The study is aimed to better understand how post-acute-care services help persons with acquired brain injury (ABI) and their families following acute-care discharge. Participants included 21 primary family caregivers of persons with ABI. Participants reported their level of satisfaction with 14 different post-acute-care ABI services following discharge from an acute-care ABI facility in a large south-western city in the United States. Participants completed a survey following the discharge (on average 8.1 months) of their family member from acute-care services. Surveys included both quantitative and open-ended questions. The present study focused on participant satisfaction ratings and perceptions of helpfulness among the 14 different service areas. The average satisfaction rating across the 14 service areas was 73.4%. Professional consultation and assessment (81.8%) received the highest satisfaction rating, followed by therapy and intervention (77.9%), and peer support (51.9%). Open-ended question responses on the helpfulness of post-acute-care services focused on (a) therapy and intervention and (b) professional consultation and assessment. Study findings highlight the need to track the use of ABI services from the acute-phase through long-term community adjustment. Findings also underscore the importance of targeting interventions and services specific to the post-acute phase of ABI rehabilitation.

The calving rates and calving styles of temperate glaciers that calve into fresh water are distinctively different from those of temperate tide-water glaciers. These contrasts are important for interpreting and predicting the response of ice masses to climate change. Glaciar Upsala is a large calving outlet of Hielo Patagónico Sur (southern Patagonia ice field). Its twentieth-century retreat has been climate-driven but significantly modulated by calving dynamics and by the transition from melting to calving at its eastern terminus. Here, the onset of rapid calving in the early 1980s initiated retreat at ≤440 m a−1. The 1992–93 calving rate (v c) is estimated to be 60 m a−1 in a mean water depth (h w) of 67 m. A v c/h w relationship for fresh water based on 14 sites around the world, including seven deep-water sites, confirms both the linear dependency of v c on h w and the contrast between calving rates in tide water and fresh water. As yet, no physical explanation for this contrast exists, but differences in subaqueous melt rates, longitudinal strain rates and crevassing may provide a partial explanation.

Intensive archaeobotanical investigations at Çatalhöyük have created a unique opportunity to explore change and continuity in plant use through the ca 1,500-year Neolithic to early Chalcolithic sequence of an early established farming community. The combination of crops and herd animals in the earliest (Aceramic) part of the sequence reflects a distinct and diverse central Anatolian ‘package’ at the end of the eighth millennium cal. BC. Here we report evidence for near continual adjustment of cropping regimes through time at Çatalhöyük, featuring recruitment of minor crops or crop contaminants to become major staples. We use panarchy theory to frame an understanding of Çatalhöyük's long-term sustainability, arguing that its resilience was a function of three key factors: its diverse initial crop spectrum, which acted as an archive for later innovations; its modular social structure, enabling small-scale experimentation and innovation in cropping at the household level; and its agglomerated social morphology, allowing successful developments to be scaled up across the wider community. This case study in long-term sustainability through flexible, changeable cropping strategies is significant not only for understanding so-called boom and bust cycles elsewhere but also for informing wider agro-ecological understanding of sustainable development in central Anatolia and beyond.

The study aimed to understand the use and barriers to use of post-acute-care services by persons with acquired brain injury (ABI). A total of 21 primary family caregivers of persons recently discharged from an ABI acute-care facility in a large southwestern city in the United States participated. Service use in 14 domains appeared consistent with post-discharge needs. In five service areas, participants were not aware the service was available. Professionals in acute ABI rehabilitation units need to be fully aware of the range of available potential supports and diligent in informing injured persons and their families about available post-discharge services.

Stochastic Efficiency with Respect to a Function (SERF) is used to rank transgenic cotton technology groups and place an upper and lower bound on their value. Yield and production data from replicated plot experiments are used to build cumulative distribution functions of returns for nontransgenic, Roundup Ready, Bollgard, and stacked gene cotton cultivars. Analysis of Arkansas data indicated that the stacked gene and Roundup Ready technologies would be preferred by a large number of risk neutral and risk averse producers as long as the costs of the technology and seed are below the lower bounds calculated in this manuscript.

We give several algorithms for finitely generated subgroups of the modular group PSL2(ℤ) given by sets of generators. First, we present an algorithm to check whether a finitely generated subgroup H has finite index in the full modular group. Then we discuss how to parametrise the right cosets of H in PSL2(ℤ), whether the index is finite or not. Further, we explain how an element in H can be written as a word in a given set of generators of H.

This case describes the prenatal diagnosis and integrated peripartum management of a foetus with 2:1 atrioventricular block and torsade de pointes due to congenital long QT syndrome. The unique issues related to the detection of intrauterine conduction abnormalities and ventricular arrhythmias, along with the immediate postnatal care, have been described as an interesting teaching case with successful outcome.

Medical liability remains a major concern among U.S. physicians, and according to the American Medical Association (AMA) the United States is currently experiencing its third fullblown medical liability crisis with many physicians limiting their practices as a result of rising malpractice costs. The AMA, many in the medical community, and several prominent politicians including former president George W. Bush have called for medical liability reform including caps on non-economic damages. Some researchers argue that the medical liability crisis has been overdrawn. Several studies have shown that the vast majority of patients injured through medical malpractice do not sue, that the insurance cycle is likely major contributor to rising malpractice insurance premiums, and that defensive medicine likely plays a minor role in rising health care costs. Further, evidence shows that malpractice damage caps may lead to a crossover effect where juries increase the amount of economic damages they award to offset limitations in non-economic damages available.

This case is another in a series intended to highlight the new questions emerging from advances in mapping the human genome and the application of genetic findings to clinical practice. The National Human Genome Research Institute, a component of the National Institutes of Health, by law is directed to designate a portion of its annual budget to furthering understanding of the ethical, legal, and social questions emerging from research on the human genome. As part of the effort, the Institute supports research by scientists and scholars around the nation with the aim of clarifying and resolving the tough ethical and research choices facing this endeavor. But recently it has launched an intramural program, which is expected to take a catalytic role in grappling with the array of issues the researchers face in carrying out investigations in human genetics.

Although there have been numerous technological devices introduced for the diagnosis and treatment of temporomandibular disorders, many are either ineffective or are research tools without direct clinical application. This article reviews the various modalities and makes recommendations regarding their effectiveness based on the available clinical and scientific evidence.

A variety of new observational opportunities have made transit and more generally light curve analysis central to the study of exoplanets. Talks at this IAU 253 Symposium have dramatically highlighted the measurement of the radius, density, atmospheric composition and atmospheric thermal structure, presently for relatively large, hot planets, but soon for smaller planets orbiting further from their host stars. On-going and future space observations will play a key role in the detection and characterization of these planetary systems. After a brief review, I focus on two topics: the need for a sensitive all-sky survey for planets transiting the brightest, closest stars and the follow-up opportunities afforded by the James Webb Space Telescope (JWST).