Shoulder injuries are the most frequently reported musculoskeletal condition among astronauts, occurring across all spaceflight mission phases. With rising extravehicular activity (EVA) demands, a detailed understanding of injury patterns is critical. Prior studies have linked prolonged microgravity exposure to post-flight shoulder pathology but have not comprehensively characterized large-scale epidemiologic trends, phase-specific timing, or the influence of cumulative training exposures. Therefore, this study aimed to: (1) characterize overall prevalence, identify the top 20 diagnoses, and report the 5 most common surgical procedures; (2) compare injury distributions across spaceflight phases, including a post-flight sub-analysis stratified by <6 versus ≥6 months of microgravity exposure; and (3) determine associations between Neutral Buoyancy Laboratory (NBL) and EVA exposure durations and injury timing. A retrospective review of the Lifetime Surveillance of Astronaut Health database identified musculoskeletal shoulder injuries and surgeries between 1981 and 2024 among NASA astronauts. Inclusion criteria required injuries to occur ≤5-years of a mission and be related to operational duties. Temporal mapping used days relative to mission timelines. Astronaut demographics, diagnoses, surgical procedures, and cumulative NBL and EVA exposure durations were collected. Chi-square tests assessed phase-specific injury distributions. Wilcoxon rank-sum tests compared post-flight injury timing in astronauts with <6 versus ≥6 months of microgravity exposure. Linear regression models evaluated associations between cumulative NBL and EVA hours and injury timing. A total of 677 shoulder injuries and 25 surgical interventions were identified. The post-flight phase accounted for most injuries (64.8%), followed by pre-flight (33.6%) and in-flight (1.6%). The top diagnoses included tendinopathy (8.9%), osteoarthritis (7.8%), and rotator cuff injury (7.8%), with rotator cuff repair (32.0%) and arthroscopic debridement (28.0%) as the most common surgeries. Astronauts with ≥6 months of microgravity exposure experienced significantly earlier post-flight injury onset (P=0.040). Greater cumulative NBL exposure was associated with earlier pre-flight (R2=0.233; P=0.007) and post-flight injury timing (R2=0.119; P=0.009). Over 43 years, astronauts sustained 677 shoulder injuries and 25 surgeries, with post-flight injuries significantly more frequent, and those exposed to ≥6 months of microgravity experiencing earlier onset. Increasing NBL exposure was also associated with accelerated post-flight injury timing, suggesting cumulative training stress as a key driver, an effect EVA exposure may mirror as lunar missions extend duration and frequency. These findings reinforce the need for targeted pre-flight conditioning, exposure-calibrated training thresholds, and post-flight surveillance models to preserve shoulder function and maintain mission readiness in next-generation spaceflight.
To describe preoperative triage and compare early postoperative complications after manual small-incision cataract surgery (MSICS) and extracapsular cataract extraction (ECCE) performed during a humanitarian mission in Benin, where no phacoemulsification device was available. Medical records and operative reports from 1,280 individuals examined during a humanitarian cataract mission in Porto-Novo, Benin, between November 25 and December 6, 2024, were retrospectively reviewed. Patients were triaged according to cataract-related best-corrected visual acuity, systemic risk factors, and ocular findings. After exclusion of patients with capillary glucose > 300 mg/dL, blood pressure > 200/120 mmHg, or preoperative retinal detachment, 287 patients were considered suitable for surgery and 125 underwent surgery. Patients were classified by technique as MSICS (n = 79) or ECCE (n = 46). Postoperative complications documented on postoperative day 1 or during the mission were compared using two-sided Fisher exact tests. Among the 125 operated patients, 79 underwent MSICS and 46 underwent ECCE. Aphakia occurred in 6 patients (4.8%), IOL dislocation in 3 (2.4%), marked endothelial edema in 11 (8.8%), postoperative IOP elevation in 12 (9.6%), and corneal suture dehiscence in 1 (0.8%). Marked endothelial edema was more frequent after ECCE than MSICS (8/46 [17.4%] vs. 3/79 [3.8%]; p = 0.018). No significant between-group differences were observed for aphakia (p = 0.192), IOL dislocation (p = 0.554), IOP elevation (p = 0.533), or corneal suture dehiscence (p = 0.368). No cases of IOL drop into the vitreous cavity, nuclear drop, intravitreal hemorrhage, toxic anterior segment syndrome, or endophthalmitis were observed in either group. In settings without a phacoemulsification device, MSICS and ECCE can be performed during humanitarian missions when experienced surgeons, careful preoperative triage, and appropriate postoperative assessment are available. MSICS may offer practical advantages where follow-up is limited because it generally avoids routine corneal suture removal. Because technique and surgeon were not independently separable in this nonrandomized study, the observed differences should not be interpreted as purely technique-related.
