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Full-Text Articles in Medicine and Health Sciences

Load Carriage: An Integrated Risk Management Approach, Rob Orr, Rodney Pope Dec 2015

Load Carriage: An Integrated Risk Management Approach, Rob Orr, Rodney Pope

Rodney P Pope

Military load carriage (LC) gives rise to substantial risks to soldier health, tactical performance, and mission success. The aim of this article was to extract and synthesize the key findings of a series of LC research reports previously published by the authors. Five reviews and 6 studies were included, with key findings extracted and synthesized in tabulated and critical narrative form. The weight of a soldier's load is a source of risk for soldier's injuries and tactical task performance. The resulting level of risk is influenced by risk modifiers (like speed of march, terrain grade, and task type and duration) …


Optimizing The Physical Training Of Mililtary Trainees, Rob Orr, Rodney Pope Dec 2015

Optimizing The Physical Training Of Mililtary Trainees, Rob Orr, Rodney Pope

Rodney P Pope

Initial military training is designed to prepare new trainees for the requirements of military service.


The War Within: One Soldier's Experience, Several Clinician's Perspectives, Laura M. Schmuldt, Troyann I. Gentile, Jason S. Bluemlein, John C. Fitch Iii, William R. Sterner Oct 2015

The War Within: One Soldier's Experience, Several Clinician's Perspectives, Laura M. Schmuldt, Troyann I. Gentile, Jason S. Bluemlein, John C. Fitch Iii, William R. Sterner

Troyann I. Gentile

Soldiers returning from deployment are presenting with a plethora of serious mental health challenges, including depression, anxiety, post-traumatic stress disorder, sleep disturbances, and substance abuse issues. This paper will describe the journey of one soldier following his deployment to Iraq and the difficulties he faced during reintegration. Clinicians representing five approaches – dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), group systems theory, and motivational interviewing (MI) will provide perspectives on the development of traumatic response symptomology, as well as suggestions for understanding and treating the soldier profiled in the case study.


Occupational Loads Carried By Australian Soldiers On Military Operations, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston Jul 2015

Occupational Loads Carried By Australian Soldiers On Military Operations, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rodney P Pope

Australian Army soliders carry absolute loads that are increasing in load mass but may differ between corps and genders due to the taks performed.


Professionalism Under Fire: Conflict, War And Epidemics, Michelle Mclean, Vikram Jha, John Sandars Jun 2015

Professionalism Under Fire: Conflict, War And Epidemics, Michelle Mclean, Vikram Jha, John Sandars

Michelle McLean

Today’s medical students (tomorrow’s doctors) will be entering a world of conflict, war and regular outbreaks of infectious diseases. Despite numerous international declarations and treaties protecting human rights, the last few decades has been fraught with reports of ‘‘lapses’’ in medical professionalism involving torture and force-feeding of detainees (e.g. captured during the War on Terror) and health care professionals refusing to treat infected patients (e.g. HIV and Ebola). This paper provides some historical background to the changing status of a physician’s duty to treat and how medical practitioners came to be involved in the inhumane treatment of detainees during the …


Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr Mar 2015

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rob Marc Orr

BACKGROUND: Soldiers are required to carry loads of up to 50kg or more while performing combat tasks, often in unpredictable and hostile environments. Removal of gender restrictions in combat arms trades of military forces, combined with the changing nature of warfare, means female soldiers are more frequently exposed to heavy military load carriage. PURPOSE: To determine relative risks and patterns of injuries, including serious personal injuries (SPI), associated with contemporary military load carriage in female compared to male soldiers. METHODS: Using key search terms, the Australian Regular Army’s (ARA) workplace injury database was searched to identify all reported injuries sustained …


Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr Mar 2015

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rodney P Pope

BACKGROUND: Soldiers are required to carry loads of up to 50kg or more while performing combat tasks, often in unpredictable and hostile environments. Removal of gender restrictions in combat arms trades of military forces, combined with the changing nature of warfare, means female soldiers are more frequently exposed to heavy military load carriage. PURPOSE: To determine relative risks and patterns of injuries, including serious personal injuries (SPI), associated with contemporary military load carriage in female compared to male soldiers. METHODS: Using key search terms, the Australian Regular Army’s (ARA) workplace injury database was searched to identify all reported injuries sustained …


Soldier Occupational Load Carriage – A Narrative Review Of Associated Injuries, Robin Orr, Rodney Pope, Venerina Johnston, Julia Coyle Mar 2015

Soldier Occupational Load Carriage – A Narrative Review Of Associated Injuries, Robin Orr, Rodney Pope, Venerina Johnston, Julia Coyle

Rodney P Pope

This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage …