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Multi-stage emergency medicine logistics system optimization based on survival probability

Ke WANG, Yixin LIANG, Lindu ZHAO

《工程管理前沿（英文）》 2017年第4卷第2期页码 221-228 doi: 10.15302/J-FEM-2017020

摘要： Using sudden cardiac deaths as an example and maximizing survival rate as the goal, this paper studies the influence of multi-stage medical logistics system optimization on the survival rate of sudden illness. A distribution model of survival is built, drone and ambulance arrival probability over time are discussed, a formula is proposed for maximum possible survival rate based on the probability of emergency medical logistics reaching the patient, and the results are analyzed using empirical data fitting distribution and numerical experiments performed with the model. The model is discussed as a reference point for management decision making by changing model parameters. Results show that compared to using current ambulance vehicles, ambulance drones delivering medical equipment for first aid on-site in emergencies can significantly increase survival rate, and the effect of collaborative multi-stage logistics optimization is better than that of any single stage logistics response optimization. Simulation results show that the medical rescue logistics service radius, speed, loading capacity and performance of ambulance drones impact the probability of survival, and there is an optimal service radius depending on the shape of probability distribution, which provides new information for management decisions.

关键词： emergency medicine logistics ambulance drone survival probability critical illness

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Clinical decision-making by the emergency department resident physicians for critically ill patients

null

《医学前沿（英文）》 2012年第6卷第1期页码 89-93 doi: 10.1007/s11684-012-0183-9

摘要：

The application of main methodologies for clinical decision-making by residents in emergency medical practice was assessed, and issues in this area were investigated. The treatments provided to 2 611 critical patients by the Peking Union Medical College Hospital of were analyzed by independent investigators who evaluated the main clinical decision-making processes applied by the hospital residents. The application of decision-making strategies by PG1 and PG3 groups, which means the residents in first year and the third year, were compared. The patients were treated according to pattern recognition (43.0%), hypothetico-deductive reasoning (23.4%), event-driven models (19.3%), and rule-using algorithms (5.9%). A significant difference was found between PG1 and PG3 groups (χ²=498.01, P<0.001). Pattern recognition and hypothetic-deductive methods were the most common techniques applied by emergency physicians in evaluating critically ill patients. The decision-making processes applied by junior and senior residents were significantly different, although neither group adequately applied rule-using algorithms. Inclusion of clinical decision-making in medical curricula is needed to improve decision-making in critical care.

关键词： clinical decision-making emergency medicine critically ill patient resident methodology

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关于推进国家应急平台建设的建议

龙彧

《中国工程科学》 2009年第11卷第9期页码 87-90

摘要：

推进应急平台信息系统建设是加强应急管理的技术基础，是当前的一项核心任务。几年来，我国在推进国家应急平台的建设方面取得了较快的进展，但是也存在着一些问题。文章在进行综合分析的基础上，提出了如何完善国家应急平台建设的一系列建议。

关键词：应急平台应急管理突发事件系统建设

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The Routine and Emergency Coordinated Management of Public Security

Ning Liu

《工程管理前沿（英文）》 2015年第2卷第4期页码 331-338 doi: 10.15302/J-FEM-2015063

摘要： The paper presents a study based on the observation of public security programme situations. Nowadays, public security management is faced with challenges such as the increase in non-traditional safety threats, high occurrence probability, obvious complex chain reactions, high security demand, vulnerable bearing systems and world-wide influences. For the new adapted requirements of public security management, this paper puts forward the concept of the coordinated routine and emergency management, which combines the routine management at normal status and the emergency management at the abnormal status based on the whole process of public security management. This paper analyzes the coordinated management system and establishes the decision-making objectives, decision-making model and constraints. In addition, this paper proposes the basic strategy of achieving the coordinated management of public security.

关键词： public security routine management emergency management coordinated management

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Risk warning technologies and emergency response mechanisms in Sichuan–Tibet Railway construction

Liujiang KANG, Hao LI, Cong LI, Na XIAO, Huijun SUN, Nsabimana BUHIGIRO

《工程管理前沿（英文）》页码 582-594 doi: 10.1007/s42524-021-0151-7

摘要： Safety is one of the most critical themes in any large-scale railway construction project. Recognizing the importance of safety in railway engineering, practitioners and researchers have proposed various standards and procedures to ensure safety in construction activities. In this study, we first review four critical research areas of risk warning technologies and emergency response mechanisms in railway construction, namely, (i) risk identification methods of large-scale railway construction projects, (ii) risk management of large-scale railway construction, (iii) emergency response planning and management, and (iv) emergency response and rescue mechanisms. After reviewing the existing studies, we present four corresponding research areas and recommendations on the Sichuan–Tibet Railway construction. This study aims to inject new significant theoretical elements into the decision-making process and construction of this railway project in China.