The Australian Reproductive Genetic Carrier Screening Project, "Mackenzie's Mission", performed couple-based screening for 9107 reproductive couples for over 1280 genes associated with severe autosomal and X-linked recessive disorders. It identified close to 1:50 participating couples as having a previously unknown increased risk of having children with a condition screened. Here we describe the processes, successes and challenges of the laboratory testing undertaken during Mackenzie's Mission. Samples were mouth swabs, self-collected and posted to one of three testing laboratories. Two laboratories used exome sequencing; the other a targeted gene panel. Both were equally effective in identifying increased risk couples for small sequence variants. FMR1 and SMN1 testing were performed separately. A Variant Review Committee met weekly to discuss reportable variants and variants difficult to classify. This promoted consistent reporting. Exclusion of variants previously classified by a laboratory as Benign, Likely Benign and/or Variant of Uncertain Significance, significantly reduced the analysis required for each reproductive couple. The pan-ancestral screening approach was suitable for data from people of various ancestries despite the increased analysis time required for data from couples of African, Middle Eastern and Asian ancestry. For consanguineous couples there was a significant increase in the number of variants requiring review and ∼10-fold more increased risk reports issued. We demonstrated large-scale, pan-ancestral reproductive genetic carrier screening is feasible across Australia's diverse population.
The 278 winners now face a 9-month race to prove they deserve additional funding.
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The discipline of family medicine has historically focused on longitudinal patient relationships and continuity of patient care as essential pillars of the discipline. Growing corporate involvement in health care and the drive for access and convenience challenge the value of the continuity relationships. Continuity of care is not on the roadmap of many newer initiatives in health care that strictly focus on health outcomes. The question arises whether family medicine should focus its commitment to society on the continuity relationship or whether it should grow that commitment to include outcomes, not only to address corporate interests but also to acknowledge patient and community needs. The evidence supporting both continuity of care and primary care effectiveness is robust and particularly relevant to family medicine. The question was debated whether the continuity relationship is practical or effective without being grounded in the outcome of improved health. If continuity stands as its own outcome, do family physicians still commit to health for patients, or is it enough to simply provide ongoing, continuous, longitudinal care? The case was made that every aspect of the relationship with patients depends on health being at the center. Family medicine leaders recognize the value of continuity as a foundational aspect of the specialty, but continue to debate the value of continuity as a means of improving health outcomes for patients and communities.
以罕见危重感染患儿千里救治案例为切入点，叙事团队精准诊疗、精细化护理、溯源治本的全过程，展现科室精湛的医疗技术与人文医者的爱心温度。科室始终坚守儿童健康守护初心，深耕临床、精修医术、勇担公卫使命，代代赓续医者仁心与责任担当，为儿童传染感染性疾病和肝病防治、公共卫生安全筑牢屏障，生动诠释了新时代儿科人的医者使命与家国情怀。.
Mars rover missions require decision-support systems that can interpret terrain, telemetry, environmental conditions, and mission objectives under delayed communication with Earth. This study evaluates whether multi-agent orchestration improves simulated Mars rover decision support compared with a single-agent baseline. A controlled benchmark of 100 synthetic mission-inspired rover scenarios was evaluated using OpenAI GPT-4o and GPT-5.5, with five repeated runs per scenario and architecture. Model-facing scenario inputs were separated from evaluator-side labels so that expected actions and hazards were reserved for scoring only. Performance was measured using decision accuracy, exact and substring-based semantic hazard F1, hazard error counts, latency, token usage, scenario-level paired statistical comparisons, and GPT-4o specialist-agent ablations. Across the tested OpenAI configurations, the single-agent architecture showed numerical advantages in decision accuracy and hazard-label alignment, but these decision-quality differences were not consistently significant under scenario-level statistical analysis with Holm-Bonferroni adjustment. The only decision-quality metric remaining significant was GPT-5.5 exact hazard F1, although absolute values were very low. The most reliable difference was computational efficiency: the single-agent architecture required substantially lower latency and token usage than the prompt-defined multi-agent orchestration architecture. Multi-agent orchestration generated broader hazard lists, including plausible non-canonical observations, but did not reliably improve aggregate decision accuracy or hazard F1. These findings suggest that, for short-context, tool-less, static decision-support tasks where all relevant context is available in a single input, multi-agent orchestration should be treated as a cost-bearing design choice rather than an assumed improvement. The study contributes a reproducible architecture-level benchmark for evaluating when LLM-based orchestration is worth its operational cost in mission-inspired workflows.
