Diabetes in Nonveterans

In the first article, Diabetes becomes the central issue of concern being it the most prevalent cause of morbidity and mortality among the selected subjects. As we all know, this is a disease, which although highly manageable, can not be easily prevented without further health support and patient cooperation. This disease necessitates the early detection and intervention, and therefore required that patient either submits to a thorough medical management and or constant monitoring from primary health care providers.

The second article on the other hand, identifies the factors which are considered to possibly deter the functionality of service among military personnel. These risk factors isolates mental disorder as being the primary cause for inefficiency in the service, in that proper screening and pre-evaluation becomes the determinant of inefficient coping during a stressful condition, particularly insurgencies or war in Afghanistan and Iraq.

It is pointed out in this research that, prior indications of mental disorder inclinations during screening is highly tantamount to further emancipate during active duty, without proper medical and psychiatric support. Therefore, the research clearly endorses the need for a thorough screening and pre-evaluation procedure prior to allowing an individual to engage in stressful conditions of war. After reading through the abstract of these researches, the purpose, methods and finding are clearly outlined, and it helped it establishing a forefront to further finding out the validity of the objective.

The details presented in these researches allows its readers to formulate their own conclusions based on the findings presented, although, much can be said about the validity of this report. While these researches allows for further investigation as to the authenticity of methodologies, it must be noted that there is need to qualify the methods in terms of verifying this with other researches as well, to further claim that the findings are imperative to the conclusions formulated.

I would be interested to read these articles in the sense that it bears significance on the ongoing political debate as to whether the need to immerse our armed forces in wars that hold less significance to their oath of loyalty to our nation. Another realization that is awakened after reading the articles is the need to re-establish the roots and focus of the federal health care program for our military personnel, and see to it that their service to their country is commensurate and reciprocated sufficiently.

As it is at present, I am under the opinion that much can still be done, and much is needed to be done to address this issue, since both article seemed to have pointed my formulated opinion to the inadequacies of the health care services available to them, along with the need to increase the government’s effort in encouraging these subjects to make use of these benefits by lowering the cost to individuals and increasing the subsidy assumed by health care benefits.

The problems identified by these researches are highly significant is the sense that the subject involved are those people given the ultimate task of defending and securing the safety and freedom of this nation, therefore they ought to receive the utmost care that this nation can provide. This kind of profession requires the dedication of one’s life to the protection of many, thus highly inclines an individual for a medical benefit. The hypothesis of the researches seemed to have been dealt with appropriately, although I am inclined to comment on its relativity to the major concerns that should be addressed.

Therefore I must say that the hypothesis has not been thoroughly delved into, in terms of presenting the major issues. Otherwise, despite the relativity of some hypothesis, major questions have been reiterated and comprehensively been tackled. The hypothesis established in the two researches identifies the need to establish medical and psychiatric after care to returning veterans, to address their health care needs, whether these needs are related to the effects of the performance of their duty or are caused by the stresses that comes with the performance of their duty.

Although, the health issues addressed by the hypothesis formulated are limited to only 2 forms of liabilities, it must be noted that rankings of health issues should have been initially established and identified prior to supposedly choosing diabetes and mental disorders, so that the readers will then understand, why among the many health risks that could possibly be tackled, these two are prioritized. Understandably, these two health issues determine the functionality of individuals, but no baseline data insists on the importance of both.

METHODOLOGY The samples are clearly described and identified in the two researches; these are in fact segregated accordingly. In the first article, the subjects were defined according to the presence and use of health care while the second article was defined according to their assignments and tenure of service. The second article however, employs the very vague method of anonymous surveys, which in my opinion does not and can not generate a truthful and accurate gauge.

I am incline to opine against the accuracy of data obtained from anonymous surveys, and while this is a common trend, it does not in any way endorse validity, since most of the answers obtained are from unnamed people, it follows that significance may not be accurate. There is a need for surveys to establish validity by firstly emphasizing the confidentiality of the records obtained, and for the respondents to understand the need to be truthful in filling out the survey forms, whether they are called in or just verbally inquired.

