3,350 results match your criteria Journal of the Royal Army Medical Corps [Journal]


Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Emergency Department, Health Sciences University, Gulhane Research and Training Hospital, Ankara, Turkey.

Introduction: The use of night vision goggles (NVGs) by medical staff operating in active combat areas may present a tactical advantage in maintaining unit concealment. This study seeks to assess the degree to which NVG use improves speed and ease of intravenous access in comparison to no NVG use, and which NVG system (monocular, binocular or panoramic) provides the best conditions for the clinician.

Methods: Cannulation was carried out using both eyes open (BEO) and one eye open (OEO) in well-lit conditions to establish a baseline measurement. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001173
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http://dx.doi.org/10.1136/jramc-2019-001173DOI Listing
April 2019
1 Read

Evolution of military medicine literature: a scientometric study of global publications on military medicine between 1978 and 2017.

Authors:
Engin Şenel

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Department of Dermatology and Venereology, Hitit University Faculty of Medicine, Çorum 19200, Turkey

Objectives: Scientometrics is a popular statistical discipline providing data relevant to publication patterns and trends in a certain academic field. There are no scientometric analyses of publications produced in military medicine literature. The present study aims to perform a holistic analysis of military medicine literature. Read More

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http://dx.doi.org/10.1136/jramc-2019-001188DOI Listing

Combat medic course: evaluation of trainees' perception of learning and academic-self perception.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Department of Military Health Services, Gülhane Health Science Institute, Saglik Bilimleri Universitesi, Ankara, Turkey

Introduction: In response to the Syrian Civil War, the Turkish Armed Forces has focused its attention on internal security and border operations, thereby cushioning against both the threat of terrorist activities and supporting international peace efforts. This study was performed to evaluate the level of knowledge, skills and any behavioural changes after the combat medic course to enhance future courses.

Methods: A cross-sectional descriptive study was conducted between 25 December 2017 and 22 March 2018 using 40 combatant personnel undertaking the combat medic training course. Read More

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http://dx.doi.org/10.1136/jramc-2018-001027DOI Listing

Medical services policy in respect of detainees: evolution and outstanding issues.

Authors:
Louis Lillywhite

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Centre on Global Health Security, The Royal Institute of International Affairs (Chatham House), London, UK

Alleged and confirmed abuse of civilians arrested or detained by the UK Armed Forces has been the subject of four formal enquiries, and all have used medical evidence and/or addressed medical issues. After the first three, robust policies were put in place to ensure that all those arrested had appropriate medical examinations and that healthcare personnel acted appropriately. However, by the time of the Second Gulf War, the training and medical processes had lapsed and were found to be a contributory factor in not preventing abuse. Read More

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http://dx.doi.org/10.1136/jramc-2019-001156DOI Listing

Clinical activity at the UK military level 2 hospital in Bentiu, South Sudan during Op TRENTON from June to September 2017.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK.

Introduction: Diseases and non-battle injuries (DNBIs) are common on UK military deployments, but the collection and analysis of clinically useful data on these remain a challenge. Standard medical returns do not provide adequate clinical information, and clinician-led approaches have been laudable, but not integrated nor standardised nor used long-term. Op TRENTON is a novel UK military humanitarian operation in support of the United Nations Mission in South Sudan, which included the deployment of UK military level 1 and level 2 medical treatment facilities at Bentiu to provide healthcare for UK and United Nations (UN) personnel. Read More

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http://dx.doi.org/10.1136/jramc-2018-001154DOI Listing

Assessing the utility of ultrasound in the role 2 hospital setting.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Radiology Department, 306 Hospital Support Regiment, York, UK.

Introduction: The usefulness of departmental diagnostic ultrasound in the role 2 setting has not been previously evaluated. This is because role 2 hospital manning does not traditionally include a diagnostic radiologist. This study aims to evaluate the usefulness of this added capability in the deployed role 2 hospital setting. Read More

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http://dx.doi.org/10.1136/jramc-2019-001208DOI Listing

Role of the Deployed Aeromedical Response Team Squadron (DARTS) on Operation RUMAN.

