• Author: Paul Cullinan
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Multidimensional qualities of sleep health following serious physical combat injuries: A latent class analysis: The ADVANCE cohort study

Abstract: This paper aims to report on multidimensional qualities of sleep health using Latent Class Analysis (LCA) in the ADVANCE study: a cohort of UK Armed Forces personnel who …

Medical discharge from the UK Armed Forces and the role of combat injury: A short report from the ADVANCE-INVEST study

The recent conflict in Afghanistan resulted in hundreds of serious injuries to UK Armed Forces personnel, necessitating their aeromedical evacuation. Due to the nature of their …

Prevalence, incidence, and progression of hip osteoarthritis in a young military population: The ADVANCE cohort study

Abstract: Objective: Prevalence of hip osteoarthritis (OA) is rarely reported in young populations (e.g., military). We will report the prevalence of hip OA in a young military …

The inverse and non-linear association between central augmentation index and heart rate variability in a cohort of male British combat personnel- findings from the ADVANCE study

Abstract: AbstractPurposeMethodResultsConclusion\nPlain Language SummaryThe central augmentation index (cAIx) is an indirect measure of arterial stiffness. The influence of heart …

Post-traumatic stress disorder (PTSD) symptom clusters associated with an indicator of heart rate variability: The ADVANCE cohort study

Abstract: Background: Heart rate variability (HRV) is governed by sympathetic and parasympathetic regulatory systems. Post-Traumatic Stress Disorder (PTSD) may influence these …

The association between perceived social support and mental health in combat-injured and uninjured male UK (ex-)military personnel: A cross-sectional study

Abstract: Social support is a key determinant of mental health across multiple populations and contexts. Little is known about social support among UK (ex-)military personnel, …

Suicidal ideation in male UK military personnel who sustained a physical combat injury in Afghanistan and the mediating role of leaving service: The ADVANCE cohort study

Abstract: Background/aims: Suicidal Ideation (SI) is a risk factor for suicide, a leading cause of death amongst young men globally. In this study we assess whether sustaining a …

The underlying mechanisms by which post-traumatic growth is associated with cardiovascular health in male UK military personnel: The ADVANCE cohort study

Abstract: Post-Traumatic Growth (PTG) is associated with good cardiovascular health, but the mechanisms of this are poorly understood. This cross-sectional analysis assessed …

Pain after combat injury in male UK military personnel deployed to Afghanistan

Abstract: BACKGROUND: Chronic pain after injury poses a serious health burden. As a result of advances in medical technology, ever more military personnel survive severe combat …

A systematic review of the prevalence of postamputation and chronic neuropathic pain associated with combat injury in military personnel

Abstract: Combat trauma can lead to widespread tissue damage and limb loss. This may result in chronic neuropathic and post amputation pain, including phantom limb pain (PLP) and …

Relationship between combat-related traumatic injury and its severity to predicted cardiovascular disease risk: ADVANCE cohort study

Abstract: BACKGROUND: This study investigated the relationship between combat-related traumatic injury (CRTI) and its severity and predicted cardiovascular disease (CVD) risk. …

The relationship between combat-related traumatic amputation and subclinical cardiovascular risk

Abstract: Background: The relationship between acute combat-related traumatic injury (CRTI) to coronary flow reserve (CFR) and subclinical cardiovascular risk have not been …