Bmj Military Health最新文献_第9页

Australian Defence Force Global Health Engagement through malaria and other vectorborne disease programmes in the Pacific and Southeast Asia. 澳大利亚国防军通过在太平洋和东南亚实施疟疾和其他病媒传播疾病计划，参与全球卫生工作。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2022-002335

Michael Charles Reade, A Auliff, B McPherson, M Edstein

{"title":"Australian Defence Force Global Health Engagement through malaria and other vectorborne disease programmes in the Pacific and Southeast Asia.","authors":"Michael Charles Reade, A Auliff, B McPherson, M Edstein","doi":"10.1136/military-2022-002335","DOIUrl":"10.1136/military-2022-002335","url":null,"abstract":"Global Health Engagement is one method employed by the Australian Defence Force (ADF) in pursuit of its objectives to shape Australia's strategic environment and to deter actions against Australia's interests. Two recent examples of such engagements are malaria mitigation programmes led by the ADF Malaria and Infectious Disease Institute in partnership with the Vietnam People's Army and the Papua New Guinea Defence Force. Both programmes were designed with extensive collaboration with host nation stakeholders, empowered local institutions and governance systems, built the capacity of the host nation with the aim of achieving independence from Australian support and met the strategic policy requirements of all nations involved. Process and outcome measures were built into both programmes, providing partner nations with the necessary assurance that funding was being used effectively. The long-term nature of each programme engendered personal trust between individuals and cultural understanding between military units. Recognising the value of formal education in the design and conduct of such programmes, ADF officers participate as students and instructors in the US Uniformed University of the Health Sciences course in Global Health and Global Health Engagement. Critically, this educational opportunity is afforded to future leaders in all professions related to health, including clinicians, military health planners and commanders. While an essential prerequisite to Global Health Engagement Programmes is their technical viability and validity, the most important key to success in the military context is a widespread understanding of how they achieve desired strategic effects for all involved.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e49-e54"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9444812","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}

引用次数: 0

Using nominal group technique to identify the planning considerations for UK Armed Forces medical personnel delivering defence engagement first aid training activities. 使用名义小组技术确定联合王国武装部队医务人员提供防御交战急救培训活动的规划考虑因素。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2023-002477

Mark Anthony Middleton, J Whitaker

{"title":"Using nominal group technique to identify the planning considerations for UK Armed Forces medical personnel delivering defence engagement first aid training activities.","authors":"Mark Anthony Middleton, J Whitaker","doi":"10.1136/military-2023-002477","DOIUrl":"10.1136/military-2023-002477","url":null,"abstract":"Introduction: Defence Medical Services personnel regularly deploy overseas to deliver training activities as part of defence engagement (DE) to positively influence partners and others. There remains scope for medical planners to enhance our understanding of how to optimally use medical staff and assets for DE. We aimed to develop a tool to improve planning for DE activities delivering first aid training.Methods: We used nominal group technique to conduct a focus group with UK experts in planning first aid training DE activities to identify and prioritise important planning considerations within a conceptual framework based on the Defence Lines of Development. We validated and refined this framework with international experts from partner nation militaries to help strengthen the final planning tool.Results: We developed a detailed tool covering training curriculum and logistical and infrastructure requirements to deliver safe and effective DE training activities. First aid training engagement priorities include being tailored to the training audience and in harmony with the national or military healthcare services of that country. Messaging around the women, peace and security agenda should be integrated into training packages at conception to be effective.Conclusions: We propose a planning tool to aid in designing first aid training that considers the necessary components to support meaningful education and effective engagement in support of UK's strategic goals. We welcome the use of and feedback on this tool and its impact to those planning first aid training activities as part of DE operations.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e31-e35"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399868","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}

引用次数: 0

The 2014 West Africa Ebola crisis: lessons from UK Defence Healthcare Engagement in Sierra Leone. 2014 年西非埃博拉危机：英国国防医疗在塞拉利昂参与的经验教训。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2023-002665

Mohammed Boie Jalloh, J A Round

引用次数: 0

Ethical tensions in delivering Defence Engagement (Health). 国防参与（健康）中的伦理矛盾。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2022-002318

