Ethics and geographical equity in health care

Important variations in access to health care and health outcomes are associated with geography, giving rise to profound ethical concerns. This paper discusses the consequences of such concerns for the allocation of health care finance to geographical regions. Specifically, it examines the ethical drivers underlying capitation systems, which have become the principal method of allocating health care finance to regions in most countries. Although most capitation systems are based on empirical models of health care expenditure, there is much debate about which needs factors to include in (or exclude from) such models. This concern with legitimate and illegitimate drivers of health care expenditure reflects the ethical concerns underlying the geographical distribution of health care finance

The ethics of sociocultural risk research

In socio-cultural risk research, an epistemological tension often follows if real hazards in the world are juxtaposed against the essentially socially constructed nature of all risk. In this editorial, we consider how this paradox is manifest at a practical level in a number of ethical dilemmas for the risk researcher. (1) In terms of strategies for seeking informed consent, and for addressing the power inequalities involved in interpretative and analytical work, researchers can find themselves pushing at the boundaries of standard understandings of ethical practices and ways of engaging informants in their studies. (2) Impact on participants is another key area of concern, since the subject matter on which data are collected in risk research may be a source of uncertainty, anxiety or unwanted self knowledge. (3) Risk researchers also face the possibility of institutional repercussions of raising risk issues with people who usually normalize the risks, thereby stimulating distrust in the institutions or organizations with formal responsibilities for risk management. There are no simple formulae to guide the researcher in dealing with such ethical issues and paradoxes. It is important, though, to recognize their specificity in risk studies, including the ambiguous status of questions about vulnerability since judgements about 'who is vulnerable' and 'in what ways' are themselves influenced by the situational framings and understandings of participants and researchers

Worldwide cloud cover model

Classifying worldwide cloudiness into homogeneous regions, using a satellite data set containing day IR, night IR, incoming, and absorbed solar radiation measurements on a 2.5-degree latitude-longitude grid is considered. Methods of analysis are presented

Do continuum beliefs reduce schizophrenia stigma? Effects of a laboratory intervention on behavioral and self-reported stigma

Background and objectives Correlational research shows that belief in a continuum of psychiatric problems predicts decreased public stigma. However, the correlational findings fail to inform the stigma reduction prospects of manipulating continuum beliefs. All extant experimental work has been executed online. This study examined effects of a laboratory-based continuum intervention on behavioral and self-report measures of psychiatric stigma. Methods Sixty-nine undergraduates believed that they would meet a man with schizophrenia. They then read a bogus scientific article that attested to a categorical view of schizophrenia, a continuum view, or that merely described schizophrenia. Some participants then completed a task that required reflection on their differences from (categorical group) or similarities to (continuum group) the man with schizophrenia. Participants eventually moved to an adjacent room and sat in one of several seats that varied in their proximity to a seat ostensibly occupied by the man with schizophrenia. Results The continuum intervention decreased self-reported social distance and the categorical intervention increased endorsement of damaging stereotypes. Seat selection was unaffected by our manipulation, but we obtained evidence of significant links to validated stigma measures. Limitations Our sample was small, and our behavioral stigma measure could be modified to maximize variability in participants\u27 seat selection. Conclusions The study offers modest support of the stigma reduction effect of continuum belief intervention. It offers new evidence of the pernicious consequences of interventions that inflate perceptions of the “otherness” of individuals with psychiatric problems. Finally, it shines new light on stigma-related behavior measurable in the laboratory

Charge exchange lifetimes for ions in the magnetosphere

Latest and best measurements of physical quantities involved in complete calculation of the charge exchange lifetime of mirroring magnetospheric ions are coalesced and summarized. It is critical that the charge exchange lifetimes for ions be known as accurately as possible in order to apply the charge exchange mechanism to ion phenomena within the earth's magnetosphere

