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https://www.readbyqxmd.com/read/28570213/the-university-of-toronto-s-lasting-contribution-to-war-surgery-how-maj-l-bruce-robertson-fundamentally-transformed-thinking-toward-blood-transfusion-during-the-first-world-war
#1
Abigail Tien, Andrew Beckett, Dylan Pannell
During the Great War, Canadian military surgeons produced some of the greatest innovations to improve survival on the battlefield. Arguably, the most important was bringing blood transfusion practice close to the edge of the battlefield to resuscitate the many casualties dying of hemorrhagic shock. Dr. L. Bruce Robertson of the Canadian Army Medical Corps was the pioneering surgeon from the University of Toronto who was able to demonstrate the benefit of blood transfusions near the front line and counter the belief that saline was the resuscitation fluid of choice in military medicine...
June 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28562093/child-abuse-experiences-and-perceived-need-for-care-and-mental-health-service-use-among-members-of-the-canadian-armed-forces
#2
Sarah Turner, Tamara Taillieu, Kristene Cheung, Mark Zamorski, David Boulos, Jitender Sareen, Tracie O Afifi
OBJECTIVE: Child abuse is associated with poor mental health outcomes in adulthood. However, little is known about how a history of child abuse may be related to perceived need for care (PNC) and mental health service use (MHSU) among Canadian military personnel. The objectives of this study were to determine 1) the relationship between child abuse history and PNC and 2) the relationship between child abuse history and MHSU in the Canadian military. METHOD: Data were drawn from the 2013 Canadian Forces Mental Health Survey ( n = 6692 Regular Force personnel between the ages of 18 and 60 years)...
June 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28490190/deployment-related-traumatic-events-and-suicidal-behaviours-in-a-nationally-representative-sample-of-canadian-armed-forces-personnel
#3
Jitender Sareen, Tracie O Afifi, Tamara Taillieu, Kristene Cheung, Sarah Turner, Murray B Stein, Mark A Zamorski
OBJECTIVE: Worldwide, there has been substantial controversy with respect to whether military deployment is a risk factor for suicidal behaviour. The present study examined the relationship between lifetime exposure to deployment and deployment-related traumatic events (DRTEs) and past-year suicidal ideation (SI), suicidal plans (SP), and suicidal attempts (SA). METHOD: Data were analysed from the 2013 Canadian Forces Mental Health Survey (8161 respondents; response rate, 79...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28420487/personal-protective-equipment-solution-for-uk-military-medical-personnel-working-in-an-ebola-virus-disease-treatment-unit-in-sierra-leone
#4
P Reidy, T Fletcher, C Shieber, J Shallcross, H Towler, M Ping, L Kenworthy, N Silman, E Aarons
The combination of personal protective equipment (PPE) together with donning and doffing protocols was designed to protect British and Canadian military medical personnel in the Kerry Town Ebola Treatment Unit (ETU) in Sierra Leone. The PPE solution was selected to protect medical staff from infectious risks, notably Ebola virus, and chemical (hypochlorite) exposure. PPE maximized dexterity, enabled personnel to work in hot temperatures for periods of up to 2h, protected mucosal membranes when doffing outer layers, and minimized potential contamination of the doffing area with infectious material by reducing the requirement to spray PPE with hypochlorite...
May 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28400246/the-effects-of-captivity-survival-training-on-mood-dissociation-ptsd-symptoms-cognitive-performance-and-stress-hormones
#5
Cindy Suurd Ralph, Oshin Vartanian, Harris R Lieberman, Charles A Morgan, Bob Cheung
In the Canadian Armed Forces (CAF), Conduct After Capture (CAC) training is a 4-day captivity survival course during which soldiers are exposed to increasing stress, and evaluated on their ability to accomplish military objectives. We hypothesized that: (a) compared to baseline, CAC training would cause significant, reversible perturbations in measures of psychological functioning and serum and salivary stress hormone levels relevant to models of stress hardiness and vulnerability; and (b) deviations from baseline would be maximal at the time point of most intense stress during training...
April 8, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28338467/somewhere-in-france-9-april-17-a-centenary-review-of-medical-arrangements-at-vimy-ridge
#6
Vivian McAlister
In April 1917, medical units of the 4 divisions of the Canadian Corps combined for the first time in support of a single action, the assault upon Vimy Ridge. Detailed planning, infrastructure development, information dissemination and rehearsal were features of preparations by the combat arms and medical elements of the Canadian Forces. Extraordinary coordination resulted in the rapid rescue and evacuation by Canadian medical services of 8000 casualties over 4 days. Characteristics of today's military medical services are evident in the work of the Canadian Army Medical Corps 100 years ago...
