Room Equipment Research Articles

Optimizing Nurse Workflow Efficiency: An Examination of Nurse Walking Behavior and Space Accessibility in Medical Surgical Units.

This study aimed to investigate the effect of spatial adjacencies on nurses' walking patterns and the subsequent impact on staff satisfaction with perceived accessibility and adjacency-related issues. Recognizing the crucial importance of spatial adjacencies in healthcare facilities is essential, as they significantly affect staff morale, fatigue management, operational efficiency, error reduction, and overall patient care excellence, highlighting the need for objective assessments to evaluate the impact of facility layout and space configuration on workflow patterns and staff satisfaction in patient care units. Integrating on-site observations with survey data, we explored how spatial adjacencies affect staff walking behavior and satisfaction in two med-surgical unit floors. The findings highlighted a significant frequency of movements between nurse stations, patient rooms, and medication areas. Regression analysis identified several contributing factors to staff satisfaction, including the proximity of supplies, team visibility, ease of access across departments, and the location of equipment rooms. Specifically, satisfaction with the proximity of supplies was positively associated with increased provider satisfaction with workflow, quality of care, and workplace. Additionally, valuable feedback from staff revealed concerns regarding break room placement, medication area functionality, and disparities in the availability of supplies. This study highlighted the critical need for carefully planned spatial adjacency strategies to enhance workflow efficiency and raise clinical staff satisfaction within healthcare facilities. The actionable insights gleaned from this research offer valuable direction to architects, healthcare administrators, and design professionals, enabling the creation of environments that positively resonate with healthcare providers and improve healthcare operations.

Detection of pathogenic bacteria in the surgical rooms of Al-Ramady hospital using next generation sequencing

This study was aimed at applying the next generation sequence technique, to evaluate the microbial contamination of the General Al-Ramady Hospital and the diagnosis of dangerous types. Several surface swabs were taken from the surgical room devices and equipment used during the surgery period at the hospital. Hospital environment contributes chiefly to the emergence of Nosocomial infection, the most common and severe complications in the provision of health care to patients in the hospital, it has become necessary to specify and identify the causes of illness through alternative methods to traditional methods that waste time, money and effort.. The results showed contamination of hospital environment by several varieties of bacteria. They were pathogenic and nonpathogenic bacteria, in spite of the action of the Antiseptics used in sterilization. the most common of which were several types of Pseudomonas of 84.26% and Acinetobacter of 13.85%. The present of this pathogenic bacteria in hospital-related injuries, which are mean vital indicators of contamination in the hospital environment. Data suggest that it is possible to diagnose and identify the types of pathogenic, discover effective strategies for monitoring and controlling the hospital environment and providing the essential tools to avoid the spread of infection, particularly in the presence of the molecular technique.

Delivery Room Resuscitation of Infants with Congenital Diaphragmatic Hernia: Lessons Learned through Video Review

Introduction: Delivery room (DR) interventions for infants with congenital diaphragmatic hernia (CDH) are not well described. This study sought to describe timing and order of DR interventions and identify system factors impacting CDH DR resuscitations using a human factors framework. Methods: This was a single-center observational study of video-recorded CDH DR resuscitations documenting timing and order of interventions. The team used the Systems Engineering Initiative for Patient Safety (SEIPS) model to identify system factors impacting DR resuscitations and time to invasive ventilation. Results: We analyzed 31 video-recorded CDH resuscitations. We observed variability in timing and order of resuscitation tasks. The “Internal Environment” and “Tasks” components of the SEIPS model were prominent factors affecting resuscitation efficiency; significant room and bed spatial constraints exist, and nurses have a significant task burden. Additionally, endotracheal tube preparation was a prominent barrier to timely invasive ventilation. Conclusion: Video review revealed variation in event timing and order during CDH resuscitations. Standardization of the room setup, equipment, and event order and reallocation of tasks facilitate more efficient intubation and ventilation, representing targets for CDH DR improvement initiatives. This work emphasizes the utility of rigorous human factors review to identify areas for improvement during DR resuscitation.

