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  • Original articles
    YANG Jingyi, WANG Jingyi, GUO Jingwen, XIAO Zhonghai, LI Zhe
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    Objective To make an exhaustive study of the evolution, status quo and future developments of wearable technologies for monitoring of exercise across the world via knowledge graphs in order to provide reference for related research in China’s military. Methods Data on wearable technologies for monitoring of exercise collected from literature that was retrieved from Web of Science was used as the subject. Bibliometrix and other visual analysis softwares were used to construct knowledge graphs. The essential characteristics of developments of wearable technologies for monitoring of exercise were explored in terms of trends of publication, co-occurrence networks and co-occurrence of key words. Results The field of wearable technologies for monitoring of exercise was growing fast. Institutional cooperation was characterized by intraregional cooperation. The United States held an important position in the global innovation cooperation network. Conclusion As the leading author of co-occurrence network, Professor Zhonglin Wang has contributed greatly to the collaboration between research teams. Artificial intelligence, big data, cloud computing and other technologies have become hotspots in this field. The application and development of new materials has gone a long way towards making monitoring devices thin, skin-friendly and traceless.
  • Original articles
    WANG Xiaoming, ZHANG Leilei, DANZENG Lazhen, ZHANG Guanyu, YANG Danfeng, WANG Xinxing
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    This paper is intended to analyze the driving force behind and main strategies for innovation and development of individual protective equipment in extreme environments by the U.S. Armed Forces,and outline the current developments and representative achievements of individual protective equipment by the U.S. Armed Forces for environments of high altitude, extreme cold and extreme heat. It is recommended that the top-level design be adopted, physiological modeling and analysis technologies for big data be given more attention, key technologies be innovated, and intelligent, information-based and lightweight new individual medical protective equipment be developed with more effort.
  • Original articles
    MA Wenbing, LI Lijuan, WANG Lei
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    Synthetic biology not only has broad economic prospects and social benefits, but also has potential application value in the military field. In recent years, the U.S. Armed Forces has grasped the frontier hotspots of synthetic biology, carried out applied research of synthetic biology in the military field, and sought innovative breakthroughs in the fields of military materials, military energy, military medicine and military sensing. This paper analyzes the development of synthetic biology, the prospect of military application and the deployment of related science and technology of the U.S. Armed Forces for reference.
  • Original articles
    FAN Sijun, HUO Yan, GAO Weiping, LIANG Ge
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    Objective To study the clinical manifestations and histopathological characteristics of acute ocular injuries caused by the unsymmetrical dimethylhydrazine propellant in rabbits,and to investigate the mechanism of ocular injuries caused by unsymmetrical dimethylhydrazine. Methods A rabbit eye tainting model was established by placing propellant-grade liquid on the corneal surface. The rabbit eyes were divided into the normal control group and the 2 h,1 d,3 d and 7 d post-toxicity groups. The corneal clouding in each group was scored,the integrity of the corneal epithelium was observed,the percentage of corneal epithelial defects was calculated,fundus photographs were taken of the rabbits in each group,and the changes in the posterior segment of the retina of the rabbits were observed.Histopathological slides of rabbit eyes were prepared at each time point. Pathological sections were taken from the rabbit eyes at each time point to observe the histopathological changes of the cornea,lens,iris,ciliary body and retina.Immunohistochemistry was used to analyze the expressions of CD31,TNF-α and MMP-2 in the tissues of eyes of each group. Results The score of corneal opacity degree in each group was 0,but was 2.00 (1.25,2.50),3.00 (2.75,3.00),2.00 (2.00,2.50),1.00 (0.75,1.00) after exposure,so the difference was statistically significant (P<0.001). The percentage of the size of the epithelial defect was (100.00±0.00)% 2 hours after exposure to the toxin,but was subsequently(99.17±6.36)%,(17.38±5.66)%,and (9.71±3.00)%,respectively. The difference between the groups was statistically significant (P<0.001). Rabbits in each groups had normal fundi. Histopathological examination found that the corneal injury to the rabbits after exposure to the poison was manifested as loss of epithelia,edema and thickening of the stroma layer,cystic degeneration of epithelial cells,vasodilation and congestion of the iris and ciliary body,mild edema of the stroma layer,swelling of muscle fibers,all of which recovered within 3 days. The lens structure of the rabbits in each group remained unchanged. The expressions of MMP-2 in the cytoplasm of the corneal stroma,roots of theiris and ciliary body,and in endothelial cells in the corneal limbus vascular wall were significantly enhanced 1 day after exposure,so was the expression of CD31 in the corneal stroma and limbus. No positive expression of TNF-αwas found in anyeye tissuein these groups. Conclusion The unsymmetrical dimethylhydrazine propellant can damage eye tissues under a simulated working environment,but the damage is limited. The damage of unsymmetrical dimethylhydrazine to the cornea is superficial and confined to the corneal epithelium. The damage to the anterior segment is mild,and inflammation has a quick onset and recovery. The damage to the cornea,iris and ciliary body tends to recover on its own.
