Embedding the value of coastal ecosystem services into climate change adaptation planning.

Coastal habitats, such as salt marshes and dune systems, can protect communities from hazards by reducing coastline exposure. However, these critical habitats and their diverse ecosystem services are threatened by coastal development and the impacts from a changing climate. Ever increasing pressure on coastal habitats calls for coastal climate adaptation efforts that mitigate or adapt to these pressures in ways that maintain the integrity of coastal landscapes.

Comparison of five patellar height measurement methods in 90° knee flexion.

Purpose: The aim of this prospective study was to evaluate the patellar height in 90° knee flexion.

Methods: A total of 85 patients with 95 knee joints were included in the study. Patellar height was measured according to the Blackburne-Peel, Labelle-Laurin, Insall-Salvati, Linclau, and Caton-Deschamps methods in the whole group and in subgroups based on age, gender, and side.

Why do some patients with schizophrenia want to be engaged in medical decision making and others do not?

Objective: Treatment guidelines for schizophrenia recommend that medical decisions should be shared between patients with schizophrenia and their physicians. Our goal was to determine why some patients want to participate in medical decision making and others do not.

Method: To identify determinants of participation preferences in schizophrenia patients (ICD-10 criteria) and in a nonpsychiatric comparison group (multiple sclerosis), we undertook a cross-sectional survey in 4 psychiatric and neurologic hospitals in Germany.

Can psychiatrists and neurologists predict their patients' participation preferences?

There is evidence that an optimal match of patients' participation preferences improves health outcomes. Since it is unknown whether psychiatrists and neurologists can predict their patients' participation preferences we performed a cross-sectional survey involving N = 101 inpatients with schizophrenia/schizoaffective disorder and N = 102 inpatients with multiple sclerosis. Both patients and their physicians in charge were surveyed with respect to the patients' participation preferences, using the Autonomy Preference Index and a global estimate.