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Journal of the Royal Army Medical Corps

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https://www.readbyqxmd.com/read/28918388/association-of-the-alternative-healthy-eating-index-ahei-2010-with-depression-stress-and-anxiety-among-iranian-military-personnel
#1
Jamal Rahmani, A Milajerdi, A Dorosty-Motlagh
INTRODUCTION: Psychological disorders have a major role in the incidence of chronic diseases and may result in reductions in the cost-effectiveness of the Armed Forces. Previous civilian studies have shown a protective association between healthy eating guidelines and mental disorders, but evidence to support this for a military population is limited. The aim of this study was to examine the association of Alternative Healthy Eating Index (AHEI-2010) with depression, stress and anxiety among Iranian military personnel...
September 15, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28916583/a-balance-and-proprioception-intervention-programme-to-enhance-combat-performance-in-military-personnel
#2
Shany Funk, T Jacob, D Ben-Dov, E Yanovich, O Tirosh, N Steinberg
BACKGROUND: Optimal functioning of the lower extremities under repeated movements on unstable surfaces is essential for military effectiveness. Intervention training to promote proprioceptive ability should be considered in order to limit the risk for musculoskeletal injuries. The aim of this study was to assess the effect of a proprioceptive intervention programme on static and dynamic postural balance among Israel Defense Forces combat soldiers. METHODS: Twenty-seven male soldiers, aged 18-20 years, from a physical fitness instructor's course, were randomly divided into two groups matched by age and army unit...
September 14, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28916582/treating-the-captors-how-the-ingenuity-of-a-british-military-doctor-saved-his-camp
#3
EDITORIAL
Alastair G Brown
No abstract text is available yet for this article.
September 14, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28893848/a-review-of-10-years-of-scapula-injuries-sustained-by-uk-military-personnel-on-operations
#4
Darren C Roberts, D M Power, S A Stapley
BACKGROUND: Scapula fractures are relatively uncommon injuries, mostly occurring due to the effects of high-energy trauma. Rates of scapula fractures are unknown in the military setting. The aim of this study is to analyse the incidence, aetiology, associated injuries, treatment and complications of these fractures occurring in deployed military personnel. METHODS: All UK military personnel returning with upper limb injuries from Afghanistan and Iraq were retrospectively reviewed using the Royal Centre for Defence Medicine database and case notes (2004-2014)...
September 11, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883031/neuropathic-pain-treatment-and-research-experiences-from-the-united-kingdom-mission-to-afghanistan-and-future-prospects
#5
REVIEW
Paul Wood, C Small, S Lewis, P Mahoney
The Defence Medical Services (DMS) of the United Kingdom (UK) assumed command of the Role 3 Medical Treatment Facility field hospital during Operation HERRICK in Afghanistan from April 2006 until the final drawdown in November 2014. The signature injury sustained by coalition personnel during this period was traumatic amputation from improvised explosive devices. Many patients who had suffered extensive tissue damage experienced both nociceptive and neuropathic pain (NeuP). This presented as a heterogeneous collection of symptoms that are resistant to treatment...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883030/an-exertional-heat-illness-triage-tool-for-a-jungle-training-environment
#6
Mike Smith, R Withnall, M Boulter
This article introduces a practical triage tool designed to assist commanders, jungle training instructors (JTIs) and medical personnel to identify Defence Personnel (DP) with suspected exertional heat illness (EHI). The challenges of managing suspected EHI in a jungle training environment and the potential advantages to stratifying the urgency of evacuation are discussed. This tool has been designed to be an adjunct to the existing MOD mandated heat illness recognition and first aid training.
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883029/the-centre-for-defence-healthcare-engagement-a-focus-for-defence-engagement-by-the-defence-medical-services
#7
Martin Bricknell, R Sullivan
The 2015 Strategic Defence and Security Review committed the government to an ambitious programme of Defence Engagement. This paper provides a short summary of the medical contribution to UK Defence Engagement. It then describes the intentions behind the creation of the Centre for Defence Health Engagement.
