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1.
Air Med J ; 40(1): 54-59, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33455627

RESUMO

OBJECTIVE: The aeromedical transport of coronavirus patients presents risks to clinicians and aircrew. Patient positioning and physical barriers may provide additional protection during flight. This paper describes airflow testing undertaken on fixed wing and rotary wing aeromedical aircraft. METHODS: Airflow testing was undertaken on a stationary Hawker Beechcraft B200C and Leonardo Augusta Westland 139. Airflow was simulated using a Trainer 101 (MSS Professional A/S, Odense Sø, Syddanmark, Denmark) Smoke machine. Different cabin configurations were used along with variations in heating, cooling, and ventilation systems. RESULTS: For the Hawker Beechcraft B200C, smoke generated within the forward section of the cabin was observed to fill the cabin to a fluid boundary located in-line with the forward edge of the cargo door. With the curtain closed, smoke was only observed to enter the cockpit in very small quantities. For the Leonardo AW139, smoke generated within the cabin was observed to expand to fill the cabin evenly before dissipating. With the curtain closed, smoke was observed to enter the cockpit only in small quantities CONCLUSION: The use of physical barriers in fixed wing and rotary wing aeromedical aircraft provides some protection to aircrew. Optimal positioning of the patient is on the aft stretcher on the Beechcraft B200C and on a laterally orientated stretcher on the AW139. The results provide a baseline for further investigation into methods to protect aircrew during the coronavirus pandemic.


Assuntos
Resgate Aéreo , Ar Condicionado/métodos , Movimentos do Ar , COVID-19/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Ventilação/métodos , Ar Condicionado/instrumentação , COVID-19/transmissão , Humanos , Ventilação/instrumentação
2.
Ann Ig ; 33(4): 381-392, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33270076

RESUMO

Abstract: Many of the devastating pandemics and outbreaks of last centuries have been caused by enveloped viruses. The recent pandemic of Coronavirus disease 2019 (COVID-19) has seriously endangered the global health system. In particular, hospitals have had to deal with a frequency in the emergency room and a request for beds for infectious diseases never faced in the last decades. It is well-known that hospitals are environments with a high infectious risk. Environmental control of indoor air and surfaces becomes an important means of limiting the spread of SARS-CoV-2. In particular, to preserve an adequate indoor microbiological quality, an important non-pharmacological strategy is represented by Heating, Ventilation and Air Conditioning (HVAC) systems and finishing materials. Starting from the SARS-CoV-2 transmission routes, the paper investigates the hospital risk analysis and management, the indoor air quality and determination of microbial load, surface management and strategies in cleaning activities, HVAC systems' management and filters' efficiency. In conclusion, the paper suggests some strategies of interventions and best practices to be taken into considerations for the next steps in design and management.


Assuntos
Microbiologia do Ar , Poluição do Ar em Ambientes Fechados , COVID-19/prevenção & controle , Instalações de Saúde , Pandemias , SARS-CoV-2/isolamento & purificação , Ar Condicionado , COVID-19/transmissão , Materiais de Construção , Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Contaminação de Equipamentos , Desenho de Equipamento , Filtração/instrumentação , Filtração/métodos , Calefação , Arquitetura Hospitalar , Humanos , Material Particulado , Medição de Risco , Ventilação/instrumentação
3.
J Cardiovasc Electrophysiol ; 31(8): 1901-1903, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32445421

RESUMO

During coronavirus disease-2019 (COVID-19) pandemic, there continues to be a need to utilize cardiac catheterization and electrophysiology laboratories for emergent and urgent procedures. Per infection prevention guidelines and hospital codes, catheterization and electrophysiology laboratories are usually built as positive-pressure ventilation rooms to minimize the infection risk. However, patients with highly transmissible airborne diseases such as COVID-19 are best caredfor in negative ventilation rooms to minimize the risk of transmission. From a mechanical and engineering perspective, positive-pressure ventilation rooms cannot be readily converted to negative-pressure ventilation rooms. In this report, we describe a novel, quick, readily implantable, and resource-friendly approach on how to secure air quality in catheterization and electrophysiology laboratories by converting a positive-pressure ventilation room to a two-zone negative ventilation system to minimize the risk of transmission.


