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Characteristics of U.S.Military Nuclear Medical Emergency Rescue Forces

Tianxi DIAO ; Peng LI ; Lijuan LI ; Wei ZHOU ; Bo FU

Military Medical Sciences.2013;(11):847-849,853. doi:10.7644/j.issn.1674-9960.2013.11.011

Nuclear medical emergency rescue , as an important task for the military , has become a priority in many countries.The U.S.military has accumulated rich experience in the development of nuclear medical emergency rescue forces.This paper analyzes the legal status , roles, responsibilities and tasks of the U .S.military during nuclear emergency rescue as well as the characteristics and current status of nuclear emergency rescue forces , hoping to provide some refer-ences for development of our military nuclear medical emergency rescue forces .

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Effect and mechanism of pulmonary artery pressure on exercise capacity after acute high altitude exposure

Te YANG ; Xiaojing WU ; Shuangfei LI ; Xiangjun LI ; Jun QIN ; Lan HUANG

Military Medical Sciences.2014;(4):252-254,258. doi:10.7644/j.issn.1674-9960.2014.04.004

Objective To investigate the effect and mechanism of pulmonary artery pressure on exercise capacity after acute high altitude exposure .Methods A total of 231 persons were recruited in this study , whose vital signs,SaO2 and physical working capacity ( PWC170 ) exercise capacity were collected .The difference between groups with normal and increased MPAP was observed .Results mean pulmonary artery pressure ( MPAP ) and right ventricle ( RV )-Tei index increased substantially after acute high altitude exposure ,while PWC170 was remarkably decreased .Furthermore,it was found that those whose MPAP increased(MPAP≥25 mmHg)had higher RV-Tei and lower PWC170(P<0.01) in acute high altitude exposure group .Correlation analysis suggested that there were different levels of correlation between MPAP, RV-Tei and PWC170(P<0.01).Conclusion After acute high altitude exposure , the increased pulmonary artery pressure is one of the main causes of lowered exercise capacity .The mechanism may be associated with the decrease of right heart functions .

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Epidemiological investigation and analysis of an outbreak caused by Mycoplasma pneumoniae

Yong CHEN ; Zhengjie JIANG ; Zhihao WU ; Huandong SUN ; Chengyi LI

Military Medical Sciences.2014;(5):347-350,391. doi:10.7644/j.issn.1674-9960.2014.05.006

Objective To investigate the epidemiological characterization , effect of prevention and control measures during an outbreak in a military unit caused by Mycoplasma pneumoniae.Methods All the cases were investigated to learn about their basic characteristics , clinical symptoms and aggregation activities using epidemiological cross-sectional study . Results From May 16 to June 11,2013, forty-nine confirmed cases and thirty-five suspected cases who were all males were found at an attack rate of 7.8%.The epidemic peak period was from May 27 to Jun 2(seven days), and the number of total cases was 66(75.9%).During the outbreak, the attack rate of the 10th cadet team, other cadet teams and a non-student population was 47.5%, 4.5% and 1.2% respectively.The difference was significant (P<0.01).The age of forty-nine confirmed cases ranged from 17 to 26 years old , the attack rate did not differ significantly between different age groups, and no aggregation was found in the place of birth and soldier source .The most frequent clinical symptoms were fever and cough for the confirmed cases , 62.5% of whom showed unilateral or bilateral lung inflammation change , while few positive lung symptoms were present .All the confirmed cases were hospitalized and no severe or critically ill cases were present.The outbreak was controlled effectively after implementation of case surveillance , contact precaution , termination of aggregation activities , dispersed habitation and prescription of azithromycin for disease prevention .Conclusion The confined and crowed environment for learning and training can increase the risk of M.pneumoniae outbreak , making it nec-essary to enhance disease prevention awareness , improve case management , live dispersed , reduce close contact and imple-ment personal hygienic measures .

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Agriculture bioterrorism:risk and management

Lianhui ZHU ; Deqiao TIAN ; Tao ZHENG

Military Medical Sciences.2014;(2):106-108,134. doi:10.7644/j.issn.1674-9960.2014.02.008

In recent years , a series of agriculture biosecurity accidents have occurred ,such as mad cow disease , foot-and-mouth disease and avian influenza , which has aroused worldwide , concern over agriculture bioterrorist attacks .This paper comprehensively analyzes the history and impact of agriculture bioterrorism , the current status of international agricul-ture bioterrorism research , and important issues to be taken into account in future efforts to deal with agriculture bioterrorism .

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Effect of rehabilitation robots with routine rehabilitation training on walking function after stroke

Zhaoxiang MENG ; Xuehan SANG ; Jibing WANG

Military Medical Sciences.2013;(11):854-855,860. doi:10.7644/j.issn.1674-9960.2013.11.013

Objectives To observe the effect of rehabilitation robots with routine rehabilitation training on walking func -tion after stroke .Methods Sixty patients with stroke were randomly divided into treatment group and control group , 30 ca-ses in each group .The control group received routine rehabilitation training while the treatment group received routine reha -bilitation training by rehabilitation robots .The lower extremity functions ,balance and walking ability were assessed with a simplified Fugl-Meyer Assessment(FMA) and using the Berg Balance Scale (BBS) before treatment and after 12 weeks. Results Before treatment , neither the treatment group nor the control group showed any statistically significant difference in terms of FMA and BBS results (P>0.05).After 12 weeks′training, both groups showed significant improvement in terms of FMA and BBS results(P<0.05).The treatment group showed significantly better improvement in lower extremity function, balance and walking function than the control group (P<0.05).Conclusion Rehabilitation robots can signifi-cantly improve walking function in patients after stroke .

