试析《侵权责任法》在医疗侵权纠纷中的适用

《侵权责任法》第一次把医疗及其损害赔偿责任设立专章进行了规范,把复杂的医患关系置于法律的框架之下。但是侵权责任法实施后,法院如何适用该法审理医疗损害纠纷案件面临一些问题。本文就《侵权责任法》和《医疗事故处理条例》短期内并行条件下如何适用以及举证责任分配、现行医疗鉴定体制及医疗机构免责事由对《侵权责任法》适用的影响进行分析,并就这些问题探讨解决的方法和途径。     

Modelling navigation in muddy areas through captive model tests

Many access channels and harbours suffer from sedimentation and formation of mud layers. To keep navigation safe and economic, extensive maintenance dredging is needed. Until now, the required level of dredging has always been determined by making use of the physical characteristics of the mud layer, which does not necessarily result in efficient dredging. Ship behaviour also matters, and knowledge of ship manoeuvrability can help to redefine the level of dredging required. A mathematical model of manoeuvring for simulation purposes, based on a comprehensive series of captive model tests, is presented, along with a selection of results.     

自平衡测试桩基础承载力技术与应用

近年来,大型土木工程建设越来越多,其基础工程中的桩基础的应用也越来越广泛。如何正确地、科学地评价单桩、群桩的承载力,为设计、施工提供可靠的参数,是安全与经济地发挥桩的功能的关键所在。     

Identification of potential sites for deep-ocean waste isolation with a geographic site-selection model

Identification of optimal sites for the isolation of waste on the abyssal seafloor was performed with two approaches: by the traditional method of map overlays of relevant attributes, and by a specially developed, automated Site-Selection Model (SSM). Five initial, Surrogate Sites, identified with the map-overlay approach, were then compared with the more rigorously produced scores from the SSM. The SSM, a process for optimization of site locations, accepts subjective, expert-based judgments and transforms them into a quantitative, reproducible, and documented product. The SSM is adaptable to any siting scenario. Forty-one factors relevant to the isolation scenario, including 21 weightable factors having a total of 123 scorable categories, have been entered into the SSM. Factors are grouped under project definition, unique environments, anthropogenic, geologic, biologic, weather, oceanographic and distance criteria. The factor scores are linked to a georeferenced database array of all factors, corresponding to 1°×1° latitude–longitude squares. The SSM includes a total of 2241 one-degree squares within 1000 n.m. of the U.S. coasts, including the western North Atlantic, the Gulf of Mexico, and the eastern North Pacific. Under a carefully weighted and scored scenario of isolation, the most favorable sites identified with the SSM are on the Hatteras and Nares Abyssal Plains in the Atlantic. High-scoring sites are also located in the Pacific abyssal hills province between the Murray and Molokai Fracture Zones. Acceptable 1° squares in the Gulf of Mexico are few and of lower quality, with the optimum location on the northern Sigsbee Abyssal Plain. Two of the five Surrogate Site locations, on the Hatteras and Sigsbee Abyssal Plains, correspond to the best SSM sites in each ocean area. Two Pacific and a second Atlantic Surrogate Site are located in low-scoring regions or excluded by the SSM. Site-selection results from the SSM, although robust, are an initial attempt to quantify the site-selection process. The SSM database exposes a significant lack of high-quality information for many areally mappable attributes on the abyssal seafloor, particularly bottom-current speed and measures of biologic productivity and flux. Terminologies and classifications of some measures, such as sediment types, suffer from parochialism and vary by ocean. Considerable research is needed even for a broad understanding of the environmental measures required to make sound societal decisions about use of the abyssal seafloor for disposal or other purposes.     

沥青路面摊铺离析的产生与控制

对沥青混合料的级配离析和温度离析现象产生的原因进行分析和讨论,指出摊铺机结构和施工方法不当是造成级配离析的主要原因;而自卸卡车的运输过程是造成温度离析的主要原因,并相应地提出了控制措施。     

母亲与子女间龋患关系的调查分析

对113对母亲和幼儿间龋病的患病情况进行了调查和对比分析。结果发现：当母亲为龋患者时，幼儿乳牙患龊的可能性高于母亲为无龋者的幼儿，这一现象在男性幼儿中更为明显。这说明母亲的患龋情况对幼儿有一定的影响，这将为预测幼儿龋齿发生的可能性和对患龋高危儿童采取重点预防措施提供理论依据。     

基于D-P准则的深埋隧道破碎化分区规律研究

深部洞室开挖因应力重分布而使围岩出现松动区、塑性区、弹性区,基于D-P准则对深埋隧道围岩破碎化分区提出划分准则,利用ANSYS软件分析不同埋深3个区域发展状况并与规范推荐荷载高度进行对比,揭示埋深对松动区、塑性区半径的影响。研究结果表明,Rp,Rc与埋深H近似呈线性关系,与芬纳公式走向基本一致;当埋深超过某一临界埋深时,松动区迅速发展而呈现指数型增长;松动区分布形态及范围随埋深不同而呈现明显差异。     

重大突发公共卫生事件下城市应急医疗物资优化调度研究

针对新型冠状病毒肺炎（新冠肺炎）疫情防控中应急医疗物资调度不尽合理、集配中心中转效率不够高等问题，重新设计了重大突发公共卫生事件下城市应急医疗物资调度与配送体系，并给出了应急医疗物资的分类方法。从医疗物资使用需求和库存估计可使用时间2个维度构建需求点紧急度指标，考虑突发公共卫生事件特征，以加权的需求满足率最大化为主要目标、车辆行驶距离最小化为次要目标，构建应急医疗物资动态分配模型，并通过算例验证了模型的有效性和可行性。结果表明：所构建的模型能够兼顾医疗物资分配的公平和效率，符合突发公共卫生事件中应急医疗物资供给和需求的动态变化特性，确保在物资短时间供给不足的情况下各需求点也能公平获取一定比例的物资；且模型仅要求各需求点上报各种品类医疗物资的使用人数和库存量，同时模型还给出数据缺失时的自动计算办法，可操作性更强；运用紧急度指标对需求满足率最大化目标进行校正，解决了各需求点因需求量差异对公平分配造成的影响，使得应急医疗物资分配更加合理。研究成果结合了新冠肺炎疫情防控中应急医疗物资调度的具体过程，使得分配模型更符合实际需要，可为城市应急医疗物资优化调度提供决策依据。     

铸造方法及过程控制对铸件精度的影响

以重型机械设备上的钢铁铸件为例，对以前和今后的发展具有重要意义的各种影响因素和起作用的原因进行探讨和阐明。     

道路交通事故痕迹鉴定确定肇事车辆

道路交通事故检验鉴定为公安机关交通管理部门的事故处理提供科学、专业的技术支持。检查和核实道路交通事故的影响是对道路交通事故技术评估的基本方法。已成为解决许多事故问题的重要依据。本文根据道路交通事故痕迹鉴定的实际情况,针对公安机关交通管理部门涉及复杂、疑难、特殊技术问题的痕迹鉴定情况,提出了针对性的解决方案。