MEDICAL SERVICES - Storming Media

Medical Surveillance Monthly Report (MSMR). Volume 19, Number 11, November 2012

Nov 2012

25 pages

Authors: ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

The full text of this report is available for sale.

THE MEDICAL SURVEILLANCE MONTHLY REPORT (MSMR), in continuous publication since 1995, is produced by the Armed Forces Health Surveillance Center (AFHSC). The MSMR provides evidence-based estimates of the incidence, distribution, impact and trends of illness and injuries among United States military members and associated populations. Most reports in the MSMR are based on summaries of medical administrative data that are routinely provided to the AFHSC and integrated into the Defense ...

Recovering Servicemembers and Veterans: Sustained Leadership Attention and Systematic Oversight Needed to Resolve Persistent Problems Affecting Care and Benefits

Nov 2012

102 pages

Authors: GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

The National Defense Authorization Act for Fiscal Year 2008 required DOD and VA to jointly develop and implement policy on the care, management, and transition of recovering servicemembers. It also required GAO to report on DOD s and VA s progress in addressing these requirements. This report specifically examines (1) the extent to which DOD and VA have resolved persistent problems facing recovering servicemembers and veterans as they navigate the ...

Costs of Military Pay and Benefits in the Defense Budget

Nov 2012

50 pages

Authors: CONGRESSIONAL BUDGET OFFICE (U S CONGRESS) WASHINGTON DC

Compensation of military personnel takes up a substantial portion of the nation s defense budget. In its fiscal year 2013 budget request, for example, the Department of Defense (DoD) requested about $150 billion to fund the pay and benefits of current and retired members of the armed services. As in most recent years, that amount was more than one-quarter of DoD s total base budget request (the request for all ...

DOD and VA Health Care: Medication Needs during Transitions May Not Be Managed for All Servicemembers

Nov 2012

55 pages

Authors: Debra A Draper; Janina Austin; Jennie Apter; Lisa Motley; Leslie Powell; Dan Ries; Karin Wallestad; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

Medication management is critical to effective continuity of care for servicemembers transitioning out of the military. Psychiatric and pain medications may be of particular concern because of potential adverse health effects if not taken as intended. GAO was asked to provide information on the process used by DOD and VA to help servicemembers manage their psychiatric and pain medications during transitions. In this report, GAO examined (1) the extent to ...

Delayed Treatment of Ebola Virus Infection with Plant-Derived Monoclonal Antibodies Provides Protection in Rhesus Macaques

15 Oct 2012

7 pages

Authors: Jr Olinger Gene G; James Pettitt; Do Kim; Cara Working; Ognian Bohorov; Barry Bratcher; Ernie Hiatt; Steven D Hume; Ashley K Johnson; Josh Morton; ARMY MEDICAL RESEARCH INST OF INFECTIOUS DISEASES FORT DETRICK MD VIROLOGY DIV

Filovirus infections can cause a severe and often fatal disease in humans and nonhuman primates, including great apes. Here, three anti-Ebola virus mouse/human chimeric mAbs (c13C6, h-13F6, and c6D8) were produced in Chinese hamster ovary and in whole plant (Nicotiana benthamiana) cells. In pilot experiments testing a mixture of the three mAbs (MB-003), we found that MB-003 produced in both manufacturing systems protected rhesus macaques fromlethal challenge when administered 1 ...

Accession Medical Standards Analysis & Research Activity 2012 Annual Report

02 Oct 2012

111 pages

Authors: Marlene E Gubata; David W Niebuhr; David N Cowan; Xiaoshu Feng; Janice K Gary; Alexis Oetting; Elizabeth Packnett; Amanda Piccirillo; Vielka Rivera; Nadia Rivera; WALTER REED ARMY INST OF RESEARCH SILVER SPRING MD DEPT OF EPIDEMIOLOGY/DIV OF PREVENTIVE MEDICINE

AMSARA's mission is to support the development of evidence based medical standards for the Department of Defense (DoD) by guid ing improvement of medical and administrative databases and conducting epidemiologic and special studies analyses. Special studies presented in this annual report include analyses of accession medical disqualifications, waivers, existed prior to service and disability discharges. Descripti ve statistics are reported for DoD enlisted accessions who enlisted in 20 II compared ...

