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Journal of the Royal Army Medical Corps

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https://www.readbyqxmd.com/read/27909070/informal-caregiving-and-intimate-relationships-the-experiences-of-spouses-of-uk-military-personnel
#1
Gursimran Thandi, S Oram, A Verey, N Greenberg, N T Fear
AIM: Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS: Spouses of WIS military personnel (n=25) completed telephone interviews with the research team. The data were transcribed and analysed using thematic analysis...
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27909069/parental-reports-of-serious-illness-and-disability-among-children-aged-3-16%C3%A2-years-from-uk-military-families
#2
Charandeep K Khera, S A M Stevelink, N T Fear
BACKGROUND: Prevalence rates of child illness according to parents have been found to vary greatly in the general population, with even less known about children of military parents. Mothers are generally considered more informed about their children's problems than fathers. This paper aimed to establish the prevalence of serious illness and disability among children from military families, noting the difference between parental reports. METHODS: Male serving and ex-serving personnel with children aged 3-16 years were invited to take part in an online questionnaire and telephone interview based on their child's health...
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27909068/use-of-multiplex-pcr-to-rapidly-diagnose-febrile-patients-during-a-gastroenteritis-outbreak-among-ebola-virus-treatment-unit-workers
#3
Tom O Evans, T Fominyam, S W Matthews, M S Bailey, E J Hutley
Multiplex PCR can provide rapid diagnosis for patients presenting with an acute undifferentiated febrile illness. Such technology is useful in deployed settings, where access to conventional microbiological diagnosis is limited. It was used in Sierra Leone to guide management of febrile healthcare workers, in whom Ebola virus disease was a possible cause. In particular, it informed appropriate antibiotic treatment while minimising the risk to clinicians of exposure to the causative organism.
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27909067/concept-and-evaluation-of-the-german-war-surgery-course-einsatzchirurgie-kurs-der-bundeswehr
#4
David A Back, K Waldmann, T Hauer, N Huschitt, M W Bowyer, U Wesemann, A Lieber, C Willy
INTRODUCTION: Military surgeons must be prepared to care for severe and complex life-threatening injuries rarely seen in the civilian setting. Typical civilian training and practice do not provide adequate exposure to the broad set of surgical skills required. The German Bundeswehr Medical Service has developed and refined the War Surgery Course (WSC) to meet this training gap. This article describes the recent experience with this readiness curriculum. METHODS: Run annually since 1998, WSC consists nowadays of 5 days with 20 theoretical modules...
December 1, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27903839/the-effect-of-brain-tomography-findings-on-mortality-in-sniper-shot-head-injuries
#5
Çağdaş Can, M Bolatkale, A Sarıhan, Y Savran, A Ç Acara, M Bulut
OBJECTIVES: Penetrating gunshot head injuries have a poor prognosis and require prompt care. Brain CT is a routine component of the standard evaluation of head wounds and suspected brain injury. We aimed to investigate the effect of brain CT findings on mortality in gunshot head injury patients who were admitted to our emergency department (ED) from the Syrian Civil War. METHODS: The study group comprised patients who were admitted to the ED with gunshot brain injury...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27903838/european-military-mental-health-research-benefits-of-collaboration
#6
EDITORIAL
Hubertus Himmerich, G D Willmund, U Wesemann, N Jones, N T Fear
Despite joint participation in international military operations, few collaborative military mental health research projects have been undertaken by European countries. From a common perspective of military mental health researchers from Germany and the UK, the lack of shared research might be related not only to the use of different languages but also the different ways in which the two militaries provide mental health and medical support to operations and differences in military institutions. One area that is suitable for military health research collaboration within UK and German forces is mental health and well-being among military personnel...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27903837/the-effect-of-army-vest-design-on-the-occurrence-of-stress-fractures-and-overuse-injuries-in-female-military-recruits
#7
Ezequiel Palmanovich, M Frankl, M Nyska, I Hetsroni, N Constantini, L Trejo, R Bechar, G Novak, Z Lankovsky, G Mann
INTRODUCTION: Stress fractures (SFs) occur when microdamage caused by repetitive mechanical load exceeds the biological load-bearing capacity of the bone. The study objective was to test whether a vest specifically designed and manufactured for female recruits, compared with the standard vest used on a regular basis by Border Police recruits, would reduce the incidence of SF in female Border Police recruits. Data based on reports of military personnel show that women are more likely to sustain SFs...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27881470/modelling-primary-blast-lung-injury-current-capability-and-future-direction
#8
EDITORIAL
Timothy Scott, E Hulse, M Haque, E Kirkman, J Hardman, P Mahoney
Primary blast lung injury frequently complicates military conflict and terrorist attacks on civilian populations. The fact that it occurs in areas of conflict or unpredictable mass casualty events makes clinical study in human casualties implausible. Research in this field is therefore reliant on the use of some form of biological or non-biological surrogate model. This article briefly reviews the modelling work undertaken in this field until now and describes the rationale behind the generation of an in silico physiological model...
November 23, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27879473/an-unusual-cause-of-tinnitus-essential-palatal-myoclonus
#9
Stanislas Ballivet de Régloix, A Marhic, Y Pons
No abstract text is available yet for this article.
November 22, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27811196/diagnosis-of-arrhythmias-in-athletes-wearing-heart-rate-monitors
#10
David Hunt, P Tanto
No abstract text is available yet for this article.
