The active denial system(ADS)is a millimeter wave electromagnetic directional energy non-lethal technology and the only microwave device against humans.Microwave radiation can cause damage to multiple systems in the human body,including the nervous,circulatory,immune,and reproductive systems.This article outlines the development,basic structure,and equipment of ADS,characteristics and mechanisms of medical injuries due to ADS,medical injury efficacy of ADS in terms of effects on the human body,determinants and skin depth.The precautions against and medical treatment of ADS-caused symptoms are briefly described.

Extremity vascular firearm injury (EVFI) which occurs in large quantities during wartime and is dispersed in peacetime, can result in acute hemorrhagic shock and compartment syndrome, thus seriously endangering the patients′ life. Compared with vascular trauma, vascular firearm injury not only damages the arteries easily, but also has a more severe damage and a poor prognosis. At present, most of relevant reports on the clinical diagnosis and treatment of EVFI in China are based on the treatment experience in Vietnam′s self-defense counterattack and lack subsequent technology, data and wartime echelon treatment. To this end, the authors discussed the epidemiological characteristics, diagnosis and treatment of EVFI by integrating the literature published since the Afghanistan and Iraq War, aiming to provide reference for the diagnosis and treatment of EVFI in China.

Non-lethal electric shock devices such as Taser have been widely used by military and police agencies worldwide. Taser can temporarily incapacitate human body mainly through discharge on skeletal muscle, while causing injuries to the tissues and organs such as the heart, skeletal muscle, blood vessel, eyeball, brain, bone and neuropsychiatric behavioral disorders through direct or indirect effects of electrical discharge, mechanical puncture, burning and infection. Though Taser has been introduced into China, there have been few studies about the damage to human body caused by Taser and no relevant systematic medical reviews have been found. However, an overall understanding of the characteristics of Taser injuries to human body is of great significance in reducing the disability and mortality rates caused by Taser as well as treating the injuries. To this end, the authors reviewed the research progress on human body injuries caused by Taser from the characteristics of Taser and the types and features of Taser injuries, aiming to provide references for the diagnosis and treatment of injuries caused by Taser.

Craniocerebral war injury, mainly caused by weaponry equipment and wartime conditions during warfare, are characterized by high difficulty in treatment and evacuation as well as high mortality rate. The field surgical treatment of craniocerebral war injury is not only related to injury characteristics, but also to factors such as war scale, combat style, combat area and weapon power. In recent years, there have been few comprehensive reports on the characteristics and field surgical treatment of craniocerebral war injury in China. Therefore, the authors reviewed the research progress in the characteristics and field surgical treatment of craniocerebral war injuries in foreign armies since 2001, with the aim to provide a reference for relevant basic researches and war injury treatment in China.

The high-altitude craniocerebral firearm trauma can induce severe injuries with poor prognosis. Compared with the plain area, the bullets show faster velocity, longer shooting range, and greater kinetic energy due to the low pressure, low oxygen, cold, and dry climate at high altitude, resulting in more serious cerebral tissue damage and higher mortality. At present, there are few studies over craniocerebral firearm trauma at high altitude. Therefore, the authors discuss craniocerebral firearm trauma at high altitude from aspects of epidemiological and pathological characteristics, diagnosis, and treatment in combination with the situation in plain area, so as to provide a reference for the basic research and clinical treatment of craniocerebral firearm trauam at high altitude.

Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are the signature injuries of modern war. The comorbidity rate of PTSD and mTBI in American and British soldiers is 23% and 33%-36%, respectively. At present, there is no early diagnosis methods, specific treatment methods or drugs, which seriously affects the combat effectiveness of the army. The authors summarize the clinical and basic researches in recent years from incidence, comorbidity, clinical manifestations, diagnostic and treatment methods in an attempt to offer a reference for the treatment of PTSD and mTBI in soldiers.

OBJECTIVETo explore the characteristics of mutations 4 common deafness-related genes among 216 patients from Shanghai area with non-syndromic hearing impairment (NSHI).

METHODSThirteen mutation sites in the four genes, namely GJB2 (c.35delG, c.176del16, c.235delC, c.299delAT, and c.155delTCTG), SLC26A4 (c.IVS7-2A>G, c.2168A>G, and c.1229C>T), mtDNA 12SrRNA (m.1494C>T, m.1555A>G, m.7445A>G, and m.12201T>C) and GJB3 (c.538C>T) were detected among the 216 patients and 41 individuals with normal hearing. The frequency and types of mutations were compared between the two groups.

RESULTSAmong the 216 NSHI patients, the total detection rate was 16.20% (35/216). GJB2 mutations were found in 17(7.87%) of the 216 patients, which included 5 cases with homozygous c.235delC mutation, 5 with homozygous c.235delC mutation, 1 with homozygous c.299delAT mutation, and 1 with homozygous c.299delAT mutation. c.235delC and 299delAT mutations were found in 5 cases. SLC26A4 mutation was found in 12(5.56%) of the 216 patients, which included 2 cases with homozygous c.IVS7-2A>G mutation, 9 with homozygous c.IVS7-2A>G mutation, and 1 with homozygous c.2168A>G mutation. Homogeneous mtDNA 12SrRNA m.1555A>G mutation was found in 6(2.78%) of the 216 patients. No GJB3 gene mutation was detected. No mutation of the 4 genes were detected in the 41 individuals with normal hearing. In 2 cases of the 12 patients with SLC26A4 gene mutation, CT scan of the temporal bone has confirmed expansion of vestibular aqueduct.

