Efficacy of spray flushing in the reprocessing of flexible endoscopes:A randomized controlled trial

BACKGROUND Commonly used cleaning brushes in the reprocessing of flexible endoscopes often cause damage within the working channels.AIM To develop a spray flushing system to achieving effective cleaning of the working channels while minimizing damage.METHODS This prospective study included 60 used endoscopes and 60 Teflon tubes randomly divided into a control group(n=30)and an experimental group(n=30).The material of Teflon tubes was the same as that of the endoscope working channel.Endoscopes in the control group were manually cleaned using traditional cleaning brushes,while those in the experimental group were cleaned using the newly developed spray flushing system.ATP levels,cleanliness,and microbiological testing of the working channels were measured.Additionally,Teflon tubes in the control group underwent 500 passes with a cleaning brush,while those in the experimental group were subjected to the spray flushing system,and channel damage was evaluated.RESULTS The ATP levels(RLU)in the two groups were 32.5(13-66)and 26(16-40),respectively(P>0.05).Cleanliness scores were 1.5(1-2)and 1(1-2),respectively(P>0.05).Debris was found in 73.3%of the control group,which was significantly higher than 46.7%in the experimental group(P<0.05).Microbiological tests for both groups yielded negative results.Teflon tube damage in the control group was rated at 4(4-5.25),which was significantly higher than in the experimental group 4(3-4)(P<0.01).CONCLUSION The spray flushing system demonstrated superior efficacy in removing debris and resulted in less damage to the endoscope working channels compared with traditional cleaning brushes.

Influences of Earth Incidence Angle on FY-3/MWRI SST Retrieval and Evaluation of Reprocessed SST

Sea surface temperature(SST)is a crucial physical parameter in meteorology and oceanography.This study demonstrates that the influence of earth incidence angle(EIA)on the SST retrieved from the microwave radiation imager(MWRI)onboard FengYun-3(FY-3)meteorological satellites should not be ignored.Compared with algorithms that do not consider the influence of EIA in the regression,those that integrate the EIA into the regression can enhance the accuracy of SST retrievals.Subsequently,based on the recalibrated Level 1B data from the FY-3/MWRI,a long-term SST dataset was reprocessed by employing the algorithm that integrates the EIA into the regression.The reprocessed SST data,including FY-3B/MWRI SST during 2010-2019,FY-3C/MWRI SST during 2013-2019,and FY-3D/MWRI SST during 2018-2020,were compared with the in-situ SST and the SST dataset from the Operational Sea Surface Temperature and Ice Analysis(OSTIA).The results show that the FY-3/MWRI SST data were consistent with both the in-situ SST and the OSTIA SST dataset.Compared with the Copernicus Climate Change Service V2.0 SST,the absolute deviation of the reprocessed SST,with a quality flag of 50,was less than 1.5℃.The root mean square errors of the FY-3/MWRI orbital,daily,and monthly SSTs,with a quality flag of 50,were approximately 0.82℃,0.69℃,and 0.37℃,respectively.The primary discrepancies between the FY-3/MWRI SST and the OSTIA SST were found mainly in the regions of the western boundary current and the Antarctic Circumpolar Current.Overall,this reprocessed SST product is recommended for El Niño and La Niña events monitoring.

Effect of reprocessing on neutrons of a molten chloride salt fast reactor

Due to their unique features,such as the inherent safety,simplified fuel cycle,and continuous on-line reprocessing,molten salt reactors(MSRs)are regarded as one of the six reference reactors in the Generation IV International Forum(GEN-IV).Molten chloride salt fast reactors(MCFRs)are a type of MSR.Compared to molten fluoride salt reactors(MFSRs),MCFRs have a higher solubility of heavy metal atoms,a harder neutron spectrum,lower accumulation of fission products(FPs),and better breeding and transmutation performance.Thus,MCFRs have been recognized as a type of MSR with great prospects for future development.However,as the most important feature for MSRs,the effect of different reprocessing modes on MCFRs must be researched in depth.As such,this study investigated the effect of different isotopes,especially FPs,on the neutronic performance of an MCFR,such as its breeding performance.Furthermore,the characteristics of the different reprocessing modes and MCFR rates were analyzed in terms of safety,radioactivity level,neutron economy,and breeding capacity.In the end,a reprocessing method suitable for MCFRs was determined through calculation and analysis,which provides a reference for the further research of MCFRs.

