The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and ...The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and their effects that may result from these risks.Evidence-based medicine,on the other hand,emphasizes making medical decisions based on the best available evidence.Combining these two approaches can provide more scientific and effective strategies for preventing infection in operating rooms.This paper delves into the application of the HFMEA model and evidence-based medicine in the field of infection prevention in operating rooms,aiming to offer new perspectives and methods for this critical aspect of healthcare.展开更多
Mycoflora of atmospheric air and dust samples collected from air conditioning systems in 12 of each I.C.U. （intensive care units） and O.R. （operation rooms） were tested using settle and dilution plate methods on f...Mycoflora of atmospheric air and dust samples collected from air conditioning systems in 12 of each I.C.U. （intensive care units） and O.R. （operation rooms） were tested using settle and dilution plate methods on four types of agar media and incubated at 25℃. Forty-five fungal species representing 23 genera were isolated and identified. The most prevalent genera recorded were Cladosporium, Aspergillus, Penicillium and Fusarium. The total colony forming units of airborne fungi recovered in I.C.U. and O.R. ranged between 31.13-49.61 colonies/m3 on the four types of media usedl The fungal total catch of the dust samples collected from the air conditioning system filters in I.C.U. and O.R. were ranged from 65.5-170 colonies/mg dust. Since, the interest to replace synthetic xenobiotics by natural compounds with low environmental persistence and biodegradable to control such airborne fungal contaminants is needed. In this respect, essential oils showed to possess a broad spectrum of antifungal activity. Fungal static ability of six oils was tested on 30 different fungal isolates. Vapors of common thyme oil exhibited the strongest inhibitory effects on the tested isolates, whereas the headspace vapors of blue gum and ginger had no inhibitory effects on the tested fungal isolates. These data revealed that the air conditioning systems may be an important source of contamination in I.C.U. and O.R. of Assiut university hospitals. Thus, patients may be in risk of being exposed to contaminated atmospheric air by opportunistic fungi and the use of essential oils as an alternative option to control hospital wards from fungal contaminants needs further studies.展开更多
There are similarities and differences in the construction of the two poems:Charlotte Mew’s"Rooms"and Philip Larkin’s"Home is so Sad(HISS)".Both convey a sense of regret and loss through the port...There are similarities and differences in the construction of the two poems:Charlotte Mew’s"Rooms"and Philip Larkin’s"Home is so Sad(HISS)".Both convey a sense of regret and loss through the portrayal of abandoned rooms.However,"Rooms"highlights the despair upon the withering away of life and the slow,painful approach of death,while"HISS"expresses the pain upon the loss of loved ones.The rooms in each poem may have different roles in the lives of their owners,but in each case,they form a significant linkage of the past and present,and ultimately symbolise the abandonment of human heart itself.展开更多
Two case studies were conducted in the Shennan mining area of Shaanxi Province,China to evaluate the surrounding rock deformation and stress evolution in pre-driven longwall recovery rooms· These studies mainly m...Two case studies were conducted in the Shennan mining area of Shaanxi Province,China to evaluate the surrounding rock deformation and stress evolution in pre-driven longwall recovery rooms· These studies mainly monitored the surrounding rock deformation and coal pillar stress in the recovery rooms of the N1206 panel of 2-2 coal seam at Ningtiaota Coal Mine and the 15205 panel of 5-2 coal seam at Hongliulin Coal Mine.The monitoring results showed that the surrounding rock deformation of the main recovery room and the coal pillar stress in the N1206 and 15205 panels began to increase significantly when the face was 36 m and 42 m away from the terminal line,respectively.After the face entered the main recovery room,the maximum roof-to-floor convergence in the N1206 and 15205 panels was 348.03 mm and 771.24 mm,respectively,and the coal pillar stresses increased more than 5 MPa and 7 MPa,respectively.In addition,analysis of the periodic weighting data showed that the main roof break position of the N1206 and 15205 panels after the longwall face entered the main recovery room was-3.8 m and-8.2 m,respectively.This research shows that when the main roof breaks above the coal pillar,the surrounding rock deformation of the main recovery room and the coal pillar stress increase sharply.The last weighting is the key factor affecting the stability of the main recovery room and the coal pillar;main roof breaks at disadvantageous positions are the main cause of the support crushing accidents.展开更多
