Search Results (24)

This study evaluated the efficacy of an environmentally friendly degreasing agent formulated from orange peel extract as both a cleaning agent and corrosion inhibitor for surgical instruments manufactured from 316LVM stainless steel. The extract was obtained via microwave-assisted hydrodistillation and subsequently blended with biodegradable surfactants. Its performance was compared against a benchmark commercial cleaner (West Oxyclean^®) through Tafel polarization, Electrochemical Impedance Spectroscopy (EIS), Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM), and X-Ray Diffraction (XRD). FTIR analysis confirmed the presence of terpenic compounds, predominantly limonene, alongside ethers, alcohols, and unsaturated structure characteristics of citrus essential oils. Polarization and EIS results showed that the formulation containing 0.12% extract exhibited the highest charge-transfer resistance and the lowest corrosion current density (0.093 μA/cm²), achieving an inhibition efficiency of 81.29%, whereas the 0.08% formulation showed greater corrosive response than the commercial cleaner. SEM imaging demonstrated a progressive decline in both the severity and density of localized corrosion attacks with increasing extract concentration, while XRD diffractograms indicated a marked reduction in corrosion-product formation—completely absent at the optimal concentration. These findings demonstrate that orange peel extract functions as an effective and environmentally sustainable corrosion inhibitor, capable of preserving the structural and surface integrity of surgical-grade steel. Its technical performance, combined with its biodegradable profile, positions it as a promising alternative to conventional industrial cleaners within medical and hospital applications. Full article

Traditional HVAC designs often struggle to respond promptly and accurately to dynamic changes in complex environments like hospital usage. This paper introduces a novel framework that integrates Building Information Modeling (BIM), digital twin technology, and practical medical processes to transform HVAC design for hospital construction. The framework ensured a smarter (with a reduction of 90% in calculation time and an improvement of 38.20–53.24% in respondence speed) and cleaner environment after identifying and calculating the rational layout of functional areas and optimizing intersecting flow lines. A key innovation of this research was the application of Support Vector Machine (SVM) and deep learning algorithm (Long Short-Term Memory) networks for real-time pedestrian traffic prediction. The implementation was validated through multiple simulations and applications including horizontal and vertical traffic flow and negative pressure analyses for three distinct departments. The findings underline the potential of BIM and digital twins to optimize HVAC systems and hospital design, providing adaptive, data-driven solutions for both routine operations and emergency scenarios. This framework offers a scalable approach for modernizing healthcare infrastructure, ensuring resilience and efficiency in diverse operational contexts. Full article

Monitoring of IAQ is one of the foundations of the preventative actions prompted by the worldwide recognition of COVID-19 transmission. The measurement of CO₂ has emerged as one of the most popular, dependable, and easy ways to indirectly evaluate the state of indoor air renewal. Reducing the risk of respiratory diseases transmitted by aerosols is attainable through implementing and validating prevention measures made possible by CO₂ control. Isolation centers are like health facilities in that they are linked to IAQ, and the presence of natural ventilation can significantly improve the circulation of fresh air, which speeds up the removal of contaminants. This is true even though healthcare facilities are among the environments with the highest rate of COVID-19 propagation. Our investigation revealed, however, that no substantial critical data on air quality in Tanzanian isolation centers is presently available. The process of metabolic CO₂ creation and accumulation within health isolation center cubicles was investigated in this study. Crucially, we suggest comparing settings under various conditions using the indicator ppm/patient. In this research, we experimentally assessed the value of changing a few HVAC system characteristics. We looked at the data to see how well the filtration system worked concerning the submicron particle concentration. Study recommendations for CO₂ detectors and ways to reduce infection risk in shared isolation center cubicles are provided. We also show the correlation between particle size and CO₂ concentration, the correlation between CO₂ concentration derivatives and air volume presented per patient in isolation cubicles, the correlation between patient occupancy and CO₂ concentration levels in isolation cubicles, and how to improve air quality by adjusting the patient’s bed position. The study also found that for exposure lengths of two to three hours, a typical hospital cubicle with fifty to one hundred people should have an average interior CO₂ value of less than 900 ppm. Carers’ length of stay in the hospital substantially impacted the permissible CO₂ concentration. By establishing a connection between indoor air monitoring and healthcare goals, this study will aid in determining the feasibility of establishing regulations for interior CO₂ content depending on occupancy settings, strengthening preventive efforts against COVID-19. In the post-pandemic era, it will be essential to find ways to make health facilities air cleaner so that infectious diseases cannot spread in the future. Full article

