An inverse vulcanized polymer,SZIM combining Zn2+-imidazole coordination bonds and polysulfide bonds was synthesized and incorporated into bio-based Eucommia ulmoides gum (EUG) to generate EUG-SZIM-xs.The residual cry...An inverse vulcanized polymer,SZIM combining Zn2+-imidazole coordination bonds and polysulfide bonds was synthesized and incorporated into bio-based Eucommia ulmoides gum (EUG) to generate EUG-SZIM-xs.The residual crystallinity of the EUG matrix synergistically interacted with the dual cross-linking networks to establish reversible deformation domains,providing EUG-SZIM-xs with quick shape memory capability at moderate temperatures.The damping properties were also investigated,and EUG-SZIM-xs displayed high tanδ values (>0.3) when the SZIM dosage was higher than 5.5 phr,which showed a positive correlation with SZIM concentration.Such good damping performance endowed the EUG-SZIM-xs with broadband low-frequency sound absorption.In addition,the dual cross-linking networks endowed the materials with reprocessability under different catalytic systems,and the 1,8-diazobicyclic[5.4.0]undeca-7-ene (DBU)-catalyzed samples exhibited better mechanical properties than EUG-SZIM-xs.展开更多
This article comments on the article by Du et al,who conducted a randomized controlled trial aiming at evaluating the effectiveness of a novel spray flushing system in cleaning flexible endoscopes while minimizing dam...This article comments on the article by Du et al,who conducted a randomized controlled trial aiming at evaluating the effectiveness of a novel spray flushing system in cleaning flexible endoscopes while minimizing damage to the working channels.We share our perspective on the importance of improving endoscope reprocessing methods.The findings highlight the spray flushing system's capacity to improve cleaning efficacy while minimizing damage,suggesting that it might be important in enhancing endoscope reprocessing procedures.展开更多
In current spent nuclear fuel reprocessing,the predominant method involves chemical extraction,leveraging the differing distribution ratios of elements to achieve separation and purification.Effective separation of ur...In current spent nuclear fuel reprocessing,the predominant method involves chemical extraction,leveraging the differing distribution ratios of elements to achieve separation and purification.Effective separation of uranium(U),plutonium(Pu),and neptunium(Np) typically relies on redox processes that alter their oxidation states during extraction.Therefore,reductants play a critical role in reprocessing processes.An important shift in the advanced reprocessing process is the use of salt-free reagents in the actinide separation process.In addition,the salt content in the reprocessing stream is often indicative of the overall technological sophistication of the process,and it is critical to reform the reductants used in the main process stream.Salt-free reductants have attracted much attention in recent years for basic and applied research in reprocessing processes because of their advantages such as being easily destroyed,not introducing salts,reacting quickly,simplifying the process,and reducing the amount of waste.This study summarizes emerging salt-free reagents with potential applications in reprocessing,and outlines their kinetic and chemical reaction mechanism properties in reducing Pu(Ⅳ) and Np(Ⅵ).The conclusion discusses the future potential of salt-free reagents in reprocessing.This study summarizes the currently well-studied salt-free reductants and offers recommendations and future research directions in salt-free alternatives.展开更多
The advancement in endoscopic technology and techniques has increased its use in the diagnosis and treatment of gastrointestinal diseases.Reprocessing of reusable endoscopes remains a challenge.Inadequate reprocessing...The advancement in endoscopic technology and techniques has increased its use in the diagnosis and treatment of gastrointestinal diseases.Reprocessing of reusable endoscopes remains a challenge.Inadequate reprocessing leads to bacterial contamination of the endoscope,a significant cause of endoscope-related infections.To thoroughly address the complexities of cleaning a flexible endo-scope,various cleaning methods have been devised and tested across different studies.This letter evaluates one such method,spray flushing for flexible gastro-scopes,developed and tested in a randomized controlled trial by Du et al.Based on the post-processing test results for this method,Du et al conclude that there is improved cleaning efficacy and reduced damage compared to manual brush cleaning.The validity and reliability of the results could be further enhanced by carefully considering the study design and a few underlying concepts that contribute to the reprocessing quality of different types of endoscopes.展开更多
Renewable 2,5-furandicarboxylic acid-based polyesters are one of the most promising materials for achieving plastic replacement in the age of energy and environmental crisis.However,their properties still cannot compe...Renewable 2,5-furandicarboxylic acid-based polyesters are one of the most promising materials for achieving plastic replacement in the age of energy and environmental crisis.However,their properties still cannot compete with those of petrochemical-based plastics,owing to insufficient molecular and/or microstructure designs.Herein,we utilize the Ti_(3)C_(2)T_(x)-based MXene nanosheets for decorating carbon nanotube(CNT)and obtaining the structurally stable and highly dispersed dendritic heterostructured MXene@CNT,that can act as multi-roles,i.e.,polycondensation catalyst,crystal nucleator,and interface enhancer of polyester.The biobased MXene@CNT/polybutylene furandicarboxylate(PBF)(denoted as MCP)nanocomposites are synthesized by the strategy of“in situ catalytic polymerization and hot-pressing”.Benefiting from the multi-scale interactions(i.e.,covalent bonds,hydrogen bonds,and physical interlocks)in hybrid structure,the MCP presents exceptional mechanical strength(≈101 MPa),stiffness(≈3.1 GPa),toughness(≈130 MJ m^(-3)),and barrier properties(e.g.,O_(2)0.0187 barrer,CO_(2)0.0264 barrer,and H2O 1.57×10^(-14) g cm cm^(-2) s Pa)that are higher than most reported bio-based materials and engineering plastics.Moreover,it also displays satisfactory multifunctionality with high reprocessability(90%strength retention after 5 recycling),UV resistance(blocking 85%UVA rays),and solvent-resistant properties.As a state-of-art high-performance and multifunctional material,the novel bio-based MCP nanocomposite offers a more sustainable alternative to petrochemical-based plastics in packaging and engineering material fields.More importantly,our catalysis-interfacial strengthening integration strategy opens a door for designing and constructing high-performance bio-based polyester materials in future.展开更多
