新时期医疗废物处置技术体系的变革及发展

近20年来,我国在推进医疗废物无害化管理和处理处置方面开展了大量的工作,成绩举世瞩目。但处于新的历史时期,如何更好地基于可行技术,探索与其相匹配的管理模式,解决医疗废物处理处置短板已成为迫在眉睫的工作。我国目前存在针对医疗废物处理处置技术适用性考虑不足、农村及偏远地区医疗废物处置能力缺乏、医疗废物应急处置能力存在短板以及医疗废物领域科技创新能力有待提升等问题。因此,结合各种医疗处置技术特点及适用性,提出基于技术的适用性推进医疗废物处理处置技术布局优化、通过管理和技术进步解决农村和边远地区医疗废物处置难题、合理配置疫情期间应急处置能力以及推进科技创新等建议,为打造新时期医疗废物处理处置技术体系提供参考。     

An Observation Method for Analyzing Operators’ Routine Activity in Computerized Control Rooms

An activity analysis method was developed for studying the structure and dynamics of control room operators’ activity during normal operation based on directly observable elements of the operators’ behavior. The method assesses current activity along three dimensions in each 5-min period of the shift. Intensity characterizes arousal level, direction shows whether the activity is directed predominantly at the process control task, at something else, or miscellaneous. Motivation reflects if the activity is driven by intrinsic or extrinsic motivation. A case study is presented, in which 3 morning, 3 afternoon, and 3 night shifts of a Nuclear Power Plant operator crew are involved. The obtained results gave a deeper understanding of the operators’ activity and also revealed an “arousal compensation” tendency.     

Synergy Between Visual and Auditory Signals and Its Influence on the Follow-Up Regulation Quality

The study aimed at verifying a hypothesis that supporting a visual signal of regulation deviation with an auditory one could improve the quality of regulation; the operator would have better information on machine operation. A special simulator was applied to follow-up tracking with a manual lever which controlled vertical movements of a cursor on a monitor screen. Simultaneously with visual information on screen, the operator was provided with an auditory deviation signal of pre-determined characteristics. 33 young males underwent the test. It was found that supporting a visual signal with an auditory one resulted in an improvement in the regulation quality by 5-6%, which proved synergy between those signals. The results may be used in designing tele- and servo-mechanisms, especially for remote control machinery, e.g., inspection robots or micromanipulators controlled by operators in a follow-up system.     

Disparity of a Seat Cushion and Its Influence on Postural Control

Properties of supporting surfaces of a seat have an influence on postural control. Centre of pressure (COP) displacement parameters reflect both the balance controlling process and movements of the centre of a mass of entire body. The subjects of the study were 9 healthy men. A seat cushion was examined with a 2-force platform setup. Force exertion at a seat pan and feet and COP displacement at a seat pan were measured to analyse postural control. Analysis of variance determined the differences in postural control depending on a cushion type among the subjects. Significant differences in COP displacement parameters were in COP trajectory length, medio-lateral COP displacement and COP velocity. The results of the study showed that foam cushion ensures better postural control.     

Analysis of underlying causes of investigated loss of containment incidents in Dutch Seveso plants using the Storybuilder method

