8
Vol. 32, No. 8 April 17, 2015 Find the U.S. Army Garrison Fort Detrick: www.facebook.com/DetrickUSAG www.twitter.com/DetrickUSAG www.flickr.com/DetrickUSAG www.facebook.com/ForestGlenAnnex www.twitter.com/ForestGlenAnnex Find the U.S. Army Medical Research and Materiel Command www.facebook.com/USAMRMC www.twitter.com/USAMRMC www.flickr.com/people/usamrmc Social Media What’s Inside President Lincoln’s Final Hours Commemorated in New Exhibit, p. 3 BHSAI Develops System to Identify Patients with Severe Bleeding During Transport, p. 4 Fort Detrick Tax Center Closing, p. 6 SHANNON BISHOP USAG PUBLIC AFFAIRS Today, for the final time in her athletic career, Kytra Hunter, daughter of Deforrest Hunter, chief of Patient Administration at the Fort Detrick Barquist Army Health Clin- ic, will compete in the NCAA gymnastics championship in Fort Worth, Texas. “I’m so proud of Kytra as an individual; she’s been on a challenging 20-year journey with this sport and she is dedicated,” said Kytra Hunter’s mother, Kimberly Hunter. “Aside from all of the titles and awards she’s won, she’s become a young lady that is well loved and well respected in the community.” Kytra Hunter, a 21-time All-American award winner and 2015 Southeastern Con- ference gymnast of the year, began taking gymnastic courses at the age of three in Florence, South Carolina, before moving to Maryland with her family for her father’s military career. “We wanted to put Kytra in an activity so she could be active,” said Deforrest Hunter of his daughter. “She always saw me being active for the Army, so she thought exercise was fun. We wanted her to be in an activ- ity that kept her active, but also made her happy...She fell in love with gymnastics.” In the sixth grade, Kytra Hunter became an elite gymnast with a rigorous training schedule and high expectations. According to Kimberly Hunter, she would train from 6:30-9:30 a.m., go to school from 10 a.m. to 2 p.m. and then go back to the gym to train from 3-7 p.m. “This sport is something she enjoyed,” said Kimberly Hunter. “We enjoyed sup- porting her in it. We made sacrifices as a family for this, but we did it for our kids...our goal was having well-rounded kids, much like every other parent. What is unique to us is that we stuck to it. We didn’t give up, even when it was tough.” Kimberly Hunter left her job in bank- ing and finance to take a job coaching pre- schoolers at at the gym where Kytra became an elite gymnast. “Even though I didn’t train Kytra di- rectly, I know it meant a lot to her to have her mother there for her,” said Kimberly Military Child Competes in Final NCAA Gymnastics Tournament Kytra Hunter, a 21-time All-American award winner and 2015 Southeastern Con- ference gymnast of the year, is the daughter of Deforrest Hunter, chief of Patient Administration at the Fort Detrick Barquist Army Health Clinic. Courtesy photo NICK MINECCI USAG PUBLIC AFFAIRS April is Sexual Assault Awareness Pre- vention Month, and on April 6 leaders and members of the Fort Detrick community gathered at the Fort Detrick Auditorium for the Fort Detrick 2015 Sexual Awareness Month Prevention Month kickoff event. SAAM’s purpose is to raise public awareness about sexual violence and to educate com- munities on how to prevent it. The theme of the 2015 campaign is, “Eliminate Sexual Assault: Know Your Part. Do Your Part.” During the event, Maj. Gen. Brian C. Lein, commanding general of the U.S. Army Medical Research and Materiel Command and Fort Detrick challenged attendees to do everything they could to eradicate sexual assault throughout the military. “I take this very serious, and so should all of you. There is no place in the Army, in the military or anywhere, for these actions, and I challenge all of you to help put an end to this problem,” said Lein. Guest speaker for the kickoff was Dr. Donna D. Ferguson, deputy division chief, Behavioral Sciences Education and Training Division, U.S. Army Military Police School at Fort Leonard Wood, Missouri. Ferguson, a native of Thomasville, Ala- bama, has served in uniform for more than a quarter of a century, as a military police officer and civilian, and has had a variety of duties during her service. Ferguson served as a trainer for the Department of Defense Sexual Assault Re- sponse Coordinator Training Team, been a primary trainer on the Department of the Army Sexual Assault Unit Victim Advocate Training Team, a trainer for Waynesville R-IV school District regarding effects of family violence on children and an advisor to Waynesville R-IV school district on juve- nile and gang violence among numerous other positions. During her talk, Ferguson discussed sev- eral things people can do to help improve education and do their part to eliminate sexual assault. Recommendations included: - Eliminate Sexual Assault: every person working for the DOD at every level in the Sexual Assault Awareness Prevention Month Kickoff George Zerante, Kristen Pickering, educators with Catharsis Productions and Maj. Gen. Brian C. Lein, commanding general U.S. Army Medical Research and Materiel Command and Fort Detrick, during an April 15 presentation on Sexual Assault and Harassment Prevention at the Community Activities Center. Lein said that while it’s an uncomfortable topic, “It has to be discussed so that we can make a cultural shift in how we view these issues, not only to reduce the number of incidents but to discuss ways to solve the problem.” Photo by Jenni Benson, USAG PAO See PREVENTION, continued on page 5 See GYMNASTICS, continued on page 5

