Overcoming challenges to optimize the clinical and financial benefits of in-home rehabilitation services.

The authors advocate for the implementation of value-based principles to address the underutilization and limited supply of home care and rehabilitation services.

Combined Anteversion in Healthy Hips: Should there be a single implant alignment target in total hip arthroplasty?

Background: The ideal anteversion at which the acetabular and femoral components for a total hip arthroplasty (THA) should be implanted is still a subject of debate. One alignment philosophy being explored is restoration of individual constitutional femoral and acetabular anteversion. This study aimed to measure combined anteversion in a healthy hip population and understand the expected phenotypes and ranges for constitutional hip alignment.

Selective social tolerance drives differentiated relationships among wild female chimpanzees.

Strong, affiliative bonds often function to facilitate social competition through cooperative defence of resources, but the benefits of social bonds may be low when direct competition is less intense or less beneficial. In such cases, one possible outcome is that relationships are weak and undifferentiated. Alternatively, negotiating stable, selectively tolerant relationships may be a strategy to mitigate the costs and risks of sharing space when direct competition is undesirable.

Disparities in 180-day Infection Rates Following Coronary Artery Bypass Grafting and Aortic Valve Replacement.

Objective: To compare sex and racial differences in 180-day infection rates after coronary artery bypass grafting (CABG) and aortic valve replacement (AVR).

Methods: A Statewide Society of Thoracic Surgeons Adult Cardiac Surgery Database was linked to Medicare claims data to identify 8,887 beneficiaries undergoing CABG and AVR (surgical or transcatheter) between 2017 and 2021. The primary outcome was the incidence of 180-day infection.

Donor/Acceptor Ligands Based on an -Terphenyl Motif to Achieve Thermally Activated Delayed Fluorescence in Zn(II) Complexes.

The photophysical properties of six new luminescent tetrahedral Zn(II) complexes are presented that survey two electronic donor moieties (phenolate and carbazolate) and three electronic acceptors (pyridine, pyrimidine, and pyrazine). A unique ligand based on an -terphenyl motif forms an eight-membered chelate, which enhances through-space charge-transfer (CT) interactions by limiting through-bond conjugation between the donor and acceptor. A single isomeric product was obtained in yields up to 90%.