Ministry of Defence

The effects of a multimodal intervention for optimising sleep and internalising symptoms in young adults during British Army Infantry Basic Training.

STUDY OBJECTIVES: We assessed the effectiveness of a multimodal sleep intervention on subjective sleep outcomes, including insomnia symptoms, with secondary analysis of internalising symptoms in Infantry trainees. METHODS: A two-arm parallel design was employed (baseline: weeks 1...

Care of the dying patient in austere environments: a systematic review

Introduction Deployed end-of-life care represents an area of increasing importance amidst near-peer conflicts where air superiority is no longer guaranteed. This complex intersection of medical ethics and battlefield realities is an area where current doctrine is lacking. This le...

Spatial surveillance of Plasmodium falciparum Kelch 13 mutations reveals High-Frequency A675V and the First Molecular Evidence of Suspected Partial Artemisinin Resistance in Baringo in Kenya

Abstract Background This surveillance study evaluated the polymorphisms of Pfk13 gene in samples from symptomatic individuals from eight geographically distinct locations in Kenya to determine the prevalence of mutations associated with partial artemisinin resistance. Methods Bet...

Early changes in left ventricular mass index after empagliflozin initiation in type 2 diabetes: a retrospective cohort study

Sodium-glucose cotransporter-2 inhibitors (SGLT2i) promote reverse cardiac remodeling; however, evidence regarding very early changes in left ventricular mass index (LVMI) in patients with type 2 diabetes without established cardiovascular disease remains limited. We evaluated 3-...

Potentially inappropriate medication use and selected drug-related problems among older adults in Aseer Region, Saudi Arabia: a retrospective multicenter study

Older adults are at increased risk of medication-related safety concerns due to multimorbidity and polypharmacy. Potentially inappropriate medications (PIMs) and drug-related problems (DRPs) are important contributors to medication safety concerns in this population, yet hospital...

Optimizing Dye Removal from Water by Coupling Mg–Al Layered Double Hydroxide Adsorption with UV/H2O2 Oxidation

Abstract Textile dye removal remains challenging because conventional wastewater treatment plants are not specifically designed to eliminate persistent colorants. In this study, calcined Mg–Al layered double hydroxide (LDH) adsorption, UV irradiation, and H₂O₂ oxidation were eval...

Ultrasound protocols used to detect vascular gas emboli in divers: a systematic review

Introduction: Venous gas emboli (VGE) detected via ultrasound can be used as a surrogate marker for decompression stress. While Doppler ultrasound is the historical gold standard, two-dimensional (2D) ultrasonography offers advantages for on-site monitoring, including a wider fie...

AI-driven consistency-aware early warning framework for smart grid stability monitoring

The increasing penetration of renewable energy sources and distributed generation has made modern power grids more dynamic and more vulnerable to instability. This increased operational uncertainty makes timely stability monitoring essential for reliable grid operation. Most exis...

Budget impact analysis for albuterol–budesonide fixed-dose combination in the as needed treatment of adult patients with asthma in Kuwait

INTRODUCTION: This study assessed the budget impact, from the perspective of the Kuwaiti healthcare payer, of introducing an as-needed fixed-dose combination of albuterol and budesonide (alb/bud-FDC) compared with albuterol alone and ICS-SABA for the management of asthma. METHODS...

Engineering context-based keywords from sentiment and domain features for enhanced review-level sentiment classification in MOOCs

Massive Open Online Courses (MOOCs) generate large volumes of learner feedback that provide valuable insights for educational improvement. However, the domain-specific language used in these reviews often limits the effectiveness of conventional sentiment analysis methods. To add...

Bacteriological profiling and antimicrobial resistance of combat-related infections: analysis of war wounds from Ukraine during 2024–2025

Combat-related wound infections in the Russo-Ukrainian war pose high morbidity due to the prevalence of multidrug-resistant (MDR) organisms. The aim of the study was to characterize pathogen distribution, antimicrobial resistance (AMR) dynamics, and risk factors (evacuation and s...