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Treating osteoarticular infections in a Role 2 in Chad: a bacterial epidemiological study
Conclusion Staphylococcus aureus infections are most often sensitive to available antibiotics and therefore have better prognoses than infections caused by other bacteria. In contrast, in half of the cases of GNB, infections were caused by bacteria producing ESBL, thus posing the problem of multidrug-resistance, the risks of which are increased in precarious situations. Therefore, the type of bacteria appears to be a major prognostic factor in the treatment of osteoarticular infections in a Role 2 in Chad. This criterion will need to be considered before any treatment decisions are made. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Demoures, T., Choufani, C., Contargyris, C., Caubere, A., Mathieu, L., Barbier, O. Tags: Original research Source Type: research

Measuring wet bulb globe temperatures at point-of-exertion in worldwide UK military settings: a longitudinal observational study determining the accuracy of a portable WBGT monitor
Conclusion This equipment feasibility study has shown that the Kestrel 5400 gives an acceptable accuracy and is easier to use than the QT-34. The authors recommend that the Kestrel 5400 is introduced as an adjunct to the QT-34, and its use within the military setting monitored through ongoing comparative data collection in a large-scale proof-of-concept study. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Falconer Hall, P., Blackadder-Coward, J., Pynn, H. Tags: Original research Source Type: research

Employing body-fixed sensors and machine learning to predict physical activity in military personnel
Conclusions The study showed that accurate prediction of various dynamic activities can be achieved with high sensitivity using a low-cost easy-to-use sensor and a specific ML model. While this technique is in a development stage, our findings demonstrate that our body-fixed sensor prototype alongside a fully trained validated algorithm can strategically support military operations and offer valuable information to commanders controlling operations remotely. Further stages of our developments include the validation of our refined technique on a larger range of military activities and groups by combining activity data with ...
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Papadakis, N., Havenetidis, K., Papadopoulos, D., Bissas, A. Tags: Original research Source Type: research

Infectious diseases in German military personnel after predominantly tropical deployments: a retrospective assessment over 13 years
Conclusions Considerable rates of infections with sometimes atypical or absent symptoms confirm a need for returnee screenings after tropical deployments. High reported side effect rates for mefloquine support its replacement by atovaquone/proguanil or doxycycline for antimalarial chemoprophylaxis. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Schawaller, M., Wiemer, D., Hagen, R. M., Frickmann, H. Tags: Original research Source Type: research

Activities and risk factors associated with fall-related injuries among US Army soldiers
Conclusions The findings from this study suggest that male US Army soldiers and other physically active men may benefit from (1) obtaining and/or maintaining higher aerobic endurance and muscular strength, and (2) training focused on preventing fall-related injuries during PT, road marching and sports/recreational activities. Moreover, prevention strategies and education should further target younger soldiers (≤35 years old), as younger age is not modifiable. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Brooks, R. D., Grier, T., Jones, B. H., Chervak, M. C. Tags: Original research Source Type: research

Adherence to healthy dietary patterns and its association with physical fitness in military personnel
Conclusions We concluded that accompanying a medium or high adherence to a healthy dietary pattern will have an impact on good level of PF and will result in a better working power and long-term health consequences among physically strenuous occupations. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Ghodsi, R., Rostami, H., Parastouei, K., Taghdir, M., Esfahani, A. A., Nobakht, M. Tags: Original research Source Type: research

Allocation of funding into blast injury-related research and blast traumatic brain injury between 2000 and 2019: analysis of global investments from public and philanthropic funders
Conclusions Investment data suggest that blast TBI research has received greater funding than other blast injury health areas. The funding pattern observed can be seen as reactive, driven by the response to the War on Terror, the rising profile of blast TBI and congressionally mandated research. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Denny, J. W., Brown, R. J., Head, M. G., Batchelor, J., Dickinson, A. S. Tags: Open access Original research Source Type: research

Experiences of medical practitioners in the Australian Defence Force on live tissue trauma training
Conclusion In contrast to published research, live tissue training was thought by participants to possess characteristics that are not yet replicable using alternative learning aids. The experienced positive values of live tissue training should inform the decision to move towards non-animal alternatives. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Mahoney, A., Reade, M. C., Moffat, M. Tags: Original research Source Type: research

Physical fitness and anthropometrics in Finnish soldiers during their early career: prospective changes during a 3-year follow-up
Conclusions Small decrements in physical fitness and anthropometrics exist during the early career of soldiers. The changes in physical fitness differed according to baseline fitness levels. The results indicate that support for exercise training may be needed even in a soldier’s early career. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Vaara, J. P., Pihlainen, K., Rusila, J., Ojanen, T., Kyröläinen, H. Tags: Original research Source Type: research

Concussion history is associated with increased lower-extremity injury incidence in Reserve Officers Training Corps cadets
Conclusions ROTC cadets with a history of diagnosed concussion were more likely to have suffered an LE-MSI than cadets without a concussion history. ROTC cadre should be aware of this relationship and incorporate injury prevention protocols. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Hunzinger, K. J., Radzak, K. N., Costantini, K. M., Swanik, C. B., Buckley, T. A. Tags: Original research Source Type: research

Military experience in the management of pelvic fractures from OIF/OEF
Conclusions Pelvic fractures were common concomitant injuries following blast-induced traumatic lower extremity amputations. APC was the most common pelvic fracture pattern identified. While procedural therapy was frequent, the majority of patients underwent conservative therapy. However, placement of an external fixator was the most frequently used modality. Considering angioembolisation was used in less than 1% of cases, in the forward deployed military environment, management should focus on pelvic external fixation±preperitoneal packing. Finally, prehospital pelvic binder application may be an area for further p...
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Parker, W., Despain, R. W., Bailey, J., Elster, E., Rodriguez, C. J., Bradley, M. Tags: Original research Source Type: research

Facilitating future research and policy in PVL-associated Staphylococcus aureus in military cohorts
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Mason, A., Findlay-Cooper, K., Holden, G., Nevin, W., Ross, D., Lamb, L. Tags: Editorial Source Type: research

Myanmars coup detat and its impact on COVID-19 response: a collapsing healthcare system in a state of turmoil
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Rocha, I. C., Cedeno, T. D., Pelayo, M. G., Ramos, K., Victoria, H. O. H. Tags: COVID-19 Editorial Source Type: research

Abstracts from the UK Defence Surgical Research conference
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Swain, C., Breeze, J. Tags: Electronic page Source Type: research

9 Studying cognitive load in defence
Conclusion Cognitive load can be measured in a number of ways and this research provides initial evidence of the utility of combining measures to increase validity. Collecting reliable physiological and neurophysiological data is challenging even in controlled lab conditions. Neuroadaptive solutions offer promising ways to mitigate the onset of undesirable neurocognitive states. However, these need to be modelled on individuals’ own psychological state. For example, experienced surgeons or senior residents can process larger amounts of information than novices and an impersonalised system has the potential to increas...
Source: Journal of the Royal Army Medical Corps - March 23, 2023 Category: General Medicine Authors: Richins, M. T., Taylor, H. J., Smith, S. J. Tags: Electronic page Source Type: research