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- Alsved, Malin, et al.
(author)
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Airborne bacteria in hospital operating rooms during ongoing surgery
- 2018
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Conference paper (peer-reviewed)abstract
- IntroductionPost-operative infections obtained from open-wound surgeries constitute an unnecessary load on both healthcare and affected patients. It is well established that increased air cleanliness reduces the number of post-operative infections. Therefore, the ventilation system is important in order to reduce the number of infectious particles in the air during surgery. Ventilation with high airflow, as in operating rooms, consumes a high amount of energy and it is thus desirable to find energy efficient solutions. ObjectivesThe purpose of this work was to evaluate air quality, energy efficiency and working environment comfort for three different ventilation techniques in operating rooms. MethodThe newly developed ventilation system temperature controlled airflow (TcAF) was compared with the conventionally used turbulent mixed airflow (TMA) and laminar airflow (LAF). In total, 750 air sample measurements were performed during 45 orthopaedic operations: 15 for each type of ventilation system [1]. The concentration of colony forming units (CFU)/m3 was measured at three locations in the rooms: close to the wound (<0.5 m), at the instrument table and peripherally in the room. The working environment comfort was evaluated in a questionnaire.ResultsOur study shows that both LAF and TcAF maintains CFU concentrations in the air during ongoing surgery significantly below 10 CFU/m3 at the wound and at the instrument table, and for TcAF also in the periphery of the room, see Figure 1. The median CFU concentration in TMA was at or above 10 CFU/m3 at all locations. TcAF used less than half the airflow to that of LAF, resulting in a 28% reduction in energy consumption. The working environment comfort was perceived less noisy and having less draft in the TcAF than the LAF ventilation.SummaryBoth the LAF and TcAF ventilation maintain high air cleanliness with low CFU concentrations throughout the operation. TMA is less efficient in removing bacteria from the air close to the patient.
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- Baker, Gretchen, et al.
(author)
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Kinematics and Shoulder Belt Engagement of Children on Belt-Positioning Boosters during Emergency Braking Events
- 2017
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In: Conference proceedings International Research Council on the Biomechanics of Injury, IRCOBI. - 2235-3151. ; 2017-September:IRC-17-51
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Conference paper (peer-reviewed)abstract
- Emergency braking can influence children’s posture and seatbelt interaction. To better protect children in crashes preceded by emergency braking, this study a ims to quantify kinematics and seatbelt engagement during braking events . Eighteen rear‐seated children were exposed to braking events with 1 g deceleration in a passenger vehi cle, restrained by the seatbelt on a booster cushion and an integrated booster cushion. Vehicle acceleration and video data were analysed to m easure head displacement and shoulder belt position. On the booster cushion the belt was generally mid‐sho ulder and lower on the torso with a gap, while on the integrated booster cushion i t was closer to the neck and hi gher on the torso without a gap. Average forward head displacement was 160 mm on the booster cushion and 150 mm on the integrated booster cushion. Generally, the belt maintained the same position on the shoulde r throughout braking, with exceptions influenced by shifted initial positions or non‐standard motions. Braking e vents placed the head approximately 150‐190 mm forward from the initial position, influenced by booster, statu re, and initial seatbelt positioning. This reinforces the importance of maintaining mid‐shoulder or close to neck bel t positions and upright, centred postures prior to emergency braking, which may influence the likelihood of imp acting the vehicle interior and sustaining head injuries in a subsequent crash.
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- Baker, Gretchen, 1994, et al.
