Combat system effectiveness simulation (CSES) is a special type of complex system simulation. Three non-functional requirements (NFRs), i.e. model composability, domain specific modeling, and model evolvability, are g...Combat system effectiveness simulation (CSES) is a special type of complex system simulation. Three non-functional requirements (NFRs), i.e. model composability, domain specific modeling, and model evolvability, are gaining higher priority from CSES users when evaluating different modeling methodologies for CSES. Traditional CSES modeling methodologies are either domain-neutral (lack of domain characteristics consideration and limited support for model composability) or domain-oriented (lack of openness and evolvability) and fall short of the three NFRs. Inspired by the concept of architecture in systems engineering and software engineering fields, we extend it into a concept of model architecture for complex simulation systems, and propose a model architecture-oriented modeling methodology in which the model architecture plays a central role in achieving the three NFRs. Various model-driven engineering (MDE) approaches and technologies, including simulation modeling platform (SMP), unified modeling language (UML), domain specific modeling (DSM), eclipse modeling framework (EMF), graphical modeling framework (GMF), and so forth, are applied where possible in representing the CSES model architecture and its components' behaviors from physical and cognitive domain aspects. A prototype CSES system, called weapon effectiveness simulation system (WESS), and a non-trivial air-combat simulation example are presented to demonstrate the methodology.展开更多
Naval Vessels Combat System is a kind of complex system.The modeling of combat system has become hot issues in the past years.This paper proposed a new method to establish models of combat system based on the theory o...Naval Vessels Combat System is a kind of complex system.The modeling of combat system has become hot issues in the past years.This paper proposed a new method to establish models of combat system based on the theory of Complex Network.The method of modeling considered the operational entities as nodes.It considered flow of information,substance and energy as edges in a network.The research also carries on a simulation to prove the applicability.Ultimately,the paper concluded that this method is applicable and accurate.展开更多
With the development of ordnance technology,the survival and safety of individual combatants in hightech warfare are under serious threat,and the Personal Protective Equipment(PPE),as an important guarantee to reduce ...With the development of ordnance technology,the survival and safety of individual combatants in hightech warfare are under serious threat,and the Personal Protective Equipment(PPE),as an important guarantee to reduce casualties and maintain military combat effectiveness,is widely developed.This paper systematically reviewed various PPE based on individual combat through literature research and comprehensive discussion,and introduced in detail the latest application progress of PPE in terms of material and technology from three aspects:individual integrated protection system,traditional protection equipment,and intelligent protection equipment,respectively,and discussed in depth the functional improvement and optimization status brought by advanced technology for PPE,focusing on the achievements of individual equipment technology application.Finally,the problems and technical bottlenecks in the development of PPE were analyzed and summarized,and the development trend of PPE were pointed out.The results of the review will provide a forward-looking reference for the current development of individual PPE,and are important guidance for the design and technological innovation of advanced equipment based on the future technological battlefield.展开更多
Reinforcement learning has been applied to air combat problems in recent years,and the idea of curriculum learning is often used for reinforcement learning,but traditional curriculum learning suffers from the problem ...Reinforcement learning has been applied to air combat problems in recent years,and the idea of curriculum learning is often used for reinforcement learning,but traditional curriculum learning suffers from the problem of plasticity loss in neural networks.Plasticity loss is the difficulty of learning new knowledge after the network has converged.To this end,we propose a motivational curriculum learning distributed proximal policy optimization(MCLDPPO)algorithm,through which trained agents can significantly outperform the predictive game tree and mainstream reinforcement learning methods.The motivational curriculum learning is designed to help the agent gradually improve its combat ability by observing the agent's unsatisfactory performance and providing appropriate rewards as a guide.Furthermore,a complete tactical maneuver is encapsulated based on the existing air combat knowledge,and through the flexible use of these maneuvers,some tactics beyond human knowledge can be realized.In addition,we designed an interruption mechanism for the agent to increase the frequency of decisionmaking when the agent faces an emergency.When the number of threats received by the agent changes,the current action is interrupted in order to reacquire observations and make decisions again.Using the interruption mechanism can significantly improve the performance of the agent.To simulate actual air combat better,we use digital twin technology to simulate real air battles and propose a parallel battlefield mechanism that can run multiple simulation environments simultaneously,effectively improving data throughput.The experimental results demonstrate that the agent can fully utilize the situational information to make reasonable decisions and provide tactical adaptation in the air combat,verifying the effectiveness of the algorithmic framework proposed in this paper.展开更多