Assuntos
COVID-19/prevenção & controle , Cateterismo Cardíaco , Controle de Infecções/normas , Ventilação/instrumentação , Pressão do Ar , Ambiente Controlado , Arquitetura Hospitalar , Humanos , Pandemias , SARS-CoV-2
4.
Indoor Air ; 29(3): 390-402, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30624800

RESUMO

Analysis of the dust from heating, ventilation, and air conditioning (HVAC) filters is a promising long-term sampling method to characterize airborne particle-bound contaminants. This filter forensics (FF) approach provides valuable insights about differences between buildings, but does not allow for an estimation of indoor concentrations. In this investigation, FF is extended to quantitative filter forensics (QFF) by using measurements of the volume of air that passes through the filter and the filter efficiency, to assess the integrated average airborne concentrations of total fungal and bacterial DNA, 36 fungal species, endotoxins, phthalates, and organophosphate esters (OPEs) based on dust extracted from HVAC filters. Filters were collected from 59 homes located in central Texas, USA, after 1 month of deployment in each summer and winter. Results showed considerable differences in the concentrations of airborne particle-bound contaminants in studied homes. The airborne concentrations for most of the analytes are comparable with those reported in the literature. In this sample of homes, the HVAC characterization measurements varied much less between homes than the variation in the filter dust concentration of each analyte, suggesting that even in the absence of HVAC data, FF can provide insight about concentration differences for homes with similar HVAC systems.


Assuntos
Filtros de Ar/microbiologia , Poluição do Ar em Ambientes Fechados/análise , Poeira/análise , Monitoramento Ambiental/métodos , Ar Condicionado/instrumentação , Microbiologia do Ar , DNA Bacteriano/análise , Endotoxinas/análise , Fungos/isolamento & purificação , Calefação/instrumentação , Habitação , Humanos , Organofosfatos/análise , Ácidos Ftálicos/análise , Estações do Ano , Texas , Ventilação/instrumentação
5.
J Dairy Sci ; 102(1): 896-908, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30343928

RESUMO

The objectives were to compare capital costs of building and installation of 7 ventilation systems for adult lactating dairy cow housing and evaluate the energy use and operating cost between systems. A cost model comprising stochastic and parametric modules was created to estimate the number of fans operating each day based on temperature set points; annual profiles of daily maximum, minimum, and average temperatures; ramping functions to transition between seasons; and weather data from 7 locations in the United States. Costs were described as US$ per stall per year and operating costs as US$ (kW·h) per stall per year. Building costs amoritized over 10 yr ranged from $246 to $318, where a 16-row cross-ventilated design had the minimum cost and a hybrid design incorporating elements of tunnel and natural ventilation had the maximum cost. Lowering the summer temperature set point from 22.2 to 18.0°C to potentially improve heat abatement for high-producing cows increased cost by $10.10 (101.0 kW·h). On average, an exponential ramping function for transitioning between seasons cost $55.40 (554 kW·h) compared with $61.40 (614 kW·h) for a linear function. A tunnel barn ranged from $79.40 (794 kW·h) to $212.30 (2123 kW·h), and a natural design ranged from $32.60 (326 kW·h) to $81.80 (818 kW·h) in operating costs due to fan selection alone. Cross-ventilated barns benefitted from economies of scale and had similar operating costs as naturally ventilated barns in larger facilities. On average, mechanical systems cost twice as much to operate as natural systems, and operating costs in hotter US climates were approximately double those in milder climates. Selecting a fan with low energy efficiency can increase the operating cost of any ventilation system approximately 2-fold, making fan choice a critical design element.


