WorldWideScience

Sample records for room temperature operation

  1. Primary standard of optical power operating at room temperature

    Directory of Open Access Journals (Sweden)

    Dönsberg Timo

    2014-01-01

    Full Text Available The Predictable Quantum Efficient Detector (PQED is evaluated as a new primary standard of optical power. Design and characterization results are presented for a new compact room temperature PQED that consists of two custom-made induced junction photodiodes mounted in a wedged trap configuration. The detector assembly includes a window aligned in Brewster angle in front of the photodiodes for high transmission of p polarized light. The detector can also be operated without the window, in which case a dry nitrogen flow system is utilized to prevent dust contamination of the photodiodes. Measurements of individual detectors at the wavelength of 488 nm indicate that reflectance and internal quantum efficiency are consistent within 14 ppm and 10 ppm (ppm = part per million, respectively, and agree with the predicted values. The measured photocurrent ratio of the two photodiodes confirms the predicted value for s and p polarized light, and the spatial variation in the photocurrent ratio can be used to estimate the uniformity in the thickness of the silicon dioxide layer on the surface of the photodiodes. In addition, the spatial non-uniformity of the responsivity of the PQED is an order of magnitude lower than that of single photodiodes. Such data provide evidence that the room temperature PQED may replace the cryogenic radiometer as a primary standard of optical power in the visible wavelength range.

  2. Primary standard of optical power operating at room temperature

    Science.gov (United States)

    Dönsberg, Timo; Sildoja, Meelis; Manoocheri, Farshid; Merimaa, Mikko; Petroff, Leo; Ikonen, Erkki

    2014-08-01

    The Predictable Quantum Efficient Detector (PQED) is evaluated as a new primary standard of optical power. Design and characterization results are presented for a new compact room temperature PQED that consists of two custom-made induced junction photodiodes mounted in a wedged trap configuration. The detector assembly includes a window aligned in Brewster angle in front of the photodiodes for high transmission of p polarized light. The detector can also be operated without the window, in which case a dry nitrogen flow system is utilized to prevent dust contamination of the photodiodes. Measurements of individual detectors at the wavelength of 488 nm indicate that reflectance and internal quantum efficiency are consistent within 14 ppm and 10 ppm (ppm = part per million), respectively, and agree with the predicted values. The measured photocurrent ratio of the two photodiodes confirms the predicted value for s and p polarized light, and the spatial variation in the photocurrent ratio can be used to estimate the uniformity in the thickness of the silicon dioxide layer on the surface of the photodiodes. In addition, the spatial non-uniformity of the responsivity of the PQED is an order of magnitude lower than that of single photodiodes. Such data provide evidence that the room temperature PQED may replace the cryogenic radiometer as a primary standard of optical power in the visible wavelength range.

  3. CdZnTe room-temperature semiconductor operation in liquid scintillator

    CERN Document Server

    Stewart, D Y

    2008-01-01

    We demonstrate the first operation of CdZnTe room-temperature detectors in a liquid scintillator environment. This work follows conceptually the Heusser-type detector method of operating HPGe detectors in liquid nitrogen and liquid argon but instead for a far more practical room-temperature ensemble with the aim of achieving ultra-low background levels for radiation detection.

  4. Semiconductor terahertz technology devices and systems at room temperature operation

    CERN Document Server

    Carpintero, G; Hartnagel, H; Preu, S; Raisanen, A

    2015-01-01

    Key advances in Semiconductor Terahertz (THz) Technology now promises important new applications enabling scientists and engineers to overcome the challenges of accessing the so-called "terahertz gap".  This pioneering reference explains the fundamental methods and surveys innovative techniques in the generation, detection and processing of THz waves with solid-state devices, as well as illustrating their potential applications in security and telecommunications, among other fields. With contributions from leading experts, Semiconductor Terahertz Technology: Devices and Systems at Room Tempe

  5. Temperature controlled airflow ventilation in operating rooms compared with laminar airflow and turbulent mixed airflow

    DEFF Research Database (Denmark)

    Alsved, Malin; Civilis, Anette; Ekolind, Peter

    2017-01-01

    , vertical laminar airflow (LAF) and turbulent mixed airflow (TMA), were compared with a newly developed ventilation technique: temperature controlled airflow (TcAF). CFU concentrations were measured at three locations in an operating room during 45 orthopaedic surgeries: close to the wound (...), at the instrument table, and peripherally in the room. The operating team evaluated the working environment comfort by answering a questionnaire. FINDINGS: We showed that LAF and TcAF, but not TMA, resulted in less than 10 CFU/m(3) at all measurement locations in the room during ongoing surgery. Median values...... of CFU/m(3) close to the wound (250 samples) were 0 for LAF, 1 for TcAF and 10 for TMA. Peripherally in the room, the CFU concentrations were lowest for TcAF. The CFU concentrations did not scale proportionally with airflow rates. Compared to LAF, TcAF's power consumption was 28% lower...

  6. Operating room manager game

    NARCIS (Netherlands)

    Hans, Elias W.; Nieberg, T.

    2007-01-01

    The operating room (OR) department of a hospital forms the heart of the organization, where the single largest cost is incurred. This document presents and reports on the “Operating Room Manager Game,” developed to give insight into managing a large hospital's OR department at various levels of

  7. Photodetector development at Fraunhofer IAF: From LWIR to SWIR operating from cryogenic close to room temperature

    Science.gov (United States)

    Daumer, V.; Gramich, V.; Müller, R.; Schmidt, J.; Rutz, F.; Stadelmann, T.; Wörl, A.; Rehm, R.

    2017-02-01

    Photodetectors in the non-visible region of the electromagnetic spectrum are essential for security, defense and space science as well as industrial and scientific applications. The research activities at Fraunhofer IAF cover a broad range in the infrared (IR) regime. Whereas short-wavelength IR (SWIR, InGaAs/InP structures, InAs/GaSb type-II superlattice (T2SL) infrared detectors are developed for the spectral bands from mid- (MWIR, 3-5 μm) to long-wavelength IR (LWIR, 8-12 μm). We report on the extension of the superlattice empirical pseudopotential method (SEPM) to 300 K for the design of LWIR heterostructures for operation near room temperature. Recently, we have also adapted heterostructure concepts to our well established bi-spectral T2SL MWIR detector resulting in a dark current density below 2 × 10-9 A/cm2 for a cut-off wavelength close to 5 μm. Finally, we present first results obtained with a gated viewing system based on our InGaAs/InAlAs/InP avalanche photodiode arrays.

  8. AuPd/polyaniline as the anode in an ethylene glycol microfluidic fuel cell operated at room temperature.

    Science.gov (United States)

    Arjona, N; Palacios, A; Moreno-Zuria, A; Guerra-Balcázar, M; Ledesma-García, J; Arriaga, L G

    2014-08-04

    AuPd/polyaniline was used for the first time, for ethylene glycol (EG) electrooxidation in a novel microfluidic fuel cell (MFC) operated at room temperature. The device exhibits high electrocatalytic performance and stability for the conversion of cheap and fully available EG as fuel.

  9. Operating Room Telephone Microbial Flora

    National Research Council Canada - National Science Library

    Nelson, Jason; Shinn, Antoinette M; Bivens, Ava

    2005-01-01

    ...) could be found on telephones in the Operating Room (OR). A total of 26 cultures were taken from telephones within 14 operating rooms and two sub-sterile rooms at a large, teaching, medical center...

  10. Digital Operating Room assistant

    NARCIS (Netherlands)

    Geudon, A.C.P.

    2016-01-01

    The Operating Room (OR) is a complex environment, where a large variety of patients and diseases can be treated and many unexpected events occur (such as emergency surgeries and unexpected progress of procedures). In practice, OR assistants support OR processes as well as they can, in order to

  11. Operating room rescheduling

    NARCIS (Netherlands)

    van Essen, J. Theresia; Hurink, Johann L.; Hartholt, W.; van den Akker, B.J.

    2012-01-01

    Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other

  12. Room Temperature Curing Polymers

    Science.gov (United States)

    1977-05-01

    UJ LU LU LU UJ LU W -Q U "O 26 -- - -■- — ■ ■- ■ MBti ^L. IIIIIIII.IHI.I|.UHI,IW’I»;I.!I"IT,U» mpwi«ŕ "^Wl be 190,000 psi which is consistent...was added to the mixture. After 1 hour benzene and water were added and the mixture was stirred until the salt was dissolved. The organic ...for 15 minutes and then cooled to room temperature. The mixture was extracted with two 100 ml portions of water. The organic layer was dried (MgS04

  13. Iron overload detection in rats by means of a susceptometer operating at room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Marinelli, M; Gianesin, B [Department of Physics, University of Genoa, Via Dodecaneso 33, 16146 Genoa (Italy); Avignolo, C; Parodi, S [Department of Oncology, Biology and Genetics, Largo R Benzi 10, 16132 (Italy); Minganti, V [Department of Chemistry and Pharmaceutical and Alimentary Technology, Via Brigata Salerno 13, 16147 Genoa (Italy)

    2008-12-07

    Biosusceptometry is a non-invasive procedure for determination of iron overload in a human body; it is essentially an assessment of the diamagnetic (water) and paramagnetic (iron) properties of tissues. We measured in vivo iron overload in the liver region of 12 rats by a room temperature susceptometer. The rats had been injected with sub-toxic doses of iron dextran. A quantitative relationship has been observed between the measurements and the number of treatments. The assessment of iron overload requires evaluating the magnetic signal corresponding to the same rat ideally without the overload. This background value was extrapolated on the basis of the signal measured in control rats versus body weight (R{sup 2} = 0.73). The mean iron overload values for the treated rats, obtained after each iron injection, were significantly different from the means of the corresponding control rats (p < 0.01). The in vivo measurements have been complemented by chemical analysis on excised livers and other organs (R{sup 2} = 0.89). The magnetic moment of iron atoms in liver tissues was measured to be 3.6 Bohr magneton. Evaluation of the background signal is the limit to the measure; the error corresponds to about 30 mg (1 SD) of iron while the instrument sensitivity is more than a factor of 10 better.

  14. A new sensor for ammonia based on cyanidin-sensitized titanium dioxide film operating at room temperature.

    Science.gov (United States)

    Huang, Xiao-wei; Zou, Xiao-bo; Shi, Ji-yong; Zhao, Jie-wen; Li, Yanxiao; Hao, Limin; Zhang, Jianchun

    2013-07-17

    Design and fabrication of an ammonia sensor operating at room temperature based on pigment-sensitized TiO2 films was described. TiO2 was prepared by sol-gel method and deposited on glass slides containing gold electrodes. Then, the film immersed in a 2.5×10(-4)M ethanol solution of cyanidin to absorb the pigment. The hybrid organic-inorganic formed film here can detect ammonia reversibly at room temperature. The relative change resistance of the films at a potential difference of 1.5V is determined when the films are exposed to atmospheres containing ammonia vapors with concentrations over the range 10-50 ppm. The relative change resistance, S, of the films increased almost linearly with increasing concentrations of ammonia (r=0.92). The response time to increasing concentrations of the ammonia is about 180-220 s, and the corresponding values for decreasing concentrations 240-270 s. At low humidity, ammonia could be ionized by the cyanidin on the TiO2 film and thereby decrease in the proton concentration at the surface. Consequently, more positively charged holes at the surface of the TiO2 have to be extracted to neutralize the adsorbed cyanidin and water film. The resistance response to ammonia of the sensors was nearly independent on temperature from 10 to 50°C. These results are not actually as good as those reported in the literature, but this preliminary work proposes simpler and cheaper processes to realize NH3 sensor for room temperature applications. Copyright © 2013 Elsevier B.V. All rights reserved.

  15. A new sensor for ammonia based on cyanidin-sensitized titanium dioxide film operating at room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Xiao-wei, Huang [School of Food and Biological Engineering, Jiangsu University, 301 Xuefu Road, 212013 Zhenjiang, Jiangsu (China); Xiao-bo, Zou, E-mail: zou_xiaobo@ujs.edu.cn [School of Food and Biological Engineering, Jiangsu University, 301 Xuefu Road, 212013 Zhenjiang, Jiangsu (China); Key Laboratory of Modern Agricultural Equipment and Technology, 301 Xuefu Road, 212013 Zhenjiang, Jiangsu (China); Ji-yong, Shi; Jie-wen, Zhao; Yanxiao, Li [School of Food and Biological Engineering, Jiangsu University, 301 Xuefu Road, 212013 Zhenjiang, Jiangsu (China); Limin, Hao; Jianchun, Zhang [The Research Center of China Hemp Materials, Beijing (China)

    2013-07-17

    Graphical abstract: -- Highlights: •TiO{sub 2} was prepared by sol–gel method film and then functionalized with the cyanidin dye. •The morphology and the absorption spectra of films were examined. •The hybrid organic–inorganic formed film here can detect ammonia reversibly at room temperature. •The low humidity could promote the sensitivity of the sensors. -- Abstract: Design and fabrication of an ammonia sensor operating at room temperature based on pigment-sensitized TiO{sub 2} films was described. TiO{sub 2} was prepared by sol–gel method and deposited on glass slides containing gold electrodes. Then, the film immersed in a 2.5 × 10{sup −4} M ethanol solution of cyanidin to absorb the pigment. The hybrid organic–inorganic formed film here can detect ammonia reversibly at room temperature. The relative change resistance of the films at a potential difference of 1.5 V is determined when the films are exposed to atmospheres containing ammonia vapors with concentrations over the range 10–50 ppm. The relative change resistance, S, of the films increased almost linearly with increasing concentrations of ammonia (r = 0.92). The response time to increasing concentrations of the ammonia is about 180–220 s, and the corresponding values for decreasing concentrations 240–270 s. At low humidity, ammonia could be ionized by the cyanidin on the TiO{sub 2} film and thereby decrease in the proton concentration at the surface. Consequently, more positively charged holes at the surface of the TiO{sub 2} have to be extracted to neutralize the adsorbed cyanidin and water film. The resistance response to ammonia of the sensors was nearly independent on temperature from 10 to 50 °C. These results are not actually as good as those reported in the literature, but this preliminary work proposes simpler and cheaper processes to realize NH{sub 3} sensor for room temperature applications.

  16. Room temperature CW and QCW operation of Ho:CaF2 laser pumped by Tm:fiber laser

    Science.gov (United States)

    Jelínek, Michal; Cvrček, Jan; Kubeček, Václav; Zhao, Beibei; Ma, Weiwei; Jiang, Dapeng; Su, Liangbi

    2017-05-01

    Laser radiation in the wavelength range around 2 μm is required for its specific properties - it is very suitable for medical applications, remote sensing, or pumping of optical parametric oscillators to generate ultrafast pulses in the mid-IR region further exploited in nonlinear optics. Crystals as YLF, YAG, LLF, and GdVO4 doped by holmium were already investigated and found suitable for the tunable laser generation around 2.1 mμ. Only a few works are devoted to the laser operation of holmium-doped fluorides as CaF2. In this work, pulsed and continuous-wave laser operation of a modified- Bridgman-grown Ho:CaF2 active crystal at room temperature is reported. A commercial 50 W 1940 nm Tm-fiber laser was used to pump a laser oscillator based on a novel 10 mm long 0.5 at.% Ho:CaF2 active crystal placed in the Peltiercooled holder. In the pulsed regime (10 ms, 10 Hz), the laser slope efficiency of 53 % with respect to the absorbed pump power was achieved. The laser generated at the central wavelength of 2085 nm with the maximum mean output power of 365 mW corresponding to the power amplitude of 3.65 W. In the continuous wave regime, the maximum output power was 1.11 W with the slope efficiency of 41 % with respect to the absorbed pump power. To our best knowledge this is the first demonstration of this laser active material operating in the CW regime at room temperature. The tuning range over 60 nm from 2034 to 2094 nm was achieved using a birefringent filter showing the possibility to develop a mode-locked laser system generating pulses in the sub-picosecond range.

  17. Room temperature operation of electro-optical bistability in the edge-emitting tunneling-collector transistor laser

    Science.gov (United States)

    Feng, M.; Holonyak, N.; Wang, C. Y.

    2017-09-01

    Optical bistable devices are fundamental to digital photonics as building blocks of switches, logic gates, and memories in future computer systems. Here, we demonstrate both optical and electrical bistability and capability for switching in a single transistor operated at room temperature. The electro-optical hysteresis is explained by the interaction of electron-hole (e-h) generation and recombination dynamics with the cavity photon modulation in different switching paths. The switch-UP and switch-DOWN threshold voltages are determined by the rate difference of photon generation at the base quantum-well and the photon absorption via intra-cavity photon-assisted tunneling controlled by the collector voltage. Thus, the transistor laser electro-optical bistable switching is programmable with base current and collector voltage, and the basis for high speed optical logic processors.

  18. Fabrication and room temperature operation of semiconductor nano-ring lasers using a general applicable membrane transfer method

    Science.gov (United States)

    Fan, Fan; Yu, Yueyang; Amiri, Seyed Ebrahim Hashemi; Quandt, David; Bimberg, Dieter; Ning, C. Z.

    2017-04-01

    Semiconductor nanolasers are potentially important for many applications. Their design and fabrication are still in the early stage of research and face many challenges. In this paper, we demonstrate a generally applicable membrane transfer method to release and transfer a strain-balanced InGaAs quantum-well nanomembrane of 260 nm in thickness onto various substrates with a high yield. As an initial device demonstration, nano-ring lasers of 1.5 μm in outer diameter and 500 nm in radial thickness are fabricated on MgF2 substrates. Room temperature single mode operation is achieved under optical pumping with a cavity volume of only 0.43λ03 (λ0 in vacuum). Our nano-membrane based approach represents an advantageous alternative to other design and fabrication approaches and could lead to integration of nanolasers on silicon substrates or with metallic cavity.

  19. Nanostructured ZrO2 Thick Film Resistors as H2-Gas Sensors Operable at Room Temperature

    Directory of Open Access Journals (Sweden)

    K. M. GARADKAR

    2009-11-01

    Full Text Available Nanostructured ZrO2 powder was synthesized by microwave assisted sol-gel method. The material was characterized by XRD and SEM techniques. X-Ray diffraction studies confirm that a combination of tetragonal and monoclinic zirconia nanoparticles is obtained by using microwave-assisted method. The nanopowder was calcined at an optimized temperature of 400 °C for 3 h. The prepared powder had crystalline size about 25 nm. Thick films of synthesized ZrO2 powder were prepared by screen printing technique. The gas sensing performances of these films for various gases were tested. Films showed highest response to H2 (50 ppm gas at room temperature with poor responses to others (1000 ppm. The quick response and fast recovery are the main features of this sensor. The effects of microstructure, operating temperature and gas concentration on the gas response, selectivity, response time and recovery time of the sensor in the presence of H2 gas and others were studied and discussed.

  20. Development of 2.7-μm Er:Y2O3 ceramic laser operated at room temperature

    Science.gov (United States)

    Mužík, Jiří; Yasuhara, Ryo; Smrž, Martin; Jelínek, Michal; Kubeček, Václav; Endo, Akira; Mocek, Tomáš

    2017-05-01

    In this paper, we investigated laser performance of Er:Y2O3 ceramics at room temperature. With pulsed pumping with duty cycle of 1%, 1.02 W of peak output power was obtained at wavelength of 2.7 μm with slope efficiency of 3%. Furthermore, absorption spectra of the ceramics and temperature evolution for different pumping conditions were examined.

  1. Operating room central serous chorioretinopathy.

    Science.gov (United States)

    Mansour, Ahmad M; Hamam, Rola

    2017-01-01

    The operating room is a place of surgical intervention with its accompanying bodily and cognitive strain on the performers. Stress in the operating room may lead to the onset of central serous chorioretinopathy as reported hereby in a retina surgeon and is labeled as operating room central serous chorioretinopathy. The same operator performed the optical coherence tomography scans on one retina surgeon. A masked observer estimated the maximal height of the subretinal fluid. Central serous chorioretinopathy recurred four times over a 1-year period 1 -2 days after a stressful day in the operating room, especially when cases were done under topical or subtenon anesthesia for cataract surgery, vitreous surgery or combined surgeries with complex ocular and medical problems and inability for anesthesia team to intervene. Stress management allowed resolution of subretinal fluid between 3 and 4 weeks. Adopting this strategy, no further attacks were documented by optical coherence tomography for 5 years. (1) This is one of a few optical coherence tomography documentation of resolution of central serous chorioretinopathy within 3-4 weeks of its occurrence and its recurrence induced by stress in the operating room; (2) Unassisted topical anesthesia required in patients with complex medical and ocular problems causes more cognitive stress than when surgery is carried under assisted local or general anesthesia (partly due to unexpected ocular or bodily movements); and (3) the available evidence suggests that those overcommitted surgeons (type A personality) may very well be most susceptible to burnout and central serous chorioretinopathy.

  2. Monolithic InGaAs Nanowire Array Lasers on Silicon-on-Insulator Operating at Room Temperature

    Science.gov (United States)

    Kim, Hyunseok; Lee, Wook-Jae; Farrell, Alan C.; Morales, Juan S. D.; Senanayake, Pradeep; Prikhodko, Sergey V.; Ochalski, Tomasz J.; Huffaker, Diana L.

    2017-06-01

    Chip-scale integrated light sources are a crucial component in a broad range of photonics applications. III-V semiconductor nanowire emitters have gained attention as a fascinating approach due to their superior material properties, extremely compact size, and the capability to grow directly on lattice-mismatched silicon substrates. Although there have been remarkable advances in nanowire-based emitters, their practical applications are still in the early stages due to the difficulties in integrating nanowire emitters with photonic integrated circuits (PICs). Here, we demonstrate for the first time optically pumped III-V nanowire array lasers monolithically integrated on silicon-on-insulator (SOI) platform. Selective-area growth of purely single-crystalline InGaAs/InGaP core/shell nanowires on an SOI substrate enables the nanowire array to form a photonic crystal nanobeam cavity with superior optical and structural properties, resulting in the laser to operate at room temperature. We also show that the nanowire array lasers are effectively coupled with SOI waveguides by employing nanoepitaxy on a pre-patterned SOI platform. These results represent a new platform for ultra-compact and energy-efficient optical links, and unambiguously point the way toward practical and functional nanowire lasers.

  3. Continuous-wave operation of InAsSb/InP quantum - dot lasers near 2 (mu)m at room temperature

    Science.gov (United States)

    Qiu, Yueming; Uhl, David; Keo, Sam

    2004-01-01

    InAsSb quantum-dot lasers near 2 pm were demonstrated in cw operation at room temperature with a threshold current density of below 1 kA/cm, output power of 3 mW/facet and a differential quantum efficiency of 13%.

  4. [Working conditions in operating rooms].

    Science.gov (United States)

    Kułagowska, Ewa

    2007-01-01

    The aim of this study was to get acquainted with the opinions of the nursing staff on working conditions at their workplace. The study was carried out in a group of 398 nurses working in various kinds of operating rooms at 11 public hospitals. A questionnaire was used as a major tool of this study. The questionnaires were filled in by 259 operating room nurses (circulating nurses) and 139 nurse-anesthetists. The collected data show that working conditions in operating rooms do not ensure safety of the nursing staff at work. The main sources of problems are: work organization, technical factors, work equipment, work space, knowledge of hazards and strenuous factors among nurses, ways of preventing and/or limiting them. These elements are serious occupational risk factors influencing the work process and health status of nurses.

  5. Inactivation of a 25.5 µm Enterococcus faecalis biofilm by a room-temperature, battery-operated, handheld air plasma jet

    Science.gov (United States)

    Pei, X.; Lu, X.; Liu, J.; Liu, D.; Yang, Y.; Ostrikov, K.; Chu, Paul K.; Pan, Y.

    2012-04-01

    Effective biofilm inactivation using a handheld, mobile plasma jet powered by a 12 V dc battery and operated in open air without any external gas supply is reported. This cold, room-temperature plasma is produced in self-repetitive nanosecond discharges with current pulses of ˜100 ns duration, current peak amplitude of ˜6 mA and repetition rate of ˜20 kHz. It is shown that the reactive plasma species penetrate to the bottom layer of a 25.5 µm-thick Enterococcus faecalis biofilm and produce a strong bactericidal effect. This is the thickest reported biofilm inactivated using room-temperature air plasmas.

  6. Multiplexed 256 element InGaAs detector arrays for 0.8-1.7-micron room-temperature operation

    Science.gov (United States)

    Olsen, G. H.; Joshi, A. M.; Ban, V. S.; Woodruff, K. M.; Gasparian, G. A.

    1988-01-01

    InGaAs photodetectors have been configured into linear arrays of 30 x 30 micron photodetectors spaced 50 microns apart. The devices have typical responsivities of 0.9 A/W (86-percent QE) at 1.3 microns and exhibit room temperature dark currents below 100 pA. A 256-element array has been mounted in a Reticon multiplexer and configured into a PAR optical multichannel analyzer to extend spectral response out to 1.7 microns. Individual InGaAs detectors have been fabricated for response out to 2.2 microns with dark current below 1 microA (-1V) and 50-percent QE at room temperature.

  7. Aerodynamics simulation of operating rooms

    OpenAIRE

    El Gharbi, Najla; Benzaoui, Ahmed; Bennacer, Rachid

    2006-01-01

    International audience; The hospital is the place where we find simultaneously people whose health state is weakened, or vulnerable, and pathogenic micro-organisms able to worsen their health. Because these, the quality of the air in hospital must be in conformity with precise criteria in the buildings such everyday usage, and in particular in the buildings where some risk of specific pollution exist as in operating rooms. In this paper, we present a modelisation and three dimensional numeric...

  8. Novel room temperature ferromagnetic semiconductors

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, Amita [KTH Royal Inst. of Technology, Stockholm (Sweden)

    2004-06-01

    Today's information world, bits of data are processed by semiconductor chips, and stored in the magnetic disk drives. But tomorrow's information technology may see magnetism (spin) and semiconductivity (charge) combined in one 'spintronic' device that exploits both charge and 'spin' to carry data (the best of two worlds). Spintronic devices such as spin valve transistors, spin light emitting diodes, non-volatile memory, logic devices, optical isolators and ultra-fast optical switches are some of the areas of interest for introducing the ferromagnetic properties at room temperature in a semiconductor to make it multifunctional. The potential advantages of such spintronic devices will be higher speed, greater efficiency, and better stability at a reduced power consumption. This Thesis contains two main topics: In-depth understanding of magnetism in Mn doped ZnO, and our search and identification of at least six new above room temperature ferromagnetic semiconductors. Both complex doped ZnO based new materials, as well as a number of nonoxides like phosphides, and sulfides suitably doped with Mn or Cu are shown to give rise to ferromagnetism above room temperature. Some of the highlights of this work are discovery of room temperature ferromagnetism in: (1) ZnO:Mn (paper in Nature Materials, Oct issue, 2003); (2) ZnO doped with Cu (containing no magnetic elements in it); (3) GaP doped with Cu (again containing no magnetic elements in it); (4) Enhancement of Magnetization by Cu co-doping in ZnO:Mn; (5) CdS doped with Mn, and a few others not reported in this thesis. We discuss in detail the first observation of ferromagnetism above room temperature in the form of powder, bulk pellets, in 2-3 mu-m thick transparent pulsed laser deposited films of the Mn (<4 at. percent) doped ZnO. High-resolution transmission electron microscopy (HRTEM) and electron energy loss spectroscopy (EELS) spectra recorded from 2 to 200nm areas showed homogeneous

  9. A primary standard of optical power based on induced-junction silicon photodiodes operated at room temperature

    Science.gov (United States)

    Dönsberg, Timo; Sildoja, Meelis; Manoocheri, Farshid; Merimaa, Mikko; Petroff, Leo; Ikonen, Erkki

    2014-06-01

    We present the design and construction of a new compact room temperature predictable quantum efficient detector (PQED). It consists of two custom-made induced-junction photodiodes mounted in a wedge trap configuration and a window aligned at Brewster's angle for high transmission of p polarized light. The window can also be removed, in which case a dry nitrogen flow system is utilized to prevent dust contamination of the photodiodes. Measurements of individual detectors at the wavelength of 488 nm indicate that reflectance and spectral responsivity are consistent within 4 ppm and 13 ppm peak-to-peak variation, respectively, and agree with the predicted values. The spatial non-uniformity of the responsivity of the PQED is an order of magnitude lower than that of single photodiodes. The internal quantum efficiency of the photodiodes is concluded to be spatially uniform within 50 ppm. These measurement results—together with the responsivity predictable by fundamental laws of physics—provide evidence that the room temperature PQED may replace the cryogenic radiometer as a primary standard of optical power in the visible wavelength range of 380 nm to 780 nm.

  10. Dedicated orthopedic operating room unit improves operating room efficiency.

    Science.gov (United States)

    Small, Travis J; Gad, Bishoy V; Klika, Alison K; Mounir-Soliman, Loran S; Gerritsen, Ryan L; Barsoum, Wael K

    2013-08-01

    We investigated the effectiveness of dedicated orthopedic operating rooms (OR) on minimizing time spent on perioperative processes to increase OR throughput in total knee and hip arthroplasty procedures. The use of a dedicated orthopedic unit that included 6 ORs with staff allocated only for those ORs was compared to the use of a traditional staffing model. After matching to simulate randomization, each group consisted of 422 procedures. The dedicated orthopedic unit improved average anesthesia controlled time by 4 minutes (Poperative time by 7 minutes (P=.004) and turnover time by 8 minutes (P<.001). An overall improvement of 19 minutes per procedure using the dedicated unit was observed. Utilizing a dedicated orthopedic unit can save time without increasing adverse events. Copyright © 2013 Elsevier Inc. All rights reserved.

  11. Dual gas-diffusion membrane- and mediatorless dihydrogen/air-breathing biofuel cell operating at room temperature

    Science.gov (United States)

    Xia, Hong-qi; So, Keisei; Kitazumi, Yuki; Shirai, Osamu; Nishikawa, Koji; Higuchi, Yoshiki; Kano, Kenji

    2016-12-01

    A membraneless direct electron transfer (DET)-type dihydrogen (H2)/air-breathing biofuel cell without any mediator was constructed wherein bilirubin oxidase from Myrothecium verrucaria (BOD) and membrane-bound [NiFe] hydrogenase from Desulfovibrio vulgaris Miyazaki F (MBH) were used as biocatalysts for the cathode and the anode, respectively, and Ketjen black-modified water proof carbon paper (KB/WPCC) was used as an electrode material. The KB/WPCC surface was modified with 2-aminobenzoic acid and p-phenylenediamine, respectively, to face the positively charged electron-accepting site of BOD and the negatively charged electron-donating site of MBH to the electrode surface. A gas-diffusion system was employed for the electrodes to realize high-speed substrate supply. As result, great improvement in the current density of O2 reduction with BOD and H2 reduction with MBH were realized at negatively and postively charged surfaces, respectively. Gas diffusion system also suppressed the oxidative inactivation of MBH at high electrode potentials. Finally, based on the improved bioanode and biocathode, a dual gas-diffusion membrane- and mediatorless H2/air-breathing biofuel cell was constructed. The maximum power density reached 6.1 mW cm-2 (at 0.72 V), and the open circuit voltage was 1.12 V using 1 atm of H2 gas as a fuel at room temperature and under passive and quiescent conditions.

  12. Ammonia gas sensors based on In2O3/PANI hetero-nanofibers operating at room temperature

    Directory of Open Access Journals (Sweden)

    Qingxin Nie

    2016-09-01

    Full Text Available Indium nitrate/polyvinyl pyrrolidone (In(NO33/PVP composite nanofibers were synthesized via electrospinning, and then hollow structure indium oxide (In2O3 nanofibers were obtained through calcination with PVP as template material. In situ polymerization was used to prepare indium oxide/polyaniline (In2O3/PANI composite nanofibers with different mass ratios of In2O3 to aniline. The structure and morphology of In(NO33/PVP, In2O3/PANI composite nanofibers and pure PANI were investigated by scanning electron microscopy (SEM, Fourier transform infrared spectroscopy (FTIR, X-ray diffraction (XRD, transmission electron microscopy (TEM and current–voltage (I–V measurements. The gas sensing properties of these materials towards NH3 vapor (100 to 1000 ppm were measured at room temperature. The results revealed that the gas sensing abilities of In2O3/PANI composite nanofibers were better than pure PANI. In addition, the mass ratio of In2O3 to aniline and the p–n heterostructure between In2O3 and PANI influences the sensing performance of the In2O3/PANI composite nanofibers. In this paper, In2O3/PANI composite nanofibers with a mass ratio of 1:2 exhibited the highest response values, excellent selectivity, good repeatability and reversibility.

  13. Ammonia gas sensors based on In2O3/PANI hetero-nanofibers operating at room temperature.

    Science.gov (United States)

    Nie, Qingxin; Pang, Zengyuan; Lu, Hangyi; Cai, Yibing; Wei, Qufu

    2016-01-01

    Indium nitrate/polyvinyl pyrrolidone (In(NO3)3/PVP) composite nanofibers were synthesized via electrospinning, and then hollow structure indium oxide (In2O3) nanofibers were obtained through calcination with PVP as template material. In situ polymerization was used to prepare indium oxide/polyaniline (In2O3/PANI) composite nanofibers with different mass ratios of In2O3 to aniline. The structure and morphology of In(NO3)3/PVP, In2O3/PANI composite nanofibers and pure PANI were investigated by scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), transmission electron microscopy (TEM) and current-voltage (I-V) measurements. The gas sensing properties of these materials towards NH3 vapor (100 to 1000 ppm) were measured at room temperature. The results revealed that the gas sensing abilities of In2O3/PANI composite nanofibers were better than pure PANI. In addition, the mass ratio of In2O3 to aniline and the p-n heterostructure between In2O3 and PANI influences the sensing performance of the In2O3/PANI composite nanofibers. In this paper, In2O3/PANI composite nanofibers with a mass ratio of 1:2 exhibited the highest response values, excellent selectivity, good repeatability and reversibility.

  14. A novel H2S/H2O2 fuel cell operating at the room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Sanli, Ayse Elif [Gazi University (Turkey)], email: aecsanli@gmail.com; Aytac, Aylin [Department of Chemistry, Faculty of Science, Gazi University, Teknikokullar (Turkey)], email: aytaca@gazi.edu.tr

    2011-07-01

    This study concerns the oxidation mechanism of hydrogen sulfide and a fuel cell; acidic peroxide is used as the oxidant and basic hydrogen sulfide is the fuel. A solid state H2S/H2O2 stable fuel cell was produced at room temperature. A cell potential of 0.85 V was reached; this is quite remarkable in comparison to the H2S/O2 fuel cell potential of 0.85 V obtained at 850-1000 degree celsius. The hydrogen sulfide goes through an oxidation reaction in the alkaline fuel cell (H2S/H2O2 fuel cell) which opens up the possibility of using the cheaper nickel as a catalyst. As a result, the fuel cell becomes a potentially low cost technology. A further benefit from using H2S as the alkaline liquid H2S/H2O2 fuel cell, is that sulfide ions are oxidized at the anode, releasing electrons. Sulfur produced reacts with the other sulfide ions and forms disulfide and polysulfide ions in basic electrolytes (such as Black Sea water).

  15. Room-temperature continuous operation of InAsSb quantum-dot lasers near 2 mu m based on (100) InP substrate

    Science.gov (United States)

    Qui, Y.; Uhl, D.; Keo, S.

    2003-01-01

    Single-stack InAsSb self-assembled quantum-dot lasers based on (001) InP substrate have been grown by metalorganic vapor-phase epitaxy. The narrow ridge waveguide lasers lased at wavelengths near 2 mu m up to 25 degrees C in continuous-wave operation. At room temperature, a differential quantum efficiency of 13 percent is obtained and the maximum output optical power reaches 3 mW per facet with a threshold current density of 730 A/cm(sup 2). With increasing temperature the emission wavelength is extremely temperature stable, and a very low wavelength temperature sensitivity of 0.05 nm/degrees C is measured, which is even lower than that caused by the refractive index change.

  16. Rabi oscillations and self-induced transparency in InAs/InP quantum dot semiconductor optical amplifier operating at room temperature.

    Science.gov (United States)

    Karni, Ouri; Capua, Amir; Eisenstein, Gadi; Sichkovskyi, Vitalii; Ivanov, Vitalii; Reithmaier, Johann Peter

    2013-11-04

    We report direct observations of Rabi oscillations and self-induced transparency in a quantum dot optical amplifier operating at room temperature. The experiments make use of pulses whose durations are shorter than the coherence time which are characterized using Cross-Frequency-Resolved Optical Gating. A numerical model which solves the Maxwell and Schrödinger equations and accounts for the inhomogeneously broadened nature of the quantum dot gain medium confirms the experimental results. The model is also used to explain the relationship between the observability of Rabi oscillations, the pulse duration and the homogeneous and inhomogeneous spectral widths of the semiconductor.

  17. Gigabit free-space multi-level signal transmission with a mid-infrared quantum cascade laser operating at room temperature

    OpenAIRE

    Pang, Xiaodan; Ozolins, Oskars; Schatz, Richard; Storck, Joakim; Udalcovs, Aleksejs; Navarro, Jaime Rodrigo; Kakkar, Aditya; Maisons, Gregory; Carras, Mathieu; Jacobsen, Gunnar; Popov, Sergei; Lourdudoss, Sebastian

    2017-01-01

    Gigabit free-space transmissions are experimentally demon-strated with a quantum cascaded laser (QCL) emitting at mid-wavelength infrared of 4.65 mu m, and a commercial infrared photovoltaic detector. The QCL operating at room temperature is directly modulated using on - off keying and, for the first time, to the best of our knowledge, four-and eight-level pulse amplitude modulations (PAM-4, PAM-8). By applying pre- and post-digital equalizations, we achieve up to 3 Gbit/s line data rate in a...

  18. Room-temperature operation of MOCVD-grown GaInAs/InP strained-layer multiquantum well lasers in 1.8 micron range

    Science.gov (United States)

    Forouhar, S.; Larsson, A.; Ksendzov, A.; Lang, R. J.; Tothill, N.; Scott, M. D.

    1992-01-01

    The first successful room-temperature pulsed operation is reported of InGaAs strained layer multiquantum well injection lasers grown by MOVPE on InP substrates in the 1.8 micron range. The threshold current density and the external differential quantum efficiency of the 10 micron wide ridge waveguide lasers were 2.5 kA/sq cm (cavity length = 1 mm) and 5 percent (cavity length = 400 microns), respectively. Broad-area lasers, 100 microns wide and 1 mm long, had a reverse leakage current of less than 10 microamps at -1 V indicating high quality of the epitaxial layers.

  19. Ergonomics in the operating room.

    Science.gov (United States)

    Janki, Shiromani; Mulder, Evalyn E A P; IJzermans, Jan N M; Tran, T C Khe

    2017-06-01

    Since the introduction of minimally invasive surgery, surgeons appear to be experiencing more occupational musculoskeletal injuries. The aim of this study is to investigate the current frequency and effects of occupational musculoskeletal injuries on work absence. An online questionnaire was conducted among all surgeons affiliated to the Dutch Society for Endoscopic Surgery, Gastrointestinal Surgery, and Surgical Oncology. In addition, this survey was conducted among surgeons, gynaecologists, and urologists of one cluster of training hospitals in the Netherlands. There were 127 respondents. Fifty-six surgeons currently suffer from musculoskeletal complaints, and 30 have previously suffered from musculoskeletal complaints with no current complaints. Frequently reported localizations were the neck (39.5 %), the erector spinae muscle (34.9 %), and the right deltoid muscle (18.6 %). Most of the musculoskeletal complaints were present while operating (41.8 %). Currently, 37.5 % uses medication and/or therapy to reduce complaints. Of surgeons with past complaints, 26.7 % required work leave and 40.0 % made intraoperative adjustments. More surgeons with a medical history of musculoskeletal complaints have current complaints (OR 6.1, 95 % CI 1.9-19.6). There were no significant differences between surgeons of different operating techniques in localizations and frequency of complaints, or work leave. Despite previous various ergonomic recommendations in the operating room, the current study demonstrated that musculoskeletal complaints and subsequent work absence are still present among surgeons, especially among surgeons with a positive medical history for musculoskeletal complaints. Even sick leave was necessary to fully recover. There were no significant differences in reported complaints between surgeons of different operating techniques. Almost half of the respondents with complaints made intraoperative ergonomic adjustments to prevent future complaints. The

  20. Single Spatial-Mode Room-Temperature-Operated 3.0 to 3.4 micrometer Diode Lasers

    Science.gov (United States)

    Frez, Clifford F.; Soibel, Alexander; Belenky, Gregory; Shterengas, Leon; Kipshidze, Gela

    2010-01-01

    Compact, highly efficient, 3.0 to 3.4 m light emitters are in demand for spectroscopic analysis and identification of chemical substances (including methane and formaldehyde), infrared countermeasures technologies, and development of advanced infrared scene projectors. The need for these light emitters can be currently addressed either by bulky solid-state light emitters with limited power conversion efficiency, or cooled Interband Cascade (IC) semiconductor lasers. Researchers here have developed a breakthrough approach to fabrication of diode mid-IR lasers that have several advantages over IC lasers used for the Mars 2009 mission. This breakthrough is due to a novel design utilizing the strain-engineered quantum-well (QW) active region and quinternary barriers, and due to optimization of device material composition and growth conditions (growth temperatures and rates). However, in their present form, these GaSb-based laser diodes cannot be directly used as a part of sensor systems. The device spectrum is too broad to perform spectroscopic analysis of gas species, and operating currents and voltages are too high. In the current work, the emitters were fabricated as narrow-ridge waveguide index-guided lasers rather than broad stripe-gain guided multimode Fabry-Perot (FP) lasers as was done previously. These narrow-ridge waveguide mid-IR lasers exhibit much lower power consumptions, and can operate in a single spatial mode that is necessary for demonstration of single-mode distributed feedback (DBF) devices for spectroscopic applications. These lasers will enable a new generation of compact, tunable diode laser spectrometers with lower power consumption, reduced complexity, and significantly reduced development costs. These lasers can be used for the detection of HCN, C2H2, methane, and ethane.

  1. Room-temperature InAs/InP Quantum Dots laser operation based on heterogeneous "2.5 D" Photonic Crystal.

    Science.gov (United States)

    Ben Bakir, Badhise; Seassal, Christian; Letartre, Xavier; Regreny, Philippe; Gendry, Michel; Viktorovitch, Pierre; Zussy, Marc; Di Cioccio, Léa; Fedeli, Jean-Marc

    2006-10-02

    The authors report on the design, fabrication and operation of heterogeneous and compact "2.5 D" Photonic Crystal microlaser with a single plane of InAs quantum dots as gain medium. The high quality factor photonic structures are tailored for vertical emission. The devices consist of a top two-dimensional InP Photonic Crystal Slab, a SiO(2) bonding layer, and a bottom high index contrast Si/SiO(2) Bragg mirror deposited on a Si wafer. Despite the fact that no more than about 5% of the quantum dots distribution effectively contribute to the modal gain, room-temperature lasing operation, around 1.5 microm, was achieved by photopumping. A low effective threshold, on the order of 350 microW, and a spontaneous emission factor, over 0.13, could be deduced from experiments.

  2. Increasing operating room efficiency through parallel processing.

    Science.gov (United States)

    Friedman, David M; Sokal, Suzanne M; Chang, Yuchiao; Berger, David L

    2006-01-01

    Because of rising costs and shrinking reimbursements, hospitals must continually find ways to improve efficiency and productivity. This study attempts to increase caseloads in ambulatory surgery operating rooms while maintaining patient satisfaction and safety. In most hospitals, patients move through their operative day in a linear fashion, starting at registration and finishing in the recovery room. Given this pattern, only 1 patient may occupy the efforts of the operating room team at a time. By processing patients in a parallel fashion, operating room efficiency and patient throughput are increased while costs remain stable. Patients undergoing hernia repairs under local anesthesia with intravenous sedation were divided into a control group and an experimental group. Patients in the control group received their local anesthesia in the operating room at the start of the surgery. The experimental group patients received their local anesthesia in the induction room by the surgeon while the operating room was being cleaned and set up. While operative time for the control group and the experimental group were nearly identical, the turnover time and the induction time were significantly shorter for the experimental group. The cumulative reduction in time during the operative day was sufficient to allow the addition of new operative cases. This study demonstrates a system of increasing operating room efficiency by changing patient flow rather than simply working to streamline existing steps. This increase in efficiency is not associated with the expansion of hospital budgets or a decrease in patient safety or satisfaction.

  3. A stable room-temperature sodium-sulfur battery

    National Research Council Canada - National Science Library

    Wei, Shuya; Xu, Shaomao; Agrawral, Akanksha; Choudhury, Snehashis; Lu, Yingying; Tu, Zhengyuan; Ma, Lin; Archer, Lynden A

    2016-01-01

    .... Rechargeable sodium-sulfur batteries able to operate stably at room temperature are among the most sought-after platforms because such cells take advantage of a two-electron-redox process to achieve...

  4. Working in operating rooms, an unhealthy existance?

    Science.gov (United States)

    Rejger, V; Burm, A G; Spierdijk, J

    1975-01-01

    A literature survey indicates that some complaints occur relatively frequently among anesthetists and nurses working in operating rooms. Pollution of the air in the operating rooms by anesthetic gases is often considered as a possible cause. On account of this the degree of pollution has been determined. Concentrations of nitrous oxide and halothane were measured using an infrared absorption spectrophotometer. In each room the concentrations were measured at several different sites. In naturally ventilated operating rooms the concentrations increased steadily during operation. The measured values lied mostly between 1500 and 3000 ppm (vol/vol) for nitrous oxide and between 15 and 35 ppm for halothane. In mechanically ventilated operating rooms where no recirculation is applied a constant level was found some time after the beginning of an operation. The concentrations varied from about 100 to 500 ppm for nitrous oxide and from 1 to 5 ppm for halothane. In naturally ventilated operating rooms the anesthetic gases were rather homogeneously spread, while in mechanically ventilated rooms there was an inhomogeneous distribution. Scavenging of waste anesthetics is recommended.

  5. Room temperature creep in metals and alloys

    Energy Technology Data Exchange (ETDEWEB)

    Deibler, Lisa Anne [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Materials Characterization and Performance

    2014-09-01

    Time dependent deformation in the form of creep and stress relaxation is not often considered a factor when designing structural alloy parts for use at room temperature. However, creep and stress relaxation do occur at room temperature (0.09-0.21 Tm for alloys in this report) in structural alloys. This report will summarize the available literature on room temperature creep, present creep data collected on various structural alloys, and finally compare the acquired data to equations used in the literature to model creep behavior. Based on evidence from the literature and fitting of various equations, the mechanism which causes room temperature creep is found to include dislocation generation as well as exhaustion.

  6. Room-temperature CW operation of a nitride-based vertical-cavity surface-emitting laser using thick GaInN quantum wells

    Science.gov (United States)

    Furuta, Takashi; Matsui, Kenjo; Horikawa, Kosuke; Ikeyama, Kazuki; Kozuka, Yugo; Yoshida, Shotaro; Akagi, Takanobu; Takeuchi, Tetsuya; Kamiyama, Satoshi; Iwaya, Motoaki; Akasaki, Isamu

    2016-05-01

    We demonstrated a room-temperature (RT) continuous-wave (CW) operation of a GaN-based vertical-cavity surface-emitting laser (VCSEL) using a thick GaInN quantum well (QW) active region and an AlInN/GaN distributed Bragg reflector. We first investigated the following two characteristics of a 6 nm GaInN 5 QWs active region in light-emitting diode (LED) structures. The light output power at a high current density (∼10 kA/cm2) from the 6 nm GaInN 5 QWs was the same or even higher than that from standard 3 nm 5 QWs. In addition, we found that hole injection into the farthest QW from a p-layer was sufficient. We then demonstrated a GaN-based VCSEL with the 6 nm 5 QWs, resulting in the optical confinement factor of 3.5%. The threshold current density under CW operation at RT was 7.5 kA/cm2 with a narrow (0.4 nm) emission spectrum of 413.5 nm peak wavelength.

  7. Material Specific Design for Room Temperature Superconductivity

    Science.gov (United States)

    Isikaku-Ironkwe, O.-Paul; Ofe, Uko; Oriaku, Chijioke; Asiegbu, Dan; Oguzi, Emeka

    2012-02-01

    The transition temperature, Tc, of superconductors has been increased sevenfold from 23K in Nb3Ge to 164K in Hg-1223. A further two-fold increase would get us to above room temperature superconductivity. Studying high temperature superconductors (HTSCs), we have developed a formula that expresses Tc in terms of electronegativity, valence electrons, Ne, atomic number, Z, formula mass and a coupling constant, Ko. We observe an increasing linear relationship between Tc and Ko. Ko also correlates with formula mass and atomic number and the number of atoms in the compound. By our formula, Hg-1223 has Ko = 70. We propose, using our design algorithm, that room temperature superconductivity may be realized in a system with ko = 160; electronegativity = 2.5, Ne/Sqrt Z = 0.8. We proceed to show combinations of oxides and elements that will yield the required parameters for synthesizing reproducible room temperature superconductivity.

  8. Electric control of magnetism at room temperature.

    Science.gov (United States)

    Wang, Liaoyu; Wang, Dunhui; Cao, Qingqi; Zheng, Yuanxia; Xuan, Haicheng; Gao, Jinlong; Du, Youwei

    2012-01-01

    In the single-phase multiferroics, the coupling between electric polarization (P) and magnetization (M) would enable the magnetoelectric (ME) effect, namely M induced and modulated by E, and conversely P by H. Especially, the manipulation of magnetization by an electric field at room-temperature is of great importance in technological applications, such as new information storage technology, four-state logic device, magnetoelectric sensors, low-power magnetoelectric device and so on. Furthermore, it can reduce power consumption and realize device miniaturization, which is very useful for the practical applications. In an M-type hexaferrite SrCo(2)Ti(2)Fe(8)O(19), large magnetization and electric polarization were observed simultaneously at room-temperature. Moreover, large effect of electric field-controlled magnetization was observed even without magnetic bias field. These results illuminate a promising potential to apply in magnetoelectric devices at room temperature and imply plentiful physics behind them.

  9. Dynamics of Glass Relaxation at Room Temperature

    Science.gov (United States)

    Welch, Roger C.; Smith, John R.; Potuzak, Marcel; Guo, Xiaoju; Bowden, Bradley F.; Kiczenski, T. J.; Allan, Douglas C.; King, Ellyn A.; Ellison, Adam J.; Mauro, John C.

    2013-06-01

    The problem of glass relaxation under ambient conditions has intrigued scientists and the general public for centuries, most notably in the legend of flowing cathedral glass windows. Here we report quantitative measurement of glass relaxation at room temperature. We find that Corning® Gorilla® Glass shows measurable and reproducible relaxation at room temperature. Remarkably, this relaxation follows a stretched exponential decay rather than simple exponential relaxation, and the value of the stretching exponent (β=3/7) follows a theoretical prediction made by Phillips for homogeneous glasses.

  10. Efficient operation of a room-temperature Fe2+ : ZnSe laser pumped by a passively Q-switched Er : YAG laser

    Science.gov (United States)

    Velikanov, S. D.; Gavrishchuk, E. M.; Zakharov, N. G.; Kozlovsky, V. I.; Korostelin, Yu V.; Lazarenko, V. I.; Maneshkin, A. A.; Podmar'kov, Yu P.; Saltykov, E. V.; Skasyrsky, Ya K.; Frolov, M. P.; Tsykin, V. S.; Chuvatkin, R. S.; Yutkin, I. M.

    2017-09-01

    Efficient generation of a train of laser pulses is obtained at room temperature in a Fe2+ : ZnSe polycrystal pumped by a passively Q-switched Er : YAG laser. The Fe2+ : ZnSe laser energy reaches 130 mJ at a slope efficiency with respect to the absorbed pump power of 47%. The average pulse repetition rate in the train is ~100 kHz.

  11. Anticipating urgent surgery in operating room departments

    NARCIS (Netherlands)

    van der Lans, M.; Hans, Elias W.; Hurink, Johann L.; Wullink, Gerhard; van Houdenhoven, M.; Kazemier, G.

    2005-01-01

    Operating Room (OR) departments need to create robust surgical schedules that anticipate urgent surgery, while minimizing urgent surgery waiting time and overtime, and maximizing utilization. We consider two levels of planning and control to anticipate urgent surgery. At the tactical level, we study

  12. Reducing start time delays in operating rooms

    NARCIS (Netherlands)

    Does, R.J.M.M.; Vermaat, T.M.B.; Verver, J.P.S.; Bisgaard, S.; van den Heuvel, J.

    2009-01-01

    Problem: Health care today is facing serious problems: quality of care does not meet patients’ needs and costs are exploding. Inefficient utilization of expensive operating rooms is one of the major problems in many hospitals worldwide. A benchmark study of 13 hospitals in the Netherlands and

  13. Mechanochemically assisted room temperature solid state ...

    Indian Academy of Sciences (India)

    This communication reports a novel mechanochemically assisted room temperature solid state metathesis reaction for the synthesis of submicron-size alkaline-earth molybdates crystallizing in a tetragonal Scheelite structure. The solids were characterized by powder XRD, FTIR, TGA, DTA, SEM, EDAX and TEM to ascertain ...

  14. Room-temperature ferromagnetic and photoluminescence ...

    Indian Academy of Sciences (India)

    Similar results were also observed in Co-doped TiO2 nanoparticles reported by. Santara et al [25]. Figure 7 shows the magnetic hysteresis loop of ITO pow- ders at room temperature after subtracting the diamagnetic or paramagnetic background. The ITO powders exhibited the saturation magnetic moment, coercivity and ...

  15. Buoyancy driven acceleration in a hospital operating room indoor environment

    Science.gov (United States)

    McNeill, James; Hertzberg, Jean; Zhai, John

    2011-11-01

    In hospital operating rooms, centrally located non-isothermal ceiling jets provide sterile air for protecting the surgical site from infectious particles in the room air as well as room cooling. Modern operating rooms are requiring larger temperature differences to accommodate increasing cooling loads for heat gains from medical equipment. This trend may lead to significant changes in the room air distribution patterns that may sacrifice the sterile air field across the surgical table. Quantitative flow visualization experiments using laser sheet illumination and RANS modeling of the indoor environment were conducted to demonstrate the impact of the indoor environment thermal conditions on the room air distribution. The angle of the jet shear layer was studied as function of the area of the vena contracta of the jet, which is in turn dependent upon the Archimedes number of the jet. Increases in the buoyancy forces cause greater air velocities in the vicinity of the surgical site increasing the likelihood of deposition of contaminants in the flow field. The outcome of this study shows the Archimedes number should be used as the design parameter for hospital operating room air distribution in order to maintain a proper supply air jet for covering the sterile region. This work is supported by ASHRAE.

  16. Towards a quantum network of room temperature quantum devices

    Science.gov (United States)

    Jordaan, Bertus; Shahrokhshahi, Reihaneh; Namazi, Mehdi; Goham, Connor; Figueroa, Eden

    2017-04-01

    Progressing quantum technologies to room temperature operation is key to unlock the potential and economical viability of novel many-device architectures. Along these lines, warm vapor alleviates the need for laser trapping and cooling in vacuum or cooling to cryogenic temperatures. Here we report our progress towards building a prototypical quantum network, containing several high duty cycle room-temperature quantum memories interconnected using high rate single photon sources. We have already demonstrated important capabilities, such as memory-built photon-shaping techniques, compatibility with BB84-like quantum communication links, and the possibility of interfacing with low bandwidth (MHz range), cavity enhanced, SPDC-based photon source tuned to the Rb transitions. This body of works suggest that an elementary quantum network of room temperature devices is already within experimental reach.

  17. RPC operation at high temperature

    CERN Document Server

    Aielli, G; Cardarelli, R; Di Ciaccio, A; Di Stante, L; Liberti, B; Paoloni, A; Pastori, E; Santonico, R

    2003-01-01

    The resistive electrodes of RPCs utilised in several current experiments (ATLAS, CMS, ALICE, BABAR and ARGO) are made of phenolic /melaminic polymers, with room temperature resistivities ranging from 10**1**0 Omega cm, for high rate operation in avalanche mode, to 5 multiplied by 10**1**1 Omega cm, for streamer mode operation at low rate. The resistivity has however a strong temperature dependence, decreasing exponentially with increasing temperature. We have tested several RPCs with different electrode resistivities in avalanche as well as in streamer mode operation. The behaviours of the operating current and of the counting rate have been studied at different temperatures. Long-term operation has also been studied at T = 45 degree C and 35 degree C, respectively, for high and low resistivity electrodes RPCs.

  18. Materials for room temperature magnetic refrigeration

    Energy Technology Data Exchange (ETDEWEB)

    Rosendahl Hansen, B.

    2010-07-15

    Magnetic refrigeration is a cooling method, which holds the promise of being cleaner and more efficient than conventional vapor-compression cooling. Much research has been done during the last two decades on various magnetic materials for this purpose and today a number of materials are considered candidates as they fulfill many of the requirements for a magnetic refrigerant. However, no one material stands out and the field is still active with improving the known materials and in the search for a better one. Magnetic cooling is based on the magnetocaloric effect, which causes a magnetic material to change its temperature when a magnetic field is applied or removed. For room temperature cooling, one utilizes that the magnetocaloric effect peaks near magnetic phase transitions and so the materials of interest all have a critical temperature within the range of 250 - 310 K. A magnetic refrigerant should fulfill a number of criteria, among these a large magnetic entropy change, a large adiabatic temperature change, preferably little to no thermal or magnetic hysteresis and the material should have the stability required for long term use. As the temperature range required for room temperature cooling is some 40 - 50 K, the magnetic refrigerant should also be able to cover this temperature span either by exhibiting a very broad peak in magnetocaloric effect or by providing the opportunity for creating a materials series with varying transition temperatures. (Author)

  19. Humanized nursing service in the operating room

    Directory of Open Access Journals (Sweden)

    Cui-ping MU

    2014-06-01

    Full Text Available Objective: To improve the quality of nursing service. Methods: To improve nursing service of the aspects of nursing environment, nursing intervention and nursing aesthetics. Results: To achieve the goal that patient satisfaction rate was 100% and to stimulate the enthusiasm of the medical staff. Conclusion: Humanized nursing service is an effective method of improving efficiency and quality of nursing in the operating room.

  20. Electric control of magnetism at room temperature

    OpenAIRE

    Wang, Liaoyu; Wang, Dunhui; Cao, Qingqi; Zheng, Yuanxia; Xuan, Haicheng; Gao, Jinlong; Du, Youwei

    2012-01-01

    In the single-phase multiferroics, the coupling between electric polarization (P) and magnetization (M) would enable the magnetoelectric (ME) effect, namely M induced and modulated by E, and conversely P by H. Especially, the manipulation of magnetization by an electric field at room-temperature is of great importance in technological applications, such as new information storage technology, four-state logic device, magnetoelectric sensors, low-power magnetoelectric device and so on. Furtherm...

  1. Surface Modification of MWCNTs: Preparation, Characterization and Electrical Percolation Studies of MWCNTs/PVP Composite Films for Realization of Ammonia Gas Sensor Operable at Room Temperature

    Directory of Open Access Journals (Sweden)

    Sakshi Sharma

    2011-11-01

    Full Text Available MWCNTs produced by using Chemical Vapor Deposition (CVD technique were oxidized using liquid phase oxidation method where, MWCNTs were treated with mixture of Sulphuric and Nitric acid (3:1.The FTIR analysis further confirmed the presence of functional groups on the surface of MWCNTs after chemical treatment. The two types of MWCNTs composites were prepared using pristine and o-MWCNTs (as conducting fillers in poly vinyl pyrrolidone polymer matrix (insulating matrix. The Raman and SEM analysis showed that both the pristine and functionalized MWCNTs preserve its native characteristics and had a good dispersion in Polymer matrix .The electrical conductivity behavior of MWCNTs composite was studied to ensure that the concentration of MWCNTs was higher than percolation threshold for realization of resistive type gas sensor. Two ammonia gas sensors were fabricated on Mica substrate with MWCNTs polymer composite films as an active sensing element. A sophisticated electronic circuit was developed to measure the sensing response of these sensors to detect ammonia gas at room temperature and a detailed comparative analysis was done. While comparing the sensing performance, o-MWCNT/polymer composite sensors showed a much better response than the corresponding sensor under similar conditions. Thus this preliminary work proposes simpler and cheaper processes to realize NH3 sensor for room temperature applications.

  2. Room Temperature Ferromagnetic Mn:Ge(001

    Directory of Open Access Journals (Sweden)

    George Adrian Lungu

    2013-12-01

    Full Text Available We report the synthesis of a room temperature ferromagnetic Mn-Ge system obtained by simple deposition of manganese on Ge(001, heated at relatively high temperature (starting with 250 °C. The samples were characterized by low energy electron diffraction (LEED, scanning tunneling microscopy (STM, high resolution transmission electron microscopy (HRTEM, X-ray photoelectron spectroscopy (XPS, superconducting quantum interference device (SQUID, and magneto-optical Kerr effect (MOKE. Samples deposited at relatively elevated temperature (350 °C exhibited the formation of ~5–8 nm diameter Mn5Ge3 and Mn11Ge8 agglomerates by HRTEM, while XPS identified at least two Mn-containing phases: the agglomerates, together with a Ge-rich MnGe~2.5 phase, or manganese diluted into the Ge(001 crystal. LEED revealed the persistence of long range order after a relatively high amount of Mn (100 nm deposited on the single crystal substrate. STM probed the existence of dimer rows on the surface, slightly elongated as compared with Ge–Ge dimers on Ge(001. The films exhibited a clear ferromagnetism at room temperature, opening the possibility of forming a magnetic phase behind a nearly ideally terminated Ge surface, which could find applications in integration of magnetic functionalities on semiconductor bases. SQUID probed the co-existence of a superparamagnetic phase, with one phase which may be attributed to a diluted magnetic semiconductor. The hypothesis that the room temperature ferromagnetic phase might be the one with manganese diluted into the Ge crystal is formulated and discussed.

  3. Room Temperature Ferromagnetic Mn:Ge(001).

    Science.gov (United States)

    Lungu, George Adrian; Stoflea, Laura Elena; Tanase, Liviu Cristian; Bucur, Ioana Cristina; Răduţoiu, Nicoleta; Vasiliu, Florin; Mercioniu, Ionel; Kuncser, Victor; Teodorescu, Cristian-Mihail

    2013-12-27

    We report the synthesis of a room temperature ferromagnetic Mn-Ge system obtained by simple deposition of manganese on Ge(001), heated at relatively high temperature (starting with 250 °C). The samples were characterized by low energy electron diffraction (LEED), scanning tunneling microscopy (STM), high resolution transmission electron microscopy (HRTEM), X-ray photoelectron spectroscopy (XPS), superconducting quantum interference device (SQUID), and magneto-optical Kerr effect (MOKE). Samples deposited at relatively elevated temperature (350 °C) exhibited the formation of ~5-8 nm diameter Mn₅Ge₃ and Mn11Ge₈ agglomerates by HRTEM, while XPS identified at least two Mn-containing phases: the agglomerates, together with a Ge-rich MnGe~2.5 phase, or manganese diluted into the Ge(001) crystal. LEED revealed the persistence of long range order after a relatively high amount of Mn (100 nm) deposited on the single crystal substrate. STM probed the existence of dimer rows on the surface, slightly elongated as compared with Ge-Ge dimers on Ge(001). The films exhibited a clear ferromagnetism at room temperature, opening the possibility of forming a magnetic phase behind a nearly ideally terminated Ge surface, which could find applications in integration of magnetic functionalities on semiconductor bases. SQUID probed the co-existence of a superparamagnetic phase, with one phase which may be attributed to a diluted magnetic semiconductor. The hypothesis that the room temperature ferromagnetic phase might be the one with manganese diluted into the Ge crystal is formulated and discussed.

  4. Efficiency improvement in the operating room.

    Science.gov (United States)

    Fong, Abigail J; Smith, Meghan; Langerman, Alexander

    2016-08-01

    In the changing health care environment, health systems, hospitals, and health care providers must focus on improving efficiency to meet an increasing demand for high-quality, low-cost health care. Much has been written about strategies and efforts to improve efficiency in the perioperative periods, yet the time when the patient is in the operating room-the intraoperative period-has received less attention. Yet, this is the period in which surgeons may have the most influence. Systematically review published efforts to improve intraoperative efficiency; assess the outcomes of these efforts, and propose standardized reporting of future studies. A total of 39 studies were identified that met inclusion criteria. These divided naturally into small (single operative team), medium (multi-operative team), and large (institutional) interventions. Most studies used time or money as their metric for efficiency, though others were used as well. There is substantial opportunity to enhance operating room efficiency during the intraoperative period. Surgeons may have a particular role in procedural efficiency, which has been relatively unstudied. Common themes were standardizing tasks, collecting and using actionable data, and maintaining effective team communication. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Tritium Room Air Monitor Operating Experience Review

    Energy Technology Data Exchange (ETDEWEB)

    L. C. Cadwallader; B. J. Denny

    2008-09-01

    Monitoring the breathing air in tritium facility rooms for airborne tritium is a radiological safety requirement and a best practice for personnel safety. Besides audible alarms for room evacuation, these monitors often send signals for process shutdown, ventilation isolation, and cleanup system actuation to mitigate releases and prevent tritium spread to the environment. Therefore, these monitors are important not only to personnel safety but also to public safety and environmental protection. This paper presents an operating experience review of tritium monitor performance on demand during small (1 mCi to 1 Ci) operational releases, and intentional airborne inroom tritium release tests. The tritium tests provide monitor operation data to allow calculation of a statistical estimate for the reliability of monitors annunciating in actual tritium gas airborne release situations. The data show a failure to operate rate of 3.5E-06/monitor-hr with an upper bound of 4.7E-06, a failure to alarm on demand rate of 1.4E-02/demand with an upper bound of 4.4E-02, and a spurious alarm rate of 0.1 to 0.2/monitor-yr.