November 3, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27811195/injury-representation-against-ballistic-threats-using-three-novel-numerical-models
#11
Johno Breeze, R Fryer, D Pope, J Clasper
Injury modelling of ballistic threats is a valuable tool for informing policy on personal protective equipment and other injury mitigation methods. Currently, the Ministry of Defence (MoD) and Centre for Protection of National Infrastructure (CPNI) are focusing on the development of three interlinking numerical models, each of a different fidelity, to answer specific questions on current threats. High-fidelity models simulate the physical events most realistically, and will be used in the future to test the medical effectiveness of personal armour systems...
November 3, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27807010/an-outbreak-inside-an-epidemic-managing-an-infectious-disease-outbreak-while-treating-ebola
#12
REVIEW
Simon Horne, K Forbes, D Burns, Jjh Tuck
Even in the middle of an epidemic of a very serious illness, outbreaks of other infectious diseases will continue. Clinicians need to be able to make rapid decisions about the nature of the outbreak and how to manage it. A balance needs to be struck between managing all patients as if they have the worst-case scenario illness and the resultant risks to themselves, their colleagues and the mission. This paper reviews basic epidemiological tools that inform robust decision-making in the management of such outbreaks...
November 2, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27789661/training-for-damage-control-resuscitation-using-a-rapid-infuser
#13
LETTER
Gordon Seal, A Stables, S J Mercer
No abstract text is available yet for this article.
October 27, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27780841/-a-band-of-brothers-an-exploration-of-the-range-of-medical-ethical-issues-faced-by-british-senior-military-clinicians-on-deployment-to-afghanistan-a-qualitative-study
#14
Elizabeth M Bernthal, H J A Draper, J Henning, J C Kelly
AIMS: To identify and explore features of ethical issues that senior clinicians faced as deployed medical directors (DMDs) to the British Field Hospital in Afghanistan as well as to determine the ethical training requirements for future deployments. METHOD: A qualitative study in two phases conducted from November 2014 to June 2015. Phase 1 analysed 60 vignettes of cases that had generated ethical dilemmas for DMDs. Phase 2 included focus groups and an interview with 13 DMDs...
October 25, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27660285/the-association-between-perceived-unmet-medical-need-and-mental-health-among-the-republic-of-korea-armed-forces
#15
Tae Kyung Kim, S G Lee, K-T Han, Y Choi, S Y Lee, E-C Park
INTRODUCTION: We investigated the effect of unmet medical need on the mental health of Republic of Korea (ROK) Armed Forces personnel, as most of the service members work in remote areas and often experience such unmet needs. METHODS: This study used secondary data from the 2014 Military Health Survey (MHS), conducted by the ROK School of Military Medicine and designed to collect military health determinants. Descriptive statistics showed the general characteristics of the study populations by variable...
September 22, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27625370/the-impact-of-sleep-deprivation-in-military-surgical-teams-a-systematic-review
#16
Rachael Sv Parker, P Parker
BACKGROUND: Fatigue in military operations leads to safety and operational problems due to a decrease in alertness and performance. The primary method of counteracting the effects of sleep deprivation is to increase nightly sleep time, which in operational situations is not always feasible. History has taught us that surgeons and surgical teams are finite resources that cannot operate on patients indefinitely. METHODS: A systematic review was conducted using the search terms 'sleep' and 'deprivation' examining the impact of sleep deprivation on cognitive performance in military surgical teams...
September 13, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27899500/highlights-of-this-edition
#17
EDITORIAL
Johno Breeze, J Garner
No abstract text is available yet for this article.
December 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27680577/leptospirosis-in-a-british-soldier-after-travel-to-borneo
#18
Daniel S Burns, K A Clay, M S Bailey
Undifferentiated febrile illness in a returning soldier is a common problem encountered by serving medical officers. A 32-year-old soldier presented to Birmingham Heartlands Hospital with fever and acute kidney injury after return from Borneo. Leptospirosis was suspected and empirical antibiotics were started before subsequent confirmation by serology and PCR. Leptospirosis is common in South-East Asia, and troops exercising in jungle areas, and in the UK, are at risk. Advice, including inpatient management when appropriate, is available from the UK Role 4 Military Infectious Diseases and Tropical Medicine Service...
December 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27625369/returning-to-contingency-the-forward-trauma-team
#19
EDITORIAL
Andrew Dickinson, S Dalal, L Beales
During Herrick 19, Main Operating Base Price Role 1 treatment facility saw one of the busiest periods of Role 1 trauma care within the British Afghanistan campaign. Within 5 months 73 trauma casualties were treated, 48 of whom were category A. This article shares the experiences of this Role 1 and its unusual context, and discusses the relevance with regard to future medical planning. The focus is on the human element; a fundamental of all military operations yet one that is often overlooked. We consider the team construct and the team members of Role 1 and suggest how this team and its leaders can be optimally prepared, supported and maintained, and then safely disassembled...
December 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27531659/tactical-damage-control-resuscitation-in-austere-military-environments
#20
REVIEW
Yann Daniel, S Habas, L Malan, J Escarment, J-S David, S Peyrefitte
BACKGROUND: Despite the early uses of tourniquets and haemostatic dressings, blood loss still accounts for the vast majority of preventable deaths on the battlefield. Over the last few years, progress has been made in the management of such injuries, especially with the use of damage control resuscitation concepts. The early application of these procedures, on the field, may constitute the best opportunity to improve survival from combat injury during remote operations. DATA SOURCES: Currently available literature relating to trauma-induced coagulopathy treatment and far-forward transfusion was identified by searches of electronic databases...
December 2016: Journal of the Royal Army Medical Corps
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