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术中人员流动对层流洁净手术室内空气及患者的影响研究 被引量:6
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作者 林丽肖 陈淑淑 陈思思 《医院管理论坛》 2020年第10期64-66,30,共4页
目的研究术中医务人员流动量对层流洁净手术室内空气含菌量、患者切口感染的影响。方法选择2018年3月至2019年6月于本院层流洁净手术室接受手术的患者143例,按医务人员流动情况分流动组108例和非流动组35例。对手术室空气采样并进行细... 目的研究术中医务人员流动量对层流洁净手术室内空气含菌量、患者切口感染的影响。方法选择2018年3月至2019年6月于本院层流洁净手术室接受手术的患者143例,按医务人员流动情况分流动组108例和非流动组35例。对手术室空气采样并进行细菌培养,准确计算空气含菌量,观察患者术切口感染发生率,分析术中医务人员流动量与层流洁净手术室内空气含菌量及患者切口感染的相关性。结果流动组术中0.5小时、1小时、1.5小时、2小时及术毕时手术室空气含菌量均明显高于非流动组(p<0.05);1~10人次组术中0.5小时、1小时、1.5小时、2小时及术毕时手术室空气含菌量均明显低于10人次以上组(p<0.05);非流动组患者切口感染发生率0.00%(0/35)低于流动组的15.74%(17/108)(p<0.05);1~10人次组患者的切口感染发生率2.86%(1/34),低于10人次以上组的21.62%(16/74)(p<0.05);经Pearson相关性分析发现,术中医务人员流动量与层流洁净手术室内空气含菌量、患者切口感染发生率均呈正相关(r=0.629、0.738,p<0.05)。结论术中医务人员流动量与层流洁净手术室内空气含菌量及患者切口感染发生率存在显著相关性,即随着术中医务人员流动量增加,层流洁净手术室内空气含菌量增多,患者切口感染发生风险增加。 展开更多
关键词 术中人员流动Staff flow during operation 层流洁净手术室Laminar flow clean operating room 空气含菌量Air bacteria content 切口感染Incision infection
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Aerobic granules cultivated and operated in continuous-flow bioreactor under particle-size selective pressure 被引量:8
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作者 Hongbo Liu Hang Xiao +2 位作者 Shuai Huang Huijun Ma He Liu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2014年第11期2215-2221,共7页
A novel method based on the selective pressure of particle size (particle-size cultivation method, PSCM) was developed for the cultivation and operation of aerobic granular sludge in a continuous-flow reactor, and c... A novel method based on the selective pressure of particle size (particle-size cultivation method, PSCM) was developed for the cultivation and operation of aerobic granular sludge in a continuous-flow reactor, and compared with the conventional method based on the selective pressure of settling velocity (settling-velocity cultivation method, SVCM). Results indicated that aerobic granules could be cultivated in continuous operation mode by this developed method within 14 days. Although in the granulation process, under particle-size selective pressure, mixed liquor suspended solids (MLSS) in the reactor fluctuated greatly and filamentous bacteria dominated the sludge system during the initial operation days, no obvious difference in profile was found between the aerobic granules cultivated by PSCM and SVCM. Moreover, aerobic granules cultivated by PSCM presented larger diameter, lower water content and higher specific rates of nitrification, denitrifieation and phosphorus removal, but lower settling velocity. Under long term operation of more than 30 days, aerobic granules in the continuous-flow reactor could remain stable and obtain good chemical oxygen demand (COD), NH4^+-N, total nitrogen (TN) and total phosphorus (TP) removal. The results indicate that PSCM was dependent on the cultivation and maintenance of the stability of aerobic granules in continuous-flow bioreactors. 展开更多
关键词 Aerobic granular sludge Batch reactor Continuous flow Selective pressure Long-term operation
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Fouling distribution in forward osmosis membrane process 被引量:2
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作者 Junseok Lee Bongchul Kim Seungkwan Hong 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2014年第6期1348-1354,共7页
Fouling behavior along the length of membrane module was systematically investigated by performing simple modeling and lab-scale experiments of forward osmosis (FO) membrane process. The flux distribution model deve... Fouling behavior along the length of membrane module was systematically investigated by performing simple modeling and lab-scale experiments of forward osmosis (FO) membrane process. The flux distribution model developed in this study showed a good agreement with experimental results, validating the robustness of the model. This model demonstrated, as expected, that the permeate flux decreased along the membrane channel due to decreasing osmotic pressure differential across the FO membrane. A series of fouling experiments were conducted under the draw and feed solutions at various recoveries simulated by the model. The simulated fouling experiments revealed that higher organic (alginate) fouling and thus more flux decline were observed at the last section of a membrane channel, as foulants in feed solution became more concentrated. Furthermore, the water flux in FO process declined more severely as the recovery increased due to more foulants transported to membrane surface with elevated solute concentrations at higher recovery, which created favorable solution environments for organic adsorption. The fouling reversibility also decreased at the last section of the membrane channel, suggesting that fouling distribution on FO membrane along the module should be carefully examined to improve overall cleaning efficiency. Lastly, it was found that such fouling distribution observed with co-current flow operation became less pronounced in counter- current flow operation of FO membrane process. 展开更多
关键词 forward osmosis membrane module length organic fouling fouling reversibility counter-current flow FO operation
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