IOWATER, Vol. 3, Summer 2008

Water fact sheet for Iowa Department of Natural Resources and the Geological Bureau.

Report on a special investigation of the University of Northern Iowa, Camp Adventure Youth Services program for the period April 1, 2007 through March 31, 2008

Report on a special investigation of the University of Northern Iowa, Camp Adventure Youth Services program for the period April 1, 2007 through March 31, 2008

Iowa Community Empowerment Newsletter, Summer 2009, Vol 10, no. 3

Monthly newsletter for the Iowa Department of Public Health

Un edifici volcànic inèdit a Caldes de Malavella (la Selva, Girona): el volcà del camp dels Ninots

Es descriu la morfologia i els dipòsits del volcà inèdit del camp dels Ninots (Caldes de Malavella)

Folklore Fellows' summer school 1995 : personal recollections

by Isabel, Baiba, Lillis, Maria, and Ermis

Complex poliesportiu de Camp Clar

Concurs d’avantprojectes del Complex Poliesportiu de Camp Clar

Forward, Summer 2009

Newsletter for the Iowa Commission on the Status of Women. Forward is the quarterly newsletter published by the Iowa Commission on the Status of Women. We are sure that you will continue to find information of use for Iowa’s women and girls.

Folklore Fellows' summer school 1995 : personal recollections

by Isabel, Baiba, Lillis, Maria, and Ermis

CrossRoads, Spring-Summer 2009

Quarterly publication of the Governor's Traffic Safety Bureau, Iowa Department of Public Safety containing traffic safety and related information and news articles

Reliable tidal volume estimates at the airway opening with an infant monitor during high-frequency oscillatory ventilation.

OBJECTIVE: To assess the suitability of a hot-wire anemometer infant monitoring system (Florian, Acutronic Medical Systems AG, Hirzel, Switzerland) for measuring flow and tidal volume (Vt) proximal to the endotracheal tube during high-frequency oscillatory ventilation. DESIGN: In vitro model study. SETTING: Respiratory research laboratory. SUBJECT: In vitro lung model simulating moderate to severe respiratory distress. INTERVENTION: The lung model was ventilated with a SensorMedics 3100A ventilator. Vt was recorded from the monitor display (Vt-disp) and compared with the gold standard (Vt-adiab), which was calculated using the adiabatic gas equation from pressure changes inside the model. MEASUREMENTS AND MAIN RESULTS: A range of Vt (1-10 mL), frequencies (5-15 Hz), pressure amplitudes (10-90 cm H2O), inspiratory times (30% to 50%), and Fio2 (0.21-1.0) was used. Accuracy was determined by using modified Bland-Altman plots (95% limits of agreement). An exponential decrease in Vt was observed with increasing oscillatory frequency. Mean DeltaVt-disp was 0.6 mL (limits of agreement, -1.0 to 2.1) with a linear frequency dependence. Mean DeltaVt-disp was -0.2 mL (limits of agreement, -0.5 to 0.1) with increasing pressure amplitude and -0.2 mL (limits of agreement, -0.3 to -0.1) with increasing inspiratory time. Humidity and heating did not affect error, whereas increasing Fio2 from 0.21 to 1.0 increased mean error by 6.3% (+/-2.5%). CONCLUSIONS: The Florian infant hot-wire flowmeter and monitoring system provides reliable measurements of Vt at the airway opening during high-frequency oscillatory ventilation when employed at frequencies of 8-13 Hz. The bedside application could improve monitoring of patients receiving high-frequency oscillatory ventilation, favor a better understanding of the physiologic consequences of different high-frequency oscillatory ventilation strategies, and therefore optimize treatment.

Performance Newsletter, Summer 2009

Quarterly newsletter from Department of Administrative Services, about computer related information.