Effect of quality uncertainty of parts on performance of reprocessing system in remanufacturing environment

Aimed at the problem of stochastic routings for reprocessing operations and highly variable processing times,an open queuing network is utilized to model a typical reprocessing system.In the model,each server is subject to breakdown and has a finite buffer capacity,while repair times,breakdown times and service time follow an exponential distribution.Based on the decomposition principle and the expansion methodology,an approximation analytical algorithm is proposed to calculate the mean reprocessing time,the throughput of each server and other parameters of the processing system.Then an approach to determining the quality of disassembled parts is suggested,on the basis of which the effect of parts quality on the performance of the reprocessing system is investigated.Numerical examples show that there is a negative correlation between quality of parts and their mean reprocessing time.Furthermore,marginal reprocessing time of the parts decrease with the drop in their quality.

Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy

The purpose of this article is to review the evidence regarding transmission of infection during gastrointestinal endoscopy, factors important in endoscope reprocessing and infection control, areas to focus on to improve compliance, and recent developments and advances in the field.

Synthesis of Reprocessable Lignin-based Non-isocyanate Poly(imine-hydroxyurethane)s Networks

In this study,an environmentally friendly and non-toxic route to synthesize lignin-based non-isocyanate poly(imine-hydroxyurethane)s networks was explored.Specifically,the NH_(2)-terminated polyhydroxyurethanes(NPHUs)prepolymer was first synthesized from bis(6-membered cyclic carbonate)(BCC)and diamine via the ring-opening reaction.Subsequently,the corresponding ligninbased non-isocyanate polyurethanes(NIPUs)with tunable properties were synthesized from NPHUs and levulinate lignin derivatives containing ketone groups via the Schiff base reaction.The structural,mechanical,and thermal properties of NIPUs with different stoichiometric feed ratios of BCC and levulinate lignin were characterized by Fourier transform infrared spectroscopy(FT-IR),nuclear magnetic resonance(NMR),differential scanning calorimetry(DSC),dynamic mechanical analysis(DMA),and thermogravimetric analysis(TGA).The results indicated that the tensile strength,Young's modulus,toughness,storage modulus,glass transition temperature,and thermal stability of lignin-based NIPUs gradually increased with increasing lignin content,and the highest Young's modulus of 41.1 MPa was obtained when lignin content reached 45.53%.With good reprocessing properties,this synthetic framework of ligninbased NIPUs also provides sustainable non-isocyanate-based substitutions to traditional polyurethane networks.

Synthesis of Lignin-based Nonisocyanate Poly(imine-hydroxyurethane)s Networks.Part II:Self-healing,Reprocessing,and Degradation

This study provides a comprehensive understanding of the polymeric properties of lignin-based non-isocyanate poly(iminehydroxyurethane)s(LNIPUs).The properties of the LNIPUs are affected by changes in the stoichiometric feed ratios of the bis(6-membered cyclic carbonate)(BCC)and levulinate enzymatic hydrolysis lignin(LEHL).The results showed that the LNIPUs exhibited a short relaxation time and excellent thermal repair and degradation properties.With a change in the LEHL content in the LNIPUs to 45.53%,a relaxation time of only 9 s was achieved,and the thermal repair rate of the scratches reached 93%.Furthermore,the tensile strength of the LNIPUs decreased with an increase in the LEHL content after two hot-pressing processes,while a higher than 75% tensile strength was maintained after the second hot-pressing treatment.The LNIPUs exhibited thermoresponsive shape memory property with deformation and shape fixing at 80℃.In addition,the as-synthesized LNIPUs were soluble in ethylene glycol in the absence of any organic solvents.This work demonstrates the synthesis of LNIPUs with self-healing,reprocessing,shape memory,and degradation properties.

Suitability of Blends from Virgin and Reprocessed Polylactide: Performance and Energy Valorization Kinet

A blending strategy of virgin and reprocessed polylactide may be postulated as an alternative to reduce the material cost at industrial level,and as a valorization route to plastic waste management of production scraps.The performance of blends prepared from virgin polylactide and polylactide mechanically reprocessed up to two cycles(PLA-V/R)was assessed in terms of thermo-oxidative stability,morphology,viscoelasticity and thermal kinetics for energetic valorization.PLA-V/R blends showed appropriate thermo-oxidative stability.The amorphous nature of polylactide was preserved after blending.The viscoelastic properties showed an increment of the mechanical blend effectiveness,which suggested the feasibility of using PLA-V/R blends under similar mechanical conditions to those of virgin PLA goods.Finally,it was shown that the energetic valorization of PLA-V/R blends would result in a more feasible process,due to the lower required activation energy,thus highlighting the advantages of the energetic demand for the process.In conclusion,PLA-V/R blends showed similar processability,service performance and valorization routes as virgin PLA and therefore could be relevant in the sustainable circular industry of bioplastics.

