Driving under the influence of alcohol and drugs in the eastern part of Denmark in 2015 and 2016: Abuse patterns and trends

Objectives: The objective of this study was to examine the frequency of psychoactive drugs and alcohol in drivers under suspicion of driving under the influence of drugs and alcohol in 2015 and 2016 in the eastern part of Denmark. The trends in the number of traffic cases sent for drug analysis since 2000 and alcohol analysis since 2011 are also discussed.

Methods: Blood samples from drivers suspected of being under the influence of alcohol and/or medication and/or illicit drugs in 2015 and 2016 were investigated as requested by the police. The blood samples were screened for alcohol and/or tetrahydrocannabinol (THC) alone, for other drugs (covering all drugs, except THC, listed in the Danish list of narcotic drugs), or for THC and other drugs. Age and gender were also recorded. The number of drug traffic cases since 2000 and the number of alcohol cases since 2011 were extracted from our Laboratory Information Management System (LIMS).

Results: In total, 11,493 traffic cases were investigated. Alcohol and/or drugs exceeded the legal limit in 9,657 (84%) cases. Men constituted 95% of the drivers investigated for drugs and 88% of the alcohol cases. The drivers investigated for drugs consisted primarily of young men, whereas drivers investigated for alcohol were older.

The frequency was higher for positive alcohol cases above the legal limit (87%) than for drug cases (76%) above the fixed concentration limit. THC (67–69%) was the most frequently detected drug above the legal limit, followed by cocaine (27–28.5%), amphetamine (17%), and clonazepam (6–7%) in both years. Morphine (5.4%), included among the 5 most frequent drugs in 2015, was replaced by methadone (4.6%) in 2016. Few new psychoactive drugs (NPS) were detected.

The number of traffic cases sent for drug analysis has increased more than 30-fold since 2000–2006, and the number of traffic cases submitted in 2016 for drug analysis was higher than the number for alcohol analysis; the latter has decreased since 2011.

Conclusion: Overall, alcohol was the most frequent compound detected above the legal limit in both years, followed by the well-known illicit drugs THC, cocaine, and amphetamine. NPS were seldom seen. One consequence of the increased focus on drugs in traffic has been an immense increase in drug traffic cases sent for analysis since 2006 in the eastern part of Denmark. Although this survey revealed only minimal changes compared to earlier investigations, surveys like this are invaluable for monitoring abuse patterns and trends in drugged and drunken driving.     

Abdominopelvic injuries due to road traffic accidents: Characteristics in a registry of 162,695 victims

Objective: Road traffic accidents (RTAs) are the first cause of abdominopelvic injuries (APIs). The objective of this study was to describe the characteristics and severity of APIs due to traffic accidents in a large French trauma registry and to identify risk factors for API.

Methods: All victims from the French Rhône registry of victims of RTAs were analyzed from 1996 to 2013. This registry contained data that were issued over a 20-year period from 245 medical departments, from prehospital care until re-adaptation, and forensic medicine departments. All APIs, defined as an injury between the diaphragm and the pelvic bone, were extracted and studied.

Results: Among 162,695 victims, 10,165 had an API (6.7%). Accidents frequently involved young men and 2 cars. Mean Injury Severity Score (ISS) was 8.7. Mortality rate was 5.6%. Soft tissue injuries largely predominated (n = 6,388; 54.4% of patients). Overall, 2,322 victims had a pelvic bone injury. Internal abdominal organs were involved in 2,425 patients; the most frequent were the spleen, liver, and kidney. Wearing of the seat belt appeared to be a significant protective factor in API, including serious injuries. A partial analysis over the past 2 years among the most severe patients hospitalized in the intensive care unit indicated that nonoperative management was carried out in two thirds of the wounded. In uni- or multivariate analysis, sex, age, type of user, antagonist, time of occurrence, associated severe lesions, or wearing of the seat belt were statistically associated with the occurrence of API, highlighting a more dangerous user profile.

Conclusions: Abdominopelvic injuries concern a minority of road traffic injuries, but they are responsible for significant mortality. Large solid organs are the most frequently affected. Women drivers wearing a seat belt and driving in town during the day appear to be more protected against API.     

空中交通尾流间隔标准的安全性评估分析

为了分析现行尾流间隔的安全性,建立了尾涡安全评估模型,基于国内现行尾流间隔标准,对诱导滚转力矩系数和所需滚转角速度计算数据进行统计,选择所需滚转角速度作为安全性衡量指标。计算分析了气象条件尾涡遭遇严重度的影响,对不同机型类别组合下的所需滚转角速度计算数据进行统计分析。研究结果表明:与滚转力矩系数相比,所需滚转角速度更适合作为尾流安全性的衡量指标;在顶风条件下可适度缩减所需的尾流间隔,提高空管运行效率;不同类别组合下的当量均值可以反映不同类别组合下的安全程度和潜在的间隔缩减潜力,当量标准值则可反映类别中所属机型之间的差异性。     

突发性环境污染事故的应急监测探讨

突发性环境污染事故应急预案方案中主要包括污染物的应急监测以及污染事故的处置方案。其中应急监测的工作在于明确造成环境污染的化学物品的种类、浓度、数量、已造成污染范围、已造成的破坏程度、事故未来发展事态等。通过应急监测所整理的信息数据,应急预案组织工作小组可以迅速的对突发性环境污染事故做出科学合理的决策。本文针对突发性环境污染事故应急监测工作方案进行梳理总结,指导组织管理人员如何快速的组织应急监测工作。     

