An outpatient respiratory rehabilitation program:Findings from a community hospital

Objectives: To determine patient satisfaction with a community hospital's respiratory rehabilitation program and to assess changes in patient physical and emotional function and quality of life. Design: Pre- and post-program measures were made on a variety of physiological and psychosocial factors. A modified version of the Chronic Respiratory Disease Questionnaire was administered before and after the 8-week multidisciplinary and comprehensive respiratory rehabilitation program. The post-program questionnaire also included a number of service delivery and patient satisfaction and quality-of-life questions. Setting: Respiratory Rehabilitation Program at St. Joseph's Hospital, a community hospital in Brantford, Ont., in active partnership with the Brant County Lung Association. Brant County is located in Central West Ontario, and has both urban and rural areas and a population of approximately 125 000 people. Participants: Twenty-nine patients, with a diagnosis of moderate to severe chronic obstructive pulmonary disease (COPD) who were referred to the Fall 1997 and Spring 1998 programs, were enrolled in the study. Outcome measures: Changes in physical and emotional function, health knowledge, skills mastery, quality of life and satisfaction with the program. Results: Twenty-one of 29 patients completed the program. Statistically significant and clinically important improvements were found between all pre- and post-program evaluation scores (distance walked, fatigue, dyspnea, emotional function, skills mastery and health knowledge). Participants were very satisfied with the program and felt it improved their quality of life. Conclusion: The positive outcomes reported rom randomized controlled trials of respiratory rehabilitation programs can be achieved in a community hospital setting.

The uptake of silica during the spring bloom in the North East Atlantic Ocean

A full understanding of the biogeochemical cycling of silica in the North Atlantic is hampered by a lack of estimates of silica uptake by phytoplankton. We applied the ${}^{32}\text{Si}$ radiotracer incubation technique to determine silica uptake rates at 10 sites during the UK-(Natural Environment Research Council) Faroes-Iceland-Scotland hydrographic and environmental survey (FISHES) cruise in the Northeast Atlantic, May 2001. Column silica uptake rates ranged between 6 and 166 mmol Si $\text{m}^{-2}\ \text{d}^{-1}$; this data set was integrated with concurrent hydrographic, chemical, and primary productivity data to explain these changes in silica uptake in terms of the progress of the spring bloom. In order to interpret data covering a relatively large spatial and temporal scale, we used mean photic zone silica concentration as a proxy time-series measure of diatom bloom progression. Both absolute and specific silica uptake rates were highest at dissolved silica concentrations >2 mmol $\text{L}^{-1}$. Si and C uptake were vertically decoupled at those stations where surface silica was strongly depleted. Absolute primary productivity was not strongly correlated with dissolved silica concentrations, owing to either exhaustion of silica at diatom-dominated stations or to dominance of the community by other phytoplankton. Silica uptake as a function of increased substrate concentration was linear up to 25 $\mu \text{mol}\ \text{L}^{-1}$; we consider some possible reasons for the nonhyperbolic response.

Other uses of the program 'ARGON.f90'

The purpose of this communication is to show that the program 'ARGON.f90' can be simply extended to model ionization from the excited states of atoms where the active electron has a principal quantum number less than or equal to 3. This fact is illustrated by considering a relatively simple collision involving a proton and a neutral hydrogen atom with principal quantum number n = 2. (C) 2005 Published by Elsevier B.V.