江苏省环保信访演变趋势与对策研究

以江苏省为例,着重分析环保信访演变的特点和发展趋势以及产生的主要原因,提出了今后进一步加强环保信访工作的对策措施。     

加强IS014000环境管理体系在医院推广

简介了1S014000环境管理体系,并论述了IS014001标准在医院的实施步骤,进一步详细分析了环境管理体系对医院安全处置医疗废弃物,加强环境保护工作的推动作用。     

医院污水处理系统工艺改进的研究初探

通过对昆明某医院污水处理系统工艺两次改造的实验研究表明:医院污水经深化处理后比未经深化处理污水的COD、SS、氨氮、色度、粪大肠菌群数都大幅度降低,达到了GB18466—2005《医疗机构水污染物排放标准》和GB l8920—2002《城市污水再生利用城市杂用水水质》中冲厕及绿化用水。建议循环再利用。     

医院污水处理系统工艺改进的研究初探

通过对昆明某医院污水处理系统工艺两次改造的实验研究表明：医院污水经深化处理后比未经深化处理污水的COD、SS、氨氮、色度、粪大肠菌群数都大幅度降低，达到了GB18466-2005《医疗机构水污染物排放标准》和GB18920-2002《城市污水再生利用城市杂用水水质》中冲厕及绿化用水。建议循环再利用。     

医院含病毒污水的安全处理技术

针对医院在治疗病毒疾病病人如非典型肺炎病人过程中排出的传染性病毒污水,分析了污水处理中消除细菌及病毒病原的消毒方法如氯气、二氧化氯、臭氧和紫外线消毒等的特点,结合医院含病毒污水的水质组成和处理过程无病毒扩散和二次污染的要求,分别从高级氧化技术、新型生物技术及其结合提出医院病毒污水安全处理发展的方向。     

Electric Versus Hydraulic Hospital Beds: Differences in Use During Basic Nursing Tasks

Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.     

金刚石膜电极消毒处理医院污水的试验研究

以掺硼金刚石(BDD)作电极的自制电解槽装置处理医院污水的消毒效果。在全回流处理模式下消毒处理医院废水,采用多管发酵法测定粪大肠菌群数。掺硼金刚石(BDD)作电极,在电极间距为2mm、医院污水Cl-浓度为200mg/L、pH值在7.0～8.0范围内、电流密度8mA/cm2、接触时间≥9s的条件下,对医院污水粪大肠菌群的去除率最佳,出水满足《医疗机构污水排放标准值》粪大肠菌群数均不得超过500MPN/L。掺硼金刚石(BDD)作电极的自制电解槽装置处理医院污水不需要添加化学药剂,对粪大肠菌群消毒效果好。     

公民环境信访行为影响因素的实证分析——基于规范激活理论

环境信访是中国公民环境利益表达的重要途径,也是其参与环境治理的重要通道,引导公民有序进行环境信访对于加强生态文明建设、深化环境治理、维护社会稳定具有重要意义。本研究从环境信访的参与主体——公民入手,基于社会心理学中规范激活理论的连续模型,构建了公民环境信访影响因素的理论模型,并运用AMOS 20.0对S市9个行政区500位市民的问卷调研结果进行实证分析,探究公民环境信访行为的社会心理影响因素。研究结果表明:规范激活理论的连续模型能够较好地解释中国公民的环境信访行为,其中环境信访结果认知正向影响环境信访责任归属,公民的个体规范需要通过责任归属得以激活,从而影响公民环境信访行为意向。因此,政府可以通过环保知识的宣传教育和完善环境信访相关法律法规来提升公民环保意识和环境信访责任归属感,同时可以通过环保政策法规的宣传、畅通环境信访渠道以及对公民环境信访行为的有效处理来促进公民对环境信访行为积极意义的认知,从而推动公民有序进行环境信访。     

Association of emergency room visits for respiratory diseases with sources of ambient PM2.5

