Homosexuality: health concerns (HIV and other STIs, School problems, suicide and substance abuse), psychosocial needs, describe how you will provide culturally and ethically sensitive care to the patient and parents.
Age has also an important role in variability of temperature. In most of the studies reported that cosinor analysis of temperature; mesor and amplitude decreases with increase in age. Gubin et al reported that normal temperature range is higher in young adults than in elders. Mesor is higher in young adults (97.5° F/36.38° C) than in elderly subjects (97.1° F/36.17° C) and amplitude was also increased in young adults than in elderly subjects. The mean circadian acrophase was similar in both age groups (17:19 versus 16:93); however, inter-individual differences were higher in the older group, with individual values varying between 10:00 and 23:00 hours (ref.-48 in note ). In another study Howell et al recorded the oral temperature using electronic thermometer in 105 females age ranges from 61-105 years and reported a group mean of 36 0C,which is significantly lower than in a younger adults.(29 in original protocol). Touitou et al, found that the daily body temperature amplitude was decreased in the elderly subjects when compared to healthy adult individuals.(30 in original protocol). Nonlineardynamics and complexity theory appear to offer an alternative approach. Many biological structures can be regarded as natural fractals and much physiological behaviour can be explained by deterministic chaos (heart rate, bacterial population growth, hormonal secretion pulses, and epidemics. Furthermore, in many cases, pathological conditions and ageing are known to be accompanied by losses in complexity. The complexity of the temperature curve could be regularly measured in all cases. Consistent results were obtained using three entirely independent methods that measure different aspects (in two cases the dynamic behaviour, in the other the anfractuosity of the curve), with good correlation between all methods. None of the complexity measures was significantly different for the two sexes, nor were they affected by the BMI. On the other hand, all measures of complexity were inversely correlated with age. This finding is somehow “coded” in the temperature readings, but classical statistical indicators are not capable of bringing it to light. The finding of an inverse correlation between age and the degree of complexity of the temperature curve was likewise not unexpected. Ageing and illness are known to be accompanied by a loss of complexity in certain patterns of chaotic behaviour12. For instance; variability in heart rate decreases with age and in certain conditions is associated with a poor prognosis31. It could be argued that, as has been postulated for heart rate, body temperature is governed by several different regulatory systems (thermogenesis, vasoconstriction- vasodilatation mechanisms, sweating, breathing rate) and at the same time is subject to external factors (ambient temperature, exercise, clothing). Perhaps illness and ageing cause a certain decoupling or isolation of the thermal regulatory system from its surroundings. This in turn could result in less complexity of the temperature plot, leading to lower ApEn and FDc values and higher DFA values12. Varela et al. reported that in healthy subjects, the temperature curve behaves like a natural fractal whose complexity may be analyzed in a consistent manner. In addition, they observed that complexity decreased significantly with age. The complexity of the temperature curve is tightly inversely correlated with the severity of the patient’s condition. Both mean and minimum ApEn were significantly lower in patients who died than in patients who survived. Consequently one would expect to see a reduced complexity in the temperature readings of critically ill patients, the level of complexity mirroring the patient’s clinical evolution. In this respect, the mean ApEn value for the patient series was significantly lower than the mean ApEn for a series of 21 healthy subjects. The inverse correlation between the ApEn values and the SOFA scores in most of thein their series was likewise consistent with that premise32. In another study of Varela et al. reported that there was good correlation>GET ANSWER