Observational study of enzyme in instrument cleaning for sterile reprocessing and factors impacting enzyme activity

Objective To evaluate the application of enzyme in instrument cleaning for hospital sterile reprocessing and different factors that impact the enzyme activity.Methods Standard soil objects for instrument cleaning quality evaluation,as testing coupons,were identified and used to evaluate different cleaning processes designed with varied conditions.Between testing groups using enzymatic detergent versus non-enzymatic detergent,the amount of residual protein on the testing coupons were quantified and compared at different soaking time(10min,20min,30min,45min and 60min).Then,within the enzymatic detergent group,different testing conditions were further explored by adjusting factors,in⁃cluding the soaking temperature(25°C,30°C and 45°C),use solution pH(7.0,8.0),and enzyme dosing(1/80,1/40,1/20,3/40,1/10 and 3/20 in v/v).Then,through an observational comparative study for each testing condition,the time needed to achieve a complete soil removal through visual inspection of the testing coupons was documented for analyses.Results In the test of enzymatic detergent versus non-enzymatic detergent,the non-enzymatic group did not show an obvious decline in the residual protein amount(1069μg at 10 min vs.1042μg at 60 min),whereas the enzymatic group showed significant decrease in residual protein quantity(947μg at 10 min vs.620μg at 60 min).Meanwhile,the amounts of the residual protein at different time points in the enzyme group(947μg at 10 min,864μg at 20 min,812μg at 30 min,691μg at 45 min,and 620μg at 60 min)were consistently lower than those at the same time schedule in the non-enzyme group(1069μg at 10 min,1069μg at 20 min,1067μg at 30 min,1059μg at 45 min,and 1042μg at 60 min).Furthermore,within the enzymatic group,the soaking temperature,use solution pH and enzyme dosing factors all appear to impact the enzyme activity and significantly contribute to the cleaning outcomes.Specifi⁃cally,the higher soaking temperature,higher use solution pH and higher enzyme dosing showed 58.4%,20.0%and 34.4%time reduction to completely remove the soil on the testing coupons,respectively.Conclusion Enzyme seems to play a significant role in the instrument cleaning process for hospital sterile reprocessing.The soaking temperature,cleaning use solution pH,and enzyme dosing all appear to be critical factors impacting the enzyme activity and thus the overall cleaning outcomes.In practice,cleaning process verification should be considered to ensure the optimal use conditions for enzyme cleaning performance are well-understood and consistently achieved at the facility level.

A Q-Learning Based Hybrid Meta-Heuristic for Integrated Scheduling of Disassembly and Reprocessing Processes Considering Product Structures and Stochasticity

Remanufacturing is regarded as a sustainable manufacturing paradigm of energy conservation and environment protection.To improve the efficiency of the remanufacturing process,this work investigates an integrated scheduling problem for disassembly and reprocessing in a remanufacturing process,where product structures and uncertainty are taken into account.First,a stochastic programming model is developed to minimize the maximum completion time(makespan).Second,a Q-learning based hybrid meta-heuristic(Q-HMH)is specially devised.In each iteration,a Q-learning method is employed to adaptively choose a premium algorithm from four candidate ones,including genetic algorithm(GA),artificial bee colony(ABC),shuffled frog-leaping algorithm(SFLA),and simulated annealing(SA)methods.At last,simulation experiments are carried out by using sixteen instances with different scales,and three state-of-the-art algorithms in literature and an exact solver CPLEX are chosen for comparisons.By analyzing the results with the average relative percentage deviation(RPD)metric,we find that Q-HMH outperforms its rivals by 9.79%-26.76%.The results and comparisons verify the excellent competitiveness of Q-HMH for solving the concerned problems.

Investigation on UV-curing Reprocessable Thermosets Bearing Hindered Urea Bonds and Their Composites with Modified Zinc Oxide Nanoparticles