Assuntos
Criação de Animais Domésticos/economia , Bovinos/fisiologia , Abrigo para Animais/economia , Ventilação/economia , Ar Condicionado/economia , Criação de Animais Domésticos/instrumentação , Criação de Animais Domésticos/métodos , Animais , Bovinos/crescimento & desenvolvimento , Feminino , Lactação , Masculino , Estações do Ano , Temperatura , Ventilação/instrumentação , Ventilação/métodos
6.
Sensors (Basel) ; 19(23)2019 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-31766452

RESUMO

This work proposes adapting an existing sensor and embedding it on mannequins used in cardiopulmonary resuscitation (CPR) training to accurately measure the amount of air supplied to the lungs during ventilation. Mathematical modeling, calibration, and validation of the sensor along with metrology, statistical inference, and spirometry techniques were used as a base for aquiring scientific knowledge of the system. The system directly measures the variable of interest (air volume) and refers to spirometric techniques in the elaboration of its model. This improves the realism of the dummies during the CPR training, because it estimates, in real-time, not only the volume of air entering in the lungs but also the Forced Vital Capacity (FVC), Forced Expiratory Volume (FEVt) and Medium Forced Expiratory Flow (FEF20-75%). The validation of the sensor achieved results that address the requirements for this application, that is, the error below 3.4% of full scale. During the spirometric tests, the system presented the measurement results of (305 ± 22, 450 ± 23, 603 ± 24, 751 ± 26, 922 ± 27, 1021 ± 30, 1182 ± 33, 1326 ± 36, 1476 ± 37, 1618 ± 45 and 1786 ± 56) × 10-6 m3 for reference values of (300, 450, 600, 750, 900, 1050, 1200, 1350, 1500, 1650 and 1800) × 10-6 m3, respectively. Therefore, considering the spirometry and pressure boundary conditions of the manikin lungs, the system achieves the objective of simulating valid spirometric data for debriefings, that is, there is an agreement between the measurement results when compared to the signal generated by a commercial spirometer (Koko brand). The main advantages that this work presents in relation to the sensors commonly used for this purpose are: (i) the reduced cost, which makes it possible, for the first time, to use a respiratory volume sensor in medical simulators or training dummies; (ii) the direct measurement of air entering the lung using a noninvasive method, which makes it possible to use spirometry parameters to characterize simulated human respiration during the CPR training; and (iii) the measurement of spirometric parameters (FVC, FEVt, and FEF20-75%), in real-time, during the CPR training, to achieve optimal ventilation performance. Therefore, the system developed in this work addresses the minimum requirements for the practice of ventilation in the CPR maneuvers and has great potential in several future applications.


Assuntos
Reanimação Cardiopulmonar/instrumentação , Pulmão/fisiologia , Espirometria/instrumentação , Espirometria/métodos , Idoso , Retroalimentação , Humanos , Masculino , Manequins , Testes de Função Respiratória/métodos , Volume de Ventilação Pulmonar/fisiologia , Ventilação/instrumentação , Capacidade Vital/fisiologia
7.
Indoor Air ; 28(6): 852-865, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29981175

RESUMO

Enhanced soiling on the surfaces around air supply nozzles due to particle deposition is frequently observed in commercial airliners. The problem is worsened by severe outdoor air pollution and flight delays in China. The particles in an aircraft cabin originate from both outdoor and in-cabin sources. This study conducted measurements on multiple commercial flights to obtain particle emission rates from in-cabin sources. Additional experiments on a retired MD-82 airplane provided justification of the in-flight measurements. The in-cabin sources emitted more particles during boarding/deplaning than during meal servicing and sitting. The average PM2.5 emission rates were 7.2, 2.6, 1.9, and 1.8 (µg/min per person), respectively, during the boarding/deplaning, sitting on the ground, sitting in the air, and meal servicing. The corresponding PM10 emission rates were 15.4, 6.1, 5.3, and 5.4 (µg/min per person), respectively, for these four periods. The average particle emission rate from in-cabin sources varied seasonally and was the highest in winter. With the measured data, this investigation used a CFD model to predict the accumulation of particles deposited around the nozzles of an airplane, taking into account the flight routes and the outdoor particle concentrations at the airports where the airplanes were parked. For the most polluted airplane in China, the dirty spots/areas around the nozzles inside the airplane became visible after 6 months. The method proposed in this study can be used for any commercial airplane to predict the accumulation of particles deposited around the air supply nozzles.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar em Ambientes Fechados/análise , Aeronaves , Monitoramento Ambiental/métodos , Ventilação/instrumentação , Algoritmos , China
8.
Indoor Air ; 28(6): 806-817, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30171727

