scholarly journals Influence of the Arrangement of Surgical Light Axes on the Air Environment in Operating Rooms

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Tetsuya Kai ◽  
Nobuyasu Ayagaki ◽  
Hidekazu Setoguchi
Keyword(s):  
Flow Velocity ◽  
Air Conditioning ◽  
Laser Light ◽  
Three Dimensional ◽  
Operating Rooms ◽  
Operating Table ◽  
Air Conditioner ◽  
Before And After ◽  
Ultrasonic Anemometer

Purpose. Surgical lights in the operating rooms are typically installed in a single axis in the center of the room or in two axes on both sides of the operating table. In the single-axis installation, the air-conditioning outlet cannot be placed in the center of the ceiling, which may affect the air current. Therefore, we measured the air current and cleanliness in two equivalent operating rooms using a vertical laminar airflow system equipped with either single-axis or double-axis surgical lights. Methods. Air current was measured using a three-dimensional ultrasonic anemometer. Cleanliness was evaluated by measuring the amount of dust before and after air-conditioner activation. To visualize the air current, smoke was illuminated on a sheet of laser light while the air-conditioning was stopped, and changes after air-conditioning activation were observed. Results. In the single-axis room, an oblique fast air current flowing from the surrounding air outlet toward the center was observed, and the flow velocity fluctuated greatly. In the double-axis room, uniform downward laminar airflow was observed. The amount of dust at the center decreased significantly faster in the double-axis room; thus, the cleanliness at the center was higher in the double-axis room. Persistent stagnation of smoke was observed below the single-axis lighting, whereas smoke below the double-axis lighting was immediately dispersed and the air cleared even when surgical lights were in the position for surgery. Conclusion. Uniform vertical laminar airflow was formed and high cleanliness was achieved in the center of the room when the surgical lights were arranged in two axes.

scholarly journals Performance analysis of retrofit R410a refrigerant with R32 refrigerant on a split air conditioner

2021 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
I Nengah Ardita ◽  
◽  
I Gusti Agung Bagus Wirajati ◽  
I Dewa Made Susila ◽  
Sudirman Sudirman ◽  
...  
Keyword(s):  
System Performance ◽  
Air Conditioning ◽  
Quantitative Description ◽  
Air Conditioner ◽  
Experimental Equipment ◽  
Evaporation Heat ◽  
Before And After ◽  
Common Group ◽  
The Cost ◽  
Design And Manufacture

Split air conditioning (AC) is the most widely used in the community for both commercial and domestic utilities. At the present refrigerant which used in Split AC is mostly common group of HFCs, such as R410a. R410a is a zeotropic refrigerant and if there is a leak in the system, it cannot be added this refrigerant. This will increase the cost of maintenance. The aims of this research is to investigate the retrofit of R410a with R32 on the Split AC system. The R32 is chosen because it has higher latent evaporation heat at the same temperature and has less effect on global warming. The refrigeration effect, the power consumption and the system performance are the main three quantities that want to be examined in this research which are observed before and after retrofit. Experimental investigation conducted during this research, including design and manufacture of experimental equipment, calibration and tools installment, collecting the experimental data and analysis by quantitative description method before and after retrofit. The results informed that cooling effect increased during the research, but the COP system has a slight decrease about 4%. R32 refrigerant is quite feasible as a retrofit refrigerant to R410a refrigerant.

scholarly journals Effects of Forced Air Warming on Airflow around the Operating Table

2018 ◽  
Vol 128 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Kazuhiro Shirozu ◽  
Tetsuya Kai ◽  
Hidekazu Setoguchi ◽  
Nobuyasu Ayagaki ◽  
Sumio Hoka
Keyword(s):  
Operating Room ◽  
Three Dimensional ◽  
Convection Flow ◽  
Operating Table ◽  
Forced Air Warming ◽  
Ultrasonic Anemometer ◽  
Total Knee ◽  
Surgical Field ◽  
Forced Air ◽  
Maintain Body Temperature

