Vol. 32, No. 6 March 20, 2015

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Whats Inside

A Week in the Life of a GEMS

Student, p. 4

Army Researchers Return to

Norway for Nutrition, p. 5

NMLCs DFA, Promoted to

Lieutenant Commander, p. 6

RAMIN A. KHALILI

USAMRMC CCCRP

KNOWLEDGE MANAGER

After 10 minutes of sifting

through the les on her computer,

Dr. Tamara Crowder threw up her

hands in mock frustration.

Theres just so much going

on, she said. The stuff were do-

ing with traumatic brain injury

right now - theres just so much.

Crowder, the Neurotrauma and

Traumatic Brain Injury portfolio

manager with the Combat Casualty

Care Research Program, explained

that a recent spike in brain health

awareness by both the federal gov-

ernment and the general public

has led to an increase in scholarly

research within her eld.

This is what people are talking

about, said Crowder, regarding

the visibility boost such efforts have

received during this years National

Brain Injury AwarenessMonth, ob-

served annually in March.

A recent study by the Defense

Health Agency showed that deaths

caused by hemorrhage dropped

more than 11 percent over the

past decade, while deaths caused

by TBI increased slightly. Further,

government statistics show that

head injuries trail only incidents of

hemorrhage as the leading cause

of death on the battleeld.

According to Crowder, cur-

rent hot topics in her portfolio

include blast-related TBI (the

problem is that people arent re-

covering fast enough) and sub-

concussive events (like, for in-

stance, when a child hits a soccer

ball with their head consistently

over time). However, she points

to other, more in-depth efforts as

being more integral to the future

of brain health research.

The recently-completed Pro-

gressive Return to Action study

ultimately allowed for the cre-

ation of a series of clinical recom-

mendations intended to provide a

more gradual, progressive return

to military activity following an

incident of TBI. The PRAs codi-

fied daily medical assessments

were initiated, in part, due to the

various and unknown effects of

brain injury.

Its not like breaking your

arm, said Crowder of the reason-

ing behind the study and its ac-

companying recommendations.

You [can] get hit in different parts

of the brain, so its hard to tell

what that impact does - and what

it means for the long term.

Meanwhile, the ongoing $17

million TBI Endpoints Develop-

ment study integrates the existing

data sets from thousands of TBI

patients into a singular Metadata-

set that will be analyzed to iden-

tify effective clinical outcome as-

sessments and biomarkers for TBI.

This is the time to be talking

about TBI, added Crowder, again,

before riing through yet another

le on her computer.

Brain Health Under theMicroscope inMarch

According to the Defense Cen-

ters of Excellence, nearly 1.7

million people sustain a trau-

matic brain injury every year in

America.

Photo courtesy of DCOE

USAMRMC Participates in Capitol Hill Event

to Increase Brain Injury Awareness

The U.S. Army Medical Research and Materiel Com-

mand participates in the 14th annual Brain Injury

Awareness Day on Capitol Hill, March 18. The event

is organized by the Congressional Brain Injury Task

Force and the Brain Injury Association of America.

Representatives from the USAMRMCwere part of an

Awareness Fair in the 1st oor foyer of the Rayburn

Building, in which more than 50 organizations were

present. Col. Dallas Hack, senior medical advisor

to the principal assistant for research and technol-

ogy; Lt. Col. Chessley Atchison, programmanager,

science and technology objective: brain in combat;

Dr. Tammy Crowder, neurotrauma programman-

ager with the USAMRMCs Combat Casualty Care

Research Program; and Ana Gamero, science and

congressional advisor, were on hand to speak with

representatives from Congress and industry in sup-

port of brain injury awareness.

Photos by Chelsea Bauckman, USAMRMC Public Affairs

2Fort Detrick Standard

March 20, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

Command Staff

Maj. Gen. Brian C. Lein

Commanding General, U.S. Army Medical

Research and Materiel Command

and Fort Detrick

Col. Steven P. Middlecamp

U.S. Army Garrison Commander

Editorial Staff

Melissa Myers

USAMRMC/Fort Detrick PAO

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published every two weeks under the provisions of AR

360-1 for the military and civilians at Fort Detrick. Circula-

tion is 7,000. The STANDARD is a commercial enterprise

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Comprint Court, Gaithersburg, Md., 20877, a private firm,

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the 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-

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be made available for purchase, use or patronage without

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other nonmerit characteristic of the purchaser, user or patron.

Editorial content is prepared and edited by the Fort Detrick

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After Duty Numbers

Important After Duty Hour Numbers

The Defense Civilian Personnel Advisory Service has released a newsash

regarding a potential scam by a benets and retirement planning company:

Government Employee Services. The scam intends to use misinformation,

as well as fear, about the Affordable Care Act and its impact on the Federal

Employees Health Benet Program to inuence Federal employees to buy

their services.

For more information regarding the potential scam, read the full news-

ash at: https://www.abc.army.mil/misc/newsash_qa.pdf.

You should always beware of calls, mailings or emails seeking to help

you with your Federal benets. If you receive correspondence like this, con-

tact your Civilian Personnel Advisory Center if you are not sure whether or

not the correspondence came from your Agency.