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Change in ventricular repolarization among healthy young males exposed to high altitude

Baida XU ; Wei LU ; Jie YU ; Jun QIN ; Jihang ZHANG ; Shuangfei LI ; Lan HUANG

Military Medical Sciences.2014;(4):259-261,280. doi:10.7644/j.issn.1674-9960.2014.04.006

Objective To investigate the change in ventricular repolarization at different altitudes and time courses among healthy young males .Methods A total of 143 healthy young men living on the plains were randomly selected as subjects.Their change in relative parameters of ventricular repolarization was measured by the same person at 500 m above sea level,24 hours their ascent to the plateau at an altitude of 3700 m was,after one week′s acclimatization on the 4400 m plateau and after 50 days acclimatization on the 4400 m plateau.Results Compared with 500 m,at 3700 m above sea level in 24 hours and after one week′s acclimatization on the 4400 m plateau,the heart rate(HR),systolic blood pressure(SBP), diastolic blood pressure(DBP), heart rate-corrected-QT (QTc)interval and heart rate-corrected T-peak to T-end (TpTec) on V3 lead were significantly increased(P<0.05).while oxygen saturation, QT interval,T-peak toT-end(TpTe)interval on V3 lead were significantly decreased ( P<0.05) .Compared with 500 m, oxygen saturation significantly decreased ( P<0.05),while SBP,DBP,QT interval,QTc interval,TpTe interval,TpTec interval did not change significantly (P>0.05) after 50 days acclimatization on the 4400 m plateau.Conclusion The ventricular repolarization duration of these young healthy men was significantly increased when they rapidly ascentded to high altitude .With prolonging residence at high alti-tude,the ventricular repolarization duration gradually returned to the level on the plains ,suggesting that the the ventricular repolarization duration will be restored to its level on the sea level by the adaptation and adjustment mechanism of the body .

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Design of fuzzy PID control algorithm and simulink simulation for temperature control system of wave bioreactors

Liangzhe LI ; Feng CHEN ; Guang ZHANG ; Jianjun SUN ; Ming YU ; Chunchen WANG ; Zhengyang DONG ; Taihu WU

Military Medical Sciences.2016;40(10):824-828. doi:10.7644/j.issn.1674-9960.2016.10.012

Objective To design a temperature control strategy for wave bioreactors.Methods According to the requirements of temperature control precision and response speed of wave bioreactors,the traditional PID control method was combined with fuzzy control method which was used to adjust the parameters of the PID control in real time online in order to strengthen the ability of the temperature control strategy to regulate temperature.Results A fuzzy PID controller was completed and simulation results were compared with the traditional PID controller.Conclusion The fuzzy PID control method has a smaller overshoot and shorter stability than the traditional one, so it has a higher temperature control performance.

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Medical identification of lumbar spondylolysis among flight crew between PLAAF and USAF:an empirical study

Chaofan YUAN ; Huiping SHI ; Zhikang ZOU ; Zhaoyi CHEN ; Jun ZHENG

Military Medical Sciences.2016;40(10):787-789. doi:10.7644/j.issn.1674-9960.2016.10.003

Objective To improve the selection of flying cadets of the Air Force of People′s Liberation Army of China ( PLAAF) by analyzing the differences of medical identification of lumbar spondylolysis between PLAAF and the US Air Force ( USAF) .Methods Flight crew who had been checked for lumbar spondylolysis during hospitalization at the Air Force General Hospital between 2013 and 2015 were chosen.The results of their medical identification were compaired according to PLAAF and USAF Medical Standards Directory, and their differences and possible reasons were analyzed accordingly.Results The qualified rate of PLAAF was about 85%, which was very close to the standards of USAF, but the difference was not of any statistical significance(P>0.05).Conclusion The standards of our medical identification of lumbar spondylolysis was similar to those of USAF, suggesting that the selection of flying cadets can be improved.

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System evaluation of health status and intervention in US Armed Forces

Shali XIE ; Hui LIN ; Yi MENG ; Yang YANG ; Xiao MA

Military Medical Sciences.2016;40(10):777-781. doi:10.7644/j.issn.1674-9960.2016.10.001

Objective To systematically evaluate the health status and intervention measures in the US Armed Forces, and to provide reference for the development of health promotion strategies in our army.Methods The PubMed, Medline, Springer, Elservier, HighWire and CNKI Database were searched electronically, with assigned search strategy for American military health status and intervention measures published from Jan.1997 to Dec.2015.Results There were 25 of pieces literature about training injury, low back pain, posttraumatic stress disorder, depression and cardiovascular disease that were screened.Conclusion The main health problems facing the US Armed Forces and the focus of the intervention measures involved training injuries, low back pain, mental illness and cardiovascular disease.Protection of military health is shifting from the single disease prevention to diversified comprehensive maintenance in the new era.

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Research progress in benchmark dose in risk assessment of long-team exposure toxicity

Hui PENG ; Qiaofang LI ; Jian YIN ; Tingfen ZHANG ; Jiabin GUO ; Yimei WANG ; Shuangqing PENG

Military Medical Sciences.2016;40(10):851-855. doi:10.7644/j.issn.1674-9960.2016.10.018

The purpose of risk assessment is to evaluate the permissible exposure level under specific risk factors.To extrapolate the human acceptable daily intake (ADI) and/or reference dose (RfD), the traditional method uses the no-observed-adverse-effect level ( NOAEL ) to quantify toxicity after being divided by uncertainty factor.There are many limitations with NOAEL method in safety evaluation,for it relies too much on experimental design.Benchmark dose ( BMD) approach is a more reliable method with many advantages.BMD approach and its analysis software, the advantages of BMD over NOAEL, the application and methodological perfection in risk assessment of long-team exposure toxicity are presented in this review.

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