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Page 1: Standard 041715

Vol. 32, No. 8 April 17, 2015

Find the U.S. Army Garrison Fort Detrick:www.facebook.com/DetrickUSAGwww.twitter.com/DetrickUSAGwww.flickr.com/DetrickUSAG

www.facebook.com/ForestGlenAnnexwww.twitter.com/ForestGlenAnnex

Find the U.S. Army Medical Researchand Materiel Command

www.facebook.com/USAMRMCwww.twitter.com/USAMRMC

www.flickr.com/people/usamrmc

Social Media What’s Inside

President Lincoln’s Final HoursCommemorated in New Exhibit,p. 3

BHSAI Develops System toIdentify Patients with SevereBleeding During Transport, p. 4

Fort Detrick Tax Center Closing,p. 6

SHANNON BISHOPUSAG PUBLIC AFFAIRS

Today, for the final time in her athleticcareer, Kytra Hunter, daughter of DeforrestHunter, chief of Patient Administration atthe Fort Detrick Barquist Army Health Clin-ic, will compete in the NCAA gymnasticschampionship in Fort Worth, Texas.

“I’m so proud of Kytra as an individual;she’s been on a challenging 20-year journeywith this sport and she is dedicated,” saidKytra Hunter’s mother, Kimberly Hunter.“Aside from all of the titles and awards she’swon, she’s become a young lady that is wellloved and well respected in the community.”

Kytra Hunter, a 21-time All-Americanaward winner and 2015 Southeastern Con-ference gymnast of the year, began takinggymnastic courses at the age of three inFlorence, South Carolina, before movingto Maryland with her family for her father’smilitary career.

“We wanted to put Kytra in an activity soshe could be active,” said Deforrest Hunterof his daughter. “She always saw me beingactive for the Army, so she thought exercise

was fun. We wanted her to be in an activ-ity that kept her active, but also made herhappy...She fell in love with gymnastics.”

In the sixth grade, Kytra Hunter becamean elite gymnast with a rigorous trainingschedule and high expectations. Accordingto Kimberly Hunter, she would train from6:30-9:30 a.m., go to school from 10 a.m. to2 p.m. and then go back to the gym to trainfrom 3-7 p.m.

“This sport is something she enjoyed,”said Kimberly Hunter. “We enjoyed sup-porting her in it. We made sacrifices as afamily for this, but we did it for our kids...ourgoal was having well-rounded kids, muchlike every other parent. What is unique to usis that we stuck to it. We didn’t give up, evenwhen it was tough.”

Kimberly Hunter left her job in bank-ing and finance to take a job coaching pre-schoolers at at the gym where Kytra becamean elite gymnast.

“Even though I didn’t train Kytra di-rectly, I know it meant a lot to her to haveher mother there for her,” said Kimberly

MilitaryChildCompetes inFinalNCAAGymnasticsTournament

Kytra Hunter, a 21-time All-American award winner and 2015 Southeastern Con-ference gymnast of the year, is the daughter of Deforrest Hunter, chief of PatientAdministration at the Fort Detrick Barquist Army Health Clinic.

Courtesy photo

NICK MINECCIUSAG PUBLIC AFFAIRS

April is Sexual Assault Awareness Pre-vention Month, and on April 6 leaders andmembers of the Fort Detrick communitygathered at the Fort Detrick Auditoriumfor the Fort Detrick 2015 Sexual AwarenessMonth Prevention Month kickoff event.SAAM’s purpose is to raise public awarenessabout sexual violence and to educate com-munities on how to prevent it. The themeof the 2015 campaign is, “Eliminate SexualAssault: Know Your Part. Do Your Part.”

During the event, Maj. Gen. Brian C.Lein, commanding general of the U.S. ArmyMedical Research and Materiel Commandand Fort Detrick challenged attendees todo everything they could to eradicate sexualassault throughout the military.

“I take this very serious, and so should allof you. There is no place in the Army, in themilitary or anywhere, for these actions, andI challenge all of you to help put an end tothis problem,” said Lein.

Guest speaker for the kickoff was Dr.Donna D. Ferguson, deputy division chief,

Behavioral Sciences Education and TrainingDivision, U.S. Army Military Police Schoolat Fort Leonard Wood, Missouri.

Ferguson, a native of Thomasville, Ala-bama, has served in uniform for more thana quarter of a century, as a military policeofficer and civilian, and has had a variety ofduties during her service.

