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
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
Within the concept of sustainable construction, with sensible and conscious use of finite natural resources, every effort to save and reuse raw-materials is considered an important step to be adopted in buildings, fro...Within the concept of sustainable construction, with sensible and conscious use of finite natural resources, every effort to save and reuse raw-materials is considered an important step to be adopted in buildings, from project, implantation and construction to operation and maintenance throughout their lifecycle. This study aims at showing the application of a system that reuses condensed water drained from air-conditioner evaporators (which are usually disposed of), and a plan to use this water for toilet flushing, reducing consumption of treated water bought from water companies. The authors verified that each air-conditioner specified in the project of a commercial building--used as reference here--produces 4.8 L of water per hour of operation. This result in a daily accumulated volume of 4,290 L, which represents a significant part of the amount needed to supply all the toilets in the building. A water capture system located at a strategic intermediate floor would be able to store this water and pump it into a special reservoir on the roof of the building, to be distributed into toilet flush pipes. By applying this technology, the authors seek to considerably reduce the expected treated water consumption and consequently decrease water bill costs.展开更多
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.
文摘Within the concept of sustainable construction, with sensible and conscious use of finite natural resources, every effort to save and reuse raw-materials is considered an important step to be adopted in buildings, from project, implantation and construction to operation and maintenance throughout their lifecycle. This study aims at showing the application of a system that reuses condensed water drained from air-conditioner evaporators (which are usually disposed of), and a plan to use this water for toilet flushing, reducing consumption of treated water bought from water companies. The authors verified that each air-conditioner specified in the project of a commercial building--used as reference here--produces 4.8 L of water per hour of operation. This result in a daily accumulated volume of 4,290 L, which represents a significant part of the amount needed to supply all the toilets in the building. A water capture system located at a strategic intermediate floor would be able to store this water and pump it into a special reservoir on the roof of the building, to be distributed into toilet flush pipes. By applying this technology, the authors seek to considerably reduce the expected treated water consumption and consequently decrease water bill costs.