Physicians assistants (PAs) are being increasingly utilised by the US Armed Forces both in homeland medical treatment provision as well as while on deployment. In a deployed environment, the USA has the flexibility to interchange doctors with specialty-trained PAs in all roles of care due to their ability to practice autonomously, thereby filling shortfalls created by the lack of specialty physicians. PAs are increasingly being utilised within the UK National Health Service, in similar roles to their US counterparts. This paper postulates that PAs have an equivalent role to play in the future of medical care provision within the UK Defence Medical Services, including on military operations.
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http://dx.doi.org/10.1136/jramc-2019-001298 | DOI Listing |
Gut
December 2024
Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, NHC Key Laboratory of Digestive Diseases, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Background: GI cancers pose an increasing global health burden, with their impact on the working-age population (WAP) aged 15-64 years remaining largely unexplored despite the crucial role of this group in societal and economic well-being.
Objective: To assess trends and cross-country inequality in the global burden of six GI cancers from 1990 to 2021 among individuals in the WAP.
Design: The 2021 Global Burden of Disease study dataset was used to obtain estimates of GI cancer incidence and 95% uncertainty intervals, including the number of cases, crude incidence rate and age-standardised incidence rate (ASIR).
PLoS One
December 2024
National Institute for Public Health and the Environment (RIVM), Centre for Infectious Diseases Research, Diagnostics and Laboratory Surveillance, Bilthoven, NLD.
At the beginning of the COVID-19 pandemic, diagnostic testing was not accessible for mildly ill or asymptomatic individuals. Military operational circumstances exclude the usage of reference laboratory tests. For that reason, at the beginning of the pandemic alternative test methods were needed in order to gain insight into the SARS-CoV-2 status of military personnel.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
January 2025
Department of Genetics, University of Cambridge, Cambridge CB23EH, United Kingdom.
Uncovering rates at which susceptible individuals become infected with a pathogen, i.e., the force of infection (FOI), is essential for assessing transmission risk and reconstructing distribution of immunity in a population.
View Article and Find Full Text PDFMycopathologia
December 2024
Department of Dermatology, Air Force Medical Center, Fourth Military Medical University, Beijing, China.
Background: Traditional methods for diagnosing onychomycosis are characterized by limited sensitivity and prolonged processing times, and heavily rely on the skill level of laboratory personnel.
Objectives: To develop a fast, simple, user-friendly, and reliable molecular assay that offers high sensitivity and specificity for the detection of common dermatophytes in nail specimens.
Methods: We developed a technique that integrates recombinase polymerase isothermal amplification with lateral flow dipstick (RPA-LFD) for the detection of pan-dermatophytes and Trichophyton rubrum, and evaluated its analytical sensitivity and specificity.
Environ Monit Assess
December 2024
Institute for Life Sciences and the Environment, University of Southern Queensland, Toowoomba, Queensland, 4350, Australia.
Military operations have long been recognized to cause significant environmental consequences. However, research on the environmental impacts of military operations remains fragmented despite the rise of modern technologies, including remote sensing (RS) and geographic information system (GIS). Hence, this study sought to review the literature on using RS and GIS approaches to assess military operations' environmental impacts.
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