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Unlabelled: In this study, we evaluated the effects of viewing an educational videotape about pediatric anesthesia on measures of parental knowledge of anesthesia and preoperative anxiety using a randomized, controlled design. During their routine preoperative visit, 85 parents of children scheduled to undergo ambulatory surgical procedures under general anesthesia were randomized to view either the experimental videotape about pediatric anesthesia or a control videotape with no medical content. Before and immediately after viewing the assigned videotape, parents completed measures of situational anxiety (State-Trait Anxiety Inventory-State), preoperative anxiety and need for information (Amsterdam Preoperative Anxiety and Information Scale), and anesthesia knowledge (Standard Anesthesia Learning Test). Repeated-measures analyses of variance showed that parents who viewed the experimental videotape showed a significant increase in anesthesia knowledge (P < 0.022) and a significant reduction in their state of anxiety (P < 0.031), anesthesia-specific anxiety, and need for information (P < 0.0001) compared with the control group. These results demonstrated that viewing a preoperative educational videotape about pediatric anesthesia can provide immediate educational and anxiolytic benefits for parents of children undergoing ambulatory surgery. The duration of these benefits remains to be determined., Implications: In this study, we demonstrated the benefits of viewing an educational videotape about pediatric anesthesia on measures of parental knowledge of anesthesia and preoperative anxiety using a randomized, controlled design. We found that videotape viewing facilitated preoperative preparation and lessened preoperative anxiety.

Unlabelled: Parents' anxiety about their children's anesthesia may adversely affect the children's outcomes and compromise the quality of informed consent. Studies of these issues have been limited by the lack of validated measures of parental anxiety and knowledge surrounding anesthesia. In the present study, we evaluated psychometric properties of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the Standard Anesthesia Learning Test (SALT) among 85 parents who participated in an evaluation of the effects of a videotape about pediatric anesthesia. The results supported the internal consistency, test-retest reliability, and concurrent validity of both instruments and documented the equivalence of two forms of the SALT. Factor analysis supported the previously demonstrated factor structure of the APAIS, further confirming its construct validity. We conclude that the APAIS and SALT are reliable and valid measures of parental anxiety and knowledge of pediatric anesthesia that can be used for clinical and research purposes., Implications: This study verified the reliability and validity of two questionnaires for measuring parents' knowledge and anxiety about pediatric anesthesia. These questionnaires can be used in further research on factors affecting parental anxiety and knowledge before their children's surgery.

We describe the application of a computer code developed to analyze data from a series of in situ gamma spectrometry measurements on a grid. The code was designed to be used as a tool when evaluating compliance with regulations that set limits on the size and magnitude of elevated activity areas (also known as "hot spots"). It calculates location and magnitude of potential elevated activity areas consistent with the data, and for each potential elevated area it generates a corresponding distribution of radionuclides in the soil. The algorithm uses a maximum entropy deconvolution of the data, followed by further analysis. A test case using data from actual field measurements is presented.

The application of the technique of in situ gamma-ray spectrometry to the measurement of uranium isotopes in surface soils is described. A basic review of the in situ methodology using high resolution germanium gamma-ray spectrometers is given and specifics on calculated fluences, dose rates in air, and calibration factors are provided for relevant uranium isotopes and their progeny. The influence of the uranium depth distribution on measured concentrations is examined as it pertains to the comparison of in situ results with those obtained with soil sampling. Results from the analysis of spectra collected in the vicinity of the Fernald Environmental Management Project are presented as an example of the application of the technique.

While angina pectoris has been thought to be a reliable indicator of myocardial ischemia, it is now known that many ischemic episodes are painless or "silent." Critical care nurses play an essential role in detecting this silent disease as well as providing acute nursing care.

The temporal history of atmospheric deposition to a watershed area can be preserved in the sediment of a lake or reservoir that is supplied by the watershed. The 137Cs and isotopic Pu concentrations with depth were determined in the sediments of two reservoirs, Enterprise and Deer Creek, which are located in widely separated regions of the state of Utah. Our data not only reconstruct the history of the total radioactive fallout in the area, but also permit estimating the contributions from global sources and from the Nevada Test Site detonations in the 1950s.

Calibration factors to convert a measured full-absorption peak count rate to activity in the soil and dose rate in air are given for Ge detectors that are used for field measurements of radionuclides. The appropriate factors for a given detector are derived using three primary parameters: the manufacturer's quoted efficiency at 1332 keV relative to a 7.6 cm (3 in.) long by 7.6 cm (3 in.) diameter NaI(Tl) detector, the detector's orientation in the field (up or down) and the Ge crystal length/diameter ratio. The accuracy of the results obtained by using this simplified calibration technique is estimated to be 10-15%.