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USU welcomes new students to campusSharon HollandDeputy Vice President for External Af fairs and Managing EditorEric RitterWriter and EditorMC3 Laura BaileyWriter and PhotographerTom BalfourPhotographerProductionEditorial content is edited, prepared andprovided by the USU Office of ExternalAffairs unless otherwise indicated. ThePulse staff may include or exclude arti cles based upon news value, impact onthe university and space availability.SubmissionsThe Pulse is published biweekly onMondays. The deadline for submissionsis at 4 p.m. Tuesday prior to the publi cation date. Submissions can be sent toeric.ritter2@usuhs.edu or by calling 301 295-3791.by Sharon HollandIn welcoming the new stu New students at the Uni dents to campus, USU Presidentformed Services University of the Charles Rice said, "When you leaveHealth Sciences (USU) were offi here in a few short years you will allcially welcomed to campus during have in common a degree from thethe school's Fall Convocation cere Uniformed Services University ofthe Health Sciences. You will joinmony, September 18.Medical students from the F. an illustrious group of alumni. .Edward Hebert School of Medi who are making great strides in thiscine recited the Hippocratic Oath, world and who believe deeply in ourled by medical school Dean Arthur mission of education, research andKellermann, the school's graduate public service, and in our nation'sstudents recited a pledge with Dr. service members and their families.I am delighted you're here andGregory Mueller, associate dean forGraduate Education, to uphold sci honored that you chose USU to fur entific excellence. Advanced prac ther your education. I am confidenttice nursing students from the Dan that you will continue to uphold iel K. Inouye Graduate School of and advance--the University's tradi Nursing were welcomed to campus tion of excellence. To all of you, myby Dean Carol Romano, who urged colleagues and I congratulate you,them to reaffirm their commitment and we welcome you to our ranks."to the principles of the nursing pro fession.USU set to kick off 2015 CFC charity initiativeby Eric D. RitterOn the coverF. Edward Hebert School of Medicine DeanArthur Kellermann administers the Hippo cratic Oath to new medical students at thisyear's Fall Convocation at USU, September18. See story, this page. (photo by Tom Bal four)2 the pulseU September 28, 2015The 2015 Combined FederalCampaign (CFC) is about to kick offOctober 2 at the Uniformed ServicesUniversity (USU), and the CFC staffwant to get the word out about thebenefits those contributions canbring.According to USU CFC Cam paign Manager, LaQuetta Robinson,USU is poised to be highly proactivein the charity effort by raising itsgoal from last year's goal of 135,000(which was surpassed by 18%) tothis year's USU-established goal of 170,000.The CFC is an effort estab lished by President John F. Kennedyin 1961 as a way to tap into Ameri ca's historical attitude of charitablegiving by offering lists of approveddonors who have a positive trackrecord or charitable contributionseither through efforts or throughmonetary donations. Last year,the National Capital Region aloneraised more than 10 million."USU's contribution may seemlike a small fraction of that:' saidRobinson. "But, every dollar countswhen it comes to charity:'To help raise awareness andfunds, Robinson said USU will beholding events on campus such asthe official kick-off October 2, thenthe Red, White and Blue Day on Oc tober 19 and finally the CFC GamesDay on October 30. She said all ofthe proceeds raised from the eventswill go toward the general procure ment CFC funds.There are more than 23,000CFC, Cont. Page 3

