Online First

Peer-reviewed articles accepted for publication and made available here before they appear in a numbered issue. Each article is citable from the moment it is posted.

 

Impact of Tobacco Use on Obesity & Fitness Levels in the Singapore Navy

The maritime work environment necessitates a baseline level of health and fitness to perform job-related roles and safety-critical duties. The Singapore Navy implemented a smoking cessation programme to promote health.…

Examining the Effects of a Psychological Skills Training Program with Simulated Racing to Improve Clinical Outcomes in Veterans with PTSD: A Multiple Case Study Analysis

High prevalence rates of post-traumatic stress disorder (PTSD) exist among veterans, as noted by the Department of Veterans Affairs. We have established the integration of a psychological skills training program…

Medicine in the Shadows: A Scoping Review Exploring Unconventional Warfare Medicine

Unconventional warfare is a strategic subset of the broader spectrum of irregular warfare, characterised by covert, irregular and indirect methods such as guerrilla warfare, subversion, sabotage and support to resistance…

No Heroes Left Behind: Reconciliation for all Vietnam Veterans

As a Veterans Affairs (VA) surgeon, I first met a Vietnam Veteran, whom I will refer to as ‘Mr X’ to protect his anonymity, in a very difficult moment. He…

Exploring Factors that Affect Male Veteran’s Vasectomy Decision-making: A Mixed-methods Approach

Objective: To examine the sociodemographic, healthcare, and service-related characteristics that predict vasectomy among US male veterans, and associated patterns of decision-making. Design: We conducted a cross-sectional survey of a probability…

Physical Activity and Mental Wellbeing Patterns among Active-duty Military Personnel in the Caribbean

Purpose: This study investigated the work, leisure and sport physical activity levels among military personnel and the relationship with their mental wellbeing. Materials & methods: A sample of 490 officers…

Examining the Work–life Balance, Psychological Distress and Associated Factors among Military Personnel in Southern Sarawak

Background: Military personnel operate under high-stress conditions that challenge mental wellbeing. In Malaysia, particularly East Malaysia, research on psychological distress among military members remains limited. Purpose: This study examines the…

Optimising Tourniquet De-escalation Protocols and Techniques for Non-Medical Defence Providers

Compared with advanced healthcare providers (HCP), organisational protocols for tourniquet de-escalation by non-medical (NM) defence personnel require greater emphasis on simplicity, procedural efficiency, minimised decision-making and redundancy. This article describes…

Disease Mortality during Dutch and American Colonial Counter-Insurgency Operations in Southeast Asia

Counterinsurgency operations over a century ago were marked by casualty lists dominated by infectious diseases, not combat injuries. For decades, Dutch soldiers fought in Aceh Province of the then Netherlands…

Psychotherapy Versus Pharmacotherapy for PTSD in Military Personnel: A Systematic Review of the PROGrESS Research Program

Background: For military personnel, posttraumatic stress disorder (PTSD) continues to be a major problem. Although medication and trauma-focused psychotherapy (TFP) are well-established treatments, research on their relative and combined effectiveness…

Book Review: From Shell Shock to PTSD

Note: Content within this review and book regarding mental health challenges may be distressing for some people. Support is available through your Chain of Command, Chaplaincy, Health Centre, Lifeline 13…

Recent US Veteran Cohorts Develop Chronic Health Conditions at Earlier Ages: Evidence from the Health and Retirement Study

The US veteran population is shrinking in size while its age composition is also changing1,2 As earlier generations pass away, more recent cohorts account for a growing share of veterans…

Artificial Intelligence in Outpatient Diagnostic Workflow: A Systematic Review with Implications for Military Health Systems

Outpatient services frequently suffer from prolonged in-clinic waiting times, inefficient workflows and delays in obtaining diagnostic results before specialist consultations.1 These inefficiencies negatively affect patient satisfaction, strain hospital resources, and,…

Combat Tourniquets and the Prevention of Iatrogenic Limb Ischaemia in Modern Warfare

Health support for anticipated Australian Defence Force (ADF) operations necessitates the capability to deliver prolonged austere field care in response to the constraints of contested mobility, extended evacuation distances, resource…

Residential and Inpatient Interventions for Military Veterans within Forensic and Secure Mental Health Services: A Scoping Review

Armed Forces veterans are at increased risk of developing mental health difficulties, particularly post-traumatic stress disorder (PTSD), depression, and substance use disorders (SUDs).1 This heightened vulnerability is closely linked to…

Medical Corps Disease Mortality during the First World War: Australia vs. Turkey

Medical corps officers were often the ‘canary in the coal mine’ for infectious disease mortality in armies during the pre-antibiotic era. This means that medical officers could be among the…

Burnout, Life Satisfaction, and Social Exclusion Levels of Retired Non-Commissioned Officers and the Relationships Between These Phenomena: The Case of Türkiye

Background: Research on the social and psychological conditions of retired non-commissioned officers (NCOs) remains limited. Therefore, examining burnout, life satisfaction and social exclusion among retired NCOs is critical. Objective: This…

Periodontitis Cases Superimposed with Mental Health Problems among Military Personnel

Periodontal diseases affect up to 90% of the global population and have become the most common oral health condition worldwide.1 Periodontitis, one of the well-known periodontal diseases, was estimated at…

Social Support and the Military-to-Civilian Transition: A Scoping Review of Methodological Approaches and Measures

The military-to-civilian transition (MCT) is a significant life change for military personnel. Characterised as the process of leaving the military and returning to family, community and workplace roles,1 a successful…