Abstract Background Forced air warming systems are used to maintain body temperature during surgery. Benefits of forced air warming have been established, but the possibility that it may disturb the operating room environment and contribute to surgical site contamination is debated. The direction and speed of forced air warming airflow and the influence of laminar airflow in the operating room have not been reported. Methods In one institutional operating room, we examined changes in airflow speed and direction from a lower-body forced air warming device with sterile drapes mimicking abdominal surgery or total knee arthroplasty, and effects of laminar airflow, using a three-dimensional ultrasonic anemometer. Airflow from forced air warming and effects of laminar airflow were visualized using special smoke and laser light. Results Forced air warming caused upward airflow (39 cm/s) in the patient head area and a unidirectional convection flow (9 to 14 cm/s) along the ceiling from head to foot. No convection flows were observed around the sides of the operating table. Downward laminar airflow of approximately 40 cm/s counteracted the upward airflow caused by forced air warming and formed downward airflow at 36 to 45 cm/s. Downward airflows (34 to 56 cm/s) flowing diagonally away from the operating table were detected at operating table height in both sides. Conclusions Airflow caused by forced air warming is well counteracted by downward laminar airflow from the ceiling. Thus it would be less likely to cause surgical field contamination in the presence of sufficient laminar airflow.

scholarly journals Experimental studies on improvement of coefficient of performance of window air conditioning unit

2017 ◽  
Vol 21 (3) ◽  
pp. 1349-1358
Author(s):  
Mohideen Tharves ◽  
Nagachari Nethaji
Keyword(s):  
Air Conditioning ◽  
Experimental Studies ◽  
Heat Removal ◽  
Coefficient Of Performance ◽  
Air Conditioner ◽  
Ambient Temperatures ◽  
Loop Heat Pipes ◽  
Working Medium ◽  
Performance Curves ◽  
Before And After

This paper presents the performance analysis of a window air conditioner unit incorporated with wick less loop heat pipes (WLHP). The WLHP are located on the evaporator side of the air conditioning unit. The working medium for the WLHP is R134a refrigerant gas, an alternate refrigerant. The supply and return humidity of room air, the heat removal rat, and the coefficient of performance of the unit are analyzed for various ambient and room temperatures before and after incorporation of WLHP. The performance curves are drawn by comparing the power consumption and humidity collection rates for various room and ambient temperatures. The results show that coefficient of performance of the unit is improved by 18% to 20% after incorporation of WLHP due to pre-cooling of return air by WLHP, which reduces the thermal load on compressor. Similarly, the energy consumption is reduced by 20% to 25% due to higher thermostat setting and the humidity collection is improved by 35% due to pre-cooling effect of WLHP. The results are tabulated and conclusion drawn is presented based on the performance.

Study on Water-Cooled Solar Semiconductor Air Conditioner

2015 ◽  
Vol 9 (1) ◽  
pp. 135-140
Author(s):  
Dong Zhi-Ming ◽  
Guo Li-Xia ◽  
Chang Ji-Bin ◽  
Zhou Xue-Bin
Keyword(s):  
Air Conditioning ◽  
Working Condition ◽  
Test System ◽  
Air Conditioner ◽  
Solar Panels ◽  
Experimental Room ◽  
Maximum Value ◽  
Cooling Unit ◽  
Battery Capacity ◽  
Solar Powered

Aiming to compare the cooling effect, two types of solar-powered semiconductor air-conditioning devices were designed in different structures. According to the cooling load in an experimental room, the solar panels and battery capacity were determined for the development of a test system. In the same working condition, a comparison test was carried out to examine the cooling performance. Experimental results showed that the design of dual water-cooled cooling unit presented a higher ratio of energy efficiency, with its maximum value of 1.08. By observing the experimental data of the prototype, its comparative economic evaluation results indicated that the annualized cost of solar semiconductor airconditioning was app. 2.7 times that of air-conditioning made from an ordinary compressor.

scholarly journals Experimental Study on the Water Selective Dense Membrane under an Absolute Pressure Difference with Simplified Test Method

