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Journal of the Royal Army Medical Corps

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https://www.readbyqxmd.com/read/29331950/construction-of-an-evaluation-index-system-for-determining-the-academic-impact-of-military-medical-scholars
#1
Xuan Li, J Y Hao
INTRODUCTION: Academic papers are an essential manner for describing new ideas and consolidating existing concepts in the field of military medicine. The academic impact of military medical publications reflects the extent and depth of recognition, acceptance and utilisation of the concepts transmitted in these publications. The aim of this research was to construct an evaluation index system suitable for evaluating the academic influence of scholars in the field of military medicine...
January 13, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29331949/bibliometric-analysis-of-military-trauma-publications-2000-2016
#2
Mark L Vickers, C P Coorey, G J Milinovich, L Eriksson, M Assoum, M C Reade
INTRODUCTION: Bibliometric tools can be used to identify the authors, topics and research institutions that have made the greatest impact in a field of medicine. The aim of this research was to analyse military trauma publications over the last 16 years of armed conflict in order to highlight the most important lessons that have translated into civilian practice and military doctrine as well as identify emerging areas of importance. METHODS: A systematic search of research published between January 2000 and December 2016 was conducted using the Thompson Reuters Web of Science database...
January 13, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29330229/determining-the-educational-impact-of-the-introduction-of-practice-based-small-group-learning-within-an-intraprofessional-group-of-doctors
#3
Antony Sean Willman
INTRODUCTION: Practice-Based Small Group Learning (PBSGL) is a system for continuing professional development introduced into Wessex Region Defence Primary Healthcare (DPHC) as the Salisbury Plain PBSGL group in 2012. This is a mixed intraprofessional group comprising general practitioners (GPs), GP trainers, general practice specialist registrars (GPSTs) and general duties medical officers (GDMOs). METHODS: An anonymised online questionnaire and thematic analysis was undertaken to assess the educational impact of PBSGL in such a mixed-role group reflecting military general practice...
January 12, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29326127/skill-sets-required-for-the-management-of-military-head-face-and-neck-trauma-a-multidisciplinary-consensus-statement
#4
John Breeze, R Blanch, J Baden, A M Monaghan, D Evriviades, S E Harrisson, S Roberts, A Gibson, N MacKenzie, D Baxter, A J Gibbons, S Heppell, J G Combes, R F Rickard
INTRODUCTION: The evolution of medical practice is resulting in increasing subspecialisation, with head, face and neck (HFN) trauma in a civilian environment usually managed by a combination of surgical specialties working as a team. However, the full combination of HFN specialties commonly available in the NHS may not be available in future UK military-led operations, necessitating the identification of a group of skill sets that could be delivered by one or more deployed surgeons. METHOD: A systematic review was undertaken to identify those surgical procedures performed to treat acute military head, face, neck and eye trauma...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29326126/one-hundred-years-and-counting-of-blast-associated-traumatic-brain-injury
#5
EDITORIAL
Kevin Kinch, J L Fullerton, W Stewart
Blast-associated traumatic brain injury (TBI) has become one of the signature issues of modern warfare and is increasingly a concern in the civilian population due to a rise in terrorist attacks. Despite being a recognised feature of combat since the introduction of high explosives in conventional warfare over a century ago, only recently has there been interest in understanding the biology and pathology of blast TBI and the potential long-term consequences. Progress made has been slow and there remain remarkably few robust human neuropathology studies in this field...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29326125/hazardous-alcohol-consumption-among-spouses-or-partners-of-military-service-personnel-a-systematic-review-of-the-literature
#6
REVIEW
Rachael Gribble, G K Thandi, L Goodwin, N T Fear
BACKGROUND: Alcohol misuse is particularly high among both the UK and US Armed Forces. As alcohol use among couples is associated, military spouses or partners may therefore be at a higher risk of acquiring hazardous drinking behaviours than people in relationships with other occupational groups. METHOD: A literature review using a systematic approach was undertaken in four medical databases and supplemented with hand searches of specialist publications and reference lists...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29317473/commentary-on-assessment-method-of-bullet-effectiveness-based-on-a-human-vulnerability-model
#7
John Breeze
No abstract text is available yet for this article.
