基于伤害监测的产品安全监管模式研究

鉴于缺陷产品给消费者造成的人身伤害日渐增多,通过分析产品伤害流行病学的模型,提出采用不同的干预措施,包括预警、召回、完善标准和法律等手段,及时消除由缺陷产品引起的各种伤害,而这有赖于对大量的缺陷信息的收集和分析。国外一些发达国家建立的产品伤害监测系统,通过样本医院收集由产品缺陷导致的伤害事故,被证明是一种有效的信息收集手段。为此,我国有关部门开始着手建立产品伤害监测系统的前期研究工作,并进行试点研究,取得大量一手资料。建议借鉴国外的成功经验,尽快建立适合我国国情的产品伤害监测系统,并开展有关重点产品的伤害监测活动。     

警用头盔的人机工程学分析

警用头盔是武警部队使用最为频繁的单兵防护用具,本文基于人机工程学的理论,用人机工程学的观点对武警部队现装备的警用头盔进行分析和探讨,提出解决途径的设想,展望警用头盔的发展前景。     

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.     

Environmental evaluation for workplace violence in healthcare and social services

PROBLEM: Federal policy recommends environmental strategies as part of a comprehensive workplace violence program in healthcare and social services. The purpose of this project was to contribute specific, evidence-based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence. METHOD: A retrospective record review was conducted of environmental evaluations that were performed by an architect in two Participatory Action Research (PAR) projects for workplace violence prevention in 2000 and, in the second project in 2005. Ten facility environmental evaluation reports along with staff focus group reports from these facilities were analyzed to categorize environmental risk factors for Type II workplace violence. RESULTS: Findings were grouped according to their impact on access control, the ability to observe patients (natural surveillance), patient and worker safety (territoriality), and activity support. DISCUSSION: The environmental assessment findings reveal design and security issues that, if corrected, would improve safety and security of staff, patients, and visitors and reduce fear and unpredictability. IMPACT ON INDUSTRY: Healthcare and social assistance employers can improve the effectiveness of violence prevention efforts by including an environmental assessment with complementary hazard controls.     

The Iowa Graduated Driver Licensing program: effectiveness in reducing crashes of teenage drivers

PROBLEM: Graduated Driver Licensing (GDL) programs vary in the United States in terms of implementation and restrictions. The State of Iowa's GDL program is assessed for its effectiveness in reducing crashes among teenage drivers. METHOD: Time series analysis was used to evaluate police documented crashes involving 16-, 17-, and 18-year-old drivers over a 10 year period, with an intervention identified at the point of GDL implementation. RESULTS: After controlling for seasonal trends and auto-correlative effects, a significant reduction in the crash rate of and 16- and 17-year-old drivers was observed due to the GDL implementation. However, there were no significant reductions in crash rates for 18-year-old drivers. DISCUSSION: The analyses suggest that the Iowa GDL program is effective in reducing the crash rates of 16- and 17-year-old drivers but the effects do not sustain for 18-year-old drivers. IMPACT ON INDUSTRY: The results suggest that the program appears to be working, however further analysis is needed to determine what factors are preventing lasting effects for these teenage drivers.     

道路交通噪声自动监测应用探讨

结合城市道路路网状况及实际噪声监测数据和历史实验数据,对道路交通噪声自动监测数据的有效性、监测点位布设进行了研究,对道路交通噪声监测点位优化提出建议。     

高速公路交通噪声预测模型探讨

针对我国当前广泛使用的2种高速公路噪声预测模型《06规范》预测模型与《09导则》预测模型在预测时比较研究,重点利用环境现状监测数据分别对2种模型验证与对比分析.结果表明,2种模型预测值与实测值相差3dB ～5dB,车流量＞ 300辆/h,《09导则》更接近实测值;在夜间车流量＜300辆/h,《06规范》更接近实测值,2种模型结合采用《06规范》计算的车速,距离衰减考虑车流量的大小,在此基础上应用《09导则》,预测结果与实测值更为接近.     

提高交通安全——实现智能汽车的研究

主要介绍了通过智能汽车的研究 ,提高城市交通安全的必要性 ;综述了发达国家关于智能汽车研究的现状与趋势 ,并通过国外智能汽车发展的趋势 ;进一步论证智能汽车的研究是汽车工业发展的方向 ,也是提高交通安全的重要手段之一。此外 ,论文提出利用模式识别技术的智能汽车的结构框架 ;指出神经网络方法应用与模式识别技术结合的优势。最后 ,论文在阐述我国需要发展智能汽车的同时 ,提出应结合中国国情相应研究相关理论 ,为今后的实施奠定基础的近期目标 ,并提出展望     

1900个乡镇工业的工伤职业病医疗保障现状分析

在调查的１９００个乡镇工业企业中,有９．３％ 的企业对职工工伤职业病没有任何保障,其中尤其是个体联户所办企业则高达１５％ 。按行业进行分析,最易发生工伤职业病的各种矿山采选业、建材生产业,能给予报销医疗费的企业占７８．５％ ,部分给予报销的企业占１０．２％ ,不予报销企业占１１．３％ 。从保障程度看,能给予全部报销医疗费的企业仍以乡办企业为最高（９３．２％ ）,其次为村办企业（９０．２％ ）和个体联户所办企业（８８．５％ ）     

对灾害研究中几个问题的思考

对灾害研究中有关的几个问题进行了探讨。认为： 灾害学是最重要的自然社会科学; 人文灾害比自然灾害更具毁灭性; 研究人文灾害中的公路交通事故、核战争问题、人口问题、环境污染问题等具有重要的现实意义和深远的历史意义。