April 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/28264428/validation-of-a-tablet-application-for-assessing-dietary-intakes-compared-with-the-measured-food-intake-food-waste-method-in-military-personnel-consuming-field-rations
#7
Mavra Ahmed, Iva Mandic, Wendy Lou, Len Goodman, Ira Jacobs, Mary R L'Abbé
The collection of accurate dietary intakes using traditional dietary assessment methods (e.g., food records) from military personnel is challenging due to the demanding physiological and psychological conditions of training or operations. In addition, these methods are burdensome, time consuming, and prone to measurement errors. Adopting smart-phone/tablet technology could overcome some of these barriers. The objective was to assess the validity of a tablet app, modified to contain detailed nutritional composition data, in comparison to a measured food intake/waste method...
February 27, 2017: Nutrients
https://www.readbyqxmd.com/read/28245701/mental-illness-related-stigma-in-canadian-military-and-civilian-populations-a-comparison-using-population-health-survey-data
#8
Murray Weeks, Mark A Zamorski, Corneliu Rusu, Ian Colman
OBJECTIVE: This study sought to compare the prevalence and impacts of mental illness-related stigma among Canadian Armed Forces personnel and Canadian civilians. METHODS: Data were from two highly comparable, population-based, cross-sectional surveys of Canadian military personnel and Canadian civilians: the 2013 Canadian Forces Mental Health Survey (N=6,696) and the 2012 Canadian Community Health Survey-Mental Health (N=25,113), respectively. Perceived stigma was assessed among those who reported care seeking for a mental health problem in the past 12 months...
March 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28137929/healthy-canadian-adolescents-perspectives-of-cancer-using-metaphors-a-qualitative-study
#9
Roberta Lynn Woodgate, David Shiyokha Busolo
OBJECTIVES: Cancer has been described using metaphors for over 4 decades. However, little is known about healthy adolescents' perspectives of cancer using metaphors. This paper reports on findings specific to adolescents' perspectives of cancer using metaphors. The findings emerged from a qualitative ethnographic study that sought to understand Canadian adolescents' conceptualisation of cancer and cancer prevention. DESIGN: To arrive at a detailed description, data were obtained using individual interviews, focus groups and photovoice...
January 30, 2017: BMJ Open
https://www.readbyqxmd.com/read/28112562/determination-of-orientation-and-practice-requirements-when-using-an-obstacle-course-for-mobility-performance-assessment
#10
Thomas Karakolis, Brittany A Sinclair, Alison Kelly, Phil Terhaar, Linda L M Bossi
OBJECTIVE: Determine effect of orientation (introduction and familiarization) and practice (repeated performance) on human performance under various load conditions as assessed by an obstacle course. BACKGROUND: Obstacle courses are commonly used as screening tools by military, police, and firefighters or to assess human capabilities and the effect of wearing personal protective equipment (PPE) and other occupationally necessary equipment on mobility task performance...
June 2017: Human Factors
https://www.readbyqxmd.com/read/28095950/ct-coronary-angiography-vs-coronary-artery-calcium-scoring-for-the-occupational-assessment-of-military-aircrew
#11
COMPARATIVE STUDY
Iain Parsons, Chris Pavitt, Rebecca Chamley, Jo d'Arcy, Ed Nicol
INTRODUCTION: To ensure flight safety military aircrew undergo regular clinical and occupational assessment. Coronary artery calcium scoring (CACS) has been established as an imaging modality to noninvasively assess coronary artery disease (CAD). CT coronary angiography (CTCA) potentially offers a more accurate assessment of CAD, but has not been formally assessed in military aircrew. This retrospective cohort study is designed to compare the theoretical differences in downstream investigations and occupational outcomes in aircrew with suspected CAD comparing CTCA with existing CACS pathways...
February 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28092100/comparing-human-resource-planning-models-in-dentistry-a-case-study-using-canadian-armed-forces-dental-clinics
#12
Jodi L Shaw, Julie W Farmer, Peter C Coyte, Herenia P Lawrence
OBJECTIVES: To compare two methods of allocating general dentists to Canadian Armed Forces (CAF) dental detachments: a dentist-to-population ratio model and a needs-based model. METHODS: Data obtained from CAF sources were analysed to compare models. Times assigned to treatment plan procedures were used as a proxy for treatment needs. Full-time equivalents (FTEs) were used as an indicator for the number of dentists allocated to each detachment. FTE values were adjusted for military dentists to account for time spent on compulsory nonclinical duties...
June 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28051975/intimate-partner-violence-in-the-canadian-armed-forces-psychological-distress-and-the-role-of-individual-factors-among-military-spouses
#13
Alla Skomorovsky, Manon Mireille LeBlanc
Unique military demands can have a significant impact upon family life. Although most Canadian Armed Forces (CAF) families are able to cope effectively with the stressors of military life, some may experience marital conflicts, contributing to spousal violence. Moreover, there is evidence that certain personal resources can buffer the impact of spousal violence on psychological distress. The present study examined the roles of spousal violence and personal resources, including coping, mastery, and social support, in the psychological distress of CAF members' spouses (N = 1,892)...
