Recurrent bacterial meningitis and impaired host defences.

abstract：:Burn excision is the gold standard treatment for full thickness and some deep partial thickness burns. Early burn excision (24-96 hours) has been shown to improve patient outcomes. However, in the military setting, transporting the patient to a centre which can provide this procedure can be delayed. Especially as cont...

journal_title：Journal of the Royal Army Medical Corps

authors： Pujji O,Jeffery SLA

更新日期：2018-09-01 00:00:00

abstract：:Using a major ethics crisis as a methodological approach to study secret science environments, part II examines the origins and organisation of the Applied Biology Committee (ABC), the first independent research ethics committee (REC) at Porton Down, Britain's biological and chemical warfare establishment since the Fi...

journal_title：Journal of the Royal Army Medical Corps

authors： Schmidt U

更新日期：2019-08-01 00:00:00

abstract：:This article describes the non-operative management of five patients with ballistic abdominal solid organ injuries in a role 2E medical treatment facility. The selective non-operative management of ballistic abdominal solid organ injury is an accepted management strategy in high-volume civilian trauma centres, and app...

journal_title：Journal of the Royal Army Medical Corps

authors： Wood AM,Trimble K,Louden MA,Jansen J

更新日期：2010-03-01 00:00:00

abstract：OBJECTIVE:To examine the risk of cervical cancer in a large national cohort of military veteran women followed up for up to 30 years. METHODS:Retrospective cohort study of 5235 veteran women born between 1945 and 1985, and 20 703 women with no record of service matched for age and area of residence, using Cox proporti...

journal_title：Journal of the Royal Army Medical Corps

authors： Bergman BP,Mackay DF,Pell JP

更新日期：2016-10-01 00:00:00

abstract：:A method of comparing the quality of intestinal anastomoses performed in craft workshops is described. The equipment is readily available in any hospital, inexpensive and requires no technical construction. The apparatus accurately measures the intraluminal pressure at the first sign of anastomotic leak and a method o...

journal_title：Journal of the Royal Army Medical Corps

authors： Royle CA,Phillips RK

更新日期：1993-10-01 00:00:00

abstract：:This study examines sudden unexpected deaths in relation to strenuous exercise in the five years following the introduction of the Basic Fitness Test viz: 1978-82 and, by comparison with an identical study of the years 1968-77, shows that the annual exercise associated mortality rate rose from 3.5 per 100,000 before t...

journal_title：Journal of the Royal Army Medical Corps

authors： Lynch P,Ineson N,Jones KP,Scott AW

更新日期：1985-02-01 00:00:00

abstract：:The deployed clinical environment is complex. Hospex provides a vehicle to model this complexity and provide deploying hospitals the opportunity to rehearse in a realistic but controlled environment. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Davies TJ,Nadin MN,McArthur DJ,Cox CW,Roberts P

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Common Variable Immunodeficiency (CVID) is the commonest form of severe antibody deficiency. It is characterized by reduced levels of IgG (<400 mg/dL) and low IgA and/or IgM levels, recurrent bacterial infections, impaired antibody responses despite the presence of B Cells and normal or near normal T immunit...

journal_title：Journal of the Royal Army Medical Corps

authors： Lamb L,Richards P,Edgar JD

更新日期：2008-03-01 00:00:00

abstract：:The Royal Army Medical Corps and its predecessors have always had an interest in the selection and training methods of the Army, especially when physiological principles are in question. Surgeon Major Davy appears to have suggested an early combat fitness test as a better method of assessing the suitability of recruit...

journal_title：Journal of the Royal Army Medical Corps

authors： Bennett JD

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:In a care under fire situation, a first line response to haemorrhage is to apply a tourniquet and return fire. However, there is little understanding of how tourniquets and other haemorrhage control devices impact marksmanship. METHODS:We compared the impact of the iTClamp and the Combat Application Tourniq...

journal_title：Journal of the Royal Army Medical Corps

authors： LaPorta A,Kirkpatrick AW,Mckee JL,Roberts DJ,Tien H,Beckett A,Ball CG,Mckee I,Louw D,Holcomb JB

更新日期：2017-06-01 00:00:00

abstract：:The British Army liberated the German concentration camp at Belsen on April 15, 1945. The thousands of inmates (estimates range from 60,000 to 78,900 inmates), mostly Jews from eastern Europe, were dying at a rate of 500-600 per day from disease, and many more were being killed by the German guards and co-workers. Dis...

