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Article: [Dr. YANG Lian-de: an outstanding specialist of acupuncture].

Zhang, Hong

Zhongguo zhen jiu = Chinese acupuncture & moxibustion

2011 Volume 31, Issue 5, Page(s) 473–475

Abstract: Dr. YANG Lian-de is an outstanding specialist of acupuncture in China. With experiences of 60 years ...

Abstract	Dr. YANG Lian-de is an outstanding specialist of acupuncture in China. With experiences of 60 years in clinical practice, education and scientific research, he has integrated the knowledge of both western and Chinese medicine, accumulated steadily, made innovation on acupuncture manipulations, acupuncture treatment on diseases such as diabetes, psychosis and asthma and contributed greatly to the integration of western and Chinese medicine.
MeSH term(s)	Acupuncture/education ; Acupuncture Therapy/history ; China ; History, 20th Century ; History, 21st Century ; Humans ; Male ; Physicians
Language	Chinese
Publishing date	2011-05
Publishing country	China
Document type	Biography ; English Abstract ; Historical Article ; Journal Article ; Research Support, Non-U.S. Gov't
ISSN	0255-2930
ISSN	0255-2930
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Torso hemorrhage: noncompressible? never say never.

Zhang, Lian-Yang / Zhang, Hua-Yu

European journal of medical research

2024 Volume 29, Issue 1, Page(s) 153

Abstract: Since limb bleeding has been well managed by extremity tourniquets, the management of exsanguinating torso hemorrhage (TH) has become a hot issue both in military and civilian medicine. Conventional hemostatic techniques are ineffective for managing ... ...

Abstract	Since limb bleeding has been well managed by extremity tourniquets, the management of exsanguinating torso hemorrhage (TH) has become a hot issue both in military and civilian medicine. Conventional hemostatic techniques are ineffective for managing traumatic bleeding of organs and vessels within the torso due to the anatomical features. The designation of noncompressible torso hemorrhage (NCTH) marks a significant step in investigating the injury mechanisms and developing effective methods for bleeding control. Special tourniquets such as abdominal aortic and junctional tourniquet and SAM junctional tourniquet designed for NCTH have been approved by FDA for clinical use. Combat ready clamp and junctional emergency treatment tool also exhibit potential for external NCTH control. In addition, resuscitative endovascular balloon occlusion of the aorta (REBOA) further provides an endovascular solution to alleviate the challenges of NCTH treatment. Notably, NCTH cognitive surveys have revealed that medical staff have deficiencies in understanding relevant concepts and treatment abilities. The stereotypical interpretation of NCTH naming, particularly the term noncompressible, is the root cause of this issue. This review discusses the dynamic relationship between TH and NCTH by tracing the development of external NCTH control techniques. The authors propose to further subdivide the existing NCTH into compressible torso hemorrhage and NCTH' (noncompressible but REBOA controllable) based on whether hemostasis is available via external compression. Finally, due to the irreplaceability of special tourniquets during the prehospital stage, the authors emphasize the importance of a package program to improve the efficacy and safety of external NCTH control. This program includes the promotion of tourniquet redesign and hemostatic strategies, personnel reeducation, and complications prevention.
MeSH term(s)	Humans ; Torso ; Hemorrhage/etiology ; Hemorrhage/therapy ; Extremities ; Aorta, Abdominal ; Balloon Occlusion
Language	English
Publishing date	2024-03-06
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1329381-3
ISSN	2047-783X ; 0949-2321
ISSN (online)	2047-783X
ISSN	0949-2321
DOI	10.1186/s40001-024-01760-4
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Article ; Online: The interpretation of Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel corona virus pneumonia

Yang LI / Lian-Yang ZHANG

Medical Journal of Chinese People's Liberation Army, Vol 45, Iss 2, Pp 113-

2020 Volume 117

Abstract: A coronavirus disease 2019 (COVID-19) outbreak has occurred in Wuhan, Hubei province since Dec. 2019. As of Feb. 10, 2020, more than 40,000 cases had been confirmed, nearly 30,000 cases in Hubei alone, and no inflection point in epidemiology appeared. ... ...