RESUMO

A full-scale ventilation duct ultraviolet germicidal irradiation (in-duct UVGI) system was designed to investigate its disinfection efficacy on five airborne pathogens: Serratia marcescens, Pseudomonas alcaligenes, Escherichia coli, Salmonella enterica, and Staphylococcus epidermidis, with airflow Reynolds numbers from 4 × 104 to 8 × 104 . By varying the UV intensity, the susceptibility constants (Z-values) of the bacteria were experimentally determined to be 1.2, 1.0, 0.60, 0.39, and 0.37 m2 /J for S. marcescens, P. alcaligenes, E. coli, S. enterica, and S. epidermidis, respectively. The disinfection efficacy was numerically investigated on the basis of the predicted irradiance, which included emissive irradiance and diffuse refection irradiance. The results suggest that it is vital to properly evaluate the UV dose (irradiance intensity) received by airborne bacteria to determine their Z-values. In-duct UVGI inactivated nearly all of the test bacteria with Reynolds numbers of 4 × 104 (inlet velocity = 3 m/s), and the disinfection efficacy decreased as Reynolds numbers increased. The in-duct UVGI system would potentially provide a supplementary solution for improving indoor air quality (IAQ) within mechanical ventilated/air-conditioned environment.


Assuntos
Desinfecção/métodos , Controle de Infecções/métodos , Raios Ultravioleta , Ventilação/instrumentação , Ventilação/métodos , Poluição do Ar em Ambientes Fechados , Bactérias/efeitos dos fármacos , Resultado do Tratamento
9.
Indoor Air ; 28(3): 360-372, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29288500

RESUMO

High-efficiency particulate air (HEPA) filtration in combination with an electrostatic precipitator (ESP) can be a cost-effective approach to reducing indoor particulate exposure, but ESPs produce ozone. The health effect of combined ESP-HEPA filtration has not been examined. We conducted an intervention study in 89 volunteers. At baseline, the air-handling units of offices and residences for all subjects were comprised of coarse, ESP, and HEPA filtration. During the 5-week long intervention, the subjects were split into 2 groups, 1 with just the ESP removed and the other with both the ESP and HEPA removed. Each subject was measured for cardiopulmonary risk indicators once at baseline, twice during the intervention, and once 2 weeks after baseline conditions were restored. Measured indoor and outdoor PM2.5 and ozone concentrations, coupled with time-activity data, were used to calculate exposures. Removal of HEPA filters increased 24-hour mean PM2.5 exposure by 38 (95% CI: 31, 45) µg/m3 . Removal of ESPs decreased 24-hour mean ozone exposure by 2.2 (2.0, 2.5) ppb. No biomarkers were significantly associated with HEPA filter removal. In contrast, ESP removal was associated with a -16.1% (-21.5%, -10.4%) change in plasma-soluble P-selectin and a -3.0% (-5.1%, -0.8%) change in systolic blood pressure, suggesting reduced cardiovascular risks.


Assuntos
Filtros de Ar , Poluição do Ar em Ambientes Fechados/análise , Precipitação Fracionada/instrumentação , Material Particulado/análise , Eletricidade Estática , Ventilação/instrumentação , Adulto , Poluição do Ar em Ambientes Fechados/efeitos adversos , Biomarcadores/sangue , Pressão Sanguínea , Feminino , Voluntários Saudáveis , Habitação , Humanos , Masculino , Pessoa de Meia-Idade , Ozônio/efeitos adversos , Ozônio/análise , Selectina-P/sangue , Material Particulado/efeitos adversos , Ventilação/métodos , Adulto Jovem
10.
J Arthroplasty ; 33(3): 851-855, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29174409