Aimed at the problem of stochastic routings for reprocessing operations and highly variable processing times,an open queuing network is utilized to model a typical reprocessing system.In the model,each server is subje...Aimed at the problem of stochastic routings for reprocessing operations and highly variable processing times,an open queuing network is utilized to model a typical reprocessing system.In the model,each server is subject to breakdown and has a finite buffer capacity,while repair times,breakdown times and service time follow an exponential distribution.Based on the decomposition principle and the expansion methodology,an approximation analytical algorithm is proposed to calculate the mean reprocessing time,the throughput of each server and other parameters of the processing system.Then an approach to determining the quality of disassembled parts is suggested,on the basis of which the effect of parts quality on the performance of the reprocessing system is investigated.Numerical examples show that there is a negative correlation between quality of parts and their mean reprocessing time.Furthermore,marginal reprocessing time of the parts decrease with the drop in their quality.展开更多
The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to impr...The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to improve compliance, and recent developments and advances in the field.展开更多
BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-con...BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-concern organisms despite following the manufacturer’s instructions.Visual inspection of working channels has been proposed as a quality control measure for endoscope reprocessing.There are few studies related to this issue.AIM To investigate the types,severity rate,and locations of abnormal visual inspection findings inside patient-ready duodenoscopes and their microbiological significance.METHODS Visual inspections of channels were performed in 19 patient-ready duodenoscopes using the SpyGlass visualization system in two endoscopy units of tertiary care teaching hospitals(Tri-Service General Hospital and National Taiwan University Hospital)in Taiwan.Inspections were recorded and reviewed to evaluate the presence of channel scratches,buckling,stains,debris,and fluids.These findings were used to analyze the relevance of microbiological surveillance.RESULTS Seventy-two abnormal visual inspection findings in the 19 duodenoscopes were found,including scratches(n=10,52.6%),buckling(n=15,78.9%),stains(n=14,73.7%),debris(n=14,73.7%),and fluids(n=6,31.6%).Duodenoscopes>12 mo old had a significantly higher number of abnormal visual inspection findings than those≤12 mo old(46 findings vs 26 findings,P<0.001).Multivariable regression analyses demonstrated that the bending section had a significantly higher risk of being scratched,buckled,and stained,and accumulating debris than the insertion tube.Debris and fluids showed a significant positive correlation with microbiological contamination(P<0.05).There was no significant positive Spearman’s correlation coefficient between negative bacterial cultures and debris,between that and fluids,and the concomitance of debris and fluids.This result demonstrated that the presence of fluid and debris was associated with positive cultures,but not negative cultures.Further multivariate analysis demonstrated that fluids,but not debris,is an independent factor for bacterial culture positivity.CONCLUSION In patient-ready duodenoscopes,scratches,buckling,stains,debris,and fluids inside the working channel are common,which increase the microbiological contamination susceptibility.The SpyGlass visualization system may be recommended to identify suboptimal reprocessing.展开更多
The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effec...The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effects on abstinence and mental health. Eighty-nine male heroin users in a drug rehabilitation center were enrolled in the study. The participants in the MSDE intervention group (n=46) received MSDE intervention, which included motivational interviewing, coping skills training, eye movement desensitization and reprocessing, and mindfulness-based psychotherapy. The participants in the control group (h=43) received a series of lectures on skills training. A significant increase in Contemplation Ladder score (P<0.001) and decreases in scores on the Obsessive Compulsive Drug Use Scale (P<0.001), Beck Depression Inventory (P<0.001), and Aggression Questionnaire (P=O.O33) were found immediately after intervention. Compared to the control group, the MSDE intervention group reported significantly higher abstinence rates (P=0.027) and retention rates (P<0.001) at follow-up. Overall, the MSDE intervention, which uses a combined strategy for relapse prevention, could be a promising approach for preventing relapse among heroin users in China.展开更多
The electrochemical behaviour of samarium was investigated in LiF-BeF2 system on an inert （Mo） electrode by cyclic voltammetry and chronopotentiometry at 804, 833, 847 and 872 K. Redox process Sm3＋＋e–→Sm2＋ was ...The electrochemical behaviour of samarium was investigated in LiF-BeF2 system on an inert （Mo） electrode by cyclic voltammetry and chronopotentiometry at 804, 833, 847 and 872 K. Redox process Sm3＋＋e–→Sm2＋ was recognized and analysed. Cyclic voltammetry data suggested that at potential sweep rates lower than 0.25 V/s, the reduction was limited by the diffusion of Sm3＋ ions. It was not possible to observe reduction process of Sm2＋＋2e–→Sm0 due to insufficient electrochemical stability of LiF-BeF2. Diffusion coefficients of Sm3＋ ions in LiF-BeF2 were calculated from voltammetric and chronopotentiometric data in the temperature range 804–872 K. Diffusion coefficient values obeyed Arrhenius law. Activation energy was calculated to be 102.5 kJ/mol.展开更多
The dependence of the magnetic properties on the particle size of recycled HDDR Nd-Fe-B powders was investigated,with the aim to assess the reprocessing potential of the end-of-life scrap magnets via spark plasma sint...The dependence of the magnetic properties on the particle size of recycled HDDR Nd-Fe-B powders was investigated,with the aim to assess the reprocessing potential of the end-of-life scrap magnets via spark plasma sintering(SPS).The as received recycled HDDR powder has coercivity(Hci)=830 kA/m and particles in the range from 30 to 700 μm(average 220 μm).After burr milling,the average particle size is reduced to 120 μm and subsequently the Hci of fine(milled) powder was 595 kA/m.Spark plasma sintering was exploited to consolidate the nanograined HDDR powders and limit the abnormal grain coarsening.The optimal SPS-ing of coarse HDDR powder at 750℃for 1 min produces fully dense magnets with Hci=950±100 kA/m which further increases to 1200 kA/m via thermal treatment at 750℃for 15 min.The burr milled fine HDDR powder under similar SPS conditions and after thermal treatment results in Hci=940 kA/m.The fine powder is further sieved down from 630 to less than 50 μm mesh size,to evaluate the possible reduction in Hci in relation to the particle size.The gain in oxygen content doubles for <50 μm sized particles as compared with coarser fractions(>200 μm).The XRD analysis for fractionated powder indicates an increase in Nd2O3 phase peaks in the finer(<100 μm)fractions.Similarly,the Hci reduces from 820 kA/m in the coarse particles(>200 μm) to 460 kA/m in the fine sized particles(<100μm).SPS was done on each HDDR powder fraction under the optimal conditions to measure the variation in Hci and density.The Hci of SPS-ed coarse fraction(>200 μm) is higher than 930 kA/m and it falls abruptly to just 70 kA/m for the fine sized particles(<100 μm).The thermal treatment further improves the Hci to>1000 kA/m only up to 100 μm sized fractions with>90% sintered density.The full densification(>99%) is observed only in the coarse fractions.The loss of coercivity and lack of sinterability in the fine sized particles(<100 μm) are attributed to a very high oxygen content.This implies that during recycling,if good magnetic properties are to be maintained or even increase the HDDR powder particles can be sized down only up to≥100 μm.展开更多