2021 ◽  
Vol 11 (4) ◽  
pp. 1710
Author(s):  
Jinwook Lee ◽  
Hyo-Sun Kim ◽  
Donik Ku ◽  
Jihun Lim ◽  
Minkyu Jung ◽  
...  
Keyword(s):  
Measurement Methods ◽  
Test Method ◽  
Coefficient Of Performance ◽  
Absolute Pressure ◽  
Air Conditioner ◽  
Experimental Conditions ◽  
Simple Method ◽  
Performance Factors ◽  
Dense Membrane ◽  
Before And After

Membrane-based vacuum dehumidification technology is currently being actively studied. In most studies, the performance of the membrane-based systems is evaluated under the assumption that the membrane can achieve ideal separation, which results in ideal coefficient of performance (COP) values. However, the performance factors for membranes vary depending on the experimental conditions and measurement methods. Therefore, relevant values can only be calculated if the data are measured in an environment close to that of the application conditions. The cup measurement method is a simple method to measure the permeability, however, there are limitations regarding adding variables during the experiment. To overcome these limitations, a new experimental device was constructed that combines pressurized cell with the cup method. Using the device, the performance of polyethylene-amide-bonded dense membranes was evaluated under conditions where absolute pressure differentials occurred before and after the membrane, such as in air conditioner dehumidification systems.

Intraoperative transesophageal assessment of coronary artery flow can predict 5 type myocardial infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A Zagatina ◽  
M Novikov ◽  
N Zhuravskaya ◽  
V Balakhonov ◽  
S Efremov ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
Flow Velocity ◽  
Coronary Flow ◽  
Index Number ◽  
Left Main ◽  
Coronary Flow Velocity ◽  
Before And After ◽  
Flow Velocities

Abstract Background Stenosis of a coronary artery results in an increase in flow velocity in the pathologic segment. Effective grafting should decrease the stenotic native coronary velocity according to hemodynamic law. The range of decreased velocity before and after cardiac surgery can hypothetically reflect the effectiveness of a graft. The aim of the study is to determine if measuring coronary flow velocity changes during coronary artery bypass grafting (CABG) can predict intraoperative myocardial infarction. Methods One hundred sixty-six (166) consecutive patients (121 men, 64±9 years old) referred for cardiac surgery, were prospectively included in the study. A standard basic perioperative transesophageal echocardiography (TEE) examination was performed with additional scans of the left main, left anterior descending (LAD), and circumflex (LCx) arteries' proximal segments. Measurements of coronary flow velocities were performed before and after grafting in the same sites of the arteries. The maximal value of cardiac troponin I (cTnI) after CABG and the additive criteria were accounted for in the analysis as it is described in the expert consensus document for Type 5 myocardial infarction (MI) definition. Results One hundred sixty-three patients (98%) had arterial hypertension, 28 patients (17%) had diabetes mellitus, 35 patients (21%) were currently smokers. The feasibility of coronary flow assessment during cardiac operations was 95%. Before grafting, the mean velocity in the left main artery was 91±49 cm/s, in LAD 101±35 cm/s, and in LCx 117±49 cm/s. There was a significant correlation between changes in coronary flow velocities during operation and the value of cTnI (R=0.34, p<0.0001). Ten patients met the criteria for Type 5 MI. There were no differences in age, body mass index, number of coronary arteries with stenoses, frequency of prior MI, ejection fraction or coronary flow velocity before surgery in patients with and without Type 5 MI. The group of patients with Type 5 MI had an increase in native artery velocities during surgery in comparison with patients without MI, who had a significant decrease in coronary flow velocity after grafting (30±48 vs. −10±30 cm/s; p<0.0006). Increases in native coronary velocities greater than 3 cm/s predicted Type 5 MI with 81% accuracy (sensitivity 88%, specificity 70%). Conclusion Coronary flow velocity assessment during cardiac surgery could predict an elevation of cardiac troponins and Type 5 MI. Funding Acknowledgement Type of funding source: None

Experimental evaluation on a centralized air conditioning system embedded with a split-type air conditioner as a dedicated subcooler

2021 ◽  
pp. 102585
Author(s):  
Kasni Sumeru ◽  
Mohamad Firdaus Sukri ◽  
Triaji Pangripto Pramudantoro ◽  
Eddy Erham ◽  
Rizki Muliawan
Keyword(s):  
Experimental Evaluation ◽  
Air Conditioning ◽  
Air Conditioner ◽  
Air Conditioning System

scholarly journals Three-dimensional analysis of the root canal preparation with Reciproc Blue®, WaveOne Gold® and XP EndoShaper®: a new method in vivo

