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Empowering catastrophic far-forward self-care: Nobody should die alone without trying 增强灾难性的远期自我护理能力:任何人都不应该在没有尝试的情况下独自死去
IF 0.9 Q3 Medicine Pub Date : 2022-07-20 DOI: 10.3138/jmvfh-2021-0121
A. Kirkpatrick, Jessica L. Mckee
LAY SUMMARY Traumatic injury is the most common cause of death among young people. Most victims of trauma die alone before medical response is possible. Typical causes of death are not overly complex to fix if access to standard hospital interventions is feasible. Dying victims are often connected to smartphone-supporting informatic communication technologies, which make available a worldwide network of experts who can potentially reassure and remotely diagnose victims and provide life-saving advice. TeleMentored Ultrasound Supported Medical Interventions (TMUSMI) researchers have focused on empowering point-of-care providers to perform outside their scope and deliver life-saving interventions. With the recognition that coronavirus disease 2019 (COVID-19) has profoundly isolated many people, solutions to respect COVID-19 isolation policies have stimulated the TMUSMI group to appreciate the potential for informatic technologies’ effect on the ability to care for oneself in cases of catastrophic injury.
外伤性损伤是年轻人中最常见的死亡原因。大多数创伤受害者在得到医疗救治之前就孤独地死去了。如果获得标准的医院干预措施是可行的,典型的死亡原因就不会太复杂而无法解决。垂死的受害者通常连接到支持智能手机的信息通信技术,这使得全球专家网络可以放心并远程诊断受害者并提供救生建议。远程监控超声支持医疗干预(TMUSMI)的研究人员专注于授权点护理提供者在其范围之外执行并提供挽救生命的干预措施。由于认识到2019冠状病毒病(COVID-19)已使许多人严重隔离,尊重COVID-19隔离政策的解决方案促使TMUSMI小组认识到信息技术在灾难性伤害情况下对自我护理能力产生影响的潜力。
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引用次数: 2
Mediating role of dyadic satisfaction on social support and health outcomes in a sample of military family caregivers 军人家庭照顾者二元满意度对社会支持和健康结果的中介作用
IF 0.9 Q3 Medicine Pub Date : 2022-07-19 DOI: 10.3138/jmvfh-2022-0110
S. Wilcox
LAY SUMMARY Military family caregivers (MFCs) can experience many health-related challenges associated with caregiving responsibilities. Perceived support from a spouse or partner can influence dyadic satisfaction and health outcomes among those who care for a spouse or partner. This study examined the relations among social support, dyadic satisfaction, and mental (i.e., depressive and anxiety symptoms) and physical (i.e., somatic symptoms) health outcomes in a sample of MFCs. This sample consisted of 104 MFCs who were the spouse or partner of their care recipient. The findings indicate that more support predicted greater dyadic satisfaction and greater dyadic satisfaction predicted fewer anxiety symptoms. This study highlights the importance of considering relationship-focused contributors to mental health outcomes.
摘要:军人家庭照顾者(mfc)可能会遇到许多与照顾责任相关的健康挑战。配偶或伴侣的支持可以影响照顾配偶或伴侣的人的双重满意度和健康结果。本研究考察了社会支持、二元满意度、精神(即抑郁和焦虑症状)和身体(即躯体症状)健康结局之间的关系。该样本由104名mfc成员组成,他们是受照护者的配偶或伴侣。研究结果表明,更多的支持预示着更大的双重满意度,更大的双重满意度预示着更少的焦虑症状。这项研究强调了考虑以关系为中心的因素对心理健康结果的重要性。
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引用次数: 0
Characterizing mental, behavioural, and physical health among active duty U.S. sailors and Marines 美国现役水兵和海军陆战队员的心理、行为和身体健康特征
IF 0.9 Q3 Medicine Pub Date : 2022-07-19 DOI: 10.3138/jmvfh-2022-0003
Nikki E. Barczak-Scarboro, Michael S. Stone, Lisa M Hernández, Marcus K. Taylor
LAY SUMMARY Optimal health is critical for military personnel’s performance and readiness. To date, military research on mental and behavioural health has primarily focused on men in the U.S. Army. Indicators of physical health (e.g., blood pressure) and how they relate to mental and behavioural health are also understudied in military populations. To explore the impact of occupational stress and to simultaneously assess different types of health in a more diverse military population, this study evaluated mental, behavioural, and physical health factors in a large group of U.S. Navy and Marine Corps service members that included men and women from various occupational specialties. Military job stress (e.g., time of service, number of deployments) was related to mental, behavioural, and physical health. A more well-rounded approach to health status assessment in large, diverse military populations may support the development of targeted disease prevention strategies.
