No abstract

Refrigerator is a household appliance used to preserve the foods, vegetables, beverages at low temperature. Refrigerant is the blood of the refrigerator and it changes its phase to transfer heat for giving cooling effect inside the refrigerator. Generally many refrigerator works under the vapour compression cycle and it uses only one refrigerant. Each and every refrigerant used in the refrigerator must have disadvantages, to overcome this problem we use mixed refrigerant (two different refrigerants with different properties are mixed together). In this project combination of R600a (isobutane) and R134a (1, 1, 1, 2-tetrafluroethane) is selected as a mixed refrigerant. R600a have some good properties like zero ODP, zero GWP and high latent heat of vapourization and R134a is non-toxic, non-flammable, non-corrosive and zero ODP.

Background Airway clearance therapies (ACTs) are recommended as an integral part of the management of non–cystic fibrosis bronchiectasis (BE) to prevent inflammation, mucus accumulation, and infection that occur because of ineffective secretion clearance. Adherence to ACTs is low, in part because of perceived burden and a lack of standardization of education and training programs for patients. Poor adherence is associated with more frequent exacerbations, worse health outcomes, and worse quality of life. Structured educational programs increase adherence to ACT among people with cystic fibrosis and may show similar results for people with BE. Objective This pilot study evaluated the feasibility, clinical utility, sustainability, and expert opinions of this educational program addressing gaps in ACT knowledge and skills in people with BE. Methods The Individual Management of Patient Airway Clearance Therapy– Bronchiectasis (IMPACT BE) was implemented in nine BE centers with 100 patients. Qualitative and quantitative data were collected from patients and providers. Results The IMPACT BE program demonstrated good uptake in a clinic setting by multidisciplinary team members, with improvements in medical teams’ evaluation of their ability to provide education to patients. All healthcare teams indicated that this program could become a sustainable part of their clinic. Qualitative responses from patients indicated the program was comprehensive and easy to use. Conclusion In this pilot study, IMPACT BE was found to be useful in teaching airway clearance to people with BE. The open-access toolkit was well received by both patients and a diverse array of providers in a clinic setting.