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  1. Article ; Online: Delivering high-quality military healthcare: 'no need for fancy subspecialties'.

    Cohen, Hugo M L / Horne, S-J / Campbell, E / Bowley, D M / Mountain, A

    BMJ military health

    2024  

    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2023-002662
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Battlefield REBOA: Aces High or Journey's End?

    Parker, Paul / Johnston, A M / Mountain, A / Pynn, H

    BMJ military health

    2023  Volume 169, Issue 6, Page(s) 482–484

    Language English
    Publishing date 2023-11-22
    Publishing country England
    Document type Editorial
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/bmjmilitary-2021-002054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Acquisition and retention of military surgical competencies: a survey of surgeons' experiences in the UK Defence Medical Services.

    Cant, Matthew R / Naumann, D N / Swain, C / Mountain, A J / Baden, J / Bowley, D M

    BMJ military health

    2024  Volume 170, Issue 2, Page(s) 117–122

    Abstract: Introduction: The acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill sustainment have reduced due to the cessation of combat ... ...

    Abstract Introduction: The acquisition and retention of militarily relevant surgical knowledge and skills are vital to enable expert management of combat casualties on operations. Opportunities for skill sustainment have reduced due to the cessation of combat operations in Iraq and Afghanistan and lack of military-relevant trauma in UK civilian practice.
    Methods: A voluntary, anonymous online survey study was sent to all UK Defence Medical Services (DMS) surgical consultants and higher surgical trainees in Trauma and Orthopaedics, Plastic and Reconstructive, and General and Vascular surgical specialties (three largest surgical specialties in the DMS in terms of numbers). The online questionnaire tool included 20 questions using multiple choice and free text to assess respondents' subjective feelings of preparedness for deployment as surgeons for trauma patients.
    Results: There were 71 of 108 (66%) responses. Sixty-four (90%) respondents were regular armed forces, and 46 (65%) worked in a Major Trauma Centre (MTC). Thirty-three (47%) had never deployed on operations in a surgical role. Nineteen (27%) felt they had sufficient exposure to penetrating trauma. When asked
    Conclusions: There was a feeling among a sample of UK DMS consultants and trainees that better preparedness is required for them to deploy confidently as a surgeon for combat casualties. The responses suggest that UK DMS surgical training requires urgent attention if current surgeons are to be ready for their role on deployed operations.
    MeSH term(s) Humans ; Military Personnel ; Military Medicine/education ; Surgeons ; Surveys and Questionnaires ; United Kingdom
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/bmjmilitary-2022-002112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Secure app-based secondary healthcare clinical decision support to deployed forces in the UK Defence Medical Services.

    Naumann, David N / McMenemy, L / Beaven, A / Bowley, D M / Mountain, A / Bartels, O / Booker, R J

    BMJ military health

    2022  

    Abstract: Background: Modern instant messaging systems facilitate reach-back medical support for Defence Medical Services (DMS) by connecting deployed clinicians to remote specialists. The mobile app Pando (Forward Clinical, UK) has been used for this purpose by ... ...

    Abstract Background: Modern instant messaging systems facilitate reach-back medical support for Defence Medical Services (DMS) by connecting deployed clinicians to remote specialists. The mobile app Pando (Forward Clinical, UK) has been used for this purpose by the DMS via the '
    Methods: An observational study was undertaken using metadata extracted from the prospective database within the application server for clinical queries between June 2019 and February 2022. These data included details regarding number and name of specialties, timings, active users per day and the number of conversations.
    Results: There were 29 specialties, with 298 specialist users and 553 requests for advice. The highest volume of requests were for trauma and orthopaedics (n=116; 21.0%), ear, nose and throat (n=67; 12.1%) and dermatology (n=50; 9.0%). There was a median of 164 (IQR 82-257) users logged in per day (range 2-697). The number of requests during each day correlated with the number of users on that day (r=0.221 (95% CI 0.159 to 0.281); p<0.001). There were more daily users on weekdays than weekends (215 (IQR 123-277) vs 88 (IQR 58-121), respectively; p<0.001). For the top 10 specialties, the median first response time was 9 (IQR 3-42) min and the median time to resolution was 105 (IQR 21-1086) min.
    Conclusion: In the first 1000 days of secure app-based reach-back by the DMS there have been over 500 conversations, responded to within minutes by multiple specialists. This represents a maturing reach-back capability that may enhance the force multiplying effect of defence healthcare while minimising the deployed '
    Language English
    Publishing date 2022-08-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2022-002172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Gene therapy: the first decade.