In the air combat process,confrontation position is the critical factor to determine the confrontation situation,attack effect and escape probability of UAVs.Therefore,selecting the optimal confrontation position beco...In the air combat process,confrontation position is the critical factor to determine the confrontation situation,attack effect and escape probability of UAVs.Therefore,selecting the optimal confrontation position becomes the primary goal of maneuver decision-making.By taking the position as the UAV’s maneuver strategy,this paper constructs the optimal confrontation position selecting games(OCPSGs)model.In the OCPSGs model,the payoff function of each UAV is defined by the difference between the comprehensive advantages of both sides,and the strategy space of each UAV at every step is defined by its accessible space determined by the maneuverability.Then we design the limit approximation of mixed strategy Nash equilibrium(LAMSNQ)algorithm,which provides a method to determine the optimal probability distribution of positions in the strategy space.In the simulation phase,we assume the motions on three directions are independent and the strategy space is a cuboid to simplify the model.Several simulations are performed to verify the feasibility,effectiveness and stability of the algorithm.展开更多
Lying in her makeshift hospital bed,Joyce Tembo thanked medical personnel for evacuating her to the designated national cholera treatment centre,6 km north of Zambia’s capital Lusaka.She was recently diagnosed with d...Lying in her makeshift hospital bed,Joyce Tembo thanked medical personnel for evacuating her to the designated national cholera treatment centre,6 km north of Zambia’s capital Lusaka.She was recently diagnosed with diarrhoeal disease.Tembo,43,commended the medical sta!stationed at the treatment centre for their great service to thousands of patients,especially women and children seeking urgent treatment.“I am very grateful to the Chinese doctors who attended to me as soon as the ambulance rushed me to the clinic where I received urgent treatment;they have really saved my life,”Tembo told ChinAfrica.But not all residents in her community are as lucky as her.Many in the densely populated slums die every day due to the area’s poor sanitation-one of the major causes of the cholera outbreak.展开更多
Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the n...Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the near future. On the basisof analyzing the structure of the MCAV/UCAV cooperative engage-ment system, this paper divides the unique system into three hi-erarchical levels, respectively, i.e., mission level, task-cluster leveland task level. To solve the formation and adjustment problem ofthe latter two levels, three corresponding mathematical modelsare established. To solve these models, three algorithms calledquantum artificial bee colony (QABC) algorithm, greedy strategy(GS) and two-stage greedy strategy (TSGS) are proposed. Finally,a series of simulation experiments are designed to verify the effec-tiveness and superiority of the proposed algorithms.展开更多
To makesystem-of-systems combat simulation models easy to be developed and reused, simulation model formal specification and representation are researched. According to the view of system-of-systems combat simulation,...To makesystem-of-systems combat simulation models easy to be developed and reused, simulation model formal specification and representation are researched. According to the view of system-of-systems combat simulation, and based on DEVS, the simulation model's fundamental formalisms are explored. It includes entity model, system-of-systems model and experiment model. It also presents rigorous formal specification. XML data exchange standard is combined to design the XML based language, SCSL, to support simulation model representation. The corresponding relationship between SCSL and simulation model formalism is discussed and the syntax and semantics of elements in SCSL are detailed. Based on simulation model formal specification, the abstract simulation algorithm is given and SCSL virtual machine, which is capable of automatically interpreting and executing simulation model represented by SCSL, is designed. Finally an application case is presented, which can show the validation of the theory and verification of SCSL.展开更多
Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain info...Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain information of the opponents.As such,this paper presents a cooperative decision-making method based on incomplete information dynamic game to generate maneuver strategies for multiple UAVs in air combat.Firstly,a cooperative situation assessment model is presented to measure the overall combat situation.Secondly,an incomplete information dynamic game model is proposed to model the dynamic process of air combat,and a dynamic Bayesian network is designed to infer the tactical intention of the opponent.Then a reinforcement learning framework based on multiagent deep deterministic policy gradient is established to obtain the perfect Bayes-Nash equilibrium solution of the air combat game model.Finally,a series of simulations are conducted to verify the effectiveness of the proposed method,and the simulation results show effective synergies and cooperative tactics.展开更多