Military Interoperable Digital Hospital Testbed (MIDHT) Phase III

01 Oct 2012

40 pages

Authors: Richard Wozniak; Joseph Dado; John Hargreaves; CONEMAUGH MEMORIAL MEDICAL CTR JOHNSTOWN PA

The MIDHT project continues to implement and research health information technologies (HIT) within the Conemaugh Health System, located in Southwestern Pennsylvania. Core technologies under investigation include pharmacy robotics, bar code medication administration (BCMA) and health information exchange via the Nationwide Health Information Network (NwHIN). Statement of work is being delivered as expected. Significant progress has been made on both arms of the project. Bar code medication administration is widely deployed ...

A Medical Center Network for Optimized Lung Cancer Biospecimen Banking

Oct 2012

12 pages

Authors: Christopher A Moskaluk; VIRGINIA UNIV CHARLOTTESVILLE

The mission statement of the Lung Cancer Biospecimen Resource Network (LCBRN) states that the LCBRN will collect, annotate, store, and distribute human lung cancer biospecimens in a manner that embraces the highest ethical standards for human subjects research, that conforms to the best practices of biorepository science, and that furthers basic, translational and clinical research in the understanding, diagnosis and treatment of this disease . Year 2 of the award ...

Association of Cytokine Candidate Genes with Severity of Pain and Co-Occurring Symptoms in Breast Cancer Patients Receiving Chemotherapy

Oct 2012

10 pages

Authors: Dale J Langford; CALIFORNIA UNIV SAN FRANCISCO

The purpose of the proposed project is to identify common genetic variations (i.e., single nucleotide polymorphisms and haplotypes) in cytokine genes, as well as psychological characteristics that are significantly associated with the severity of pain and co-occurring symptoms (i.e., fatigue, sleep disturbance, and depressive symptoms) in a sample of women receiving chemotherapy for breast cancer. Using cluster analysis, our team has previously and consistently found two extreme patient subgroups: patients ...

Mammographic Breast Density in a Cohort of Medically Underserved Women

Oct 2012

12 pages

Authors: Maureen Sanderson; MEHARRY MEDICAL COLL NASHVILLE TN

The purpose of this HBCU/MI Partnership Training Award is to train Meharry Medical College (MMC) faculty to conduct independent breast cancer research by collaborating with faculty from Vanderbilt University Medical Center (VUMC). Three MMC faculty will undergo intensive training supervised by three VUMC faculty during year 1 with additional training taking place in subsequent years. To reinforce training, faculty from MMC and VUMC will conduct a case-control study of mammographic ...

Near-infrared Spectroscopy to Reduce Prophylactic Fasciotomies for and Missed Cases of Acute Compartment Syndrome in Soldiers Injured in OEF/OIF

Oct 2012

44 pages

Authors: Brett Freedman; GENEVA FOUNDATION TACOMA WA

The research project is a three-part project to validate the accuracy and reliability of a specific NIRS sensor (Equanox, Nonin, Inc, Plymouth, MN) in diagnosing acute compartment syndrome in injured combat soldiers. Part 1 is a series of two observational studies, the first of which was completed at Landstuhl Regional Medical Center during year 1. The second clinical study was originally planned to be conducted in theatre in Afghanistan and ...

A Comparison of Robotic, Body Weight-Supported Locomotor Training and Aquatic Therapy in Chronic Motor Incomplete Spinal Cord Injury Subject

Oct 2012

16 pages

Authors: Peter Gorman; Paula Geigle; Keith Tansey; BALTIMORE UNIV MD

During the first year of this study, we have completed all case report forms, data collection sheets and informed consent documents. All necessary IRB approvals have been obtained, and all regulatory documents have been submitted to the Baltimore VA Medical Center Research Committee. A local IRB modification has been submitted to clarify exclusion criteria as it relates to the assessment of diabetic subjects. All personnel have obtained appropriate certifications in ...

Achieving Medical Currency via Selected Staff Integration in Civilian and Veterans Administration Medical Facilities

Oct 2012

34 pages

Authors: Thomas W Harrell; AIR WAR COLL MAXWELL AFB AL

During Operations Enduring Freedom (OEF) and Iraqi Freedom, the Air Force Medical Service (AFMS) contributed to the lowest died of wounds rate in the history of warfare (less than 10 percent).1 Cuttingedge medical care on the battlefield and revolutionary methods of transporting critically wounded patients, once miraculous, are now considered routine.2 Simultaneously, while fielded medical forces are performing in a heroic manner, garrisoned AFMS providers, particularly surgeons and some medical ...