Ferguson served as a trainer for theDepartment of Defense Sexual Assault Re-sponse Coordinator Training Team, been aprimary trainer on the Department of theArmy Sexual Assault Unit Victim AdvocateTraining Team, a trainer for WaynesvilleR-IV school District regarding effects offamily violence on children and an advisorto Waynesville R-IV school district on juve-nile and gang violence among numerousother positions.

During her talk, Ferguson discussed sev-eral things people can do to help improveeducation and do their part to eliminatesexual assault. Recommendations included:

- Eliminate Sexual Assault: every personworking for the DOD at every level in the

Sexual Assault Awareness PreventionMonthKickoff

George Zerante, Kristen Pickering, educators with Catharsis Productions andMaj. Gen. Brian C. Lein, commanding general U.S. Army Medical Research andMateriel Command and Fort Detrick, during an April 15 presentation on SexualAssault and Harassment Prevention at the Community Activities Center. Leinsaid that while it’s an uncomfortable topic, “It has to be discussed so that we canmake a cultural shift in how we view these issues, not only to reduce the numberof incidents but to discuss ways to solve the problem.”

Photo by Jenni Benson, USAG PAOSee PREVENTION, continued on page 5

See GYMNASTICS, continued on page 5

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2 Fort Detrick StandardApril 17, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

Commentary:

Provost Marshal Office (301) 619-2652

Fire and Emergency Services (301) 619-2528

Near Miss Hotline (301) 619-3164

USAGNetwork Enterprise Help Desk (301) 619-2049

Balfour Beatty (240) 379-6518

Directorate of Public Works Trouble Desk (301) 619-2726

Barquist Army Health Clinic (866) 379-3981

Post Operator (301) 619-8000

After Duty NumbersImportant After Duty Hour Numbers

Command StaffMaj. Gen. Brian C. Lein

Commanding General, U.S. Army Medical

Research and Materiel Command

and Fort Detrick

Col. Steven P. MiddlecampU.S. Army Garrison Commander

Editorial StaffNick MinecciUSAG PAO

The STANDARD is an authorized unofficial newspaper,published every two weeks under the provisions of AR360-1 for the military and civilians at Fort Detrick. Circula-tion is 7,000. The STANDARD is a commercial enterprisenewspaper printed by Comprint Military Publications, 9030Comprint Court, Gaithersburg, Md., 20877, a private firm,in no way connected with the United States Government orDepartment of Defense. The contents of the STANDARD donot necessarily reflect the official views or endorsement ofthe U.S. Government, the Department of Defense or the U.S.Army. The appearance of advertising in this publication, in-cluding inserts and supplements, do not constitute endorse-

ment of DoD. Everything advertised in this publication shallbe made available for purchase, use or patronage withoutregard to race, color, religion, sex, national origin, age,marital status, physical handicap, political affiliation, or anyother nonmerit characteristic of the purchaser, user or patron.Editorial content is prepared and edited by the Fort DetrickPublic Affairs Office, 810 Schreider Street, Fort Detrick, Md.21702-5000. Editorial Offices are in Bldg. 810, Suite 004,telephone 301-619-2018; e-mail: [email protected].

Display ad salesFrederick County 301-921-2800Montgomery County 301-921-2800Classified ads 1-888-670-7100

ext+. 2684Circulation 301-670-2591Editorial 301-619-3319Printed on recycled paperRecycle when finished

Visit our Web site at: www.detrick.army.mil

SARC Run/WalkThe Fort Detrick Sexual Assault Response Coordinator is sponsoring theSexual Assault Awareness and Prevention Awareness Run/Walk at the Odomfitness track. April 30, from 11:30 a.m.-1 p.m.

Earth DayCelebrate Earth Day at Fort Detrick, May 28, in the Fort Detrick Auditorium(Bldg. 1520B)10 a.m.-2 p.m.Vendors, food for purchase, educational information exchange, etc.For information to host a table call (301) 619-0646.

Save the Date

COL. PERRY CLARK COMMANDERUSAG FORT DETRICK

Spring has finally arrived, bringing in the seasonof rebirth. This is a wonderful time of year filled withchanges in nature, and also here on Fort Detrick. Oneof the biggest, and most talked about changes, is lastweek’s opening of the new Nallin Farm Gate and Visi-tors Center.

Located on Opossumtown Pike, just forward of theold Opossumtown Gate, this new facility is state-of-the-art in terms of security and protecting those wholive and work on Fort Detrick. It has a modern truckvehicle inspection point, helping ease congestion dur-ing rush hours, accommodating many more vehiclesaccessing the base, has acceleration and decelerationlanes, dual turn-in lanes and an updated traffic signal.

Along with this new access point opening we havenew hours of operation for all the gates on Fort Det-rick. The Nallin Farm Gate and Visitors Center will bethe only gate open 24 hours a day, seven days a week,including on weekends and holidays.

Veterans Gate, which many of you know as the 7thSt. Gate, is open every weekday, excluding holidays,from 5:30-9 a.m. and 11 a.m.-1 p.m. for entry and exit,and evenings 3-6 p.m. for exit only.

