There is a paucity of evidence to show the importance of morale within military units. The aim of this study was to explore how pre-enlistment and postenlistment factors influence morale and to ascertain which has the greater contribution. A cross-sectional study of the UK military involved in operations to Iraq was conducted between 2004 and 2006. The sample was randomly selected and was representative of the UK Armed Forces. Data were collected via questionnaires and included measures on unit cohesion and leadership, childhood adversity, and current service factors (e.g., whether individuals deployed as individuals or within formed units). Although childhood adversity was found to affect self-reported morale, current service factors were found to have a greater influence.
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http://dx.doi.org/10.7205/milmed-d-10-00079 | DOI Listing |
Eur Urol Open Sci
January 2025
Department of Urology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Background And Objective: Radiation-induced cystitis (RIC) is an important consequence of pelvic radiotherapy that can cause high morbidity and, in extreme cases, mortality. The lack of a widely accepted classification system makes it difficult to compare treatment regimens. Our aim was to develop a new classification system covering the RIC spectrum to improve treatment comparisons and accurate incidence estimates for systematic use in clinical and research settings.
View Article and Find Full Text PDFCureus
December 2024
Pediatric Neurology, Armed Forces Hospital Southern Region, Khamis Mushayt, SAU.
Purine nucleoside phosphorylase (PNP) deficiency is one of the very rare types of immune deficiency disorders inherited in an autosomal recessive (AR) manner. PNP deficiency is a progressive immune disorder that can range from severe combined immunodeficiency (SCID) to combined immunodeficiency and is associated with recurrent infections, neurological manifestations, and sometimes autoimmune disorders. In our case, we describe the case of a female patient, two years and six months old, with recurrent infections, severe neutropenia, failure to thrive, and a history of a deceased sister with the same condition.
View Article and Find Full Text PDFMedEdPORTAL
January 2025
Fellow, Department of Gynecologic Surgery and Obstetrics, Walter Reed National Military Medical Center.
Introduction: The future of training in second trimester surgical abortions with dilation and evacuation (D&E) procedures faces ongoing legal and political scrutiny; thus, adjuncts to standard clinical experiences are exceedingly important. We sought to build medical trainees' surgical familiarity with D&Es using a realistic simulation model.
Methods: The simulation began with an instructional video reviewing accessible and affordable materials used to build the fetal model (vaginal swabs, styrofoam ball, and putty) and the uterine model (collapsible water bottle).
Endocrinol Metab (Seoul)
January 2025
Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Gestational diabetes mellitus (GDM) affects over 10% of all pregnancies, both in Korea and worldwide. GDM not only increases the risk of adverse pregnancy outcomes such as preeclampsia, preterm birth, macrosomia, neonatal hypoglycemia, and shoulder dystocia, but it also significantly increases the risk of developing postpartum type 2 diabetes mellitus and cardiovascular disease in the mother. Additionally, GDM is linked to a higher risk of childhood obesity and diabetes in offspring, as well as neurodevelopmental disorders, including autistic spectrum disorder.
View Article and Find Full Text PDFAm J Nurs
February 2025
Joseph R. Danford is a medical student at the Tulane University School of Medicine in New Orleans, LA. Kayla Hearn is a military-civilian partner at Vanderbilt University Medical Center (VUMC) in Nashville, TN, where Elisa Bickett is the military-civilian program manager and Bradley M. Dennis is director of military-civilian partnerships. Cynthia Barrigan is director of military-civilian partnerships in the Office of the Army Surgeon General in Falls Church, VA. Daniel J. Stinner is a military-civilian partner at VUMC and Blanchfield Army Community Hospital in Fort Campbell, KY. Contact author: Joseph R. Danford, The authors have disclosed no potential conflicts of interest, financial or otherwise.
Background: In 2018, the U.S. Army Surgeon General created the Army Medical Department Military-Civilian Trauma Team Training (AMCT3) program to enhance the clinical proficiency of medical personnel serving on Army trauma teams called forward resuscitative surgical detachments (FRSDs).
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