journal_title：Journal of the Royal Army Medical Corps

authors： Trepman E

更新日期：2001-10-01 00:00:00

abstract：INTRODUCTION:Haemorrhage from the injured extremity is a significant cause of preventable death in military settings. This study evaluated the effect of training on the efficacy of the combat application tourniquet (CAT) and to define standards for military personnel. METHOD:Participants from a training tank battalion...

journal_title：Journal of the Royal Army Medical Corps

authors： Unlu A,Kaya E,Guvenc I,Kaymak S,Cetinkaya RA,Lapsekili EO,Ozer MT,Guler A,Yildiz R,Petrone P,Harlak A,Kilic S

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:The long-term effect of repetitive trauma by military parachuting on the lumbar spine is not well investigated. Therefore, the purpose of this study was to examine the development of lumbar degenerative changes during a 30-year follow-up in Japanese Ground Self Defense Forces (JGSDF) parachute infantry soldi...

journal_title：Journal of the Royal Army Medical Corps

authors： Nemoto O,Kitada A,Naitou S,Tsuchihara T,Ito Y,Tachibana A

更新日期：2014-12-01 00:00:00

abstract：:On Friday 16 February 2001, terrorists detonated a bomb under a civilian coach travelling from Nis in Serbia to Gracanica in Kosovo. 10 people were killed at the scene. 13 casualties were treated in the British KFOR hospital (Reynolds Hospital) in Pristina. Another 8 casualties were evacuated to the American KFOR hosp...

journal_title：Journal of the Royal Army Medical Corps

authors： Vassallo DJ,Graham PJ,Gupta G,Alempijevic Dj

更新日期：2005-03-01 00:00:00

abstract：OBJECTIVES:Historically, burns have formed a significant proportion of the casualties of war. The management of burns in recent conflict has been found to be a resource-heavy undertaking, though its impact on both personnel and resources in current conflicts is unclear. A case analysis has been carried out in order to ...

journal_title：Journal of the Royal Army Medical Corps

authors： Jeevaratnam JA,Pandya AN

更新日期：2014-03-01 00:00:00

abstract：:The vast majority of casualties will only require a common sense approach to their preparation for evacuation, by asking simple questions, most problems can be identified and resolved prior to the evacuation. Ask? Are aeromed teams available to undertake this task? (Contact them). If aeromed teams are unavailable but ...

journal_title：Journal of the Royal Army Medical Corps

authors：

更新日期：2004-03-01 00:00:00

abstract：:The deployment of 16 Air Assault Brigade to Helmand Province, Afghanistan in April-October 2006 was supported by a two -surgeon Field Surgical Team (FST) embedded within a 25 bed medical facility. We report the summative operative experience of the FST in order to analyse workload, case-mix and outline future training...

journal_title：Journal of the Royal Army Medical Corps

authors： Tai N,Hill P,Kay A,Parker P

更新日期：2008-03-01 00:00:00

abstract：:By virtue of the Battalion I serve with, I was the first Task Force Doctor on to the Falklands. On Friday the 21st May, 2 Para made an assault beach landing, thankfully unopposed, on San Carlos beach, the RAP was with them. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Hughes SJ

更新日期：2007-01-01 00:00:00

abstract：:The Australian Army recently adopted the British concept of hospital exercise (HOSPEX) as a means of evaluating the capabilities of its deployable NATO Role 2E hospital, the 2nd General Health Battalion. The Australian approach to HOSPEX differs from the original UK model. This article describes the reasons why the Au...

journal_title：Journal of the Royal Army Medical Corps

authors： Gill G,Butt P,Reade MC,Crozier J,Williams A,Thomas T,Flint B,Matthews G,Duff N,Brown G,Chambers A,Courtenay B,Innes D,Malley BO

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:SLAP (superior labrum anterior and posterior) lesions are a recognised cause of shoulder pain and instability. They can occur following a direct blow, biceps traction and compression injuries, and are commonly seen in overhead athletes. Military personnel are physically active and often subjected to trauma. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Kampa RJ,Clasper J

更新日期：2005-09-01 00:00:00

abstract：:A case of a 28 years old Caucasian woman is presented with acute tibial compartment of her left leg secondary to repeated self inflicted soft tissue injuries, together with literature review on Dermatitis Artefacta. ...

