Armed Services Blood Program Supports Patient Care World-Wide

Recently I had the opportunity to interview the Deputy Director for Policy at the Armed Services Blood Program, Lieutenant Commander Aaron J. Harding, MSC, U.S. Navy, about the organization and the challenges of collecting blood for the services.

Q. Can you tell me a bit about the Armed Services Blood Program’s key activities?

A: The Armed Services Blood Program’s (ASBP) mission is to support military operations and patient care at military medical facilities world-wide. Blood support to medical units in Afghanistan is a primary focus that includes the availability of blood products throughout the continuum of care to our wounded warrior from the battlefield to here at home.

Army Colonel Frank Rentas, director of the Armed Services Blood Program presented a trophy to the winner of the Army Navy Blood Challenge.  As you can see the Navy was the winner. (Representatives of both the Army and the Navy were wounded warriors.) (Photo by: Armed Services Blood Program)

Army Colonel Frank Rentas, director of the Armed Services Blood Program presented a trophy to the winner of the Army Navy Blood Challenge. As you can see the Navy was the winner. (Representatives of both the Army and the Navy were wounded warriors.) (Photo by: Armed Services Blood Program)

Q. Why does the military have its own blood donation program? Why not take from civilian reserves such as those collected by the Red Cross?

A: Our blood program supports the warfighter, so by having our own program we can quickly respond to any contingency by way of an integrated system involving each of the Services; from collecting blood to moving it to where it needs to be. Civilian blood reserves would not be able to meet demands for such a situation without impacting the delivery of blood to civilian hospitals across the country.

Q. Are there any specific risks or challenges associated with world-wide travel undertaken by military members in relationship to the blood they donate? For example disease exposure, vaccinations, or other conditions that might change the blood that is donated?

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Use Caution with New Running Shoe Technology

By Maj. Zack Solomon, U.S. Army Public Health Command

ABERDEEN PROVING GROUND, Md. (Jan. 3, 2011) — In 1974, Bill Bowerman, a co-founder of Nike, created one of the first modern-day running shoes, the “Waffle Trainer,” in an effort to create a light-weight shoe that could grip the road.

The shoe launched a revolution in running shoe design and may have triggered the explosion in popularity of distance running throughout the United States in the 1970s and early 1980s. Innovative shoe designs multiplied out of demand for more foot cushioning and motion control as people from all walks of life took up running. Shoe mid-foot arch construction grew rigid, and heel cushion material was heightened to correct running form and, presumably, prevent injuries.

Three types of shoes emerged: motion-control shoes for runners with low foot arches, stability shoes for neutral arches, and cushioned shoes for high arches. These designs were meant to make shoe selection easy; runners would first identify their arch type, then they would choose an appropriate shoe, and finally they would begin running injury free.

Unfortunately, this system of shoe selection hasn’t lived up to runners’ expectations as running injuries persisted. Multiple U.S. Army Public Health Command studies of basic trainees have demonstrated that shoe selection based on arch type does not reduce injuries.

Now, a new trend, a departure from control and cushioning, has emerged — the minimalist running shoe.

A minimalist running shoe is extremely flexible and low to the ground to create the sensation of barefoot running. By running in a shoe with minimal cushioning, most runners will naturally reduce their stride length to avoid landing painfully on their uncushioned heel. This change in running form reduces initial joint impact and promotes a return to what some consider a more natural foot motion.

The growing popularity of minimalist running shoes in both the civilian and military communities was sparked by the promise of increased running performance and decreased risk of running injuries. Although the jury is still out on whether minimalist running shoes will live up to these expectations, the trend will surely grow as shoe companies expand and market their latest minimalist shoe product lines.

Soldiers interested in making the switch from a traditional running shoe to a minimalist design should exercise caution in doing so because a sudden change in equipment or training can result in sore muscles and joints, blisters and even injuries, which could include stress fractures. The calf muscles will require the greatest adjustment followed by the muscles of the foot and hamstrings. Running impact forces may also increase temporarily as the Soldier adapts to a shortened stride and forefoot strike.

