Bmj Military Health最新文献

{"title":"Exploration of cold water immersion delivery using non-specialist equipment.","authors":"Felix Wood, Joshua Rollett, Matthew Taylor","doi":"10.1136/military-2026-003440","DOIUrl":"10.1136/military-2026-003440","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are we missing? Using consultation free-text to identify underdiagnosed osteoarthritis in military personnel.","authors":"Leona Puxley, Oliver O'Sullivan","doi":"10.1136/military-2026-003446","DOIUrl":"https://doi.org/10.1136/military-2026-003446","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient confidentiality and personal healthcare data: the past, present and future and relevance for the UK Defence Medical Services.","authors":"Ela Stachow, Martin Bricknell","doi":"10.1136/military-2026-003376","DOIUrl":"https://doi.org/10.1136/military-2026-003376","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Military medical support in the age of hard power.","authors":"Philip Carter","doi":"10.1136/military-2026-003340","DOIUrl":"https://doi.org/10.1136/military-2026-003340","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building multinational interoperability in Defence Engagement (Health) training: outcomes from a two-cycle action research methodology.","authors":"Adam Hughes, Thomas Falconer-Hall, Éva Kucsmik-Horváth, Noelle DeRuyter","doi":"10.1136/military-2026-003380","DOIUrl":"https://doi.org/10.1136/military-2026-003380","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stability of sufentanil sublingual microtablets (Dzuveo) in extreme cold weather conditions: an experimental study.","authors":"David McConnell, Hayley Manners, Paul Sutton, Nicola Gawman, Tim Parham, Felix Wood, Jonathon Lowe","doi":"10.1136/military-2026-003278","DOIUrl":"10.1136/military-2026-003278","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical management of major incidents and mass casualty events during military operations: a consensus statement.","authors":"Jon Walker, Jeff Freeman, Thomas Wurmb, Paul Hunt, Simon Thomas Horne, Ian Gurney","doi":"10.1136/military-2026-003458","DOIUrl":"https://doi.org/10.1136/military-2026-003458","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combat-related bowel injuries managed at a civilian level I trauma centre during the Iron Swords War: operative strategies and outcomes.","authors":"Yuval Volfovitch, Rotem Ayalon, Nir Wasserberg, Ilan Schrier, Sami Gendler","doi":"10.1136/military-2026-003435","DOIUrl":"https://doi.org/10.1136/military-2026-003435","url":null,"abstract":"<p><strong>Introduction: </strong>War-related bowel trauma poses complex challenges due to destructive injury patterns, physiological derangement and multisystem involvement. This study aimed to characterise injury patterns, operative strategies and outcomes among combat casualties with bowel injuries treated at a civilian level I trauma centre within Israel's integrated civilian-military trauma system during the Iron Swords War.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of patients with penetrating bowel injuries sustained during the Iron Swords War from 7 October 2023 to 31 December 2024. Demographics, injury mechanisms, diagnostic accuracy, operative management (primary repair, resection and anastomosis or stoma/diversion) and postoperative outcomes were analysed descriptively.</p><p><strong>Results: </strong>21 patients were included; all were male and most (86%) were military personnel. Injuries resulted from high-energy blast or gunshot trauma. Median Injury Severity Score (ISS) was 16 (IQR 9-25), and 81% had injuries in more than one body region. Small and large bowel injuries occurred in 62% and 71%, respectively. 16 (76%) underwent anastomosis, 15 at the index operation and one after damage control, including seven colonic resections with no leaks. Diversion (19%) was reserved for destructive rectal injury or profound physiological compromise (median ISS 30 vs 13); no stoma was created at an index damage-control laparotomy. Complications occurred in three patients; two were major (Clavien-Dindo III-V, 10%)-an intra-abdominal abscess and the single death (5%, day 13, septic shock)-and one was minor (grade II, 5%), a high-output stoma. Median stay was 15 days (IQR 11-23).</p><p><strong>Conclusions: </strong>In this descriptive cohort within a mature integrated civilian-military trauma system, bowel continuity was restored in most patients without observed leaks; diversion was reserved for destructive rectal injury or profound physiological compromise, with morbidity reflecting injury severity. These hypothesis-generating findings align with civilian guidelines and military experience.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived changes in alcohol consumption following the COVID-19 pandemic among UK Armed Forces personnel.","authors":"Kate King, Daniel Leightley, Neil Greenberg, Nicola T Fear","doi":"10.1136/military-2026-003486","DOIUrl":"https://doi.org/10.1136/military-2026-003486","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Army marches on its stomach': leading military organisations to become less obesogenic and enhance the moral component of warfighting.","authors":"Robert M Gifford, Julia Carins, Joanne L Fallowfield","doi":"10.1136/military-2026-003490","DOIUrl":"https://doi.org/10.1136/military-2026-003490","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}