Initially their physicians acquired hoped that the lungs would bounce back to normalcy as can be often observed in such cases, however the full cases worsened over the arriving six years. These firemen, he further said, had no other risk elements like smoking that could be responsible for such lung damage. They dropped around 25ml of lung volume per year based on the results of the study. Emergency medical personnel suffered with an annual 40ml lack of lung volume similarly. This loss is usually seen in non smokers at a higher age group said Dr.These exceptional caregivers receive this coveted award for attaining excellent outcomes in the treatment of acute and important patients and their families. Criteria used to judge the Circle of Excellence Award applicants include relentless advertising of patient-driven excellence; communication skills; accurate collaboration; effective decision-producing; meaningful recognition of others; capability to transform thinking, processes and structures; and capability to address challenges and remove barriers to exceptional patient treatment and achieve tangible results through leadership. Recipients of 2011 Circle of Excellence Awards are: : California Jennifer M. Ballard-Hernandez, RN, MSN, FNP-BC, CCRN-CSC Nurse Practitioner, Heart Failure Plan, Hoag Memorial Hospital Presbyterian, Newport Beach, Calif.