Potential Scam Targeting

Federal Employees

HEATHER MCDOWELL DUONG

USAMRMC PUBLIC AFFAIRS

Members of the U.S. Army Medical Research and

Materiel Command honored staff that played a key role

helping the Army and the Department of Defense meet

its medical materiel needs at the commands annual

Decision Gate ceremony at Fort Detrick, Maryland,

March 4.

Army medicine is charged with getting the right

products to the field faster and cost effectively. To do

this, the USAMRMC developed an acquisition pro-

cess, called Decision Gate, which combines industry

best practices with Department of Defense acquisi-

tion protocols.

In his opening remarks, Dr. Kenneth Bertram, the

Principal Assistant for Acquisition, discussed how,

in a climate of budget constraints, organizations are

being called upon to defend programs. He said that

the USAMRMCs Decision Gate process was not just

another paperwork drill. Bertram explained that the

process validates the commands development efforts,

which in turn enables program evaluators to focus on

the value of products as opposed to exerting time and

resources ensuring a product works.

Were better off at the nish line, said Principal

Assistant for Research and Technology Dr. John Fra-

zier Glenn of team efforts. The Decision Gate process

leverages and harnesses our power to guide our work

forward.

Bertram and Glenn presented awards to winners in

the following eight categories:

- Andy Atkinson, U.S. ArmyMedical Materiel Devel-

opment Activity - IPT Chair of the Year

- Kevin Comegys and Matthew Teel, U.S. Army

Medical Research Acquisition Activity - IPT Members

of the Year

- Maj. Vanessa Melanson, Walter Reed Army Insti-

tute of Research - Best Brief of the Year

- Steven Hawbecker, U.S. Army Medical Materiel

Development Activity - Product Lifecycle Review Com-

mittee Chair of the Year

- Diane Ullman and Kathy Berst, USAMMDA - Deci-

sion Gate Advocate of the Year

- Leishmania Rapid Diagnostic Device Integrated

Project Team, IPT of the Year

- Junctional Hemorrhage Control Agent IPT - Rook-

ie IPT of the Year

- Plans, Programs, Analysis and Evaluations Small

Business Innovation ResearchOfce - Best Staff Support

The USAMRMCs Decision Gate process leverages

multifunctional teams at each phase of research and

development to plan, execute and review USAMRMC

product development efforts. The method is designed

to identify problems and risks early in the product de-

velopment cycle, when they aremost easily solved. The

Director, Plans, Programs, Analysis and Evaluation ex-

ecutes the Decision Gate for the USAMRMC.

USAMRMCDecision Gate Awards

Spotlight Acquisition Excellence

Principal Assistant for Acquisition Dr. Kenneth Bertram (left) and Principal Assistant for Research

and Technology Dr. John Frazier Glenn (right) honor Decision Gate awardees at a ceremony March 4

at Fort Detrick, Maryland. The USAMRMC developed its acquisition process, Decision Gate, to get the

right products to the eld faster and cost effectively.

Photo by Heather McDowell Duong, USAMRMC Public Affairs

3Fort Detrick Standard

March 20, 2015

Sustaining a community of excellence through restoration, environmental stewardship and workforce development

The National Interagency Confed-

eration for Biological Research Spring

Research Festival is requesting mem-

bers of the community to sign up as a

poster judge. When you share your time

in venues, such as the Spring Research

Festival, it promotes collaboration

among established scientists and sets

a standard for our young researchers to

emulate.

A large part of the festival revolves

around poster presentation. We en-

courage all individuals, including tech-

nical staff, postdoctoral fellows, staff

scientists and senior staff to participate

as judges.

At this time, we expect the poster

numbers to be >100 and it is our goal

to have every poster evaluated by

two judges.

Please visit the SRF website and click

on judging. There you will nd more

detailed information alongwith the score

sheet to be used.

Please register to be a judge at:

ht tps ://nc i f reder ick .cancer .gov/

Events/Srf/JudgingCriteria.aspx.

Note: You will need a username and

password to enter this site. Please cre-

ate a log-in if you do not already have

one. If you are encountering technical

difculties, please contact C&SS at (301)

846-5115 and someone will help you.

Spring Research Festival

Judges Needed!

NICK MINECCI

USAG PUBLIC AFFAIRS

Major Gen. Merritte W.

Ireland was born on May

31, 1867, in Columbia City,

Indiana. Ireland gradu-

ated from Detroit College

of Medicine in 1890 with a

Doctor of Medicine degree,

then later attended Jeffer-

son Medical College where

again he was given a second

Doctor of Medicine degree

in 1891. He then joined the

U.S. Army with a distin-

guished four decade career

that would see him become

the 23rd Surgeon General

of the U.S. Army, a post he

would hold for 13 years.

After years of moving

around to places like Fort

Apache, Arizona; Fort Stan-

ton, New Mexico; Benicia

Barracks, California; and

Yosemite National Park in

Yosemite Village, California;

Ireland was ordered to the

Presidio of San Francisco

in January of 1898, where

he was stationed during the

outbreak of the Spanish-

American War.