Planning of renewable energy regional heating system based on demand side uncertainty

Effective planning of renewable energy district heating systems is essential to facilitate the energy transition and achieve environmental goals. In the face of demand-side uncertainty, the complexity of system planning increases significantly. To address this challenge, a new approach has been adopted to optimize heating systems by precisely analyzing and managing demand-side variables. Using simulation experiments to quantitatively assess uncertainty factors, it is found that room temperature, unit ventilation, equipment power, and lighting power had significant effects on system energy consumption, ranging from −17% to 12%. According to these factors, a series of optimization measures are formulated, and then a set of optimization scheme based on demand-side uncertainty is implemented. The experimental results show that the scheme can effectively reduce the daily power output, reduce the total cost input by 7.1%, and achieve a total emission reduction of 4.0% in environmental protection. The optimization strategy proposed in this study significantly reduces energy consumption and costs, and reduces carbon emissions, providing a new solution for the environmental protection and intelligent heating system.

Challenges in urban data center design

The data center market is experiencing significant growth, with each new facility requiring increased power density and cooling needs. This growth brings new challenges, including noise pollution and its impact on nearby communities, which becomes excessively difficult in urban environments. This presentation will explore the issues faced by data centers in urban environments and discuss potential solutions to create quieter facilities. Key points include:—Physical challenges: Every site design faces numerous physical constraints, including limited rooftop and equipment room space, tight and complex adjacencies of neighboring sites, and design and performance standards for equipment.—Political issues: Every site and community have a different set of laws and regulations that a site needs to meet, and often go beyond to ensure that the community will accept the site.—People issues: Data centers must navigate contentious relationships with neighbors and address noise concerns to maintain a positive reputation. By addressing these challenges, data centers can minimize noise pollution and maintain positive relationships with surrounding communities, ensuring a sustainable future for the industry in urban environments.

A Computer Aided Wiring Scheme for Intelligent Building

To optimize the construction process of intelligent building, a new idea of computer-aided design of generic cabling system is proposed. In this paper, the design principle of generic cabling based on Auto CAD is studied. We expound the optimization theory of hierarchical star topology, and discuss the specific method to realize the shortest total length of the network. Then the overall process of computer-aided routing for intelligent buildings is provided, and the routing distribution algorithm of structured routing is also optimized. In the empirical analysis, it is tested by construction cases and the results show that this method can select the best scheme in the possible wiring route from the building group wiring subsystem. The building group wiring room to each building equipment room is optimized, which greatly improves the design efficiency of engineers and technicians and shortens the design cycle.

Clinicians’ experience with technology within the physical environment of trauma rooms: a focus group study

PurposeThis study aims to investigate how trauma team members perceive technological equipment and tools in the trauma room (TR) environment and to identify how the technological equipment could be optimized in relation to the TR’s space.Design/methodology/approachA total of 21 focus group sessions were conducted with 69 trauma team members, all of whom worked in Level I TRs from six teaching hospitals in the USA.FindingsThe collected data was analyzed and categorized into three parent themes: imaging equipment, assistive devices and room features. The results of the study suggest that trauma team members place high importance on the availability and versatility of the technological equipment in the TR environment. Although CT scans are a usual procedure necessity in TRs, few facilities were optimized for easy access to CT-scanners for the TR. The implementation of cameras and screens was suggested as an improvement to accommodate situational awareness. Rapid sharing of data, such as imaging results, was highly sought after. Unorthodox approaches, such as the use of automatic doors, were associated with slowing down the course of actions.Practical implicationsThis study provides health-care designers with the knowledge they need to make informed decisions when designing TRs. It will cover key considerations such as room layout, equipment selection, lighting and controls. Implementing the strategies will help minimize negative patient outcomes.Originality/valueLevel I TRs are a critical element of emergency departments and designing them correctly can significantly impact patient outcomes. However, designing a TR can be a complex process that requires careful consideration of various factors, including patient safety, workflow efficiency, equipment placement and infection control. This study suggests multiple considerations when designing TRs.