Authors:
Rebecca Woolley

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Royal Air Force Brize Norton, Oxfordshire, UK

In September 2017, the British Government called on the military to deliver aid and provide assistance to British Overseas Territories in the Caribbean affected by the devastating category 5 Hurricane, Irma.1 The military and humanitarian operation, named Op RUMAN, saw British military personnel from all services deploy at short notice to assess damage, reinstate vital infrastructure and help islanders get back on their feet as quickly as possible. Members of the Deployed Aeromedical Response Team Squadron (DARTS) were among the first troops deployed to the region. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001141
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http://dx.doi.org/10.1136/jramc-2018-001141DOI Listing
April 2019
1 Read

Repatriation for diseases or non-battle injuries (DNBI): long-term impact on quality of life.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Defense Healthcare Organization, Ministry of Defense, Utrecht, the Netherlands.

Introduction: Throughout history, diseases and non-battle injuries (DNBI) have threatened deployed forces more than battlefield injuries. During the Dutch involvement in Afghanistan, the amount of DNBI that needed medical evacuation out of theatre (60%) exceeded the number of battle injuries (40%). The aim of this study is to explore the long-term quality of life (QoL) of Dutch service members that acquired a DNBI, warranting repatriation during their deployment to Afghanistan between 2003 and 2014. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001194
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http://dx.doi.org/10.1136/jramc-2019-001194DOI Listing
April 2019
1 Read

Vacuum-assisted closure (VAC) for craniocerebral wounds in severely injured patients: technical note of a damage control procedure.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Neurosurgery, Military Teaching Hospital Sainte Anne, Toulon Armees, France.

The management of a craniocerebral wound (CCW) remains challenging, particularly in a severely injured patient. Considering the complexity of the multilayer insult and damage control care in an unstable patient, every procedure performed should promptly benefit the patient. We report an illustrative case of a patient with a gunshot wound to the head that resulted in a CCW for which we applied vacuum-assisted closure (VAC) therapy according to damage control principles. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001201
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http://dx.doi.org/10.1136/jramc-2019-001201DOI Listing
April 2019
1 Read

Surgical outcomes for chronic exertional compartment syndrome following improved diagnostic criteria.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre Headley Court, Epsom, UK.

Introduction: Chronic exertional compartment syndrome (CECS) presents with pain during exercise, most commonly within the anterior compartment of the lower limb. A diagnosis is classically made from a typical history and the measurement of intramuscular compartmental pressure (IMCP) testing. Improved, more specific diagnostic criteria for IMCP testing allow clinicians to now be more certain of a diagnosis of CECS. Read More

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http://dx.doi.org/10.1136/jramc-2019-001171DOI Listing
April 2019
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Romaine Amiel: a French surgeon in the British Army during the Napoleonic Wars.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Academic Clinical Fellow, Academic Department of Military General Practice, Birmingham, UK

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001223
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http://dx.doi.org/10.1136/jramc-2019-001223DOI Listing
April 2019
1 Read

Noise-induced hearing loss in the military dental setting: a UK legislative perspective.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Duke University Hospital, Durham, North Carolina, USA.

Introduction: Health professionals working in the dental environment are potentially at risk of noise-induced hearing loss (NIHL) due to the use of clinical and laboratory equipment. Workplaces engaging in the practice of dentistry within the UK are subject to legislation from the Control of Noise at Work (CNW) regulations 2005. Clinicians working in the military are at further increased risk of NIHL due to exposure from additional risk factors such as rifles or aircraft engines. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001150
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http://dx.doi.org/10.1136/jramc-2018-001150DOI Listing
April 2019
1 Read

Encephalitis on deployment in Kenya: think beyond the infections.

J R Army Med Corps 2019 Apr 16. Epub 2019 Apr 16.

Department of Neurology, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

A 34-year-old female soldier presented with fever and behavioural changes while deployed in Kenya and was diagnosed with encephalitis. The patient underwent urgent aeromedical evacuation to the Queen Elizabeth Hospital, Birmingham for further management. Microbiology tests excluded common infectious causes that are endemic in the East Africa region. Read More

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http://dx.doi.org/10.1136/jramc-2018-001115DOI Listing
April 2019
3 Reads

Legal framework versus moral framework: military physicians and nurses coping with practical and ethical dilemmas.

J R Army Med Corps 2019 Mar 22. Epub 2019 Mar 22.