Aims: To screen for the predominant bacteria strains distributed in clean rooms and to analyze their phylogenetic relationships. Methods and Results: The bacteria distributed in air, surfaces and personnel in clean ro...Aims: To screen for the predominant bacteria strains distributed in clean rooms and to analyze their phylogenetic relationships. Methods and Results: The bacteria distributed in air, surfaces and personnel in clean rooms were routinely moni-tored using agar plates. Five isolates frequently isolated from the clean rooms of an aseptic pharmaceutical production workshop were selected based on their colony and cell morphology characteristics. Their physiological and biochemical properties, as well as partial 16S rDNA sequences, were analyzed. Results showed that all the five isolates belong to Gram positive bacteria, of which three were Staphylococcus, one Microbacterium and one Bacillus species. Sensitivity tests for these bacteria isolates to 3 disin-fectants showed that isolate F03 was obtuse, and had low susceptivity to UV irradiation, while isolates F02, F01 and F04 were not sensitive to phenol treatment. Isolates F04, F01 and F05 were resistant to chlorhexidine gluconate. Conclusion: Bacteria widely distributed in clean rooms are mainly a group of Gram positive strains, showing high resistance to selected disinfectants. Sig-nificance and impact of the study: Clean rooms are essential in aseptic pharmaceutical and food production. Screening bacteria isolates and identifying them is part of good manufacturing practices, and will aid in finding a more effective disinfection method.展开更多
BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness ...BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness of the application of a hybrid-OR in dealing with spinal dural arteriovenous fistulas(SDAVFs).METHODS Eleven patients with SDAVFs were treated with the use of a hybrid-OR at the Department of Neurosurgery of our hospital between January 2015 and December 2018.The dual-marker localization technique was used in the hybrid-OR to locate the SDAVFs and skin incision,and the interoperative digital subtraction angiography(DSA)technique was used before and after microsurgical ligation of the fistulae in the hybrid-OR to verify the accuracy of obliteration.The patients were followed for an average of 2 years after the operation,and the preoperative American Spinal Cord Injury Association(ASIA)score and postoperative ASIA score at 6 mo after the operation were compared.RESULTS The location and skin incision of the SDAVFs were accurately obtained by using the dual-marker localization technique in the hybrid-OR in all patients,and there were no cases that required expansion of the range of the bone window in order to expose the lesions.Intraoperative error obliteration occurred and was identified in two patients by using the intraoperative DSA technique;therefore,the findings provided by the intraoperative DSA system significantly changed the surgical procedure in these two patients.With the assistance of the hybrid-OR,the feeding artery was correctly ligated in all cases,and the intraoperative error obliteration rate decreased from 18.2%(2/11)to 0%.All 11 patients were followed for an average of 2 years.The ASIA score at 6 mo after the operation was significantly improved compared with the preoperative ASIA score,and there were no patients with late recurrence during the follow-up.CONCLUSION Compared with intra-arterial embolization for the treatment of SDAVFs,hybrid-ORs can solve the problem of a higher incidence of initial failure and late recurrence.Compared with direct occlusion of SDAVFs in microsurgery,hybrid-ORs can take advantage of the intraoperative DSA system for locating the shunt and verifying the obliteration of fistulae in order to reduce the error obliteration rate.At this point,our experience suggests that the safety and ease of use make hybrid-ORs combined with microsurgery and intraoperative DSA systems an attractive modality for dealing with SDAVFs.展开更多
In recent years, China's increased interest in environmental protection has led to a promotion of energy-efficient dual fuel(diesel/natural gas) ships in Chinese inland rivers. A natural gas as ship fuel may pose ...In recent years, China's increased interest in environmental protection has led to a promotion of energy-efficient dual fuel(diesel/natural gas) ships in Chinese inland rivers. A natural gas as ship fuel may pose dangers of fire and explosion if a gas leak occurs. If explosions or fires occur in the engine rooms of a ship, heavy damage and losses will be incurred. In this paper, a fault tree model is presented that considers both fires and explosions in a dual fuel ship; in this model, dual fuel engine rooms are the top events. All the basic events along with the minimum cut sets are obtained through the analysis.The primary factors that affect accidents involving fires and explosions are determined by calculating the degree of structure importance of the basic events.According to these results, corresponding measures are proposed to ensure and improve the safety and reliability of Chinese inland dual fuel ships.展开更多
BACKGROUND A hybrid operating room(Hybrid-OR)is a surgical theatre that combines a conventional operating room with advanced medical imaging devices.There are still plenty of limitations when endovascular treatment or...BACKGROUND A hybrid operating room(Hybrid-OR)is a surgical theatre that combines a conventional operating room with advanced medical imaging devices.There are still plenty of limitations when endovascular treatment or microsurgical treatment is used individually to treat large or giant carotid-ophthalmic aneurysms.AIM To explore and summarize the technical features and effectiveness of the application of a Hybrid-OR in managing major intracranial carotid-ophthalmic aneurysms.METHODS The Department of Neurosurgery treated 12 cases of large or giant intracranial carotid-ophthalmic aneurysms between March 2013 and December 2019 in a Hybrid-OR.All cases were treated with clipping and parent vessel reconstruction.RESULTS With the assistance of the Hybrid-OR,the rate of incomplete intraoperative aneurysm clipping decreased from 25%(3/12)to 0%,while the rate of vessel stenosis decreased from 16.7%(2/12)to 8.35%(1/12).In terms of thromboembolic events,ischemic infarction complication occurred in only one patient,and none of the patients experienced embolic infarction complications.All 12 patients were followed for an average of 3 years,and no aneurysms recurred.The postoperative recovery was evaluated with the modified Rankin Scale(mRS):11 patients showed no symptoms(mRS=0),1 patient showed slight disability(mRS 1-2),and none of the patients had severe disability(mRS=5)or died(mRS=6).CONCLUSION The Hybrid-OR provides new ideas for the surgical clipping of large or giant intracranial carotid-ophthalmic aneurysms and decreases the rate of intraoperative vessel stenosis and unsuccessful clipping.展开更多