关键词： railway construction risk warning technologies emergency response mechanisms Sichuan–Tibet Railway

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Individualized medicine, health medicine, and constitutional theory in Chinese medicine

null

《医学前沿（英文）》 2012年第6卷第1期页码 1-7 doi: 10.1007/s11684-012-0173-y

摘要：

The patterns of modern science and changes in the medical model can result in the transformation of the current state of individualized and health medicines into being the primary trend in medical development. Chinese and Western medical systems are dissimilar in terms of value orientations, thinking style, and research directions because of their different historical and cultural backgrounds. Individualized treatment in modern medicine is mainly established based on individual genome information and the differences in mononucleotide polymorphi-sms. However, such treatment method is expensive, creates an uncertain genetic marker, and leads to different result interpretations, among other problems. The Chinese constitutional theory developed in the 1970s expresses the principle behind Chinese health medicine and individual treatment and provides the corresponding methods. The Chinese constitutional theory divides the constitution of the Chinese population into nine categories based on established classification criteria. It promotes the study of the relationship of each constitution to diseases and Chinese medicine preparation toward adjusting the constitution and preventing diseases. The theory also provides methods and tools for individualized treatment. Constitution identification shows the direction and provides the core technology for the evaluation of the health status. By combining the developments in modern biotechnology, new diagnostic techniques and treatment models of constitution-differentiation, disease-differentiation, and syndrome-differentiation can be established for the development of individualized Chinese medicine treatment and health medicine for the international medical community.

关键词： individualized medicine health medicine constitutional theory in Chinese medicine

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Research on Emergency Management System for Military Engineering Projects

Mao-guang Lin,Qian-kun Wang

《工程管理前沿（英文）》 2015年第2卷第2期页码 154-158 doi: 10.15302/J-FEM-2015028

摘要： Emergency management systems for military engineering projects have been established to enhance the capacities of wartime logistics and emergency logistical support. This study focuses on the combat characteristics of the warfare information system and based on analysis of emergency response for military combat systems, utilizes the concept of systematic combat and comprehensive integrated approach to investigate management of military engineering projects. Also, a basic mode for emergency management of military engineering projects based on the concept of “pre-war intelligent engineering on demand, wartime early engagement warning and monitoring, post-war emergency repair and rescue” and “strategic, comprehensive, integrated response” is proposed.

关键词： military engineering projects emergency management system

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Thinking and practice of accelerating transformation of traditional Chinese medicine from experiencemedicine to evidence-based medicine

Baoyan Liu, Yanhong Zhang, Jingqing Hu, Liyun He, Xuezhong Zhou

《医学前沿（英文）》 2011年第5卷第2期页码 163-170 doi: 10.1007/s11684-011-0143-9

摘要： The gradual development of Chinese medicine is based on constant accumulation and summary of experience in clinical practice, but without the benefit of undergoing the experimental medicine stage. Although Chinese medicine has formed a systematic and unique theory system through thousands of years, with the development of evidence-based medicine, the bondage of the research methods of experience medicine to Chinese medicine is appearing. The rapid transition and transformation from experience medicine to evidence-based medicine have become important content in the development of Chinese medicine. According to the features of Chinese medicine, we propose the research idea of “taking two ways simultaneously,” which is the study both in the ideal condition and in the real world. Analyzing and constructing the theoretical basis and methodology of clinical research in the real world, and building the stage for research technique is key to the effective clinical research of Chinese medicine. Only by gradually maturing and completing the clinical research methods of the real world could we realize “taking two ways simultaneously” and complementing each other, continuously produce scientific and reliable evidence of Chinese medicine, as well as transform and develop Chinese medicine from experience medicine to evidence-based medicine.

关键词： Chinese medicine experience medicine evidence-based medicine real world

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Clinical research of traditional Chinese medicine in big data era

null

《医学前沿（英文）》 2014年第8卷第3期页码 321-327 doi: 10.1007/s11684-014-0370-y

摘要：

With the advent of big data era, our thinking, technology and methodology are being transformed. Data-intensive scientific discovery based on big data, named “The Fourth Paradigm,” has become a new paradigm of scientific research. Along with the development and application of the Internet information technology in the field of healthcare, individual health records, clinical data of diagnosis and treatment, and genomic data have been accumulated dramatically, which generates big data in medical field for clinical research and assessment. With the support of big data, the defects and weakness may be overcome in the methodology of the conventional clinical evaluation based on sampling. Our research target shifts from the “causality inference” to “correlativity analysis.” This not only facilitates the evaluation of individualized treatment, disease prediction, prevention and prognosis, but also is suitable for the practice of preventive healthcare and symptom pattern differentiation for treatment in terms of traditional Chinese medicine (TCM), and for the post-marketing evaluation of Chinese patent medicines. To conduct clinical studies involved in big data in TCM domain, top level design is needed and should be performed orderly. The fundamental construction and innovation studies should be strengthened in the sections of data platform creation, data analysis technology and big-data professionals fostering and training.