History and Art History, Utrecht University, Utrecht, The Netherlands

Within military operations, military physicians and nurses experience a dual loyalty to their professional identities. The moral frameworks of the medical and military professions are not similar, and require different kinds of choices and action from its members. But above all, the legal framework in which the healthcare personnel has to operate while deployed is different from the medical moral standards. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001137
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http://dx.doi.org/10.1136/jramc-2018-001137DOI Listing
March 2019
3 Reads

Addressing perceived shortfalls in prehospital emergency care skills among UK military GPs: skill fade literature provides the evidence base for training modifications.

Authors:
Daniel Wilkins

J R Army Med Corps 2019 Mar 21. Epub 2019 Mar 21.

Army Medical Services Support Unit, Royal Army Medical Corps, Camberley, UK

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http://dx.doi.org/10.1136/jramc-2019-001192DOI Listing

Scapular winging on Exercise Cambrian Patrol: three soldiers in three days - an occupational risk?

J R Army Med Corps 2019 Mar 17. Epub 2019 Mar 17.

Physiotherapy, Defence Primary Care Rehabilitation Facility, Preston, UK.

Exercise CAMBRIAN PATROL is an internationally recognised, arduous patrolling exercise held annually in Mid-South Wales. The 2017 iteration of the exercise generated three uncommon shoulder injuries in three consecutive days, all of which were thought to have a similar aetiology. This article presents a case series of three instances of scapular winging in soldiers carrying heavy weight. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001071
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http://dx.doi.org/10.1136/jramc-2018-001071DOI Listing
March 2019
2 Reads

Military psychologists and cultural competence: exploring implications for the manifestation and treatment of psychological trauma in the British armed forces.

J R Army Med Corps 2019 Apr 17;165(2):80-86. Epub 2019 Mar 17.

DCPS, Ministry of Defence, London, UK.

This paper considers the manifestation and treatment of psychological trauma in the military. The article describes how military psychologists conceptualise psychological trauma within the culture of the Armed Forces (AF), which is reflected in the process of acquiring what has been referred to as cultural competency. Psychologists in this context acquire an understanding of the manner in which the psychological and organisational systems and culture of the military affect the presentation of psychological trauma, including post-traumatic stress disorder (PTSD). Read More

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http://dx.doi.org/10.1136/jramc-2018-001133DOI Listing

'Modularization, standardization and actual combat' of high-altitude military medical geography in a comprehensive military medical exercise.

J R Army Med Corps 2019 Mar 17. Epub 2019 Mar 17.

Department of Military Medical Geography, Army Health Service Training Base, Third Military Medical University, Chongqing, China

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http://dx.doi.org/10.1136/jramc-2019-001180DOI Listing

Getting to the heart of the matter: investigating the idiopathic sudden cardiac death of a previous well soldier.

J R Army Med Corps 2019 Mar 17. Epub 2019 Mar 17.

St George's University of London, London, UK.

A 25-year-old infantry soldier, who was previously fit and well, had a cardiac arrest while undertaking an advanced fitness test. Despite early cardiopulmonary resuscitation by colleagues and the emergency services, he was later pronounced dead. A postmortem performed by an expert pathologist and a toxicology screen were normal and the death was attributed to sudden arrhythmic death syndrome (SADS). Read More

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http://dx.doi.org/10.1136/jramc-2018-001103DOI Listing
March 2019
1 Read
0.811 Impact Factor

Is the four quadrant approach to military medical ethics a cargo cult? A call for more unity between philosophers and practitioners.

J R Army Med Corps 2019 Mar 7. Epub 2019 Mar 7.

Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK

Moral theory should be practically useful, but without oversight from the philosophical community, the practical application of ethics by other institutions such as the military may drift into forms that are not theoretically robust. Ethical approaches that drift in this way run the risk of becoming 'cargo cults': simulations that will never properly fulfil their intended purpose. The four quadrant approach, a systematic method of ethical analysis that applies moral principles to clinical cases, has gained popularity in the last 10 years in a variety of medical contexts, especially the military. Read More

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http://dx.doi.org/10.1136/jramc-2019-001183DOI Listing

Influenza vaccination of UK Armed Forces personnel, a waste of resources or an essential public health measure?

J R Army Med Corps 2019 Mar 5. Epub 2019 Mar 5.

Defence Public Health Unit, Defence Medical Services, Lichfield, UK.

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http://dx.doi.org/10.1136/jramc-2019-001176DOI Listing

Influenza syndromic surveillance and vaccine efficacy in the UK Armed Forces, 2017-2018.

J R Army Med Corps 2019 Mar 5. Epub 2019 Mar 5.