Analyzing observations of wintertime air temperature in both indoor and outdoor surroundings in Kunming, a city lying in low latitudes, characteristics of temperature and humidity have been studied for the interior of...Analyzing observations of wintertime air temperature in both indoor and outdoor surroundings in Kunming, a city lying in low latitudes, characteristics of temperature and humidity have been studied for the interior of rooms facing north-south under different weather conditions. Significant warming effect has been identified in terms of lowest and daily-mean indoor temperature in the area of Kunming. The heating amplitude ranges from 7.7C to 10.0C and from 4.6C to 5.8C for the interior part of rooms facing the south and from 4.6C to 7.0C and from 1.3C to 4.4C for the interior part of rooms facing the north, respectively for the two elements. The highest air temperature is higher indoor than outdoor for rooms facing the south, but otherwise is usually true for rooms facing the north. Additional findings point out that buildings not only help maintain relatively warm indoor temperature but delay its variation. The diurnal cycle of temperature indoor is smaller and ranges by 40% ~ 48% for south-facing rooms, and by 20% ~ 30% for north-facing rooms, than outdoor, and the highest temperature is about 2 hours late inside the room than outside. It shows how inertly indoor temperature varies. The work also finds that relative humidity is less indoor in southward rooms than in northward ones and difference is the largest on fine days but the smallest when it is overcast. For the diurnal variation, the indoor relative humidity is large at nighttime with small amplitude but small during daytime with large amplitude. The above-presented results can be served as scientific foundation for more research on climate in low-latitude cities and rational design of urban architectures.展开更多
This paper is based on a literature review of foreign research regarding the relationship between： SSI （surgical-site infection） and operating room cleaning ventilation, the change of cleanroom technical factors of...This paper is based on a literature review of foreign research regarding the relationship between： SSI （surgical-site infection） and operating room cleaning ventilation, the change of cleanroom technical factors of ventilation, and air conditioning in operating rooms. The differences between foreign codes and Chinese codes on cleaning and the air conditioning index of operating rooms are discussed. The historic background of the founding of the current Chinese clean operating room codes was analyzed. The author appealed to insiders for awareness and concentration on international medical research results involved in cleaning and air conditioning techniques of operating rooms. The current domestic codes should be modified based on the real situation of China. Therefore, the development of medical facilities can be fulfilled.展开更多
Objective: to study the specific method of predictive nursing in operating room and analyze its impact on pressure injury related to medical devices in operating room. Methods: from March 2019 to August 2020, 66 patie...Objective: to study the specific method of predictive nursing in operating room and analyze its impact on pressure injury related to medical devices in operating room. Methods: from March 2019 to August 2020, 66 patients who came to our hospital for surgical treatment were randomly included as the research object. They were equally divided into the control group (33 cases for routine nursing) and the experimental group (33 cases for predictive nursing in the operating room) by single and double-digit grouping. The nursing effect was analyzed. Results: the incidence rate of medical device-related stress injury in the experimental group was significantly lower than that in the control group (P < 0.05), which was statistically significant. The nursing satisfaction score was significantly higher than that of the control group (P < 0.05). Conclusion: in order to effectively control the incidence of pressure injury related to medical devices, predictive nursing intervention can be adopted in the operating room, which can have a positive impact on the nursing effect of patients and is suitable for popularization.展开更多