In this study,a series of hindered urea bond(HUB)containing polyurethane-urea methacrylate prepolymers and a none HUB containing polyurethane methacrylate prepolymer were prepared using isobornyl methacrylate as the reactive diluent via one-pot procedure.The prepolymers were characterized fully by various techniques.Then,their thermosets were fabricated via UV curing in presence of a photo initiator,and their mechanical property and thermal behavior were investigated and compared.Different from the none HUB containing thermoset,the HUB containing thermosets(defined as PUT)could be recycled and reprocessed by hot press under relatively mild conditions with high recovery ratio of mechanical property.Furthermore,zinc oxide(ZnO)nanoparticles were modified with 3-(trimethoxysilyl)propyl methacrylate and the modified ZnO(defined as ZnO-TPM)was dispersed and polymerized into PUT matrix to prepare their nanocomposites.The influence of ZnO-TPM on the mechanical performance of the composites was evaluated,which indicated that the Young’s modulus and tensile strength increased gradually to the maximum values at ZnO-TPM content of 1 wt%and then decreased.The composites also displayed good reprocessability with improved recovery ratio compared to the pure PUT sample.In addition,the composite materials exhibited strong UV absorption capacity,implying their potential application in the circumstance where UV-shielding was required.

Catalyst-free and Reprocessable Aromatic Polydithiourethanes

The incorporation of dynamic covalent bonds into thermosets facilitates the reprocessing of polymer networks,thereby meeting the sustainable requirements for polymer recycling.However,the mechanical properties of many materials often decline significantly upon reprocessing due to side reactions caused by harsh processing conditions.In this work,we find that the aromatic dithiocarbamate bond can undergo dissociation under mild conditions without the need for a catalyst,enabling the efficient reprocessing of the corresponding polydithiourethane.As a consequence,the mechanical properties of the polydithiourethane can be largely preserved after reprocessing.The discovery of this dynamic chemistry is anticipated to broaden the potential for material design in dynamic covalent polymer networks.

基于C++的三维闪电回击数据再处理系统设计

针对三维闪电数据处理算法改进之后需重新定位回击数据,以及省级三维闪电探测系统的回击数据通常更加完整,应用时要将多个省份闪电回击数据合并后重新处理出准确的云内闪电高度值等问题,本研究使用C/S架构和C++builder编程开发了三维闪电回击数据再处理系统。系统设计了回击数据查询处理界面,提供了监视控制功能。通过设定回击数据文件和配置文件,再运行软件系统对符合条件的回击数据进行排序,在完成排序的数据中提取同一闪电相关信息,经计算处理得到重新定位的三维闪电探测结果并存储。将系统部署于国家级平台查询处理全国组网的三维闪电历史回击数据,测试结果表明,再处理系统操作便捷、功能齐全,满足三维闪电回击数据再处理系统的任务要求。

渤南洼陷页岩油储层夹层组测井曲线重处理检测与油气特征

胜利油田济阳坳陷渤南地区沙三下泥岩是良好的页岩油储层,其中广泛发育碳酸盐岩夹层和砂岩夹层,纵向上密集分布构成夹层组。夹层组的分布对页岩油的富集具有较大的控制作用,对夹层组的检测成为页岩油勘探的关键。但夹层单层厚度薄(1 m~2 m),纵向叠置复杂,横向变化快,加上测井曲线不具有良好对应的电性特征,因而夹层组检测难度极大。笔者首先以钻井岩屑、取心所描述的岩性特征为控制,对测井曲线进行重处理,极大地突出了夹层组电性特征。通过对水平井夹层组密度与产能分析,夹层组发育段产能占总产能的54%以上。同时在测井曲线重处理基础上进行高分辨率GR反演,获得夹层组的平面分布特征,与目前页岩油的开发结果非常吻合,从而有效地揭示了目标层位页岩油可能的富集区,为后期页岩油的勘探开发提供了坚实依据。

基于CFD的干法手套箱内气体流场的数值模拟研究

在乏燃料干法后处理中,将氧化物制备成金属时,可采用熔盐电解工艺技术,由于核燃料具有较高的毒性和放射性,为了确保操作过程的安全,整个工艺过程必须在干法手套箱内进行,干法手套箱是干法后处理熔盐电解工艺研究的必要保障。在以往的实际使用过程中,气量的设计理念是加大通风量,这就造成需要处理的废气量增加,能耗增多,运行成本提高。本文基于CFD以及统计学标准差的概念,研究了箱体内气体流场受到出入口位置、流速等因素的影响,建立了风机流量与箱体体积的函数关系式,为干法手套箱和热室的设计提供了重要的参数。

