1,533 research outputs found

    The Rights of the Adolescent: The Mature Minor

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    Health care providers who treat adolescents may also be required to diagnose and treat the reproductive health conditions of minor patients and to facilitate health prevention measures, including contraception and testing for sexually transmitted diseases. Teens who do not want their parents to know about their sexual behaviour may consult a health care provider for reproductive or sexual health care services and treatment without parental knowledge or consent. This may present legal and ethical dilemmas for health care providers. Common law recognizes that adolescents under the legal age of majority who are sufficiently mature (the mature minor) may have the capacity to consent to health care services with the same independence as adults. Such capacity to consent needs to be determined on an individual basis. Where there is disagreement between a mature minor and her parent(s) about a medical procedure or treatment, the wishes of the adolescent should prevail. Under law, a married minor is usually treated as having attained majority status, however, fertility services cannot ethically be denied if the unmarried adolescent is found capable and they are required medical services for that individual. Parents or legal guardians generally have the legal authority and responsibility to act as surrogate decision makers for adolescents found incapable of making their own health care decisions. Although confidentiality is essential, there are some exceptions to absolute confidentiality

    The Rights of the Adolescent: The Mature Minor

    Get PDF
    Health care providers who treat adolescents may also be required to diagnose and treat the reproductive health conditions of minor patients and to facilitate health prevention measures, including contraception and testing for sexually transmitted diseases. Teens who do not want their parents to know about their sexual behaviour may consult a health care provider for reproductive or sexual health care services and treatment without parental knowledge or consent. This may present legal and ethical dilemmas for health care providers. Common law recognizes that adolescents under the legal age of majority who are sufficiently mature (the mature minor) may have the capacity to consent to health care services with the same independence as adults. Such capacity to consent needs to be determined on an individual basis. Where there is disagreement between a mature minor and her parent(s) about a medical procedure or treatment, the wishes of the adolescent should prevail. Under law, a married minor is usually treated as having attained majority status, however, fertility services cannot ethically be denied if the unmarried adolescent is found capable and they are required medical services for that individual. Parents or legal guardians generally have the legal authority and responsibility to act as surrogate decision makers for adolescents found incapable of making their own health care decisions. Although confidentiality is essential, there are some exceptions to absolute confidentiality

    NASCAP/LEO calculations of current collection

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    NASCAP/LEO is a 3-dimensional computer code for calculating the interaction of a high-voltage spacecraft with the cold dense plasma found in Low Earth Orbit. Although based on a cubic grid structure, NASCAP/LEO accepts object definition input from standard computer aided design (CAD) programs so that a model may be correctly proportioned and important features resolved. The potential around the model is calculated by solving the finite element formulation of Poisson's equation with an analytic space charge function. Five previously published NASCAP/LEO calculations for three ground test experiments and two space flight experiments are presented. The three ground test experiments are a large simulated panel, a simulated pinhole, and a 2-slit experiment with overlapping sheaths. The two space flight experiments are a solar panel biased up to 1000 volts, and a rocket-mounted sphere biased up to 46 kilovolts. In all cases, the authors find good agreement between calculation and measurement

    A putative serine protease, SpSsp1, from Saprolegnia parasitica is recognised by sera of rainbow trout, Oncorhynchus mykiss

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    Acknowledgements Our work was supported by the BBSRC (BB/C518457/1, BB/G012075/1, BB/J018333/1) (K.L.M., C.J.S., J.S.C., K.S.D., and P.v.W.), the University of Aberdeen (V.L.A., C.J.S., and P.v.W.), MSD Animal Health (J.S.C., K.S.D., and A.H.v.d.B), and The Royal Society (P.v.W.). This work was also supported by a Marie Curie Initial Training Networks with the SAPRO (sustainable approaches to reduce Oomycete (Saprolegnia) infections in aquacultures) grant PITN-GA-2009-238550 (A.H.v.d.B., L.L., C.J.S., P.v.W.). We would like to acknowledge Aberdeen Proteomics for carrying out LC–MS/MS and Laura Grenville-Briggs for valuable discussion and technical help. We are grateful to the Broad Institute (Carsten Russ, Rays Jiang, Brian Haas, and Chad Nusbaum), Brett Tyler (VBI), and P.v.W. for early release of draft supercontigs of the genome sequence of isolate CBS233.65, which helped us identify SpSsp1.Peer reviewedPublisher PD

    The characteristics and dynamics of wave-driven flow across a platform coral reef in the Red Sea

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    Author Posting. © American Geophysical Union, 2016. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research: Oceans 121 (2016): 1360–1376, doi:10.1002/2015JC011141.Current dynamics across a platform reef in the Red Sea near Jeddah, Saudi Arabia, are examined using 18 months of current profile, pressure, surface wave, and wind observations. The platform reef is 700 m long, 200 m across with spatial and temporal variations in water depth over the reef ranging from 0.6 to 1.6 m. Surface waves breaking at the seaward edge of the reef cause a 2–10 cm setup of sea level that drives cross-reef currents of 5–20 cm s−1. Bottom stress is a significant component of the wave setup balance in the surf zone. Over the reef flat, where waves are not breaking, the cross-reef pressure gradient associated with wave setup is balanced by bottom stress. The quadratic drag coefficient for the depth-average flow decreases with increasing water depth from Cda = 0.17 in 0.4 m of water to Cda = 0.03 in 1.2 m of water. The observed dependence of the drag coefficient on water depth is consistent with open-channel flow theory and a hydrodynamic roughness of zo = 0.06 m. A simple one-dimensional model driven by incident surface waves and wind stress accurately reproduces the observed depth-averaged cross-reef currents and a portion of the weaker along-reef currents over the focus reef and two other Red Sea platform reefs. The model indicates the cross-reef current is wave forced and the along-reef current is partially wind forced.This research is based on work supported by awards USA 00002 and KSA 00011 KAUST. K. Davis was supported by a WHOI Postdoctoral Fellowship. T. Farrar was partly supported by NSF grant OCE-1435665. S. Lentz was partly supported by NSF grants OCE-1332646 and OCE-1357290.2016-08-1

    Estimating oceanic primary production using vertical irradiance and chlorophyll profiles from ocean gliders in the North Atlantic

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    An autonomous underwater vehicle (Seaglider) has been used to estimate marine primary production (PP) using a combination of irradiance and fluorescence vertical profiles. This method provides estimates for depth-resolved and temporally evolving PP on fine spatial scales in the absence of ship-based calibrations. We describe techniques to correct for known issues associated with long autonomous deployments such as sensor calibration drift and fluorescence quenching. Comparisons were made between the Seaglider, stable isotope (13C), and satellite estimates of PP. The Seaglider-based PP estimates were comparable to both satellite estimates and stable isotope measurements
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