Previous studies have reported associations of short-term exposure to different sources of ambient fine particulate matter(PM_(2.5)) and increased mortality or hospitalizations for respiratory diseases. Few studies, however, have focused on the short-term effects of source-specific PM_(2.5) on emergency room visits(ERVs) of respiratory diseases. Source apportionment for PM_(2.5) was performed with Positive Matrix Factorization(PMF) and generalized additive model was applied to estimate associations between source-specific PM_(2.5) and respiratory disease ERVs. The association of PM_(2.5) and total respiratory ERVs was found on lag4(RR = 1.011, 95%CI: 1.002, 1.020) per interquartile range(76 μg/m~3) increase.We found PM_(2.5) to be significantly associated with asthma, bronchitis and chronic obstructive pulmonary disease(COPD) ERVs, with the strongest effects on lag5(RR = 1.072,95%CI: 1.024, 1.119), lag4(RR = 1.104, 95%CI: 1.032, 1.176) and lag3(RR = 1.091, 95%CI: 1.047,1.135), respectively. The estimated effects of PM_(2.5) changed little after adjusting for different air pollutants. Six primary PM_(2.5) sources were identified using PMF analysis, including dust/soil(6.7%), industry emission(4.5%), secondary aerosols(30.3%), metal processing(3.2%),coal combustion(37.5%) and traffic-related source(17.8%). Some of the sources were identified to have effects on ERVs of total respiratory diseases(dust/soil, secondary aerosols, metal processing, coal combustion and traffic-related source), bronchitis ERVs(dust/soil) and COPD ERVs(traffic-related source, industry emission and secondary aerosols). Different sources of PM_(2.5) contribute to increased risk of respiratory ERVs to different extents, which may provide potential implications for the decision making of air quality related policies, rational emission control and public health welfare.     

医院空调回风口滤网积尘中抗生素抗性基因污染的比较

为了解医院环境中抗生素抗性基因(ARGs)的污染情况与分布特征,于2018年11月至2021年4月期间分批次采集了武汉市两家医院部分病房空调回风口滤网积尘样本127份,对其进行β-内酰胺类ARGs (mecA、bla_TEM、bla_CTX-M、bla_SHV)和碳青霉烯类ARGs (bla_KPC、bla_NDM-1、bla_IMP、bla_VIM、bla_OXA-51)及一类整合酶基因intI 1的定性与定量检测与评价.结果表明,医院不同科室及ICU空调滤网积尘中可检出以上9种β-内酰胺类,碳青霉烯类ARGs及intI 1,平均检出率分别为55.12%、37.64%和81.89%.ICU的β-内酰胺类与碳青霉烯ARGs的平均检出率显著高于外科与内科(P<0.05);4种β-内酰胺类ARGs中的bla_TEM、mecA检出率及其相对丰度在内科、外科最高(P<0.05);ICU的bla_SHV检出率及其相对丰度高于内科、外科(P<0.05).5种碳青霉烯类ARGs中的bla_NDM-1检出率及其相对丰度在内科、外科显著高于bla_KPC、bla_IMP(P<0.05).intI 1与9种ARGs的相对丰度均呈显著正相关(P<0.05).研究结果表明,两家医院不同科室病房空调滤网积尘中存在β-内酰胺类和碳青霉烯类ARGs以及一类整合酶基因intI 1的污染,内科、外科、ICU均以bla_TEM、mecA、bla_NDM-1为主,由此可认为医院不同科室空气及相关环境中可能存在与此等ARGs相关的耐甲氧西林金黄色葡萄球菌、产ESBLs肠杆菌科细菌、耐碳青霉烯大肠埃希菌与鲍曼不动杆菌等耐药菌的现时与既往污染,并且存在ARGs水平转移的风险;ICU空调滤网积尘中β-内酰胺类与碳青霉烯ARGs的污染较内科、外科严重,其中bla_SHV污染高于内科、外科,由此表明,ICU是ARGs及相关耐药菌污染的高风险科室.