Bmj Military Health最新文献

{"title":"Clinical patterns of medical cases during consecutive basic military training recruitment periods: insights from the Poros Registry.","authors":"Konstantinos G Kyriakoulis, A S Papazoglou, I Athanaseas, K Fousekis, N Kasotakis, S Kolokouris, T Zisakis","doi":"10.1136/military-2023-002432","DOIUrl":"10.1136/military-2023-002432","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e187-e188"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9438519","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":"Effects of a yoga-based intervention programme on self-efficacy of active armed forces personnel of India: a randomised control trial.","authors":"Aarsh Ojas Parasar Pandey, N Mishra, S Kumar Vishvakarma","doi":"10.1136/military-2023-002450","DOIUrl":"10.1136/military-2023-002450","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e189-e190"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9633592","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":"Test-retest reliability of two different laser-based protocols to assess handgun shooting accuracy in military personnel.","authors":"Jan Malecek, D Omcirk, Z Didek, V Michalicka, K Sykora, M Vagner, L Privetivy, V Trebicky, T Vetrovsky, J J Tufano","doi":"10.1136/military-2023-002431","DOIUrl":"10.1136/military-2023-002431","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e192-e193"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10025322","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":"Long COVID in the Belgian Defence forces: prevalence, risk factors and impact on quality of daily functioning.","authors":"Hava Mazibas, N Speybroeck, E Dhondt, S Lambrecht, K Goorts","doi":"10.1136/military-2022-002280","DOIUrl":"10.1136/military-2022-002280","url":null,"abstract":"<p><strong>Introduction: </strong>Long COVID (LC) is a medical condition first described and documented through anecdotes on social media by patients prior to being recognised by WHO as a disease. Although >50 prolonged symptoms of LC have been described, it remains a diagnostic challenge for military providers and therefore threatens operational readiness.</p><p><strong>Methods: </strong>On 9 September 2021, an online survey was emailed to 2192 Belgian Defence personnel who had previously tested PCR positive for SARS-CoV-2 between 17 August 2020 and 31 May 2021. A total of 718 validated responses were received.Descriptive analyses determined the prevalence of LC and 10 most common symptoms and their duration following infection. In the explanatory analyses, risk factors related to LC were identified. To establish the health-related impact of LC on quality of life (HRQoL), we used the results from the EuroQol 5 Dimension 5 Level questionnaire.</p><p><strong>Results: </strong>The most frequent symptoms that were reported for >3 months were fatigue, lack of energy and breathing difficulties.47.35% of the respondents reported at least one persistent symptom, while 21.87% reported more than 3 symptoms lasting for at least 3 months after the initial COVID-19 infection. Most patients with LC suffered from symptoms of a neuropsychiatric nature (71.76%).LC was significantly associated with obesity; pre-existing respiratory disease and blood or immune disorders. Physical activity of >3 hours per week halved the risk of LC.The total QoL is reduced in patients with LC. Considering the five dimensions of the questionnaire, only the self-care dimension was not influenced by the presence of LC.</p><p><strong>Conclusions: </strong>Almost half of Belgian Defence personnel developed LC after a confirmed COVID-19 infection, similar to numbers found in the Belgian population. Patients with LC would likely benefit from a multidisciplinary rehabilitation approach that addresses shortness of breath, fatigue and mood disturbance.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e172-e179"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9127463","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":"Sex differences in musculoskeletal injury epidemiology and subsequent loss of tactical readiness during Marine Corps Officer Candidates School.","authors":"Mita Lovalekar, M B Bird, K J Koltun, E Steele, J Forse, J L Vera Cruz, A F Bannister, I Burns, Q Mi, B J Martin, B C Nindl","doi":"10.1136/military-2023-002392","DOIUrl":"10.1136/military-2023-002392","url":null,"abstract":"<p><strong>Introduction: </strong>The US Marine Corps (USMC) Officer Candidates School (OCS) is a 10-week training course for Marine Officer Candidates (MOCs). OCS training is rigorous and demanding, which results in a high risk of musculoskeletal injuries (MSIs). The objective of this analysis was to describe MSIs among women and men during the USMC OCS at Quantico, Virginia, from September 2020 to November 2021.</p><p><strong>Methods: </strong>This prospective cohort study assessed MSIs that occurred among 736 MOCs (women: 17.8% of sample, men: 82.2%). Data for the study were derived from routinely collected injury data by athletic trainers and physical therapists embedded within the training units. Injury incidence, event at the time of injury occurrence, anatomic location, injury type and disposition following injury were described. Fisher's exact tests were used to compare proportions of injured women and men.</p><p><strong>Results: </strong>The cumulative injury incidence was higher among women (39.7%) compared with men (23.1%, p<0.001). When specific events associated with injuries were reported, most frequent events were the obstacle course (women: 20.9% of injuries, men: 12.9%) and the conditioning hike (women: 11.6%, men: 6.9%). Most injures affected the lower body (women: 67.4%, men: 70.8%). The most frequent body part injured was the lower leg (18.6%) in women and the knee (23.3%) in men. The most frequent injury type was strain (women: 39.5%, men: 24.3%), followed by sprain (women: 16.3%, men: 14.9%). A greater percentage of female (92.3%) compared with male MOCs (69.3%; p<0.001) were assigned light duty status following MSIs.</p><p><strong>Conclusions: </strong>Mitigation of injuries during OCS events such as the obstacle course and the conditioning hike needs further investigation. The high risk of overuse lower leg injuries among women and the higher incidence of injuries among women compared with men underscore the need for further investigation of modifiable sex-specific injury risk factors.