• Advances in Energy Research
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• v.4 no.3
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• pp.239-253
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• 2016

Air quality in hospitals has always concerned hospitals' health officials due to its dangerous particles and gases. Because of the importance of air conditioning in the operating room, a system must be embedded in operating rooms to direct the contaminated air outside, and inject fresh filtered air from outside back into the room. In this study, laminar flow air conditioning system is implemented in the operating room by slot linear diffusers and with the help of air curtain. For this, stimulation Computational Fluid Dynamic (CFD) was used due to its efficiency. The aim of the present study was to find a proper solution to overcome the unfavorable factors, namely, contamination, humidity, and also temperature, velocity and pressure inside the room. These factors were implemented with different values and then stimulated through FLUENT software program. Results showed that the aforementioned factors can be overcome using air curtain and slot linear diffusers.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.72-89
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• 2000

Background : Various types of protective footwear have been used to minimize bacterial contamination in operating rooms. In recent years, debate has arisen concerning the need for use of such protective footwear. This study was designed to provide useful data about choosing shoes most suitable for the surgical environment. Methods : Between November, 1999 and January, 2000, we performed this experimental study by comparing effect of three types of shoes (i.e., disposable shoescover, operating room-restricted shoes, and ordinary shoes) on bacterial contamination of operating rooms equipped with two different ventilation systems (i.e., high air-change, low air-change) respectively. Data were collected during two- hour sham operations in which subjects and their activities were strictly standardized. Bacterial flora were sampled from the study area floor and air colony counts were measured. Results : In experiments involving high air-change ventilation system, there was a significant difference of floor contamination between three types of shoes, but no difference of air contamination. Under low air-change system, there was a significant difference of both floor and air contamination between three types of shoes. Conclusion : The results show that protective footwear would be unnecessary in the operating room with high air-change ventilation system, but it is important to choose suitable shoes carefully under low air-change system. Therefore, the use of outdoor shoes can be considered under high air-change system, but it would seem sensible to apply their first use in less bloody operations at the day surgery center or out-patient department to prevent transfer of body fluid into the outside environment.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.1
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• pp.51-58
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• 2018

Purpose: In this study, through the comparison of the pressure fluctuation and air exchange volume in negative isolation room according to the type of the door and door opening/closing speeds, which is one of the main factors causing the cross contamination of the negative pressure isolation room, establishes standard operating procedures to prevent cross contamination in high risk infectious diseases and isolation room design. Methods: In this study, the air flow each of the room is analyzed using ANASYS CFX CODE for flow analysis. In addition, the grid configuration of the door is constructed by applying Immersed Solid Methods. Results: The pressure fluctuation due to the opening and closing of the hinged door was very large when the moment of the hinged door opened and closed. Especially, at the moment when the door is closed, a pressure reversal phenomenon occurs in which the pressure in the isolation room is larger than the pressure in the anteroom. On the other hand, the pressure fluctuation due to the opening and closing of the sliding door appeared only when the door was closed, but the pressure reversal phenomenon not occurred at the moment when the sliding door was closed, unlike the hinged door. As the opening and closing speed of the hinged door increases, the air exchange volume is increased. However, as the opening and closing speed of the sliding door is decreased, the air exchange volume is increased. Implications: According to the results of this study, it can be concluded that the pressure fluctuation due to the opening and closing of the hinged door is greater than the pressure fluctuation due to the opening and closing of the sliding door. In addition, it can be confirmed that the pressure reversal phenomenon, which may cause to reduce the containment effect in negative pressure isolation room, is caused by the closing of the hinged door. Therefore, it is recommended to install a sliding door to maintain a stable differential pressure in the negative isolation room. Also, as the opening and closing speed of the hinged door is slower and the opening and closing speed of the sliding door is faster, the possibility of cross contamination of the room can be reduced. It is therefore necessary to establish standard operating procedures for negative isolation room for door opening and closing speeds.