The Rosemont Gate is open every weekday from6-9 a.m. for entry and exit, and in the afternoon from3:30-6 p.m. for exit only, and will be closed on holi-days. Old Farm Gate will be open every Monday-Fri-

day from 6 a.m. to 6 p.m. for both entry and exit, andclosed on holidays.

I want to personally thank you all for your patienceand understanding during this time of change with thenew times and traffic patterns. Please know we will bewatching traffic patterns and will adjust as needed.

The change in seasons also is a change for us to dosome spring cleaning on Fort Detrick. The week of May4-9 will be the installation-wide post clean-up, and Iwant to thank you now for all the work you have al-ready done to recover from the long winter and thework you will continue to do to make Fort Detrick abeautiful place to live and work.

Finally, while I am speaking about change, as hometo some of the most advanced medical research in theworld, a field that is constantly changing and advanc-ing. With that in mind I wanted to highlight all thegreat work being done by the men and women work-ing in our laboratories, especially with April 19-25 be-ing National Medical Laboratory Professionals Week.NMLPW celebrates medical laboratory professionalsand pathologists, the men and women are a vital rolein every aspect of health care. Our lab techs usuallywork behind the scenes and the public has no idea oftheir importance in our labs conducting critical testingevery day.

We should all be proud of the hard work and accom-plishments these dedicated professionals do every day,it is truly remarkable work. I want to thank all of you foryour dedication and commitment, helping make FortDetrick a truly wonderful place to live and work.

Nallin Farm Gate OpeningUshers in a Season of Change

Col. Perry ClarkU.S. Army Garrison Fort Detrick commander

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3Fort Detrick StandardApril 17, 2015Sustaining a community of excellence through restoration, environmental stewardship and workforce development

SHANNON BISHOPUSAG PUBLIC AFFAIRS

The Comprehensive Soldier and FamilyFitness: Physical and Nutritional ResilienceStudy, conducted by the Uniformed Ser-vices University of Health Sciences, contin-ues to gather data from active-duty servicemembers about the nutritional status andfitness of individuals in an effort to improvethe Global Assessment Tool used to mea-sure emotional, social, family, spiritual,physical and nutritional fitness of a Soldier.

The study, otherwise known as CSF2, be-gan enrolling in June 2014 and has collecteddata from 200 participants from all branch-es of the U.S. military, with plans to collectmore. The study will continue through May2016 with hopes of collecting data from upto 2,000 participants.

The principle investigator for the study isDr. Patricia Deuster.

“This study is about Service Members’

well-being as a whole. We are establishinga baseline dataset to help describe the nu-tritional status and physical fitness of themilitary,” said Katie Kirkpatrick, a study co-ordinator working with Fort Detrick.

One local Service Member, Capt. Kath-ryn Buckland, detachment commander ofthe U.S. Army Medical Materiel Agency, isassisting by coordinating and hosting theCSF2 study at Fort Detrick on May 1. Poten-tial participants in the study will first attenda brief on the morning of May 1 before de-ciding whether to enroll.

“The purpose of this study is two-fold,”said Buckland. “It’s about body composition,diet and nutrition. The only requirement foranyone to participate in this study is that theyare active duty and at least 18 years old. Wehave 13 signed up, but we are expectingmorefollowing the May 1 briefing.”

The CSF2 is a voluntary study that re-quires a Service Member to volunteer 90-120 minutes of their time. To be eligible for

the study, one must be active-duty militarymen or women, be able to speak and readEnglish, and be age 18 or older. Accordingto the study design, participants will answerquestions, have body composition mea-sured and undergo an interview and blooddraw. Specifically, the study will also lookfor biomarkers of nutritional status, inflam-mation and stress and cardiovascular risk.

“We want data from all kinds of people—different ages, weights, body types, fitnesslevels, etc., so we can get the whole picture,”said Kirkpatrick. “The study is open to allbranches of the military across the U.S. Thefirst field study took place at Fort Bragg inNorth Carolina…Right now, we are reach-ing out tomilitary members in the local areafor participation.”

This study ties closely with the Army’sfocus on the Ready and Resilient campaign.

The outcomes from this study will vali-date new metrics, scoring algorithms andfeedback to ServiceMembers for the GAT 2.0.

“This new feedback will allow ServiceMembers to assess their own health. TheGAT covers the total force fitness domainsand this study is designed to enhance theGAT,” said Kirkpatrick. “It also serves thesame idea of total force fitness that is usedin the Ready and Resilient campaign.”

According to the official R2C campaignwebsite, “the campaign integrates and syn-chronizes multiple efforts and initiatives toimprove the readiness and resilience of thetotal Army…Ready and Resilient will buildupon mental, physical, emotional, behav-ioral and spiritual resilience in our Soldiers,families and civilians to enhance their abil-ity to manage the rigors and challenges of ademanding profession.”

For more information about the Uni-formed Services University Consortiumfor Health and Military Performance, andthe other research studies of Dr. Patri-cia Deuster, visit: www.usuhs.edu/mem/champ.html.