  • Original articles
    TAN Ling, ZHU Chensi, WANG Baogang, LI Tao, WANG Hui
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    Objective To construct a fluorescent expression cell model of botulinum toxin type B light chain (BoNT/B,BLC), and evaluate the effect of small molecule compounds with this model. Methods The BLC gene was inserted into the fluorescent expression vector pEGFP-N1 to construct a recombinant plasmid before being transfected into the neural cell line Neuro-2a cells for expression. The fluorescence expression level of BLC-EGFP protein in the cells was observed under a fluorescence microscope, and the enzyme digestion activity and stability of BLC-EGFP in the cells were detected by Western blotting. Furthermore, the model was used to evaluate the effect of SRC kinase inhibitor KX2-391 on the intracellular stability of BLC-EGFP protein. Results The recombinant expression plasmid pEGFP-N1-BLC was constructed. It was found that the expression level of BCL-EGFP protein in Neuro-2a cells gradually increased over time, and that the intracellular substrate vesicle-associated membrane protein-2(VAMP-2) was cleaved after plasmid transfection. CHX was added to terminate protein synthesis after the plasmid was transfected for 12 h, and the intracellular level of BLC-EGFP did not change significantly within 72 h. Twenty-four hours of treatment with KX2-391 could significantly promote the intracellular degradation of BLC-EGFP protein. Conclusions A cell model of fluorescent expression of botulinum toxin type B light chain has been established, which provides a technical reserve for the subsequent study onthe intracellular persistence mechanism and intracellular antidote screening of botulinum toxin type B light chain.
  • Original articles
    WANG Ziyi, CHENG Xiaodan, YANG Xingsheng, RONG Zhen, WANG Shengqi
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    Objective To monitor the validity of the sample process flow and to improve the detection accuracy of a SARS-CoV-2 antigen by introducing internal reference into SARS-CoV-2 fluorescent lateral flow assay. Methods Silica-core double-layer quantum dots (SiO2-DQD)microspheres were prepared using a polyethyleneimine (PEI)-mediated self-assembly method before being separately conjugated with an internal reference detection antibody and SARS-CoV-2 antibody. Their capture antibodies were plotted on two test lines of the nitrocellulose membrane. Based on double-antibody sandwich detection principles, an internal reference-assisted fluorescent lateral flow assay for SARS-CoV-2 antigen was established. Results According to the readout fluorescent signals, the detection limit of the method for the SARS-CoV-2 antigen reached 0.01 ng/ml with a validated sample process, suggesting its good specificity and stability. Conclusion In this study, a rapid internal reference-integrated fluorescent lateral flow assay for SARS-CoV-2 has been established, which provides control reference for the analysis workflow so that the false-negative rate of the test results can be reduced.
  • Original articles
    ZHAO Jiaxin, ZHANG Dongsen, SHI Jinhui, SONG Qiuyue, HE Zhaofeng, YING Xiaomin, HU Shuofeng
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    Objective To identify the eye movement characteristics that can distinguish reading interest and comprehensibilityin order to provide reference for prediction of reading interest and comprehensibility based on eye movement. Methods Tobii Glasses 3 was used to collect eye tracking data from 11 participants who read 12 texts on different topics. After reading all the texts, the participants marked each sentence with theirlevels of interest and comprehensibility. Then, Python R and excel software were used to preprocess and analyze the data, and the differences in eye movementamid the four combinations of reading interest (interested or not) and comprehensibility (levels of difficulty) were studiedat overall and individual levels. Results At the overall level, there were statistically significant differences in eye movement between the easy comprehension group and the difficult comprehensiongroup where interest was concerned, but there was little difference between the interested group and the disinterested groupwhen it came to comprehensibility. There were differences in eye movement behavior between individuals, and some of the statistically significant differences in eye movement were consistent across most of the participants. In addition, some of the eye movement characteristicswere oppositeacross different individuals or could not distinguish between the interested and disinterested at the overall level, but could be distinguished within individuals. Conclusion At the overall level, it is relatively easy to determine comprehensibility through eye movement, but it is more difficult to distinguish whether the participant is interested in the sentence or not, especially when the text is easily comprehensible. At the individual level, eye movement behavior varies widely between individuals, and individuals manifest different characteristics in distinguishing reading interest and comprehensibility.
  • Original articles
    SUN Rui, SHU Fei, SONG Kai, ZHANG Yuanlin, HAN Dan, REN Lei, SHU Lixin
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    Objective To evaluate the effectiveness, safety and operability of different types of pre-hospital topical hemostatic dressings given the limited clinical evidence of pre-hospital topical hemostatic dressings so as to provide reference for the subsequent establishment of a comprehensive index system. Methods A systematic review method was used to sift through and summarize the evaluation indexes of zeolite, kaolin and chitosan. Results Fifteen studies were included, only one of which was randomized controlled trial (RCT) study, and the rest were descriptive studies, involving military and civilian subjects. All the three types of hemostatic dressings in the included studies had good haemostatic effects, but the amount of data was too limited to compare the haemostatic effects between different types. Except for zeolite wounds that were likely to be burned by exothermic heat, the other types caused few adverse reactions but with unclear operability.There was no data on stability and economy in the selected literature. Conclusion Considering the ideal hemostatic agent and the standard requirements of Chinese expert consensus, it is recommended that the indicators in follow-up studies include efficacy, safety, operability, stability and economy, and that preclinical animal studies be included to supplement related indicators.
