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

Solar radius measurements

Preliminary results of measurements made during 1979-1980 are discussed. Variability in the radius measurements of 0.4 pi is found, of unknown origin

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

Lamp reliability studies for improved satellite rubidium frequency standard

In response to the premature failure of Rb lamps used in Rb atomic clocks onboard NAVSTAR GPS satellites experimental and theoretical investigations into their failure mechanism were initiated. The primary goal of these studies is the development of an accelerated life test for future GPS lamps. The primary failure mechanism was identified as consumption of the lamp's Rb charge via direct interaction between Rb and the lamp's glass surface. The most effective parameters to accelerate the interaction between the Rb and the glass are felt to be RF excitation power and lamp temperature. Differential scanning calorimetry is used to monitor the consumption of Rb within a lamp as a function of operation time. This technique yielded base line Rb consumption data for GPS lamps operating under normal conditions

Pressure profiles of distant galaxy clusters in the Planck catalog

Successive releases of Planck data have demonstrated the strength of the Sunyaev--Zeldovich (SZ) effect in detecting hot baryons out to the galaxy cluster peripheries. To infer the hot gas pressure structure from nearby galaxy clusters to more distant objects, we developed a parametric method that models the spectral energy distribution and spatial anisotropies of both the Galactic thermal dust and the Cosmic Microwave Background, that are mixed-up with the cluster SZ and dust signals. Taking advantage of the best angular resolution of the High Frequency Instrument channels (5 arcmin) and using X-ray priors in the innermost cluster regions that are not resolved with Planck, this modelling allowed us to analyze a sample of 61 nearby members of the Planck catalog of SZ sources ($0 < z < 0.5$, $\tilde{z} = 0.15$) using the full mission data, as well as to examine a distant sample of 23 clusters ($0.5 < z < 1$, $\tilde{z} = 0.56$) that have been recently followed-up with XMM-Newton and Chandra observations. We find that (i) the average shape of the mass-scaled pressure profiles agrees with results obtained by the Planck collaboration in the nearby cluster sample, and that (ii) no sign of evolution is discernible between averaged pressure profiles of the low- and high-redshift cluster samples. In line with theoretical predictions for these halo masses and redshift ranges, the dispersion of individual profiles relative to a self-similar shape stays well below 10 % inside $r_{500}$ but increases in the cluster outskirts.Comment: 12 pages, 10 figure

Apparatus for establishing flow of a fluid mass having a known velocity

An apparatus for establishing a flow of fluid mass, such as gas, having a known velocity is introduced. The apparatus is characterized by an hermetically sealed chamber conforming to a closed-loop configuration and including a throat and a plurality of axially displaceable pistons for sweeping through the throat a stream of gas including a core and an unsheared boundary layer. Within the throat there is a cylindrical coring body concentrically related to the throat for receiving the core, and a chamber surrounding the cylindrical body for drawing off the boundary layer, whereby the velocity of the core is liberated from the effects of the velocity of the boundary layer