Pain beliefs play an important role in how people understand and cope with pain, and they are especially relevant for military personnel and Veterans who bear a disproportionately high burden of chronic pain. However, limited research has examined which pain beliefs are central to military training and the broader military culture from the perspective of active basic training instructors. The current study aims to explore what beliefs about pain are emphasized in basic military training and the broader military culture from the perspective of active basic training instructors within the Canadian Armed Forces. We used a qualitative descriptive study design involving two semi-structured focus groups with instructors. The transcripts were analyzed using inductive content analysis. Three themes were generated. Theme 1 describes how instructors aim to teach recruits to prioritize mission and team success by pushing through pain and distinguishing it from injury. Theme 2 outlines the culture around pain in training and the broader military. Injuries are often experienced as personal failures and threaten one's identity. Thus, there is pressure to endure painful injuries and stigma for seeking care. Theme 3 describes instructors' critical reflections on how pain is addressed within the military, emphasizing that the military's relationship with pain is a double-edged sword with both helpful and harmful aspects. There is a tension between the military's operational goals and the effective management of pain and injuries. Implications for military training and future research are discussed. Contexte : Les croyances relatives à la douleur jouent un rôle important dans la façon dont les personnes comprennent la douleur et y font face. Elles sont particulièrement pertinentes pour le personnel militaire et les anciens combattants, chez qui le fardeau associé à la douleur chronique est disproportionnellement élevé. Toutefois, peu d’études ont examiné les croyances relatives à la douleur qui occupent une place centrale dans la formation militaire et, plus largement, dans la culture militaire, du point de vue des instructeurs en service actif responsables de la formation de base.Objectif : La présente étude vise à explorer les croyances relatives à la douleur mises de l’avant dans la formation militaire de base et, plus largement, dans la culture militaire, du point de vue d’instructeurs en service actif responsables de cette formation au sein des Forces armées canadiennes.Méthodes : Nous avons utilisé un devis descriptif qualitatif comprenant deux groupes de discussion semi-structurés avec des instructeurs. Les transcriptions ont été analysées au moyen d’une analyse de contenu inductive.Résultats : Trois thèmes ont été dégagés. Le thème 1 décrit comment les instructeurs cherchent à enseigner aux recrues à donner la priorité à la réussite de la mission et de l’équipe en surmontant la douleur et en la distinguant d’une blessure. Le thème 2 présente la culture entourant la douleur dans le cadre de la formation et, plus largement, au sein de l’armée. Les blessures sont souvent vécues comme des échecs personnels et menacent l’identité de l’individu. Il en résulte une pression qui pousse à endurer des blessures douloureuses ainsi qu’une stigmatisation associée au fait de demander des soins. Le thème 3 décrit les réflexions critiques des instructeurs sur la façon dont la douleur est abordée au sein de l’armée, en soulignant que le rapport de l’armée à la douleur constitue une arme à double tranchant, comportant à la fois des aspects bénéfiques et néfastes.Conclusions : Il existe une tension entre les objectifs opérationnels de l’armée et la prise en charge efficace de la douleur et des blessures. Les implications pour la formation militaire et les recherches futures sont abordées.
Achieving the goal of tuberculosis (TB) elimination in India requires innovative approaches. The TB-Free Haryana Mission is a decade-long public-private partnership (PPP) between the government of Haryana state and Medanta - The Medicity, a tertiary corporate hospital designed to strengthen TB case detection and care, particularly among underserved populations. Launched in 2014 as a pilot in Rewari district, the initiative scaled statewide by 2019 using a mobile diagnostic model that integrated digital chest X-ray screening, sputum microscopy and rapid molecular testing. Over time, point-of-care molecular diagnostics and AI-assisted chest X-ray interpretation were incorporated to enable same-day diagnosis and treatment initiation. Over 10 years, the Mission performed >62 000 chest X-rays, achieving an overall high diagnostic yield (5.3%) and extending access to quality diagnostics in remote rural settings. The approach improved detection of smear-negative TB, reduced delays between diagnosis and treatment and remained operationally effective even during the COVID-19 pandemic. Long-term sustainability was supported through shared funding, continuous technological upgrades, strong monitoring systems, community engagement and alignment with national TB policies. This experience demonstrates that a technology-enabled, domestically funded PPP model can effectively bridge diagnostic gaps and is scalable for replication to accelerate TB elimination efforts in India.