RESUMO

BACKGROUND: Strategies to prevent bacterial fallout and reduce particle count in the operating room (OR) are key components of preventing periprosthetic joint infection. Although OR traffic control is an important factor, a quantitative study has not been performed to investigate the influence of personnel and door opening on OR air quality. This simulated study aimed to examine the influence of these 2 factors on particle density in OR with and without the laminar air flow (LAF). METHODS: Both experiments took place within an empty OR of an arthroplasty unit equipped with an LAF system. First, the number of particles in the air was counted using a particle counting apparatus while 9 persons entered the room, one every 15 minutes. Second, the door was opened and closed starting with zero door openings per minute and increasing to 4 in 15-minute increments. Both experiments were performed once with the LAF turned on and once without. RESULTS: The number of personnel in the OR and the number of door openings per minute correlate with the density of particles. Both relationships were significantly reduced by turning the LAF on (correlation coefficients <0.4). With the LAF being turned on, the particle density per person decreased from 211.19 to 18.19 particles/ft3 (P < .001) and the particle density per rate of door openings declined from 117.80 to 1.90 particles/ft3 (P = .017). CONCLUSION: This study confirms that personnel and door opening are a major source of particles in the OR air. Controlling traffic is critical for reduction of particles and is likely to be a key preventative strategy in reducing periprosthetic joint infection. LAF is protective against the negative influence of number of people and door openings.


Assuntos
Poluentes Atmosféricos/análise , Artroplastia/instrumentação , Artroplastia/métodos , Monitoramento Ambiental , Salas Cirúrgicas , Infecção da Ferida Cirúrgica/prevenção & controle , Aerossóis , Microbiologia do Ar , Movimentos do Ar , Poluição do Ar , Artroplastia de Substituição , Simulação por Computador , Ambiente Controlado , Humanos , Material Particulado , Ventilação/instrumentação
11.
J Occup Environ Hyg ; 15(10): 715-731, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30024838

RESUMO

A cone hood is an efficient device for capturing dust releases generated by a variety of process equipment. For stationary airflow conditions, a circular cone hood with a round flange is the most efficient design. The goal of this article is to determine the effect that inflow velocity, suction velocity, and terminal settling velocity of dust particles have on the aspiration coefficient in combination with hood length and inclination angle. No studies have yet addressed the efficiency of an exhaust hood facing an updraft flow of air with suspended dust particles. To simulate the moving fluid, we used the discrete vortices method accounting for flow separation at sharp edges of the cone hood. A custom test bench was built to validate the velocity field distribution around the exhaust hood. To evaluate capture efficiency, we determined the aspiration coefficient using plotted limiting trajectories of dust particles by solving equations of particle dynamics numerically in view of gravity and streamlining airflow patterns. In order to validate our estimate of the aspiration coefficient, we compared our findings with regularities identified by earlier researchers for a simpler problem of dust-air mixture approaching a circular exhaust opening. The following conditions were considered: the ratio of updraft velocity to the exhaust hood suction velocity varying between 0.01 and 0.5; the ratio of dust particle terminal velocity to the suction velocity varying between 0.000625 and 0.2; flange angle varying between 0° and 90°; and the ratio of flange length to the exhaust opening radius varying between 1 and 4. Using regularities discovered by us, exhaust hood designs can be tailored to a variety of application conditions in terms of dust release capture efficiency.


Assuntos
Poeira/prevenção & controle , Ventilação/instrumentação , Movimentos do Ar , Poluentes Ocupacionais do Ar , Simulação por Computador , Desenho de Equipamento
12.
J Occup Environ Hyg ; 15(2): 125-132, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29157142

