Medical journal (Fort Sam Houston, Tex.)最新文献

{"title":"8S From Efficiency To Innovation: The Evolution And Future Of The Nurse Methods Analyst In Army Medicine.","authors":"Patricia Hodson, Kent Turner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Abstract: </strong>The Army Nurse Corps' Nurse Methods Analyst (NMA) role has evolved significantly since its post-World War II origins focused on hospital efficiency. Today, NMAs are critical to optimizing patient care and operational readiness through data analysis, systems design, and health informatics. This article traces the historical development of the NMA, from initial staffing standardizations to foundational work in patient categorization systems that preceded modern workload management tools. It highlights the NMA's current and future role in supporting a leaner, more lethal force, particularly through leveraging artificial intelligence and strategic partnerships to address evolving healthcare demands within both fixed facilities and operational environments. The NMA community is poised to lead innovation in clinical operations, manpower management, and the integration of technology to maintain military superiority.</p>","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"80-81"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"66F Certified Registered Nurse Anesthetists in the U.S. Army: A Professional Story.","authors":"Thorbjorn Persson, Jessica Stone, Janet Sims, Cary Carter, Matthew Fanning, Emily Leiter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"53-55"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"66B Army Public Health Nurse.","authors":"Grace T Tua, Christine Bacsa, Tranessia M Hanson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"45-46"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harriet Tubman: An Honorary Army Nurse and Model of Courage.","authors":"Allison Ferro","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Field Hospital to FRSD: A Deployment Reflection from an Emergency Nurse.","authors":"Samantha Cunningham-Darrah","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"154-155"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Love Note from an Army Nurse.","authors":"Franchesca Desriviere","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"131"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educators and the Art Of Readiness.","authors":"Brian L Thompson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"M9 Nurse Case Manager.","authors":"Gabriel Monfiston, Yoania Vazquez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Abstract: </strong>The Army Nurse Corps (ANC) relies on both Areas of Concentration (AOC) and Additional Skill Identifiers (ASI) to define the roles and advanced competencies of its officers. Among these, the M9 ASI, Nurse Case Manager (NCM) has emerged as a critical capability within military healthcare. This article provides a comprehensive overview of the history, strategic relevance, and evolving role of the M9 specialty. The M9 ASI was formally codified in Army regulations to align case management with national professional standards and institutionalize it as a readiness enabler. Nurse Case Managers provide comprehensive care coordination, streamline referrals, and facilitate rehabilitation through the Integrated Disability Evaluation System (IDES) and Soldier Recovery Units (SRUs), directly reducing lost duty days and medical non-deployability. Their contributions extend beyond individual Soldier outcomes, influencing systemic improvements across Army Medicine and the Defense Health Agency (DHA). Case managers operating outside traditional Army medical treatment facilities, particularly in overseas environments, also act as liaisons with host nation healthcare systems, highlighting the adaptability and complexity of the role. Looking forward, the M9 ASI will expand into telehealth, predictive analytics, and enhanced credentialing, ensuring continued alignment with the Army's readiness mission. As a cornerstone of the ANC, the M9 Nurse Case Manager exemplifies how nursing specialization sustains Soldier health, supports leadership decision-making, and advances military healthcare delivery.</p>","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148703011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustaining the Army Nurse Corps: The Role of the Brigade Nurse Counselor.","authors":"Tanner W Kerr, Kelly A Pace, Stephanie A Corsaro","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Abstract: </strong>The Brigade Nurse Counselor (BNC) is a critical asset in shaping and sustaining the Army Nurse Corps (ANC). This article examines the historical development, strategic relevance, and operational responsibilities of BNCs, particularly within the Reserve Officer Training Corps (ROTC) environment. The BNC serves as a mentor and subject matter expert, influencing nurse cadet retention, readiness, and transition to active duty. From academic advising and policy implementation to career coaching and partnership development