Compliance with quality criteria for endoscopic examinations (sociological aspects)

The article presents the results of a sociological study conducted at the Penza Institute for Advanced Medical Studies with the aim of studying the level of knowledge of endoscopists about the quality criteria for performing endoscopic examinations and equipping endoscopic rooms with specialized equipment. The questionnaires of 47 endoscopists who were trained at the Department of Surgery and Endoscopy were analyzed. 57 % of respondents are aware of the need to comply with quality criteria in endoscopy; all doctors take informed voluntary consent from the patient before the study; when formulating a conclusion, 15 % use validated international classifications; the detection rate of adenomas during colonoscopy is calculated to be 2 %; 21 % perform photo documentation; 6 % comply with biopsy protocols. This is largely due to the incomplete technical equipment of endoscopy rooms: only 17 % of doctors described the number of biopsy forceps as sufficient (20 or more), 43 % of doctors note the presence of video endoscopic equipment at the workplace, however, the condition of endoscopes in most budgetary medical institutions is satisfactory, closer to bad.

Evaluating the Effectiveness of Scenario-Based Training through Face-To-Face and Blended Methods on learning of Operating Room Students

Introduction: one of the biggest challenges in the training of operating room students is to provide an effective teaching method in the course of familiarizing with the operating room equipment and using these tools in the clinical setting. Therefore, this research was conducted with the aim of comparing the effect of scenario-based training through face-to-face and blended methods on the learning rate of this lesson. Method: This is a quasi-experimental study that was conducted in the form of a pre-test and post-test on 40 operating room students of Jahrom University of Medical Sciences that were selected by census method in 2021-22. Then the scores obtained from the tests were analyzed using descriptive statistics (mean and standard deviation) and analytical (paired and independent t-test through SPSS. Results: The results indicated that the mean score of the test after training with the face-to-face method was 13.47±3.03 and the mean score of the test after training with the blended method was 15.82±1.91. There was a statistically significant difference between the mean scores of pre and post-test in the blended method group (P<0.05) and between the post-tests of both groups (p=0.009). Conclusion: The findings indicated that the use of the blended method has increased the students' mean scores and learning level. Therefore, considering the effectiveness of this training method, it is suggested that other instructors also use this training method to increase the students' learning.

Design of data center system for immersed liquid-cooled computer room with improved deep learning algorithm

Aiming at the problems of low convective heat transfer coefficient and high energy consumption in the air-cooled data center of immersed liquid cooling, an improved deep learning algorithm is proposed for the data center system of immersed liquid cooling equipment room. By improving the design of the immersed liquid cooling system, heat exchange is carried out between the immersed liquid cooling system and heating components such as the central processing unit of the server. The insulation coolant and cooling water achieve server heat dissipation through energy exchange, achieving data management of the immersed liquid cooling room. The proposed algorithm improves data management efficiency while ensuring computational accuracy by conducting in-depth training and learning on the obtained immersed liquid cooling data, thus achieving the management of data in the immersed liquid cooling room. Through experiments, it has been proven that the immersed liquid cooling system in this study has high data management efficiency and low error, and can maintain server memory heat below 37 ° C, with a research accuracy of up to 92%.

Exploring the Role of Facilities in Guidance and Counseling Services in Schools: A Comprehensive Review

This paper explores the critical importance of guidance and counseling facilities in schools for optimal service delivery. With schools often overlooking the necessity of these facilities, it is imperative to shed light on the consequential deficiency in the delivery of such services, negatively impacting the academic trajectory and life skills development of students. The literature review methodology employed in this study delves into the conceptualization of guidance and counseling, the essential resources required, and the significant role of school administrators and BK (guidance and counseling) teachers in ensuring these facilities are available. The findings reveal the paramount importance of data collection instruments, data storage devices, service delivery tools, and BK room equipment for effective guidance and counseling. Furthermore, this study underscores the legislative mandates calling for the provision of these resources. Ultimately, this paper argues that optimal facilities, strategic planning, and collaboration between all school personnel are key to the successful implementation of guidance and counseling services in schools. The insights derived from this research are beneficial for school administrators, BK teachers, and policymakers, contributing to the enhancement of educational outcomes and the overall student experience.

A novel approach for safe and automated implementation of far ultraviolet-C light decontamination in clinical areas.

A novel wall-mounted far ultraviolet-C (UV-C) light technology providing automated delivery of far UV-C only when people are not present reduced methicillin-resistant Staphylococcus aureus in a patient room and equipment room. The safety feature that discontinues far UV-C output when people are detected was effective in preventing far UV-C exposure.