    Mountain, A

    Trends in biotechnology

    2000  Volume 18, Issue 3, Page(s) 119–128

    Abstract: Gene therapy promises to revolutionize medicine by treating the causes of disease rather than the symptoms. We are nearing the end of the first decade of gene therapy, and this article summarizes the approaches taken, results achieved, lessons learned ... ...

    Abstract Gene therapy promises to revolutionize medicine by treating the causes of disease rather than the symptoms. We are nearing the end of the first decade of gene therapy, and this article summarizes the approaches taken, results achieved, lessons learned and important recent developments. The early results on the clinical efficacy of gene therapies were disappointing, largely because the available gene-transfer vectors proved to be inadequate. Recently, however, clinical benefit has been clearly demonstrated and great progress made in selecting and improving vectors. There is now every prospect that the second decade will see gene therapy live up to its enormous potential.
    MeSH term(s) Adenoviridae/genetics ; Clinical Trials as Topic ; Dependovirus/genetics ; Gene Transfer Techniques ; Genetic Therapy/methods ; Humans ; Retroviridae/genetics
    Language English
    Publishing date 2000-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 47474-5
    ISSN 1879-3096 ; 0167-7799
    ISSN (online) 1879-3096
    ISSN 0167-7799
    DOI 10.1016/s0167-7799(99)01416-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Outcomes following limb salvage after combat hindfoot injury are inferior to delayed amputation at five years.

    Bennett, P M / Stevenson, T / Sargeant, I D / Mountain, A / Penn-Barwell, J G

    Bone & joint research

    2018  Volume 7, Issue 2, Page(s) 131–138

    Abstract: Objectives: The surgical challenge with severe hindfoot injuries is one of technical feasibility, and whether the limb can be salvaged. There is an additional question of whether these injuries should be managed with limb salvage, or whether patients ... ...

    Abstract Objectives: The surgical challenge with severe hindfoot injuries is one of technical feasibility, and whether the limb can be salvaged. There is an additional question of whether these injuries should be managed with limb salvage, or whether patients would achieve a greater quality of life with a transtibial amputation. This study aims to measure functional outcomes in military patients sustaining hindfoot fractures, and identify injury features associated with poor function.
    Methods: Follow-up was attempted in all United Kingdom military casualties sustaining hindfoot fractures. All respondents underwent short-form (SF)-12 scoring; those retaining their limb also completed the American Academy of Orthopaedic Surgeons Foot and Ankle (AAOS F&A) outcomes questionnaire. A multivariate regression analysis identified injury features associated with poor functional recovery.
    Results: In 12 years of conflict, 114 patients sustained 134 fractures. Follow-up consisted of 90 fractures (90/134, 67%), at a median of five years (interquartile range (IQR) 52 to 80 months).The median Short-Form 12 physical component score (PCS) of 62 individuals retaining their limb was 45 (IQR 36 to 53), significantly lower than the median of 51 (IQR 46 to 54) in patients who underwent delayed amputation after attempted reconstruction (p = 0.0351).Regression analysis identified three variables associated with a poor F&A score: negative Bohler's angle on initial radiograph; coexisting talus and calcaneus fracture; and tibial plafond fracture in addition to a hindfoot fracture. The presence of two out of three variables was associated with a significantly lower PCS compared with amputees (medians 29, IQR 27 to 43
    Conclusions: At five years, patients with reconstructed hindfoot fractures have inferior outcomes to those who have delayed amputation. It is possible to identify injuries which will go on to have particularly poor outcomes.
    Language English
    Publishing date 2018-02-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2669244-2
    ISSN 2046-3758
    ISSN 2046-3758
    DOI 10.1302/2046-3758.72.BJR-2017-0217.R2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The variation of FiO

    Messer, Ben / Tedd, Hilary / Doris, Tom / Mountain, Andrew / Gatilogo, Cris / Sovani, Milind

    Journal of the Intensive Care Society

    2020  Volume 23, Issue 2, Page(s) 124–131

    Abstract: Background: The COVID-19 pandemic has resulted in increased admissions with respiratory failure and there have been reports of oxygen failure and shortages of machines to deliver ventilation and Continuous Positive Airway Pressure (CPAP). Domiciliary ... ...