Abstract	A coronavirus disease 2019 (COVID-19) outbreak has occurred in Wuhan, Hubei province since Dec. 2019. As of Feb. 10, 2020, more than 40,000 cases had been confirmed, nearly 30,000 cases in Hubei alone, and no inflection point in epidemiology appeared. Severe trauma may still occur during the outbreak of the COVID-19. In order to protect the medical personnel involved in emergency treatment and ensuring the timeliness of treatment for trauma patients, The Trauma Surgery Branch of Chinese Medical Doctors' Association (CMDA) organized the drafting of the present expert consensus. This paper interprets the main views of the expert consensus, emphasizes that the safety of health care staff and patients are equally important, and that the treatment strategies and procedures for severe trauma need to be adjusted during the COVID-19 outbreak. The consensus also recommends the use of CT scan, which plays both the role of screening COVID-19 and accurate assessment of trauma, and strengthening the protection of medical staff. The consensus states that medical personnel can be exempted from isolation if they wear standard three-level protective equipment and are not accidentally exposed during the operation. This expert consensus is the first one to systematically review, summarize and analyze the progress of COVID-19 from a surgeon's perspective. It may be used as a reference for medical institutions at all levels to treat patients with severe trauma and perform other kinds of operations during the COVID-19 outbreak. DOI:10.11855/j.issn.0577-7402.2020.02.02
Keywords	Medicine ; R ; Medicine (General) ; R5-920 ; covid19
Subject code	303
Language	Chinese
Publishing date	2020-02-01T00:00:00Z
Publisher	Editorial Board of Medical Journal of Chinese People's Liberation Army
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Comment on the "fatal accident due to anti-personnel ARGES EM01 rifle grenade explosion".

Zhang, Lian-Yang

Chinese journal of traumatology = Zhonghua chuang shang za zhi

2016 Volume 19, Issue 3, Page(s) 139–140

Abstract: Explosion has become one of the most common causes of death of the combat casualties. I made a comment on one case of autopsy whose cause of death was the accidental denotation of a 355 g rifle grenade and reviewed the clinical approaches and strategies ... ...

Abstract	Explosion has become one of the most common causes of death of the combat casualties. I made a comment on one case of autopsy whose cause of death was the accidental denotation of a 355 g rifle grenade and reviewed the clinical approaches and strategies of the blast injury.
MeSH term(s)	Accidents ; Blast Injuries ; Explosions ; Humans
Language	English
Publishing date	2016-05-01
Publishing country	China
Document type	Journal Article ; Comment
ZDB-ID	2276839-7
ISSN	1008-1275
ISSN	1008-1275
DOI	10.1016/j.cjtee.2015.09.010
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Article: An online survey of non-compressible torso hemorrhage: training is needed.

Zhang, Hua-Yu / Guo, Yong / Huang, Xiao-Ying / Li, Yang / Zhang, Lian-Yang

World journal of emergency medicine

2022 Volume 13, Issue 4, Page(s) 297–300

Language	English
Publishing date	2022-06-28
Publishing country	China
Document type	Journal Article
ZDB-ID	2753264-1
ISSN	1920-8642
ISSN	1920-8642
DOI	10.5847/wjem.j.1920-8642.2022.069
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Article: Effect of SAM junctional tourniquet on respiration when applied in the axilla: A swine model.

Zhao, Dong-Chu / Zhang, Hua-Yu / Guo, Yong / Tang, Hao / Li, Yang / Zhang, Lian-Yang

Chinese journal of traumatology = Zhonghua chuang shang za zhi

2023 Volume 26, Issue 3, Page(s) 131–138

Abstract: Purpose: SAM junctional tourniquet (SJT) has been applied to control junctional hemorrhage. However, there is limited information about its safety and efficacy when applied in the axilla. This study aims to investigate the effect of SJT on respiration ... ...

Abstract	Purpose: SAM junctional tourniquet (SJT) has been applied to control junctional hemorrhage. However, there is limited information about its safety and efficacy when applied in the axilla. This study aims to investigate the effect of SJT on respiration when used in the axilla in a swine model. Methods: Eighteen male Yorkshire swines, aged 6-month-old and weighing 55 - 72 kg, were randomized into 3 groups, with 6 in each. An axillary hemorrhage model was established by cutting a 2 mm transverse incision in the axillary artery. Hemorrhagic shock was induced by exsanguinating through the left carotid artery to achieve a controlled volume reduction of 30% of total blood volume. Vascular blocking bands were used to temporarily control axillary hemorrhage before SJT was applied. In Group I, the swine spontaneously breathed, while SJT was applied for 2 h with a pressure of 210 mmHg. In Group II, the swine were mechanically ventilated, and SJT was applied for the same duration and pressure as Group I. In Group III, the swine spontaneously breathed, but the axillary hemorrhage was controlled using vascular blocking bands without SJT compression. The amount of free blood loss was calculated in the axillary wound during the 2 h of hemostasis by SJT application or vascular blocking bands. After then, a temporary vascular shunt was performed in the 3 groups to achieve resuscitation. Pathophysiologic state of each swine was monitored for 1 h with an infusion of 400 mL of autologous whole blood and 500 mL of lactated ringer solution. T Results: Compared to T Conclusion: In the swine model, SJT is effective in controlling axillary hemorrhage during both spontaneous breathing and mechanical ventilation. Mechanical ventilation is found to alleviate the restrictive effect of SJT on thoracic movement without affecting hemostatic efficiency. Therefore, mechanical ventilation could be necessary before SJT removal.
MeSH term(s)	Male ; Animals ; Swine ; Shock, Hemorrhagic/therapy ; Tourniquets ; Axilla ; Hemorrhage/therapy ; Vascular Diseases ; Respiration
Language	English
Publishing date	2023-03-29
Publishing country	China
Document type	Journal Article
ZDB-ID	2276839-7
ISSN	1008-1275
ISSN	1008-1275
DOI	10.1016/j.cjtee.2023.03.005
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Article ; Online: A pH-responsive MOF-functionalized hollow mesoporous silica controlled herbicide delivery system exhibits enhanced activity against ACCase-herbicide-resistant weeds.