"We always felt psychologically unstable": A qualitative study of midwives' experiences in providing maternity care during the COVID-19 pandemic in Tanzania.

We explored midwives' experiences and challenges in providing maternity care during the period of the first surge of the COVID-19 pandemic in Dodoma. Phenomenological study design was used to explore midwives' experiences and challenges in providing maternity care during the COVID-19 pandemic in Tanzania. We conducted interviews with a total of 23 midwives, using semi-structured interviews and an audio recorder. Five focus group discussions (FGDs) were conducted. To analyse the data, we used interpretive phenomenological thematic data analysis with NVivo software. To analyse templates, we followed a step-by-step process, starting with familiarizing ourselves with the data, followed by preliminary coding, organizing themes, developing an initial coding template, using the initial template, refining the template and finally applying it to the entire dataset. It was found that three themes and eight subthemes merged in the current study. The main themes were ① mental health distress, ② work environment challenges and ③ isolation of midwives by different groups. Reducing risk and protecting midwives from infectious diseases will improve the workforce, reduce the number of hospital stays, reduce the cost of hospital services, improve birth outcomes and indirectly improve family, community and national economies. Due to the system's failure to provide psychological support, protective environment and isolation rooms for confirmed or suspected cases put midwives at a higher risk of contracting the virus and had to work in a stressful environment. In addition to having the right tools, midwives must also receive emotional and psychological support in order to be at their best. The system must ensure that midwives are ready for uncertain times, such as pandemic infectious disease outbreaks, by providing protective work place environment such as personal protective equipment, psychological support and isolation room for confirmed COVID-19 cases.

Causes and Solutions for Student Delays in Filing Property Management Reports in Higher Education

Causes and Solutions for Student Delays in Filing Property Management Reports in Higher Education

Does a 30-minute introductory visit to the operating room reduce patients’ anxiety before elective surgery? A prospective controlled observational study

BackgroundPatients scheduled for elective surgery typically suffer from preoperative anxiety related to the unknown environment and unclear expectations. We hypothesized that a virtual or in-person introductory visit to the operating room one day before surgery may decrease the extent of preoperative anxiety by familiarizing patients and their families with the operating room environment. So, this study aimed to evaluate the impact of operating room visits, conducted both in-person and virtual reality, on patients’ preoperative anxiety.MethodsThis prospеctivе controllеd obsеrvational study еxaminеd patiеnts who wеrе candidatеs for gеnеral surgеry in a tеaching hospital in Iran. All patiеnts agеd bеtwееn 18–60 yеars, who wеrе undеrgoing gеnеral surgеry bеtwееn April and Sеptеmbеr 2022 and had prеopеrativе anxiеty basеd on thе Spiеlbеrgеr quеstionnairе, wеrе sеlеctеd. Patients who had emergency surgery or were taking anti-anxiety drugs were excluded from the study. Patiеnts wеrе thеn randomly assignеd to thе in-pеrson visit, virtual rеality visit, and control groups. In thе in-pеrson group, individuals visitеd thе opеrating room for 30 minutеs on thе day bеforе surgеry. In contrast, in thе virtual rеality group, visits wеrе conductеd via a ‘livе’ virtual vidеo tour of thе opеrating room for thе samе duration on thе day bеforе surgеry. The control group received routine care such as prе-surgеry hospitalization and mеdication. All participants completed the Spielberger questionnaire before the intervention (the day before surgery) and again two hours before surgery. Data were analyzed using variance analysis, t-tests, and Chi-square tests in SPSS 22 software.ResultsWе idеntifiеd 105 patiеnts undеrgoing gеnеral surgеry who wеrе dividеd into thrее groups of 35 pеoplе еach. Thе rеsults showеd that, bеforе thе intеrvеntion, thеrе wеrе no statistically significant diffеrеncеs among thе thrее groups in tеrms of dеmographic data and prеopеrativе anxiеty (p > 0.05). Aftеr thе intеrvеntion, thе mеan scorеs of prеopеrativе anxiеty in thе in-pеrson visit, virtual rеality visit, and control groups wеrе 52.82 ± 4.51, 54.48 ± 5.04, and 53.42 ± 4.62, rеspеctivеly, with no significant statistical diffеrеncе (p = 0.33). Furthermore, there was no significant difference in preoperative anxiety scores before and after the intervention in the in-person visit (p = 0.13), virtual reality visit (p = 0.10), and control (p = 0.33) groups.ConclusionA 30-minute visit to familiarize patients with the operating room environment, equipment, and staff, whether conducted in-person or virtually, does not significantly affect patients’ preoperative anxiety or reduce their anxiety levels.