January 8, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29317472/failure-of-systemic-oral-doxycycline-in-preventing-ocular-toxoplasmic-retinochoroiditis-in-french-military-personnel
#8
Sami Saad, M Delbarre, R Saad, M Berguiga, D Benisty, M Marechal, T Adam, F Froussart
This paper describes two cases of toxoplasmic chorioretinitis presenting in two French soldiers who had been receiving oral doxycycline for malaria prophylaxis. This is despite the proven effectiveness of oral doxycycline in treating Toxoplasma gondii, the most common cause of this infection. The lack of effectiveness of oral doxycycline in these two cases most likely reflected that the ocular concentration of 100 mg daily doxycycline is too low to treat or prevent Toxoplasmic retinochoroiditis (TC). Clinicians should therefore be aware that soldiers taking prophylactic oral doxycycline are still at risk of developing ocular TC with potentially sight-threatening consequences if not treated adequately...
January 8, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29301857/triage-and-the-modified-physiological-triage-tool-24-mptt-24
#9
James Vassallo, S Horne, J E Smith
Major incidents occur on a regular basis. So far in 2017, England has witnessed five terrorism-related major incidents, resulting in approximately 40 fatalities and 400 injured. Triage is a key principle in the effective management of a major incident and involves prioritising patients on the basis of their clinical acuity. This paper describes the limitations associated with existing methods of primary major incident triage and the process of developing a new and improved triage tool-the Modified Physiological Triage Tool-24 (MPTT-24)...
January 4, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29279322/assessment-of-bullet-effectiveness-based-on-a-human-vulnerability-model
#10
Susu Liu, C Xu, Y Wen, G Li, J Zhou
INTRODUCTION: Penetrating wounds from explosively propelled fragments and bullets are the most common causes of combat injury. There is a requirement to assess the potential effectiveness of bullets penetrating human tissues in order to optimise preventive measures and wound trauma management. METHODS: An advanced voxel model based on the Chinese Visible Human data was built. A digital human vulnerability model was established in combination with wound reconstruction and vulnerability assessment rules, in which wound penetration profiles were obtained by recreating the penetration of projectiles into ballistic gelatin...
December 25, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29279321/power-supplies-and-equipment-for-military-field-research-lessons-from-the-british-service-dhaulagiri-research-expedition-2016
#11
Matt Howard, J Bakker-Dyos, L Gallagher, J P O'Hara, D Woods, A Mellor
INTRODUCTION: The British Service Dhaulagiri Research Expedition (BSDMRE) took place from 27 March to 31 May 2016. The expedition involved 129 personnel, with voluntary participation in nine different study protocols. Studies were conducted in three research camps established at 3600, 4600 and 5140 m and involved taking and storing blood samples, cardiac echocardiography and investigations involving a balance plate. Research in this remote environment requires careful planning in order to provide a robust and resilient power plan...
December 25, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29279320/uk-role-4-military-infectious-diseases-and-tropical-medicine-cases-in-2005-2013
#12
Daniel S Burns, M R Riley, A Mason, M S Bailey
INTRODUCTION: Infectious diseases are a frequent cause of morbidity among British troops. The aim of this paper is to describe the spectrum of infectious diseases seen when UK service personnel are evacuated for definitive care to the Role 4 Medical Treatment Facility based at Birmingham Heartlands Hospital. METHOD: A retrospective analysis of all military patients presenting with infectious diseases and treated at Birmingham Heartlands Hospital between 14 April 2005 and 31 December 2013 was undertaken...
December 25, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29269480/reboa-at-role-2-afloat-resuscitative-endovascular-balloon-occlusion-of-the-aorta-as-a-bridge-to-damage-control-surgery-in-the-military-maritime-setting
#13
Paul Rees, B Waller, A M Buckley, C Doran, S Bland, T Scott, J Matthews
Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It should be considered when the patient presents in a peri-arrest state, if surgery is likely to be delayed, or where the single operating table is occupied by another case. This paper will outline the data in support of endovascular haemorrhage control, describe the technique and explore how REBOA could be delivered using equipment currently available in the Royal Navy Role 2 Afloat equipment module...
December 20, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29254939/gunshot-bullet-embolisation-in-the-middle-cerebral-artery
#14
Sahatayi Sahin, F Yakar, O Ozgural, S Caglar
Bullet embolism (BE) is a rare phenomenon following a gunshot wound. A middle cerebral artery BE was detected in a 36-year-old male patient following a perforating left thoracic gunshot wound without obvious cranial injury. This paper discusses a case of BE in the cranial circulation in conjunction with a review of the relevant literature.