In the face of today’s ever-evolving global health landscape and ambient assisted living (AAL), marked by the persistent emergence of novel viruses and diseases that impact vulnerable categories and individual safety, the need for innovative disinfection solutions has surged to unprecedented levels. In pursuit of advancing the field of autonomous UV-C disinfection robotics, we conducted two comprehensive state-of-the-art analyses: the first one in the literature and the second one in existing commercial disinfection robots to identify current challenges. Of all of the challenges, we consider the most outstanding ones to be safeguarding humans and animals and understanding the surroundings while operating the disinfection process challenges that we will address in this article. While UV-C lamps have demonstrated their effectiveness in sterilizing air and surfaces, the field of autonomous UV-C disinfection robotics represents a critical domain that requires advancement, particularly in safeguarding the wellbeing of humans and animals during operation. Operating UV-C disinfection robots in close proximity to humans or animals introduces inherent risks, and existing disinfection robots often fall short in incorporating advanced safety systems. In response to these challenges, we propose the RoboCoV Cleaner—an indoor autonomous UV-C disinfection robot equipped with an advanced dual and redundant safety system. This novel approach incorporates multiple passive infrared (PIR) sensors and AI object detection on a 360-degree camera. Under our test, the dual-redundant system reached more than 90% when detecting humans with high accuracy using the AI system 99% up to 30 m away in a university hallway (different light conditions) combined with the PIR system (with lower accuracy). The PIR system was proved to be a redundant system for uninterrupted operation during communication challenges, ensuring continuous sensor information collection with a swift response time of 50 ms (image processing within 200 ms). It empowers the robot to detect and react to human presence, even under challenging conditions, such as when individuals wear masks, in complete darkness, under UV light, or in environments with blurred visual conditions. In our test, the detection system performed outstandingly well with up to 99% detection rate of humans. Beyond safety features, the RoboCoV Cleaner can identify objects in its surroundings. This capability empowers the robot to discern objects affected by UV-C light, enabling it to apply specialized rules for targeted disinfection. The proposed system exhibits a wide range of capabilities beyond its core purpose of disinfection, making it suitable for healthcare facilities, universities, conference venues, and hospitals. Its implementation has the ability to improve significantly human safety and protect people. By showcasing the RoboCoV Cleaner’s safety-first approach and adaptability, we aim to set a new benchmark for UV-C disinfection robots, promoting clean and secure environments while protecting vulnerable people, even in challenging scenarios. Full article

Despite being preventable, healthcare-associated infections are known primary causes of patient mortality and morbidity, threatening global public health. Though it is believed that one competent and dedicated cleaning staff member given the right tools and enough time can prevent more health-care-associated infectious diseases than a room full of doctors and nurses can cure, it was discovered in Letaba Hospital of the Limpopo Province, South Africa, that knowledge and practices of infection control among cleaning staff were not optimal. The proposed study aims to evaluate the impact of training interventions on cleaners’ knowledge levels and practices. In Phase 1, cleaners’ pre-training knowledge level, practices, and perceptions regarding correct cleaning techniques will be assessed through qualitative, individual, in-depth interviews. The initial question will read, “Describe the steps you follow when cleaning at this health facility and why?” In Phase 2a, a cleaning training program will be developed based on the South African Qualification Authority ID 118730 Healthcare Cleaner: Occupational Certificate Curriculum and the Center for Diseases Control and ICAN’s Best Practices for Environmental Cleaning in Healthcare Facilities in Resource-Limited Settings. In Phase 2b, a cleaning training intervention will be implemented. In Phase 3, cleaners’ post-training knowledge level, practices, and perceptions will be reassessed and compared to pre-training findings. The Standard Protocol Items: Recommendations for an Interventional Trial, commonly known as SPIRIT, guided the development of this protocol. This protocol received ethical clearance number FHS/22/PH/04/3005 in August 2023 from the University of Venda Human and Clinical Trials Research Ethics Committee. The protocol approval was granted by the Limpopo Provincial Department of Health (LP_2022-05-028) in October 2023. This protocol is registered with the South African National Clinical Trial Registry. The findings of this study may provide baseline data upon which healthcare facilities’ cleaner training qualification curriculum may be developed. In addition, this protocol contributes to the application of qualitative methodology in an intervention trial. Full article

