Bmj Military Health最新文献

{"title":"Assessing the attitudes towards transfusing RhD-positive red blood cells to female service personnel of childbearing potential: a survey of deployed healthcare practitioners.","authors":"Nina Phillips, David McConnell, Mark H Yazer","doi":"10.1136/military-2025-003135","DOIUrl":"10.1136/military-2025-003135","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"482"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745000","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":"Mutual support through military healthcare: the United Kingdom stands with Ukraine.","authors":"Phillip DeRouffignac, John Breeze","doi":"10.1136/military-2026-003390","DOIUrl":"10.1136/military-2026-003390","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"383-384"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340523","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":"Impact of patellar stabilisation surgery on return to active duty in the French military population: an observational study.","authors":"Cyril Leme, A Ogou, O Barbier, B de Geofroy, M Peras, L M Pessey, P Texeira, P Tannyeres, C Choufani","doi":"10.1136/military-2024-002925","DOIUrl":"10.1136/military-2024-002925","url":null,"abstract":"<p><strong>Introduction: </strong>Patellar instability is 10 times higher in the military population, even more with young recruits undergoing a rapid and significant increase in daily sports activity. Despite such prevalence, little data are available on the return to operational activities. The objective of this research was to study the return to operational active duty after patellar stabilisation and identify risk factors for military return failure.</p><p><strong>Materials and methods: </strong>We conducted a multicentre, retrospective study, involving French soldiers who underwent patellar stabilisation in a military hospital between January 2009 and June 2022. Epidemiological, clinical, surgical data and postoperative score evaluations were collected via an online questionnaire. The main criteria of analysis were the return to operational activity. Secondary criteria were the return to physical activity and functional results. We conducted a sub-group comparison between surgeries.</p><p><strong>Results: </strong>Among the 52 patients, 63% returned to operational activity in a mean time of 9±5.14 months. Persistent pain and flessum were significantly associated with failure (p<0.05). Average follow-up was 37.3 months. Regarding physical activity, 78% managed to return, 43% at a prior or higher level, the mean delay was 11.6±7.26 months. The mean postoperative Tegner score was 3.9±1.72. On functional results, the mean Lysholm score was 78.4±21 and the mean International Knee Documentation Committee (IKDC) score was 74±17.3. Persistent instability occurred in 4% of cases. The delay to prior physical level was significantly higher in tibial tuberosity transposition versus medial patella femoral ligament ligamentoplasty (p=0.016) CONCLUSIONS: Patellar instability represents a turning point in a military career. Despite effective stabilisation, nearly half of the patients will experience a decrease in their sports level, and 60% will fully regain their full duty activity. Clear and accurate information should be provided to military patients to prepare them for the foreseeable consequences.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"448-453"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162983","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":"Dental Intelligence Dashboard: an innovative approach to capturing dental morbidity data on operations.","authors":"Sunmeet Singh Kandhari, Peter Field, Charlotte Winship, Niall Aye Maung, Mark Andrew Dermont","doi":"10.1136/military-2025-003185","DOIUrl":"10.1136/military-2025-003185","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"480-481"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the thermal demands of the British Military Annual Fitness Test: an observational study and randomised control trial.","authors":"Kirsty Ann Marie Waldock, B J Lee, B P S Harris, N M Galan-Lopez, F Koivula, C D Young, S R Handford, S Davey, D Thake, J P Greeves, S Wardle","doi":"10.1136/military-2025-002955","DOIUrl":"10.1136/military-2025-002955","url":null,"abstract":"<p><strong>Introduction: </strong>Thermal modelling of the British Army's annual physical employment test-Role Fitness Test (Soldier) (RFT(S))-indicated that the two-stage load carriage section may present a thermal risk to personnel (body core temperature >39.5°C). In response, the Army modified the RFT(S) by extending the transition time between load carriage sections from 5 to 15 min. This paper presents body core temperature (gastrointestinal temperature; T_GI) data collected from a field-observational study of the modified RFT(S), and during a controlled laboratory load carriage study implementing the original 5 min transition period under three different wet bulb globe temperatures (WBGTs).