医院低碳经济管理路径探索研究

在建设两型社会的大背景下,我院积极探索低碳经济管理途径,通过实施‘‘四权分离物品管理机制”、全成本核算、打造数字化医院和低碳医疗等手段初步实现了低碳经济管理,并取得了极大的经济效益和社会效益。     

Last Glacial mammals in South America: a new scenario from the Tarija Basin (Bolivia)

The chronology, sedimentary history, and paleoecology of the Tarija Basin (Bolivia), one of the richest Pleistocene mammalian sites in South America, are revised here based on a multidisciplinary study, including stratigraphy, sedimentology, geomorphology, paleontology, isotope geochemistry, and ¹⁴C geochronology. Previous studies have indicated a Middle Pleistocene age for this classic locality. We have been able to obtain a series of ¹⁴C dates encompassing all the fossil-bearing sequences previously studied in the Tarija Basin. The dated layers range in age from about 44,000 to 21,000 radiocarbon years before present (BP), indicating that the Tarija fauna is much younger than previously thought. Glacial advances correlated to marine isotopic stages (MIS) 4 and 2 (ca. 62 and 20 ka BP, respectively) are also documented at the base and at the very top of the Tarija–Padcaya succession, respectively, indicating that the Bolivian Altiplano was not dry but sustained an ice cap during the Last Glacial Maximum. The results of this multidisciplinary study enable us to redefine the chronological limits of the Tarija sequence and of its faunal assemblage and to shift this paleontological, paleoclimatological, and paleoecological framework to the time interval from MIS 4 to MIS 2.     

西藏拉萨市土壤气中氡、汞环境地球化学特征

研究了拉萨市及其附近土壤气中的氡、汞地球化学特征,利用地质累计指数法评价了其环境质量.1?579个测点的测量结果表明,土壤气中氡、汞的背景值分别是7?634.9 Bq/m³、41.5 ng/m³,标准偏差分别为2.7 Bq/m³、2.2 ng/m³.土壤气氡环境质量在研究区东部和西部比较好,在中部从南向北有逐渐加重的趋势,最高达到中度污染;氡的主要污染源是山间盆地沉积物中局部富集的放射性铀元素.从拉萨郊区向市中心,土壤气汞污染程度逐渐增加,最高达到严重污染;污染源主要是废气中的汞、宗教活动中使用的汞以及含汞的垃圾和废水.     

中国危险废物和医疗废物焚烧处置行业二（口恶）排放水平研究

通过调研全国危险废物和医疗废物焚烧处置设施,对包含二噁英排放水平的设施按处置对象、炉型和处理量分类,并作系统分析和研究.结果表明现有危险废物焚烧设施烟气中二噁英的浓度比医疗废物低,达标率为74.19%;危险废物选用回转窑处置效果较好,达标率为66.67%;而医疗废物选用回转窑或热解炉,要综合考虑处置规模、生产成本和二英排放总量等因素;危险废物介于10~30 t·d-1和医疗废物介于10~20 t·d-1的处置设施要尤其注意二噁英的排放问题;医疗废物焚烧飞灰中二噁英的均值浓度为危险废物6倍以上,仅有16.67%满足填埋要求.二者烟气中二英的浓度分布以1,2,3,4,6,7,8-HpCDF、2,3,7,8-TCDF和OCDD为主.     

广东肇庆奥陶系砂泥岩沉积环境的地球化学表征

以砂泥岩样品的常量/微量元素地球化学特征分析为主要手段,探讨广东肇庆地区奥陶纪沉积环境,为尚显薄弱的云开古陆北缘下古生界沉积学研究提供佐证。以"相当B含量"、Ga、K、Rb、V、Sc等元素组分及其比值为判别指标,分析研究区奥陶系碎屑岩沉积的古水体性质和古环境变化。结果表明,奥陶纪早-中期(缩尾岭群沉积期)海水明显淡化、富氧;奥陶纪晚期(三尖群沉积期)以半咸水-正常咸水为主,水体还原性增强。结合地层岩相特征,认为研究区在奥陶纪期间整体为云开古陆东北缘的滨-浅海,早期可能存在受淡水影响的海陆过渡环境,例如三角洲或河口湾,晚期由于海平面上升逐渐成为浅海陆棚。研究结果有助于进一步了解云开古陆周缘奥陶纪沉积演化,并为开展更为详细的沉积学研究提供参考。     