While Ireland was serving

on the southern border U.S.

troops were gathering along

the Rio Grande and the Pu-

nitive Expedition into Mexi-

co, led by Brig. Gen. John J.

Pershing, launched. When

a state of war was declared

with Germany on April 6,

1917, Pershing assembled his

staff for the high command

in France and chose Ireland

for the post of chief surgeon;

however, The Surgeon Gen-

eral selected Col. Alfred E.

Bradley for the position in-

stead. Ireland sailed with

General Pershing for France

as rst assistant to Bradley

and served in that capacity

until Pershing later was com-

pelled to give up his ofce in

April 1918 on account of ill

health; promoting Ireland to

chief surgeon. As assistant

and head of the service in

the American Expeditionary

Force his administrative and

professional abilities won

the Pershings highest praise.

Ireland was appointed

Surgeon General with the

grade of major general on

Oct. 4, 1918. Ireland arrived

inNewYork onOct. 28, taking

the oath of ofce on Oct. 30.

Ireland spent a great

deal of time replacing the

temporary wartime medical

facilities with permanent

hospital structures; both

the Walter Reed and Letter-

man General Hospitals were

rebuilt and completed. The

William Beaumont General

Hospital in El Paso, Texas,

was built and put into op-

eration July 1, 1921. The

development of the Army

Medical Center was another

notable achievement of this

period. A further develop-

ment was the creation on

May 15, 1920, of the Medical

Field Service School at Carl-

isle Barracks, Pennsylvania,

where ofcers and enlisted

men were instructed in

medico-military matters,

administration, tactics, eld

sanitation, work with eld

units, map-making, equita-

tion, motor mechanism and

kindred topics. The third

tropical disease board was

established in Manila in the

spring of 1922.

Ireland earned the total

condence of the General

Staff and of the military

committees of the Senate

andHouse, and reappointed

as The Surgeon General on

Oct. 30, 1922, again on Oct.

30, 1926, and nally on Oct.

30, 1930, until he retired on

May 31, 1931, by reason of

reaching the statutory age.

WhoWas the Ireland

Trail Named After?

PhotocourtesyofNationalArchives

SHANNON BISHOP

USAG PUBLIC AFFAIRS

Though National Cyber

Security Awareness month

is officially recognized in

October, it is a topic that is

relevant to the Fort Detrick

community 24/7.

The National Cyber Se-

curity Alliance shares on

its ofcial page that cyber

security is about ensuring

that every American has

the resources they need to

stay safer and more secure

online. For the Fort Detrick

community, cyber security

means taking the necessary

measures to ensure national

security interests as well as

protect personally identi-

able information.

As the weather gets

warmer, we all spend more

time outdoors. Anytime you

leave your work station, it is

important to remember to

follow all security practices

that are currently in place,

including removing your

common access card any-

time you leave your desk,

even for a minute, and not

having your CAC cards vis-

ible when off post.

I think that individual

users are the first line of

defense for cyber security,

said Brent Hunter, chief of

the Information Assurance

Division at the Network En-

terprise Center. We have an

annual requirement to take

Cyber Security Awareness

training in order to gain and

keep access to the network.

The training is designed to

provide users with basic cy-

ber security principles. Us-

ers have to be aware of, and

practice, these principles on

a daily basis to help protect

the Army network.

Additional security prac-

tices include:

-Never leave classied in-

formation or classied com-

puters/equipment/hard-

ware unattended, unless it

is located in a formally ap-

proved Open Storage Area.

-Do not use your Com-

munications Closets as stor-

age areas.

-Ensure you are follow-

ing your units Security

Standard Operating Pro-

cedures, particularly those

involving end-of-duty day

checks.

-Know who your security

manager and information as-

surance support ofcer are.

-We recommend that

you log onto your secure

network multiple times per

week to keep your security

patches up to date.

-Never open an email at-

tachment from unknown/

unveried senders.

-Protect all sensitive andPII

by encrypting e-mail andles.

Hunter continued, Us-

ers should be aware of who

their information assurance

support officer/security

manager is for their organi-

zation and what the organi-

zations incident response

plan is. This information is

critical if users suspect their

systems have been compro-

mised or if they see some-

thing that looks suspicious.

For more information

about cyber security, visit

http://www.arcyber.army.

mil/cyber-awareness.html.

Recognizing Cyber

Security Awareness 24/7

RAMIN A. KHALILI

USAMRMC CCCRP

KNOWLEDGE MANAGER

When describing a new

device designed to measure

the brains electrical activity

after injury, Col. Dallas Hack

cut through all the details to

get straight to the point of

why the Army needed an-

other tool in its arsenal.

It addresses the gap

area of non-invasive tests

for brain injury, said Hack.

Hack, the Brain Health/

Fitness Research Program

coordinator for the U.S.

Army Medical Research and

Materiel Command, ex-

plained that when Soldiers

fall in training or endure a

blast on the battleeld, their

injuries are not always vis-

ible. However, clinicians

have historically had few ob-

jective ways to test for brain

injury, especially non-in-

vasive testing that provides

objective results.

