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combat lifesaver-trained, first-responder application of junctional tourniquets: A prospective, randomized,crossover trial

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Military Medical Research 2019年第2期6卷 105-110页

作者： Ismael Flecha Jason FNaylor Steven GSchauer Ryan ACurtis Cord WCunningham 21st combat Support Hospital Fort HoodKilleen76544TXUSA Madigan Army Medical Center JBLM Fort LewisLakewood98431USA San Antonio Military Medical Center JBSA Fort Sam HoustonSan Antonio78234TXUSA US Army Institute of Surgical Research JBSA Fort Sam HoustonSan Antonio78234TXUSA 59th MedicalWing JBSA LacklandSan Antonio78234TXUSA

Background:Junctional hemorrhage surpassed extremity hemorrhage as the leading cause of preventable death after the resurgence of limb tourniquets during the recent conflicts in Afghanistan and *** tourniquets(JTQs)were developed in response to this injury *** data for JTQ efficacy are limited and do not incorporate nonmedical,military first *** compared the time for effective placement and scores for device satisfaction between two different JTQs,stratified by combat lifesaver(CLS)and combat ***:We performed a prospective,randomized,crossover trial utilizing the SAM ’ Medical Junctional Tourniquet(SJT)and Junctional Emergency Treatment Tool(JETTTM).Investigators simple randomized CLS and combat medics to SJT or JETT for their first JTQ application on mannequins with penetrating inguinal ***,participants immediately placed the other JTQ on another casualty with the same *** primary outcome measured was time of successful applicatio *** was defined as proper JTQ placement and a pressu re reading of at least 180 *** compared outcomes between CLS and combat *** JTQ applications were excluded from the comparative ***:From June 2015 to August 2015,a total of 227 personnel(133 CLS and 94 combat medics)at Fort Hood,Texas,USA volunteered to participate in the ***-eight percent(38 of 133)of CLS and 40%(38 of 94)of combat medics placed both JTQs successfully,for a total of 152 applications(76 SJTs and 76 JETTs).We found a significant difference between applications of the JETT between the CLS and combat medics(92.0±37.7 s versus70.5±20.5 s,P=0.004).No other subg roup analyses,whether by device or user,demonstrated a sig nifica nt difference in application *** groups preferred the SJT over the *** disagreed with combat medics that the JETT could be easily applied by one person(median 3.0[2.0,4.0]versus median 4.0[3.0,5.0];P=0.006).Conclusions:Overall,succe

关键词： Junctional Tourniquet Hemorrhage combat Battlefield

Analysis on MAV/UAV cooperative combat based on complex network

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Defence Technology（防务技术） 2020年第1期16卷 150-157页

作者： Jie-ru Fan Dong-guang Li Ru-peng Li Yue Wang Beijing Institute of Technology BeijingChina Beijing Electro-mechanical Engineering Institute BeijingChina Beijing Institute of Electronic System Engineering BeijingChina

A formation model of manned/unmanned aerial vehicle(MAV/UAV) collaborative combat can qualitatively and quantitatively analyze the synergistic ***,there is currently no effective and appropriate model construction method or theory,and research in the field of collaborative capability evaluation is basically *** to the actual conditions of cooperative operations,a new MAV/UAV collaborative combat network model construction method based on a complex network is *** analyzing the characteristic parameters of the abstract network,the index system and complex network are ***,a method for evaluating the synergistic effect of the cooperative combat network is *** method provides assistance for the verification and evaluation of MAV/UAV collaborative combat.

关键词： Complex network Stochastic network MAV/UAV collaborative combat Evaluation

Multi-target Collaborative combat Decision-Making by Improved Particle Swarm Optimizer

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Transactions of Nanjing University of Aeronautics and Astronautics 2018年第1期35卷 181-187页

作者： Ding Yongfei Yang Liuqing Hou Jianyong Jin Guting Zhen Ziyang Science and Technology on Avionics Integration Laboratory Shanghai 200233P.R.China College of Automation Engineering Nanjing University of Aeronautics and AstronauticsNanjing 210016P.R.China China National Aeronautical Radio Electronics Research Institute Shanghai 200233P.R.China

A decision-making problem of missile-target assignment with a novel particle swarm optimization algorithm is proposed when it comes to a multiple target collaborative combat *** threat function is established to describe air combat *** function is used to find an optimal missile-target *** improved particle swarm optimization algorithm is utilized to figure out the optimization function with less parameters,which is based on the adaptive random learning *** to the coordinated attack tactics,there are some adjustments to the *** example results show that it is an effective algorithm to handle with the decision-making problem of the missile-target assignment(MTA)in air combat.