There is the likelihood for manufacturing data just for the sake of obtaining desired results, thus looses the validity. The design for both these articles employs surveys, and while there is a need to elaborate more on how the data were procured, these two article should have elaborated more on their methods of procurement, and while some surveys may be employed to establish a replica of this studies for the purpose of furthering the hypothesis and validating the findings, again, there is the need to emphasize on the establishment of its validity and accuracy by seeking exact data rather than anonymously.

If the purpose of the data collection is merely for demographics plotting, telephone surveys may be useful, however in these cases, there is a need to strengthen the information garnered by asking for truthful information such as actual test, blood works, and further workup to determine a baseline data for health cases. RESULTS The first article estimated the prevalence of diabetes among male veterans with medical care at 16%. They are likely to be nonwhite, unemployed, received less or no income at all, thereby depriving them of the optimum healthy status.

This is in contrast with the those veterans who are enjoying the benefits the medical benefits, who are able to comply with the necessary management required for diabetes care, either through co-payments or full coverage. These are the veterans who are able to acquire preventive or curative management for such illness. Thus this research endorses that it is more advantageous for those veterans who are given health benefits, for they are able to live longer and healthier compared with those otherwise.

Nearly one-fourth of veterans with diabetes also received monthly awards for compensation and pension. This study focused on 162 undisclosed respondents of whom 21% are without Medicare while 22% are with Medicare. Of the nonveteran respondents 34% were male while 66% were female, while 97% male and only 3% female composes the veteran respondents. By comparison, fewer nonwhite male veterans did not have health care (16%). On the other hand, the second article focused more on the screening criteria for major depressive disorders post tour of duty.

Among those who responded to the survey conducted, 23% to 40% admitted to having mental disorder. Those whose responses were positive for a mental disorder were twice as likely as those whose responses were negative to report concern about possible stigmatization and other barriers to seeking mental health care. DISCUSSION AND CONCLUSION: There was limited discussion to the limitations of this study, although there was no significance as to discussing this aspect of the research.

There was however ample or even comprehensive discussion as to its implications, including the established relations with its hypothesis statement. While the conclusion was rather limited to the scope of its formulated hypothesis, the author’s conclusion indeed corresponded with its result. In this regard, I am inclined to opine that these researches clearly were guiding its readers to concur with the author’s resolutions. Furthermore, it does not leave any room for qualifications.

GENERAL Overall, indeed these researches opened a highly debatable issue in the aspect of the significance and importance of Medicare or health care benefits towards the people who renders servers to the nation. This not only opens the avenue to realizing whether or not further improvement is necessary for the government to implement, it also widens our perspective as regards the relationship these health problems brings about in the performance of military duties and obligations.

This tells us that, while healthy and young, military personnel can become an asset to the government, the veterans, who are may already debilitated by illness or are highly probable for suffer in an illness in the near future may be considered a liability of the government considering their lack of support to fully subsidize the needs to prevent, cure, or manage illness such as diabetes and mental disorders.

If I were to make this study, I would perhaps identify the risk factors and health indicators that lead to me to choose the mental illness and diabetes as the particular indicators. There would be a clear cut and non-anonymous surveys conducted during the methodology to ascertain that data and conclusions are validly arrived at. The hypothesis that I would perhaps come up with, are those which are not biased to my own opinions, leaving room for the readers to formulate and thereby come up with their own conclusion.

I would probably leave enough room for debate as to its conclusion, allowing for more lively exchange of arguments, not restricting the readers to choose which side to choose. Although, overall, theses two researches by itself, already endorses enough learning points. There would only be minor or few refinements necessary, if I were to align the purpose to my preference. Reference Page Reiber, Gayle. Et. Al. (2004). Diabetes in Nonveterans, Veterans, and Veterans Receiving

Department of Veterans Affairs Health Care. Journal of Diabetes Care. American Diabetes Association. Retrieved online on 10 Jul, 2007 from: http://care. diabetesjournals. org/cgi/content/full/27/suppl_2/b3 Hoge, CW. , Castro, C. , Messer, S. , McGurk, D. , Cotting, D. , and Koffman, R. (2004). Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care. The New England Journal of Medicine. Vol. 351. No. 1, pp. 13-22.

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