Effects of mindfulness-based stress reduction programs on Nurses' perceived stress levels.

Introduction: Poor quality of care and patient safety, adverse patient outcomes, high rates of burnout and turnover, and increased job dissatisfaction are all linked to uncontrolled stress among nurses. Unmanaged nurse stress can lead to disorganized thinking, decreased ability to focus and concentrate, and can put patients at risk. The purpose of the integrative review was to determine the effects of a mindfulness-based stress reduction (MBSR) program to reduce the perceived stress levels of nurses.

The transfer of unsterilized material from Mars to Phobos: Laboratory tests, modelling and statistical evaluation.

Sample return missions to Phobos are the subject of future exploration plans. Given the proximity of Phobos to Mars, Mars' potential to have supported life, and the possibility of material transfer from Mars to Phobos, careful consideration of planetary protection is required. If life exists, or ever existed, on Mars, there is a possibility that material carrying organisms could be present on Phobos and be collected by a sample return mission such as the Japanese Martian Moons eXplorer (MMX).

Observations and predictions of secondary neutrons on Space Shuttle and aircraft.

The Cosmic Radiation Effects and Activation Monitor has flown on six Shuttle flights between September 1991 and February 1995 covering the full range of inclinations as well as altitudes between 220 and 570 km, while a version has flown at supersonic altitudes on Concorde between 1988 and 1992 and at subsonic altitudes on a SAS Boeing 767 between May and August 1993. The Shuttle flights have included passive packages in addition to the active cosmic ray monitor which comprises an array of pin diodes. These are positioned at a number of locations to investigate the influence of shielding and local materials.

The low earth orbit environment observed using CREAM and CREDO.

The Cosmic Radiation Environment and Dosimetry experiment (CREDO) has been operational on board the Advanced Photovoltaics & Electronics Experiment Spacecraft since August 1994. Extensive measurements of cosmic ray linear energy transfer spectra (using data to January 1996) and total dose (using data to November 1994) have been made, and compared with predictions of standard models. Detailed consideration of spacecraft shielding effects have been made.

Implications for space radiation environment models from CREAM & CREDO measurements over half a solar cycle.

Flight data obtained between 1990 and 1997 from the Cosmic Radiation Environment Monitors CREAM & CREDO carried on UoSAT-3, Space Shuttle, STRV-1a (Space Technology Research Vehicle) and APEX (Advanced Photovoltaic and Electronics Experiment Spacecraft) provide coverage over half a solar cycle. The modulation of cosmic rays and evolution of the South Atlantic Anomaly are observed, the former comprising a factor of three increase at high latitudes and the latter a general increase accompanied by a north-westward drift. Comparison of particle fluxes and linear energy transfer (LET) spectra is made with improved environment & radiation transport calculations which account for shield distributions and secondary particles.

Updated measurements from CREAM & CREDO & implications for environment & shielding models.

Flight data obtained between 1995 and 1997 from the Cosmic Radiation Environment Monitors CREAM & CREDO carried on UoSat-3, Space Shuttle, STRV-1a (Space Technology Research Vehicle) and APEX (Advanced Photovoltaic and Electronics Experiment Spacecraft) have been added to the dataset affording coverage since 1990. The modulation of cosmic rays and evolution of the South Atlantic Anomaly are observed, the former comprising a factor three increase at high latitudes and the latter a general increase accompanied by a westward drift. Comparison of particle fluxes and linear energy transfer spectra is made with improved environment & radiation transport calculations which account for shield distributions and secondary particles.

Secondary radiation environments in heavy space vehicles and instruments.

Secondary radiations produced by the interactions of primary cosmic rays and trapped protons with spacecraft materials and detectors provides an important, and sometimes dominant, radiation environment for sensitive scientific instruments and biological systems. In this paper the success of a number of calculations in predicting a variety of effects will be examined. The calculation techniques include Monte Carlo transport codes and semi-empirical fragmentation calculations.

Temporal variation in the new proton belt created in March 1991 observed using the CREAM & CREDO experiments.

The Cosmic Radiation Environment & Activation Monitor (CREAM) was carried in high inclination (57.1 degrees) orbits on Shuttle missions STS-48 in September 1991 (altitude 570 km) and STS-53 (altitude 325 to 385 km) in December 1992. On both occasions the instrument observed an excess of counts due to protons of greater than 30 MeV in energy in the region off of South Africa where field lines of L=2.

Contribution of secondaries to the radiation environment on space missions.

Calculations to predict the radiation environment for spacecraft in low earth orbit sometimes ignore the contribution from secondary radiation products. However, the contribution of secondaries, particularly neutrons, on heavy spacecraft or in planetary bodies can be of concern for biological systems. The Shuttle Activation Monitor (SAM) and Cosmic Radiation Effects and Activation Monitor (CREAM) experiments provide valuable data on secondary (as well as primary) radiation effects.

Effects of increased shielding on gamma-radiation levels within spacecraft.

The Shuttle Activation Monitor (SAM) experiment was flown on the Space Shuttle Columbia (STS-28) from 8-13 August, 1989 in a 57 degrees, 300 km orbit. One objective of the SAM experiment was to determine the relative effect of different amounts of shielding on the gamma-ray backgrounds measured with similarly configured sodium iodide (NaI) and bismuth germante (BGO) detectors. To achieve this objective twenty-four hours of data were taken with each detector in the middeck of the Shuttle on the ceiling of the airlock (a high-shielding location) as well as on the sleep station wall (a low-shielding location).

Gamma-ray measurements from the space shuttle during a solar flare.

An X2/2B level solar flare occurred on 12 August, 1989, during the last day of the flight of the Space Shuttle Columbia (STS-28). Detectors on the GOES 7 satellite observed increased X-ray fluxes at approximately 1400 GMT and a solar particle event (SPE) at approximately 1600 GMT. Measurements with the bismuth germanate (BGO) detector of the Shuttle Activation Monitor (SAM) experiment on STS-28 showed factors of two to three increases in count rates at high latitudes comparable to those seen during South Atlantic Anomaly (SAA) passages beginning at about 1100 GMT.

Aglycosuric Diabetes.

The usefulness of urine tests for glucose was compared with that of blood sugar determinations in detecting diabetes mellitus in 2000 medical outpatients. Eighty-five patients proved to be diabetic, but 33 of these had no glycosuria on their first visit and would not have been detected by laboratory tests had the blood glucose levels not been measured. Exactly one-half of the new diabetics discovered would have been missed (15 of 30) had only urine tests been performed.