The next-generation heating systems,crucial for rational heat distribution and refined management,rely heavily on accurate zone-specific heat load predictions.This paper introduces a method for rapid zone-specific hea...The next-generation heating systems,crucial for rational heat distribution and refined management,rely heavily on accurate zone-specific heat load predictions.This paper introduces a method for rapid zone-specific heat load prediction based on heat consumption allocation and data-driven techniques.The approach involves predicting the overall heat load of the building and then redistributing the total heat according to a heat consumption matrix.This eliminates the need for real-time data collection from each room,resulting in cost savings on hardware and improved computational efficiency.The overall building heat load data is obtained through a data-driven algorithm,while the heat consumption matrix is constructed through energy software simulation analysis.Using Building 2 in the Baotou Industrial Park,China,as a case study,the paper analyzes the differences between actual measurements and room estimates.Experimental results indicate an average error of 7.02%for the proposed estimation method.Although not achieving high precision(>95%)in heat load prediction,this level of accuracy is deemed sufficient to meet the requirements of feedforward control.展开更多
When the temperature drops below zero in north China,a familiar winter ritual begins:a bubbling hotpot,an electric blanket on the bed,a steaming kettle on the table-and an entire afternoon spent in a warm,inviting bat...When the temperature drops below zero in north China,a familiar winter ritual begins:a bubbling hotpot,an electric blanket on the bed,a steaming kettle on the table-and an entire afternoon spent in a warm,inviting bathhouse.It is the northern way to embrace the season with warmth and ease,and just how Li Xinru,a 25-year-old Beijing resident,spent her last weekend,when the piercing cold wind finally put a pause on the"one mountain each weekend"plan she’d pursued since September.展开更多
Laminar airflow(LAF)is essential for maintaining a sterile environment in operating rooms,but its rapid unidirectional flow decay leads to low airflow efficiency and increases energy consumption.The objective of this ...Laminar airflow(LAF)is essential for maintaining a sterile environment in operating rooms,but its rapid unidirectional flow decay leads to low airflow efficiency and increases energy consumption.The objective of this study is to investigate the energy-saving and air quality benefits of using a low-turbulence air curtain around laminar airflow,which is referred to as protective laminar airflow(PLAF).Numerical simulations were used to model airflow and particle transport,and a series of experiments were conducted in a real operating room at St.Olavs Hospital,Norway,to validate the simulation results.The findings indicate that when the unidirectional airflow supply velocity is maintained at 0.25 m/s,combined with an air curtain that has the width of 2 cm and the velocity of 1.5 m/s,the PLAF system outperforms the conventional LAF system operating at a unidirectional airflow supply velocity of 0.30 m/s.This configuration results in a 17.3%energy saving,showing the potential of this airflow distribution strategy to enhance both cleanliness and energy efficiency.展开更多
BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and...BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.展开更多
Flanking transmission has significant effects on the overall sound insulation of two adjacent rooms within a residence building. This study investigates the mechanism of the sound flanking transmission by dividing it ...Flanking transmission has significant effects on the overall sound insulation of two adjacent rooms within a residence building. This study investigates the mechanism of the sound flanking transmission by dividing it into several subsystems with the statistical energy analysis method. The sound energy equations of these subsystems are obtained first, and then,the sound transmissions on each flanking path are predicted and the dominant sound transmission path is determined by solving these equations and calculating the total loss factors of the subsystems and coupling loss factors between subsystems. With respect to a masonry building with heavy-weight homogeneous structure, the results show that：（1） the flanking transmission paths instead of the separating wall may become the dominant ones at low frequencies;（2） all sound transmissions on the flanking paths tend to be consistent at medium and high frequencies, so the sound insulation between two adjacent rooms depends on the direct path of the separating wall;（3） heavy-weight separating walls can be used to reduce the frequency range of the flanking transmission.展开更多
Before this year’s national college entrance examination,a middle school in Zhenjiang,a city of east China’s Jiangsu Province,established a room for students to take out their negative emotions,such ass tress,sorrow...Before this year’s national college entrance examination,a middle school in Zhenjiang,a city of east China’s Jiangsu Province,established a room for students to take out their negative emotions,such ass tress,sorrow and anxiety,to enable a better frame of mind when sitting exams.展开更多
文摘The Healthcare Failure Mode and Effect Analysis(HFMEA)model,as a proactive risk assessment tool,systematically identifies potential infection risk points during surgical procedures and evaluates the failure modes and their effects that may result from these risks.Evidence-based medicine,on the other hand,emphasizes making medical decisions based on the best available evidence.Combining these two approaches can provide more scientific and effective strategies for preventing infection in operating rooms.This paper delves into the application of the HFMEA model and evidence-based medicine in the field of infection prevention in operating rooms,aiming to offer new perspectives and methods for this critical aspect of healthcare.
