医疗垃圾焚烧飞灰重金属形态分析

利用原子吸收光谱仪分别对医疗垃圾焚烧飞灰重金属含量和重金属形态及其随颗粒度分布特性进行了分析,结果表明,飞灰中Cd、Zn、Pb等的浸出浓度远超标与这些重金属的可交换态和碳酸盐态含量较高有关;飞灰颗粒度主要在96 μm以下,96～150 μm的颗粒中Cd、Pb含量最高,且Zn、Cd的形态以可交换态为主.     

医院和实验室室内环境中挥发性有机污染物的比较

分别采集了医院和实验室环境空气样品,通过GC-MS/FID对样品进行定性分析.共定性检测出116种挥发性有机物(VOCs).在这两类环境中检出频次较高的VOCs物种包括乙烷、丙烷、正丁烷等烷烃;乙烯、丙烯、1-丁烯等烯烃;苯、甲苯、乙苯等芳香烃;氯甲烷、二氯甲烷等卤代烃和丙酮等含氧有机物.在实验室中经常使用的试剂如正己烷、甲苯、乙醇、丙酮等呈现较高的水平,高于室外1~3个数量级.在医院的部分候诊区中检出较高浓度的甲苯、乙苯、二甲苯,需要引起关注.     

Social and hospital costs of patients admitted to a university hospital in Brazil due to motorcycle crashes

Objective: This study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims.

Method: This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to 6 months after the crash. A questionnaire covering quantitative and qualitative questions was administered.

Results: Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54.4% were young (18–28 years of age); 92.6% were the drivers; 91.2% were male; and 50% used their motorcycles as daily means of transportation. Six months afterward, 94.1% needed help from someone; 83.8% had changed their family dynamics; and 73.5% had not returned to their professional activities. Among the injuries, 94.7% had some type of fracture, of which 53.5% were exposed fractures; 35.3% presented temporary sequelae; and 32.4% presented permanent sequelae. They used the surgical center 2.53 times on average, with a mean hospital stay of 18 days. The per capita hospital cost of these victims’ treatment was US$17,481.50.

Conclusion: The social and hospital costs were high, relative to the characteristics of a public institution. Temporary or permanent disability caused changes to family dynamics, as shown by the high numbers of patients who were still away from their professional activities more than 6 months afterward.     

Balance the Paradox between Limited Health Resources and Growing Demands for Medical Services

Health institutions in the People＇s Republic of China are under considerable challenge. Innovations in management systems may support the challenge to increase both efficiency and effectiveness. The balanced scorecard （BSC） is one such innovation. We have used a model to explore the factors that may impact the diffusion of the BSC in Chinese government hospitals. In particular, we concentrate on three factors - the outer context, the nature of the innovation and the communication and influence. The outer context and the nature of the innovation do provide an inducement to implement a BSC. The strength of the communication and influence may affect the level of take-up. However, we recognise that they may choose ＂the BSC not for any apparent technical excellence but for the legitimation that Western management practices may bring to local managers.     

综合性医院建设项目环境影响评价要点分析

综合性医院的医疗废水要分一般废水和特殊废水，在坚持全过程控制原则、减量化原则、就地处理等原则的同时，根据需要进行一级处理和二级处理；按要求将医疗垃圾分类、包装、存放、处理；对水处理污泥应按危险废物进行处理。建设项目的水环境影响评价应进行详细的预测评价、一般专项评价或一般性分析；在医疗废物处理设施的环境影响评价中，医疗废物焚烧应作为评价重点，做到社会效益、环境效益和经济效益相统一。     

MBR工艺处理综合医院污水

本文介绍了综合医院污水治理采用的MBR工艺方法.工程核心构筑物——MBR反应器经调试试运行后,达到了预期的安全、高效的设计原则,为我国综合医院污水的治理提供了技术改造要点及可行性经验.     

医院污水氯化消毒处理的相关因素及探讨

在医院污水氯化消毒处理中改善污水水质，因地制宜地选择合理的消毒剂和处理工艺流程，限制来苏尔、石炭酸的用量，以降低污水中酚的含量是确保污水消毒效果的重要因素。     

中国医院污水处理现状及前景分析

医院污水具有空间污染、急性传染和潜伏性传染等特征,不有效处理会成为一条疫病扩散的重要途径,并严重污染环境.本文首先提出了中国医院污水的处理现状,找出与发达国家之间的差距,进而对中国医院污水处理的前景进行了分析,提出中国医院污水处理中应改善的几个方面.     

Determination of haloacetic acids in hospital e uent after chlorination by ion chromatography

The ion chromatography combined solid phase extraction （SPE） method was developed for the analysis of low concentration haloacetic acids （HAAs）, a class of disinfection by-products formed from chlorination of hospital wastewater. The monitored HAAs included monochloroacetic acid, monobromoacetic acid, dichloroacetic acid, dibromoacetic acid and trichloroacetic acid. The method employed a sodium hydroxide eluent at a flow rate of 0.8 ml/min, electrolytically generated gradients, and suppressed conductivity detection. To analyze the HAAs in real hospital wastewater samples, C18 pretreatment cartridge was utilized to reduce samples＇ turbidity. Preconcentration with SPE and matrix elimination with treatment cartridges were investigated and found to be able to obtain acceptable detection limits. Linearity, repeatability and detection limits of the above method were evaluated. The detection limits of monobromoacetic acid and dibromoacetic acid were 2.61 μg/L and 1.30 μg/L, respectively, and the other three acids are ranging from 0.48 to 0.82μg/L under 25-fold preconcentration. When the above optimization procedure was applied to three hospital wastewater samples with different treatment processes in Tianjin, it was found that the dichloroacetic acid was the major compound, and the growth ratios of the HAAs after disinfection by sodium hypochlorite were 91.28%, 63.61% and 79.50%, respectively.     

Risk factors in urban road traffic accidents

INTRODUCTION: The urban road traffic accident (RTA) risks for the city of Zagreb, Croatia, from 1999 through 2000 were analyzed with the aim of reducing the increasing injury incidence. METHOD: Simple and bivariate analysis using chi(2), odds ratio, and confidence interval of 95% was used to determine risks in three outcome groups: killed, severely, and mildly injured. RESULTS: There were 528 RTA victims consisting of 260 severely, 213 mildly injured, and 55 killed at the scene of an accident and during transportation. More fatal accidents occurred during night hours (OR=3.78; 95% CI, 2.08-6.85), on urban road links (OR=2.33; 95% CI, 1.30-4.19), and at exceeding speed limit (OR=2.56; 95% CI, 1.43-4.61). More people were injured than killed on urban junctions (OR=5.27; 95% CI, 2.21-12.57). The highest combined risk of dying or being severely injured was found in males, driving at excessive speed, on urban links, and during bad visibility (OR=16.15; 95% CI, 3.901-66.881). CONCLUSION: These results will influence the urban traffic police enforcement measures, which will change inappropriate behavior of drivers and protect the least experienced road users.