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e85-e90"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9662014","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":"Eyes in skies: ocular ultrasound performed by a low-experience operator at high altitude.","authors":"Ciaran Simpkins, D S Morris, E M Normando","doi":"10.1136/military-2023-002473","DOIUrl":"10.1136/military-2023-002473","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e194-e195"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667362","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":"Past-year marijuana use and dependence: veterans versus general population.","authors":"Andrew D Derminassian, M S Nickel, K C Alcover","doi":"10.1136/military-2023-002464","DOIUrl":"10.1136/military-2023-002464","url":null,"abstract":"","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e196-e197"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9870889","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":"Delivery of UK military upper limb prosthetics: current concepts and future directions.","authors":"Robert Llewellyn Thomas, R Howes, L McMenemy, P Hindle, M Wordsworth, R Staruch","doi":"10.1136/military-2023-002485","DOIUrl":"10.1136/military-2023-002485","url":null,"abstract":"<p><p>Upper limb prosthetics have a challenging task. A natural upper limb combines strength, coordination and dexterity to accomplish daily activities such as eating, writing, working and social interaction. Artificially replicating these functions requires a prosthetic with composite, synchronous motor function while maintaining sensory feedback and skeletal stability. Achieving these functions requires interfaces between biology and machine across nerve, muscle, bone and skin. This leads to issues related to infection, foreign material encapsulation and implant stability, and electrical signal transduction and interpretation. Over the last 20 years the advent of technologies such as osseointegration, targeted muscle reinnervation, implantable myoelectric sensors, peripheral nerve interfaces and pattern recognition technology has sought to address these problems.Due to many advances in prehospital care, truncated timelines to damage control surgery and improved combat personal protective equipment, the numbers of amputees have increased with more patients surviving injury. From October 2001 to March 2019 there were 333 amputees from Afghanistan and Iraq compared with 457 fatalities over a similar period. Over a third of these were significant multiple amputees. With a functional, robust upper limb prosthetic which mirrors or exceeds normal function, injured service personnel could be returned to an active combat role. This has benefits for their physical and mental health, improves employability prospects and allows Defence to retain some of its most highly motivated and skilled people who represent significant financial investment.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e180-e186"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163300","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":"Veterans' experiences of moral injury, treatment and recommendations for future support.","authors":"Amanda Bonson, D Murphy, V Aldridge, N Greenberg, V Williamson","doi":"10.1136/military-2022-002332","DOIUrl":"10.1136/military-2022-002332","url":null,"abstract":"<p><strong>Introduction: </strong>Moral injury (MI) significantly impacts the lives of many UK military veterans however, there is a lack of manualised treatment to address the needs of this population. To develop future treatments that are acceptable and well tolerated, veterans should be consulted on their experiences of existing psychological treatments and suggestions for future treatments.</p><p><strong>Methods: </strong>10 UK military veterans were interviewed about their experiences of receiving treatment for psychological difficulties after MI, and beliefs about core components of future treatments. Thematic analysis of these interviews were conducted.</p><p><strong>Results: </strong>2 superordinate themes were identified: experiences of previous mental health treatment and perceptions of the proposed treatments. Reflections on cognitive behavioural therapy were mixed, with some describing that it did not ameliorate their guilt or shame. In future treatments, focusing on values, using written letters and including therapy sessions with close companions were considered beneficial. Veterans reported that a strong rapport with therapist was key for MI treatment.</p><p><strong>Conclusion: </strong>Findings provide a useful account of how current post-trauma treatments may be experienced by patients with MI. Although limited by sample size, the results highlight therapeutic approaches that may be helpful in future and provide important considerations for therapists treating MI.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e104-e109"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9475485","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":"Broken nurses: an interrogation of the impact of the Great War (1914-1918) on the health of New Zealand nurses who served - a cohort comparison study.","authors":"Wendy Anne Maddocks","doi":"10.1136/military-2022-002325","DOIUrl":"10.1136/military-2022-002325","url":null,"abstract":"<p><strong>Introduction: </strong>New Zealand's initial contribution of 50 nurses to WWI was thought to be sufficient. However, by the time of Armistice Day, at least 550 nurses had served for the New Zealand Army Nursing Service. According to diaries and records, many arrived back broken with a wide disparity in care. No formal analysis of this exists to understand the impact in more detail. The hypothesis is that the nurses who served the longest would carry a higher sickness burden and have a shorter life span than those nurses who had a shorter length of service.</p><p><strong>Methods: </strong>Service files of the first 50 nurses were analysed and compared with the last 50 nurses who served while war was still active. Data from each nurse's file were confirmed with other sources for age, length and type of service, sickness, date of death and any other notable events.</p><p><strong>Results: </strong>The first cohort of nurses (N=50) had longer periods of sickness, with a higher number of illnesses related to overcrowding, overwork (nervous disorders) and poor hygiene. The first cohort also were awarded many medals of merit, indicative of the extreme conditions they were working in. Individual nurses experienced poor medical treatment on their return to New Zealand. The last cohort (N=50) experienced fewer incidences and different types of sickness, with Spanish Influenza having an impact on serving nurses near the end of the war. In addition, the second cohort died younger compared with the first cohort, and none received medals of merit.</p><p><strong>Conclusions: </strong>This analysis has identified that many New Zealand nurses experienced severe health effects due to their service, and their health needs were poorly considered on their return to New Zealand. The Matron in Chief and others battled to have the nurses cared for appropriately. These lessons remain as valid now as they did in 1918.</p>","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e134-e138"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492524","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}