突发环境事件应急监测演习脚本的编写

简述了突发环境事件应急监测演习脚本编写的重要性及相关原则,介绍了按事故情景演变和应急监测工作响应程序两种应急监测演习脚本的编写方法。     

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.     

The 2004 Madrid train bombings: an analysis of pre-hospital management

The terrorist train bombings in Madrid, Spain, on 11 March 2004 triggered a swift and massive medical response. This paper analyses the pre-hospital response to the attacks to gain insight into current trends in disaster management among Madrid's Emergency Medical Services (EMSs). To this end, the existing emergency planning framework is described, the basic structures of the different EMSs are presented, and the attacks are briefly depicted before consideration is given to pre-hospital management. Finally, an explanation of the main underlying misconceptions in emergency planning and management in Madrid is provided to aid understanding of the origins of some of the problems detected during the response. These are attributable mainly to inappropriate planning rather than to mistakes in field-level decision-making. By contrast, many of the successes are attributable to individual initiatives by frontline medics who compensated for the lack of clear command by senior managers by making adaptive and flexible decisions.     

垂直面绿化植物遮阳系数与叶面积指数研究

比较、分析了农业研究中提出的叶面积指数LAI与用于建筑节能领域的垂直面绿化植物叶片遮阳系数SCPVW两个概念的异同和各自的应用范围。指出城市绿化采用水平或垂直绿化方式时,由于下垫面差异,植物叶片的遮阳系数应当分别采用LAI和SCPVW进行计算。     

完善突发环境事件应急管理体系的几点建议

分析了我国突发环境事件中以预案、法制、体制和机制为核心的应急管理体系现状,分析了在"一案三制"体系建设中存在的问题,并对"一案三制"的应急管理体系建设提出了相关建议。     

便携式分光光度计法快速测定水中砷方法研究

通过研究各仪器性能指标以及测定实际水质样品,对3种便携式分光光度计快速测定水中砷的方法进行了优化和比对研究。结果表明,ZZW-Ⅱ测试仪快速测定水中砷的方法检出限(0.2 mg/L)高于JH 916检测仪和PORS-15 V光谱仪的方法检出限(0.008和0.009 mg/L),在突发性环境污染事故应急监测中,JH 916检测仪和PORS-15 V光谱仪具有相对较高的灵敏度。ZZW-Ⅱ测试仪和JH 916检测仪快速测定水中砷的方法精密度相近,其测定结果相对标准偏差均未超过5.7%(n=6),PORS-15 V光谱仪快速测定水中砷的方法精密度稍差,其相对标准偏差最大值为17%。测定实际样品时,加标回收率分别为110%~126%(ZZW-Ⅱ测试仪),63%~108%(PORS-15 V光谱仪),78%~101%(JH 916检测仪)。3种便携式分光光度计与实验室分析方法相比,测定结果精密度均存在显著性差异,测定结果相对偏差亦较大,相对偏差最大值分别为-19.0%(ZZW-Ⅱ测试仪),17.0%(PORS-15 V光谱仪),-15.0%(JH 916检测仪)。     

Investigating the key indicators for evaluating post‐disaster shelter

This study sought to identify the primary indicators for evaluating shelter assistance following natural disasters and then to develop a shelter evaluation instrument based on these indicators. Electronic databases and the ‘grey’ literature were scoured for publications with a relation to post‐disaster shelter assistance. Indicators for evaluating such assistance were extracted from these publications. In total, 1,525 indicators were extracted from 181 publications. A preliminary evaluation instrument was designed from these 1,525 indicators. Shelter experts checked the instrument for face and content validity, and it was revised subsequently based on their input. The revised instrument comprises a version for use by shelter agencies (48 questions that assess 23 indicators) and a version for use by beneficiaries (52 questions that assess 22 indicators). The instrument can serve as a standardised tool to enable groups to gauge whether or not the shelter assistance that they supply meets the needs of disaster‐affected populations.     

Attitudes of rural population in emergency exposure situations

People growing crops in kitchen gardens eat locally self-produced food and are the subject of growing attention as the potential for a more sustainable development. A survey was carried out in two provinces in northern Italy to gather information on the consumption of local horticultural products, peoples’ expectations of authorities in the case of a nuclear accident and peoples’ behaviour in the absence of official information. Results show that up to 70% of the owners of kitchen gardens possess diets comprised of more than 60% of self-produced vegetables and can be regarded as particular groups of population. In the case of a dispersion of radioactive material, the local population would take advantage of official information on preventive measures to protect farms and local crops from contamination. Results of the survey show differences in the attitude of the population due to age, gender and past experience.     

对由制定抗震救灾工作预案引起地震误传的平息与启示

本文概述了在制定和部署抗震救灾工作预案时，所引起地震误传事件的经过、对社会造成的影响，以及采取的对策和所汲取的教训。