Development of Medical Technology for Contingency Response to Marrow Toxic Substances

08 Sep 2012

12 pages

Authors: Colleen O'Neil; NATIONAL MARROW DONOR PROGRAM MINNEAPOLIS MN

The purpose of this effort is to provide support for high priority efforts that will: Reduce the data collection burden at centers. Provide additional functionality to capture and report critical cord blood information. Enhance the user experience within FormsNet2 (FN2). Provide better access to hematopoietic cell transplant (HCT) operational, research and management data for the NMDP and CIBMTR, partner registries, participating Donor and HVT centers and the interested public.

Development and Validation of a Theory Based Screening Process for Suicide Risk

Sep 2012

5 pages

Authors: Steven D Vannoy; Rosemary Flannery; SEATTLE UNIV WA

The ultimate objective of this study is to assist in increasing the capacity of military based health services to accurately identify persons at risk for suicide and to render effective referral dispositions. To do so we will characterize and evaluate the ability of a proposed suicide screening instrument and associated clinical decision-making algorithm to accurately identify at-risk individuals and provide appropriate treatment recommendations. Furthermore we will evaluate key theoretical questions ...

Feasibility of Using Littoral Combat Ships (LCS) for Humanitarian Assistance/Disaster Relief (HA/DR) Operations

Sep 2012

85 pages

Authors: Fuquan Ng; NAVAL POSTGRADUATE SCHOOL MONTEREY CA DEPT OF SYSTEMS ENGINEERING

This thesis addresses the feasibility of using Littoral Combat Ships (LCS) to conduct Humanitarian Assistance/Disaster Relief (HA/DR) operations. The thesis uses systems engineering to analyze the suite of LCS mission packages that would be used in conducting HA/DR operations. The current preference for HA/DR operations is big decks, like those found on Amphibious Ships and Aircraft Carriers, to maximize the lift capability of medical supplies, food, and water. The trade-off ...

Memorial Medical Center Nursing Clinical Simulation Laboratory

Sep 2012

20 pages

Authors: Reed G Williams; MEMORIAL HEALTH SYSTEM SPRINGFIELD IL

The purpose of this research is to develop a program of systematic, brief training in role appropriate team behaviors covering key communication, leadership, and team member behaviors for ad hoc emergency medical care teams and to determine whether training in these behaviors results in improved individual and team communication, leadership, and team member performance in simulated emergency care situations regularly experienced by trauma and emergency department medical care teams. In ...

MR Guided Pulsed High Intensity Focused Ultrasound Enhancement of Gene Therapy Combined with Androgen Deprivation and Radiotherapy for Prostate Cancer Treatment

Sep 2012

39 pages

Authors: Lili Chen; FOX CHASE CANCER CENTER PHILADELPHIA PA

This work aimed to test the hypothesis that MR guided pulsed HIFU exposures enhance gene delivery and increase the efficacy of gene therapy in inhibiting prostate cancer growth in vivo, particularly when combined with AD or RT. We developed techniques for the treatment of prostate tumor-bearing mice using a clinical MRgHIFU device. We performed animal studies for quantitative measurement of the doxorubicin concentration in HIFU treated prostate tumors to evaluate ...

Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events

24 Aug 2012

15 pages

Authors: GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) operates one of the largest health care delivery systems in the United States, providing care to more than 6 million veterans annually. Organized into 21 Veterans Integrated Service Networks, VHA s health care system includes 152 Veterans Affairs medical centers (VAMC) nationwide that offer a variety of outpatient, residential, and inpatient services.1 These health care services are delivered by physicians, ...

Effect of Heat on Wounded Warriors in Ground Combat Vehicles: Insights from the Army Medical Community, and the Simulation of a Novel Method for Soldier Thermal Control

Aug 2012

9 pages

Authors: Nathan Tison; Robert E Smith; ARMY TANK AUTOMOTIVE RESEARCH DEVELOPMENT AND ENGINEERING CENTER WARREN MI

Ground combat vehicles can operate in regions characterized by various types and severities of injuries ? resulting from improvised explosive devices (IEDs), gunfire or heat illness ? as well as extreme climates such as desert environments. Because of the wounded warrior's compromised physical condition, their thermal surroundings within the vehicle is especially important. This paper presents insights gleaned from the Army medical community, as well as a simple study of ...