RESUMO

Capture hoods are an important component of a local ventilation system designed to reduce exposures to airborne contaminants. The velocity at any point along the centerline of the hood (Vx) is currently estimated using one of many predictive equations developed since the 1930s. It is unproven that those predictive equations for Vx are accurate, despite the prodigious number of studies concerning them. Among other issues, almost all experimental verifications were conducted for conditions that were either unrealistically ideal without competing air currents (e.g., zero cross draft) or were not described. This study measured values of Vx along the midline using Particle Image Velocimetry (PIV) at distances of 1-14 inches in front of a rectangular capture hood. The experiments were conducted in a large wind tunnel (9' × 12' × 40', H × W × L) using a heated, breathing, anthropomorphically sized manikin. Three 0 degree draft velocities (Vdraft = 4, 14, and 50 ft/min) were tested, all directed toward the hood face and the back of the manikin (if present). For each value of Vdraft, the velocity fields were measured in a factorial design with and without the manikin, and with and without a worktable underneath the hood. An ideal condition was represented by a freestanding hood at the 4 fpm draft. Nonideal conditions included the presence of a worktable or manikin, and the combination of table and manikin. Each condition was tested at the three levels of Vdraft. The experimental results found significant effects (p < 0.001) for Vdraft, the presence of the manikin, the presence of the worktable, and all combinations of those factors. The effects of the independent variables were most pronounced at distances greater than 10 in (25.4 cm) from the hood face. It is concluded that none of the previously published models accurately predicted Vx under the realistic conditions tested in this study. A satisfactory model will have to include terms for Vdraft and the presence of a worktable and a worker.


Assuntos
Movimentos do Ar , Material Particulado , Ventilação/instrumentação , Desenho de Equipamento , Manequins , Modelos Teóricos , Exposição Ocupacional/análise , Exposição Ocupacional/prevenção & controle
13.
J Occup Environ Hyg ; 15(4): 322-333, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29341853

RESUMO

The inclined air-curtain (IAC) fume hood has been reported to have "almost null leakage"[1] at low suction flow rates when operated at regular temperatures. However, previous research has not investigated the performance or optimized operating parameters when a high heat load is used in the IAC fume hood. For the present work, the effects of a high heat load on the flow field and contaminant leakage characteristics of the IAC fume hood were examined. The heat load was supplied to an IAC hood according to the standard method of EN14175-7:2012. The laser-assisted smoke flow visualization technique was employed to identify the characteristic flow patterns. The standard tracer-gas concentration test method (EN14175-3:2003) was used to examine the leakage levels of the IAC fume hood under static conditions, sash movement, and simulated walk-by conditions. When the IAC fume hood was operated at a high heat load, the static test results showed negligibly small leakage levels at a face velocity greater than or equal to only 0.19 m/s (37.4 ft/min). The sash movement and simulated walk-by test results showed that to obtain negligibly small leakage levels at high heat load operation, the IAC fume hood required a face velocity greater than or equal to 0.32 m/s (63 ft/min). In addition, the IAC fume hood exhibited a superior hood containment performance with low energy consumption when compared with conventional fume hoods operated at a high heat load.


Assuntos
Ventilação/instrumentação , Movimentos do Ar , Poluição do Ar em Ambientes Fechados/prevenção & controle , Desenho de Equipamento , Temperatura Alta , Exposição Ocupacional/prevenção & controle
14.
J Occup Environ Hyg ; 15(12): 810-817, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30193088

RESUMO

Continuous and intermittent exposure to noise elevates stress, increases blood pressure, and disrupts sleep among patients in hospital intensive care units. The purpose of this study was to determine the effectiveness of a behavior-based intervention to reduce noise and to identify determinants of noise in a medical intensive care unit. Staff were trained for 6 weeks to reduce noise during their activities in an effort to keep noise levels below 55 dBA during the day and below 50 dBA at night. One-min noise levels were logged continuously in patient rooms 8 weeks before and after the intervention. Noise levels were compared by room position, occupancy status, and time of day. Noise levels from flagged days (>60 dBA for >10 hr) were correlated with activity logs. The intervention was ineffective, with noise frequently exceeding project goals during the day and night. Noise levels were higher in rooms with the oldest heating, ventilation, and air-conditioning system, even when patient rooms were unoccupied. Of the flagged days, the odds of noise over 60 dBA occurring was 5.3 dBA higher when high-flow respiratory support devices were in use compared to times with low-flow devices in use (OR = 5.3, 95% CI = 5.0-5.5). General sources, like the heating, ventilation, and air-conditioning system, contribute to high baseline noise and high-volume (>10 L/min) respiratory-support devices generate additional high noise (>60 dBA) in Intensive Care Unit patient rooms. This work suggests that engineering controls (e.g., ventilation changes or equipment shielding) may be more effective in reducing noise in hospital intensive care units than behavior modification alone.