  6. The radiation dose dilemma in the hybrid operating room

    NARCIS (Netherlands)

    de Ruiter, QMB|info:eu-repo/dai/nl/413971171

    2016-01-01

    The of the hybrid Operation room (an operation room combined with advanced radiological X-ray equipment) is gaining popularity, as it is now the preferred room to perform (complex) endovascular aortic procedures. The fixed C-arms equipped in these rooms make it possible to gain very high image

  7. Operation of Silicon, Diamond and liquid Helium Detectors in the range of Room Temperature to 1.9 K and after an Irradiation Dose of several Mega Gray

    CERN Document Server

    Kurfuerst, C; Dehning, B; Eisel, T; Sapinski, M; Eremin, V

    2013-01-01

    At the triplet magnets, close to the interaction regions of the Large Hadron Collider (LHC), the current Beam Loss Monitoring (BLM) system is sensitive to the debris from the collision points. For future beams, with higher energy and intensity the expected increase in luminosity implicate an increase of the debris from interaction products covering the quench-provoking beam losses from the primary proton beams. The investigated option is to locate the detectors as close as possible to the superconducting coil, where the signal ratio of both is optimal. Therefore the detectors have to be located inside the cold mass of the superconducting magnets in superfluid helium at 1.9 Kelvin. Past measurements have shown that a liquid helium ionisation chamber, diamond and silicon detectors are promising candidates for cryogenic beam loss monitors. The carrier parameter, drift velocity, and the leakage current changes will be shown as a function of temperature. New high irradiation test beam measurements at room temperat...

  8. Control of the Environment in the Operating Room.

    Science.gov (United States)

    Katz, Jonathan D

    2017-10-01

    There is a direct relationship between the quality of the environment of a workplace and the productivity and efficiency of the work accomplished. Components such as temperature, humidity, ventilation, drafts, lighting, and noise each contribute to the quality of the overall environment and the sense of well-being of those who work there.The modern operating room is a unique workplace with specific, and frequently conflicting, environmental requirements for each of the inhabitants. Even minor disturbances in the internal environment of the operating room can have serious ramifications on the comfort, effectiveness, and safety of each of the inhabitants. A cool, well-ventilated, and dry climate is optimal for many members of the surgical team. Any significant deviation from these objectives raises the risk of decreased efficiency and productivity and adverse surgical outcomes. A warmer, more humid, and quieter environment is necessary for the patient. If these requirements are not met, the risk of surgical morbidity and mortality is increased. An important task for the surgical team is to find the correct balance between these 2 opposed requirements. Several of the components of the operating room environment, especially room temperature and airflow patterns, are easily manipulated by the members of the surgical team. In the following discussion, we will examine these elements to better understand the clinical ramifications of adjustments and accommodations that are frequently made to meet the requirements of both the surgical staff and the patient.

  9. Surgeon Awareness of Operating Room Supply Costs.

    Science.gov (United States)

    Jackson, Christopher R; Eavey, Roland D; Francis, David O

    2016-05-01

    The extent to which surgeons understand costs associated with expensive operative procedures remains unclear. The goal of the study was to better understand surgeon cost awareness of operating room supplies and implants. This was a cross-sectional study of faculty (n = 24) and trainees (fellow and residents, n = 27) in the Department of Otolaryngology. Participants completed surveys to assess opinions on importance of cost and ease in accessing cost data and were asked to estimate the costs of operating room (OR) supplies and implants. Estimates within 20% of actual cost were considered correct. Analyses were stratified into faculty and trainee surgeons. Cost estimates varied widely, with a low percentage of correct estimations (25% for faculty, 12% for trainees). Surgeons tended to underestimate the cost of high-cost items (55%) and overestimate the cost of low-cost items (77%). Attending surgeons were more accurate at correctly estimating costs within their own subspecialty (33% vs 16%, P cost knowledge and years in practice did not correlate with cost accuracy (P costs of items/implants used in their OR. An opportunity exists to improve the mechanisms by which cost data are fed back to physicians to help promote value-based decision making. © The Author(s) 2015.

  10. Loss of conductivity in operating room shoes.

    Science.gov (United States)

    Kulis, E; Newell, J C

    1978-01-01

    The effect of dirt encountered during normal use on the conductivity of operating room footwear has been studied. Booties, sneakers, and shoes having relatively larger conductive area remained conductive throughout the testing period. Shoes and clogs having relatively smaller conductive contact area were found to lose conductivity sooner, and, in more cases, than any other type of footwear tested. The size of the conductive contact area appears to correlate with the length of time that conductive footwear will remain within resistance specification during use.

  11. Prepare to protect: Operating and maintaining a tornado safe room.

    Science.gov (United States)

    Herseth, Andrew; Goldsmith-Grinspoon, Jennifer; Scott, Pataya

    2017-06-01

    Operating and maintaining a tornado safe room can be critical to the effective continuity of business operations because a firm's most valuable asset is its people. This paper describes aspects of operations and maintenance (O&M) for existing tornado safe rooms as well as a few planning and design aspects that affect the ultimate operation of a safe room for situations where a safe room is planned, but not yet constructed. The information is based on several Federal Emergency Management Agency safe room publications that provide guidance on emergency management and operations, as well as the design and construction of tornado safe rooms.

  12. Designing an Alternate Mission Operations Control Room

    Science.gov (United States)

    Montgomery, Patty; Reeves, A. Scott

    2014-01-01

    The Huntsville Operations Support Center (HOSC) is a multi-project facility that is responsible for 24x7 real-time International Space Station (ISS) payload operations management, integration, and control and has the capability to support small satellite projects and will provide real-time support for SLS launches. The HOSC is a service-oriented/ highly available operations center for ISS payloads-directly supporting science teams across the world responsible for the payloads. The HOSC is required to endure an annual 2-day power outage event for facility preventive maintenance and safety inspection of the core electro-mechanical systems. While complete system shut-downs are against the grain of a highly available sub-system, the entire facility must be powered down for a weekend for environmental and safety purposes. The consequence of this ground system outage is far reaching: any science performed on ISS during this outage weekend is lost. Engineering efforts were focused to maximize the ISS investment by engineering a suitable solution capable of continuing HOSC services while supporting safety requirements. The HOSC Power Outage Contingency (HPOC) System is a physically diversified compliment of systems capable of providing identified real-time services for the duration of a planned power outage condition from an alternate control room. HPOC was designed to maintain ISS payload operations for approximately three continuous days during planned HOSC power outages and support a local Payload Operations Team, International Partners, as well as remote users from the alternate control room located in another building.

  13. [Controlling systems for operating room managers].

    Science.gov (United States)

    Schüpfer, G; Bauer, M; Scherzinger, B; Schleppers, A

    2005-08-01

    Management means developing, shaping and controlling of complex, productive and social systems. Therefore, operating room managers also need to develop basic skills in financial and managerial accounting as a basis for operative and strategic controlling which is an essential part of their work. A good measurement system should include financial and strategic concepts for market position, innovation performance, productivity, attractiveness, liquidity/cash flow and profitability. Since hospitals need to implement a strategy to reach their business objectives, the performance measurement system has to be individually adapted to the strategy of the hospital. In this respect the navigation system developed by Gälweiler is compared to the "balanced score card" system of Kaplan and Norton.

  14. A stochastic approach for solving the operating room scheduling problem

    NARCIS (Netherlands)

    Molina-Pariente, Jose M.; Hans, Elias W.; Framinan, Jose M.

    2016-01-01

    We address a stochastic operating room scheduling problem which consists of assigning an intervention date and operating room to surgeries on the waiting list, minimizing the under- and overtime costs of the operating rooms, and the cost of exceeding the capacity constraints of the system.

  15. A 13 kA current lead, measuring 1.5 m in length. The lower part consists of a high-temperature superconductor (Bi-2223), operating at between 50 K and 4.5 K, while the heat-exchanger upper part allows the current to be brought from room temperature to 50 K.

    CERN Multimedia

    2004-01-01

    A 13 kA current lead, measuring 1.5 m in length. The lower part consists of a high-temperature superconductor (Bi-2223), operating at between 50 K and 4.5 K, while the heat-exchanger upper part allows the current to be brought from room temperature to 50 K.

  16. Human reliability analysis of control room operators

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Isaac J.A.L.; Carvalho, Paulo Victor R.; Grecco, Claudio H.S. [Instituto de Engenharia Nuclear (IEN), Rio de Janeiro, RJ (Brazil)

    2005-07-01

    Human reliability is the probability that a person correctly performs some system required action in a required time period and performs no extraneous action that can degrade the system Human reliability analysis (HRA) is the analysis, prediction and evaluation of work-oriented human performance using some indices as human error likelihood and probability of task accomplishment. Significant progress has been made in the HRA field during the last years, mainly in nuclear area. Some first-generation HRA methods were developed, as THERP (Technique for human error rate prediction). Now, an array of called second-generation methods are emerging as alternatives, for instance ATHEANA (A Technique for human event analysis). The ergonomics approach has as tool the ergonomic work analysis. It focus on the study of operator's activities in physical and mental form, considering at the same time the observed characteristics of operator and the elements of the work environment as they are presented to and perceived by the operators. The aim of this paper is to propose a methodology to analyze the human reliability of the operators of industrial plant control room, using a framework that includes the approach used by ATHEANA, THERP and the work ergonomics analysis. (author)

  17. Progress in the room temperature operation of GaAs-based lateral-type spin-PD in near-infrared wavelength region

    Science.gov (United States)

    Roca, R. C.; Nishizawa, N.; Nishibayashi, K.; Munekata, H.

    2017-09-01

    A lateral-type spin-photodiode having a refracting facet on a side edge of the device is proposed and fabricated experimentally. The light impinged on the side of the device is refracted and shed directly on the backside of a spin-detecting Fe contact where spin-polarized carriers are generated in a thin InGaAs active layer and injected in the Fe contact through a crystalline AlOx tunnel barrier. Experiments are carried out at room temperature with photocurrent set up with circular polarization spectrometry, through which light-helicity-dependent photocurrent component, ΔI, is obtained with the spin detection efficiency F ≍ 0.4 %, where F is the ratio between ΔI and total photocurrent. This value is the highest reported so far for lateral-type spin-photodiodes. It is discussed that improving the quality of the p-InGaAs/x-AlOx/Fe interfaces will give rise to higher F values.

  18. An Ethogram to Quantify Operating Room Behavior

    Science.gov (United States)

    Jones, Laura K.; Jennings, Bonnie Mowinski; Goelz, Ryan M.; Haythorn, Kent W.; Zivot, Joel B.; de Waal, Frans B. M.

    2017-01-01

    Background The operating room (OR) is a highly social and hierarchical setting where interprofessional team members must work interdependently under pressure. Due primarily to methodological challenges, the social and behavioral sciences have had trouble offering insight into OR dynamics. Purpose We adopted a method from the field of ethology for observing and quantifying the interpersonal interactions of OR team members. Methods We created and refined an ethogram, a catalog of all our subjects’ observable social behaviors. The ethogram was then assessed for its feasibility and interobserver reliability. Results It was feasible to use an ethogram to gather data in the OR. The high interobserver reliability (Cohen’s Kappa coefficients of 81 % and higher) indicates its utility for yielding largely objective, descriptive, quantitative data on OR behavior. Conclusions The method we propose has potential for social research conducted in healthcare settings as complex as the OR. PMID:26813263

  19. Lean Strategies in the Operating Room.

    Science.gov (United States)

    Robinson, Stephen T; Kirsch, Jeffrey R

    2015-12-01

    Lean strategies can be readily applied to health care in general and operating rooms specifically. The emphasis is on the patient as the customer, respect and engagement of all providers, and leadership from management. The strategy of lean is to use continuous improvement to eliminate waste from the care process, leaving only value-added activities. This iterative process progressively adds the steps of identifying the 7 common forms of waste (transportation, inventory, motion, waiting, overproduction, overprocessing, and defects), 5S (sort, simplify, sweep, standardize, sustain), visual controls, just-in-time processing, level-loaded work, and built-in quality to achieve the highest quality of patient care. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. HEMATOLOGIC FINDINGS IN OPERATING ROOM STAFFS

    Directory of Open Access Journals (Sweden)

    H SOLTANI

    2000-03-01

    Full Text Available Introduction. Long term exposure to trace amounts of anesthetic vapors and gases may produce hematologic and hepatic disorders in human. Since operating room (OR staffs are exposed to these agents, we decided to study their hematopoietic and hepatic systems in comparison with ordinary ward staffs. Methods. Seventy staffs from OR were compared with a matched similar number of ward staffs about their hematologic and hepatic laboratory findings in a historical cohort study. Findings. Mean of leukocyte and platelet counts were significantly lower in OR staffs, but in normal range. Mean of monocyte count was significantly higher in OR staffs. No significant differences were found between two groups for other hepatic and hematologic tests. Fatigue and headache were reported in OR staffs more than others. Conclusion. These findings may warn a risk to OR staffs but, it is not clear and requires further controlled studies.

  1. Physician communication in the operating room.

    Science.gov (United States)

    Kirschbaum, Kristin A; Rask, John P; Fortner, Sally A; Kulesher, Robert; Nelson, Michael T; Yen, Tony; Brennan, Matthew

    2015-01-01

    In this study, communication research was conducted with multidisciplinary groups of operating-room physicians. Theoretical frameworks from intercultural communication and rhetoric were used to (a) measure latent cultural communication variables and (b) conduct communication training with the physicians. A six-step protocol guided the research with teams of physicians from different surgical specialties: anesthesiologists, general surgeons, and obstetrician-gynecologists (n = 85). Latent cultural communication variables were measured by surveys administered to physicians before and after completion of the protocol. The centerpiece of the 2-hour research protocol was an instructional session that informed the surgical physicians about rhetorical choices that support participatory communication. Post-training results demonstrated scores increased on communication variables that contribute to collaborative communication and teamwork among the physicians. This study expands health communication research through application of combined intercultural and rhetorical frameworks, and establishes new ways communication theory can contribute to medical education.

  2. Comparison of Microbial Contamination Levels Among Hospital Operating Rooms and Industrial Clean Rooms

    Science.gov (United States)

    Favero, Martin S.; Puleo, John R.; Marshall, James H.; Oxborrow, Gordon S.

    1968-01-01

    Microbial contamination in industrial clean rooms was compared quantitatively and qualitatively with that of hospital operating rooms. The number of aerobic mesophilic microorganisms which accumulated on stainless-steel strips exposed for periods up to 21 weeks to the intramural air of four operating rooms was at least 1 log higher than the accumulation on strips exposed in four clean rooms, and was essentially the same as that found in two factory areas. Volumetric air samplings showed that there were significantly higher numbers of airborne viable particles per cubic foot of air in operating rooms than in industrial clean rooms. In contrast to clean rooms, where most of the airborne contaminants were those associated with human hair, skin, and respiratory tract, the hospital operating rooms showed a very high level of microorganisms associated with dust and soil. Images Fig. 4 PMID:5649862

  3. Efficiency of the operating room suite.

    Science.gov (United States)

    Weinbroum, Avi A; Ekstein, Perla; Ezri, Tiberiu

    2003-03-01

    The need to control high costs of running operating rooms while providing for timely patient care led us to assess the time wasted in the operating room (OR). OR use by two general surgery and two orthopedic departments in a metropolitan public hospital were analyzed, and the time elapsed when a scheduled OR remained unused or the patient was still awaiting surgery was measured. OR "time-waste" defined as the time in which the scheduled OR was not busy with the scheduled patient amounted to 79 hours over the 30-day study period (15% of total time). It was wasted owing to inappropriately prepared patients (12%), unavailability of surgeons (7%), insufficient nursing staff, anesthesiologists, or OR assignment to emergency surgery (59%), congestion of the postanesthesia care unit (10%), and delay in transport to the OR (2%) Another issue delineated was the frequent occurrence of surgical cases running longer than their scheduled time (termed "spill-over"), outrunning the staffing expectations after 3:00 PM and delaying admission of add-on and emergency procedures, adding 33% to the time wasted. A quality-assurance committee review resulted in implementation of new guidelines, and within 3 months several underlying causes were rectified, and time-waste and spill over time was reduced by 35%. Surgical time predictions were also improved. Shortage of nurses and anesthesiologists, and OR emergency reassignment remained the major causes of OR waste time. Continuous surveillance on OR suite-patients' prompt care, repeated evaluation, and wise staff deployment-could maximize OR efficiency.

  4. Room-Temperature Skyrmion Shift Device for Memory Application.

    Science.gov (United States)

    Yu, Guoqiang; Upadhyaya, Pramey; Shao, Qiming; Wu, Hao; Yin, Gen; Li, Xiang; He, Congli; Jiang, Wanjun; Han, Xiufeng; Amiri, Pedram Khalili; Wang, Kang L

    2017-01-11

    Magnetic skyrmions are intensively explored for potential applications in ultralow-energy data storage and computing. To create practical skyrmionic memory devices, it is necessary to electrically create and manipulate these topologically protected information carriers in thin films, thus realizing both writing and addressing functions. Although room-temperature skyrmions have been previously observed, fully electrically controllable skyrmionic memory devices, integrating both of these functions, have not been developed to date. Here, we demonstrate a room-temperature skyrmion shift memory device, where individual skyrmions are controllably generated and shifted using current-induced spin-orbit torques. Particularly, it is shown that one can select the device operation mode in between (i) writing new single skyrmions or (ii) shifting existing skyrmions by controlling the magnitude and duration of current pulses. Thus, we electrically realize both writing and addressing of a stream of skyrmions in the device. This prototype demonstration brings skyrmions closer to real-world computing applications.

  5. Surveillance of bacterial colonization in operating rooms.

    Science.gov (United States)

    Alexander, J Wesley; Van Sweringen, Heather; Vanoss, Katherine; Hooker, Edmond A; Edwards, Michael J

    2013-08-01

    Surgical site infections (SSIs) continue to occur at an unacceptably high rate, incurring direct costs of up to $10 billion per year in the United States and far more than that in total economic costs. There is a continued need to identify potential sources of microbial contamination that lead to surgical infections. Using contact culture plates, we randomly took a total of 517 samples of various surfaces in 33 operating rooms (ORs) over a 6-mo period. Flat surfaces treated with decontamination techniques (floors, anesthesia carts, operating tables, and other flat surfaces) grew small numbers of bacterial colonies, as did other surfaces that were decontaminated less often. Personal items, especially the tops of shoes and personal hats, had much higher contamination than the surfaces just described, which in the case of these two items averaged 50-60 CFU/20 cm(2). The outsides of face masks contained slightly more organisms than did floors, but the insides had almost 100 times more organisms, which was of concern because of high leakage rates at the mask-face interface. The culture system used in our study can be used as a simplified and cost-effective method of identifying the comparative densities of organisms on different surfaces for surveillance of microbial contamination in the OR. To reduce bacterial contamination, shoe covers and disposable hair coverings should be worn at every operation in which there are substantial risks of SSI. Masks that reduce leakage at the mask-face interface should be worn and discarded after each operation.

  6. Epitaxial magnetite nanorods with enhanced room temperature magnetic anisotropy.

    Science.gov (United States)

    Chandra, Sayan; Das, Raja; Kalappattil, Vijaysankar; Eggers, Tatiana; Harnagea, Catalin; Nechache, Riad; Phan, Manh-Huong; Rosei, Federico; Srikanth, Hariharan

    2017-06-14

    Nanostructured magnetic materials with well-defined magnetic anisotropy are very promising as building blocks in spintronic devices that operate at room temperature. Here we demonstrate the epitaxial growth of highly oriented Fe3O4 nanorods on a SrTiO3 substrate by hydrothermal synthesis without the use of a seed layer. The epitaxial nanorods showed biaxial magnetic anisotropy with an order of magnitude difference between the anisotropy field values of the easy and hard axes. Using a combination of conventional magnetometry, transverse susceptibility, magnetic force microscopy (MFM) and magneto-optic Kerr effect (MOKE) measurements, we investigate magnetic behavior such as temperature dependent magnetization and anisotropy, along with room temperature magnetic domain formation and its switching. The interplay of epitaxy and enhanced magnetic anisotropy at room temperature, with respect to randomly oriented powder Fe3O4 nanorods, is discussed. The results obtained identify epitaxial nanorods as useful materials for magnetic data storage and spintronic devices that necessitate tunable anisotropic properties with sharp magnetic switching phenomena.

  7. Calculation of Vertical Temperature Gradients in Heated Rooms

    DEFF Research Database (Denmark)

    Overby, H.; Steen-Thøde, Mogens

    This paper deals with a simple model which predicts the vertical temperature gradient in a heated room. The gradient is calculated from a dimensionless temperature profile which is determined by two room air temperatures only, the mean temperature in the occupied zone and the mean temperature...... in the zone above the occupied zone. A model to calculate the two air temperatures has been developed and implemented in Suncode- PC, a thermal analysis programme for residential and small commercial buildings. The dimensionless temperature profile based on measurements in a laboratory test room is presented...

  8. Display of information in the operating room.

    Science.gov (United States)

    Kiefer, Nicholas; Hoeft, Andreas

    2010-12-01

    The ongoing development of new sensors and parameters for intraoperative monitoring has outpaced the development of display design, leading to a gap between the load of information and the quality of its delivery. This is not a circumstantial problem, as a large portion of critical incidents is attributable to inadequate situation awareness and the failure to recognize readily monitored data. This review also addresses improvements of current threshold alarms. Research has focused on advanced integrated displays, drawing on the findings of human factor science and on the exploitation of alternative sensory pathways. Integrated displays, as well as auditory, vibrotactile and head-mounted displays have been shown to promote situation awareness and reduce cognitive workload. Intelligent alarm design can successfully reduce the number of false alarms. Improvement of the display of information in the operating room is warranted, and recent developments are promising. However, their introduction into mass market is not yet on the horizon, although the shortcomings of the traditional single-sensor-single-indicator principle are known for a long time. If manufacturers are reluctant to implement new techniques into their devices, they should at least facilitate access to monitoring raw data in order to allow independent development of displays.

  9. Safety status system for operating room devices.

    Science.gov (United States)

    Guédon, Annetje C P; Wauben, Linda S G L; Overvelde, Marlies; Blok, Joleen H; van der Elst, Maarten; Dankelman, Jenny; van den Dobbelsteen, John J

    2014-01-01

    Since the increase of the number of technological aids in the operating room (OR), equipment-related incidents have come to be a common kind of adverse events. This underlines the importance of adequate equipment management to improve the safety in the OR. A system was developed to monitor the safety status (periodic maintenance and registered malfunctions) of OR devices and to facilitate the notification of malfunctions. The objective was to assess whether the system is suitable for use in an busy OR setting and to analyse its effect on the notification of malfunctions. The system checks automatically the safety status of OR devices through constant communication with the technical facility management system, informs the OR staff real-time and facilitates notification of malfunctions. The system was tested for a pilot period of six months in four ORs of a Dutch teaching hospital and 17 users were interviewed on the usability of the system. The users provided positive feedback on the usability. For 86.6% of total time, the localisation of OR devices was accurate. 62 malfunctions of OR devices were reported, an increase of 12 notifications compared to the previous year. The safety status system was suitable for an OR complex, both from a usability and technical point of view, and an increase of reported malfunctions was observed. The system eases monitoring the safety status of equipment and is a promising tool to improve the safety related to OR devices.

  10. Integrated intra-operative room design.

    Science.gov (United States)

    Ng, Ivan

    2011-01-01

    The design of intraoperative suites require significant inputs from the neurosurgeons. Prior consideration of specific surgical objectives before investment of capital resources will enable to surgeon to yield maximum value from the project. We describe the setup of the integrated neurosurgical centre at our institution which comprises of a hybrid high field MRI suite, an OR's consisting of a multi-slice CT scanner and iso-C 3D respectively. The iCT and ioMRI OR's carry ICG angiography capabilities. These ORs are linked to also the Novalis radiosurgery suites and outpatient clinics and offices to facilitate pre-surgical review, planning as well as treatment plans on a common interface via the BRAINSUITE net.Design considerations include right sit-ing of imaging equipment as well as a focus of ergonomics and design features to maximize workflow. Whenever possible, standard neurosurgical instrumentation is utilized. With widespread availability of technology, neuro-imaging in the operating room may become more prevalent. The surgeon is the lead individual in the team with regards to planning and designing the ORs to accommodate the new imaging equipment.

  11. Operating Room Fires in Oculoplastic Surgery.

    Science.gov (United States)

    Maamari, Robi N; Custer, Philip L

    2017-03-03

    This study was performed to characterize the frequency, causes, and possible risk factors of operating room (OR) fires experienced by members of the American Society of Ophthalmic Plastic and Reconstructive Surgery. An online questionnaire was distributed to American Society of Ophthalmic Plastic and Reconstructive Surgery members, collecting data on surgical fires experienced by respondents throughout their careers. In addition, the questionnaire investigated viewpoints on OR fire safety, current practice patterns with oxygen delivery and surgical device usage, and management of patients referred after previous surgical fire exposure. There were 258 participants in the survey. Eighty-three surgeons (32.2%) experienced at least 1 surgical fire in their careers. Most OR fires occurred during monitored sedation cases with oxygen delivered by nasal cannula underneath drapes completely covering the head and use of a monopolar or battery-operated device. Patient hair and skin were the most common fuel sources, and most of the injuries were limited to singing of facial hair. Regarding current practice patterns, monopolar, bipolar, and battery-powered disposable devices were the most frequently used electrosurgery and electrocautery tools. Patients seen after an OR fire with another surgeon generally experienced more severe burns requiring hospitalization and subsequent procedures. Many oculoplastic surgeons have experienced OR fires during their careers. Certain surgical and anesthetic techniques, particularly the delivery of supplemental oxygen underneath surgical drapes and the use of monopolar electrosurgery and battery-powered electrocautery, may be associated with increased fire risk. While most of the reported OR fires did not result in significant patient injury, caution must be taken to prevent these potentially devastating events.

  12. Study on the mutual interactions between the parameters of a CANON system and its coping strategy when operating at room temperature (15 to 25 °C) using response surface methodology.

    Science.gov (United States)

    Zhou, Jian; Qin, Guangxu; Zhang, Jianbing; Li, Yancheng; He, Qiang; Han, Yi; Gong, Benzhou

    2014-01-01

    The coping strategy of a CANON (completely autotrophic nitrogen removal over nitrite) reactor working at room temperature was investigated using response surface methodology. The total nitrogen (TN) removal efficiency was taken as a dependent variable. The temperature (X), dissolved oxygen (DO) concentration (Y), and influent nitrogen loading rate (Z) were taken as independent variables. Results showed that the relation of these three independent variables can be described by the TN removal efficiency expressed as -5.03 + 1.51X + 45.16Y + 30.13Z + 0.26XY + 1.84XZ - 0.04X(2) - 9.06Y(2) - 99.00Z(2). The analysis of variance proved that the equation is applicable. The response surface demonstrated that the temperature significantly interacts with the DO concentration and influent N loading rate. A coping strategy for the CANON reactor working at room temperature is thus proposed: altering the DO concentration and the N loading rate to counterbalance the impact of low temperature. The verification test proved the strategy is viable. The TN removal efficiency was 91.3% when the reactor was operated under a temperature of 35.0 °C, a DO of 3.0 mg/L, and a N loading rate of 0.70 kgN/(m³ d). When the temperature dropped from 35.0 to 19.2 °C, the TN removal efficiency was kept at 88.7% by regulating the influent N loading rate from 0.7 kgN/(m³ d) to 0.35 kgN/(m³ d) and the DO concentration from 3.0 to 2.6 mg/L.

  13. Titanium nitride room-temperature ferromagnetic nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Morozov, Iu.G., E-mail: morozov@ism.ac.ru [Institute of Structural Macrokinetics and Materials Science, Russian Academy of Sciences, 8 Academician Osipyan Street, Chernogolovka, Moscow Region, 142432 (Russian Federation); Belousova, O.V. [Institute of Structural Macrokinetics and Materials Science, Russian Academy of Sciences, 8 Academician Osipyan Street, Chernogolovka, Moscow Region, 142432 (Russian Federation); Belyakov, O.A. [Ogarev Mordovia State University, Saransk, 68 Bol' shevistskaya Street, 430005 (Russian Federation); Parkin, I.P., E-mail: i.p.parkin@ucl.ac.uk [Department of Chemistry, Materials Chemistry Research Centre, University College London, 20 Gordon Street, London, WC1H 0AJ (United Kingdom); Sathasivam, S. [Department of Chemistry, Materials Chemistry Research Centre, University College London, 20 Gordon Street, London, WC1H 0AJ (United Kingdom); Kuznetcov, M.V., E-mail: maxim1968@mail.ru [All-Russian Research Institute on Problems of Civil Defense and Emergencies of Emergency Control Ministry of Russia (EMERCOM), 7 Davidkovskaya Street, Moscow, 121352 (Russian Federation)

    2016-08-05

    Cubic and near-spherical TiN nanoparticles ranging in average size from 20 to 125 nm were prepared by levitation-jet aerosol synthesis through condensation of titanium vapor in an inert gas flow with gaseous nitrogen injection. The nanoparticles were characterized by using scanning electron microscopy (SEM), X-ray diffraction (XRD), BET measurements, UV–Vis, FT-IR, Raman spectroscopy, XPS, and vibrating-sample magnetometry. Room-temperature ferromagnetism with maximum magnetization up to 2.5 emu/g was recorded for the nanoparticles. The results indicate that the observed ferromagnetic ordering was related to the defect Ti–N structures on the surface of nanoparticles. This suggestion is in good correlation with the measured spectroscopical data. - Highlights: • Levitation-jet aerosol synthesis of TiN nanoparticles (NPs). • SEM, XRD, BET, UV–vis, FT-IR, Raman, XPS and magnetic characterization of the NPs. • Correlation between optical and XPS measurements data and maximum magnetization of the NPs.

  14. Foucault could have been an operating room nurse.

    Science.gov (United States)

    Riley, Robin; Manias, Elizabeth

    2002-08-01

    Operating room nursing is an under-researched area of nursing practice. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. This paper explores the possibility of understanding operating room nursing in a different way. Using the work of Michel Foucault to analyse the work of operating room nursing, this paper argues the relevance of the framework for a more in-depth analysis of this specialty area of practice. The concepts of power, discipline and subjectivity are used to demonstrate how operating room nursing is constructed as a discipline and how operating room nurses act to govern and construct the specialty. Exemplars are drawn from extensive professional experience, from guidelines of professional operating room nursing associations, as well as published texts. The focus is predominantly on the regulation of space and time to maintain the integrity of the sterile surgical field and issues of management, as well as the use of the ethical concept of the 'surgical conscience'. This form of analysis provides a level and depth of inquiry that has rarely been undertaken in operating room nursing. As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development.

  15. Surgical attire and the operating room: role in infection prevention.

    Science.gov (United States)

    Salassa, Tiare E; Swiontkowski, Marc F

    2014-09-03

    ➤ Although there is some evidence that scrubs, masks, and head coverings reduce bacterial counts in the operating room, there is no evidence that these measures reduce the prevalence of surgical site infection.➤ The use of gloves and impervious surgical gowns in the operating room reduces the prevalence of surgical site infection.➤ Operating-room ventilation plays an unclear role in the prevention of surgical site infection.➤ Exposure of fluids and surgical instruments to the operating-room environment can lead to contamination. Room traffic increases levels of bacteria in the operating room, although the role of this contamination in surgical site infection is unclear. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

  16. Study of geometries of active magnetic regenerators for room temperature magnetocaloric refrigeration

    DEFF Research Database (Denmark)

    Lei, Tian; Engelbrecht, Kurt; Nielsen, Kaspar Kirstein

    2017-01-01

    Room temperature magnetic refrigeration has attracted substantial attention during the past decades and continuing to increase the performance of active magnetic regenerators (AMR) is of great interest. Optimizing the regenerator geometry and related operating parameters is a practical...

  17. The Patient Safety Attitudes among the Operating Room Personnel

    Directory of Open Access Journals (Sweden)

    Cherdsak Iramaneerat

    2016-07-01

    Full Text Available Background: The first step in cultivating the culture of safety in the operating room is the assessment of safety culture among operating room personnel. Objective: To assess the patient safety culture of operating room personnel at the Department of Surgery, Faculty of Medicine Siriraj Hospital, and compare attitudes among different groups of personnel, and compare them with the international standards. Methods: We conducted a cross-sectional survey of safety attitudes among 396 operating room personnel, using a short form of the Safety Attitudes Questionnaire (SAQ. The SAQ employed 30 items to assess safety culture in six dimensions: teamwork climate, safety climate, stress recognition, perception of hospital management, working conditions, and job satisfaction. The subscore of each dimension was calculated and converted to a scale score with a full score of 100, where higher scores indicated better safety attitudes. Results: The response rate was 66.4%. The overall safety culture score of the operating room personnel was 65.02, higher than an international average (61.80. Operating room personnel at Siriraj Hospital had safety attitudes in teamwork climate, safety climate, and stress recognition lower than the international average, but had safety attitudes in the perception of hospital management, working conditions, and job satisfaction higher than the international average. Conclusion: The safety culture attitudes of operating room personnel at the Department of Surgery, Siriraj Hospital were comparable to international standards. The safety dimensions that Siriraj Hospital operating room should try to improve were teamwork climate, safety climate, and stress recognition.

  18. TeamSTEPPS Improves Operating Room Efficiency and Patient Safety.

    Science.gov (United States)

    Weld, Lancaster R; Stringer, Matthew T; Ebertowski, James S; Baumgartner, Timothy S; Kasprenski, Matthew C; Kelley, Jeremy C; Cho, Doug S; Tieva, Erwin A; Novak, Thomas E

    2016-09-01

    The objective was to evaluate the effect of TeamSTEPPS on operating room efficiency and patient safety. TeamSTEPPS consisted of briefings attended by all health care personnel assigned to the specific operating room to discuss issues unique to each case scheduled for that day. The operative times, on-time start rates, and turnover times of all cases performed by the urology service during the initial year with TeamSTEPPS were compared to the prior year. Patient safety issues identified during postoperative briefings were analyzed. The mean case time was 12.7 minutes less with TeamSTEPPS (P room turnover time did not change. Patient safety issues declined from an initial rate of 16% to 6% at midyear and remained stable (P operating room efficiency and diminished patient safety issues in the operating room. © The Author(s) 2015.

  19. Temperature Distribution in a Displacement Ventilated Room

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    The vertical temperature gradient is normally given as a linear temperature distribution between a minimum temperature close to the floor and a maximum temperature close to the ceiling. The minimum temperature can either be a constant fraction of a load dependent difference or it can be connected...

  20. PVDF-Alumina Nanocomposite Membrane for Li-Ion Batteries Capable of Operation from Room Temperature to 120 C with Enhanced Safety (Preprint)

    Science.gov (United States)

    2017-10-27

    Springer Science+Business Media New York, New York; 1994). 5. Rao, Z. & Wang, S. A review of power battery thermal energy management. Renew ...drilling, grid storage, and engine sensors that could benefit from high temperature Li-ion batteries, but unfortunately conventional cells cannot be...sensors that could benefit from high temperature Li-ion batteries, but unfortunately conventional cells cannot be utilized mainly due to electrolyte

  1. Active Pixel HgCdTe Detectors With Built-in Dark Current Reduction for Near-Room Temperature Operation Project

    Data.gov (United States)

    National Aeronautics and Space Administration — High sensitivity HgCdTe infrared arrays operating at 77K can now be tailored in a wide range of wavelengths from 1 to 14 microns. However, due to the cooling...

  2. Active Pixel HgCdTe Detectors With Built-in Dark Current Reduction for Near-Room Temperature Operation Project

    Data.gov (United States)

    National Aeronautics and Space Administration — High sensitivity HgCdTe infrared arrays operating at 77K can now be tailored in a wide range of wavelengths from 1 to14 um. However, the cooling requirements make...

  3. Room-temperature continuous-wave operation in the telecom wavelength range of GaSb-based lasers monolithically grown on Si

    Science.gov (United States)

    Castellano, A.; Cerutti, L.; Rodriguez, J. B.; Narcy, G.; Garreau, A.; Lelarge, F.; Tournié, E.

    2017-06-01

    We report on electrically pumped GaSb-based laser diodes monolithically grown on Si and operating in a continuous wave (cw) in the telecom wavelength range. The laser structures were grown by molecular-beam epitaxy on 6°-off (001) substrates. The devices were processed in coplanar contact geometry. 100 μm × 1 mm laser diodes exhibited a threshold current density of 1 kA/cm-2 measured under pulsed operation at 20 °C. CW operation was achieved up to 35 °C with 10 μm × 1 mm diodes. The output power at 20 °C was around 3 mW/uncoated facet, and the cw emission wavelength 1.59 μm, in the C/L-band of telecom systems.

  4. Optically pumped room-temperature GaAs nanowire lasers

    Science.gov (United States)

    Saxena, Dhruv; Mokkapati, Sudha; Parkinson, Patrick; Jiang, Nian; Gao, Qiang; Tan, Hark Hoe; Jagadish, Chennupati

    2013-12-01

    Near-infrared lasers are important for optical data communication, spectroscopy and medical diagnosis. Semiconductor nanowires offer the possibility of reducing the footprint of devices for three-dimensional device integration and hence are being extensively studied in the context of optoelectronic devices. Although visible and ultraviolet nanowire lasers have been demonstrated widely, progress towards room-temperature infrared nanowire lasers has been limited because of material quality issues and Auger recombination. (Al)GaAs is an important material system for infrared lasers that is extensively used for conventional lasers. GaAs has a very large surface recombination velocity, which is a serious issue for nanowire devices because of their large surface-to-volume ratio. Here, we demonstrate room-temperature lasing in core-shell-cap GaAs/AlGaAs/GaAs nanowires by properly designing the Fabry-Pérot cavity, optimizing the material quality and minimizing surface recombination. Our demonstration is a major step towards incorporating (Al)GaAs nanowire lasers into the design of nanoscale optoelectronic devices operating at near-infrared wavelengths.

  5. Concentrations of methoxyflurane and nitrous oxide in veterinary operating rooms

    Energy Technology Data Exchange (ETDEWEB)

    Ward, G.S.; Byland, R.R.

    1982-02-01

    The surgical rooms of 14 private veterinary practices were monitored to determined methoxyflurane (MOF) concentrations during surgical procedure under routine working conditions. The average room volume for these 14 rooms was 29 m3. The average MOF value for all rooms was 2.3 ppm, with a range of 0.7 to 7.4 ppm. Four of the 14 rooms exceeded the maximum recommended concentration of 2 ppm. Six rooms which had 6 or more air changes/hr averaged 1.1 ppm, whereas 8 rooms with less than 6 measurable air changes/hr averaged 3.2 ppm. Operating rooms that had oxygen flows of more than 1,000 cm3/min averaged 4.4 ppm, whereas those with flows of less than 1,000 cm3/min averaged 1.5 ppm. The average time spent during a surgical procedure using MOF, for all 14 facilities, was 2 hours. Nitrous oxide (N/sub 2/O) concentrations were determined in 4 veterinary surgical rooms. The average N/sub 2/O concentration for 3 rooms without waste anesthetic gas scavenging was 138 ppm. Concentration of N/sub 2/O in the waste anesthetic gas-scavenged surgical room was 14 ppm, which was below the maximum recommended concentration of 25 ppm.

  6. Influence of disturbances on bacteria level in an operating room

    DEFF Research Database (Denmark)

    Brohus, Henrik; Hyldig, Mikkel; Kamper, Simon

    2008-01-01

    In operating rooms great effort is manifested to reduce the bacteria level in order to decrease the risk of infections. The main source of bacteria is the staff and the patient, thus, the resulting bacteria concentration is roughly speaking a combination of the ventilation system and the emission...... from the occupants. This study investigates the influence of two main disturbances in an operating room namely the door opening during the operation and the activity level of the staff. It is found that the frequent door opening in this case does not cause significant transport of air from outside...... the operating room to the wound area of the patient. However, a significant influence of the activity level on the bacteria emission and concentration is found. Counting the number of persons in an operating room to estimate the bacteria source strength is not sufficient, the corresponding activity level must...

  7. Room temperature and productivity in office work

    Energy Technology Data Exchange (ETDEWEB)

    Seppanen, O.; Fisk, W.J.; Lei, Q.H.

    2006-07-01

    Indoor temperature is one of the fundamental characteristics of the indoor environment. It can be controlled with a degree of accuracy dependent on the building and its HVAC system. The indoor temperature affects several human responses, including thermal comfort, perceived air quality, sick building syndrome symptoms and performance at work. In this study, we focused on the effects of temperature on performance at office work. We included those studies that had used objective indicators of performance that are likely to be relevant in office type work, such as text processing, simple calculations (addition, multiplication), length of telephone customer service time, and total handling time per customer for call-center workers. We excluded data from studies of industrial work performance. We calculated from all studies the percentage of performance change per degree increase in temperature, and statistically analyzed measured work performance with temperature. The results show that performance increases with temperature up to 21-22 C, and decreases with temperature above 23-24 C. The highest productivity is at temperature of around 22 C. For example, at the temperature of 30 C, the performance is only 91.1% of the maximum i.e. the reduction in performance is 8.9%.

  8. Room temperature synthesis of biodiesel using sulfonated graphitic carbon nitride

    Science.gov (United States)

    Sulfonation of graphitic carbon nitride (g-CN) affords a polar and strongly acidic catalyst, Sg-CN, which displays unprecedented reactivity and selectivity in biodiesel synthesis and esterification reactions at room temperature.

  9. Enhanced room temperature multiferroicity in Gd doped BFO

    CSIR Research Space (South Africa)

    Pradhan, SK

    2009-01-01

    Full Text Available A signature of enhanced multiferroic behavior at room temperature has been observed in Gd doped Bismuth Ferrite system. This paper reports the preliminary findings/observations of structural and magnetization measurement of bismuth rich iron...

  10. Fabrication method for a room temperature hydrogen sensor

    Science.gov (United States)

    Seal, Sudipta (Inventor); Shukla, Satyajit V. (Inventor); Ludwig, Lawrence (Inventor); Cho, Hyoung (Inventor)

    2011-01-01

    A sensor for selectively determining the presence and measuring the amount of hydrogen in the vicinity of the sensor. The sensor comprises a MEMS device coated with a nanostructured thin film of indium oxide doped tin oxide with an over layer of nanostructured barium cerate with platinum catalyst nanoparticles. Initial exposure to a UV light source, at room temperature, causes burning of organic residues present on the sensor surface and provides a clean surface for sensing hydrogen at room temperature. A giant room temperature hydrogen sensitivity is observed after making the UV source off. The hydrogen sensor of the invention can be usefully employed for the detection of hydrogen in an environment susceptible to the incursion or generation of hydrogen and may be conveniently used at room temperature.

  11. High Power Room Temperature Terahertz Local Oscillator Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to build a high-power, room temperature compact continuous wave terahertz local oscillator for driving heterodyne receivers in the 1-5 THz frequency...

  12. Nursing and patient safety in the operating room.

    Science.gov (United States)

    Alfredsdottir, Herdis; Bjornsdottir, Kristin

    2008-01-01

    This paper is a report of a study to identify what operating room nurses believe influences patient safety and how they see their role in enhancing patient safety. Research in health care shows that work experience, communication and the organization of work are key factors in patient safety. This study draws on Reason's definitions of active and latent errors to conceptualize the complex issues that affect patient safety in the operating room. The study reported here is part of an action research project at a university hospital in Iceland. Semi-structured interviews were conducted in 2004 with eight nurses, followed by two focus groups of four nurses each in 2005. Data were analysed using interpretive content analysis. Securing patient safety and preventing mistakes were described as key elements in operating room nursing by all survey participants. In the interviews, the nurses identified the existing culture of prevention and protection that characterizes operating room nursing as crucial in enhancing safety. The organization of work into specialty teams was considered essential. Increased speed of work in an environment where enhanced productivity is imperative, as well as imbalance in staffing, was identified as the main threats to safety. Operating room nurses have a common understanding of the core of their work, which is to ensure patient safety during operations. The work environment is increasingly characterized by latent error, i.e. system-based threats to patient safety that can materialize at any time. Interventions to enhance patient safety in operating room nursing are needed.

  13. Ultralow-Noise Room-Temperature Quantum Memory for Polarization Qubits

    Science.gov (United States)

    Namazi, Mehdi; Kupchak, Connor; Jordaan, Bertus; Shahrokhshahi, Reihaneh; Figueroa, Eden

    2017-09-01

    Here, we show an ultralow-noise regime of operation in a simple quantum memory in warm 87Rb atomic vapor. By modeling the quantum dynamics of four-level room-temperature atoms, we achieve fidelities >90 % for single-photon-level polarization qubits, surpassing any classical strategies exploiting the nonunitary memory efficiency. Additionally, we show experimental techniques capable of producing fidelities close to unity. Our results demonstrate the potential of simple, resource-moderate experimental room-temperature quantum devices.

  14. Impact of changed management policies on operating room efficiency

    National Research Council Canada - National Science Library

    Sandbaek, Birgithe E; Helgheim, Berit I; Larsen, Odd I; Fasting, Sigurd

    2014-01-01

    To increase operating room (OR) efficiency, a new resource allocation strategy, a new policy for patient urgency classification, and a new system for OR booking was implemented at a tertiary referral hospital...

  15. Simulating environmental and psychological acoustic factors of the operating room.

    Science.gov (United States)

    Bennett, Christopher L; Dudaryk, Roman; Ayers, Andrew L; McNeer, Richard R

    2015-12-01

    In this study, an operating room simulation environment was adapted to include quadraphonic speakers, which were used to recreate a composed clinical soundscape. To assess validity of the composed soundscape, several acoustic parameters of this simulated environment were acquired in the presence of alarms only, background noise only, or both. These parameters were also measured for comparison from size-matched operating rooms at Jackson Memorial Hospital. The parameters examined included sound level, reverberation time, and predictive metrics of speech intelligibility in quiet and noise. It was found that the sound levels and acoustic parameters were comparable between the simulated environment and the actual operating rooms. The impact of the background noise on the perception of medical alarms was then examined, and was found to have little impact on the audibility of the alarms. This study is a first in kind report of a comparison between the environmental and psychological acoustical parameters of a hospital simulation environment and actual operating rooms.

  16. Game theory: applications for surgeons and the operating room environment.

    Science.gov (United States)

    McFadden, David W; Tsai, Mitchell; Kadry, Bassam; Souba, Wiley W

    2012-11-01

    Game theory is an economic system of strategic behavior, often referred to as the "theory of social situations." Very little has been written in the medical literature about game theory or its applications, yet the practice of surgery and the operating room environment clearly involves multiple social situations with both cooperative and non-cooperative behaviors. A comprehensive review was performed of the medical literature on game theory and its medical applications. Definitive resources on the subject were also examined and applied to surgery and the operating room whenever possible. Applications of game theory and its proposed dilemmas abound in the practicing surgeon's world, especially in the operating room environment. The surgeon with a basic understanding of game theory principles is better prepared for understanding and navigating the complex Operating Room system and optimizing cooperative behaviors for the benefit all stakeholders. Copyright © 2012 Mosby, Inc. All rights reserved.

  17. Contamination of the operating room by waste anesthetic gases

    OpenAIRE

    新, 太喜治; 清水, 信義; 河上, 靖登; 冨田,校朗; 光岡,利人; 塚原, 恒子; 折田,薫三

    1980-01-01

    A survey was undertaken to evaluate the possible relationship between abnormal pregnancy and exposure to waste anesthetic gases. The results indicate that during the years 1976-1979, 36 per cent of pregnant operating room nurses suffered from threatend abortion, compared with 10 per cent in the control group. Our measurement of waste anesthetic gases showed that trace concentrations of 100ppm of nitrous oxide and 2.0 ppm of halothane were present in the operating room atomosphere. The contami...

  18. Airflow and Temperature Distribution in Rooms with Displacement Ventilation

    DEFF Research Database (Denmark)

    Jacobsen, T. V.

    This thesis deals with air flow and temperature distribution in a room ventilated by the displacement principle. The characteristic features of the ventilation system are treated in the whole room but main emphasis is laid on the analysis of the stratified flow region in front of the inlet device....... After a prefatory description of the background and the fundamentals of displacement ventilation the objectives of the current study are specified. The subsequent sections describe the measurements of velocity and temperature profiles carried out in a full scale test room. Based on experimental data...

  19. The effect of the Operating Room Coordinator's risk appreciation on operating room efficiency.

    Science.gov (United States)

    Stepaniak, Pieter S; Mannaerts, Guido H H; de Quelerij, Marcel; de Vries, Guus

    2009-04-01

    The Operating Room Coordinator (ORC) is responsible for filling gaps in every operating room (OR) schedule. We have observed differences among the personalities of the four ORCs with regard to their willingness to agree to assume more risk concerning their daily planning. The hypothesis to be tested is that the relationship between the personality of each of the four ORCs and the risk an ORC is willing to take of cases running late affects OR efficiency. In order to judge the personality of an ORC in relation to risk-taking in planning schedules, we applied the Zuckerman-Kuhlman Personality Questionnaire in our study. Seven anesthesiologists were asked to score every ORC on willingness to take risks in planning. To analyze which risk attitude creates more OR efficiency, the daily prognosis of the ORC compared with the actual OR program outcome was registered during a 5-mo period in 2006 and 2007. We analyzed whether, in the opinion of hospital management, the costs of reserving too much OR time balances with the costs of reserving too little OR time, and whether this result is consistent with the assignment of the management tasks of the ORC. Seven anesthesiologists classified the four ORCs into the risk-averse group (n = 2) and the nonrisk-averse group (n = 2). The Zuckerman-Kuhlman Personality Questionnaire results for risk-seeking indicate that there is a difference in risk appreciation among the different ORCs. The main finding in our study is that the nonrisk-averse ORC plans to fill the gaps in more cases in the OR program than the risk-averse ORC does. The number of extra cases performed by the nonrisk-averse ORC as compared to a risk-averse ORC is 188 in 2006 and 174 in 2007. The average end-of-program-time per OR/day for the nonrisk-averse ORC is 34 min (+/-19 min, P = 0.0085) later than for the risk-averse ORC. We find that this hospital on average reserves more OR time for procedures than is actually required. The nonrisk-averse ORC takes more advantage

  20. AIR CONDITIONING IN OPERATING ROOMS AND INFECTION CONTROL – A REVIEW

    Directory of Open Access Journals (Sweden)

    May Socorro Martinez Afonso

    2006-04-01

    Full Text Available ABSTRACT: This bibliographic survey in data banks such as MEDLINE, LILACS, SCIELO, Ministry of Health, among others aims at identifying what makes air conditioners a source of environmental contamination. The air is contaminated by particles which transport microorganisms. The sources of particles include patients and surgical staff. The control of the temperature, relative humidity, pressure, number of changes of air accomplished per hour, clothes, traffic, number of people in the rooms, maintenance and cleaning of the system of conditioned air of surgical centers are major factors for the reduction of the number of microorganisms in the environment of operating rooms. KEY WORDS: Operating room; Hospital infection; Air conditioning.

  1. Military Operating Room of the Future

    Science.gov (United States)

    2012-10-01

    behind this assumption, we will focus on four different types of surgical care: cardiac, orthopedic, robotic and trauma surgery . SIGNIFICANCE... surgery . The management of perfusion (sufficient oxygen supply to the brain and vital organs) while the heart is being operated is the key component of...management (Catchpole et al. 2007). Task, Technology and Teamwork in Robotic Surgery We have also been conducting new studies examining robotic surgery

  2. Reducing exposure risk in the operating room.

    Science.gov (United States)

    Bollin, Marty; Murry, Lisa

    2008-01-01

    The purpose of this article is to evaluate and recommend current best practices related to safe handling of sharp instruments in reducing transmission of blood borne pathogens, specifically HIV, in the operating suite. 1) To identify the risk of exposure to bloodborne pathogens from sharps in the OR suite. 2) To identify practices to reduce the risk of exposure to bloodborne pathogens in the OR suite.

  3. Managing transition to a hybrid operating room.

    Science.gov (United States)

    Odle, Teresa G

    2011-01-01

    Managers of interventional radiology departments and medical imaging personnel who work in surgical suites deal with regular technical innovations in their work, but large-scale innovations seldom come along that transform markets and require massive architectural, training, and technological changes. The hybrid interventional/operating suite is one such massive change. This article presents an overview of the transition to hybrid procedures and designs, the benefits and challenges of the new delivery method, and change management issues for managers of cardiovascular and vascular interventional departments. ©2011 by the American Society of Radiologic Technologists.

  4. How Does TeamSTEPPS Affect Operating Room Efficiency?

    Science.gov (United States)

    Shams, Alexandra; Ahmed, Mostafa; Scalzitti, Nicholas J; Stringer, Matthew; Howard, N Scott; Maturo, Stephen

    2016-02-01

    To evaluate the effect of TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) on operating room efficiency for the otolaryngology service at a tertiary care medical center. Retrospective database review. Otolaryngology department at tertiary care medical center. To assess the impact of implementing an evidence-based patient safety initiative, TeamSTEPPS, on operating room efficiency in the otolaryngology department, the operative times, time lost to delayed starts, and turnover times during the year following the implementation of TeamSTEPPS were compared with the values from the prior year. The study compared 1322 cases and 644 turnovers in the year prior to TeamSTEPPS implementation with 1609 cases and 769 turnovers in the following year. There were no statistically significant decreases in operating room efficiency in the year after the TeamSTEPPS rollout. Operating room efficiency was preserved after the rollout of a rigorous evidence-based patient safety initiative that requires active participation from all operating room team members. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  5. Vertical Temperature Distribution in a Room with Displacement Ventilation

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    in comparison with mixing ventilation. It is necessary to have a design method for the temperature distribution used for instance in connection with the tlow element method and the energy calculations. The temperature distribution is also important in connection with thermal comfort in a room. It is necessary......A displacement ventilation system exploits the use of energy efficiently because it is possible to remove exhaust air from a room with a temperature that is several degrees above the temperature in the occupied zone. This process will allow a higher air inlet temperature at the same load...... to consider the temperature gradient in the occupied zone, as well as the asymmetric radiation from the ceiling, in connection with the design of a displacement ventilation system and the evaluation of thermal comfort. This paper will introduce five temperature distribution models with different levels...

  6. Acoustic method for measuring air temperature and humidity in rooms

    Science.gov (United States)

    Kanev, N. G.

    2014-05-01

    A method is proposed to determine air temperature and humidity in rooms with a system of sound sources and receivers, making it possible to find the sound velocity and reverberation time. Nomograms for determining the air temperature and relative air humidity are constructed from the found sound velocity and time reverberation values. The required accuracy of measuring these parameters is estimated.

  7. Simple Room Temperature Method for Polymer Optical Fibre Cleaving

    DEFF Research Database (Denmark)

    Saez-Rodriguez, David; Nielsen, Kristian; Bang, Ole

    2015-01-01

    . In this paper, we make use of the temperature-time equivalence in polymers to replace the use of heating by an increase of the cleaving time and use a sawing motion to reduce fibre end face damage. In this way, the polymer fibre can be cleaved at room temperature in seconds with the resulting end face being...

  8. Surgeon's vigilance in the operating room.

    Science.gov (United States)

    Zheng, Bin; Tien, Geoffrey; Atkins, Stella M; Swindells, Colin; Tanin, Homa; Meneghetti, Adam; Qayumi, Karim A; Neely, O; Panton, M

    2011-05-01

    Surgeons' vigilance regarding patient condition was assessed using eye-tracking techniques during a simulated laparoscopic procedure. Surgeons were required to perform a partial cholecystectomy in a virtual reality trainer (SurgicalSim; METI Inc, Sarasota, FL) while wearing a lightweight head-mounted eye-tracker (Locarna systems Inc, Victoria, British Columbia, Canada). Half of the patients were preprogrammed to present a mildly unstable cardiac condition during the procedure. Surgical performance (evaluated by task time, instrument trajectory, and errors), mental workload (by the National Aeronautics and Space Administration Task Load Index), and eye movement were recorded and compared between 13 experienced and 10 novice surgeons. Experienced surgeons took longer to complete the task and also made more errors. The overall workload reported by surgeons was similar, but expert surgeons reported a higher level of frustration and a lower level of physical demands. Surgeon workload was greater when operating on the unstable patient than on the stable patient. Novices performed faster but focused more of their attention on the surgical task. In contrast, experts glanced more frequently at the anesthetic monitor. This study shows the usefulness of using eye-tracking technology to measure a surgeon's vigilance during an operation. Eye-tracking observations can lead to inferences about a surgeon's behavior for patient safety. The unsatisfactory performance of expert surgeons on the VR simulator suggests that the fidelity of the virtual simulator needs to improve to enable surgeons to transfer their clinical skills. This, in turn, suggests using caution when having clinical experts as instructors to teach skills with virtual simulators. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. Stable room-temperature thallium bromide semiconductor radiation detectors

    Science.gov (United States)

    Datta, A.; Fiala, J.; Becla, P.; Motakef, Shariar

    2017-10-01

    Thallium bromide (TlBr) is a highly efficient ionic semiconductor with excellent radiation detection properties. However, at room temperature, TlBr devices polarize under an applied electric field. This phenomenon not only degrades the charge collection efficiency of the detectors but also promotes chemical reaction of the metal electrodes with bromine, resulting in an unstable electric field and premature failure of the device. This drawback has been crippling the TlBr semiconductor radiation detector technology over the past few decades. In this exhaustive study, this polarization phenomenon has been counteracted using innovative bias polarity switching schemes. Here the highly mobile Br- species, with an estimated electro-diffusion velocity of 10-8 cm/s, face opposing electro-migration forces during every polarity switch. This minimizes the device polarization and availability of Br- ions near the metal electrode. Our results indicate that it is possible to achieve longer device lifetimes spanning more than 17 000 h (five years of 8 × 7 operation) for planar and pixelated radiation detectors using this technique. On the other hand, at constant bias, 2500 h is the longest reported lifetime with most devices less than 1000 h. After testing several biasing switching schemes, it is concluded that the critical bias switching frequency at an applied bias of 1000 V/cm is about 17 μHz. Using this groundbreaking result, it will now be possible to deploy this highly efficient room temperature semiconductor material for field applications in homeland security, medical imaging, and physics research.

  10. Stable room-temperature thallium bromide semiconductor radiation detectors

    Directory of Open Access Journals (Sweden)

    A. Datta

    2017-10-01

    Full Text Available Thallium bromide (TlBr is a highly efficient ionic semiconductor with excellent radiation detection properties. However, at room temperature, TlBr devices polarize under an applied electric field. This phenomenon not only degrades the charge collection efficiency of the detectors but also promotes chemical reaction of the metal electrodes with bromine, resulting in an unstable electric field and premature failure of the device. This drawback has been crippling the TlBr semiconductor radiation detector technology over the past few decades. In this exhaustive study, this polarization phenomenon has been counteracted using innovative bias polarity switching schemes. Here the highly mobile Br− species, with an estimated electro-diffusion velocity of 10−8 cm/s, face opposing electro-migration forces during every polarity switch. This minimizes the device polarization and availability of Br− ions near the metal electrode. Our results indicate that it is possible to achieve longer device lifetimes spanning more than 17 000 h (five years of 8 × 7 operation for planar and pixelated radiation detectors using this technique. On the other hand, at constant bias, 2500 h is the longest reported lifetime with most devices less than 1000 h. After testing several biasing switching schemes, it is concluded that the critical bias switching frequency at an applied bias of 1000 V/cm is about 17 μHz. Using this groundbreaking result, it will now be possible to deploy this highly efficient room temperature semiconductor material for field applications in homeland security, medical imaging, and physics research.

  11. Materials for Room Temperature Magnetic Refrigeration

    DEFF Research Database (Denmark)

    Hansen, Britt Rosendahl

    Magnetic refrigeration is a cooling method, which holds the promise of being cleaner and more efficient than conventional vapor-compression cooling. Much research has been done during the last two decades on various magnetic materials for this purpose and today a number of materials are considere...... cooling is some 40 – 50 K, the magnetic refrigerant should also be able to cover this temperature span either by exhibiting a very broad peak in magnetocaloric effect or by providing the opportunity for creating a materials series with varying transition temperatures.......Magnetic refrigeration is a cooling method, which holds the promise of being cleaner and more efficient than conventional vapor-compression cooling. Much research has been done during the last two decades on various magnetic materials for this purpose and today a number of materials are considered...... candidates as they fulfill many of the requirements for a magnetic refrigerant. However, no one material stands out and the field is still active with improving the known materials and in the search for a better one. Magnetic cooling is based on the magnetocaloric effect, which causes a magnetic material...

  12. Automated Utilization Analysis as a Foundation for Effective Operating Room Management

    OpenAIRE

    McColligan, Elizabeth E.; Gordon, Toby A.; Jones, Cynthia E.; Stiff, Judith L.; Donham, Robert T.; Rogers, Mark C.

    1984-01-01

    This paper describes an Operating Room Management Information System developed at the Johns Hopkins Medical Institutions. The system has two major components: an operating room scheduling component and an operating room utilization analysis component.

  13. Quality of life of nurses in the operating room

    Directory of Open Access Journals (Sweden)

    Raquel Murano Alfaia dos Santos

    2009-03-01

    Full Text Available Objective: To evaluate the quality of life of operating room nurses and collect their opinions as to the influence their professional activity exerts on their quality of life. Methods: This was a cross-sectional study carried out on a sample of 24 nurses that work in the operating room of a large private hospital in the city of São Paulo. Two questionnaires were applied; one was designed by the authors of this research project, and the other was the Quality of Life Questionnaire (WHOQOL-BREF. Rresults: As to quality of life, the environment domain obtained the highest score, while the psychological domain obtained the lowest. When asked if their professional activity in the operating room influenced their quality of life, most responded affirmatively. Regarding the justifications offered by the nurses for the influence of their professional activity on their quality of life, 50% mentioned environment-related stress, responsibilities, duties, risk situations, relationships with the multiprofessional team, and the type of work carried out in the operating room. Cconclusions: The psychological domain obtained the lowest score in the nurse quality of life evaluation, pointing out the need to facilitate and/or encourage nurses to seek psychological support. As to the influence of their professional activity on their quality of life, the nurses mentioned stress related to their work environment and professional activities in the operating room. This highlights the importance of managers in this area, paying greater attention to the individual and collective needs of their employees.

  14. Indoor environmental quality in Hellenic hospital operating rooms

    Energy Technology Data Exchange (ETDEWEB)

    Dascalaki, Elena G.; Gaglia, Athina G.; Balaras, Constantinos A. [Group Energy Conservation, Institute for Environmental Research and Sustainable Development, National Observatory of Athens, I. Metaxa and Vas. Pavlou, GR 152 36 P. Penteli (Greece); Lagoudi, Argyro [Terra Nova Ltd., Environmental Engineering Consultancy, Athens, Kaisareias 39, GR 115 27 Athens (Greece)

    2009-05-15

    Indoor environmental quality (IEQ) in hospital operating rooms (ORs) constitutes a major challenge for the proper design and operation of an energy efficient hospital. A subjective assessment of the indoor environment along with a short monitoring campaign was performed during the audits of 18 ORs at nine major Hellenic hospitals. A total of 557 medical personnel participated in an occupational survey, providing data for a subjective assessment of IEQ in the audited ORs. The OR personnel reported work related health symptoms and an assessment of indoor conditions (thermal, visual and acoustical comfort, and air quality). Overall, personnel reported an average of 2.24 work-related symptoms each, and 67.2% of respondents reported at least one. Women suffer more health symptoms than men. Special dispositions, such as smoking and allergies, increase the number of reported symptoms for male and female personnel. Personnel that perceive satisfactory indoor comfort conditions (temperature, humidity, ventilation, light, and noise) average 1.18 symptoms per person, while for satisfactory indoor air quality the average complaints are 0.99. The perception of satisfactory IEQ (satisfactory comfort conditions and air quality) reduces the average number of health complaints to 0.64 symptoms per person and improves working conditions, even in a demanding OR environment. (author)

  15. Concurrent transition of ferroelectric and magnetic ordering near room temperature.

    Science.gov (United States)

    Ko, Kyung-Tae; Jung, Min Hwa; He, Qing; Lee, Jin Hong; Woo, Chang Su; Chu, Kanghyun; Seidel, Jan; Jeon, Byung-Gu; Oh, Yoon Seok; Kim, Kee Hoon; Liang, Wen-I; Chen, Hsiang-Jung; Chu, Ying-Hao; Jeong, Yoon Hee; Ramesh, Ramamoorthy; Park, Jae-Hoon; Yang, Chan-Ho

    2011-11-29

    Strong spin-lattice coupling in condensed matter gives rise to intriguing physical phenomena such as colossal magnetoresistance and giant magnetoelectric effects. The phenomenological hallmark of such a strong spin-lattice coupling is the manifestation of a large anomaly in the crystal structure at the magnetic transition temperature. Here we report that the magnetic Néel temperature of the multiferroic compound BiFeO(3) is suppressed to around room temperature by heteroepitaxial misfit strain. Remarkably, the ferroelectric state undergoes a first-order transition to another ferroelectric state simultaneously with the magnetic transition temperature. Our findings provide a unique example of a concurrent magnetic and ferroelectric transition at the same temperature among proper ferroelectrics, taking a step toward room temperature magnetoelectric applications.