Fort Detrick Service Members to Participate in Nutrition and Fitness Study

HEATHER MCDOWELL DUONGUSAMRMC PUBLIC AFFAIRS

Now that spring has arrived we canspend more of our waking hours, perhapseven when we first wake up, in daylight. Aswe bask in the sun we need to rememberthat longer days and shorter nights don’ttranslate to getting less sleep. To help thosewho are struggling to get enough rest eachnight, TRICARE and Military OneSource co-hosted a webinar March 23 to uncover thetruth behind popular sleep myths.

According to Maj. Jordanna Hostler,M.D., a pulmonary/critical care and sleepmedicine specialist at the Sleep DisordersCenter at the Walter Reed National MilitaryMedical Center, there are many things wecan do to make sure we get enough sleep.

The exact reason people need to sleep isstill unknown. What researchers do under-stand, however, is that getting enough sleepaffects our health, immune system, criticalrestorative functions in the body, mood andproductivity.

“Our brain waves are very active whilewe sleep,” said Hostler. “Our brain clearsout ‘the gunk,’ or metabolic byproducts. Itsolidifies memories and supports emotionaland cognitive processing during sleep.”

Hostler explained that when we sleepwe cycle between rapid eye movement, orREM, and non-REM sleep in the followingfive stages:

Stage 1: We are in a restful state betweenbeing awake and asleep.

Stage 2: After an average of five to 10minutes, our heart rate slows and our braindoes less complicated tasks.

Stage 3: After another 15 minutes, wemove into non-REM sleep. This is our deep-est and most restorative sleep. During thisstage, the blood supply to muscles increas-es, tissue growth occurs and our bodymakesrepairs.

Stage 4: As we move into this stage ourbody temperature and blood pressuredrops.

Stage 5: Approximately 90 minutes afterwe first felt sleepy we move into our finalstage of the sleep cycle. We return to REMsleep and experience an increase in breath-ing and heart rate. Our blood pressure andbody temperatures also rise.

Research suggests that adults between

the ages of 18 to 64 should get seven to ninehours of sleep. Many people think they canget by on less “zzz’s,” but according to Hos-tler, that is a myth.

“Chronic poor sleep is linked to poorhealth, mood disorders and low productiv-ity,” said Hostler.

Bringing this point home she noted thatone-fifth to one-fourth of all automobileaccidents are attributed to sleep-depriveddrivers.

“Driving sleepy is like driving drunk,”said Hostler. “In fact, it’s even worse. Stud-ies show that even though sleepy peoplemake the same amount of errors whendriving as someone who’s intoxicated, theydon’t realize it.”

To play it safe, if you begin to feel sleepywhile driving, rather than blasting the radioor rolling down the windows to stay awake,Hostler advises pulling over, grabbing a cupof coffee or other caffeinated beverage, andthen napping for 15 to 20 minutes.

“The caffeine will take effect as soon asthe sleep-inducing chemicals clear the brainfollowing the short nap,” said Hostler.

Another popularmyth Hostler addressedis the misbelief that snoring is harmless. Shenoted that while a common problem, it maybe a strong clue to sleep apnea, a sleep dis-order in which breathing repeatedly stopsand starts. She shared that people whosnore and feel tired even after a full night’ssleep may have the disorder and should beevaluated.

Hostler recommends that should youawaken after falling asleep, get out of bedand do something boring in dim light untilyou get sleepy again. She cautioned againstusing your smart phone or watching TV.

“The light emitted from these is similarto the wave-length of the mid-day sun andtells the brain to turn off the melatonin andwake-up,” said Hostler.

And what about minimizing the impactDaylight Savings Time has on our lives twicea year? According to Hostler, the best thingfor the body is to get the same amount ofsleep each night. This means going to sleepand waking up at the same time every day.

For more information on adopting goodsleep habits and additional healthy living toolsand resources, visit www.health.mil/OLW.

Uncovering the Truthto Staying Rested

“His Wound Is Mortal: The Final Hoursof President Abraham Lincoln,” a tempo-rary exhibition at the National Museum ofHealth and Medicine featuring artifacts re-lated to the Lincoln assassination, includingthe bullet that killed the president, openedat the medical museum in March.

The updated Lincoln exhibit, along withseveral planned special events, is part ofNMHM’s observance of the 150th anniver-sary of Lincoln’s death. NMHM, a Depart-ment of Defense museum founded duringthe Civil War as the Army Medical Museum,is open to the public daily and is located onthe Fort Detrick-Forest Glen Annex in SilverSpring, Maryland.

On the night of April 14, 1865, Lincolnwas shot while watching a play at Ford’sTheatre in Washington, D.C. Surgeons fromthe ArmyMedical Museum treated the pres-ident until he died. Those same surgeonslater performed Lincoln’s autopsy, duringwhich they recovered the bullet. The bullet,along with several small shards from Lin-coln’s skull and locks of Lincoln’s hair, arefeatured in the exhibition.