(author)
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KINEMATICS AND SHOULDER BELT ENGAGEMENT OF CHILDREN ON BELT-POSITIONING BOOSTERS DURING EVASIVE STEERING MANEUVERS
- 2017
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Conference paper (other academic/artistic)abstract
- Objective: To increase the protection of child passengers in crashes preceded by evasive steering, understanding of how children interact with the seatbelt in such situations is essential. This study aims to quantify child kinematics and describe child-to-restraint interaction during evasive steering maneuvers. Methods: Eighteen child volunteers (aged 5-10) were seated on the rear seat of a passenger vehicle. A professional driver made repeatable sharp turns at 50 km/h. Children were restrained by the seatbelt on a booster cushion (BC) and on an integrated booster cushion (IBC). Kinematics of the nasion and upper sternum were analyzed with video tracking software and shoulder belt (SB) engagement and position were evaluated. Results: Children moved laterally inboard, and SB-to-body interaction was influenced by booster and stature. For shorter children, the SB was closer to the neck with more of the belt webbing in contact with the torso and a more curved belt paths on the IBC compared to the BC, where less of the SB was in contact with the torso and straight belt paths were observed throughout steering. Taller children generally had the SB initially mid-shoulder with more contact between the SB and torso, resulting in curved belt paths at initial and maximum displacement on both boosters. Children loaded the shoulder belt by axially rotating their torso into the SB more often on the IBC compared to BC. The SB generally stayed on the shoulder, with 89% of slip-off instances occurring for shorter children on the BC. Shorter children on the BC had the largest average inboard nasion displacement of 105 mm initially and 120 mm overall. Taller children on the BC had the lowest average inboard displacement of the nasion (85 mm initially, 100 mm overall). All children initially displaced on average between 65-75 mm inboard with their sternum and 90 mm overall. Conclusions: Initial SB position on the shoulder and torso differed with booster and stature, which influenced how children engaged with the seatbelt during steering. Children with less SB initially in contact with the torso moved laterally behind the belt, resulting in straighter SB paths and outboard motion of the SB on the shoulder (often ending far out or slipped-off). When more of the SB was initially in contact with the torso, children tended to engage the SB more, moving with the belt and causing the SB path to become more curved, resulting in less inboard head displacement and less outboard motion of the SB on the shoulder. Enhanced understanding of how evasive steering affects the kinematic response of children provides valuable data for protection of children in real world situations.
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- Baker, Gretchen, 1994, et al.
(author)
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Kinematics and shoulder belt engagement of children on belt-positioning boosters during evasive steering maneuvers
- 2018
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In: Traffic Injury Prevention. - : Informa UK Limited. - 1538-957X .- 1538-9588. ; 19:S1, s. S131-S138
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Journal article (peer-reviewed)abstract
- Objective: To increase the protection of child passengers in crashes preceded by evasive steering, understanding of how children interact with the seat belt in such situations is essential. This study aims to quantify child kinematics and describe child-to-restraint interaction during evasive steering maneuvers. Methods: Eighteen child volunteers (aged 5–10) were seated on the rear seat of a passenger vehicle. A professional driver made repeatable sharp turns at 50 km/h. Children were restrained by the seat belt on a booster cushion (BC) and on an integrated booster cushion (IBC). Kinematics of the nasion and upper sternum were analyzed with video tracking software and shoulder belt (SB) engagement and position were evaluated. Results: Children moved laterally inboard, and SB-to-body interaction was influenced by booster and stature. Shorter children displayed initial SB positions closer to the neck with less instances of gap between the SB and the lower torso, resulting in more curved belt paths on the IBC. On the BC, shorter children had less of the SB in contact with the torso and straight belt paths were observed throughout steering. Taller children generally had the SB initially mid-shoulder with less instances of gap, resulting in curved belt paths at initial and maximum displacements on both boosters. Children loaded the shoulder belt by axially rotating their torso into the SB more often on the IBC compared to BC. The SB generally stayed on the shoulder, with 89% of slip-off instances occurring for shorter children on the BC. Shorter children on the BC had the largest average inboard nasion displacement (120 mm). Taller children on the BC had the lowest average inboard displacement of the nasion (100 mm). All children initially displaced on average 90 mm inboard with their upper sternum. Conclusions: Initial SB position on the shoulder and torso differed with booster and stature, which influenced how children engaged with the seat belt during steering. Children with less SB initially in contact with the torso moved laterally behind the belt, resulting in straighter SB paths and outboard motion of the SB on the shoulder (often ending far out or slipped off). When more of the SB was initially in contact with the torso, children tended to engage the SB more, moving with the belt and causing the SB path to become more curved, resulting in less inboard head displacement and less outboard motion of the SB on the shoulder. Enhanced understanding of how evasive steering affects the kinematic response of children provides valuable data for protection of children in real-world situations.
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