Introduction Idiopathic, congenital or primary pelvic hydronephrosis is a well recognised condition, which can present a:t any age" but most oommonly in dhildren and in the third decade. The aetiology is still uncertain, though the work of Murnagham' and Whitaker4 has demonstrated that there is an abnormality of muscular peristaltic conduction in the pelvis and pelviureteric junction, which con...

UNLABELLED BACKGROUND; There is currently a dearth of knowledge on gender differences in mortality among patients on ART in Africa. METHODS Using data from the national ART monitoring and evaluation system, a survival analysis of all healthcare workers, teachers, and police/army personnel who accessed ART in Malawi by June, September and December 2006 respectively, was undertaken. Gender diff...

BACKGROUND The frequency and duration of deployments associated with increased morbidity is a significant concern for force health protection within the military population. Understanding the association between deployment and disability may provide a clearer understanding of factors adversely affecting U.S. military force readiness. METHODS A case-control analysis was conducted using records...

This edition of the Journal of the Royal Army Medical Corps presents two articles dealing with pain. In their review of phantom limb pain, Le Feuvre and Aldington demonstrate the impact that pain can have on recovery and how a multi-disciplinary approach is essential for optimising patient outcome. In particular, they note ‘the importance of attending to the patient’s psychosocial needs and con...

Concerns about respiratory conditions have surfaced among persons deployed to Iraq and Afghanistan. Data on 46,077 Millennium Cohort Study participants who completed baseline (July 2001-June 2003) and follow-up (June 2004-February 2006) questionnaires were used to investigate 1) respiratory symptoms (persistent or recurring cough or shortness of breath), 2) chronic bronchitis or emphysema, and ...

BACKGROUND Road traffic accidents are the leading cause of death for service personnel from the United Kingdom (UK). Little is known about the pattern of risky driving by these service personnel. METHODS Cross-sectional data (collected postdeployment, between June 2004 and March 2006) were analyzed from a large, randomly selected cohort of military personnel from the UK. These analyses were l...

United States Army personnel in garrison who are not deployed to combat theater report using dietary supplements (DSs) to promote health, increase physical and mental strength, and improve energy levels. Given the substantial physical and cognitive demands of combat, DS use may increase during deployment. This study compared DS use by garrison soldiers with DS use by personnel deployed to a com...

BACKGROUND Military operations in Iraq and Afghanistan have involved the frequent and extended deployment of military personnel, many of whom are married. The effect of deployment on mental health in military spouses is largely unstudied. METHODS We examined electronic medical-record data for outpatient care received between 2003 and 2006 by 250,626 wives of active-duty U.S. Army soldiers. Af...