The Ahead 100, which

received clearance from the

U.S. Food and Drug Admin-

istration in November 2014,

is a headband-shaped device

that measures a patients

electroencephalogram sig-

nals, or brain electrical ac-

tivity. A clinician interprets

the testing and results.

The original concept

was simple, said Michael

Singer, the president and

CEO of BrainScope Com-

Device to Measure Brains

Electrical Activity After

Injury Receives FDA Clearance

SeeMEASURE, continued on page 7

For more news from other bases around the Washington, D.C. area,

visit www.dcmilitary.com

4Fort Detrick Standard

March 20, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

LISA MORRIS

USAMRMC PUBLIC AFFAIRS

Applications for the 2015 Fort

Detrick Gains in the Education of

Mathematics and Science program

have opened to students for the

10th year.

As a summer Science, Technol-

ogy, Engineering andMathematics

enrichment program, GEMS cre-

ates hands-on opportunities for el-

ementary, middle and high school

students as well as college students

and teachers.

Students in grades four through

12 may apply for any one of the six

weeks with seven classes to choose

from for the Fort Detrick program.

The focus of the GEMS pro-

gram is to touch on all of the STEM

categories and to get students ex-

cited about STEM and to ignite

a passion to nd out more, said

Lauren Beeson, educational con-

sultant and program coordinator

for Fort Detricks GEMS program.

Last year, the Fort Detrick

GEMS program accepted 500 out

of 1,000 applicants. This year, the

programwill accept approximately

525 students.

Application selection is compet-

itive, saidBeeson. Its not basedon

previous attendance or how early

you apply. Were looking for origi-

nality and genuine interest.

So, what is a week in the life of a

typical GEMS student like? Continue

reading for a snapshot of the creative

and experimental summers Fort De-

trick GEMS students experience.

The Fort Detrick GEMS pro-

gram requires a signicant amount

of cooperation and coordination

from many different groups. The

programs success depends on

many roles, including subject mat-

ter expert volunteers of Soldiers,

civilians and contractors to spend

time with the students in a variety

of ways, from having lunch with

them to talk about their passion

for STEM and their careers to as-

sisting the near-peer mentors with

advanced concepts and training.

Every year brings something

new and exciting, said Beeson.

We always get students who have

never done it before and others

who return to do a new class. No

matter if new or returning, the joy

and enthusiasm on their faces are

exactly the same. Theyre just ex-

cited to be there.

To apply as a student for the Fort

Detrick GEMS program, visit www.

usaeop.com/apply, click the Fort

Detrick, MD (MRMC-HQ) link and

click Apply. Applications will re-

main open until April 15.

To apply as a subject matter

expert for the Fort Detrick GEMS

program, visit http://stem.amedd.

army.mil/index.cfm/opportuni-

ties/volunteer to ll out a volun-

teer form.

AWeek in the Life of a GEMS Student

CLASS: INTERMEDIATE,

SEVENTHGRADE

Day 1

Students arrive in the morn-

ing at Hood College, host loca-

tion for the Fort Detrick GEMS

program. Theymeet all resource

teachers and near-peer mentors

and receive lab safety instruc-

tions along with daily schedules.

After the preliminary morn-

ing congregation, students go

to their appropriate classrooms

with their near-peer mentors

and begin with an icebreaker.

Then, they jump right into the

rst activity of collecting insects

and learning how to use a di-

chotomous key to identify and

classify them.

In the afternoon, students

receive an introduction to New-

tons laws of motion as they

circulate through different lab

stations including activities,

such as blowing up balloons

while changing the angle of air

flow; racing cars on different

level ramp heights and compar-

ing the distance the cars travel;

and performing the tablecloth

trick, in which they test pulling

a tablecloth out from under ob-

jects of different weights with-

out disturbing them.

Day 2

Students listen to a career

speaker in themorning. The Fort

Detrick GEMS program pro-

vides a variety of career speak-

ers throughout the program. In

the past, representatives from

the following various agencies

have volunteered their time: the

Federal Bureau of Investigation,

the U.S. Army Medical Research

Institute of Infectious Diseases,

the Johns Hopkins University

Applied Physics Laboratory,

the Armed Forces Institute of

Regenerative Medicine, the Na-

tional Institute of Allergy and In-

fectious Diseases, the National

Cancer Institute, the U.S. Army

Center of Environmental Health

Research and the Telemedicine

and Advanced Technology Re-

search Center.

After returning to their class-

rooms, students extract DNA

from the insects they collected

the day before. They learn sev-

eral lab skills, including gram

staining, pipette skills, sterile

technique and swabbing for

bacteria that is grown overnight.

In the afternoon, students

begin building custom rockets,

keeping in mind the principles

they learned from Newtons

laws. By the end of the day, they

submit their rocket designs to

their near-peer mentors.

Day 3

After listening to a second

career speaker in the morning,

students return to their class-

rooms and amplify the extracted

DNA of the insects using a Poly-

merase Chain Reaction.

Students continue building

their rockets in the afternoon.

They paint, install motors and

develop team and rocket names.

They learn how to determine the

apogee, or highest point, of sev-

eral objects as practice for their

calculations during their up-

coming rocket launches.

