Kreck-Stolz invariants for quaternionic line bundles

We generalise the Kreck-Stolz invariants s 2 s_2 and s 3 s_3 by defining a new invariant, the t t -invariant, for quaternionic line bundles  E E over closed spin-manifolds M M of dimension 4 k − 1 4k-1 with  H 3 ( M ; Q ) = 0 H^3(M; \mathbb Q) = 0 such that  c 2 ( E ) ∈ H 4 ( M ) c_2(E)\in H^4(M) is torsion. The t t -invariant classifies closed smooth oriented 2 2 -connected rational homology 7 7 -spheres up to almost-diffeomorphism, that is, diffeomorphism up to a connected sum with an exotic sphere. It also detects exotic homeomorphisms between such manifolds. The t t -invariant also gives information about quaternionic line bundles over a fixed manifold, and we use it to give a new proof of a theorem of Feder and Gitler about the values of the second Chern classes of quaternionic line bundles over H P k \mathbb H P^k . The t t -invariant for S 4 k − 1 S^{4k-1} is closely related to the Adams e e -invariant on the ( 4 k − 5 ) (4k-5) -stem.</p

Curbing the HIV Epidemic by Supporting Effective Engagement in HIV Care: Recommendations for Health Plans and Health Care Purchasers

The United States is poised to dramatically reduce the scope of its HIV epidemic, but this demands increased leadership and attention from health plans and health care purchasers (including Medicaid, Medicare, marketplaces, and other private purchasers). This new amfAR report identifies changes in policy and practice in clinics, communities, and health care programs to reduce unnecessary health spending, increase the effectiveness of services, and increase the integration of services. Done right, the same steps that lead to appropriate management of care by health plans and purchasers also will help to achieve national public health goals

Vermont's Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges as the Program Concluded Its Third Year

Based on case study interviews and state data, evaluates the impact of a waiver introduced in 2005 to improve Medicaid beneficiaries' access to home and community-based services while reducing the use of nursing home care and controlling costs

The generation of gravitational waves. 2: The post-linear formalism revisited

Two different versions of the Green's function for the scalar wave equation in weakly curved spacetime (one due to DeWitt and DeWitt, the other to Thorne and Kovacs) are compared and contrasted; and their mathematical equivalence is demonstrated. The DeWitt-DeWitt Green's function is used to construct several alternative versions of the Thorne-Kovacs post-linear formalism for gravitational-wave generation. Finally it is shown that, in calculations of gravitational bremsstrahlung radiation, some of our versions of the post-linear formalism allow one to treat the interacting bodies as point masses, while others do not

Extractable nitrogen and microbial community structure respond to grassland restoration regardless of historical context and soil composition.

Grasslands have a long history of invasion by exotic annuals, which may alter microbial communities and nutrient cycling through changes in litter quality and biomass turnover rates. We compared plant community composition, soil chemical and microbial community composition, potential soil respiration and nitrogen (N) turnover rates between invaded and restored plots in inland and coastal grasslands. Restoration increased microbial biomass and fungal : bacterial (F : B) ratios, but sampling season had a greater influence on the F : B ratio than did restoration. Microbial community composition assessed by phospholipid fatty acid was altered by restoration, but also varied by season and by site. Total soil carbon (C) and N and potential soil respiration did not differ between treatments, but N mineralization decreased while extractable nitrate and nitrification and N immobilization rate increased in restored compared with unrestored sites. The differences in soil chemistry and microbial community composition between unrestored and restored sites indicate that these soils are responsive, and therefore not resistant to feedbacks caused by changes in vegetation type. The resilience, or recovery, of these soils is difficult to assess in the absence of uninvaded control grasslands. However, the rapid changes in microbial and N cycling characteristics following removal of invasives in both grassland sites suggest that the soils are resilient to invasion. The lack of change in total C and N pools may provide a buffer that promotes resilience of labile pools and microbial community structure

Hyposmia, not emotion perception, is associated with psychosocial outcome after severe traumatic brain injury

OBJECTIVE: The current study aimed to determine whether 2 variables associated with orbitofrontal damage, hyposmia and emotion perception deficits, are associated with socially disinhibited behavior and psychosocial outcome after traumatic brain injury (TBI). METHODS: The Brief Smell Identification Test (BSIT), an emotion labeling task, an emotion intensity rating task, and an observational measure of social disinhibition were completed by 23 individuals with severe TBI. The disinhibition domain of the Neuropsychiatric Inventory and the interpersonal relationships subscale of the Sydney Psychosocial Reintegration Scale (SPRS-IR) were completed by a close other. Fifteen control participants provided norms against which to assess performance on the emotion intensity rating task. RESULTS: BSIT scores predicted informant-reported change in interpersonal relationships on the SPRS-IR. Hyposmia, though, was not associated with informant-reported or observed social disinhibition. An impairment in accuracy scores on both emotion perceptions tasks was found for participants with TBI, yet intensity ratings did not differ between groups. This suggests that people with TBI are not actually impaired at detecting intensity of emotion but are less likely to perceive the target emotion as the dominant emotion. Emotion perception was not related to disinhibition or change in interpersonal relationships. CONCLUSIONS: These results support previous claims that hyposmia has prognostic significance following TBI. On the other hand, emotion perception impairment measured by standardized tasks does not appear to be an important factor in interpersonal outcomes. Finally, these results suggest that standardized emotion perception tasks may underestimate the emotion perception capabilities of people with TBI

A review of social disinhibition after traumatic brain injury

Acquired social disinhibition refers to a debilitating behavioural syndrome commonly reported after a severe traumatic brain injury (TBI) and is characterized by inappropriate social behaviour, often described as immaturity and insensitivity towards others. These behaviours can have enduring effects on the social capability of the individual and their relationships with others. However, research into socially disinhibited behaviour after TBI has been thwarted by a lack of consensus in the literature on definition and measurement. This review provides an overview of our current understanding of the definition, measurement, prevalence, associated outcomes, neuropathology, and underlying mechanisms of social disinhibition after TBI. In addition, suggestions are made for future research to further our understanding of this syndrome with the eventual aim of rehabilitating problematic behaviours. It is concluded that an improved understanding of what causes disinhibited behaviour after TBI will be necessary for the development of effective treatment strategies aimed at the rehabilitation of underlying impairments

Conflict in invasive species management

This is the final version of the article. Available from Ecological Society of America via the DOI in this record.As invasive species management becomes more ambitious in scope and scale, projects are increasingly challenged by disputes and conflicts among people, which can produce undesirable environmental and social outcomes. Here, we examine when and how conflicts have arisen from invasive species management, and consider why some management approaches may be more prone to conflict than others. Insufficient appreciation of sociopolitical context, non-existent or perfunctory public and community engagement, and unidirectional communications can all foster “destructive” conflict. We propose that approaches to conflict in invasive species management might be transformed by anticipating disagreements, attending more carefully to the social-ecological contexts of management, adopting more inclusive engagement mechanisms, and fostering more open, responsive communication. Conflicts may be unavoidable, but they can be anticipated and need not be destructive.SLC was supported by a scholarship from the University of Exeter