“Rarely can a museum claim to be asmuch a part of an event as it is the holderof its historical significance,” said Adri-anne Noe, Ph.D., NMHM director. “In thecase of the response to the assassination ofPresident Lincoln, the National Museum ofHealth and Medicine tells our own historywhen we describe the medical response tothat national tragedy.”

On April 28 at 6 p.m., NMHM staff willpresent the Medical Museum Science Café“Remembering Lincoln at the Medical Mu-seum.” Collectionsmanagers and educationstaff members will discuss the history of theLincoln artifacts in the NMHM collections.Programs are free and open to the publicand reservations are not required. Learnmore about NMHM events online at www.medicalmuseum.mil.

Concurrent with the Lincoln exhibit,NMHM opened a special exhibit featuringthe “Medical and Surgical History of the

War of the Rebellion,” an innovative effortby the Army Medical Museum to collect,collate and share the lessons of battlefieldmedicine during the course of the Civil War.The exhibit includes artifacts, specimensand images documented in the work, in-cluding a review of gunshot injuries, chartsabout the spread of disease and infection,and artifacts that chronicle the novel use ofanaesthesia during the course of the war.

NMHM is open daily, including week-ends and holidays (closed only on Dec. 25),from 10 a.m. to 5:30 p.m. Admission is free.A free visitor parking lot is located on Lin-den Lane. Directions are available on theNMHM website at http://www.medicalmu-seum.mil/index.cfm?p=visit.index. Visits toNMHM exhibits are self-guided, and guidedtours are available for groups of 10 or more(four weeks’ notice required.) Informationabout tour programs can be found on theNMHM website at http://www.medicalmu-seum.mil/index.cfm?p=education.tours.

For more information, email [email protected].

President Lincoln’s Final HoursCommemorated in New Exhibit National

Museum of Health andMedicine

The bullet that killed Abraham Lincolnis one of the objects on display at theNational Museum of Health and Medi-cine, marking the 150th anniversary ofthe president’s death.

Photo Courtesy Matthew Breitbart,National Museum of Health and Medicine

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4 Fort Detrick StandardApril 17, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

LORI A. DEBERNARDISAND ANNA K. APPLEGATE

TATRC

Did you know that the majorityof casualties that die on the battle-field die from uncontrolled bleed-ing? Analysis of data from conflictsin Iraq and Afghanistan indicatesthat approximately 22 percent ofService Members who died fol-lowing severe bleeding after injurycould have potentially been savedhad their hemorrhaging been con-trolled early on.

Experts in the combat casualtycare community believe that theopportunity to save casualties is inthe pre-hospital environment. Sav-ing a life does not just happen onceyou get to the hospital, it happenswhen you canmanage hemorrhageat the point of injury or in transit toa medical treatment facility.

Given this information, howwould one go about handling, oreven recognizing the need for ad-ministering a blood transfusion?The Biotechnology High Perfor-mance Computing Software Appli-cations Institute, one of the Tele-medicine & Advanced TechnologyResearch Center’s key labs, is ad-dressing this issue with develop-ment of the Automated Processingof the Physiologic Registry for As-sessment of Injury Severity system,or APPRAISE.

APPRAISE is an artificial intelli-gence-based system that can alertmedics when trauma patients arein need of massive blood transfu-sions without any human inter-vention. It collects and analyzes,in real time, vital sign informationfrom the patient during pre-hos-

pital transport. It then uses the re-sults of that analysis to determineif the patient will need a massiveblood transfusion before the pa-tient arrives at the hospital.

The system consists of an off-the-shelf vital signs monitor con-nected to a ruggedized PC runningMicrosoft Windows. Dr. JaquesReifman, Ph.D., BHSAI director,and members of his team, MaximKhitrov and Jianbo Liu, Ph.D., and

Andrew T. Reisner, M.D., an inves-tigator with BHSAI at the time ofdevelopment, and an emergencyroom doctor at MassachusettsGeneral Hospital, collaborated todevelop the APPRAISE system.

“A benefit of the system is thatit uses standard vital signs, such asEKG, heart rate, and bloodpressure,which caregivers are already famil-iar with,” said Reifman . “Thereis no need for training care givers

to new sensor modalities, so AP-PRAISE can be easily disseminatedthroughout the healthcare system.”

The team worked with BostonMedFlight, a not-for-profit or-ganization operating in Bostonand New England that served asthe equivalent to a shock traumamedevac, to test and validate theBHSAI-developed mathematicalmodels and algorithms in a pro-spective study.

For nearly two years the AP-PRAISE system was used in BostonMedFlight helicopters to monitortrauma patients during emergen-cy transports. Patients were thentransported to one of three hospi-tal partners: Massachusetts Gener-al Hospital, Brigham andWomen’sHospital, and Beth Israel Deacon-ess Medical Center.