An Intervention to Control Vasomotor Symptoms for Advanced PC Patients on Hormone Therapy

Aug 2012

6 pages

Authors: Michael A Diefenbach; MOUNT SINAI SCHOOL OF MEDICINE NEW YORK

During the past 12 months, we have received IRB approval from Mount Sinai School of Medicine, the James P. Peters VA Medical Center IRBs, and the Department of Defense. We have also held three focus groups with prostate cancer patients undergoing hormone therapy and multiple research team meetings were held to discuss focus group results, software development, and study protocol. We are currently integrating feedback from the final focus group ...

Modernization of the Air Expeditionary Squadron AMAL 0960

25 Jul 2012

33 pages

Authors: Martin Hill; James Zouris; Gerry Pang; Vern Wing; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA

Commander, Naval Air Forces (CNAF) asked Naval Health Research Center (NHRC) to determine U.S. Navy?s Air Expeditionary Squadron (AES) Authorized Medical Allowance List (AMAL) 0960 adequacy to meet future needs. NHRC analysts collected data on patient presentations seen by AES medical personnel on 20 deployments. They then developed a patient condition occurrence frequency (PCOF) table for 336 International Classification of Diseases, 9th Revision codes and used the patient stream to ...

Alaska Native Parkinson's Disease Registry

Jul 2012

8 pages

Authors: Caroline M Tanner; PARKINSONS INST SUNNYVALE CA

This registry initiates a program of epidemiological assessments of PS among Alaska Native people to study the natural history and clinical management of PS, and establishes a database of Alaska native people with PS for public health, research and educational purposes. As feasible, the prevalence of PS in Alaska Native people may be estimated as well. This registry not only would facilitate future research into PS etiology, but also guide ...

Diarrhea Outbreak During U.S. Military Training In El Salvador

Jul 2012

10 pages

Authors: Matthew R Kasper; Andres G Lescano; Carmen Lucas; Duncan Gilles; Brian J Biese; Gary Stolovitz; Erik J Reaves; NAVAL MEDICAL RESEARCH INST DETACHMENT LIMA (PERU)

Infectious diarrhea remains a major risk to deployed military units worldwide in addition to their impact on travelers and populations living in the developing world. This report describes an outbreak of diarrheal illness in the U.S. military's 130th Maneuver Enhancement Brigade deployed in San Vicente, El Salvador during a training and humanitarian assistance mission. An outbreak investigation team from U.S. Naval Medical Research Unit - Six conducted an epidemiologic survey ...

Crozer-Chester Medical Center Burn Research Projects

Jul 2012

14 pages

Authors: Jr Haith Linwood R; CROZER CHESTER MEDICAL CENTER UPLAND PA

The Nathan Speare Regional Burn Treatment Center is under contract with the U.S. Army Institute for Surgical Research in conjunction with the Army Burn Center to carry out two studies under protocols established by Army researchers. Study 1 is Automated Fluid Resuscitation of Burn Patients . Study 2 is Evaluation of Aquacel Ag . Screening and enrollment continues for Studies 1 and 2. Five (5) patients were enrolled in Study ...

Iron Deficiency Anemia, Active Component, U.S. Armed Forces, 2002-2011

Jul 2012

6 pages

Authors: ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

Iron deficiency anemia (IDA) is the most common cause of anemia in the United States, and it particularly affects women of child-bearing age and black, non-Hispanic race/ethnicity. During the surveillance period there were 10,157 incident (new) cases of IDA among active component service members the overall incidence rate was 7.1 per 10,000 person-years. The annual incidence rates increased in both males and females during the period. Rates of IDA were ...

AFIRM-Wake Forest/University of Pittsburgh Consortium

Jul 2012

270 pages

Authors: Anthony Atala; WAKE FOREST UNIV WINSTON-SALEM NC SCHOOL OF HEALTH SCIENCES

The Armed Forces Institute of Regenerative Medicine is focused on delivering advanced regenerative medicine technologies to help the wounded warrior improve their quality of life. We have brought together in leading scientists to develop approaches which in improving therapies to improve treat in five areas including burn treatment, craniofacial repair, scarless wound healing, treatment of compartment syndrome, and limb and digit salvage, During the past year we have continued to ...

