Expert statement on the construction criteria of critical care department in municipal and district designated hospitals under the pandemic prevention and control / 中华危重病急救医学

The global coronavirus disease 2019 epidemic is still in a pandemic state. Aging population with underlying diseases is prone to become severe, and have a higher mortality. The treatment capacity of the critical care department directly determines the treatment success rate of critical illness. At present, there is still a certain gap between domestic and foreign countries in intensive care unit (ICU), which is not only in the allocation of medical staff, but also in the beds and settings. The current medical model cannot fully meet the needs of development. The experience and lessons of many major public health emergencies suggested that " dual track of peace and war" approach in discipline construction of critical care is the best medical model. Following the concept of "combination of peace and war", strengthening the discipline construction of critical care department in municipal and district designated hospitals, allocating reasonable standard ICU, step-down ICU and combat readiness ICU, establishing rapid response team, and strengthening regular training and scientific management may be the key measures to deal with the epidemic.

Importance of combat readiness training of mobile medical service units in military hospitals during informationalization / 第二军医大学学报

The information-based war has brought unprecedented challenges to the existing support ability of mobile medical service units in military hospitals, and combat readiness training is particularly important for improving its support ability. Combat readiness training is the main way to improve its support ability, a powerful means to improve the level of standardized management, a powerful lever to promote the development of medical equipment, a practical source to promote the theoretical innovation of medical service, a platform to test the design of medical service programs, and an inevitable measure to cultivate the spirit of combat. The above six aspects were analyzed in this paper to effectively solve the bottleneck of combat readiness training, so as to further strengthen the combat readiness training of mobile medical service units in military hospitals under the condition of information war, and improve the effect and level of combat readiness training.

Combat readiness training of mobile medical service forces in military hospitals under information condition: Problem analysis / 第二军医大学学报

Under the information condition, there remain many problems in consciousness, training talents, training contents and training methods in the combat readiness training of mobile medical service forces in military hospitals, which reduces the pertinence and effectiveness of combat readiness training and also affects the effect of combat readiness training. In this review, we systematically analyzed the bottleneck problems of combat readiness training in the above 4 aspects, providing new ideas for effectively solving them, so as to truly implement the combat readiness training and effectively improve the service of military hospital mobile medical service forces.

Development of surgical first aid kits of for combat readiness / 局解手术学杂志

Objective To develop new surgical first aid kits for combat readiness ,and increase the ability of field first aid .Methods On the basis of disposable surgical kits ,the surgical towels were improved .The water absorbing layer was made of SPA materials which inte-grated optimization for surgical use .Results The new surgical first aid kits for combat readiness have the surgical towels with strong water absorption,complete sterile materials,and short time for ready of supplies.Conclusion The new surgical first aid kits for combat readiness have the advantages of small volume ,practicability,available for surgery ,at the same time,which could keep the surgical incision dry and the temperature of patients stability and be helpful to decrease the risk of pressure ulcer and infection ,simplify work procedure .

Android-based design and implementation of intelligent medical chest system for combat readiness / 医疗卫生装备

Objective To design and implement an Android -based medical chest system to realize informatized management of military medicine and equipment.Methods RFID tag was attached to the materials in the chest, and reading module with multiple antenna, Bluetooth module and responder were installed on the chest, Android-based PDA was developed to realize information communication.Results Trials proved that the system could perform auto classified management and precision locating of the materials in the chest, and could provide direction for medicine taking.Conclusion The system enhances the efficiency of the staff and ensures the accuracy and safety of medicine taking, and thus can be popularized in military hospitals.

Effects of comprehensive psychological intervention on psychological and biochemical indexes of servicemen in three degree combat readiness / 中华行为医学与脑科学杂志

Objective To investigate the effects of comprehensive psychological intervention on psychological and biochemical indexes of servicemen in three degree combat readiness. Methods 189 servicemen in three degree combat readiness were randomly divided into the study group and the control group by squad. Beyond the same exercise and education as the control group, the study group received the comprehensive psychological intervention in the course. They were all assessed with Self-rating Depression Scale (SDS) ,self-rating anxiety scale (SAS) ,and simplified coping style questionnaire (SCSQ) at the day entering three degree combat readiness (prereadiness) and the next day after the mission (post-readiness). The serum concentrations of superoxide dismutase ( SOD), malondialdehyde ( MDA), cortisol ( COR), and aldosterone (ALD) were determined to evaluate biochemical indexes at the same time. Results Compared with the control group after the combat readiness, the total scores of SDS( (42.1 ± 9.3 ) vs (49.2 ± 10.3 ) ) and SAS( (43.8 ± 7.2) vs (50.6 ± 10.2), P＜ 0. 01 ) were lower, the score of the positive coping style ( ( 21.2 ± 6.4) vs ( 18.2 ± 5.4), P ＜ 0. 05 ) was higher in the study group.Meanwhile,the levels of MDA( (2.6 ±0.51 ) μmol/L) ,COR( (252.5 ±52.4) ng/ml) ,and ALD ( (97.5 ±24.4) pg/ml) were lower ( P ＜ 0. 01 ), the activity of SOD ( ( 1551 ± 354 ) U/gHb) was higher ( P ＜ 0. 01 ) after the combat readiness. In the control group post-readiness, the total scores of SDS (49.2 ± 10.3) and SAS (50.6± 10.2) ,the levels of MDA ( (2.9 ±0.35 ) μmol/L) ,COR( (333.8 ±62.6) ng/ml) ,and ALD( ( 123.8 ±29.6)pg/ml ) increased significantly (P＜0.01), the score of the positive coping style ( 18.2 ± 5.4) and the activity of SOD ( 1302 ± 352 ) U/gHb decreased significantly ( P ＜ 0. 01 ). The total scores of SDS, SAS were negatively related to the level of SOD ( r= -0. 142, -0. 119, P＜0. 0lor 0.05) ,and positively related to COR ( r=0. 156,0. 159, P＜0. 01 ) and ALD ( r=0.151,0.156, P＜0. 01 ). The score of positive coping style was positively related to the level of SOD ( r=0. 141, P＜0. 01 ) ,and negatively related to COR and ALD ( r= -0. 152, -0. 155, P＜ 0. 01 ). Conclusion Comprehensive psychological intervention could effectively improve the psychological and biochemical indexes,reduce the stress level of servicemen in three degree combat readiness.

