Hva er rettferdig krig i et asymmetrisk trusselbilde?: en normativ diskusjon av USAs forkjøpskrigspolitikk

I september 2002 stadfestet amerikanske myndigheter i sin nasjonale sikkerhetsstrategi at de ville gjennomføre militære forkjøpsangrep på stater de mistenkte for å støtte fiendtlige terrororganisasjoner, som en reaksjon på det nye trusselbilde etter 11. september 2001. Dette var et brudd med tidligere mellomstatlig tradisjoner og internasjonale normer mot aggresjon og innblanding i andre staters indre anliggender. Med utgangspunkt i USAs forsvarspolitikk etter 11. september, spør Johannes Rø i denne studien om endringer i det internasjonale trusselbilde bærer med seg en utdatering av tradisjonelle skiller som utgangspunkt for å vurdere hvorvidt kriger er initiert på rettferdig grunnlag. Er det problematisk å bruke tradisjonelle krigskategorier som forsvarskrig, forkjøpskrig, forebyggende krig og angrepskrig, for å vurdere om en krig er rettferdig

Developing an identity as a secondary school mathematics teacher : A narrative case study of three mathematics teachers in their transition from university teacher education to employment in school

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Lessons Learned From Industrial Applications of Automated Trucks for Deployment on Public Roads: Article

Automated trucks may streamline road freight. While manufacturers and technology developers have long predicted their advent, technical and regulatory challenges persist, and systems beyond SAE level 2 are rare. However, systems at levels 3 and 4 are being adopted on industrial areas. Roads authorities want to study such applications to gain insights into requirements for implementing automated trucks on public roads. Two cases were studied here: Automated stone haulage (1), and automated snow removal (2). Interviews with project managers were used to identify opportunities and barriers, and evaluate the applicability of different technical and organizational solutions, for implementing automated trucks on public roads. Road and winter maintenance are explored, outlining the strengths and vulnerabilities of automated driving systems, and how other adaptations can overcome them. Requirements for pre-mapping, localization and communication are also elaborated. Considerations on control and oversight, and on automation as an enabler for electrification are explored, alongside the importance of change management procedures

NATO's 2030 Reflection Process and the New Strategic Concept: Views from Berlin, London, Oslo, and Washington

The NATO 2030 reflection process was sparked by worries that the Alliance might falter as a forum for political consultation. Germany, Norway, the United Kingdom, and the United States all have a shared interest in ensuring NATO's coherence, improving the credibility of its deterrent, and strengthening its capacity to act. This report from the Security in Northern Europe (SNE) project presents contemporary views on NATO's Strategic Concept 2030 from Berlin, London, Oslo, and Washington D.C

Stage of HIV presentation at initial clinic visit following a community-based HIV testing campaign in rural Kenya

Background: The Kenyan Ministry of Health and partners implemented a community-based integrated prevention campaign (IPC) in Western Kenya in 2008. The aim of this study was to determine whether the IPC, compared to Voluntary Counselling and Testing (VCT) services, was able to identify HIV positive individuals earlier in the clinical course of HIV infection following testing

Introduction to the papers of TWG20: mathematics teacher knowledge, beliefs, and identity

International audienc

Operational and Infrastructure Readiness for Semi-Automated Truck Platoons on Rural Roads: Article

On highways, truck platooning may reduce fuel consumption, improve road safety and streamline trucking operations. However, most roads worldwide are two-way, two-lane rural roads, i.e., conditions for which truck platooning should be tested to explore the extent of those advantages. This paper reports findings from a field study undertaken in Northern Norway, testing a platoon of three semi-automated trucks on rural roads with tunnels, mountain passes and adverse geometries. Fleet management and distance data, videos, interviews and conversations between participants were used to assess whether platooning was feasible on such roads. The platooning system was used without interventions through most road conditions, and worked well on flat and wide roads with 90 km/h speed limits. However, it struggled in sharp horizontal curves, where the following trucks would speed up before regaining connection to their preceding truck and then brake abruptly to regain the prescribed distance. Moreover, steep uphills were problematic due to inconsistent gear shifting between the trucks. Seemingly, no fuel savings were achieved, due to excessive following distances and suboptimal speed profiles on crest curves. To obtain further insights into the benefits of truck platooning on rural roads, we suggest redoing the field study with V2V-communication, allowing for shorter following distances, and also performing a manual-driven baseline first

Developing and evaluating cognitive remediation therapy (CRT) for adolescents with anorexia nervosa: A feasibility study