Lushniak to Join Hebert SOM Academic Leadership Teamby Sharon Hollandstudent education programs in pre ventive medicine and public health,occupational and environmentalhealth, health administration andpolicy, global health and social andbehavioral sciences, and eight ac credited graduate degree programsin various aspects of public health.Additionally, he will oversee ac credited residency programs in twopreventive medicine specialty areasand specialized training programsin tropical medicine in conjunctionwith the American Society of Tropi cal Medicine and Hygiene, as well asa robust research program that in cludes the Infectious Disease Clini cal Research Program.Lushniak served as DeputySurgeon General from November2010 to September 2015, where hehelped the country's top physicianarticulate the best available scientif ic information to the public regard ing ways to improve personal healthand the health of the nation. He as sisted in overseeing the operationsof the U.S. Public Health Service(USPHS) Commissioned Corps,comprised of approximately 6,700uniformed health officers who servein locations around the world.Lushniak was acting U.S. Sur geon General of the United Statesfrom July 17, 2013 to December 18,2014. During that time, he releasedThe Health Consequences of Smok ing- 50 Years of Progress: A Reportof the Surgeon General, 2014 andthe first -ever Surgeon General's Callto Action to Prevent Skin Cancer.Most recently, he commanded theUSPHS Monrovia Medical Unit inLiberia, the only U.S. governmenthospital providing care to Ebola pa tients, from January to March 2015.He is a graduate of the six-yearHonors Program in Medical Educa tion at Northwestern University. Hecompleted his Bachelor of Sciencedegree in Medical Sciences in 1981and obtained his Doctor of Medicinedegree in 1983. In 1984, he receiveda Master of Public Health degree atHarvard University. He completeda residency in family medicine in1987 at St. Joseph Hospital in Chi cago and a residency in dermatolo gy at the University of Cincinnati in1993. He was commissioned in theUSPHS as an Epidemic IntelligenceService officer at the CDC's Nation al institute for Occupational Safetyand Health in 1988 where he wastrained in preventive (occupation al) medicine. Lushniak maintainsboard certifications in dermatologyand preventive (occupational) med icine. He serves as a staff physicianin dermatology at Walter Reed Na tional Military Medical Center andprior to this appointment, was anadjunct professor at USU.and open to all federal employeesvetted charities to which potential who can have their contributionsdonors may contribute. Robinson electronically deducted by signingsaid with that number of charities up on the MyPay website. Robinsoninvolved, it's almost guaranteed did add that potential donors aren'tthere's a charity for everyone. The limited to just federal employees,program is completely voluntary''.Anyone can go on the CFCwebsite and use the Nexus tool tocontribute." She also said she want ed to remind donors that their con tributions are tax-deductible as well.For more information aboutthe campaign, contributing and theparticipating charities, please visita -ll imm'' A' a aQt:§J1iRetired Rear Adm. (Dr.) BorisD. Lushniak, former Deputy Sur geon General of the United States,will join the faculty of the Uni formed Services University of theHealth Sciences (USU) F. EdwardHebert School ofMedicine, effectivein November 2015. Lushniak wasselected as the school's PreventiveMedicine and Biostatistics depart ment chair and succeeds retiredchair Dr. Gerald Quinnan in the po sition."I am delighted that Dr. Lush niak will be our next chair of Preven tive Medicine and Biostatistics:' saidDr. Arthur Kellermann, dean of theHebert School of Medicine. "This isa happy day for USU. Equally im portant it bodes well for the futureof preventive medicine and pub lic health in the United States andworldwide."As chair of Preventive Med icine, Lushniak will lead one ofthe largest departments within theSchool of Medicine with more than60 full-time faculty members sup porting 10 programs and divisionsresponsible for enhancing healththrough medical education, re search, and service that support andimprove programs of preventivemedicine, community health, andhealth promotion in the uniformedservices. He will oversee medicalCFC, from Page 23 the pulse September 28, 2015t j } M1JV:

New Curriculum Highlights Care ConsiderationsModule 2 - Reviews of conditionsfor Seniors during a Disasteralready present in older adults be Courtesy of the National Center for Disaster Medicine and Public HealthAmerica's senior citizens oftenface unique challenges during di sasters. The National Center for Di saster Medicine and Public Health(NCDMPH) at the Uniformed Ser vices University (USU) ofthe HealthSciences has just released its newestresource for health educators andtrainers, "Caring for Older Adults inDisasters: A Curriculum for HealthProfessionals:' to address these is sues.Developed through the sup port of the U.S. Department of Vet erans Affairs, the Caring for OlderAdults in Disasters (COAD) cur riculum is comprised of 24 lessonsin seven modules covering topicsranging from special considerationsfor older adults in specific types ofdisasters to ethical and legal issuesrelated to the care of the senior pop ulation during a disaster."This comprehensive new re source will benefit all healthcareprofessionals in preparing them selves and their staff for the realitiesof caring for seniors during a natu ral or man-made disaster:' said Dr.Kenneth Schor, acting director ofthe NCDMPH. "This issue growsin importance by the day as, accord ing to the Administration on Aging,America's older adult population(65 years) is expected to grow tomore than 21 percent of the popula tion by 2040:'The COAD curriculum's les sons range from 30 to 120 minutesin length based on the particularlearning context. They include sug gested learning activities for edu cators to engage their learners, aswell as required and supplementalreadings for both learners and edu cators. The curriculum can be usedin its entirety, teaching all lessons inthe order provided, or trainers mayselect individual lessons or portionsof lessons most relevant to theirlearners. The curriculum's materialcan be adapted to best meet a spe cific setting and learner needs bysubstituting resources, modifyingactivities, or augmenting content.Educators and trainers alsohave flexibility in how they chooseto teach the content portions of thelessons (i.e., drawing on lecture, dis cussion, or group project modali ties). The topics of the modules are:Module I - Overview ofthe curricu lum and a demographic backgroundon older adultsPhoto courtesty ofNCDMPH4 the pulse U September 28, 2015fore a disaster that may impact theirpreparedness, response, and recov eryModule 3 - Outline of special con siderations for older adults in par ticular types of disastersModule 4 - Overview of caring forolder adults during the disaster cy cleModule 5 - Review of special con siderations for older adults in var ious settings in which they resideand receive careModule 6 - Overview of ethical andlegal considerations for the care ofthe older adult population during adisasterModule 7 - An interactive capstoneactivity, which allows learners to ap ply new knowledge to their specificrole and work settingThe COAD curriculum pres ents lessons for dealing with a widearray of issues related to senior carein a disaster. An often overlookedaspect of disaster medicine and old er adults are ethical and legal im plications. In this module, authorsLillian E. Ringel, JD, of ColumbiaUniversity, and Dr. Judith C. Ahron heim, of New York Medical College,include a discussion of the potentiallimits of patient autonomy in a pub lic health emergency or disaster foradults with and without decisionalcapacity. Also outlined is informa tion on individual state resourcesthat providers can consult regard ing state-specific regulations cover ing the participation of unaffiliatedproviders and other volunteers in adisaster."Caring for Older Adults inDisasters: A Curriculum for HealthProfessionals" can be accessed athttps:// ncdmph. usuhs.edu/Knowl edgeLearning/2015-0AC.htm.

