Journal of the Royal Army Medical Corps最新文献

{"title":"Influenza vaccination of UK Armed Forces personnel, a waste of resources or an essential public health measure?","authors":"Mark Dermont, T Elmer","doi":"10.1136/jramc-2019-001176","DOIUrl":"https://doi.org/10.1136/jramc-2019-001176","url":null,"abstract":"Most of us who have experienced it can recall the debilitating impacts of true influenza infection down to the number of days spent prostrate in bed feeling thoroughly miserable. Yet anywhere between 30% and 50% of infected cases remain asymptomatic and most otherwise healthy adults recover within a","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"390"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2019-001176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37030531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aeromedical evacuation in the humanitarian and disaster relief environment of Op RUMAN.","authors":"George Edward Evetts","doi":"10.1136/jramc-2019-001240","DOIUrl":"https://doi.org/10.1136/jramc-2019-001240","url":null,"abstract":"<p><p>The 700+ Caribbean islands present a vast area of operations (AO) with challenges providing healthcare to the local population and deployed personnel. Predisaster host nation medical care relied on casevac for basic primary and secondary healthcare, with medivac by air for advanced medical treatment. Disruption to facilities and transport links by Hurricane Irma rendered the native healthcare system on its knees. During Op RUMAN, the Royal Air Force Medical Services (RAFMS) provided expertise in prehospital emergency care and critical care aeromed to enable emergency treatment and access to definitive care for local nationals and our own personnel. The ability to provide independent, safe aeromedical care across a variety of aviation platforms is unique to the RAFMS. The AO did not fit any current doctrine; an adaptable, functional unit concept was adopted to enable care to the walking wounded through to critical care along prolonged timelines.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"440-442"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2019-001240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37414477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of the Deployed Aeromedical Response Team Squadron (DARTS) on Operation RUMAN.","authors":"Rebecca Woolley","doi":"10.1136/jramc-2018-001141","DOIUrl":"https://doi.org/10.1136/jramc-2018-001141","url":null,"abstract":"<p><p>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. The aim of this paper is to describe the role of DARTS within this Op.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"438-439"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37170247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Military environmental health on Operation RUMAN.","authors":"Leah MacMahon","doi":"10.1136/jramc-2018-001068","DOIUrl":"https://doi.org/10.1136/jramc-2018-001068","url":null,"abstract":"<p><p>Operation RUMAN was the British government's combined military and humanitarian operations to provide relief to the British Overseas Territories in the Caribbean. This paper provides a short summary of the role played by environmental health during the operation and the importance of environmental health considerations at all stages of disaster management.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"443-445"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36577453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aviation medicine considerations in parachuting operations.","authors":"Bonnie N Posselt,&nbsp;P D Hodkinson","doi":"10.1136/jramc-2018-001090","DOIUrl":"https://doi.org/10.1136/jramc-2018-001090","url":null,"abstract":"Starkey et al provide a thorough and welcomed analysis of injuries sustained during a large airborne parachuting exercise, focusing on the traumatic injuries sustained.[1][1] While the altitude of despatch in this paper is not quoted, it is assumed to be low altitude (less than 10 000 ft), which","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"455"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36679767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Romaine Amiel: a French surgeon in the British Army during the Napoleonic Wars.","authors":"Mark Robert Riley","doi":"10.1136/jramc-2019-001223","DOIUrl":"https://doi.org/10.1136/jramc-2019-001223","url":null,"abstract":"Romaine Amiel was born on 5 February 1772 in Riez, near Toulon, in south-eastern France and studied medicine at the University of Montpellier from May 1788 to March 1791.[1][1] His contemporaries included the likes of Sir James McGrigor, considered the founder of the Royal Army Medical Corps.[2][2]","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"457-458"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2019-001223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37321938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management of focal ionising radiation burns.","authors":"Cara Swain,&nbsp;M Khan","doi":"10.1136/jramc-2018-000967","DOIUrl":"https://doi.org/10.1136/jramc-2018-000967","url":null,"abstract":"<p><p>The management of focal radiation burns after prolonged exposure to ionising radiation remains a relatively rare but significant therapeutic challenge. This narrative aims to highlight certain aspects of management that can be overlooked and mitigation strategies in the management of these potentially fatal injuries.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"449-450"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36185197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare for servicewomen on military missions.","authors":"Jia-Yu Guo,&nbsp;Hui-Ru Hou,&nbsp;F Cao","doi":"10.1136/jramc-2018-001106","DOIUrl":"https://doi.org/10.1136/jramc-2018-001106","url":null,"abstract":"<p><p>Increases in the number of women in critical positions on military missions place new demands for specialised healthcare services to promote performance. The main health problems servicewomen facing are musculoskeletal injuries, reproductive diseases, iron deficiency and mental health problems. Herein, we propose several suggestions based on the rich experiences of our hospital. First is to offer preventive measures for servicewomen health. Second is to equip servicewomen with portable medicine packet to treat common diseases. Third is to provide people-centred integrated care.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"446-448"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37273421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-freezing cold injury.","authors":"Chris He Imray","doi":"10.1136/jramc-2018-001145","DOIUrl":"https://doi.org/10.1136/jramc-2018-001145","url":null,"abstract":"> The term ‘ immersion foot ’ was coined during the present war ( World War II ) to describe a syndrome occurring in extremities exposed to the effects of cold sea water. It is a disorder characterized by chilling as opposed to freezing of tissues and is distinct from frost-bite. The term is","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"388-389"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36847605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between circulating inflammatory markers and marksmanship following intense military training.","authors":"Yftach Gepner,&nbsp;J R Hoffman,&nbsp;M W Hoffman,&nbsp;H Zelicha,&nbsp;H Cohen,&nbsp;I Ostfeld","doi":"10.1136/jramc-2018-001084","DOIUrl":"https://doi.org/10.1136/jramc-2018-001084","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>Twenty male soldiers (20.1±0.6 years; 1.78±0.05m; 74.1±7.9kg) from the same elite combat unit of the Israel Defense Forces volunteered to participate in this study. Soldiers completed a five-day period of intense field training including navigation of 27.8km/day with load carriages of ~50% of their body mass. Soldiers slept approximately fivehours per day and were provided with military field rations. Following the final navigational exercise, soldiers returned to their base and provided a blood sample. In addition, cognitive function assessment and both dynamic and static shooting (15 shots each) were performed following a 200 m gauntlet, in which soldiers had to use hand-to-hand combat skills to reach the shooting range.</p><p><strong>Results: </strong>Results revealed that tumour necrosis factor-α (TNF-α) concentrations were inversely correlated with dynamic shooting (r=-0.646, p=0.005). In addition, a trend (r=0.415, p=0.098) was noted between TNF-α concentrations and target engagement speed (ie, time to complete the shooting protocol). BDNF concentrations were significantly correlated with the Serial Sevens Test performance (r=0.672, p=0.012).</p><p><strong>Conclusion: </strong>The results of this investigation indicate that elevated TNF-α concentrations and lower BDNF concentrations in soldiers following intense military training were associated with decreases in marksmanship and cognitive function, respectively.</p>","PeriodicalId":17327,"journal":{"name":"Journal of the Royal Army Medical Corps","volume":"165 6","pages":"391-394"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jramc-2018-001084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36810458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}