To use fly ash and coal waste effectively, the current technologies for reprocessing and recycling these wastes into eco-building materials were reviewed, such as utilizing fly ash as the component of fly ash cement a...To use fly ash and coal waste effectively, the current technologies for reprocessing and recycling these wastes into eco-building materials were reviewed, such as utilizing fly ash as the component of fly ash cement and low heat cement after the processes of separation, removal of carbon remains and fine comminution, calcining coal waste into kaolin and meta-kaolin with suspension technology, and preparing clinkerless alkali-activated geopolymer materials with fly ash and meta-kaolin.展开更多
Global Positioning System data processing is affected by many non-tectonic factors, including the common-mode errors （CME） in station-position time series. The characteristics and origins of CME are still not clear,...Global Positioning System data processing is affected by many non-tectonic factors, including the common-mode errors （CME） in station-position time series. The characteristics and origins of CME are still not clear, due to uneven distribution of global GPS networks and the lack of reliable data of the position time series. In this work, data from 241 continuous GPS stations were reprocessed in a consistent way and the results were compared with those generated at Jet Propulsion Laboratory （JPL）. Improvements of residual positions were obtained for many low-quality stations, especially those located in Asia and Australia.展开更多
Due to their unique features,such as the inherent safety,simplified fuel cycle,and continuous on-line reprocessing,molten salt reactors(MSRs)are regarded as one of the six reference reactors in the Generation IV Inter...Due to their unique features,such as the inherent safety,simplified fuel cycle,and continuous on-line reprocessing,molten salt reactors(MSRs)are regarded as one of the six reference reactors in the Generation IV International Forum(GEN-IV).Molten chloride salt fast reactors(MCFRs)are a type of MSR.Compared to molten fluoride salt reactors(MFSRs),MCFRs have a higher solubility of heavy metal atoms,a harder neutron spectrum,lower accumulation of fission products(FPs),and better breeding and transmutation performance.Thus,MCFRs have been recognized as a type of MSR with great prospects for future development.However,as the most important feature for MSRs,the effect of different reprocessing modes on MCFRs must be researched in depth.As such,this study investigated the effect of different isotopes,especially FPs,on the neutronic performance of an MCFR,such as its breeding performance.Furthermore,the characteristics of the different reprocessing modes and MCFR rates were analyzed in terms of safety,radioactivity level,neutron economy,and breeding capacity.In the end,a reprocessing method suitable for MCFRs was determined through calculation and analysis,which provides a reference for the further research of MCFRs.展开更多
BACKGROUND Commonly used cleaning brushes in the reprocessing of flexible endoscopes often cause damage within the working channels.AIM To develop a spray flushing system to achieving effective cleaning of the working...BACKGROUND Commonly used cleaning brushes in the reprocessing of flexible endoscopes often cause damage within the working channels.AIM To develop a spray flushing system to achieving effective cleaning of the working channels while minimizing damage.METHODS This prospective study included 60 used endoscopes and 60 Teflon tubes randomly divided into a control group(n=30)and an experimental group(n=30).The material of Teflon tubes was the same as that of the endoscope working channel.Endoscopes in the control group were manually cleaned using traditional cleaning brushes,while those in the experimental group were cleaned using the newly developed spray flushing system.ATP levels,cleanliness,and microbiological testing of the working channels were measured.Additionally,Teflon tubes in the control group underwent 500 passes with a cleaning brush,while those in the experimental group were subjected to the spray flushing system,and channel damage was evaluated.RESULTS The ATP levels(RLU)in the two groups were 32.5(13-66)and 26(16-40),respectively(P>0.05).Cleanliness scores were 1.5(1-2)and 1(1-2),respectively(P>0.05).Debris was found in 73.3%of the control group,which was significantly higher than 46.7%in the experimental group(P<0.05).Microbiological tests for both groups yielded negative results.Teflon tube damage in the control group was rated at 4(4-5.25),which was significantly higher than in the experimental group 4(3-4)(P<0.01).CONCLUSION The spray flushing system demonstrated superior efficacy in removing debris and resulted in less damage to the endoscope working channels compared with traditional cleaning brushes.展开更多
In this contribution,we reported the preparation of vitrimers by using commodity thermoplastics via post crosslinking with hindered urea bonds(HUBs).First,three hindered urea diisocyanates(HUDIs)were synthesized via t...In this contribution,we reported the preparation of vitrimers by using commodity thermoplastics via post crosslinking with hindered urea bonds(HUBs).First,three hindered urea diisocyanates(HUDIs)were synthesized via the reactions of N,N'-di-tert-butylethylenediamine,N,N'-diethylethylenediamine,and piperazine with isophorone diisocyanate(IPDI).Thereafter,these HUDIs were used as the crosslinking agents to crosslink poly(hydroxyether of bisphenol A)(PH),a commodity thermoplastics.Fourier transform infrared(FTIR)spectroscopy and dynamic mechanical thermal analyses(DMTA)indicated that the PH thermosets were successfully obtained.It was found that the thermosets displayed the behavior of vitrimers.The PH thermosets can be reprocessed at elevated temperature without using catalyst and the mechanical strengths of vitrimers were recovered as high as 95%.The reprocessing properties are attributable to dynamic exchange reaction of hindered urea bonds,contingent on types of hindered urea bonds.展开更多
In this study,an environmentally friendly and non-toxic route to synthesize lignin-based non-isocyanate poly(imine-hydroxyurethane)s networks was explored.Specifically,the NH_(2)-terminated polyhydroxyurethanes(NPHUs)...In this study,an environmentally friendly and non-toxic route to synthesize lignin-based non-isocyanate poly(imine-hydroxyurethane)s networks was explored.Specifically,the NH_(2)-terminated polyhydroxyurethanes(NPHUs)prepolymer was first synthesized from bis(6-membered cyclic carbonate)(BCC)and diamine via the ring-opening reaction.Subsequently,the corresponding ligninbased non-isocyanate polyurethanes(NIPUs)with tunable properties were synthesized from NPHUs and levulinate lignin derivatives containing ketone groups via the Schiff base reaction.The structural,mechanical,and thermal properties of NIPUs with different stoichiometric feed ratios of BCC and levulinate lignin were characterized by Fourier transform infrared spectroscopy(FT-IR),nuclear magnetic resonance(NMR),differential scanning calorimetry(DSC),dynamic mechanical analysis(DMA),and thermogravimetric analysis(TGA).The results indicated that the tensile strength,Young's modulus,toughness,storage modulus,glass transition temperature,and thermal stability of lignin-based NIPUs gradually increased with increasing lignin content,and the highest Young's modulus of 41.1 MPa was obtained when lignin content reached 45.53%.With good reprocessing properties,this synthetic framework of ligninbased NIPUs also provides sustainable non-isocyanate-based substitutions to traditional polyurethane networks.展开更多