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883028/exploring-the-health-risks-of-help-seeking-military-veterans-living-in-different-parts-of-the-uk
#8
R L Ashwick, D Murphy
BACKGROUND: Little is known about the mental and physical health differences of treatment-seeking military veterans across the different nations that make up the UK. The aim of this research was to explore potential health differences in order to support better service planning. METHODS: A random cross-sectional sample of treatment-seeking veterans residing in England, Scotland, Wales and Northern Ireland was identified from a national mental health charity. 403 veterans completed a questionnaire highlighting their demographics, mental health and physical health difficulties...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883027/addressing-the-knowledge-gap-sexual-violence-and-harassment-in-the-uk-armed-forces
#9
Lauren R Godier, M Fossey
Despite media interest in alleged sexual violence and harassment in the UK military, there remains a paucity of UK-based peer-reviewed research in this area. Ministry of Defence and service-specific reports support the suggestion that UK service personnel may be at risk of experiencing sexual harassment. These reports however highlight a reluctance by service personnel to report sexual harassment through official channels. In this article, we discuss the paucity of UK-based research pertaining to the prevalence and impact of sexual harassment in the military, explore potential reasons for this gap in knowledge and outline future directions and priorities for academic research...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883026/group-o-low-titre-only-emergency-donor-panels-for-small-combat-teams
#10
Heidi Doughty, A Maguire, G Fitchett, P Parker
INTRODUCTION: Military elements increasingly operate in small teams in remote areas with no immediate blood product support. Planners and operators may endorse collection of fresh whole blood from pretested donors in emergency situations. The biggest risk of transfusion is the accidental use of ABO incompatible blood which can be fatal. The risk may be mitigated by using only group O LOw (OLO) titre donors with plasma containing low levels of the naturally occurring antibody to group A and B red cells...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883025/do-air-gaps-behind-soft-body-armour-affect-protection
#11
Lee Tilsley, D J Carr, C Lankester, C Malbon
INTRODUCTION: Body armour typically comprises a fabric garment covering the torso combined with hard armour (ceramic/composite). Some users wear only soft armour which provides protection from sharp weapons and pistol ammunition. It is usually recommended that body armour is worn against the body with no air-gaps being present between the wearer and the armour. However, air-gaps can occur in certain situations such as females around the breasts, in badly fitting armour and where manufacturers have incorporated an air-gap claiming improvements in thermophysiological burden...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883024/hearing-threshold-shifts-among-military-pilots-of-the-israeli-air-force
#12
Liyona Kampel-Furman, Z Joachims, H Bar-Cohen, A Grossman, Y Frenkel-Nir, Y Shapira, E Alon, E Carmon, B Gordon
BACKGROUND: Military aviators are potentially at risk for developing noise-induced hearing loss. Whether ambient aircraft noise exposure causes hearing deficit beyond the changes attributed to natural ageing is debated. The aim of this research was to assess changes in hearing thresholds of Israeli Air Force (IAF) pilots over 20 years of military service and identify potential risk factors for hearing loss. METHODS: A retrospective cohort analysis was conducted of pure-tone air conduction audiograms of pilots, from their recruitment at 18 years of age until the last documented medical check-up...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28883023/time-to-consider-a-targeted-hpv-vaccination-programme-for-male-military-recruits
#13
William M J Sharp, T Nadarzynski, N E Dufty
Human papillomaviruses (HPV) are the most common type of sexually transmitted infection in men but also related to high-risk cancers. This article considers the epidemiology of HPV in the male military population, the UK vaccination programme and the current UK Joint Committee on Vaccination and Immunisation recommendations. Military men may not benefit from HPV herd immunity and may have a different risk profile; vaccination may in turn reduce the operational burden of HPV-related disease within this population...
