Journal of the Royal Naval Medical Service最新文献

{"title":"The role of the operating department practitioner on board Role 2 Afloat.","authors":"A. Stables, G. Seal, S. Mercer","doi":"10.1136/jrnms-103-30","DOIUrl":"https://doi.org/10.1136/jrnms-103-30","url":null,"abstract":"The Role 2 Afloat (R2A) is the Royal Navy (RN)’s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1 1","pages":"30-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64205101","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":"The management of drowning: a review of current evidence and guidelines","authors":"D. McConnell, S. Horne","doi":"10.1136/jrnms-103-130","DOIUrl":"https://doi.org/10.1136/jrnms-103-130","url":null,"abstract":"Abstract Drowning is responsible for 500,000 deaths each year and is estimated to be 200 times more frequent as a cause of death than road traffic collisions (per man hour at risk). The United Nations estimates that 5000 people drowned trying to cross the Mediterranean in 2016, the highest recorded annual total. The primary respiratory issues which are the clinical hallmark of drowning are often complicated by additional physiological consequences of the immersion, representing a considerable challenge for the deployed medical team. This article aims to examine recent evidence to provide guidance regarding resuscitation of the drowned casualty.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2017-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41495467","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":"Reflections on anaesthesia in war at sea during Operation CORPORATE","authors":"P. Bull","doi":"10.1136/jrnms-103-89","DOIUrl":"https://doi.org/10.1136/jrnms-103-89","url":null,"abstract":"Abstract This article provides a summary of the anaesthetic support provided on board Her Majesty’s Hospital Ship (HMHS) UGANDA during Operation CORPORATE in 1982, based on diary entries made during the conflict.","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44919972","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":"Cytoglobin: a potential marker for adipogenic differentiation in preadipocytes in vitro.","authors":"Ayşegül Doğan, Selami Demirci, Binnur Kıratlı, Fikrettin Şahin","doi":"10.1007/s10616-016-0047-2","DOIUrl":"10.1007/s10616-016-0047-2","url":null,"abstract":"<p><p>Obesity, mainly characterized by the excess fat storage, is a global health problem resulting in serious morbidity and mortality. Identification of molecular mechanisms in adipogenic differentiation pathway might lead to development of new strategies for diagnosis, prevention and therapy of obesity and associated diseases. Discovery of new genes and proteins in the differentiation pathway could help to understand the key specific regulators of the adipogenesis. Cytoglobin (Cygb), identified as a new globin family member protein, is expressed in various tissues. Although its interaction with oxygen and nitric oxide indicates the potential role in antioxidant pathways, the exact role remains unclear. In the current study, expression level of Cygb was determined in proliferating and differentiating 3T3-F442A cells by gene expression and protein expression analysis. Results revealed that Cygb expression up-regulated in differentiated cells in parallel with adipogenic differentiation markers; PPARγ, CEBPα and FABP4 expressions. Besides, Cygb overexpression in preadipocytes contributed to the adipogenic differentiation as verified by detection of higher lipid droplets and increased PPARγ, CEBPα and FABP4 expressions with respect to control cells. These findings will shed light on the unknown roles of Cygb in adipogenesis and obesity.</p>","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"80 2 1","pages":"157-165"},"PeriodicalIF":2.2,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10616-016-0047-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86455915","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":"Creating a Healthy Ship.","authors":"L Morrow,&nbsp;C Abrams,&nbsp;A Shaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2015 HMS DUNCAN was chosen as the intervention ship for an Institute of Naval Medicine (INM)-led project entitled Second\u0000Sea Lord (2SL)’s Feeding the Fleet Initiative. During her nine-month maiden deployment on Operation KIPION, a healthy\u0000lifestyle intervention was initiated, encompassing executive health, catering services, medical services and physical training. The\u0000key enabler of the success of the intervention was the formation of an effective Unit Health Committee. This article presents the\u0000lessons identified and provides useful examples from the intervention, which aimed to create a healthy lifestyle culture on board\u0000a deployed ship.