A Survey of Irradiated Pillars, Globules, and Jets in the Carina Nebul

We present wide-field, deep narrowband H$_2$, Br$\gamma$, H$\alpha$, [S II], [O III], and broadband I and K-band images of the Carina star formation region. The new images provide a large-scale overview of all the H$_2$ and Br$\gamma$ emission present in over a square degree centered on this signature star forming complex. By comparing these images with archival HST and Spitzer images we observe how intense UV radiation from O and B stars affects star formation in molecular clouds. We use the images to locate new candidate outflows and identify the principal shock waves and irradiated interfaces within dozens of distinct areas of star-forming activity. Shocked molecular gas in jets traces the parts of the flow that are most shielded from the intense UV radiation. Combining the H$_2$ and optical images gives a more complete view of the jets, which are sometimes only visible in H$_2$. The Carina region hosts several compact young clusters, and the gas within these clusters is affected by radiation from both the cluster stars and the massive stars nearby. The Carina Nebula is ideal for studying the physics of young H II regions and PDR's, as it contains multiple examples of walls and irradiated pillars at various stages of development. Some of the pillars have detached from their host molecular clouds to form proplyds. Fluorescent H$_2$ outlines the interfaces between the ionized and molecular gas, and after removing continuum, we detect spatial offsets between the Br$\gamma$ and H$_2$ emission along the irradiated interfaces. These spatial offsets can be used to test current models of PDRs once synthetic maps of these lines become available.Comment: Accepted in the Astronomical Journa

Dependence of the charge exchange lifetimes on mirror latitude

The dependence of the charge exchange lifetimes on the mirror latitude for ions mirroring off the geomagnetic equator was re-computed using the improved hydrogen distribution models. The Chamberlain model was used to define the spatial distribution of the neutral hydrogen environment through which the ring current ions traverse. The resultant dependence of the charge exchange lifetime on mirror latitude is best fitted by the approximation that contains the charge exchange lifetime for equatorial particles

Portable Perimetry Using Eye-Tracking on a Tablet Computer—A Feasibility Assessment

Purpose: Visual field (VF) examination by standard automated perimetry (SAP) is an important method of clinical assessment. However, the complexity of the test, and its use of bulky, expensive equipment makes it impractical for case-finding. We propose and evaluate a new approach to paracentral VF assessment that combines an inexpensive eye-tracker with a portable tablet computer (“Eyecatcher”). Methods: Twenty-four eyes from 12 glaucoma patients, and 12 eyes from six age-similar controls were examined. Participants were tested monocularly (once per eye), with both the novel Eyecatcher test and traditional SAP (HFA SITA standard 24-2). For Eyecatcher, the participant's task was to simply to look at a sequence of fixed-luminance dots, presented relative to the current point of fixation. Start and end fixations were used to determine locations where stimuli were seen/unseen, and to build a continuous map of sensitivity loss across a VF of approximately 20°. Results: Eyecatcher was able to clearly separate patients from controls, and the results were consistent with those from traditional SAP. In particular, mean Eyecatcher scores were strongly correlated with mean deviation scores (r2 = 0.64, P < 0.001), and there was good concordance between corresponding VF locations (∼84%). Participants reported that Eyecatcher was more enjoyable, easier to perform, and less tiring than SAP (all P < 0.001). Conclusions: Portable perimetry using an inexpensive eye-tracker and a tablet computer is feasible, although possible means of improvement are suggested. Translational Relevance: Such a test could have significant utility as a case finding device

Investigation of kilovolt ion sputtering second quarterly progress report

Kilovolt ion sputtering - electron beam focusing of cesium ion beam, radiation detection in copper atoms, ultrahigh vacuum system construction, and spectrometer pulse heigh

Cast iron freezing mechanisms

This task focused on liquid phase sintering and infiltration studies of refractory metals and metal composites. Particular emphases was placed on those powered metal compacts which produce liquid alloys in sintering. For this class of materials, heating to a two phase region causes the constituent components to react, forming an alloy liquid which must wet the solid phase. Densification is initially driven by the free energy effects which cause rapid rearrangement. Further densification occurs by evaporation and condensation, surface diffusion, bulk flow, and volume diffusion