Predictors of Treatment Response to Fluoxetine in PTSD Following a Recent History of War Zone Stress Exposure

Jul 2012

18 pages

Authors: Paul S Hicks; Michael L Adams; Brett Litz; Keith Young; Jed Goldart; Tom Velez; Walter Penk; Kathryn Kotria; TEMPVA RESEARCH GROUP INC TEMPLE TX

Although selective serotonin reuptake inhibitors (SSRIs) are routinely prescribed for acute stress disorder and early PTSD and recommended in the VA-DoD best practice guidelines, the efficacy of SSRIs as an early intervention for PTSD in service members returning from war-zone duty has still not been determined. Consequently, this study was designed to conduct a controlled trial of fluoxetine as an early intervention for recently redeployed soldiers, as well as to ...

Combat, Sexual Assault, and Post-Traumatic Stress in OIF/OEF MilitaryWomen

Jul 2012

25 pages

Authors: Anne G Sadler; IOWA CITY VA MEDICAL CENTER IA

This research addresses DoD and DV A health care delivery needs of two priority populations: women exposed to combat, and women sexually assaulted during military. There is a limited understanding of the complex relationship between these traumatic exposures and women's health outcomes, such as post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) and with their subsequent health service use or barriers to care. Objective(s): The objectives of this study ...

DoD Needs to Improve the Billing System for Health Care Provided to Contractors at Medical Treatment Facilities in Southwest Asia

27 Jun 2012

45 pages

Authors: Alice F Carey; DEPARTMENT OF DEFENSE ALEXANDRIA VA OFFICE OF THE INSPECTOR GENERAL

The previous Commander, U.S. Central Command, requested this audit. Our objective was to follow up on the Department of Defense Office of Inspector General Report No. D-2009-078, Health Care Provided by Military Treatment Facilities to Contractors in Southwest Asia, May 4, 2009. In April 2011, DoD began billing contractors for health care provided in Southwest Asia; however, improvements to the billing system are needed. DoD officials took more than 5 ...

The Role of the U.S. Army in Health System Reconstruction and Development During Counterinsurgency

08 Jun 2012

151 pages

Authors: Michael J Tarpey; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS

Health system reconstruction and development in developing countries is difficult under the best of conditions. In counterinsurgency environments, it is even more complex and challenging. U.S. military and civilian organizations involved in Afghan and Iraqi health system reconstruction and development have been criticized for the lack of planning prior to the initiation of conflict, inadequate coordination among involved agencies, and poor strategic planning for comprehensive development. U.S. Army efforts, in ...

Medical Treatment in Lieu of Evacuation: Techniques for Combat Casualty Care Physicians

08 Jun 2012

64 pages

Authors: Matthew H Hoefer; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS

The United States Army Medical Department delivers high quality medical care throughout the world, many times to remote and austere environments. A major tenet of this care system is the rapid evacuation of combat casualties to hospitals with surgical resuscitation. However, what happens when evacuation is unavailable? This study will explore the current literature and review trends in prehospital care in the Army. Which medical protocols should Army physicians at ...

VA/DOD Federal Health Care Center: Costly Information Technology Delays Continue and Evaluation Plan Lacking

Jun 2012

50 pages

Authors: Debra A Draper; Marcia A Mann; Jill K Center; Regina Lohr; Rasanjali Wickrema; Jennie F Apter; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

VA and DOD have a long-standing history of sharing health care resources to provide services to their beneficiaries. However, the FHCC is unique among VA and DOD collaborations to deliver health care services in several ways, notably its level of integration, the way it is funded, and its governance structure. The Executive Agreement, signed by the Secretaries of both departments, contains provisions to be met in 12 integration areas regarding ...

The 2012 Long-Term Budget Outlook

Jun 2012

110 pages

Authors: CONGRESSIONAL BUDGET OFFICE (U S CONGRESS) WASHINGTON DC

In the past few years, the federal government has been recording the largest budget deficits since 1945, both in dollar terms and as a share of the economy. Consequently, the amount of federal debt held by the public has surged. At the end of 2008, that debt equaled 40 percent of the nation s annual economic output (gross domestic product, or GDP) a little above the 40-year average of 38 ...

Framework for Smart Electronic Health Record-Linked Predictive Models to Optimize Care for Complex Digestive Diseases

Jun 2012

11 pages

Authors: Michael A Dunn; Melissa Saul; PITTSBURGH UNIV PA

Our major objective is to develop an electronic application capable of integrating and semantically standardizing electronic medical record (EMR) data to generate de-identified datasets populated with longitudinal clinical data drawn from diverse sources. In Year 1 of our project, we have successfully built the infrastructure to support this project. We have defined and generated the EMR-based datasets to be used for algorithm development. In year 2, we will test the ...