  16. Room temperature ferromagnetism in Teflon due to carbon dangling bonds.

    Science.gov (United States)

    Ma, Y W; Lu, Y H; Yi, J B; Feng, Y P; Herng, T S; Liu, X; Gao, D Q; Xue, D S; Xue, J M; Ouyang, J Y; Ding, J

    2012-03-06

    The ferromagnetism in many carbon nanostructures is attributed to carbon dangling bonds or vacancies. This provides opportunities to develop new functional materials, such as molecular and polymeric ferromagnets and organic spintronic materials, without magnetic elements (for example, 3d and 4f metals). Here we report the observation of room temperature ferromagnetism in Teflon tape (polytetrafluoroethylene) subjected to simple mechanical stretching, cutting or heating. First-principles calculations indicate that the room temperature ferromagnetism originates from carbon dangling bonds and strong ferromagnetic coupling between them. Room temperature ferromagnetism has also been successfully realized in another polymer, polyethylene, through cutting and stretching. Our findings suggest that ferromagnetism due to networks of carbon dangling bonds can arise in polymers and carbon-based molecular materials.

  17. An approach to hospital operating room HVAC system design

    Energy Technology Data Exchange (ETDEWEB)

    El-Sawah, G. [Higher Technological Inst., Ramadan Tenth City (Egypt); Fouad, M. [Cairo Univ., Cairo (Egypt). Faculty of Engineering]|[ECDG Consulting, Cairo (Egypt); Hendawi, T. [ECDG Consulting, Cairo (Egypt)

    2006-07-01

    A computational fluid dynamics (CFD) program was used to model airflow and contaminant concentrations in a hospital operating room. The study compared different heating ventilation and air conditioning (HVAC) systems. The study then compared a conventional operating room set-up with a new system configuration. A range of different configurations and air inlet velocities were investigated in order to measure the benefits of unidirectional displacement ventilation systems in controlling airborne infections. Results of the study showed that the proposed operating room HVAC system was more efficient than the conventional system in reducing the risk of injection and contamination during surgery. The study also determined a specific configuration that provided minimum contaminant concentrations in a controlled zone by offering a uni-directional flow in the working area that prevented cross-contamination from surrounding areas. The optimum configuration used vertical unidirectional flow diffusers with air curtains that used a room-within-a-room principle that provided a high number of air changes within the operating theatre. 10 refs., 10 figs.

  18. Weibull strength variations between room temperature and high temperature Ni-3YSZ half-cells

    DEFF Research Database (Denmark)

    Curran, Declan; Frandsen, Henrik Lund; Hendriksen, Peter Vang

    2013-01-01

    efficiency, increased degradation and/or the complete termination of a functioning stack. This paper investigates the effects of temperature on the mechanical strength of 3% yttria-stabilised zirconia half-cells. Strength was measured using a four-point bend method at room temperature and at 600°C, 700°C...... and 800°C in a reducing atmosphere. The strength of an as sintered half-cell was also measured at room temperature for comparison. Weibull analysis was performed on large sample sets of 30 for statistical viability. The Weibull strength and elastic modulus of the room temperature tested reduced samples...... show a decrease of approximately 33% and 51% respectively, when compared to the oxidized samples tested at room temperature. When tested at elevated temperatures both Weibull strength and elastic modulus decrease further when compared to the room temperature reduced samples. However these further...

  19. Room temperature mid-IR single photon spectral imaging

    DEFF Research Database (Denmark)

    Dam, Jeppe Seidelin; Tidemand-Lichtenberg, Peter; Pedersen, Christian

    2012-01-01

    modern Quantum cascade lasers have evolved as ideal coherent mid-IR excitation sources, simple, low noise, room temperature detectors and imaging systems still lag behind. We address this need presenting a novel, field-deployable, upconversion system for sensitive, 2-D, mid-IR spectral imaging. Measured...... room temperature dark noise is 0.2 photons/spatial element/second, which is a billion times below the dark noise level of cryogenically cooled InSb cameras. Single photon imaging and up to 200 x 100 spatial elements resolution is obtained reaching record high continuous wave quantum efficiency of about...

  20. Eyewear contamination levels in the operating room: infection risk.

    Science.gov (United States)

    Lange, Victor R

    2014-04-01

    We investigated eyewear contamination levels in the operating room to assess infection risk and inform protocol development. Microbial contamination after use was found in 37.7% of disposable and 94.9% of reusable eyewear pieces. After disinfection, 74.4% of reusable eyewear also cultured positive. Disposable eyewear may reduce intercase contamination risk. Reusable eyewear may carry ongoing bioburden and, thus, contribute to operating room environment risk. Eyewear with antimicrobial material or components could reduce risk. Alternative decontamination methods for reusable eyewear should be evaluated. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  1. Introduction of an operating room information management system improved overall operating room efficiency.

    Science.gov (United States)

    De Deyne, Cathy; Heylen, René

    2004-01-01

    Operating Room (OR) information systems should manage the OR time, assigned to every surgeon, thereby minimizing the sum of costs of unused OR time and minimizing the costs of elective cases performed outside normal allocated OR time (excess OR-time). The aim of this paper is to illustrate how the introduction of an OR information system influenced daily OR activity performance. Since January 2001, we introduced an OR information system with a visual, airport-like, screen as central part, displaying all scheduled OR activity linked in real-time activity with all OR theatres. For the aim of this paper, we compared all data of OR activity for elective abdominal surgery (EAS) for the first half of 2000 compared to the first half of 2001, after the introduction of our information system. In 2000, 764 elective cases were performed, compared to 815 cases in 2001. For both periods, the total OR time allocated to EAS for this 6 months period was 805 h. For 2000, the total duration of OR activity for EAS was 1044 h 50 min (implicating 239 h 50 min over-time), compared to 1127 h 35 min (implicating 322 h 35 min overtime) for 2001. For 2000, we recorded 147 h 20 min excess time (=exceeding the time limits of OR activity and inducing extra costs) and 46h45min unused OR time. For 2001, we recorded 123 h 04 min excess time and 35 h 21 min unused time. In conclusion, in 2001 we recorded an increase in total OR activity for elective abdominal surgery by 7% in number of procedures and by 8% in total duration. However, in 2001 we recorded a decrease in excess time by 16% (123 h 04 min vs 147 h 20 min), which was for a large part due to a 23% decrease in unused OR time in 2001 compared to 2000 (35 h 21min vs 46 h 45 min). Therefore, the introduction of an OR information system, with a real-time visual display of ongoing OR activity, resulted in a increased performance of OR activity, with more OR procedures performed despite less excess time and less extra costs.

  2. Room-Temperature-Cured Copolymers for Lithium Battery Gel Electrolytes

    Science.gov (United States)

    Meador, Mary Ann B.; Tigelaar, Dean M.

    2009-01-01

    Polyimide-PEO copolymers (PEO signifies polyethylene oxide) that have branched rod-coil molecular structures and that can be cured into film form at room temperature have been invented for use as gel electrolytes for lithium-ion electric-power cells. These copolymers offer an alternative to previously patented branched rod-coil polyimides that have been considered for use as polymer electrolytes and that must be cured at a temperature of 200 C. In order to obtain sufficient conductivity for lithium ions in practical applications at and below room temperature, it is necessary to imbibe such a polymer with a suitable carbonate solvent or ionic liquid, but the high-temperature cure makes it impossible to incorporate and retain such a liquid within the polymer molecular framework. By eliminating the high-temperature cure, the present invention makes it possible to incorporate the required liquid.

  3. [Comprehensive system integration and networking in operating rooms].

    Science.gov (United States)

    Feußner, H; Ostler, D; Kohn, N; Vogel, T; Wilhelm, D; Koller, S; Kranzfelder, M

    2016-12-01

    A comprehensive surveillance and control system integrating all devices and functions is a precondition for realization of the operating room of the future. Multiple proprietary integrated operation room systems are currently available with a central user interface; however, they only cover a relatively small part of all functionalities. Internationally, there are at least three different initiatives to promote a comprehensive systems integration and networking in the operating room: the Japanese smart cyber operating theater (SCOT), the American medical device plug-and-play interoperability program (MDPnP) and the German secure and dynamic networking in operating room and hospital (OR.NET) project supported by the Federal Ministry of Education and Research. Within the framework of the internationally advanced OR.NET project, prototype solution approaches were realized, which make short-term and mid-term comprehensive data retrieval systems probable. An active and even autonomous control of the medical devices by the surveillance and control system (closed loop) is expected only in the long run due to strict regulatory barriers.

  4. [A project to promote patient positioning accuracy in operating rooms].

    Science.gov (United States)

    Huang, Jui-Chen; Pan, Shu-Pan; Huang, Yi-Tzu; Chen, Shu-Hua

    2011-12-01

    Inappropriate patient positioning during surgery causes respiratory pattern changes, inadequate gaseous exchange, tissue hypoperfusion and disruption of skin integrity. Inadvertent loosening of positioning devices on a patient in our ward during surgery caused surgical field contamination. We thus proposed a project to promote patient positioning accuracy in operating rooms to improve patient safety. This project was intended to promote accurate patient positioning by operating room nurses, raise nursing professionalism, ensure patient safety, and avoid unnecessary patient injury. Under the project, we held educational training programs, developed patient positioning standard operating procedures (SOPs) and check lists, inspected all positioning assistance devices, purchased additional belt restraint straps, and conducted periodic monitoring. Patient positioning execution accuracy increased from 80% to 100%; cognition of patient positioning increased from 88% to 100%. The operating room committee adopted the proposed procedures and they are now SOPs in all operating rooms at our hospital. We suggest including the SOPs developed in this project in continuous education programs and urge making well-designed positioning assistance devices available to protect patient safety during surgery.

  5. Analysis of Operating Room Efficiency in a Burn Center.

    Science.gov (United States)

    Madni, Tarik D; Imran, Jonathan B; Clark, Audra; Arnoldo, Brett A; Phelan, Herb A; Wolf, Steven E

    2017-05-04

    Many operating room (OR) processes can limit productivity. Surprisingly, little has been done to identify which OR processes limit downstream activities. Here, the authors aimed to review their burn OR procedures to determine if and where inefficiencies exist. Data for all operations performed in a dedicated burn OR from January 1, 2015, to July 31, 2016 were reviewed in the electronic medical records of our public, teaching hospital. The total time spent was allocated into the following components: induction (patient in room to end of induction), preparation (end of induction to procedure start), procedure (procedure start to procedure end), exit (procedure end to patient out of room), and turnover (patient out of room to next patient in room). Operative times and work relative value units generated were summarized. A total of 1033 cases were performed. Mean ± SD times for each component in minutes were induction (12.4 ± 7.4), preparation (32.1 ± 15.4), procedure (68.21 ± 42.0), exit (14.7 ± 11.0), turnover (50.5 ± 30.0), and total aggregation of components (155.8 ± 65.4). Procedure, turnover, and preparation were the 3 largest time components of an operation in decreasing order (39, 29, and 18%). Mean work relative value units per month was 1749.4 ± 411.9. Average work relative value units per OR hour was 11.7 ± 8.5. The time spent doing procedures comprises about 40% of the total operational time in a burn OR. Other than the procedure itself, the second and third largest component of an operation were turnover and preparation time, respectively.

  6. Zn-Mn-O: Ferromagnet at room temperature

    Directory of Open Access Journals (Sweden)

    Milivojević Dušan D.

    2007-01-01

    Full Text Available Semiconductor Zn-Mn-O crystallites were synthesized by a solid state reaction method starting from the thermal decomposition of the appropriate oxalates. Samples were thermally treated in air at temperatures ranging from 400 to 900°C. The nominal concentrations of manganese werex = 0.01, 0.02, 0.04 and 0.10. The samples were investigated by the X-ray powder diffraction method, magnetization measurements and by electron paramagnetic resonance. X-ray diffractgrams show a dominant wurtzite structure of Zn-Mn-O. Room temperature ferromagnetism was observed in Zn-Mn-O samples with manganese concentrations x ≤ 0.04, thermally treated at low temperature (500°C. The saturation magnetiza­tion for the sample with x = 0.01 was 0.05 μB/Mn. The room temperature ferromagnetism seems to be due to the diffusion of Zn into the Mn-oxides grains.

  7. Synthesis of 1-alkyl triazolium triflate room temperature ionic liquids ...

    Indian Academy of Sciences (India)

    Sci. Vol. 127, No. 9, September 2015, pp. 1539–1545. c Indian Academy of Sciences. DOI 10.1007/s12039-015-0919-6. Synthesis of 1-alkyl triazolium triflate room temperature ionic liquids and their catalytic studies in multi-component Biginelli reaction. SANKARANARAYANAN NAGARAJAN, TANVEER M SHAIKH and.

  8. Room-Temperature Ionic Liquids for Electrochemical Capacitors

    Science.gov (United States)

    Fireman, Heather; Yowell, Leonard; Moloney, Padraig G.; Arepalli, Sivaram; Nikolaev, P.; Huffman, C.; Ready, Jud; Higgins, C.D.; Turano, S. P.; Kohl, P.A.; hide

    2009-01-01

    A document discusses room-temperature ionic liquids (RTILs) used as electrolytes in carbon-nanotube-based, electrochemical, double-layer capacitors. Unlike the previous electrolyte (EtNB4 in acetonitrile), the RTIL used here does not produce cyanide upon thermal decomposition and does not have a moisture sensitivity.

  9. Room-temperature intermediate layer bonding for microfluidic devices

    NARCIS (Netherlands)

    Bart, J.; Tiggelaar, Roald M.; Yang, Mengjong; Schlautmann, Stefan; Zuilhof, Han; Gardeniers, Johannes G.E.

    2009-01-01

    In this work a novel room-temperature bonding technique based on chemically activated Fluorinated Ethylene Propylene (FEP) sheet as an intermediate between chemically activated substrates is presented. Surfaces of silicon and glass substrates are chemically modified with APTES bearing amine terminal

  10. Yttrium Nitrate mediated Nitration of Phenols at room temperature in ...

    Indian Academy of Sciences (India)

    Rapid nitration of electron rich phenols using Y(NO₃)₃.6H₂O in glacial acetic acid at room temperature was observed with good yield. The method allows nitration of phenols without oxidation, and isolation of nitration product in a rapid and simple way. The described method is selective for phenols.

  11. Effect of stress-induced grain growth during room temperature ...

    Indian Academy of Sciences (India)

    Administrator

    Effect of stress-induced grain growth during room temperature tensile deformation on ductility in nanocrystalline metals. WEICHANG XU, PINQIANG DAI* and XIAOLEI WU. †. College of Materials Science and Engineering, Fuzhou University, Fuzhou 350108, China. †. State Key Laboratory of Nonlinear Mechanics, Institute ...

  12. Durability of direct immunofluorescence (DIF) slides stored at room temperature.

    Science.gov (United States)

    Elbendary, Amira; Zhou, Cheng; Truong, Jonathan; Elston, Dirk M

    2015-12-01

    Prior studies suggested that direct immunofluorescence (DIF) slides can be stored at room temperature. We sought to determine the durability of DIF slides stored at room temperature for 5 years. This was a retrospective study of 83 DIF slides archived at room temperature during 2010. The pattern of immunoreactants was compared with those noted in the original report. Loss of reactivity was limited to cases with weak fluorescence at original diagnosis. Loss of IgG was noted in 12.5% of cases, IgA in 12%, C3 in 10%, and IgM in 9.75%. Fibrin showed no loss of reactivity. Preservation of immunofluorescence was not related to site of deposition. Overall, a reliable diagnosis could be made in 75 of 79 archived cases (94.9%). Cases had been archived for periods varying from 4.5 to 5 years. Variations in processing and fluorochromes could affect durability. We have no way of knowing how long slides had been exposed to ultraviolet light at the time of initial examination. DIF showed excellent durability in slides kept at room temperature for 5 years. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  13. Delays in the operating room: signs of an imperfect system

    Science.gov (United States)

    Wong, Janice; Khu, Kathleen Joy; Kaderali, Zul; Bernstein, Mark

    2010-01-01

    Background Delays in the operating room have a negative effect on its efficiency and the working environment. In this prospective study, we analyzed data on perioperative system delays. Methods One neurosurgeon prospectively recorded all errors, including perioperative delays, for consecutive patients undergoing elective procedures from May 2000 to February 2009. We analyzed the prevalence, causes and impact of perioperative system delays that occurred in one neurosurgeon’s practice. Results A total of 1531 elective surgical cases were performed during the study period. Delays were the most common type of error (33.6%), and more than half (51.4%) of all cases had at least 1 delay. The most common cause of delay was equipment failure. The first cases of the day and cranial cases had more delays than subsequent cases and spinal cases, respectively. A delay in starting the first case was associated with subsequent delays. Conclusion Delays frequently occur in the operating room and have a major effect on patient flow and resource utilization. Thorough documentation of perioperative delays provides a basis for the development of solutions for improving operating room efficiency and illustrates the principles underlying the causes of operating room delays across surgical disciplines. PMID:20507792

  14. Managing rumor and gossip in operating room settings.

    Science.gov (United States)

    Blakeley, J A; Ribeiro, V; Hughes, A

    1996-07-01

    The unique features of the operating room (OR) make it an ideal setting for the proliferation of gossip and rumor. Although not always negative, these "grapevine" communications can reduce productivity and work satisfaction. Hence, OR managers need to understand these forms of communication and prevent or control their negative consequences. The authors offer suggestions for undertaking this challenge.

  15. Gynaecological surgical training in the operating room : an exploratory study

    NARCIS (Netherlands)

    van der Houwen, Clasien; Boor, Klarke; Essed, Gerard G. M.; Boendermaker, Peter M.; Scherpbier, Albert A. J. J. A.; Scheele, Fedde

    Objective: One of the challenging goals of gynaecological education is preparing trainees for independent practice of surgery. Research, however, on how to acquire surgical skills in the operating room safely, effectively and efficiently is scarce. We performed this study to explore trainers' and

  16. Delays in the operating room: signs of an imperfect system.

    Science.gov (United States)

    Wong, Janice; Khu, Kathleen Joy; Kaderali, Zul; Bernstein, Mark

    2010-06-01

    Delays in the operating room have a negative effect on its efficiency and the working environment. In this prospective study, we analyzed data on perioperative system delays. One neurosurgeon prospectively recorded all errors, including perioperative delays, for consecutive patients undergoing elective procedures from May 2000 to February 2009. We analyzed the prevalence, causes and impact of perioperative system delays that occurred in one neurosurgeon's practice. A total of 1531 elective surgical cases were performed during the study period. Delays were the most common type of error (33.6%), and more than half (51.4%) of all cases had at least 1 delay. The most common cause of delay was equipment failure. The first cases of the day and cranial cases had more delays than subsequent cases and spinal cases, respectively. A delay in starting the first case was associated with subsequent delays. Delays frequently occur in the operating room and have a major effect on patient flow and resource utilization. Thorough documentation of perioperative delays provides a basis for the development of solutions for improving operating room efficiency and illustrates the principles underlying the causes of operating room delays across surgical disciplines.

  17. Advanced Technologies in Safe and Efficient Operating Rooms

    Science.gov (United States)

    2008-02-01

    studies of operating room management. These studies and associated results were in the following publications: 13. Seagull FJ, Xiao Y, & Plasters C...the B.Sc. degree in electrical engineering from the Pontificia Universidad Católica del Perú, Lima, Peru , in 1999, and the M.Sc. and Ph.D. degrees

  18. Models, algorithms and performance analysis for adaptive operating room scheduling

    NARCIS (Netherlands)

    G. Xiao (Guanlian); W.L. van Jaarsveld (Willem); M. Dong (Ming); J.J. van de Klundert (Joris)

    2017-01-01

    textabstractThe complex optimisation problems arising in the scheduling of operating rooms have received considerable attention in recent scientific literature because of their impact on costs, revenues and patient health. For an important part, the complexity stems from the stochastic nature of the

  19. 9 CFR 590.522 - Breaking room operations.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Breaking room operations. 590.522 Section 590.522 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... egg holding vats and containers (including tank trucks) used for transporting liquid eggs shall be...

  20. [Does ultraclean air in the operating room provide greater safety?].

    NARCIS (Netherlands)

    Tiel, F.H. van; Buiting, A.G.M.; Meessen, N.E.L.; Voss, A.; Vos, M.C.

    2010-01-01

    The Dutch quality control plan for climatisation of the operating room (OR), which was published in 2005, describes the management and maintenance of the air conditioning system. This management plan proposes a standard for air quality in class 1 ORs. This has been adopted by the Dutch Orthopaedic

  1. Response Times of Operators in a Control Room

    DEFF Research Database (Denmark)

    Platz, O.; Rasmussen, Jens; Skanborg, Preben Zacho

    A statistical analysis was made of operator response times recorded in the control room of a research reactor during the years 1972-1974. A homogeneity test revealed that the data consist of a mixture of populations. A small but statistically significant difference is found between day and night...

  2. Advanced Technologies in Safe and Efficient Operating Rooms

    Science.gov (United States)

    2009-10-01

    Spring 2009 semester, I conducted a thorough review of the operations research literature on operating room (OR) scheduling. In the course of this...of basic surgical sciences. The Innovations in the Surgical Environment conference planned for the spring of 2010 will summarize the entirety of the...activation levels between different muscle groups, maximum voluntary contraction ( MVC ) levels of each muscle group were recorded for several

  3. Anesthesia residents’ training and start time delays in operating room

    OpenAIRE

    Zahed Husaain Khan; Seydeh Shohreh Alavi; Shahriar Arbabi; Jalil Makarem

    2014-01-01

    Background: Education is the main mission of teaching hospitals, but the residents’ learning in acquiring new techniques does interfere in the overall treatment process of patients. Studies pertaining to the effect of anesthesia residents’ training in operating room on treatment procedures have reported conflicting results. Therefore, this study was performed to investigate the effects of anesthesia residents’ training on start time operative delays. Methods: This cohort study was done in ...

  4. Occupational risks of blood exposure in the operating room.

    Science.gov (United States)

    Fry, Donald E

    2007-07-01

    Bloodborne pathogens continue to be a source of occupational infection for healthcare workers, but particularly for surgeons. Over 1 per cent of the U.S. population has one or more chronic viral infections. Hepatitis B is the infection that has the longest known role as an occupational pathogen, but infection with this virus is largely preventable with the use of the effective hepatitis B vaccine. Hepatitis C affects the largest number of people in the United States, and there is no vaccine available for the prevention of this infection. HIV infection still has not been associated with a documented transmission in the operating room environment, but six cases of probable occupational transmission have been reported. A total of 57 healthcare workers have had documented occupational infection since the epidemic of HIV infection began. Infection of blood-borne pathogens to patients from infected surgeons remains a concern. Surgeons who are e-antigen-positive for hepatitis B have been well documented to be an infection risk to patients in the operating room. Only four surgeons have been documented to transmit hepatitis C, although other transmissions have occurred in the care of patients when practices of infection control have been violated. No surgical transmission of HIV to a patient has been identified at this time. Prevention of occupational infection requires use of protective barriers, avoidance of exposure risk by modification of techniques, and a constant awareness of sharp instruments in the operating room. Blood exposure in the operating room carries risk of infection and should be avoided. It is likely that other infectious agents will emerge as operating room threats. Surgeons must maintain vigilance in avoiding blood exposure and percutaneous injury.

  5. A room-temperature-operated Si LED with β-FeSi2 nanocrystals in the active layer: μW emission power at 1.5 μm

    Science.gov (United States)

    Shevlyagin, A. V.; Goroshko, D. L.; Chusovitin, E. A.; Balagan, S. A.; Dotsenko, S. A.; Galkin, K. N.; Galkin, N. G.; Shamirzaev, T. S.; Gutakovskii, A. K.; Latyshev, A. V.; Iinuma, M.; Terai, Y.

    2017-03-01

    This article describes the development of an Si-based light-emitting diode with β-FeSi2 nanocrystals embedded in the active layer. Favorable epitaxial conditions allow us to obtain a direct band gap type-I band alignment Si/β-FeSi2 nanocrystals/Si heterostructure with optical transition at a wavelength range of 1500-1550 nm at room temperature. Transmission electron microscopy data reveal strained, defect-free β-FeSi2 nanocrystals of diameter 6 and 25 nm embedded in the Si matrix. Intense electroluminescence was observed at a pumping current density as low as 0.7 A/cm2. The device reached an optical emission power of up to 25 μW at 9 A/cm2 with an external quantum efficiency of 0.009%. Watt-Ampere characteristic linearity suggests that the optical power margin of the light-emitting diode has not been exhausted. Band structure calculations explain the luminescence as being mainly due to radiative recombination in the large β-FeSi2 nanocrystals resulting from the realization of an indirect-to-direct band gap electronic configuration transformation arising from a favorable deformation of nanocrystals. The direct band gap structure and the measured short decay time of the luminescence of several tens of ns give rise to a fast operation speed for the device. Thus a method for developing a silicon-based photonic integrated circuit, combining complementary metal-oxide-semiconductor technology functionality and near-infrared light emission, is reported here.

  6. Xenon Recovery at Room Temperature using Metal-Organic Frameworks

    Energy Technology Data Exchange (ETDEWEB)

    Elsaidi, Sameh K. [Physical and Computational Science Directorate, Pacific Northwest National Laboratory, Richland WA 99352 USA; Chemistry Department, Faculty of Science, Alexandria University, P. O. Box 426 Ibrahimia Alexandria 21321 Egypt; Ongari, Daniele [Laboratory of Molecular Simulation, Institut des Sciences et Ingeénierie Chimiques, Ecole Polytechnique Fédérale de Lausanne (EPFL), Rue de l' Industrie 17 1951 Sion Valais Switzerland; Xu, Wenqian [X-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne IL 60439 USA; Mohamed, Mona H. [Chemistry Department, Faculty of Science, Alexandria University, P. O. Box 426 Ibrahimia Alexandria 21321 Egypt; Haranczyk, Maciej [IMDEA Materials Institute, c/Eric Kandel 2 28906 Getafe, Madrid Spain; Thallapally, Praveen K. [Physical and Computational Science Directorate, Pacific Northwest National Laboratory, Richland WA 99352 USA

    2017-07-24

    Xenon is known to be a very efficient anesthetic gas but its cost prohibits the wider use in medical industry and other potential applications. It has been shown that Xe recovery and recycle from anesthetic gas mixture can significantly reduce its cost as anesthetic. The current technology uses series of adsorbent columns followed by low temperature distillation to recover Xe, which is expensive to use in medical facilities. Herein, we propose much efficient and simpler system to recover and recycle Xe from simulant exhale anesthetic gas mixture at room temperature using metal organic frameworks. Among the MOFs tested, PCN-12 exhibits unprecedented performance with high Xe capacity, Xe/N2 and Xe/O2 selectivity at room temperature. The in-situ synchrotron measurements suggest the Xe is occupied in the small pockets of PCN-12 compared to unsaturated metal centers (UMCs). Computational modeling of adsorption further supports our experimental observation of Xe binding sites in PCN-12.

  7. Electrically Injected Twin Photon Emitting Lasers at Room Temperature

    Directory of Open Access Journals (Sweden)

    Claire Autebert

    2016-08-01

    Full Text Available On-chip generation, manipulation and detection of nonclassical states of light are some of the major issues for quantum information technologies. In this context, the maturity and versatility of semiconductor platforms are important assets towards the realization of ultra-compact devices. In this paper we present our work on the design and study of an electrically injected AlGaAs photon pair source working at room temperature. The device is characterized through its performances as a function of temperature and injected current. Finally we discuss the impact of the device’s properties on the generated quantum state. These results are very promising for the demonstration of electrically injected entangled photon sources at room temperature and let us envision the use of III-V semiconductors for a widespread diffusion of quantum communication technologies.

  8. Two-dimensional mathematical model of a reciprocating room-temperature Active Magnetic Regenerator

    DEFF Research Database (Denmark)

    Petersen, Thomas Frank; Pryds, Nini; Smith, Anders

    2008-01-01

    A time-dependent, two-dimensional mathematical model of a reciprocating Active Magnetic Regenerator (AMR) operating at room-temperature has been developed. The model geometry comprises a regenerator made of parallel plates separated by channels of a heat transfer fluid and a hot as well as a cold...

  9. Radiation safety for anaesthesia providers in the orthopaedic operating room.

    Science.gov (United States)

    Rhea, E B; Rogers, T H; Riehl, J T

    2016-04-01

    In many orthopaedic operating rooms, anaesthesia providers routinely wear lead aprons for protection from radiation, but some studies have questioned whether this is needed. We conducted a systematic review to identify studies that measured the amount of radiation that anaesthetists were exposed to in the orthopaedic operating room. Multiple studies have shown that at 1.5 m from the source of radiation, anaesthetists received no radiation, or amounts so small that a person would have to be present in an unreasonable number of operations to receive cumulative doses of any significance. Radiation doses at this distance were often at the limits of the sensitivity of the measuring dosimeter. We question the need to wear lead protection for anaesthesia providers who are routinely at 1.5 m or a greater distance from standard fluoroscopy units. © 2016 The Association of Anaesthetists of Great Britain and Ireland.

  10. Room Temperature Detection of Acetone by a PANI/Cellulose/WO3 Electrochemical Sensor

    Directory of Open Access Journals (Sweden)

    Eider Aparicio-Martínez

    2018-01-01

    Full Text Available Chemical sensing based on semiconducting metal oxides has been largely proposed for acetone sensing, although some major technical challenges such as high operating temperature still remain unsolved. This work presents the development of an electrochemical sensor based on nanostructured PANI/cellulose/WO3 composite for acetone detection at room temperature. The synthesized materials for sensor preparation were polyaniline (PANI with a conductivity of 13.9 S/cm and tungsten trioxide (WO3 in monoclinic phase doped with cellulose as carbon source. The synthesized materials were characterized by high resolution transmission electron microscopy (HRTEM, X-ray diffraction (XRD, cyclic voltammetry (CV, and Raman spectroscopy. The composite was applied for acetone detection in the range of 0 to 100 ppmv at room temperature with electrochemical impedance spectroscopy (EIS for monitoring resistance changes proportional to acetone concentration. The developed sensor achieved a calculated limit of detection of 10 ppm and R2 of 0.99415 with a RSD of 5% (n=3 at room temperature. According to these results, the developed sensor is suitable for acetone sensing at room temperatures without the major shortcomings of larger systems required by high operating temperatures.

  11. A novel magnetic valve using room temperature magnetocaloric materials

    DEFF Research Database (Denmark)

    Eriksen, Dan; Bahl, Christian; Pryds, Nini

    2012-01-01

    Magnetocaloric materials with near-room-temperature tuneable Curie temperatures have been utilized to develop a novel magnetic valve technology. The temperature dependent attractive force between the materials and a permanent magnet assembly is used to actuate valves as a response to temperature...... changes. This is made possible by the strong temperature dependence of the magnetization close to the Curie temperature of the magnetocaloric materials. Different compositions of both La0.67(Ca,Sr)0.33MnO3 and La(Fe,Co,Si)13 have been considered for use in prototype valves. Based on measured magnetization...... data a 3D finite element model has been set up to calculate the magnetic force between (graded) blocks of these materials and a permanent magnet assembly. The results have been used to calculate equilibrium points for actuation systems where the magnetic force is balanced by a spring force...

  12. Nanoscale structural modulation and enhanced room-temperature multiferroic properties

    Science.gov (United States)

    Sun, Shujie; Huang, Yan; Wang, Guopeng; Wang, Jianlin; Fu, Zhengping; Peng, Ranran; Knize, Randy J.; Lu, Yalin

    2014-10-01

    Availability of a single-phase multiferroic material functional at room temperature poses a big challenge, although it is very important to both fundamental physics and application development. Recently, layered Aurivillius oxide materials, one of the most promising candidates, have attracted considerable interest. In this work, we investigated the nanoscale structural evolution of the six-layer Bi7Fe3-xCoxTi3O21 when substituting excessive Co. Nanoscale structural modulation (NSM) occurred at the boundaries when changing the material gradually from the originally designed six-layer nanoscale architecture down to five and then four, when increasing the Co content, inducing a previously unidentified analogous morphotropic transformation (AMT) effect. The AMT's net contribution to the enhanced intrinsic multiferroic properties at room temperature was confirmed by quantifying and deducting the contribution from the existing impurity phase using derivative thermo-magneto-gravimetry measurements (DTMG). Significantly, this new AMT effect may be caused by a possible coupling contribution from co-existing NSM phases, indicating a potential method for realizing multiferroic materials that function at room temperature.Availability of a single-phase multiferroic material functional at room temperature poses a big challenge, although it is very important to both fundamental physics and application development. Recently, layered Aurivillius oxide materials, one of the most promising candidates, have attracted considerable interest. In this work, we investigated the nanoscale structural evolution of the six-layer Bi7Fe3-xCoxTi3O21 when substituting excessive Co. Nanoscale structural modulation (NSM) occurred at the boundaries when changing the material gradually from the originally designed six-layer nanoscale architecture down to five and then four, when increasing the Co content, inducing a previously unidentified analogous morphotropic transformation (AMT) effect. The AMT

  13. Can efficient supply management in the operating room save millions?

    Science.gov (United States)

    Park, Kyung W; Dickerson, Cheryl

    2009-04-01

    Supply expenses occupy an ever-increasing portion of the expense budget in today's increasingly technologically complex operating rooms. Yet, little has been studied and published in the anesthesia literature. This review attempts to bring the topic of supply management to anesthesiologists, who play a significant role in operating room management. Little investigative work has been performed on supply management. Anecdotal reports suggest the benefits of a perpetual inventory system over a periodic inventory system. A perpetual inventory system uses utilization data to update inventory on hand continually and this information is linked to purchasing and restocking, whereas a periodic inventory system counts inventory at some regular intervals (such as annually) and uses average utilization to set par levels. On the basis of application of operational management concepts, ways of taking advantage of a perpetual inventory system to achieve savings in supply expenses are outlined. These include linking the operating room scheduling and supply order system, distributor-driven just-in-time delivery of case carts, continual updating of preference lists based on utilization patterns, increasing inventory turnovers, standardizing surgical practices, and vendor consignment of high unit-cost items such as implants. In addition, Lean principles of visual management and elimination of eight wastes may be applicable to supply management.

  14. Feasibility of touch-less control of operating room lights.

    Science.gov (United States)

    Hartmann, Florian; Schlaefer, Alexander

    2013-03-01

    Today's highly technical operating rooms lead to fairly complex surgical workflows where the surgeon has to interact with a number of devices, including the operating room light. Hence, ideally, the surgeon could direct the light without major disruption of his work. We studied whether a gesture tracking-based control of an automated operating room light is feasible. So far, there has been little research on control approaches for operating lights. We have implemented an exemplary setup to mimic an automated light controlled by a gesture tracking system. The setup includes a articulated arm to position the light source and an off-the-shelf RGBD camera to detect the user interaction. We assessed the tracking performance using a robot-mounted hand phantom and ran a number of tests with 18 volunteers to evaluate the potential of touch-less light control. All test persons were comfortable with using the gesture-based system and quickly learned how to move a light spot on flat surface. The hand tracking error is direction-dependent and in the range of several centimeters, with a standard deviation of less than 1 mm and up to 3.5 mm orthogonal and parallel to the finger orientation, respectively. However, the subjects had no problems following even more complex paths with a width of less than 10 cm. The average speed was 0.15 m/s, and even initially slow subjects improved over time. Gestures to initiate control can be performed in approximately 2 s. Two-thirds of the subjects considered gesture control to be simple, and a majority considered it to be rather efficient. Implementation of an automated operating room light and touch-less control using an RGBD camera for gesture tracking is feasible. The remaining tracking error does not affect smooth control, and the use of the system is intuitive even for inexperienced users.

  15. The utilization of magnetic resonance imaging in the operating room.

    Science.gov (United States)

    Ménard, C; Pambrun, J-F; Kadoury, S

    Online image guidance in the operating room using ultrasound imaging led to the resurgence of prostate brachytherapy in the 1980s. Here we describe the evolution of integrating MRI technology in the brachytherapy suite or operating room. Given the complexity, cost, and inherent safety issues associated with MRI system integration, first steps focused on the computational integration of images rather than systems. This approach has broad appeal given minimal infrastructure costs and efficiencies comparable with standard care workflows. However, many concerns remain regarding accuracy of registration through the course of a brachytherapy procedure. In selected academic institutions, MRI systems have been integrated in or near the brachytherapy suite in varied configurations to improve the precision and quality of treatments. Navigation toolsets specifically adapted to prostate brachytherapy are in development and are reviewed. Copyright © 2017 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

  16. Sedation of infants and children outside of the operating room.

    Science.gov (United States)

    Tobias, Joseph D

    2015-08-01

    Although adults may be able to tolerate procedures without sedation, developmental and cognitive issues often mandate the use of sedation in infants and children. There has been a shift in the philosophy regarding sedation with an increasing recognition of the negative psychological and physiological aspects of inadequate sedation. The expansion of our technology continues to result in an increasing number of techniques, which require sedation outside of the operating room environment. These factors have contributed to an ever growing number of pediatric patients presenting themselves for procedural sedation. This chapter will discuss issues regarding the provision of anesthesia outside of the operating room for pediatric patients including current guidelines for patient assessment prior to procedural, monitoring during sedation, and a discussion of some of the more commonly utilized sedative and analgesic agents within the pediatric population.

  17. Room temperature excitation spectroscopy of single quantum dots

    Directory of Open Access Journals (Sweden)

    Christian Blum

    2011-08-01

    Full Text Available We report a single molecule detection scheme to investigate excitation spectra of single emitters at room temperature. We demonstrate the potential of single emitter photoluminescence excitation spectroscopy by recording excitation spectra of single CdSe nanocrystals over a wide spectral range of 100 nm. The spectra exhibit emission intermittency, characteristic of single emitters. We observe large variations in the spectra close to the band edge, which represent the individual heterogeneity of the observed quantum dots. We also find specific excitation wavelengths for which the single quantum dots analyzed show an increased propensity for a transition to a long-lived dark state. We expect that the additional capability of recording excitation spectra at room temperature from single emitters will enable insights into the photophysics of emitters that so far have remained inaccessible.

  18. Room temperature Sieving of Hydrogen Isotopes Using 2-D Materials

    Energy Technology Data Exchange (ETDEWEB)

    Hitchcock, D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Colon-Mercado, H. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Krentz, T. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Serkiz, S. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Velten, J. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Xiao, S. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-09-28

    Hydrogen isotope separation is critical to the DOE’s mission in environmental remediation and nuclear nonproliferation. Isotope separation is also a critical technology for the NNSA, and the ability to perform the separations at room temperature with a relatively small amount of power and space would be a major advancement for their respective missions. Recent work has shown that 2-D materials such as graphene and hexagonal boron nitride can act as an isotopic sieve at room temperature; efficiently separating hydrogen isotopes in water with reported separation ratios of 10:1 for hydrogen: deuterium separation for a single pass. The work performed here suggests that this technique has merit, and furthermore, we are investigating optimization and scale up of the required 2-D material based membranes.

  19. Synthesis of cadmium chalcogenide nanotubes at room temperature

    KAUST Repository

    Pan, Jun

    2012-10-01

    Cadmium chalcogenide (CdE, E=S, Se, Te) polycrystalline nanotubes have been synthesized from precursor of CdS/cadmium thiolate complex at room temperature. The precursor was hydrothermally synthesized at 180 °C using thioglycolic acid (TGA) and cadmium acetate as starting materials. The transformation from the rod-like precursor of CdS/cadmium thiolate complex to CdS, CdSe and CdTe nanotubes were performed under constant stirring at room temperature in aqueous solution containing S 2-, Se 2- and Te 2-, respectively. The nanotube diameter can be controlled from 150 to 400 nm related to the dimension of templates. The XRD patterns show the cadmium chalcogenide nanotubes all corresponding to face-centered cubic structure. © 2012 Elsevier B.V. All rights reserved.

  20. Room temperature electrodeposition of actinides from ionic solutions

    Energy Technology Data Exchange (ETDEWEB)

    Hatchett, David W.; Czerwinski, Kenneth R.; Droessler, Janelle; Kinyanjui, John

    2017-04-25

    Uranic and transuranic metals and metal oxides are first dissolved in ozone compositions. The resulting solution in ozone can be further dissolved in ionic liquids to form a second solution. The metals in the second solution are then electrochemically deposited from the second solutions as room temperature ionic liquid (RTIL), tri-methyl-n-butyl ammonium n-bis(trifluoromethansulfonylimide) [Me.sub.3N.sup.nBu][TFSI] providing an alternative non-aqueous system for the extraction and reclamation of actinides from reprocessed fuel materials. Deposition of U metal is achieved using TFSI complexes of U(III) and U(IV) containing the anion common to the RTIL. TFSI complexes of uranium were produced to ensure solubility of the species in the ionic liquid. The methods provide a first measure of the thermodynamic properties of U metal deposition using Uranium complexes with different oxidation states from RTIL solution at room temperature.

  1. Irreconcilable room temperature magnetotransport properties of polypyrrole nanoparticles and nanorods

    Science.gov (United States)

    Rehman Sagar, Rizwan Ur; Stadler, Florian J.; Navale, Sachin T.; Mane, Rajaram S.; Nazir, Adnan; Nabi, Ghulam

    2017-09-01

    The morphology of nanostructures plays a vital role in determining the conductivity of specimens and, consequently, affects the efficiency of magnetoelectronic devices such as magnetic field sensors. Herein, nanoparticles (NPs) and nanorods (NRs) of conducting polymer polypyrrole have been synthesized at room temperature via the chemical oxidative polymerization method. The positive and negative magnetoresistance signatures are respectively obtained in NPs and NRs morphology, respectively. Both morphologies have conduction in the variable range-hopping regime with the average charge carrier hopping length being highly influenced by the sign of magnetoresistance. This morphology dependence is not only interesting for fundamental research but it also allows for tuning magnetic field sensor materials to be usable at room temperature for the desired characteristics.

  2. Fabrication of ultra-high sensitive and selective CH4 room temperature gas sensing of TiO2nanorods: Detailed study on the annealing temperature

    CSIR Research Space (South Africa)

    Tshabalala, Zamaswazi P

    2016-07-01

    Full Text Available Applications of ultra-highly sensitive and selective methane (CH(sub4)) room temperature gas sensors are important for various operations especially in underground mining environment. Therefore, this study is set out to investigate the effect...

  3. Causes of nitrous oxide contamination in operating rooms.

    Science.gov (United States)

    Kanmura, Y; Sakai, J; Yoshinaka, H; Shirao, K

    1999-03-01

    To reduce the ambient concentration of waste anesthetic agents, exhaust gas scavenging systems are standard in almost all operating rooms. The incidence of contamination and the factors that may increase the concentrations of ambient anesthetic gases have not been evaluated fully during routine circumstances, however. Concentrations of nitrous oxide (N2O) in ambient air were monitored automatically in 10 operating rooms in Kagoshima University Hospital from January to March 1997. Ambient air was sampled automatically from each operating room, and the concentrations of N2O were analyzed every 22 min by an infrared spectrophotometer. The output of the N2O analyzer was integrated electronically regarding time, and data were displayed on a monitor in the administrative office for anesthesia supervisors. A concentration of N2O > 50 parts per million was regarded as abnormally high and was displayed with an alarm signal. The cause of the high concentration of N2O was then sought. During the 3-month investigation, N2O was used in 402 cases. Abnormally high concentrations of N2O were detected at some time during 104 (25.9%) of those cases. The causes were mask ventilation (42 cases, 40.4% of detected cases), unconnected scavenging systems (20 cases, 19.2%), leak around uncuffed pediatric endotracheal tube (13 cases, 12.5%), equipment leakage (12 cases, 11.5%), and others (17 cases, 16.4%). N2O contamination was common during routine circumstances in our operating rooms. An unconnected scavenging system led to the highest concentrations of N2O recorded. Proper use of scavenging systems is necessary if contamination by anesthetic gas is to be limited.

  4. Decreasing operating room environmental pathogen contamination through improved cleaning practice.

    Science.gov (United States)

    Munoz-Price, L Silvia; Birnbach, David J; Lubarsky, David A; Arheart, Kristopher L; Fajardo-Aquino, Yovanit; Rosalsky, Mara; Cleary, Timothy; Depascale, Dennise; Coro, Gabriel; Namias, Nicholas; Carling, Philip

    2012-09-01

    Potential transmission of organisms from the environment to patients is a concern, especially in enclosed settings, such as operating rooms, in which there are multiple and frequent contacts between patients, provider's hands, and environmental surfaces. Therefore, adequate disinfection of operating rooms is essential. We aimed to determine the change in both the thoroughness of environmental cleaning and the proportion of environmental surfaces within operating rooms from which pathogenic organisms were recovered. Prospective environmental study using feedback with UV markers and environmental cultures. A 1,500-bed county teaching hospital. Environmental service personnel, hospital administration, and medical and nursing leadership. The proportion of UV markers removed (cleaned) increased from 0.47 (284 of 600 markers; 95% confidence interval [CI], 0.42-0.53) at baseline to 0.82 (634 of 777 markers; 95% CI, 0.77-0.85) during the last month of observations ([Formula: see text]). Nevertheless, the percentage of samples from which pathogenic organisms (gram-negative bacilli, Staphylococcus aureus, and Enterococcus species) were recovered did not change throughout our study. Pathogens were identified on 16.6% of surfaces at baseline and 12.5% of surfaces during the follow-up period ([Formula: see text]). However, the percentage of surfaces from which gram-negative bacilli were recovered decreased from 10.7% at baseline to 2.3% during the follow-up period ([Formula: see text]). Feedback using Gram staining of environmental cultures and UV markers was successful at improving the degree of cleaning in our operating rooms.

  5. Multiferroic iron oxide thin films at room temperature.

    Science.gov (United States)

    Gich, Martí; Fina, Ignasi; Morelli, Alessio; Sánchez, Florencio; Alexe, Marin; Gàzquez, Jaume; Fontcuberta, Josep; Roig, Anna

    2014-07-16

    Multiferroic behaviour at room temperature is demonstrated in ε-Fe2 O3 . The simple composition of this new ferromagnetic ferroelectric oxide and the discovery of a robust path for its thin film growth by using suitable seed layers may boost the exploitation of ε-Fe2 O3 in novel devices. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  6. Room Temperature Ultralow Threshold GaN Nanowire Polariton Laser

    KAUST Repository

    Das, Ayan

    2011-08-01

    We report ultralow threshold polariton lasing from a single GaN nanowire strongly coupled to a large-area dielectric microcavity. The threshold carrier density is 3 orders of magnitude lower than that of photon lasing observed in the same device, and 2 orders of magnitude lower than any existing room-temperature polariton devices. Spectral, polarization, and coherence properties of the emission were measured to confirm polariton lasing. © 2011 American Physical Society.

  7. Conductance bistability of gold nanowires at room temperature

    OpenAIRE

    Kiguchi, Manabu; Konishi, Tatsuya; Murakoshi, Kei

    2006-01-01

    Quantized conductance behavior of gold nanowires was studied under electrochemical potential control. We fabricated 1-nm-long monoatomic wires in solution at room temperature. Electrochemical potential significantly affected the stability of the monoatomic wire and fractional conductance peak occurrence in the conductance histogram. We revealed that the hydrogen adsorption on gold monoatomic wires was a decisive factor of the fractional peak, which was originated from the dynamic structural t...

  8. Adaptive Beam Loading Compensation in Room Temperature Bunching Cavities

    Energy Technology Data Exchange (ETDEWEB)

    Edelen, J. P. [Fermilab; Chase, B. E. [Fermilab; Cullerton, E. [Fermilab; Varghese, P. [Fermilab

    2017-10-01

    In this paper we present the design, simulation, and proof of principle results of an optimization based adaptive feedforward algorithm for beam-loading compensation in a high impedance room temperature cavity. We begin with an overview of prior developments in beam loading compensation. Then we discuss different techniques for adaptive beam loading compensation and why the use of Newton?s Method is of interest for this application. This is followed by simulation and initial experimental results of this method.

  9. Room Temperature Hydrosilylation of Silicon Nanocrystals with Bifunctional Terminal Alkenes

    Science.gov (United States)

    Yu, Yixuan; Hessel, Colin M.; Bogart, Timothy; Panthani, Matthew G.; Rasch, Michael R.; Korgel, Brian A.

    2013-01-01

    H-terminated Si nanocrystals undergo room temperature hydrosilylation with bifunctional alkenes with distal polar moieties—ethyl-, methyl-ester or carboxylic acids—without the aid of light or added catalyst. The passivated Si nanocrystals exhibit bright photoluminescence (PL) and disperse in polar solvents, including water. We propose a reaction mechanism in which ester or carboxylic acid groups facilitate direct nucleophilic attack of the highly curved Si surface of the nanocrystals by the alkene. PMID:23312033

  10. Attitudes and behavior towards patient safety in an operating room

    Directory of Open Access Journals (Sweden)

    María del Pilar Sánchez Moreno

    2013-09-01

    Full Text Available Patient´s safety is a priority line of action in the Quality of Health Care. Adequate patient safety culture is one of the important pillars in the health care. Also the World Health Organization reports that 7 million people, of 234 million of major surgeries, suffer complications and this can be reduced by half with a system that decreases the possibility of error. Objectives: To determinate the attitude and behavior of professionals in the operating room unit in Hospital Virgen de la Salud of Toledo towards patient safety. Material and method: The type of study is a descriptive and transversal. Population: medical and nursing staff of the theatre with over 1 year in service. Measurement of variables will be made by a validated test and adapted to Spanish territory by the Agency for Healthcare Research and Quality of the United States. We intend to identify the strengths and weaknesses in matter of operating room safety, to know the starting point for the implementation of the surgical safety checklist and to develop a safety culture in the operating room with standardized tools and regular quality controls.

  11. Patient doses and occupational exposure in a hybrid operating room.

    Science.gov (United States)

    Andrés, C; Pérez-García, H; Agulla, M; Torres, R; Miguel, D; Del Castillo, A; Flota, C M; Alonso, D; de Frutos, J; Vaquero, C

    2017-05-01

    This study aimed to characterize the radiation exposure to patients and workers in a new vascular hybrid operating room during X-ray-guided procedures. During one year, data from 260 interventions performed in a hybrid operating room equipped with a Siemens Artis Zeego angiography system were monitored. The patient doses were analysed using the following parameters: radiation time, kerma-area product, patient entrance reference point dose and peak skin dose. Staff radiation exposure and ambient dose equivalent were also measured using direct reading dosimeters and thermoluminescent dosimeters. The radiation time, kerma-area product, patient entrance reference point dose and peak skin dose were, on average, 19:15min, 67Gy·cm(2), 0.41Gy and 0.23Gy, respectively. Although the contribution of the acquisition mode was smaller than 5% in terms of the radiation time, this mode accounted for more than 60% of the effective dose per patient. All of the worker dose measurements remained below the limits established by law. The working conditions in the hybrid operating room HOR are safe in terms of patient and staff radiation protection. Nevertheless, doses are highly dependent on the workload; thus, further research is necessary to evaluate any possible radiological deviation of the daily working conditions in the HOR. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  12. Creep Behavior of UFG CP Ti at Room Temperature

    Science.gov (United States)

    Luo, Lei; Zhao, Xicheng; Liu, XiaoYan; Yang, Xirong

    2017-10-01

    Ultra-fine grained commercial purity titanium (UFG CP Ti) is processed by Composite refining process (Equal channel angular pressing (ECAP), cold rolling and rotary swaging) at room temperature. The grain size is refined from 19 μm to 180 nm, and the ultimate tensile strength increase to 870 MPa. Creep tests were carried out on Ultra-fine grained commercial purity titanium with the stresses of 640, 660, 680, 700, 720, 740, 760 MPa at room temperature. Steady state creep rate and stress exponent n at various stresses were calculated for Ultra-fine grained commercial purity titanium, and creep deformation mechanism was also investigated. (With the rise of stress, the steady creep rate increases while the creep time decrease). The steady state creep rate reached maximum 1.416×10-6 s-1 (under) stress of 760 MPa. The stress exponent is 17.3 when the stress was 640 ∼ 700MPa, while the stress exponent is 55.7 when the stress was 700 ∼ 760MPa, UFG CP Ti shows good creep property at room temperature. The creep deformation mechanism of UFG CP Ti is the dislocation creep.

  13. A Na(+) Superionic Conductor for Room-Temperature Sodium Batteries.

    Science.gov (United States)

    Song, Shufeng; Duong, Hai M; Korsunsky, Alexander M; Hu, Ning; Lu, Li

    2016-08-30

    Rechargeable lithium ion batteries have ruled the consumer electronics market for the past 20 years and have great significance in the growing number of electric vehicles and stationary energy storage applications. However, in addition to concerns about electrochemical performance, the limited availability of lithium is gradually becoming an important issue for further continued use and development of lithium ion batteries. Therefore, a significant shift in attention has been taking place towards new types of rechargeable batteries such as sodium-based systems that have low cost. Another important aspect of sodium battery is its potential compatibility with the all-solid-state design where solid electrolyte is used to replace liquid one, leading to simple battery design, long life span, and excellent safety. The key to the success of all-solid-state battery design is the challenge of finding solid electrolytes possessing acceptable high ionic conductivities at room temperature. Herein, we report a novel sodium superionic conductor with NASICON structure, Na3.1Zr1.95Mg0.05Si2PO12 that shows high room-temperature ionic conductivity of 3.5 × 10(-3) S cm(-1). We also report successful fabrication of a room-temperature solid-state Na-S cell using this conductor.

  14. A room temperature light source based on silicon nanowires

    Energy Technology Data Exchange (ETDEWEB)

    Lo Faro, M.J. [CNR-IPCF, Istituto per i Processi Chimico-Fisici, V. le F. Stagno D' Alcontres 37, 98158 Messina (Italy); MATIS CNR-IMM, Istituto per la Microelettronica e Microsistemi, Via Santa Sofia 64, 95123 Catania (Italy); Dipartimento di Fisica e Astronomia, Università di Catania, Via Santa Sofia 64, 95123 Catania (Italy); D' Andrea, C. [MATIS CNR-IMM, Istituto per la Microelettronica e Microsistemi, Via Santa Sofia 64, 95123 Catania (Italy); Messina, E.; Fazio, B. [CNR-IPCF, Istituto per i Processi Chimico-Fisici, V. le F. Stagno D' Alcontres 37, 98158 Messina (Italy); Musumeci, P. [Dipartimento di Fisica e Astronomia, Università di Catania, Via Santa Sofia 64, 95123 Catania (Italy); Franzò, G. [MATIS CNR-IMM, Istituto per la Microelettronica e Microsistemi, Via Santa Sofia 64, 95123 Catania (Italy); Gucciardi, P.G.; Vasi, C. [CNR-IPCF, Istituto per i Processi Chimico-Fisici, V. le F. Stagno D' Alcontres 37, 98158 Messina (Italy); Priolo, F. [MATIS CNR-IMM, Istituto per la Microelettronica e Microsistemi, Via Santa Sofia 64, 95123 Catania (Italy); Dipartimento di Fisica e Astronomia, Università di Catania, Via Santa Sofia 64, 95123 Catania (Italy); Scuola Superiore di Catania, Via Valdisavoia 9, 95123 Catania (Italy); Iacona, F. [MATIS CNR-IMM, Istituto per la Microelettronica e Microsistemi, Via Santa Sofia 64, 95123 Catania (Italy); Irrera, A., E-mail: irrera@me.cnr.it [CNR-IPCF, Istituto per i Processi Chimico-Fisici, V. le F. Stagno D' Alcontres 37, 98158 Messina (Italy)

    2016-08-31

    We synthesized ultrathin Si nanowires (NWs) by metal assisted chemical wet etching, using a very thin discontinuous Au layer as precursor for the process. A bright room temperature emission in the visible range due to electron–hole recombination in quantum confined Si NWs is reported. A single walled carbon nanotube (CNT) suspension was prepared and dispersed in Si NW samples. The hybrid Si NW/CNT system exhibits a double emission at room temperature, both in the visible (due to Si NWs) and the IR (due to CNTs) range, thus demonstrating the realization of a low-cost material with promising perspectives for applications in Si-based photonics. - Highlights: • Synthesis of ultrathin Si nanowires (NWs) by metal-assisted chemical etching • Synthesis of NW/carbon nanotube (CNT) hybrid systems • Structural characterization of Si NWs and Si NW/CNT • Room temperature photoluminescence (PL) properties of Si NWs and of Si NW/CNT • Tuning of the PL properties of the Si NW/CNT hybrid system.

  15. A Na+ Superionic Conductor for Room-Temperature Sodium Batteries

    Science.gov (United States)

    Song, Shufeng; Duong, Hai M.; Korsunsky, Alexander M.; Hu, Ning; Lu, Li

    2016-08-01

    Rechargeable lithium ion batteries have ruled the consumer electronics market for the past 20 years and have great significance in the growing number of electric vehicles and stationary energy storage applications. However, in addition to concerns about electrochemical performance, the limited availability of lithium is gradually becoming an important issue for further continued use and development of lithium ion batteries. Therefore, a significant shift in attention has been taking place towards new types of rechargeable batteries such as sodium-based systems that have low cost. Another important aspect of sodium battery is its potential compatibility with the all-solid-state design where solid electrolyte is used to replace liquid one, leading to simple battery design, long life span, and excellent safety. The key to the success of all-solid-state battery design is the challenge of finding solid electrolytes possessing acceptable high ionic conductivities at room temperature. Herein, we report a novel sodium superionic conductor with NASICON structure, Na3.1Zr1.95Mg0.05Si2PO12 that shows high room-temperature ionic conductivity of 3.5 × 10-3 S cm-1. We also report successful fabrication of a room-temperature solid-state Na-S cell using this conductor.

  16. Start time delays in operating room: Different perspectives

    Directory of Open Access Journals (Sweden)

    Babita Gupta

    2011-01-01

    Full Text Available Background: Healthcare expenditure is a serious concern, with escalating costs failing to meet the expectations of quality care. The treatment capacities are limited in a hospital setting and the operating rooms (ORs. Their optimal utilization is vital in efficient hospital management. Starting late means considerable wait time for staff, patients and waste of resources. We planned an audit to assess different perspectives of the residents in surgical specialities and anesthesia and OR staff nurses so as to know the causative factors of operative delay. This can help develop a practical model to decrease start time delays in operating room (ORs. Aims: An audit to assess different perspectives of the Operating room (OR staff with respect to the varied causative factors of operative delay in the OR. To aid in the development of a practical model to decrease start time delays in ORs and facilitate on-time starts at Jai Prakash Narayan Apex Trauma centre (JPNATC, All India Institute of Medical Sciences (AIIMS, New Delhi. Methods: We prepared a questionnaire seeking the five main reasons of delay as per their perspective. Results: The available data was analysed. Analysis of the data demonstrated the common causative factors in start time operative delays as: a lack of proper planning, deficiencies in team work, communication gap and limited availability of trained supporting staff. Conclusions: The preparation of the equipment and required material for the OR cases must be done well in advance. Utilization of newer technology enables timely booking and scheduling of cases. Improved inter-departmental coordination and compliance with preanesthetic instructions needs to be ensured. It is essential that the anesthesiologists perform their work promptly, well in time . and supervise the proceedings as the OR manager. This audit is a step forward in defining the need of effective OR planning for continuous quality improvement.

  17. Start time delays in operating room: Different perspectives.

    Science.gov (United States)

    Gupta, Babita; Agrawal, Pramendra; D'souza, Nita; Soni, Kapil Dev

    2011-07-01

    Healthcare expenditure is a serious concern, with escalating costs failing to meet the expectations of quality care. The treatment capacities are limited in a hospital setting and the operating rooms (ORs). Their optimal utilization is vital in efficient hospital management. Starting late means considerable wait time for staff, patients and waste of resources. We planned an audit to assess different perspectives of the residents in surgical specialities and anesthesia and OR staff nurses so as to know the causative factors of operative delay. This can help develop a practical model to decrease start time delays in operating room (ORs). An audit to assess different perspectives of the Operating room (OR) staff with respect to the varied causative factors of operative delay in the OR. To aid in the development of a practical model to decrease start time delays in ORs and facilitate on-time starts at Jai Prakash Narayan Apex Trauma centre (JPNATC), All India Institute of Medical Sciences (AIIMS), New Delhi. We prepared a questionnaire seeking the five main reasons of delay as per their perspective. The available data was analysed. Analysis of the data demonstrated the common causative factors in start time operative delays as: a lack of proper planning, deficiencies in team work, communication gap and limited availability of trained supporting staff. The preparation of the equipment and required material for the OR cases must be done well in advance. Utilization of newer technology enables timely booking and scheduling of cases. Improved inter-departmental coordination and compliance with preanesthetic instructions needs to be ensured. It is essential that the anesthesiologists perform their work promptly, well in time . and supervise the proceedings as the OR manager. This audit is a step forward in defining the need of effective OR planning for continuous quality improvement.

  18. Complementing Operating Room Teaching With Video-Based Coaching.

    Science.gov (United States)

    Hu, Yue-Yung; Mazer, Laura M; Yule, Steven J; Arriaga, Alexander F; Greenberg, Caprice C; Lipsitz, Stuart R; Gawande, Atul A; Smink, Douglas S

    2017-04-01

    Surgical expertise demands technical and nontechnical skills. Traditionally, surgical trainees acquired these skills in the operating room; however, operative time for residents has decreased with duty hour restrictions. As in other professions, video analysis may help maximize the learning experience. To develop and evaluate a postoperative video-based coaching intervention for residents. In this mixed methods analysis, 10 senior (postgraduate year 4 and 5) residents were videorecorded operating with an attending surgeon at an academic tertiary care hospital. Each video formed the basis of a 1-hour one-on-one coaching session conducted by the operative attending; although a coaching framework was provided, participants determined the specific content collaboratively. Teaching points were identified in the operating room and the video-based coaching sessions; iterative inductive coding, followed by thematic analysis, was performed. Teaching points made in the operating room were compared with those in the video-based coaching sessions with respect to initiator, content, and teaching technique, adjusting for time. Among 10 cases, surgeons made more teaching points per unit time (63.0 vs 102.7 per hour) while coaching. Teaching in the video-based coaching sessions was more resident centered; attendings were more inquisitive about residents' learning needs (3.30 vs 0.28, P = .04), and residents took more initiative to direct their education (27% [198 of 729 teaching points] vs 17% [331 of 1977 teaching points], P coaching is a novel and feasible modality for supplementing intraoperative learning. Objective evaluation demonstrates that video-based coaching may be particularly useful for teaching higher-level concepts, such as decision making, and for individualizing instruction and feedback to each resident.

  19. Psychological and Physical Stress in Surgeons Operating in a Standard or Modern Operating Room

    DEFF Research Database (Denmark)

    Klein, M.; Andersen, L.P.H.; Alamili, M.

    2010-01-01

    psychological and physiological stress in experienced laparoscopic surgeons. Methods: This was a prospective case-controlled study including 10 experienced surgeons. Surgery was performed in 2 different ORs: a standard room and a modern room (OR1-suite, Karl Storz). The surgeons filled out questionnaires......Purpose: There have been no studies examining the effect of optimized ergonomic and technical environment on the psychological and physiological stress of the surgeon. The aim of this study was to examine whether optimized ergonomics and technical aids within a modern operating room (OR) affect...... OR compared with a standard room...

  20. Room temperature chiral discrimination in paramagnetic NMR spectroscopy

    CERN Document Server

    Soncini, Alessandro

    2016-01-01

    A recently proposed theory of chiral discrimination in NMR spectroscopy based on the detection of a molecular electric polarization $\\mathbf{P}$ rotating in a plane perpendicular to the NMR magnetic field [A. D. Buckingham, J. Chem. Phys. $\\mathbf{140}$, 011103 (2014)], is here generalized to paramagnetic systems. Our theory predicts new contributions to $\\mathbf{P}$, varying as the square of the inverse temperature. Ab initio calculations for ten Dy$^{3+}$ complexes, at 293K, show that in strongly anisotropic paramagnetic molecules $\\mathbf{P}$ can be more than 1000 times larger than in diamagnetic molecules, making paramagnetic NMR chiral discrimination amenable to room temperature detection.