The following are a few tips to make a smooth transition:

  • Soldiers should only perform 10 percent of their normal running distance and volume in minimalist running shoes for the first two to three weeks. For example, if a Soldier runs 10 miles per week, only one mile per week should include the use of minimalist running shoes. Traditional running shoes can still be worn the rest of the time.
  • No more than a 10 percent increase in distance per week is recommended for at least eight weeks after the initial transition phase. Some Soldiers may take up to six months to get used to running in minimalist shoes.
  • Avoid running two days in a row in minimalist running shoes for the first four weeks.
  • Run on different surfaces, such as grass, dirt and pavement, to get used to the feel of the shoes. Make sure the running surface is clear of debris and glass.
  • Stretching will be very important during the first few weeks to alleviate soreness. Focus on stretching the foot, calf and hamstring muscles.

As with any change in training, a planned transition phase is critical to limit the short-term soreness and potential complications from an overuse injury.

For more information or if problems develop from any change in training or equipment, Soldiers should contact their medical provider or physical therapist.

This story first appeared on www.army.mil.

Military’s Groundbreaking Vaccine Targets Breast Cancer

Military researchers here have developed a cutting-edge cancer vaccine that’s slashing breast cancer recurrence rates and giving some survivors a better shot at a cancer-free future.

After more than a decade of research and testing, the cancer vaccine, dubbed E-75, soon will move on to its final phase of testing to earn Food and Drug Administration approval, said Army Col. (Dr.) George E. Peoples, director and principal investigator for the Cancer Vaccine Development Program at San Antonio Military Medical Center in Texas.

Army Col. (Dr.) George E. Peoples scrubs for surgery at San Antonio Military Medical Center. Along with conducting cancer vaccine research, Peoples serves as deputy director of the U.S. Military Cancer Institute and the medical center’s chief of surgical oncology. DOD photo by Linda Hosek

The team has high hopes for this vaccine and its lifesaving potential for breast cancer survivors, particularly since breast cancer is the most prevalent type of cancer seen among military beneficiaries in the hospital here, said Peoples, who also serves as the deputy director of the U.S. Military Cancer Institute and the medical center’s chief of surgical oncology.

“We’ve made a commitment to take care of active-duty personnel, spouses and retirees,” the colonel said. “And cancer is a notable problem among beneficiaries.”

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T2 Launches Online Community for Military Mental Health Professionals

National Center for Telehealth and Technology (T2) invites military mental health professionals to join “Psychological Health Providers for the Military Community,” a new group the center manages on LinkedIn. This initiative creates additional opportunities for providers to share information and best practices for treating psychological health or traumatic brain injury.

Photo courtesy of National Center for Telehealth and Technology

“Our vision for this group is to offer an engaging environment where mental health providers can share knowledge, exchange ideas and collaborate to help provide the highest level of support and care for service members, veterans and military families,” said Dr. Greg Gahm, executive director of T2.

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War Yields Lessons in Preventing, Treating Eye Injuries

Ten years of conflict has given rise not only to the world’s best body armor and state-of-the-art battlefield technologies, but also a new understanding about ways to prevent eye injuries and treat those who suffer from them.

U.S. Navy photo by Petty Officer 2nd Class Jason Poplin

When the war in Afghanistan kicked off in 2002, ballistic goggles were hard to come by in the military supply system and combat troops rarely wore them, Army Col. (Dr.) Donald Gagliano, the executive director of the Vision Center of Excellence, told American Forces Press Service.

As improvised explosive devices became the enemy’s weapons of choice, eye injuries soared, affecting as many as 29 percent of all battlefield casualties, Gagliano estimated. So as the military began introducing improved body and head protection, ensuring troops had and wore ballistic glasses also became a top priority.