</p>","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36377820","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":"Prone position ventilation in the Role 2 Afloat environment.","authors":"A Hill,&nbsp;C Hillman,&nbsp;T E Scott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prone position ventilation is a life-saving technique for the management of hypoxic respiratory failure in ventilated patients. It\u0000has particular application in the isolated Role 2 Afloat (R2A) environment where both human and material resources are limited.\u0000It can be achieved with minimal training. This article describes the rationale behind prone position ventilation and equips the\u0000reader with the knowledge base that will allow the technique to be instigated.</p>","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36377823","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":"Comparison of glycated haemoglobin and fasting blood glucose in the diagnosis of diabetes mellitus and pre-diabetes in a cohort of obese patients.","authors":"D M L Chan,&nbsp;M Murphy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) has historically been diagnosed by measurement of blood glucose concentrations. More recently, the\u0000use of glycated haemoglobin (HbA1c) has been advocated in the diagnosis of diabetes, complementing its existing role in the\u0000monitoring of glycaemic control.\u0000A recent study has shown that obesity is an important problem in the UK Armed Forces. Obese patients are at increased risk of\u0000diabetes and intermediate hyperglycaemia (pre-diabetes). It is unclear whether the application of diagnostic criteria based on\u0000HbA1c would produce different categorisation of obese patients compared with standard glucose-based criteria. In the current\u0000study, we compared HbA1c with fasting plasma glucose in the diagnosis of type 2 diabetes and intermediate hyperglycaemia in\u0000a cohort of obese patients.</p><p><strong>Methods: </strong>Patients were recruited from the NHS Tayside Specialist Weight Management Service. They were classified into three categories\u0000(normoglycaemia, pre-diabetes, and diabetes) according to their fasting plasma glucose (FPG) and HbA1c. The diagnostic\u0000criteria of three organisations were applied: the World Health Organisation (WHO); the American Diabetes Association (ADA);\u0000and the International Expert Committee (IEC). Glucose, insulin, cholesterol, triglycerides, uric acid, liver function tests and sex\u0000hormone-binding globulin (SHBG) were measured.</p><p><strong>Results: </strong>By WHO (fasting glucose) criteria, 102 subjects were classified as normal, 13 as having impaired fasting glycaemia (IFG) and\u00005 as having diabetes mellitus (DM). By IEC (HbA1c) criteria, 89 subjects were classified as normal, 21 as pre-diabetes and 7\u0000as DM. By ADA (HbA1c) criteria, 69 subjects were classified as normal, 41 as pre-diabetes and 7 as DM. Alkaline phosphatase\u0000was significantly higher in hyperglycaemic states compared with normal subjects, with ANOVA F statistics of 9.45 for WHO\u0000(p < 0.001), 9.24 for IEC (p < 0.001), and 6.87 for ADA (p < 0.01).</p><p><strong>Conclusion: </strong>Although the numbers were small, more obese patients were categorised as hyperglycaemic (pre-diabetes and diabetes) when\u0000HbA1c-based criteria were applied, compared with WHO (glucose-based) criteria. Further studies are required to confirm this\u0000preliminary observation.</p>","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36381217","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":"BMA Armed Forces Conference Report 2017","authors":"E. L. Williamson, L. Morrow, G. Evans","doi":"10.1136/jrnms-103-143","DOIUrl":"https://doi.org/10.1136/jrnms-103-143","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"143-143"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204258","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":"Humidifier fever on a Type 42 destroyer.","authors":"M Edmondstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1981, the description of symptoms widespread among his messmates by a Leading Seaman admitted to hospital with pneumonia\u0000led to an epidemiological and clinical investigation on board HMS SHEFFIELD, a Type 42 destroyer. It was concluded\u0000that all the members of one mess deck were affected by humidifier fever. Simple advice which was given to CINCFLEET staff to\u0000keep air conditioning systems running during refits and prolonged maintenance periods is believed to have prevented a recurrence\u0000on other ships.</p>","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"56-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36377822","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":"2017 – The Year of the Royal Navy","authors":"I. J. Kennedy","doi":"10.1136/jrnms-103-160","DOIUrl":"https://doi.org/10.1136/jrnms-103-160","url":null,"abstract":"","PeriodicalId":76059,"journal":{"name":"Journal of the Royal Naval Medical Service","volume":"103 1","pages":"160-161"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64204336","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}