Tactical athletes require consistent physical and mental exertion to succeed in their mission, often under life-threatening conditions. Soldiers as tactical athletes are exposed to a myriad of stressors that may deteriorate performance, especially in harsh military environments. It remains unclear which combination of traits, habits, and characteristics of soldiers affects the likelihood of performance decrement during military operations. This observational cohort study investigated the differences between a physical-load group and a mental-load group of cadets (n = 49) during a 2-week near-Arctic winter training. One group comprised first-year cadets who had physical demands, while the second-year cadets had more leadership requirements (command and control) and fewer physical demands. The chance occurrence of a viral infection in the first-year cadets provided a naturalistic experiment to study vulnerability to the illness. Demographics, trait resilience, exercise training behavior, and sleep habits were assessed prior to training. Throughout training, wrist-worn accelerometers monitored sleep-wake activity, and cadets completed daily self-report entries on perceived sleepiness, stress, and mood states. Body composition was measured before and after training. Findings showed the following: (1) poorer self-reported mood, stress, and sleepiness during preparation and cleanup phases than during simulated combat among the mental-load group, but for the physical-load group, these measures were poorest during the simulated combat; (2) an overall decrease in fat mass after the training; and (3) survival analysis demonstrated that older age and less frequent endurance training habits significantly predicted the likelihood of illness during training. Leaders of tactical athletes should be aware of the taxing mental load not just for the main event itself, but for preparation and cleanup phases. Military experience and aerobic fitness might attenuate the likelihood of succumbing to viral illnesses during missions involving close quarters.
High-precision absolute radiometric calibration is the cornerstone of space-based quantitative remote sensing. Monochromator-based radiance calibration is a key approach for space-borne radiometric benchmark transfer; however, the influence of the monochromator bandwidth on calibration accuracy urgently requires validation via an independent, SI-traceable benchmark. Taking a spectrometer as a case study, this paper establishes an equivalent theoretical calibration model. The model reveals that discrepancies in the equivalent spectral distributions of the calibration sources primarily contribute to their calibration deviations. Within the 775-855 nm range, cross-comparison experiments were conducted between the monochromator facility and a reference standard lamp-plaque. Experimental results demonstrate that under bandwidth configurations of 2 nm, 4 nm, and 6 nm, relative deviations in calibrated radiance responsivity stabilize at approximately 2.3%, exhibiting no significant dependence on bandwidth variations. Crucially, the consistency between the two methodologies is rigorously verified, as the radiance responsivity ratios uniformly fall within the combined expanded measurement uncertainty bounds. By demonstrating that bandwidth expansion within the specified 2-6 nm range does not degrade calibration accuracy, this study provides a critical empirical basis for safely increasing solar monochromator bandwidths to improve the signal-to-noise ratio (SNR) in next-generation benchmark missions like the Space-based Radiometric Measurement Benchmark Mission (LIBRA) program.
Within an early intervention child protection service (ages 0-3), interactive guidance is a key tool in efforts to improve the quality of parenting resources and sensitivity to support the optimal development of the children receiving care. The framework and video support provide access to modifying dysfunctional interactive patterns linked to the child's symptoms, particularly in the case of a parent suffering from complex trauma. This therapy is fully aligned with the parenting support missions entrusted to the early educational intervention service in the community.
Arctic and boreal regions are experiencing rapid environmental changes that include thawing permafrost and increasing disturbances. The NASA Arctic-Boreal Vulnerability Experiment (ABoVE) sought to better understand these changes through field, airborne, and remote sensing measurements. One key airborne instrument was the Land, Vegetation, and Ice Sensor (LVIS), a wide-swath imaging laser altimeter system. LVIS conducted 32 flights during June-August periods of 2017 and 2019, capturing data across more than 91,000 km² of diverse Arctic and boreal ecosystems. The surface topography and vegetation structure data collected throughout Alaska and Northwestern Canada spans boreal forests to Arctic tundra, crossing 12 distinct ecoregions. This airborne collection enables direct comparison with coincident NASA Ice, Cloud, and Land Elevation Satellite-2 (ICESat-2) data, extends research beyond the ~52° N limit of NASA's Global Ecosystem Dynamics Investigation (GEDI) sensor, and provides precursor data for future satellite missions, such as NASA's recently selected Earth Dynamics Geodetic Explorer (EDGE). We summarize detailed information on LVIS data records from ABoVE deployments, including access and visualization using custom open source tools.
