| 1. |
- Cao, Yuanyuan, et al.
(författare)
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Improving the surveillance and response system to achieve and maintain malaria elimination : a retrospective analysis in Jiangsu Province, China
- 2022
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Ingår i: INFECTIOUS DISEASES OF POVERTY. - : Springer Nature. - 2095-5162 .- 2049-9957. ; 11:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Following initiation of China's National Malaria Elimination Action Plan (NMEAP) in 2010, the '1-3-7' approach was developed and rolled out in China to facilitate the malaria elimination programme and accelerate malaria elimination. This study aims to summarize and condense these experiences through a retrospective analysis in Jiangsu Province, which could be adapted and applied in other malaria elimination settings worldwide.Methods: A retrospective analysis of imported malaria cases into China identified through an improved surveillance and response system in Jiangsu Province was carried out for the period of 2001-2020. To improve the malaria surveillance and response system, Centers for Diseases Control and Prevention from the prefectures and counties in Jiangsu province conducted population-level health education to improve healthcare seeking behavior, strengthened capacity of health facilities to improve performance of malaria diagnosis and treatment, and raised the capacity of public health providers to improve implementation of the '1-3-7' approach. Categorical variables were carried out by Chi square tests with Fisher's exact correction.Results: From 2001 to 2020, a total of 9,879 malaria cases were reported in Jiangsu Province. Since 2012, no indigenous malaria cases have been reported in Jiangsu Province. However, in recent years, there has been a substantial increase of imported falciparum malaria cases. Between 2012 and 2020, an estimated 61.57 million individuals have benefited from population-level health education in Jiangsu Province. For healthcare-seeking services among the 2,423 imported malaria cases, 687 (28.4%) and 1,104 (45.6%) cases visited hospitals on the first day and the second day from symptom onset, respectively. A total of 1,502 (61.9%) cases were diagnosed on the first day at medical facilities. Jiangsu Province achieved 100%, 99.4% and 98.3% completion rate in terms of case detection and notification (within one day), case investigation (within three days) and foci response and disposition (within seven days), respectively. The improved surveillance and response system in Jiangsu Province plays an important role in preventing the re-introduction of malaria and maintaining the malaria-free status.Conclusions: Jiangsu Province has maintained its malaria-free status since 2012. The continuous improvement of a surveillance and response system plays an important role in the early detection and rapid response of potential malaria-related outbreaks in Jiangsu, China, and has important lessons for other malaria eliminating settings. Remaining vigilant in the detection of imported malaria cases and maintaining an active surveillance and response system is critical to sustain the success of malaria elimination.
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| 2. |
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| 3. |
- Khan, Amirul, et al.
(författare)
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WS6 : Challenges in ventilation for the operating theatres of the future: Making the invisible visible
- 2022
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Ingår i: 17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022. - : International Society of Indoor Air Quality and Climate.
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Konferensbidrag (refereegranskat)abstract
- This workshop showcased several methods for operating theatre design and operation. The different research projects presented are all ongoing and could contribute to the development and implementation of novel methods, advancing the field of ventilation design and improving IAQ, thermal comfort and infection risk in operating theatres.
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| 4. |
- Sadeghian, Parastoo, et al.
(författare)
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Reducing the risk of viral contamination during the coronavirus pandemic by using a protective curtain in the operating room
- 2022
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Ingår i: Patient Safety in Surgery. - : Springer Nature. - 1754-9493. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Airborne transmission diseases can transfer long and short distances via sneezing, coughing, and breathing. These airborne repertory particles can convert to aerosol particles and travel with airflow. During the Coronavirus disease 2019 (COVID-19) pandemic, many surgeries have been delayed, increasing the demand for establishing a clean environment for both patient and surgical team in the operating room.Methods: This study aims to investigate the hypothesis of implementing a protective curtain to reduce the transmission of infectious contamination in the surgical microenvironment of an operating room. In this regard, the spread of an airborne transmission disease from the patient was evaluated, consequently, the exposure level of the surgical team. In the first part of this study, a mock surgical experiment was established in the operating room of an academic medical center in Norway. In the second part, the computational fluid dynamic technique was performed to investigate the spread of airborne infectious diseases. Furthermore, the field measurement was used to validate the numerical model and guarantee the accuracy of the applied numerical models.Results: The results showed that the airborne infectious agents reached the breathing zone of the surgeons. However, using a protective curtain to separate the microenvironment between the head and lower body of the patient resulted in a 75% reduction in the spread of the virus to the breathing zone of the surgeons. The experimental results showed a surface temperature of 40 ˚C, which was about a 20 ˚C increase in temperature, at the wound area using a high intensity of the LED surgical lamps. Consequently, this temperature increase can raise the patient's thermal injury risk.Conclusion: The novel method of using a protective curtain can increase the safety of the surgical team during the surgery with a COVID-19 patient in the operating room.