Assuntos
Unidades de Terapia Intensiva/normas , Ruído/prevenção & controle , Ventiladores Mecânicos/normas , Ar Condicionado/instrumentação , Monitoramento Ambiental , Calefação/instrumentação , Humanos , Iowa , Quartos de Pacientes/normas , Recursos Humanos em Hospital/educação , Ventilação/instrumentação
15.
J Occup Environ Hyg ; 14(11): D173-D178, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28825873

RESUMO

This article presents an intelligent Filtering Facepiece Respirator (FFR) with a self-adjustable ventilation fan for improved comfort. The ventilation fan with an intelligent control aims to reduce temperature, relative humidity, and CO2 concentrations inside the facepiece. Compared with a previous version of the FFR, the advantage of this new FFR is the intelligent control of the fan's rotation speed based on the change in temperature and relative humidity in the FFR dead space. The design of the control system utilizes an 8-bit, ultra-low power STC15W404AS microcontroller (HongJin technology, Shenzhen, China), and adopts a high-precision AM2320 device (AoSong electronic, Guangzhou, China) as temperature and relative humidity sensor so that control of temperature and relative humidity is realized in real time within the FFR dead space. The ventilation fan is intelligently driven and runs on a rechargeable lithium battery with a power-save mode that provides a correspondingly longer operational time. Meanwhile, the design is simplistic. Two experiments were performed to determine the best location to place the fan.


Assuntos
Desenho de Equipamento , Dispositivos de Proteção Respiratória , Ventilação/instrumentação , Dióxido de Carbono , Humanos , Umidade , Temperatura
16.
J Occup Environ Hyg ; 14(11): 839-852, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28644723

RESUMO

Compared to other common control measures, the downflow booth is a costly engineering control used to contain airborne dust or particles. The downflow booth provides unidirectional filtered airflow from the ceiling, entraining released particles away from the workers' breathing zone, and delivers contained airflow to a lower level exhaust for removing particulates by filtering media. In this study, we designed and built a mobile downflow booth that is capable of quick assembly and easy size change to provide greater flexibility and particle control for various manufacturing processes or tasks. An experimental study was conducted to thoroughly evaluate the control performance of downflow booths used for removing airborne particles generated by the transfer of powdered lactose between two containers. Statistical analysis compared particle reduction ratios obtained from various test conditions including booth size (short, regular, or extended), supply air velocity (0.41 and 0.51 m/s or 80 and 100 feet per minute, fpm), powder transfer location (near or far from the booth exhaust), and inclusion or exclusion of curtains at the booth entrance. Our study results show that only short-depth downflow booths failed to protect the worker performing powder transfer far from the booth exhausts. Statistical analysis shows that better control performance can be obtained with supply air velocity of 0.51 m/s (100 fpm) than with 0.41 m/s (80 fpm) and that use of curtains for downflow booths did not improve their control performance.


Assuntos
Poluição do Ar em Ambientes Fechados/prevenção & controle , Exposição Ocupacional/prevenção & controle , Material Particulado , Ventilação/instrumentação , Humanos , Lactose , Saúde Ocupacional , Tamanho da Partícula , Local de Trabalho
17.
Endoscopy ; 48(6): 579-83, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27009080

RESUMO

BACKGROUND AND AIMS: Automatic smoke evacuation has not been feasible inside the gastrointestinal tract as evacuation collapses pneumoviscera. As previously reported, steady pressure automatically controlled endoscopy (SPACE) may resolve this problem. The aims of this study were to clarify the potential dangers of surgical smoke, and to evaluate the feasibility and potential usefulness of automatic smoke evacuation in flexible gastrointestinal endoscopy. METHODS: Seven pigs were enrolled. SPACE was established by using a flexible endoscope, an overtube, and a surgical CO2 insufflator. Smoke was generated by gastric mucosal ablation for component analysis and was evacuated by a commercially available surgical-use smoke evacuator connected to an additional line attached to the endoscope. Endoscopic images with evacuation were evaluated subjectively in comparison to those from cases without evacuation. After each session, the residual intraluminal smoke was collected by a smoke testing device for objective evaluation. RESULTS: Ten chemical compounds were detected. Smoke evacuation was achieved without collapse of the pneumostomach. Smoke was significantly reduced with the use of evacuation. CONCLUSIONS: Surgical smoke generated inside the gut lumen was potentially hazardous. Automatic evacuation was feasible and potentially useful in conjunction with SPACE technology.