Defence Public Health Unit, Defence Medical Services, Lichfield, UK.

Introduction: This paper describes the first ever analysis of health data to report influenza vaccine uptake and the effectiveness of the vaccine in preventing general practice presentations for influenza-like illness (ILI) in the UK Armed Forces (UK AF). This was undertaken during the 2017-2018 influenza season.

Methods: Clinical Read codes for ILI and influenza vaccinations were used to generate reports for the period from September 2017 to April 2018. Read More

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http://dx.doi.org/10.1136/jramc-2018-001067DOI Listing
March 2019
1 Read

Blister beetle dermatitis caused by cantharidin in South Sudan in Op TRENTON: a case series.

J R Army Med Corps 2019 Mar 2. Epub 2019 Mar 2.

Department of Life Sciences, Natural History Museum, London, UK.

Cantharidin-producing blister beetles are found worldwide. The pathognomonic feature of their toxin is a blistering dermatitis that presents an environmental health hazard. Cutaneous exposure to cantharidin can produce blistering dermatitis, most commonly seen on exposed skin, in the Bentiu region of South Sudan. Read More

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http://dx.doi.org/10.1136/jramc-2019-001186DOI Listing

Case series of non-freezing cold injury: the modern clinical syndrome.

J R Army Med Corps 2019 Mar 2. Epub 2019 Mar 2.

Regional Occupational Health Team, Defence Medical Services, MOD, Catterick Garrison, UK

Background: Non-freezing cold injury (NFCI) occurs when peripheral tissue is damaged by cold exposure but not to the extent of freezing. Historically, the phenotype of NFCIs sustained was severe, whereas today the spectrum of injury represented in the UK military predominantly comprises subtler injuries. The diagnostic challenge of recognising these injuries, both in the acute and chronic settings, can lead to mismanagement and subsequent morbidity. Read More

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http://dx.doi.org/10.1136/jramc-2018-001099DOI Listing

Effect of ballistic impacts on batteries and the potential for injury.

J R Army Med Corps 2019 Feb 24. Epub 2019 Feb 24.

Impact and Armour Group, Cranfield University, Shrivenham, UK

Introduction: On military operations, ballistic impact damage is possible to lithium ion (Li-ion) batteries worn on the body by military personnel and the potential for exothermic reactions may result in injury. This paper investigated the effect of impact on batteries that might be worn in front or behind body armour.

Methods: Li-ion batteries were subjected to ballistic impact both without and in combination with body armour using 7. Read More

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http://dx.doi.org/10.1136/jramc-2018-001113DOI Listing
February 2019

Ethical considerations on the complicity of psychologists and scientists in torture.

J R Army Med Corps 2019 Feb 20. Epub 2019 Feb 20.

Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Introduction: The long-standing debate on medical complicity in torture has overlooked the complicity of cognitive scientists-psychologists, psychiatrists and neuroscientists-in the practice of torture as a distinct phenomenon. In this paper, we identify the risk of the re-emergence of torture as a practice in the USA, and the complicity of cognitive scientists in these practices.

Methods: We review arguments for physician complicity in torture. Read More

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http://dx.doi.org/10.1136/jramc-2018-001008DOI Listing
February 2019

Value of antigranulocyte scintigraphy with Tc-99m-sulesomab in diagnosing combat-related infections of the musculoskeletal system.

J R Army Med Corps 2019 Feb 20. Epub 2019 Feb 20.

Department of Traumatology and Orthopaedics, Septic and Reconstructive Surgery, Bundeswehrkrankenhaus Berlin, Berlin, Germany.

Aim: Combat-related extremity injuries are regularly associated with long-term complications such as chronic infection, especially osteomyelitis. Clinical examination and laboratory parameters do not usually allow reliable diagnosis. In contrast, imaging techniques enable constructive assertions to be made about the location and extent of an infection of the peripheral musculoskeletal system. Read More

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http://dx.doi.org/10.1136/jramc-2019-001172DOI Listing
February 2019

General surgical training for Operation Trenton.

Authors:
Mansoor Khan

J R Army Med Corps 2019 Feb 20. Epub 2019 Feb 20.