Day 4

Students go straight to their

classrooms on the final day.

They run the DNA they ampli-

ed the day before out on a gel

to determine if any of their in-

sects have the Wolbachia bac-

teria, a common parasite that

infects a high proportion of in-

sects. If students do nd a posi-

tive sample, they get to send the

sample to the Marine Biologi-

cal Laboratory in Woods Hole,

Massachusetts, to include in the

MBLs national study that tracks

how the bacteria infects its hosts

and where the infection occurs

throughout the U.S.

Students also launch their

rockets from the courtyard of

Hood College and collect data

from the launches.

Finally, students participate

in a graduation ceremony at

which they receive certicates

of completion, a guest speaker,

a video presentation and an

educational stipend of $100 for

the week.

At the end of the gradua-

tion ceremony, program lead-

ers invite everyone to visit the

classrooms and see some of the

projects the students work on

throughout the week.

A Fort Detrick Gains in the

Education of Mathematics and

Science program intermediate

student measures water with a

graduated cylinder to perform

a serial dilution.

Photo courtesy of

Fort Detrick GEMS program

LISA MORRIS

USAMRMC PUBLIC AFFAIRS

Master Sgt. Melvin D. Milton

reenlisted in the U.S. Army at a

ceremony March 13 where he re-

ceived a promotion from sergeant

rst class.

Milton, from San Diego, Cali-

fornia, has served in the Army for

15 years. He began his career as

a combat medic at Fort Benning,

Georgia, with the 3rd Infantry Di-

vision. Having had the opportuni-

ties to serve in both eld and non-

field environments throughout

the course of his career, Milton

has proven himself as a versatile

Soldier.

Currently serving as the opera-

tions non-commissioned officer

for the Deputy Chief of Staff for

Operations at the U.S. Army Medi-

cal Research and Materiel Com-

mand, Milton attributes a large

part of his success to his Soldiers.

Im humbled by this promo-

tion. Promotions are good for the

potential, but you dont ever get

here alone, so you always have to

give thanks to the Soldiers who

do a lot of the work for you and

to your mentors, said Milton. A

promotion is for you, but its more

of a team effort.

Milton prefers to serve in com-

bat settings despite their challeng-

es because they offer him a level of

discipline not found in other situ-

ations.

His most rewarding experienc-

es to date involve the lives of his

Soldiers.

Its most fullling for me to

see my Soldiers succeed, get pro-

moted, have healthy families - to

see them getting degrees and just

setting them up for the future,

said Milton.

Milton, his wife and their three

children approach the two-year

mark at Fort Detrick.

Sergeant First Class Receives Master Sergeant Promotion

Master Sgt. Melvin D. Milton, with his wife Nitikka, reenlists in the U.S. Army with Lt. Col. Paul J.

Davis prior to pinning on the rank of master sergeant.

Photo by Nick Minecci, USAG Public Affairs

5Fort Detrick Standard

March 20, 2015

Sustaining a community of excellence through restoration, environmental stewardship and workforce development

KELLY FIELD

USARIEM PUBLIC AFFAIRS

The U.S. Army Research Institute of En-

vironmental Medicine once again partnered

with the Norwegian Defence Research Es-

tablishment to study nutrition and physi-

ological responses to cold-weather training.

For the second time in three years, re-

searchers from the USARIEM traveled to

Norway to study Norwegian Soldiers partic-

ipating in cold-weather training. About 75

Norwegian Soldiers, from the 2nd Battalion,

Brigade North, Norwegian Army, stationed

on Skjold Garrison enrolled in this random-

ized controlled trial.

The results of our last study showed that

short-term winter training alters nutritional

requirements, said Dr. Stefan Pasiakos, a

nutritional physiologist with the USARIEMs

Military Nutrition Division. We observed

decrements in several markers of nutrition-

al status, including protein retention, sug-

gestingmuscle mass is compromised during

short-term military training in the cold.

Pasiakos said this gave researchers the

information they needed to design a target-

ed nutrition intervention to attenuate those

effects in Soldiers participating in a similar

winter training program. The research team

expected to produce physiological decre-

ments that mirrored those observed in their

last study.

Our primary objective was to determine

the efcacy of an optimized recovery food

product designed for combat rations, said

Pasiakos. We were trying to identify ways

to effectively use nutrition to promote re-

covery and resistance to muscle loss during

military operational stress.

Pasiakos said that often times Soldiers

can experience severe calorie decrements

during training because they either quickly

strip down rations and remove food with

nutritional value because they do not want

to carry the extra weight, or they simply do

not have the time to eat all the food they

are given. For example, Soldiers threw away

about a third of their food rations, causing

a severe calorie decit throughout training

during Pasiakos previous study in Norway.

Researchers divided the Soldiers into

three intervention groups, aimed at test-

ing whether supplementing existing ra-

tions with a protein or carbohydrate-based

snack product would improve these various

markers of nutritional status. The USARIEM

partnered with the Natick Soldier Research,

Development and Engineering Centers

Combat Feeding Directorate to develop and

create nearly 5,000 snack products for use

in this study.

