Clayton Act Scrutiny of Nonprofit Hospital Mergers: The Wrong Rx for Ailing Institutions

The Sherman and Clayton antitrust laws have long been used to challenge anticompetitive mergers between for-profit entities. Recently, the federal government began challenging mergers between nonprofit hospitals under the Clayton Act. Two federal circuit courts are divided on whether nonprofit mergers are subject to Clayton Act scrutiny. This Comment examines the statutory interpretations and the policy arguments suggested by the two cases, and concludes that the Clayton Act does not, and should not, apply to nonprofit hospital mergers

Faculty Mentoring At A Distance: Coming Together In The Virtual Community

This mixed-methods study explores how faculty in a virtual university experience the role of mentor working with doctoral students at a distance. This study uses faculty narratives to identify faculty actions that might be different from mentoring traditional doctoral students in a face to face program. In the new working adult universities, learners are not necessarily seeking initial careers through doctoral study but are enhancing established careers. The study investigates the mentoring skills on line faculty bring to the virtual learning space and describes how a graduate faculty teaching in a virtual learning space perform the role of mentor

Light-Activated Compounds

The presently-disclosed subject matter includes light-activated ruthenium compounds. In some embodiments the compounds release one or more ligands when exposed to light, and in specific embodiments the light includes a wavelength of about 500 nm to about 1000 nm. The present compounds can also comprise an overall charge, wherein the overall charge can be a positive overall charge or a negative overall charge. Further still, embodiments include methods of treating cancer in a subject by administering a compound and then exposing a site of the subject to light

Structure of Lo'ihi Seamount, Hawai'i and lava flow morphology from high-resolution mapping.

© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Clague, D. A., Paduan, J. B., Caress, D. W., Moyer, C. L., Glazer, B. T., & Yoerger, D. R. Structure of Lo'ihi Seamount, Hawai'i and lava flow morphology from high-resolution mapping. Frontiers in Earth Science, 7, (2019):58, doi:10.3389/feart.2019.00058.The early development and growth of oceanic volcanoes that eventually grow to become ocean islands are poorly known. In Hawai‘i, the submarine Lō‘ihi Seamount provides the opportunity to determine the structure and growth of such a nascent oceanic island. High-resolution bathymetric data were collected using AUV Sentry at the summit and at two hydrothermal vent fields on the deep south rift of Lō‘ihi Seamount. The summit records a nested series of caldera and pit crater collapse events, uplift of one resurgent block, and eruptions that formed at least five low lava shields that shaped the summit. The earliest and largest caldera, formed ∼5900 years ago, bounds almost the entire summit plateau. The resurgent block was uplifted slightly more than 100 m and has a tilted surface with a dip of about 6.5° toward the SE. The resurgent block was then modified by collapse of a pit crater centered in the block that formed West Pit. The shallowest point on Lō‘ihi’s summit is 986 m deep and is located on the northwest edge of the resurgent block. Several collapse events culminated in formation of East Pit, and the final collapse formed Pele’s Pit in 1996. The nine mapped collapse and resurgent structures indicate the presence of a shallow crustal magma chamber, ranging from depths of ∼1 km to perhaps 2.5 km below the summit, and demonstrate that shallow sub-caldera magma reservoirs exist during the late pre-shield stage. On the deep south rift zone are young medium- to high-flux lava flows that likely erupted in 1996 and drained the shallow crustal magma chamber to trigger the collapse that formed Pele’s Pit. These low hummocky and channelized flows had molten cores and now host the FeMO hydrothermal field. The Shinkai Deep hydrothermal site is located among steep-sided hummocky flows that formed during low-flux eruptions. The Shinkai Ridge is most likely a coherent landslide block that originated on the east flank of Lō‘ihi.Funding for the collection of the data was provided by the National Science Foundation OCE1155756 to CM and the Schmidt Ocean Institute to BG. Support for DC and JP to process the data and write the manuscript was provided by a grant from the David and Lucile Packard Foundation to MBARI

The adolescent girls vulnerability index: Guiding strategic investment in Uganda

Adolescence (from the ages of 10 to 19 years) is a critical stage of human development during which children experience rapid social, physical, psychological, and emotional changes on the path from childhood to adulthood. The decisions that are made during this period of life affect not only the individual well-being of young people, but also the well-being of the entire society. The Adolescent Girls Multilevel Vulnerability Index (AGI) was developed based on a growing recognition of the need to channel resources to vital—yet highly vulnerable and vastly underserved—populations of adolescent girls in Uganda specifically, and the East and Southern Africa region in general. AGI aims to be a summary indicator that can serve as an advocacy tool to draw attention to adolescent girls, a rigorous measure to inform decisions about policymaking and macro-level resource allocation, and an instrument for planning and monitoring progress. The report is a joint collaboration between the Government of Uganda, UNICEF, and the Population Council

Computed tomography of cortical desmoid

The diagnosis of cortical desmoid in the typical case is easily established using conventional radiography. In atypical cases, the use of computed tomography (CT) may be helpful in diagnosis. We report the use of computed tomography in two patients with cortical desmoids. In one case plain radiographic findings were not diagnostic and the use of CT obviated biopsy. The finding of a desmoid in an atypical location, the insertion site of the medial head of the gastrocnemius tendon, is discussed.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46775/1/256_2004_Article_BF00373175.pd

X-ray white beam topography of self-organized domains in flux-grown BaTiO3 single crystals

The phenomenon of self-organization of domains into a “square-net pattern” in single-crystal, flux-grown BaTiO3 several degrees below the ferroelectric to paraelectric phase transition was investigated using in situ synchrotron x-ray topography. The tetragonal distortion of the crystal was determined by measuring the angular separation between the diffraction images received from 90° a and c domains in the projection topographs, and shows a rapid decrease towards 110 °C, the onset temperature for self-organization. The onset of self-organization is accompanied by bending of the {100} lattice planes parallel to the crystal surface, which produces a strain that persists up to and beyond the Curie temperature, where the crystal becomes cubic and the self-organized domains disappear. At the Curie point, the bending angle α100=8.1(±0.3)mrad is at a maximum and corresponds to the radius of curvature of the surface being 16.3(±0.6) mm

Bringing Upstairs Care Downstairs; Integration of Rehabilitation Medicine, Care Management, and the Hospital Elder Life Program (HELP) into an Emergency Department.

Introduction: Services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), social work (SW), care management, and elder life specialists have long been an established part of care for patients admitted to Maine Medical Center (MMC) but not for patients in the Emergency Department (ED). Methods and Results: Driven in part by changes in Medicare reimbursement models, care management established a presence in the Emergency Department (ED) in 2003 with a focus on care planning and cost avoidance. In recent years PT, OT, SLP, SW, and the Hospital Elder Life Program (HELP) have increased their ED involvement substantially. These services not only support care management decisions but have become an invaluable part of the ED team. The timing, staffing models, and roles of these services in our emergency department are described. Discussion: There was strong leadership support to create these positions in the ED. Increased patient volume hospital wide has required staffing flexibility. Initial concerns for slowing the ED where anecdotally resolved. Other hospitals in our system are interested in this approach. Conclusions: While the value of this work feels self-evident and is already established for admitted patients, descriptive and outcome-oriented studies for ED patients would be enlightening