Aiming at addressing the problem of manoeuvring decision-making in UAV air combat,this study establishes a one-to-one air combat model,defines missile attack areas,and uses the non-deterministic policy Soft-Actor-Crit...Aiming at addressing the problem of manoeuvring decision-making in UAV air combat,this study establishes a one-to-one air combat model,defines missile attack areas,and uses the non-deterministic policy Soft-Actor-Critic(SAC)algorithm in deep reinforcement learning to construct a decision model to realize the manoeuvring process.At the same time,the complexity of the proposed algorithm is calculated,and the stability of the closed-loop system of air combat decision-making controlled by neural network is analysed by the Lyapunov function.This study defines the UAV air combat process as a gaming process and proposes a Parallel Self-Play training SAC algorithm(PSP-SAC)to improve the generalisation performance of UAV control decisions.Simulation results have shown that the proposed algorithm can realize sample sharing and policy sharing in multiple combat environments and can significantly improve the generalisation ability of the model compared to independent training.展开更多
Multi-robot cooperation problem has received increasing attention in the research community and has been extensively studied from different aspects. Space constrain problem is a major issue for building a multi-robot ...Multi-robot cooperation problem has received increasing attention in the research community and has been extensively studied from different aspects. Space constrain problem is a major issue for building a multi-robot system. This con- strain is a major hindrance for the efficient cooperation among robots in multi-robot applications. In this paper, we demonstrate a novel architecture of a multi-robot system without space restriction. Our architecture is based on the Internet of Things technology. We validated the proposed architecture using a case study considering a multi-robot combat application.展开更多
The anti-aircraft system plays an irreplaceable role in modern combat. An anti-aircraft system consists of various types of functional entities interacting to destroy the hostile aircraft moving in high speed. The con...The anti-aircraft system plays an irreplaceable role in modern combat. An anti-aircraft system consists of various types of functional entities interacting to destroy the hostile aircraft moving in high speed. The connecting structure of combat entities in it is of great importance for supporting the normal process of the system. In this paper, we explore the optimizing strategy of the structure of the anti-aircraft network by establishing extra communication channels between the combat entities.Firstly, the thought of combat network model(CNM) is borrowed to model the anti-aircraft system as a heterogeneous network. Secondly, the optimization objectives are determined as the survivability and the accuracy of the system. To specify these objectives, the information chain and accuracy chain are constructed based on CNM. The causal strength(CAST) logic and influence network(IN) are introduced to illustrate the establishment of the accuracy chain. Thirdly, the optimization constraints are discussed and set in three aspects: time, connection feasibility and budget. The time constraint network(TCN) is introduced to construct the timing chain and help to detect the timing consistency. Then, the process of the multi-objective optimization of the structure of the anti-aircraft system is designed.Finally, a simulation is conducted to prove the effectiveness and feasibility of the proposed method. Non-dominated sorting based genetic algorithm-Ⅱ(NSGA2) is used to solve the multiobjective optimization problem and two other algorithms including non-dominated sorting based genetic algorithm-Ⅲ(NSGA3)and strength Pareto evolutionary algorithm-Ⅱ(SPEA2) are employed as comparisons. The deciders and system builders can make the anti-aircraft system improved in the survivability and accuracy in the combat reality.展开更多
Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to differen...Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.展开更多
基金supported by the National Natural Science Foundation of China(61273198)
文摘Combat system effectiveness simulation (CSES) is a special type of complex system simulation. Three non-functional requirements (NFRs), i.e. model composability, domain specific modeling, and model evolvability, are gaining higher priority from CSES users when evaluating different modeling methodologies for CSES. Traditional CSES modeling methodologies are either domain-neutral (lack of domain characteristics consideration and limited support for model composability) or domain-oriented (lack of openness and evolvability) and fall short of the three NFRs. Inspired by the concept of architecture in systems engineering and software engineering fields, we extend it into a concept of model architecture for complex simulation systems, and propose a model architecture-oriented modeling methodology in which the model architecture plays a central role in achieving the three NFRs. Various model-driven engineering (MDE) approaches and technologies, including simulation modeling platform (SMP), unified modeling language (UML), domain specific modeling (DSM), eclipse modeling framework (EMF), graphical modeling framework (GMF), and so forth, are applied where possible in representing the CSES model architecture and its components' behaviors from physical and cognitive domain aspects. A prototype CSES system, called weapon effectiveness simulation system (WESS), and a non-trivial air-combat simulation example are presented to demonstrate the methodology.
