3,322 results match your criteria Journal of the Royal Army Medical Corps [Journal]


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

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

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
2 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
1 Read

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 Feb 2. 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
February 2019

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
1 Read

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
1 Read

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

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J R Army Med Corps 2019 Jan 23. 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
January 2019

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

J R Army Med Corps 2019 Jan 22. 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
January 2019

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

Non-freezing cold injury.

Authors:
Chris He Imray

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

Department of Vascular Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK

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http://dx.doi.org/10.1136/jramc-2018-001145DOI Listing
January 2019

Diagnostic update for an unusual case: recurrent strongyloidiasis.

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

Army Medical Services Support Unit, Camberley, UK.

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http://dx.doi.org/10.1136/jramc-2018-001143DOI Listing
January 2019

Military spouses with deployed partners are at greater risk of poor perinatal mental health: a scoping review.

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

Veterans and Families Institute, Anglia Ruskin University, Chelmsford, UK.

Background: Poor mental health in the perinatal period is associated with a number of adverse outcomes for the individual and the wider family. The unique circumstances in which military spouses/partners live may leave them particularly vulnerable to developing perinatal mental health (PMH) problems.

Methods: A scoping review was carried out to review the literature pertaining to PMH in military spouses/partners using the methodology outlined by Arksey and O'Malley (2005). Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001069
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http://dx.doi.org/10.1136/jramc-2018-001069DOI Listing
January 2019
1 Read

Operation RUMAN and Hurricane IRMA: planning, execution and recovery.

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

Royal Navy, Portsmouth PO2 8DX, UK

Operation RUMAN was the UK response in the Autumn of 2017 to the Category 5 Hurricane IRMA, which affected the British Overseas Territories in the Caribbean. The Joint Operations Area (JOA) spanned an archipelago of Islands over 1000 nm across, stretching logistical and medical doctrinal clinical timelines in a rapidly changing and generally high risk medical environment. Despite significant challenges and a relatively suboptimal start line position, the Operation was a success from a medical perspective, with lower than expected dNBI rates. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001138
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http://dx.doi.org/10.1136/jramc-2018-001138DOI Listing
January 2019
4 Reads

Effect of hyperbaric oxygen therapy and corticosteroid therapy in military personnel with acute acoustic trauma.

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

Department of Otorhinolaryngology, Central Military Hospital, Ministry of Defense, Utrecht, The Netherlands.

Introduction: Acute acoustic trauma (AAT) is a sensorineural hearing impairment due to exposure to an intense impulse noise which causes cochlear hypoxia. Hyperbaric oxygen therapy (HBO) could provide an adequate oxygen supply. The aim was to investigate the effectiveness of early treatment with combined HBO and corticosteroid therapy in patients with AAT compared with corticosteroid monotherapy. Read More

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http://dx.doi.org/10.1136/jramc-2018-001117DOI Listing
January 2019

Use of Web 2.0 tools and social media for continuous professional development among primary healthcare practitioners within the Defence Primary Healthcare: a qualitative review.

J R Army Med Corps 2019 Jan 3. Epub 2019 Jan 3.

Bulford MTF, Defence Primary Healthcare, Salisbury, UK

Introduction: Alongside traditional attendance at learning, general practitioners use social media and Web 2.0 tools in the UK for continuous professional development (CPD). Research has demonstrated, however, barriers to their uptake and use, as well as a requirement for training. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001098
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http://dx.doi.org/10.1136/jramc-2018-001098DOI Listing
January 2019
3 Reads

Guerin's sign reflecting pterygoid plate dysjunction.

Authors:
Vaibhav Sahni

J R Army Med Corps 2019 Jan 3. Epub 2019 Jan 3.

Department of Medical Health and Family Welfare, Government of Uttarakhand, Dehradun, Uttarakhand 248013, India

A case of panfacial trauma is reported comprising of multiple facial fractures and a clearly evident Guerin's sign along with an oronasal communication. The case reinforces the importance of recognising this sign and its classical presentation. Read More

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http://dx.doi.org/10.1136/jramc-2018-001125DOI Listing
January 2019
5 Reads

Environment at the time of injury determines injury patterns in pelvic blast.

