Abstract:
:A multi disciplinary team furthered the collaborative study of acute encephalitis in southeastern Nepal during a major epidemic which occurred in the monsoon period of 1986. Viral studies of serum and cerebro-spinal fluid (CSF) confirmed Japanese Encephalitis Virus (JEV) as the causative agent. Analysis of epidemiologic data suggests recent introduction of the virus to the regional population. Children accounted for the majority of all hospital admissions and had a markedly lower fatality rate from the infection than adults. Unfavourable prognostic indicators identified include a reduced conscious level on admission to hospital and a low serum or CSF IgM response to JEV.
journal_name
J R Army Med Corpsjournal_title
Journal of the Royal Army Medical Corpsauthors
McCallum JDdoi
10.1136/jramc-137-01-03subject
Has Abstractpub_date
1991-02-01 00:00:00pages
8-13issue
1eissn
0035-8665issn
2052-0468journal_volume
137pub_type
杂志文章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
pub_type: 杂志文章,评审
doi:10.1136/jramc-129-03-09
更新日期:1983-10-01 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
pub_type: 杂志文章
doi:10.1136/jramc-139-03-06
更新日期:1993-10-01 00:00:00
abstract::The physical mechanism of blunt impact injuries to thoracic and abdominal viscera is often conveniently described simply in terms of "crush"--this is an over-simplification. Any impact to the torso does result in the rapid displacement of the body wall which may lacerate and contuse underlying viscera, but this simple...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-135-02-04
更新日期:1989-06-01 00:00:00
abstract::This study investigates mortality from ischaemic heart disease during 1973-1984 in males under 55 years of age in the three Armed Services. Comparisons are drawn within and between each service and with ischaemic heart disease (IHD) mortality in the UK male population. Evidence of a significant decline in the Army dea...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-133-02-14
更新日期:1987-06-01 00:00:00
abstract::The ten-week Professionally Qualified Officers (PQO) course has been running successfully for a number of years and focuses on the values of officership, leadership and command. This article compares the principals embodied in the "Sandhurst Ethos" and the General Medical Council's "Duties of a Doctor" and examines ho...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-158-04-21
更新日期:2012-12-01 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
pub_type: 杂志文章
doi:10.1136/jramc-154-01-15
更新日期:2008-03-01 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
pub_type: 杂志文章
doi:10.1136/jramc-144-03-04
更新日期:1998-10-01 00:00:00
abstract::This paper is a record of the UK Defence Medical Services (DMS) contribution to the UK response to the Ebola crisis in West Africa from the start of planning in July 2014 to the closure of the Ministry of Defence Ebola Virus Disease Treatment Unit at the end of June 2015. The context and wider UK government decisions ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2015-000512
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:The Royal Army Medical Corps (RAMC) has justly regarded its relief of the appalling conditions found in the liberated Nazi concentration camp at Bergen-Belsen in April 1945 as one of its more glorious achievements. This view has, in the last decade, come under attack from historians who have, inter alia, crit...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 历史文章,杂志文章,评审
doi:10.1136/jramc-2015-000416
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:Confirming airway patency and the presence of breathing has significant limitations when both the casualty and medical personnel are in NBC category 4R. In casualties with limited signs of breathing, IPE may adversely affect the efficiency of clinical assessment, and when the triage sieve is used this coul...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-152-03-05
更新日期:2006-09-01 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
pub_type: 杂志文章,评审
doi:10.1136/jramc-150-04-03
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Venous thromboembolism (VTE) represents a significant preventable cause of hospital mortality. VTE assessment and prophylaxis rates are key patient safety and quality of care indicators. The aim of this study was to audit low molecular weight heparin (LMWH) and graduated elasticated compression stockings (GE...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2013-000199
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Definitive laparotomy (DL), with completion of all surgical tasks at first laparotomy has traditionally been the basis of surgical care of severe abdominal trauma. Damage control surgery (DCS) with a goal of physiological normalisation achieved with termination of operation before completion of anatomical ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-157-04-04
更新日期:2011-12-01 00:00:00
abstract::Scoring systems for both trauma and intensive care patients have been widely used since the 1960's. This article will introduce several scoring systems currently in use and discuss their potential use for military ICU patients. ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-155-02-10
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:Systemic arterial pressure rises on acute exposure to high altitude and changes in blood pressure (BP) and endothelial function may be important in the pathogenesis of clinical syndromes occurring at high altitude. METHODS:Arterial BP, stiffness (SI) and tone (RI) were studied over 11 days in 17 subjects (t...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-157-01-18