By comparing clinical and trau-ma registry data with computerpredictions, BHSAI scientists foundthat the APPRAISE system was ableto automatically identify casualtiesin need of massive blood transfu-sions with 78 percent sensitivityand 90 percent specificity within10 minutes of the start of transportto the trauma center. This was thefirst time that anyone, not just theArmy, had been able to collect andanalyze data in real time as patientswere being transported.

The BHSAI team has receivedtwo U.S. patents for the APPRAISEsystem and is currently pursuingFDA approval and a licensing agree-ment with a commercial partner.

Excited about the results andwhat this technology could meanfor Warfighters in the future Reif-man said, “[The] bottom line isthat the majority of the casualtieson the battlefield are due to un-controllable bleeding. Here, wedeployed in the civilian setting atechnology that demonstrates howwe can identify bleeding patientspre-hospital, in real time, and in afully automated fashion in a pro-spective trial.”

More information about theAPPRAISE system trial will be doc-umented in the May 2015 issue ofthe journal Shock.

BHSAI Develops System to Identify Patientswith Severe Bleeding During Transport

Maxim Khitrov, a software developer and HJF contractor (left) and Jaques Reifman, Ph.D., a seniorresearch scientist and director at the Biotechnology High Performance Computing SoftwareApplications Institute (right) demonstrate the APPRAISE system. APPRAISE is a clinically validat-ed platform for the automated, pre-hospital, real-time collection and analysis of vital sign data.

Photo by Adam Wyatt

JEANETTE LITTLETATRC MHIC

Imagine arriving at a majormedical center with a life-threat-ening medical condition. Imaginenow that this facility has no pagingor cell phone capability. How willthe right doctor be alerted that youneed treatment to save your life?

The Telemedicine and Ad-vanced Technology ResearchCenter’s Mobile Health Innova-tion Team are working to avoid ascenario such as this in austere,deployed hospital environments.

Earlier this year, TATRC to-gether with the Cyber Center ofExcellence Experimental Division,Regional Training Site-Medical,Ft. Gordon, and the 75th CombatSupport Hospital hosted a tech-nology demonstration to showcasea digital paging device that can be

used in combat support hospitalsettings at Fort A.P. Hill, Virginia.

The team demonstrated a com-mercial digital voice-over InternetProtocol badge combined with anNSA-approved, wireless capabilityfor tactical environments. Dem-onstration attendees were able toobserve the voice-activated digi-tal paging system in use, allow-ing hands-free communicationsthroughout the hospital, a real-lifeoperational setting.

Called, “Addressing Document-ed Gaps in Internal CSH Commu-nication & Recall with a GarrisonOptimized COTS Solution Leverag-ingWi-Fi & VoceraMobile Health,”the event demonstrated how use ofa commercially available technolo-gy can help deployed hospital staffavoid instances where members ofa clinical team are taken away fromproviding care to retrieve anothercare provider.

“With the assistance of the Cy-ber Center of Excellence, Experi-mentation Division, we continueto seek technical solutions to an-swer real world medical needs,”said Edward Kensinger, TATRCMHIC project manager.

Imagine arriving at a majormedical center with a life-threat-ening medical condition. Imaginenow that this facility has no pagingor cell phone capability. How willthe right doctor be alerted that youneed treatment to save your life?

The Telemedicine and Ad-vanced Technology ResearchCenter’s Mobile Health Innova-tion Team are working to avoid ascenario such as this in austere,deployed hospital environments.

Earlier this year, TATRC togeth-er with the Cyber Center of Excel-lence Experimental Division, Re-

TATRC’s MHIC Team Leverages WiFi andMobile Health in a Combat Operations Setting

The Telemedicine and Advanced Technology Research Center’sMobile Health Innovation Team, working with the Cyber Centerof Excellence Experimental Division, Regional Training Site-Med-ical, Ft. Gordon, and the 75th Combat Support Hospital, hosteda technology demonstration to showing a digital paging devicethat can be used in combat support hospital settings at Fort A.P.Hill, Virginia. Photo by Ed Kensinger, TATRC mHIC See TATRC, continued on page 6

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5Fort Detrick StandardApril 17, 2015Sustaining a community of excellence through restoration, environmental stewardship and workforce development

military, must know, understand and ad-here to service values and standards of be-havior to eliminate sexual assault, and otherinappropriate behavior.

- Know Your Part: each member of theDOD community has a unique role in pre-venting and responding to sexual assault. Ev-eryone must recognize their part in stoppingthis crime starting with our own awarenessand knowing when and where to intervene.

- Do Your Part: Individuals have to act. Ifyou see a crime or inappropriate behaviorunfolding, you need to step in to prevent it.You each need to add our voice to the call toend this crime.

“What this comes down to is a realchange in the culture,” said Ferguson.

PREVENTION, continued from page 1

Dr. Donna D. Ferguson, deputy divisionchief, Behavioral Sciences Educa-tion and Training Division, U.S. ArmyMilitary Police School at Fort LeonardWood, Missouri, answers questionsfrom the audience during the Fort Det-rick 2015 Sexual Assault AwarenessPrevention Month kickoff, April 6, inthe Fort Detrick Auditorium.

