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。     

杭州快速路、主次干道植物群落降噪功能比较研究

城市绿地是城市生态系统的重要组成部分,在改善城市生态系统方面有重要作用。现今交通是城市环境中的主要噪声来源,城市道路绿地是交通噪声治理的有效方式之一。本文选取杭州市西湖区不同等级的三条道路(紫金港路、天目山路和丰潭路)作为研究对象,利用手持噪声测量仪测量实时噪声对不同道路等级和距离的绿地降噪效果进行分析。研究发现,杭州市三条道路存在以下问题:(1)噪声距离道路越远越低,且噪声平均衰减率表明绿地降噪效果为主干道次干道快速路;(2)配置模式为乔木+灌木+地被的绿地植物群落的降噪效果最佳,且乔木和灌木交错的种植形式在降噪效果上优于灌木在前、乔木在后的排列式种植;(3)当道路绿地宽达到15m时,植物群落降噪效果会有大幅度提升,且快速路与次干道在距离为15m处,植物群落降噪能力最佳。     

上海市浦东新区2014-2018年声环境质量状况分析

上海市浦东新区作为承接国家自由贸易区的先行试点地区,近年来吸引大批国内外企业入驻,同时经济发展与环境友好型社会矛盾依然突出。本文以2014年-2018年来浦东新区区域噪音与交通噪数据为依据,分析本地区声环境状况,结果表明声环境质量有所下降,一类功能区及交通噪音需进一步加强治理。通过源头屏蔽,大力发展张江、周浦、滴水湖等科技园区建设,阻断企业对居民区的噪声影响等措施,进而提升和改善浦东新区声环境质量状况。     

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.     

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。     

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。     

北京市典型道路交通噪声排放特征

采用北京市道路交通噪声自动监测系统2013—2017年采集的等效连续A声级数据,对城市快速路、城市主干线、城市次干线、城市支路的代表性站点噪声排放情况进行了统计分析,结果显示,北京市不同等级的道路噪声排放具备一定的特征,排放水平从大到小依次为城市快速路城市主干线城市支路和城市次干线,道路噪声随时间变化存在较为一致的周期性排放特征,24 h变化特征比较明显。个别道路排放特征存在特异性,如城市主干线道路的一个代表监测站点噪声监测值出现了逐年下降趋势,分析发现,北京市非首都功能疏解对其噪声值的下降有一定贡献。采取一定的规划和管理措施有助于减少道路交通噪声的排放。     

城市居民区配套设备噪声频率特性分析

对绵阳市某居住区典型的配套设备噪声源进行分析,选取变配电房噪声、车库噪声、电梯井噪声、电梯控制室噪声、家用空调室外机、水泵房等6种典型噪声源。分析这些噪声源的频谱及低、中、高频段的能量比率。结果表明,各声源最大声压级所在频段以低频段最多（6种典型噪声中占5种）,最大能量分布频段也是以低频段最多（6种典型噪声中占5种）,因而低频噪声已经成为居住区中影响最大的噪声源。