月刊,1956年创刊
主管:军事医学科学院
主办:军事医学科学院
主编:张学敏
编辑部主任:刘术
原刊名:军事医学科学院院刊
编辑出版:《军事医学》编辑部
ISSN 1674-9960
CN 11-5950/R
邮发代号:82-757

Latest issue

2025 Volume 49 Issue 11   Published: 25 November 2025
  
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    Original articles
  • Original articles
    ZHANG Mingzhao, YANG Zhenqi, ZOU Yong, MA Lizhen, ZHI Weijia, NIU Jiajia, DONG Ji, HU Xiangjun, WANG Lifeng
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    Objective To investigate the effects of intermittent microwave irradiation on pathological structure and cognitive function of Alzheimer’s disease (AD) mice. Methods Forty C57BL/6J mice and another forty 5×FAD mice were randomly divided into the sham irradiation (sham-WT),irradiation (MW-WT),AD sham irradiation (sham-AD),and AD irradiation (MW-AD) groups,with 20 mice in each. Mice underwent daily 1-hour microwave irradiation (900 MHz,40 Hz repetition rate) on an intermittent schedule: 2 weeks on,2 weeks off,and 2 weeks on again. The cognitive function of mice was assessed via behavioral experiments conducted both immediately and six weeks after irradiation. The expressions of phosphorylated tau(p-Tau) and β amyloid protein (Aβ) plaques were detected via immunofluorescence. Enzyme-linked immunosorbent assay (ELISA) was used to detect the levels of key enzymes involved in Aβ production and neuroinflammatory factors in the brain tissue. Results Compared with the sham-WT group,the novel object recognition index and the novel arm recognition index in the sham-AD group were significantly reduced(P<0.05), but those were significantly increased in the MW-AD group compared to the sham-AD group (P<0.05). In addition,the levels of p-Tau and Aβ proteins in the brain of the MW-AD group were significantly decreased (P<0.05) while the levels of β-secretase and γ-secretase in the cortex were significantly increased (P<0.05). The levels of CD68,tumor necrosis factor-α (TNF-α),and interleukin-10 (IL-10) were also increased to varying degrees (P<0.05). Conclusion Intermittent microwave irradiation (900 MHz,40 Hz) can ameliorate cognitive deficits and attenuate Aβ and p-Tau pathology in AD mice rather than inhibit the key secretases involved in Aβ production or the occurrence of neuroinflammation.
  • Original articles
    LI Weilong, FAN Hua, ZHAO Jiaxin, JIA Shuyu, DU Boai, HE Zhen, YING Xiaomin
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    Objective To compare brain region activation, hemodynamic responses, and functional connectivity between visual perception and visual imagery using functional near-infrared spectroscopy (fNIRS), and to evaluate the performance of different methods of feature extraction and classification in recognizing visual cognitive states. Methods Hemodynamic signals were recorded from 34 healthy participants using the Shimadzu LIGHTNIRS system during tasks involving the visual perception and imagery of 340 images. Statistical analysis and machine learning approaches were employed to explore the neural representations underlying these processes. Results Analysis of changes inoxygenated hemoglobin (HbO) concentrations suggested that visual perception predominantly activated the occipital regions, with higher response amplitudes and a shorter rise latency. In contrast, visual imagery mainly involved prefrontal activation, with a longer rise latency. General linear model (GLM) analysis showed that the way prefrontal and occipital cortices were activated was considerably different between the two tasks. Functional connectivity analysis indicated enhanced prefrontal-occipital connections during imagery despite the lower overall network efficiency in imagination.Classification results indicated that the support vector machine(SVM), adaptive boosting (AdaBoost), and extreme gradient boosting (XGBoost) could all clearly distinguish the two tasks, with XGBoost showing the highest accuracy of 89.1%. Feature ablation analysis identified the skewness, peaklatency, and slope as the best discriminative features. Conclusion Visual perception and imagery show systematic differences in spatial activation, temporal response, and network connectivity. By integrating fNIRS with multidimensional feature modeling and machine learning approaches, the cognitive state can be recognized efficiently.