Martin Bricknell, J Kelly

{"title":"Ethical tensions in delivering Defence Engagement (Health).","authors":"Martin Bricknell, J Kelly","doi":"10.1136/military-2022-002318","DOIUrl":"10.1136/military-2022-002318","url":null,"abstract":"This paper considers the potential ethical tensions in the conduct of Defence Engagement (Health) (DE(H)) activities. Multiple academic papers have described the ethical dimensions of topics such as 'medical rules of eligibility', cultural differences in clinical behaviour when providing mentoring support to military health professions, MEDCAPS (non-emergency primary care clinics by international military medical personnel direct to the indigenous civilian population) and military medical collaboration with the civilian public health system and humanitarian organisations. After a short summary of principles and perspectives in military healthcare ethics (MHE), this paper considers the ethical risks of DE(H) activities at the strategic, operational and tactical level. The paper closes by discussing how to prepare military healthcare personnel for ethical challenges during DE(H) tasks. This includes considering the wider legal, professional, societal and public health perspectives alongside clinical perspectives in the analysis of an MHE issue. In conclusion, potential MHE issues during DE(H) activities are predictable and personnel should be trained to identify and address them. This paper forms part of a special issue of BMJ Military Health dedicated to Defence Healthcare Engagement.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e36-e39"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283289","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}

引用次数: 0

Role of nutrition in human performance in military populations. 营养对军事人员表现的作用。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2022-002311

Jonathan M Scott, P A Deuster

{"title":"Role of nutrition in human performance in military populations.","authors":"Jonathan M Scott, P A Deuster","doi":"10.1136/military-2022-002311","DOIUrl":"10.1136/military-2022-002311","url":null,"abstract":"The role of nutrition and performance is well established. Service members' physical and cognitive performance, sleep and mood are impacted by nutritional choices. Although many eating patterns have emerged, consensus among experts recommend a dietary pattern focused on predominantly whole plant-based foods. Adequate intakes of fruits, vegetables, whole grains, beans, legumes, nuts and seeds should be prioritised. Implementation of strategic and intentional fuelling strategies around times of activity maintain adequate energy stores, enhance recovery and protect against training injuries. Carbohydrates are prioritised before, during and after activity or a mission, although the type and amount will vary based on duration and intensity of activity. Protein is generally the focus after activity or a mission and may be included before activity depending on individual tolerance. There are no specific recommendations for fat consumption before, during and after exercise that will improve performance. That said, Service members generally tolerate low-fat meals/snacks prior to exercise, limit fat intake during exercise, may include fat as part of the post exercise meal/snack, and generally consume most fat during the maintenance and growth phase. Careful consideration and planning for food and fluid requirements should be made when Service members are exposed to heat, cold and/or altitude. Operational rations are formulated to meet the nutritional needs of all Service members across a variety of diverse climates, environments and altitudes. Service members may use dietary supplements to improve their performance and need to be aware of available resources to help them make informed decisions.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"415-419"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297178","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}

引用次数: 0

Delivering effective Defence Engagement (Health): lessons from Operation TRENTON (South Sudan). 提供有效的国防参与（卫生）：从 TRENTON 行动（南苏丹）中汲取的经验教训。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2022-002319

Martin Bricknell, T Rowland

{"title":"Delivering effective Defence Engagement (Health): lessons from Operation TRENTON (South Sudan).","authors":"Martin Bricknell, T Rowland","doi":"10.1136/military-2022-002319","DOIUrl":"10.1136/military-2022-002319","url":null,"abstract":"This paper describes the Defence Engagement (Health) (DE(H)) component of the medical mission within the UK deployment to South Sudan under Op TRENTON, the UK troop contribution to the United Nations Mission in South Sudan (UNMISS). The DE(H) activities provided advice and mentoring to the Vietnamese military medical services to support the predeployment preparation and training of their medical contingent that would undertake a relief in place of the UK personnel providing a Level 2 hospital in Bentiu, South Sudan. The paper describes these UK DE(H) activities at the strategic, operational and tactical levels to show the integration across these levels from January 2017 until the handover of command in South Sudan on 26 October 2018. The UK worked alongside personnel from the US and Australian military medical services to deliver a Field Training Exercise and other capability-building events for personnel from the Vietnamese 175 Military Hospital. The paper shows how a DE(H) programme can have strategic effects by bringing another nation into a United Nations mission, increasing UK diplomatic activity with a partner country, and by ensuring continuity of medical cover to a key UNMISS location after the withdrawal of the UK medical contingent. This paper forms part of a special issue of BMJ Military Health dedicated to DE(H).","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e45-e48"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454838","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}