This study provides a comprehensive understanding of the polymeric properties of lignin-based non-isocyanate poly(iminehydroxyurethane)s(LNIPUs).The properties of the LNIPUs are affected by changes in the stoichiometr...This study provides a comprehensive understanding of the polymeric properties of lignin-based non-isocyanate poly(iminehydroxyurethane)s(LNIPUs).The properties of the LNIPUs are affected by changes in the stoichiometric feed ratios of the bis(6-membered cyclic carbonate)(BCC)and levulinate enzymatic hydrolysis lignin(LEHL).The results showed that the LNIPUs exhibited a short relaxation time and excellent thermal repair and degradation properties.With a change in the LEHL content in the LNIPUs to 45.53%,a relaxation time of only 9 s was achieved,and the thermal repair rate of the scratches reached 93%.Furthermore,the tensile strength of the LNIPUs decreased with an increase in the LEHL content after two hot-pressing processes,while a higher than 75% tensile strength was maintained after the second hot-pressing treatment.The LNIPUs exhibited thermoresponsive shape memory property with deformation and shape fixing at 80℃.In addition,the as-synthesized LNIPUs were soluble in ethylene glycol in the absence of any organic solvents.This work demonstrates the synthesis of LNIPUs with self-healing,reprocessing,shape memory,and degradation properties.展开更多
Background: Seven patients at a hospital in Houston, TX, were diagnosed during a two-week period in 2009 with joint space infection of pansusceptible P. aeruginosa following arthroscopic procedures of the knee or shou...Background: Seven patients at a hospital in Houston, TX, were diagnosed during a two-week period in 2009 with joint space infection of pansusceptible P. aeruginosa following arthroscopic procedures of the knee or shoulder. Tosh et al. (2011), who investigated and published the principal report discussing this bacterial outbreak, conclude that its most likely cause was the improper reprocessing of certain reusable, physically-complex, heat-stable arthroscopic instruments used during these arthroscopic procedures. These reusable instruments reportedly remained contaminated with remnant tissue, despite diligent efforts by the hospital to clean their internal structures. This retained bioburden presumably shielded the outbreak’s strain of embedded P. aeruginosa from contact with the pressurized steam, reportedly resulting in ineffective sterilization of these arthroscopic instruments and bacterial transmission. Objectives: First, to clarify which specific sterilization methods, in addition to steam sterilization, Methodist Hospital employed to process its reusable arthroscopic instrumentation at the time of its outbreak, in 2009;second, to evaluate Tosh et al.’s (2011) conclusion that ineffective steam sterilization due to inadequate cleaning was the most likely cause of this hospital’s outbreak;third, to consider whether any other hitherto unrecognized factors could have plausibly contributed to this outbreak;and, fourth, to assess whether any additional recommendations might be warranted to prevent disease transmission following arthroscopic procedures. Methods: The medical literature was reviewed;some of the principles of quality assurance, engineering and a root-cause analysis were employed;and Tosh et al.’s (2011) findings and conclusions were reviewed and compared with those of other published reports that evaluated the risk of disease transmission associated with the steam sterilization of physically-complex, heat-stable, soiled surgical instruments. Results and Conclusion: Reports documenting outbreaks of P. aeruginosa or another vegetative bacterium associated with the steam sterilization of inadequately cleaned surgical or arthroscopic instruments are scant. This finding—coupled with a number of published studies demonstrating the effective steam sterilization of complex instruments contaminated with vegetative bacteria mixed with organic debris, or, in one published series of tests, with resistant bacterial endospores coated with hydraulic fluid—raises for discussion whether Methodist Hospital’s outbreak might have been due to one or more factors other than, or in addition to, that which Tosh et al. (2011) conclude was its most likely cause. An example of such a factor not ruled out by Tosh et al. (2011) findings would be the re-contamination of the implicated arthroscopic instruments after sterilization. The specific methods that Methodist Hospital employed at the time of its outbreak to sterilize some of its arthroscopic instrumentation remain unclear. A number of additional recommendations are provided to prevent disease transmission following arthroscopic procedures.展开更多
Background:We investigated the procedures used by medical institutions in Guangdong Province for reprocessing ophthalmic surgical instruments and analyzed the problems identified in order to improve the quality of cle...Background:We investigated the procedures used by medical institutions in Guangdong Province for reprocessing ophthalmic surgical instruments and analyzed the problems identified in order to improve the quality of cleaning medical instruments and its management.Methods:The reprocessing of ophthalmic surgical instruments was investigated in 72 hospitals in Guangdong Province using a questionnaire designed for this purpose.Results:Ophthalmic surgical instruments underwent centralized reprocessing in the disinfection and supply centers in 50%of the 72 hospitals.Cataract phacoemulsification surgery was the main ophthalmic surgery performed in 94%of the 72 hospitals.The main reasons for using centralized reprocessing were an insufficient supply of ophthalmic surgical instruments,short turnaround times between surgeries,and the high cost of losing these precise and fragile instruments.Manual processing was the predominant method of reprocessing ophthalmic surgical instruments;enzyme detergents were used in 63.89%of the hospitals;and 48.61%of the hospitals used N-model small pressure-steam sterilizers for the ophthalmic surgical instruments.Conclusions:In order to improve the quality and management of the cleaning of medical instruments,and guarantee high-quality medical care,the following measures are recommended.Centralized management of ophthalmic surgical instruments should be based on the instruments’characteristics.Pay more attention to reprocessing site locations and staff training.Choose detergents based on manufacturers’instructions for use with specific instruments.Increase the number of available ophthalmic instruments in accordance with their demand and select appropriate small pressure-steam sterilizers.展开更多
基金supported by the Natural Science Foundation of Hunan Province(No.2024JJ7392)the National Natural Science Foundation of China(No.52463002)+1 种基金Educational Commission of Hunan Province(No.22A0383)Special Funds for Construction of Innovative Provinces in Hunan Province(No.2020SK2028).