In the Netherlands there are around 400 “Seveso” sites that fall under the Dutch Major Hazards Decree (BRZO) 1999. Between 2006 and 2010 the Dutch Labour Inspectorate's Directorate for Major Hazard Control completed investigations of 118 loss of containment incidents involving hazardous substances from this group. On the basis of investigation reports the incidents were entered in a tailor-made tool called Storybuilder developed for the Dutch Ministry of Social Affairs and Employment for identifying the dominant patterns of technical safety barrier failures, barrier task failures and underlying management causes associated with the resulting loss of control events. The model is a bow-tie structure with six lines of defence, three on either side of the central loss of containment event. In the first line of defence, failures in the safety barriers leading to loss of control events were primarily equipment condition failures, pre start-up and safeguarding failures and process deviations such as pressure and flow failures. These deviations, which should have been recovered while still within the safe envelope of operation, were missed primarily because of inadequate indication signals that the deviations have occurred. Through failures of subsequent lines of defence they are developing into serious incidents. Overall, task failures are principally failures to provide adequate technical safety barriers and failures to operate provided barriers appropriately. Underlying management delivery failures were mainly found in equipment specifications and provisions, procedures and competence. The competence delivery system is especially important for identifying equipment condition, equipment isolation for maintenance, pre-start-up status and process deviations. Human errors associated with operating barriers were identified in fifty per cent of cases, were mostly mistakes and feature primarily in failure to prevent deviations and subsequently recover them. Loss of control associated with loss of containment was primarily due to the containment being bypassed (72% of incidents) and less to material strength failures (28%). Transfer pipework, connections in process plant and relief valves are the most frequent release points and the dominant release material is extremely flammable. It is concluded that the analysis of a large number of incidents in Storybuilder can support the quantification of underlying causes and provide evidence of where the weak points exist in major hazard control in the prevention of major accidents.     

建筑工人不安全行为影响因子分析及控制措施研究

为有效的控制建筑工人的不安全行为,从而减少事故,须分析出建筑工人不安全行为主要影响因素,并提出针对性控制措施。从各种不安全行为中提取13个影响因子,在此基础上通过访谈和调研获得直接影响矩阵,借助决策试验和评价实验室方法(DEMATEL)计算出每个因子的影响度、原因度和中心度,由此分析出安全态度、安全技能、安全认知和安全培训在影响因素体系中最为重要,领导的重视对建筑工人的不安全行为也有很大影响。结果表明:个人因素是影响工人安全行为的主要因素,环境因素和管理因素通过影响个人因素影响工人的安全行为。最后,针对个人影响因素,提出了合理开展安全培训、加强现场行为管理、加强安全心理干预、完善用工制度等措施。     

行为控制方法在煤矿放炮事故预防中的应用研究

我国煤炭行业事故频发,而人的不安全动作引起了88％的事故,因此,运用行为控制方法来约束人的不安全动作对于减少煤矿事故有着重要意义。以煤矿放炮员不安全动作为统计指标,对我国2000—2011年41起煤矿重特大放炮事故进行统计,得到16种、48个不安全放炮动作。进一步分析,发现造成这些不安全动作的原因集中在放炮员安全知识、意识、习惯,组织安全管理体系,以及组织安全文化这三方面。根据这些原因提出了系统的行为控制方法,给出了放炮员不安全动作的综合解决对策,这样企业便采取了从安全文化到放炮员不安全动作的一整套行为控制措施,从而可以有效预防煤矿放炮员的不安全动作,减少煤矿企业放炮事故的发生。     

健康住宅的降噪问题与技术措施

健康住宅的噪声控制,包括对噪声源的认识、进行降噪的方法设计、技术措施实施效果的分析等内容。笔者在研究健康住宅噪声种类和控制标准、分析控制噪声基本措施的基础上,认为健康住宅噪声控制的难点在于设计方法和技术措施两方面,解决问题的思路是将降噪手段视为系统工程,包括住区户外和住宅室内两大系统;综合设计降噪控制技术,才能达到健康住宅声环境的控制标准。     

煤气管道带气抽堵盲板、开孔接管中的安全技术

生产或使用煤气的工业企业常常需要带气抽堵盲板和开孔接管作业。此类特殊作业存在中毒、着火、爆炸的危险性，为了安全、高效地实施此类作业，本文结合企业15年安全作业的实践，系统地总结了作业的方案制定、主要准备工作、作业过程的控制等方面措施和内容，并总结了相关安全技术问题的一些做法和体会。     

轨道交通工程隧道暗挖塌方事故的防控对策及应急抢险要点分析

本文根据广州市地质水文气象及隧道暗挖工程的施工特点，对广州市轨道交通工程隧道暗挖塌方事故进行了危险性分析，阐述了隧道暗挖工程的竖井、隧道开挖施工中塌方事故的主要防控对策与预防措施，以及塌方事故的应急准备及响应要点。