    Abstract Background: The COVID-19 pandemic has resulted in increased admissions with respiratory failure and there have been reports of oxygen failure and shortages of machines to deliver ventilation and Continuous Positive Airway Pressure (CPAP). Domiciliary ventilators which entrain room air have been widely used during the pandemic. Poor outcomes reported with non-invasive respiratory support using ventilators which lack an oxygen blender could be related to an unreliable Fraction of inspired O
    Methods: In a series of bench tests, we tested the effect of choice of circuit and different PIFR on the FiO
    Results: FiO
    Conclusions: This study has implications for oxygen usage as well as delivery of non-invasive respiratory support during therapy with domiciliary ventilators when these are used during the second wave of COVID-19.
    Language English
    Publishing date 2020-12-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2701626-2
    ISSN 1751-1437 ; 1751-1437
    ISSN (online) 1751-1437
    ISSN 1751-1437
    DOI 10.1177/1751143720980280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Book: Das ist Tauchen

    Mountain, Alan

    2009  

    Author's details Alan Mountain
    Keywords Tauchen
    Size 160 Seiten: zahlreiche Illustrationen
    Edition 1. Aufl.
    Publisher Delius Klasing; Bielefeld
    Document type Book
    HBZ-ID HT015956436
    ISBN 978-3-7688-2624-2 ; 3-7688-2624-4
    Database Central Library of Sport Science of the German Sport University Cologne

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  9. Article: Salmonella arizona in a chinchilla.

    Mountain, A

    The Veterinary record

    1989  Volume 125, Issue 1, Page(s) 25

    MeSH term(s) Animals ; Chinchilla/microbiology ; Salmonella/isolation & purification ; Salmonella Infections, Animal/microbiology ; Salmonella arizonae/isolation & purification ; Sepsis/microbiology ; Sepsis/veterinary
    Language English
    Publishing date 1989-07-01
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 390015-0
    ISSN 2042-7670 ; 0042-4900
    ISSN (online) 2042-7670
    ISSN 0042-4900
    DOI 10.1136/vr.125.1.25-a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Ankle-foot orthoses improve walking but do not reduce dual-task costs after stroke.

    Drake, Richard / Parker, Kim / Clifton, Kerry-Lee / Allen, Stefan / Adderson, James / Mountain, Anita / Eskes, Gail A

    Topics in stroke rehabilitation

    2020  Volume 28, Issue 6, Page(s) 463–473

    Abstract: Background: Cognitive-motor interference, as measured by dual-task walking (performing a mental task while walking), affects many clinical populations. Ankle-foot orthoses (AFOs) are lower-leg splints prescribed to provide stability to the foot and ... ...

    Abstract Background: Cognitive-motor interference, as measured by dual-task walking (performing a mental task while walking), affects many clinical populations. Ankle-foot orthoses (AFOs) are lower-leg splints prescribed to provide stability to the foot and ankle, as well as prevent foot drop, a gait deficit common after stroke. AFO use has been shown to improve gait parameters such as speed and step time, which are often negatively impacted by dual-task walking.
    Objectives: Our objective was to establish whether AFOs could protect against cognitive-motor interference, as measured by dual-task walking, following post-stroke hemiplegia.
    Methods: A total of 21 individuals with post-stroke hemiplegia that use an AFO completed a dual-task walking paradigm in the form of a 2 (walking with vs. without a concurrent cognitive task) by 2 (walking with vs. without an AFO) repeated-measures design. Changes to both motor and cognitive performance were analyzed.
    Results: The results suggest that the use of an AFO improves gait overall in both single- and dual-task walking, particularly with respect to stride regularity, but there were no interactions to suggest that AFOs reduce the cognitive-motor dual-task costs themselves. A lack of differences in cognitive performance during dual-task walking with and without the AFO suggests that the AFO's benefit to motor performance cannot be attributed to task prioritization.
    Conclusions: These data support the use of AFOs to improve certain gait parameters for post-stroke hemiplegia, but AFOs do not appear to protect against cognitive-motor interference during dual-task walking. Future research should pursue alternate therapeutics for ameliorating task-specific declines under cognitively demanding circumstances.
    MeSH term(s) Ankle ; Biomechanical Phenomena ; Foot Orthoses ; Gait ; Gait Disorders, Neurologic/etiology ; Humans ; Stroke/complications ; Walking
    Language English
    Publishing date 2020-10-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1213112-x
    ISSN 1945-5119 ; 1074-9357
    ISSN (online) 1945-5119
    ISSN 1074-9357
    DOI 10.1080/10749357.2020.1834271
    Database MEDical Literature Analysis and Retrieval System OnLINE

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