  1. Room temperature ferromagnetism in ZnO prepared by microemulsion

    Directory of Open Access Journals (Sweden)

    Qingyu Xu

    2011-09-01

    Full Text Available Clear room temperature ferromagnetism has been observed in ZnO powders prepared by microemulsion. The O vacancy (VO clusters mediated by the VO with one electron (F center contributed to the ferromagnetism, while the isolated F centers contributed to the low temperature paramagnetism. Annealing in H2 incorporated interstitial H (Hi in ZnO, and removed the isolated F centers, leading to the suppression of the paramagnetism. The ferromagnetism has been considered to originate from the VO clusters mediated by the Hi, leading to the enhancement of the coercivity. The ferromagnetism disappeared after annealing in air due to the reduction of Hi.

  2. Room-temperature superfluidity in a polariton condensate

    Science.gov (United States)

    Lerario, Giovanni; Fieramosca, Antonio; Barachati, Fábio; Ballarini, Dario; Daskalakis, Konstantinos S.; Dominici, Lorenzo; de Giorgi, Milena; Maier, Stefan A.; Gigli, Giuseppe; Kéna-Cohen, Stéphane; Sanvitto, Daniele

    2017-09-01

    Superfluidity--the suppression of scattering in a quantum fluid at velocities below a critical value--is one of the most striking manifestations of the collective behaviour typical of Bose-Einstein condensates. This phenomenon, akin to superconductivity in metals, has until now been observed only at prohibitively low cryogenic temperatures. For atoms, this limit is imposed by the small thermal de Broglie wavelength, which is inversely related to the particle mass. Even in the case of ultralight quasiparticles such as exciton-polaritons, superfluidity has been demonstrated only at liquid helium temperatures. In this case, the limit is not imposed by the mass, but instead by the small binding energy of Wannier-Mott excitons, which sets the upper temperature limit. Here we demonstrate a transition from supersonic to superfluid flow in a polariton condensate under ambient conditions. This is achieved by using an organic microcavity supporting stable Frenkel exciton-polaritons at room temperature. This result paves the way not only for tabletop studies of quantum hydrodynamics, but also for room-temperature polariton devices that can be robustly protected from scattering.

  3. Resident Autonomy in the Operating Room: Expectations Versus Reality.

    Science.gov (United States)

    Meyerson, Shari L; Sternbach, Joel M; Zwischenberger, Joseph B; Bender, Edward M

    2017-09-01

    There is concern about graduating thoracic trainees' independent operative skills due to limited autonomy in training. This study compared faculty and trainee expected levels of autonomy with intraoperative measurements of autonomy for common cardiothoracic operations. Participants underwent frame-of-reference training on the 4-point Zwisch scale of operative autonomy (show and tell → active help → passive help → supervision only) and evaluated autonomy in actual cases using the Zwisch Me!! mobile application. A separate "expected autonomy" survey elicited faculty and resident perceptions of how much autonomy a resident should have for six common operations: decortication, wedge resection, thoracoscopic lobectomy, coronary artery bypass grafting, aortic valve replacement, and mitral valve repair. Thirty-three trainees from 7 institutions submitted evaluations of 596 cases over 18 months (March 2015 to September 2016). Thirty attendings subsequently provided their evaluation of 476 of those cases (79.9% response rate). Expected autonomy surveys were completed by 21 attendings and 19 trainees from 5 institutions. The six operations included in the survey constituted 47% (226 of 476) of the cases evaluated. Trainee and attending expectations did not differ significantly for senior trainees. Both groups expected significantly higher levels of autonomy than observed in the operating room for all six types of cases. Although faculty and trainees both expect similar levels of autonomy in the operating room, real-time measurements of autonomy show a gap between expectations and reality. Decreasing this gap will require a concerted effort by both faculty and residents to focus on the development of independent operative skills. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Electric-field control of magnetic order above room temperature.

    Science.gov (United States)

    Cherifi, R O; Ivanovskaya, V; Phillips, L C; Zobelli, A; Infante, I C; Jacquet, E; Garcia, V; Fusil, S; Briddon, P R; Guiblin, N; Mougin, A; Ünal, A A; Kronast, F; Valencia, S; Dkhil, B; Barthélémy, A; Bibes, M

    2014-04-01

    Controlling magnetism by means of electric fields is a key issue for the future development of low-power spintronics. Progress has been made in the electrical control of magnetic anisotropy, domain structure, spin polarization or critical temperatures. However, the ability to turn on and off robust ferromagnetism at room temperature and above has remained elusive. Here we use ferroelectricity in BaTiO3 crystals to tune the sharp metamagnetic transition temperature of epitaxially grown FeRh films and electrically drive a transition between antiferromagnetic and ferromagnetic order with only a few volts, just above room temperature. The detailed analysis of the data in the light of first-principles calculations indicate that the phenomenon is mediated by both strain and field effects from the BaTiO3. Our results correspond to a magnetoelectric coupling larger than previous reports by at least one order of magnitude and open new perspectives for the use of ferroelectrics in magnetic storage and spintronics.

  5. Auditing of operating room times: a quality improvement project.

    Science.gov (United States)

    Perkins, Jonathan N; Chiang, Tendy; Ruiz, Amanda G; Prager, Jeremy D

    2014-05-01

    A quality improvement project to evaluate operating room efficiency and utilization and to identify areas for improvement. A retrospective assessment of a single surgeon's surgical cases over a 6-month period at a tertiary children's hospital. Primary outcomes included case timing defined as T1, T2, T3 and T4. (T1)-Patient enters OR-to-procedure start. (T2)-Procedure start-to-procedure end. (T3)-Procedure end-to-patient exits OR. (T4)-Patient exits OR-to-next patient enters OR (turnover). Comparison to existing literature was performed and results were presented to stakeholders. A total of 180 surgical cases were reviewed, 92 adenotonsillectomies (T&A), 33 Bilateral Pressure Equalization Tube Placement (PET) and 55 microlaryngoscopies and bronchoscopies (MLB). All outcomes were calculated by case type, except T4, and compared to available published data. T2 was compared to published benchmarks for otolaryngology demonstrating favorable operative times for T&A and PET. However, T4 was considerably longer at our institution (average 31.09). Overall OR efficiency was 20.58%. The operating room represents one of a hospital's most costly resources. Ensuring that this resource is designed, staffed and utilized efficiently is of major importance to both the quality of patient care and financial productivity. Surgeons are key components of operating room efficiency, utilization and other measurements of institutional performance. How surgeons schedule and perform cases directly impacts, and is impacted by, these measurements of performance. For fields dominated by high volume, short duration procedures such as pediatric otolaryngology, T4 may be the most important variable in determining OR efficiency. By utilizing modern electronic medical records, surgeons can easily track OR time points thereby determining the potential causes of and solutions for OR inefficiency. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  6. Safety culture in the gynecology robotics operating room.

    Science.gov (United States)

    Zullo, Melissa D; McCarroll, Michele L; Mendise, Thomas M; Ferris, Edward F; Roulette, G D; Zolton, Jessica; Andrews, Stephen J; von Gruenigen, Vivian E

    2014-01-01

    To measure the safety culture in the robotics surgery operating room before and after implementation of the Robotic Operating Room Computerized Checklist (RORCC). Prospective study. Gynecology surgical staff (n = 32). An urban community hospital. The Safety Attitudes Questionnaire domains examined were teamwork, safety, job satisfaction, stress recognition, perceptions of management, and working conditions. Questions and domains were described using percent agreement and the Cronbach alpha. Paired t-tests were used to describe differences before and after implementation of the checklist. Mean (SD) staff age was 46.7 (9.5) years, and most were women (78%) and worked full-time (97%). Twenty respondents (83% of nurses, 80% of surgeons, 66% of surgical technicians, and 33% of certified registered nurse anesthetists) completed the Safety Attitudes Questionnaire; 6 were excluded because of non-matching identifiers. Before RORCC implementation, the highest quality of communication and collaboration was reported by surgeons and surgical technicians (100%). Certified registered nurse anesthetists reported only adequate levels of communication and collaboration with other positions. Most staff reported positive responses for teamwork (48%; α = 0.81), safety (47%; α = 0.75), working conditions (37%; α = 0.55), stress recognition (26%; α = 0.71), and perceptions of management (32%; α = 0.52). No differences were observed after RORCC implementation. Quality of communication and collaboration in the gynecology robotics operating room is high between most positions; however, safety attitude responses are low overall. No differences after RORCC implementation and low response rates may highlight lack of staff support. Copyright © 2014. Published by Elsevier Inc.

  7. Virtual reality in the operating room of the future.

    Science.gov (United States)

    Müller, W; Grosskopf, S; Hildebrand, A; Malkewitz, R; Ziegler, R

    1997-01-01

    In cooperation with the Max-Delbrück-Centrum/Robert-Rössle-Klinik (MDC/RRK) in Berlin, the Fraunhofer Institute for Computer Graphics is currently designing and developing a scenario for the operating room of the future. The goal of this project is to integrate new analysis, visualization and interaction tools in order to optimize and refine tumor diagnostics and therapy in combination with laser technology and remote stereoscopic video transfer. Hence, a human 3-D reference model is reconstructed using CT, MR, and anatomical cryosection images from the National Library of Medicine's Visible Human Project. Applying segmentation algorithms and surface-polygonization methods a 3-D representation is obtained. In addition, a "fly-through" the virtual patient is realized using 3-D input devices (data glove, tracking system, 6-DOF mouse). In this way, the surgeon can experience really new perspectives of the human anatomy. Moreover, using a virtual cutting plane any cut of the CT volume can be interactively placed and visualized in realtime. In conclusion, this project delivers visions for the application of effective visualization and VR systems. Commonly known as Virtual Prototyping and applied by the automotive industry long ago, this project shows, that the use of VR techniques can also prototype an operating room. After evaluating design and functionality of the virtual operating room, MDC plans to build real ORs in the near future. The use of VR techniques provides a more natural interface for the surgeon in the OR (e.g., controlling interactions by voice input). Besides preoperative planning future work will focus on supporting the surgeon in performing surgical interventions. An optimal synthesis of real and synthetic data, and the inclusion of visual, aural, and tactile senses in virtual environments can meet these requirements. This Augmented Reality could represent the environment for the surgeons of tomorrow.

  8. Applying science and strategy to operating room workforce management.

    Science.gov (United States)

    Butler, Victoria; Clinton, Christopher; Sagi, Harsha K; Kenney, Robert; Barsoum, Wael K

    2012-01-01

    The traditional means of planning nurse staffing for operating rooms are either poorly translated to the setting or do not provide decision makers with a platform to defend their needs, especially in an era of health care reform. The surgical operations department of the Cleveland Clinic initiated a quality improvement project aimed at applying a scientific method to operating room staffing. One goal was to provide a defensible plan for allocating direct caregiver positions. A second goal was to provide a quick and easy way for nurse managers and directors to track positions and graphically depict the effect of vacancies and orientation on their staffing budgets. Using an objective, scientific method allows position requests to be approved quickly and allows managers to feel much more comfortable functioning in a "lean" mode because they know needed positions will be approved quickly. Managers and directors also have found that graphically depicting numbers of vacant positions, as well as staff in orientation, could quickly relate a story visually rather than getting "bogged down" in narrative (often losing finance administrators along the way).

  9. Xenon Recovery at Room Temperature using Metal-Organic Frameworks

    Energy Technology Data Exchange (ETDEWEB)

    Elsaidi, Sameh K. [Physical and Computational Science Directorate, Pacific Northwest National Laboratory, Richland WA 99352 USA; Chemistry Department, Faculty of Science, Alexandria University, P. O. Box 426 Ibrahimia Alexandria 21321 Egypt; Ongari, Daniele [Laboratory of Molecular Simulation, Institut des Sciences et Ingeénierie Chimiques, Ecole Polytechnique Fédérale de Lausanne (EPFL), Rue de l' Industrie 17 1951 Sion Valais Switzerland; Xu, Wenqian [X-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne IL 60439 USA; Mohamed, Mona H. [Chemistry Department, Faculty of Science, Alexandria University, P. O. Box 426 Ibrahimia Alexandria 21321 Egypt; Haranczyk, Maciej [IMDEA Materials Institute, c/Eric Kandel 2 28906 Getafe, Madrid Spain; Thallapally, Praveen K. [Physical and Computational Science Directorate, Pacific Northwest National Laboratory, Richland WA 99352 USA

    2017-07-24

    Xenon is known to be a very efficient anesthetic gas but its cost prohibits the wider use in medical industry and other potential applications. It has been shown that Xe recovery and recycle from anesthetic gas mixture can significantly reduce its cost as anesthetic. The current technology uses series of adsorbent columns followed by low temperature distillation to recover Xe, which is expensive to use in medical facilities. Herein, we propose much efficient and simpler system to recover and recycle Xe from simulant exhale anesthetic gas mixture at room temperature using metal organic frameworks. Among the MOFs tested, PCN-12 exhibits unprecedented performance with high Xe capacity, Xe/O2, Xe/N2 and Xe/CO2 selectivity at room temperature. The in-situ synchrotron measurements suggest the Xe is occupied in the small pockets of PCN-12 compared to unsaturated metal centers (UMCs). Computational modeling of adsorption further supports our experimental observation of Xe binding sites in PCN-12.

  10. Dedicated operating room for emergency surgery improves access and efficiency.

    Science.gov (United States)

    Heng, Marilyn; Wright, James G

    2013-06-01

    Scheduling emergency cases among elective surgeries often results in prolonged waits for emergency surgery and delays or cancellation of elective cases. We evaluated the benefits of a dedicated operating room (OR) for emergency procedures available to all surgical services at a large children's hospital. We compared a 6-month period (January 2009 to June 2009) preimplementation with a 6-month period (January 2010 to June 2010) postimplementation of a dedicated OR. We evaluated OR use, wait times, percentage of cases done within and outside of access targets, off-hours surgery, cancellations, overruns and length of stay. Preimplementation, 1069 of the 5500 surgeries performed were emergency cases. Postimplementation, 1084 of the 5358 surgeries performed were emergency cases. Overall use of the dedicated OR was 53% (standard deviation 25%) postimplementation. Excluding outliers, the average wait time for priority 3 emergency patients decreased from 11 hours 8 minutes to 10 hours 5 minutes (p = 0.004). An increased proportion of priority 3 patients, from 52% to 58%, received surgery within 12 hours (p = 0.020). There was a 9% decrease in the proportion of priority 3 cases completed during the evening and night (p rooms. The average hospital stay after emergency surgery decreased from 16.0 days to 14.7 days (p = 0.12) following implementation of the dedicated OR. A dedicated OR for emergency cases improved quality of care by decreasing cancellations and overruns in elective rooms and increasing the proportion of priority 3 patients who accessed care within the targeted time.

  11. Improving the Interdisciplinary Team Work in the Operating Room

    DEFF Research Database (Denmark)

    Tørring, Birgitte

    the black box of teamwork in search for relational elements critical to successful collaboration and communication. Few single studies exists which explore how RC could be observed and improved in this context. The present study examines surgical teams in selected operating rooms (OR) focusing on RC......In surgical teams, where health professionals are highly interdependent and work under time pressure, it is of particular importance that the team work is well-functioning to secure treatment quality and patient safety. Using the theory of relational coordination (RC) may be the key to unlocking...

  12. Patient safety in surgical oncology: perspective from the operating room.

    Science.gov (United States)

    Hu, Yue-Yung; Greenberg, Caprice C

    2012-07-01

    Despite knowledge that most surgical adverse events occur in the operating room (OR), understanding of the intraoperative phase of care is incomplete; most studies measure surgical safety in terms of preoperative risk or postoperative morbidity and mortality. Because of the OR's complexity, human factors engineering provides an ideal methodology for studies of intraoperative safety. This article reviews models of error and resilience as delineated by human factors experts, correlating them to OR performance. Existing methodologies for studying intraoperative safety are then outlined, focusing on video-based observational research. Finally, specific human and system factors examined in the OR are detailed. Copyright © 2012 Elsevier Inc. All rights reserved.

  13. Room-Temperature Dephasing in InAs Quantum Dots

    DEFF Research Database (Denmark)

    Borri, Paola; Langbein, Wolfgang; Mørk, Jesper

    2000-01-01

    The room temperature dephasing in InAs/InGaAs/GaAs self-assembled quantum dots, embedded in a waveguide for laser applications, is measured using two independent methods: spectral hole burning and four-wave mixing. Without the application of bias current for electrical carrier injection......, a dephasing time of ~260 fs, weakly dependent on the optical excitation density, is found and attributed to phonon interaction. The application of bias current, leading to population inversion in the dot ground state and optical gain, strongly decreases the dephasing time to less than 50 fs, likely due...

  14. Single-atom reversible recording at room temperature

    DEFF Research Database (Denmark)

    Quaade, Ulrich; Stokbro, Kurt; Lin, Rong

    2001-01-01

    A single hydrogen atom can be reversibly switched between two symmetric sites on a silicon dimer at the surface of Si(100) using a scanning tunnelling microscope (STM). This is a model binary switch for silicon-based atom-scale reversible data storage at room temperature. In this paper we...... is of crucial importance. With our equipment it was possible to create a row of four switches in a controlled way.(Some figures in this article are in colour only in the electronic version)....

  15. Toward realizing high power semiconductor terahertz laser sources at room temperature

    Science.gov (United States)

    Razeghi, Manijeh

    2011-05-01

    The terahertz (THz) spectral range offers promising applications in science, industry, and military. THz penetration through nonconductors (fabrics, wood, plastic) enables a more efficient way of performing security checks (for example at airports), as illegal drugs and explosives could be detected. Being a non-ionizing radiation, THz radiation is environment-friendly enabling a safer analysis environment than conventional X-ray based techniques. However, the lack of a compact room temperature THz laser source greatly hinders mass deployment of THz systems in security check points and medical centers. In the past decade, tremendous development has been made in GaAs/AlGaAs based THz Quantum Cascade Laser (QCLs), with maximum operating temperatures close to 200 K (without magnetic field). However, higher temperature operation is severely limited by a small LO-phonon energy (~ 36 meV) in this material system. With a much larger LO-phonon energy of ~ 90 meV, III-Nitrides are promising candidates for room temperature THz lasers. However, realizing high quality material for GaN-based intersubband devices presents a significant challenge. Advances with this approach will be presented. Alternatively, recent demonstration of InP based mid-infrared QCLs with extremely high peak power of 120 W at room temperature opens up the possibility of producing high power THz emission with difference frequency generation through two mid-infrared wavelengths.

  16. High efficiency room temperature laser emission in heavily doped Yb:YLF.

    Science.gov (United States)

    Vannini, Matteo; Toci, Guido; Alderighi, Daniele; Parisi, Daniela; Cornacchia, Francesco; Tonelli, Mauro

    2007-06-25

    We report the tunable, CW and quasi CW laser operation at room temperature of an highly doped (30% at.) Yb:YLF crystal longitudinally pumped by a fiber coupled laser diode array. The CW output power is 1.15 W vs. an absorbed pump power of 6 W, with a slope efficiency of 31%. In quasi-CW operation (20% duty factor @10 Hz) an output power of 4 W with an absorbed power of 9.5 W, and a slope efficiency of 62.8% were obtained. The tuning range spans from 1022 to 1075 nm. To our knowledge, these are among the best experimental results obtained at room temperature with Yb doped YLF.

  17. Non-local electrical spin injection and detection in germanium at room temperature

    Science.gov (United States)

    Rortais, F.; Vergnaud, C.; Marty, A.; Vila, L.; Attané, J.-P.; Widiez, J.; Zucchetti, C.; Bottegoni, F.; Jaffrès, H.; George, J.-M.; Jamet, M.

    2017-10-01

    Non-local carrier injection/detection schemes lie at the very foundation of information manipulation in integrated systems. This paradigm consists in controlling with an external signal the channel where charge carriers flow between a "source" and a well separated "drain." The next generation electronics may operate on the spin of carriers in addition to their charge and germanium appears as the best hosting material to develop such a platform for its compatibility with mainstream silicon technology and the predicted long electron spin lifetime at room temperature. In this letter, we demonstrate injection of pure spin currents (i.e., with no associated transport of electric charges) in germanium, combined with non-local spin detection at 10 K and room temperature. For this purpose, we used a lateral spin valve with epitaxially grown magnetic tunnel junctions as spin injector and spin detector. The non-local magnetoresistance signal is clearly visible and reaches ≈15 mΩ at room temperature. The electron spin lifetime and diffusion length are 500 ps and 1 μm, respectively, the spin injection efficiency being as high as 27%. This result paves the way for the realization of full germanium spintronic devices at room temperature.

  18. Bacterial burden in the operating room: impact of airflow systems.

    Science.gov (United States)

    Hirsch, Tobias; Hubert, Helmine; Fischer, Sebastian; Lahmer, Armin; Lehnhardt, Marcus; Steinau, Hans-Ulrich; Steinstraesser, Lars; Seipp, Hans-Martin

    2012-09-01

    Wound infections present one of the most prevalent and frequent complications associated with surgical procedures. This study analyzes the impact of currently used ventilation systems in the operating room to reduce bacterial contamination during surgical procedures. Four ventilation systems (window-based ventilation, supported air nozzle canopy, low-turbulence displacement airflow, and low-turbulence displacement airflow with flow stabilizer) were analyzed. Two hundred seventy-seven surgical procedures in 6 operating rooms of 5 different hospitals were analyzed for this study. Window-based ventilation showed the highest intraoperative contamination (13.3 colony-forming units [CFU]/h) followed by supported air nozzle canopy (6.4 CFU/h; P = .001 vs window-based ventilation) and low-turbulence displacement airflow (3.4 and 0.8 CFU/h; P system showed no increase of contamination in prolonged durations of surgical procedures. This study shows that intraoperative contamination can be significantly reduced by the use of adequate ventilation systems. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  19. The sounds of music in the operating room.

    Science.gov (United States)

    Ullmann, Yehuda; Fodor, Lucian; Schwarzberg, Irena; Carmi, Nurit; Ullmann, Amos; Ramon, Yitzchak

    2008-05-01

    Little information is available about the effect of music on the operating room (OR) staff. The objective of this study was to evaluate the perception of the influence of music on physicians and nurses working in the OR. A questionnaire was designed and 250 copies were distributed to the doctors and nurses working in the OR at three hospitals. One hundred and seventy-one returned the completed questionnaire and were included in this study. 63% of the participants listen to music on a regular basis in the OR. Classical music is the most requested (58%) and most of the responders do not choose the type of music according to the type of the procedure. In our study, the nurses were more likely to listen to music and the willingness is higher among the female responders. The desired volume is lower as age increases and 78.9% of the participants claimed that music in the OR makes them calmer and more efficient. According to our study, music has a positive effect on the staff working in the operating rooms.

  20. Nursing Project Management to Reduce the Operating Room Infection.

    Science.gov (United States)

    Chen, Yuanyuan; Han, Xiaodao; Xu, Yongjie; Li, Weihua

    2017-02-01

    Nursing project management is widely used in different aspects of the society. However, whether the nursing project management can control the infections in the operation room (OR) is rarely reported. We evaluated the outcomes of surgical patients after implementing a nursing project management program to provide new scientific ways to manage the OR infections. Overall, 382 patients, who underwent surgical treatment in Qilu Hospital of Shandong University, Shandong, China from May 2015 to January 2016, were enrolled as observation group. Besides, 347 cases were selected as control group. Patients in the observation group were treated with the nursing project management plan, while patients in the control group were treated with the routine operation-room nursing measures. The infection control rates in the OR, and the patient satisfaction with the nursing team postoperatively were both compared between the two groups of patients. The OR air, the surgical and personnel's hands surfaces were sampled for colony forming units, and all were found to be significantly of better quality (indicated by less colony forming units) in the observation group (Pproject management plan for surgical patients in hospitals.

  1. Monitoring operating room turnaround time: a retrospective analysis.

    Science.gov (United States)

    Scagliarini, Michele; Apreda, Mariarosaria; Wienand, Ulrich; Valpiani, Giorgia

    2016-04-18

    Purpose - Operating room (OR) turnaround time is a key process indicator for hospital business management: delays lead to a reduced surgical interventions per day with a consequent increase in costs and decrease in efficiency. The purpose of this paper is to increase understanding by assessing the process' steady-state behaviour and identifying changes that indicate either improvement or deterioration in quality. Design/methodology/approach - With this purpose, the authors retrospectively applied Shewhart control charts and exponentially weighted moving average control charts to data extracted from an hospital information system. Findings - The results showed that statistical process control is able to identify steady-state behaviour process and to detect positive or negative changes in process performance. In particular the authors detected a deterioration in the process performance coinciding with the change in the operating room patient transfer staff. Practical implications - This study showed that statistical quality control is a valuable tool for monitoring performance indicators. Currently, hospital managers are designing an OR dashboard which also includes the control charts. Originality/value - The paper highlights the control chart application to organizational indicators allowing an objective OR system performance assessment.

  2. Case review analysis of operating room decisions to cancel surgery.

    Science.gov (United States)

    Chang, Ju-Hsin; Chen, Ke-Wei; Chen, Kuen-Bao; Poon, Kin-Shing; Liu, Shih-Kai

    2014-07-23

    Cancellation of surgery close to scheduled time causes a waste of healthcare resources. The current study analyzes surgery cancellations occurring after the patient has been prepared for the operating room, in order to see whether improvements in the surgery planning process may reduce the number of cancellations. In a retrospective chart review of operating room surgery cancellations during the period from 2006 to 2011, cancellations were divided into the following categories: inadequate NPO; medical; surgical; system; airway; incomplete evaluation. The relative use of these reasons in relation to patient age and surgical department was then evaluated. Forty-one percent of cancellations were for other than medical reasons. Among these, 17.7% were due to incomplete evaluation, and 8.2% were due to family issues. Sixty seven percent of cancelled cases eventually received surgery. The relative use of individual reasons for cancellation varied with patient age and surgical department. The difference between cancellations before and after anesthesia was dependent on the causes of cancellation, but not age, sex, ASA status, or follow-up procedures required. Almost half of the cancellations were not due to medical reasons, and these cancellations could be reduced by better administrative and surgical planning and better communication with the patient and/or his family.

  3. Ergonomics in the operating room: protecting the surgeon.

    Science.gov (United States)

    Rosenblatt, Peter L; McKinney, Jessica; Adams, Sonia R

    2013-01-01

    To review elements of an ergonomic operating room environment and describe common ergonomic errors in surgeon posture during laparoscopic and robotic surgery. Descriptive video based on clinical experience and a review of the literature (Canadian Task Force classification III). Community teaching hospital affiliated with a major teaching hospital. Gynecologic surgeons. Demonstration of surgical ergonomic principles and common errors in surgical ergonomics by a physical therapist and surgeon. The physical nature of surgery necessitates awareness of ergonomic principles. The literature has identified ergonomic awareness to be grossly lacking among practicing surgeons, and video has not been documented as a teaching tool for this population. Taking this into account, we created a video that demonstrates proper positioning of monitors and equipment, and incorrect and correct ergonomic positions during surgery. Also presented are 3 common ergonomic errors in surgeon posture: forward head position, improper shoulder elevation, and pelvic girdle asymmetry. Postural reset and motion strategies are demonstrated to help the surgeon learn techniques to counterbalance the sustained and awkward positions common during surgery that lead to muscle fatigue, pain, and degenerative changes. Correct ergonomics is a learned and practiced behavior. We believe that video is a useful way to facilitate improvement in ergonomic behaviors. We suggest that consideration of operating room setup, proper posture, and practice of postural resets are necessary components for a longer, healthier, and pain-free surgical career. Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.

  4. Towards a model of surgeons' leadership in the operating room.

    Science.gov (United States)

    Henrickson Parker, Sarah; Yule, Steven; Flin, Rhona; McKinley, Aileen

    2011-07-01

    There is widespread recognition that leadership skills are essential for effective performance in the workplace, but the evidence detailing effective leadership behaviours for surgeons during operations is unclear. Boolean searches of four on-line databases and detailed hand search of relevant references were conducted. A four stage screening process was adopted stipulating that articles presented empirical data on surgeons' intraoperative leadership behaviours. Ten relevant articles were identified and organised by method of investigation into (i) observation, (ii) questionnaire and (iii) interview studies. This review summarises the limited literature on surgeons' intraoperative leadership, and proposes a preliminary theoretically based structure for intraoperative leadership behaviours. This structure comprises seven categories with corresponding leadership components and covers two overarching themes related to task- and team-focus. Selected leadership theories which may be applicable to the operating room environment are also discussed. Further research is required to determine effective intraoperative leadership behaviours for safe surgical practice.

  5. Methodology for analyzing environmental quality indicators in a dynamic operating room environment.

    Science.gov (United States)

    Gormley, Thomas; Markel, Troy A; Jones, Howard W; Wagner, Jennifer; Greeley, Damon; Clarke, James H; Abkowitz, Mark; Ostojic, John

    2017-04-01

    Sufficient quantities of quality air and controlled, unidirectional flow are important elements in providing a safe building environment for operating rooms. To make dynamic assessments of an operating room environment, a validated method of testing the multiple factors influencing the air quality in health care settings needed to be constructed. These include the following: temperature, humidity, particle load, number of microbial contaminants, pressurization, air velocity, and air distribution. The team developed the name environmental quality indicators (EQIs) to describe the overall air quality based on the actual measurements of these properties taken during the mock surgical procedures. These indicators were measured at 3 different hospitals during mock surgical procedures to simulate actual operating room conditions. EQIs included microbial assessments at the operating table and the back instrument table and real-time analysis of particle counts at 9 different defined locations in the operating suites. Air velocities were measured at the face of the supply diffusers, at the sterile field, at the back table, and at a return grille. The testing protocol provided consistent and comparable measurements of air quality indicators between institutions. At 20 air changes per hour (ACH), and an average temperature of 66.3°F, the median of the microbial contaminants for the 3 operating room sites ranged from 3-22 colony forming units (CFU)/m3 at the sterile field and 5-27 CFU/m3 at the back table. At 20 ACH, the median levels of the 0.5-µm particles at the 3 sites were 85,079, 85,325, and 912,232 in particles per cubic meter, with a predictable increase in particle load in the non-high-efficiency particulate air-filtered operating room site. Using a comparison with cleanroom standards, the microbial and particle counts in all 3 operating rooms were equivalent to International Organization for Standardization classifications 7 and 8 during the mock surgical

  6. Room temperature skyrmion ground state stabilized through interlayer exchange coupling

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Gong, E-mail: gchenncem@gmail.com; Schmid, Andreas K. [NCEM, Molecular Foundry, Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States); Mascaraque, Arantzazu [Depto. Física de Materiales, Universidad Complutense de Madrid, 28040 Madrid (Spain); Unidad Asociada IQFR (CSIC) - UCM, 28040 Madrid (Spain); N' Diaye, Alpha T. [Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, California 94720 (United States)

    2015-06-15

    Possible magnetic skyrmion device applications motivate the search for structures that extend the stability of skyrmion spin textures to ambient temperature. Here, we demonstrate an experimental approach to stabilize a room temperature skyrmion ground state in chiral magnetic films via exchange coupling across non-magnetic spacer layers. Using spin polarized low-energy electron microscopy to measure all three Cartesian components of the magnetization vector, we image the spin textures in Fe/Ni films. We show how tuning the thickness of a copper spacer layer between chiral Fe/Ni films and perpendicularly magnetized Ni layers permits stabilization of a chiral stripe phase, a skyrmion phase, and a single domain phase. This strategy to stabilize skyrmion ground states can be extended to other magnetic thin film systems and may be useful for designing skyrmion based spintronics devices.

  7. Room temperature mid-IR single photon spectral imaging

    CERN Document Server

    Dam, Jeppe Seidelin; Tidemand-Lichtenberg, Peter

    2012-01-01

    Spectral imaging and detection of mid-infrared (mid-IR) wavelengths are emerging as an enabling technology of great technical and scientific interest; primarily because important chemical compounds display unique and strong mid-IR spectral fingerprints revealing valuable chemical information. While modern Quantum cascade lasers have evolved as ideal coherent mid-IR excitation sources, simple, low noise, room temperature detectors and imaging systems still lag behind. We address this need presenting a novel, field-deployable, upconversion system for sensitive, 2-D, mid-IR spectral imaging. Measured room temperature dark noise is 0.2 photons/spatial element/second, which is a billion times below the dark noise level of cryogenically cooled InSb cameras. Single photon imaging and up to 200 x 100 spatial elements resolution is obtained reaching record high continuous wave quantum efficiency of about 20 % for polarized incoherent light at 3 \\mum. The proposed method is relevant for existing and new mid-IR applicat...

  8. Research on CdZnTe and Other Novel Room Temperature Gamma Ray Spectrometer Materials

    Energy Technology Data Exchange (ETDEWEB)

    Arnold Burger; Michael gGoza; Yunlong Cui; Utpal N. Roy; M. Guo

    2007-05-05

    Room temperature gamma-ray spectrometers are being developed for a number of years for national security applications where high sensitivity, low operating power and compactness are indispensable. The technology has matured now to the point where large volume (several cubic centimeters) and high energy resolution (approximately 1% at 660 eV) of gamma photons, are becoming available for their incorporation into portable systems for remote sensing of signatures from nuclear materials.

  9. Enhanced room temperature ferromagnetism in antiferromagnetic NiO nanoparticles

    Directory of Open Access Journals (Sweden)

    Patta Ravikumar

    2015-08-01

    Full Text Available We report systematic investigations of structural, vibrational, resonance and magnetic properties of nanoscale NiO powders prepared by ball milling process under different milling speeds for 30 hours of milling. Structural properties revealed that both pure NiO and as-milled NiO powders exhibit face centered cubic structure, but average crystallite size decreases to around 11 nm along with significant increase in strain with increasing milling speed. Vibrational properties show the enhancement in the intensity of one-phonon longitudinal optical (LO band and disappearance of two-magnon band due to size reduction. In addition, two-phonon LO band exhibits red shift due to size-induced phonon confinement effect and surface relaxation. Pure NiO powder exhibit antiferromagnetic nature, which transforms into induced ferromagnetic after size reduction. The average magnetization at room temperature increases with decreasing the crystallite size and a maximum moment of 0.016 μB/f.u. at 12 kOe applied field and coercivity of 170 Oe were obtained for 30 hours milled NiO powders at 600 rotation per minute milling speed. The change in the magnetic properties is also supported by the vibrational properties. Thermomagnetization measurements at high temperature reveal a well-defined magnetic phase transition at high temperature (TC around 780 K due to induced ferromagnetic phase. Electron paramagnetic resonance (EPR studies reveal a good agreement between the EPR results and magnetic properties. The observed results are described on the basis of crystallite size variation, defect density, large strain, oxidation/reduction of Ni and interaction between uncompensated surfaces and particle core with lattice expansion. The obtained results suggest that nanoscale NiO powders with high TC and moderate magnetic moment at room temperature with cubic structure would be useful to expedite for spintronic devices.

  10. Comparative Study of Irradiated and Annealed ZnO Thin Films for Room Temperature Ammonia Gas Sensing

    Directory of Open Access Journals (Sweden)

    Abhijeet KSHIRSAGAR

    2008-02-01

    Full Text Available Ceramic based thin film sensors are well known for gas sensing applications. These sensors are operated at elevated temperature for good sensitivity. ZnO thin film sensors operated at high temperature are used in ammonia sensing application. But to the best of author’s knowledge no room temperature ZnO (Zinc Oxide thin film sensors are reported. The deposited ZnO films are found to be highly unstable with respect to resistance of the films at room temperature. To increase the stability two different techniques viz. annealing and irradiation are tried. Comparative study of annealed and irradiated ZnO films for stability in resistance is done. Further the performance of these films as ammonia (NH3 gas sensor at room temperature has been studied. The results obtained are reported in this paper and analyzed.

  11. Dedicated operating room for emergency surgery improves access and efficiency

    Science.gov (United States)

    Heng, Marilyn; Wright, James G.

    2013-01-01

    Background Scheduling emergency cases among elective surgeries often results in prolonged waits for emergency surgery and delays or cancellation of elective cases. We evaluated the benefits of a dedicated operating room (OR) for emergency procedures available to all surgical services at a large children’s hospital. Methods We compared a 6-month period (January 2009 to June 2009) preimplementation with a 6-month period (January 2010 to June 2010) postimplementation of a dedicated OR. We evaluated OR use, wait times, percentage of cases done within and outside of access targets, off-hours surgery, cancellations, overruns and length of stay. Results Preimplementation, 1069 of the 5500 surgeries performed were emergency cases. Postimplementation, 1084 of the 5358 surgeries performed were emergency cases. Overall use of the dedicated OR was 53% (standard deviation 25%) postimplementation. Excluding outliers, the average wait time for priority 3 emergency patients decreased from 11 hours 8 minutes to 10 hours 5 minutes (p = 0.004). An increased proportion of priority 3 patients, from 52% to 58%, received surgery within 12 hours (p = 0.020). There was a 9% decrease in the proportion of priority 3 cases completed during the evening and night (p rooms. The average hospital stay after emergency surgery decreased from 16.0 days to 14.7 days (p = 0.12) following implementation of the dedicated OR. Conclusion A dedicated OR for emergency cases improved quality of care by decreasing cancellations and overruns in elective rooms and increasing the proportion of priority 3 patients who accessed care within the targeted time. PMID:23706847

  12. Room-temperature antiferromagnetism in CuMnAs

    Energy Technology Data Exchange (ETDEWEB)

    Maca, F.; Masek, J. [Institute of Physics ASCR, v.v.i., Na Slovance 2, 182 21 Praha 8 (Czech Republic); Stelmakhovych, O. [Faculty of Mathematics and Physics, Charles University in Prague, Ke Karlovu 3, 121 16 Prague 2 (Czech Republic); Marti, X. [Faculty of Mathematics and Physics, Charles University in Prague, Ke Karlovu 3, 121 16 Prague 2 (Czech Republic); Institute of Physics ASCR, v.v.i., Cukrovarnicka 10, 162 53 Praha 6 (Czech Republic); Reichlova, H. [Institute of Physics ASCR, v.v.i., Cukrovarnicka 10, 162 53 Praha 6 (Czech Republic); Faculty of Mathematics and Physics, Charles University in Prague, Ke Karlovu 3, 121 16 Prague 2 (Czech Republic); Uhlirova, K. [Faculty of Mathematics and Physics, Charles University in Prague, Ke Karlovu 3, 121 16 Prague 2 (Czech Republic); Beran, P. [Nuclear Physics Institute ASCR, v.v.i., 250 68 Rez (Czech Republic); Wadley, P.; Novak, V. [Institute of Physics ASCR, v.v.i., Cukrovarnicka 10, 162 53 Praha 6 (Czech Republic); Jungwirth, T., E-mail: jungw@fzu.cu [Institute of Physics ASCR, v.v.i., Cukrovarnicka 10, 162 53 Praha 6 (Czech Republic); School of Physics and Astronomy, University of Nottingham, Nottingham NG7 2RD (United Kingdom)

    2012-04-15

    We report on an experimental and theoretical study of CuMn-V compounds. In agreement with previous works we find low-temperature antiferromagnetism with Neel temperature of 50 K in the cubic half-Heusler CuMnSb. We demonstrate that the orthorhombic CuMnAs is a room-temperature antiferromagnet. Our results are based on X-ray diffraction, magnetization, transport, and differential thermal analysis measurements, and on density-functional theory calculations of the magnetic structure of CuMn-V compounds. In the discussion part of the paper we make a prediction, based on our density-functional theory calculations, that the electronic structure of CuMn-V compounds makes a transition from a semimetal to a semiconductor upon introducing the lighter group-V elements. - Highlights: Black-Right-Pointing-Pointer We report experimental observation of high temperature antiferromagnetism in CuMnAs. Black-Right-Pointing-Pointer The physical origin of the observation is discussed based on ab initio calculations. Black-Right-Pointing-Pointer We predict semimetal to semiconductor transition of the electronic structure of CuMn-V compounds. Black-Right-Pointing-Pointer We discuss the relevance of CuMn-V compounds for antiferromagnetic spintronics.

  13. Measurement and Calculation of Vertical Temperature Gradients in Rooms with Convective Flows

    DEFF Research Database (Denmark)

    Overby, H.

    The paper deals with experimental and theoretical examinations of the vertical temperature gradient in rooms with convective flows under transient conditions. The measurements are carried out in a laboratory test room of three different sizes. A small room (7.25 m2) with a normal room height of 2...

  14. How do strategic decisions and operative practices affect operating room productivity?

    Science.gov (United States)

    Peltokorpi, Antti

    2011-12-01

    Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing mainly modeling approach or before-after analysis in single hospital case. The purpose of this research is to analyze the synergic effect of strategic decisions and operative management practices on operating room productivity and to use a multiple case study method enabling statistical hypothesis testing with empirical data. 11 hypotheses that propose connections between the use of strategic and operative practices and productivity were tested in a multi-hospital study that included 26 units. The results indicate that operative practices, such as personnel management, case scheduling and performance measurement, affect productivity more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. Units with different strategic positions should apply different operative practices: Focused hospital units benefit most from sophisticated case scheduling and parallel processing whereas central and ambulatory units should apply flexible working hours, incentives and multi-skilled personnel. Operating units should be more active in applying management practices which are adequate for their strategic orientation.

  15. Improving operating room turnover time: a systems based approach.

    Science.gov (United States)

    Bhatt, Ankeet S; Carlson, Grant W; Deckers, Peter J

    2014-12-01

    Operating room (OR) turnover time (TT) has a broad and significant impact on hospital administrators, providers, staff and patients. Our objective was to identify current problems in TT management and implement a consistent, reproducible process to reduce average TT and process variability. Initial observations of TT were made to document the existing process at a 511 bed, 24 OR, academic medical center. Three control groups, including one consisting of Orthopedic and Vascular Surgery, were used to limit potential confounders such as case acuity/duration and equipment needs. A redesigned process based on observed issues, focusing on a horizontally structured, systems-based approach has three major interventions: developing consistent criteria for OR readiness, utilizing parallel processing for patient and room readiness, and enhancing perioperative communication. Process redesign was implemented in Orthopedics and Vascular Surgery. Comparisons of mean and standard deviation of TT were made using an independent 2-tailed t-test. Using all surgical specialties as controls (n = 237), mean TT (hh:mm:ss) was reduced by 0:20:48 min (95 % CI, 0:10:46-0:30:50), from 0:44:23 to 0:23:25, a 46.9 % reduction. Standard deviation of TT was reduced by 0:10:32 min, from 0:16:24 to 0:05:52 and frequency of TT≥30 min was reduced from 72.5to 11.7 %. P systems-based focus should drive OR TT design.

  16. Improving operating room efficiency via an interprofessional approach.

    Science.gov (United States)

    Bender, Jeffrey S; Nicolescu, Teodora O; Hollingsworth, Susan B; Murer, Krystal; Wallace, Kristina R; Ertl, William J

    2015-03-01

    Third-party payer reimbursements will likely continue to decrease. Therefore, it is imperative for operating rooms (ORs), often a hospital's largest revenue source, to improve efficiency. We report the outcome after 3 years of a lean, Six Sigma program to improve OR utilization. In January 2011, our hospital system instituted a facility-wide approach to address the problem of OR efficiency. Interprofessional teams were formed to examine all aspects of OR use. An OR Governance Committee consisting of Department Chairs, nursing and senior administration oversaw the project. Outpatients' readiness on time for surgery increased from 59% to 95%, while first case on-time starts improved from 32% to 73%. Block utilization went from 68% to 74% and actual room utilization improved from 56% to 68%. The number of cases increased by 9%. Overtime went from 7% of total to 4%, so personnel costs decreased 14% despite 26% more employees. There was a reduction in annual voluntary OR staff turnover from 28% to 11%. Revenues increased more than 10% annually. A concerted effort to optimize OR performance resulted in marked improvements in access, overall case efficiency, staff satisfaction, and financial performance. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. Utilization of operating room time in a cancer hospital

    Directory of Open Access Journals (Sweden)

    P Ranganathan

    2013-01-01

    Full Text Available Background: Appropriate usage of operating room (OR time can improve efficiency of utilization of resources and help to decrease surgical waiting lists. Aims: This study was conducted to evaluate the pattern of usage of OR time in a tertiary referral cancer hospital. Setting and Design: This was a prospective audit carried out over 2 months in 11 major ORs in a cancer hospital. Materials and Methods: OR anesthesiologists filled a standard form for all patients undergoing elective surgery and documented the following times: entry into OR, start of anesthesia, handover to surgeon, incision, start of reversal, end of anesthesia, and shifting out of patient. Statistical Analysis: Median time utilized for various OR processes was calculated. Results: An average of two surgeries were performed per OR session (828 surgeries in 407 OR sessions. Anesthesia and surgery-related processes contributed to 17% and 79%, respectively, of total OR time, with turnover time between cases accounting for the remaining 4%. Fifteen percent (60 out of 407 OR sessions started more than 10 min later than the planned start time, and 17% (70 of 407 of OR sessions ended more than 2 h after the scheduled finish time. An anesthesia procedure room was utilized in only 15% of cases where it could potentially have been used. Conclusion: This audit identified patterns of OR usage in a cancer hospital and helped to detect areas of inefficient utilization. Anesthesia-related processes contributed to 17% of the total OR time.

  18. Increasing operating room efficiency through electronic medical record analysis.

    Science.gov (United States)

    Attaallah, A F; Elzamzamy, O M; Phelps, A L; Ranganthan, P; Vallejo, M C

    2016-05-01

    We used electronic medical record (EMR) analysis to determine errors in operating room (OR) time utilisation. Over a two year period EMR data of 44,503 surgical procedures was analysed for OR duration, on-time, first case, and add-on time performance, within 19 surgical specialties. Maximal OR time utilisation at our institution could have saved over 302,620 min or 5,044 hours of OR efficiency over a two year period. Most specialties (78.95%) had inaccurately scheduled procedure times and therefore used the OR more than their scheduled allotment time. Significant differences occurred between the mean scheduled surgical durations (101.38 ± 87.11 min) and actual durations (108.18 ± 102.27 min; P efficiency and increase OR time utilisation.

  19. Music in the operating room: is it a safety hazard?

    Science.gov (United States)

    Shambo, Lyda; Umadhay, Tony; Pedoto, Alessia

    2015-02-01

    Noise is a health hazard and a source of stress, and it impairs concentration and communication. Since 1960, hospital noise levels have risen around the world. Nowhere in the healthcare setting is noise more prevalent than in the operating room (OR). The genetic makeup of humans does not evolve at the rate of technology. Noise exposure, sensory overload, and the capacity to adapt without physical and psychological consequences are absent from the human condition. The World Health Organization has recognized environmental noise as harmful pollution that causesadverse effects on health. Although noise in the OR is unavoidable, music is a choice. The purpose of this literature review is to provide further insight into the ramifications of the presence of music in the OR, evaluate its appropriateness in relation to care and safety for the patient and staff, and provide information for future research.

  20. Ergonomic evaluation model of operational room based on team performance

    Directory of Open Access Journals (Sweden)

    YANG Zhiyi

    2017-05-01

    Full Text Available A theoretical calculation model based on the ergonomic evaluation of team performance was proposed in order to carry out the ergonomic evaluation of the layout design schemes of the action station in a multitasking operational room. This model was constructed in order to calculate and compare the theoretical value of team performance in multiple layout schemes by considering such substantial influential factors as frequency of communication, distance, angle, importance, human cognitive characteristics and so on. An experiment was finally conducted to verify the proposed model under the criteria of completion time and accuracy rating. As illustrated by the experiment results,the proposed approach is conductive to the prediction and ergonomic evaluation of the layout design schemes of the action station during early design stages,and provides a new theoretical method for the ergonomic evaluation,selection and optimization design of layout design schemes.

  1. Exploring how surgeon teachers motivate residents in the operating room.

    Science.gov (United States)

    Dath, Deepak; Hoogenes, Jen; Matsumoto, Edward D; Szalay, David A

    2013-02-01

    Motivation in teaching, mainly studied in disciplines outside of surgery, may also be an important part of intraoperative teaching. We explored techniques surgeons use to motivate learners in the operating room (OR). Forty-four experienced surgeon teachers from multiple specialties participated in 9 focus groups about teaching in the OR. Focus groups were transcribed and subjected to qualitative thematic analysis by 3 reviewers through an iterative, rigorous process. Analysis revealed 8 motivational techniques. Surgeons used motivation techniques tacitly, describing multiple ways that they facilitate resident motivation while teaching. Two major categories of motivational techniques emerged: (1) the facilitation of intrinsic motivation; and (2) the provision of factors to stimulate extrinsic motivation. Surgeons unknowingly but tacitly and commonly use motivation in intraoperative teaching and use a variety of techniques to foster learners' intrinsic and extrinsic motivation. Motivating learners is 1 vital role that surgeon teachers play in nontechnical intraoperative teaching. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Outcome of impact disruption of iron meteorites at room temperature

    Science.gov (United States)

    Katsura, T.; Nakamura, A.; Takabe, A.; Okamoto, T.; Sangen, K.; Hasegawa, S.; Liu, X.; Mashimo, T.

    2014-07-01

    The iron meteorites and some M-class asteroids are generally understood to originate in the cores of differentiated planetesimals or in the local melt pools of primitive bodies. On these primitive bodies and planetesimals, a wide range of collisional events at different mass scales, temperatures, and impact velocities would have occurred. Iron materials have a brittle-ductile transition at a certain temperature, which depends on metallurgical factors such as grain size and purity, and on conditions such as strain-rate and confining pressure [1]. An evolutional scenario of iron meteorite parent bodies was proposed in which they formed in the terrestrial planet region, after which they were scattered into the main belt by collisions, Yarkovsky thermal forces, and resonances [2]. In this case, they may have experienced collisional evolution in the vicinity of the Earth before they were scattered into the main belt. The size distribution of iron bodies in the main belt may therefore have depended on the disruption threshold of iron bodies at temperature above the brittle-ductile transition. This paper presents the results of impact-disruption experiments of iron meteorite and steel specimens mm-cm in size as projectiles or targets conducted at room temperature using three light-gas guns and one powder gun. Our iron specimens were almost all smaller in size than their counterparts (as targets or projectiles, respectively). The fragment size distribution of iron material was different from that of rocks. In iron fragmentation, a higher percentage of the mass is concentrated in larger fragments, i.e., the mass fraction of fine fragments is much less than that of rocks shown in the Figure (left). This is probably due to the ductile nature of the iron materials at room temperature. Furthermore, the Figure (right) shows that the largest fragment mass fraction f is dependent not only on the energy density but also on the size of the specimens. In order to obtain a generalized

  3. Status quo and current trends of operating room management in Germany.

    Science.gov (United States)

    Baumgart, André; Schüpfer, Guido; Welker, Andreas; Bender, Hans-Joachim; Schleppers, Alexander

    2010-04-01

    Ongoing healthcare reforms in Germany have required strenuous efforts to adapt hospital and operating room organizations to the needs of patients, new technological developments, and social and economic demands. This review addresses the major developments in German operating room management research and current practice. The introduction of the diagnosis-related group system in 2003 has changed the incentive structure of German hospitals to redesign their operating room units. The role of operating room managers has been gradually changing in hospitals in response to the change in the reimbursement system. Operating room managers are today specifically qualified and increasingly externally hired staff. They are more and more empowered with authority to plan and control operating rooms as profit centers. For measuring performance, common perioperative performance indicators are still scarcely implemented in German hospitals. In 2008, a concerted time glossary was established to enable consistent monitoring of operating room performance with generally accepted process indicators. These key performance indicators are a consistent way to make a procedure or case - and also the effectiveness of the operating room management - more transparent. In the presence of increasing financial pressure, a hospital's executives need to empower an independent operating room management function to achieve the hospital's economic goals. Operating room managers need to adopt evidence-based methods also from other scientific fields, for example management science and information technology, to further sustain operating room performance.

  4. Near room temperature ferromagnetism of copper phthalocyanine thin films

    Science.gov (United States)

    Wang, XueYan; Zheng, JianBang; Chen, Lei; Qiao, Kai; Xu, JiaWei; Cao, ChongDe

    2015-11-01

    We reported near room temperature ferromagnetism of α-CuPc films without and with light Ni-doping. Two samples were characterized by X-ray photoelectron spectroscopy (XPS) to confirm the absence of other ferromagnetic impurities. The α-CuPc film exhibited ferromagnetic hysteresis with saturation magnetization of ∼6.77 emu/cm3 and coercivity of ∼96 Oe at 280 K, while that of the Ni-doped α-CuPc film are ∼0.69 emu/cm3 and ∼113 Oe, respectively. Through the density functional theory (DFT) calculations, the origin of the ferromagnetism arise from Cu 3d states and N 2s2p electronic spin polarization, as well as p-d exchange coupling interactions, and spin-unbalanced electronic structure of C 2p induced by the π-π interactions.

  5. Gas sensing properties of nanocrystalline diamond at room temperature

    Directory of Open Access Journals (Sweden)

    Marina Davydova

    2014-12-01

    Full Text Available This study describes an integrated NH3 sensor based on a hydrogenated nanocrystalline diamond (NCD-sensitive layer coated on an interdigitated electrode structure. The gas sensing properties of the sensor structure were examined using a reducing gas (NH3 at room temperature and were found to be dependent on the electrode arrangement. A pronounced response of the sensor, which was comprised of dense electrode arrays (of 50 µm separation distance, was observed. The sensor functionality was explained by the surface transfer doping effect. Moreover, the three-dimensional model of the current density distribution of the hydrogenated NCD describes the transient flow of electrons between interdigitated electrodes and the hydrogenated NCD surface, that is, the formation of a closed current loop.

  6. Controlled synthesis of pentagonal gold nanotubes at room temperature

    Science.gov (United States)

    Bi, Yingpu; Lu, Gongxuan

    2008-07-01

    Large quantities of pentagonal gold nanotubes have been synthesized by reducing chloroauric acid with silver nanowires in an aqueous solution of hexadecyltrimethylammonium bromide (CTAB) at room temperature. These gold nanotubes possess perfect structures, smooth surfaces, highly crystalline walls, and similar cross-sections to that of the silver template. In this process, the CTAB participation was found to be crucial for shape-controlled synthesis of pentagonal gold nanotubes. In the absence of CTAB, loose and hollow gold structures were routinely generated, while bundled gold nanotubes with rough surfaces were obtained by replacing the CTAB with poly(vinyl pyrrolidone) (PVP). The possible formation mechanism of pentagonal gold nanotubes has also been discussed on the basis of various growth stages studied by field-emission scanning electron microscopy (FE-SEM) images. In addition, the catalytic properties of these hollow nanostructures for hydrogen generation reaction from HCHO solution have also been investigated. They showed higher activity than that of spherical gold nanoparticles.

  7. Room temperature chemical oxidation of delafossite-type oxides

    Energy Technology Data Exchange (ETDEWEB)

    Trari, M.; Toepfer, J.; Doumerc, J.P.; Pouchard, M.; Hagenmuller, P. (Laboratoire de Chimie du Solide du CNRS, Talence (France)); Ammar, A. (Universite Cadi Ayyad, Marrakech (Morocco))

    1994-07-01

    Examination of the delafossite-type structure of CuLaO[sub 2] and CuYO[sub 2] suggests that there is room enough to accommodate intercalated oxide ions and the charge compensation resulting simply from the oxidation of an equivalent amount of Cu[sup +] into Cu[sup 2+]. Reaction with hypohalites in an aqueous solution leads to color change. Evidence of the formation of Cu[sup 2+] is given by TGA, iodometric titration, and magnetic (static and EPR) measurements. The obtained La and Y compounds seem to behave in a different way: Whereas CuLaO[sub 2+x] appears as a single phase, CuYO[sub 2+x] corresponds to a two-phase mixture, with respectively low and high x values, the latter being isostructural with the thermally oxidized compound recently reported. Comparison is stressed between the oxides obtained at higher temperatures.

  8. Room temperature luminescence and ferromagnetism of AlN:Fe

    Directory of Open Access Journals (Sweden)

    H. Li

    2016-06-01

    Full Text Available AlN:Fe polycrystalline powders were synthesized by a modified solid state reaction (MSSR method. Powder X-ray diffraction and transmission electron microscopy results reveal the single phase nature of the doped samples. In the doped AlN samples, Fe is in Fe2+ state. Room temperature ferromagnetic behavior is observed in AlN:Fe samples. Two photoluminescence peaks located at about 592 nm (2.09 eV and 598 nm (2.07 eV are observed in AlN:Fe samples. Our results suggest that AlN:Fe is a potential material for applications in spintronics and high power laser devices.

  9. Surgeons' Leadership Styles and Team Behavior in the Operating Room.

    Science.gov (United States)

    Hu, Yue-Yung; Parker, Sarah Henrickson; Lipsitz, Stuart R; Arriaga, Alexander F; Peyre, Sarah E; Corso, Katherine A; Roth, Emilie M; Yule, Steven J; Greenberg, Caprice C

    2016-01-01

    The importance of leadership is recognized in surgery, but the specific impact of leadership style on team behavior is not well understood. In other industries, leadership is a well-characterized construct. One dominant theory proposes that transactional (task-focused) leaders achieve minimum standards and transformational (team-oriented) leaders inspire performance beyond expectations. We videorecorded 5 surgeons performing complex operations. Each surgeon was scored on the Multifactor Leadership Questionnaire, a validated method for scoring transformational and transactional leadership style, by an organizational psychologist and a surgeon researcher. Independent coders assessed surgeons' leadership behaviors according to the Surgical Leadership Inventory and team behaviors (information sharing, cooperative, and voice behaviors). All coders were blinded. Leadership style (Multifactor Leadership Questionnaire) was correlated with surgeon behavior (Surgical Leadership Inventory) and team behavior using Poisson regression, controlling for time and the total number of behaviors, respectively. All surgeons scored similarly on transactional leadership (range 2.38 to 2.69), but varied more widely on transformational leadership (range 1.98 to 3.60). Each 1-point increase in transformational score corresponded to 3 times more information-sharing behaviors (p leadership and its impact on team performance in the operating room. As in other fields, our data suggest that transformational leadership is associated with improved team behavior. Surgeon leadership development, therefore, has the potential to improve the efficiency and safety of operative care. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  10. Skyrmion flow near room temperature in an ultralow current density.

    Science.gov (United States)

    Yu, X Z; Kanazawa, N; Zhang, W Z; Nagai, T; Hara, T; Kimoto, K; Matsui, Y; Onose, Y; Tokura, Y

    2012-01-01

    The manipulation of spin textures with electric currents is an important challenge in the field of spintronics. Many attempts have been made to electrically drive magnetic domain walls in ferromagnets, yet the necessary current density remains quite high (~10(7) A cm(-2)). A recent neutron study combining Hall effect measurements has shown that an ultralow current density of J~10(2) A cm(-2) can trigger the rotational and translational motion of the skyrmion lattice in MnSi, a helimagnet, within a narrow temperature range. Raising the temperature range in which skyrmions are stable and reducing the current required to drive them are therefore desirable objectives. Here we demonstrate near-room-temperature motion of skyrmions driven by electrical currents in a microdevice composed of the helimagnet FeGe, by using in-situ Lorentz transmission electron microscopy. The rotational and translational motions of skyrmion crystal begin under critical current densities far below 100 A cm(-2).

  11. “A Long March to Room Temperature Superconductivity”

    CERN Multimedia

    CERN. Geneva

    2015-01-01

    In the last 29 years, great progress has been made in all areas of high temperature superconductivity (HTS) research from raising the transition temperature Tc and discovering new HTS compounds to developing theoretical models of HTS and fabricating and testing HTS prototype devices. For example, the Tc has been increased to 164 K in cuprate HgBa2Ca2Cu3Ox under 30 GPa in 1993 at Houston, more than 200 HTS compounds have been found, numerous theoretical models have been developed, and many HTS prototype devices have been tested to display superior performance to that of their non-superconducting counterparts. The strong electron-phonon interaction required for the high Tc observed has been considered to be able to induce catastrophic structure collapse before high Tc can be realized, and a novel magnetism-based interaction in different forms has thus been proposed for high Tc. However, room temperature superconductivity is still elusive and a comprehensive microscopic theory of HTS remains to be achieved. The...

  12. Reduced graphene oxide for room-temperature gas sensors

    Energy Technology Data Exchange (ETDEWEB)

    Lu Ganhua; Chen Junhong [Department of Mechanical Engineering, University of Wisconsin-Milwaukee, Milwaukee, WI 53211 (United States); Ocola, Leonidas E, E-mail: jhchen@uwm.ed [Center for Nanoscale Materials, Argonne National Laboratory, Argonne, IL 60439 (United States)

    2009-11-04

    We demonstrated high-performance gas sensors based on graphene oxide (GO) sheets partially reduced via low-temperature thermal treatments. Hydrophilic graphene oxide sheets uniformly suspended in water were first dispersed onto gold interdigitated electrodes. The partial reduction of the GO sheets was then achieved through low-temperature, multi-step annealing (100, 200, and 300 {sup 0}C) or one-step heating (200 {sup 0}C) of the device in argon flow at atmospheric pressure. The electrical conductance of GO was measured after each heating cycle to interpret the level of reduction. The thermally-reduced GO showed p-type semiconducting behavior in ambient conditions and was responsive to low-concentration NO{sub 2} and NH{sub 3} gases diluted in air at room temperature. The sensitivity can be attributed mainly to the electron transfer between the reduced GO and adsorbed gaseous molecules (NO{sub 2}/NH{sub 3}). Additionally, the contact between GO and the Au electrode is likely to contribute to the overall sensing response because of the adsorbates-induced Schottky barrier variation. A simplified model is used to explain the experimental observations.

  13. Reduced graphene oxide for room-temperature gas sensors.

    Science.gov (United States)

    Lu, Ganhua; Ocola, Leonidas E; Chen, Junhong

    2009-11-04

    We demonstrated high-performance gas sensors based on graphene oxide (GO) sheets partially reduced via low-temperature thermal treatments. Hydrophilic graphene oxide sheets uniformly suspended in water were first dispersed onto gold interdigitated electrodes. The partial reduction of the GO sheets was then achieved through low-temperature, multi-step annealing (100, 200, and 300 degrees C) or one-step heating (200 degrees C) of the device in argon flow at atmospheric pressure. The electrical conductance of GO was measured after each heating cycle to interpret the level of reduction. The thermally-reduced GO showed p-type semiconducting behavior in ambient conditions and was responsive to low-concentration NO2 and NH3 gases diluted in air at room temperature. The sensitivity can be attributed mainly to the electron transfer between the reduced GO and adsorbed gaseous molecules (NO2/NH3). Additionally, the contact between GO and the Au electrode is likely to contribute to the overall sensing response because of the adsorbates-induced Schottky barrier variation. A simplified model is used to explain the experimental observations.

  14. Reduced graphene oxide for room-temperature gas sensors

    Science.gov (United States)

    Lu, Ganhua; Ocola, Leonidas E.; Chen, Junhong

    2009-11-01

    We demonstrated high-performance gas sensors based on graphene oxide (GO) sheets partially reduced via low-temperature thermal treatments. Hydrophilic graphene oxide sheets uniformly suspended in water were first dispersed onto gold interdigitated electrodes. The partial reduction of the GO sheets was then achieved through low-temperature, multi-step annealing (100, 200, and 300 °C) or one-step heating (200 °C) of the device in argon flow at atmospheric pressure. The electrical conductance of GO was measured after each heating cycle to interpret the level of reduction. The thermally-reduced GO showed p-type semiconducting behavior in ambient conditions and was responsive to low-concentration NO2 and NH3 gases diluted in air at room temperature. The sensitivity can be attributed mainly to the electron transfer between the reduced GO and adsorbed gaseous molecules (NO2/NH3). Additionally, the contact between GO and the Au electrode is likely to contribute to the overall sensing response because of the adsorbates-induced Schottky barrier variation. A simplified model is used to explain the experimental observations.