  • Original articles
    LI Yurui, FU Wenliang, XU Donggang, GAO Bo, XING Weiwei, ZUO Zhongfu
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    Objective To establish a technology for rapid recognition of fear emotions in order to facilitate the monitoring and interventions of fear emotions among personnel doing unusual jobs based on the fNIRSNet model. Methods Functional near infrared spectroscopy (fNIRS) was used to record the changes of cerebral blood oxygen activities in 50 subjects watching non-thrilling and thrilling videos,whose emotions were assessed based on Self-Assessment Manikin (SAM).Signals of blood oxygen in response to the two types of videos were labeled and preprocessed. Channels with significant differences were identified by calculating the Beta value.The features of data on fNIRS in the activated region of the brain where the channels were located were extracted. The fNIRSNet algorithm was used to establish a fear emotion recognition model, and the accuracy was evaluated using the 50-fold cross-validation method. Results The SAM showed that fear emotions were induced, and the brain region activated by fear emotions was located in the medial prefrontal cortex. The fNIRSNet algorithm could help classify fear emotions with high precision by analyzing the data on the 20 s short time series, with an accuracy of 82.36%. Conclusion This technology for emotion recognition based on the fNIRSNet model is capable of rapid and accurate assessment of fear emotions, which can be used for related monitoring and interventions.
  • Original articles
    WANG Chunhui, GUAN Zhifeng, DING Taiguo, ZHANG Tao, LAN Shishi, WANG Lianying, ZHANG Hongxing
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    Objective To assess the potential causal association between baseline red blood cell (RBC) indices and high-altitude adaptation (HAA) among low-altitude residents by using the two-sample bidirectional Mendelian randomization (MR) analysis. Methods A total of 82 healthy volunteers from the plains were enrolled to find out whether baseline RBC indices measured under normoxia were correlated with the percent change in hemoglobin (HGB) after 4 hours of simulated hypobaric hypoxia exposure. Summary-level data from genome-wide association studies (GWAS) were collected for RBC indices among 162,255 residents on the plains of East Asia,and for HAA among a combined cohort of 10,295 Tibetans and non-Tibetan individuals of Eastern Asian ancestry. A two-sample bidirectional MR analysis was conducted to assess the potential causal association between baseline RBC indices and HAA. Results Significant negative correlations were observed between baseline RBC,HGB,and hematocrit (HCT) under normoxia on one hand and the percent change in HGB on the other hand after 4 hours of simulated hypobaric hypoxia exposure. Furthermore,when the subjects were dichotomized based on the percent change in HGB,baseline RBC indices could accurately predict the percent change in HGB post-hypoxia exposure (AUC=0.8491,95%CI=0.8178-0.8804). Forward MR analysis suggested that an inverse-variance weighted random-effects model supported a significant positive correlation of genetically predicted higher baseline HCT (odds ratio [OR]=1.023;95%CI=1.009-1.036;P=8.94×10-4) and HGB levels (OR=1.027; 95%CI=1.011-1.043; P=7.02×10-4) with HAA. Reverse MR analysis indicated no significant reverse causation between HAA and baseline RBC indices. Conclusion Genetically predicted higher baseline levels of HCT and HGB may be helpful in the initial stage of HAA.
  • Original articles
    GONG Jian, HE Jun, GUO Xiaowen, LIU Ruixia,GUO Shuwen
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    Objective To evaluate the detection rates of sleep disorders among Chinese soldiers stationed in plateau regions,providing evidence-based support to inform future research and preventive interventions. Methods A comprehensive search was conducted across CNKI,WanFang Data,VIP Chinese Journal Database,Web of Science,and PubMed. The search encompassed studies from the inception of these databases up to August 1st,2024. The quality of the literature was assessed using the Agency for Healthcare Research and Quality(AHRQ) methodological checklist recommended by the Agency for Healthcare Research and Quality. Data extracted from the included studies were analyzed using R software (version 4.3.2) for Meta-analysis. A random-effects model was used to calculate the overall detection rate of sleep disorders and generate a forest plot,while subgroup analysis was performed based on the duration of high-altitude deployment in Chinese soldiers. Results A total of 1498 publications were retrieved,with 20 studies meeting the inclusion criteria. These studies comprised 11 991 soldiers stationed in plateau regions,among whom 3586 cases of sleep disorders were identified. The detection rate of sleep disorders among Chinese soldiers stationed in plateau regions was 36.8% [95%CI(32.0%,41.5%)]. Subgroup analysis revealed that the detection rate was higher among soldiers stationed for less than one year,at 40.3% [95%CI(33.5%,47.0%)],compared to those stationed for more than one year,who had a detection rate of 30.0% [95%CI(16.1%,43.9%)]. Conclusion The detection rate of sleep disorders in the soldiers stationed in the plateau regions is notably high. Soldiers who have been stationed for less than one year are more likely to susceptible sleep disorders. These findings underscore the need for effective preventive measures to address this issue.