The groups were each given their stan-

dard combat ration allotment for their train-

ing exercise. One group served as the con-

trol and received no additional food, said

Pasiakos. The other groups received their

three rations plus four either carbohydrate

or protein-based snacks, like a First Strike

Ration bar or a crispy rice bar.

By providing easily accessible snacks,

we were trying to see to what extent we

could actually offset the physiological dec-

rements that occur during severe calorie

decit. If we are able to develop a food

product that Soldiers like to eat and also

promotes recovery, this would allow us to

make some positive changes to our combat

rations, said Pasiakos.

USARIEM researchers also examined the

risk of frostbite on peripheral areas such as

the ngers, wrists, calves and toes. Dr. John

Castellani, a research physiologist with the

USARIEMs Thermal and Mountain Medi-

cine Division, said these areas are the most

susceptible to frostbite, but they are the

least understood.

Currently, we have limited information

on nger and toe skin temperatures in the

eld or in an operational setting, said Cas-

tellani. The information that we collected

is important because it will allow us to build

biophysical models that will enable Soldiers

to choose the correct cold-weather clothing

ensembles as well as evaluate if the Armys

cold-weather doctrine for injury prevention

is accurate.

This study will enable the USARIEM to

provide Soldiers with practical solutions in

extreme environmental temperatures so that

they continue to perform their mission with

a low risk of cold injury, said Castellani.

Both Pasiakos and Castellani said these

types of eld studies are extremely impor-

tant for them as scientists because they pro-

vide a level of reality that cannot be re-cre-

ated in the laboratory. While the informa-

tion collected during this trip is just begin-

ning to be analyzed, USARIEM researchers

are excited for the results.

Typically, eld studies give us the most

realistic model to test our hypotheses. When

military units provide us the opportunity to

conduct a study, our mission is to execute

strong science without being disruptive

to their operations, said Pasiakos. The

USARIEM has a long history of doing just

that and, most importantly, it gives us the

operationally relevant evidence we need to

improve science and, ultimately, Warghter

health and performance.

Army Researchers Return to Norway for

Nutrition, Cold-Stress Study in Arctic Extremes

For the second time in three years, researchers from the U.S. Army Research

Institute of Environmental Medicine partner with the Norwegian Defence

Research Establishment to study nutrition and physiological responses to cold-

weather training.

Photo courtesy of the U.S. Army Research Institute of Environmental Medicine

PAUL BELLO

NATIONAL MUSEUM OF HEALTH

AND MEDICINE

A glimpse into Vietnam War medicine

and the creation of the Medical Museum,

2nd Surgical Hospital was provided Feb.

24 to attendees at the February 2015 Medi-

cal Museum Science Caf at the National

Museum of Health and Medicine. Dr. Nor-

man Rich, a retired U.S. Army surgeon and

the programs guest speaker, established

the traveling medical museum while serv-

ing as chief of surgery at the hospital in An

Khe, Vietnam.

During his tour of duty, which began at

the mobile Army hospital in 1965, Rich col-

lected items such as punji sticks (a type of

wooden stake made of sharpened bamboo),

bullets, fragments from explosive devices and

other objects frompatients he treated, as well

as from fellow colleagues in the eld. He later

donated many of these items to the NMHM,

which at that time was part of the Armed

Forces Institute of Pathology and under the

direction of Brig. Gen. Joseph L. Blumberg in

Washington, District of Columbia. Many of

these items were showcased by NMHM staff

during and after Richs discussion.

I was encouraged by my mentors to

do something unusual, as some had put it.

Based on that advice, I came up with the

idea for my own medical museum, he said.

There are many opportunities out there if

you seize upon them. Fortunately for me,

there was an abundance of opportunities

that came my way during that period.

Rich provided a slide presentation that

included viewpoints American Soldiers

had while navigating through the jungles of

Vietnam. He also showed pictures of various

weapons and the wounds he treated while

in his Quonset hut operating room. Due to

being in such a remote location and emer-

gency evacuation being so difcult, Rich

estimated that more than two-thirds of the

patients he operated on were held there and

eventually went back to duty in country.

He also shared an interesting, yet slightly

harrowing story about the time he got back

from Vietnam and was asked to give a lec-

ture at the Walter Reed Army Institute of

Research in 1968. Just as he was about to

address the audience, Rich recalls being

surrounded by several men. They pulled

him off-stage and told him he was in a lot

of trouble.

They told me they were still deciding

amongst themselveswhether I shouldbe court

martialed, shot or sent far away somewhere,

he said. Turns out, they were with the CIA,

CID and FBI. They were after me for the items

I sent to themuseum from Vietnam.

As it turns out, the weapons and ar-

tifacts Rich had boxed up and own out

somehow ended up at McChord Air Force

Base in Washington without his knowledge.

The boxes sat there for about a year before

someone nally decided to send them to

Rich, but not before alerting authorities that

they were going over state lines.

The charges they initially had against

me were phenomenal. What savedme in the

end was that I was very thorough and had

catalogued everything that was given to me

while at the hospital, said Rich. I also had

a signed letter from AFIP stating their desire

for the items. Im not sure what would have

happened to me without it.