Outsourcing Wars: Comparing Risk, Benefits and Motivation of Contractors and Military Personnel in Iraq and Afghanistan (2009-2011)

Jun 2012

81 pages

Authors: Jimmie I Wise; NAVAL POSTGRADUATE SCHOOL MONTEREY CA GRADUATE SCHOOL OF BUSINESS AND PUBLIC POLICY

This project compared risk, insurance benefits, and motivation factors for contractors and U.S. Military personnel serving in Iraq and Afghanistan from 2009 to 2011. More contractors were killed than military personnel from January to June 2010 (Schooner & Swan, 2010). Findings revealed the following: (1) contractors' medical insurance benefits were equitable to the U.S. Military personnel, (2) real inequity existed between contractor disability compensation insurance and the military personnel's benefits, ...

Taking a Regional Healthcare Coalition Approach to Mitigating Surge Capacity Needs of Mass Casualty or Pandemic Events

Jun 2012

99 pages

Authors: Jill A McElwee; NAVAL POSTGRADUATE SCHOOL MONTEREY CA

Hospitals and healthcare facilities are not able to singularly mitigate the patient surge from a mass-casualty incident or pandemic health event. The potential volume of patients demands that regional healthcare communities be able to respond as a unified body to maintain the resiliency of their healthcare systems. The National Healthcare Preparedness Program advocates the establishment of fully functional, response-ready regional healthcare coalitions to meet this need. Establishing a regional healthcare ...

Mental Disorders and Mental Health Problems, Active Component, U.S. Armed Forces, 2000-2011

Jun 2012

8 pages

Authors: ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

Mental disorders account for signifi cant morbidity, health care utilization disability, and attrition from military service; the health care burden associated with mental disorders has increased over the last several years. During the years 2000 through 2011, 936,283 active component service members were diagnosed with at least one mental disorder. Annual counts and rates of incident diagnoses of mental disorders have increased by approximately 65 percent over the last twelve ...

Telerehabilitation for OIF/OEF Returnees with Combat-Related Traumatic Brain Injury

Jun 2012

14 pages

Authors: Kris Siddharthan; FOUNDATION FOR ORTHOPAEDIC RESEARCH AND EDUCATION TAMPA FL

This is one project in a planned program of research to improve care for injured Operation Enduring Freedom/Operation Iraqi freedom (OEF/OIF) veterans. We propose with this study to test a telerehabilitation program for veterans with combat related traumatic brain injury (TBI) with or without comorbid post traumatic stress disorders (PTSD) by monitoring functional, cognitive and mental health outcomes together with their integration into society using a variety of instruments. Coordinating ...

Loglines. May - June 2012

Jun 2012

37 pages

Authors: DEFENSE LOGISTICS AGENCY FORT BELVOIR VA

Loglines is the authorized publication for the Defense Logistics Agency s workforce of federal civilians, active-duty military and Joint Reserve Force augmentees at agency activities worldwide and industry customers of DLA. Contents of this publication are not necessarily the official views of, or endorsed by, the U.S. government, the Department of Defense or the Defense Logistics Agency. The topic for this issue is Helping Hands and it includes articles are ...

Evaluations of the Combat Ready Clamp to Control Bleeding in Human Cadavers, Manikins, Swine Femoral Artery Hemorrhage Model and Swine Carcasses

Jun 2012

50 pages

Authors: Michael A Dubick; Jr Kragh John F; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX

Hemorrhage remains the major cause of death on the battlefield. While deaths from extremity hemorrhage have been reduced dramatically by the application of tourniquets, deaths from high extremity wounds, such as in the groin region where tourniquets cannot be placed or are less effective, have seen an increase over the course of recent combat operations. In August 20 10, the Combat Ready Clamp (Combat Medical Systems, Fayetteville, NC) received FDA ...

U.S. Air Force Operational Medicine: Using the Enterprise Estimating Supplies Program to Develop Materiel Solutions for the Mobile Aeromedical Staging Facility (FFQM1)

30 May 2012

48 pages

Authors: Matthew J Quinn; Curtis Hopkins; Vern Wing; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA

The Naval Health Research Center (NHRC) has used its modeling and simulation (M&S) expertise to develop and update conventional U.S. Air Force medical assets since 2004. Air Force medical modeling capabilities currently capture care and treatment of the sick and injured from the first responder through theater hospitalization. The objective of this study was to leverage medical M&S advantages to provide recommendations for allowance standard (AS) configurations based on the ...