St Mary's Hospital, Imperial College Healthcare NHS Trust Ringgold standard institution, London, UK

The UK military commitment to United Nations operations has led to a new challenge in identifying and developing skill sets required for humanitarian operations. The last two decades have concentrated on kinetic operations, with haemorrhage control being the main driver. The austere location and prolonged evacuation timelines have led to identifying management strategies of conditions that would previously have been evacuated to higher echelons of care. Read More

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http://dx.doi.org/10.1136/jramc-2018-001142DOI Listing
February 2019

Spatio-temporal analysis of colorectal cancer using a geographic information system in the Iranian military community during the period 2007-2016.

J R Army Med Corps 2019 Feb 16. Epub 2019 Feb 16.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Colorectal cancer (CRC) is one of the most prevalent cancers among Iranian people. The study of spatio-temporal distribution of disease has an important role in the design of disease prevention programmes. The purpose of the current study was to describe the spatio-temporal distribution of CRC in the Iranian military community as a sample of the Iranian population. Read More

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http://dx.doi.org/10.1136/jramc-2018-001151DOI Listing
February 2019
1 Read

Militaries and the duty of care to enhanced veterans.

Authors:
Adam Henschke

J R Army Med Corps 2019 Feb 13. Epub 2019 Feb 13.

National Security College, Australian National University, Canberra, Australia

This article argues that there is a duty of care held by the State to military veterans who have been technologically enhanced as part of their military service. It suggests that enhancements may be permanent, persistent or protracted and demonstrates how enhancements generate additional moral responsibilities from the chain of command. The paper concludes by demonstrating how this institutional duty of care relates to issues such as informed consent. Read More

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http://dx.doi.org/10.1136/jramc-2018-001140DOI Listing
February 2019

A nurse's view of Project Lazarus.

Authors:
Helen Marshall

J R Army Med Corps 2019 Feb 13. Epub 2019 Feb 13.

Defence Primary Healthcare (DPHC), Wiltshire SP9 7EA, UK

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http://dx.doi.org/10.1136/jramc-2019-001168DOI Listing
February 2019
3 Reads

Dietary patterns in relation to inflammation in shift workers.

J R Army Med Corps 2019 Feb 13. Epub 2019 Feb 13.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

Introduction: Rotational shift work has a considerable effect on immune function and cause inflammation. In addition, it may lead to unhealthy dietary intake. No earlier study has examined the association between dietary patterns and inflammation in rotational shift workers. Read More

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http://dx.doi.org/10.1136/jramc-2018-001119DOI Listing
February 2019

Running to breaking point? The relationship between 1.5-mile run time and injury risk in female recruits during British Army basic training.

J R Army Med Corps 2019 Feb 12. Epub 2019 Feb 12.

Primary Care Rehabilitation Facility, Army Training Centre Pirbright, Pirbright, UK.

Introduction: The 1.5-mile best-effort run is used in the British Army to assess the fitness of all recruits and trained service personnel by means of the physical fitness assessment (PFA). The 1. Read More

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http://dx.doi.org/10.1136/jramc-2018-001012DOI Listing
February 2019
1 Read

Unhealthy dietary patterns are related to low ceruloplasmin in female nurses.

J R Army Med Corps 2019 Feb 12. Epub 2019 Feb 12.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Background And Objective: Few studies have examined the relationship between dietary patterns and antioxidant status. We aimed to explore the association between major dietary patterns and oxidative stress biomarkers including serum protein carbonyl (PC), ceruloplasmin and total antioxidant capacity (TAC).

Method: In this cross-sectional study, we randomly selected 320 female nurses aged 20-45 years. Read More

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http://dx.doi.org/10.1136/jramc-2019-001157DOI Listing
February 2019

Optimising pelvic fracture stabilisation in obese victims.

J R Army Med Corps 2019 Feb 7. Epub 2019 Feb 7.

School of Population Health, University of Toledo College of Health and Human Services, Toledo, Ohio, USA.

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001178
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http://dx.doi.org/10.1136/jramc-2019-001178DOI Listing
February 2019
4 Reads

Bleeding control in combat fields with extreme transfer time.

J R Army Med Corps 2019 Feb 6. Epub 2019 Feb 6.

Division of Global Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

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http://dx.doi.org/10.1136/jramc-2018-001120DOI Listing
February 2019
0.811 Impact Factor

Penthrox: a breath of PHEC air for the military?

J R Army Med Corps 2019 Feb 6. Epub 2019 Feb 6.

MOD Lyneham MTF, Lyneham, UK.