Rich, who grew up in a small Arizona

copper mining town, later became chief of

vascular surgery at theWalter Reed Army In-

stitute of Surgical Research. He was also ap-

pointed professor of surgery for the School

of Medicine at the Uniformed Services Uni-

versity of the Health Sciences in 1976. He

became department chairman a year later

and remained in that position until his re-

tirement in 2002.

Every time we go to war, we have to start

all over again, said Rich. One of the things

were trying to do at the Uniformed Services

University is to prepare people to be more

ready for the management of patients. That

priority will never change.

Earlier in the evening, a small group of

Vietnam War veterans attending the pro-

gram, including Rich, were acknowledged

by the Department of Defenses Vietnam

War Commemoration Committee for ser-

vice to their country. Each was awarded a

merit pin following a video presentation

that included a message of thanks from

President Barack Obama.

Weve had so many items come into our

museum related to Vietnam that we wanted

to offer a program in conjunction with the

U.S. Vietnam War Commemoration thats

part of a larger nationwide initiative to edu-

cate the public about those who served and

what we learned from that experience, par-

ticularly as we commemorate the 50th an-

niversary of the Vietnam War, said Andrea

Schierkolk, public program manager for the

NMHM.

The NMHMs Medical Museum Sci-

ence Cafs are a regular series of informal

talks that connect the mission of the DOD

museum with the public. The NMHM was

founded as the Army Medical Museum in

1862 and moved to its new location in Silver

Spring, Maryland, in 2012. For more infor-

mation on the program, call (301) 319-3300

or visit www.medicalmuseum.mil.

Retired Army Surgeon Joins NMHM to Mark 50th Anniversary of VietnamWar

Dr. Norman M. Rich, a retired Army col-

onel and renowned vascular surgeon,

speaks about his experiences dur-

ing the VietnamWar on Feb. 24 at the

Medical Museum Science Caf, held

at the National Museum of Health and

Medicine in Silver Spring, Maryland.

(Disclosure: Portions of this image

have been masked to protect PII. This

image has been cropped to emphasize

the subject.)

Photo by Paul Bello,

National Museum of Health and Medicine

6Fort Detrick Standard

March 20, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development

JULIUS L. EVANS

NMLC PUBLIC AFFAIRS

In two separate events, the NavalMedical Logistics Com-

mand on Fort Detrick in Frederick, Maryland, welcomed its

new director for administration and then on March 1, pro-

moted him to lieutenant commander.

Lt. MatthewDeShazo reported for duty in February 2015.

As the director for administration, his responsibilities in-

clude managing a staff of administrative professionals who

coordinate all command correspondence, maintain and

track all ofcial documentation through both internal and

external channels and manage the workow of all adminis-

trative tasks assigned to the NMLC.

Shortly after reporting to the NMLC, DeShazo achieved a

signicant milestone in a naval ofcers career when he was

promoted to lieutenant commander. This rank is the Navys

rst commissioned ofcer rank, in the promotion structure,

selected by peers.

I am happy to preside over todays ceremony. This is

a tremendous accomplishment for Lt. Cmdr. DeShazo be-

cause this is the rst time his service record was reviewed

by a board of his peers. He was selected among a certain

number of people who were chosen to be promoted, said

Capt. Mary S. Seymour, NMLCs commanding ofcer. Dur-

ing the short time he has been here, it is evident why he

was selected. He is highly motivated and has hit the ground

running in full gear. He is a welcome member of our family

and we are happy he is here.

DeShazo is a native of western Maryland, having gradu-

ated from Frederick High School. He then graduated from

Shippensburg University with a bachelors degree in psy-

chology and began his career in the private sector health

care market. During his 11 years of private and public

healthcare management experience, DeShazo gained sig-

nicant managed-care leadership experience working with

the renowned medical systems of Johns Hopkins and the

University of Maryland.

In December 2005, he completed a masters degree in

Health Systems Management from the University of Bal-

timore. In September 2006, he was commissioned a lieu-

tenant junior grade in the U.S. Navy Medical Service Corps

through the Direct Accession Program. He went on to com-

plete tours of duty at several other commands and then,

while serving at the Armed Forces Radiobiology Research

Institute, DeShazo was accepted in the U.S. Naval War Col-

lege, College of Distance Learning Program leading to his

completion of a masters degree in National Security and

Strategic Studies.

During his ceremony, he thankedmembers from his pre-

vious command that traveled from Pennsylvania andMary-

land in recognition of his promotion.

If it werent for you, your work ethic and your profes-

sionalism, I would not be standing here today, said De-

Shazo, directing his comments to his fellow recruiters. You

were the keys in making my recruiting tour successful. You

were my dream team, and I want to thank you for making

me shine during the critical performance evaluation periods

leading up to my peer review board in the spring of 2014.

While at Navy Recruiting District Philadelphia, he served

as both a Division Ofcer for enlisted recruiting production

and as the Medical Service Corps Medical Program direc-

tor. DeShazo was recognized for his outstanding leadership

in December 2013 and again in December 2014, as NRD

Philadelphias Division Ofcer of the Year. His recruiting

division was selected as the NRD Philadelphia FY14 Divi-

sion of the Year. He departed recruiting duty with the Navy

Recruiting Ribbon and 11 Gold Wreath production awards.