• Progress in Superconductivity and Cryogenics
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• v.25 no.1
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• pp.6-10
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• 2023

2 K superfluid helium cryogenic system is the crucial component of many large accelerators. When the cryogenic system is operating at 2K@3129Pa, many room-temperature parts are connected to superfluid helium via tubes. Air Leakage in these connections may lead to air contamination of the cryogenic system. Air contamination may cause equipment failure in cryogenic systems and, in extreme cases, render the entire accelerator system inoperable. Helium guard is a technique that guards against air contamination of these sub-atmospheric pressure connections in 2 K superfluid helium cryogenic system. This paper introduces a typical 2 K cryogenic distribution design for large accelerators, and make risk analysis of air contamination. Finally, the analysis of specific leakage points and detailed engineering design are presented, which may be used as a reference when designing of a 2 K superfluid helium cryogenic distribution system.

• Korean Journal of Adult Nursing
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• v.26 no.1
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• pp.98-106
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• 2014

Purpose: The purpose of this study was to explore the effect of glove changing during surgery for colon cancer on reducing the degree of contamination of surgical gloves. Methods: The randomized posttest control group design was used. Total 72 surgeries of colon cancer in the K University Hospital in Seoul performed by the team of A-Surgeon and B-Scrub nurse were randomly assigned to one of the three groups. Glove changing with single-gloved state was implemented in the Experimental Group I and outer glove changing with double-gloved state was executed in the Experimental Group II. Single-gloved state was carried in the Control Group. Following the surgical procedure, specimens for bacterial culture were collected the from scrub nurse's gloves to compare the degree of contamination among the three groups. Data were analyzed with One-way ANOVA and the Scheff$\acute{e}$'s multiple comparison test. Results: The degrees of contamination of the Experimental Group I and II were significantly lower than that of the Control Group. There was no significant difference between Experimental Group I and II. Conclusion: Glove changing during surgery with either single or double-gloved state is effective in reducing the degree of contamination of surgical gloves, therefore these methods should be utilized in clinical practice.

• KIEAE Journal
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• v.4 no.3
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• pp.187-194
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• 2004

In many other buildings, hospital is very important because of its function and purpose. A proper building service systems including heating, cooling, ventilation and plumbing systems is required in hospial. Besides, a special systems like medical gas, vacuum cleaning systems are required to prevent contamination as well as cure a patient in hospital. Ventilation is very important method to keep the indoor pressure and clean class. There are some specific rooms to consider clean class and indoor pressure in the general hospital. In this article, specific rooms were set to operating room, laboratory, ICU, isolation unit, and sterilizer room. In this case study, design factors of ventilation system, including air changes of OA and TA, indoor pressure, clean class, filter, and material of system, of specific rooms in hospital were proposed through a literature research and a design examples review.

• Journal of The Korea Institute of Healthcare Architecture
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• v.24 no.2
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• pp.37-44
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• 2018

Purpose: This study investigates the influences of coughing direction and healthcare worker's location on the transport characteristics of coughed particles in airborne infection isolation room (AIIR), which is commonly called negative pressure isolation room, with a downward ventilation system. Methods: Computational Fluid Dynamics (CFD) was used to simulate the airflow and for tracing the behavior of particles. Results: The results show that the airflow pattern and coughing direction have a significant influence on the characteristics of particle dispersion and deposition. When healthcare workers are in the isolation room with the patient who is lying on the bed, it is recommended to be located far from the anteroom to reduce the exposures from infectious particles. And when the patient is lying, it is more effective in removing particles than when the patient is in Fowler's position. Although it is an isolation room that produces unidirectional flow, coughing particles can spread to the whole room and a large number of particles can be deposited onto patient, bed, side rails, healthcare worker, ceiling, floor, and sidewall. Implications: Following the patients' discharge or transfer, terminal cleaning of the vacated room, furniture, and all clinical equipment is essential. Also, it is necessary to establish detailed standard operating procedure (SOP) in order to reduce the risk of cross-contamination.

• Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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• 2010.03b
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• pp.29-29
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• 2010

Surface contamination and leakage current have caused operating problems. A flashover in a substation may result in destruction of an insulator or many others electrical equipment. Engineering plastics have good characteristic (light weight, good productivity and little of void) as compare with epoxy or porcelain insulators. Outdoor insulator must have resistance to contamination. However, it isn't suited to outdoor insulator because it is not hydrophobic. RTV(Room temperature vulcanizing) has a good property of hydrophobic and micro-filler. nano-filler have characteristics of obstructing exothermic reaction. In order to reduce the incidence of insulator flashover and damage, the silicon rubber contained with micro, nano-filler coating on surface of engineering plastics. In this paper, it compares tracking resistance, leakage current of the engineering plastic coated RTV with that of non-coated engineering plastic. And filled-composites performed much better than non-filled composites.