关键词： collaborative combat multi-target decision-making improved particle swarm optimization

Impact of prehospital medical evacuation (MEDEVAC) transport time on combat mortality in patients with noncompressible torso injury and traumatic amputations: a retrospective study

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Military Medical Research 2019年第1期6卷 23-30页

作者： Joseph K.Maddry Crystal A.Perez Alejandra G.Mora Jill D.Lear Shelia C.Savell Vikhyat S.Bebarta US Air Force En route Care Research Center 59th MDW/ST Chief Scientist's Office –US Army Institute of Surgical research JBSA Ft.Sam Houston Department of Emergency Medicine San Antonio Military Medical CenterJBSA Ft. Sam Houston US Air Force En route Care Research Center 59th MDW/ST Chief Scientist's Office –US Army Institute of Surgical researchJBSA Ft.Sam Houston Department of Emergency Medicine University of Colorado School of Medicine

Background: In combat operations, patients with traumatic injuries require expeditious evacuation to improve survival. Studies have shown that long transport times are associated with increased morbidity and mortality. Limited data exist on the influence of transport time on patient outcomes with specific injury types. The objective of this study was to determine the impact of the duration of time from the initial request for medical evacuation to arrival at a medical treatment facility on morbidity and mortality in casualties with traumatic extremity amputation and noncompressible torso injury(NCTI).Methods: We completed a retrospective review of MEDEVAC patient care records for United States military personnel who sustained traumatic amputations and NCTI during Operation Enduring Freedom between January 2011 and March 2014. We grouped patients as traumatic amputation and NCTI(AMP+NCTI), traumatic amputation only(AMP),and neither AMP nor NCTI(Non-AMP/NCTI). Analysis was performed using chi-squared tests, Fisher's exact tests,Cochran-Armitage Trend tests, Shapiro-Wilks tests, Wilcoxon and Kruskal-Wallis techniques and Cox proportional hazards regression ***: We reviewed 1267 records, of which 669 had an injury severity score(ISS) of 10 or greater and were included in the analysis. In the study population, 15.5% sustained only amputation injuries(n=104, AMP only), 10.8% sustained amputation and NCTI(n=72, AMP+NCTI), and 73.7% did not sustain either an amputation or an NCTI(n=493,Non-AMP/NCTI). AMP+NCTI had the highest mortality(16.7%) with transport time greater than 60 min. While the AMP+NCTI group had decreasing survival with longer transport times, AMP and Non-AMP/NCTI did not exhibit the same ***: A decreased transport time from the point of injury to a medical treatment facility was associated with decreased mortality in patients who suffered a combination of amputation injury and NCTI. No significant association between transport time

关键词： Transport time Non-compressible torso injury Traumatic amputation combat

New development thoughts on the bio-inspired intelligence based control for unmanned combat aerial vehicle

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Science China(Technological Sciences) 2010年第8期53卷 2025-2031页

作者： DUAN HaiBin 1 ,SHAO Shan 2 ,SU BingWei 3 &ZHANG Lei 41 State Key Laboratory of Science and Technology on Holistic Flight Control,School of Automation Science and Electrical Engineering, Beijing University of Aeronautics and Astronautics,Beijing 100191,China 2 Flight Control Department,Shenyang Aircraft Design and Research Institute,Shenyang 110035,China 3 Beijing Institute of Near Space Vehicle’s System Engineering,Beijing 100076,China 4Integration and Project Section,Air Force Equipment Academy,Beijing 100085,China State Key Laboratory of Science and Technology on Holistic Flight Control School of Automation Science and Electrical Engineering Beijing University of Aeronautics and Astronautics Beijing China Flight Control Department Shenyang Aircraft Design and Research Institute Shenyang China Beijing Institute of Near Space Vehicle’s System Engineering Beijing China Integration and Project Section Air Force Equipment Academy Beijing China

Bio-inspired intelligence is in the spotlight in the field of international artificial intelligence,and unmanned combat aerial vehicle(UCAV),owing to its potential to perform dangerous,repetitive tasks in remote and hazardous,is very promising for the technological leadership of the nation and essential for improving the security of *** the basis of introduction of bioinspired intelligence and UCAV,a series of new development thoughts on UCAV control are proposed,including artificial brain based high-level autonomous control for UCAV,swarm intelligence based cooperative control for multiple UCAVs,hy-brid swarm intelligence and Bayesian network based situation assessment under complicated combating environments, bio-inspired hardware based high-level autonomous control for UCAV,and meta-heuristic intelligence based heterogeneous cooperative control for multiple UCAVs and unmanned combat ground vehicles(UCGVs).The exact realization of the proposed new development thoughts can enhance the effectiveness of combat,while provide a series of novel breakthroughs for the intelligence,integration and advancement of future UCAV systems.

