Successes and Failures of Hospital Ethics Committees: A National Survey of Ethics Committee Chairs

In 1992, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) passed a mandate that all its approved hospitals put in place a means for addressing ethical concerns. Although the particular process the hospital uses to address such concerns—ethics consultant, ethics forum, ethics committee—may vary, the hospital or healthcare ethics committee (HEC) is used most often. In a companion study to that reported here, we found that in 1998 over 90% of U.S. hospitals had ethics committees, compared to just 1% in 1983, and that many have some and a few have sweeping clinical powers in hospitals

Scattering and leapfrogging of vortex rings in a superfluid

The dynamics of vortex ring pairs in the homogeneous nonlinear Schr\"odinger equation is studied. The generation of numerically-exact solutions of traveling vortex rings is described and their translational velocity compared to revised analytic approximations. The scattering behavior of co-axial vortex rings with opposite charge undergoing collision is numerically investigated for different scattering angles yielding a surprisingly simple result for its dependence as a function of the initial vortex ring parameters. We also study the leapfrogging behavior of co-axial rings with equal charge and compare it with the dynamics stemming from a modified version of the reduced equations of motion from a classical fluid model derived using the Biot-Savart law.Comment: 12 pages, 11 figure

Constraints on a Universal IMF from UV to Near-IR Galaxy Luminosity Densities

We obtain constraints on the slope of a universal stellar initial mass function (IMF) over a range of cosmic star-formation histories (SFH) using z=0.1 luminosity densities in the range from 0.2 to 2.2 microns. The age-IMF degeneracy of integrated spectra of stellar populations can be broken for the Universe as a whole by using direct measurements of (relative) cosmic SFH from high-redshift observations. These have only marginal dependence on uncertainties in the IMF, whereas, fitting to local luminosity densities depends strongly on both cosmic SFH and the IMF. We fit to these measurements using population synthesis and find the best-fit IMF power-law slope to be Gamma=1.15+-0.2 (0.5 < M/M_solar < 120). This slope is in good agreement with the Salpeter IMF slope (Gamma=1.35). A strong upper limit of Gamma<1.7 is obtained which effectively rules out the Scalo IMF due to its too low fraction of high-mass stars. This upper limit is at the 99.7% confidence level if we assume a closed-box chemical evolution scenario and 95% if we assume constant solar metallicity. Fitting to the H-alpha line luminosity density, we obtain a best-fit IMF slope in good agreement with that derived from broadband measurements. Marginalizing over cosmic SFH and IMF slope, we obtain (95% conf. ranges, h=1): omega_stars = 1.1-2.0 E-3 for the stellar mass density; rho_sfr = 0.7-4.1 E-2 M_solar/yr/Mpc^3 for the star-formation rate density, and; rho_L = 1.2-1.7 E+35 W/Mpc^3 for the bolometric, attenuated, stellar, luminosity density (0.09-5 microns). Comparing this total stellar emission with an estimate of the total dust emission implies a relatively modest average attenuation in the UV (<=1 magnitude at 0.2 microns).Comment: 16 pages, accepted by Ap

The Radio Continuum of the Metal-Deficient Blue Compact Dwarf Galaxy SBS0335-052

We present new Very Large Array observations at five frequencies, from 1.4 to 22GHz, of the extremely low-metallicity blue compact dwarf SBS0335-052. The radio spectrum shows considerable absorption at 1.49GHz, and a composite thermal+non-thermal slope. After fitting the data with a variety of models, we find the best-fitting geometry to be one with free-free absorption homogeneously intermixed with the emission of both thermal and non-thermal components. The best-fitting model gives an an emission measure EM ~ 8x10^7pc cm^{-6} and a diameter of the radio-emitting region D ~17pc. The inferred density is n_e ~ 2000 cm^{-3}. The thermal emission comes from an ensemble of \~9000 O7 stars, with a massive star-formation rate (>=5Msun) of 0.13-0.15 yr^{-1}, and a supernova rate of 0.006 yr^{-1}. We find evidence for ionized gas emission from stellar winds, since the observed Bralpha line flux significantly exceeds that inferred from the thermal radio emission. The non-thermal fraction at 5GHz is ~0.7, corresponding to a non-thermal luminosity of ~2x10^{20} W Hz^{-1}. We attribute the non-thermal radio emission to an ensemble of compact SN remnants expanding in a dense interstellar medium, and derive an equipartition magnetic field of ~0.6-1 mG, and a pressure of \~3x10^{-8}-1x10^{-7} dyne cm^{-2}. If the radio properties of SBS0335-052 are representative of star formation in extremely low-metallicity environments, derivations of the star formation rate from the radio continuum in high redshift primordial galaxies need to be reconsidered. Moreover, photometric redshifts inferred from ``standard'' spectral energy distributions could be incorrect.Comment: 25 pages, including 3 figures, accepted for publication in Ap