更新日期:2011-03-01 00:00:00
abstract:AIM:Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS:Sp...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2016-000679
更新日期:2017-08-01 00:00:00
abstract::The following article provides an overview of the research psychology capabilities within MOD's Defence Science Technology Laboratory (Dstl). An explanation is provided of the role of Dstl psychologists and the way they work to deliver impacting applied scientific research to address 'real world' defence and security ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2018-001045
更新日期:2019-04-01 00:00:00
abstract::In the late 18th Century wound debridement consisted of incision of skin and deep fascia to release the swelling associated with ballistic injury, however extremity war wounds were more usually managed non-operatively or by amputation. During the First World War debridement was redefined to include excision of all non...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 社论,历史文章
doi:10.1136/jramc-157-02-01
更新日期:2011-06-01 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
pub_type: 历史文章,杂志文章
doi:10.1136/jramc-153-03s-08
更新日期:2007-01-01 00:00:00
abstract::For the military doctor, an understanding of the metabolic effects of high altitude (HA) exposure is highly relevant. This review examines the acute metabolic challenge and subsequent changes in nutritional homeostasis that occur when troops deploy rapidly to HA. Key factors that impact on metabolism include the hypox...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-157-01-08
更新日期:2011-03-01 00:00:00
abstract::The maxillofacial injuries sustained by British troops requiring aeromedical evacuation to the United Kingdom are almost exclusively treated at The Royal Centre for Defence Medicine in Birmingham. As a result the Maxillofacial Department has collectively gained extensive experience in the management of ballistic injur...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-156-02-11
更新日期:2010-06-01 00:00:00
abstract::A case of ovarian ectopic pregnancy is described which satisfies all of Spiegelberg's criteria and in the discussion the reasons for the apparent association with an intrauterine contraceptive device are examined. :A case is reported of ovarian pregnancy in a woman wearing a Copper 7 IUD for 2 years. She has 2 weeks...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-133-02-09
更新日期:1987-06-01 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
pub_type: 杂志文章
doi:10.1136/jramc-134-01-02
更新日期:1988-02-01 00:00:00
abstract:BACKGROUND:Detailed knowledge of the likely volume and nature of the diseases presenting to deployed secondary care facilities aids operational planning. Now the British operation in Afghanistan has ended and a record of the experience is useful to preserve the lessons learned. METHODS:Over a 2-year period from April ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-2014-000385
更新日期:2016-02-01 00:00:00
abstract::Post-traumatic stress disorder (PTSD) is an important health risk factor for military personnel deployed in modern warfare. In World War I this condition (then known as shell shock or 'neurasthenia') was such a problem that 'forward psychiatry' was begun by French doctors in 1915. Some British doctors tried general an...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 历史文章,杂志文章
doi:10.1136/jramc-158-01-07
更新日期:2012-03-01 00:00:00
abstract::A patient who presented with recurrent bilateral knee effusions was found to have positive serum syphilis serology. She was treated with oral erythromycin to a total of 40 grams and intra-articular injection of steroids in the right knee joint. Late congenital syphilitic arthritis is discussed with a review of the lit...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-135-02-11
更新日期:1989-06-01 00:00:00
abstract::A modified version of the J95 morbidity reporting system, called J95a, was used in the Multinational Division South West (MND SW) during Operation Resolute 2. The broad scope of the 'Other Diseases' and 'Other Injuries' event codes were reduced, with codes being added for specific areas of interest which were 'ENT Pro...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-144-01-04
更新日期:1998-02-01 00:00:00
abstract::Myocarditis, simply defined as inflammation of the heart muscle, is a commonly encountered cardiac disease in primary and secondary care, both in the UK and on Operational deployments. In the UK Armed Forces, myocarditis results in deaths as well as the premature termination of military careers on medical grounds. The...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章,评审
doi:10.1136/jramc-2015-000500
更新日期:2015-09-01 00:00:00
abstract::We present a case of a UK soldier suffering multiple injuries in Afghanistan including a lacerated liver, complicated by acute anuric renal failure. His condition was stabilised prior to transfer to the UK using continuous venovenous haemofiltration. This is the first deployed use of renal replacement therapy by UK fo...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-157-02-11
更新日期:2011-06-01 00:00:00
abstract::Anterior sterno-clavicular dislocation, or fracture dislocation, as a result of carrying a backpack has not previously been described. We describe two cases, and reflect on the factors that may have led to the injuries, noting that the current PLCE (personal load carrying equipment) may also increase the risk of this ...
journal_title:Journal of the Royal Army Medical Corps
pub_type: 杂志文章
doi:10.1136/jramc-148-03-10
更新日期:2002-09-01 00:00:00