Assessment of Chest Pain in a Low Risk Patient: Is The Exercise Tolerance Test Obsolete?

Discussion Paper Title Assessment of chest pain in a low risk patient: is the exercise tolerance test obsolete? Background This is one of a series of occasional articles that highlight areas of practice where management lacks convincing supporting evidence. The series adviser is David Tovey, editor in chief, the Cochrane Library. To suggest a topic for this series, please… Read More

(Military) Theoretical Consideration…

Talking about the branches of the art of War, Clausewitz (2014, p.41) states: “He to whom all this is nothing, must either repudiate all theoretical consideration, OR HIS UNDERSTANDING HAS NOT AS YET BEEN PAINED by the confused and perplexing ideas resting on no fixed point of view, leading to no satisfactory result, sometimes dull,… Read More

Asthma & Exercise: A Testing Issue?

Research Paper Title Asthma and Exercise; A Testing Issue? Abstract There is an increasing prevalence of allergy and asthma in children in the European population, with most recent estimates in young people showing an atopy prevalence of 20% and an asthma prevalence of 8% (1). This increasing asthma prevalence has resulted in an increasing number of asthmatics entering the workforce, producing new… Read More

Military Theory: Swimmers versus Non-Swimmers!

Speaking about Friction in War, Clausewitz (2014, p.36) states: “Everything is very simple in War,but the simplest thing is difficult. These difficulties accumulate and produce a friction which no man can imagine exactly who has not seen War,…” “Activity in War is movement in a resistant medium. Just as a man immersed in water is… Read More

Delivering Flexibility through People: Harnessing Human Capability [in the RAF]

Discussion Paper Title Delivering Flexibility through People: Harnessing Human Capability. Abstract This is the second of two papers arguing for greater organisational flexibility in the Royal Air Force (RAF). Necessarily broad in scope, they consider the consequences of a systematic move towards a strategy that prioritises flexibility against the components of Kenneth Galbraith’s Star Model. Whilst the… Read More

Royal Marines Training: ACL Injury, Rehabilitation & Completion of Commando Training

Research Paper Title ACL Injury in Royal Marine basic training: rehabilitation times and rates of completion of commando training. Outline Previous Anterior Cruciate Ligament (ACL) reconstruction is currently a contraindication for entry to the Royal Marines and Royal Navy. The British Army allows entry if potential entrants are asymptomatic 18 months post-ACL reconstruction. Current Royal Marines policy is to rehabilitate recruits… Read More