Deng, Xi-le / Li, Jia-Qing / Yi, Ji-Ming / Lian, Ren-Jie / Zhang, Zhao-Yang / Li, Jian-Hong / He, Shun / Bai, Lian-Yang

Pest management science

2023 Volume 79, Issue 12, Page(s) 5237–5249

Abstract: Background: Weeds grow aggressively in agricultural fields, leading to reduced crop yields and an inability to meet the growing demand for food. Herbicides are currently the most effective method for weed control. However, the overuse of herbicides has ... ...

Abstract	Background: Weeds grow aggressively in agricultural fields, leading to reduced crop yields and an inability to meet the growing demand for food. Herbicides are currently the most effective method for weed control. However, the overuse of herbicides has resulted in the evolution of resistance mutants and has caused environmental pollution. Therefore, new technologies are urgently required to address this global challenge. Results: We report a copper-benzene-1,4-dicarboxylate metal organic framework (Cu-BDC MOF)-functionalized carboxyl hollow mesoporous silica (HMS-COOH) delivery system for the pH-controlled release of the acetyl-CoA carboxylase (ACCase)-inhibiting herbicide quizalofop-p-ethyl (QE). The delivery system (QE@HMS@Cu-BDC) enabled the efficient control of barnyard grasses that are susceptible and resistant to ACCase-inhibiting herbicides, which showed 93.33% and 88.33% FW control efficacy at 67.5 g ha Conclusion: This work found that the new material HMS-COOH@Cu-BDC can be used to mitigate herbicide-induced oxidative stress and improve rice plant safety. Futhermore, the QE@HMS-COOH@Cu-BDC constructed in this research might be used as an efficient nanopesticide formulation for weed controls in paddy rice fields. © 2023 Society of Chemical Industry.
MeSH term(s)	Herbicides/pharmacology ; Acetyl-CoA Carboxylase/genetics ; Copper/pharmacology ; Silicon Dioxide/pharmacology ; Plant Weeds ; Oryza ; Hydrogen-Ion Concentration ; Herbicide Resistance
Chemical Substances	Herbicides ; Acetyl-CoA Carboxylase (EC 6.4.1.2) ; Copper (789U1901C5) ; Silicon Dioxide (7631-86-9)
Language	English
Publishing date	2023-08-31
Publishing country	England
Document type	Journal Article
ZDB-ID	2001705-4
ISSN	1526-4998 ; 1526-498X
ISSN (online)	1526-4998
ISSN	1526-498X
DOI	10.1002/ps.7729
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Z 2731: Show issues

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Article ; Online: Effect of SAM junctional tourniquet on respiration when applied in the axilla