with civilian nursing institutions, the role is expansive and uniquely impactful. The paper also highlights how the BNC position contributes to the Army's long-term nurse production and mission success. There are multiple commissioning sources for nurses in the Army Nurse Corps (ANC);however, the highest per-centage of nurses join through the United States Army Cadet Command (USACC) Reserve Officer Training Corps (ROTC). Subsequently, most nurses have interacted with a Brigade Nurse Counselor (BNC) during their undergraduate endeavors. To say nursing school is difficult is an under-statement; adding the ROTC leadership and tactical training adds further stressors requiring time management and per-severance. The BNC position was created to provide nursing Cadets with mentorship to support them while earning their Bachelor of Science in Nursing and taking the National Council Licensure Examination (NCLEX) necessary to become an Army Nurse. Cadet Command consists of eight brigades across the United States and is the largest officer-producing organization for the United States military. Each brigade is typically assigned two BNCs who mentor around 250 nursing Cadets every semester. The BNCs are the Brigade Commander's primary advisors on all topics related to marketing, recruiting, re-tention, incentives, academic requirements, certification, internships, and training for nurses. Their expertise and oversight are invaluable as they are traditionally the only nurses assigned to the brigade. Brigade Nurse Counselors provide direct interface and engagement with the leaders of Schools and Colleges of Nursing, admission offices, and high school counselors to promote ANC educational and professional opportunities and the benefits of joining ROTC. While the responsibilities of BNCs are extensive, their most critical role is to provide nursing cadets with guidance on Fig. 1 Brigadier General James Burk visits with Brigade Nurse Counselors (BNCs) during their 2024 BNC Conference at Fort Knox, KY their future careers and support in balancing the strenuous demands of the nursing academic and ROTC curriculum and commissioning requirements.</p>","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 1","pages":"137-138"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148703027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knockdown Effects of Pyrethroid and Neonicotinoid-Treated Nets on Rhodnius prolixus.","authors":"V Agbajelola, W Roachell, G Lane, M Solis, J Bast, A J Ramutkowski, R K Raghavan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Abstract: </strong>Kissing bugs (Rhodnius prolixus) are vectors of Trypanosoma cruzi, posing risks to military personnel and working dogs in endemic regions. This study quantified time-dependent knockdown of R. prolixus on commercial 300-series (80% blockage) netting treated with dinotefuran (neonicotinoid) or esfenvalerate (pyrethroid) under controlled laboratory conditions. Laboratory-reared adult R. prolixus were exposed to 8.2 × 8.2 cm net clippings in modified WHO cone bioassays. Four insects per replicate were exposed for 3, 6, 9, 12, or 15 minutes (five replicates per exposure × treatment; N = 300, including untreated controls). Knockdown was assessed at 1-hour post-exposure. Data were analyzed with two-way ANOVA with post-hoc pairwise comparisons (emmeans), three-parameter log-logistic models to estimate KD₅₀, and probit regression to calculate time-to-response metrics (KT₅₀/KT₉₀) with confidence intervals and model diagnostics. Knockdown increased with exposure time for both insecticides, with negligible effect in controls. Dinotefuran acted significantly faster, achieving ≥85% knockdown by 6 minutes, whereas esfenvalerate required approximately 12 minutes to reach similar levels; both reached 100% knockdown by 15 minutes. ANOVA indicated significant main effects of insecticide and exposure time, as well as a significant interaction (P ≤ 0.018), reflecting differing temporal dynamics. Pairwise comparisons identified a significant advantage for dinotefuran at 9 minutes (P = 0.001). Log-logistic modeling yielded KD₅₀ ≈ 4.0 min for dinotefuran versus ≈ 211 min for esfenvalerate, although estimates were imprecise. Probit regression corroborated the faster action of dinotefuran (KT₅₀ ≈ 0.18 min; KT₉₀ ≈ 6.1 min) compared with esfenvalerate (KT₅₀ ≈ 1.9 min; KT₉₀ ≈ 12.9 min), with good model fit. Although both dinotefuran and esfenvalerate treated nets have a knockdown effect on R. prolixus, Dinotefuran-treated netting produced substantially faster knockdown of R. prolixus than esfenvalerate-treated netting, consistent with their distinct neurophysiological modes of action. These findings support the use of neonicotinoid-treated netting as a rapid-acting barrier in military operational environments where brief insect contact occurs or pyrethroid efficacy may be compromised.</p>","PeriodicalId":74148,"journal":{"name":"Medical journal (Fort Sam Houston, Tex.)","volume":"108 2","pages":"64-74"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}