  • Original articles
    SUN Ruoyuan, XU Donggang, FU Wenliang, ZHANG Chao, XIA Wenrong, ZHAO Yongqi, GAO Bo, ZHANG Jun, LIU Aijun, CHEN Changguo, XING Weiwei, LIU Zhongcheng
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    Objective To establish a quantum dot immunochromatographic test strip for simultaneous detection of central nervous system-specific protein (S100β) and neuron-specific enolase (NSE), thereby achieving combined detection of both biomarkers. Methods A double-antibody sandwich immunochromatographic assay was developed using S100β and NSE capture antibodies as the test line and species-specific secondary antibodies as the control line coated on the nitrocellulose membrane. Quantum dot bead-conjugated antibodies targeting S100β and NSE served as fluorescent probes. The preparation parameters of the strip were optimized, and its performance was systematically evaluated to develop a rapid diagnostic strip for mild traumatic brain injury (mTBI). The diagnostic efficacy of the strip was further validated using clinical samples. Results The total assay time for combined detection of S100β and NSE was 17 min, with a limit of detection (LOD) of 0.1 ng/mL for S100β and 2.67 ng/mL for NSE. The inter-batch reproducibility of the strips was excellent (coefficient of variation, CV<15%). In clinical validation using 24 mTBI samples, the combined detection strip demonstrated a specificity of 90% and a sensitivity of 92.86%, outperforming single-marker detection. These results prove that the simultaneous quantification of S100β and NSE enhances diagnostic efficacy for mTBI patients. Conclusion A combined detection method for the biomarkers S100β and NSE in mTBI, based on quantum dot immunochromatography, has been preliminarily established. This method demonstrates promising clinical application prospects in the auxiliary diagnosis of mTBI.
  • Reviews
  • Reviews
    LI Ling, LI Huiyun
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    The increasing complexity of modern military operations has heightened research attention to the impacts of sleep restriction (SR) on soldiers’ combat effectiveness.?? This article analyzes ?SR-induced deficits? in military performance, reviews ?global military countermeasures? (spanning technical interventions to institutional safeguards), and proposes ?actionable optimization frameworks? for ?military sleep management.
  • Reviews
    XI Yuanhang, WANG Wenlan, BAO Junxiang
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    Amid increasing globalization, the risk of vector-borne diseases has risen significantly, posing a huge threat to public health in China. This situation is particularly pronounced in the military. Military personnel, who are highly concentrated and engaged in cross-regional operations, are exceedingly vulnerable to an epidemiconce exposed to vector organisms, thus impacting their combat effectiveness and health. Effective vaccines or preventive medications for vector-borne diseases are lacking, so vector control has become critical to curbing the spread. This paper not only analyzes the epidemiology of vector-borne diseases in China amid globalization and urbanization, but also summarizes the advancements in novel vector-control strategies that are compared and contrasted with traditional approaches. The prevention and control of vector organisms requires long-term, systematic, and collaborated efforts. China should comply with the basic principles concerning sustainable vector management (SVM). By strengthening the monitoring system, fostering inter-regional collaboration, and promoting new technologies and equipment, we can safeguard public health and the safety of military personnel and civilians.
  • Reviews
    LI Junying, LIU Lei
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    Hemorrhagic shock (HS) is a state of acute circulatory failure caused by massive hemorrhage that results in a sharp decrease in effective circulating blood volume and tissue hypoperfusion. HS easily triggers a series of complex pathophysiological changes, among which mitochondrial dysfunction is regarded as a key link. Mitochondria are the center of cellular energy production, which are involved in the regulation of apoptosis, oxidative stress response and immune regulation. With in-depth studies on the pathophysiological mechanism of HS, the role of mitochondria in HS has received more attention, but the mechanism of action remains elusive. This article reviews the pathophysiological characteristics, molecular regulatory mechanisms and research progress related to therapeutic drugs for mitochondrial injury after HS in order to contribute to subsequent research in this area.
  • Reviews
    WANG Xinyu, LI Menghua, XU jing, ZHANG Chenggang, WANG Changzhen
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    Recent studies have shown that long-term exposure to a particular intensity of electromagnetic radiation may pose a threat to human health. This paper outlines the characteristics and mechanisms of damage caused by electromagnetic radiation to the body’s central nervous system, reproductive and immune systems. It is believed that oxidative stress is an important mechanism of electromagnetic radiation-induced damage to the body and will be a priority of drug research. The research progress in anti-electromagnetic radiation drugs is also summarized.
  • Short article
  • Short article
    GAO Haigang, SU Guangming, WANG Chao, ZHANG Haipu
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