J R Army Med Corps 2019 Feb 22;165(1):15-17. Epub 2018 Dec 22.

The Royal British Legion Centre for Blast Injury Studies, Imperial College London, London, UK.

The use of explosives by terrorists, or during armed conflict, remains a major global threat. Increasingly, these events occur in the civilian domain, and can potentially lead to injury and loss of life, on a very large scale. The environment at the time of detonation is known to result in different injury patterns in casualties exposed to blast, which is highly relevant to injury mitigation analyses. Read More

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http://dx.doi.org/10.1136/jramc-2018-000977DOI Listing
February 2019
4 Reads

Military psychological trauma and therapy: a review of EMDR treatment and supervision in the UK Ministry of Defence.

J R Army Med Corps 2018 Dec 22. Epub 2018 Dec 22.

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

Psychological injury has been associated with military service, and this can result in a variety of mental health symptoms and disorders. A range of barriers to help-seeking have been identified in the military and mental health services have sought to address such factors through effective and efficient care and consultation. The use of eye movement desensitisation and reprocessing forms part of a repertoire of trauma-focused therapies within the UK's Armed Forces. Read More

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http://dx.doi.org/10.1136/jramc-2018-001060DOI Listing
December 2018

Mental resilience training.

J R Army Med Corps 2018 Dec 22. Epub 2018 Dec 22.

Royal Irish Regiment, Catterick, North Yorkshire, UK.

This paper will explain the concept behind mental resilience training (MRT) and how the training package was developed and implemented within the British ArmyInfantry Training Centre (ITC) Catterick between 2014 and 2016. MRT is a mindfulness-based psychological skills training package that integrates cognitive behavioural and mindfulness based principles and techniques, which have been proven to improve stress regulation, emotional and cognitive control and self-confidence in military personnel. MRT is based on an extensive evidence base that has demonstrated that psychological skills training delivers tangible improvements in performance in elite sport and in healthcare, business and military contexts. Read More

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http://dx.doi.org/10.1136/jramc-2018-001047DOI Listing
December 2018
1 Read

From the Royal Navy to the Defence Clinical Psychology Service: personal reflections of a 'Jenny Wren' who became a clinical psychologist.

Authors:
Deborah Hunte

J R Army Med Corps 2018 Dec 22. Epub 2018 Dec 22.

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

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http://dx.doi.org/10.1136/jramc-2018-001135DOI Listing
December 2018

In-vitro study of species-specific coagulation differences in animals and humans using rotational thromboelastometry (ROTEM).

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

Department of Orthopaedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany.

Animal tests are conducted in all fields of trauma research, but transferability of these data to humans is limited. For example, it is still unclear which animal species is most similar to humans in terms of physiology of blood coagulation. To improve transferability and raise awareness of the existing differences, we compared human coagulation to coagulation of different animals. Read More

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http://dx.doi.org/10.1136/jramc-2018-001092DOI Listing
December 2018
1 Read

Dual loyalty in military medical ethics: a moral dilemma or a test of integrity?

Authors:
Peter Olsthoorn

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

Faculteit of Military Sciences, Netherlands Defence Academy, Breda, The Netherlands

When militaries mention loyalty as a value they mean loyalty to colleagues and the organisation. Loyalty to principle, the type of loyalty that has a wider scope, plays hardly a role in the ethics of most armed forces. Where military codes, oaths and values are about the organisation and colleagues, medical ethics is about providing patient care impartially. Read More

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http://dx.doi.org/10.1136/jramc-2018-001131DOI Listing
December 2018

Defence Clinical Psychology Service: an overview of clinical psychology in the UK Ministry of Defence.

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

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

The Defence Clinical Psychology Service (DCPS) is the professional clinical psychology service and community of clinical psychology practice within UK Ministry of Defence (MoD). The DCPS provides professional clinical care, consultation and research in support of the UK Armed Forces. Regulated by the Health and Care Professions Council, DCPS psychologists are employed as Crown (Civil) Servants within the MoD. Read More

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http://dx.doi.org/10.1136/jramc-2018-001044DOI Listing
December 2018

Novel adaptations of mindfulness in the UK Armed Forces during peacetime.