Dong-Chu Zhao / Hua-Yu Zhang / Yong Guo / Hao Tang / Yang Li / Lian-Yang Zhang

Chinese Journal of Traumatology, Vol 26, Iss 3, Pp 131-

A swine model

2023 Volume 138

Abstract	Purpose: SAM junctional tourniquet (SJT) has been applied to control junctional hemorrhage. However, there is limited information about its safety and efficacy when applied in the axilla. This study aims to investigate the effect of SJT on respiration when used in the axilla in a swine model. Methods: Eighteen male Yorkshire swines, aged 6-month-old and weighing 55 – 72 kg, were randomized into 3 groups, with 6 in each. An axillary hemorrhage model was established by cutting a 2 mm transverse incision in the axillary artery. Hemorrhagic shock was induced by exsanguinating through the left carotid artery to achieve a controlled volume reduction of 30% of total blood volume. Vascular blocking bands were used to temporarily control axillary hemorrhage before SJT was applied. In Group I, the swine spontaneously breathed, while SJT was applied for 2 h with a pressure of 210 mmHg. In Group II, the swine were mechanically ventilated, and SJT was applied for the same duration and pressure as Group I. In Group III, the swine spontaneously breathed, but the axillary hemorrhage was controlled using vascular blocking bands without SJT compression. The amount of free blood loss was calculated in the axillary wound during the 2 h of hemostasis by SJT application or vascular blocking bands. After then, a temporary vascular shunt was performed in the 3 groups to achieve resuscitation. Pathophysiologic state of each swine was monitored for 1 h with an infusion of 400 mL of autologous whole blood and 500 mL of lactated ringer solution. Tb and T0 represent the time points before and immediate after the 30% volume-controlled hemorrhagic shock, respectively. T30, T60, T90 and T120, denote 30, 60, 90, and 120 min after T0 (hemostasis period), while T150, and T180 denote 150 and 180 min after T0 (resuscitation period). The mean arterial pressure and heart rate were monitored through the right carotid artery catheter. Blood samples were collected at each time point for the analysis of blood gas, complete cell count, serum chemistry, ...
Keywords	Junctional hemorrhage ; Tourniquet ; Swine model ; Axilla ; Respiration ; Medicine (General) ; R5-920
Subject code	796
Language	English
Publishing date	2023-05-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Damage control resuscitation of massive hemorrhage

Lian-yang ZHANG / Yang LI

Medical Journal of Chinese People's Liberation Army, Vol 42, Iss 12, Pp 1025-

The key to saving the combat casualties

2017 Volume 1028

Abstract: Combat casualties can be divided into two types, i.e., non-survivable (NS) and potentially survivable (PS). According to the data of US army, massive hemorrhage constituted 90.98% of the potentially survivable casualties, and the most important thing to ... ...

Abstract	Combat casualties can be divided into two types, i.e., non-survivable (NS) and potentially survivable (PS). According to the data of US army, massive hemorrhage constituted 90.98% of the potentially survivable casualties, and the most important thing to improve the ability of casualty care is hemorrhage control. In this article, the strategies and techniques of damage control resuscitation like surgical hemorrhage control techniques of non-compressive hemorrhage (NCH) in torso and junctional area, the damage control identification of the injured, field transfusion process and fresh whole blood infusion in tactical level and emergency phase were comprehensively illustrated.-deep study the diseases through basic and clinical researches, so as to further understand the prevention, diagnosis and treatment of the diseases. DOI:10.11855/j.issn.0577-7402.2017.12.01
Keywords	combat casualties ; massive hemorrhage ; damage control resuscitation ; surgical hemorrhage control ; Medicine ; R ; Medicine (General) ; R5-920
Language	Chinese
Publishing date	2017-12-01T00:00:00Z
Publisher	Editorial Board of Medical Journal of Chinese People's Liberation Army
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Emergency control of torso hemorrhage in battlefield

Yang LI / Lian-yang ZHANG

Medical Journal of Chinese People's Liberation Army, Vol 42, Iss 1, Pp 1-

A new challenge we have to face

2017 Volume 5

Abstract: With the widely use of tourniquet in battlefield, the mortality of limbs bleeding has decreased remarkably. However, torso hemorrhage has become the leading cause inducing battlefield mortality. In present paper, the concept and features of torso ... ...

Abstract	With the widely use of tourniquet in battlefield, the mortality of limbs bleeding has decreased remarkably. However, torso hemorrhage has become the leading cause inducing battlefield mortality. In present paper, the concept and features of torso hemorrhage were introduced, and the scheme, equipment and techniques of emergency control of torso hemorrhage were also described systematically, including local hemostatic materials, cavity foam materials, hemostasis device and aortic compression technique, etc. At the present stage, it is the key of reducing tactics mortality to actively research and develop the tactical stage equipment and technology for emergency treatment of tactical torso injuries. We should draw lessons from foreign army and positively face the severe challenges on torso trauma to enhance our ability in tactical trauma care. DOI:10.11855/j.issn.0577-7402.2017.01.01
Keywords	wounds and injuries ; first aid ; hemostasis ; Medicine ; R ; Medicine (General) ; R5-920
Language	Chinese
Publishing date	2017-02-01T00:00:00Z
Publisher	Editorial Board of Medical Journal of Chinese People's Liberation Army
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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