关键词： bio-inspired intelligence unmanned combat aerial vehicle(UCAV) artificial brain autonomous control bayesian network bio-inspired hardware heterogeneous cooperative control

China in action: national strategies to combat against emerging infectious diseases

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Science China(Life Sciences) 2017年第12期60卷 1383-1385页

作者： Min Han Jinhui Gu George F.Gao William J.Liu CAS Key Laboratory of Pathogenic Microbiology and Immunology Institute of Microbiology Chinese Academy of Sciences Division of Major Special Projects Department of Health Science Technology and Education at China's National Health and Family Planning Commission National Institute for Viral Disease Control and Prevention Chinese Center for Disease Control and Prevention

During the 2013–2016 Ebola epidemic in West Africa,there was a special team as part of an international effort working in *** was the Chinese aid team deployed to West Africa as a multidisciplinary group composed of experienced virologists,epidemiologists and *** part of an international effort,they participated in the control of Ebola virus disease from the very beginning until the end of

关键词： infectious Africa emerging experienced combat surveillance epidemic beginning until specialists

Expert consensus on the evaluation and diagnosis of combat injuries of the Chinese People's Liberation Army

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Military Medical Research 2018年第3期5卷 189-198页

作者： Zhao-wen Zong Lian-yang Zhang Hao Qin Si-xu Chen Lin Zhang Lei Yang Xiao-xue Li Quan-wei Bao Dao-cheng Liu Si-hao He Yue Shen Rong Zhang Yu-feng Zhao Xiao-zheng Zhong representing the PLA Professional Committee and Youth Committee on Disaster Medicine State Key Laboratory of Trauma Burn and Combined InjuryDepartment of Trauma SurgeryDaping HospitalArmy Medical UniversityChongqingChina Special Slinic Department of Bethune Medical Profession Sergeant School ShijiazhuangChina Research Institute of Disaster Medicine General Hospital of Chinese People's Armed Police ForcesBeijingChina Military Medical Training Brigade of Chinese People's Liberation Army HutubiXinjiangUygur Autonomous RegionChina 不详

The accurate assessment and diagnosis of combat injuries are the basis for triage and treatment of combat casualties. A consensus on the assessment and diagnosis of combat injuries was made and discussed at the second annual meeting of the Professional Committee on Disaster Medicine of the Chinese People's Liberation Army(PLA). In this consensus agreement, the massive hemorrhage, airway, respiration, circulation and hypothermia(MARCH) algorithm, which is a simple triage and rapid treatment and field triage score, was recommended to assess combat casualties during the first-aid stage, whereas the abbreviated scoring method for combat casualty and the MARCH algorithm were recommended to assess combat casualties in level Ⅱ facilities. In level Ⅲ facilities, combined measures, including a history inquiry, thorough physical examination, laboratory examination, X-ray, and ultrasound examination, were recommended for the diagnosis of combat casualties. In addition, corresponding methods were recommended for the recognition of casualties needing massive transfusions, assessment of firearm wounds, evaluation of mangled extremities, and assessment of injury severity in this consensus.

关键词： combat injuries Assessment Diagnosis Expert consensus

Editor Profile: Guest Editor of Special Column on Delivery Nanotechnologies to Modulate the Immune System and combat Inflammation and Infection

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药学学报:英文版 2023年第6期13卷 2295-2295页

作者： [Anonymous]

Dr. Wei He is an Associate Professor at the College of Pharmaceutical Science,China Pharmaceutical University(since Jul, 2012). He obtained his Ph.D. degree from Fudan University, worked as a project leader in CSPC Pharmaceutical Co., Ltd. from 2007 to 2009, as a researcher at Alberta University(Canada)and as a visiting scholar at Harvard University from 2018 to 2019.

关键词： combat Canada visiting

Increasing Health Literacy in China to combat Noncommunicable Diseases

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China CDC weekly 2020年第51期2卷 987-991页

作者： Jing Yang Yang Gao Zhuoqun Wang National Center for Chronic and Noncommunicable Disease Control and Prevention China CDCBeijingChina Department of Epidemiology and Statistic Hebei Medical UniversityShijiazhuangHebeiChina

Health literacy involves knowledge,motivation,and competence to access,understand,appraise,and apply health information to make judgments and make decisions every day to maintain or improve quality of *** is of great importance to the health and wellbeing of individuals,families,and society and plays a crucial role in noncommunicable disease(NCD)prevention and *** that health literacy is a public health challenge in China,the Chinese government has been making great effort to address this *** paper presented a general overview of health literacy status in China with a focus on NCDs,described China’s challenges and practices in improving health literacy,and provided suggestions to decision makers,practitioners,and researchers to address the needs of health literacy in China.

关键词： motivation combat Health