An Experimental Study on Conserving Time of Operating Instrument Set for Combat Readiness in Inland and Plateau Section / 中华医院感染学杂志

OBJECTIVE To investigate the storage time and the origin of bacteria for disinfection package for combat readiness under natural environment in inland and plateau situation.METHODS We prepared double-cotton operation dressing packet,apparatus package,as well as dressing and apparatus mixed packet each with 72 pieces,respectively.Packages were deposited within closed and opened storage boxes under natural environment in depository for combat readiness,respectively after vacuum steam sterilization.Three different kinds of packages each with 3 items were put inside each box.After sterilization,total of 9 items with each 3 from one type of package were taken randomly from each group every time for bacterial culture by different time.At the same time,samples of the air and depot boxes in warehouse for combat readiness were collected and cultured as well as analyzed for bacterial homology.RESULTS In Chongqing,all packages were negative for bacteria on the 40th day after sterilization,while 2 packages were positive for bacteria on the 49th day.In Lhasa,4 packages were positive in opened group on the 106th day after sterilization.On the 122nd day,6 packages were positive in opened group and 1 item was positive in closed group.The dominant bacteria are bacilli and staphylococci both in the air and depot boxes of the warehouse for combat readiness.CONCLUSIONS The storage time for disinfection package under natural environment in different areas correlates closely with the local environmental and climatic situations.The bacteria of the package were confirmed to be from the air.The effective storage time for disinfection package would be prolonged by standardization of the disinfection procedure,and control multiple environmental factors affecting microorganisms.

RFID-Based Intelligent Medicine-Chest for Combat Readiness / 医疗卫生装备

Objective To provide information collection,processing and inquiry system,which is safe,accurate rapid and in real time,for combat readiness medical supplies.Methods RFID technology and series antenna coils separated in space were used in combat readiness medicine-chest,thus enabling the medicine-chest to have the virtue of intelligence.Results The combat readiness medicine-chest equipped with RFID system can automatically classify to count and manage medical supplies in medicine-chest without opening the chest.The medical supplies can be monitored in real time and the information of outdated medicine can be automatically prompted.Conclusion Intelligent medicine-chest based on RFID technology can provide informatized method and technique for the management of combat readiness medical supplies for PLA.

Development of high-speed material handling machine based on field conditions / 医疗卫生装备

According to the demand of combat readiness,a high-speed material handling machine based on field conditions is designed and manufactured to enhance the reaction and mobility of Mobile Medical Team.It is confirmed by the practice that this machine has such advantages as high efficiency,safety,convenience and easy maintenance.The difficulty of material handling in field conditions is solved.

Design and development of management system for hospital combat readiness / 医疗卫生装备

Aiming at the characteristics of combat readiness medical teams in military hospital,this paper designs a management system for hospital combat readiness.It can effectively manage such work in medical team as medical equipment,medicine,consumable,personnel,preparation,training,etc.It not only improves the equipment flow in storehouse but enhances the work efficiency.

Design and Implementation of Management System for Hospital Combat Readiness Based on PowerBuilder / 医疗卫生装备

Objective To develop a software to turn the management of combat readiness into information -based management in computer. Methods Based on the Platform of Pb10.0, management modules were designed and database was developed. Results In the corresponding module, operations such as modifying, inquiry or increase could be performed. Conclusion The management level is raised, the waste of commodity is reduced and the equipment in good condition is ensured.

Development of combat readiness archive kit / 医疗卫生装备

Currently, cadre information management has a development trend of digitalization and intelligentization. and this evolution Can meet the modern high-tech war demand that the cadres be rapidly regulated and high level persons with ability be reasonably equipped. New-generation combat readiness archive kit developed in this paper applies advanced protective apparel and related modern informatized device, and can improve the field usage and management of cadre archives.