Homework is key before taking supplementsBy Mass Communications Specialist 3rd Class Laura BaileyData from the 2011 HealthRelated Behaviors Survey of ActiveDuty Military Personnel suggestsup to 25% of active duty servicemembers report using a weight losssupplement at least once in the pastyear, said Dr. Jonathan Scott, a se nior scientist and nutritionist at theConsortium for Health and MilitaryPerformance (CHAMP) at the Uni formed Services University of theHealth Sciences (USU). Nearly 40%of service members surveyed re ported daily multivitamin and min eral use. The total number of usable,eligible respondents to the surveywas 39,877 (including Coast Guard)out of 154,011 eligible respondents.If the data are correct, then it isextremely important to ensure thatservice members take supplementswith caution, said Scott.Unlike prescription drugs which are regulated by the Food andDrug Administration (FDA) beforethey reach the market, dietary sup plements are not approved by theFDA before they are marketed, saidScott. It is only after products aremade available to the public that theFDA can evaluate ingredients andinform the public.Some supplements on the mar ket are potentially harmful and cancontain "hidden" ingredients. Forexample, the FDA posts public no tifications advising consumers notto purchase a particular productpromoted for weight loss due to thepresence of a hidden drug ingredi ent. An example of one such warn ing includes the following:"The product poses a threatto consumers because sibutramineis known to substantially increaseblood pressure and/or pulse rate inS the pulse September 28, 2015some patients and may present asignificant risk for patients with ahistory of coronary artery disease,congestive heart failure, arrhyth mias, or stroke. This product mayalso interact, in life-threateningways, with other medications a con sumer may be taking 'This is just one example andthere are many more, said AndreaLindsey, another Senior NutritionScientist at CHAMP and the direc tor of Operation Supplement Safety(OPSS). Since 2007, the FDA hasuncovered more than 600 taintedsupplements. The use of these sup plements can cause serious condi tions that can lead to death and sothe importance of education andusing available resources on OPSScan't be understated, according toLindsey.OPSS is a joint initiative be tween CHAMP, and the Depart ment of Defense (DoD). Their goalis to educate service members andretirees, their families, leaders,health care providers and DoD ci vilians about supplements and howto choose supplements wisely.As quickly as the FDA is ableto evaluate and publish notificationsabout potentially harmful supple ments currently on the market, staffpush that information to personnelvia a link on the OPSS and HPRCwebsites, said Lindsey.Other tools such as informa tion sheets, printable materials, vid eos and apps for smart phones arealso available.The OPSS app allows militarymembers with a .mil address to openan account with the Natural Medi cines Comprehensive Database toaccess information about dietarysupplement products. An OPSS appfocused only on the OPSS High-RiskSupplement List will be released inthe next six weeks which will allowusers to identify supplements thatcontain stimulants, steroids, hor mone-like ingredients, controlledsubstances, or unapproved drugs.But even with exhaustive re sources to answer many of the ques tions surrounding supplements,sometimes it is necessary to call inthe experts. So, OPSS has providedthe ''.Ask the Expert" button to con nect personnel and experts througha portal allowing dialogue exchang es to happen directly."The important thing is that weprovide evidence-based answers. Insome cases we may reach out tooth er government agencies and part ners to get all the pieces needed fora complete answer. We have a list ofexperts we can reach out to includ ing folks at the FDA:' said Lindsey."Experts include Dr. Patricia De uster, a professor in the Departmentof Military and Emergency Medi cine and the director of CHAMP atUSU, among others," said Lindsey."Ultimately, supplements arenot substitutes for a healthy dietand exercise:' said Scott. "But, theseproducts are out there and availableto the public - including our mili tary personnel. Our job is to informthem. We hope that anyone consid ering the use of supplements or whois taking them now will talk to theirhealth care provider, take time tolook at the facts and then make aneducated decision - one that couldpotentially save their life."For more information, pleasevisithttp://hprc-online.org/di etary-supplements/opss .