Background: Cognitive Remediation Therapy (CRT) aims at improving neuropsychological weaknesses and associated thinking styles in patients with anorexia nervosa (AN). It has only recently been developed for adolescents with AN, and evidence of its applicability for this particular patient group is limited. This study aimed to test the feasibility of individually tailored and delivered CRT for young females with AN. Methods: A sample of 20 in- and outpatients (13–18 years) with AN participated in once- or twice weekly individual CRT sessions. The CRT materials used were available in a “CRT Resource Pack.” Feasibility was assessed with regards to the recruitment process, the delivery of the intervention, the materials used and clinical experiences. Results: Overall results indicate that the intervention was feasible with regards to (a) the recruitment of both in- and outpatients, (b) individual tailoring and delivery, (c) the CRT materials adapted to suit young females with AN, and (d) the acceptability for clinicians involved in the study. There were no voluntary dropouts, with 19 of 20 patients completing the entire course of treatment. Conclusions: The findings have implications for the refinement of CRT for the youngest AN population, and strengthens our understanding of the core components in the development and evaluation of novel interventions targeting AN. This study will help inform the design of a subsequent randomized controlled trial. © The Author(s) 2013. Published by SAGE Publications

Physical examination tests of the shoulder: a systematic review and meta-analysis of diagnostic test performance

Background: Physical examination tests of the shoulder (PETS) are clinical examination maneuvers designed to aid the assessment of shoulder complaints. Despite more than 180 PETS described in the literature, evidence of their validity and usefulness in diagnosing the shoulder is questioned. Methods: This meta-analysis aims to use diagnostic odds ratio (DOR) to evaluate how much PETS shift overall probability and to rank the test performance of single PETS in order to aid the clinician’s choice of which tests to use. This study adheres to the principles outlined in the Cochrane guidelines and the PRISMA statement. A fixed effect model was used to assess the overall diagnostic validity of PETS by pooling DOR for different PETS with similar biomechanical rationale when possible. Single PETS were assessed and ranked by DOR. Clinical performance was assessed by sensitivity, specificity, accuracy and likelihood ratio. Results: Six thousand nine-hundred abstracts and 202 full-text articles were assessed for eligibility; 20 articles were eligible and data from 11 articles could be included in the meta-analysis. All PETS for SLAP (superior labral anterior posterior) lesions pooled gave a DOR of 1.38 [1.13, 1.69]. The Supraspinatus test for any full thickness rotator cuff tear obtained the highest DOR of 9.24 (sensitivity was 0.74, specificity 0.77). Compression-Rotation test obtained the highest DOR (6.36) among single PETS for SLAP lesions (sensitivity 0.43, specificity 0.89) and Hawkins test obtained the highest DOR (2.86) for impingement syndrome (sensitivity 0.58, specificity 0.67). No single PETS showed superior clinical test performance. Conclusions: The clinical performance of single PETS is limited. However, when the different PETS for SLAP lesions were pooled, we found a statistical significant change in post-test probability indicating an overall statistical validity. We suggest that clinicians choose their PETS among those with the highest pooled DOR and to assess validity to their own specific clinical settings, review the inclusion criteria of the included primary studies. We further propose that future studies on the validity of PETS use randomized research designs rather than the accuracy design relying less on well-established gold standard reference tests and efficient treatment options

Understanding peer support: a qualitative interview study of doctors one year after seeking support

Background Doctors’ health is of importance for the quality and development of health care and to doctors themselves. As doctors are hesitant to seek medical treatment, peer support services, with an alleged lower threshold for seeking help, is provided in many countries. Peer support services may be the first place to which doctors turn when they search for support and advice relating to their own health and private or professional well-being. This paper explores how doctors perceive the peer support service and how it can meet their needs. Materials and methods Twelve doctors were interviewed a year after attending a peer support service which is accessible to all doctors in Norway. The qualitative, semi-structured interviews took place by on-line video meetings or over the phone (due to the COVID-19 pandemic) during 2020 and were audiotaped. Analysis was data-driven, and systematic text condensation was used as strategy for the qualitative analysis. The empirical material was further interpreted with the use of theories of organizational culture by Edgar Schein. Results The doctors sought peer support due to a range of different needs including both occupational and personal challenges. They attended peer support to engage in dialogue with a fellow doctor outside of the workplace, some were in search of a combination of dialogue and mental health care. The doctors wanted peer support to have a different quality from that of a regular doctor/patient appointment. The doctors expressed they needed and got psychological safety and an open conversation in a flexible and informal setting. Some of these qualities are related to the formal structure of the service, whereas others are based on the way the service is practised. Conclusions Peer support seems to provide psychological safety through its flexible, informal, and confidential characteristics. The service thus offers doctors in need of support a valued and suitable space that is clearly distinct from a doctor/patient relationship. The doctors’ needs are met to a high extent by the peer-support service, through such conditions that the doctors experience as beneficial.publishedVersio