Rehabilitation team disagreement: guidelines for resolution.

Rehabilitation care is provided by interdisciplinary teams including physicians, nurses, therapists, social workers, psychologists, and others. When there is disagreement or miscommunication among team members, progress toward patient goals can be thwarted. This paper will discuss differing models by which teams function, and what happens when a nonphysician member of the team disagrees with the plan of care.

Chemiluminescent reactions of manganese with fluorine: Influence of dynamics on product energy partitioning in vibration and rotation of MnF*(b,c).

Chemiluminescent exit channels of Mn+F2-->MnF*+F were investigated using the molecular beam technique in a beam-gas configuration with an array detector. Two uncongested regions, corresponding to MnF transitions c5Sigma+(b)-a5Sigma+(b) and b5Pi(i)(int)-a5Sigma+(b) were fit for vibrational and rotational populations, which were used to develop a microscopic reaction mechanism for these chemiluminescent exit channels. In both MnF* electronic states, significant vibrational excitation but little rotational excitation was found.

Successful pregnancy in a patient with spinal muscular atrophy and severe kyphoscoliosis.

Pregnancy imposes a load on the respiratory system that is usually easily assumed because of alterations in the thoracoabdominal architecture. It is presumed that the respiratory mechanical disadvantage of severe kyphoscoliosis and the muscle weakness of spinal muscular atrophy impede these adaptations sufficiently to preclude a successful gestation. We report the case of a successful pregnancy in a woman with spinal muscular atrophy, severe uncorrected scoliosis, and the lowest spirometric values reported in the literature without the use of ventilatory support.