Diffuse Ionized Gas in the Dwarf Irregular Galaxy DDO 53

The spectral characteristics throughout the dwarf irregular galaxy DDO 53 are studied. The results are very similar to those for other irregular galaxies: high excitation and low values of the [SII]/Halpha ratio. The most likely ionization source is photon leakage from the classical HII regions, without any other source, although the interstellar medium of the galaxy is quite perturbed. Moreover, the physical conditions throughout the galaxy do not change very much because both the photon leakage percentage and the ionization temperature are very similar. In addition, the determined metal content for two HII regions indicates that DDO 53 is a low-metallicity galaxy.Comment: 32 pages, 9 figures, 7 tables. AJ, in pres

Swedish consumers' cognitive approaches to nutrition claims and health claims

Introduction and Aim: Studies show frequent use of nutrition claims and health claims in consumers&#x2019; choice of food products. The aim of the present study was to investigate how consumers&#x2019; thoughts about these claims and food products are affected by various types of food-related experiences. Material and Methods: The data collection comprised 30 individual interviews among Swedish consumers aged 25 to 64 years. Results: The results indicated that participants who expressed special concern for their own and their families&#x2019; health were eager to find out the meaning of concepts and statements made. A lack of understanding and lack of credibility of concepts and expressions often caused suspicion of the product. However, in some cases this was counterbalanced by confidence in manufacturers, retailers, and/or the Swedish food legislation. Discussion and Conclusion: To achieve effective written communication of food products&#x2019; health-conducive properties on food labels, there is a need to consider the importance many consumers attach to understanding the meaning of concepts and expressions used and the importance of credibility in certain expressions. Consumers&#x2019; varying cognitive approaches are suggested as a basis for pre-tests of nutrition claims and health claims

The Two-Communities Theory and Knowledge Utilization

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66698/2/10.1177_000276427902200308.pd

Electrophysiological correlates of high-level perception during spatial navigation

We studied the electrophysiological basis of object recognition by recording scalp\ud electroencephalograms while participants played a virtual-reality taxi driver game.\ud Participants searched for passengers and stores during virtual navigation in simulated\ud towns. We compared oscillatory brain activity in response to store views that were targets or\ud nontargets (during store search) or neutral (during passenger search). Even though store\ud category was solely defined by task context (rather than by sensory cues), frontal ...\ud \u

Anomalous radio emission from dust in the Helix

A byproduct of experiments designed to map the CMB is the recent detection of a new component of foreground Galactic emission. The anomalous foreground at ~ 10--30 GHz, unexplained by traditional emission mechanisms, correlates with 100um dust emission. We report that in the Helix the emission at 31 GHz and 100um are well correlated, and exhibit similar features on sky images, which are absent in H\beta. Upper limits on the 250 GHz continuum emission in the Helix rule out cold grains as candidates for the 31 GHz emission, and provide spectroscopic evidence for an excess at 31 GHz over bremsstrahlung. We estimate that the 100um-correlated radio emission, presumably due to dust, accounts for at least 20% of the 31 GHz emission in the Helix. This result strengthens previous tentative interpretations of diffuse ISM spectra involving a new dust emission mechanism at radio frequencies. Very small grains have not been detected in the Helix, which hampers interpreting the new component in terms of spinning dust. The observed iron depletion in the Helix favors considering the identity of this new component to be magnetic dipole emission from hot ferromagnetic grains. The reduced level of free-free continuum we report also implies an electronic temperature of Te=4600\pm1200K for the free-free emitting material, which is significantly lower than the temperature of 9500\pm500K inferred from collisionally-excited lines (abridged).Comment: Accepted for publication in Ap

Hsp70 in mitochondrial biogenesis

The family of hsp70 (70 kilodalton heat shock protein) molecular chaperones plays an essential and diverse role in cellular physiology, Hsp70 proteins appear to elicit their effects by interacting with polypeptides that present domains which exhibit non-native conformations at distinct stages during their life in the cell. In this paper we review work pertaining to the functions of hsp70 proteins in chaperoning mitochondrial protein biogenesis. Hsp70 proteins function in protein synthesis, protein translocation across mitochondrial membranes, protein folding and finally the delivery of misfolded proteins to proteolytic enzymes in the mitochondrial matrix