Treatment of Mal de Debarquement Syndrome in a Deployed Environment.

We report the case of a 26-year-old Caucasian female with persistent sensations of forward and reverse movement with spontaneous onset. This worsened over 4 wk. The patient reported an episode of these symptoms 5 mo prior, which lasted for 3 mo before improving.

Optimizing nursing care delivery systems in the Army: back to basics with care teams and peer feedback.

The Patient CaringTouch System emerged from a comprehensive assessment and gap analysis of clinical nursing capabilities in the Army. The Patient CaringTouch System now provides the framework and set of standards by which we drive excellence in quality nursing care for our patients and excellence in quality of life for our nurses in Army Medicine. As part of this enterprise transformation, we placed particular emphasis on the delivery of nursing care at the bedside as well as the integration of a formal professional peer feedback process in support of individual nurse practice enhancement.

The prevalence of vitamin B(12) deficiency in patients with type 2 diabetes: a cross-sectional study.

Purpose: The purpose of this study is to define the prevalence of vitamin B(12) deficiency in a type 2 diabetic population within a primary care practice. Metformin use and advanced age are associated with vitamin B(12) deficiency and often present in type 2 diabetic patients, yet the prevalence of vitamin B(12) deficiency in the diabetic population is unknown.

Methods: We conducted a cross-sectional study of 203 outpatient type 2 diabetic patients at a large military primary care clinic.

Development of an advanced life support patient transfer training program.

Bayne-Jones Army Community Hospital is relatively isolated from major military or civilian medical centers. Patients there who require a higher level of care are transferred to tertiary facilities. It is standard for nurses or physicians to accompany patients requiring Advanced Cardiac Life Support care during transfer to another facility.