Military medical research on internal diseases in modern warfare:new concepts,demands,challenges,and opportunities

Battlefield internal medicine aims at the treatment of combatants and noncombatants with various internal diseases on the battlefield.The military medical research on battlefield internal diseases focuses on the pathogenesis,clinical management,and prevention of internal diseases under military war conditions.In both wartime and peacetime,the soldiers suffer from more internal diseases than surgical wounds.With the introduction of high-tech weapons,including chemical,physical,and biological agents,a large number of special internal illnesses and casualties will appear in future wars.The battles often occur in special environments,such as high or low temperatures,plateau or polar areas,and micro-or hyper-gravity.The current theories of battlefield internal medicine are mainly derived from wars decades ago and cannot meet the needs of military medical support under the conditions of modern warfare.Therefore,the military medical research on battlefield internal medicine should be based on contemporary military situations,focus on the purpose of treating battlefield internal diseases,and adhere to the actual needs of the troops in peacetime and wartime.We should investigate the pathogenesis of battlefield internal diseases and explore the threats that may arise in future wars to ensure the advancement of battlefield internal medicine.This review highlights new concepts,demands,challenges,and opportunities for the further development of military medical research on battlefield internal medicine.

Clinical Observation of the Therapeutic Effects of Wenzhong Hewei Formula in Treating Spleen and Stomach Qi Deficiency Syndrome in Internal Medicine Diseases

Objective:To observe the clinical efficacy and safety of Wenzhong Hewei Formula in treating spleen and stomach qi deficiency syndrome in internal medicine diseases.Methods:Sixty patients with spleen and stomach qi deficiency syndrome admitted to the hospital from April 2022 to June 2023 were randomly divided into observation and control groups,with 30 patients in each group.The control group received conventional internal medicine treatment,while the observation group was additionally treated with Wenzhong Hewei Formula on the basis of conventional treatment.Both groups were treated for 4 weeks.Results:The total effective rate of treatment in the observation group was higher than that of the control group(P<0.05).After treatment,the traditional Chinese medicine syndrome scores of both groups were significantly lower than before treatment,with the observation group showing a more pronounced reduction(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wenzhong Hewei Formula can effectively improve clinical symptoms in patients with spleen and stomach qi deficiency syndrome,enhance clinical efficacy,and have a high level of safety,making it worthy of clinical promotion.

The application of C1-C2 pedicle screw internal fixation on the upper cervical diseases of children

Objective To report five cases of puerile (【9 years) atlantoaxial instability which underwent C1-C2 pedicle screw internal fixation by posterior approach,and to introduce the surgical technique and the key point

Adoption of network and plan-do-check-action in the international classification of disease 10 coding

BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.

Hepatobiliary & Pancreatic Diseases International(HBPD INT)

Hepatobiliary & Pancreatic Diseases International (HBPD INT) is a journal published bimonthly in English language by the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. We welcome original

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Hepatobiliary & Pancreatic Diseases International(HBPD Int) is a journal published quarterly inEnglish language by the First Affiliated Hospital,Zhejiang University School of Medicine, Hang-zhou, China. We welcome original articles fromany part of the world; no charge is made for re-view. The papers are reviewed by members of theEditorial Board and our international panel of ex-pert peer reviewers, then either accepted for publi-cation or rejected by the Editor. Please send allsubmissions to:

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Hepatobiliary & Pancreatic Diseases International(HBPD Int)is a journal published quarterly inEnglish language by the First Affiliated Hospital,Zhejiang University School of Medicine,Hang-zhou,China.We welcome original articles fromany part of the world;no charge is made for re-view.The papers are reviewed by members of theEditorial Board and our international panel of ex-pert peer reviewers,then either accepted for publi-cation or rejected by the Editor.Please send allsubmissions to:The EditorHepatobiliary & Pancreatic Diseases International(HBPD Int),First Affiliated Hospital,ZhejiangUniversity School of Medicine,79 Qingchun Road,

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Hepatobiliary & Pancreatic Diseases International(HBPD Int) is a journal published quarterly inEnglish language by the First Affiliated Hospital,Zhejiang University School of Medicine, Hang-zhou, China. We welcome original articles fromany part of the world; no charge is made for re-view. The papers are reviewed by members of theEditorial Board and our international panel of ex-pert peer reviewers, then either accepted for publi-cation or rejected by the Editor. Please send allsubmissions to:The EditorHopatobiliary & Pancreatic Diseases International(HBPD Int), First Affiliated Hospital, Zhejiang

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Hepatobiliary & Pancreatic Diseases International(HBPD Int) is a journal published quarterly inEnglish language by the First Affiliated Hospital,Zhejiang University School of Medicine, Hang-zhou, China. We welcome original articles fromany part of the world; no charge is made for re-view. The papers are reviewed by members of theEditorial Board and our international panel of ex-pert peer reviewers, then either accepted for publi-cation or rejected by the Editor. Please send allsubmissions to:

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Aims and ScopeHBPD Int publishes peer-reviewed original papers,reviews and editorials concerned with clinical prac-tice and research in the fields of hepatobiliary andpancreatic diseases. Papers cover the medical,surgical, radiological, pathological, biochemical,physiological and historical aspects of the subjectareas under the headings Liver, Biliary, Pancreas,Transplantation, Research, Special Reports, Edi-torias, Reviews , Brief Communications and CaseReports. The journal also deals with the basic sci-ences and experimental work. All submitted papersare reviewed by at least two referees expert in the

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Aims and ScopeHBPD Int publishes peer-reviewed original papers,reviews and editorials concerned with clinical prac-tice and research in the fields of hepatobiliary andpancreatic diseases. Papers cover the medical,surgical, radiological, pathological, biochemical,physiological and historical aspects of the subjectareas under the headings Liver, Biliary, Pancreas,Transplantation, Research, Special Reports, Edi-torials, Reviews, Brief Communications and CaseReports. The journal also deals with the basic sci-ences and experimental work. All submitted papersare reviewed by at least two referees expert in the

Hepatobiliary & Pancreatic Diseases International (HBPD Int)

Aims and ScopeHBPD Int publishes peer-reviewed original papers,reviews and editorials concerned with clinical prac-tice and research in the fields of hepatobiliary andpancreatic diseases. Papers cover the medical,surgical, radiological, pathological, biochemical,physiological and historical aspects of the subjectareas under the headings Liver, Biliary, Pancreas,Transplantation, Research, Special Reports, Edi-torials, Reviews, Brief Communications and CaseReports. The journal also deals with the basic sci-ences and experimental work. All submitted papersare reviewed by at least two referees expert in thefield of the submitted paper. For detailed instruc-tions concerning the submission of manuscripts,

Hepatobiliary & Pancreatic Diseases International (HBPD INT)

Copyright 2010,Hepatobiliary & Pancreatic Diseases International. All rights reserved.www.hbpdint.com General information Hepatobiliary & Pancreatic Diseases International (HBPD INT)

Hepatobiliary & Pancreatic Diseases International(HBPD INT)

Copyright 2014,Hepatobiliary&Pancreatic Diseases International.All rights reserved.www.hbpdint.comGeneral information Hepatobiliary&Pancreatic Diseases International(HBPD INT)is a journal published bimonthly in English language by the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,China.We welcome original research articles,review articles,editorials,and others from any part of the world.Manuscripts are reviewed by members of the international editorial board and our expert peer reviewers,then either accepted for publication

Hepatobiliary & Pancreatic Diseases International

Hepatobiliary ＆ Pancreatic Diseases International is a journal published bimonthly in English language by the First Af- filiated Hospital, Zhejiang University School of Medicine, Hangzhou, China. We welcome original research articles, review articles, editorials, and others from any part of the world. Manuscripts are reviewed by members of the international editorial board and our expert peer reviewers, then either accepted for publication or rejected by the chief editor.

Hepatobiliary & Pancreatic Diseases International

General informationHepatobiliary ＆ Pancreatic Diseases International is a journal published bimonthly in the English language by the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. We welcome original research articles, review articles, editorials, and others from any part of the world. Manuscripts are reviewed by members of the international editorial board and our expert peer review- ers, then either accepted for publication or rejected by the chief editor.

Hepatobiliary&Pancreatic Diseases International (HBPD INT)

Aims and Scope Hepatobiliary & Pancreatic Diseases International publishes peer-reviewed original papers, reviews (meta-analysis,systematic review) and editorials concerned with clinical practice and research in the fields of hepatobiliary and pancreatic diseases. Papers cover the medical, surgical,

Hepatobiliary ＆ Pancreatic Diseases International

Hepatobiliary Pancreatic Diseases International publishes peer-reviewed original papers, reviews （meta-analysis, systematic review） and editorials concerned with clinical practice and research in the fields of hepatobiliary and pancreatic diseases. Papers cover the medical, surgical, radiological, pathological, biochemical, physiological and histological aspects of the subiect areas under the headings Liver, Biliary, Pancreas, Transplantation, Research, Special Reports, Editorials, Review Articles, Brief Reports,

Hepatobiliary & Pancreatic Diseases International

General information Hepatobiliary ＆ Pancreatic Diseases International is a journal published bimonthly in English language by the First Af- filiated Hospital, Zhejiang University School of Medicine, Hangzhou, China. We welcome original research articles, review articles, editorials, and others from any part of the world. Manuscripts are reviewed by members of the international editorial board and our expert peer review- ers, then either accepted for publication or rejected by the chief editor. Manuscripts should be submitted via http：// mcO3.manuscriptcentral.com/hbpdint.