CONDUCTING A NATURAL FIRE TEST IN THE VERTICAL CABLE TUNNEL OF A NUCLEAR POWER PLANT

The article discusses conducting a full-scale fire test in the vertical cable tunnel of a nuclear power plant (NPP). Vertical cable tunnels in NPPs are used for laying cable lines, wires, safety system lines, connecting the equipment room, and the containment of the nuclear power plant block. The paper analyses research methods and selects options that will be effectively used to determine the temperature regime in the vertical cable tunnel of NPPs with known aerodynamic, technical, and geometric parameters and fire loads. The algorithm for conducting full-scale tests in the vertical cable tunnel of an NPP is described. Based on the research, the maximum temperature in the combustion zone is reached on the fourth minute of the full-scale tests in the vertical cable tunnels of nuclear power plants. By obtaining temperature graphs in the vertical cable tunnel of the NPP, it can be observed that the highest temperature is in plane D (800–900 °C), and it depends on the location of the control point. Thermal energy propagates more intensively in the direction opposite to the filling of the space, which is opposite to the exit of combustion products and ventilation openings. The temperature in plane C is in the range of 500–800 °C. Thermal energy propagates most intensively towards the filling to the exit of combustion products. This temperature significantly deviates from the standard temperature regime, which differs greatly from the full-scale experimental study of fires in the vertical cable tunnels of nuclear power plants. It can be concluded that the standard temperature regime of a fire is not adequate for testing the fire resistance of the structural elements of vertical cable tunnels in nuclear power plants. An important conclusion of these studies is the possibility of determining the fire resistance of building structures of vertical cable tunnels of NPPs with the selection of the most severe temperature regime, according to the conducted field test. It means that research results can be used in practice in designing and evaluating the safety of such objects. Keywords: fire, natural fire tests, nuclear power plant, vertical cable tunnel.

Sampling technique to pool genetic materials of microorganism communities in blue-swimming crab processing plant industry

The crab and seafood processing industry must fulfill standard requirements for sanitation, hygiene, and good manufacturing methods to ensure the safety of the products and free from foodborne bacteria. However, equipment and processing unit surfaces are challenging to clean optimally, which can cause persistent bacteria to emerge. Eliminating persistent bacteria is the latest challenge in the fish processing industry for optimal disinfection, preventing cross-contamination, and controlling foodborne outbreaks. Microbiological testing in industry has been limited to selective culture-media techniques; thus, a rapid, sensitive, accurate, and routine applicable analytical method is urgently needed. The significant reduction in the costs of high-throughput sequencing technologies supports the possibility of routine applications in the industry. This study aimed to determine the profile of the microbial community on the surface of the production room and blue-swimming crab processing unit equipment using short-read metagenomic techniques. The analysis included the stages of sampling, bacterial incubation, bacterial DNA isolation, sequencing, and bioinformatics analysis. The first important step to increase the possibility of routine adoption in the seafood industry is to reduce the cost, complexity, and time required to complete the analysis. Therefore, in this protocol, we generate a scalable, flexible, cost-effective, and auditable workflow.•Collection of bacterial samples by swabbing the surface of the equipment using a sterile cotton swab and sterile cloth, which is easy to apply and follow in the blue-swimming crab processing plant industry.•Effective and efficient sample-pooling is an important step in identifying bacterial communities by metagenomic analysis.

