RESUMEN
INTRODUCTION: Adolescents with chronic conditions have disparate mental health outcomes. This study aimed to explore the perspectives of adolescents with chronic conditions on mental health system redesign to improve outcomes. METHOD: Within an interpretive phenomenological approach, semistructured interviews with 17 adolescents aged 10-20 years with chronic conditions were conducted. Purposive sampling and recruitment occurred at three ambulatory sites. Data were analyzed using inductive and deductive thematic analysis until information saturation was achieved. RESULTS: Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone I can really talk to and trust, (3) They need to reach out to us. Check in on us, and (4) the school nurse is for physical illness only. DISCUSSION: Mental health system redesign should be considered for adolescents with chronic conditions. The findings can inform future research to test innovative health care delivery models to reduce mental health disparities in this vulnerable population.
Asunto(s)
Servicios de Salud Mental , Salud Mental , Humanos , Niño , Adolescente , Enfermedad Crónica , Salud Infantil , Asignación de RecursosRESUMEN
High-power lasers are making increasing demands on laser hosts especially in the area of thermal management. Traditional hosts, such as YAG, are unsuitable for many high-power applications and therefore, new hosts are being developed including rare-earth sesquioxides. We report new measurements of the refractive indices of these materials as functions of wavelength and temperature, which will aid in the design of laser cavities and other nonlinear optical elements.
RESUMEN
Rare-earth orthovanadates are being used as substitutes for traditional solid-state laser hosts, such as YAG. While the most common of these is yttrium orthovanadate, other rare-earth vanadates, such as lutetium vanadate and gadolinium vanadate, are being used for their special properties in certain applications. We report new measurements of the refractive indices and thermo-optic coefficients of these materials, which will aid in the design of laser cavities and other nonlinear optical elements.
RESUMEN
Neodymium doped YVO(4) is becoming an increasingly popular material for solid state lasers. Among the advantages of vanadates over more traditional materials are that the absorption cross section at 808 nm is significantly larger, the emission cross sections are higher, leading to lower lasing thresholds, and the bandwidth for pump absorption is higher. We report new measurements of the refractive index and thermo-optic coefficient of this material that will aid in the design of laser cavities and other nonlinear optical elements.