  15. Extraction of organic compounds with room temperature ionic liquids.

    Science.gov (United States)

    Poole, Colin F; Poole, Salwa K

    2010-04-16

    Room temperature ionic liquids are novel solvents with a rather specific blend of physical and solution properties that makes them of interest for applications in separation science. They are good solvents for a wide range of compounds in which they behave as polar solvents. Their physical properties of note that distinguish them from conventional organic solvents are a negligible vapor pressure, high thermal stability, and relatively high viscosity. They can form biphasic systems with water or low polarity organic solvents and gases suitable for use in liquid-liquid and gas-liquid partition systems. An analysis of partition coefficients for varied compounds in these systems allows characterization of solvent selectivity using the solvation parameter model, which together with spectroscopic studies of solvent effects on probe substances, results in a detailed picture of solvent behavior. These studies indicate that the solution properties of ionic liquids are similar to those of polar organic solvents. Practical applications of ionic liquids in sample preparation include extractive distillation, aqueous biphasic systems, liquid-liquid extraction, liquid-phase microextraction, supported liquid membrane extraction, matrix solvents for headspace analysis, and micellar extraction. The specific advantages and limitations of ionic liquids in these studies is discussed with a view to defining future uses and the need not to neglect the identification of new room temperature ionic liquids with physical and solution properties tailored to the needs of specific sample preparation techniques. The defining feature of the special nature of ionic liquids is not their solution or physical properties viewed separately but their unique combinations when taken together compared with traditional organic solvents. Copyright 2009 Elsevier B.V. All rights reserved.

  16. Room-temperature gating of molecular junctions using few-layer graphene nanogap electrodes

    Science.gov (United States)

    Barreiro, Amelia; Prins, Ferry; Ruitenberg, Justus; Seldenthuis, Johannes; Aliaga-Alcalde, Nuria; Vandersypen, Lieven; van der Zant, Herre

    2012-02-01

    We report on a new method based on feedback controlled electroburning to controllably form nanogaps in few-layer graphene [1]. The gaps have separations on the order of 1-2 nm as estimated from a Simmons model for tunneling. Furthermore, molecules are deposited in the nanogaps. These molecular junctions display gateable IV-characteristics at room temperature. Gateable transport through molecules contacted between the electrodes demonstrates the potential of room-temperature operation of our molecular devices. Combined with the observed stability in time, our study shows that few-layer graphene nanogaps are an interesting alternative to metal electrodes. [1] Ferry Prins, Amelia Barreiro, Justus Ruitenberg, Johannes Seldenthuis, N'uria Aliaga-Alcalde, Lieven Vandersypen, Herre van der Zant, Nanoletters 11 (2011) 4607 - 4611

  17. New parametric transducer for resonant detectors: advances and room temperature test

    Science.gov (United States)

    Bassan, M.; Ballantini, R.; Chincarini, A.; Gemme, G.; Iannuzzi, M.; Moleti, A.; Parodi, R. F.; Vaccarone, R.

    2008-07-01

    We are developing a prototype of cryogenic parametric converter transducer operating at 5 GHz, for the upgrade of the ROG Collaboration resonant G. W. antennas. This device is built on the experience of the Niobe detector (D. G. Blair et al.), with substantial modifications that should let us achieve better stability and sensitivity. The prototype uses as parametric converter a superconducting coaxial cavity with a 50 micron gap (Q 0 = 5 × 10 8 at 1.5K and 100μW RF power dissipation), and a contacless RF coupling for thermal insulation between the 2K stage and the ultra cryogenic (100mK) antenna. The coupler features a constant transmission loss of 0.2dB over a range of displacements of ± 5mm in x, y and z around the nominal operating position with a separation of 8mm between the two halves of the coupler. In this way the large, low frequency swings (0.5 and 17 Hz), of the 2 Tons antenna around its suspension point have no influence on the transducer performance. To test all the components of the transducer and the system performance, a room temperature prototype is installed on the TART (Test Antenna at Room Temperature) facility at the INFN labs. Using critical coupling for the RF cavity input coupler we manage to keep to a minimum the leakage of the drive signal to the first RF amplifier. In this way we avoid degradation of the RF amplifier noise figure (0.6 dB at room temperature) produced by the RF amplifier saturation Experimental results agree with the full analysis of the room temperature detector performances.

  18. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Directory of Open Access Journals (Sweden)

    Chin-Sheng Tang

    Full Text Available To prevent surgical site infection (SSI, the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH, and carbon dioxide (CO2, suspended particulate matter (PM, and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18% and traumatic surgery room (8%. The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  19. Air quality monitoring of the post-operative recovery room and locations surrounding operating theaters in a medical center in Taiwan.

    Science.gov (United States)

    Tang, Chin-Sheng; Wan, Gwo-Hwa

    2013-01-01

    To prevent surgical site infection (SSI), the airborne microbial concentration in operating theaters must be reduced. The air quality in operating theaters and nearby areas is also important to healthcare workers. Therefore, this study assessed air quality in the post-operative recovery room, locations surrounding the operating theater area, and operating theaters in a medical center. Temperature, relative humidity (RH), and carbon dioxide (CO2), suspended particulate matter (PM), and bacterial concentrations were monitored weekly over one year. Measurement results reveal clear differences in air quality in different operating theater areas. The post-operative recovery room had significantly higher CO2 and bacterial concentrations than other locations. Bacillus spp., Micrococcus spp., and Staphylococcus spp. bacteria often existed in the operating theater area. Furthermore, Acinetobacter spp. was the main pathogen in the post-operative recovery room (18%) and traumatic surgery room (8%). The mixed effect models reveal a strong correlation between number of people in a space and high CO2 concentration after adjusting for sampling locations. In conclusion, air quality in the post-operative recovery room and operating theaters warrants attention, and merits long-term surveillance to protect both surgical patients and healthcare workers.

  20. High performance hydrogen storage from Be-BTB metal-organic framework at room temperature.

    Science.gov (United States)

    Lim, Wei-Xian; Thornton, Aaron W; Hill, Anita J; Cox, Barry J; Hill, James M; Hill, Matthew R

    2013-07-09

    The metal-organic framework beryllium benzene tribenzoate (Be-BTB) has recently been reported to have one of the highest gravimetric hydrogen uptakes at room temperature. Storage at room temperature is one of the key requirements for the practical viability of hydrogen-powered vehicles. Be-BTB has an exceptional 298 K storage capacity of 2.3 wt % hydrogen. This result is surprising given that the low adsorption enthalpy of 5.5 kJ mol(-1). In this work, a combination of atomistic simulation and continuum modeling reveals that the beryllium rings contribute strongly to the hydrogen interaction with the framework. These simulations are extended with a thermodynamic energy optimization (TEO) model to compare the performance of Be-BTB to a compressed H2 tank and benchmark materials MOF-5 and MOF-177 in a MOF-based fuel cell. Our investigation shows that none of the MOF-filled tanks satisfy the United States Department of Energy (DOE) storage targets within the required operating temperatures and pressures. However, the Be-BTB tank delivers the most energy per volume and mass compared to the other material-based storage tanks. The pore size and the framework mass are shown to be contributing factors responsible for the superior room temperature hydrogen adsorption of Be-BTB.

  1. Analysis to Establish Differences in Efficiency Metrics Between Operating Room and Non-Operating Room Anesthesia Cases.

    Science.gov (United States)

    Wu, Albert; Sanford, Joseph A; Tsai, Mitchell H; O'Donnell, Stephen E; Tran, Billy K; Urman, Richard D

    2017-08-01

    While a number of studies have examined efficiency metrics in the operating rooms (ORs), there are few studies addressing non-operating room anesthesia (NORA) metrics. The standards established in the realm of OR studies may not apply to ongoing investigations of NORA efficiency. We hypothesize that there are significant differences in these commonly used metrics. Using retrospective data from a single tertiary care hospital in the 2015 calendar year, we measured turnover times, cancellation rates, first case start delays, and scheduling error (actual time minus scheduled time) for the OR and NORA settings. On average, TOTs for NORA cases were approximately 50% shorter than OR cases (16.21 min vs. 37.18 min), but had a larger variation (11.02 min vs. 8.12 min). NORA cases were 64% as likely to be cancelled compared to OR cases. In contrast, NORA cases had an average first case start delay that was two times greater than that of OR cases (24.45 min vs. 10.58 min), along with over double the standard deviation (11.97 min vs. 5.90 min). Case times for NORA settings tended to be overestimated (-4.07 min versus -2.12 min), but showed less variation (8.61 min vs. 17.92 min). In short, there are significant differences in common efficiency metrics between OR and NORA cases. Future studies should elucidate and validate appropriate efficiency benchmarks for the NORA setting.

  2. Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection.

    Science.gov (United States)

    Azzi, Alain Joe; Shah, Karan; Seely, Andrew; Villeneuve, James Patrick; Sundaresan, Sudhir R; Shamji, Farid M; Maziak, Donna E; Gilbert, Sebastien

    2016-05-01

    Health care resources are costly and should be used judiciously and efficiently. Predicting the duration of surgical procedures is key to optimizing operating room resources. Our objective was to identify factors influencing operative time, particularly surgical team turnover. We performed a single-institution, retrospective review of lobectomy operations. Univariate and multivariate analyses were performed to evaluate the impact of different factors on surgical time (skin-to-skin) and total procedure time. Staff turnover within the nursing component of the surgical team was defined as the number of instances any nurse had to leave the operating room over the total number of nurses involved in the operation. A total of 235 lobectomies were performed by 5 surgeons, most commonly for lung cancer (95%). On multivariate analysis, percent forced expiratory volume in 1 second, surgical approach, and lesion size had a significant effect on surgical time. Nursing turnover was associated with a significant increase in surgical time (53.7 minutes; 95% confidence interval, 6.4-101; P = .026) and total procedure time (83.2 minutes; 95% confidence interval, 30.1-136.2; P = .002). Active management of surgical team turnover may be an opportunity to improve operating room efficiency when the surgical team is engaged in a major pulmonary resection. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  3. Impact of changed management policies on operating room efficiency.

    Science.gov (United States)

    Sandbaek, Birgithe E; Helgheim, Berit I; Larsen, Odd I; Fasting, Sigurd

    2014-05-20

    To increase operating room (OR) efficiency, a new resource allocation strategy, a new policy for patient urgency classification, and a new system for OR booking was implemented at a tertiary referral hospital. We investigated the impact of these interventions. We carried out a before-and-after study using OR data. A total of 23,515 elective (planned) and non-elective (unplanned) orthopaedic and general surgeries were conducted during calendar year 2007 (period 1) and July 2008 to July 2009 (period 2). The Wilcoxon-Mann-Whitney test was used to calculate statistical significance. An increased amount of case time (7.1%, p operations could be planned at least 24 hours in advance. The redesign facilitated effective daytime surgery and a more selective use of the ORs for high urgency patients out of hours. The synergistic effect probably exceeded the sum of the individual effects of the changes, because the effects of each intervention facilitated the successful implementation of others.

  4. [Does ultraclean air in the operating room provide greater safety?].

    Science.gov (United States)

    van Tiel, Frank H; Buiting, Anton G; Meessen, Nico E L; Voss, Andreas; Vos, Margreet C

    2010-01-01

    The Dutch quality control plan for climatisation of the operating room (OR), which was published in 2005, describes the management and maintenance of the air conditioning system. This management plan proposes a standard for air quality in class 1 ORs. This has been adopted by the Dutch Orthopaedic Society, but not by other surgical societies. The British study which underlies the proposed norm for air quality in class 1 ORs, a study on the infection preventive effect of ultraclean air, dates from 1982 and is inadequately controlled for prophylactic use of antibiotics. Antibiotic prophylaxis in itself already reduces the number of surgical site infections.-More recent studies fail to show an infection preventive effect of ultraclean air in the OR. The Dutch Working Party for Infection Prevention (WIP) ought to take the initiative, together with the medical Scientific Societies and the Society of Infection Prevention and Control in the health care setting (VHIG), to establish enforceable norms for microbiological air quality and to set criteria as to which types of operations are allowed to be performed in which class of OR.

  5. Room temperature triplet state spectroscopy of organic semiconductors.

    Science.gov (United States)

    Reineke, Sebastian; Baldo, Marc A

    2014-01-21

    Organic light-emitting devices and solar cells are devices that create, manipulate, and convert excited states in organic semiconductors. It is crucial to characterize these excited states, or excitons, to optimize device performance in applications like displays and solar energy harvesting. This is complicated if the excited state is a triplet because the electronic transition is 'dark' with a vanishing oscillator strength. As a consequence, triplet state spectroscopy must usually be performed at cryogenic temperatures to reduce competition from non-radiative rates. Here, we control non-radiative rates by engineering a solid-state host matrix containing the target molecule, allowing the observation of phosphorescence at room temperature and alleviating constraints of cryogenic experiments. We test these techniques on a wide range of materials with functionalities spanning multi-exciton generation (singlet exciton fission), organic light emitting device host materials, and thermally activated delayed fluorescence type emitters. Control of non-radiative modes in the matrix surrounding a target molecule may also have broader applications in light-emitting and photovoltaic devices.

  6. Room Temperature Dynamic Strain Aging in Ultrafine-Grained Titanium

    Science.gov (United States)

    Lopes, Felipe Perissé D.; Lu, Chia Hui; Zhao, Shiteng; Monteiro, Sergio N.; Meyers, Marc A.

    2015-10-01

    Dynamic strain aging (DSA) in coarse-grained (CG) titanium is usually observed at intermediate to high temperatures 473 K to 973 K (200 °C to 700 °C) and is characterized by serrations in the stress vs strain curves. In the present work, despite the absence of apparent serrations, ultrafine-grained titanium (UFG Ti) undergoes DSA at room temperature, exhibited through an abnormal increase in the elastic limit and negative strain rate sensitivity. This effect is observed at 293 K (20 °C) in the strain rate interval of 10-4 to 10-2 s-1, and at 203 K (-70 °C) and 373 K (100 °C) in a distinct strain rate range. Based on a calculated activation energy of 17.3 kJ/mol and microstructural observations by transmission electron microscopy, it is proposed that the dominant mechanism for DSA in UFG Ti involves interstitial solutes interacting with dislocations emitted from grain boundaries. The interstitials migrate from the grain boundaries along dislocation lines bowing out as they are emitted from the boundaries, a mechanism with a low calculated activation energy which is comparable with the experimental measurements. The dislocation velocities and interstitial diffusion along the dislocation cores are consistent.

  7. Engineering Room-temperature Superconductors Via ab-initio Calculations

    Science.gov (United States)

    Gulian, Mamikon; Melkonyan, Gurgen; Gulian, Armen

    The BCS, or bosonic model of superconductivity, as Little and Ginzburg have first argued, can bring in superconductivity at room temperatures in the case of high-enough frequency of bosonic mode. It was further elucidated by Kirzhnitset al., that the condition for existence of high-temperature superconductivity is closely related to negative values of the real part of the dielectric function at finite values of the reciprocal lattice vectors. In view of these findings, the task is to calculate the dielectric function for real materials. Then the poles of this function will indicate the existence of bosonic excitations which can serve as a "glue" for Cooper pairing, and if the frequency is high enough, and the dielectric matrix is simultaneously negative, this material is a good candidate for very high-Tc superconductivity. Thus, our approach is to elaborate a methodology of ab-initio calculation of the dielectric function of various materials, and then point out appropriate candidates. We used the powerful codes (TDDF with the DP package in conjunction with ABINIT) for computing dielectric responses at finite values of the wave vectors in the reciprocal lattice space. Though our report is concerned with the particular problem of superconductivity, the application range of the data processing methodology is much wider. The ability to compute the dielectric function of existing and still non-existing (though being predicted!) materials will have many more repercussions not only in fundamental sciences but also in technology and industry.

  8. Evaluation of potential distractors in the urology operating room.

    Science.gov (United States)

    Lee, Jason Y; Lantz, Andrea G; McDougall, Elspeth M; Landman, Jaime; Gettman, Matthew; Sweet, Robert; Sundaram, Chandru P; Zorn, Kevin C

    2013-09-01

    Surgical outcomes depend on patient and disease-related factors, as well as the technical skill of the surgeon. Various distractions in the operating room (OR) environment have been shown to negatively impact a surgeon's performance. A survey was conducted with the objective to evaluate and characterize distractions during urologic surgery. An Internet-based survey was distributed to 2057 international urologists via email between April and October 2011; questions focused on a variety of disruptive factors postulated to have a negative impact on surgical performance. Of the 523 (25%) respondents, 58% practiced in North America, 42% were from an academic institution, and 68% had completed a clinical fellowship. In an average year, 83% reported having operated at least once while sleep deprived, 84% when significantly ill, 55% with a musculoskeletal injury, and 65% under significant social stress. Up to 38% reported that on at least one occasion, such "internal distractions" had significantly affected surgical performance and 14% perceived that at least one surgical complication was caused mainly by an internal distraction. Less than 50% had ever cancelled surgery because of an internal distraction. Music was routinely played in the OR by 57% of respondents, >67% reported answering pages and discussing consults while operating, and 25% reported "commonly" working with scrub nurses/techs that were unfamiliar with the procedure and/or instruments. Only 44% had consistent individual(s) assisting, and 27% reported that the scrub nurse/tech would "commonly" scrub out during a critical portion of the procedure. Overall, 14.5% reported that at least one complication had occurred mainly because of such "external" or "interactive" distractions. Urologists face various distractions in the OR that can negatively impact surgical performance, potentially compromising patient outcomes and safety. Further studies are needed to elucidate the true impact of such distractions and to

  9. Operating room waste: disposable supply utilization in neurointerventional procedures.

    Science.gov (United States)

    Rigante, Luigi; Moudrous, Walid; de Vries, Joost; Grotenhuis, André J; Boogaarts, Hieronymus D

    2017-12-01

    Operating rooms account for 70% of hospital waste, increasing healthcare costs and creating environmental hazards. Endovascular treatment of cerebrovascular pathologies has become prominent, and associated products highly impact the total cost of care. We investigated the costs of endovascular surgical waste at our institution. Data from 53 consecutive endovascular procedures at the Radboud UMC Nijmegen from May to December 2016 were collected. "Unused disposable supply" was defined as one-time use items opened but not used during the procedure. Two observers cataloged the unused disposable supply for each case. The cost of each item was determined from the center supply catalog, and these costs were summed to determine the total cost of unused supply per case. Thirteen diagnostic cerebral digital subtraction angiographies (DSA) (24.5%) and 40 endovascular procedures (75.5%) were analyzed. Total interventional waste was 27,299.53 € (mean 515.09 € per procedure). While total costs of unused disposable supply were almost irrelevant for DSAs, they were consistent for interventional procedures (mean 676.49 € per case). Aneurysm standard coiling had the highest impact on total interventional waste (mean 1061.55 €). Disposable interventional products had a very high impact on the surgical waste costs in the series of the neurointerventional procedures (95% of total waste). This study shows the impact of neurointerventional waste on the total care costs for cerebrovascular patients. This might reflect the tendency to anticipate needs and emergencies in neurointervention. Responsible use of disposable material can be achieved by educating operators and nurses and creating operator preference cards.

  10. Improving operating room first start efficiency - value of both checklist and a pre-operative facilitator.

    Science.gov (United States)

    Panni, M K; Shah, S J; Chavarro, C; Rawl, M; Wojnarwsky, P K; Panni, J K

    2013-10-01

    There are multiple components leading to improved operating room efficiency. We undertook a project focusing on first case starts; accounting for each delay component on a global basis. Our hypothesis was there would be a reduction in first start delays after we implemented strategies to address the issues identified through this accounting process. An orange sheet checklist was implemented, with specific items that needed to be clear prior to roll back to the operating room (OR), and an OR facilitator was employed to intervene whenever there were any missing items needed for a specific patient. We present the data from this quality improvement project over an 18-month period. Initially, 10.07 (± 0.73) delayed first starts occurred per day but declined steadily over time to a low of 4.95 (± 0.38) per day after 6 months (-49.2 %, P operating room environment based on our patient population, multiple trainees in both the surgery and anaesthesiology teams: an orange sheet - pre-operative checklist in addition to a dedicated pre-operative facilitator; allowed us to make a substantial improvement in our first start on time starts. © 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  11. Association Between Surgeon Scorecard Use and Operating Room Costs.

    Science.gov (United States)

    Zygourakis, Corinna C; Valencia, Victoria; Moriates, Christopher; Boscardin, Christy K; Catschegn, Sereina; Rajkomar, Alvin; Bozic, Kevin J; Soo Hoo, Kent; Goldberg, Andrew N; Pitts, Lawrence; Lawton, Michael T; Dudley, R Adams; Gonzales, Ralph

    2017-03-01

    Despite the significant contribution of surgical spending to health care costs, most surgeons are unaware of their operating room costs. To examine the association between providing surgeons with individualized cost feedback and surgical supply costs in the operating room. The OR Surgical Cost Reduction (OR SCORE) project was a single-health system, multihospital, multidepartmental prospective controlled study in an urban academic setting. Intervention participants were attending surgeons in orthopedic surgery, otolaryngology-head and neck surgery, and neurological surgery (n = 63). Control participants were attending surgeons in cardiothoracic surgery, general surgery, vascular surgery, pediatric surgery, obstetrics/gynecology, ophthalmology, and urology (n = 186). From January 1 to December 31, 2015, each surgeon in the intervention group received standardized monthly scorecards showing the median surgical supply direct cost for each procedure type performed in the prior month compared with the surgeon's baseline (July 1, 2012, to November 30, 2014) and compared with all surgeons at the institution performing the same procedure at baseline. All surgical departments were eligible for a financial incentive if they met a 5% cost reduction goal. The primary outcome was each group's median surgical supply cost per case. Secondary outcome measures included total departmental surgical supply costs, case mix index-adjusted median surgical supply costs, patient outcomes (30-day readmission, 30-day mortality, and discharge status), and surgeon responses to a postintervention study-specific health care value survey. The median surgical supply direct costs per case decreased 6.54% in the intervention group, from $1398 (interquartile range [IQR], $316-$5181) (10 637 cases) in 2014 to $1307 (IQR, $319-$5037) (11 820 cases) in 2015. In contrast, the median surgical supply direct cost increased 7.42% in the control group, from $712 (IQR, $202-$1602) (16 441 cases

  12. Psychological and Physical Stress in Surgeons Operating in a Standard or Modern Operating Room

    DEFF Research Database (Denmark)

    Klein, M.; Andersen, L.P.H.; Alamili, M.

    2010-01-01

    Purpose: There have been no studies examining the effect of optimized ergonomic and technical environment on the psychological and physiological stress of the surgeon. The aim of this study was to examine whether optimized ergonomics and technical aids within a modern operating room (OR) affect...... psychological and physiological stress in experienced laparoscopic surgeons. Methods: This was a prospective case-controlled study including 10 experienced surgeons. Surgery was performed in 2 different ORs: a standard room and a modern room (OR1-suite, Karl Storz). The surgeons filled out questionnaires...... concerning physical and psychological wellbeing before and after surgery and had their heart rate variability registered during surgery. Results: Preoperative to postoperative physical strain and pain measurements revealed a systematical difference with 14 of 15 parameters favoring the modern OR. Two...

  13. Wearing lead aprons in surgical operating rooms: ergonomic injuries evidenced by infrared thermography.

    Science.gov (United States)

    Alexandre, Dominique; Prieto, Marc; Beaumont, Fabien; Taiar, Redha; Polidori, Guillaume

    2017-03-01

    The purpose of this study is to quantify the impact of the weight of radiation protection lead aprons on the discomfort and the fatigue of the medical staff within an operating room of interventional gastroenterology. To quantify this fatigue, we analyzed variations of the physiological parameters, including heart rate, blood pressure, and cutaneous temperature; we compared two situations: the first within the classic endoscopy department (without apron) and the second within the operating room with apron. A follow-up study with lighter lead aprons was also conducted. We used infrared thermography as the principal method of analysis in our study. This technique permits us to obtain data, without body contact, of the spatial and temporal orientation of temperatures on subject skin. This method proves to be beneficial in the evaluation of the posture of users. The symmetry of the temperature evolution among the different body zones can contribute to the body balance analysis. Our results of the cutaneous temperatures obtained by infrared camera show significant differences in the muscular activity. All the muscular groups studied were revealed significant temperature increases. The temperature curve T2-T1 reveals the actual influence of carrying heavy apron loads. Regardless of the muscular group, this temperature increase varies on the range between 0.55°C and 0.95°C. The muscular groups most recruited are the trapezoids and pectorals. The muscles least recruited are those of the lower limbs. The study shows the impact of load bearing on the body mechanics of medical staff during work. It will be beneficial to develop this study to predict changes in skin temperature because of the various types of aprons and to determine the possible correlation between the thermal distribution and users' sense of comfort. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Room Temperature Gas Sensing of Two-Dimensional Titanium Carbide (MXene).

    Science.gov (United States)

    Lee, Eunji; VahidMohammadi, Armin; Prorok, Barton C; Yoon, Young Soo; Beidaghi, Majid; Kim, Dong-Joo

    2017-10-11

    Wearable gas sensors have received lots of attention for diagnostic and monitoring applications, and two-dimensional (2D) materials can provide a promising platform for fabricating gas sensors that can operate at room temperature. In the present study, the room temperature gas-sensing performance of Ti3C2Tx nanosheets was investigated. 2D Ti3C2Tx (MXene) sheets were synthesized by removal of Al atoms from Ti3AlC2 (MAX phases) and were integrated on flexible polyimide platforms with a simple solution casting method. The Ti3C2Tx sensors successfully measured ethanol, methanol, acetone, and ammonia gas at room temperature and showed a p-type sensing behavior. The fabricated sensors showed their highest and lowest response toward ammonia and acetone gas, respectively. The limit of detection of acetone gas was theoretically calculated to be about 9.27 ppm, presenting better performance compared to other 2D material-based sensors. The sensing mechanism was proposed in terms of the interactions between the majority charge carriers of Ti3C2Tx and gas species.

  15. UV-assisted room-temperature chemiresistive NO2 sensor based on TiO2 thin film.

    Science.gov (United States)

    Xie, Ting; Sullivan, Nichole; Steffens, Kristen; Wen, Baomei; Liu, Guannan; Debnath, Ratan; Davydov, Albert; Gomez, Romel; Motayed, Abhishek

    TiO2 thin film based, chemiresistive sensors for NO2 gas which operate at room temperature under ultraviolet (UV) illumination have been demonstrated in this work. The rf-sputter deposited and post-annealed TiO2 thin films have been characterized by atomic force microscopy, X-ray photoelectron spectroscopy, and X-ray diffraction to obtain surface morphology, chemical state, and crystal structure, respectively. UV-vis absorption spectroscopy and Tauc plots show the optical properties of the TiO2 films. Under UV illumination, the NO2 sensing performance of the TiO2 films shows a reversible change in resistance at room-temperature. The observed change in electrical resistivity can be explained by the modulation of surface-adsorbed oxygen. This work is the first demonstration of a facile TiO2 sensor for NO2 analyte that operates at room-temperature under UV illumination.

  16. Robotic digital subtraction angiography systems within the hybrid operating room.

    Science.gov (United States)

    Murayama, Yuichi; Irie, Koreaki; Saguchi, Takayuki; Ishibashi, Toshihiro; Ebara, Masaki; Nagashima, Hiroyasu; Isoshima, Akira; Arakawa, Hideki; Takao, Hiroyuki; Ohashi, Hiroki; Joki, Tatsuhiro; Kato, Masataka; Tani, Satoshi; Ikeuchi, Satoshi; Abe, Toshiaki

    2011-05-01

    Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery. To describe initial clinical experience with a robotic DSA system in the hybrid OR. A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation. Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement. This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.

  17. Early endocrine attending surgeon presence increases operating room efficiency.

    Science.gov (United States)

    Clark, Audra; Dackiw, Alan P; White, Wendy D; Nwariaku, Fiemu E; Holt, Shelby A; Rabaglia, Jennifer L; Oltmann, Sarah C

    2016-10-01

    Preincision operating room (OR) preparation varies greatly. Cases requiring exacting preoperative setup may be more sensitive to inconsistent team members and trainees. Leadership and oversight by the surgeon may facilitate a timely start. The study hypothesized that early attending presence in the OR expedites surgery start time, improving efficiency, and decreasing cost. Prospective data collection of endocrine surgery cases at an urban teaching hospital was performed. Time points recorded in minutes. Cost/min of OR time was $54. Patients classified as in the OR ≤10 min before attending arrival or >10 min before attending arrival. A total of 227 cases (166 thyroid, 54 parathyroid, 10 adrenal) were performed over 14 mo. Of the patients, 128 were in the OR ≤10 min before attending arrival, and 99 patients were >10 min (3 ± 3 min versus 35 ± 14 min, P 10 min (P efficiency and yields significant cost savings. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. POST OPERATIVE PROBLEMS IN ORTOPEDICS PATIENTS IN THE RECOVERY ROOM

    Directory of Open Access Journals (Sweden)

    Regiane Aparecida dos Santos Soares Barreto

    2002-12-01

    Full Text Available This study aimed at providing related problems in patients who had undergone orthopedic surgery through theevaluation of the following variables: sex, age, surgery type and anesthesia type. Two hundred and twenty patientswere studied. They had been submitted to an elective orthopedic surgical procedure from July to December 1998and their medical records were used for retrospective data collection. With regard to sex, 58% were males and42% were females. As to age, middle-aged patients - 35 to 65 years old - comprised 48%, young adults - 18 to 35years old - were 38% and elderly adults - over 66 years old - were 14%. The frequency of results were as follows:surgery on the upper limbs/shoulder, 27%, knee/leg, 32%, spinal cord, 17%, femur/hips, 15%, ankle/foot, 9%,regional anesthesia, 48%, general anesthesia, 38%, regional associated with general, 6% and blocking, 8%.Occurred 306 post-operative problems were observed as follows: pain, 45%, nausea/vomiting, 16%, blooding,11%, cardiovascular alterations, 10%, hypothermia, 9%, urinary retention, 5%, respiratory problems, 1% andhiperthermia, 0,6%. In this way, there was an attempt at making a profile of orthopedic surgery patients in POI as asource of data for planning nursing care. It is believed that the study has contributed to nursing care in postanesthesiarecovery room which is based on scientific data and not only on every-day practice.

  19. The next step: intelligent digital assistance for clinical operating rooms

    Directory of Open Access Journals (Sweden)

    Miehle Juliana

    2017-08-01

    Full Text Available With the emergence of new technologies, the surgical working environment becomes increasingly complex and comprises many medical devices that have to be taken cared of. However, the goal is to reduce the workload of the surgical team to allow them to fully focus on the actual surgical procedure. Therefore, new strategies are needed to keep the working environment manageable. Existing research projects in the field of intelligent medical environments mostly concentrate on workflow modeling or single smart features rather than building up a complete intelligent environment. In this article, we present the concept of intelligent digital assistance for clinical operating rooms (IDACO, providing the surgeon assistance in many different situations before and during an ongoing procedure using natural spoken language. The speech interface enables the surgeon to concentrate on the surgery and control the technical environment at the same time, without taking care of how to interact with the system. Furthermore, the system observes the context of the surgery and controls several devices autonomously at the appropriate time during the procedure.

  20. EVALUATING THE USE OF CEILING LIFTS IN THE OPERATING ROOM.

    Science.gov (United States)

    Thomas-Olson, Leah; Gee, Melanie; Harrison, Deanna; Helal, Nermin

    2015-03-01

    Healthcare workers make up 11% of British Columbia's workforce and, on an annual basis, they account for over 7,500 time-loss claims, 300,000 days of work lost, and a cost of more than $50 million in health claims as a result of musculo-skeletal injuries (MSIs) that occur in the workplace relating to patient care, over-exertion, slips, trips and violence. A new acute care hospital was constructed in Abbotsford, BC and opened in 2008. During this construction, extensive ceiling lift coverage was provided throughout the facility including in the operating room (OR). Given a lack of literature and research, around this important ergonomic engineering control in the OR environment, a staff survey was administered to capture information on the familiarity, usage, and perception of the ceiling lifts. Findings were positive and showed that the staff felt ceiling lifts were a practical and useful ergonomic engineering control, for the OR environment, and that key patient handling tasks were now being carried out with the use of ceiling lifts.

  1. Decision support system for the operating room rescheduling problem.

    Science.gov (United States)

    van Essen, J Theresia; Hurink, Johann L; Hartholt, Woutske; van den Akker, Bernd J

    2012-12-01

    Due to surgery duration variability and arrivals of emergency surgeries, the planned Operating Room (OR) schedule is disrupted throughout the day which may lead to a change in the start time of the elective surgeries. These changes may result in undesirable situations for patients, wards or other involved departments, and therefore, the OR schedule has to be adjusted. In this paper, we develop a decision support system (DSS) which assists the OR manager in this decision by providing the three best adjusted OR schedules. The system considers the preferences of all involved stakeholders and only evaluates the OR schedules that satisfy the imposed resource constraints. The decision rules used for this system are based on a thorough analysis of the OR rescheduling problem. We model this problem as an Integer Linear Program (ILP) which objective is to minimize the deviation from the preferences of the considered stakeholders. By applying this ILP to instances from practice, we determined that the given preferences mainly lead to (i) shifting a surgery and (ii) scheduling a break between two surgeries. By using these changes in the DSS, the performed simulation study shows that less surgeries are canceled and patients and wards are more satisfied, but also that the perceived workload of several departments increases to compensate this. The system can also be used to judge the acceptability of a proposed initial OR schedule.

  2. Operating Room Team Training with Simulation: A Systematic Review.

    Science.gov (United States)

    Robertson, Jamie M; Dias, Roger D; Yule, Steven; Smink, Douglas S

    2017-05-01

    Nontechnical skills (NTS) such as teamwork and communication play an important role in preventing adverse outcomes in the operating room (OR). Simulation-based OR team training focused on these skills provides an environment where team members can learn with and from one another. We sought to conduct a systematic review to identify simulation-based approaches to NTS training for surgical teams. We conducted a systematic search of PubMed, ERIC, and the Cochrane Database using keywords and MeSH terms for studies describing simulation-based training for OR teams, including members from surgery, anesthesia, and nursing in September 2016. Information on the simulations, participants, and NTS assessments were abstracted from the articles meeting our search criteria. We identified 10 published articles describing simulation-based OR team-training programs focused on NTS. The primary focus of these programs was on communication, teamwork, leadership, and situation awareness. Only four of the programs used a validated instrument to assess the NTS of the individuals or teams participating in the simulations. Simulation-based OR team-training programs provide opportunities for NTS development and reflection by participants. Future programs could benefit from involving the full range of disciplines and professions that compose an OR team, as well as increased use of validated assessment instruments.

  3. Anaesthetists' role in computer keyboard contamination in an operating room.

    Science.gov (United States)

    Fukada, T; Iwakiri, H; Ozaki, M

    2008-10-01

    To store anaesthetic records in computers, anaesthetists usually input data while still wearing dirty wet gloves. No studies have explored computer contamination in the operating room (OR) or anaesthetists' awareness of the importance of handwashing or hand hygiene. We investigated four components of keyboard contamination: (1) degree of contamination, (2) effect of cleaning with ethyl alcohol, (3) bacterial transmission between gloves and keyboards by tapping keys, and (4) frequency of anaesthetists' performing hand hygiene. Most of the bacteria on keyboards were coagulase-negative staphylococci and Bacillus spp.; however, meticillin-resistant Staphylococcus aureus was also found. Cleaning keyboards with ethyl alcohol effectively reduced bacterial counts. Wet contaminated gloves and keyboards transmitted meticillin-susceptible Staphylococcus epidermidis from one to the other more readily than dry contaminated gloves and keyboards. Only 17% of anaesthetists performed hand hygiene before anaesthesia, although 64% or 69% of anaesthetists performed hand hygiene after anaesthesia or before lunch. To prevent cross-contamination, keyboards should be routinely cleaned according to the manufacturer's instructions and disinfected once daily, or, when visibly soiled with blood or secretions. Moreover, anaesthetists should be aware that they could spread microbes that might cause healthcare-associated infection in the OR. Anaesthetists should perform hand hygiene before and after anaesthesia and remove gloves after each procedure and before using the computer.

  4. Improving operating room productivity via parallel anesthesia processing.

    Science.gov (United States)

    Brown, Michael J; Subramanian, Arun; Curry, Timothy B; Kor, Daryl J; Moran, Steven L; Rohleder, Thomas R

    2014-01-01

    Parallel processing of regional anesthesia may improve operating room (OR) efficiency in patients undergoes upper extremity surgical procedures. The purpose of this paper is to evaluate whether performing regional anesthesia outside the OR in parallel increases total cases per day, improve efficiency and productivity. Data from all adult patients who underwent regional anesthesia as their primary anesthetic for upper extremity surgery over a one-year period were used to develop a simulation model. The model evaluated pure operating modes of regional anesthesia performed within and outside the OR in a parallel manner. The scenarios were used to evaluate how many surgeries could be completed in a standard work day (555 minutes) and assuming a standard three cases per day, what was the predicted end-of-day time overtime. Modeling results show that parallel processing of regional anesthesia increases the average cases per day for all surgeons included in the study. The average increase was 0.42 surgeries per day. Where it was assumed that three cases per day would be performed by all surgeons, the days going to overtime was reduced by 43 percent with parallel block. The overtime with parallel anesthesia was also projected to be 40 minutes less per day per surgeon. Key limitations include the assumption that all cases used regional anesthesia in the comparisons. Many days may have both regional and general anesthesia. Also, as a case study, single-center research may limit generalizability. Perioperative care providers should consider parallel administration of regional anesthesia where there is a desire to increase daily upper extremity surgical case capacity. Where there are sufficient resources to do parallel anesthesia processing, efficiency and productivity can be significantly improved. Simulation modeling can be an effective tool to show practice change effects at a system-wide level.

  5. Self-segregated nanostructure in room temperature ionic liquids.

    Science.gov (United States)

    Pontoni, Diego; Haddad, Julia; Di Michiel, Marco; Deutsch, Moshe

    2017-10-04

    The nanosegregated bulk structure, and its evolution with the cation's alkyl length n, are studied by X-ray scattering for an unprecedentedly broad homologous series of a model room-temperature ionic liquid, [CnMIM][NTf2] (n = 4-22). A tri-periodic local structure is found, with the lateral periodicities, dII and dIII independent of n, and a longitudinal one, dI, linearly increasing with n. The results are consistent with a local structure comprising alternating layers of polar headgroups and apolar, interdigitated, partly overlapping, cations' alkyl tails, of an average macroscopic mass density close to that of liquid alkanes. A slope decrease in the linear dI(n) suggests a change from a lower to a higher rate of increase with n of chain overlap for n ≥ 12. The order decay lengths of the layering, and of the lateral chain packing, increase with n, as expected from the increasing van der Waals interaction's domination of the structure. The headgroups' lateral packing decay length decreases with n, due to increasing frustration between the longer lateral periodicity preferred by the headgroups, and the shorter lateral periodicity preferred by the chains. A comparison of the bulk and surface structures highlights the surface's ordering effect, which, however, does not induce here a surface phase different from the bulk, as it does in liquid crystals and liquid alkanes.

  6. Cross-linking of polytetrafluoroethylene during room-temperature irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Pugmire, David L [Los Alamos National Laboratory; Wetteland, Chris J [Los Alamos National Laboratory; Duncan, Wanda S [Los Alamos National Laboratory; Lakis, Rollin E [Los Alamos National Laboratory; Schwartz, Daniel S [Los Alamos National Laboratory

    2008-01-01

    Exposure of polytetrafluoroethylene (PTFE) to {alpha}-radiation was investigated to detennine the physical and chemical effects, as well as to compare and contrast the damage mechanisms with other radiation types ({beta}, {gamma}, or thermal neutron). A number of techniques were used to investigate the chemical and physical changes in PTFE after exposure to {alpha}-radiation. These techniques include: Fourier transform infrared spectroscopy (FTIR), differential scanning calorimetry (DSC), and fluorescence spectroscopy. Similar to other radiation types at low doses, the primary damage mechanism for the exposure of PTFE to {alpha}-radiation appears to be chain scission. Increased doses result in a change-over of the damage mechanism to cross-linking. This result is not observed for any radiation type other than {alpha} when irradiation is performed at room temperature. Finally, at high doses, PTFE undergoes mass-loss (via smallfluorocarbon species evolution) and defluorination. The amount and type of damage versus sample depth was also investigated. Other types of radiation yield damage at depths on the order of mm to cm into PTFE due to low linear energy transfer (LET) and the correspondingly large penetration depths. By contrast, the {alpha}-radiation employed in this study was shown to only induce damage to a depth of approximately 26 {mu}m, except at very high doses.

  7. Ultrahigh Electrocatalytic Conversion of Methane at Room Temperature

    Science.gov (United States)

    Ma, Ming; Jin, Bing Jun; Li, Ping; Jung, Myung Sun; Kim, Jin Il; Cho, Yoonjun; Kim, Sungsoon; Moon, Jun Hyuk

    2017-01-01

    Abstract Due to the greenhouse effect, enormous efforts are done for carbon dioxide reduction. By contrast, more attention should be paid for the methane oxidation and conversion, which can help the effective utilization of methane without emission. However, methane conversion and utilization under ambient conditions remains a challenge. Here, this study designs a Co3O4/ZrO2 nanocomposite for the electrochemical oxidation of methane gas using a carbonate electrolyte at room temperature. Co3O4 activated the highly efficient oxidation of methane under mild electric energy with the help of carbonate as an oxidant, which is delivered by ZrO2. Based on the experimental results, acetaldehyde is the key intermediate product. Subsequent nucleophilic addition and free radical addition reactions accounted for the generation of 2‐propanol and 1‐propanol, respectively. Surprisingly, this work achieves a production efficiency of over 60% in the conversion of methane to produce these long‐term stable products. The as‐proposed regional electrochemical methane oxidation provides a new pathway for the synthesis of higher alcohols with high production efficiencies under ambient conditions. PMID:29270346

  8. Proactive aquatic ecotoxicological assessment of room-temperature ionic liquids

    Science.gov (United States)

    Kulacki, K.J.; Chaloner, D.T.; Larson, J.H.; Costello, D.M.; Evans-White, M. A.; Docherty, K.M.; Bernot, R.J.; Brueseke, M.A.; Kulpa, C.F.; Lamberti, G.A.

    2011-01-01

    Aquatic environments are being contaminated with a myriad of anthropogenic chemicals, a problem likely to continue due to both unintentional and intentional releases. To protect valuable natural resources, novel chemicals should be shown to be environmentally safe prior to use and potential release into the environment. Such proactive assessment is currently being applied to room-temperature ionic liquids (ILs). Because most ILs are water-soluble, their effects are likely to manifest in aquatic ecosystems. Information on the impacts of ILs on numerous aquatic organisms, focused primarily on acute LC50 and EC50 endpoints, is now available, and trends in toxicity are emerging. Cation structure tends to influence IL toxicity more so than anion structure, and within a cation class, the length of alkyl chain substituents is positively correlated with toxicity. While the effects of ILs on several aquatic organisms have been studied, the challenge for aquatic toxicology is now to predict the effects of ILs in complex natural environments that often include diverse mixtures of organisms, abiotic conditions, and additional stressors. To make robust predictions about ILs will require coupling of ecologically realistic laboratory and field experiments with standard toxicity bioassays and models. Such assessments would likely discourage the development of especially toxic ILs while shifting focus to those that are more environmentally benign. Understanding the broader ecological effects of emerging chemicals, incorporating that information into predictive models, and conveying the conclusions to those who develop, regulate, and use those chemicals, should help avoid future environmental degradation. ?? 2011 Bentham Science Publishers Ltd.

  9. All-Aluminum Thin Film Transistor Fabrication at Room Temperature

    Directory of Open Access Journals (Sweden)

    Rihui Yao

    2017-02-01

    Full Text Available Bottom-gate all-aluminum thin film transistors with multi conductor/insulator nanometer heterojunction were investigated in this article. Alumina (Al2O3 insulating layer was deposited on the surface of aluminum doping zinc oxide (AZO conductive layer, as one AZO/Al2O3 heterojunction unit. The measurements of transmittance electronic microscopy (TEM and X-ray reflectivity (XRR revealed the smooth interfaces between ~2.2-nm-thick Al2O3 layers and ~2.7-nm-thick AZO layers. The devices were entirely composited by aluminiferous materials, that is, their gate and source/drain electrodes were respectively fabricated by aluminum neodymium alloy (Al:Nd and pure Al, with Al2O3/AZO multilayered channel and AlOx:Nd gate dielectric layer. As a result, the all-aluminum TFT with two Al2O3/AZO heterojunction units exhibited a mobility of 2.47 cm2/V·s and an Ion/Ioff ratio of 106. All processes were carried out at room temperature, which created new possibilities for green displays industry by allowing for the devices fabricated on plastic-like substrates or papers, mainly using no toxic/rare materials.

  10. Tracking with heavily irradiated silicon detectors operated at cryogenic temperatures

    CERN Document Server

    Casagrande, L; Bartalini, P; Bell, W H; Borer, K; Bowcock, T J V; Buytaert, J; Chochula, P; Collins, P; Da Vià, C; Dijkstra, H; Dormond, O; Esposito, A P; Frei, R; Granata, V; Janos, S; Konorov, I; Lourenço, C; Niinikoski, T O; Pagano, S; Palmieri, V G; Parkes, C; Paul, S; Pretzl, Klaus P; Ruf, T; Ruggiero, G; Saladino, S; Schmitt, L; Smith, K; Sonderegger, P; Stavitski, I; Steele, D; Vitobello, F

    1999-01-01

    In this work we show that a heavily irradiated double-sided silicon microstrip detector recovers its performance when operated at cryogenic temperatures. A DELPHI microstrip detector, irradiated to a fluence of $\\sim\\,4\\times 10^{14}$ p/cm$^2$, no longer operational at room temperature, cannot be distinguished from a non-irradiated one when operated at $T<120$~K. Besides confirming the previously observed `Lazarus effect' in single diodes, these results establish for the first time, the possibility of using standard silicon detectors for tracking applications in extremely demanding radiation environments.

  11. Near-room-temperature Chern insulator and Dirac spin-gapless semiconductor: nickel chloride monolayer.

    Science.gov (United States)

    He, Junjie; Li, Xiao; Lyu, Pengbo; Nachtigall, Petr

    2017-02-09

    A great obstacle for practical applications of the quantum anomalous Hall (QAH) effect is the lack of suitable QAH materials (Chern insulators) with a large non-trivial band gap, room-temperature magnetic order and high carrier mobility. Based on first-principles calculations it is shown here that a nickel chloride (NiCl3) monolayer has all these characteristics. Thus, the NiCl3 monolayer represents a new class of Dirac materials with Dirac spin-gapless semiconducting properties and high-temperature ferromagnetism (∼400 K). Taking into account the spin-orbit coupling, the NiCl3 monolayer becomes an intrinsic Chern insulator with a large non-trivial band gap of ∼24 meV, corresponding to an operating temperature as high as ∼280 K at which the quantum anomalous Hall effect could be observed. The calculated large non-trivial gap, high Curie temperature and single-spin Dirac states reported herein for the NiCl3 monolayer led us to propose that this material gives a great promise for potential realization of a near-room temperature QAH effect and potential applications in spintronics. Last but not least the calculated Fermi velocities of Dirac fermions of about 4 × 105 m s-1 indicate very high mobility in NiCl3 monolayers.

  12. Magnetic antiskyrmions above room temperature in tetragonal Heusler materials

    Science.gov (United States)

    Nayak, Ajaya K.; Kumar, Vivek; Ma, Tianping; Werner, Peter; Pippel, Eckhard; Sahoo, Roshnee; Damay, Franoise; Rößler, Ulrich K.; Felser, Claudia; Parkin, Stuart S. P.

    2017-08-01

    . Direct imaging by Lorentz transmission electron microscopy shows field-stabilized antiskyrmion lattices and isolated antiskyrmions from 100 kelvin to well beyond room temperature, and zero-field metastable antiskyrmions at low temperatures. These results enlarge the family of magnetic skyrmions and pave the way to the engineering of complex bespoke designed skyrmionic structures.

  13. Scalable architecture for a room temperature solid-state quantum information processor.

    Science.gov (United States)

    Yao, N Y; Jiang, L; Gorshkov, A V; Maurer, P C; Giedke, G; Cirac, J I; Lukin, M D

    2012-04-24

    The realization of a scalable quantum information processor has emerged over the past decade as one of the central challenges at the interface of fundamental science and engineering. Here we propose and analyse an architecture for a scalable, solid-state quantum information processor capable of operating at room temperature. Our approach is based on recent experimental advances involving nitrogen-vacancy colour centres in diamond. In particular, we demonstrate that the multiple challenges associated with operation at ambient temperature, individual addressing at the nanoscale, strong qubit coupling, robustness against disorder and low decoherence rates can be simultaneously achieved under realistic, experimentally relevant conditions. The architecture uses a novel approach to quantum information transfer and includes a hierarchy of control at successive length scales. Moreover, it alleviates the stringent constraints currently limiting the realization of scalable quantum processors and will provide fundamental insights into the physics of non-equilibrium many-body quantum systems.

  14. Room-temperature InGaAs detector arrays for 2.5 microns

    Science.gov (United States)

    Olsen, G. H.; Joshi, A. M.; Mason, S. M.; Woodruff, K. M.; Mykietyn, E.

    1989-01-01

    This paper describes new alloy heterojunction detectors of In(.8)Ga(.2)As/InAs(.6)P(.4) which can detect light between 1.7 and 2.6 microns with 50 percent quantum efficiency and 5 mA/sq cm dark current (-1 V) density at room temperature. Wafer probe data showed that over 50 good contiguous 100 micron diameter devices (spaced 400 microns) could be made on a 25 x 30 mm wafer with overall yield above 93 percent. The ability to operate under -1 V reverse bias makes these devices ideally compatible with existing commercial multiplexer readouts.

  15. Low Temperature Operation of a Switching Power Converter

    Science.gov (United States)

    Anglada-Sanchez, Carlos R.; Perez-Feliciano, David; Ray, Biswajit

    1997-01-01

    The low temperature operation of a 48 W, 50 kHz, 36/12 V pulse width modulated (PWM) buck de-de power converter designed with standard commercially available components and devices is reported. The efficiency of the converter increased from 85.6% at room temperature (300 K) to 92.0% at liquid nitrogen temperature (77 K). The variation of power MOSFET, diode rectifier, and output filter inductor loss with temperature is discussed. Relevant current, voltage. and power waveforms are also included.

  16. Operating Room Costs of Laparoscopic Cholecystectomy: Does Surgeon Volume Matter?

    Directory of Open Access Journals (Sweden)

    Wei-Ching Chung

    2006-03-01

    Full Text Available Very few studies have addressed the issue of surgeon volume on cost savings of laparoscopic cholecystectomy (LC in Asian countries. The objectives of the study were to analyze LC operating-room (OR costs between two study hospitals and to examine the effect of surgeon volume on OR costs. Patients diagnosed with gallbladder disease who underwent LC in October through December 2002 at two acute tertiary-care hospitals were included. Patient demographics and clinical information were derived from patient charts. Cost information was obtained from purchasing departments or specific cost centers. Three multivariate linear regression models were performed to examine the association between surgeon volume, cost, and utilization. There were no significant differences in patient demographics and disease severity between the two hospitals. Hospital A consumed fewer resources than did hospital B (NT$21,674 vs NT$26,417. Direct materials cost, direct professional costs, and indirect costs varied significantly by study hospital and by surgeon volume. High-volume surgeons incurred lower costs and shorter stay as compared with low-volume surgeons. Patients who scored in the American Society of Anesthesiologists physical status (ASA PS 3 incurred significantly higher costs and longer hospital stays than did patients with ASA PS 1. The present study supports the proposal that hospital management and experience of surgeons are of equal importance in maintaining the standing of hospitals in competitive positions. In addition to the differences in hospital management and surgeon volume, the patient severity of illness also needs to be taken into consideration in cost containment.

  17. Allocating operating room block time using historical caseload variability.

    Science.gov (United States)

    Hosseini, Narges; Taaffe, Kevin M

    2015-12-01

    Operating room (OR) allocation and planning is one of the most important strategic decisions that OR managers face. The number of ORs that a hospital opens depends on the number of blocks that are allocated to the surgical groups, services, or individual surgeons, combined with the amount of open posting time (i.e., first come, first serve posting) that the hospital wants to provide. By allocating too few ORs, a hospital may turn away surgery demand whereas opening too many ORs could prove to be a costly decision. The traditional method of determining block frequency and size considers the average historical surgery demand for each group. However, given that there are penalties to the system for having too much or too little OR time allocated to a group, demand variability should play a role in determining the real OR requirement. In this paper we present an algorithm that allocates block time based on this demand variability, specifically accounting for both over-utilized time (time used beyond the block) and under-utilized time (time unused within the block). This algorithm provides a solution to the situation in which total caseload demand can be accommodated by the total OR resource set, in other words not in a capacity-constrained situation. We have found this scenario to be common among several regional healthcare providers with large OR suites and excess capacity. This algorithm could be used to adjust existing blocks or to assign new blocks to surgeons that did not previously have a block. We also have studied the effect of turnover time on the number of ORs that needs to be allocated. Numerical experiments based on real data from a large health-care provider indicate the opportunity to achieve over 2,900 hours of OR time savings through improved block allocations.

  18. Operating room efficiency improvement after implementation of a postoperative team assessment.

    Science.gov (United States)

    Porta, Christopher R; Foster, Andrew; Causey, Marlin W; Cordier, Patricia; Ozbirn, Roger; Bolt, Stephen; Allison, Dennis; Rush, Robert

    2013-03-01

    Operating room time is highly resource intensive, and delays can be a source of lost revenue and surgeon frustration. Methods to decrease these delays are important not only for patient care, but to maximize operating room resource utilization. The purpose of this study was to determine the root cause of operating room delays in a standardized manner to help improve overall operating room efficiency. We performed a single-center prospective observational study analyzing operating room utilization and efficiency after implementing an executive-driven standardized postoperative team debriefing system from January 2010 to December 2010. A total of 11,342 procedures were performed over the 1-y study period (elective 86%, urgent 11%, and emergent 3%), with 1.3 million min of operating room time, 865,864 min of surgeon operative time (62.5%), and 162,958 min of anesthesia time (11.8%). Overall, the average operating room delay was 18 min and varied greatly based on the surgical specialty. The longest delays were due to need for radiology (40 min); other significant delays were due to supply issues (22.7 min), surgeon issues (18 min), nursing issues (14 min), and room turnover (14 min). Over the 1-y period, there was a decrease in mean delay duration, averaging a decrease in delay of 0.147 min/mo with an overall 9% decrease in the mean delay times. With regard to overall operating room utilization, there was a 39% decrease in overall un-utilized available OR time that was due to delays, improving efficiency by 2334 min (212 min/mo). During this study interval no sentinel events occurred in the operating room. A standardized postoperative debrief tracking system is highly beneficial in identifying and reducing overall operative delays and improving operating room utilization. Published by Elsevier Inc.

  19. Near room temperature ferromagnetism of copper phthalocyanine thin films

    Energy Technology Data Exchange (ETDEWEB)

    Wang, XueYan, E-mail: xueyanadeline@163.com; Zheng, JianBang; Chen, Lei; Qiao, Kai; Xu, JiaWei; Cao, ChongDe

    2015-11-30

    Highlights: • The α-CuPc films without and with light Ni-doping were characterized by X-ray photoelectron spectroscopy to confirm the absence of other ferromagnetic impurities. • The α-CuPc film exhibited ferromagnetic hysteresis with saturation magnetization of ∼6.77 emu/cm{sup 3} and coercivity of ∼96 Oe at 280 K, while that of the Ni-doped α-CuPc film are ∼0.69 emu/cm{sup 3} and ∼113 Oe, respectively. • Through the density functional theory calculations, the origin of the ferromagnetism arise from Cu 3d states and N 2s2p electronic spin polarization, as well as p–d exchange coupling interactions, and spin-unbalanced electronic structure of C 2p induced by the π–π interactions. - Abstract: We reported near room temperature ferromagnetism of α-CuPc films without and with light Ni-doping. Two samples were characterized by X-ray photoelectron spectroscopy (XPS) to confirm the absence of other ferromagnetic impurities. The α-CuPc film exhibited ferromagnetic hysteresis with saturation magnetization of ∼6.77 emu/cm{sup 3} and coercivity of ∼96 Oe at 280 K, while that of the Ni-doped α-CuPc film are ∼0.69 emu/cm{sup 3} and ∼113 Oe, respectively. Through the density functional theory (DFT) calculations, the origin of the ferromagnetism arise from Cu 3d states and N 2s2p electronic spin polarization, as well as p-d exchange coupling interactions, and spin-unbalanced electronic structure of C 2p induced by the π–π interactions.

  20. Room-temperature macromolecular serial crystallography using synchrotron radiation

    Directory of Open Access Journals (Sweden)

    Francesco Stellato

    2014-07-01

    Full Text Available A new approach for collecting data from many hundreds of thousands of microcrystals using X-ray pulses from a free-electron laser has recently been developed. Referred to as serial crystallography, diffraction patterns are recorded at a constant rate as a suspension of protein crystals flows across the path of an X-ray beam. Events that by chance contain single-crystal diffraction patterns are retained, then indexed and merged to form a three-dimensional set of reflection intensities for structure determination. This approach relies upon several innovations: an intense X-ray beam; a fast detector system; a means to rapidly flow a suspension of crystals across the X-ray beam; and the computational infrastructure to process the large volume of data. Originally conceived for radiation-damage-free measurements with ultrafast X-ray pulses, the same methods can be employed with synchrotron radiation. As in powder diffraction, the averaging of thousands of observations per Bragg peak may improve the ratio of signal to noise of low-dose exposures. Here, it is shown that this paradigm can be implemented for room-temperature data collection using synchrotron radiation and exposure times of less than 3 ms. Using lysozyme microcrystals as a model system, over 40 000 single-crystal diffraction patterns were obtained and merged to produce a structural model that could be refined to 2.1 Å resolution. The resulting electron density is in excellent agreement with that obtained using standard X-ray data collection techniques. With further improvements the method is well suited for even shorter exposures at future and upgraded synchrotron radiation facilities that may deliver beams with 1000 times higher brightness than they currently produce.

  1. Thermomechanical analysis of Natural Rubber behaviour stressed at room temperature.

    Directory of Open Access Journals (Sweden)

    Chrysochoos A.

    2010-06-01

    Full Text Available Owing to their high molecular mobility, stressed rubber chains can easily change their conformations and get orientated. This phenomena leads to so high reversible draw ratio that this behaviour is called rubber elasticity [1-3]. The analogy with ideal gases leads to an internal energy independent of elongation, the stress being attributed to a so-called configuration entropy. However, this analysis cannot take thermal expansion into account and moreover prohibits predicting standard thermo-elastic effect noticed at small elongations and the thermoelastic inversion effects [4]. This paper aims at : observing and quantifying dissipative and coupling effects associated with deformation energy, generated when Natural Rubber is stretched. re-examine the thermomechanical behaviour model of rubberlike materials, under the generalised standard material concept. From an experimental viewpoint, energy balance is created using infrared and quantitative imaging techniques. Digital Image Correlation (DIC provides in-the-plane displacement fields and, after derivation, strain and strain-rate fields. We have used those techniques to evidence the thermoelastic inversion effect as shown on Figure 1 where different weights have been fixed to warmed specimen and we monitored the sample deformation while it recovers room temperature. But we have also used those techniques to perform energy balance : analysis of the mechanical equilibrium allows estimates of the stress pattern and computation of deformation energy rates under a plane stress hypothesis [5]. Infrared Thermography (IRT gives the surface temperature of the sample. To estimate the distribution of heat sources, image processing with a local heat equation and a minimal set of approximation functions (image filtering was used. The time courses of deformation energy and heat associated with cyclic process are plotted in Figure 2. The time derivatives of both forms of energy are approximately similar. This

  2. Robust isothermal electric control of exchange bias at room temperature

    Science.gov (United States)

    Binek, Christian

    2011-03-01

    Voltage-controlled spintronics is of particular importance to continue progress in information technology through reduced power consumption, enhanced processing speed, integration density, and functionality in comparison with present day CMOS electronics. Almost all existing and prototypical solid-state spintronic devices rely on tailored interface magnetism, enabling spin-selective transmission or scattering of electrons. Controlling magnetism at thin-film interfaces, preferably by purely electrical means, is a key challenge to better spintronics. Currently, most attempts to electrically control magnetism focus on potentially large magnetoelectric effects of multiferroics. We report on our interest in magnetoelectric Cr 2 O3 (chromia). Robust isothermal electric control of exchange bias is achieved at room temperature in perpendicular anisotropic Cr 2 O3 (0001)/CoPd exchange bias heterostructures. This discovery promises significant implications for potential spintronics. From the perspective of basic science, our finding serves as macroscopic evidence for roughness-insensitive and electrically controllable equilibrium boundary magnetization in magnetoelectric antiferromagnets. The latter evolves at chromia (0001) surfaces and interfaces when chromia is in one of its two degenerate antiferromagnetic single domain states selected via magnetoelectric annealing. Theoretical insight into the boundary magnetization and its role in electrically controlled exchange bias is gained from first-principles calculations and general symmetry arguments. Measurements of spin-resolved ultraviolet photoemission, magnetometry at Cr 2 O3 (0001) surfaces, and detailed investigations of the unique exchange bias properties of Cr 2 O3 (0001)/CoPd including its electric controllability provide macroscopically averaged information about the boundary magnetization of chromia. Laterally resolved X-ray PEEM and temperature dependent MFM reveal detailed microscopic information of the chromia

  3. Magnetocardiography measurements with 4He vector optically pumped magnetometers at room temperature

    Science.gov (United States)

    Morales, S.; Corsi, M. C.; Fourcault, W.; Bertrand, F.; Cauffet, G.; Gobbo, C.; Alcouffe, F.; Lenouvel, F.; Le Prado, M.; Berger, F.; Vanzetto, G.; Labyt, E.

    2017-09-01

    In this paper, we present a proof of concept study which demonstrates for the first time the possibility of recording magnetocardiography (MCG) signals with 4He vector optically pumped magnetometers (OPM) operated in a gradiometer mode. Resulting from a compromise between sensitivity, size and operability in a clinical environment, the developed magnetometers are based on the parametric resonance of helium in a zero magnetic field. Sensors are operated at room temperature and provide a tri-axis vector measurement of the magnetic field. Measured sensitivity is around 210 f T (√Hz)-1 in the bandwidth (2 Hz; 300 Hz). MCG signals from a phantom and two healthy subjects are successfully recorded. Human MCG data obtained with the OPMs are compared to reference electrocardiogram recordings: similar heart rates, shapes of the main patterns of the cardiac cycle (P/T waves, QRS complex) and QRS widths are obtained with both techniques.

  4. Operator's Manual, Boiler Room Operations and Maintenance. Supplement A, Air Pollution Training Institute Self-Instructional Course SI-466.

    Science.gov (United States)

    Environmental Protection Agency, Research Triangle Park, NC. Air Pollution Training Inst.

    This Operator's Manual is a supplement to a self-instructional course prepared for the United States Environmental Protection Agency. This publication is the Boiler Room Handbook for operating and maintaining the boiler and the boiler room. As the student completes this handbook, he is putting together a manual for running his own boiler. The…

  5. Stability of headspace volatiles in a ‘Fallglo’ tangerine juice matrix system at room temperature

    Science.gov (United States)

    Gas chromatography systems are usually equipped with autosamplers. Samples held in the autosampler tray can stay up to one day or longer at room temperature, if the tray is not equipped with a cooling mechanism. The objective of this research was to determine if holding samples at room temperature i...

  6. Room-temperature ferromagnetic properties of Cu-doped ZnO rod ...

    Indian Academy of Sciences (India)

    The rod arrays have exhibited room-temperature ferromagnetic behaviour with the remanence of 0.926 × 10-3 emu/cm3. We suggest that the exchange interaction between local spin-polarized electrons (such as the electrons of Cu2+ ions) and conductive electrons is the cause of room-temperature ferromagnetism.

  7. A stretchable polysiloxane elastomer with self-healing capacity at room temperature and solvatochromic properties.

    Science.gov (United States)

    Liu, Lili; Liang, Shuai; Huang, Yawen; Hu, Chengyao; Yang, Junxiao

    2017-11-07

    A stretchable silicon elastomer comprising cobalt ions in pyridine pendant polydimethylsiloxane (PDMS) was prepared. Different from previously reported cobalt-coordinated elastomers, these elastomers are self-healable at room temperature with a high healing efficiency of over 90%. Besides, they exhibit tailored solvatochromic properties over a wide range without sacrificing its self-healing ability at room-temperature.

