This paper proposes a new combined cellular automaton （CA） model considering the driver behavior of stochastic acceleration and delay with the velocity of the preceding vehicle and the gap between the successive vehicles based on the WWH model and the noise-first NaSch model. It introduces the delay probability varying with the gap, adds the anticipation headway and increases the acceleration with a certain probability. Through these simulations, not only can the metastable state and start-stop wave be obtained but also the synchronized flow which the wide moving jam results in. Moreover, the effect of stochastic acceleration and delay on traffic flow is discussed by analyzing the correlation of traffic data. This indicates that synchronized flow easily emerges in the critical area between free flow and synchronized flow when acceleration and delay are synchronized or their probability is close to 0.5.
To review the challenges and countermeasures in the hospital care for Wenchuan earthquake casualties and draw lessons for the protective response in the future. Medical records and laboratory findings of the victims admitted in West China Hospital （WCH） were retro- spectively analyzed. Related data were compared between beforemath and aftermath of the earthquake and between WCH and frontier county hospitals. One thousand and thirty-one earthquake survivors were hospitalized, 1 358 victims underwent surgery and 142 victims were transferred to intensive care unit. The incidence of infection, crush syndrome and multiple organ dysfunction syndrome （MODS） was 39.6%, 20,7% and 2.3% respectively. Wound classification showed that the incidence of extremity damage was 72%, while the incidence of chest trauma, abdominal trauma and brain trauma was less than 10% respectively. Isolating rates of environmental pathogens were increased in the aftermath of earthquake, and the spectrum of the pathogens and related antibiotic sensitivities were quite different from those in the beforemath of earthquake. The social economic and population conditions in the earthquake-stricken areas affected the composition of the victims and the geographic features restricted the efficiency of rescue. Trauma-induced MODS, crush syndrome and severe infections all constituted the dilemma for the hospital care, to resolve whether the multidiscipline team work was proved to be an optimizing choice. For a more effective disaster protective response in the future, the study on rescue plan and the ladder therapies for massive casualties should be potentiated.