Shelter-in-place risk assessment for high-pressure natural gas wells with hydrogen sulphide and its application in emergency management

This paper provides a risk assessment method of sheltering in-place for high-pressure natural gas wells with hydrogen sulphide. In this paper, the shelter-in-place risk is estimated by integrating the health consequences of an individual taking one kind of emergency response to the emergency orders of sheltering in place from the emergency decision makers and the probability of the corresponding emergency response action. The probability of the corresponding emergency response action in the proposed method is estimated through the accident probability analysis and the probability analysis of taking a certain response action. The health consequence estimation is based on air exchange rate test of the shelter buildings as well as accident consequence calculation. The evaluation of shelter-in-place risks based on “as low as reasonably practicable (ALARP)” guidelines was employed to provide suggestions for emergency management under both normal conditions and off normal conditions. A case study of risk assessment of sheltering in the local residential houses in Xuanhan County of Sichuan Province, China was taken as an example to illustrate the proposed risk assessment process of shelter-in-place and its application in the decision-making process for emergency management.     

Risk analysis of Chongqing urban rail transit network

Urban rail network safety is a critical sector of urban public safety. However, there is no uniform standard for the safety evaluation of the urban rail network. This paper presents a novel methodology by integrating a multilevel decision tree with a fuzzy analytical approach to enhance urban rail network safety. The proposed methodology overcomes serious limitations such as subjectivity in the data and independence of the variables in decision-making processes. The proposed methodology is applied to the risk evaluation of the selected Chongqing rail transit lines and the Expo Line. The risk analysis is considered using the field data collected from these transit lines. The applied case studies confirm the general applicability of the methodology and the multilevel decision tree network. The main risk factors identified for the Chongqing rail traffic system are the terrorist threat, emergency management, and aging infrastructure which need to be investigated as a priority to mitigate risk associated with these infrastructures.     

Simulation analysis of fire truck scheduling strategies for fighting oil fires

Emergency response is an important measure to reduce the loss of any major fire and prevent its escalation. There may be many fire trucks participating in the fire-fighting at the same time, and the scheduling of them will affect the fire-fighting efficiency and thus, capacity. This work focuses on the cycle process of fighting fire and refilling water of fire trucks, and analyzes and compares the scheduling strategies of the fire trucks. The simulation tool eM-plant is utilized to model the fire-fighting process. In view of the emergency response in relation to a chemical fire accident and to prevent its escalation, strategies in the analysis consider the allocation of fire trucks according to the distance of hydrants, the distribution of fire trucks according to the number of fire hydrants, etc. The results of this paper show that an even distribution of fire trucks leads to a good performance, but can be further adjusted to find a more optimal strategy. This study provides guidance for fire truck scheduling in case of emergency response.     

城市道路应急交通组织措施及仿真评价*

为应对城市范围内的各类突发事件对城市道路交通系统带来的不利影响。在分析路径分配（交通分流）、反向交通组织、交叉口信号控制调整、交通管制措施等应急交通组织措施的基础上,以南京“6.20”道路交通事故为例,综合运用各种应急交通组织措施对城市局部路网进行应急交通组织,并通过VISSIM交通仿真软件对采用各种应急交通组织措施前后研究区域的行程时间进行对比。结果表明:采用应急交通组织措施对研究区域的交通疏导效果显著,且处理事故的时间越长,应急交通组织措施带来的优化效果越明显。     

PDE accident model from a safety information perspective and its application to Zhangjiakou fire and explosion accident

Accident models can provide theoretical frameworks for determining the causes and mechanisms of accidents, and thus are theoretical bases for accident analysis and prevention. The role of safety information in accident causation is profound. Thus, safety information is an important and essential perspective for developing accident models. This study presents a new accident model developed from a safety information perspective, called the Prediction—Decision—Execution (PDE) accident model. Because the PDE accident model is an emerging accident model that was proposed in 2018, its analysis logic and viability remain to be discussed. Thus, the main contributions of this study include two aspects: (i) detailed explanation of the analysis logic of the PDE accident model, and (ii) case-study examination of the Zhangjiakou fire and explosion accident, a serious accident that occurred in China in 2018, to demonstrate the viability of the PDE accident model. Results show that this is a safety-information-driven accident model that can provide a new and effective methodology for accident analysis and prevention, and safety management.     

地铁恐怖袭击下乘客疏散交通方式调查研究

为科学地认识地铁恐怖袭击事件下乘客疏散方式决策行为,基于随机抽样调查,采集乘客疏散交通方式选择意向数据,揭示不同地铁恐怖袭击场景下乘客心理特征及疏散交通方式选择行为差异。结果表明:地铁恐怖袭击事件引发乘客恐慌,恐慌程度与性别、年龄、文化程度、月收入、是否接受恐袭安全教育和通勤距离6个因素显著相关;除常规的行程时间、出行费用等因素外,安全性是乘客进行疏散交通方式选择的首要因素;在恐怖袭击事件导致地铁网络重要站点关闭情况下,仍有部分乘客选择地铁作为疏散交通方式,且选择比例随出行距离增加而增加;恐怖袭击事件的攻击方式影响乘客疏散交通方式选择,爆炸恐怖袭击下地面公交客流分担率高于其他方式,而持刀伤人事件下地铁客流分担率最高。