Any hospital’s primary goal is to restore human health and save lives through health services provided to patients, but at the same time, hazardous wastes are produced. Inconsistent management of unsafe wastes might cause adverse effects and other issues for workers, the environment, and public health. Segregation is considered the critical stage in successful medical waste management. Mixing hazardous medical waste with non-hazardous medical waste will be avoided by correctly applying practices at the segregation stage. This study aimed to assess personnel’s knowledge about infectious medical waste and segregation practices used at six wards in Nicosia General Hospital. An analytical cross-sectional study was conducted, and data were collected through a structured self-administered questionnaire. The Statistical Package of Social Science (SPPS) version 25 was used with a minimum statistical significance of α = 0.05. The study population was nurses, nurse assistants, ward assistants, and cleaners working at the study wards. Out of 191 questionnaires, 82 were received, with a response rate of 42.93%. Most participants were female (72%) and nurses (85.4%). Participants had moderate knowledge about infectious medical waste management and good knowledge regarding segregation practices applied in their ward. Segregation was not carried out as it should have been, since most participants stated that infectious medical waste was mixed with non-hazardous medical waste. The number of correct answers the participants gave regarding the colour-coding of different medical waste categories was 67.5%, and only four answered correctly to all questions. Although participants knew segregation practices and the colour-coding process applied to medical waste, they did not use them satisfactorily. They applied methods regarding segregation without specific training, knowledge and guidance. Due to the issue’s importance, training programs must be implemented and performed. Full article

Air pollution is a serious problem in Romania, with the country ranking 13th among the most polluted countries in Europe in the 2021 World Air Quality Report. Despite the recognized impact of pollutants on health, there has been a lack of large-scale studies conducted in Romania. This study investigated the impact of air pollutants on patients with chronic respiratory, cardiovascular, cerebrovascular, or metabolic diseases in Bucharest and its metropolitan area from 20 August 2018 to 1 June 2022. The daily limit values for particulate matter PM10 and PM2.5 were exceeded every month, especially during the cold season, with a decrease during the COVID-19 pandemic restrictions. A significant statistical correlation was found between the monthly average values of PM2.5 and PM10 and hospitalizations for respiratory and cardiovascular diseases. A 10 µg/m³ increase in monthly average values resulted in a 40–60% increase in admissions for each type of pathology, translating to more than 2000 admissions for each pathology for the study period. This study highlights the urgent need for national and local measures to ensure a cleaner environment and enhance public health in Romania according to international regulations. Full article

Antineoplastic drugs used in the treatment of cancers have an intrinsic toxicity, because of their genotoxic, teratogenic, and carcinogenic properties. Their use is recognized as an occupational hazard for healthcare workers (HCWs) who may be exposed. The purpose of this article is to present biological- and environmental-monitoring data collected in twelve French hospitals over eight years. Urine samples were collected from a wide range of HCWs (250 participants) from pharmacy and oncology units, including physicians, pharmacists, pharmacy technicians, nurses, auxiliary nurses, and cleaners. The investigated drugs were cyclophosphamide, ifosfamide, methotrexate, and α-fluoro-β-alanine, the main urinary metabolite of 5-fluorouracil. Wipe samples were collected from various locations in pharmacy and oncology units. More than 50% of participants, from all exposure groups, were contaminated with either drug, depending on the unit, the day, or the task performed. However, workers from oncology units were more frequently exposed than workers from pharmacy units. Significant contamination was detected on various surfaces in pharmacy and oncology units, highlighting potential sources of exposure. Risk-management measures should be implemented to reduce and maintain exposures at lowest-possible levels. In addition, regular exposure assessment, including biological and environmental monitoring, is recommended to ensure the long-term efficiency of the prevention measures. Full article