文摘An inverse vulcanized polymer,SZIM combining Zn2+-imidazole coordination bonds and polysulfide bonds was synthesized and incorporated into bio-based Eucommia ulmoides gum (EUG) to generate EUG-SZIM-xs.The residual crystallinity of the EUG matrix synergistically interacted with the dual cross-linking networks to establish reversible deformation domains,providing EUG-SZIM-xs with quick shape memory capability at moderate temperatures.The damping properties were also investigated,and EUG-SZIM-xs displayed high tanδ values (>0.3) when the SZIM dosage was higher than 5.5 phr,which showed a positive correlation with SZIM concentration.Such good damping performance endowed the EUG-SZIM-xs with broadband low-frequency sound absorption.In addition,the dual cross-linking networks endowed the materials with reprocessability under different catalytic systems,and the 1,8-diazobicyclic[5.4.0]undeca-7-ene (DBU)-catalyzed samples exhibited better mechanical properties than EUG-SZIM-xs.
文摘This article comments on the article by Du et al,who conducted a randomized controlled trial aiming at evaluating the effectiveness of a novel spray flushing system in cleaning flexible endoscopes while minimizing damage to the working channels.We share our perspective on the importance of improving endoscope reprocessing methods.The findings highlight the spray flushing system's capacity to improve cleaning efficacy while minimizing damage,suggesting that it might be important in enhancing endoscope reprocessing procedures.
文摘In current spent nuclear fuel reprocessing,the predominant method involves chemical extraction,leveraging the differing distribution ratios of elements to achieve separation and purification.Effective separation of uranium(U),plutonium(Pu),and neptunium(Np) typically relies on redox processes that alter their oxidation states during extraction.Therefore,reductants play a critical role in reprocessing processes.An important shift in the advanced reprocessing process is the use of salt-free reagents in the actinide separation process.In addition,the salt content in the reprocessing stream is often indicative of the overall technological sophistication of the process,and it is critical to reform the reductants used in the main process stream.Salt-free reductants have attracted much attention in recent years for basic and applied research in reprocessing processes because of their advantages such as being easily destroyed,not introducing salts,reacting quickly,simplifying the process,and reducing the amount of waste.This study summarizes emerging salt-free reagents with potential applications in reprocessing,and outlines their kinetic and chemical reaction mechanism properties in reducing Pu(Ⅳ) and Np(Ⅵ).The conclusion discusses the future potential of salt-free reagents in reprocessing.This study summarizes the currently well-studied salt-free reductants and offers recommendations and future research directions in salt-free alternatives.
文摘The advancement in endoscopic technology and techniques has increased its use in the diagnosis and treatment of gastrointestinal diseases.Reprocessing of reusable endoscopes remains a challenge.Inadequate reprocessing leads to bacterial contamination of the endoscope,a significant cause of endoscope-related infections.To thoroughly address the complexities of cleaning a flexible endo-scope,various cleaning methods have been devised and tested across different studies.This letter evaluates one such method,spray flushing for flexible gastro-scopes,developed and tested in a randomized controlled trial by Du et al.Based on the post-processing test results for this method,Du et al conclude that there is improved cleaning efficacy and reduced damage compared to manual brush cleaning.The validity and reliability of the results could be further enhanced by carefully considering the study design and a few underlying concepts that contribute to the reprocessing quality of different types of endoscopes.
基金financial supports from the National Natural Science Foundation of China(Grant No.NSFC52473104)National Key R&D Program of China(Grant No.2022YFC2104500)+3 种基金Zhejiang Provincial Natural Science Foundation of China(Grant No.Y24B040002)Ningbo 2025 Key Scientific Research Programs(Grant No.2022Z160)the China Postdoctoral Science Foundation(Grant No.2023M733601)the Ningbo Natural Science Foundation(Grant No.2023I333&2023J409).
文摘Renewable 2,5-furandicarboxylic acid-based polyesters are one of the most promising materials for achieving plastic replacement in the age of energy and environmental crisis.However,their properties still cannot compete with those of petrochemical-based plastics,owing to insufficient molecular and/or microstructure designs.Herein,we utilize the Ti_(3)C_(2)T_(x)-based MXene nanosheets for decorating carbon nanotube(CNT)and obtaining the structurally stable and highly dispersed dendritic heterostructured MXene@CNT,that can act as multi-roles,i.e.,polycondensation catalyst,crystal nucleator,and interface enhancer of polyester.The biobased MXene@CNT/polybutylene furandicarboxylate(PBF)(denoted as MCP)nanocomposites are synthesized by the strategy of“in situ catalytic polymerization and hot-pressing”.Benefiting from the multi-scale interactions(i.e.,covalent bonds,hydrogen bonds,and physical interlocks)in hybrid structure,the MCP presents exceptional mechanical strength(≈101 MPa),stiffness(≈3.1 GPa),toughness(≈130 MJ m^(-3)),and barrier properties(e.g.,O_(2)0.0187 barrer,CO_(2)0.0264 barrer,and H2O 1.57×10^(-14) g cm cm^(-2) s Pa)that are higher than most reported bio-based materials and engineering plastics.Moreover,it also displays satisfactory multifunctionality with high reprocessability(90%strength retention after 5 recycling),UV resistance(blocking 85%UVA rays),and solvent-resistant properties.As a state-of-art high-performance and multifunctional material,the novel bio-based MCP nanocomposite offers a more sustainable alternative to petrochemical-based plastics in packaging and engineering material fields.More importantly,our catalysis-interfacial strengthening integration strategy opens a door for designing and constructing high-performance bio-based polyester materials in future.
