| 1. |
- 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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| 2. |
- 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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