  • Original articles
    GU Zhongqing, SU Weihua, CHEN Xuyi
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    Objective To compare the principles and performance of three Hough transform algorithms (standard Hough transform, gradient based Hough transform, and random Hough transform) in order to establish a suitable control basis for precise and rapid recognition of targets and acquisition of target center coordinates for craniocerebral puncture robots. Methods A simulation environment in MATLAB software was built to study and analyze image feature recognition, filtering, edge detection, cumulative voting and other processing engineering.Contour recognition and fitting of target circles were achieved in multiple scenarios before their center coordinates were obtained. The recognition and fitting performance of these algorithms was quantitatively compared. Finally,a better detection algorithm based on the actual environment of the craniocerebral puncture robot was determined. Results The standard Hough transform algorithm had the largest error between the mark circle and the target circle, and the running time of this algorithm was the longest due to large computation. The detection speed of the random Hough transform algorithm was lower than that of the gradient-based Hough transform algorithm, but the fitting accuracy was slightly better than that of the standard Hough transform algorithm. The speed and accuracy of circle fitting based on the gradient Hough transform algorithm had significant advantages over the other two. Conclusion The gradient based Hough transform algorithm is more suitable for obtaining the target center coordinates of the craniocerebral puncture robot system.
  • Original articles
    ZHAO Shihua, YANG Qiushi, CHEN Xilin, XIAO Xiubin
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    Objective To analyze the clinical characteristics,treatment regimens and influencing factors of prognosis of patients with mantle cell lymphoma(MCL). Methods The clinical data of 41 patients with MCL was collected. These patients were initially diagnosed and treated in the Fifth Medical Center of Chinese PLA General Hospital between August 2004 and December 2019. The clinical features,therapeutic efficacy and prognosis-related factors were clarified. Results The median duration of follow-up was 68(1-165)months. The 3-year progression free survival(PFS)and overall survival(OS) were 37.29% and 62.75% respectively. Based on univariate analysis,B symptoms,Eastern Cooperative Oncology Group(ECOG) scores,the mantle cell lymphoma international prognostic index(MIPI),relapse and refractory state and the therapeutic effect were statistically significant for progression free survival. B symptoms,R-chemotherapy and therapeutic effect were statistically significant for overall survival. In multivariate analysis,B symptoms and the MIPI were statistically significant for progression free survival. B symptoms,R-chemotherapy and therapeutic effect were statistically significant for overall survival. There were statistically significant differences in 3-year OS between patients with different MIPI and MIPI-C scores. Conclusion Mantle cell lymphoma mostly occurs in elder males,and is more likely to be detected in late the stage. B symptoms,R-chemotherapy and therapeutic effect are independent prognostic factors for patients with MCL.The MIPI and MIPI-C scores have clinical guidance significance for patient survival.
  • Reviews
  • Reviews
    WANG Ruoxi, JIANG Beier, XIANG Yujie, BAN Chunli, HE Ying
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    Sleep disorders are abnormalities in sleep duration or quality caused by factors that range from insomnia, circadian rhythm sleep disorders to abnormal behavioral disorders during sleep. Long-term sleep disorders may affect the emotions and physical strength of soldiers, impair their learning and cognitive ability, and even increase the prevalence of physical and mental diseases, which may be detrimental to their physical and mental health and combat effectiveness. This article is intended to review the current research progress in sleep disorders in military personal at home and abroad.
  • Reviews
    XIE Shishun, LI Xiangjun, SHI Shaomin
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    Hexokinase (HK), as the first rate-limiting enzyme for glycolysis, promotes tumor progression by improving levels of aerobic glycolysis in tumor cells. By binding to the voltage-dependent anion channel (VDAC) on the outer mitochondrial membrane, HK2 is involved in increasing the stability of mitochondrial membranes, thereby inhibiting apoptosis of tumor cells and promoting tumor survival, which is why HK2 may be one of the factors that promote tumor resistance to chemotherapy drugs. This article reviews the research progress in the role of HK2 in tumor glucose metabolism, mitochondrial apoptosis and drug resistance.
  • Reviews
    YU Fuhao, YIN Bofeng, ZHU Heng, DING Li
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    Efficient treatment of hematopoietic system radiation injuries that occur in medical and military settings is a real problem that has attracted increasing attention. However, current treatments for hematopoietic system radiation injury are lacking. Mesenchymal stem cells (MSCs) are one of the important components of the bone marrow microenvironment. The role of infusion of exogenous MSCs or their exosomes in promoting hematopoietic system radiation damage repair has been extensively reported. However, there have been relatively few studies on the responses of MSCs in situ in bone marrow after radiation injury. This review focuses on the in situ bone marrow MSC populations that are potentially involved in hematopoietic system radiation injury repair and on the heterogeneity of these MSCs.
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