</p><p><strong>Methods: </strong>70 recruits (69 men) completed their mandatory pass/fail RFT(S) during week 18 of their Combat Infantry Course. Field-observational testing was conducted on four non-consecutive days, during summer 2020 (WBGTs=4.2°C-17.5°C). In the controlled laboratory study, 10 infantry males completed the two-stage load carriage section of the RFT(S) in WBGTs of 20°C, 22°C and 25°C. The primary outcome variable, for both studies, was the number of participants reaching a T_GI above 39.5°C, and time spent above this threshold.</p><p><strong>Results: </strong>During the field-observational study, five recruits (7%) exceeded a critical T_GI of 39.50°C. Peak T_GI was always observed following load carriage stage 2 (LC2), a 2 km best-effort loaded march. Participants who exceeded 39.50°C spent between 18 s and 7 min at or above 39.50°C. During the controlled laboratory load carriage study, one soldier exceeded a T_GI of 39.50°C for ~3 min in WBGT 20°C.</p><p><strong>Conclusions: </strong>The most thermally demanding section of the RFT(S) is the best-effort LC2. When environmental temperatures are cool to temperate, the RFT(S) does not pose a thermal risk to serving personnel and can be safely conducted up to a WBGT of 20°C, as per current policy.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"454-460"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128967","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":"Diagnostic accuracy and reliability of equations for the calculation of body fat mass percentage in the Colombian military population: a diagnostic test study.","authors":"Syndy Guarin-Rivera, J Utria-Munive, K Estrada-Orozco","doi":"10.1136/military-2024-002944","DOIUrl":"10.1136/military-2024-002944","url":null,"abstract":"<p><strong>Introduction: </strong>Body composition is a crucial health indicator, particularly in military settings, where optimal physical fitness directly impacts performance and operational readiness. Accurate assessment of body fat and muscle mass is essential for identifying health risks, such as chronic diseases, and for improving soldiers' physical capabilities.</p><p><strong>Methods: </strong>Study of diagnostic accuracy and reliability. A total of 947 adults belonging to the military forces in Colombia were included through consecutive sampling. People with the whole spectrum of body composition (normal weight, overweight and obesity) participated, recreating their prevalence in the Colombian population. Sensitivity (Se), specificity (Sp) and accuracy of the US Army (E1), Deurenberg (E2), CUN-BAE (E3) and Woolcott (E4) equations were calculated, using bioelectrical impedance analysis (BIA) as reference standard. For test-retest and inter-rater reliability, kappa and weighted kappa were used.</p><p><strong>Results: </strong>Of the total participants, 92% were men, with a median age of 35 years in men and 33 years in women. 65.4% were physically active (150 min per week). Diagnostic accuracy demonstrated the following performance in obesity classification for the equation used in the US military (Se: 100%, Sp: 88.1%; 95% CI 85.3% to 90.6%), E2 (Se: 91.6%; 95% CI 87.5% to 94.7%, Sp: 86.6%; 95% CI 83.7% to 89.3%), E3 (Se: 96.8%; 95% CI 93.8% to 98.6% Sp: 67.9%; 95% CI 64% to 71.7%) and E4 (Se: 96.4%; 95% CI 93.3% to 98.3%, Sp: 57.9%; 95% CI 53.9% to 61.9%). For overweight classification, performance was found in E2 (Se: 71.5%; 95% CI 66.3% to 76.3%, Sp: 72.3%; 95% CI 68.2% to 76.1%) and E3 (Se: 47.9%; 95% CI 42.4% to 53.4%, Sp: 73.8%; 95% CI 69.8% to 77.6%). For normweight classification, E2 was found to perform (Se: 50.2%; 95% CI 44.1% to 56.3%, Sp: 95.7%; 95% CI 93.7% to 97.2%) and E3 (Se: 42.8%; 95% CI 36.8% to 48.9%, Sp: 98.8%; 95% CI 97.5% to 99.5%). For all equations, their reliability is excellent.</p><p><strong>Conclusions: </strong>The US Army equation, when applied to the Colombian military population, presents greater accuracy for classifying obesity when compared to BIA. For the overweight and normal weight category, the Deurenberg equation performs better.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"442-447"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045997","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 Combat Eye Protection uptake of UK service personnel on Operation TORAL in Afghanistan.","authors":"John Breeze, E Lewis, D Bowley, R Coates, C Abbott, P Evans, R Blanch, J Russell","doi":"10.1136/military-2025-002982","DOIUrl":"10.1136/military-2025-002982","url":null,"abstract":"<p><strong>Introduction: </strong>Military Combat Eye Protection (CEP) is a form of personal protective equipment designed to protect the eyes and surrounding structures. A review of 67 586 US and UK personnel wounded during Iraq and Afghanistan demonstrated that eye injuries were present in 8% of survivors or those who died of wounds. CEP was first introduced to UK military personnel in Iraq during 2006 and has been shown to reduce both the incidence and severity of eye injury, with the current CEP issued as part of the VIRTUS body armour and load carriage system.