Steam mopping is an eco-friendly solution for cleaning and disinfecting floors, avoiding harsh chemicals or harmful UV lights. Currently, commercial steam mopping systems are manually operated, which is laborious and unsafe. This work presents the design methodology of a novel, eco-friendly autonomous steam mopping robot named ‘Snail’ for cleaning and disinfecting typical indoor floors, namely tile, carpet, concrete, vinyl, sealed wood, and rugs. Our work is mainly focused on (1) the mechanical system design, including the locomotion, steam dispenser, and mopping unit, (2) the hardware and software architecture, and (3) the motion control system’s design for smooth maneuverability and mitigating friction forces. A high-gain friction estimator is proposed, whose output is exploited by the motion controller to follow the desired path and compensate for the traction-based locomotion disturbances due to extensive mop contact with a rough-textured floor, such as carpet. The proposed autonomous steam mopping robot’s efficiency is validated with different floors with zig-zagging cleaning patterns, setting a minimum of 100 °C as the disinfecting steam criterion. Using the proposed motion control algorithm, we validate the smooth maneuverability, assuring the robot traverses with a given speed and follows the trajectory even on a rough carpeted floor. The cleaning efficiency is tested by removing hard stains, consuming less water, and faster wet floor drying. The robot used only one liter of water to clean a 5 ${\mathrm{m}}^2$ floor area, and the drying time was found to be four times faster than normal water mopping. The proposed steam mopping robot design is ideal for cleaning and disinfecting hospitals and eldercare centers, where hygiene is crucial, and promoting going green, avoiding harsh chemicals, and mitigating current cleaner labor concerns, including the risk of infection. Full article

In 2016, Tosei General Hospital, a tertiary emergency medical facility with 633 beds in Japan, experienced a large nosocomial outbreak of carbapenemase-producing Enterobacterales (CPE) that had spread to numerous sink outlets. Based on our experience with using steam cleaners to suppress CPE on environmental surfaces, we report the efficacy of steam cleaners in the disinfection of sink outlets. Steam cleaners were used to disinfect 22 target areas. CPE disappeared in 90.9% of the sink outlets within the first two months after disinfection, and, after 12 months, 54.5% of the sink outlets remained negative throughout the remainder of the study period. This study demonstrates the effectiveness of using steam cleaners to disinfect sink outlets contaminated with CPE. Full article

This study describes the exposures and suspected intoxications in children (0–14 years) managed by an Italian reference poison control center (PCC). A seven-year observational retrospective study was performed on the medical records of the Toxicology Unit and PCC, Careggi University Hospital, Florence (Italy). During the study period (2015–2021), a total of 27,212 phone call consultations were managed by the PCC, of which 11,996 (44%) involved subjects aged 0–14 years. Most cases occurred in males (54%) aged 1–5 years (73.8%), mainly at home (97.4%), and with an oral route of intoxication (93%). Cases mainly occurred involuntarily. Consultations were generally requested by caregivers; however, in the age group 12–14 years, 70% were requested by healthcare professionals due to voluntary intoxications. Cleaners (19.44%) and household products (10.90%) were the most represented suspected agents. Pharmacological agents accounted for 28.80% of exposures. Covariates associated with a higher risk of emergency department visit or hospitalization were voluntary intoxication (OR 29.18 [11.76–72.38]), inhalation route (OR 1.87 [1.09–3.23]), and pharmacological agents (OR 1.34 [1.23–1.46]), particularly central nervous system medications. Overall, consultations do not burden national and regional healthcare facilities, revealing the activity of PCCs as having a strategic role in reducing public health spending, even during the COVID-19 pandemic. Full article