September 6, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28855343/medical-support-to-military-airborne-training-and-operations
#14
Kerry J Starkey, J Lyon, E Sigman, H J Pynn, G Nordmann
INTRODUCTION: Airborne operations enable large numbers of military forces to deploy on the ground in the shortest possible time. This however must be balanced by an increased risk of injury. The aim of this paper is to review the current UK military drop zone medical estimate process, which may help to predict the risk of potential injury and assist in planning appropriate levels of medical support. METHOD: In spring 2015, a British Airborne Battlegroup (UKBG) deployed on a 7-week overseas interoperability training exercise in the USA with their American counterparts (USBG)...
August 30, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28851743/can-hypothermia-save-dying-military-trauma-patients
#15
EDITORIAL
Samuel Tisherman, J O'Connor
No abstract text is available yet for this article.
August 28, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28835512/non-battle-injury-among-repatriated-uk-armed-forces-since-cessation-of-combat-operations-a-prospective-observational-study
#16
Emma Toman, A Beaven, D N Naumann, R W Myatt, P J Parker, A R Kay
AIM: To describe the mechanisms, burden of injury, inpatient management and rehabilitation requirements of wounded military personnel at the UK Role 4 (R4) facility within the first 12 months following cessation of combat operations in Afghanistan. METHODS: All aeromedical evacuations were recorded prospectively between October 2014 and October 2015. Demographic, logistical and clinical data were derived manually from referring medical unit and patient movement requests in addition to host nation and R4 medical records...
August 23, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28835511/retrospective-analysis-of-four-year-injury-data-from-the-infantry-training-centre-catterick
#17
Robert Heagerty, J Sharma, J Cayton, N Goodwin
INTRODUCTION: Musculoskeletal injury (MSKI) represents a considerable threat to the effectiveness and productivity of military organisations globally. The impact on the medical chain, occupational disposal with associated loss of working days and associated financial burden have far-reaching consequence. The moral and legal responsibility to reduce avoidable injuries through risk assessment and prevention strategies is fundamental to governance and a key component of best practice. METHODS: A retrospective observational analysis was performed of 4101 MSKIs presenting from a total inflow of 10 498 British Army Infantry recruits recorded over four consecutive training years between 2012 and 2016...
August 22, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28835510/a-systematic-review-of-performance-enhancing-pharmacologicals-and-biotechnologies-in-the-army
#18
REVIEW
Henry Ko, K E Hunter, A M Scott, M Ayson, M L Willson
INTRODUCTION: In 2015, the Australian Army commissioned a systematic review to assess the evidence on effectiveness and safety of pharmacological and biotechnological products for cognitive enhancement specifically in Army personnel. METHODS: Searches for studies examining biotechnological and pharmacological products in Army populations were conducted in December 2015. Cochrane CENTRAL, MEDLINE, EMBASE, CINAHL and PsycINFO were searched without date or language restrictions...
August 22, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28794008/long-term-employment-outcomes-following-rehabilitation-for-significant-neurological-impairment-in-uk-military-personnel-a-3-year-study
#19
Sardar Bahadur, J McRann, E McGilloway
BACKGROUND: Returning to employment is a major modifiable factor affecting long-term health in brain injury which neurological and vocational rehabilitation attempts to address. In military patients, little is known about long-term employability, whether employment is sustained and how they fare in civilian roles. METHODS: A telephone review was undertaken of every military patient having undergone inpatient neurorehabilitation between 2012 and 2014. This was compared to their employment outcomes one to three years post discharge...
August 9, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28794007/the-future-of-resuscitative-endovascular-balloon-occlusion-in-combat-operations
#20
Shane A Smith, R Hilsden, A Beckett, V C McAlister
Damage control resuscitation and early thoracotomy have been used to increase survival after severe injury in combat. There has been a renewed interest in resuscitative endovascular balloon occlusion of the aorta (REBOA) in both civilian and military medical practices. REBOA may result in visceral and limb ischaemia that could be harmful if use of REBOA is premature or prolonged. The purpose of this paper is to align our experience of combat injuries with the known capability of REBOA to suggest an implementation strategy for the use of REBOA in combat care...
August 9, 2017: Journal of the Royal Army Medical Corps
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