Can children withhold consent to treatment

A dilemma exists when a doctor is faced with a child or young person who refuses medically indicated treatment. The Gillick case has been interpreted by many to mean that a child of sufficient age and intelligence could validly consent or refuse consent to treatment. Recent decisions of the Court of Appeal on a child's refusal of medical treatment have clouded the issue and undermined the spirit of the Gillick decision and the Children Act 1989. It is now the case that a child patient whose competence is in doubt will be found rational if he or she accepts the proposal to treat but may be found incompetent if he or she disagrees. Practitioners are alerted to the anomalies now exhibited by the law on the issue of children's consent and refusal. The impact of the decisions from the perspectives of medicine, ethics, and the law are examined. Practitioners should review each case of child care carefully and in cases of doubt seek legal advice

An Independent Calibration of Stellar Ages: HST Observations of White Dwarfs at V=25

The white dwarf luminosity function of a stellar cluster will have a sharp truncation at a luminosity which is determined by the time since formation of the first white dwarfs in that cluster. Calculation of the dependence of this limiting luminosity on age requires relatively well-understood physics and is independent of stellar evolutionary models. Thus, measurement of the termination of the white dwarf luminosity function provides an independent method to determine the age of a cluster, and thereby to calibrate stellar evolutionary ages. We have obtained HST WFPC2 data in two open clusters, identified the white dwarf sequence, and proved the feasibility of this approach, by detecting white dwarfs to V=25. Much deeper data are feasible. From our present limited data, we show that degenerate cooling ages are not consistent with some published isochrone ages for clusters with ages of order 1Gyr.Comment: 5 pages plus 3 figures ps format, paper in press in MNRAS: previous attempt lost the tex

Use of thermal inertia determined by HCMM to predict nocturnal cold prone areas in Florida

The HCMM transparency scenes for the available winter of 1978-1979 were evaluated; scenes were identified on processed magnetic tapes; other remote sensing information was identified; and a soil heat flux model with variable-depth thermal profile was developed. The Image 100 system was used to compare HCMM and GOES transparent images of surface thermal patterns. Excellent correspondence of patterns was found, with HCMM giving the greater resolution. One image shows details of thermal patterns in Florida that are attributable to difference in near surface water contents. The wide range of surface temperatures attributable to surface thermal inertia that exist in the relatively flat Florida topography is demonstrated

SMP: A solid modeling program

A prototype solid modeling program, SMP, developed by CSC for Langley Research Center (LaRC) is documented in this paper. The SMP software is employed by the System and Experiments Branch (SEB) of the Space Systems Division (SSD) for preliminary space station design, but is intended as a general purpose tool. The SMP document provides details concerning: the basic geometric modeling primitives and associated operators, the data representation scheme utilized to structure the geometric model, the available commands for both editing and displaying the solid model, the interactive user interface and the input/output interfaces to external software, and the utility of the package in the LaRC computing environment. The document is sufficiently detailed to serve both as a user's guide and reference manual

Use of thermal inertia determined by HCMM to predict nocturnal cold prone areas in Florida

Surface temperatures derived from HCMM data were compared with to those obtained by GOES satellite and the apparent thermal inertia (ATI) calculated. For two dates, the HCMM temperatures appear to be about 5 C lower than the GOES temperatures. The ATI for excessively-drained to well-drained mineral soils was greater than for drained organic soils possibly because of long periods of low rainfall during late 1980 and early 1981. Organic soils cropped to sugar cane showed lower ATI after a severe killing freeze. With dead leaves, there was less transpiration and more solar radiation probably reached the dark soil surface. This would explain the larger diurnal temperature amplitude observed

Use of thermal inertia determined by HCMM to predict nocturnal cold prone areas in Florida

Transparencies, prints, and computer compatible tapes of temperature differential and thermal inertia for the winter of 1978 to 1979 were obtained. Thermal inertial differences in the South Florida depicted include: drained organic soils of the Everglades agricultural area, undrained organic soils of the managed water conservation areas of the South Florida water management district, the urbanized area around Miami, Lake Okeechobee, and the mineral soil west of the Everglades agricultural area. The range of wetlands and uplands conditions within the Suwanee River basin was also identified. It is shown that the combination of wetlands uplands surface features of Florida yield a wide range of surface temperatures related to wetness of the surface features