工伤保险费率机制设计的探析

目前我国工伤保险覆盖面窄的主要原因是现有的工伤保险费率机制存在问题,缺乏激励作用.本文以传统的激励理论为依据,分析指出要达到扩大工伤保险覆盖面的目的,应该是设计科学、合理的工伤保险费率机制去激励企业主动参加工伤保险和加强工伤预防.     

非法用工单位伤亡人员一次性赔偿程序的探讨

2004年1月1日生效的《工伤保险条例》规定了非法用工单位向伤亡人员赔偿的标准和争议解决的程序，但是非法用工单位不属于法律上合法的主体，劳动仲裁机关和法院不能对不存在的主体作出裁定和判决，就算作出裁判，也不可能得到执行，从而使得该条例规定的对非法用工单位伤亡人员的赔偿成为一纸空文。为此，笔者从劳动争议和诉讼主体认定，程序保障和伤亡人员及时得到救助三个方面提出建议，以确保条例得到执行。     

Possibilities of kinesio taping to prevent injuries of professional dancers

A literature review of the application of kinesio taping in the prevention of professional dancers’ injuries indicated frequent dance-related and overuse injuries and a lack of organized information about this issue. This study aimed to assess the impact of kinesio taping on the musculoskeletal system of dancers, based on scientific research data from 2015–2017. The analysis revealed that kinesio taping can effectively reduce muscle spasms, rebuild muscle strength of the injured extremity, improve static and dynamic balance and ease pain, due to its ability to improve proprioception of joints and regulate muscle tone. These effects reduce muscle imbalance and joint instability, thus increasing treatment efficacy and shortening the physical load limitation. Kinesio taping significantly reduces the risk of overuse syndromes and dance-related injuries during dance training and strenuous exercises of people with chronic musculoskeletal diseases. Therefore, kinesio taping has broad utility in primary and secondary prevention of dance-related injuries.     

Trauma demography and clinical epidemiology of motorcycle crash–related head injury in a neurosurgery practice in an African developing country

Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries.

Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI.

Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD = 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle–motorcycle crashes. The HI was moderate–severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS–head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%.

MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS = 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27–6.49; P = .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P = .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P = .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P = .004).

Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries.     

OSHA职业伤害与疾病记录和报告机制简介

介绍了OSHA《记录和报告职业伤害与疾病》法规的主要内容,分析了中国引入该法规的益处。     

基于人体皮肤热模型的热防护服评价方法研究

在热防护服热防护性能测试装置基础上,用自行研制的新型耐高温模拟皮肤传感器代替铜片热流计测量通过应急热防护服装面料的热流量,将热流量作为热波皮肤模型边界条件,得到人体皮肤表层下80μm处的温度值,从而得到一定条件下人体真实皮肤达到二级烧伤所需时间,用其评价热防护服用织物的热防护性能,并将热波皮肤模型(TWMBT)的测试值与Pennes模型以及铜片热流计的测试结果进行分析比较。采用热波皮肤模型分析织物层下的"皮肤"防热时间更接近实际皮肤达到二级烧伤时间值,可较为精确的量化织物热防护性能,为应急救援热防护服装的热设计提供理论依据。     

Pedestrian fatalities, Atlanta Metropolitan Statistical Area and United States, 2000-2004

Motor vehicle crashes killed almost 5,000 pedestrians in 2005 in the United States. Pedestrian risk may be higher in areas characterized by urban sprawl. From 2000 to 2004, pedestrian fatality rates declined in the United States, but the Atlanta metropolitan statistical area did not experience the same decline. Pedestrian fatality rates for males, Hispanics, and the 15–34 and 35–54 year age groups were higher in Atlanta than in the United States overall. Pedestrian safety interventions should be targeted to high-risk populations and localized pedestrian settings.     

