Ambulatory Care for Emphysema and Chronic Bronchitis

The immense problem of chronic airway obstruction (CAO)--emphysema and chronic bronchitis--which has now reached epidemic proportions, presents to the practitioner of medicine an increasing number of suffering persons asking for care. These patients are dyspneic, anxious, bewildered by their predicament, sometimes demanding and frightened about prospects for future comfortable life

U.S. Postal Service radon assessment and mitigation program. Progress report, September 1993--November 1994

In 1992, the US Postal Service (USPS) entered into an Interagency Agreement with the Department of Energy (DOE) whereby DOE would provide technical assistance in support of the USPS Radon Assessment and Mitigation Program. To aid in this effort, DOE tasked the Hazardous Waste Remedial Actions Program (HAZWRAP), which is managed by Martin Marietta Energy Systems, Inc., for DOE under contract AC05-84OR21400. Since that time, HAZWRAP has developed and finalized the sampling protocol, mitigation diagnostic protocol, and the quality assurance and quality control procedures. These procedures were validated during the Protocol Validation (1992-1993) and Pilot Study (1993-1994) phases of the program. To date, HAZWRAP has performed approximately 16,000 radon measurements in 250 USPS buildings. Mitigation diagnostics have been performed in 27 buildings. Thus far, 13% of the measurements have been above the Environmental Protection Agency action level of 4 pCi/L. This report summarizes the pilot program radon testing data and mitigation diagnostic data for 22 sites and contains recommendations for mitigation diagnostics

Ultralow noise performance of an 8.4-GHz maser-feedhorn system

A total system noise temperature of 6.6 K was demonstrated with an 8.4-GHz traveling wave maser and feedhorn operating in a cryogenic environment. Both the maser and feedhorn were inserted in the helium cryostat, with the maser operating in the 1.6-K liquid bath and the feedhorn cooled in the helium gas, with a temperature gradient along the horn ranging from the liquid bath temperature at its lower end to room temperature at its top. The ruby maser exhibited 43 dB of gain with a bandwidth of 76 MHz(-3 dB) centered at 8400 MHz. Discussions of the maser, cooled feedhorn, and cryostat designs are presented along with a discussion of the noise temperature measurements

An Analysis of Traffic Accidents on County Roads

The purpose of this research was to investigate the causes of and determine possible remedies for the rising number of county road accidents in Indiana. County road accidents were defined for the purpose of this study as all traffic accidents occurring on roads which are administered by the County Commissioners in Indiana except accidents occurring at intersections of county roads with state highways. These latter accidents are normally charged to state highways. The information used in this research was obtained from accident records. The best available source of this type of information, the accident reports which are filed at the Indiana State Police Headquarters in Indianapolis, was utilized

Supporting people with sight impairment to participate in group walks

The information in this document covers: Different types of sight impairments and common characteristics, How Walking for Health can benefit people with sight impairments, How group walks can be made safe and welcoming for people with sight impairments, How to set up a walk for people with sight impairments

The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis and Principles of Management

This report redescribes the adult respiratory distress syndrome and discusses factors which influence prognosis and presents principles of management

Superconducting niobium thin film slow-wave structures

A superconducting comb structure as a slow-wave element in a traveling-wave maser will significantly improve maser noise temperature and gain by reducing the insertion loss. The results of the insertion loss measurements of superconducting niobium slow-wave structures subjected to maser operating conditions at X-Band frequencies are presented

Using parent metaphors for learning about the neonatal care experience: an interpretive perspective

© 2019 The Author(s). The final, definitive version of this paper has been published in Journal of Child Health Care by Sage Publications Ltd. All rights reserved. It is available at: https://doi.org/10.1177/1367493519875853.This study focuses on how metaphors are used by parents who have had a premature baby to describe their neonatal care experience and how these can contribute to empathic learning of health professionals. In health, metaphors are commonly used to communicate and explain difficult topics. When patients tell their story, metaphor can be a means of expression from which we can learn about their experience of illness or hospitalisation. Limited research exits on how metaphor can improve our understanding of parent’s emotional experience in neonatal care and subsequently inform education in this field. Employing narrative inquiry within an interpretive, constructivist paradigm, 20 narrative interviews with 23 parents of premature babies were analysed using a process of metaphor identification. Findings revealed common metaphors used to describe experience. Metaphor clusters used by parents in order of frequency were journeying, altered reality, darkness, breaking, connections, fighting, salvation and being on the edge. Parents widely used compelling and emotive metaphors to describe and express both difficult and challenging times as well as progression forward. Metaphors serve as a powerful way for health professionals to learn about the emotional experiences of parents and potentially enhance their empathic understanding.Peer reviewe