气浮溶气新技术应用研究

介绍对炼油厂净化水车间一级浮选2^#池的改造，并与未改造的1^#池进行工业应用对比试验。试验结果表明，改造后大大提高了气浮处理效果，平均除油率达85％，且除油效果稳定，出水合格率比对比池提高20．4％。     

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。     

基于TMS320F240 DSP的电网谐波抑制全数字化控制的研究

为治理电力系统谐波污染 ,提高电力系统运行的安全稳定性 ,笔者对混合式并联有源电力滤波系统的结构和工作原理进行了分析和研究。该系统由无源滤波器和小容量有源滤波器串联构成 ,与被补偿的谐波负载并联连接。基于TMS32 0F2 4 0DSP开发套件 ,设计数字控制器主程序和中断服务子程序。实验结果表明 ,采用TMS32 0F2 4 0DSP编程方便并直观 ,运算精度高 ,控制器参数调整方便 ,易于实现各种控制策略。研究成果对DSP在有源电力滤波系统中的应用有重要参考价值。     

空中交通管制中人的可靠性模糊综合评价研究

人是空中交通管制系统中最灵活、最具适应性和最有价值的因素 ,而其行为也是最易受到不利影响的。由于空中交通管制中产生的人为失误 ,往往会导致航空器空中危险接近 ,严重的后果甚至会酿成空难。笔者从人 -机 -环境系统工程的观点出发 ,提出了空中交通管制中人的可靠性评价的指标体系结构模型。从人自身因素、软件、硬件、环境等方面指出了影响空中交通管制中人的可靠性的心理、空中环境等 17个子因素。运用模糊数学的方法 ,建立空中交通管制中人的可靠性定量评价模型 ,并用实例进行了验证。研究表明 ,该方法应用于空中交通管制中人的可靠性评价是一种新的尝试 ,其评价结果可为各级领导机构提供航空安全管理的决策依据。     

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。     

Organizational policy and other factors associated with emergency medical technician seat belt use

INTRODUCTION: The purpose of this study was to determine factors associated with seat belt usage among Emergency Medical Technicians (EMTs). METHODS: As part of biennial re-registration paperwork, nationally registered EMTs completed a survey on the safety and health risks facing Emergency Medical Services (EMS) providers. Respondents were asked to describe their seat belt use while in the front seats of an ambulance. They were categorized as "high" in seat belt use if it had been more than a year since they had not worn their seat belt or "low" in seat belt use if they had not worn their seat belt at least once within the past 12 months. A logistic regression model was fit to estimate the association between seat belt use, organizational seat belt policy, type of EMS organization worked for, EMT certification level, and the size of community where EMS work is performed. RESULTS: Of the 41,823 EMTs that re-registered in 2003, surveys were received from 29,575 (70.7%). A significant interaction between organizational seat belt policy and type of EMS organization was found to exist. Participants reporting no organizational seat belt policy had lower odds of seat belt usage when compared to individuals that do have a seat belt policy. Odds Ratios ranged from 0.20 (95% CI 0.10-0.40) for military organizations to 0.59 (95% CI 0.38-0.93) for private EMS organizations. Paramedics and those working in rural areas also had lower odds of seat belt use. CONCLUSION: Several factors were found to be associated with seat belt usage among EMTs while in the front compartment of an ambulance. However, it appears that only one, organizational policy, is a modifiable characteristic.     

The relationship of occupational injury and use of mental health care

Introduction: Symptoms of depression and anxiety are a common consequence of occupational injury regardless of its cause and type. Nevertheless, mental health care is rarely covered by workers’ compensation systems. The aim of this study was to assess the use of mental health care post-injury. Methods: We used a subsample of patient-care workers from the Boston Hospital Workers Health Study (BHWHS). We matched one injured worker with three uninjured workers during the period of 2012–2014 based on age and job title (nurse or patient-care associate) and looked at their mental health care use pre- and post-injury using medical claims data from the employer sponsored health plan. We used logistic regression analysis to assess the likelihood of mental health care use three and six months post-injury controlling for any pre-injury visits. Analyses were repeated separately by job title. Results: There were 556 injured workers between 2012 and 2014 that were matched with three uninjured workers at the time of injury (n = 1,649). Injured workers had a higher likelihood of seeking mental health care services than their uninjured counterparts during the six months after injury (OR = 1.646, 95% CI: 1.23–2.20), but not three months post-injury (OR = 0.825, 95% CI: 0.57–1.19). Patient-care associates had a higher likelihood to seek mental health care post-injury, than nurses (OR: 2.133 vs OR: 1.556) during the six months period. Conclusions: Injured workers have a higher likelihood to experience symptoms of depression and anxiety based on their use of mental health care post-injury and use is more predominant among patient-care associates; however, our sample has a small number of patient-care associates. Practical Applications: Treating depression and anxiety as part of the workers’ compensation system has the potential of preventing further physical ailment and improving the return to work process regardless of nature of injury.     

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。     

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。     

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.