信息化追溯系统联合器械图谱技术在消毒供应中心外来医疗器械再处理中的应用

目的探讨信息化追溯系统联合器械图谱技术在消毒供应中心外来医疗器械再处理中的应用价值。方法对2021年6~12月天长市人民医院消毒供应中心接收的225个外来医疗器械包18512件器械进行常规处理模式;2022年1~7月天长市人民医院消毒供应中心接收的144个外来医疗器械包15204件器械使用信息化追溯系统联合器械图谱技术处理,比较两组管理模式下外来医疗器械的清洗合格率、拆卸合格率、组装合格率、包装合格率、灭菌合格率及湿包发生率,将两种处理模式的结果进行统计比较。结果信息化追溯系统联合器械图谱技术处理组目测法清洗合格率98.37%,三磷酸腺苷生物荧光检测法清洗合格率96.50%,拆卸合格率97.20%,组装合格率94.57%,包装合格率100%均优于常规处理模式组(88.81%、83.5%、91.04%、90.62%、92.89%),湿包发生率3.47%低于常规处理模式组16.89%,外来医疗器械再处理平均总时长(148.19±4.47)min低于常规处理模式组(180.01±6.29)min,差异均具有统计学意义(P<0.001)。结论实施信息化追溯系统联合器械图谱技术可显著提高外来医疗器械的再处理质量,降低湿包发生率,减少感染风险,值得临床推广使用。

松香基非异氰酸酯聚氨酯的制备及其性能研究

以松香衍生物丙烯海松酸(APA)为原料合成了丙烯海松酸二缩水甘油醚(AE),并进一步制得丙烯海松酸环碳酸酯(AC),利用AC中环碳酸酯基团与聚乙烯亚胺(PEI)、聚酯多元胺(Priamine 1074)中的氨基反应制备得到了松香基非异氰酸酯聚氨酯(ACPP)薄膜材料。采用红外光谱(FT-IR)、热重(TG)、动态热机械法(DMA)等技术对ACPP材料的结构和性能进行了表征。研究结果表明:随着AC含量的增加,松香结构中氢化菲环刚性结构的引入量增加,从而使ACPP的力学性能增强,当氨基/环碳酸酯基物质的量比值为1时材料(ACPP_(1))的拉伸强度可达到15 MPa;同时ACPP材料的玻璃化转变温度(T_(g))显著增大,均大于40℃,当氨基/环碳酸酯基物质的量比值为0.8时,制备得到的材料(ACPP_(0.8))的T_(g)达到最大值,为49.4℃。自愈合性能测试结果显示:当带有划痕的ACPP_(1)在160℃、 5 MPa条件下,加热1 h后可以实现划痕的完全愈合,愈合率高达100%;另外,ACPP_(1)分别经过物理再加工和化学回收再加工后,力学性能仍可以恢复到原始强度的85%,展现出了优异的回收再加工性能。

乏燃料后处理碱性流程的研究进展

乏燃料后处理碱性流程是用碳酸盐、氢氧化物等碱性物质的溶液作为介质进行乏燃料的溶解及铀、钚等元素的分离与纯化的方法。碱性条件下,乏燃料中的大部分裂变产物和次锕系元素并不溶解或者在溶解过程中转变为碳酸盐、氢氧化物沉淀。与已经实现工业化的PUREX(plutonium uranium redox extraction)酸性流程相比,碱性流程具有腐蚀性更小、流程更简单等潜在的优点。鉴于碱性流程的优点及其在乏燃料后处理中的潜在应用,日本、美国、俄罗斯、韩国等国家的科研人员已经围绕该流程开展了一些研究工作。本文首先介绍了各国建议的碱性流程的技术路线;然后逐一介绍了与主要工艺环节相关的基础研究的进展,包括乏燃料的氧化溶解、核素分离、试剂的回收等;最后对该领域面临的挑战和前景进行了讨论。

乏燃料干法和水法后处理设施经济性分析

核燃料循环是影响核电经济评价的重要因素,是推进核能发展的关键问题。乏燃料后处理作为核燃料循环后段的重要组成部分,其经济成本会影响整体的核燃料循环成本。为对核燃料循环尤其是后段循环成本的分析提供更准确参考,本文调研了国外干法和水法后处理设施的经济性数据,并结合对快堆乏燃料后处理设施的经济性研究,进行了热堆和快堆乏燃料的干法和水法后处理成本的分析,给出了各设施的后处理成本数据。

软式消化内镜再处理及其影响因素的研究进展

应用于消化系统疾病诊疗的软式内镜在操作中会接触消化道黏膜、进入血管和无菌组织,因此需要进行严格的再处理后才能重新用于患者,但因其具有材质特殊、管腔狭窄和结构复杂等特点,显著增加了再处理的难度。文章从护理管理的角度出发,对软式消化内镜再处理的定义、方案、影响因素进行综述,详细分析了影响再处理的多种因素并提出相应对策,以期为内镜再处理的管理提供借鉴和参考。