Developing a scale : adolescents' health choices related rights, duties and responsibilities

Background: Adolescents´ health choices have been widely researched, but the ethical basis of these choices, namely their rights, duties and responsibilities, have been disregarded and scale is required to measure these. Objective: To describe the development of a scale that measures adolescents´ rights, duties and responsibilities in relation to health choices and document the preliminary scale testing. Research design: A multi-phase development method was used to construct the Health Rights Duties and Responsibilities (HealthRDR) scale. The concepts and content were defined through document analysis, a systematic literature review and focus groups. The content validity and clarity of the items were evaluated by expert panel of 23 adolescents, school nurses and researchers. We then calculated the content validity index and the content validity ratio at on item and scale levels. Preliminary testing was conducted with 200 adolescents aged 15-16 years. Descriptive statistics, Cronbach´s alpha correlation and statistics for the item-analysis were calculated. Ethical considerations: Ethical approval and permission were obtained according to national legislation and responsible research practice was followed. Informed consent was obtained from the participants and the parents were informed about the study. Findings: The HealthRDR scale comprises of four sub-scales with 148 items: 15 on health choices, 36 on rights, 47 on duties and 50 on responsibilities. The items had a 0.93 content validity index and a 0.85 content validity ratio. The Cronbach alpha correlation coefficient was 0.99 for the total scale and the individual sub-scales scores were: health choices (0.93), rights (0.97), responsibilities (0.99) and duties (0.98). Discussion: The findings are discussed in light of the ethical concepts and validity and reliability of the developed scale. Conclusion: The HealthRDR scale defines and understands adolescents´ rights, duties and responsibilities in relation to health choices and has good content validity. Further testing and refinement of the concepts are needed

Vortex splitting and phase separating instabilities of coreless vortices in F=1 spinor Bose-Einstein condensates

The low lying excitations of coreless vortex states in F = 1 spinor Bose-Einstein condensates (BECs) are theoretically investigated using the Gross-Pitaevskii and Bogoliubov-de Gennes equations. The spectra of the elementary excitations are calculated for different spin-spin interaction parameters and ratios of the number of particles in each sublevel. There exist dynamical instabilities of the vortex state which are suppressed by ferromagnetic interactions, and conversely, enhanced by antiferromagnetic interactions. In both of the spin-spin interaction regimes, we find vortex splitting instabilities in analogy with scalar BECs. In addition, a phase separating instability is found in the antiferromagnetic regime.Comment: 11 pages, 9 figure

A quest for effective water governance: look who's leading the WPI

Several developing countries are currently planning or implementing water sector reforms. Ensuring the sustainability of these processes requires taking into account also the complex institutional structure surrounding water services, consisting of the various organizations with their roles and responsibilities, as well as legislation related both directly and indirectly to water services. The effectiveness of a country’s water governance structure is reflected in the water poverty index formulated by the World Water Council and the UK’s Centre for Ecology and Hydrology. According to the index, Finland is the richest of 147 countries in terms of water resources, access, capacity, use and environmental sustainability. Therefore, those responsible for restructuring water resources and water services management in developing countries might find it useful to study Finland’s water governance and business models. Even though the institutional arrangements would not be identically replicable, they present an example of an enabling environment for successful water governance

Advanced photovoltaic power systems using tandem GaAs/GaSb concentrator modules

In 1989, Boeing announced the fabrication of a tandem gallium concentrator solar cell with an energy conversion efficiency of 30 percent. This research breakthrough has now led to panels which are significantly smaller, lighter, more radiation resistant, and potentially less expensive than the traditional silicon flat plate electric power supply. The new Boeing tandem concentrator (BTC) module uses an array of lightweight silicone Fresnel lenses mounted on the front side of a light weight aluminum honeycomb structure to focus sunlight onto small area solar cells mounted on a thin back plane. This module design is shown schematically. The tandem solar cell in this new module consists of a gallium arsenide light sensitive cell with a 24 percent energy conversion efficiency stacked on top of a gallium antimonide infrared sensitive cell with a conversion efficiency of 6 percent. This gives a total efficiency 30 percent for the cell-stack. The lens optical efficiency is typically 85 percent. Discounting for efficiency losses associated with lens packing, cell wiring, and cell operating temperature still allows for a module efficiency of 22 percent which leads to a module power density of 300 Watts/sq. m. This performance provides more than twice the power density available from a single crystal silicon flat plate module and at least four times the power density available from amorphous silicon modules. The fact that the lenses are only 0.010 ft. thick and the aluminum foil back plane is only 0.003 ft. thick leads to a very lightweight module. Although the cells are an easy to handle thickness of 0.020 ft., the fact that they are small, occupying one-twenty-fifth of the module area, means that they add little to the module weight. After summing all the module weights and given the high module power, we find that we are able to fabricate BTC modules with specific power of 100 watts/kg

Time-course of left ventricle function during mild therapeutic hypothermia in out-of-hospital cardiac arrest patients

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Adolescent survey non-response and later risk of death. A prospective cohort study of 78 609 persons with 11-year follow-up

<p>Abstract</p> <p>Background</p> <p>Non-response in survey studies is a growing problem and, being usually selective, it leads to under- or overestimation of health outcomes in the follow-up. We followed both respondents and non-respondents by registry linkage to determine whether there is a risk of death, related to non-response at baseline.</p> <p>Methods</p> <p>Sample data of biennial surveys to 12-18-year-old Finns in 1979–1997 were linked with national death registry up to 2001. The number of respondents was 62 528 (79.6%) and non-respondents 16 081 (20.4%). The average follow-up was 11.1 years, totalling 876 400 person-years. The risk of death between non-respondents and respondents was estimated by hazard ratios (HR).</p> <p>Results</p> <p>The number of deaths per 100 000 person-years were 229 in non-respondents and 447 in respondents (HR 2.0, 95% CI: 1.5–2.6). The hazard ratios of death were for intoxication 3.2 (95% CI: 1.9–5.4), for disease 3.1 (95% CI: 2.2–4.1), for violence-related injury 2.0 (95% CI: 1.5–2.6) and for unintentional injury 1.8 (95% CI: 1.3–2.4) in non-respondents vs. respondents. The association between non-response and death increased with age at baseline, and the increase persisted after the age of 25.</p> <p>Conclusion</p> <p>Our study demonstrated significantly increased rates of death among adolescent non-respondents in a follow-up. The highest hazard ratios were seen in disease- and violence-related deaths. The death rate varied between respondents and non-respondents by death type. Increased rates of death persisted beyond the age of 25.</p

Towards in cellulo virus crystallography

Viruses are a significant threat to both human health and the economy, and there is an urgent need for novel anti-viral drugs and vaccines. High-resolution viral structures inform our understanding of the virosphere, and inspire novel therapies. Here we present a method of obtaining such structural information that avoids potentially disruptive handling, by collecting diffraction data from intact infected cells. We identify a suitable combination of cell type and virus to accumulate particles in the cells, establish a suitable time point where most cells contain virus condensates and use electron microscopy to demonstrate that these are ordered crystalline arrays of empty capsids. We then use an X-ray free electron laser to provide extremely bright illumination of sub-micron intracellular condensates of bacteriophage phiX174 inside living Escherichia coli at room temperature. We have been able to collect low resolution diffraction data. Despite the limited resolution and completeness of these initial data, due to a far from optimal experimental setup, we have used novel methodology to determine a putative space group, unit cell dimensions, particle packing and likely maturation state of the particles.Peer reviewe