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Physical activity of daily life of Bundeswehr soldiers: a cross-sectional study
Conclusions Based on these findings, targeted physical activity measures can be established for the identified target groups within the framework of corporate health management in order to ensure the physical fitness of soldiers on routine duty and on deployment. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - July 21, 2023 Category: General Medicine Authors: Schilz, C., Sammito, S. Tags: Original research Source Type: research

A pilot study of the depression, anxiety and stress in Greek military personnel during the first year of the COVID-19 pandemic
Conclusions The low levels of depression and stress among our military sample population demonstrate the importance of periodic monitoring of the psychometric items of the DASS-21 subscales to design and implement psychological prevention strategies, especially during the ongoing and future healthcare crises. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - July 21, 2023 Category: General Medicine Authors: Kotoulas, A. S., Karamanavis, D., Lambrou, G. I., Karanikas, P. Tags: COVID-19 Original research Source Type: research

Degenerative cervical spine changes among early career fighter pilots: a 5-year follow-up
Discussion We found that IVD degeneration and the prevalence of disc herniations increased at a similar rate for fighter pilots and non-flying military students when all cervical levels were summed up. The lack of difference may be explained by the relatively low cumulative +Gz exposure during the first 5 years of a pilots’ career. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - July 21, 2023 Category: General Medicine Authors: Keskimölö, T., Pernu, J., Karppinen, J., Niinimäki, J., Oura, P., Leino, T., Honkanen, T. Tags: Open access Original research Source Type: research

Shared decision making and remote consulting
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Willman, A. S. Tags: Letter Source Type: research

COVID-19 outbreak in a vaccinated deployed military population
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Elston, R. J. S., Pennyfather, C., Peppin, S. Tags: COVID-19 Letter Source Type: research

Limp referrals? Improving ankle and foot radiograph referral appropriateness in a military primary care setting
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Kirkham, H. Tags: Letter Source Type: research

Effectiveness of herbal medicines for the treatment of insomnia in Korean military service members: a prospective pilot study
(Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lee, H., Nam, S., Choi, Y., Son, B. Tags: Letter Source Type: research

Framework for the evaluation of military health systems
The organisation of a military health system (MHS) differs from the civilian system due to the role of the armed forces, the unique nature of the supported population and their occupational health requirements. A previously published review of the Military Medical Corps Worldwide Almanac demonstrated the value of a standardised framework for evaluation and comparison of MHSs. This paper proposes such a framework which highlights the unique features of MHSs not covered by health services research of national health systems. These include: national context and summary; organisational structure; firm base facilities, healthca...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Leone, R., Whitaker, J., Homan, Z., Bandekow, L., Bricknell, M. Tags: Open access Personal view Source Type: research

How should we manage severe anxiety towards dental treatment in UK service personnel?
Anxiety towards dental treatment is a significant barrier towards care within the United Kingdom Armed Forces. Avoidance of dental treatment results in morbidity, and severe dental infections can lead to systemic disease, which in turn may require hospitalisation. Of greater concern are deployed phobic patients who may develop dental pathology or suffer dental trauma and will likely require evacuation to the UK or a suitable host nation. This has considerable financial implications and in a war setting may place everyone in the evacuation chain at greater risk especially considering that it is not possible to manage these ...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Edwards, D., Ramsey, R., Breeze, J. Tags: Editor''s choice Personal view Source Type: research

Defence Medical Rehabilitation Centre (DMRC) COVID-19 Recovery Service
Coronavirus disease 2019 (COVID-19) causes significant mortality and morbidity, with an unknown impact in the medium to long term. Evidence from previous coronavirus epidemics indicates that there is likely to be a substantial burden of disease, potentially even in those with a mild acute illness. The clinical and occupational effects of COVID-19 are likely to impact on the operational effectiveness of the Armed Forces. Collaboration between Defence Primary Healthcare, Defence Secondary Healthcare, Defence Rehabilitation and Defence Occupational Medicine resulted in the Defence Medical Rehabilitation Centre COVID-19 Recove...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: O'Sullivan, O., Barker-Davies, R., Chamley, R., Sellon, E., Jenkins, D., Burley, R., Holden, L., Nicol, A. M., Phillip, R., Bennett, A. N., Nicol, E., Holdsworth, D. A. Tags: COVID-19 Personal view Source Type: research

Should we give military families a break? A call for research on military family holidays
This article aims to stimulate debate regarding how families are supported within the UK Armed Forces. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Caddick, N., Fossey, M. Tags: Personal view Source Type: research

Evaluating serious stress in military veterans, their carers and families: a protocol
In 2018, the Armed Forces Covenant Fund Trust (ACFT) allocated approximately £4M to seven UK projects to address serious stress in military veterans, their carers and families. These programmes commenced between May and October 2019 and will conclude in August 2021. This paper outlines the protocol for the evaluation of the Tackling Serious Stress programme and the novel support provided to grant holders. Entry into the programmes was through multiple routes, including self-referrals with an anticipated sample of approximately 2000 participants. A common outcomes framework was designed to measure outcomes. Grant hold...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Finnegan, A., Di Lemma, L., Mcghee, S., Watson, R. Tags: Personal view Source Type: research

Medication-assisted treatment and self-help group participation among military veterans with opioid or alcohol use disorder
Conclusions Recommendations for future research on MAT and implementation for the veteran population would benefit the literature base. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Albright, D. L., McDaniel, J. T., Suntai, Z., Laha-Walsh, M. K., Frick, K., Weatherly, T., McIntosh, S. Tags: Original research Source Type: research

Longitudinal study of medical downgrades in the Royal Air Force
Conclusion Musculoskeletal disease was the leading cause for permanent medical downgrades in the RAF. A greater proportion of downgraded personnel with musculoskeletal conditions were retained in service with medical limitations rather than medically discharged. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Capella, S., Demoulin, E., Wilkinson, C., Hindle, P. Tags: Original research Source Type: research

Rehabilitation post-COVID-19: cross-sectional observations using the Stanford Hall remote assessment tool
Conclusions Rehabilitation assessment should be offered to all patients suffering post-COVID-19 symptoms, not only those with laboratory confirmation and considered independently from acute illness severity. This tool offers a structure for a remote assessment. Post-COVID-19 programmes should include SOB, fatigue and mood disturbance management. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: OSullivan, O., Barker-Davies, R. M., Thompson, K., Bahadur, S., Gough, M., Lewis, S., Martin, M., Segalini, A., Wallace, G., Phillip, R., Cranley, M. Tags: COVID-19 Original research Source Type: research