工伤保险与安全管理

从我国安全管理实际出发,分析了借助于工伤保险的经济杠杆作用实现国家对企业安全管理制约机制的必要性,并对建立制约机制有关的指标体系及综合评估模型,以及该机制实现等问题进行了深入探讨.     

Evaluation of geometrically personalized THUMS pedestrian model response against sedan–pedestrian PMHS impact test data

Objective: Evaluating the biofidelity of pedestrian finite element models (PFEM) using postmortem human subjects (PMHS) is a challenge because differences in anthropometry between PMHS and PFEM could limit a model's capability to accurately capture cadaveric responses. Geometrical personalization via morphing can modify the PFEM geometry to match the specific PMHS anthropometry, which could alleviate this issue. In this study, the Total Human Model for Safety (THUMS) PFEM (Ver 4.01) was compared to the cadaveric response in vehicle–pedestrian impacts using geometrically personalized models.

Methods: The AM50 THUMS PFEM was used as the baseline model, and 2 morphed PFEM were created to the anthropometric specifications of 2 obese PMHS used in a previous pedestrian impact study with a mid-size sedan. The same measurements as those obtained during the PMHS tests were calculated from the simulations (kinematics, accelerations, strains), and biofidelity metrics based on signals correlation (correlation and analysis, CORA) were established to compare the response of the models to the experiments. Injury outcomes were predicted deterministically (through strain-based threshold) and probabilistically (with injury risk functions) and compared with the injuries reported in the necropsy.

Results: The baseline model could not accurately capture all aspects of the PMHS kinematics, strain, and injury risks, whereas the morphed models reproduced biofidelic response in terms of trajectory (CORA score = 0.927 ± 0.092), velocities (0.975 ± 0.027), accelerations (0.862 ± 0.072), and strains (0.707 ± 0.143). The personalized THUMS models also generally predicted injuries consistent with those identified during posttest autopsy.

Conclusions: The study highlights the need to control for pedestrian anthropometry when validating pedestrian human body models against PMHS data. The information provided in the current study could be useful for improving model biofidelity for vehicle–pedestrian impact scenarios.     

护栏薄壁长杆贯穿胸部的损伤研究

为再现城市道路矩形隔离护栏与汽车碰撞时形成的薄壁长杆穿透驾驶员胸部的损伤机制和贯穿过程,采用医学软件Mimics与工程软件Hypermesh相结合,建立准确的人体胸部骨骼组织几何模型和有限元胸部生物力学模型,并运用LS-DYNA模拟仿真与计算;利用事故案例和医学案例验证仿真试验结果;类比子弹侵彻损伤效应分析护栏薄壁长杆贯穿人体胸部的损伤机制。结果表明:护栏薄壁长杆贯穿人体胸部前后肋骨发生断裂以及胸部其他处发生骨折情况,与医学案例和事故案例吻合较好;胸部贯穿损伤程度与薄壁长杆速度、稳定性以及质量因素有关;该试验可满足胸部贯穿伤医学研究需要。     

Factors affecting use and nonuse of child safety car seats in Gorgan,Iran

Objective: Motor vehicle accidents, which are among the main causes of child mortality in Iran and the Middle East, impose staggering costs for the community. Ignoring use of safety devices for children in most motor vehicle crashes will lead to death or serious injury. Because few studies have been performed on effective and predictive factors regarding use of child safety seats, the purpose of this study was to examine the factors affecting the use and nonuse of child safety seats, along with the factors that can facilitate how a child safety seat is used.

Method: This study was conducted in the urban area of Gorgan using a questionnaire. Through random selection, 204 parents with at least one child, aged 8?years or younger, reported their knowledge about the benefits of using a child safety seat.

Results: The results showed that 80% of parents never use a child safety seat, and 13% always use a child safety seat. More than 93% thought that it was necessary to make usage of the child safety seat obligatory. In addition, 80% of parents believed that a child safety seat prevents children from injury in crashes. In addition, 38% of parents were not aware of child safety devices and child safety, less than 20% said that they did not use a child safety seat because their spouse did not support its use, and 28% of them thought that a child safety seat does not affect the safety of the child. In general, 91% of parents reported that if child safety seat use were mandated, the frequency of use would increase. A law on the use of child safety seats is a very important variable in their use, which can enhance the chance of using a child safety seat by 6.5 times.

Conclusion: Special instructions should be developed to create incentive strategies for using a child safety seat. Mandating the use of a child safety seat, equipping cars with a child safety seat, encouraging children to use it, and providing continuous education and training are important factors for increasing the use of child safety seats.     

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.     

1900个乡镇工业的工伤职业病医疗保障现状分析

在调查的1900个乡镇工业企业中,有9.3%的企业对职工工伤职业病没有任何保障,其中尤其是个体联户所办企业则高达15%.按行业进行分析,最易发生工伤职业病的各种矿山采选业、建材生产业,能给予报销医疗费的企业占78.5%,部分给予报销的企业占10.2%,不予报销企业占11.3%.从保障程度看,能给予全部报销医疗费的企业仍以乡办企业为最高(93.2%),其次为村办企业(90.2%)和个体联户所办企业(88.5%).     

Review: The Dynamics of Near Vertex Head Impact and its Role in Injury Prevention and the Complex Clinical Presentation of Basicranial and Cervical Spine Injury

The clinical presentation of cervical and basilar skull fractures following bead impact is often complex, particularly when multiple noncontiguous fractures are present. Based on the results of 22 human cadaver head-neck impact experiments, a biomechanical framework of spinal injury is developed in which these complex cases may be better understood. This includes the significance of head rebound, head and neck decoupling, cervical spine buckling, cervical injury mechanisms, basilar skull fractures, and cervical spine tolerance. These data also demonstrate that compliant pads significantly increase the risk for spinal injury though they also significantly reduce peak head force and the head injury criteria (p < 0.04). On the basis of these observations, we hypothesize that impact injury should be modeled as the dynamic response of two large masses, coupled by a segmented curved beam-column composed of seven small masses with interposed nonlinear viscoelastic flexibility elements.