  8. Radiation exposure to eye lens and operator hands during endovascular procedures in hybrid operating rooms.

    Science.gov (United States)

    Attigah, Nicolas; Oikonomou, Kyriakos; Hinz, Ulf; Knoch, Thomas; Demirel, Serdar; Verhoeven, Eric; Böckler, Dittmar

    2016-01-01

    The purpose of this study was to evaluate the radiation exposure of vascular surgeons' eye lens and fingers during complex endovascular procedures in modern hybrid operating rooms. Prospective, nonrandomized multicenter study design. One hundred seventy-one consecutive patients (138 male; median age, 72.5 years [interquartile range, 65-77 years]) underwent an endovascular procedure in a hybrid operating room between March 2012 and July 2013 in two vascular centers. The dose-area product (DAP), fluoroscopy time, operating time, and amount of contrast dye were registered prospectively. For radiation dose recordings, single-use dosimeters were attached at eye level and to the ring finger of the hand next to the radiation field of the operator for each endovascular procedure. Dose recordings were evaluated by an independent institution. Before the study, precursory investigations were obtained to simulate the radiation dose to eye lens and fingers with an Alderson phantome (RSD, Long Beach, Calif). Interventions were classified into six treatment categories: endovascular repair of infrarenal abdominal aneurysm (n = 65), thoracic endovascular aortic repair (n = 32), branched endovascular aortic repair for thoracoabdominal aneurysms (n = 17), fenestrated endovascular aortic repair for complex abdominal aortic aneurysm, (n = 25), iliac branched device (n = 8), and peripheral interventions (n = 24). There was a significant correlation in DAP between both lens (P exposure to the eyes can be obtained. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  9. Continuous wave room temperature external ring cavity quantum cascade laser

    Energy Technology Data Exchange (ETDEWEB)

    Revin, D. G., E-mail: d.revin@sheffield.ac.uk; Hemingway, M.; Vaitiekus, D.; Cockburn, J. W. [Physics and Astronomy Department, The University of Sheffield, S3 7RH Sheffield (United Kingdom); Hempler, N.; Maker, G. T.; Malcolm, G. P. A. [M Squared Lasers Ltd., G20 0SP Glasgow (United Kingdom)

    2015-06-29

    An external ring cavity quantum cascade laser operating at ∼5.2 μm wavelength in a continuous-wave regime at the temperature of 15 °C is demonstrated. Out-coupled continuous-wave optical powers of up to 23 mW are observed for light of one propagation direction with an estimated total intra-cavity optical power flux in excess of 340 mW. The uni-directional regime characterized by the intensity ratio of more than 60 for the light propagating in the opposite directions was achieved. A single emission peak wavelength tuning range of 90 cm{sup −1} is realized by the incorporation of a diffraction grating into the cavity.

  10. Room-temperature-deposited dielectrics and superconductors for integrated photonics.

    Science.gov (United States)

    Shainline, Jeffrey M; Buckley, Sonia M; Nader, Nima; Gentry, Cale M; Cossel, Kevin C; Cleary, Justin W; Popović, Miloš; Newbury, Nathan R; Nam, Sae Woo; Mirin, Richard P

    2017-05-01

    We present an approach to fabrication and packaging of integrated photonic devices that utilizes waveguide and detector layers deposited at near-ambient temperature. All lithography is performed with a 365 nm i-line stepper, facilitating low cost and high scalability. We have shown low-loss SiN waveguides, high-Q ring resonators, critically coupled ring resonators, 50/50 beam splitters, Mach-Zehnder interferometers (MZIs) and a process-agnostic fiber packaging scheme. We have further explored the utility of this process for applications in nonlinear optics and quantum photonics. We demonstrate spectral tailoring and octave-spanning supercontinuum generation as well as the integration of superconducting nanowire single photon detectors with MZIs and channel-dropping filters. The packaging approach is suitable for operation up to 160 °C as well as below 1 K. The process is well suited for augmentation of existing foundry capabilities or as a stand-alone process.

  11. Directionally Solidified NiAl-Based Alloys Studied for Improved Elevated-Temperature Strength and Room-Temperature Fracture Toughness

    Science.gov (United States)

    Whittenberger, J. Daniel; Raj, Sai V.; Locci, Ivan E.; Salem, Jonathan A.

    2000-01-01

    Efforts are underway to replace superalloys used in the hot sections of gas turbine engines with materials possessing better mechanical and physical properties. Alloys based on the intermetallic NiAl have demonstrated potential; however, they generally suffer from low fracture resistance (toughness) at room temperature and from poor strength at elevated temperatures. Directional solidification of NiAl alloyed with both Cr and Mo has yielded materials with useful toughness and elevated-temperature strength values. The intermetallic alloy NiAl has been proposed as an advanced material to extend the maximum operational temperature of gas turbine engines by several hundred degrees centigrade. This intermetallic alloy displays a lower density (approximately 30-percent less) and a higher thermal conductivity (4 to 8 times greater) than conventional superalloys as well as good high-temperature oxidation resistance. Unfortunately, unalloyed NiAl has poor elevated temperature strength (approximately 50 MPa at 1027 C) and low room-temperature fracture toughness (about 5 MPa). Directionally solidified NiAl eutectic alloys are known to possess a combination of high elevated-temperature strength and good room-temperature fracture toughness. Research has demonstrated that a NiAl matrix containing a uniform distribution of very thin Cr plates alloyed with Mo possessed both increased fracture toughness and elevated-temperature creep strength. Although attractive properties were obtained, these alloys were formed at low growth rates (greater than 19 mm/hr), which are considered to be economically unviable. Hence, an investigation was warranted of the strength and toughness behavior of NiAl-(Cr,Mo) directionally solidified at faster growth rates. If the mechanical properties did not deteriorate with increased growth rates, directional solidification could offer an economical means to produce NiAl-based alloys commercially for gas turbine engines. An investigation at the NASA Glenn

  12. Temperature buffer test. Dismantling operation

    Energy Technology Data Exchange (ETDEWEB)

    Aakesson, Mattias [Clay Technology AB, Lund (Sweden)

    2010-12-15

    The Temperature Buffer Test (TBT) is a joint project between SKB/ANDRA and supported by ENRESA (modelling) and DBE (instrumentation), which aims at improving the understanding and to model the thermo-hydro-mechanical behavior of buffers made of swelling clay submitted to high temperatures (over 100 deg C) during the water saturation process. The test has been carried out in a KBS-3 deposition hole at Aespoe HRL. It was installed during the spring of 2003. Two heaters (3 m long, 0.6 m diameter) and two buffer arrangements have been investigated: the lower heater was surrounded by bentonite in the usual way, whereas the upper heater was surrounded by a ring of sand. The test was dismantled and sampled during a period from the end of October 2009 to the end of April 2010, and this report describes this operation. Different types of samples have been obtained during this operation. A large number of diameter 50 mm bentonite cores have been taken for analysis of water content and density. Large pieces, so-called big sectors, have been taken for hydro-mechanical and chemical characterizations. Finally, there has been an interest to obtain different types of interface samples in which bentonite were in contact with sand, iron or concrete. One goal has been to investigate the retrievability of the upper heater, given the possibility to remove the surrounding sand shield, and a retrieval test has therefore been performed. The sand in the shield was first removed with an industrial vacuum cleaner after loosening the material through mechanical means (with hammer drill and core machine). A front loader was subsequently used for applying a sufficient lifting force to release the heater from the bentonite underneath. The experiment has been documented in different aspects: measurements of the coordinate (height or radius) of different interfaces (between bentonite blocks and between bentonite and sand); verification of sensor positions and retrieval of sensors for subsequent

  13. Student Registered Nurse Anesthetists' Atittudes toward and Perceptions of Teamwork in the Operating Room

    Science.gov (United States)

    Heiner, Jeremy S.

    2013-01-01

    Student registered nurse anesthetists are an important part of an operating room team, yet little research has investigated how they perceive teamwork or approach team related issues specific to the operating room. This mixed methods study evaluated junior and senior student registered nurse anesthetists' attitudes toward and perceptions of…

  14. A master surgical scheduling approach for cyclic scheduling in operating room departments

    NARCIS (Netherlands)

    van Oostrum, Jeroen M.; van Houdenhoven, M.; Hurink, Johann L.; Hans, Elias W.; Wullink, Gerhard; Kazemier, G.

    This paper addresses the problem of operating room (OR) scheduling at the tactical level of hospital planning and control. Hospitals repetitively construct operating room schedules, which is a time-consuming, tedious, and complex task. The stochasticity of the durations of surgical procedures

  15. A model for generating master surgical schedules to allow cyclic scheduling in operating room departments

    NARCIS (Netherlands)

    van Oostrum, J.M.; van Houdenhoven, M.; Hurink, Johann L.; Hans, Elias W.; Wullink, Gerhard; Kazemier, G.

    2005-01-01

    This paper addresses the problem of operating room scheduling at the tactical level of hospital planning and control. Hospitals repetitively construct operating room schedules, which is a time consuming tedious and complex task. The stochasticity of the durations of surgical procedures complicates

  16. Patient safety in the operating room : An intervention study on latent risk factors

    NARCIS (Netherlands)

    Van Beuzekom, M.; Boer, F.; Akerboom, S.; Hudson, P.T.W.

    2012-01-01

    Background Patient safety is one of the greatest challenges in healthcare. In the operating room errors are frequent and often consequential. This article describes an approach to a successful implementation of a patient safety program in the operating room, focussing on latent risk factors that

  17. A Study of Interpersonal Conflict Among Operating Room Nurses.

    Science.gov (United States)

    Chang, Tsui-Fen; Chen, Chung-Kuang; Chen, Ming-Jia

    2017-12-01

    Team collaboration is an important factor that affects the performance of the operating room (OR). Therefore, the ability of OR nurses to adapt to and manage interpersonal conflict incidents properly is very important. The aims of this study were to investigate the interpersonal conflict management capabilities of OR nursing staffs and to find the relationships among the demographics of OR nurses and the following: work-related variables, interpersonal conflict management style, and target of interpersonal conflict. This study investigated 201 OR nurses who had worked for more than 6 months at the target hospitals, which were located in the three counties of Changhua, Yunlin, and Chiayi. The questionnaire that was used to collect data included three components: a demographic and work-related variables survey, interpersonal conflict management factor analysis scale, and interpersonal conflict parties and frequency scale. Data were analyzed using independent t test, analysis of variance, Scheffe's test, and Pearson's correlation coefficient. The main findings were as follows: (a) Integration and arbitration were the major interpersonal conflict management strategies adopted by the participants; (b) medical doctor, OR nurses, and anesthetists were the primary targets of conflict for the participants; (c) the factors of educational background, job position, experience in other departments, seniority, attending courses in conflict management, and level of hospital significantly affected the strategies that participants used to manage interpersonal conflict; and (d) license level, experience in other departments, seniority, and inclination toward serving in the OR were each found to relate significantly to the target of interpersonal conflict and the frequency of interpersonal conflict incidents. The main implications of this study are as follows: (a) The environment for communication in the OR should be made more friendly to encourage junior OR nurses to adopt

  18. Possible room temperature superconductivity in conductors obtained by bringing alkanes into contact with a graphite surface

    Science.gov (United States)

    Kawashima, Yasushi

    2013-05-01

    Electrical resistances of conductors obtained by bringing alkanes into contact with a graphite surface have been investigated at room temperatures. Ring current in a ring-shaped container into which n-octane-soaked thin graphite flakes were compressed did not decay for 50 days at room temperature. After two HOPG plates were immersed into n-heptane and n-octane at room temperature, changes in resistances of the two samples were measured by four terminal technique. The measurement showed that the resistances of these samples decrease to less than the smallest resistance that can be measured with a high resolution digital voltmeter (0.1μV). The observation of persistent currents in the ring-shaped container suggests that the HOPG plates immersed in n-heptane and n-octane really entered zero-resistance state at room temperature. These results suggest that room temperature superconductor may be obtained by bringing alkanes into contact with a graphite surface.

  19. One-Dimensional Vanadium Dioxide Nanostructures for Room Temperature Hydrogen Sensors

    Directory of Open Access Journals (Sweden)

    Aline Simo

    2015-06-01

    Full Text Available In relation to hydrogen (H2 economy in general and gas sensing in particular, an extensive set of one dimensional (1-D nano-scaled oxide materials are being investigated as ideal candidates for potential gas sensing applications. This is correlated to their set of singular surface characteristics, shape anisotropy and readiness for integrated devices. Nanostructures of well- established gas sensing materials such as Tin Oxide (SnO2, Zinc Oxide (ZnO, Indium (III Oxide (In2O3, and Tungsten Trioxide (WO3 have shown higher sensitivity and gas selectivity, quicker response, faster time recovery, as well as an enhanced capability to detect gases at low concentrations. While the overall sensing characteristics of these so called 1-D nanomaterials are superior, they are efficient at high temperature; generally above 200 0C. This operational impediment results in device complexities in integration that limit their technological applications, specifically in their miniaturized arrangements. Unfortunately, for room temperature applications, there is a necessity to dope the above mentioned nano-scaled oxides with noble metals such as Platinum (Pt, Palladium (Pd, Gold (Au, Ruthenium (Ru. This comes at a cost. This communication reports, for the first time, on the room temperature enhanced H2 sensing properties of a specific phase of pure Vanadium Dioxide (VO2 phase A in their nanobelt form. The relatively observed large H2 room temperature sensing in this Mott type specific oxide seems to reach values as low as 14 ppm H2 which makes it an ideal gas sensing in H2 fuelled systems.

  20. Room temperature high-detectivity mid-infrared photodetectors based on black arsenic phosphorus.

    Science.gov (United States)

    Long, Mingsheng; Gao, Anyuan; Wang, Peng; Xia, Hui; Ott, Claudia; Pan, Chen; Fu, Yajun; Liu, Erfu; Chen, Xiaoshuang; Lu, Wei; Nilges, Tom; Xu, Jianbin; Wang, Xiaomu; Hu, Weida; Miao, Feng

    2017-06-01

    The mid-infrared (MIR) spectral range, pertaining to important applications, such as molecular "fingerprint" imaging, remote sensing, free space telecommunication, and optical radar, is of particular scientific interest and technological importance. However, state-of-the-art materials for MIR detection are limited by intrinsic noise and inconvenient fabrication processes, resulting in high-cost photodetectors requiring cryogenic operation. We report black arsenic phosphorus-based long-wavelength IR photodetectors, with room temperature operation up to 8.2 μm, entering the second MIR atmospheric transmission window. Combined with a van der Waals heterojunction, room temperature-specific detectivity higher than 4.9 × 10 9 Jones was obtained in the 3- to 5-μm range. The photodetector works in a zero-bias photovoltaic mode, enabling fast photoresponse and low dark noise. Our van der Waals heterojunction photodetectors not only exemplify black arsenic phosphorus as a promising candidate for MIR optoelectronic applications but also pave the way for a general strategy to suppress 1/ f noise in photonic devices.

  1. Operating room scheduling using hybrid clustering priority rule and genetic algorithm

    Science.gov (United States)

    Santoso, Linda Wahyuni; Sinawan, Aisyah Ashrinawati; Wijaya, Andi Rahadiyan; Sudiarso, Andi; Masruroh, Nur Aini; Herliansyah, Muhammad Kusumawan

    2017-11-01

    Operating room is a bottleneck resource in most hospitals so that operating room scheduling system will influence the whole performance of the hospitals. This research develops a mathematical model of operating room scheduling for elective patients which considers patient priority with limit number of surgeons, operating rooms, and nurse team. Clustering analysis was conducted to the data of surgery durations using hierarchical and non-hierarchical methods. The priority rule of each resulting cluster was determined using Shortest Processing Time method. Genetic Algorithm was used to generate daily operating room schedule which resulted in the lowest values of patient waiting time and nurse overtime. The computational results show that this proposed model reduced patient waiting time by approximately 32.22% and nurse overtime by approximately 32.74% when compared to actual schedule.

  2. OMNY PIN—A versatile sample holder for tomographic measurements at room and cryogenic temperatures

    Science.gov (United States)

    Holler, M.; Raabe, J.; Wepf, R.; Shahmoradian, S. H.; Diaz, A.; Sarafimov, B.; Lachat, T.; Walther, H.; Vitins, M.

    2017-11-01

    Nowadays ptychographic tomography in the hard x-ray regime, i.e., at energies above about 2 keV, is a well-established measurement technique. At the Paul Scherrer Institut, currently two instruments are available: one is measuring at room temperature and atmospheric pressure, and the other, the so-called OMNY (tOMography Nano crYo) instrument, is operating at ultra-high vacuum and offering cryogenic sample temperatures down to 10 K. In this manuscript, we present the sample mounts that were developed for these instruments. Aside from excellent mechanical stability and thermal conductivity, they also offer highly reproducible mounting. Various types were developed for different kinds of samples and are presented in detail, including examples of how specimens can be mounted on these holders. We also show the first hard x-ray ptychographic tomography measurements of high-pressure frozen biological samples, in the present case Chlamydomonas cells, the related sample pins and preparation steps. For completeness, we present accessories such as transportation containers for both room temperature and cryogenic samples and a gripper mechanism for automatic sample changing. The sample mounts are not limited to x-ray tomography or hard x-ray energies, and we believe that they can be very useful for other instrumentation projects.

  3. Room-temperature single-photon generation from solitary dopants of carbon nanotubes

    Science.gov (United States)

    Ma, Xuedan; Hartmann, Nicolai F.; Baldwin, Jon K. S.; Doorn, Stephen K.; Htoon, Han

    2015-08-01

    On-demand single-photon sources capable of operating at room temperature and the telecom wavelength range of 1,300-1,500 nm hold the key to the realization of novel technologies that span from sub-diffraction imaging to quantum key distribution and photonic quantum information processing. Here, we show that incorporation of undoped (6,5) single-walled carbon nanotubes into a SiO2 matrix can lead to the creation of solitary oxygen dopant states capable of fluctuation-free, room-temperature single-photon emission in the 1,100-1,300 nm wavelength range. We investigated the effects of temperature on photoluminescence emission efficiencies, fluctuations and decay dynamics of the dopant states and determined the conditions most suitable for the observation of single-photon emission. This emission can in principle be extended to 1,500 nm by doping of smaller-bandgap single-walled carbon nanotubes. This easy tunability presents a distinct advantage over existing defect centre single-photon emitters (for example, diamond defect centres). Our SiO2-encapsulated sample also presents exciting opportunities to apply Si/SiO2-based micro/nano-device fabrication techniques in the development of electrically driven single-photon sources and integration of these sources into quantum photonic devices and networks.

  4. Room temperature ferrimagnetism and low temperature disorder effects in zinc ferrite thin films

    Energy Technology Data Exchange (ETDEWEB)

    Raghavan, Lisha; Pookat, Geetha [Department of Physics, Cochin University of Science and Technology, Cochin 682022, Kerala (India); Thomas, Hysen [Department of Physics, Christian College, Chengannur, Kerala 689122 (India); Ojha, Sunil; Avasthi, D.K. [Inter University Accelerator Centre, Aruna Asaf Ali Marg, New Delhi 110067 (India); Anantharaman, M.R., E-mail: mraiyer@gmail.com [Department of Physics, Cochin University of Science and Technology, Cochin 682022, Kerala (India)

    2015-07-01

    Zinc ferrite is a normal spinel and antiferromagnetic in nature with a Neel temperature of 10 K in the micron regime. It exhibits interesting features like superparamagnetism, spin glass and ferrimagnetism in the nano-regime. These anomalies make zinc ferrite striking among various other spinels. Further, in the thin film form, the magnetic properties are dependent on preparative techniques, annealing and deposition parameters. In the present work, zinc ferrite thin films were prepared by RF sputtering. The films were annealed at 400° C and 600° C. The thickness and composition of films were estimated by employing Rutherford Backscattering Spectrometry (RBS). The structural and microstructural studies conducted using Glancing X Ray Diffractometer (GXRD) and Transmission Electron Microscope (TEM) indicates the formation of a spinel phase and grain growth was observed with annealing. Magnetic measurements were carried out using a Superconducting Quantum Interferometer Device–Vibrating Sample Magnetometry (SQUID VSM). The films were found to be ferrimagnetic at room temperature and Field Cooling–Zero Field Cooling (FC–ZFC) studies indicate the presence of disorders. - Highlights: • Zinc ferrite thin films were prepared by RF sputtering. • The films were annealed at 400 °C and 600 °C. • Grain growth was observed with annealing. • The highest magnetization of 18 emu/cc was obtained for zinc ferrite film of thickness 120 nm. • The films were ferrimagnetic at room temperature.

  5. Temperature distribution in Risø Flexhouse Room 3 with different heating control principles

    DEFF Research Database (Denmark)

    Simone, Angela; Rode, Carsten

    2009-01-01

    in winter and spring 2009 to study the distribution of local temperatures in the room – particularly with the purpose to compare with the temperature measured and logged by the heating control sensor which was already installed in the room. The measured data shall be used together with mathematical models......This report presents the measurements of local thermal conditions in one room (“Room 3”) of the so-called “Flexouse” located at Risø DTU. The house is part of Risø DTU’s SYSLAB facility used to study the interaction of different facilities that supply and use energy. The facility has been used...

  6. Nanostructured Ferrite Based Electronic Nose Sensitive to Ammonia at Room Temperature

    Directory of Open Access Journals (Sweden)

    U. B. GAWAS

    2011-11-01

    Full Text Available Manganese and Nickel doped Zinc Ferrite powder (Mn0.3Ni0.3Zn0.4Fe2O4 was synthesized by autocatalytic thermal decomposition technique. The average crystallite size in the material powder was found to be of 10 – 13 nm. Characterization techniques such as X-Ray diffraction studies, Transmission electron microscopy, Infra-Red spectroscopy, etc, were employed to study the average particle size, phase and composition of the ferrite. Thick films of Mn0.3Ni0.3Zn0.4Fe2O4 were prepared by screen printing technique. These films were observed to be sensitive to 10 ppm NH3 at room temperature. The effects of surface microstructure, operating temperature, gas concentrations, etc., on the gas response, selectivity, response and recovery times of the sensor in the presence of NH3 and other gases were studied and discussed.

  7. Study of geometries of active magnetic regenerators for room temperature magnetocaloric refrigeration

    DEFF Research Database (Denmark)

    Lei, Tian; Engelbrecht, Kurt; Nielsen, Kaspar Kirstein

    2017-01-01

    Room temperature magnetic refrigeration has attracted substantial attention during the past decades and continuing to increase the performance of active magnetic regenerators (AMR) is of great interest. Optimizing the regenerator geometry and related operating parameters is a practical...... the AMR. In addition, optimum geometry and operating parameters corresponding to the highest efficiency for different geometries are presented and compared. The results show that parallel plate and micro-channel matrices show the highest theoretical efficiency, while the packed screen and packed sphere...... and chosen for modeling different geometries. Moreover, the simulated impacts of various parameters on the regenerator efficiency with a constant specific cooling capacity are presented. An analysis based on entropy production minimization reveals how those parameters affect the main losses occurring inside...

  8. Transfer of CVD-grown graphene for room temperature gas sensors

    Science.gov (United States)

    Rigoni, F.; Maiti, R.; Baratto, C.; Donarelli, M.; MacLeod, J.; Gupta, B.; Lyu, M.; Ponzoni, A.; Sberveglieri, G.; Motta, N.; Faglia, G.

    2017-10-01

    An easy transfer procedure to obtain graphene-based gas sensing devices operating at room temperature (RT) is presented. Starting from chemical vapor deposition-grown graphene on copper foil, we obtained single layer graphene which could be transferred onto arbitrary substrates. In particular, we placed single layer graphene on top of a SiO2/Si substrate with pre-patterned Pt electrodes to realize a chemiresistor gas sensor able to operate at RT. The responses to ammonia (10, 20, 30 ppm) and nitrogen dioxide (1, 2, 3 ppm) are shown at different values of relative humidity, in dark and under 254 nm UV light. In order to check the sensor selectivity, gas response has also been tested towards hydrogen, ethanol, acetone and carbon oxide. Finally, a model based on linear dispersion relation characteristic of graphene, which take into account humidity and UV light effects, has been proposed.

  9. Nano-structured TiO2 film fabricated at room temperature and its acoustic properties

    Science.gov (United States)

    Zhu, Jie; Cao, Wenwu; Jiang, Bei; Zhang, D S; Zheng, H; Zhou, Q; Shung, K K

    2009-01-01

    Nano-structured TiO2 thin film has been successfully fabricated at room temperature. Using a quarter wavelength characterization method, we have measured the acoustic impedance of this porous film, which can be adjusted from 5.3 to 7.19 Mrayl by curing it at different temperatures. The uniform microstructure and easy fabrication at room temperature make this material an excellent candidate for matching layers of ultra-high frequency ultrasonic imaging transducers. PMID:19672322

  10. Optimization of recirculating laminar air flow in operating room air conditioning systems

    Directory of Open Access Journals (Sweden)

    Enver Yalcin

    2016-04-01

    Full Text Available The laminar flow air-conditioning system with 100% fresh air is used in almost all operating rooms without discrimination in Turkey. The laminar flow device which is working with 100% fresh air should be absolutely used in Type 1A operating rooms. However, there is not mandatory to use of 100% fresh air for Type 1B defined as places performed simpler operation. Compared with recirculating laminar flow, energy needs of the laminar flow with 100 % fresh air has been emerged about 40% more than re-circulated air flow. Therefore, when a recirculating laminar flow device is operated instead of laminar flow system with 100% fresh air in the Type 1B operating room, annual energy consumption will be reduced. In this study, in an operating room with recirculating laminar flow, optimal conditions have been investigated in order to obtain laminar flow form by analyzing velocity distributions at various supply velocities by using computational fluid dynamics method (CFD.

  11. Impacts of exhalation flow on the microenvironment around the human body under different room temperatures

    Science.gov (United States)

    Jafari, Mohammad Javad; Gharari, Noradin; Azari, Mansour Rezazade; Ashrafi, Khosro

    2017-10-01

    Exhalation flow and room temperature can have a considerable effect on the microenvironment in the vicinity of human body. In this study, impacts of exhalation flow and room temperature on the microenvironment around a human body were investigated using a numerical simulation. For this purpose, a computational fluid dynamic program was applied to study thermal plume around a sitting human body at different room temperatures of a calm indoor room by considering the exhalation flow. The simulation was supported by some experimental measurements. Six different room temperatures (18 to 28 °C) with two nose exhalation modes (exhalation and non-exhalation) were investigated. Overhead and breathing zone velocities and temperatures were simulated in different scenarios. This study finds out that the exhalation through the nose has a significant impact on both quantitative and qualitative features of the human microenvironment in different room temperatures. At a given temperature, the exhalation through the nose can change the location and size of maximum velocity at the top of the head. In the breathing zone, the effect of exhalation through the nose on velocity and temperature distribution was pronounced for the point close to mouth. Also, the exhalation through the nose strongly influences the thermal boundary layer on the breathing zone while it only minimally influences the convective boundary layer on the breathing zone. Overall results demonstrate that it is important to take the exhalation flow into consideration in all areas, especially at a quiescent flow condition with low temperature.

  12. Psychological factors of professional success of nuclear power plant main control room operators

    OpenAIRE

    Kosenkov A.A.

    2014-01-01

    Aim: to conduct a comparative analysis of the psychological characteristics of the most and least successful main control room operators. Material and Methods. Two NPP staff groups: the most and least successful main control room operators, who worked in routine operating conditions, were surveyed. Expert evaluation method has been applied to identify the groups. The subjects were administered the Minnesota Multiphasic Personality Inventory (MMPI), Cattell's Sixteen Personality Factor Questio...

  13. Determination of Anger Expression and Anger Management Styles and an Application on Operating Room Nurses

    Directory of Open Access Journals (Sweden)

    Hülya Aslan

    2016-12-01

    Full Text Available This research has been carried out in order to determine anger expression and anger management styles in operating room nurses. By applying an in-depth interview technique on operating room nurses working in a private hospital, a qualitative study has been performed in order to determine anger expression and anger management styles in operating room nurses. The interview consisted of ten questions such as demographic questions addressing the workers’ age, sex, education level and duration of employment in the organization they work, aiming to determine their anger expression and anger management styles. Since operating room environments contain various risk factors, and require active team work in a stressful dynamic setting under excessive workload, , it has been found that operating room nurses display their anger through loud speaking, fail to settle their anger positively, fail to control their anger in a behavioural pattern despite their cognitive awareness in anger management. Thus, it has been suggested that operating room nurses should be trained on anger management methods so that they can manage their anger in a stressful operating room environment.

  14. [Occupational exposure to inhalation anaesthetics in operating rooms in Poland. A survey].

    Science.gov (United States)

    Pałaszkiewicz, Piotr; Szulc, Roman

    2010-01-01

    The occupational exposure to inhalation anaesthetics in operating rooms, and its effect on hospital staff, have been widely discussed. The first national survey, published in Poland several years ago, revealed worrying levels of contamination, especially in hospitals with poorly equipped operating rooms. The purpose of this recent survey was to assess contamination of the operating room air under various conditions. The survey questionnaire was sent to 484 hospitals, of different levels of referral, in Poland between October 2006 and January 2007. The questions in the questionnaire referred to anaesthetic techniques, technical infrastructures of operating rooms, and quality of anaesthetic equipment. Two hundred and seventy surveys were returned (55.8%), providing information about 1280 operating rooms.They revealed a major deficit in essential infrastructures and anaesthetic equipment in operating rooms, especially in regional hospitals. In addition, an important human factor was revealed, with many anaesthesiologists found to be using out-dated, air polluting methods of anaesthesia. Operating room air contamination with inhalation anaesthetics still poses a major risk in Polish hospitals, because of poor infrastructure and lack of modern anaesthetic equipment. The risk factors are related to the hospital referral level, but not to their geographic location.

  15. Long-term surveillance of air quality in medical center operating rooms.

    Science.gov (United States)

    Wan, Gwo-Hwa; Chung, Feng-Fang; Tang, Chin-Sheng

    2011-05-01

    Maintenance of adequate indoor air quality (IAQ) in operating rooms (ORs) is critical to the prevention of nosocomial infection in hospitalized patients. This study evaluated the characteristics of IAQ in various ORs in a medical center. Air temperature, relative humidity, carbon dioxide (CO(2)), particulate matter (PM), and bacterial concentrations were monitored in the ORs, and monthly variations were noted. The mean CO(2) concentrations in the ORs were lower than the suggested level (600 ppm average over 8 hours) set by Taiwan's Environmental Protection Agency. Positive relationships were found among the number of persons, temperature (Spearman's rho coefficient [r(s)] = 0.19; P room. Gram-positive bacteria (eg, Bacillus spp, Micrococcus spp, Staphylococcus spp) were frequently found in the monitored ORs. The IAQ in the ORs varied significantly from month to month. The number of persons in the OR affected IAQ, and a decreased PM level might indicate reduced microbial contamination in the OR. Copyright © 2011 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  16. The effects of surgeons and anesthesiologists on operating room efficiency

    Directory of Open Access Journals (Sweden)

    Nessa Timoney

    2016-09-01

    Conclusion: In some procedures types a significant part of the variability in operative time is due to the interaction between the surgeon and anesthesiologist. Reviewing operative records should allow identification of efficient/inefficient combinations.

  17. A Dedicated Orthopaedic Trauma Operating Room Improves Efficiency at a Pediatric Center.

    Science.gov (United States)

    Brusalis, Christopher M; Shah, Apurva S; Luan, Xianqun; Lutts, Meaghan K; Sankar, Wudbhav N

    2017-01-04

    Dedicated orthopaedic trauma operating rooms have improved operating room efficiency, physician schedules, and patient outcomes in adult populations. The purpose of this study was to determine if a dedicated orthopaedic trauma operating room was associated with improved patient flow and cost savings at a level-I pediatric trauma center. A retrospective analysis was performed for two 3-year intervals before and after implementation of a weekday, unbooked operating room reserved for orthopaedic trauma cases. Index procedures for 5 common fractures were investigated, including supracondylar humeral fractures, both bone forearm fractures, lateral condylar fractures, tibial fractures, and femoral fractures. To provide a control group to account for potential extrinsic changes in hospital efficiency, laparoscopic appendectomies were also analyzed. For each procedure, efficiency parameters and surgical complications, defined as unplanned reoperations, were compared between time periods. The mean cost reduction per patient was calculated on the basis of the mean daily cost of an inpatient hospital bed. Of 1,469 orthopaedic procedures analyzed, 719 cases occurred before the implementation of the dedicated orthopaedic trauma operating room, and 750 cases were performed after the implementation. The frequency of after-hours procedures (5 P.M. to 7 A.M.) was reduced by 48% (p operating room decreased among supracondylar humeral fractures, lateral condylar fractures, and tibial fractures, whereas no significant decrease (p = 0.302) occurred among 2,076 laparoscopic appendectomy cases. The mean duration of the surgical procedure and the mean time in the operating room were not significantly affected. Across all orthopaedic procedures, the mean duration of inpatient hospitalization decreased by 5.6 hours (p operating room had fewer surgical complications (p = 0.018). No difference in complication rate was detected among the other orthopaedic procedures. A dedicated orthopaedic

  18. Scaled Experimental Study on Maximum Smoke Temperature along Corridors Subject to Room Fires

    Directory of Open Access Journals (Sweden)

    Zheli Xing

    2015-08-01

    Full Text Available In room–corridor building geometry, the corridor smoke temperature is of great importance to fire protection engineering as indoor fires occur. Theoretical analysis and a set of reduced-scale model experiments were performed, and a virtual fire model was proposed, to investigate the correlations between the maximum smoke temperature in corridors and the smoke temperature in rooms. The results show that the dimensionless virtual fire heat release rate (HRR is characterized by quadratic-polynomial of the dimensionless smoke temperature in fire rooms. The dimensionless distance from a virtual fire source to the corridor ceiling varies linearly with the dimensionless smoke temperature in a room. Results of multiple regression indicate that, at the impingement area of virtual fire, the dimensionless maximum smoke temperature in corridors is only related to the dimensionless virtual fire HRR; in the non-impingement area of a virtual fire, the dimensionless maximum smoke temperature in corridors is a function of the dimensionless virtual fire HRR and dimensionless longitude distance. The viscosity and conduction exhibit an insignificant impact on the maximum temperature in the corridor. Through replacing the parameters of virtual fire with the dimensionless smoke temperature in fire rooms, the correlations between dimensionless maximum temperature in corridors and the dimensionless smoke temperature in fire rooms were proposed.

  19. Continuous-wave mid-infrared photonic crystal light emitters at room temperature

    Science.gov (United States)

    Weng, Binbin; Qiu, Jijun; Shi, Zhisheng

    2017-01-01

    Mid-infrared photonic crystal enhanced lead-salt light emitters operating under continuous-wave mode at room temperature were investigated in this work. For the device, an active region consisting of 9 pairs of PbSe/Pb0.96Sr0.04Se quantum wells was grown by molecular beam epitaxy method on top of a Si(111) substrate which was initially dry-etched with a two-dimensional photonic crystal structure in a pattern of hexagonal holes. Because of the photonic crystal structure, an optical band gap between 3.49 and 3.58 µm was formed, which matched with the light emission spectrum of the quantum wells at room temperature. As a result, under optical pumping, using a near-infrared continuous-wave semiconductor laser, the device exhibited strong photonic crystal band-edge mode emissions and delivered over 26.5 times higher emission efficiency compared to the one without photonic crystal structure. The output power obtained was up to 7.68 mW (the corresponding power density was 363 mW/cm2), and a maximum quantum efficiency reached to 1.2%. Such photonic crystal emitters can be used as promising light sources for novel miniaturized gas-sensing systems.

  20. Room-temperature 2D semiconductor activated vertical-cavity surface-emitting lasers.

    Science.gov (United States)

    Shang, Jingzhi; Cong, Chunxiao; Wang, Zilong; Peimyoo, Namphung; Wu, Lishu; Zou, Chenji; Chen, Yu; Chin, Xin Yu; Wang, Jianpu; Soci, Cesare; Huang, Wei; Yu, Ting

    2017-09-14

    Two-dimensional (2D) semiconductors are opening a new platform for revitalizing widely spread optoelectronic applications. The realisation of room-temperature vertical 2D lasing from monolayer semiconductors is fundamentally interesting and highly desired for appealing on-chip laser applications such as optical interconnects and supercomputing. Here, we present room-temperature low-threshold lasing from 2D semiconductor activated vertical-cavity surface-emitting lasers (VCSELs) under continuous-wave pumping. 2D lasing is achieved from a 2D semiconductor. Structurally, dielectric oxides were used to construct the half-wavelength-thick cavity and distributed Bragg reflectors, in favour of single-mode operation and ultralow optical loss; in the cavity centre, the direct-bandgap monolayer WS2 was embedded as the gain medium, compatible with the planar VCSEL configuration and the monolithic integration technology. This work demonstrates 2D semiconductor activated VCSELs with desirable emission characteristics, which represents a major step towards practical optoelectronic applications of 2D semiconductor lasers.Two-dimensional materials have recently emerged as interesting materials for optoelectronic applications. Here, Shang et al. demonstrate two-dimensional semiconductor activated vertical-cavity surface-emitting lasers where both the gain material and the lasing characteristics are two-dimensional.

  1. The equivalent circuit model on the room temperature electroluminescence from forward biased pin silicon diode

    Science.gov (United States)

    Zhang, Bin; Mao, Lu-hong; Li, Shanguo; Guo, Wei-lian; Zhang, Shi-lin; Liang, Hui-lai

    2008-01-01

    As the length scale of the devices decreases, electrons will spend increasingly more of their time in the connections between components; this interconnectivity problem could restrict further increases in computer chip processing power and speed. Considerable effort is therefore being expended on the development of efficient silicon light-emitting devices compatible with silicon based integrated circuit technology. Here, we describe the electrical and optical properties of Silicon positive intrinsic negative (pin) structure diode that operates at room temperature. The voltage-current and electroluminescence (EL) property are measured at room temperature for a silicon pin diode under forward biased current. The optical spectral response of the system at 700nm indicates that the emitting light source has low optical loss in Silicon. So the LED is suitable for Silicon optoelectronic interconnection system.[1][2] The rate-equation model for free carriers on light-emitting pin structure and the equivalent circuit model based on it have been presented. We have developed a way to calculate the model parameters by comparison with experimental results. This parameter extraction way can be fully accomplished automatically by using MATHCAD program and the equivalent circuit model is simulated by using HSPICE program respectively. The results of both experiment and simulation results are good agreement with each other.

  2. Liquid Nitrogen Temperature Operation of a Switching Power Converter

    Science.gov (United States)

    Ray, Biswajit; Gerber, Scott S.; Patterson, Richard L.; Myers, Ira T.

    1995-01-01

    The performance of a 42/28 V, 175 W, 50 kHz pulse-width modulated buck dc/dc switching power converter at liquid nitrogen temperature (LNT) is compared with room temperature operation. The power circuit as well as the control circuit of the converter, designed with commercially available components, were operated at LNT and resulted in a slight improvement in converter efficiency. The improvement in power MOSFET operation was offset by deteriorating performance of the output diode rectifier at LNT. Performance of the converter could be further improved at low temperatures by using only power MOSFET's as switches. The use of a resonant topology will further improve the circuit performance by reducing the switching noise and loss.

  3. Time-dependent contamination of opened sterile operating-room trays.

    Science.gov (United States)

    Dalstrom, David J; Venkatarayappa, Indresh; Manternach, Alison L; Palcic, Marilyn S; Heyse, Beth A; Prayson, Michael J

    2008-05-01

    There are no clear guidelines for how long a sterile operating-room tray can be exposed to the open environment before the contamination risk becomes unacceptable. The purpose of this study was to determine the time until first contamination and the rate of time-dependent contamination of sterile trays that had been opened in a controlled operating-room environment. We also examined the effect of operating-room traffic on the contamination rate. Forty-five sterile trays were opened in a positive-air-flow operating room. The trays were randomly assigned to three groups. All trays were opened with use of sterile technique and were exposed for four hours. Culture specimens were obtained immediately after opening and every thirty minutes thereafter during the study period. Group 1 consisted of fifteen trays that were opened and left uncovered in a locked operating room (i.e., one with no traffic). Group 2 was identical to Group 1 with the addition of single-person traffic flowing in and out of the operating room from a nonsterile corridor every ten minutes. Group 3 included fifteen trays that were opened, immediately covered with a sterile surgical towel, and then left uncovered in a locked operating room (i.e., one with no traffic). Three of the thirty uncovered trays (one left in the operating room with traffic and two left in the room with no traffic) were found to be contaminated immediately after opening. After those three trays were eliminated, the contamination rates recorded for the twenty-seven uncovered trays were 4% (one tray) at thirty minutes, 15% (four) at one hour, 22% (six) at two hours, 26% (seven) at three hours, and 30% (eight) at four hours. There was no difference in survival time (p = 0.47) or contamination rate (p = 0.69) between the uncovered trays in the room with traffic and those in the room without traffic. The covered trays were not contaminated during the testing period. The survival time for those trays was significantly longer (p = 0

  4. Nursing in a technological environment: nursing care in the operating room.

    Science.gov (United States)

    Bull, Rosalind; FitzGerald, Mary

    2006-02-01

    Operating room nurses continue to draw criticism regarding the appropriateness of a nursing presence in the operating room. The technological focus of the theatre and the ways in which nurses in the theatre have shaped and reshaped their practice in response to technological change have caused people within and outside the nursing profession to question whether operating room nursing is a technological rather than nursing undertaking. This paper reports findings from an ethnographic study that was conducted in an Australian operating department. The study examined the contribution of nurses to the work of the operating room through intensive observation and ethnographic interviews. This paper uses selected findings from the study to explore the ways in which nurses in theatre interpret their role in terms of caring in a technological environment.

  5. Room temperature high-detectivity mid-infrared photodetectors based on black arsenic phosphorus

    Science.gov (United States)

    Long, Mingsheng; Gao, Anyuan; Wang, Peng; Xia, Hui; Ott, Claudia; Pan, Chen; Fu, Yajun; Liu, Erfu; Chen, Xiaoshuang; Lu, Wei; Nilges, Tom; Xu, Jianbin; Wang, Xiaomu; Hu, Weida; Miao, Feng

    2017-01-01

    The mid-infrared (MIR) spectral range, pertaining to important applications, such as molecular “fingerprint” imaging, remote sensing, free space telecommunication, and optical radar, is of particular scientific interest and technological importance. However, state-of-the-art materials for MIR detection are limited by intrinsic noise and inconvenient fabrication processes, resulting in high-cost photodetectors requiring cryogenic operation. We report black arsenic phosphorus–based long-wavelength IR photodetectors, with room temperature operation up to 8.2 μm, entering the second MIR atmospheric transmission window. Combined with a van der Waals heterojunction, room temperature–specific detectivity higher than 4.9 × 109 Jones was obtained in the 3- to 5-μm range. The photodetector works in a zero-bias photovoltaic mode, enabling fast photoresponse and low dark noise. Our van der Waals heterojunction photodetectors not only exemplify black arsenic phosphorus as a promising candidate for MIR optoelectronic applications but also pave the way for a general strategy to suppress 1/f noise in photonic devices. PMID:28695200

  6. Microbial surface contamination after standard operating room cleaning practices following surgical treatment of infection.

    Science.gov (United States)

    Balkissoon, Rishi; Nayfeh, Tariq; Adams, Kerri L; Belkoff, Stephen M; Riedel, Stefan; Mears, Simon C

    2014-04-01

    At the authors' institution, some joint arthroplasty surgeons require the operating room to be terminally cleaned before using the room after infected cases, in theory to decrease exposure to excessive microbial contamination for the subsequent patient. The authors found no guidance in the literature to support this practice. To test this theory, the authors measured microbial surface contamination from 9 surfaces in operating rooms after standard operating room turnover following 14 infected cases vs 16 noninfected cases. A check was made for an association between organisms isolated intraoperatively from infected surgical patients immediately preceding standard cleaning and organisms isolated from common operating room surfaces. Colony counts were made at 24 and 48 hours, and organisms were identified. No significant difference was noted in colony counts between infected and noninfected cases, and no relationship was found between organisms isolated from infected cases and those from operating room surfaces. Furthermore, the largest colony count from both groups (0.08 cfu/cm(2)) was an order of magnitude less than the recently proposed 5 cfu/cm(2) threshold for surface hygiene in hospitals. This finding indicates that standard operating room turnover results in minimal surface contamination, regardless of the previous case's infection status, and that there is no need for a more extensive terminal cleaning after an infected case. Copyright 2014, SLACK Incorporated.

  7. A Study of the Operating Room Scheduling System at Tripler Army Medical Center, Hawaii

    Science.gov (United States)

    1981-08-01

    of the most difficult administrativo tasks that a modern hospital must face, and proposed using a combination of a master posting sheet and a...rooms. The greater degree of control maintained over the amount of available operating room time provided by this computerized system would in- crease

  8. Hydrogen Storage in Single-Walled Carbon Nanotubes at Room Temperature

    National Research Council Canada - National Science Library

    C. Liu; Y. Y. Fan; M. Liu; H. T. Cong; H. M. Cheng; M. S. Dresselhaus

    1999-01-01

    .... A hydrogen storage capacity of 4.2 weight percent, or a hydrogen to carbon atom ratio of 0.52, was achieved reproducibly at room temperature under a modestly high pressure (about 10 megapascal...

  9. Tracheal extubation practices following adenotonsillectomy in children: effects on operating room efficiency between two institutions.

    Science.gov (United States)

    Kako, Hiromi; Corridore, Marco; Seo, Sarah; Elmaraghy, Charles; Lind, Meredith; Tobias, Joseph D

    2017-06-01

    Adenotonsillectomy is one of the most commonly performed operative procedures in children. It is imperative to find the most efficient and cost-effective methods of practice to facilitate operating room management while maintaining patient safety. We investigated the efficiency of two different approaches of tracheal extubation in pediatric patients following adenotonsillectomy at two tertiary care pediatric hospitals with large surgical volumes. The primary aim of the study was to determine the difference in the operating room time according to the institutional practice of tracheal extubation in the postanesthesia care unit (PACU) as compared to the operating room. After obtaining IRB approval, a retrospective chart review was performed over a 12-month period at two large, tertiary care children's hospitals including the first hospital, where patients undergo tracheal extubation in the operating room after completion of the surgical procedure and a second hospital, where patients are brought directly to the PACU and undergo tracheal extubation in the PACU by nurses, with immediate availability of the pediatric anesthesiology faculty. Patients ≤12 years of age undergoing adenotonsillectomy were eligible for inclusion in the study. Patients with significant cardiopulmonary disease or scheduled for recovery in the critical care unit were excluded. Patient demographics, total time in the operating room, surgical time, total time in the PACU, and, when applicable, time until tracheal extubation, were noted. The study cohort included 672 patients from the first hospital and 700 patients from the second hospital. Average operating room time was 17 min shorter at the first hospital than at the other, with most of the difference due to a reduction in the time between surgery end and transport from the operating room. PACU times were also 26 min shorter at the first hospital than at the second children's hospital. Tracheal extubation in the PACU is an efficient use of

  10. Operating room metrics score card-creating a prototype for individualized feedback.

    Science.gov (United States)

    Gabriel, Rodney A; Gimlich, Robert; Ehrenfeld, Jesse M; Urman, Richard D

    2014-11-01

    The balance between reducing costs and inefficiencies with that of patient safety is a challenging problem faced in the operating room suite. An ongoing challenge is the creation of effective strategies that reduce these inefficiencies and provide real-time personalized metrics and electronic feedback to anesthesia practitioners. We created a sample report card structure, utilizing existing informatics systems. This system allows to gather and analyze operating room metrics for each anesthesia provider and offer personalized feedback. To accomplish this task, we identified key metrics that represented time and quality parameters. We collected these data for individual anesthesiologists and compared performance to the overall group average. Data were presented as an electronic score card and made available to individual clinicians on a real-time basis in an effort to provide effective feedback. These metrics included number of cancelled cases, average turnover time, average time to operating room ready and patient in room, number of delayed first case starts, average induction time, average extubation time, average time to recovery room arrival to discharge, performance feedback from other providers, compliance to various protocols, and total anesthetic costs. The concept we propose can easily be generalized to a variety of operating room settings, types of facilities and OR health care professionals. Such a scorecard can be created using content that is important for operating room efficiency, research, and practice improvement for anesthesia providers.

  11. A System Approach to Navy Medical Education and Training. Appendix 36. Competency Curriculum for Operating Room Assistant and Operating Room Technician.

    Science.gov (United States)

    1974-08-31

    nails, orthopedic appliances Anticipating needs of surgeon Specimen care in surgical field Casting and splinting procedures 84 1. _ 7 I Competency...nails, orthopedic appliances Skin preparation and draping techniques Casting and splinting procedures 167 I Competency: OPERATING ROOM TECHNICIAN (ORT...remove prosthetic appliance j. Remove plaster cast PERFORMANCE OBJECTIVE (Stimulus) When required for an orthopedic surgical procedure (Behavior) The ORT

  12. Developing a High-efficiency Operating Room for Total Joint Arthroplasty in an Academic Setting

    National Research Council Canada - National Science Library

    Attarian, David E; Wahl, Jennie E; Wellman, Samuel S; Bolognesi, Michael P

    2013-01-01

    Developing a high-efficiency operating room (OR) for total joint arthroplasty (TJA) in an academic setting is challenging given the preexisting work cultures, bureaucratic road blocks, and departmental silo mentalities...

  13. Mean sound level in operation rooms in a referral hospital: a brief report

    Directory of Open Access Journals (Sweden)

    Ahmad Joneidi Jafari

    2014-02-01

    Conclusion: Overall total noise dose during all types of surgeries was measured as twice of permitted dose and also orthopedic and general operation rooms experience brief periods of noise exposure in excess.

  14. Context dependent memory in two learning environments: the tutorial room and the operating theatre

    National Research Council Canada - National Science Library

    Coveney, Andrew P; Switzer, Timothy; Corrigan, Mark A; Redmond, Henry P

    2013-01-01

    .... Using a free recall experimental model, fourteen medical student participants were administered audio lists of 30 words in two separate learning environments, a tutorial room and an operating theatre...

  15. [A ten-year risk evaluation study in Catania hospital operating rooms].

    Science.gov (United States)

    Ferrante, Margherita; Fiore, Maria; Fallico, Giuseppe; Mazza, Angelo; Fallico, Roberto; Biondi, Marisa; Mirone, Lucia; Sciacca, Salvatore

    2004-01-01

    Previous studies conducted in Catania hospitals have revealed a high burden of contamination in the air of operating rooms and have recommended measures to improve air quality. In this study we verified the effectiveness of the undertaken measures. Furthermore we evaluated the possibility of using microclimatic parameters as "markers" of operating room contamination. Changes made to ventilation systems and to waste gas scavenging systems in the monitored operating rooms were remarkably effective. Microclimatic conditions and degree of chemical contamination improved over time; nevertheless airflow velocity values were found to be insufficient and nitrous oxide values, in some cases, remained slightly elevated. A significant correlation was observed only between some nitrous oxide values and relative humidity. Monitoring important marker levels is useful for correctly evaluating operating room thermal, chemical and microbiological air quality.

  16. Fentanyl and propofol exposure in the operating room: sensitization hypotheses and further data.

    Science.gov (United States)

    Merlo, Lisa J; Goldberger, Bruce A; Kolodner, Dara; Fitzgerald, Kimberly; Gold, Mark S

    2008-01-01

    Inflated rates of opioid addiction among anesthesiologists may be caused by chronic exposure to low doses of aerosolized anesthetic/analgesic agents in the operating room. Such secondhand exposure produces neurobiological sensitization to the reinforcing effects of these substances, making later addiction more likely. This article extends findings that fentanyl and propofol are detectable in the air of the operating room and demonstrates that fentanyl is also detectable on surfaces in the operating room. Secondhand exposure could, therefore, occur by inhalation and skin absorption. Additionally, data show that many physicians with opiate addiction have a family history of addiction, suggesting genetic vulnerability to the effects of secondhand exposure. Other new data demonstrate that the rates of marijuana and tobacco smoking are much higher among opioid-addicted physicians, suggesting that prior exposure to THC (the psychoactive component of cannabis) or nicotine might increase vulnerability to secondhand effects. Suggestions for reducing secondhand exposure in the operating room are discussed.

  17. Temperature autocontrol system for the coud%eacute; room of the 1.2 m telescope

    Science.gov (United States)

    Zhang, Jian-Hua

    The setting up of temperature autocontrol system for the coudé room of the 1.2 m telescope at Yunnan Observatory and realizing the airflow autocirculation, purified the air, keeping the temperature in the coudé room constantly by autocontrol the heater, and then keeping the optical system in the best condition are introduced in this paper. The autocontrol system is designed and developed at the basis of having only the air circulator and the heater controlled by hand.

  18. Room-temperature magnetic anisotropy of lanthanide complexes: A model study for various coordination polyhedra

    OpenAIRE

    Mironov, Vladimir S.; Galyametdinov, Yury G.; Ceulemans, Arnout; Görller-Walrand, Christiane; Binnemans, Koen

    2002-01-01

    The dependence of the room-temperature magnetic anisotropy Deltachi of lanthanide complexes on the type of the coordination polyhedron and on the nature of the lanthanide ion is quantitatively analyzed in terms of a model approach based on numerical calculations. The aim of this study is to establish general regularities in the variation of the sign and magnitude of the magnetic anisotropy of lanthanide complexes at room-temperature and to estimate its maximal value. Except for some special c...

  19. Ultra-slow and superluminal light propagation in solids at room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Bigelow, M S; Lepeshkin, N N; Boyd, R W [Institute of Optics, University of Rochester, Rochester, NY 14627 (United States)

    2004-11-24

    Slow and superluminal group velocities can be observed in any material that has large normal or anomalous dispersion. While this fact has been known for more than a century, recent experiments have shown that the dispersion can be very large without dramatically deforming a pulse. As a result, the significance and nature of pulse velocity is being reevaluated. In this review, we discuss some of the current techniques used for generating ultra-slow, superluminal, and even stopped light. While ultra-slow and superluminal group velocities have been observed in complicated systems, from an applications point of view it is highly desirable to do have this done in a solid that can operate at room temperature. We describe how coherent population oscillations can produce ultra-slow and superluminal light under these conditions. (topical review)

  20. Silicon nanowire and carbon nanotube hybrid for room temperature multiwavelength light source.

    Science.gov (United States)

    Lo Faro, Maria Josè; D'Andrea, Cristiano; Messina, Elena; Fazio, Barbara; Musumeci, Paolo; Reitano, Riccardo; Franzò, Giorgia; Gucciardi, Pietro Giuseppe; Vasi, Cirino; Priolo, Francesco; Iacona, Fabio; Irrera, Alessia

    2015-11-23

    The realization of an innovative hybrid light source operating at room temperature, obtained by embedding a carbon nanotube (CNT) dispersion inside a Si nanowire (NW) array is reported. The NW/CNT system exhibits a peculiar photoluminescence spectrum, consisting of a wide peak, mainly observed in the visible range, due to quantum confined Si NWs, and of several narrower IR peaks, due to the different CNT chiralities present in the dispersion. The detailed study of the optical properties of the hybrid system evidences that the ratio between the intensity of the visible and the IR emissions can be varied within a wide range by changing the excitation wavelength or the CNT concentration; the conditions leading to the prevalence of one signal with respect to the other are identified. The multiplicity of emission spectra obtainable from this composite material opens new perspectives for Si nanostructures as active medium in light sources for Si photonics applications.

  1. Room Temperature InP DFB Laser Array Directly Grown on (001) Silicon

    CERN Document Server

    Wang, Zhechao; Pantouvaki, Marianna; Guo, Weiming; Absil, Philippe; Van Campenhout, Joris; Merckling, Clement; Van Thourhout, Dries

    2015-01-01

    Fully exploiting the silicon photonics platform requires a fundamentally new approach to realize high-performance laser sources that can be integrated directly using wafer-scale fabrication methods. Direct band gap III-V semiconductors allow efficient light generation but the large mismatch in lattice constant, thermal expansion and crystal polarity makes their epitaxial growth directly on silicon extremely complex. Here, using a selective area growth technique in confined regions, we surpass this fundamental limit and demonstrate an optically pumped InP-based distributed feedback (DFB) laser array grown on (001)-Silicon operating at room temperature and suitable for wavelength-division-multiplexing applications. The novel epitaxial technology suppresses threading dislocations and anti-phase boundaries to a less than 20nm thick layer not affecting the device performance. Using an in-plane laser cavity defined by standard top-down lithographic patterning together with a high yield and high uniformity provides ...

  2. Room temperature synthesis and high temperature frictional study of silver vanadate nanorods

    Energy Technology Data Exchange (ETDEWEB)

    Singh, D P; Aouadi, S M [Department of Physics, Southern Illinois University, Carbondale-62901 (United States); Polychronopoulou, K [Department of Chemistry, University of Cyprus, Nicosia, 1678 (Cyprus); Rebholz, C, E-mail: dineshpsingh@gmail.com, E-mail: saouadi@physics.siu.edu [Department of Mechanical and Manufacturing Engineering, University of Cyprus, Nicosia, 1678 (Cyprus)

    2010-08-13

    We report the room temperature (RT) synthesis of silver vanadate nanorods (consisting of mainly {beta}-AgV O{sub 3}) by a simple wet chemical route and their frictional study at high temperatures (HT). The sudden mixing of ammonium vanadate with silver nitrate solution under constant magnetic stirring resulted in a pale yellow coloured precipitate. Structural/microstructural characterization of the precipitate through x-ray diffraction (XRD), scanning electron microscopy (SEM) and transmission electron microscopy (TEM) revealed the high yield and homogeneous formation of silver vanadate nanorods. The length of the nanorods was 20-40 {mu}m and the thickness 100-600 nm. The pH variation with respect to time was thoroughly studied to understand the formation mechanism of the silver vanadate nanorods. This synthesis process neither demands HT, surfactants nor long reaction time. The silver vanadate nanomaterial showed good lubrication behaviour at HT (700 deg. C) and the friction coefficient was between 0.2 and 0.3. HT-XRD revealed that AgV O{sub 3} completely transformed into silver vanadium oxide (Ag{sub 2}V{sub 4}O{sub 11}) and silver with an increase in temperature from RT to 700 deg. C.

  3. Graphene-based room-temperature implementation of a modified Deutsch-Jozsa quantum algorithm.

    Science.gov (United States)

    Dragoman, Daniela; Dragoman, Mircea

    2015-12-04

    We present an implementation of a one-qubit and two-qubit modified Deutsch-Jozsa quantum algorithm based on graphene ballistic devices working at room temperature. The modified Deutsch-Jozsa algorithm decides whether a function, equivalent to the effect of an energy potential distribution on the wave function of ballistic charge carriers, is constant or not, without measuring the output wave function. The function need not be Boolean. Simulations confirm that the algorithm works properly, opening the way toward quantum computing at room temperature based on the same clean-room technologies as those used for fabrication of very-large-scale integrated circuits.

  4. Leadership: briefing and debriefing in the operating room.

    Science.gov (United States)

    Donnelly, Teresa

    2017-07-01

    Steelman (2014) stated that the concept of briefing and debriefing used in operating theatres derived from the airline industry in the 1970s. There had been a series of devastating air crashes and the airline industry had come under severe public scrutiny. Investigations identified that, while the crews operating these aircrafts were very skilled and knowledgeable, they lacked competence in their ability to perform as part of a team. Copyright the Association for Perioperative Practice.

  5. The Effect of Consuming Green Tea on Blood Oxidative Biomarkers in Operating Room Personnel

    Directory of Open Access Journals (Sweden)

    Saeid Amini Rarani

    2017-01-01

    Full Text Available Abstract Background: Operating room personnel are subject to occupational hazards which could lead to an increase in free radicals and develop various diseases. The aim of the present study was to determine the effect of consuming green tea on the improvement of the blood oxidative biomarkers in operating room personnel who are exposed to anesthetic gases. Materials and Methods: This study was a before-after clinical trial which was conducted on 24 operating room personnel. They were invited to consume 4 cups of a green tea beverage, prepared from 3 g of green tea leaves in 300 mL of boiled water (at 80˚ C, daily for 8 weeks. Then, Myeloperoxidase (MPO, DNA damage, Glutathione Peroxidase (GPx, and Superoxide Dismutase (SOD in the plasma were measured in order to evaluate the level of oxidative stress biomarkers before and after consuming green tea. Results: Green tea consumption by operating room personnel brought about a significant increase in glutathione peroxidase and superoxide dismutase and a considerable decrease in myeloperoxidase and DNA damage. Conclusion: According to the results of this study, green tea consumption as an antioxidant supplement by operating room personnel, who are regularly exposed to anesthetic gases, can minimize oxidative stress and DNA damage considerably. Thus, it is advisable for operating room personnel to consume green tea as a natural antioxidant supplement.

  6. Surface contamination in operating rooms: a risk for transmission of pathogens?

    Science.gov (United States)

    Yezli, Saber; Barbut, Frédéric; Otter, Jonathan A

    2014-12-01

    The role of surface contamination in the transmission of nosocomial pathogens is recognized increasingly. For more than 100 years, the inanimate environment in operating rooms (e.g., walls, tables, floors, and equipment surfaces) has been considered a potential source of pathogens that may cause surgical site infections (SSIs). However, the role of contaminated surfaces in pathogen acquisition in this setting generally is considered negligible, as most SSIs are believed to originate from patients' or healthcare workers' flora. A search of relevant medical literature was performed using PubMed to identify studies that investigated surface contamination of operating rooms and its possible role in infection transmission. Despite a limited number of studies evaluating the role of surface contamination in operating rooms, there is accumulating evidence that the inanimate environment of the operating room can become contaminated with pathogens despite standard environmental cleaning. These pathogens can then be transmitted to the hands of personnel and then to patients and may result in SSIs and infection outbreaks. Contaminated surfaces can be responsible for the transmission of pathogens in the operating room setting. Further studies are necessary to quantify the role of contaminated surfaces in the transmission of pathogens and to inform the most effective environmental interventions. Given the serious consequences of SSIs, special attention should be given to the proper cleaning and disinfection of the inanimate environment in operating rooms in addition to the other established infection control measures to reduce the burden of SSIs.

  7. Metastable gamma-Iron Nickel Nanostructures for Magnetic Refrigeration Near Room Temperature

    Science.gov (United States)

    Ucar, Huseyin

    250 J/kg at 5 T, with peak temperatures 363 K and 333 K, respectively. The RCFW H M for the Fe70Ni30 is higher than the previously reported Nanoperm (Fe70Ni 30)89Zr7B4 type alloy and on the same order of magnitude with other Fe-based alloys. The maximum magnetic entropy change values observed for the Fe70Ni30 and the Fe 72Ni28 are 0.65 and 0.5 Jkg--1K --1, respectively, at a field of 5 T. These are smaller than those of rare earth magnetic refrigerants showing first order transformation behavior. The larger RCFW H M value results mainly from the width of the magnetic entropy curve in these types of materials. In a follow up study, nanocrystalline powders of (Fe70Ni 30)100--xMox (x=1 to x=4) were produced by high energy (SPEX) mechanical alloying. Increasing the Mo content was found to stabilize the FCC phase in mechanically alloyed nanopowders. The TC of the alloys was lowered with Mo additions, without decreasing the Refrigeration Capacity (RC), due to the additional temperature broadening of the magnetic entropy change. Based on the previous study on the role of disorder, the additional temperature broadening was attributed to the increased positional disorder introduced by the Mo additions into the gammaFeNi system. Alloy with (Fe70Ni 30)96Mo4 composition was observed to have RCFW H M of 432 J/kg at 5T which is comparable to other prominent magnetic refrigerants operating near room temperatures. The economic viability of these rare-earth-free alloys, along with respectable magnetocaloric properties and potential for scalable production, make them good candidates for magnetic refrigeration applications.

  8. Surface modification of TiO2 nanorod arrays by Ag nanoparticles and its enhanced room temperature ethanol sensing properties

    Science.gov (United States)

    Subha, P. P.; Hasna, K.; Jayaraj, M. K.

    2017-10-01

    Rutile TiO2 nanorods functionalized with Ag nanoparticles (Ag–TiO2) were synthesized by simple low-temperature solution techniques and its room temperature (29 °C) gas sensing properties were investigated. TiO2 nanorods were grown on FTO substrates through a seed mediated hydrothermal method and Ag nanoparticles were deposited by wet chemical method. The introduction of seed layer markedly improved the orientation as well as porosity of the samples which make them suitable for fabricating efficient gas sensors operating at room temperature. The fabricated device exhibited excellent sensing response to various concentrations of ethanol. More than the response, the response and recovery time of surface modified gas sensors enhanced greatly which can attribute to the exceptional catalytic properties Ag nanoparticles. The improved sensing performance of Ag–TiO2 structure can be explained on the basis of chemical sensitization via spillover effect.

  9. Surgeons' leadership in the operating room: an observational study.

    Science.gov (United States)

    Parker, Sarah Henrickson; Yule, Steven; Flin, Rhona; McKinley, Aileen

    2012-09-01

    There is widespread recognition in high-risk organizations that leadership is essential for efficient and safe team performance. However, there is limited empiric evidence identifying specific leadership skills and associated behaviors enacted by surgeons during surgery. Observational data on surgeons' intraoperative leadership behaviors were gathered during surgeries (n = 29) in 3 hospitals. Observations were coded using 7 leadership elements identified from the literature on surgeons' leadership. Surgeries were categorized by complexity using British United Provident Association ratings. A total of 258 leadership behaviors were observed during more than 63 hours of observation. Surgeons most frequently showed guiding and supporting (33%), communicating and coordinating (20%), and task management behaviors (15%). In many instances the surgeons' leadership was directed to the room rather than to a specific team member. Surgeons engaged in leadership behaviors significantly more frequently during cases of high complexity compared with cases of lower complexity. This study is the first step in developing an empirically derived taxonomy to identify and classify surgeons' intraoperative leadership behaviors. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. The Role of Organizational Culture in Operating Room Turnaround Time.