Health promotion for the unemployed: the evaluation of the JOBS Program Germany from the trainers’ perspective

BackgroundThe JOBS Program Germany is a labor market integrative and health promotion intervention for unemployed people. This study examines JOBS Program Germany trainers’ view of (1) the theoretical concept of the JOBS Program, (2) its practical implementation in Germany on-site, (3) its acceptance by participants, and (4) the training effects. The study aimed at identifying potential for adaption allowing adjustments to improve the practical implementation and the training effectiveness.MethodsJOBS Program Germany trainers (two for each training) were interviewed via voluntary survey (computer-assisted web interviews) after each training.ResultsFourteen JOBS Program trainings have been conducted and all trainers responded resulting in 28 interviews. 78.5% and 85.7% of the respondents were rather or very satisfied with the theoretical contents and its practical implementation, respectively. Almost all trainers (96.4–100.0%) were satisfied with the on-site coordination, the cooperation with the organizer’s employees, the room equipment, the training room size, and the environmental conditions in the training rooms. In 89.3% of all responses the trainers rated the last training a success. However, the trainers also provided valuable suggestions for further improvement in Germany. This concerns the revision of the training manual, the adjustment of the trainer training and the preparation of participants.ConclusionBesides the trainers’ positive view on the different dimensions of the training content and implementation, their suggestions can help ensure that many unemployed people in Germany could benefit from a continued regular implementation of the JOBS Program Germany in the future.Trial RegistrationGerman Clinical Trials Register (DRKS), DRKS00022388. Registered on 20 July, 2020.

Female Surgical Ergonomics in Otolaryngology: A National Survey Study.

To assess the nature and impact surgical ergonomic challenges experienced by female otolaryngologists. National survey study. Female otolaryngology residents, fellows and attendings recruited via social media posting and email distribution. We distributed a survey study to female otolaryngologists throughout the United States. The height and glove size of participants reporting difficulties with equipment and instruments were compared to those not reporting difficulties. Ninety-six female otolaryngologists participated in our study, comprised of 43% residents, 10% fellows, and 47% attendings. Ninety percent of participants reported difficulties using equipment and 77% of participants reported difficulty with instruments, the most common being nasal endoscopic instruments (28%). The vast majority of participants reported pain during and (or) after the operation (92%). Head and neck (53%) and rhinology (44%) were identified as particularly challenging specialities, but only 25% of participants reported that ergonomics affected their career plans. Participants felt that adjustable equipment (60%), a variety of sizes of instruments (43%), and more discussion around ergonomics (47%) would help. Respondents reported adjusting the operating room to accommodate their size took extra time (44%) and was a mental burden (39%). Participants reporting difficulties with operating room equipment were significantly shorter than those without difficulties (64 inches vs 67 inches, P = .037), and those reporting difficulties with instruments had a smaller median glove size (6 vs 6.5, P = .018). Surgical ergonomics represent a challenge for female otolaryngologists, particularly those with smaller hands and shorter height. Partnering with industry, we must address the needs of an increasingly diverse workforce to ensure that all surgeons can operate effectively and comfortably.

Pelatihan Pengolahan Pati Sagu Untuk Meningkatkan Pendapatan Keluarga di Kelurahan Klamalu Kabupaten Sorong

Sago plants are found in lowland forest swamps, freshwater, coastal areas. At maturity, sago reaches a height of 8 to 17 meters and some trees reach a height of 30 meters depending on the type and conditions where they grow. For the people of Sorong, sago starch is a source of carbohydrates with low sugar content and sago is a staple food because the carbohydrate content in sago is equivalent to rice. For this training activity, we need several preparations so that the activities carried out can run well and smoothly. The activity was carried out in Klamalu Village, Sorong Regency. The preparations included: room (chairs and tables), projector, banner, ID card, consumption and other equipment. In carrying out training activities for the community which were carried out in Klamalu Village by a training team from the UNAMIN Faculty of Economics. The stages carried out are observation, licensing, preparation, implementation: material, practice, practical assistance, discussion, material reinforcement, closing of the event. The implementation stage begins with the speaker delivering material regarding the potential use of sago. Followed by practice and assistance in the practice of making sago crackers which was followed by the community, especially the women of Klamalu Village who were present and accompanied by the production team. With feedback provided by participants through questions in discussion sessions from the team of presenters and reinforcement of material regarding labeling products and managing PIRT by the supervising lecturer. By conducting training activities for the community, it becomes a process of transferring knowledge and introducing the benefits of the potential of existing sago plants so that they can be processed into sago crackers and can also be marketed to help MSMEs in Klamalu Village, Sorong Regency.