performing both consent and time-out electronically--especially in the clinic setting, where minutes often separate a patient's authorization to undergo a procedure and its accomplishment, according to Janet Pouliot, clinical application coordinator for PVAMC
Abbreviations: ACI = arm control interface, CFI = Center for the Intrepid, DARPA = Defense Advanced Research Projects Agency, DSC = dynamic socket controller, EMG = myoelectrode, FSR = force sensitive resistor, gen 2 = second-generation DEKA Arm, gen 3 = third-generation DEKA Arm, HC = humeral configuration, IMU = inertial measurement unit, LED = light-emitting diode, LUI = Luke User Interface, MCM = master control module, NYHHS = New York Harbor Healthcare System, PI = principal investigator, PVAMC
= Providence Department of Veterans Affairs Medical Center, RC = radial configuration, ROM = range of motion, SC = shoulder configuration, TH = transhumeral, VA = Department of Veterans Affairs.
Institutional Review: All subjects were consented to participate in the study following the guidelines of the PVAMC
Institutional Review Board and were compensated for their time.
Abbreviations: ANSI = American National Standards Institute, AUC = area under Receiver Operating Characteristic curve, dB HL = decibels hearing level, dB SL = decibels sensation level, dB SPL = decibels sound pressure level, FCDS = forced-choice double staircase, IOM = Institute of Medicine, LM = loudness match, MML = minimum masking level, PM = pitch match, PTA = pure tone average, PVAMC
= Portland VA Medical Center, RI = residual inhibition, ROC = Receiver Operating Characteristic, SBC = Schwartz Bayes Criterion, TES = Tinnitus Evaluation System, VA = Department of Veterans Affairs, VHA = Veterans Health Administration.
Subjects were recruited from the primary care and PTSD services of the PVAMC
; through community and military reserve sites in Rhode Island, southeastern Massachusetts, and nearby Connecticut; and through homeless shelters in the region.
All procedures for recruitment, informed consent, and conduct of this study adhered to the requirements of the institutional review boards (IRBs) at the PVAMC
and VACHS for protection of human research participants.
We also gave participants the option of consenting to allow data from these outcome measures to be analyzed and disseminated in aggregate form for research purposes approved by the PVAMC
Institutional Review Board.
Collection of data from human subjects was approved by the PVAMC
institutional review board committee.
All new items were cognitively tested in a sample of six veterans recruited from PVAMC
's primary care clinics.