Prehospital analgesia is vital to good clinical care and inhaled methoxyflurane (Penthrox) would be a valuable addition to the armed forces medical armoury. Penthrox would provide strong, fast-acting, self-administered and safe analgesia to patients with moderate to severe injuries. In addition, it would provide an option for strong analgesia which would not be subject to the regulations that govern controlled or accountable drugs which gives it a unique position as the military moves its focus from large enduring operations to small short-term training teams supported by lone combat medics in remote locations across the globe. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001122
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http://dx.doi.org/10.1136/jramc-2018-001122DOI Listing
February 2019
20 Reads

Systematic review of prehospital haemostatic dressings.

J R Army Med Corps 2019 Feb 2. Epub 2019 Feb 2.

Emergency Department, St Mary's Hospital Foundation Trust, London, UK.

Introduction: Haemorrhage is one of the leading causes of battlefield and prehospital death. Haemostatic dressings are an effective method of limiting the extent of bleeding and are used by military forces extensively. A systematic review was conducted with the aim of collating the evidence on current haemostatic products and to assess whether one product was more effective than others. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001066
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http://dx.doi.org/10.1136/jramc-2018-001066DOI Listing
February 2019
3 Reads

Here, there and everywhere: psychologists and the training of British Army officers at the Royal Military Academy Sandhurst.

Authors:
A Michael Rennie

J R Army Med Corps 2019 Apr 2;165(2):109-112. Epub 2019 Feb 2.

Department of Communication and Applied Behavioural Science, Royal Military Academy, Sandhurst, Camberley GU15 4PQ, UK

The Department of Communication and Applied Behavioural Science is one of the three departments in the academic faculty at the Royal Military Academy Sandhurst. The aim of the Department is to equip officer cadets with the skills, knowledge and personal qualities in order for them to develop their own potential, as both individuals and leaders in the British Army. The members of the Department have a range of backgrounds, with most having served in various capacities across UK Defence, both in uniformed and/or civilian crown servant contexts. Read More

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http://dx.doi.org/10.1136/jramc-2018-001126DOI Listing

20 Armoured Infantry Brigade downgrade study: epidemiology of principal conditions and plugging leaks in the rehabilitation pipeline.

J R Army Med Corps 2019 Feb 2. Epub 2019 Feb 2.

Defence Postgraduate Medical Deanery, Defence Medical Services Whittington, Lichfield, UK.

Introduction: In April 2017, 22% of Army Full-time Trade Trained Strength was downgraded, reducing fully deployable strength to 60 546, against a target of 82 000. In June 2017, Commander 20 Armoured Infantry Brigade (20 AI Bde) initiated a study to look at the principal conditions causing medical downgrading, as a stepping stone to finding ways of reducing injury, enhancing rehabilitation and improving deployability.

Method: The Defence Medical Information Capability Programme medical records for every downgraded soldier in 20 AI Bde and supporting units were scrutinised to identify their Medical Deployment Standard and the primary condition causing downgrading. Read More

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http://dx.doi.org/10.1136/jramc-2018-001109DOI Listing
February 2019
2 Reads

Hierarchical process using Brier Score Metrics for lower leg injury risk curves in vertical impact.

J R Army Med Corps 2019 Jan 31. Epub 2019 Jan 31.

Joint Department of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Introduction: Parametric survival models are used to develop injury risk curves (IRCs) from impact tests using postmortem human surrogates (PMHS). Through the consideration of different output variables, input parameters and censoring, different IRCs could be created. The purpose of this study was to demonstrate the feasibility of the Brier Score Metric (BSM) to determine the optimal IRCs and derive them from lower leg impact tests. Read More

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http://dx.doi.org/10.1136/jramc-2018-001124DOI Listing
January 2019
2 Reads

Relationship between obesity and health problems in help-seeking military veterans.

J R Army Med Corps 2019 Jan 31. Epub 2019 Jan 31.

King's Centre for Military Health Research, King's College London, Weston Education Centre, London, UK.

Background: UK Armed Forces (UK AF) veterans may be particularly vulnerable to obesity and its comorbid physical and mental health problems.

Aim: To examine the relationship between body mass index (BMI), physical health problems, mental health disorders and sociodemographic characteristics in UK AF veterans engaged in psychological treatment.