The Deep South has the highest prevalence of obesity, diabetes, and hypertension in the United States, with marked disparities by race, socioeconomic status, and rurality. Addressing these disparities requires not only effective interventions, but also a translational science workforce equipped to design, implement, and scale solutions in real-world settings. The Forge AHEAD Center was established to improve cardiometabolic health outcomes across the Deep South by advancing both research and scientific workforce development. As a central component of this mission, the Center has developed the "Pilot Plus" model, an integrated framework that combines pilot funding with structured training in translational science, multidisciplinary team-based mentorship, and embedded community engagement. Early-stage investigators are supported through coordinated access to methodological expertise, including dissemination and implantation science and assessment of social determinants of health, while community stakeholders are incorporated into the research process. By aligning funding, training, and infrastructure within a single program, the Pilot Plus model addresses fragmentation in traditional research development approaches and expands access to critical resources across institutions. This model provides an adaptable framework for strengthening translational research capacity and developing a cadre of demographically varied investigators prepared to advance health outcomes in regions with a high burden of chronic disease.
Continuous vital sign monitoring ensures early detection, prevents intensive care unit (ICU) admissions, and improves patient outcomes. Continuous heart rate (HR) monitoring methods often require direct skin contact, which can lead to patient discomfort. The rising popularity of ballistocardiography (BCG) offers a promising, noncontact solution for continuous vital sign monitoring with improved patient comfort. This study aims to develop and validate a novel HR measurement algorithm leveraging convolutional neural networks (CNNs) and BCG signals for accurate, noncontact, and continuous HR monitoring. By integrating time-domain peak detection with short-time Fourier transform and CNN models, the proposed approach seeks to enhance HR measurement accuracy across diverse health care settings. The study follows the Food and Drug Administration (FDA)'s Good Machine Learning Practice guidelines and evaluates the algorithm's robustness, generalizability, and clinical applicability through extensive testing on a diverse dataset, ensuring improved patient comfort and early detection of clinical deterioration. The proposed algorithm combines time-domain peak detection with short-time Fourier transform and CNNs to enhance HR measurement from BCG signals. The CNN model developed was trained on 129,976 data points from 373 participants (HR range: 36-230 bpm), including ICU patients, and was tuned on 75,970 data points from 192 participants (HR range: 46-169 bpm), with HR obtained from clinical-grade electrocardiography devices to improve generalizability. The algorithm was tested on 70,211 data points from 205 participants, including ICU patients, across 5 independent studies to demonstrate robust performance against diverse settings, demographics, and comorbidities. The methodology is in compliance with the FDA's Good Machine Learning Practice for Medical Device Development: Guiding Principles. The algorithm achieved a mean absolute error of under 3 bpm and a detection rate exceeding 80%, underscoring its robustness. The Bland-Altman analysis indicates high accuracy with a minimal bias of 0.25 and limits of agreement within 8.59 bpm. Additionally, the Pearson correlation coefficient of 0.97 from the Deming regression further demonstrates strong alignment with reference HR measurements, reinforcing its precision and reliability for clinical applications. This CNN-based algorithm presents a robust solution for contactless HR monitoring, addressing the limitations of prior methods in noise management and adaptability. Its demonstrated accuracy, particularly in real-world, noisy clinical environments, highlights its potential for broad application in patient monitoring and improved comfort.