引用次数: 0

Exploring the global health and defence engagement interface. 探索全球卫生与国防参与的界面。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2023-002497

John Whitaker, R Rickard, A Leather, J Davies

引用次数: 0

Operational patient care pathway: building pragmatic medical interoperability through health engagements. 病人护理操作路径：通过卫生参与建立务实的医疗互操作性。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2024-002702

Thomas Falconer Hall, R Wilson, C Chacksfield, S T Horne

{"title":"Operational patient care pathway: building pragmatic medical interoperability through health engagements.","authors":"Thomas Falconer Hall, R Wilson, C Chacksfield, S T Horne","doi":"10.1136/military-2024-002702","DOIUrl":"10.1136/military-2024-002702","url":null,"abstract":"The future operational demand for medical support in Western militaries will likely outstrip available resources, necessitating burden-sharing through medical interoperability with allies and partners. However, the current North Atlantic Treaty Organization (NATO) model of interoperability through standardisation, while achieving high levels of commonality and integration along the operational patient care pathway (OPCP), is high-cost and resource-intensive. We have termed this model assured interoperability. Assured interoperability, while applicable to well-established partnerships with high-resource nations, is unlikely to be feasible when working with resource-limited partners or, potentially, when in a sustained conflict with a near-peer adversary. In these circumstances, there will be a requirement to develop a far less resource-intensive model of medical interoperability with lower levels of commonality, assurance and standardisation than assured interoperability, but that provides a 'good enough' OPCP for the operational context. We have termed this pragmatic interoperability. By considering these two types of interoperability, the complete continuum of medical interoperability can be mapped with the full spectrum of partners demonstrating increasing levels of interoperability from pragmatic through to assured interoperability, integrateability and interchangeability, reducing the gap between demand and provision of medical support for operations, increasing operational resilience. This is a paper commissioned as a part of the Defence Engagement special issue of BMJ Military Health.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e12-e16"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960262","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}

引用次数: 0

One Health: opportunities for Defence Engagement (Health). 一个健康：国防参与的机会（健康）。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2024-002708

Rebecca L Graves, J Whitaker, K Clay

引用次数: 0

Defence Engagement (Health): a historical perspective. 国防参与（卫生）：历史视角。

IF 1.4 4区医学

Bmj Military Health Pub Date : 2024-07-19 DOI: 10.1136/military-2023-002412

Thomas Falconer Hall, K Attridge

{"title":"Defence Engagement (Health): a historical perspective.","authors":"Thomas Falconer Hall, K Attridge","doi":"10.1136/military-2023-002412","DOIUrl":"10.1136/military-2023-002412","url":null,"abstract":"Defence Engagement (DE) (Health) themes are reviewed in this paper through two historical perspectives set in very different contexts. The first-person narrative in Guerrilla Surgeon by Lindsay Rogers outlines the experience of a medical officer building capacity with Tito's Partisans behind enemy lines in Second World War Yugoslavia. This is contrasted with a more academic evaluation of strategic and medical benefits of DE (Health) delivered by the US military during the Vietnam War in Robert Wilensky's Military Medicine to Win Hearts and Minds: Aid to Civilians in the Vietnam War Both texts infer that clear objectives, supported by effective strategic communication, are required for the impact of DE (Health) to be fully realised. Wilensky, in particular, noted that the US military medical effort in Vietnam had no measurable impact on health or political goals in the conflict. Rogers' experience on a more individual level speaks to the promise of DE (Health) delivery contrasted against the lack of regional objectives and cites the loss of British influence when Soviet propaganda was more cohesive and coordinated, resulting in the shift in Partisan loyalty despite British efforts in supplying the bulk of military and medical material. While neither author offers a definitive guide on DE (Health), they offer clear examples of themes that should be considered and demonstrate the importance of evaluating activity and maintaining the historical record to provide an evidence base for future work. This is an article commissioned for the Defence Engagement special issue of BMJ Military Health.","PeriodicalId":48485,"journal":{"name":"Bmj Military Health","volume":" ","pages":"e4-e6"},"PeriodicalIF":1.4,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9995539","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}

引用次数: 0