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| 5. |
- Sadrizadeh, Sasan, et al.
(författare)
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A systematic review of operating room ventilation
- 2021
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Ingår i: Journal of Building Engineering. - : Elsevier BV. - 2352-7102. ; 40, s. 102693-
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Forskningsöversikt (refereegranskat)abstract
- Ventilation systems are the primary way of eliminating airborne pathogenic particles in an operating room (OR). However, such systems can be complex due to factors such as different surgical instruments, diverse room sizes, various staff counts, types of clothing used, different surgical types and duration, medications, and patient conditions. OR ventilation should provide a thermally comfortable environment for the surgical staff team members while preventing the patient from suffering from any extreme hypothermia. Many technical, logistical, and ethical implications need to be considered in the early stage of designing a ventilation system for an OR. Years of research and a significant number of publications have highlighted the controversy and disagreement among infection specialists, design engineers, and ventilation experts in this context. This review article aims to provide a good understanding of OR ventilation systems in the context of air quality and infection control from existing research and provide multidimensional insights for appropriate design and operation of the OR. To this end, we have conducted a systematic review of the literature, covering 253 articles in this context. Systematic review and meta-analyses were used to map the evidence and identify research gaps in the existing clinical, practical, and engineering knowledge. The present study is categorized into six research focuses: ventilation system, thermal comfort, staff work practice and obstacles, door operation and passage, air cleaning technology, emission rate, and clothing systems. In the conclusion, we summarize the key limitations of the existing studies and insights for future research direction.
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| 6. |
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| 7. |
- Su, Wei, et al.
(författare)
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Infection probability under different air distribution patterns
- 2021
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Ingår i: Building and Environment. - : Elsevier. - 0360-1323 .- 1873-684X. ; 207:Part B
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Tidskriftsartikel (refereegranskat)abstract
- Infectious diseases have caused significant physical harm to humans as well as enormous economic losses over the years. Effective ventilation and distribution of fresh air could help to reduce indoor cross-infection. The computational fluid dynamics (CFD) method was used in this paper to investigate airborne transmission with seven different air distribution methods. The revised Wells-Riley model, which took into account the non-uniform air distribution generated with the methods, was used to calculate the infection probability in an office room shared by ten occupants for 4 h. One of the occupants was an infector. The significance of the infector's location was studied. The obtained infection probability was compared to that obtained in the case of complete air mixing, which is uncommon in practice. Under specified conditions of this study, personalized ventilation (PV) performed the best in terms of preventing cross-infection, followed by displacement ventilation (DV), impinging jet ventilation (IJV), stratum ventilation (SV) and wall attachment ventilation (WAV). The number of infected occupants was reduced below the number obtained under the complete mixing assumption by using these air distribution methods. Mixing ventilation (MV) and diffuse ceiling ventilation (DCV) exhibited the worst performance. In comparison to the case of complete mixing the infection probability for seven out of nine susceptible occupants was higher with MV and for all occupants in the case of DCV. In SV, the position of the infector had a clear impact on the infection probability of susceptible individuals. WAV may perform better in practice if the system is well designed. The location of the exhaust outlets had a significant impact on the infection probability for DCV.
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| 8. |
- Yuan, Feng, et al.
(författare)
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Thermal comfort in hospital buildings - A literature review
- 2022
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Ingår i: Journal of Building Engineering. - : Elsevier BV. - 2352-7102. ; 45
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Forskningsöversikt (refereegranskat)abstract
- Hospital buildings are required to secure a variety of indoor environments according to the diverse requirements of patients and staff. Among these requirements, thermal comfort is an important design criterion for indoor environmental quality that affects patients' healing processes and the wellbeing of medical staff. The patients' thermal comfort is given priority due to their medical conditions and impaired immune systems. Thermal comfort and related contexts have been well-covered in many research articles; however, the number of review articles is limited. This article aims to conduct a holistic and critical review of existing studies offering insights on future research trends (180 articles were analyzed). The key research themes are identified using scientometric analysis. Focus is on influencing factors, field-surveys, improving measures and energy saving related to thermal comfort. The primary outcome concludes that ventilation systems play a key role in maintaining acceptable, thermally-comfortable conditions for patients and medical staff. It is also found that acceptable thermal comfort is highly case-dependent and varies substantially based on the health condition of the patient as well as the type and level of staff activities. The measures currently mentioned to minimize energy consumption are also discussed. Some interesting issues, including the inaccuracy arising from the use of predicted mean vote (PMV) and the impact of gender, age, and related factors on thermal comfort, have been noted. This review provides insights into the design and assessment of hospital thermal environments.
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