碎屑沉积物地球化学:物源属性、构造环境和影响因素

碎屑沉积物记录着有关源岩性质和构造演化等诸多重要的信息,对于沉积盆地分析和理解区域构造演化都有重要的指示意义。近年来碎屑沉积物地球化学的研究有了很大进展,尤其是同位素年代学在沉积物地球化学中的应用,如造山带前陆盆地、山间盆地沉积物的同位素年代学的研究可以有效地反演造山带隆升-剥蚀作用与盆地沉降之间的联系,为地壳演化和造山带隆升等地质过程提供了重要的地球化学证据。文章结合近几年来的研究实例,综述了沉积物地球化学方法在物源示踪和源区构造背景判别研究的一些进展。考虑到碎屑沉积物地球化学组成是源岩、风化作用、沉积循环、成岩作用和分选作用等综合作用的结果,我们对其中的主要影响因素进行了分析,指出了当前广泛应用的物源和构造背景判别图解需要注意的一些问题。     

城市环境地球化学调查研究方法综述

总结了城市环境地球化学调查的技术路线,论述了城市环境地球化学解释的思路和方法,提出了城市环境地球化学调查研究的重点问题及研究方向,为开展城市环境调查和评价工作提供了有参考价值的研究线索。     

模拟医疗废物在TG-DTA-FTIR上的热失重特性研究

在热重-差热分析仪上对模拟医疗废物分别在氮气和空气气氛中不同升温速率下加热的热失重行为进行了研究,并对升温速率和不同气氛对其热失重行为的影响进行了探讨.结果表明,随升温速率的提高,模拟医疗废物在2种气氛下热失重时挥发分初析出温度（T_s）向高温方向偏移、失重速率峰值（DTG_max）显著增大;在氮气气氛下,物料热失重时有2个失重峰,前后2个峰的失重率分别为31%和59%左右,在空气气氛下,有3个失重峰,前2个峰失重率分别在44%～59%和31%～46%之间.同时,结合同步傅立叶变换红外光谱仪对各个条件下的气体产物进行了定性分析,并对其中的CO、CO₂、H₂O和CH₄进行了定量分析.实验发现,模拟医疗废物在2种气氛下热失重主要阶段的产物种类相似,都检测到了CO₂、CO、烷烃类、醛类、羧酸、醇类和烯烃的特征吸收峰.并且,结果显示升温速率和气氛条件对CO、CO₂、H₂O和CH₄的生成量都有影响.在热失重的主要阶段,水分含量随加热时间变化曲线上显示1个向下的峰,说明载气中原有水分参与了反应.     

人类活动对川东平行岭谷区岩溶地下水化学性质季节变化的影响

以川东平行岭谷区典型岩溶槽谷--北碚槽上为研究区域,通过对8月和11月的岩溶地下水水化学性质研究,发现槽上岩溶地下水的化学性质呈现明显的季节性：电导率、矿化度、SO42-浓度及HCO3-浓度都是8月大于11月,与气温和降水量的变化相对应,也与人类在8月份对土地利用的强度大于在11月份对土地利用的强度相对应。研究区地下水的化学性质与人类活动对土地利用的季节差异具有比较明显的对应关系,为进一步认识岩溶地下水的时间变化规律提供科学数据,也有利于认识人类活动对生态环境产生的影响,从而采取更加合理的措施来治理和保护岩溶地区有限的地下水资源,满足人们的生活和生产需要。     

Integrated model of simulated occupant injury risk and real medical costs

Introduction

The purpose of this study was to develop an integrated methodology that links occupant injury risk functions, estimated in the laboratory, with real world medical treatment costs by using the abbreviated injury score (AIS). Using our model, the expected medical treatment costs for crash injuries to various body regions and of different severities can be investigated.

Methods

First, the simulation results are compared with NHTSA crash data. We used a modified kinematics simulation model that incorporates an F = E^b function as a supplement to the previous Steffan's model to obtain a more accurate acceleration history a(t). Second, head injury criteria HIC₃₆ can be calculated from a(t), and we use the injury probability P as a function of HIC_36, as proposed by Kuppa, to obtain the injury risk function for various AIS values. Third, medical treatment cost models for various AIS values can be calculated by using a regression cost model with real world data. Finally, the injury risk function and medical treatment cost models are linked through AIS values. We establish an integrated methodology and predict medical costs and car safety data using real world police reports, medical treatment costs, and laboratory simulation results.

Results

Using head injuries in frontal crashes as an example, we focus on simulation parameters for different vehicle models, with and without airbags. We specifically examine impact closing speed, Delta-V, and impact directions.

Conclusion

Simulation results can be used to supplement insufficient real crash data, in particular ΔV, and injury risk results from police crash reports.

Impact on industry

The proposed integrated methodology may provide the vehicle industry with a new safety assessment method. Real crash data coupling provides consumers with more realistic and applicable information.