CONCLUSIONAbove results indicated that GJB2 and SLC26A4 were the major genes involved with hearing loss in Shanghai area.

As one of the most important immune cells in the body,macrophage not only eliminates the "foreign matter" and accelerates wound healing,but also polarizes itself to the M1 or M2 phenotype as a result of local microenvironment effect.The M1 phenotype macrophage exacerbates nervous system injury,while the M2 phenotype promotes regeneration of nerve system structure and function after injury.In order to better understand the role of macrophage polarization in the course of nervous system injury,this review attempts to explore macrophage from the four aspects:the source of macrophage and its polarization,role of macrophage polarization in nerve injury repair,effect of age factor in macrophage polarization in the nerve injury repair and effect of artificial regulation on macrophage polarization in nerve injury repair.

Objective To observe the regulatory effect of olfactory ensheathing cells (OECs) on polarization of M2 macrophages after acute contusion of spinal cords in rats,and explore the mechanism of OECs transplantation in promoting repair of spinal cord injury.Methods The primary OECs were isolated and cultured for transplantation.The T10 spinal cords of SD rats were exposed and impacted by impact stick (10 g) dropping vertically from a height of 25 mm with a NYU-Ⅱ impactor.Twenty-four rats with contusion of spinal cord immediately after injury were randomly divided into DMEM/F12 control group and OECs transplantation group according a random number table.DMEM/F12 culture medium or OECs suspension (3×104/μL,1 μL×3 times) was implanted into the injured spinal cords.At one to 9 weeks after injury,Basso Beattie Bresnahan (BBB) scale was used to evaluate the motor functions in rats.At one week after injury,M2 macrophages and Nogo-A positive cells were labeled by immunofluorescence staining;the expressions of interleukin (IL)-4 and IL-6 were detected by Western blotting.At 9 weeks after injury,the pathological changes of injured spinal cords were observed by HE staining.Results One and 9 weeks after injury,BBB scores in OECs transplantation group were significantly higher than those in control group at each time point after injury (P＜0.05).One week after injury,the number of M2 macrophages in OECs transplantation group was significantly larger than that in control group (3.24％ ±0.56％ vs.0.63％ ±0.21％),and the number of Nogo-A positive cells was significantly smaller and fluorescence intensity was significantly lower in OECs transplantation group than those in control group ([43±24] field vs.([207±88]/field;0.042±0.006 vs.0.062±0.011,P＜0.05);the IL-4 protein level was significantly higher and the IL-6 protein level was significantly lower in OECs transplantation group than those in the control group (0.717±0.152 vs.0.183±0.063;0.550±0.124 vs.1.060±0.209;P＜0.05).Nine weeks after injury,the cytoplasmic cavity area in OECs transplantation group ([1.511±0.581] mm2) was significantly lower than that in control group [2.939±0.823] mm2,P＜0.05).Conclusion OECs transplantation may promote macrophages polarizing to subtype M2,improve the microenvironment of inflammation,reduce Nogo-A secretion,thus promote the structure and spinal cord function recovery.

BACKGROUND:Bone defects are the leading cause of nonunion after firearm injury. Firearm injury is relatively special. Autograft and alograft al have big drawbacks, which cannot meet the requirements of basic-level hospitals. Using tissue-engineered bone with good blood vessels and osteogenic capability in repair of firearm bone defect wil be an ideal and feasible restoration method. OBJECTIVE: To explore the application of human vascular endothelial growth factor 121 gene-modified materials in the repair of firearm-induced radial injury in rabbits. METHODS: A total of 128 rabbits were randomly divided into surgical injury group and firearm injury group (n=64 per group). In the firearm injury group, 0.25 g steel bal was launched using 56-style musket to establish a firearm radial injury model; in the surgical injury group, surgical methods were used to produce a 1.2 cm radial injury model. Human vascular endothelial growth factor 121 gene-modified materials were used. The related histocytes from rabbits were harvested to obtain bone marrow stromal cels for culture. A porous scaffold material was prepared. The obtained materials were respectively implanted into radial defect sites in the surgical injury and firearm injury groups. The application of human vascular endothelial growth factor 121 gene-modified materials in rabbit radial defect repair was analyzed. RESULTS AND CONCLUSION: Compared with the surgical injury group, at 8, 12 and 16 weeks after repair, the gray level ratio of bone defect site and the anti-compression mechanical ratio at the healthy and repairing sides of the radius in the firearm injury group were decreased (P < 0.05), and the new bone area increased (P < 0.05). At 2 and 4 weeks after repair, the local blood flow at the repair area was significantly increased (P < 0.05). These results suggest that compared with the surgical injury group, the curative effect of human vascular endothelial growth factor 121 gene is more ideal in the firearm injury group because of the emergence of local ischemia and hypoxia in the process of radial defect repair. Human vascular endothelial growth factor 121-modified material can repair bone marrow stromal cels. The application of human vascular endothelial growth factor 121 in firearm burns can enhance the synthesis and secretion of angiogenic factors, improve the local blood flow, reduce anti-compression mechanical ratio, and increase the new bone area.