He then thanked his wife and daughter who stood by as

sons Jackson 11, and Blake 7, pinned on their dads new col-

lar device to the delight of the audience. Then, addressing

the audience, DeShazo recognized Master Chief Hospital

Corpsman David Hall, who was his Sea daddy at the Na-

tional Naval Medical Center Bethesda during his rst tour

in the Navy.

As a senior chief, he helped me start my career as a ju-

nior ofcer. At Ofcer Development School, they told us to

nd the chief for guidance when you report to your rst

duty station. Senior Chief Hall was one of the chiefs that

taught me what it meant to be an ofcer in the Navy.

DeShazo Reports as NMLCs DFA, Promoted to Lieutenant Commander

Capt. Mary Seymour recites the Navy ofcer promo-

tion oath of ofce to Lt. Matthew DeShazo as he was

promoted to Lieutenant Commander.

Photo by Julius Evans, NMLC Public Affairs

LANESSA HILL

USAG PUBLIC AFFAIRS

Army Community Services hosted a Newcomers Orien-

tation on Tuesday, March 17, in the Community Activities

Center at Fort Detrick. This weeks event had a new feel, a

new agenda and a lot of enthusiasm as current employees

welcomed new employees, Soldiers and their families.

As many as 56 active duty service members, civilians and

children from Fort Detrick, Forest Glen Annex and Raven

Rock attended the orientation, which was opened by Col.

Perry Clark and U.S. Army Garrison Command Sgt. Maj.

Richard Jessup.

Fort Detrick is a unique installation that is unlike no

other, said Clark during his welcoming remarks. He wel-

comed everyone to Frederick, Maryland; mentioning how

he himself grew up not too far from Frederick in western

Maryland, where his parents still live to this day.

My parents are in western Maryland and I can tell you

it gets cold here. For those of you coming from warm cli-

mates, get ready. But, I really think we have seen the last

snow and this really is a great place, said Clark.

One attendee commented how nice it was to see com-

mand staff present at something like this and how he has

never been to a place where the command sergeant major

has been so animated and welcoming.

This year, a new component was added to the orien-

tation; a narrated bus tour of the installation and around

Frederick. Highlights included Whittier Elementary, the

feeder elementary school for Fort Detrick children, Baker

Park, Market Street, Francis Scott Key Mall, the Maryland

Department of Motor Vehicles and a stop at the Frederick

County visitors center.

Staff at the visitors center greeted two bus-loads of

people with goodie bags packed with information and bro-

chures on what Frederick County has to offer visitors and its

citizens. This stop also included Fredericks state of the art

theater, featuring its award-winning multi-screen orienta-

tion lm, A Turn of the Wheel.

According to Liz Dague, relocation program manager in

Army Community Services, attendee feedback on this new

addition to the orientation was positive.

The majority enjoyed the tour and could relax and focus

on the points of interest without worrying about getting lost,

said Dague. They also pointed out that this format, where

there was lots of interaction, was muchmore enjoyable.

NewcomersWelcomed at Fort Detrick

Spc. Domingo Lugo and Pfc. Jacob Allen, both of 114

Signal Battalion, pick up information relevant to ser-

vices and programs provided at Fort Detrick during

the rst newcomers orientation of 2015.

Photo by Lanessa Hill, USAG Public Affairs

SeeWELCOME, continued on page 7

1050807

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7Fort Detrick Standard

March 20, 2015

Sustaining a community of excellence through restoration, environmental stewardship and workforce development

pany, Inc., the neurotechnology rm that

created the Ahead 100 via funding from the

U.S. Department of Defense. We wanted to

put something into your hand that allowed

you to use an EEG, and use it rapidly.

According to the Centers for Disease

Control and Prevention, TBI-related emer-

gency room visits by men have jumped by

more than 50 percent in the past 10 years

alone. Visits by women hover near the same

mark throughout the same time period.

The Ahead 100 is intended for use within

24 hours on patients who have sustained a

closed-head injury and show signs of trau-

matic brain injury.

Hack added, long-term benets include

the expansion to milder concussion indica-

tions, which will be valuable to a clinician in

recommending a treatment plan.

MEASURE, continued from page 3

The Ahead 100 headpiece ts around a mannequin as the corresponding hand-

held portion of the device sits nearby.

Photo courtesy of BrainScope Company, Inc.

The morning ended where it all began,

at the Community Activities Center. This

time, experts were available to answer

questions and provide information regard-

ing programs and services available here at

Fort Detrick.

The newcomers orientation is a monthly

event and required per Army regulation for

active duty. The next orientation is sched-

ule for April 15. To register for any of the

upcoming sessions, visit https://installa-

tion.detrick.army.mil/newcomers/index.

cfm or call Army Community Services at

(301) 619-2197.

WELCOME, continued from page 6

1050802

1050863

1050803

8

Fort Detrick Standard

March 20, 2015 Sustaining a community of excellence through restoration, environmental stewardship and workforce development