文摘Aimed at the problem of stochastic routings for reprocessing operations and highly variable processing times,an open queuing network is utilized to model a typical reprocessing system.In the model,each server is subject to breakdown and has a finite buffer capacity,while repair times,breakdown times and service time follow an exponential distribution.Based on the decomposition principle and the expansion methodology,an approximation analytical algorithm is proposed to calculate the mean reprocessing time,the throughput of each server and other parameters of the processing system.Then an approach to determining the quality of disassembled parts is suggested,on the basis of which the effect of parts quality on the performance of the reprocessing system is investigated.Numerical examples show that there is a negative correlation between quality of parts and their mean reprocessing time.Furthermore,marginal reprocessing time of the parts decrease with the drop in their quality.
文摘The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to improve compliance, and recent developments and advances in the field.
基金Ministry of Defense-Medical Affairs Bureau,Tri-Service General Hospital,No.TSGH-D-109182.
文摘BACKGROUND Patient-ready duodenoscopes were designed with an assumed contamination rate of less than 0.4%;however,it has been reported that 5.4%of clinically used duodenoscopes remain contaminated with viable high-concern organisms despite following the manufacturer’s instructions.Visual inspection of working channels has been proposed as a quality control measure for endoscope reprocessing.There are few studies related to this issue.AIM To investigate the types,severity rate,and locations of abnormal visual inspection findings inside patient-ready duodenoscopes and their microbiological significance.METHODS Visual inspections of channels were performed in 19 patient-ready duodenoscopes using the SpyGlass visualization system in two endoscopy units of tertiary care teaching hospitals(Tri-Service General Hospital and National Taiwan University Hospital)in Taiwan.Inspections were recorded and reviewed to evaluate the presence of channel scratches,buckling,stains,debris,and fluids.These findings were used to analyze the relevance of microbiological surveillance.RESULTS Seventy-two abnormal visual inspection findings in the 19 duodenoscopes were found,including scratches(n=10,52.6%),buckling(n=15,78.9%),stains(n=14,73.7%),debris(n=14,73.7%),and fluids(n=6,31.6%).Duodenoscopes>12 mo old had a significantly higher number of abnormal visual inspection findings than those≤12 mo old(46 findings vs 26 findings,P<0.001).Multivariable regression analyses demonstrated that the bending section had a significantly higher risk of being scratched,buckled,and stained,and accumulating debris than the insertion tube.Debris and fluids showed a significant positive correlation with microbiological contamination(P<0.05).There was no significant positive Spearman’s correlation coefficient between negative bacterial cultures and debris,between that and fluids,and the concomitance of debris and fluids.This result demonstrated that the presence of fluid and debris was associated with positive cultures,but not negative cultures.Further multivariate analysis demonstrated that fluids,but not debris,is an independent factor for bacterial culture positivity.CONCLUSION In patient-ready duodenoscopes,scratches,buckling,stains,debris,and fluids inside the working channel are common,which increase the microbiological contamination susceptibility.The SpyGlass visualization system may be recommended to identify suboptimal reprocessing.
基金This study was funded by the National Natural Science Foundation of China (No.30872175,No.81573236).
文摘The high rate of relapse among heroin users remains a significant public concern in China. In the present study, we utilized a Motivation-Skill-Desensitization-Mental Energy (MSDE) intervention and evaluated its effects on abstinence and mental health. Eighty-nine male heroin users in a drug rehabilitation center were enrolled in the study. The participants in the MSDE intervention group (n=46) received MSDE intervention, which included motivational interviewing, coping skills training, eye movement desensitization and reprocessing, and mindfulness-based psychotherapy. The participants in the control group (h=43) received a series of lectures on skills training. A significant increase in Contemplation Ladder score (P<0.001) and decreases in scores on the Obsessive Compulsive Drug Use Scale (P<0.001), Beck Depression Inventory (P<0.001), and Aggression Questionnaire (P=O.O33) were found immediately after intervention. Compared to the control group, the MSDE intervention group reported significantly higher abstinence rates (P=0.027) and retention rates (P<0.001) at follow-up. Overall, the MSDE intervention, which uses a combined strategy for relapse prevention, could be a promising approach for preventing relapse among heroin users in China.
基金Project supported by Ministry of Industry and Trade of the Czech Republic
文摘The electrochemical behaviour of samarium was investigated in LiF-BeF2 system on an inert （Mo） electrode by cyclic voltammetry and chronopotentiometry at 804, 833, 847 and 872 K. Redox process Sm3＋＋e–→Sm2＋ was recognized and analysed. Cyclic voltammetry data suggested that at potential sweep rates lower than 0.25 V/s, the reduction was limited by the diffusion of Sm3＋ ions. It was not possible to observe reduction process of Sm2＋＋2e–→Sm0 due to insufficient electrochemical stability of LiF-BeF2. Diffusion coefficients of Sm3＋ ions in LiF-BeF2 were calculated from voltammetric and chronopotentiometric data in the temperature range 804–872 K. Diffusion coefficient values obeyed Arrhenius law. Activation energy was calculated to be 102.5 kJ/mol.
基金Project supported by European Community’s Horizon 2020Program [H2020/2014-2019] under grant Agreement No.674973(MSCA-ETN DEMETER)
文摘The dependence of the magnetic properties on the particle size of recycled HDDR Nd-Fe-B powders was investigated,with the aim to assess the reprocessing potential of the end-of-life scrap magnets via spark plasma sintering(SPS).The as received recycled HDDR powder has coercivity(Hci)=830 kA/m and particles in the range from 30 to 700 μm(average 220 μm).After burr milling,the average particle size is reduced to 120 μm and subsequently the Hci of fine(milled) powder was 595 kA/m.Spark plasma sintering was exploited to consolidate the nanograined HDDR powders and limit the abnormal grain coarsening.The optimal SPS-ing of coarse HDDR powder at 750℃for 1 min produces fully dense magnets with Hci=950±100 kA/m which further increases to 1200 kA/m via thermal treatment at 750℃for 15 min.The burr milled fine HDDR powder under similar SPS conditions and after thermal treatment results in Hci=940 kA/m.The fine powder is further sieved down from 630 to less than 50 μm mesh size,to evaluate the possible reduction in Hci in relation to the particle size.The gain in oxygen content doubles for <50 μm sized particles as compared with coarser fractions(>200 μm).The XRD analysis for fractionated powder indicates an increase in Nd2O3 phase peaks in the finer(<100 μm)fractions.Similarly,the Hci reduces from 820 kA/m in the coarse particles(>200 μm) to 460 kA/m in the fine sized particles(<100μm).SPS was done on each HDDR powder fraction under the optimal conditions to measure the variation in Hci and density.The Hci of SPS-ed coarse fraction(>200 μm) is higher than 930 kA/m and it falls abruptly to just 70 kA/m for the fine sized particles(<100 μm).The thermal treatment further improves the Hci to>1000 kA/m only up to 100 μm sized fractions with>90% sintered density.The full densification(>99%) is observed only in the coarse fractions.The loss of coercivity and lack of sinterability in the fine sized particles(<100 μm) are attributed to a very high oxygen content.This implies that during recycling,if good magnetic properties are to be maintained or even increase the HDDR powder particles can be sized down only up to≥100 μm.