基金supported by Science Foundation of Dalian Naval Academy
文摘Naval Vessels Combat System is a kind of complex system.The modeling of combat system has become hot issues in the past years.This paper proposed a new method to establish models of combat system based on the theory of Complex Network.The method of modeling considered the operational entities as nodes.It considered flow of information,substance and energy as edges in a network.The research also carries on a simulation to prove the applicability.Ultimately,the paper concluded that this method is applicable and accurate.
基金supported by the National Outstanding Youth Science Fund Project of National Natural Science Foundation of China(Projects No.52202012)the National Natural Science Foundation of China(Projects No.51834007)。
文摘With the development of ordnance technology,the survival and safety of individual combatants in hightech warfare are under serious threat,and the Personal Protective Equipment(PPE),as an important guarantee to reduce casualties and maintain military combat effectiveness,is widely developed.This paper systematically reviewed various PPE based on individual combat through literature research and comprehensive discussion,and introduced in detail the latest application progress of PPE in terms of material and technology from three aspects:individual integrated protection system,traditional protection equipment,and intelligent protection equipment,respectively,and discussed in depth the functional improvement and optimization status brought by advanced technology for PPE,focusing on the achievements of individual equipment technology application.Finally,the problems and technical bottlenecks in the development of PPE were analyzed and summarized,and the development trend of PPE were pointed out.The results of the review will provide a forward-looking reference for the current development of individual PPE,and are important guidance for the design and technological innovation of advanced equipment based on the future technological battlefield.
文摘Reinforcement learning has been applied to air combat problems in recent years,and the idea of curriculum learning is often used for reinforcement learning,but traditional curriculum learning suffers from the problem of plasticity loss in neural networks.Plasticity loss is the difficulty of learning new knowledge after the network has converged.To this end,we propose a motivational curriculum learning distributed proximal policy optimization(MCLDPPO)algorithm,through which trained agents can significantly outperform the predictive game tree and mainstream reinforcement learning methods.The motivational curriculum learning is designed to help the agent gradually improve its combat ability by observing the agent's unsatisfactory performance and providing appropriate rewards as a guide.Furthermore,a complete tactical maneuver is encapsulated based on the existing air combat knowledge,and through the flexible use of these maneuvers,some tactics beyond human knowledge can be realized.In addition,we designed an interruption mechanism for the agent to increase the frequency of decisionmaking when the agent faces an emergency.When the number of threats received by the agent changes,the current action is interrupted in order to reacquire observations and make decisions again.Using the interruption mechanism can significantly improve the performance of the agent.To simulate actual air combat better,we use digital twin technology to simulate real air battles and propose a parallel battlefield mechanism that can run multiple simulation environments simultaneously,effectively improving data throughput.The experimental results demonstrate that the agent can fully utilize the situational information to make reasonable decisions and provide tactical adaptation in the air combat,verifying the effectiveness of the algorithmic framework proposed in this paper.
基金National Key R&D Program of China(Grant No.2021YFA1000402)National Natural Science Foundation of China(Grant No.72071159)to provide fund for conducting experiments。
文摘In the air combat process,confrontation position is the critical factor to determine the confrontation situation,attack effect and escape probability of UAVs.Therefore,selecting the optimal confrontation position becomes the primary goal of maneuver decision-making.By taking the position as the UAV’s maneuver strategy,this paper constructs the optimal confrontation position selecting games(OCPSGs)model.In the OCPSGs model,the payoff function of each UAV is defined by the difference between the comprehensive advantages of both sides,and the strategy space of each UAV at every step is defined by its accessible space determined by the maneuverability.Then we design the limit approximation of mixed strategy Nash equilibrium(LAMSNQ)algorithm,which provides a method to determine the optimal probability distribution of positions in the strategy space.In the simulation phase,we assume the motions on three directions are independent and the strategy space is a cuboid to simplify the model.Several simulations are performed to verify the feasibility,effectiveness and stability of the algorithm.