journal_title：Journal of the Royal Army Medical Corps

authors： Eskander MB,MacDonald R

更新日期：1994-06-01 00:00:00

abstract：:A retrospective study was made of all 28 soldiers with chronic pancreatitis first diagnosed between 1978 and 1989. All patients were male, alcohol was the aetiological factor in 90%, the mean age at diagnosis was 30 and the commonest mode of presentation was with recurrent painful episodes of pancreatitis. Endocrine a...

journal_title：Journal of the Royal Army Medical Corps

authors： Melia WM,Sims MM,Whitehouse DP,Cowan GO

更新日期：1992-10-01 00:00:00

abstract：:A retrospective analysis of 53 consecutive cases of orchidopexy performed at the British Military Hospital Munster between 1984 and 1988 showed that the average of referral for orchidopexy was 4 years 7 months and that the average age at surgery for mal/un-descended testes was 5 years exactly. Sixty-four percent of al...

journal_title：Journal of the Royal Army Medical Corps

authors： Corner NB,Bissett RJ,Hull JB,Roberts P

更新日期：1990-02-01 00:00:00

abstract：:Role 2 Afloat provides a damage control resuscitation and surgery facility in support of maritime, littoral and aviation operations. Resuscitative endovascular balloon occlusion of the aorta (REBOA) offers a rapid, effective solution to exsanguinating haemorrhage from pelvic and non-compressible torso haemorrhage. It ...

journal_title：Journal of the Royal Army Medical Corps

authors： Rees P,Waller B,Buckley AM,Doran C,Bland S,Scott T,Matthews J

更新日期：2018-05-01 00:00:00

abstract：:A 31-year-old female soldier developed subacute cutaneous lupus erythematosus, which remained undiagnosed for 4 years. Referral to dermatology and a punch biopsy confirmed the diagnosis and effective treatment was instituted. The presence of an unresolving annular rash in light-exposed areas, especially in a young wom...

journal_title：Journal of the Royal Army Medical Corps

authors： Furzeland J,Malcolm P

更新日期：2017-04-01 00:00:00

abstract：:Leishmaniasis is an infectious disease caused by Leishmania protozoa and occurs as a spectrum of clinical syndromes ranging from various forms of cutaneous leishmaniasis (CL) to mucosal leishmaniasis (ML) and visceral leishmaniasis (VL). CL in Afghanistan is either zoonotic (ZCL) due to L. major or anthroponotic (ACL)...

journal_title：Journal of the Royal Army Medical Corps

authors： Matheson A,Williams R,Bailey MS

更新日期：2012-09-01 00:00:00

abstract：:This review outlines the present knowledge of American cutaneous leishmaniasis, a disease which, owing to the increase in international travel, is being seen with increasing frequency in Europe and North America. A knowledge of this disease is of particular importance to the military medical officer as in recent years...

journal_title：Journal of the Royal Army Medical Corps

authors： Freeman K

更新日期：1983-10-01 00:00:00

abstract：:The clinical experience of an army surgeon in a military hospital in East Nepal is discussed. The truly general nature of the work load is highlighted and the need for a broad based general training in surgery for such a task is well illustrated. A high degree of interdisciplinary cooperation was experienced and was i...

journal_title：Journal of the Royal Army Medical Corps

authors： Ryan JM

更新日期：1988-02-01 00:00:00

abstract：:The optimal fluid for the resuscitation of critically ill and injured patients remains the subject of considerable controversy. Hypertonic crystalloid solutions such as hypertonic saline provide rapid volume expansion, have an acceptable safety profile, and are easy to store and transport. Recent meta-analyses suggest...

journal_title：Journal of the Royal Army Medical Corps

authors： Smith JE,Hall MJ

更新日期：2004-12-01 00:00:00

abstract：:Hydatid disease of the liver is highly prevalent in oriental countries including Turkey, in which their population live mostly in rural areas. The outcome of surgical methods used in the management of a cystic cavity in patients with hepatic hydatid disease was evaluated. Three hundred and forty consecutive patients w...

journal_title：Journal of the Royal Army Medical Corps

authors： Akin ML,Erenoglu C,Uncu EU,Basekim C,Batkin A

更新日期：1998-10-01 00:00:00