How accurately do adult sons and daughters report and perceive parental deaths from coronary disease?

<b>OBJECTIVES</b>: To describe how adult sons and daughters report and perceive parental deaths from heart disease <b>DESIGN</b>: Two generation family study. <b>SETTING</b>: West of Scotland. <b>SUBJECTS</b>: 1040 sons and 1298 daughters aged 30-59 from 1477 families, whose fathers and mothers were aged 45-64 in 1972-76 and have been followed up for mortality over 20 years. <b>OUTCOME</b> : Perception of a "family weakness" attributable to heart disease. RESULTS : 26% of sons and daughters had a parent who had died of coronary heart disease (CHD). The proportion was higher in older offspring (+18% per 10 year age difference) and in manual compared with non-manual groups (+37%). Eighty nine per cent of parental deaths from CHD were correctly reported by offspring. Only 23% of sons and 34% of daughters with at least one parent who had died of CHD considered that they had a family weakness attributable to heart disease. Perceptions of a family weakness were higher when one or both parents had died of CHD, when parental deaths occurred at a younger age, in daughters compared with sons and in offspring in non-manual compared with manual occupations. <b>CONCLUSIONS</b>: Only a minority of sons and daughters with experience of a parent having died from CHD perceive this in terms of a family weakness attributable to heart disease. Although men in manual occupations are most likely to develop CHD, they are least likely to interpret a parental death from CHD in terms of a family weakness. Health professionals giving advice to patients on their familial risks need to be aware of the difference between clinical definitions and lay perceptions of a family history of heart disease

Discrepancies between empirical and theoretical models of the flaring solar chromosphere and their possible resolution

Models of the solar chromosphere during flaring deduced theoretically or empirically are compared. Marked discrepancies are noted and various reasons are offered to explain their existence. A means is presented for testing theoretical heating models (electron heating) by analyzing the net energy loss rates in (observed) empirical atmospheres and inverting the flare energy equation to deduce the parameters of the supposed heating mechanism

The quasi-linear relaxation of thick-target electron beams in solar flares

The effects of quasi-linear interactions on thick-target electron beams in the solar corona are investigated. Coulomb collisions produce regions of positive gradient in electron distributions which are initially monotonic decreasing functions of energy. In the resulting two-stream instability, energy and momentum are transferred from electrons to Langmuir waves and the region of positive slope in the electron distribution is replaced by a plateau. In the corona, the timescale for this quasi-linear relaxation is very short compared to the collision time. It is therefore possible to model the effects of quasi-linear relaxation by replacing any region of positive slop in the distribution by a plateau at each time step, in such a way as to conserve particle number. The X-ray bremsstrahlung and collisional heating rate produced by a relaxed beam are evaluated. Although the analysis is strictly steady state, it is relevant to the theoretical interpretation of hard X-ray bursts with durations of the order of a few seconds (i.e., the majority of such bursts)

Implications of solar flare hard X-ray "knee" spectra observed by RHESSI

We analyse the RHESSI photon spectra of four flares that exhibit significant deviations from power laws - i.e. changes in the "local" Hard X-ray spectral index. These spectra are characterised by two regions of constant power law index connected by a region of changing spectral index - the "knee". We develop theoretical and numerical methods of describing such knees in terms of variable photon spectral indices and we study the results of their inversions for source mean thin target and collisional thick target injection electron spectra. We show that a particularly sharp knee can produce unphysical negative values in the electron spectra, and we derive inequalities that can be used to test for this without the need for an inversion to be performed. Such unphysical features would indicate that source model assumptions were being violated, particularly strongly for the collisional thick target model which assumes a specific form for electron energy loss. For all four flares considered here we find that the knees do not correspond to unphysical electron spectra. In the three flares that have downward knees we conclude that the knee can be explained in terms of transport effects through a region of non-uniform ionisation. In the other flare, which has an upward knee, we conclude that it is most likely a feature of the accelerated spectrum

Do managed clinical networks improve quality of diabetes care? : Evidence from a retrospective mixed methods evaluation