Assuntos
Endoscopia Gastrointestinal/instrumentação , Insuflação/instrumentação , Fumaça , Ventilação/instrumentação , Animais , Eletrocirurgia , Desenho de Equipamento , Mucosa Gástrica/cirurgia , Fumaça/análise , Suínos
18.
Palliat Med ; 30(5): 504-9, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26494368

RESUMO

BACKGROUND: The dyspnea accompanying advanced cardiorespiratory disease is often refractory to palliation. It is disabling, distressing and associated with the diseases most common everywhere in the world. The hand-held fan, used to generate a draught across the face, is a simple, cost-effective, safe, and universally applicable palliative breathlessness intervention, consistently described as valuable in qualitative research. A previous crossover trial confirmed its benefit in patients breathless at rest, but the washout period was uncertain. AIM: To determine the washout period after use of the hand-held fan to inform accurate randomized controlled trial design. DESIGN: An observational methodological study. Breathlessness intensity was measured using 100 mm visual analog scale and numerical rating scale, and "relief of breathlessness" was measured on a 5-point scale. Those benefitting from the fan provided visual analog scale/numerical rating scale scores until (1) scores returned to baseline values or (2) until response had plateaued. The primary outcome measure was the time (in minutes) to reach either component of the primary study endpoint. SETTINGS/PARTICIPANTS: Four in-/out-patient hospice/hospital units; participants had chronic refractory breathlessness using the fan. RESULTS: Overall, 31 patients participated (mean age: 74.8 years; range: 49-98 years, standard deviation = 11.5 years); 64% were males. Approximately, half of the sample experienced benefit of moderate effect size. The relative reduction in breathlessness relative to the mean baseline score for the sample was 27% for the visual analog scale and 19% for the numerical rating scale. CONCLUSION: Feasibility work is essential, even for simple widely employed interventions.


Assuntos
Dispneia/terapia , Ventilação/instrumentação , Idoso , Idoso de 80 Anos ou mais , Estudos de Viabilidade , Feminino , Hospitais para Doentes Terminais , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Cuidados Paliativos
20.
J Occup Environ Hyg ; 13(10): 802-15, 2016 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-27104797

RESUMO

A desktop fume hood installed with an innovative design of flow boundary-layer separation controllers on the leading edges of the side plates, work surface, and corners was developed and characterized for its flow and containment leakage characteristics. The geometric features of the developed desktop fume hood included a rearward offset suction slot, two side plates, two side-plate boundary-layer separation controllers on the leading edges of the side plates, a slanted surface on the leading edge of the work surface, and two small triangular plates on the upper left and right corners of the hood face. The flow characteristics were examined using the laser-assisted smoke flow visualization technique. The containment leakages were measured by the tracer gas (sulphur hexafluoride) detection method on the hood face plane with a mannequin installed in front of the hood. The results of flow visualization showed that the smoke dispersions induced by the boundary-layer separations on the leading edges of the side plates and work surface, as well as the three-dimensional complex flows on the upper-left and -right corners of the hood face, were effectively alleviated by the boundary-layer separation controllers. The results of the tracer gas detection method with a mannequin standing in front of the hood showed that the leakage levels were negligibly small (≤0.003 ppm) at low face velocities (≥0.19 m/s).


Assuntos
Movimentos do Ar , Poluição do Ar em Ambientes Fechados/prevenção & controle , Exposição Ocupacional/prevenção & controle , Desenho de Equipamento , Manequins , Ventilação/instrumentação
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