January 2017: Military Medicine
https://www.readbyqxmd.com/read/27849498/explaining-performance-on-military-tasks-in-the-canadian-armed-forces-the-importance-of-morphological-and-physical-fitness-characteristics
#14
Hans Christian Tingelstad, Daniel Theoret, Michael Spicovck, Francois Haman
Several occupations apply physical fitness tests to assess occupational physical performance to confirm that their employees meet minimum physical employment standards. Knowledge about factors affecting performance on these physical fitness tests could provide valuable information concerning mode of training. The main purpose of this study was to determine which morphological and/or physiological characteristics could explain overall performance outcome on six complex military tasks used to measure Canadian Armed Forces (CAF) members' occupational fitness...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27827791/western-university-no-10-canadian-stationary-hospital-and-no-14-canadian-general-hospital-a-study-of-medical-volunteerism-in-the-first-world-war
#15
Alexandra C Istl, Vivian C McAlister
The Canadian government depended on chaotic civilian volunteerism to staff a huge medical commitment during the First World War. Offers from Canadian universities to raise, staff and equip hospitals for deployment, initially rejected, were incrementally accepted as casualties mounted. When its offer was accepted in 1916, Western University Hospital quickly adopted military decorum and equipped itself using Canadian Red Cross Commission guidelines. Staff of the No. 10 Canadian Stationary Hospital and the No...
December 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/27629689/satisfaction-with-civilian-family-medicine-residency-training-perspectives-from-serving-general-duty-medical-officers-in-the-canadian-armed-forces
#16
Brent Wolfrom, Geoff Hodgetts, Jyoti Kotecha, Emily Pollock, Mary Martin, Han Han, Pierre Morissette
OBJECTIVE: To evaluate satisfaction with civilian residency training programs among serving general duty medical officers within the Canadian Armed Forces. DESIGN: A 23-item, cross-sectional survey face-validated by the office of the Surgeon General of the Canadian Armed Forces. SETTING: Canada. PARTICIPANTS: General duty medical officers serving in the Canadian Armed Forces as of February 2014 identified through the Directorate of Health Services Personnel of the Canadian Forces Health Services Group Headquarters...
September 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27609855/delay-to-mental-healthcare-in-a-cohort-of-canadian-armed-forces-personnel-with-deployment-related-mental-disorders-2002-2011-a-retrospective-cohort-study
#17
David Boulos, Mark A Zamorski
OBJECTIVE: To assess whether the delay to care among Canadian Armed Forces (CAF) personnel who sought care for a mental disorder changed over time and in association with CAF mental health system augmentations. DESIGN: A stratified, random sample (n=2014) was selected for study from an Afghanistan-deployed cohort (N=30 513) and the 415 (weighted N=4108) individuals diagnosed with an Afghanistan service-related mental disorder were further assessed. Diagnosis-related data were abstracted from medical records (22 June 2010 to 30 May 2011)...
2016: BMJ Open
https://www.readbyqxmd.com/read/27602535/depression-in-lesbian-gay-and-bisexual-members-of-the-canadian-armed-forces
#18
Roger L Scott, Gerri C Lasiuk, Colleen M Norris
PURPOSE: Lesbians, gay men, and bisexuals have been shown to have different risks for mood and anxiety disorders than heterosexuals in population studies, but there is a paucity of research in this area in military populations. This study examined the relationship between sexual orientation and depression in the Canadian Armed Forces (CAF). METHODS: Data were drawn from the Canadian Forces Mental Health Survey 2013 (n = 8165), a representative sample of Regular and Reserve members of the Canadian military...
October 2016: LGBT Health
https://www.readbyqxmd.com/read/27366160/a-cluster-of-three-cases-of-hantavirus-pulmonary-syndrome-among-canadian-military-personnel
#19
Leighanne O Parkes, Trong Tien Nguyen, Jean Longtin, Marie-Claude Beaudoin, Julie Bestman-Smith, Donald C Vinh, Guy Boivin, Vivian G Loo
Hantavirus pulmonary syndrome (HPS) is a rare illness in eastern Canada. We present three cases of HPS among military personnel in Quebec. The three cases shared a common exposure to mouse excreta while engaged in military training in Alberta, a western province of Canada.
2016: Canadian Journal of Infectious Diseases & Medical Microbiology
https://www.readbyqxmd.com/read/27351645/insights-into-the-physician-assistant-profession-in-canada
#20
Danielle Fréchette, Arun Shrichand
Physician assistants (PAs) have been used for decades in the Canadian military. Now, PAs are being introduced in various clinical settings to provide patient care for the general population. This article reviews major developments in the PA profession across Canada over the last decade. Nearly 541 PAs are employed in Canada or work for a Canadian agency. Growing evidence demonstrates the positive effect of PAs; however, key issues challenge the extent to which the PA movement will continue to build momentum...
July 2016: JAAPA: Official Journal of the American Academy of Physician Assistants
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