文摘Mycoflora of atmospheric air and dust samples collected from air conditioning systems in 12 of each I.C.U. （intensive care units） and O.R. （operation rooms） were tested using settle and dilution plate methods on four types of agar media and incubated at 25℃. Forty-five fungal species representing 23 genera were isolated and identified. The most prevalent genera recorded were Cladosporium, Aspergillus, Penicillium and Fusarium. The total colony forming units of airborne fungi recovered in I.C.U. and O.R. ranged between 31.13-49.61 colonies/m3 on the four types of media usedl The fungal total catch of the dust samples collected from the air conditioning system filters in I.C.U. and O.R. were ranged from 65.5-170 colonies/mg dust. Since, the interest to replace synthetic xenobiotics by natural compounds with low environmental persistence and biodegradable to control such airborne fungal contaminants is needed. In this respect, essential oils showed to possess a broad spectrum of antifungal activity. Fungal static ability of six oils was tested on 30 different fungal isolates. Vapors of common thyme oil exhibited the strongest inhibitory effects on the tested isolates, whereas the headspace vapors of blue gum and ginger had no inhibitory effects on the tested fungal isolates. These data revealed that the air conditioning systems may be an important source of contamination in I.C.U. and O.R. of Assiut university hospitals. Thus, patients may be in risk of being exposed to contaminated atmospheric air by opportunistic fungi and the use of essential oils as an alternative option to control hospital wards from fungal contaminants needs further studies.
文摘There are similarities and differences in the construction of the two poems:Charlotte Mew’s"Rooms"and Philip Larkin’s"Home is so Sad(HISS)".Both convey a sense of regret and loss through the portrayal of abandoned rooms.However,"Rooms"highlights the despair upon the withering away of life and the slow,painful approach of death,while"HISS"expresses the pain upon the loss of loved ones.The rooms in each poem may have different roles in the lives of their owners,but in each case,they form a significant linkage of the past and present,and ultimately symbolise the abandonment of human heart itself.
基金Support for this work was provided by the National Natural Science Foundation of China(No.51679199)Key Laboratory for Science and Technology Co-ordination and Innovation Projects of Shaanxi Province(No.2014SZS15-Z01)and is thankfully acknowledged by the authors.
文摘Two case studies were conducted in the Shennan mining area of Shaanxi Province,China to evaluate the surrounding rock deformation and stress evolution in pre-driven longwall recovery rooms· These studies mainly monitored the surrounding rock deformation and coal pillar stress in the recovery rooms of the N1206 panel of 2-2 coal seam at Ningtiaota Coal Mine and the 15205 panel of 5-2 coal seam at Hongliulin Coal Mine.The monitoring results showed that the surrounding rock deformation of the main recovery room and the coal pillar stress in the N1206 and 15205 panels began to increase significantly when the face was 36 m and 42 m away from the terminal line,respectively.After the face entered the main recovery room,the maximum roof-to-floor convergence in the N1206 and 15205 panels was 348.03 mm and 771.24 mm,respectively,and the coal pillar stresses increased more than 5 MPa and 7 MPa,respectively.In addition,analysis of the periodic weighting data showed that the main roof break position of the N1206 and 15205 panels after the longwall face entered the main recovery room was-3.8 m and-8.2 m,respectively.This research shows that when the main roof breaks above the coal pillar,the surrounding rock deformation of the main recovery room and the coal pillar stress increase sharply.The last weighting is the key factor affecting the stability of the main recovery room and the coal pillar;main roof breaks at disadvantageous positions are the main cause of the support crushing accidents.
基金Project (No. 30371703) supported by the National Natural ScienceFoundation of China
文摘Aims: To screen for the predominant bacteria strains distributed in clean rooms and to analyze their phylogenetic relationships. Methods and Results: The bacteria distributed in air, surfaces and personnel in clean rooms were routinely moni-tored using agar plates. Five isolates frequently isolated from the clean rooms of an aseptic pharmaceutical production workshop were selected based on their colony and cell morphology characteristics. Their physiological and biochemical properties, as well as partial 16S rDNA sequences, were analyzed. Results showed that all the five isolates belong to Gram positive bacteria, of which three were Staphylococcus, one Microbacterium and one Bacillus species. Sensitivity tests for these bacteria isolates to 3 disin-fectants showed that isolate F03 was obtuse, and had low susceptivity to UV irradiation, while isolates F02, F01 and F04 were not sensitive to phenol treatment. Isolates F04, F01 and F05 were resistant to chlorhexidine gluconate. Conclusion: Bacteria widely distributed in clean rooms are mainly a group of Gram positive strains, showing high resistance to selected disinfectants. Sig-nificance and impact of the study: Clean rooms are essential in aseptic pharmaceutical and food production. Screening bacteria isolates and identifying them is part of good manufacturing practices, and will aid in finding a more effective disinfection method.