Authors:
Ceri Bowen

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

Defence Clinical Psychology Service, Aldershot, United Kingdom

Mindfulness approaches to promoting resilience and mental fitness within the UK Armed Forces have very recently emerged against a backdrop of studies from abroad, leading to a plethora of initiatives. These studies have used biological and cognitive markers of sustained attention and the human stress response, before and after training, in the period prior to deployment and made assertions of effectiveness on this basis. Progress has similarly been made in applying versions of mindfulness meditation to veteran patient groups with several difficult-to-treat conditions, to combat high dropout from services when little patient choice is offered. Read More

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http://dx.doi.org/10.1136/jramc-2018-001087DOI Listing
December 2018

Do UK military General Practitioners feel adequately skilled in the provision of care to the acutely unwell or injured patient?

Authors:
Andy Barlow M Smith

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

Royal Centre for Defence Medicine, Birmingham, UK.

Background: General Practice training in the civilian and military environments follows a common training pathway, yet the scope of practice of a military General Practitioner (GP) varies significantly. A level of care for the acutely unwell and traumatically injured patients is frequently provided in austere environments remotely located from definitive medical care. This qualitative service needs evaluation scopes current level of trauma and acute care training and requirement for further training within military GPs and GP trainees. Read More

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http://dx.doi.org/10.1136/jramc-2018-001035DOI Listing
December 2018

Surgeon-inserted rectus sheath catheters provide effective postlaparotomy analgesia.

J R Army Med Corps 2018 Dec 19. Epub 2018 Dec 19.

General Surgery, Birmingham Heartlands Hospital Ringgold Standard Institution, Birmingham, UK

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http://dx.doi.org/10.1136/jramc-2018-001108DOI Listing
December 2018

Perceptions of health and healthcare in ex-Army residents of Tameside: a pilot qualitative study.

Authors:
Steven L Senior

J R Army Med Corps 2018 Dec 15. Epub 2018 Dec 15.

Division of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester M13 9PL, UK

Background: Local authorities and other service providers need data on their local ex-military communities to be able to plan services. However, published research and data may not be applicable to the local population. Qualitative research offers a relatively low-cost way to get insights into the needs of local ex-military communities. Read More

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http://dx.doi.org/10.1136/jramc-2018-001107DOI Listing
December 2018
1 Read

Use of supplemental oxygen in emergency patients: a systematic review and recommendations for military clinical practice.

J R Army Med Corps 2018 Dec 15. Epub 2018 Dec 15.

Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK.

Introduction: Supplemental oxygen is a key element of emergency treatment algorithms. However, in the operational environment, oxygen supply poses a challenge. The lack of high-quality evidence alongside emerging technologies provides the opportunity to challenge current guidelines. Read More

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http://dx.doi.org/10.1136/jramc-2018-001076DOI Listing
December 2018
4 Reads

Preface to the special edition on military psychology.

Authors:
William Yule

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

King's College London Institute of Psychiatry, Psychology and Neuroscience, London SE5 8AF, UK

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http://dx.doi.org/10.1136/jramc-2018-001112DOI Listing
December 2018

For debate: on-the-person battlefield antibiotics.

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

Emergency Department, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.

Wound infection has always been an important contributor to mortality and morbidity on the battlefield. On-the-person antibiotics have long been suggested as one way to help combat this, which have already been implemented by some North Atlantic Treaty Organization partners. This paper is an up-to-date review of the evidence of the efficacy of on-the-person antibiotics and whether the British military should look to use them in the near future. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001033
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http://dx.doi.org/10.1136/jramc-2018-001033DOI Listing
December 2018
1 Read

Work-related stress indicator surveys in UK Ministry of Defence.

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

Human Factors Group, Institute of Naval Medicine, Gosport, Hampshire, UK.

Introduction: UK Ministry of Defence (MOD) policy and strategy recommend the use of a 'Defence MODified' version of the Health and Safety Executive Management Standards Indicator Tool to help managers identify risks of work-related stress among Defence personnel. The Defence MODified Tool ('Stress Indicator Survey') asks personnel to rate their perceptions of eight working conditions known to be significantly associated with work-related stress. MOD psychologists are developing a Defence norm group against which future survey scores can be compared. Read More

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http://dx.doi.org/10.1136/jramc-2018-001042DOI Listing
December 2018

Ethical rationales for past and present military medical practices.