文摘Lying in her makeshift hospital bed,Joyce Tembo thanked medical personnel for evacuating her to the designated national cholera treatment centre,6 km north of Zambia’s capital Lusaka.She was recently diagnosed with diarrhoeal disease.Tembo,43,commended the medical sta!stationed at the treatment centre for their great service to thousands of patients,especially women and children seeking urgent treatment.“I am very grateful to the Chinese doctors who attended to me as soon as the ambulance rushed me to the clinic where I received urgent treatment;they have really saved my life,”Tembo told ChinAfrica.But not all residents in her community are as lucky as her.Many in the densely populated slums die every day due to the area’s poor sanitation-one of the major causes of the cholera outbreak.
基金supported by the National Natural Science Foundation of China(61573017)the Doctoral Innovation Found of Air Force Engineering University(KGD08101604)
文摘Manned combat aerial vehicles (MCAVs), and un-manned combat aerial vehicles (UCAVs) together form a cooper-ative engagement system to carry out operational mission, whichwill be a new air engagement style in the near future. On the basisof analyzing the structure of the MCAV/UCAV cooperative engage-ment system, this paper divides the unique system into three hi-erarchical levels, respectively, i.e., mission level, task-cluster leveland task level. To solve the formation and adjustment problem ofthe latter two levels, three corresponding mathematical modelsare established. To solve these models, three algorithms calledquantum artificial bee colony (QABC) algorithm, greedy strategy(GS) and two-stage greedy strategy (TSGS) are proposed. Finally,a series of simulation experiments are designed to verify the effec-tiveness and superiority of the proposed algorithms.
文摘To makesystem-of-systems combat simulation models easy to be developed and reused, simulation model formal specification and representation are researched. According to the view of system-of-systems combat simulation, and based on DEVS, the simulation model's fundamental formalisms are explored. It includes entity model, system-of-systems model and experiment model. It also presents rigorous formal specification. XML data exchange standard is combined to design the XML based language, SCSL, to support simulation model representation. The corresponding relationship between SCSL and simulation model formalism is discussed and the syntax and semantics of elements in SCSL are detailed. Based on simulation model formal specification, the abstract simulation algorithm is given and SCSL virtual machine, which is capable of automatically interpreting and executing simulation model represented by SCSL, is designed. Finally an application case is presented, which can show the validation of the theory and verification of SCSL.
基金supported by the National Natural Science Foundation of China(Grant No.61933010 and 61903301)Shaanxi Aerospace Flight Vehicle Design Key Laboratory。
文摘Cooperative autonomous air combat of multiple unmanned aerial vehicles(UAVs)is one of the main combat modes in future air warfare,which becomes even more complicated with highly changeable situation and uncertain information of the opponents.As such,this paper presents a cooperative decision-making method based on incomplete information dynamic game to generate maneuver strategies for multiple UAVs in air combat.Firstly,a cooperative situation assessment model is presented to measure the overall combat situation.Secondly,an incomplete information dynamic game model is proposed to model the dynamic process of air combat,and a dynamic Bayesian network is designed to infer the tactical intention of the opponent.Then a reinforcement learning framework based on multiagent deep deterministic policy gradient is established to obtain the perfect Bayes-Nash equilibrium solution of the air combat game model.Finally,a series of simulations are conducted to verify the effectiveness of the proposed method,and the simulation results show effective synergies and cooperative tactics.