Hendra Vaccine Receives APVMA Registrationby Sharon HollandThe Hendra virus horse vac cine, first developed in Dr. Christo pher Broder's laboratory at the Uni formed Services University of theHealth Sciences, has received reg istration from the Australian Pes ticides and Veterinary MedicinesAuthority (APVMA).The APVMA is an Australiangovernment statutory authority es tablished in 1993 to centralize theregistration of all agricultural andveterinary chemical products intothe Australian marketplace. ItsUnited States equivalent is the Cen ter for Veterinary Biologics in theAnimal and Plant Health Inspec tion Service, a branch of the UnitedStates Department of Agriculture.Vaccine registration requirementsare very strict and a vaccine mustbe proven effective and safe beforeit receives APVMA approval."Until now, the vaccine hasbeen available on a temporary per mit, and during that time any re actions to the vaccine have beenrecorded and investigated.Wewelcome the release of informa tion about these adverse reactionsby APVMA with less than 0.03% ofdoses causing some kind of adversereaction; this is in line with whatour members have told us- thatthey have seen only small numbersof problems with the vaccine:' saidIan Fulton, BVSc, MSc, FACVSc,president of Equine VeterinariansAustralia, a special interest group ofthe Australian Veterinary Associa tion, in a released statement.According to Fulton, the regis 6 the pulse U September 28, 2015tration is an "importantstep forward" in man aging the risks associ ated with the Hendravirus."The vaccine de creases the risk of expo sure to Hendra virus forhorse owners, handlers,and veterinarians andis the single most ef fective way of reducingthe risk of Hendra virusinfection:' he said. "Ofcourse, it also helps toprotect horses againstthis fatal disease, whichis especially import Dr.ant in Queensland andnorthern New South Wales wherethere have been Hendra cases con firmed."Vaccinating horses provides apublic health and workplace healthand safety benefit:' he concluded."Horse owners should discuss theneed for Hendra vaccination fortheir horses with their veterinarian."The Equivace He V, from Zoe tis, Inc., was first made availablein November 2012 in response tothe growing number of outbreaksand subsequent horse deaths inQueensland and New South Walesin Australia. To date, more than380,000 doses of the vaccine havebeen administered to horses in Aus tralia. The vaccine is derived fromoriginal work by Broder and Kath arine Bossart, Ph.D., a USU alum na, who recently launched her owncompany, Integrated Research As sociates, LLC, in San Rafael, Cali-Christopher Broder (Courtesy photo)fornia. Their work was supported bythe National Institute of Allergy andInfectious Diseases (NIAID), part ofthe National Institutes of Health."The vaccine component isa soluble portion of the Hendravirus G glycoprotein, known asHendra-sG:' said Broder. Bossartdeveloped Hendra-sG using theinherently safe approach of recom binant protein expression while agraduate student in Broder's labora tory at USU. "It is this glycoproteinthat mediates viral infection. If youblock its function, you block virusinfection:' The vaccine also providescomplete protection from infectionby Hendra's cousin Nipah viruswhich has caused outbreaks and hu man deaths in Bangladesh and Indianearly every year since 2000, saidBroder. Efforts to launch a safetytrial in humans are ongoing.

Chasi exemplifies Hispanic Heritage Month

Pulse staff may include or exclude arti cles based upon news value, impact on the university and space availability. Submissions . The Pulse is published biweekly on Mondays. The deadline for submissions is at 4 p.m. Tuesday prior to the publi cation date. Submissions can be sent to . eric.ritter2@usuhs.edu or . by calling 301 295-3791.

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