Authors:
Edmund Howe

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA

This paper reviews changes in the ethical challenges that have arisen in military medicine over the past four decades. This includes the degree, if any, to which providers during the Vietnam conflict have carried out what we now refer to as harsh interrogation measures in an attempt to extract information from captured enemy soldiers, the extent, if any, to which the USA used medicine as a means to try to win over the hearts and minds of civilians in occupied territory and how providers should treat service members who return from the front with combat fatigue. An issue that arose during the first Gulf War in 1991 is discussed, namely US service persons being required to take botulism vaccine without their consent. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001036
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http://dx.doi.org/10.1136/jramc-2018-001036DOI Listing
December 2018
1 Read

Association between circulating inflammatory markers and marksmanship following intense military training.

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

Israel Defense Forces, Medical Corps, Tel Aviv, Israel.

Introduction: Intense military operations during deployment or training are associated with elevations in inflammatory cytokine markers. However, the influence of an inflammatory response on military-specific skills is unclear. This study examined the association between brain-derived neurotrophic factor (BDNF), glial fibrillar acidic protein, markers of inflammation, marksmanship and cognitive function following a week of intense military field training. Read More

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http://dx.doi.org/10.1136/jramc-2018-001084DOI Listing
December 2018

Leadership in 21st century military healthcare: what did clinical psychologists ever do for us?

J R Army Med Corps 2018 Dec 7. Epub 2018 Dec 7.

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

Psychology is integral to the concepts and practice of leadership. Leadership models often have their roots in psychological paradigms, making it intrinsically easy for psychologists to grasp and apply them alongside clinical models. Psychologists' 'second-order' skills have been used to good effect in the changing landscape of military mental healthcare: modelling adaptive responses to change, understanding the non-conscious aspects of relationships in hierarchical organisations, working with systems, the ability to diagnose situational requirements and act accordingly, drawing on a range of psychological theories and leadership styles. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001075
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http://dx.doi.org/10.1136/jramc-2018-001075DOI Listing
December 2018
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Health needs of ex-military personnel in the UK: a systematic review and qualitative synthesis.

Authors:
Steven L Senior

J R Army Med Corps 2018 Dec 9. Epub 2018 Dec 9.

Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester M13 9PL, UK

Background: Despite all local authorities in England signing up to the Armed Forces Covenant, only a small proportion of Joint Strategic Needs Assessments (JSNAs) include detailed consideration of the health of the local ex-military population. This article supports improvements to JSNAs by systematically reviewing published research for evidence of differences in health between the ex-military population and the general public.

Methods: Systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology for qualitative synthesis of mixed study designs. Read More

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http://dx.doi.org/10.1136/jramc-2018-001101DOI Listing
December 2018
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Psychology, risk, health and deployed military operations.

Authors:
Neil Verrall

J R Army Med Corps 2018 Nov 30. Epub 2018 Nov 30.

Human and Social Science Group, Defence Science and Technology Laboratory, Salisbury SP4 0JQ, UK

This article will focus on a study by the UK Defence Science and Technology Laboratory (Dstl) which investigated the risk propensity and health behaviours of UK army personnel deployed to Iraq in 2007 as part of Op TELIC. The study addressed the concept of impulsive sensation seeking and how this interacted with health behaviours associated with alcohol, smoking, driving and sex at predeployment, during deployment and postdeployment, as well as perceptions of risk and psychological well-being. There is also a description of other deployment-related risk and health research and analysis undertaken by Dstl as part of a wider discussion on the nature of both risk and health on deployed operations. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001043
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http://dx.doi.org/10.1136/jramc-2018-001043DOI Listing
November 2018
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Dispatches from the editor: military psychology, a force multiplier.

J R Army Med Corps 2018 Nov 30. Epub 2018 Nov 30.

Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

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http://dx.doi.org/10.1136/jramc-2018-001110DOI Listing
November 2018