疫情下医疗废物的处置现状分析

2019年新冠疫情席卷全球,在疫情环境下,医疗废物大幅增多,全国各大城市纷纷出现医疗废物处置不当的现象。本文对国内外现状分析,在认知、设施、管理和监督四个方面发现存在一定的问题,通过加强教育、加大储备、完善机制和改善监管的建议,为提升医疗废物应急处置能力提供参考。     

HPLC-三重四级杆质谱法测定医疗废水中抗生素残留

采用固相萃取/高效液相色谱-三重四级杆质谱法同时测定医疗废水中的20种超痕量抗生素残留,通过优化试验条件,使方法在100μg/L～100μg/L范围内线性良好,方法检出限为024ng/L～122ng/L。空白水样和实际水样3个质量浓度水平的加标回收率分别为80.2%～108%和75.8%～114%,6次测定结果的RSD分别为2.4%～8.4%和1.7%～8.1%。将该方法用于测定重庆市2家三甲医院医疗废水中的超痕量抗生素残留,结果有11种抗生素检出,其余均为未检出。     

冀南野生药用资源植物研究

常用中药中以药用植物占多数，几乎凡具有特殊化学成分及生理作用的植物均可以作为药用植物利用。统计表明，冀南野生药用植物资源丰富，约170种。主要分布在西部山区。本文对其中部分重要药用资源植物的成分、功效作较详细介绍，其它只作一般性介绍：一、冀南重要野生药用植物     

上海市医疗废物控制系统建设设想

根据上海的实际情况，借鉴国内外先进的医疗废物管理、处置经验，从控制的角度全面阐述了上海市医疗废物控制系统的目标、集中处置系统以及配套系统等各个方面建设的具体设想。     

A stage-structured, Aedes albopictus population model

Aedes albopictus has been the fastest spreading invasive animal species in the world from the mid-1980s until the mid-2000s. In areas it infests, it disrupts native mosquito ecology and can potentially vector up to 21 viruses. To better understand the population dynamics of this species, we created a temperature dependent population model. A stage-structured model was chosen to allow each life-stage to have different temperature dependent mortality and development rates, and each stage was modeled with an ordinary differential equation. Model parameters and distributions were based upon literature values. Initially, a basic model was constructed. This model then had parameters that were forced based upon daily average temperatures. Several criteria were used to evaluate the model, including a comparison to field data from Lubbock, TX. In a stochastic version of the model, a 95% confidence limit contained 70.7% of the field data points. Based upon these results, we feel reasonably confident that we have captured the role of temperature in driving the population dynamics of Ae. albopictus.     

医疗废物焚烧中二恶英的产生及控制

医疗废物的安全处置一直被世界各国所重视,我国自SARS灾难后,强化了医疗废物的治理力度。本文针对目前主要采用焚烧法处置医疗废物过程中二恶英的生成途径进行了论述,并结合二恶英的分子结构、毒性及危害提出了控制对策与建议。     

Hazardous waste management in educational and research centers: a case study

The hazardous waste management (HWM) practice at Tehran University of Medical Sciences Central Campus, Iran, was investigated in this study. Four schools were selected and the required information such as type and amount of wastes, temporary storage methods, waste discharge frequency, and final waste disposal methods using sampling, questionnaires, interviews with laboratory staff, and reference to available documents were gathered. The quantity of hazardous waste generation per year excluding the uncontrolled wastewater was found to be 2.072 tons per year. The obtained results show that wastes having features of being infectious, toxic, ignitable, carcinogenic, corrosive, and reactive were present at 32%, 28%, 16%, 14%, 8%, and 2%, respectively. In the central campus, hazardous solid wastes managed with household solid wastes and hazardous liquid waste were discharged into the sinks without any kind of control; improper HWM practices are evident from the point of waste production to final disposal.     

Assessment of older drivers: relationships among on-road errors, medical conditions and test outcome

PROBLEM: It is essential that driver licensing authorities have a valid and reliable system for evaluating older drivers' continuing competency; road tests are usually required as part of such a system. This study sought to find information about the nature of driving errors made during license review tests, and about relationships between error type and test outcome for older drivers. METHOD: Data from licensing authority files from 533 road tests during a 12-month period were analyzed; medical and other referral information was included. Average driver age was 76 years. Performance scores were generated for intersection negotiation, lane changing, low speed manoeuvres, positioning and speed control, safety margin, and car control. RESULTS: Logistic regression analysis showed that test outcome was well predicted by a subset of driving performance scores; adding driver age to the model explained very little variance. Age alone was strongly associated with outcome. Relationships between referral information and test outcome are also reported. IMPACT: Results highlight several factors relevant to the development of more valid and reliable road tests for older drivers.     

略谈清洁生产战略在医院废物处理中的指导意义

清洁生产战略作为环境管理的一项手段 ,是实现可持续发展战略的一项重要举措。医院废物作为一种危险废物 ,在其处理处置过程中 ,也应引入清洁生产思想 ,这对于有效利用资源和能源 ,减轻环境压力 ,都具有重要意义。     

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.