As the world celebrates the centenary of quantum science in 2025, quantum technologies (QTs) are emerging as a transformative force across multiple sectors, including occupational safety and health (OSH). Far from being a source of risk, QTs have the potential to significantly enhance OSH outcomes through ultra-sensitive quantum sensors for environmental and health monitoring, secure quantum communication for protected data transmission, quantum simulations for ergonomic workplace design, and advanced predictive analytics for risk prevention. This paper explores how these innovations can revolutionize workplace safety and health infrastructure, especially in high-risk environments like mining, manufacturing, chemical plants, health monitoring, and military settings. Through strategic policy integration, safety-by-design principles, and interdisciplinary collaboration, the quantum revolution can be harnessed not only to redefine technological capabilities, but also to create safer, smarter, and more resilient occupational ecosystems. By proposing quantum-specific safety classifications, interdisciplinary oversight, and international collaboration, this paper calls for embedding safety-by-design principles into the core of quantum Research and Development (R and D). As quantum technologies become foundational to future industries, worker safety must advance in tandem framing quantum not merely as a technological revolution, but as a unique opportunity to reimagine the relationship between innovation and human well-being.
This study explored the experiences of military personnel with chronic pain accessing care during their service and their transition to civilian life. Database and grey literature searches were conducted on December 2, 2022 and January 5, 2024. The analysis was structured in three stages: pilot, initial, and focused coding, following the qualitative meta-synthesis methodology. Each stage involved analysis, synthesis, and discussion of themes and findings among four researchers and a Veteran partner. Themes were synthesized from 19 studies on the impact of military lifestyle, culture, and mindset on military personnel with chronic pain. The findings showed how military lifestyle and culture create different challenges and experiences for military personnel with chronic pain. Chronic pain onset is often linked to prolonged exposure to high-stress environments, strenuous activities, and combat zones. The military has a prevalent culture of pain avoidance, often leading personnel to minimize their symptoms to fit the ideal soldier image. A mission-first ethos and the military's hierarchical structure can sometimes conflict with personal health needs. As military personnel transition to civilian life, they encounter challenges in a health care system that is not always attuned to their unique needs. The analysis also underscores the importance of tailored care and robust social support networks, with other Veterans playing a pivotal role in facilitating smoother transitions. Recognizing the unique challenges and needs of military personnel navigating military culture and lifestyle is crucial for developing tailored health care interventions and ensuring person-centred care during and after service. This study looked at how military personnel with chronic pain experience getting the care they need while serving and after leaving the military. The authors reviewed 19 studies to understand how military culture affects people with chronic pain. They found that the tough, mission-first mindset of the military often makes soldiers ignore or downplay their pain to appear strong. This culture, along with high-stress and physically demanding environments, contributes to the onset and persistence of chronic pain. When transitioning to civilian life, many struggle to get proper care because civilian health care systems may not understand their specific needs. Support from other Veterans and personalized care can help make this transition easier. Cette étude a exploré les expériences du personnel militaire éprouvant des douleurs chroniques qui accédaient aux soins pendant leur service et leur transition à la vie civile. Des recherches ont été réalisées dans les bases de données et la documentation parallèle le 2 décembre 2022 et le 5 janvier 2024. L’analyse a été structurée en trois étapes : période pilote, période initiale et codage ciblé en fonction de la méthodologie qualitative de la méta-synthèse. Chaque étape comprenait une analyse, une synthèse et la discussion des thèmes et des observations entre quatre chercheur(se)s et un(e) partenaire vétéran(e). Les thèmes ont été synthétisés à partir de 19 études traitant des effets du mode de vie, de la culture et de l’esprit des militaires sur le personnel militaire atteint de douleurs chroniques. Les résultats ont démontré que le mode de vie et la culture des militaires entraînent des expériences et des enjeux différents auprès du personnel militaire éprouvant des douleurs chroniques. L’apparition de la douleur chronique est souvent liée à une exposition prolongée à des environnements très stressants, à des activités ardues et à des zones de combat. Les militaires possèdent une culture prévalente d’évitement de la douleur, qui incite souvent les membres du personnel à minimiser leurs symptômes pour correspondre à l’image du soldat idéal. La philosophie de prioriser la mission et la structure hiérarchique des militaires peut parfois s’opposer aux besoins de santé personnels. Lorsque les membres du personnel militaire transitionnent vers la vie civile, ils sont aux prises avec des problèmes dans le système de santé, lequel n’est pas toujours sensible à leurs besoins particuliers. L’analyse fait également ressortir l’importance de soins adaptés et de réseaux de soutien social vigoureux, les autres vétéran(e)s assumant un rôle crucial pour favoriser des transitions plus harmonieuses. Il est capital de reconnaître les difficultés et les besoins uniques du personnel militaire qui évolue dans la culture et le mode de vie des militaires pour élaborer des interventions de santé adaptées et s’assurer que les soins soient axés sur la personne pendant et après le service.