Peer reviewedPostprin

Development of a theory of the spectral reflectance of minerals, part 2

Theory of diffuse reflectance of particulate media including garnet, glass, corundum powders, and mixture

Problems and Progress in Flare Fast Particle Diagnostics

Recent progress in the diagnosis of flare fast particles is critically discussed with the main emphasis on high resolution Hard X-Ray (HXR) data from RHESSI and coordinated data from other instruments. Spectacular new photon data findings are highlighted as are advances in theoretical aspects of their use as fast particle diagnostics, and some important comparisons made with interplanetary particle data. More specifically the following topics are addressed (a) RHESSI data on HXR (electron) versus gamma-ray line (ion) source locations. (b) RHESSI hard X-ray source spatial structure in relation to theoretical models and loop density structure. (c) Energy budget of flare electrons and the Neupert effect. (d) Spectral deconvolution methods including blind target testing and results for RHESSI HXR spectra, including the reality and implications of dips inferred in electron spectra (e) The relation between flare in-situ and interplanetary particle data.Comment: 15 pages, 13 figures, submitted to Advances in Space Researc

Global Energetics of Thirty-Eight Large Solar Eruptive Events

We have evaluated the energetics of 38 solar eruptive events observed by a variety of spacecraft instruments between February 2002 and December 2006, as accurately as the observations allow. The measured energetic components include: (1) the radiated energy in the GOES 1 - 8 A band; (2) the total energy radiated from the soft X-ray (SXR) emitting plasma; (3) the peak energy in the SXR-emitting plasma; (4) the bolometric radiated energy over the full duration of the event; (5) the energy in flare-accelerated electrons above 20 keV and in flare-accelerated ions above 1 MeV; (6) the kinetic and potential energies of the coronal mass ejection (CME); (7) the energy in solar energetic particles (SEPs) observed in interplanetary space; and (8) the amount of free (nonpotential) magnetic energy estimated to be available in the pertinent active region. Major conclusions include: (1) the energy radiated by the SXR-emitting plasma exceeds, by about half an order of magnitude, the peak energy content of the thermal plasma that produces this radiation; (2) the energy content in flare-accelerated electrons and ions is sufficient to supply the bolometric energy radiated across all wavelengths throughout the event; (3) the energy contents of flare-accelerated electrons and ions are comparable; (4) the energy in SEPs is typically a few percent of the CME kinetic energy (measured in the rest frame of the solar wind); and (5) the available magnetic energy is sufficient to power the CME, the flare-accelerated particles, and the hot thermal plasma

Electron-Electron Bremsstrahlung Emission and the Inference of Electron Flux Spectra in Solar Flares

Although both electron-ion and electron-electron bremsstrahlung contribute to the hard X-ray emission from solar flares, the latter is normally ignored. Such an omission is not justified at electron (and photon) energies above $\sim 300$ keV, and inclusion of the additional electron-electron bremsstrahlung in general makes the electron spectrum required to produce a given hard X-ray spectrum steeper at high energies. Unlike electron-ion bremsstrahlung, electron-electron bremsstrahlung cannot produce photons of all energies up to the maximum electron energy involved. The maximum possible photon energy depends on the angle between the direction of the emitting electron and the emitted photon, and this suggests a diagnostic for an upper cutoff energy and/or for the degree of beaming of the accelerated electrons. We analyze the large event of January 17, 2005 observed by RHESSI and show that the upward break around 400 keV in the observed hard X-ray spectrum is naturally accounted for by the inclusion of electron-electron bremsstrahlung. Indeed, the mean source electron spectrum recovered through a regularized inversion of the hard X-ray spectrum, using a cross-section that includes both electron-ion and electron-electron terms, has a relatively constant spectral index $\delta$ over the range from electron kinetic energy $E = 200$ keV to $E = 1$ MeV. However, the level of detail discernible in the recovered electron spectrum is not sufficient to determine whether or not any upper cutoff energy exists.Comment: 7 pages, 5 figures, submitted to Astrophysical Journa