• The Korean Journal of Nuclear Medicine Technology
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• v.14 no.2
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• pp.128-132
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• 2010

Purpose: Nuclear medicine general operation room is radioactive control room which is used for the handling of radioisotope(R.I). Radioactive contamination materials must be under control and separated from general trash. With this experiments, we want to actively suggest the guideline of controling and operating radioactive contamination materials by measuring contamination degree and analyzing the causes which is not realized so far. Materials and Methods: Materials are selected from Oct. 2009 to March. 2010. salines which are used for labelling radiophamaceuticals and generator cap, saline needle cap, $^{99m}Tc$-needle cap saline vial which is generated from $^{99}Mo$/$^{99m}Tc$ generator. After measuring each surface contamination degree by survey meter, mean value and standard deviation one were solved out. Results: In result, After measuring surface contamination degree, radioactivity of saline for labelling radiophamaceuticals showed $14429{\pm}26378$ cpm (p<0.05) and in measured generators, foreign imported things showed that generator cap : $9{\pm}21$ cpm, saline vial : $17{\pm}28$ cpm. saline needle cap : $35{\pm}66$ cpm, $^{99m}Tc$-needle cap : $9{\pm}21$ cpm, saline vial $13{\pm}28$ cpm. domestic things showed that generator cap : $22852{\pm}52545$ cpm, saline needle cap : $87367{\pm}109711$ cpm, $^{99m}Tc$-needle cap : $9008{\pm}10459$ cpm, saline vial : $186416{\pm}158196$ cpm (p<0.05). Conclusion: The saline which is used for labelling, exceeded 1/10 of maximum permissible range. this is generated from radiophamaceuticals dilution procedure. and In generators, radioactive value of foreign import things showed closely background value. but which of domestic thing showed that exceeded more than 1000 values 1/10 of maximum permissible range. the causes of that is domestic generator is contaminated in manufacturing procedure. So, to dispose radioactive contamination materials which is could betaken out of, the control and operation must be radical under controlled by radioactive measuring, recording and equipping of its own. if this is kept well, we can prevent surely that radioactive waste could be disposed like as general trash.

• Journal of Korean Academy of Nursing
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• v.25 no.1
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• pp.99-109
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• 1995

Post-operative wound infections have been the serious problems in nursing care in the operating room and appear to be strongly related to the infection occurring during the operation. The purpose of this study is to identify the level of contamination in saline used in the operation and also examine the correlation between the contaminated saline and the length of the operation, and unclean atmospheric factor. Subjects for this study include 13 cases of operation performed at the operative theatre of a hospital in Seoul area. Test samples and related data were collected from this medical facility between Oct. 6 through Dec. 10, 1994 by the author and anurse who worked in the operating room. For the study, multiple batches of saline sample were collected at the various time intervals duringthe operation and filtered through the membrane filters. Viable microorganisms retained on the filters were cultured on the appropriate culture media and the levels of existing cells in saline were enumerated according to Koch's method. In the analyses of the data, Pearson's correlation coefficient was obtained for the examination of relationship between the length of operation and numbers of microorganisms existing in saline and for the comparison of the differences in numbers if microrganisms in saline sample collected at the various operative stages, e. g. pre-incision, excision and skin suturing stages, ANOVA and Scheff Tests were performed. The results of this study are summarized as follows. 1) The lenth of the operation and numbers of microorganisms in the saline used in the operation appeared to be significantly correlated (r=0.5467, P<0,001). 2) In case of saline exposed to air, but not used in the operation, the length of exposure to the air and the numbers of microorganisms present in saline also showed an apparent correlation(r=0.5087, P<0. 001). 3) The frequencies of occurrence of microorganisms in saline used in the operation and in saline exposed only to the air in the given time showed significant differences(t=3.73, p=.0000). 4) In case of saline used in the operation, there is significant differences in its numbers of contained microorganisms between the operative stages ; pre-incision, excision, and skin suture (F=17.7500, p=.0000). 5) In case of saline exposed only to the air in the given time, there is significant differences in its numbers of contained microorganisms between the operative stages . pre-incision, excision, and skin suture(F=6.3807, p=.00031).