最佳的健康状况对军事人员的表现和战备状态至关重要。迄今为止,关于心理和行为健康的军事研究主要集中在美国陆军的男性身上。对军人的身体健康指标(如血压)及其与心理和行为健康的关系的研究也不足。为了探索职业压力的影响,同时评估不同类型的健康在更多样化的军事人口中,本研究评估了一大批美国海军和海军陆战队服务人员的心理、行为和身体健康因素,其中包括来自不同职业专业的男性和女性。军事工作压力(例如服役时间、部署次数)与心理、行为和身体健康有关。对大量不同的军事人口进行更全面的健康状况评估,可能有助于制定有针对性的疾病预防战略。
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引用次数: 0
The origin, evolution, and future of prolonged field care in the Canadian Special Operations Forces Command 加拿大特种作战部队司令部长时间野战护理的起源、演变和未来
IF 0.9 Q3 Medicine Pub Date : 2022-06-25 DOI: 10.3138/jmvfh-2022-0008
J. Schmid, Dylan Pannell
LAY SUMMARY As a result of the unpredictable nature of warfare, military medics deployed on missions may be required to manage seriously ill or injured patients for longer than expected. Because this type of care is not typically the focus of a military medic’s training or mandate, core skills and knowledge gaps were, not surprisingly, identified. For this reason, specialized training was developed, and the term prolonged field care (PFC) was coined. PFC takes on concepts associated with traditional hospital care and translates them into austere military medical environments with limited resources, including supplies, equipment, and trained medical providers to manage critically ill or wounded patients. This training program helps medics maximize their ability to save lives and improve outcomes for those who are ill or injured. This article discusses how PFC originated both internationally and within the Canadian Special Operations Forces Command and core concepts and applications for future operations.
由于战争的不可预测性,部署在特派团的军事医务人员可能需要比预期更长时间地管理重病或重伤病人。由于这类护理通常不是军医培训或授权的重点,因此发现了核心技能和知识差距,这并不奇怪。出于这个原因,专门的训练被开发出来,并创造了长期野外护理(PFC)这个术语。PFC采用了与传统医院护理相关的概念,并将其转化为资源有限的严峻军事医疗环境,包括供应品、设备和训练有素的医疗提供者,以管理危重病人或伤员。这个培训项目帮助医务人员最大限度地发挥他们拯救生命的能力,并改善那些生病或受伤的人的预后。本文讨论了PFC是如何在国际上和加拿大特种作战部队司令部内部起源的,以及未来作战的核心概念和应用。
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引用次数: 0
Celebrating art in the military community 在军事社区庆祝艺术
IF 0.9 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.3138/jmvfh-2021-8-2-01
S. Bélanger, D. Pedlar, Dianne Groll
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引用次数: 0
Comments on Busse and MacKillop’s ‘Medical cannabis and cannabinoids for chronic pain: Summary of a Rapid Recommendation’ 对Busse和MacKillop的《医用大麻和大麻素治疗慢性疼痛:快速推荐总结》的评论
IF 0.9 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.3138/jmvfh-2021-0106
J. Thompson, B. Wolfrom, Sean Meredith
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引用次数: 0
Response to comments on ‘Medical cannabis and cannabinoids for chronic pain: Summary of a Rapid Recommendation’ 对"医用大麻和大麻素治疗慢性疼痛:快速建议摘要"评论的回应
IF 0.9 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.3138/jmvfh-2021-8-2-02
J. Busse, J. Mackillop
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引用次数: 0
Characteristics, institutional behaviour, and post-release outcomes of federal Veteran and non-Veteran men offenders 联邦退伍军人和非退伍军人男性罪犯的特征、机构行为和释放后的结果
IF 0.9 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.3138/jmvfh-2021-0103
S. MacDonald, Sarah Cram, D. Derkzen, Teresa Pound, Mike Mooz