基金National Natural Science Foundation of China,Grant/Award Number:62003267Fundamental Research Funds for the Central Universities,Grant/Award Number:G2022KY0602+1 种基金Technology on Electromagnetic Space Operations and Applications Laboratory,Grant/Award Number:2022ZX0090Key Core Technology Research Plan of Xi'an,Grant/Award Number:21RGZN0016。
文摘Aiming at addressing the problem of manoeuvring decision-making in UAV air combat,this study establishes a one-to-one air combat model,defines missile attack areas,and uses the non-deterministic policy Soft-Actor-Critic(SAC)algorithm in deep reinforcement learning to construct a decision model to realize the manoeuvring process.At the same time,the complexity of the proposed algorithm is calculated,and the stability of the closed-loop system of air combat decision-making controlled by neural network is analysed by the Lyapunov function.This study defines the UAV air combat process as a gaming process and proposes a Parallel Self-Play training SAC algorithm(PSP-SAC)to improve the generalisation performance of UAV control decisions.Simulation results have shown that the proposed algorithm can realize sample sharing and policy sharing in multiple combat environments and can significantly improve the generalisation ability of the model compared to independent training.
文摘Multi-robot cooperation problem has received increasing attention in the research community and has been extensively studied from different aspects. Space constrain problem is a major issue for building a multi-robot system. This con- strain is a major hindrance for the efficient cooperation among robots in multi-robot applications. In this paper, we demonstrate a novel architecture of a multi-robot system without space restriction. Our architecture is based on the Internet of Things technology. We validated the proposed architecture using a case study considering a multi-robot combat application.
基金supported by the National Natural Science Foundation of China(72071206).
文摘The anti-aircraft system plays an irreplaceable role in modern combat. An anti-aircraft system consists of various types of functional entities interacting to destroy the hostile aircraft moving in high speed. The connecting structure of combat entities in it is of great importance for supporting the normal process of the system. In this paper, we explore the optimizing strategy of the structure of the anti-aircraft network by establishing extra communication channels between the combat entities.Firstly, the thought of combat network model(CNM) is borrowed to model the anti-aircraft system as a heterogeneous network. Secondly, the optimization objectives are determined as the survivability and the accuracy of the system. To specify these objectives, the information chain and accuracy chain are constructed based on CNM. The causal strength(CAST) logic and influence network(IN) are introduced to illustrate the establishment of the accuracy chain. Thirdly, the optimization constraints are discussed and set in three aspects: time, connection feasibility and budget. The time constraint network(TCN) is introduced to construct the timing chain and help to detect the timing consistency. Then, the process of the multi-objective optimization of the structure of the anti-aircraft system is designed.Finally, a simulation is conducted to prove the effectiveness and feasibility of the proposed method. Non-dominated sorting based genetic algorithm-Ⅱ(NSGA2) is used to solve the multiobjective optimization problem and two other algorithms including non-dominated sorting based genetic algorithm-Ⅲ(NSGA3)and strength Pareto evolutionary algorithm-Ⅱ(SPEA2) are employed as comparisons. The deciders and system builders can make the anti-aircraft system improved in the survivability and accuracy in the combat reality.
文摘Background: In recent years, we have established an entry-level Forward Surgical Team (FST) training program in a Chinese military medical university for the 5th grade undergraduates, who would be deployed to different military medical services as primary combat surgeons. This study aimed to assess the role of this pre-service training in improving their confidence with combat medical skills, after several years since they received the training. Methods: We conducted a nationwide survey of 239 primary combat surgeons who have ever participated in an entry-level FST training program before deployment between June 2016 and June 2020, which was for evaluating on a 5-point Likert scale the benefits of entry-level FST training and conventional surgery training in improving their confidence with combat medical skills. The difference in scores was compared using the student t-test. Significance was considered as P Results: The total score was significantly higher for entry-level FST training than that for conventional surgery training (30.76 ± 4.33 vs. 28.95 ± 4.80, P There was no significant difference between the training for surgical skills confidence scores (18.03 ± 8.04 vs. 17.51 ± 8.30, P = 0.098), but for non-technical skills, the score of entry-level FST training was significantly higher than that of conventional surgery training (12.73 ± 5.39 vs. 11.44 ± 5.62, P The distributions of confidence scores were different under various subgroups by demographics. There were no significant differences in scores between the two training in all specific surgical skill sets except “life-saving surgery” (P = 0.011). Scores of all 4 non-technical skill sets were significantly higher for entry-level FST than those for conventional surgery training (P Conclusions: The training should be considered as an essential strategy to improve confidence in combat medical skills, especially life-saving surgery and non-technical skills, for primary combat surgeons.