基金the Tianjin Science and Technology Projects in Key Areas of Traditional Chinese Medicine,No.2018001.
文摘BACKGROUND A hybrid operating room(hybrid-OR)is a surgical space that combines a conventional operating room with advanced medical imaging devices.AIM To explore and summarize the technical features and effectiveness of the application of a hybrid-OR in dealing with spinal dural arteriovenous fistulas(SDAVFs).METHODS Eleven patients with SDAVFs were treated with the use of a hybrid-OR at the Department of Neurosurgery of our hospital between January 2015 and December 2018.The dual-marker localization technique was used in the hybrid-OR to locate the SDAVFs and skin incision,and the interoperative digital subtraction angiography(DSA)technique was used before and after microsurgical ligation of the fistulae in the hybrid-OR to verify the accuracy of obliteration.The patients were followed for an average of 2 years after the operation,and the preoperative American Spinal Cord Injury Association(ASIA)score and postoperative ASIA score at 6 mo after the operation were compared.RESULTS The location and skin incision of the SDAVFs were accurately obtained by using the dual-marker localization technique in the hybrid-OR in all patients,and there were no cases that required expansion of the range of the bone window in order to expose the lesions.Intraoperative error obliteration occurred and was identified in two patients by using the intraoperative DSA technique;therefore,the findings provided by the intraoperative DSA system significantly changed the surgical procedure in these two patients.With the assistance of the hybrid-OR,the feeding artery was correctly ligated in all cases,and the intraoperative error obliteration rate decreased from 18.2%(2/11)to 0%.All 11 patients were followed for an average of 2 years.The ASIA score at 6 mo after the operation was significantly improved compared with the preoperative ASIA score,and there were no patients with late recurrence during the follow-up.CONCLUSION Compared with intra-arterial embolization for the treatment of SDAVFs,hybrid-ORs can solve the problem of a higher incidence of initial failure and late recurrence.Compared with direct occlusion of SDAVFs in microsurgery,hybrid-ORs can take advantage of the intraoperative DSA system for locating the shunt and verifying the obliteration of fistulae in order to reduce the error obliteration rate.At this point,our experience suggests that the safety and ease of use make hybrid-ORs combined with microsurgery and intraoperative DSA systems an attractive modality for dealing with SDAVFs.
基金Supported by Transformation of Scientific and Technological Achievements Special Fund(No.SBA2015020077)
文摘In recent years, China's increased interest in environmental protection has led to a promotion of energy-efficient dual fuel(diesel/natural gas) ships in Chinese inland rivers. A natural gas as ship fuel may pose dangers of fire and explosion if a gas leak occurs. If explosions or fires occur in the engine rooms of a ship, heavy damage and losses will be incurred. In this paper, a fault tree model is presented that considers both fires and explosions in a dual fuel ship; in this model, dual fuel engine rooms are the top events. All the basic events along with the minimum cut sets are obtained through the analysis.The primary factors that affect accidents involving fires and explosions are determined by calculating the degree of structure importance of the basic events.According to these results, corresponding measures are proposed to ensure and improve the safety and reliability of Chinese inland dual fuel ships.
基金Supported by the Tianjin Science and Technology Projects in Key Areas of Traditional Chinese Medicine,No.2018001.
文摘BACKGROUND A hybrid operating room(Hybrid-OR)is a surgical theatre that combines a conventional operating room with advanced medical imaging devices.There are still plenty of limitations when endovascular treatment or microsurgical treatment is used individually to treat large or giant carotid-ophthalmic aneurysms.AIM To explore and summarize the technical features and effectiveness of the application of a Hybrid-OR in managing major intracranial carotid-ophthalmic aneurysms.METHODS The Department of Neurosurgery treated 12 cases of large or giant intracranial carotid-ophthalmic aneurysms between March 2013 and December 2019 in a Hybrid-OR.All cases were treated with clipping and parent vessel reconstruction.RESULTS With the assistance of the Hybrid-OR,the rate of incomplete intraoperative aneurysm clipping decreased from 25%(3/12)to 0%,while the rate of vessel stenosis decreased from 16.7%(2/12)to 8.35%(1/12).In terms of thromboembolic events,ischemic infarction complication occurred in only one patient,and none of the patients experienced embolic infarction complications.All 12 patients were followed for an average of 3 years,and no aneurysms recurred.The postoperative recovery was evaluated with the modified Rankin Scale(mRS):11 patients showed no symptoms(mRS=0),1 patient showed slight disability(mRS 1-2),and none of the patients had severe disability(mRS=5)or died(mRS=6).CONCLUSION The Hybrid-OR provides new ideas for the surgical clipping of large or giant intracranial carotid-ophthalmic aneurysms and decreases the rate of intraoperative vessel stenosis and unsuccessful clipping.
