对预备役部队非战争行动卫勤保障的几点思考

非战争军事行动卫勤保障是战争军事行动卫勤保障的基础,抢险救灾、处突维稳等非战争军事事件发生的时间不可预测、规模不可估量,产生的伤情种类复杂,导致救护难度剧增,这对预备役部队卫勤保障提出了更为严峻的挑战.为此,建立与非战争军事行动和现代作战相匹配的预备役部队卫勤训练和保障模式,做好非战争军事行动卫勤保障准备,是预备役部队卫勤人员义不容辞的重要职责.本文通过调研和分析,就如何搞好预备役部队非战争军事行动卫勤保障谈几点思考.     

"和谐使命-2010"医院船医疗系统加改装的分析与探讨

866医院船的使命任务主要是担负战时三军海上伤病员医疗救护与后送、海上卫勤支援,可在除严重冰区以外的全球海区实施卫勤保障.和平时期医院船执行非战争军事行动增多,其使命任务拓展,执行医学科研试验、岛礁部队巡诊,以及参加国际维和、人道主义救助、海上应急救援和撤侨护侨行动等任务逐步常态化.因此,需要深入研究医院船平时执行各类医疗服务、医学救援等非战争军事行动的适用性,对医疗系统实施一定程度的加改装,提高平时卫勤保障能力.     

非战争军事行动空降卫勤保障的特点与对策

空降兵部队是一支空中快速反应力量,除担负军事化行动任务外,还履行突发事件处置、重大灾害事故救援、反恐、维稳、维和、联合军演等非战争军事行动的职责。处置非战争军事行动时,由于事件发展的时间、地点和行动方式上具有与战争军事行动完全不同的特点和规律,空降兵卫勤保障模式也有新的特点和要求,如何提高空降兵部队在非战争军事行动中的卫勤综合保障能力是当前需要重点研究的问题。     

提高医院船执行非战争军事行动应急救援能力的几点思考

医院船作为军队卫勤战线的一支新生力量,一所流动的海上医院,除战时担负伤病员救治和后送任务外,平时还担负着为远洋作战舰艇编队卫勤保障、岛礁医疗巡回、海难救援、沿海救灾、撤侨护侨、海上维和以及国际人道主义援助等多样化非战争军事任务.为提高其应急救援能力,更好地履行非战争军事行动卫勤保障任务,要准确把握非战争军事行动卫勤保障特点规律,科学指导卫勤保障建设,这对于提高非战争军事行动卫勤保障能力,完成多样化军事行动卫勤保障任务意义重大.     

突出保障重点 提高非战争军事行动卫勤保障效能

近年来,医院坚持以非战争军事行动卫勤保障为牵引,坚持立足自我,把牢方向,突出重点,主动作为,有效提高了非战争军事行动卫勤保障效能.     

武警部队护理人员战备能力影响因素分析

武警部队护理人员不仅要做好战备卫勤准备,同时也要为多种非战争军事行动提供救护。其执行任务的救护环境与平时护理工作相比,具有救护对象多、救援工作环境不稳定、机动性强的特点,救援行动受地理、气候、时空、装备物资补给条件的影响。军队护理人员的战备能力不仅仅是单纯护理技术实施和应用的能力,而且要涵盖包括临床护理能力、军事行动护理能力、军事身心素质、及在战争和非战争军事行动中对所做决议执行等的综合能力。因此,本研究对我国武警部队护理人员的战备能力进行大样本调查,并对其影响因素进行分析,为进一步调整武警部队护理人员战备     

军队疗养院在非战争军事行动卫勤保障中的作用探讨

近年来,军队应对国内外的非战争军事行动任务越来越多,这给军队卫勤工作赋予了新的任务,提出了新的要求。针对非战争军事行动卫勤保障特点,结合自身担负的任务,对军队疗养院在非战争军事行动卫勤保障中的作用作一初步探讨。     

卫工剪影

前期,正在执行“和谐使命-2010”任务的“和平方舟”号医院船,与中国海军第六批护航编队在亚丁湾海域举行了代号为“蓝海天使-2010”医疗协同救护演练。这是中国海军首次在远海组织非战争军事行动医疗救护协同演练。这次演练,完善了海军远航舰艇编队医疗救护体系,探索了海军远海卫勤保障体系的新机制、新模式和新理论,不仅填补了海上单舰艇救护所、编队救护所和医院船海上三级医疗救护体系协同展开的空白,而且还通过首次与国内医学机构开展远程卫勤咨询,探索了与海外岸基医疗机构协同合作机制,带动了医院船医疗救护能力的全面提升。     

我院遂行非战争军事行动能力建设探讨

新时期,部队卫勤力量执行非战争军事行动卫勤保障任务日益频繁,涉及反恐维稳、抢险救灾、国际维和与突发公共卫生事件处置等多种类型。我院是地处祖国西南的一个军队中心医院,近年有多次遂行非战争军事行动卫勤保障任务的实践。本文试就遂行非战争军事行动能力建设这一问题加以探讨。     

非战争军事行动卫勤保障的特点及对策

今年以来,在我国部分地区出现了越来越多的突发公共事件,对国家安全和人民生命财产安全造成了比较严重的影响.探讨新形势下空降兵部队执行非战争军事行动卫勤保障的特点及对策,对提高空降兵部队非战争军事行动卫勤保障具有重要意义.     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.     

Bronchial stump fistula :treatment with covered retrievable hinged metallic stents-preliminary clinical experience

Objective To evaluate the preliminaily clinical efficacy and retrievability of a retrievable hinged covered metallic stent in the treatment of the bronchial stump fistula （BSF）. Methods Between April 2003 and March 2005, 8 patients with bronchial stump fistula after pneumonectomy or lobectomy were treated with two types （A and B） of retrievable hinged covered metallic stents. Type A stent was placed in 6 patients and type B in 2 under fluoroscopic guidance. The stent was removed with a retrieval set when BSF was healed or complications occurred. Results Stent placement in the bronchial tree was technically successful in all patients, without procedure-related complications. Immediate closure of the BSF was achieved in all patients after the procedure. Stents were removed from all patients but one. Removal of the stents was difficult in two patients due to tissue hyperplasia. Patients were followed up for 6 - 21 months. Placement of the stents remained stable in all patients except one due to severe cough. Permanent closure of BSF was achieved in 7 （87.5%） of 8 patients. Conclusion Use of a retrievable hinged covered expandable metallic stent is a simple, safe, and effective procedure for closure of the BSF. Retrieval of the stent seems to be feasible. （J Intervent Radiol, 2007, 16： 253-257）     

Prevalence and severity of hip and groin pain in sub‐elite male football: a cross‐sectional cohort study of 695 players

The purpose of this study was twofold: (a) to investigate the prevalence of hip and groin pain in sub‐elite male adult football in Denmark and (b) to explore the association between prevalence and duration of hip and groin pain in the previous season with the Copenhagen Hip and Groin Outcome Score (HAGOS) in the beginning of the new season. In total 695 respondents from 40 teams (Division 1–4) were included. Players completed in the beginning of the new season (July–Sept 2011) a self‐reported paper questionnaire on hip and/or groin pain during the previous season and HAGOS. In total 49% (95% CI: 45–52%) reported hip and/or groin pain during the previous season. Of these, 31% (95% CI: 26–36%) reported pain for >6 weeks. Players with the longest duration of pain during the previous season had the lowest HAGOS scores, when assessed at the beginning of the new season, P < 0.001. This study documents that half of sub‐elite male adult football players report pain in the hip and/or groin during a football season. The football players with the longest duration of pain in previous season displayed the lowest HAGOS scores in the beginning of the new season.