关键词： big data traditional Chinese medicine clinical evaluation evidence based medicine

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光照世界史坛的中医起源之谜

符友丰

《中国工程科学》 2006年第8卷第9期页码 1-12

摘要：

以疫病流行及其原型分析为线索，联系早期治法（如热熨、火灸、砭刺等）探讨了古代以腺鼠疫为代表的疫病流行与医学起源间的内在联系；以医源于疫的视野分析我国医史病史研究在出土文物、古文字和医学文献等方面丰富的信息资源与优势；分析解读疾病名实的古今变迁、比较中西医学及其在认识论与方法论上的差异，为审视我国传统医学在疫病防治方面的丰富经验与延至今日的独到成就与意义，疾病史研究成果与推广，实现古为今用，将为当今疫病防治的中西互补、中西医结合与比较提供宝贵的历史经验与借鉴。

关键词：世界医学史中医史医学起源鼠疫霍乱天花比较医学

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Practices, challenges, and opportunities: HIV/AIDS treatment with traditional Chinese medicine in China

Jian Wang, Wen Zou

《医学前沿（英文）》 2011年第5卷第2期页码 123-126 doi: 10.1007/s11684-011-0124-z

摘要： Traditional Chinese medicine (TCM) has become widely used in the treatment of acquired immune deficiency syndrome (AIDS) in China in recent years. In this article, we summarize the recent major developments in human immunodeficiency virus/AIDS (HIV/AIDS) treatment with TCM. The use of TCM is associated with preventing or alleviating HIV-related symptoms, reducing treatment side effects, and improving the quality of life. The potential beneficial effects of TCM should be confirmed through extensive and rigorous trials.

关键词： HIV/AIDS traditional Chinese medicine

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Traditional Chinese medicine in the new century

Jianxiang Liu, Zhu Chen

《医学前沿（英文）》 2011年第5卷第2期页码 111-114 doi: 10.1007/s11684-011-0125-y

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Decision Support System for emergency scheduling of raw water supply systems with multiple sources

Qi WANG, Shuming LIU, Wenjun LIU, Zoran KAPELAN, Dragan SAVIC

《环境科学与工程前沿（英文）》 2013年第7卷第5期页码 777-786 doi: 10.1007/s11783-013-0537-9

摘要： A hydraulic model-based emergency scheduling Decision Support System (DSS) is designed to eliminate the impact of sudden contamination incidents occurring upstream in raw water supply systems with multiple sources. The DSS consists of four functional modules, including water quality prediction, system safety assessment, emergency strategy inference and scheduling optimization. The work flow of the DSS is as follows. First, the water quality variations on specific cross-sections are calculated given the pollution information. Next, a comprehensive evaluation on the safety of the current system is conducted using the outputs in the first module. This will assist in the assessment of whether the system is in danger of failure, taking both the impact of pollution and system capacity into account. If there is a severe impact of contamination on the reliability of the system, a fuzzy logic based inference module is employed to generate reasonable strategies including technical measures. Otherwise, a Genetic Algorithm (GA)-based optimization model will be used to find the least-cost scheduling plan. The proposed DSS has been applied to a coastal city in South China during a saline tide period as validation. Through scenario analysis, it is demonstrated that this DSS tool is instrumental in emergency scheduling for the water company to quickly and effectively respond to sudden contamination incidents.

关键词： decision support system raw water supply system contamination incident emergency scheduling hydraulic model safety assessment

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Do not let precision medicine be kidnapped

null

《医学前沿（英文）》 2015年第9卷第4期页码 512-513 doi: 10.1007/s11684-015-0425-8

摘要：

Obama’s precision medicine initiative made the medical community boil over after the initiative’s release. Precision medicine has been advocated by the majority of scientists and doctors. However, some experts have questioned this concept. This article does not oppose precision medicine. However, the incentive of vigorously promoting precision medicine at present is a concern.

关键词： precision medicine personalized medicine genomics

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Holistic integrative medicine: toward a new era of medical advancement

null

《医学前沿（英文）》 2017年第11卷第1期页码 152-159 doi: 10.1007/s11684-017-0499-6

摘要：

Medicine has encountered unprecedented problems associated with changes in nature, society, and environment, as well as with new human quests for survival, longevity, and health. In the meantime, the development of medicine is facing challenges that resulted from the over-division and specialization of disciplines and the fragmentation of medical knowledge. To construct a new medical system that is more suitable for human health and disease treatment, holistic integrative medicine (HIM), which regards the human body as a holistic entity, organically integrates the most advanced knowledge and theories in each medical field and the most effective practices in various clinical specialties to revise and adjust on the basis of social, environmental, and psychological conditions. HIM is the inevitable and necessary direction for the future development of medicine. In this article, we illustrated the connotation of HIM, the differences between HIM and other medical conceptions, and the practice of HIM in recent years.

关键词： holistic integrative medicine precision medicine general practice medicine