文摘Analyzing observations of wintertime air temperature in both indoor and outdoor surroundings in Kunming, a city lying in low latitudes, characteristics of temperature and humidity have been studied for the interior of rooms facing north-south under different weather conditions. Significant warming effect has been identified in terms of lowest and daily-mean indoor temperature in the area of Kunming. The heating amplitude ranges from 7.7C to 10.0C and from 4.6C to 5.8C for the interior part of rooms facing the south and from 4.6C to 7.0C and from 1.3C to 4.4C for the interior part of rooms facing the north, respectively for the two elements. The highest air temperature is higher indoor than outdoor for rooms facing the south, but otherwise is usually true for rooms facing the north. Additional findings point out that buildings not only help maintain relatively warm indoor temperature but delay its variation. The diurnal cycle of temperature indoor is smaller and ranges by 40% ~ 48% for south-facing rooms, and by 20% ~ 30% for north-facing rooms, than outdoor, and the highest temperature is about 2 hours late inside the room than outside. It shows how inertly indoor temperature varies. The work also finds that relative humidity is less indoor in southward rooms than in northward ones and difference is the largest on fine days but the smallest when it is overcast. For the diurnal variation, the indoor relative humidity is large at nighttime with small amplitude but small during daytime with large amplitude. The above-presented results can be served as scientific foundation for more research on climate in low-latitude cities and rational design of urban architectures.
文摘This paper is based on a literature review of foreign research regarding the relationship between： SSI （surgical-site infection） and operating room cleaning ventilation, the change of cleanroom technical factors of ventilation, and air conditioning in operating rooms. The differences between foreign codes and Chinese codes on cleaning and the air conditioning index of operating rooms are discussed. The historic background of the founding of the current Chinese clean operating room codes was analyzed. The author appealed to insiders for awareness and concentration on international medical research results involved in cleaning and air conditioning techniques of operating rooms. The current domestic codes should be modified based on the real situation of China. Therefore, the development of medical facilities can be fulfilled.
文摘Objective: to study the specific method of predictive nursing in operating room and analyze its impact on pressure injury related to medical devices in operating room. Methods: from March 2019 to August 2020, 66 patients who came to our hospital for surgical treatment were randomly included as the research object. They were equally divided into the control group (33 cases for routine nursing) and the experimental group (33 cases for predictive nursing in the operating room) by single and double-digit grouping. The nursing effect was analyzed. Results: the incidence rate of medical device-related stress injury in the experimental group was significantly lower than that in the control group (P < 0.05), which was statistically significant. The nursing satisfaction score was significantly higher than that of the control group (P < 0.05). Conclusion: in order to effectively control the incidence of pressure injury related to medical devices, predictive nursing intervention can be adopted in the operating room, which can have a positive impact on the nursing effect of patients and is suitable for popularization.
基金supported by the National Natural Science Foundation of China,61765012Natural Science Foundation of Inner Mongolia Autonomous Region,2023MS05047Basic research funds for universities directly under the Inner Mongolia Autonomous Region(2023RCTD011,2023YXXS012)。
文摘The next-generation heating systems,crucial for rational heat distribution and refined management,rely heavily on accurate zone-specific heat load predictions.This paper introduces a method for rapid zone-specific heat load prediction based on heat consumption allocation and data-driven techniques.The approach involves predicting the overall heat load of the building and then redistributing the total heat according to a heat consumption matrix.This eliminates the need for real-time data collection from each room,resulting in cost savings on hardware and improved computational efficiency.The overall building heat load data is obtained through a data-driven algorithm,while the heat consumption matrix is constructed through energy software simulation analysis.Using Building 2 in the Baotou Industrial Park,China,as a case study,the paper analyzes the differences between actual measurements and room estimates.Experimental results indicate an average error of 7.02%for the proposed estimation method.Although not achieving high precision(>95%)in heat load prediction,this level of accuracy is deemed sufficient to meet the requirements of feedforward control.
文摘When the temperature drops below zero in north China,a familiar winter ritual begins:a bubbling hotpot,an electric blanket on the bed,a steaming kettle on the table-and an entire afternoon spent in a warm,inviting bathhouse.It is the northern way to embrace the season with warmth and ease,and just how Li Xinru,a 25-year-old Beijing resident,spent her last weekend,when the piercing cold wind finally put a pause on the"one mountain each weekend"plan she’d pursued since September.