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Javier Caviedes-Bucheli ◽  
Nestor Rios-Osorio ◽  
Diana Usme ◽  
Cristian Jimenez ◽  
Adriana Pinzon ◽  
...  
Keyword(s):  
3D Reconstruction ◽  
Root Canal ◽  
Paired Comparison ◽  
Three Dimensional ◽  
New Method ◽  
Root Canal Preparation ◽  
Paired Data ◽  
Before And After ◽  
Student’S T

Abstract Background The purpose of this study was to evaluate the changes in canal volume after root canal preparation in vivo with 3 different single-file techniques (Reciproc-Blue®, WaveOne-Gold® and XP-EndoShaper®), with a new method using CBCT and 3D reconstruction. Methods In this prospective study, thirty human lower premolars from healthy patients were used, in which extraction was indicated for orthodontic reasons. All the teeth used were caries- and restoration-free with complete root development, without signs of periodontal disease or traumatic occlusion, and with only one straight canal (up to 25º curvature). Teeth were randomly divided into three different groups: Reciproc-Blue, WaveOne-Gold and XP-EndoShaper. CBCT scans before root canal preparation were used to create a 3D reconstruction with RHINOCEROS 5.0 software to assess the initial canal volume, and then compared with 3D reconstructions after canal preparation to measure the increase in canal volume. Student’s t test for paired data were used to determine statistically significant differences between the before and after canal volumes. Anova test was used to determine statistically significant differences in the percentage of canal volume increase between the groups and Tukey's post-hoc test were used to paired comparison. Results Reciproc-Blue showed the higher increase in canal volume, followed by WaveOne-Gold and XP-EndoShaper (p = 0.003). XP-EndoShaper did not show a statistically significant increase in canal volume after root canal preparation (p = 0.06). Conclusion With this model, Reciproc-Blue showed higher increase in root canal volume, followed by WaveOne-Gold, while XP-EndoShaper did not significantly increase root canal volume during preparation.

scholarly journals Scientific validation of three-dimensional stereophotogrammetry compared to the IGAIS clinical scale for assessing wrinkles and scars after laser treatment

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Barbara Helena Barcaro Machado ◽  
Ivy Dantas De Melo E. Silva ◽  
Walter Marou Pautrat ◽  
James Frame ◽  
Mohammad Najlah
Keyword(s):  
Laser Treatment ◽  
Three Dimensional ◽  
Skin Surface ◽  
Clinical Scale ◽  
3D Images ◽  
Laser Resurfacing ◽  
Before And After ◽  
Measuring Outcomes ◽  
Skin Scar ◽  
Scientific Validation

AbstractMeasuring outcomes from treatments to the skin is either reliant upon patient’s subjective feedback or scale-based peer assessments. Three-Dimensional stereophotogrammetry intend to accurately quantify skin microtopography before and after treatments. The objective of this study is comparing the accuracy of stereophotogrammetry with a scale-based peer evaluation in assessing topographical changes to skin surface following laser treatment. A 3D stereophotogrammetry system photographed skin surface of 48 patients with facial wrinkles or scars before and three months after laser resurfacing, followed immediately by topical application of vitamin C. The software measured changes in skin roughness, wrinkle depth and scar volume. Images were presented to three observers, each independently scoring cutaneous improvement according to Investigator Global Aesthetic Improvement Scale (IGAIS). As for the results, a trend reflecting skin/scar improvement was reported by 3D SPM measurements and raters. The percentage of topographical change given by the raters matched 3D SPM findings. Agreement was highest when observers analysed 3D images. However, observers overestimated skin improvement in a nontreatment control whilst 3D SPM was precise in detecting absence of intervention. This study confirmed a direct correlation between the IGAIS clinical scale and 3D SPM and confirmed the efficacy and accuracy of the latter when assessing cutaneous microtopography alterations as a response to laser treatment.

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