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。     

医疗废物焚烧处理核心技术的开发及应用

国内已建成的医疗废物焚烧设施目前普遍存在进料系统不稳定、玻璃结渣和高浓度HCl气体的排放的问题。这些技术难点已成为医疗废物焚烧处置行业发展的瓶颈。本文介绍了可解决上述问题的"可调节医疗废物恒流量进料技术"、"医废焚烧防玻璃结渣技术"和"含高浓度氯化氢医废尾气处理技术"三项医疗废物焚烧处理核心技术的主要特点及技术指标与应用实例。     

衡水市医疗废物处理现状调查及对策

医疗废物是一类成分复杂并有特殊危害的危险废弃物。通过分析衡水市医疗废物处理过程中存在的分散处置、处理率低等问题,提出了加强管理监督机制、提高医疗废物收集处理率的应对策略。通过综合比较分析几种医疗废物处理方法的优缺点,指出高温焚烧法集中处置是衡水市医疗废物的最佳处理方法。     

利益主体视角下的西部新农合制度运行困境分析

实现新农合制度设计的初衷目标、提升制度的惠农政策效果,是亟待解决的重大现实问题.为探寻制度实施效果与设计预期目标的偏差,科学厘清出影响西部新农合惠农政策效果的主要因素,本文基于西部10省区17县(区)的780份农户调研数据及相关统计数据,从医(医疗服务机构)、患(参合农民)、保(医疗保障机构)、管(政府)四方利益主体的视角,对西部新农合制度运行中的困境进行剖析.研究结果表明,既有的新农合制度运行框架模式,会陷入医疗服务机构行为扭曲与服务供给可及性差并存、医疗保障机构经办能力不足与保障效果欠佳并存、政府市场化导向与公共服务职能缺失并存、农民参合意愿强烈与被动参合并存的运行困境.三方强势主导形成的主体间利益失衡,必然影响到新农合的持续运行发展.因此,在新农合制度由试点普及向规范持续运行转轨的关键时期,必须以激励约束机制为突破,构建利益相关主体的协同联动改革机制,有效调动运行主体的积极性,实现新农合制度的持续运行.     

完善我国医疗废物集中处置收费政策的思考和建议

医疗废物处置收费政策是医疗废物处置产业化发展的重要前提和保障。当前,医疗废物处置收费政策执行难,欠费、漏费等问题非常突出,医疗废物集中收集十分困难。在对我国医疗废物处置收费政策进行全面分析和评估的基础上,对当前收费政策存在的主要问题和产生的原因进行了分析。以加快完善医疗废物处置收费政策为目标,从完善政策体系、加强监管执法、提高标准合理性、综合确定费用承担方、制定鼓励性的经济政策、提高宣传和缴费意识等方面,提出医疗废物处置收费政策改革完善的若干建议。     

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.     

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.     

IDENTIFICATION OF DISSOLVED-CONSTITUENT SOURCES IN MINE-SITE GROUND WATER USING BATCH MIXING1

ABSTRACT: Batch-mixing experiments were used to help identify lithologic and mineralogic sources of increased concentrations of dissolved solids in water affected by surface coal mining in northwestern Colorado. Ten overburden core samples were analyzed for mineral composition and mixed with distilled water for 90 days until mineral-water equilibrium was reached. Between one day and 90 days after initial contact, specific conductance in the sample mixtures had a median increase of 306 percent. Dissolved-solids concentrations ranged from 200 to 8,700 mg/L in water samples extracted from the mixtures after 90 days. Mass. balance simulations were conducted using the geochemical models BALANCE and WATEQF to quantify mineral-water interactions occurring in five selected sample mixtures and in water collected from a spring at a reclaimed mine site. The spring water is affected by mineral-water interactions occurring in all of the lithologic units comprising the overburden. Results of the simulations indicate that oxidation of pyrite, dissolution of dolomite, gypsum, and epsomite, and cation-exchange reactions are the primary mineral-water interactions occurring in the overburden. Three lithologic units in the overburden (a coal, a sandstone, and a shale) probably contribute most of the dissolved solids to the spring water. Water sample extracts from mixtures using core from these three units accounted for 85 percent of the total dissolved solids in the 10 sample extracts. Other lithologic units in the overburden probably contribute smaller quantities of dissolved solids to the spring water.     

建设项目环境影响的医学评价方法研究

作者在对中国我人民解放军第４７医院病建项目所产生的大气环境影响进行了医学秤价和影响，并在预测的基础上，建立了完整的环境医学影响廉政价方法，由于该评价方法完全尊循了国内现行大气环境影响评价的基本要求和程序，因此，它在今后的环境影响医学评价中净有广泛的应用。     

IDENTIFICATION OF SOLUTE LOADING SOURCES TO A SURFACE STREAM1

ABSTRACT: A study was performed to identify sources of solute loading to the Dirty Devil River and its major tributaries, in southeastern Utah. A primary goal was to determine the contribution of gypsum dissolution to total dissolved solids concentration, and its potential increase in the future if salinity control measures are instituted. Synoptic field data were collected during the low flow period in October 1983. Data were analyzed using the geochemistry models WATEQF and BALANCE to postulate mineral reactions leading to solute loading. Three known sources of solute loading, involving two different geochemical mechanisms, were clearly discernable. Two additional areas of possible gypsum dissolution were located.