Photo by Nick Minecci, USAG Public Affairs

Hunter. “I think for her just knowing thatI was in the room with her helped her feelsupported.”

Deforrest Hunter removed his namefrom consideration to be promoted to ser-geant major in order to allow his children topursue their careers.

“I went to Korea for one year,” said De-forrest Hunter. “After my tour in Korea, Iwas able to come back to Walter Reed andbe with my family again. Shortly after re-turning, I decided to retire from the militaryafter 26 years so I could help my kids havetheir own career. My wife and I decided thatKytra’s talents could send her to college.”

Kytra Hunter describes the year of herfather being overseas as one of the longestand hardest years of her life.

“When my dad came back to Maryland,it meant a lot to me that he was going to besettled and he would be able to be at all ofmy competitions,” said Kytra Hunter.

Kytra Hunter continued to train through-out her adolescent years, ultimately joiningthe U.S. National Team for two years. Shelater joined the World’s team as an alter-nate for two years.

When it came time to make a decisionabout college, Kytra Hunter had offers fromnumerous colleges around the country.

“Kytra had offers for 21 scholarships to ma-jor colleges,” said Deforrest Hunter. “She hadoffers from Auburn University, Penn State,University of Georgia, University of Floridaand other big schools. My wife and I told hershe had to pick four colleges to consider.”

Kytra ultimately decided to go to Univer-sity of Florida after falling in love with thecoaching staff, according to Deforrest Hunt-er. Florida also offered the program she want-ed to study: food and resource economics.

“It means a lot to have such supportiveparents. No matter what, they support me.They have come to every single home com-petition since I started here four years ago,”said Kytra Hunter.

Kytra Hunter expects to receive her un-dergraduate degree this December.

“I’m applying to a master’s of manage-ment program at the University of Florida,”said Kytra Hunter. “I’m also looking for jobopportunities that might send me to gradu-ate school. My parents have invested so

much into my career and I would like to beable to go to graduate school without hav-ing to put a burden on them, or take outloans to pay for it.”

Kytra Hunter’s parents are proud of herand all of her accomplishments-personal,academic and athletic achievements alike.

“Honest to God,” said Kimberly Hunter,“this girl has a heart of gold. Everythingtogether-the training, the home life, thehar work-has made her who she is...I’m soproud of the woman she’s become despiteall the sacrifices she’s made. She’s given her

athletic career 100 percent and I know thatshe can look back and know that she’s givenit her all.”

Deforrest Hunter has saved every news clip-ping and article from Kytra Hunter’s career, ac-cording to Kimberly Hunter. After today, he’llhave a few more to add to the impressive col-lection he’s gathered over the years.

Note: April is the official month for Monthof the Military Child. This feature is intendedto share one of many great accomplishmentsmade by children of U.S. Service Members.

GYMNASTICS, continued from page 1

DeForrest Hunter, Kimberly Hunter, Kytra Hunter and DeForrest D. Hunter togetherat a NCAA gymnastics tournament. Kytra Hunter is competing in NCAA gymnas-tics championship in Fort Worth, Texas, today. This will be her final competition.

Courtesy photo

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6 Fort Detrick StandardApril 17, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

gional Training Site-Medical, Ft. Gordon, and the75th Combat Support Hospital hosted a technologydemonstration to showcase a digital paging devicethat can be used in combat support hospital set-tings at Fort A.P. Hill, Virginia.

The team demonstrated a commercial digitalvoice-over Internet Protocol badge combined withan NSA-approved, wireless capability for tactical en-vironments. Demonstration attendees were able toobserve the voice-activated digital paging system inuse, allowing hands-free communications through-out the hospital, a real-life operational setting.

Called, “Addressing Documented Gaps in Inter-nal CSH Communication & Recall with a GarrisonOptimized COTS Solution Leveraging Wi-Fi & Vo-cera Mobile Health,” the event demonstrated howuse of a commercially available technology canhelp deployed hospital staff avoid instances wheremembers of a clinical team are taken away fromproviding care to retrieve another care provider.

“With the assistance of the Cyber Center of Ex-cellence, Experimentation Division, we continue toseek technical solutions to answer real world medi-cal needs,” said Edward Kensinger, TATRC MHICproject manager.

TATRC, continued from page 4

Fort Detrick Tax Center Closing

U.S. Army Medical Research and Materiel Command and Fort Detrick Commanding Gen-eral, Maj. Gen. Brian C. Lein, addresses the crowd at the closing ceremony for the Fort Det-rick Tax Center April 15. “This year’s Tax Center prepared more almost 600 federal returns,a similar number of state returns, and e-filed most of these returns. The commercial valueof these services mean a savings to our Soldiers, retirees, and their Families of more than$350,000,” said Lein. Photo by Melissa Myers, USAMRMC PAO

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