    Science.gov (United States)

    Ninan, David; Zhu, Janet; Kore, Amanda; Wasson, Elizabeth; Fullerton, Tricia; Ninan, Barbara

    2017-05-17

    This analysis looks at the application of a robust process improvement methodology to achieve a sustained organizational change. The implementation took place in a safety net hospital's operating suites that had a problem with relatively long, nonproductive turnover times between surgical procedures. Organizational leadership empowered stakeholders to use Lean and Six-Sigma tools to develop more efficient organizational processes. These processes were then implemented in a phased approach with careful attention to the organization's culture. The result was a significant reduction in turnover times leading to greater operational efficiency.

  11. Tunable room-temperature ferromagnet using an iron-oxide and graphene oxide nanocomposite

    KAUST Repository

    Lin, Aigu L.

    2015-06-23

    Magnetic materials have found wide application ranging from electronics and memories to medicine. Essential to these advances is the control of the magnetic order. To date, most room-temperature applications have a fixed magnetic moment whose orientation is manipulated for functionality. Here we demonstrate an iron-oxide and graphene oxide nanocomposite based device that acts as a tunable ferromagnet at room temperature. Not only can we tune its transition temperature in a wide range of temperatures around room temperature, but the magnetization can also be tuned from zero to 0.011 A m2/kg through an initialization process with two readily accessible knobs (magnetic field and electric current), after which the system retains its magnetic properties semi-permanently until the next initialization process. We construct a theoretical model to illustrate that this tunability originates from an indirect exchange interaction mediated by spin-imbalanced electrons inside the nanocomposite. © 2015 Scientific Reports.

  12. A Promising New Method to Estimate Drug-Polymer Solubility at Room Temperature

    DEFF Research Database (Denmark)

    Knopp, Matthias Manne; Gannon, Natasha; Porsch, Ilona

    2016-01-01

    The established methods to predict drug-polymer solubility at room temperature either rely on extrapolation over a long temperature range or are limited by the availability of a liquid analogue of the polymer. To overcome these issues, this work investigated a new methodology where the drug......-polymer solubility is estimated from the solubility of the drug in a solution of the polymer at room temperature using the shake-flask method. Thus, the new polymer in solution method does not rely on temperature extrapolations and only requires the polymer and a solvent, in which the polymer is soluble, that does...... not affect the molecular structure of the drug and polymer relative to that in the solid state. Consequently, as this method has the potential to provide fast and precise estimates of drug-polymer solubility at room temperature, we encourage the scientific community to further investigate this principle both...

  13. Thermal properties of solids at room and cryogenic temperatures

    CERN Document Server

    Ventura, Guglielmo

    2014-01-01

    This book is a guide for materials scientists, physicists, chemists and engineers who wish to explore the field of low-temperature material properties. The focus is on heat capacity, thermal expansion and electrical and thermal conductivity. The authors report a wide range of experimental details and data, and have compiled useful tables of low-temperature data. Each chapter of the book starts by addressing the theoretical basis of the phenomena. This is a concise presentation, but it helps the reader to develop a deeper understanding of the experiments. The second part of the chapters is dedicated to describing the main experimental techniques to measure thermal properties at low and very low temperature ranges. The final part of each chapter provides a wealth of relevant experimental data in the form of tables and graphs.

  14. Model predictive control of room temperature with disturbance compensation

    Science.gov (United States)

    Kurilla, Jozef; Hubinský, Peter

    2017-08-01

    This paper deals with temperature control of multivariable system of office building. The system is simplified to several single input-single output systems by decoupling their mutual linkages, which are separately controlled by regulator based on generalized model predictive control. Main part of this paper focuses on the accuracy of the office temperature with respect to occupancy profile and effect of disturbance. Shifting of desired temperature and changing of weighting coefficients are used to achieve the desired accuracy of regulation. The final structure of regulation joins advantages of distributed computing power and possibility to use network communication between individual controllers to consider the constraints. The advantage of using decoupled MPC controllers compared to conventional PID regulators is demonstrated in a simulation study.

  15. Room and low temperature synthesis of carbon nanofibres

    CERN Document Server

    Boskovic, B O

    2002-01-01

    Carbon nanotubes and nanofibres have attracted attention in recent years as new materials with a number of very promising potential applications. Carbon nanotubes are potential candidates for field emitters in flat panel displays. Carbon nanofibres could also be used as a hydrogen storage material and as a filling material in polymer composites. Carbon nanotubes are already used as tips in scanning probe microscopy due to their remarkable mechanical and electrical properties, and could be soon used as nanotweezers. Use of carbon nanotubes in nanoelectronics will open further miniaturisation prospects. Temperatures ranging from 450 to 1000 deg C have been a required for catalytic growth of carbon nanotubes and nanofibres. Researchers have been trying to reduce the growth temperatures for decades. Low temperature growth conditions will allow the growth of carbon nanotubes on different substrates, such glass (below 650 deg C) and as plastics (below 150 deg C) over relatively large areas, which is especially suit...

  16. Supporting Control Room Operators in Highly Automated Future Power Networks

    DEFF Research Database (Denmark)

    Chen, Minjiang; Catterson, Victoria; Syed, Mazheruddin

    2017-01-01

    Operating power systems is an extremely challenging task, not least because power systems have become highly interconnected, as well as the range of network issues that can occur. It is therefore a necessity to develop decision support systems and visualisation that can effectively support the hu...

  17. Intraoperative IR imaging in the cardiac operating room

    Science.gov (United States)

    Szabo, Tamas; Fazekas, Levente; Horkay, Ferenc; Geller, Laslu; Gyongy, Tibor; Juhasz-Nagy, Alexander

    1999-07-01

    The high blood flow rate and the considerable metabolic activity render the myocardium a possible candidate for IR imaging. The study was aimed to test cardiothermography in evaluating arterial bypass graft patency and in assessing myocardial protection during open-heart surgery. Ten patients underwent arterial bypass grafting. Thermograms were obtained immediately before and after opening the grafts. As the bypasses were opened in hypothermia the warmer blood coming from the extracorporeal circulation readily delineated graft and coronary anatomy. By the end of the 5 min observation period, the revascularized area exhibited a temperature increase of 5.9 +/- 0.7 degrees C. The affectivity of antegrade cardioplegia was monitored in 38 patients undergoing either valve implantations or aorto- coronary bypass surgery. Thermographic imags were taken after sternotomy, before aortic cross-clamping and after administrating the 4 degrees C cardioplegic solution. Most of the patients displayed adequate myocardial cooling, moreover the bypass-group exhibited a more profound temperature-decrease. In conclusion, cardiothermography can visualize arterial grafts, recipient coronaries and collaterals seconds after opening by bypass, thus it properly evaluated arterial bypass graft patency. The obtained images could easily be analyzed for qualitative flow- and quantitative temperature changes. Myocardial protection could also be safely assessed with thermography.

  18. Gestalt operating room display design for perioperative team situation awareness.

    Science.gov (United States)

    Lai, Fuji; Spitz, Gabriel; Brzezinski, Philip

    2006-01-01

    The perioperative environment is a complex, high risk environment that requires real-time coordination by all perioperative team members and accurate, up-to-date information for situation assessment and decision-making. There is the need for a "Gestalt" holistic awareness of the perioperative environment to enable synthesis and contextualization of the salient information such as: patient information, case and procedure information, staff information, operative site view, physiological data, resource availability. One potential approach is to augment the medical toolkit with a large screen wall display that integrates and makes accessible information that currently resides in different data systems and care providers. The objectives are to promote safe workflows, team coordination and communication, and to enable diagnosis, anticipation of events, and information flow from upstream to downstream care providers. We used the human factors engineering design process to design and develop a display that provides a common operational picture for shared virtual perioperative team situation awareness to enhance patient safety.

  19. [The impact of air temperature variation on the visits to emergency room in Shanghai].

    Science.gov (United States)

    Dong, Ying; Zhao, Nai-Qing; Wang, Ai-Rong; Jia, Guang-Yi

    2009-01-01

    To assess the association between air temperature and emergency room visits among patients covered by medical care program from 'third-grade' hospitals in Shanghai. Generalized additive model (GAM) was used to analyze time series, and AR(P) was used to deal with auto correlation of time series. After controlling factors as both medium-term and long-term trends, day of the week, vocation, typical pneumonia and pollutants, the association between air temperature and emergency room visits in virtue of quadratic curve and differential coefficient principle were estimated. When air temperature was below 14.71 degrees C, the increase of 95% confidence interval to relative risk in corresponding emergency room visits along with 1 degree C increase of air temperature, was less than 1. However, when air temperature was above 19.59 degrees C, the relative risk's 95% confidence interval was greater than 1. When air temperature varied at the range of 14.71 degrees C-19.59 degrees C, the 95% confidence interval of the relative risk would include 1. Hence, air temperature range between 14.71 degrees C-19.59 degrees C, was called the optimum temperature range. Our findings indicated that the current air temperature had an acute impact on the number of emergency room visits among patients covered by medical care program visiting those third grade hospitals in Shanghai.

  20. Towards a Terahertz Room-Temperature Integrated Source

    DEFF Research Database (Denmark)

    Leo, Giuseppe; Gérard, Jean-Michel; Reitzenstein, Stephan

    2011-01-01

    We aim at a radically new continuous-wave, electrically pumped THz emitter. Compared to existing THz sources, this source will bring together several advantages that are far from being simultaneously available in any existing source today: compactness, roomtemperature operation, output power arou...

  1. Hydrogen-incorporation stabilization of metallic VO2(R) phase to room temperature, displaying promising low-temperature thermoelectric effect.

    Science.gov (United States)

    Wu, Changzheng; Feng, Feng; Feng, Jun; Dai, Jun; Peng, Lele; Zhao, Jiyin; Yang, Jinlong; Si, Cheng; Wu, Ziyu; Xie, Yi

    2011-09-07

    Regulation of electron-electron correlation has been found to be a new effective way to selectively control carrier concentration, which is a crucial step toward improving thermoelectric properties. The pure electronic behavior successfully stabilized the nonambient metallic VO(2)(R) to room temperature, giving excellent thermoelectric performance among the simple oxides with wider working temperature ranges.

  2. NASA High Operating Temperature Technology Program Overview

    Science.gov (United States)

    Nguyen, Q. V.; Hunter, G. W.

    2017-11-01

    NASA’s Planetary Science Division has begun the High Operating Temperature Technology (HOTTech) program to address Venus surface technology challenges by investing in new technology development. This presentation reviews this HOTTech program.

  3. Thoracic Epidural Catheter Placement in a Preoperative Block Area Improves Operating Room Efficiency and Decreases Epidural Failure Rate.

    Science.gov (United States)

    Gleicher, Yehoshua; Singer, Oskar; Choi, Stephen; McHardy, Paul

    The primary aim of this study was to review the impact of inserting thoracic epidural catheters in a preoperative block room setting on operating room efficiency. We conducted a retrospective preintervention/postintervention review of thoracic epidurals inserted over a 12-month period. The review included 6 months of data prior to implementation of the regional anesthesia block room and 6 months of data following implementation. The primary outcome measure was anesthesia-controlled operating room time, defined as time from patient arrival to the operating room to time of surgical site sterile preparation. Secondary measures included operating room waiting time for the patient arrival, thoracic epidural failure rate, and number of epidural insertion attempts. Data from thoracic epidurals for 112 patients of preblock room and 142 patients of postblock room implementation were collected. Anesthesia-controlled operating room time was reduced by an average of 22.9 minutes per patient (95% confidence interval, 19.3-26.3 minutes; P operating room waiting time for patient arrival increased by 3.8 minutes (95% confidence interval, 1.0-6.5 minutes; P operating room time savings of 19.1 minutes per epidural. The epidural failure rate decreased from 16.0% to 5.6% (P room setting can significantly reduce anesthesia-controlled operating room time and epidural failure rates.

  4. Yttrium Nitrate mediated Nitration of Phenols at room temperature in ...

    Indian Academy of Sciences (India)

    Mg(NO3)2,6 VO(NO3)3, Fe(NO3)3, (Me4N)NO3, Ph2. PCl/I2/AgNO3,7 and Zirconyl Nitrate8 were used as the source of nitronium ion. However, these methods need extra reagents such as solid acid or ionic liquids and heating condition. Therefore, finding a green nitration method at ambient temperature is highly desirable.

  5. Room-temperature electric-field controlled ferromagnetism in Mn0.05Ge0.95 quantum dots.

    Science.gov (United States)

    Xiu, Faxian; Wang, Yong; Kim, Jiyoung; Upadhyaya, Pramey; Zhou, Yi; Kou, Xufeng; Han, Wei; Kawakami, R K; Zou, Jin; Wang, Kang L

    2010-08-24

    Room-temperature control of ferromagnetism by electric fields in magnetic semiconductors has been actively pursued as one of important approaches to realize practical spintronic and nonvolatile logic devices. While Mn-doped III-V semiconductors were considered as potential candidates for achieving this controllability, the search for an ideal material with high Curie temperature (T(c) > 300 K) and controllable ferromagnetism at room temperature has continued for nearly a decade. Recently, Mn(0.05)Ge(0.95) quantum dots (QDs) were demonstrated to have a T(c) above 300 K. However, the field control of ferromagnetism based on hole-mediated effect remained at low temperatures and thus prohibited spintronic devices operable at ambient environment. Here, we report a successful demonstration of electric-field control of ferromagnetism in the Mn(0.05)Ge(0.95) quantum dots up to 300 K. We show that, by using quantum structure, high-quality material can be obtained and effective hole mediation due to quantum confinement effect can be achieved. Upon the application of gate bias to a metal-oxide-semiconductor (MOS) capacitor, the ferromagnetism of the channel layer, that is, the Mn(0.05)Ge(0.95) quantum dots, was manipulated through the change of hole concentration. Our results are fundamentally and technologically important toward the realization of room-temperature spin field-effect transistors and nonvolatile spin logic devices.

  6. Hydrogen absorption/desorption characteristics of room temperature ...

    Indian Academy of Sciences (India)

    ... hydrogen storage materials are found to be formed within the range of 1.35 to 1.45 where ∼ 2.5 to 2.9 H/F.U. can be reversibly stored under the ideal operating conditions. The heat of the reaction is found to be ∼ 17 kJ/mol, which means these are promising candidates for stationary and short range mobile applications.

  7. Surgeons' Leadership Styles and Team Behavior in the Operating Room

    Science.gov (United States)

    Hu, Yue-Yung; Parker, Sarah Henrickson; Lipsitz, Stuart R; Arriaga, Alexander F; Peyre, Sarah E; Corso, Katherine A; Roth, Emilie M; Yule, Steven J; Greenberg, Caprice C

    2016-01-01

    Background The importance of leadership is recognized in surgery, but the specific impact of leadership style on team behavior is not well understood. In other industries, leadership is a well-characterized construct. One dominant theory proposes that transactional (task-focused) leaders achieve minimum standards, whereas transformational (team-oriented) leaders inspire performance beyond expectations. Study Design We video-recorded 5 surgeons performing complex operations. Each surgeon was scored on the Multifactor Leadership Questionnaire, a validated method for scoring transformational and transactional leadership style, by an organizational psychologist and a surgeon-researcher. Independent coders assessed surgeons' leadership behaviors according to the Surgical Leadership Inventory and team behaviors (information-sharing, cooperative, and voice behaviors). All coders were blinded. Leadership style (MLQ) was correlated with surgeon behavior (SLI) and team behavior using Poisson regression, controlling for time and the total number of behaviors, respectively. Results All surgeons scored similarly on transactional leadership (2.38-2.69), but varied more widely on transformational leadership (1.98-3.60). Each 1-point increase in transformational score corresponded to 3× more information-sharing behaviors (pleadership and its impact on team performance in the OR. As in other fields, our data suggest that transformational leadership is associated with improved team behavior. Surgeon leadership development therefore has the potential to improve the efficiency and safety of operative care. PMID:26481409

  8. Pressure transmitting medium Daphne 7474 solidifying at 3.7 GPa at room temperature

    Science.gov (United States)

    Murata, Keizo; Yokogawa, Keiichi; Yoshino, Harukazu; Klotz, Stefan; Munsch, Pascal; Irizawa, Akinori; Nishiyama, Mototsugu; Iizuka, Kenzo; Nanba, Takao; Okada, Tahei; Shiraga, Yoshitaka; Aoyama, Shoji

    2008-08-01

    A pressure transmitting medium named Daphne 7474, which solidifies at Ps=3.7 GPa at room temperature, is presented. The value of Ps increases almost linearly with temperature up to 6.7 GPa at 100 °C. The high pressure realized by a medium at the liquid state allows a higher limit of pressurization, which assures an ideal hydrostatic pressure. We show a volume change against pressure, pressure reduction from room to liquid helium temperature in a clamped piston cylinder cell, pressure distribution and its standard deviation in a diamond anvil cell, and infrared properties, which might be useful for experimental applications.

  9. Room temperature ferromagnetic and semiconducting properties of graphene adsorbed with cobalt oxide using electrochemical method

    Science.gov (United States)

    Park, Chang-Soo; Lee, Kyung Su; Chu, Dongil; Lee, Juwon; Shon, Yoon; Kim, Eun Kyu

    2017-12-01

    We report the room temperature ferromagnetic properties of graphene adsorbed by cobalt oxide using electrochemical method. The cobalt oxide doping onto graphene was carried out in 0.1 M LiCoO2/DI-water solution. The doped graphene thin film was determined to be a single layer from Raman analysis. The CoO doped graphene has a clear ferromagnetic hysteresis at room temperature and showed a remnant magnetization, 128.2 emu/cm3. The temperature dependent conductivity of the adsorbed graphene showed the semiconducting behavior and a band gap opening of 0.12 eV.

  10. Proposal of a general scheme to obtain room-temperature spin polarization in asymmetric antiferromagnetic semiconductors

    Science.gov (United States)

    Li, Xingxing; Wu, Xiaojun; Li, Zhenyu; Yang, Jinlong

    2015-09-01

    Exploring magnetic semiconductors is one of the most important questions for spintronic applications. Although various solutions, such as dilute magnetic semiconductors, have been proposed, a practical spintronic device working at room temperature has not been realized. The key to address this issue is to find magnetic materials with both room-temperature magnetic ordering and large spin polarization around the Fermi energy level. Here, we predict a new concept of asymmetric antiferromagnetic (AFM) semiconductors (AAFMSs) with both features. The high temperature magnetic ordering originates from the AFM coupling between different transition metal ions with strong super-exchange interaction, whereas the large spin polarization around the Fermi energy level owes to d orbital mismatch among these ions. Through first-principles calculations, a family of double perovskites A2Cr M O6 (A =Ca ,Sr ,Ba , and M =Ru ,Os ) are predicted to be AAFMSs. This paper provides a way for developing spintronic devices working at room temperature.

  11. Flexibility in interaction: sociotechnical design of an operating room scheduler.

    Science.gov (United States)

    Hasvold, Per Erlend; Scholl, Jeremiah

    2011-09-01

    The purpose of this study was to learn about factors that influence the design and implementation of situated computing solutions that support hospital work. This includes social and technical aspects of the actual systems that will be implemented, as well as the appropriate design methodology for developing these systems. Staff at a surgical department at a University hospital were engaged in a participatory design (PD) process to help solve a problem that was presented by the staff: scheduling of patients and surgery rooms, and creating awareness of the status of ongoing surgeries. The PD process was conceptually aided by a model that describes Medical Informatics Systems as comprising of three components, a service component, a technical component and a social component. The process included the use of ethnographic field work and iterative redesign of both technical and social components of the system after it had been implemented into day-to-day work practice. The PD process resulted in the creation of a system that was iteratively created over a period of about 2 years, and which then handed over to the IT department of the hospital and used by the surgical department for a period of about 1 additional year. The first version of the prototype that was implemented contained usability flaws that made the system difficult to use in time critical situations. As a result of observations and a redesign of the technical component and social component of the system a new version was possible to implement that managed to overcome this problem. A key feature of this second version of the system was that some responsibility for data entry validation was shifted from the technical component of the system to the social component of the system. This was done by allowing users to input poor data initially, while requiring them to fix this data later on. This solution breaks from "traditional" usability design but proved to be quite successful in this case. A challenge with

  12. Fluorescence action spectra of algae and bean leaves at room and at liquid nitrogen temperatures

    NARCIS (Netherlands)

    Goedheer, J.C.

    1965-01-01

    Fluorescence action spectra were determined, both at room temperature and at liquid nitrogen temperature, with various blue-green, red and green algae, and greening bean leaves. The action spectra of algae were established with samples of low light absorption as well as dense

  13. Strategies to maintain operating room functionality following the complete loss of the recovery room due to an internal disaster.

    Science.gov (United States)

    Metzler, Elise C; Kodali, Bhavani S; Urman, Richard D; Flanagan, Hugh L; Rego, Monica Sa; Vacanti, Joshua C

    2015-01-01

    The post-anesthesia care unit (PACU) is a major contributor to the operating room (OR) process flow and efficiency. A sudden failure of hospital facility infrastructure due to a burst pipe resulted in the complete loss of a 66-bed combined preoperative and PACU facility of a major academic medical center. The OR suites were undamaged. The clinical and administrative challenges of caring for surgical patients without the usual preoperative and postoperative care areas are discussed. Our strategy for maintaining OR functions and management of patient flow, OR personnel, case prioritization, and equipment needs are detailed from the time of initial crisis until restoration of these clinical care areas. Utilization of the hospital disaster Incident Command Structure and the activation and decision support provided by the hospital Emergency Operations Center (EOC) for the week immediately following the crisis, helped maintain OR functionality.

  14. Microplastic Deformation of Submicrocrystalline Copper at Room and Elevated Temperatures

    Science.gov (United States)

    Dudarev, E. F.; Pochivalova, G. P.; Tabachenko, A. N.; Maletkina, T. Yu.; Skosyrskii, A. B.; Osipov, D. A.

    2017-02-01

    of investigations of submicrocrystalline copper subjected to cold rolling after abc pressing by methods of backscatter electron diffraction and x-ray diffraction analysis are presented. It is demonstrated that after such combined intensive plastic deformation, the submicrocrystalline structure with average grain-subgrain structure elements having sizes of 0.63 μm is formed with relative fraction of high-angle grain boundaries of 70% with texture typical for rolled copper. Results of investigation of microplastic deformation of copper with such structure at temperatures in the interval 295-473 K and with submicrocrystalline structure formed by cold rolling of coarse-grained copper are presented.

  15. Optically Pumped Subwavelength Lasers Operated at Room Temperature

    Science.gov (United States)

    2012-05-06

    laser with a tunable emission wavelength. The semiconductor nanoring laser is suitable for the optical interconnect application because it possesses...focal-length monochrometer and detected by a cooled InGaAs photodetector. Results of the measurement are shown in Fig. 2. Progression of a lasing...emission into competing Fabry-Perot (FP) modes in the microdisk cavity. We propose a new type of photonic crystal microdisk ( PCM ) laser to

  16. Operating room use of hypertonic solutions: a clinical review

    Directory of Open Access Journals (Sweden)

    Gustavo Azoubel

    2008-01-01

    Full Text Available Hyperosmotic-hyperoncotic solutions have been widely used during prehospital care of trauma patients and have shown positive hemodynamic effects. Recently, there has been a growing interest in intra-operative use of hypertonic solutions. We reviewed 30 clinical studies on the use of hypertonic saline solutions during surgeries, with the majority being cardiac surgeries. Reduced positive fluid balance, increased cardiac index, and decreased systemic vascular resistance were the main beneficial effects of using hypertonic solutions in this population. Well-designed clinical trials are highly needed, particularly in aortic aneurysm repair surgeries, where hypertonic solutions have shown many beneficial effects. Examining the immunomodulatory effects of hypertonic solutions should also be a priority in future studies.

  17. Conflicts in operating room: Focus on causes and resolution

    Directory of Open Access Journals (Sweden)

    Joginder Pal Attri

    2015-01-01

    Full Text Available The operation theater (OT environment is the most complex and volatile workplace where two coequal physicians share responsibility of one patient. Difference in information, opinion, values, experience and interests between a surgeon and anesthesiologist may arise while working in high-pressure environments like OT, which may trigger conflict. Quality of patient care depends on effective teamwork for which multidisciplinary communication is an essential part. Troubled relationships leads to conflicts and conflicts leads to stressful work environment which hinders the safe discharge of patient care. Unresolved conflicts can harm the relationship but when handled in a positive way it provides an opportunity for growth and ultimately strengthening the bond between two people. By learning the skills to resolve conflict, we can keep our professional relationship healthy and strong which is an important component of good patient care.

  18. Optimum Operating Room Environment for the Prevention of Surgical Site Infections.

    Science.gov (United States)

    Gaines, Sara; Luo, James N; Gilbert, Jack; Zaborina, Olga; Alverdy, John C

    Surgical site infections (SSI), whether they be incisional or deep, can entail major morbidity and death to patients and additional cost to the healthcare system. A significant amount of effort has gone into optimizing the surgical patient and the operating room environment to reduce SSI. Relevant guidelines and literature were reviewed. The modern practice of surgical antisepsis involves the employment of strict sterile techniques inside the operating room. Extensive guidelines are available regarding the proper operating room antisepsis as well as pre-operative preparation. The use of pre-operative antimicrobial prophylaxis has become increasingly prevalent, which also presents the challenge of opportunistic and nosocomial infections. Ongoing investigative efforts have brought about a greater appreciation of the surgical patient's endogenous microflora, use of non-bactericidal small molecules, and pre-operative microbial screening. Systematic protocols exist for optimizing the surgical sterility of the operating room to prevent SSIs. Ongoing research efforts aim to improve the precision of peri-operative antisepsis measures and personalize these measures to tailor the patient's unique microbial environment.

  19. A Stochastic Model for Infective Events in Operating Room Caused by Air Contamination

    Science.gov (United States)

    Abundo, Paolo; Rosato, Nicola; Abundo, Mario

    2008-07-01

    We propose a simple stochastic model for the movement of a potentially infective particle in operating room in which the local air contamination level is reduced by using a double laminar flow. Numerical simulation is used to obtain qualitative scenario analysis, in order to prevent infection, i.e. impact of the infective particle with the surgical wound, during the operation.

  20. Measuring safety and efficiency in the operating room: development and validation of a metric for evaluating task execution in the operating room.

    Science.gov (United States)

    Russ, Stephanie; Arora, Sonal; Wharton, Rupert; Wheelock, Ana; Hull, Louise; Sharma, Eshaa; Darzi, Ara; Vincent, Charles; Sevdalis, Nick

    2013-03-01

    Although a number of validated tools are available for assessing nontechnical skills and teamwork in the operating room (OR), there are no tools for measuring completion of key OR tasks, which is fundamental to effective teamwork, patient safety, and OR efficiency. This study describes the development and content validation of a new tool (ie, the Metric for Evaluating Task Execution in the Operating Room) for measuring basic task completion during surgical procedures. The content validity of 106 OR tasks was assessed using 50 real-time observations of general surgical procedures, followed by a process of expert consensus. A panel of 15 OR experts (ie, surgeons, anesthesiologists, and OR nurses) were asked to rate all tasks observed in efficiency (using scientifically accepted definitions). Tasks rated highly were retained. Those perceived less relevant were removed. A second panel of patient-safety experts refined the tool to remove duplication, ensure usability, and include novel tasks. Twenty-four of the original 106 tasks were observed in efficiency and were retained in the Metric for Evaluating Task Execution in the Operating Room. Of the remaining 17, four were retained and 13 were removed by the patient-safety experts. In the final revision phase, an additional 23 tasks were removed and 10 new tasks added. The final tool consists of 80 OR tasks relating to well-established processes of care. The Metric for Evaluating Task Execution in the Operating Room is easy to use and can identify specific gaps in safety and/or efficiency in OR processes. Next, we should examine its links with additional measures of OR performance, for example, patient outcomes, list cancellations/delays, and nontechnical skills. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Possible room temperature superconductivity in conductors obtained by bringing alkanes into contact with a graphite surface

    Directory of Open Access Journals (Sweden)

    Yasushi Kawashima

    2013-05-01

    Full Text Available Electrical resistances of conductors obtained by bringing alkanes into contact with a graphite surface have been investigated at room temperatures. Ring current in a ring-shaped container into which n-octane-soaked thin graphite flakes were compressed did not decay for 50 days at room temperature. After two HOPG plates were immersed into n-heptane and n-octane at room temperature, changes in resistances of the two samples were measured by four terminal technique. The measurement showed that the resistances of these samples decrease to less than the smallest resistance that can be measured with a high resolution digital voltmeter (0.1μV. The observation of persistent currents in the ring-shaped container suggests that the HOPG plates immersed in n-heptane and n-octane really entered zero-resistance state at room temperature. These results suggest that room temperature superconductor may be obtained by bringing alkanes into contact with a graphite surface.

  2. Room-Temperature, Electric Field-Induced Creation of Stable Devices in CulnSe2 Crystals.

    Science.gov (United States)

    Cahen, D; Gilet, J M; Schmitz, C; Chernyak, L; Gartsman, K; Jakubowicz, A

    1992-10-09

    Multiple-junction structures were formed, on a microscopic scale, at room temperature, by the application of a strong electric field across originally homogeneous crystals of the ternary chalcopyrite semiconductor CulnSe(2). After removal of the electric field, the structures were examined with electron beam-induced current microscopy and their current-voltage characteristics were measured. Bipolar transistor action was observed, indicating that sharp bulk junctions can form in this way at low ambient temperatures. The devices are stable under normal (low-voltage) operating conditions. Possible causes for this effect, including electromigration and electric field-assisted defect reactions, are suggested.

  3. Proposing a syllabus for the operation room B.S. courses in Iran.

    Science.gov (United States)

    Zare, Zahra; Irani, Mehri Doosti; Aarabi, Akram; Motlagh, Farzaneh Gholami; Farahmand, Hassan; Naji, Homayoun; Mashhadizadeh, Ahmad; Rafiian, Mohsen

    2010-12-01

    Education is based upon the knowledge, skills, and attitudes that are required for an occupation, and the changes occurring in the occupations and duties as well as in the ideals and values necessitate constant needs analysis. Furthermore, owing to the transformations in sciences, especially medical sciences, the current syllabus for the operation room courses at associate level will not meet the requirements for operation room personnel in future. Therefore, the syllabus for operation room B.S. was developed and proposed in a research project entitled "Study of the international syllabus for the operation room courses and proposing an appropriate syllabus for the courses in Iran." Since the operation room courses at B.S. level are supposed to be introduced in Iranian universities, we intended to learn about the opinions of other people related to this subject in Iran. In this research, a questionnaire was used that contained the syllabus proposed for the operation room B.S. courses, which was the result of a research project entitled "Study of the international syllabus for the operation room courses and proposing an appropriate syllabus for the courses in Iran." To develop this syllabus, 12 heads of the operation room departments in universities across Iran in which the subject matter was being taught at associate level were consulted. The study showed that 14 out of the 53 courses proposed in the syllabus had a desirability level of 100%, 22 courses were desirable at levels of 91-100%, 19 were 75-90% desirable, and no courses had a desirability level less than 75%. After carrying out some modifications to the syllabus, the problems were resolved and the opinions were again asked. When a consensus of greater than 70% was reached, the syllabus for the operation room courses at B.S. level was finalized and proposed. The regulations from the Development, Planning, and Evaluation Office of the Ministry of Health were also followed. Although all the courses showed a

  4. Barriers, perceptions, and adherence: Hand hygiene in the operating room and endoscopy suite.

    Science.gov (United States)

    Pedersen, Laura; Elgin, Kimberly; Peace, Barbara; Masroor, Nadia; Doll, Michelle; Sanogo, Kakotan; Zuelzer, Wilhelm; Peterson, Gene; Stevens, Michael P; Bearman, Gonzalo

    2017-06-01

    We examined the perceptions and barriers to nonsurgical scrubbed hand hygiene in the operating room and endoscopy procedure room using 2 anonymous Likert-scale surveys. Results indicated poor role modeling, inconvenience, and the need to monitor hand hygiene and feedback data to providers because of poor self-awareness of hand hygiene practices. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  5. Silicon junctionless field effect transistors as room temperature terahertz detectors

    Science.gov (United States)

    Marczewski, J.; Knap, W.; Tomaszewski, D.; Zaborowski, M.; Zagrajek, P.

    2015-09-01

    Terahertz (THz) radiation detection by junctionless metal-oxide-semiconductor field-effect transistors (JL MOSFETs) was studied and compared with THz detection using conventional MOSFETs. It has been shown that in contrast to the behavior of standard transistors, the junctionless devices have a significant responsivity also in the open channel (low resistance) state. The responsivity for a photolithographically defined JL FET was 70 V/W and the noise equivalent power 460 pW/√Hz. Working in the open channel state may be advantageous for THz wireless and imaging applications because of its low thermal noise and possible high operating speed or large bandwidth. It has been proven that the junctionless MOSFETs can also operate in a zero gate bias mode, which enables simplification of the THz array circuitry. Existing models of THz detection by MOSFETs were considered and it has been demonstrated that the process of detection by these junctionless devices cannot be explained within the framework of the commonly accepted models and therefore requires a new theoretical approach.

  6. Silicon junctionless field effect transistors as room temperature terahertz detectors

    Energy Technology Data Exchange (ETDEWEB)

    Marczewski, J., E-mail: jmarcz@ite.waw.pl; Tomaszewski, D.; Zaborowski, M. [Institute of Electron Technology, al. Lotnikow 32/46, 02-668 Warsaw (Poland); Knap, W. [Institute of High Pressure Physics of the Polish Academy of Sciences, ul. Sokolowska 29/37, 01-142 Warsaw (Poland); Laboratory Charles Coulomb, Montpellier University & CNRS, Place E. Bataillon, Montpellier 34095 (France); Zagrajek, P. [Institute of Optoelectronics, Military University of Technology, ul. gen. S. Kaliskiego 2, 00-908 Warsaw (Poland)

    2015-09-14

    Terahertz (THz) radiation detection by junctionless metal-oxide-semiconductor field-effect transistors (JL MOSFETs) was studied and compared with THz detection using conventional MOSFETs. It has been shown that in contrast to the behavior of standard transistors, the junctionless devices have a significant responsivity also in the open channel (low resistance) state. The responsivity for a photolithographically defined JL FET was 70 V/W and the noise equivalent power 460 pW/√Hz. Working in the open channel state may be advantageous for THz wireless and imaging applications because of its low thermal noise and possible high operating speed or large bandwidth. It has been proven that the junctionless MOSFETs can also operate in a zero gate bias mode, which enables simplification of the THz array circuitry. Existing models of THz detection by MOSFETs were considered and it has been demonstrated that the process of detection by these junctionless devices cannot be explained within the framework of the commonly accepted models and therefore requires a new theoretical approach.

  7. [Handling modern imaging procedures in a high-tech operating room].

    Science.gov (United States)

    Hüfner, T; Citak, M; Imrecke, J; Krettek, C; Stübig, T

    2012-03-01

    Operating rooms are the central unit in the hospital network in trauma centers. In this area, high costs but also high revenues are generated. Modern operating theater concepts as an integrated model have been offered by different companies since the early 2000s. Our hypothesis is that integrative concepts for operating rooms, in addition to improved operating room ergonomics, have the potential for measurable time and cost savings. In our clinic, an integrated operating room concept (I-Suite, Stryker, Duisburg) was implemented after analysis of the problems. In addition to the ceiling-mounted arrangement, the system includes an endoscopy unit, a navigation system, and a voice control system. In the first 6 months (9/2005 to 2/2006), 112 procedures were performed in the integrated operating room: 34 total knee arthroplasties, 12 endoscopic spine surgeries, and 66 inpatient arthroscopic procedures (28 shoulder and 38 knee reconstructions). The analysis showed a daily saving of 22-45 min, corresponding to 15-30% of the daily changeover times, calculated to account for potential savings in the internal cost allocation of 225-450 EUR. A commercial operating room concept was evaluated in a pilot phase in terms of hard data, including time and cost factors. Besides the described effects further savings might be achieved through the effective use of voice control and the benefit of the sterile handle on the navigation camera, since waiting times for an additional nurse are minimized. The time of the procedure of intraoperative imaging is also reduced due to the ceiling-mounted concept, as the C-arm can be moved freely in the operating theater without hindering cables. By these measures and ensuing improved efficiency, the initial high costs for the implementation of the system may be cushioned over time.

  8. Room Temperature Magnetic Barrier Layers in Magnetic Tunnel Junctions

    Energy Technology Data Exchange (ETDEWEB)

    Nelson-Cheeseman, B. B.; Wong, F. J.; Chopdekar, R. V.; Arenholz, E.; Suzuki, Y.

    2010-03-09

    We investigate the spin transport and interfacial magnetism of magnetic tunnel junctions with highly spin polarized LSMO and Fe3O4 electrodes and a ferrimagnetic NiFe2O4 (NFO) barrier layer. The spin dependent transport can be understood in terms of magnon-assisted spin dependent tunneling where the magnons are excited in the barrier layer itself. The NFO/Fe3O4 interface displays strong magnetic coupling, while the LSMO/NFO interface exhibits clear decoupling as determined by a combination of X-ray absorption spectroscopy and X-ray magnetic circular dichroism. This decoupling allows for distinct parallel and antiparallel electrode states in this all-magnetic trilayer. The spin transport of these devices, dominated by the NFO barrier layer magnetism, leads to a symmetric bias dependence of the junction magnetoresistance at all temperatures.

  9. [Experience of an interdisciplinary anesthesiology and nursing team for providing anesthesia outside the operating room].

    Science.gov (United States)

    Peláez, R; Aguilar, J L; Segura, C; Fermández, S; Mendiola, M A; Forner, J C

    2009-02-01

    To report on the creation and development of an interdisciplinary anesthesiology and nursing team to provide anesthesia outside the operating room. We describe the creation of an interdisciplinary team and preanesthesia evaluation protocols for using nurses specializing in anesthesia for procedures outside the operating room. We analyzed the anesthetic procedures performed outside the operating room, the rate of suspensions due to failure of the procedure, and their impact on the rate of associated complications, from October 2006 to October 2007. Since the start of the project, 586 procedures outside the operating room have been performed. No suspensions or delays were observed that were due to comorbidity not detected in the preanesthesia evaluation carried out by the nurses. The incidences of complications and inadequate sedations were comparable to those reported for other similar interdisciplinary groups in this area. The creation of an interdisciplinary team of anesthesiologists and specialized nurses for providing anesthesia outside the operating room optimizes resources and improves routine clinical practice. It has allowed for universal preanesthesia evaluation, improved the distribution of resources, and proven a stimulus to the care-giving process.

  10. In-office vs. operating room procedures for recurrent respiratory papillomatosis.

    Science.gov (United States)

    Miller, Anya J; Gardner, Glendon M

    2017-01-01

    We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

  11. [The role of the pharmacist in the management of the operating room].

    Science.gov (United States)

    Kihira, Kenji

    2012-03-01

    Pharmacy services have traditionally consisted of dispensing, provision of drug information and inventory management practices. Pharmacist's impact on the implementation of medication safety standards, drug therapy optimization, and other clinical interventions has been adequately reviewed in settings of general wards and considered as standard practice; however, these activities in the operating room have not become the standard practice. In this article, we reviewed the clinical interventions by pharmacists working in the operating room. The five main duties or obligations required of the pharmacists are appropriate drug management, achieving medical economic benefits, mixing injectable drugs, risk management, and provision of drug information. The major information provided to physicians and nurses is on usage, dosage, stability, incompatibility, pharmacological effects and adverse effects. Physicians and nurses require the drug information provided by the pharmacist in the operating room. Furthermore, their requirement for the stationing of pharmacist is extremely high. It is suggested that these services might be quite important in optimizing drug therapy and preventing adverse effects. Additionally, pharmacist can contribute on rational use of drug, safety management, reduction of works of other medical staff, and also the medical economics through pharmaceutical care in operating room as well as in general wards. It is suggested that stationing pharmacists in the operating room might be indispensable for hospital administration in view of the medication safety and cost reduction.

  12. Sister chromatid exchanges and structural chromosome aberrations in lymphocytes in operating room personnel.

    Science.gov (United States)

    Husum, B; Niebuhr, E; Wulf, H C; Nørgaard, I

    1983-06-01

    Information on possible chromosomal damage in humans after long-term exposure to trace concentrations of waste anaesthetic gases is scarce. We examined peripheral lymphocytes in operating room personnel for both chromosome aberrations and sister chromatid exchanges (SCE). Following a standardized procedure of cultivation and staining, 30 cells from each person were scored for SCE and 100 cells from each person were examined for chromosome aberrations. A total of 45 persons were examined, representing anaesthetists (n = 15), operating room nurses assisting the surgeon (n = 10), nurses circulating in the operating room (n = 8) and healthy, unexposed controls (n = 12). The median duration of working in the operating room was 102 months, 66 months and 66 months, respectively. Time-weighted concentration levels of 2.5-4.3 p.p.m. of halothane and 25-400 p.p.m. of nitrous oxide were measured in the breathing zones of the anaesthetists during mask anaesthesia. Examination of SCE and chromosome aberrations yielded corresponding qualitative results. With both tests, no statistically significant difference was observed between the four groups of persons. It was concluded that by examination of both SCE and chromosome aberrations in peripheral lymphocytes in operating room personnel, no indication was found of a mutagenic effect of long-term exposure to trace concentrations of waste anaesthetic gases.

  13. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

    Science.gov (United States)

    Rogers, David A; Lingard, Lorelei; Boehler, Margaret L; Espin, Sherry; Schindler, Nancy; Klingensmith, Mary; Mellinger, John D

    2013-09-01

    Prior research has shown that surgeons who effectively manage operating room conflict engage in a problem-solving stage devoted to modifying systems that contribute to team conflict. The purpose of this study was to clarify how systems contributed to operating room team conflict and clarify what surgeons do to modify them. Focus groups of circulating nurses and surgeons were conducted at 5 academic medical centers. Narratives describing the contributions of systems to operating room conflict and behaviors used by surgeons to address those systems were analyzed using the constant comparative approach associated with a constructivist grounded theory approach. Operating room team conflict was affected by 4 systems-related factors: team features, procedural-specific staff training, equipment management systems, and the administrative leadership itself. Effective systems problem solving included advocating for change based on patient safety concerns. The results of this study provide clarity about how systems contribute to operating room conflict and what surgeons can do to effectively modify these systems. This information is foundational material for a conflict management educational program for surgeons. Copyright © 2013 Elsevier Inc. All rights reserved.

  14. HEPATITIS B VACCINATION STATUS AND NEEDLE STICK INJURY EXPOSURE AMONG OPERATING ROOM STAFF IN LAGOS, NIGERIA.

    Science.gov (United States)

    Olatosi, J O; Anaegbu, N C

    2016-01-01

    Hepatitis B virus (HBV) is an infective blood-borne pathogen that is a constant threat to operating room staff. The prevalence of Hepatitis B has been reported to range from 4.3% - 68% in Nigeria. The inadequate funding of health care in low income countries impacts negatively on the implementation of effective vaccination programs to protect health care workers including surgical theatre personnel. To determine the Hepatitis B vaccination status and the needle stick injury exposure among operating room staff in Lagos, Nigeria. The multicentre prospective survey was conducted in three public tertiary hospitals and two private hospitals in Lagos utilising a self-administered structured questionnaire that was distributed to operating room staff. We found that 96.7% (265) of respondents agreed that their job had exposed them to the risk of HBV infection. Over half (55.8%) correctly identified three doses of HBV as adequate to confer immunity against infection. It was observed that 58% (159) of the respondents were fully vaccinated, most of whom were doctors (69.8%, p=0.001) while a total of 173 (63.1%) reported exposure to needle-stick injury with blood in the preceding year. The operating room personnel were knowledgeable about the risk of HBV as an occupational hazard but a large number were not fully vaccinated against HBV infection. There was therefore the need to improve the vaccination coverage and educate identified high-risk operating room staff on appropriate post exposure prophylaxis practices.

  15. Psychological factors of professional success of nuclear power plant main control room operators

    Directory of Open Access Journals (Sweden)

    Kosenkov A.A.

    2014-12-01

    Full Text Available Aim: to conduct a comparative analysis of the psychological characteristics of the most and least successful main control room operators. Material and Methods. Two NPP staff groups: the most and least successful main control room operators, who worked in routine operating conditions, were surveyed. Expert evaluation method has been applied to identify the groups. The subjects were administered the Minnesota Multiphasic Personality Inventory (MMPI, Cattell's Sixteen Personality Factor Questionnaire (16PF form A and Raven's Progressive Matrices test. Results. Numerous significant psychological differences between the groups of most and least successful control room operators were obtained: the best operators were significantly more introverted and correctly solved more logical tasks with smaller percentage of mistakes under time pressure than worst ones. Conclusions: 1. The psychodiagnostic methods used in the study were adequate to meet research objective 2. Tendency to introversion, as well as developed the ability to solve logic problems undertime pressure, apparently, are important professional qualities for control room operators. These indicators should be considered in the process of psychological selection and professional guidance of nuclear power plant operators.

  16. [Impact of carbon dioxide pneumoperitoneum in operating rooms on the health of medical staffs].

    Science.gov (United States)

    Chen, W G; Shan, H; Ye, J M; Zhang, P W; Jin, K L; Lin, K; Chu, W J

    2017-03-20

    Objective: To evaluate the impact of CO(2) pneumoperitoneum in operating rooms on the health of medical staffs. Methods: In June 2016, the thirty-three medical staffs in operating rooms were chosen as the object of the research.Seventeen people who took part in the pneumoperitoneum operation were selected as a exposure group and sixteen people who took part in the laparotomy operation were selected as a control group.Vital signs and arterial blood gases of medical staffs in the two groups were both measured in pre-operation and post-operation. Occupational Health Questionnaires were conducted to collect information on age, weight and postoperative symptoms. The level of CO(2) in operating room was determined by a portable infrared CO(2) analyzer. Results: Compared with the control group, the concentration of CO(2) in the exposed group was higherat T(1), T(2) and T(3) (t=22.227, 13.583, 17.408, Pexposure group raised greatly (t=2.132, 2.129, Poperating rooms.

  17. The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load.

    Science.gov (United States)

    Taaffe, Kevin; Lee, Brandon; Ferrand, Yann; Fredendall, Lawrence; San, Dee; Salgado, Cassandra; Shvorin, Dotan; Khoshkenar, Amin; Reeves, Scott

    2018-02-15

    OBJECTIVE To determine how the movement of patients, equipment, materials, staff, and door openings within the operating room (OR) affect microbial loads at various locations within the OR. DESIGN Observation and sampling study. SETTING Academic health center, public hospital. METHODS We first analyzed 27 videotaped procedures to determine the areas in the OR with high and low numbers of people in transit. We then placed air samplers and settle plates in representative locations during 21 procedures in 4 different ORs during 2 different seasons of the year to measure microbial load in colony-forming units (CFU). The temperature and humidity, number of door openings, physical movement, and the number of people in the OR were measured for each procedure. Statistical analysis was conducted using hierarchical regression. RESULTS The microbial load was affected by the time of year that the samples were taken. Both microbial load measured by the air samplers and by settle plates in 1 area of the OR was correlated with the physical movement of people in the same area but not with the number of door openings and the number of people in the OR. CONCLUSIONS Movement in the OR is correlated with the microbial load. Establishing operational guidelines or developing OR layouts that focus on minimizing movement by incorporating desirable internal storage points and workstations can potentially reduce microbial load, thereby potentially reducing surgical site infection risk. Infect Control Hosp Epidemiol 2018;1-7.

  18. Decoherence Assisted Single Electron Trapping at Room Temperature

    Science.gov (United States)

    Elhalawany, Ahmed; Leuenberger, Michael

    2012-02-01

    In this work, we theoretically investigate electron transport in heterostructure semiconductor nanowire (NW). We develop a new mechanism to trap an electron in a quantum dot (QD) by means of decoherence. There are six QDs in the NW. Bias voltage (Vb) is applied across the NW and gate voltage (Vg) is applied to the auxiliary QD to control single charge tunneling. The single electron dynamics along the NW is calculated by means of the generalized master equation based on the tight binding model taking into account electron LO phonon interaction (ELOPI) and thermal broadening inside the QDs. It is shown that the decoherence, which is in the pico-second (ps) regime, speeds up the trapping of the electron in the central QD with probability of 70% in less than 2 ps. Our results can be used for the implementation of high temperature single photon source (SPS) or single electron transistor (SET). We acknowledge support from NSF (Grant No. ECCS-0725514), DARPA/MTO (Grant No. HR0011-08-1-0059), NSF (Grant No. ECCS-0901784), AFOSR (Grant No. FA9550-09-1-0450), and NSF (Grant No. ECCS-1128597).

  19. Hydrogen reduction of molybdenum oxide at room temperature

    Science.gov (United States)

    Borgschulte, Andreas; Sambalova, Olga; Delmelle, Renaud; Jenatsch, Sandra; Hany, Roland; Nüesch, Frank

    2017-01-01

    The color changes in chemo- and photochromic MoO3 used in sensors and in organic photovoltaic (OPV) cells can be traced back to intercalated hydrogen atoms stemming either from gaseous hydrogen dissociated at catalytic surfaces or from photocatalytically split water. In applications, the reversibility of the process is of utmost importance, and deterioration of the layer functionality due to side reactions is a critical challenge. Using the membrane approach for high-pressure XPS, we are able to follow the hydrogen reduction of MoO3 thin films using atomic hydrogen in a water free environment. Hydrogen intercalates into MoO3 forming HxMoO3, which slowly decomposes into MoO2 +1/2 H2O as evidenced by the fast reduction of Mo6+ into Mo5+ states and slow but simultaneous formation of Mo4+ states. We measure the decrease in oxygen/metal ratio in the thin film explaining the limited reversibility of hydrogen sensors based on transition metal oxides. The results also enlighten the recent debate on the mechanism of the high temperature hydrogen reduction of bulk molybdenum oxide. The specific mechanism is a result of the balance between the reduction by hydrogen and water formation, desorption of water as well as nucleation and growth of new phases.

  20. Road to room-temperature superconductivity: A universal model

    CERN Document Server

    Bucher, Manfred

    2013-01-01

    In a semiclassical view superconductivity is attributed exclusively to the advance of atoms' outer s electrons through the nuclei of neighbor atoms in a solid. The necessary progression of holes in the opposite direction has the electric and magnetic effect as if two electrons were advancing instead of each actual one. Superconductivity ceases when the associated lateral oscillation of the outer s electrons extends between neighbor atoms. If such overswing occurs already at T = 0, then the material is a normal conductor. Otherwise, lateral overswing can be caused by lattice vibrations at a critical temperature Tc or by a critical magnetic field Bc. Lateral electron oscillations are reduced - and Tc is increased - when the atoms of the outer s electrons are squeezed, be it in the bulk crystal, in a thin film, or under external pressure on the sample. The model is applied to alkali metals and alkali-doped fullerenes. Aluminum serves as an example of a simple metal with superconductivity. Application of the mode...

  1. Hand washing in operating room: a procedural comparison

    Directory of Open Access Journals (Sweden)

    Alessia Stilo

    2016-09-01

    Full Text Available BACKGROUND Hand washing has been considered a measure of personal hygiene for centuries and it is known that an improper hand hygiene by healthcare workers is responsible for about 40% of nosocomial infections. Therefore, surgical hand preparation is a critical element for healthcare safety in order to reduce microbial contamination of  surgical wound in case of non detected break of the gloves. The aim of our study is to evaluate the efficacy three antiseptics: Povi-iodine scrub; EPG (Ethanol, Hydrogen Peroxide, Glycerol, recommended by WHO, and common marseille soap type in a liquid formulation. METHODS It was designed a randomized, double-blind, single-center study conducted in the University Hospital of Messina, from January to June 2013. We asked operators to put the fingertips of their right hand (if not left-handed for one minute on the PCA medium, before washing with the three types of antiseptics, and after washing and drying. Drying was made using sterile gauzes or disposable wipes. Then, we measured the number of colony forming units per mL (CFU/mL and calculated the percentage of microbial load reduction. RESULTS 211 samples have been considered for statistical analysis: in 42 samples, in fact, initial microbial load was lower than after washing. Washing with EPG reduced CFU/ml from  a mean of 38,9 to 4,1 (86,5% reduction, washing with povi-iodine scrub from 59,55 to 12,9 (75,9% reduction and washing with Marseille soap from 47,26 to 12,7 (64,3% reduction. CONCLUSIONS Our study shows that washing with EPG has superior efficacy in CFU reduction. Antiseptic hand washing, however, cannot be considered the only measure to reduce infections: the anomaly of some results (initial microbial load lower than after washing  demonstrates that drying is an essential phase in the presurgical preparation. Therefore, hand hygiene must be part of a more complex strategy of surveillance and control of nosocomial infections

  2. Ergonomic design in the operating room: information technologies

    Science.gov (United States)

    Morita, Mark M.; Ratib, Osman

    2005-04-01

    The ergonomic design in the Surgical OR of information technology systems has been and continues to be a large problem. Numerous disparate information systems with unique hardware and display configurations create an environment similar to the chaotic environments of air traffic control. Patient information systems tend to show all available statistics making it difficult to isolate the key, relevant vitals for the patient. Interactions in this sterile environment are still being done with the traditional keyboard and mouse designed for cubicle office workflows. This presentation will address the shortcomings of the current design paradigm in the Surgical OR that relate to Information Technology systems. It will offer a perspective that addresses the ergonomic deficiencies and predicts how future technological innovations will integrate into this vision. Part of this vision includes a Surgical OR PACS prototype, developed by GE Healthcare Technologies, that addresses ergonomic challenges of PACS in the OR that include lack of portability, sterile field integrity, and UI targeted for diagnostic radiologists. GWindows (gesture control) developed by Microsoft Research and Voice command will allow for the surgeons to navigate and review diagnostic imagery without using the conventional keyboard and mouse that disrupt the integrity of the sterile field. This prototype also demonstrates how a wireless, battery powered, self contained mobile PACS workstation can be optimally positioned for a surgeon to reference images during an intervention as opposed to the current pre-operative review. Lessons learned from the creation of the Surgical OR PACS Prototype have demonstrated that PACS alone is not the end all solution in the OR. Integration of other disparate information systems and presentation of this information in simple, easy to navigate information packets will enable smoother interactions for the surgeons and other healthcare professionals in the OR. More intuitive

  3. Modes of mechanical ventilation for the operating room.

    Science.gov (United States)

    Ball, Lorenzo; Dameri, Maddalena; Pelosi, Paolo

    2015-09-01

    Most patients undergoing surgical procedures need to be mechanically ventilated, because of the impact of several drugs administered at induction and during maintenance of general anaesthesia on respiratory function. Optimization of intraoperative mechanical ventilation can reduce the incidence of post-operative pulmonary complications and improve the patient's outcome. Preoxygenation at induction of general anaesthesia prolongs the time window for safe intubation, reducing the risk of hypoxia and overweighs the potential risk of reabsorption atelectasis. Non-invasive positive pressure ventilation delivered through different interfaces should be considered at the induction of anaesthesia morbidly obese patients. Anaesthesia ventilators are becoming increasingly sophisticated, integrating many functions that were once exclusive to intensive care. Modern anaesthesia machines provide high performances in delivering the desired volumes and pressures accurately and precisely, including assisted ventilation modes. Therefore, the physicians should be familiar with the potential and pitfalls of the most commonly used intraoperative ventilation modes: volume-controlled, pressure-controlled, dual-controlled and assisted ventilation. Although there is no clear evidence to support the advantage of any one of these ventilation modes over the others, protective mechanical ventilation with low tidal volume and low levels of positive end-expiratory pressure (PEEP) should be considered in patients undergoing surgery. The target tidal volume should be calculated based on the predicted or ideal body weight rather than on the actual body weight. To optimize ventilation monitoring, anaesthesia machines should include end-inspiratory and end-expiratory pause as well as flow-volume loop curves. The routine administration of high PEEP levels should be avoided, as this may lead to haemodynamic impairment and fluid overload. Higher PEEP might be considered during surgery longer than 3 h

  4. Polymer functionalized nanostructured porous silicon for selective water vapor sensing at room temperature

    Science.gov (United States)

    Dwivedi, Priyanka; Das, Samaresh; Dhanekar, Saakshi

    2017-04-01

    This paper highlights the surface treatment of porous silicon (PSi) for enhancing the sensitivity of water vapors at room temperature. A simple and low cost technique was used for fabrication and functionalization of PSi. Spin coated polyvinyl alcohol (PVA) was used for functionalizing PSi surface. Morphological and structural studies were conducted to analyze samples using SEM and XRD/Raman spectroscopy respectively. Contact angle measurements were performed for assessing the wettability of the surfaces. PSi and functionalized PSi samples were tested as sensors in presence of different analytes like ethanol, acetone, isopropyl alcohol (IPA) and water vapors in the range of 50-500 ppm. Electrical measurements were taken from parallel aluminium electrodes fabricated on the functionalized surface, using metal mask and thermal evaporation. Functionalized PSi sensors in comparison to non-functionalized sensors depicted selective and enhanced response to water vapor at room temperature. The results portray an efficient and selective water vapor detection at room temperature.

  5. Review article: review of behavioral operations experimental studies of newsvendor problems for operating room management.

    Science.gov (United States)

    Wachtel, Ruth E; Dexter, Franklin

    2010-06-01

    Operating room (OR) managers must plan staffing in the face of uncertain demand for OR time. Planning too much staffing results in underutilized OR time. Planning too little staffing causes overutilized time, which is approximately twice as expensive as underutilized time. Deciding how much staffing to plan for an OR is analogous to the classic newsvendor problem in operations research. A newsvendor must decide how much product to order based on its cost c and sales price p, plus estimates of the uncertain future demand for the product. The newsvendor problem has a simple mathematical solution. The correct amount of product to order is the (p - c)/p quantile of the demand for the product. This optimal order quantity is analogous mathematically to the number of hours of OR time for which staffing should be planned. We performed a systematic review of the behavioral operations experimental literature on newsvendor problems relevant to OR management. Student volunteers participating in experimental studies have great difficulty knowing how much product to order, given c, p, and the demand distribution. Decision making is only modestly improved by more frequent feedback. Even scores of rounds of ordering are insufficient for much learning to occur. Suboptimal decisions result from innate psychological biases. Students anchor on mean demand, make insufficient adjustments, and rely disproportionately on the most recent demand values. The behavior of OR managers who plan staffing for the OR is analogous to that of students participating in a newsvendor experiment. Month after month, an OR manager will plan too little staffing for the surgeon who consistently ends the day late and too much staffing for the surgeon who consistently does not fill an OR. Experimental studies of the newsvendor problem provide mechanistic insights into the reasons that OR managers make poor decisions when planning OR staffing. The students face no organizational factors or personality issues

  6. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    Science.gov (United States)

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital.

  7. Pt- and Pd-decorated MWCNTs for vapour and gas detection at room temperature

    Directory of Open Access Journals (Sweden)

    Hamdi Baccar

    2015-04-01

    Full Text Available Here we report on the gas sensing properties of multiwalled carbon nanotubes decorated with sputtered Pt or Pd nanoparticles. Sputtering allows for an oxygen plasma treatment that removes amorphous carbon from the surface of the carbon nanotubes and creates oxygenated surface defects in which metal nanoparticles nucleate within a few minutes. The decoration with the 2 nm Pt or the 3 nm Pd nanoparticles is very homogeneous. This procedure is performed at the device level (i.e., for carbon nanotubes deposited onto sensor substrates for many devices in one batch, which illustrates the scalability for the mass production of affordable nanosensors. The response to selected aromatic and non-aromatic volatile organic compounds, as well as pollutant gases has been studied. Pt- and Pd-decorated multiwalled carbon nanotubes show a fully reversible response to the non-aromatic volatile organic compounds tested when operated at room temperature. In contrast, these nanomaterials were not responsive to the aromatic compounds studied (measured at concentrations up to 50 ppm. Therefore, these sensors could be useful in a small, battery-operated alarm detector, for example, which is able to discriminate aromatic from non-aromatic volatile organic compounds in ambient.

  8. Patient safety in the operating room: an intervention study on latent risk factors

    Directory of Open Access Journals (Sweden)

    van Beuzekom Martie

    2012-06-01

    Full Text Available Abstract Background Patient safety is one of the greatest challenges in healthcare. In the operating room errors are frequent and often consequential. This article describes an approach to a successful implementation of a patient safety program in the operating room, focussing on latent risk factors that influence patient safety. We performed an intervention to improve these latent risk factors (LRFs and increase awareness of patient safety issues amongst OR staff. Methods Latent risk factors were studied using a validated questionnaire applied to the OR staff before and after an intervention. A pre-test/post-test control group design with repeated measures was used to evaluate the effects of the interventions. The staff from one operating room of an university hospital acted as the intervention group. Controls consisted of the staff of the operating room in another university hospital. The outcomes were the changes in LRF scores, perceived incident rate, and changes in incident reports between pre- and post-intervention. Results Based on pre-test scores and participants’ key concerns about organizational factors affecting patient safety in their department the intervention focused on the following LRFs: Material Resources, Training and Staffing Recourses. After the intervention, the intervention operating room - compared to the control operating room - reported significantly fewer problems on Material Resources and Staffing Resources and a significantly lower score on perceived incident rate. The contribution of technical factors to incident causation decreased significantly in the intervention group after the intervention. Conclusion The change of state of latent risk factors can be measured using a patient safety questionnaire aimed at these factors. The change of the relevant risk factors (Material and Staffing resources concurred with a decrease in perceived and reported incident rates in the relevant categories. We conclude that

  9. Ergonomic relationship during work in nursing staff of intensive care unit with operating room

    Directory of Open Access Journals (Sweden)

    Yousef Mahmoudifar

    2017-01-01

    Full Text Available Background and Objectives: High prevalence of work-related musculoskeletal disorders, especially in jobs such as nursing which covers tasks like patients' repositioning, has attracted great attentions from occupational healthcare experts to necessitate the knowledge of ergonomic science. Therefore, this study was performed aiming at ergonomic relationship during work in nursing staff of Intensive Care Unit (ICU with operating room. Materials and Methods: In this descriptive-analytical study (cohort, fifty personnel of ICU staff and fifty of operating room staff were selected through a census method and were assessed using tools such as Nordic questionnaire and Rapid Entire Body Assessment (REBA standards in terms of body posture ergonomics. The obtained data were analyzed by SPSS software and Chi-Square test after collection. Results: The most complaints were from the operating room group (68% and ICU staff (60% for the lumbar musculoskeletal system. There was a significant relationship between the total REBA scores of body, legs, neck, arm, force status, load fitting with hands and static or dynamic activities in the operating room and ICU staff groups (P < 0.05. In operating room and ICU groups, most subjects obtained score 11–15 and very high-risk level. Conclusion: Nurses working at operating room and ICU ward are subjected to high-risk levels and occupational injuries which is dramatically resulted from inappropriate body posture or particular conditions of their works. As a result, taking corrective actions along with planning and identifying ways will help prohibiting the prevalence of disorders in the future.

  10. High room temperature optical polarization due to spin-valley coupling in monolayer WS2

    Directory of Open Access Journals (Sweden)

    A. T. Hanbicki

    2016-05-01

    Full Text Available We prepare single-layer WS2 films such that the photoluminescence is from either the neutral exciton or the negatively charged trion. While the neutral exciton emission has zero polarization at room temperature, we observe a room temperature optical polarization in excess of 40% for the trion. Using an applied gate voltage, we can modulate the electron density, and subsequently the polarization of the trion emission continuously from 20-40%. Both the polarization and the emission energy monotonically track the gate voltage with the emission energy increasing by 45 meV. We discuss the role electron capture by the exciton has on suppressing the intervalley scattering process.

  11. In-situ investigation of the microstructure evolution in nanocrystalline copper electrodeposits at room temperature

    DEFF Research Database (Denmark)

    Pantleon, Karen; Somers, Marcel A. J.

    2006-01-01

    The microstructure evolution in copper electrodeposits at room temperature (self-annealing) was investigated by means of x-ray diffraction analysis and simultaneous measurements of the electrical resistivity as a function of time. In situ studies were started immediately after deposition...... growth, crystallographic texture changes by multiple twinning, and a decrease of the electrical resistivity occurred as a function of time at room temperature. The kinetics of self-annealing is strongly affected by the layer thickness: the thinner the layer, the slower the microstructure evolution is...

  12. Evolution of the microstructure in nanocrystalline copper electrodeposits during room temperature storage

    DEFF Research Database (Denmark)

    Pantleon, Karen; Somers, Marcel A. J.