</p><p><strong>Method: </strong>To assess user perception and experience of issued CEP by UK service personnel, a voluntary survey was returned by 200 UK personnel deployed on Operation TORAL, the UK contribution to the North Atlantic Treaty Organization (NATO)'s Resolute Support Mission in Afghanistan post Op HERRICK, from 2014. In total, 10 questions were asked about CEP, including two that allowed users to offer 'free-text' comments.</p><p><strong>Results: </strong>193 out of 200 (97%) responded that they regularly wore the issued low-impact spectacles, while 54 out of 198 (27%) responded that they regularly changed their lenses. Goggles were worn by only 25 out of 200 (13%), with 64 out of 200 (32%) stating they perceived that there was no requirement for their use.</p><p><strong>Conclusions: </strong>Excellent wearer uptake of low-impact spectacles was found, likely reflecting mandatory use in conjunction with a well-established predeployment educational programme. The poor uptake of medium-impact goggles reflected that either users perceived that there was no requirement to wear them or did not believe they had been issued them. Further research is recommended to identify the optimal colour of lens that should be used. If multiple lens colours are required, lenses should either be easier to change or multiple sets should be issued, along with appropriate training provided for when each lens should be used.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"461-464"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200505","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":"Simulated activation of emergency donor panels.","authors":"Simon William James Grant, Ed Scanlon","doi":"10.1136/military-2025-003001","DOIUrl":"10.1136/military-2025-003001","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"476-477"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530453","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":"Threat of non-traditional agents: a new frontier in chemical weapons concerns?","authors":"Adrián Repilado-Álvarez, J A Guerra Guirao, I Cuadrado Berrocal, M T Llorente Ballesteros","doi":"10.1136/military-2025-003101","DOIUrl":"10.1136/military-2025-003101","url":null,"abstract":"<p><p>The development and use of chemical and toxin-based weapons have evolved significantly over time, from early historical applications to modern incidents involving highly potent agents. Despite the establishment of international treaties such as the Chemical Weapons Convention (CWC) and the Biological and Toxin Weapons Convention (BTWC), emerging threats posed by non-traditional agents, particularly central nervous system (CNS)-acting chemicals and biotoxins, present ongoing challenges. These substances, while not individually scheduled, fall within the broader definitions of toxic chemicals and are prohibited if used for purposes inconsistent with the conventions.CNS-acting chemicals, including pharmaceutical-based agents such as fentanyl analogues and alpha-2 adrenergic agonists, raise concerns due to their incapacitating or lethal effects, potential misuse in law enforcement contexts and increasing availability via illicit markets. Biotoxins such as ricin and saxitoxin, although naturally derived, have military relevance and are subject to regulation under both the CWC and BTWC.This analysis synthesises key developments that have shaped the current threat landscape and explores the challenges these agents pose for both verification mechanisms and military medical preparedness. It highlights gaps in toxidrome identification, limitations in available countermeasures and the need for improved diagnostic capabilities, all of which are critical for mitigating the risks associated with exposure to non-traditional agents.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"385-388"},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974554","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":"Are we approaching a paradigm shift in military medical support? Lessons from the space domain.","authors":"Jacopo Frassini","doi":"10.1136/military-2026-003415","DOIUrl":"https://doi.org/10.1136/military-2026-003415","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026374","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}