酸雨与镧对大豆幼苗生长的复合伤害效应研究

为探索酸雨与稀土镧对大豆幼苗生长的复合影响及其内在机制,以重要油粮作物大豆(Glycine max)为材料,研究在模拟酸雨pH分别为3.0、3.5、4.5与稀土镧La(Ⅲ)浓度分别为60、100和300mg·L-1处理下大豆幼苗生长及光合作用的变化.结果表明,相对单一酸雨与镧处理,酸雨与La(Ⅲ)复合处理组中大豆幼苗的生长受抑制程度增大,两者呈协同效应,且pH越低,La(Ⅲ)浓度越高,抑制效应越明显.光合参数的变化规律与生长指标近同,相同处理组各光合参数的降幅不一致,其中最大荧光(Fv/Fm)和叶绿素含量(Chl)的降幅范围分别为9.53%～22.75%和9.14%～24.53%,较净光合速率Pn(22.78%～84.7%)、希尔(Hill)反应速率(15.52%～73.38%)和Mg2+-ATPase活性(14.51%～71.54%)小,表明各光合参数对2个胁迫因子的敏感程度存在差异.进一步相关性分析发现,Pn变化主要受Hill反应速率与Mg2+-ATPase活性的影响,而Chl、Fv/Fm次之.表明酸雨与La(Ⅲ)对植物光合过程各环节的作用机制不同,光合作用受阻是影响植物生长的重要因素之一.     

Fun ride or risky transport: Golf cart-related injuries treated in U.S. emergency departments from 2007 through 2017

Introduction: Golf cart-related injuries constitute a substantial source of morbidity, most notably in pediatric populations. Despite the high rate of injuries, there have been no meaningful changes in golf cart design or legislation to reduce the overall burden of these injuries. This study sought to characterize the epidemiology of golf cart-related injuries treated in United States hospital emergency departments. Method: A retrospective analysis was conducted by using data from the National Electronic Injury Surveillance System for patients of all ages who were treated in emergency departments (EDs) (2007–2017) for a golf cart-related injury. Results: From 2007 through 2017, an estimated 156,040 (95% CI = 102,402–209,679) patients were treated in U.S. EDs for golf cart-related injuries. The average rate of traumatic brain injuries (TBIs) in children (1.62 per 100,000 children) was more than three times that of TBIs in adults (0.52 per 100,000 adults; rate ratio = 2.38; 95% CI = 2.36–2.41) and nearly twice that of TBIs in seniors (1.11 per 100,000 seniors; rate ratio = 1.21; 95% CI = 1.19–1.22). The rate of injuries in seniors increased significantly by 67.6% from 4.81 per 100,000 seniors in 2007 to 8.06 per 100,000 seniors in 2017 (slope = 0.096; p = 0.041). Conclusions: Golf cart use remains an important source of injury for people of all ages, especially in children. As use continues to increase, it is unlikely that golf cart-related injuries will decrease without substantial changes to product design, regulation, and/or legislation. Practical Applications: Use of golf carts pose a considerable risk of injury and morbidity; safety recommendations should be followed.     

An LC-MS/MS method for creatine and creatinine analysis in paraquat-intoxicated patients

Abstract

A sudden increase in serum creatinine after paraquat intoxication has been reported in several clinical studies. However, this dramatic change of creatinine may be possibly due to an interconversion of creatine-creatinine in relation to paraquat toxicity. In order to investigate the creatine-creatinine relationship, a liquid chromatography tandem mass spectrometry in combination with electrospray ionization was developed and validated for simultaneous determination of creatine and creatinine in the serum. The chromatographic separation was achieved on a Gemini® C₆-Phenyl column with a gradient elution consisting of 0.1% formic acid in ultrapure water and methanol as the mobile phase. The method yielded suitable levels of specificity and selectivity, and calibration curves of creatine and creatinine in serum were linear over the concentration range of 0.5–200?µg mL^?1. The limit of quantification of both compounds was 0.5?µg mL^?1, and the method was accurate within the recovery range of 96.23–102.75%, indicating the robustness of the method. The method was successfully applied to toxicological samples from paraquat-intoxicated patients, and the concentrations of creatine and creatinine were quantified. High creatine concentrations in serum samples were observed which may lead to high serum creatinine despite normal kidney function as creatine is converted to creatinine in proportion to its concentration.