电器防雷滤波技术探讨

我国是雷电多发地区,在我们日常生活中电器经常会被雷电击坏或不能正常工作。本文就产品设计中我们常采用的一种既防雷又解决滤波的防雷滤波技术讨论,并加以验证。     

Importance of awareness in improving performance of emergency medical services (EMS) systems in enhancing traffic safety: A lesson from India

Objective: India has been slow in implementing a central emergency medical services (EMS) system across the country. “108 services” is one of the most popular services that is functional under the public–private partnership model. Limited available literature shows that despite access to services, many traffic crash victims are transported using private vehicles. The objective of this study is to understand the effectiveness of 108 services from a traffic safety perspective.

Method: A questionnaire survey is conducted to understand the awareness of EMS and their function. Using traffic-related fatalities as the dependent variable, a fixed effect panel data model is developed to analyze the effectiveness of the 108 services in improving the traffic safety.

Results: The results from the survey show that, in general, people are not aware of the 108 services. A majority of the population prefers taking victims to the hospital using their personal vehicles or any other vehicles available compared to calling an ambulance. Results from panel data analysis show that despite having an efficient system, these services failed to make significant improvement in the safety of road users in the states in which their services were subscribed.

Discussion: The lack of awareness of an important safety service is alarming. This could be a major reason for lower utilization of 108 services for transporting victims of traffic crashes. This article shows the importance of having efficient awareness campaigns to improve the efficiency of any similar programs that are aimed to enhance the safety of a region.     

Reasons for implementing ISO 14001 in Malaysia

Environmental management systems (EMS) have been introduced globally to reduce environmental degradation issues brought about by industrial development. The research discussed in this paper is aimed at identifying the benefits and motivations of the implementation of EMS in compliance with the International Organization for Standardization (ISO) 14001 standard in Malaysian industries by using the pairwise comparison method. Experts in EMS from the Scientific and Industrial Research Institute of Malaysia were invited to participate in the research panel. Based on the experts’ input, data analysis was carried out by using multi‐criteria pairwise comparisons. The findings showed the ranked benefits and motivations of the implementation of the ISO 14001 standard for businesses. The results can indicate to policy‐makers and business advisors how businesses can be encouraged to implement the ISO 14001.     

上海市实施ISO14001环境管理体系标准的回顾与展望

建立ISO14001环境管理体系、开展ISO14001认证工作已在我国全面展开，如何发挥环境保护行政主管部门的作用，对深入推进ISO14001标准认证至关重要。从实施ISO14001标准，促进环境保护工作发展的角度回顾了上海市实施ISO14001环境管理体系标准的历程，探讨了上海市实施 标准的未来发展趋势，并对实施过程中出现的问题提出了对策和建议。     

环境和质量管理体系一体化实质分析

阐述了过程方法在ISO14001（2004版）环境管理体系标准和ISO9001（2000版）质量管理体系标准中的运用。介绍了过程的概念、过程特性的概念、过程的输入和输出要求。分析了环境管理体系和质量管理体系一体化的实质及其意义。指出一体化管理体系不是将2个标准中要素的要求简单叠加。     

化学诱变结合结构类似物法选育高苯丙氨酸解氨酶菌种

ＥＭＳ诱变结合结构类似物法提高含ＰＡＬ出发菌株红酵母Ｒｈｏｄｏｔｏｒｕｌａ ｓｐ．ＣＩＢＡＳＡ１４０１１００ 生物转化能力阳性率为３５．５ ％ ,部分突变株ＰＡＬ转化能力提高１ 倍以上,其中Ｅ１０５,Ｅ２４０ 具有快速转化能力,反应３ ｈＬＰｈｅ累积浓度达到１ ｇＬ左右．φ１０％ 甘油和３０ ｇＬＧｌｕ 对ＰＡＬ转化具有明显的稳定作用．用含φ１０％ 甘油和３０ ｇＬＧｌｕ 的反应液进行生物转化制备,Ｅ１０５ 和Ｅ２４０ 在２４ ｈ 期间ＬＰｈｅ 质量浓度大于２０ ｇＬ,转化率达８０ ％ ．     

Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

Injury Severity Score alone predicts mortality when compared to EMS scene time and transport time for motor vehicle trauma patients who arrive alive to hospital

ABSTRACT

Objective: This study aims to identify the association, if any, between prehospital scene time, prehospital transport time, and Injury Severity Score (ISS) with in-hospital mortality.

Methods: A retrospective analysis was performed on patients at least 18 years of age who arrived to the hospital alive via emergency medical services (EMS) after a motor vehicle collision (MVC) between 1992 and 2016. These patients were divided into groups based on minutes spent at the scene and in transport. The ISS of the in-hospital mortalities, as well as the entire patient sample for each time frame, was collected. Patients without documented scene time, transport time, or ISS were excluded.

Results: Four thousand one hundred ninety-four patients were captured when analyzing scene time, though only 3,980 met inclusion criteria. In addition, 4,177 patients were captured when analyzing transport time, though only 3,979 met inclusion criteria. Scene time and transport time were not statistically significant predictors of in-hospital mortality (P = .31 and P = .458, respectively). ISS was found to be a statistically significant predictor of in-hospital mortality (P < .001).

Conclusions: ISS predicts mortality independent of scene time or transport time for patients who arrive to the hospital alive following an MVC at Guthrie Robert Packer Hospital. Limitations of our study include inability to capture prehospital deaths and inability to correlate ISS with prehospital injury severity scores.     

Using a novel data linkage approach to investigate potential reductions in motor vehicle crash severity – An evaluation of strategic highway safety plan emphasis areas

Introduction: With the significant number of motor-vehicle fatalities occurring on the nation’s roadways in recent years, there exists a need to integrate a more complete range of data sources, available at a regional or statewide level, to effectively evaluate existing safety concerns and quantify their impacts. Crash data alone does not provide ample crash-associated citation, injury, and roadway characteristics; therefore, a more cohesive dataset is required to accurately and completely analyze the true impacts of motor-vehicle crashes. Previously developed strategies linked crash data with citation and roadway inventory data to enhance the identification and optimization of highway safety strategies. Method: The main objective of this research focused on developing a new deterministic linkage between crash and Emergency Medical Services (EMS) data, by utilizing the Massachusetts Crash Data System (CDS) and the Massachusetts Ambulance Trip Record Information System (MATRIS). Results: After several iterations of match criterion, the validated linkage successfully matched 58.3% of MATRIS records (containing an Injury Cause of Motor Vehicle Crash) to a CDS person record (55011 linked pairs, between 2014 and 2016). The data linkage provided significant insight into injury trends in several highway safety emphasis areas such as roadway departure, speeding-related, and distraction-affected crashes. The findings from this research are twofold: (1) an established process for linking previously separate data sets, and (2) a mechanism for analysis that provides decision-makers and safety professionals with a better measure of crash outcomes.     

济钢集团建立OSHMS和EMS双管理体系的体会

通过济钢集团1年来建立《职业安全健康管理体系》和环境管理体系的实践，阐述了建立体系应注意的问题分析了如何把先进的国际管理体系和企业自身实际相结合，以提升管理水平并取得双认证的成功。