Methods: Information regarding veteran BMI, demographic characteristics, physical health conditions and mental health problems was collected and analysed using univariate and multivariate regression analyses. Read More

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http://dx.doi.org/10.1136/jramc-2019-001155DOI Listing
January 2019

Artificial intelligence and the radiologist: the future in the Armed Forces Medical Services.

J R Army Med Corps 2019 Jan 31. Epub 2019 Jan 31.

Department of Radiodiagnosis, Command Hospital (SC), Pune, India.

Artificial intelligence (AI) involves computational networks (neural networks) that simulate human intelligence. The incorporation of AI in radiology will help in dealing with the tedious, repetitive, time-consuming job of detecting relevant findings in diagnostic imaging and segmenting the detected images into smaller data. It would also help in identifying details that are oblivious to the human eye. Read More

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http://dx.doi.org/10.1136/jramc-2018-001055DOI Listing
January 2019
0.811 Impact Factor

US military medical ethics in the War on Terror.

J R Army Med Corps 2019 Jan 24. Epub 2019 Jan 24.

Center for Health Law, Ethics and Human Rights, Boston University School of Public Health, Boston, Massachusetts, USA.

Military medical ethics has been challenged by the post-11 September 2001 ''. Two recurrent questions are whether military physicians are officers first or physicians first, and whether military physicians need a separate code of ethics. In this article, we focus on how the War on Terror has affected the way we have addressed these questions since 2001. Read More

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http://dx.doi.org/10.1136/jramc-2018-001062DOI Listing
January 2019
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Ready for anything: considerations in emergency preparedness.

J R Army Med Corps 2019 Jan 24. Epub 2019 Jan 24.

Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.

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http://dx.doi.org/10.1136/jramc-2018-001129DOI Listing
January 2019

In-vehicle noise exposure among military personnel depending on type of vehicle, riding compartment and road surface.

J R Army Med Corps 2019 Jan 24. Epub 2019 Jan 24.

Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia

Introduction: Noise-induced hearing loss is one of the most common health problems among military service personnel. Exposure to noise in military vehicles constitutes a large proportion of total noise exposure. This pilot study aimed to evaluate in-vehicle noise levels depending on the type of vehicle, riding compartment and road surface. Read More

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http://dx.doi.org/10.1136/jramc-2018-001091DOI Listing
January 2019

Male psychosexual therapy in the UK military.

J R Army Med Corps 2019 Apr 23;165(2):94-97. Epub 2019 Jan 23.

Defence Clinical Psychology Service, UK Ministry of Defence, Lichfield, UK.

Military personnel can experience psychosexual difficulties for a variety of reasons. Problems can arise because of psychological trauma, physical injury, consequences arising from pharmacological and surgical complications and social or emotional concerns relating to intrapersonal and interpersonal relationship dynamics. Such individuals might seek to minimise or avoid resolving their pertinent difficulties, while others can experience cultural, personal or organisational barriers to accessing professional help. Read More

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http://dx.doi.org/10.1136/jramc-2018-001046DOI Listing

Preparing to serve as a uniformed clinical psychologist in the British Army: a personal reflection.

J R Army Med Corps 2019 Apr 22;165(2):136. Epub 2019 Jan 22.

Defence Clinical Psychology Service, Ministry of Defence, London SW1A 2HB, UK

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http://dx.doi.org/10.1136/jramc-2018-001134DOI Listing

In the military it is necessary to know each and every one of the aspects related to tobacco to achieve abstinence.

J R Army Med Corps 2019 Jan 22. Epub 2019 Jan 22.

Hematología, Hospital Central de la Defensa Gomez Ulla, Madrid, Spain.

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http://dx.doi.org/10.1136/jramc-2018-001152DOI Listing
January 2019

Usefulness of point-of-care ultrasound in military medical emergencies performed by young military medicine residents.

J R Army Med Corps 2019 Jan 13. Epub 2019 Jan 13.

Service Médical d'urgence, Bataillon de marins-pompiers de Marseille, Marseille, France

Introduction: To evaluate the usefulness of point-of-care ultrasound (POCUS) performed by young military medicine residents after short training in the diagnosis of medical emergencies.

Methods: A prospective study was performed in the emergency department of a French army teaching hospital. Two young military medicine residents received ultrasound training focused on gall bladder, kidneys and lower limb veins. Read More

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http://dx.doi.org/10.1136/jramc-2018-001132DOI Listing
January 2019