Utilizing Integrative Medicine in the U.S. Army Medical Department

15 May 2012

50 pages

Authors: Scott A Arcand; ARMY ENVIRONMENTAL POLICY INST FORT BELVOIR VA

While it is praiseworthy that the Army has acknowledged the value of Integrative Medicine (IM) in its Pain Management Task Force Final Report (2010), its vision for this enabler remains limited. IM is seen as having a place only in specialty care; IM research, while ongoing, is not centrally directed; and the Office of the Surgeon General lacks a voice that can speak for IM. Since IM offers the ability ...

Overpopulated, Underdeveloped Urban Agglomerations: Tomorrow's Unstable Operating Environment

08 May 2012

25 pages

Authors: Michael A Stoker; NAVAL WAR COLL NEWPORT RI JOINT MILITARY OPERATIONS DEPT

This paper asserts that a unique future operational environment is developing: overpopulated, underdeveloped, urban agglomerations. A proposed definition for this operating environment is as follows: an overpopulated urban area that is located within a developing or underdeveloped state, has a population exceeding 5 million people, and has a government that is unable to provide basic services to its inhabitants and lacks the resources to develop and maintain a suitable infrastructure. ...

Defense Infrastructure: DOD Can Improve Its Response to Environmental Exposures on Military Installations

May 2012

72 pages

Authors: Brian J Lepore; David C Trimble; Diane Raynes; Mark J Wielgoszynski; Shawn Arbogast; Elizabeth Beardsley; Marissa Dondoe; Laurie Ellington; Dani Greene; Joanne Landesman; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

There have been various reported incidents of individuals being potentially exposed to environmental hazards while on military installations. Indeed, some incidents, such as contaminated air due to burn pits in Afghanistan and Iraq and contaminated water at Camp Lejeune, North Carolina, have received considerable attention, and in the case of Camp Lejeune have resulted in claims seeking billions of dollars from the government. Public Law 111-383, Section 314(2011) directed GAO ...

Defense Infrastructure: Documentation Lacking to Fully Support How DOD Determined Specifications for the Landstuhl Replacement Medical Center

May 2012

56 pages

Authors: GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

Landstuhl Regional Medical Center (LRMC) is DOD s only tertiary medical center in Europe that provides specialized care for servicemembers, retirees, and their dependents. Wounded servicemembers requiring critical care are medically evacuated from overseas operations to the 86th Medical Group clinic at Ramstein Air Base to receive stabilization care before being transported to LRMC for intensive care. According to DOD, both facilities were constructed in the 1950s and are undersized ...

Medical Surveillance Monthly Report. Volume 19, Number 5

May 2012

21 pages

Authors: Francis L O'Donnell; John F Brundage; Ellen R Wertheimer; Denise S Olive; Leslie L Clark; ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

May 2012

4 pages

Authors: ARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

Hospitalizations outside of the operational theater for motor vehicle accidents occurring in non-military vehicles (ICD-9-CM: E810-E825; NATO Standard Agreement 2050 (STANAG): 100-106, 107-109, 120-126, 127-129). Deaths following motor vehicle accidents occurring in non-military vehicles and outside of the operational theater (per the DoD Medical Mortality Registry).

Analysis of Medical Events among Battlefield Airmen Trainees

01 Apr 2012

15 pages

Authors: M Maupin; SCHOOL OF AEROSPACE MEDICINE WRIGHT PATTERSON AFB OH

United States Air Force Battlefield Airmen (BA) are an elite group of largely enlisted, male warfighters whose duties require a substantial degree of physical and mental strength, agility, stamina, and discipline. The numerous financial, material, and personnel resources required to train this group feed into a multi-location training pipeline, which can take up to 2 years per trainee to complete. The majority of those who enter the training program do ...

Defense Health Care: Applying Key Management Practices Should Help Achieve Efficiencies within the Military Health System

Apr 2012

48 pages

Authors: GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC

According to the Defense Health Board s Task Force on the Future of Military Health Care, rising health care costs result from a multitude of factors that are affecting not only DOD but also health care in general. These factors include greater utilization of health care services, increasingly expensive technology and pharmaceuticals, growing numbers of users, and the aging of the retiree population. Additionally, in 2009, the Defense Business Board ...