基金Funded by the Sciences and Technology Bureau of Yulin City (No. 2006YL100-06)
文摘To use fly ash and coal waste effectively, the current technologies for reprocessing and recycling these wastes into eco-building materials were reviewed, such as utilizing fly ash as the component of fly ash cement and low heat cement after the processes of separation, removal of carbon remains and fine comminution, calcining coal waste into kaolin and meta-kaolin with suspension technology, and preparing clinkerless alkali-activated geopolymer materials with fly ash and meta-kaolin.
基金supported by the Institute of Crustal Dynamics Fund(ZDJ2009-01)National Natural Science Foundation of China(41104001)
文摘Global Positioning System data processing is affected by many non-tectonic factors, including the common-mode errors （CME） in station-position time series. The characteristics and origins of CME are still not clear, due to uneven distribution of global GPS networks and the lack of reliable data of the position time series. In this work, data from 241 continuous GPS stations were reprocessed in a consistent way and the results were compared with those generated at Jet Propulsion Laboratory （JPL）. Improvements of residual positions were obtained for many low-quality stations, especially those located in Asia and Australia.
基金supported by the Chinese TMSR Strategic Pioneer Science and Technology Project (No.XDA02010000)the Frontier Science Key Program of Chinese Academy of Sciences (No.QYZDY-SSW-JSC016)the Shanghai Sailing Program (No.20YF1457600).
文摘Due to their unique features,such as the inherent safety,simplified fuel cycle,and continuous on-line reprocessing,molten salt reactors(MSRs)are regarded as one of the six reference reactors in the Generation IV International Forum(GEN-IV).Molten chloride salt fast reactors(MCFRs)are a type of MSR.Compared to molten fluoride salt reactors(MFSRs),MCFRs have a higher solubility of heavy metal atoms,a harder neutron spectrum,lower accumulation of fission products(FPs),and better breeding and transmutation performance.Thus,MCFRs have been recognized as a type of MSR with great prospects for future development.However,as the most important feature for MSRs,the effect of different reprocessing modes on MCFRs must be researched in depth.As such,this study investigated the effect of different isotopes,especially FPs,on the neutronic performance of an MCFR,such as its breeding performance.Furthermore,the characteristics of the different reprocessing modes and MCFR rates were analyzed in terms of safety,radioactivity level,neutron economy,and breeding capacity.In the end,a reprocessing method suitable for MCFRs was determined through calculation and analysis,which provides a reference for the further research of MCFRs.
基金West China Nursing Discipline Development Special Fund Project,No.HXHL21029。
文摘BACKGROUND Commonly used cleaning brushes in the reprocessing of flexible endoscopes often cause damage within the working channels.AIM To develop a spray flushing system to achieving effective cleaning of the working channels while minimizing damage.METHODS This prospective study included 60 used endoscopes and 60 Teflon tubes randomly divided into a control group(n=30)and an experimental group(n=30).The material of Teflon tubes was the same as that of the endoscope working channel.Endoscopes in the control group were manually cleaned using traditional cleaning brushes,while those in the experimental group were cleaned using the newly developed spray flushing system.ATP levels,cleanliness,and microbiological testing of the working channels were measured.Additionally,Teflon tubes in the control group underwent 500 passes with a cleaning brush,while those in the experimental group were subjected to the spray flushing system,and channel damage was evaluated.RESULTS The ATP levels(RLU)in the two groups were 32.5(13-66)and 26(16-40),respectively(P>0.05).Cleanliness scores were 1.5(1-2)and 1(1-2),respectively(P>0.05).Debris was found in 73.3%of the control group,which was significantly higher than 46.7%in the experimental group(P<0.05).Microbiological tests for both groups yielded negative results.Teflon tube damage in the control group was rated at 4(4-5.25),which was significantly higher than in the experimental group 4(3-4)(P<0.01).CONCLUSION The spray flushing system demonstrated superior efficacy in removing debris and resulted in less damage to the endoscope working channels compared with traditional cleaning brushes.
基金the National Natural Science Foundation of China(Nos.51973113,51133003,and 21774078).
文摘In this contribution,we reported the preparation of vitrimers by using commodity thermoplastics via post crosslinking with hindered urea bonds(HUBs).First,three hindered urea diisocyanates(HUDIs)were synthesized via the reactions of N,N'-di-tert-butylethylenediamine,N,N'-diethylethylenediamine,and piperazine with isophorone diisocyanate(IPDI).Thereafter,these HUDIs were used as the crosslinking agents to crosslink poly(hydroxyether of bisphenol A)(PH),a commodity thermoplastics.Fourier transform infrared(FTIR)spectroscopy and dynamic mechanical thermal analyses(DMTA)indicated that the PH thermosets were successfully obtained.It was found that the thermosets displayed the behavior of vitrimers.The PH thermosets can be reprocessed at elevated temperature without using catalyst and the mechanical strengths of vitrimers were recovered as high as 95%.The reprocessing properties are attributable to dynamic exchange reaction of hindered urea bonds,contingent on types of hindered urea bonds.
基金the grants from the Natural Science Foundation of China(21706154)the National Key Research and Development Program of China(2017YFB0307903)+1 种基金the Foundation of Key Laboratory of Pulp and Paper Science and Technology of Ministry of Education of China(KF201916)the Natural Science Foundation of Shaanxi Province,China(2019JQ-277).