Healthcare workers (HCWs) are at a four-fold higher risk of being infected with the hepatitis B virus in hospital settings. This study investigated the hepatitis B vaccination coverage among Bangladeshi HCWs in selected tertiary care hospitals. Between September 2020 to January 2021, a multicenter cross-sectional study was conducted in 11 hospitals across Bangladesh. Participants included physicians, nurses, cleaners, and administrative staff. A semi-structured questionnaire was used to collect data through face-to-face interviews. Descriptive and multivariate statistics were used to analyze the data. The overall hepatitis B vaccination coverage was 66.6% (1363/2046) among HCWs, with cleaning staff having the lowest at 38.8%. Among the unvaccinated, 89.2% of HCWs desired to receive the free vaccine in the near future. In the last year, over one-fourth of staff (27.9%) had at least one history of needlestick injury. Only 9.8% HCWs were found to have attended training on hepatitis B virus prevention and management in the previous two years. Multivariate analysis revealed that physicians (AOR: 7.13, 95% CI: 4.94–10.30) and nurses (AOR: 6.00, 95% CI: 4.09–8.81) were more likely to be vaccinated against hepatitis B than cleaners and administrative staff. Low uptake of hepatitis B vaccination among HCWs suggests policies that require vaccination are needed to achieve optimum vaccine coverage. Full article

The use of air cleaners indoors has increased with the increase in indoor activities driven by the COVID-19 outbreak. In this study, the indoor air quality was determined at the location of each patient’s respirator in a four-bed hospital ward equipped with a ventilation system and curtains, by varying the position of one air cleaner. By operating the air cleaner alone without the ventilation system, it was confirmed that it is better to place the air cleaner close to the center of the ward, regardless of whether curtains are used. It was further identified that the farther away the air cleaner is from the center, the worse the age of air could be, compared to the case of operating it in the center. Moreover, the situation where the ventilation system and air cleaner were operated simultaneously in the hospital ward was considered. It was discovered that operating the air cleaner close to the ventilation inlets in the absence of curtains helps to improve the indoor air quality. Furthermore, it was found that the age of the air is generally low near the location where the air cleaner is operated in the presence of curtains. Selecting an optimal position for the air cleaner can improve the air quality at the location of each bed in a four-bed hospital ward. Full article

Buildings worldwide use a large amount of energy and, hence, contribute to increasing the level of greenhouse gases emission (GHG). It was realized that most electrical energy is used in buildings for heating, cooling, and ventilation purposes. To deal with environmental issues, the concepts of renewable energies and clean or green energy sources have been a part of academic discussions. A review of the literature unveils that most of the prior research in the GHG domain focused on the production side of producing renewable energy by opting for different cleaner energy sources (for example, solar energy). Although such studies have contributed significantly to advancing the field, it is also important to change the energy consumption behavior at the level of individuals for decarbonization. However, such a debate to promote the pro-environmental behavior (PEB) of employees from the perspective of energy consumption remains an understudied area. Against this backdrop, this research was carried out to promote PEB at the level of employees through corporate social responsibility (CSR) and green organizational practices in the healthcare sector of an emerging economy. The current research also focused on personal employee values, especially altruistic values, to spur their PEB. The data for the current work was collected from employees of different hospitals by employing a survey strategy (n = 441). To analyze the data, structural equation modeling was considered. The results showed that CSR directly and indirectly (via green organizational practices) influences employees’ PEB, whereas the altruistic values of employees produce a significant conditional indirect effect on the above relationship. The current research offers different implications for theory and practice, which are discussed in detail. Full article

In studying the development of tolerance to common hospital cleaners (Oxivir^® and CaviCide™) in clinical isolate stocks of the emerging, multidrug-resistant yeast pathogen Candida auris, we selected for a cleaner-tolerant subpopulation of a more common nosocomial pathogen, Candida glabrata. Through the purification of each species and subsequent competition and other analyses, we determined that C. glabrata is capable of readily dominating mixed populations of C. auris and C. glabrata when exposed to hospital cleaners. This result suggests that exposure to antimicrobial compounds can preferentially select for low-level, stress-tolerant fungal pathogens. These findings indicate that clinical disinfection practices could contribute to the selection of tolerant, pathogenic microbes that persist within healthcare settings. Full article