December 17, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29229645/the-incidence-of-military-training-related-injuries-in-chinese-new-recruits-a-systematic-review-and-meta-analysis
#15
REVIEW
Wei Hua, Q Chen, M Wan, J Lu, L Xiong
INTRODUCTION: Training-related injuries are the main reason for disability, long-term rehabilitation, functional impairment and premature discharge from military service. The aim of this study was to identify the incidence of injuries in the training of Chinese new recruits via a systematic review of the literature. METHOD: A systematic review and meta-analysis was conducted to evaluate the combined incidence of military training-related injuries in Chinese new recruits...
December 10, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29229644/narrative-approach-in-understanding-the-drivers-for-resilience-of-military-combat-medics
#16
Cristel Antonia Russell, S W Gibbons, P A Abraham, E R Howe, P Deuster, D W Russell
INTRODUCTION: Qualitative insights may demonstrate how combat medics (CM) deal with stressors and identify how resilience can potentially develop. Yet, qualitative research is scant in comparison to the many quantitative studies of health outcomes associated with military service. METHOD: Semistructured qualitative interviews were used to collect personal narratives of US Army CMs who had previously served in Iraq or Afghanistan. RESULTS: Thematic analysis revealed three key driving forces for how resilience develops in the context of combat and war...
December 10, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29176005/could-routine-spirometry-suggest-sensitisation-in-the-military-medicine-setting
#17
Ignazio Cirillo, F Gallo, G Ciprandi
INTRODUCTION: Providing evidence of sensitisation is the formal requirement for allergy diagnosis. The aim of this study was to evaluate whether spirometry may be able to predict sensitisation in a representative cohort of Italian Navy military personnel. METHODS: 2043 (1875 men, 168 women, mean age 28.35±11.6 years) Italian Navy military personnel were enrolled into this study. Spirometry and skin prick testing were performed to predict sensitisation. RESULTS: Sensitisation, assessed by skin prick test, was documented in 658 (32...
November 24, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29176004/musculoskeletal-injuries-in-british-army-recruits-a-prospective-study-of-incidence-in-different-infantry-regiments
#18
Jagannath Sharma, J Dixon, S Dalal, R Heagerty, I Spears
BACKGROUND: Musculoskeletal injuries and attrition incurred during basic military training are a significant socioeconomic burden across many Defence Forces. In order to plan an injury prevention strategy, the purpose of this study was to quantify the regiment-specific musculoskeletal injury patterns and training outcomes. METHODS: This was a prospective observational study of the Parachute (n=734), Guards (n=1044), Line (n=3472) and Gurkha (n=458) Regiments of the British Army recruits during a 26-week basic military training programme over a 2-year period...
November 24, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29176003/predicting-how-health-behaviours-contribute-to-the-development-of-diseases-within-a-military-population-in-the-hungarian-defence-forces
#19
Attila Novák, B Hornyák, Zs Rázsó, Sz Szalánczi, Zs Juhász, A Sótér, Cs Nyakas
INTRODUCTION: Recent legislative amendments in Hungary have resulted in the possibility for early retirement being abolished in the Hungarian Defence Forces. The retirement age for professional soldiers has also increased to 65 years, thereby greatly increasing the average length of military service. This necessitates greater attention to the health and care of service personnel due to the increase of chronic non-communicable diseases with age. The aim of this research was to identify how health behaviours might potentially contribute to diseases in the Hungarian Defence Forces...
November 23, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29176002/physiological-monitoring-for-healthy-military-personnel
#20
Michael John Stacey, N Hill, D Woods
Military employment commonly exposes personnel to strenuous physical exertion. The resulting interaction between occupational stress and individual susceptibility to illness demands careful management. This could extend to prospective identification of high physiological strain in healthy personnel, in addition to recognition and protection of vulnerable individuals. The emergence and ubiquitous uptake of 'wearable' physiological and medical monitoring devices might help to address this challenge, but requires that the right questions are asked in sourcing, developing, validating and applying such technologies...
November 23, 2017: Journal of the Royal Army Medical Corps
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