    2007-01-01

    The microstructure evolution in copper electrodeposits at room temperature (self-annealing) was investigated by means of X-ray diffraction analysis and simultaneous measurement of the electrical resistivity as a function of time. In-situ studies were started immediately after electrodeposition......, crystallographic texture changes by multiple twinning and a decrease of the electrical resistivity occurred as a function of time at room temperature. The kinetics of self-annealing is strongly affected by the layer thickness: the thinner the layer the slower is the microstructure evolution and self...

  13. A 2.5-2.7 THz Room Temperature Electronic Source

    Science.gov (United States)

    Maestrini, Alain; Mehdi, Imran; Lin, Robert; Siles, Jose Vicente; Lee, Choonsup; Gill, John; Chattopadhyay, Goutam; Schlecht, Erich; Bertrand, Thomas; Ward, John

    2011-01-01

    We report on a room temperature 2.5 to 2.7 THz electronic source based on frequency multipliers. The source utilizes a cascade of three frequency multipliers with W-band power amplifiers driving the first stage multiplier. Multiple-chip multipliers are utilized for the two initial stages to improve the power handling capability and a sub-micron anode is utilized for the final stage tripler. Room temperature measurements indicate that the source can put out a peak power of about 14 microwatts with more than 4 microwatts in the 2.5 to 2.7 THz range.

  14. Multiwalled carbon nanotubes sensor for organic liquid detection at room temperature

    Science.gov (United States)

    Chaudhary, Deepti; Khare, Neeraj; Vankar, V. D.

    2016-04-01

    We have explored the possibility of using multiwalled carbon nanotubes (MWCNTs) as room temperature chemical sensor for the detection of organic liquids such as ethanol, propanol, methanol and toluene. MWCNTs were synthesized by thermal chemical vapor deposition (TCVD) technique. The interdigitated electrodes were fabricated by conventional photolithography technique. The sensor was fabricated by drop depositing MWCNT suspension onto the interdigitated electrodes. The sensing properties of MWCNTs sensor was studied for organic liquids detection. The resistance of sensor was found to increase upon exposure to these liquids. Sensor shows good reversibility and fast response at room temperature. Charge transfer between the organic liquid and sensing element is the dominant sensing mechanism.

  15. Room temperature Up-conversion detection of a broadband Mid-IR source

    DEFF Research Database (Denmark)

    Barh, Ajanta; Tidemand-Lichtenberg, Peter; Pedersen, Christian

    2016-01-01

    The paper presents efficient up-conversion based room temperature detection of a broadband mid-infrared light source, ranging from 3.6 ~ 4.9 μm, exploiting nonlinear sum frequency generation in a periodically poled lithium-niobate crystal.......The paper presents efficient up-conversion based room temperature detection of a broadband mid-infrared light source, ranging from 3.6 ~ 4.9 μm, exploiting nonlinear sum frequency generation in a periodically poled lithium-niobate crystal....

  16. Room-temperature fabrication of light-emitting thin films based on amorphous oxide semiconductor

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Junghwan, E-mail: JH.KIM@lucid.msl.titech.ac.jp; Miyokawa, Norihiko; Ide, Keisuke [Materials and Structures Laboratory, Tokyo Institute of Technology, Mailbox R3-4, 4259 Nagatsuta, Midori-ku, Yokohama (Japan); Toda, Yoshitake [Materials Research Center for Element Strategy, Tokyo Institute of Technology, Mailbox SE-6, 4259 Nagatsuta, Midori-ku, Yokohama (Japan); Hiramatsu, Hidenori; Hosono, Hideo; Kamiya, Toshio [Materials and Structures Laboratory, Tokyo Institute of Technology, Mailbox R3-4, 4259 Nagatsuta, Midori-ku, Yokohama (Japan); Materials Research Center for Element Strategy, Tokyo Institute of Technology, Mailbox SE-6, 4259 Nagatsuta, Midori-ku, Yokohama (Japan)

    2016-01-15

    We propose a light-emitting thin film using an amorphous oxide semiconductor (AOS) because AOS has low defect density even fabricated at room temperature. Eu-doped amorphous In-Ga-Zn-O thin films fabricated at room temperature emitted intense red emission at 614 nm. It is achieved by precise control of oxygen pressure so as to suppress oxygen-deficiency/excess-related defects and free carriers. An electronic structure model is proposed, suggesting that non-radiative process is enhanced mainly by defects near the excited states. AOS would be a promising host for a thin film phosphor applicable to flexible displays as well as to light-emitting transistors.

  17. Closed-loop approach for situation awareness of medical devices and operating room infrastructure

    Directory of Open Access Journals (Sweden)

    Rockstroh Max

    2015-09-01

    Full Text Available In recent years, approaches for information and control integration in the digital operating room have emerged. A major step towards an intelligent operating room and a cooperative technical environment would be autonomous adaptation of medical devices and systems to the surgical workflow. The OR staff should be freed from information seeking and maintenance tasks. We propose a closed-loop concept integrating workflow monitoring, processing and (semi-automatic interaction to bridge the gap between OR integration of medical devices and workflow-related information management.

  18. Bacterial contamination of floors and other surfaces in operating rooms: a five-year survey.

    OpenAIRE

    Suzuki, A.; Namba, Y; Matsuura, M; Horisawa, A.

    1984-01-01

    Bacterial contamination of floors and other surfaces in the operating suite has been investigated by contact impression plates during the past five years. Colony counts of the floors of operating rooms, cleaned with disinfectant, were 3.3 c.f.u./10 cm2; on the floors of semi-clean and dirty areas, cleaned with detergent, colony counts were 44.8 and 71.4 c.f.u./10 cm2 respectively. The highest colony counts of 487.4 c.f.u./10 cm2 were found in the dressing rooms, the floors of which were cover...

  19. Contribution of final-year medical students to operation room performance--economical and educational implications.

    Science.gov (United States)

    Schuld, Jochen; Justinger, Christoph; Kollmar, Otto; Schilling, Martin K; Richter, Sven

    2011-12-01

    The so-called "practical year" is the last part of medical students' education in Germany. Without being paid, final-year medical students have to work for 1 year under supervision in academic teaching hospitals. It is mandatory for every student to rotate to a surgical department for 4 months. The aim of the present study was to assess the working time contribution of final-year medical students on operation room performance at the surgical department of a university hospital. Over an 8-year period, purely surgical times of 24,214 operations in 2,792 days were analyzed with special regard to final-year medical students' participation rate. Students' cumulative workload in the operating room was compared to that of surgical residents. Mean participation rate of final-year medical students was 47.8%, being higher in elective surgery than in emergency surgery (53.9% vs. 24.7%; p students participated in operations, mean daily cumulative working time of student's cohort was 10.3 ± 0.12 h. Daily cumulative workload of medical students in the operating room strongly correlated with both medical doctors' cumulative workload (r (2) = 0.573) and daily workload of the team (r (2) = 0.740, p students assisted significantly more often in time-consuming operations. Final-year medical students contribute significantly to surgical operation room performance, similarly but less intensively than residents. Employment of students may counterbalance staff shortage in operating rooms. Therefore, it is likely that the German health care system relies on unpaid medical students to minimize the total cost of surgery. According to the extent of workload accomplished by final-year medical students, a remuneration of the "practical year" seems reasonable.

  20. Aging meat at room and cold temperatures on meat quality and aging loss of sheep carcass

    Directory of Open Access Journals (Sweden)

    Roswita Sunarlim

    2001-03-01

    Full Text Available The aim of this research is to compare the quality of meat of local carcass sheep between fresh and aging meat stored at room temperature for 12 hours, at 4oC for one day and one week. For that purpose a study of aging carcass involving 12 local sheep (male and female with different ages was carried out by separating carcass into two parts: (1 the right portion was aged on 4oC for one day and one week, room temperature for 12 hours, and (2 the left portion as control without aging. A factorial design 2x2 (2 sexes and aging vs without aging for three kinds of aging on quality of meat. A factorial design 2x3 (2 sexes and 3 kinds of aging on aging loss. Replicate twice was carried out with different ages (old and young sheep. Parameter measured were pH, warter-holding capacity, cooking loss, color, tenderness, carcass weight loss. There was decrease in pH, increase in tenderness value for aged meat that stored at room temperature for 12 hours (1.84 kg, at cold temperature for one day (2.03 kg, but tenderness value was the most (0.92 kg at cold temperature for one week compared to fresh meat (3.41, 4.06, and 3.66 kg. Lightness color (l, red color (a and yellow color (b for aged meat is usually increase compare to fresh meat, except for aged meat stored at room temperature for 12 hours was decrease significant. Water-holding capacity and cooking loss value of aged meat was not significant compared to fresh meat. Aging loss of aged meat stored at 4oC for one week (13.58% was significant compared to aged meat stored at room temperature (2.42% and 4oC for one day (2.90%.

  1. Surgical safety checklist and operating room efficiency: results from a large multispecialty tertiary care hospital.

    Science.gov (United States)

    Papaconstantinou, Harry T; Smythe, William R; Reznik, Scott I; Sibbitt, Stephen; Wehbe-Janek, Hania

    2013-12-01

    The Surgical Safety Checklist (SSC) improves patient safety and outcomes; however, barriers to effective use include the perceived negative impact on operating room (OR) efficiency. The purpose of this study was to determine the effect of SSC implementation on OR efficiency. All operations at our large multispecialty tertiary care hospital were reviewed for 1-year pre- and 1-year post-SSC implementation. OR efficiency included operating room time, operation time, first starts on time, same-day cancellations, and OR disposable cost. A total of 35,570 operations were reviewed: 17,204 pre-SSC and 18,366 post-SSC. There was no difference between groups for operating room time (P = .93), operation time (P = .66), first starts on time (P = .15), and same-day cancellations (P = .57). The mean OR disposable cost was significantly lower ($70/operation) for the post-SSC group (P efficiency and should not be considered a barrier to effective use. Our data suggest that SSC use can reduce overall cost per surgical procedure. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Factors related to teamwork performance and stress of operating room nurses.

    Science.gov (United States)

    Sonoda, Yukio; Onozuka, Daisuke; Hagihara, Akihito

    2018-01-01

    To evaluate operating room nurses' perception of teamwork performance and their level of mental stress and to identify related factors. Little is known about the factors affecting teamwork and the mental stress of surgical nurses, although the performance of the surgical team is essential for patient safety. The questionnaire survey for operation room nurses consisted of simple questions about teamwork performance and mental stress. Multivariate analyses were used to identify factors causing a sense of teamwork performance or mental stress. A large number of surgical nurses had a sense of teamwork performance, but 30-40% of operation room nurses were mentally stressed during surgery. Neither the patient nor the operation factors were related to the sense of teamwork performance in both types of nurses. Among scrub nurses, endoscopic and abdominal surgery, body mass index, blood loss and the American Society of Anesthesiologists physical status class were related to their mental stress. Conversely, circulating nurses were stressed about teamwork performance. The factors related to teamwork performance and mental stress during surgery differed between scrub and circulating nurses. Increased support for operation room nurses is necessary. The increased support leads to safer surgical procedures and better patient outcomes. © 2017 John Wiley & Sons Ltd.

  3. A novel interactive educational system in the operating room--the IE system.

    Science.gov (United States)

    Nakayama, Takayuki; Numao, Noboru; Yoshida, Soichiro; Ishioka, Junichiro; Matsuoka, Yoh; Saito, Kazutaka; Fujii, Yasuhisa; Kihara, Kazunori

    2016-02-02

    The shortage of surgeon is one of the serious problems in Japan. To solve the problem, various efforts have been undertaken to improve surgical education and training. However, appropriate teaching methods in the operating room have not been well established. The aim of this study is to assess the utility of a novel interactive educational (IE) system for surgical education on urologic surgeries in the operating room. A total of 20 Japanese medical students were educated on urologic surgery using the IE system in the operating room. The IE system consists of two parts. The first is three-dimensional (3D) magnified vision of the operative field using a 3D head-mounted display and a 3D endoscope. The second is interactive educative communication between medical students and surgeons using a small-sized wireless communication device. The satisfaction level with the IE system and the physical burden on medical students was examined via questionnaire. All students utilized the IE system in urologic surgery and responded to the survey. Most students were satisfied with the IE system. They also felt more welcomed by the surgeon when using the IE system than when not using it. No major unpleasant symptoms were observed but five students (25 %) experienced mild eye fatigue as a result of viewing the medical images. The IE system has the potential to motivate students to become interested in surgery and could be an efficient method of surgical education in the operating room.

  4. An evaluation of operating room throughput in a stand-alone soft-tissue trauma operating theatre.

    Science.gov (United States)

    O'Donnell, Brian D; Walsh, Ken; Murphy, Aileen; McElroy, Brendan; Iohom, Gabriella; Shorten, George D

    2017-04-01

    Operating room time is a limited, expensive commodity in acute hospitals. Strategies aimed at reduction of non-operative time improve operating room throughput and capacity. We conducted a prospective study to evaluate and augment operating room throughput and capacity using context-specific work practice changes. Following institutional and ethical approval, an interdisciplinary group designed and introduced a series of work practice changes specific to a stand-alone soft tissue trauma theatre, comprising modifications to patient processing, staff behaviours and additional anaesthesiologist hours. Time intervals relating to each patient were measured during a 16 week period before and after implementing work practice changes. The primary outcome measure was non-operative time, with daily caseload and cancellations amongst secondary outcome measures. 251 procedures were included over 58 working days (8 to 17 Monday to Friday). Non-operative time [55.6 (31.1) vs 52.3 (9.8) minutes, p = 0.48], daily caseload [4 [1-9] vs 4 [2-7], p = 0.56], and the number of daily cancellations [3 [0-11] vs 5 [0-8], p = 0.38], did not differ between baseline and study phases. Regional anaesthesia for upper limb surgery increased during the study phase [26/59 (44.0%) vs 10/63 (15.9%), p = 0.014] with resultant decrease in mean duration of recovery room stay [20.7 (17.7) vs 30 (20.5) minutes, p = 0.0001] and increased recovery room bypass [26/116 (22.4%) vs 6/135 (4.4%), p = 0.0002]. Avoidable delays accounted for 124.8 (72.2) minutes of theatre time lost each day. In conclusion, additional attending anaesthesiologist hours combined with work practice changes did not impact on measures of theatre throughput and capacity. The study identified important variables that contribute to avoidable delays, and points the way for future research.

  5. Molecular epidemiology of microbial contamination in the operating room environment: Is there a risk for infection?

    Science.gov (United States)

    Edmiston, Charles E; Seabrook, Gary R; Cambria, Robert A; Brown, Kellie R; Lewis, Brian D; Sommers, Jay R; Krepel, Candace J; Wilson, Patti J; Sinski, Sharon; Towne, Jonathan B

    2005-10-01

    Modern operating rooms are considered to be aseptic environments. The use of surgical mask, frequent air exchanges, and architectural barriers are used to reduce airborne microbial populations. Breaks in surgical technique, host contamination, or hematogenous seeding are suggested as causal factors in these infections. This study implicates contamination of the operating room air as an additional etiology of infection. To investigate the potential sources of perioperative contamination, an innovative in situ air-sampling analysis was conducted during an 18-month period involving 70 separate vascular surgical procedures. Air-sample cultures were obtained from multiple points within the operating room, ranging from 0.5 to 4 m from the surgical wound. Selected microbial clonality was determined by pulse-field gel electrophoresis. In a separate series of studies microbial nasopharyngeal shedding was evaluated under controlled environmental conditions in the presence and absence of a surgical mask. Coagulase-negative staphylococci were recovered from 86% of air samples, 51% from within 0.5 m of the surgical wound, whereas Staphylococcus aureus was recovered from 64% of air samples, 39% within 0.5 m from the wound. Anterior nares swabs were obtained from 11 members of the vascular team, clonality was observed between 8 strains of S epidermidis, and 2 strains of S aureus were recovered from selected team members and air-samples collected throughout the operating room environment. Miscellaneous Gram-negative isolates were recovered less frequently (operating room, including areas adjacent to the operative field. Nasopharyngeal shedding from person participating in the operation was identified as the source of many of these airborne contaminants. Failure of the traditional surgical mask to prevent microbial shedding is likely associated with an increased risk of perioperative contamination of biomedical implants, especially in procedures lasting longer than 90 minutes.

  6. An analysis of surgical and nonsurgical operating room times in high-volume shoulder arthroplasty.

    Science.gov (United States)

    Padegimas, Eric M; Hendy, Benjamin A; Lawrence, Cassandra; Devasagayaraj, Richard; Zmistowski, Benjamin M; Abboud, Joseph A; Lazarus, Mark D; Williams, Gerald R; Namdari, Surena

    2017-06-01

    A significant portion of operating room time in shoulder arthroplasty is devoted to nonsurgical tasks. To maximize efficiency and to increase access to care, it is important to accurately quantify surgical and nonsurgical time for shoulder arthroplasty. This study aimed to evaluate surgical vs. nonsurgical time and to assess the viability of using a 1-surgeon, 2-operating room model. An institutional database was used to identify all primary and revision shoulder arthroplasty cases from February 2011 through December 2013. Time intervals were analyzed, including anesthesia and positioning time, surgical time, conclusion time, and turnover time. We identified 1062 shoulder arthroplasties. The average anesthesia and positioning time was 48.2 ± 11.7 minutes, surgical time was 122.7 ± 36.4  minutes, and conclusion time was 10.5 ± 7.0  minutes. Average turnover time at our institution was 40 minutes. An average of 58.8 ± 13.8 minutes (33.2%) of the patient's time in the operating room was not surgical. A 1-room surgical model, with each case following the next, would allow 3 arthroplasties to be performed in a 10-hour surgical day. A 2-room model would allow 4 cases to be performed in a 9-hour surgical day or 5 in an 11-hour day. In this 2-room model, there would be no time in which the surgeon is absent for any surgical portion of the case. For a high-volume shoulder arthroplasty practice, a 2-room model leads to greater efficiency and patient access to care without sacrificing the surgeon's presence during surgical portions of the case. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  7. Reshaping Lithium Plating/Stripping Behavior via Bifunctional Polymer Electrolyte for Room-Temperature Solid Li Metal Batteries.

    Science.gov (United States)

    Zeng, Xian-Xiang; Yin, Ya-Xia; Li, Nian-Wu; Du, Wen-Cheng; Guo, Yu-Guo; Wan, Li-Jun

    2016-12-14

    High-energy rechargeable Li metal batteries are hindered by dendrite growth due to the use of a liquid electrolyte. Solid polymer electrolytes, as promising candidates to solve the above issue, are expected to own high Li ion conductivity without sacrificing mechanical strength, which is still a big challenge to realize. In this study, a bifunctional solid polymer electrolyte exactly having these two merits is proposed with an interpenetrating network of poly(ether-acrylate) (ipn-PEA) and realized via photopolymerization of ion-conductive poly(ethylene oxide) and branched acrylate. The ipn-PEA electrolyte with facile processing capability integrates high mechanical strength (ca. 12 GPa) with high room-temperature ionic conductance (0.22 mS cm-1), and significantly promotes uniform Li plating/stripping. Li metal full cells assembled with ipn-PEA electrolyte and cathodes within 4.5 V vs Li+/Li operate effectively at a rate of 5 C and cycle stably at a rate of 1 C at room temperature. Because of its fabrication simplicity and compelling characteristics, the bifunctional ipn-PEA electrolyte reshapes the feasibility of room-temperature solid-state Li metal batteries.

  8. Climate control based on temperature measurement in the animal-occupied zone of a pig room with ground channel ventilation

    NARCIS (Netherlands)

    Wagenberg, van A.V.; Aerts, J.M.; Brecht, van A.; Vranken, E.; Leroy, T.; Berckmans, D.

    2005-01-01

    It is known that there can be a significant temperature difference between the position of the climate controller sensor (room temperature) and the animal-occupied zone (AOZ) in a pig room. This study explores the advantages of using AOZ temperature in climate control. The objectives were: (1) to

  9. Room temperature high power frequency conversion in periodically poled quasi-phase-matched crystals

    Science.gov (United States)

    Katz, M.; Blau, P.; Shulga, B.

    2008-02-01

    Near-stoichiometric lithium tantalate (SLT) crystals were produced from congruent lithium tantalate by a vapor-transport equilibration (VTE) process. The VTE'ed SLT (VSLT) crystals exhibited very low coercive field of 60-120-V/mm and improved high intensity damage resistance. The ~603°C Curie temperature of the congruent raw material climbed to 693+/-0.1°C in the VSLT crystal regardless of the congruent crystal stoichiometric composition or of the exact VTE process temperature profile. Stable, high power near room temperature second harmonic generation (SHG) and optical parametric oscillation (OPO) were demonstrated with these crystals. SHG measurements of a 1064-nm pulsed laser were realized by an 8-μm period grating, 21-mm-long sample. With 29-ns long pulses at 20-kHz repetition rate, 7.3-W (average power), of 532-nm radiation was generated with 55% conversion efficiency. With 25-ns long pulses at 10-kHz repetition rate in the same sample, 6.3-W of average-power with 61% conversion efficiency was obtained. 1.41-W average-power, at 4.013-μm idler wavelength was generated in an OPO configuration. The 28.65-μm period grating, 24-mm-long sample, was pumped by 25-ns pulses, 10-kHz repetition rate, 1.064-μm Nd:YVO 4 laser. In addition to the original (intended) signal and idler wavelengths, 0.27-W was obtained at 4.686-μm idler wavelength, by a secondary OPO process which developed in the system. Primary and secondary OPO operation was also observed in a 27.15-μm period grating, 38-mm-long sample. 0.67-W at 4.48-μm and 0.15-W at 5.03-μm were generated in this experiment.

  10. Instantaneous radioiodination of rose bengal at room temperature and a cold-kit therefor. [DOE patent application

    Science.gov (United States)

    O'Brien, H. Jr.; Hupf, H.B.; Wanek, P.M.

    The disclosure relates to the radioiodination of rose bengal at room temperature and a cold-kit therefor. A purified rose bengal tablet is stirred into acidified ethanol at or near room temperature, until a suspension forms. Reductant-free /sup 125/I/sup -/ is added and the resulting mixture stands until the exchange label reaction occurs at room temperature. A solution of sterile isotonic phosphate buffer and sodium hydroxide is added and the final resulting mixture is sterilized by filtration.

  11. Room-temperature steady-state optomechanical entanglement on a chip

    Science.gov (United States)

    Zou, Chang-Ling; Zou, Xu-Bo; Sun, Fang-Wen; Han, Zheng-Fu; Guo, Guang-Can

    2011-09-01

    A potential experimental system, based on high-stress stoichiometric silicon nitride (Si3N4), is proposed to generate steady-state optomechanical entanglement at room temperature. In the proposed structure, a nanostring interacts dispersively and reactively with a microdisk cavity via the evanescent field. We study the role of both dispersive and reactive couplings in generating optomechanical entanglement, and show that the room-temperature entanglement can be effectively obtained through the dispersive couplings under the reasonable experimental parameters. In particular, in the limits of high temperature (T) and high mechanical quality factor (Qm), we find that the logarithmic entanglement depends only on the ratio T/Qm. This indicates that improvements of the material quantity and structure design may lead to more efficient generation of stationary high-temperature entanglement.

  12. Room-temperature steady-state optomechanical entanglement on a chip

    Energy Technology Data Exchange (ETDEWEB)

    Zou Changling; Zou Xubo; Sun Fangwen; Han Zhengfu; Guo Guangcan [Key Laboratory of Quantum Information, University of Science and Technology of China, Hefei, Anhui 230026 (China)

    2011-09-15

    A potential experimental system, based on high-stress stoichiometric silicon nitride (Si{sub 3}N{sub 4}), is proposed to generate steady-state optomechanical entanglement at room temperature. In the proposed structure, a nanostring interacts dispersively and reactively with a microdisk cavity via the evanescent field. We study the role of both dispersive and reactive couplings in generating optomechanical entanglement, and show that the room-temperature entanglement can be effectively obtained through the dispersive couplings under the reasonable experimental parameters. In particular, in the limits of high temperature (T) and high mechanical quality factor (Q{sub m}), we find that the logarithmic entanglement depends only on the ratio T/Q{sub m}. This indicates that improvements of the material quantity and structure design may lead to more efficient generation of stationary high-temperature entanglement.

  13. Device- and system-independent personal touchless user interface for operating rooms : One personal UI to control all displays in an operating room.

    Science.gov (United States)

    Ma, Meng; Fallavollita, Pascal; Habert, Séverine; Weidert, Simon; Navab, Nassir

    2016-06-01

    In the modern day operating room, the surgeon performs surgeries with the support of different medical systems that showcase patient information, physiological data, and medical images. It is generally accepted that numerous interactions must be performed by the surgical team to control the corresponding medical system to retrieve the desired information. Joysticks and physical keys are still present in the operating room due to the disadvantages of mouses, and surgeons often communicate instructions to the surgical team when requiring information from a specific medical system. In this paper, a novel user interface is developed that allows the surgeon to personally perform touchless interaction with the various medical systems, switch effortlessly among them, all of this without modifying the systems' software and hardware. To achieve this, a wearable RGB-D sensor is mounted on the surgeon's head for inside-out tracking of his/her finger with any of the medical systems' displays. Android devices with a special application are connected to the computers on which the medical systems are running, simulating a normal USB mouse and keyboard. When the surgeon performs interaction using pointing gestures, the desired cursor position in the targeted medical system display, and gestures, are transformed into general events and then sent to the corresponding Android device. Finally, the application running on the Android devices generates the corresponding mouse or keyboard events according to the targeted medical system. To simulate an operating room setting, our unique user interface was tested by seven medical participants who performed several interactions with the visualization of CT, MRI, and fluoroscopy images at varying distances from them. Results from the system usability scale and NASA-TLX workload index indicated a strong acceptance of our proposed user interface.

  14. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution.

    Science.gov (United States)

    Norton, Elizabeth K; Singer, Sara J; Sparks, William; Ozonoff, Al; Baxter, Jessica; Rangel, Shawn

    2016-03-01

    Despite mounting evidence that use of surgical checklists improves patient morbidity and mortality, compliance among surgical teams in executing required elements of checklists has been low. Recognizing that clinicians' receptivity is a major determinant of checklist use, we conducted a survey to investigate how mandated use of a surgical checklist impacts its operating room clinicians' attitudes about and perceptions of operating room safety, efficiency, teamwork, and prevention of medical errors. Operating room clinicians at 1 pediatric hospital were surveyed on their attitudes and perception of the novel Pediatric Surgical Safety Checklist and the impact the checklist had on efficiency, teamwork, and prevention of medical errors 1 year after its implementation. The survey responses were compared and classified by multidisciplinary perioperative clinical staff. Most responses reflected positive attitudes toward checklist use. The respondents felt that the checklist reduced complications and errors and improved patient safety, communication among team members, teamwork in complex procedures, and efficiency in the operating room. Many operating room staff also reported that checklist use had prevented or averted an error or a complication. Perceptions varied according to perioperative clinical discipline, reflecting differences in perspectives. For example, the nurses perceived a higher rate of consent-related errors and site marking errors than did the physicians; the surgeons reported more antibiotic timing and equipment errors than did others. The surgical staff at 1 pediatric hospital who responded viewed the novel Pediatric Surgical Safety Checklist as potentially beneficial to operative patient safety by improving teamwork and communication, reducing errors, and improving efficiency. Responses varied by discipline, indicating that team members view the checklist from different perspectives.

  15. The synthesis of [2-13C]2-nitropropane at room temperature and at atmospheric pressure

    NARCIS (Netherlands)

    Jacquemijns M; Zomer G

    1990-01-01

    In this report the synthesis of [2-13C]2-nitropropane at room temperature is described. [2-13C]Acetone was converted into the oxime with hydroxy hydrochloridelamine and sodium carbonate. Treatment with hypobromic acid resulted in 2-13C]2-bromo-2-nitropropane. Hydrogenation with sodium borohydride

  16. Crystal induced phosphorescence from Benz(a)anthracene microcrystals at room temperature.

    Science.gov (United States)

    Maity, Samir; Mazumdar, Prativa; Shyamal, Milan; Sahoo, Gobinda Prasad; Misra, Ajay

    2016-03-15

    Pure organic compounds that are also phosphorescent at room temperature are very rare in literature. Here, we report efficient phosphorescence emission from aggregated hydrosol of Benz(a)anthracene (BaA) at room temperature. Aggregated hydrosol of BaA has been synthesized by re-precipitation method and SDS is used as morphology directing agent. Morphology of the particles is characterized using optical and scanning electronic microcopy (SEM). Photophysical properties of the aggregated hydrosol are carried out using UV-vis, steady state and time resolved fluorescence study. The large stoke shifted structured emission from aggregated hydrosol of BaA has been explained due to phosphorescence emission of BaA at room temperature. In the crystalline state, the restricted intermolecular motions (RIM) such as rotations and vibrations are activated by crystal lattice. This rigidification effect makes the chromophore phosphorescent at room temperature. The possible stacking arrangement of the neighboring BaA within the aggregates has been substantiated by computing second order Fukui parameter as local reactivity descriptors. Computational study also reveals that the neighboring BaA molecules are present in parallel slipped conformation in its aggregated crystalline form. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Low hydrogen content silicon nitride films deposited at room temperature with a multipolar ECR plasma source

    NARCIS (Netherlands)

    Isai, I.G.; Holleman, J.; Wallinga, Hans; Woerlee, P.H.

    2004-01-01

    Silicon nitride layers with very low hydrogen content (less than 1 atomic percent) were deposited at near room temperature, from N2 and SiH4, with a multipolar electron cyclotron resonance plasma. The influences of pressure and nitrogen flow rate on physical and electrical properties were studied in

  18. Room temperature Compton profiles of conduction electrons in α-Ga ...

    Indian Academy of Sciences (India)

    B P PANDA and N C MOHAPATRA*. Department of Physics, Chikiti Mahavidyalaya, Chikiti 761 010, India. £Department of Physics, Berhampur University, Berhampur 760 007, India. Email: ncmphy123@hotmail.com. MS received 18 January 2003; accepted 21 June 2003. Abstract. Room temperature Compton profiles of ...

  19. GREEN SYNTHESIS OF SILVER AND PALLADIUM NANOPARTICLES AT ROOM TEMPERATURE USING COFFEE AND TEA EXTRACT

    Science.gov (United States)

    An extremely simple green approach that generates bulk quantities of nanocrystals of noble metals such as silver (Ag) and palladium (Pd) using coffee and tea extract at room temperature is described. The single-pot method uses no surfactant, capping agent, and/or template. The ob...

  20. Electrical Resistivity of Natural Diamond and Diamond Films Between Room Temperature and 1200 C: Status Update

    Science.gov (United States)

    Vandersande, Jan W.; Zoltan, L. D.

    1993-01-01

    The electrical resistivity of diamond films has been measured between room temperature and 1200 C. The films were grown by either microwave Plasma CVD or combustion flame at three different places. The resistivities of the current films are compared to those measured for both natural IIa diamond and films grown only one to two years ago.

  1. Transistor effects and in situ STM of redox molecules at room temperature

    DEFF Research Database (Denmark)

    Albrecht, Tim; Guckian, A; Vos, JG

    2005-01-01

    Inorganic transition metal complexes were identified as potential candidates for transistor-like behavior in an electrochemical scanning tunnelling microscope (STM) configuration at room temperature. The theoretical background has been established based on condensed matter charge transfer theory...... resolution reveal detailed information on their surface structure and scanning tunnelling spectroscopy experiments have shown clear evidence of transistor-like behavior...

  2. Transistor Effects and in situ STM of Redox Molecules at Room Temperature

    DEFF Research Database (Denmark)

    Albrecht, T.; Guckian, A.; Ulstrup, Jens

    2004-01-01

    Inorganic transition metal complexes were identified as potential candidates for transistor-like behaviour in an electrochemical STM configuration at room temperature. The theoretical background has been established based on condensed matter charge transfer theory. It predicts a distinct increase...... into the surface structure. STS experiments are on the way to probe putative transistor-like behaviour....

  3. Quantum interference effects at room temperature in OPV-based single-molecule junctions

    NARCIS (Netherlands)

    Arroyo Rodriguez, C.; Frisenda, R.; Moth-Poulsen, K.; Seldenthuis, J.S.; Bjornholm, T.; Van der Zant, H.S.

    2013-01-01

    Interference effects on charge transport through an individual molecule can lead to a notable modulation and suppression on its conductance. In this letter, we report the observation of quantum interference effects occurring at room temperature in single-molecule junctions based on

  4. Field-induced transition from room-temperature ferromagnetism to diamagnetism in proton-irradiated fullerene.

    Science.gov (United States)

    Lee, Kyu Won; Kweon, Hyocheon; Lee, Cheol Eui

    2013-10-18

    Room-temperature ferromagnetism in proton-irradiated C60 fullerene is demonstrated. The ferromagnetism turns into diamagnetism intrinsic to the fullerene as the magnetic field increases above a critical field. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  5. Testing Room-Temperature Ionic Liquid Solutions for Depot Repair of Aluminum Coatings

    Science.gov (United States)

    2011-05-01

    3AlCl4‾ o 100% plating efficiency at 4 amperes/decimeter2 (A/ dm2 ) has been claimed Overview: 1. Remove soils/corrosion products/plating from surfaces 2...room temperature (~90°C) improves activity • Mechanical agitation • Current density of 4 A/ dm2 (example) 4. Rinse and dry plating; Inspect the

  6. Deterministic switching of ferromagnetism at room temperature using an electric field.

    Science.gov (United States)

    Heron, J T; Bosse, J L; He, Q; Gao, Y; Trassin, M; Ye, L; Clarkson, J D; Wang, C; Liu, Jian; Salahuddin, S; Ralph, D C; Schlom, D G; Iñiguez, J; Huey, B D; Ramesh, R

    2014-12-18

    The technological appeal of multiferroics is the ability to control magnetism with electric field. For devices to be useful, such control must be achieved at room temperature. The only single-phase multiferroic material exhibiting unambiguous magnetoelectric coupling at room temperature is BiFeO3 (refs 4 and 5). Its weak ferromagnetism arises from the canting of the antiferromagnetically aligned spins by the Dzyaloshinskii-Moriya (DM) interaction. Prior theory considered the symmetry of the thermodynamic ground state and concluded that direct 180-degree switching of the DM vector by the ferroelectric polarization was forbidden. Instead, we examined the kinetics of the switching process, something not considered previously in theoretical work. Here we show a deterministic reversal of the DM vector and canted moment using an electric field at room temperature. First-principles calculations reveal that the switching kinetics favours a two-step switching process. In each step the DM vector and polarization are coupled and 180-degree deterministic switching of magnetization hence becomes possible, in agreement with experimental observation. We exploit this switching to demonstrate energy-efficient control of a spin-valve device at room temperature. The energy per unit area required is approximately an order of magnitude less than that needed for spin-transfer torque switching. Given that the DM interaction is fundamental to single-phase multiferroics and magnetoelectrics, our results suggest ways to engineer magnetoelectric switching and tailor technologically pertinent functionality for nanometre-scale, low-energy-consumption, non-volatile magnetoelectronics.

  7. Serial millisecond crystallography for routine room-temperature structure determination at synchrotrons.

    Science.gov (United States)

    Weinert, Tobias; Olieric, Natacha; Cheng, Robert; Brünle, Steffen; James, Daniel; Ozerov, Dmitry; Gashi, Dardan; Vera, Laura; Marsh, May; Jaeger, Kathrin; Dworkowski, Florian; Panepucci, Ezequiel; Basu, Shibom; Skopintsev, Petr; Doré, Andrew S; Geng, Tian; Cooke, Robert M; Liang, Mengning; Prota, Andrea E; Panneels, Valerie; Nogly, Przemyslaw; Ermler, Ulrich; Schertler, Gebhard; Hennig, Michael; Steinmetz, Michel O; Wang, Meitian; Standfuss, Jörg

    2017-09-14

    Historically, room-temperature structure determination was succeeded by cryo-crystallography to mitigate radiation damage. Here, we demonstrate that serial millisecond crystallography at a synchrotron beamline equipped with high-viscosity injector and high frame-rate detector allows typical crystallographic experiments to be performed at room-temperature. Using a crystal scanning approach, we determine the high-resolution structure of the radiation sensitive molybdenum storage protein, demonstrate soaking of the drug colchicine into tubulin and native sulfur phasing of the human G protein-coupled adenosine receptor. Serial crystallographic data for molecular replacement already converges in 1,000-10,000 diffraction patterns, which we collected in 3 to maximally 82 minutes. Compared with serial data we collected at a free-electron laser, the synchrotron data are of slightly lower resolution, however fewer diffraction patterns are needed for de novo phasing. Overall, the data we collected by room-temperature serial crystallography are of comparable quality to cryo-crystallographic data and can be routinely collected at synchrotrons.Serial crystallography was developed for protein crystal data collection with X-ray free-electron lasers. Here the authors present several examples which show that serial crystallography using high-viscosity injectors can also be routinely employed for room-temperature data collection at synchrotrons.

  8. International round robin test for mechanical properties of REBCO superconductive tapes at room temperature

    NARCIS (Netherlands)

    Osamura, K.; Shin, H.S.; Weiss, K.; Nyilas, A.; Nijhuis, Arend; Yamamoto, K.; Machiya, S.; Nishijima, G.

    2014-01-01

    An international round robin test was promoted to establish a test method for room temperature mechanical properties of commercial REBCO superconductive tapes. Seven laboratories practiced a tensile test under the direction of guideline REBCO13 for four different kinds of REBCO tape. From the stress

  9. Bright Room-Temperature Single-Photon Emission from Defects in Gallium Nitride.

    Science.gov (United States)

    Berhane, Amanuel M; Jeong, Kwang-Yong; Bodrog, Zoltán; Fiedler, Saskia; Schröder, Tim; Triviño, Noelia Vico; Palacios, Tomás; Gali, Adam; Toth, Milos; Englund, Dirk; Aharonovich, Igor

    2017-03-01

    Room-temperature quantum emitters in gallium nitride (GaN) are reported. The emitters originate from cubic inclusions in hexagonal lattice and exhibit narrowband luminescence in the red spectral range. The sources are found in different GaN substrates, and therefore are promising for scalable quantum technologies. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  10. CdO necklace like nanobeads decorated with PbS nanoparticles: Room temperature LPG sensor

    Energy Technology Data Exchange (ETDEWEB)

    Sonawane, N.B. [Department of Physics, School of Physical Sciences, North Maharashtra University, Jalgaon, 425001 M.S. (India); K.A.M.P. & N.K.P. Science College, Pimpalner, Sakri, Dhule, M.S. (India); Baviskar, P.K. [Department of Physics, School of Physical Sciences, North Maharashtra University, Jalgaon, 425001 M.S. (India); Ahire, R.R. [S.G. Patil Science, Sakri, Dhule, M.S. (India); Sankapal, B.R., E-mail: brsankapal@gmail.com [Nano Materials and Device Laboratory, Department of Applied Physics, Visvesvaraya National Institute of Technology, South Ambazari Road, Nagpur, 440010 M.S. (India)

    2017-04-15

    Simple chemical route has been employed to grow interconnected nanobeads of CdO having necklace like structure through air annealing of cadmium hydroxide nanowires. This nanobeads of n-CdO with high surface area has been decorated with p-PbS nanoparticles resulting in the formation of nano-heterojunction which has been utilized effectively as room temperature liquefied petroleum gas (LPG) sensor. The room temperature gas response towards C{sub 2}H{sub 5}OH, Cl{sub 2}, NH{sub 3}, CO{sub 2} and LPG was investigated, among which LPG exhibits significant response. The maximum gas response of 51.10% is achieved with 94.54% stability upon exposure of 1176 ppm concentration of LPG at room temperature (27 °C). The resulting parameters like gas response, response and recovery time along with stability studies has been studied and results are discussed herein. - Highlights: • Conversion of Cd(OH){sub 2} nanowires to CdO nanonecklace by air annealing at 290 °C. • Decoration of PbS nanoparticles over CdO nanobeads by SILAR method. • Formation of n-CdO/p-PbS nano-heterojunction as room temperature LPG sensor. • Maximum gas response of 51.10% with 94.54% stability.

  11. Ultrafast room temperature NH3 sensing with positively gated reduced graphene oxide field-effect transistors.

    Science.gov (United States)

    Lu, Ganhua; Yu, Kehan; Ocola, Leonidas E; Chen, Junhong

    2011-07-21

    Reduced graphene oxide (R-GO) under a positive gate potential (n-type conductance) exhibits an instantaneous response and fast recovery for NH(3) sensing, far superior to the performance in p-mode at zero/negative gate potential. Our findings have important implications for fast, repeatable, room temperature gas detection using graphene/R-GO.

  12. Low-field magnetocurrent above 200% in a spin-valve transistor at room temperature

    NARCIS (Netherlands)

    Anil Kumar, P.S.; Jansen, R.; van 't Erve, O.M.J.; Vlutters, R.; de Haan, P.; Lodder, J.C.

    2000-01-01

    A spin-valve transistor (SVT) that employs hot electrons is shown to exhibit a huge magnetotransport effect at room temperature in small magnetic fields. The SVT is a ferromagnet-semiconductor hybrid structure in which hot electrons are injected into a NiFe/Au/Co spin valve, and collected on the

  13. Construction of hydrophobic wood surfaces by room temperature deposition of rutile (TiO2) nanostructures

    Science.gov (United States)

    Rongbo Zheng; Mandla A. Tshabalala; Qingyu Li; Hongyan Wang

    2015-01-01

    A convenient room temperature approach was developed for growing rutile TiO2 hierarchical structures on the wood surface by direct hydrolysis and crystallization of TiCl3 in saturated NaCl aqueous solution.The morphology and the crystal structure of TiO2 coated on the wood surface were characterized...

  14. Room-temperature base-free copper-catalyzed trifluoromethylation of organotrifluoroborates to trifluoromethylarenes

    KAUST Repository

    Huang, Yuanyuan

    2012-12-01

    An efficient room temperature copper-catalyzed trifluoromethylation of organotrifluoroborates under the base free condition using an electrophilic trifluoromethylating reagent is demonstrated. The corresponding trifluoromethylarenes were obtained in good to excellent yields and the reaction tolerates a wide range of functional groups. © 2012 Elsevier Ltd. All rights reserved.

  15. Room temperature Compton profiles of conduction electrons in α-Ga ...

    Indian Academy of Sciences (India)

    Room temperature Compton profiles of momentum distribution of conduction electrons in -Ga metal are calculated in band model. For this purpose, the ... N C Mohapatra2. Department of Physics, Chikiti Mahavidyalaya, Chikiti 761 010, India; Department of Physics, Berhampur University, Berhampur 760 007, India ...

  16. Self-exothermic reaction prompted synthesis of single-layered graphene quantum dots at room temperature.

    Science.gov (United States)

    Chen, Bin Bin; Li, Rong Sheng; Liu, Meng Li; Zhang, Hong Zhi; Huang, Cheng Zhi

    2017-05-02

    The easy fabrication of single-layered graphene quantum dots (s-GQDs) still faces challenge. Herein, we report an efficient route to fabricate s-GQDs within 5 min at room temperature by introducing a simple self-exothermic reaction. The as-prepared s-GQDs can specifically bind with aluminium ions to produce an aggregation-induced emission enhancement effect.

  17. Aqueous synthesis of porous platinum nanotubes at room temperature and their intrinsic peroxidase-like activity.

    Science.gov (United States)

    Cai, Kai; Lv, Zhicheng; Chen, Kun; Huang, Liang; Wang, Jing; Shao, Feng; Wang, Yanjun; Han, Heyou

    2013-07-11

    Platinum nanotubes (PtNTs) exhibiting high porosity were constructed by sacrificing the exterior of tellurium nanowires (TeNWs) and disintegrating the inner part spontaneously in aqueous solution at room temperature, in which the Kirkendall effect may play an important role. The present PtNTs exhibited intrinsic peroxidase-like activity in the presence of H2O2.

  18. Two separable conformers of TATP and analogues exist at room temperature.

    Science.gov (United States)

    Denekamp, C; Gottlieb, L; Tamiri, T; Tsoglin, A; Shilav, R; Kapon, M

    2005-06-09

    [reaction: see text] TATP gives rise to two separable conformations because the barrier for interconversion between them is relatively high at room temperature. This kind of behavior is rare in cyclic organic systems and is the result of poor overlap in the "flip-flop" transition state. The crystal structure of the analogous tricyclohexanone triperoxide also indicates the presence of two conformers.

  19. Structure determination of an integral membrane protein at room temperature from crystals in situ

    Energy Technology Data Exchange (ETDEWEB)

    Axford, Danny [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Foadi, James [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Imperial College London, London SW7 2AZ (United Kingdom); Hu, Nien-Jen; Choudhury, Hassanul Ghani [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Imperial College London, London SW7 2AZ (United Kingdom); Rutherford Appleton Laboratory, Oxfordshire OX11 0FA (United Kingdom); Iwata, So [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Imperial College London, London SW7 2AZ (United Kingdom); Rutherford Appleton Laboratory, Oxfordshire OX11 0FA (United Kingdom); Kyoto University, Kyoto 606-8501 (Japan); Beis, Konstantinos [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Imperial College London, London SW7 2AZ (United Kingdom); Rutherford Appleton Laboratory, Oxfordshire OX11 0FA (United Kingdom); Evans, Gwyndaf, E-mail: gwyndaf.evans@diamond.ac.uk [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Alguel, Yilmaz, E-mail: gwyndaf.evans@diamond.ac.uk [Diamond Light Source, Harwell Science and Innovation Campus, Oxfordshire OX11 0DE (United Kingdom); Imperial College London, London SW7 2AZ (United Kingdom); Rutherford Appleton Laboratory, Oxfordshire OX11 0FA (United Kingdom)

    2015-05-14

    The X-ray structure determination of an integral membrane protein using synchrotron diffraction data measured in situ at room temperature is demonstrated. The structure determination of an integral membrane protein using synchrotron X-ray diffraction data collected at room temperature directly in vapour-diffusion crystallization plates (in situ) is demonstrated. Exposing the crystals in situ eliminates manual sample handling and, since it is performed at room temperature, removes the complication of cryoprotection and potential structural anomalies induced by sample cryocooling. Essential to the method is the ability to limit radiation damage by recording a small amount of data per sample from many samples and subsequently assembling the resulting data sets using specialized software. The validity of this procedure is established by the structure determination of Haemophilus influenza TehA at 2.3 Å resolution. The method presented offers an effective protocol for the fast and efficient determination of membrane-protein structures at room temperature using third-generation synchrotron beamlines.

  20. Spin Squeezing and Entanglement with Room Temperature Atoms for Quantum Sensing and Communication

    DEFF Research Database (Denmark)

    Shen, Heng

    magnetometer at room temperature is reported. Furthermore, using spin-squeezing of atomic ensemble, the sensitivity of magnetometer is improved. Deterministic continuous variable teleportation between two distant atomic ensembles is demonstrated. The fidelity of teleportating dynamically changing sequence...... of spin states surpasses a classical benchmark, demonstrating the true quantum teleportation....

  1. Achieving Room Temperature Orange Lasing Using InGaP/InAlGaP Diode Laser

    KAUST Repository

    Al-Jabr, Ahmad

    2015-09-28

    We demonstrated the first orange laser diode at room temperature with a decent total output power of ∼46mW and lasing wavelength of 608nm, using a novel strain-induced quantum well intermixing in InGaP/InAlGaP red laser structure.

  2. How do polymerized room-temperature ionic liquid membranes plasticize during high pressure CO2 permeation?

    NARCIS (Netherlands)

    Simons-Fischbein, K.; Nijmeijer, Dorothea C.; Bara, J.B.; Noble, R.D.; Wessling, Matthias

    2010-01-01

    Room-temperature ionic liquids (RTILs) are a class of organic solvents that have been explored as novel media for CO2 separations. Polymerized RTILs (poly(RTILs)) can be synthesized from RTIL monomers to form dense, solid gas selective membranes. It is of interest to understand the permeation

  3. Improving operating room efficiency by applying bin-packing and portfolio techniques to surgical case scheduling

    NARCIS (Netherlands)

    van Houdenhoven, M.; van Oostrum, J.M.; Hans, Elias W.; Wullink, Gerhard; Kazemier, G.

    2013-01-01

    BACKGROUND: An operating room (OR) department has adopted an efficient business model and subsequently investigated how efficiency could be further improved. The aim of this study is to show the efficiency improvement of lowering organizational barriers and applying advanced mathematical techniques.

  4. Using Social Network Analysis to Identify Sub-Groups in the Operating Room

    NARCIS (Netherlands)

    Listyowardojo, Tita A.; Steglich, Christian; Peuchen, Stephen; Johnson, Addie; de Waard, D.; Godthelp, J.; Kooi, F.L.; Brookhuis, K.A.

    2009-01-01

    The frequency with which operating room (OR) staff work together can impact patient safety because staff who often work together share a set of experiences which may enable them to anticipate each other’s actions and reactions in the future. Identifying sub-groups of staff who frequently work

  5. From human factors to HSI and beyond: operation centers and control rooms

    NARCIS (Netherlands)

    Bronkhorst, A.W.; Post, W.M.; Brake, G.M. te

    2014-01-01

    Currently, Human Factors does not just cover human performance and human centred design but also the evaluation and influencing of human behaviour in complex environments. In particular in the design of operations centres and control rooms, the functioning of humans and systems must be considered in

  6. Learning from aviation to improve safety in the operating room - a systematic literature review

    NARCIS (Netherlands)

    L.S.G.L. Wauben; J.F. Lange (Johan); R.H.M. Goossens (Richard)

    2012-01-01

    textabstractLessons learned from other high-risk industries could improve patient safety in the operating room (OR). This review describes similarities and differences between high-risk industries and describes current methods and solutions within a system approach to reduce errors in the OR. PubMed

  7. Are operating room nurses at higher risk of severe persistent asthma? The Nurses' Health Study.

    NARCIS (Netherlands)

    Moual, N. le; Varraso, R.; Zock, J.P.; Henneberger, P.; Speizer, F.E.; Kauffmann, F.; Camargo, C.A.

    2013-01-01

    Objective: To assess the associations between operating room (OR) nursing, a category of health care workers at high risk of exposure to various inhaled agents, and asthma severity/control among women with asthma. Methods: The level of severity/control in nurses with prevalent doctor-diagnosed

  8. Emotional intelligence in the operating room: analysis from the Boston Marathon bombing.

    Science.gov (United States)

    Chang, Beverly P; Vacanti, Joshua C; Michaud, Yvonne; Flanagan, Hugh; Urman, Richard D

    2014-01-01

    The Boston Marathon terrorist bombing that occurred on April 15, 2013 illustrates the importance of a cohesive, efficient management for the operating room and perioperative services. Conceptually, emotional intelligence (EI) is a form of social intelligence used by individuals in leadership positions to monitor the feelings and emotions of their team while implementing a strategic plan. To describe the experience of caring for victims of the bombing at a large tertiary care center and provide examples demonstrating the importance of EI and its role in the management of patient flow and overall care. A retrospective review of trauma data was performed. Data regarding patient flow, treatment types, treatment times, and outcomes were gathered from the hospital's electronic tracking system and subsequently analyzed. Analyses were performed to aggregate the data, identify trends, and describe the medical care. Immediately following the bombing, a total of 35 patients were brought to the emergency department (ED) with injuries requiring immediate medical attention. 10 of these patients went directly to the operating room on arrival to the hospital. The first victim was in an operating room within 21 minutes after arrival to the ED. The application of EI in managerial decisions helped to ensure smooth transitions for victims throughout all stages of their perioperative care. EI provided the fundamental groundwork that allowed the operating room manager and nurse leaders to establish the calm and coordinated leadership that facilitated patient care and teamwork.

  9. Laparoscopic assistance by operating room nurses: Results of a virtual-reality study.

    Science.gov (United States)

    Paschold, M; Huber, T; Maedge, S; Zeissig, S R; Lang, H; Kneist, W

    2017-04-01

    Laparoscopic assistance is often entrusted to a less experienced resident, medical student, or operating room nurse. Data regarding laparoscopic training for operating room nurses are not available. The aim of the study was to analyse the initial performance level and learning curves of operating room nurses in basic laparoscopic surgery compared with medical students and surgical residents to determine their ability to assist with this type of procedure. The study was designed to compare the initial virtual reality performance level and learning curves of user groups to analyse competence in laparoscopic assistance. The study subjects were operating room nurses, medical students, and first year residents. Participants performed three validated tasks (camera navigation, peg transfer, fine dissection) on a virtual reality laparoscopic simulator three times in 3 consecutive days. Laparoscopic experts were enrolled as a control group. Participants filled out questionnaires before and after the course. Nurses and students were comparable in their initial performance (p>0.05). Residents performed better in camera navigation than students and nurses and reached the expert level for this task. Residents, students, and nurses had comparable bimanual skills throughout the study; while, experts performed significantly better in bimanual manoeuvres at all times (p<0.05). The included user groups had comparable skills for bimanual tasks. Residents with limited experience reached the expert level in camera navigation. With training, nurses, students, and first year residents are equally capable of assisting in basic laparoscopic procedures. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. LOW ENDOPHTHALMITIS RATES AFTER INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR INJECTIONS IN AN OPERATION ROOM

    DEFF Research Database (Denmark)

    Freiberg, Florentina J; Brynskov, Troels; Munk, Marion R

    2017-01-01

    PURPOSE: To evaluate the rate of presumed endophthalmitis (EO) after intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections in three European hospitals performed in an operation room (OR) under sterile conditions. METHODS: A retrospective multicenter study between 2003 and 20...

  11. Bacterial contamination of floors and other surfaces in operating rooms: a five-year survey.

    Science.gov (United States)

    Suzuki, A.; Namba, Y.; Matsuura, M.; Horisawa, A.

    1984-01-01

    Bacterial contamination of floors and other surfaces in the operating suite has been investigated by contact impression plates during the past five years. Colony counts of the floors of operating rooms, cleaned with disinfectant, were 3.3 c.f.u./10 cm2; on the floors of semi-clean and dirty areas, cleaned with detergent, colony counts were 44.8 and 71.4 c.f.u./10 cm2 respectively. The highest colony counts of 487.4 c.f.u./10 cm2 were found in the dressing rooms, the floors of which were covered with carpets, cleaned with a vacuum cleaner. Mean bacterial numbers on surfaces of various equipment in operating rooms, cleaned with disinfectant, were 2.8 c.f.u./10 cm2. Bacterial numbers on surfaces decreased markedly from 253.2 to 11.9 c.f.u./10 cm2 following the use of disinfectant. Bacterial species found from various surfaces were mainly coagulase-negative staphylococci, derived from human beings. In the light of these findings the regular use of disinfectant for cleaning of the floors and other surfaces in operating rooms is advisable. PMID:6512255

  12. Determining high touch areas in the operating room with levels of contamination.

    Science.gov (United States)

    Link, Terri; Kleiner, Catherine; Mancuso, Mary P; Dziadkowiec, Oliwier; Halverson-Carpenter, Katherine

    2016-11-01

    The Centers for Disease Control and Prevention put forth the recommendation to clean areas considered high touch more frequently than minimal touch surfaces. The operating room was not included in these recommendations. The purpose of this study was to determine the most frequently touched surfaces in the operating room and their level of contamination. Phase 1 was a descriptive study to identify high touch areas in the operating room. In phase 2, high touch areas determined in phase 1 were cultured to determine if high touch areas observed were also highly contaminated and if they were more contaminated than a low touch surface. The 5 primary high touch surfaces in order were the anesthesia computer mouse, OR bed, nurse computer mouse, OR door, and anesthesia medical cart. Using the OR light as a control, this study demonstrated that a low touch area was less contaminated than the high touch areas with the exception of the OR bed. Based on information and data collected in this study, it is recommended that an enhanced cleaning protocol be established based on the most frequently touched surfaces in the operating room. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  13. Wearing ID Badges in the Operating Room Environment: Is Reconsideration Warranted?

    Science.gov (United States)

    Hogue, Matthew H; Heilmann, Kris P; Callaghan, John J

    2017-07-01

    Surgical site infection and nosocomial infections in general have appropriately undergone increased scrutiny over the last decade. Numerous studies have documented pathogenic bacterial contamination of personal items such as cell phones, pagers, ties, and pens in the hospital setting. It is our understanding that Joint Commission on Accreditation of Healthcare Organizations requires all personnel to wear an identification badge at all times, which includes the operating room environment. Badges, lanyards, and pagers from operating room personnel were swabbed and cultured using the same protocol used for surgical specimens in the operating rooms. Personnel included orthopedic attendings (14), orthopedic residents (20), nurses (19), and anesthesia personnel (11). A total of 64 badges were sampled, with no methicillin-sensitive Staphylococcus aureus (MSSA) or methicillin-resistant S. aureus (MRSA) cultured on any of the badges. Two of 64 had enterococcus (3%), and 1 of those was vancomycin resistant. Pagers had similar results, with only 1/42 growing MSSA or enterococcus (2.4%), and no MRSA. Lanyards showed higher rates of contamination. There were 11% with MSSA or MRSA out of 27 sampled. Highest contamination rates were with orthopedic staff and resident lanyards, with 3/22 (13.6%) growing MSSA or MRSA. No lanyards grew enterococcus. When comparing rates of MSSA and/or MRSA between groups, lanyards had a statistically significant higher rate (P operating room personnel should probably not use lanyards to display their ID badges. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Radiation exposure to the patient and operating room personnel during percutaneous nephrolithotomy.

    Science.gov (United States)

    Kumari, Geeta; Kumar, Pratik; Wadhwa, Pankaj; Aron, Monish; Gupta, Narmada P; Dogra, Prem N

    2006-01-01

    The increased use of fluoroscopy during percutaneous nephrolithotomy (PCNL) places the urologist and operating room personnel at an occupational risk for measurable radiation exposure. We evaluated the degree of radiation exposure received by the patient and operating room personnel at our endourology facility during PCNL. The incident radiation dose to the patient and the urologist during 50 consecutive PCNL procedures was monitored using lithium fluoride thermo-luminescent dosimeter chips (TLD chips). A hand held radiation survey meter was used to measure the radiation in air at different positions occupied by various operating room personnel. The approximate distances of the various personnel from the X-ray tube were also measured. PCNL was performed upon 35 males and 15 females. The average time for the procedure was 75 minutes (range: 30-150 min). The mean fluoroscopy screening time during the procedure was 6.04 min (range 1.8-12.16 min) with a mean fluoroscopy tube potential of 68 kVp and a mean tube current of 2.76 mA. The mean radiation exposure dose to the patient was 0.56 mSv (SD +/- 0.35), while the mean incident radiation exposure to the finger of the urologist was 0.28 mSv (SD +/- 0.13). The various operating room personnel are within safe radiation dose limits during PCNL. Efficient fluoroscopy further reduces the radiation scatter. All occupational personnel should 'achieve as low as reasonably achievable' dose by adhering to good practices.

  15. A phase transition close to room temperature in BiFeO3 thin films.

    Science.gov (United States)

    Kreisel, J; Jadhav, P; Chaix-Pluchery, O; Varela, M; Dix, N; Sánchez, F; Fontcuberta, J

    2011-08-31

    BiFeO3 (BFO) multiferroic oxide has a complex phase diagram that can be mapped by using appropriately substrate-induced strain in epitaxial films. By using Raman spectroscopy, we conclusively show that films of the so-called supertetragonal T-BFO phase, stabilized under compressive strain, display a reversible temperature-induced phase transition at about 100 °C, and thus close to room temperature.

  16. A phase transition close to room temperature in BiFeO{sub 3} thin films

    Energy Technology Data Exchange (ETDEWEB)

    Kreisel, J; Jadhav, P; Chaix-Pluchery, O [Laboratoire des Materiaux et du Genie Physique, Grenoble INP, CNRS, Minatec, 3, parvis Louis Neel, 38016 Grenoble (France); Varela, M [Departamento Fisica Aplicada i Optica, Universitat de Barcelona, Carrer MartI i Franques 1. 08028 Campus UAB, Bellaterra 08193 (Spain); Dix, N; Sanchez, F; Fontcuberta, J, E-mail: jens.kreisel@grenoble-inp.fr [Institut de Ciencia de Materials de Barcelona (ICMAB-CSIC), Campus UAB, Bellaterra 08193 (Spain)

    2011-08-31

    BiFeO{sub 3} (BFO) multiferroic oxide has a complex phase diagram that can be mapped by using appropriately substrate-induced strain in epitaxial films. By using Raman spectroscopy, we conclusively show that films of the so-called supertetragonal T-BFO phase, stabilized under compressive strain, display a reversible temperature-induced phase transition at about 100 deg. C, and thus close to room temperature. (fast track communication)

  17. Local Exhaust Efficiency in an Operating Room Ventilated by Horizontal Unidirectional Airflow

    DEFF Research Database (Denmark)

    Brohus, Henrik; Balling, K. D.; Jeppesen, D.

    2004-01-01

    The paper examines the efficiency of a local exhaust applied during an orthopaedic surgical operation. During operations performing hip replacements bone cement is sometimes applied to fasten the new metal hip to the existing thighbone, especially in case of elderly patients. The bone cement emits...... harmful VOCs that may influence the operating room personnel and the patient. A local exhaust is applied to reduce the VOC concentration in the operating room air, however, apparently without success. The aim is to assess the efficiency of the existing solution and to provide an alternative and better...... efficiency. The CFD model comprises persons, equipment and ventilation system apart from the local exhaust. The existing solution is found to be highly inadequate and a new solution is provided that considers the substantial influence of the unidirectional airflow....

  18. Nanosecond time-resolved characterization of a pentacene-based room-temperature MASER

    Science.gov (United States)

    Salvadori, Enrico; Breeze, Jonathan D.; Tan, Ke-Jie; Sathian, Juna; Richards, Benjamin; Fung, Mei Wai; Wolfowicz, Gary; Oxborrow, Mark; Alford, Neil Mcn.; Kay, Christopher W. M.

    2017-02-01

    The performance of a room temperature, zero-field MASER operating at 1.45 GHz has been examined. Nanosecond laser pulses, which are essentially instantaneous on the timescale of the spin dynamics, allow the visible-to-microwave conversion efficiency and temporal response of the MASER to be measured as a function of excitation energy. It is observed that the timing and amplitude of the MASER output pulse are correlated with the laser excitation energy: at higher laser energy, the microwave pulses have larger amplitude and appear after shorter delay than those recorded at lower laser energy. Seeding experiments demonstrate that the output variation may be stabilized by an external source and establish the minimum seeding power required. The dynamics of the MASER emission may be modeled by a pair of first order, non-linear differential equations, derived from the Lotka-Volterra model (Predator-Prey), where by the microwave mode of the resonator is the predator and the spin polarization in the triplet state of pentacene is the prey. Simulations allowed the Einstein coefficient of stimulated emission, the spin-lattice relaxation and the number of triplets contributing to the MASER emission to be estimated. These are essential parameters for the rational improvement of a MASER based on a spin-polarized triplet molecule.

  19. Highly Reversible Room-Temperature Sulfur/Long-Chain Sodium Polysulfide Batteries.

    Science.gov (United States)

    Yu, Xingwen; Manthiram, Arumugam

    2014-06-05

    In a room-temperature sodium-sulfur (RT Na-S) battery, the complicated reduction reaction of the sulfur cathode generally involves two main steps: (i) transformation of elemental sulfur into long-chain soluble sodium polysulfides (Na2Sn 4 ≤ n ≤ 8) and (ii) conversion of the long-chain sodium polysulfides into solid-state short-chain polysulfide Na2S2 or disulfide Na2S. It is found that the slow kinetics of the second step limits the efficiency of discharge and induces irreversible capacity loss during cycling. Accordingly, we present here a RT Na-S cell operated with the sulfur/long-chain sodium polysulfide redox couple to avoid the capacity fade. An advanced cathode structure has been developed by inserting a carbon nanofoam interlayer between the sulfur cathode and the separator to localize the soluble polysulfide species and prevent its migration to the anode. The highly reversible sulfur/long-chain sodium polysulfide cell presented here can provide a stable output energy density of 450 Wh kg(-1) at an extremely low energy cost of ∼$10 kWh(-1) (based on the active material of anode and cathode).

  20. Room temperature single photon source using fiber-integrated hexagonal boron nitride

    Science.gov (United States)

    Vogl, Tobias; Lu, Yuerui; Lam, Ping Koy

    2017-07-01

    Single photons are a key resource for quantum optics and optical quantum information processing. The integration of scalable room temperature quantum emitters into photonic circuits remains to be a technical challenge. Here we utilize a defect center in hexagonal boron nitride (hBN) attached by Van der Waals force onto a multimode fiber as a single photon source. We perform an optical characterization of the source in terms of spectrum, state lifetime, power saturation and photostability. A special feature of our source is that it allows for easy switching between fiber-coupled and free space single photon generation modes. In order to prove the quantum nature of the emission we measure the second-order correlation function {{g}(2)}≤ft(τ \\right) . For both fiber-coupled and free space emission, the {{g}(2)}≤ft(τ \\right) dips below 0.5 indicating operation in the single photon regime. The results so far demonstrate the feasibility of 2D material single photon sources for scalable photonic quantum information processing.