基金the China Scholarship Council for the financial support to Yang Bi(CSC student ID:202009210006).
文摘Laminar airflow(LAF)is essential for maintaining a sterile environment in operating rooms,but its rapid unidirectional flow decay leads to low airflow efficiency and increases energy consumption.The objective of this study is to investigate the energy-saving and air quality benefits of using a low-turbulence air curtain around laminar airflow,which is referred to as protective laminar airflow(PLAF).Numerical simulations were used to model airflow and particle transport,and a series of experiments were conducted in a real operating room at St.Olavs Hospital,Norway,to validate the simulation results.The findings indicate that when the unidirectional airflow supply velocity is maintained at 0.25 m/s,combined with an air curtain that has the width of 2 cm and the velocity of 1.5 m/s,the PLAF system outperforms the conventional LAF system operating at a unidirectional airflow supply velocity of 0.30 m/s.This configuration results in a 17.3%energy saving,showing the potential of this airflow distribution strategy to enhance both cleanliness and energy efficiency.
基金Supported by 2025 Henan Medical Education Research Project,No.WJLX2025038.
文摘BACKGROUND Gastrointestinal(GI)tumors are among the most prevalent malignancies,and surgical intervention remains a primary treatment modality.However,the complexity of GI surgery often leads to prolonged recovery and high postoperative complication rates,which threaten patient safety and functional outcomes.Enhanced recovery after surgery(ERAS)principles have been shown to improve perioperative outcomes through evidence-based,multidisciplinary care pathways.Despite its widespread adoption,there is a paucity of research focusing specifically on optimizing ERAS-guided nursing processes in the post-anesthesia care unit(PACU)and evaluating its impact on perioperative safety in patients undergoing GI tumor surgery.This study aimed to investigate whether an ERASbased PACU nursing protocol could enhance recovery,reduce complications,and improve patient safety in this surgical population.AIM To explore the impact of optimizing the recovery room nursing process based on ERAS on the perioperative safety of patients with GI tumors.METHODS A total of 260 patients with GI tumors who underwent elective surgeries under general anesthesia in our hospital from August 2023 to August 2025 and were then observed in the recovery unit(PACU)were selected.They were randomly divided into the observation group(the PACU nursing process was optimized based on ERAS)and the control group(the conventional PACU nursing process was adopted)by the random number grouping method,with 130 cases in each group.The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,time of leaving the room after tube removal,retention time in the recovery room,occurrence of complications,satisfaction and readmission rate were compared between the two groups after entering the room.Compare the occurrence of adverse events in the PACU nursing process between the two groups.RESULTS The time of gastric tube removal,urinary catheter removal,defecation time,hospital stay,retention time in the recovery room,total incidence of complications and readmission rate in the observation group were significantly lower than those in the control group,and the satisfaction rate was higher than that in the control group(P<0.05).The occurrence of adverse events in the PACU nursing process in the observation group was lower than that in the control group(P<0.05).CONCLUSION Optimizing the PACU nursing process based on ERAS can effectively accelerate the recovery process of patients undergoing GI tumor surgery,reduce adverse events,improve nursing satisfaction,and at the same time,lower the incidence of adverse events in the PACU nursing process,providing a more refined management basis for clinical practice.
基金supported by the National Natural Science Foundation of China(51568003)the Natural Science Foundation of Guangxi Province,China(2015GXNSFAA139254,2014GXNSFAA118017)
文摘Flanking transmission has significant effects on the overall sound insulation of two adjacent rooms within a residence building. This study investigates the mechanism of the sound flanking transmission by dividing it into several subsystems with the statistical energy analysis method. The sound energy equations of these subsystems are obtained first, and then,the sound transmissions on each flanking path are predicted and the dominant sound transmission path is determined by solving these equations and calculating the total loss factors of the subsystems and coupling loss factors between subsystems. With respect to a masonry building with heavy-weight homogeneous structure, the results show that：（1） the flanking transmission paths instead of the separating wall may become the dominant ones at low frequencies;（2） all sound transmissions on the flanking paths tend to be consistent at medium and high frequencies, so the sound insulation between two adjacent rooms depends on the direct path of the separating wall;（3） heavy-weight separating walls can be used to reduce the frequency range of the flanking transmission.
文摘Before this year’s national college entrance examination,a middle school in Zhenjiang,a city of east China’s Jiangsu Province,established a room for students to take out their negative emotions,such ass tress,sorrow and anxiety,to enable a better frame of mind when sitting exams.