LAY SUMMARY Incarcerated Veterans represent 2.5% of the federal offender population and are a unique subset of the general Canadian Veteran population. This study provides the first in-depth examination of Veteran offenders in federal custody. During the study period, 374 federal offenders self-reported as Veterans. Federal Veteran offenders were older and more likely to have committed a violent offence and to have mental health concerns. Although they were more likely to report mental health concerns, Veteran offenders have more stable institutional behaviour and greater post-release success than non-Veterans. Understanding the unique characteristics and correctional experiences of federal Veteran offenders aids in identifying needs related to intervention and support to promote successful community reintegration after release. Future qualitative research should enhance knowledge of the lived experiences of Veterans involved in the federal criminal justice system in Canada.
被监禁的退伍军人占联邦罪犯人口的2.5%,是加拿大退伍军人人口的一个独特子集。这项研究首次对联邦监狱中的老兵罪犯进行了深入调查。在研究期间,374名联邦罪犯自称是退伍军人。联邦退伍军人罪犯年龄更大,更有可能犯下暴力罪行,并有精神健康问题。虽然他们更有可能报告心理健康问题,但退伍军人罪犯比非退伍军人有更稳定的机构行为和更大的释放后成功。了解联邦退伍军人罪犯的独特特点和惩教经历有助于确定与干预和支持有关的需求,以促进他们在释放后成功地重返社会。未来的定性研究应加强对参与加拿大联邦刑事司法系统的退伍军人生活经验的了解。
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引用次数: 1
Artwork from military personnel, Veterans, and their family members 来自军人、退伍军人及其家属的艺术品
IF 0.9 Q3 Medicine Pub Date : 2022-06-01 DOI: 10.3138/jmvfh.8.2.003
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引用次数: 0
A brief history of Canadian freeze-dried blood products: Ingenuity, collaboration, and leadership 加拿大冻干血液制品简史:独创性、合作和领导力
IF 0.9 Q3 Medicine Pub Date : 2022-05-28 DOI: 10.3138/jmvfh-2021-0117
Marcus A. Moore, Andrew Beckett
LAY SUMMARY During the Second World War, Canada became a leader in the development and production of products used to treat shock, particularly shock caused by massive bleeds. Canada started the first blood service in response to the need for blood products overseas. This was done in the form of freeze-dried serum, which is made up of fluid-based proteins extracted from blood. Freeze-dried serum could be stored indefinitely and was lightweight, hardy, and easy to deliver both to the battlefield and to the patient. Freeze-dried serum could be provided to patients in shock as a result of losing a large volume of blood. Unfortunately, after the war, freeze-dried blood products fell out of favour over concerns about viral hepatitis. Recently, freeze-dried blood products have enjoyed a renaissance, and Canada is currently developing a new product to meet the challenges of remote resuscitation.
在第二次世界大战期间,加拿大在开发和生产用于治疗休克的产品方面处于领先地位,特别是由大量出血引起的休克。加拿大开始了第一个血液服务,以应对海外对血液制品的需求。这是以冻干血清的形式完成的,它是由从血液中提取的液体蛋白质组成的。冻干血清可以无限期储存,而且重量轻,耐寒,便于运送到战场和病人身上。冻干血清可以提供给因大量失血而休克的病人。不幸的是,战后,由于担心病毒性肝炎,冻干血液制品不再受欢迎。最近,冻干血液制品复兴,加拿大目前正在开发一种新产品,以应对远程复苏的挑战。
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引用次数: 0
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Journal of Military, Veteran and Family Health
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