文摘In this study,an environmentally friendly and non-toxic route to synthesize lignin-based non-isocyanate poly(imine-hydroxyurethane)s networks was explored.Specifically,the NH_(2)-terminated polyhydroxyurethanes(NPHUs)prepolymer was first synthesized from bis(6-membered cyclic carbonate)(BCC)and diamine via the ring-opening reaction.Subsequently,the corresponding ligninbased non-isocyanate polyurethanes(NIPUs)with tunable properties were synthesized from NPHUs and levulinate lignin derivatives containing ketone groups via the Schiff base reaction.The structural,mechanical,and thermal properties of NIPUs with different stoichiometric feed ratios of BCC and levulinate lignin were characterized by Fourier transform infrared spectroscopy(FT-IR),nuclear magnetic resonance(NMR),differential scanning calorimetry(DSC),dynamic mechanical analysis(DMA),and thermogravimetric analysis(TGA).The results indicated that the tensile strength,Young's modulus,toughness,storage modulus,glass transition temperature,and thermal stability of lignin-based NIPUs gradually increased with increasing lignin content,and the highest Young's modulus of 41.1 MPa was obtained when lignin content reached 45.53%.With good reprocessing properties,this synthetic framework of ligninbased NIPUs also provides sustainable non-isocyanate-based substitutions to traditional polyurethane networks.
基金The authors wish to express their gratitude for the grants from the National Key Research and Development Program of China(2017YFB0307903)Natural Science Foundation of China(21706154)Foundation of Key Laboratory of Pulp and Paper Science and Technology of the Ministry of Education of China(KF201916).
文摘This study provides a comprehensive understanding of the polymeric properties of lignin-based non-isocyanate poly(iminehydroxyurethane)s(LNIPUs).The properties of the LNIPUs are affected by changes in the stoichiometric feed ratios of the bis(6-membered cyclic carbonate)(BCC)and levulinate enzymatic hydrolysis lignin(LEHL).The results showed that the LNIPUs exhibited a short relaxation time and excellent thermal repair and degradation properties.With a change in the LEHL content in the LNIPUs to 45.53%,a relaxation time of only 9 s was achieved,and the thermal repair rate of the scratches reached 93%.Furthermore,the tensile strength of the LNIPUs decreased with an increase in the LEHL content after two hot-pressing processes,while a higher than 75% tensile strength was maintained after the second hot-pressing treatment.The LNIPUs exhibited thermoresponsive shape memory property with deformation and shape fixing at 80℃.In addition,the as-synthesized LNIPUs were soluble in ethylene glycol in the absence of any organic solvents.This work demonstrates the synthesis of LNIPUs with self-healing,reprocessing,shape memory,and degradation properties.
文摘Background: Seven patients at a hospital in Houston, TX, were diagnosed during a two-week period in 2009 with joint space infection of pansusceptible P. aeruginosa following arthroscopic procedures of the knee or shoulder. Tosh et al. (2011), who investigated and published the principal report discussing this bacterial outbreak, conclude that its most likely cause was the improper reprocessing of certain reusable, physically-complex, heat-stable arthroscopic instruments used during these arthroscopic procedures. These reusable instruments reportedly remained contaminated with remnant tissue, despite diligent efforts by the hospital to clean their internal structures. This retained bioburden presumably shielded the outbreak’s strain of embedded P. aeruginosa from contact with the pressurized steam, reportedly resulting in ineffective sterilization of these arthroscopic instruments and bacterial transmission. Objectives: First, to clarify which specific sterilization methods, in addition to steam sterilization, Methodist Hospital employed to process its reusable arthroscopic instrumentation at the time of its outbreak, in 2009;second, to evaluate Tosh et al.’s (2011) conclusion that ineffective steam sterilization due to inadequate cleaning was the most likely cause of this hospital’s outbreak;third, to consider whether any other hitherto unrecognized factors could have plausibly contributed to this outbreak;and, fourth, to assess whether any additional recommendations might be warranted to prevent disease transmission following arthroscopic procedures. Methods: The medical literature was reviewed;some of the principles of quality assurance, engineering and a root-cause analysis were employed;and Tosh et al.’s (2011) findings and conclusions were reviewed and compared with those of other published reports that evaluated the risk of disease transmission associated with the steam sterilization of physically-complex, heat-stable, soiled surgical instruments. Results and Conclusion: Reports documenting outbreaks of P. aeruginosa or another vegetative bacterium associated with the steam sterilization of inadequately cleaned surgical or arthroscopic instruments are scant. This finding—coupled with a number of published studies demonstrating the effective steam sterilization of complex instruments contaminated with vegetative bacteria mixed with organic debris, or, in one published series of tests, with resistant bacterial endospores coated with hydraulic fluid—raises for discussion whether Methodist Hospital’s outbreak might have been due to one or more factors other than, or in addition to, that which Tosh et al. (2011) conclude was its most likely cause. An example of such a factor not ruled out by Tosh et al. (2011) findings would be the re-contamination of the implicated arthroscopic instruments after sterilization. The specific methods that Methodist Hospital employed at the time of its outbreak to sterilize some of its arthroscopic instrumentation remain unclear. A number of additional recommendations are provided to prevent disease transmission following arthroscopic procedures.
文摘Background:We investigated the procedures used by medical institutions in Guangdong Province for reprocessing ophthalmic surgical instruments and analyzed the problems identified in order to improve the quality of cleaning medical instruments and its management.Methods:The reprocessing of ophthalmic surgical instruments was investigated in 72 hospitals in Guangdong Province using a questionnaire designed for this purpose.Results:Ophthalmic surgical instruments underwent centralized reprocessing in the disinfection and supply centers in 50%of the 72 hospitals.Cataract phacoemulsification surgery was the main ophthalmic surgery performed in 94%of the 72 hospitals.The main reasons for using centralized reprocessing were an insufficient supply of ophthalmic surgical instruments,short turnaround times between surgeries,and the high cost of losing these precise and fragile instruments.Manual processing was the predominant method of reprocessing ophthalmic surgical instruments;enzyme detergents were used in 63.89%of the hospitals;and 48.61%of the hospitals used N-model small pressure-steam sterilizers for the ophthalmic surgical instruments.Conclusions:In order to improve the quality and management of the cleaning of medical instruments,and guarantee high-quality medical care,the following measures are recommended.Centralized management of ophthalmic surgical instruments should be based on the instruments’characteristics.Pay more attention to reprocessing site locations and staff training.Choose detergents based on manufacturers’instructions for use with specific instruments.Increase the number of available ophthalmic instruments in accordance with their demand and select appropriate small pressure-steam sterilizers.