Eye injuries initially dropped, Gagliano reported, but as IEDs and high-energy blast waves become increasingly powerful, eye injuries continued to take their toll. So as part of its charter, the Department of Defense and Department of Veterans Affairs Vision Center of Excellence is focusing on ways to prevent injuries and improve the care and rehabilitation for wounded warriors. (more…)

Frontline Psych with Doc Bender: Getting Psychologically Fit in the New Year

Doc Bender on top of the Ziggurat of Ur in Southern Iraq, in February 2009. (Photo: DCOE)

Dr. James Bender is a former Army psychologist who deployed to Iraq as the brigade psychologist for the 1st Cavalry Division’s 4th Brigade Combat Team out of Fort Hood, Texas. During his deployment, he traveled through Southern Iraq, from Basra to Baghdad. He writes a monthly post for the DCoE Blog on psychological health concerns related to deployment and being in the military.

Around the holidays, especially heading into the new year, people tend to reflect on what they’ve accomplished and make resolutions to improve themselves or achieve certain goals. Many people set goals related to physical fitness: lose 10 pounds, bench press 300 pounds, or max out their physical fitness test. These are great goals that are worth pursuing, but what about goals related to improving your mental health? There are things you can do to improve your memory, mood and generally get psychologically fit.

A clear mind can positively affect many parts of your life—both in the military and in civilian life. The following tips can help you achieve your goals of developing a healthier mental state next year: (more…)

Nurse case managers help wounded warriors receive optimal health care

By Rachel Parks, III Corps and Fort Hood Public Affairs

On any given day, the Soldiers of the Fort Hood Warrior Transition Brigade are undertaking a number of medical appointments as they navigate the path to healing and transitioning back into the military or into the civilian world.

Every step of the way, the Soldiers are supported by registered nurse case managers, who help coordinate the best care available for wounded warriors.

To the Soldiers of the Warrior Transition Brigade, or WTB, the nurse case managers are advocates, supporters and friends, who make sure the medical providers and the military chain of command are communicating clearly regarding the wounded warriors.

Cynthia Basham, a registered nurse case manager with the Fort Hood Warrior Transition Brigade, speaks with Staff Sgt. Christine Einig-Blackwell, a WTB squad leader Nov. 4, 2011. The nurse case managers serve as advocates and liaisons with Soldiers of the WTB, helping to keep lines of communication open about their care and treatment. Photo by Rachel Parks, III Corps and Fort Hood Public Affairs

“Our job here as the nurse case managers, is basically to coordinate all medical care so there’s a continuation of treatment for these guys and that everybody is on the same page,” said Cynthia Basham, a registered nurse case manager with Company C, 1st Battalion, WTB. (more…)

Rickettsial Research – Fighting the Bites of Fleas, Lice, Mites and Ticks

By Roxanne Charles, Naval Medical Research Center, Office of Legal and Technology Services
From www.navymedicine.navylive.dodlive.mil

There is a need for rapid, sensitive “real-time” identification and diagnostic tools to detect rickettsial infection and a need for FDA-approved vaccines to protect our warfighters and civilian populations.  Epidemic typhus, scrub typhus, spotted fevers and ehrlichioses had a debilitating impact on military personnel during both World Wars and the Korean and Vietnam conflicts.

Acridine orange stain is used to show presence of rickettsiae in three different types of cells (DH82, S2, and Vero). Arrow indicates cell containing rickettsia.

Acridine orange stain is used to show presence of rickettsiae in three different types of cells (DH82, S2, and Vero). Arrow indicates cell containing rickettsia.

The bacteria that are responsible for these rickettsial diseases are transmitted by fleas, lice, mites and ticks. Current research efforts are underway to determine the prevalence of these diseases among troops serving in Operation Enduring Freedom and Operation Iraqi Freedom. For example, scrub typhus, which historically affected populations from Afghanistan and further east, is now spreading to the Middle East and even South America. In 2010, Candidatus Rickettsia andeanae was detected in a tick near the Portsmouth River in Virginia and since 1984, more than fourteen new types of rickettsial species have been discovered.

To date, there is no vaccine for protection against rickettsial infections. Biomedical research that contributes to the prevention, diagnostic and vaccine development effort is an important component of Navy Medicine. In Silver Spring, Md., the Naval Medical Research Center’s (NMRC’s) researcher, Dr. Wei Mei Ching, is leading a team to develop new, innovative and effective rickettsial diagnostic tests and potential vaccines that are now ready for commercial development.

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