BOD测定的仪器法与化学法关系初探

本文介绍了在实验室中运用压差式仪器法测定BOD值的优越性,并着重与相应的化学稀释法所测BOD值进行对照.通过计算机找出二者的相关关系,以便得到准确的BOD值进而推广利用BOD测定的新技术.     

热解焚烧技术处置医疗废物的影响因素与工况控制研究

针对热解焚烧技术处置医疗废物的特点,分析处置工艺运行参数对稳定工况的影响规律,确定医疗废物在热解焚烧技术炉内稳定焚烧的工艺参数,指出送风量与气化炉、燃烧炉的温度关系是焚烧系统控制的关键。通过对某型焚烧炉的测试,得到了送风量与气化炉和燃烧炉的温度关系曲线。测试结果表明,实时动态调控气化炉和燃烧炉的送风量,能够实现医疗废物的稳定焚烧。     

医疗废物管理信息系统的设计与开发研究

结合医疗废物无害化处理的运作管理,分析了医疗废物管理信息系统的数据流程,进行了系统设计,最终建立了长春市医疗废物管理信息系统,并阐述了该系统实现的主要技术特点。该系统利用条形码技术、GPS(全球卫星定位系统)、GPRS(General Packet RadioService)、在线监测等信息技术实现了对医疗废物的装载、运送、核实、焚烧、残渣处理的全程数字化跟踪管理。     

新时期医疗废物处置技术体系的变革及发展

近20年来,我国在推进医疗废物无害化管理和处理处置方面开展了大量的工作,成绩举世瞩目。但处于新的历史时期,如何更好地基于可行技术,探索与其相匹配的管理模式,解决医疗废物处理处置短板已成为迫在眉睫的工作。我国目前存在针对医疗废物处理处置技术适用性考虑不足、农村及偏远地区医疗废物处置能力缺乏、医疗废物应急处置能力存在短板以及医疗废物领域科技创新能力有待提升等问题。因此,结合各种医疗处置技术特点及适用性,提出基于技术的适用性推进医疗废物处理处置技术布局优化、通过管理和技术进步解决农村和边远地区医疗废物处置难题、合理配置疫情期间应急处置能力以及推进科技创新等建议,为打造新时期医疗废物处理处置技术体系提供参考。     

关于医疗垃圾飞灰中二噁英在惰性气氛下的低温热脱附研究

以医疗垃圾焚烧炉布袋除尘器前管道内飞灰(BG)及布袋除尘器后飞灰(AG)为对象,研究不同温度及时间段下其在管式炉中的热脱附特性.结果表明,在低温氮气气氛下,热脱附作用较为明显,2种飞灰中的二噁英都有了不同程度的脱除,其中布袋前飞灰中二噁英的脱除率为82.9%～99.9%之间,毒性当量脱除率为77.3%～99.8%,布袋后飞灰中二噁英的脱除率为66.8%～99.8%之间,毒性当量脱除率为43.5%～99.6%.检测收集到的实验尾气,发现了二噁英的存在,且在300～350℃这个温度段生成量最多,且生成的有毒二噁英同系物中以OCDD为主.通过比较发现,当温度为400℃,加热时间为45 min时2种飞灰中的二噁英脱除效率最高.鉴于惰性气氛下的热脱附对处理飞灰中的二噁英具有较好的作用,可将其大规模应用于实际工程中.     

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。     

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.     

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。     

User involvement in the ergonomic development of a medical instrument: a longitudinal case study

In this study the focus is on the continuous ergonomic-focused development of a medical instrument that is capable of performing blood group serological tests. Primarily, a medical device must be clinically effective and safe. At the same time it must also meet the needs of its users. This calls for consideration of numerous ergonomic aspects. The development process of the product line in question was supported by a longitudinal series of carefully designed focus groups. Altogether, the 23 focus groups conducted included 245 participants from 72 laboratories. The aim of the empirical research was to collect users’ experiences, ideas and needs as inputs for the following phase of the product development process. During the mentioned focus group analyses, around 100 development proposals were conceived. Besides presenting more of the mentioned development proposals, the focus group analysis was shown as a proper methodology to involve end-users in the development and implementation of new technology or devices.     

煤对CO2，N2和CH4的吸附速率经验公式与异同性研究*

为了解决吸附速率拟合公式缺乏而解吸经验公式众多的问题,通过替换解吸参数、定性和对比分析各经验公式对煤吸附CO₂,N₂,CH₄吸附速率的适用性,选取4种不同煤质的煤样在0.5,1.0和2.0 MPa下进行定温吸附实验,分析压力和煤质对吸附速率的影响规律。研究结果表明:时间函数式对3种气体在不同压力和煤质下的吸附速率拟合效果最佳;压力和煤质对3种气体吸附速率的影响既存在共性又具有差异性,气体吸附速率与压力符合指数函数关系,与挥发分呈现出二次函数关系,并且压力升高会导致最低吸附速率趋向于较高变质程度煤样;CH₄和N₂的吸附速率随压力升高而升高,而CO₂的吸附速率因煤样而不同,且在同压下,不同气体的最高和最低吸附速率煤样的变质程度也不同。