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Clinical geriatrics and interdisciplinary team care approaches have coevolved during the past 30 years. It has become an article of faith in geriatrics that the goal of multidimensional health for frail elderly patients is most effectively pursued by the interdisciplinary health care team. Geriatrics team models have recently become increasingly differentiated, following secular changes in the health care system that promote community-based care and research findings supporting the efficacy of team-based geriatric services. This article describes a number of these diverse models and evidence of their efficacy and ventures some thoughts on the position of geriatric teams within the more general emergence of primary, managed care models of health services delivery.

We investigated whether changes in perinatal outcomes occurred following introduction of key tobacco control policies in the Netherlands: smoke-free legislation in workplaces plus a tobacco tax increase and mass media campaign (January-February 2004); and extension of the smoke-free law to the hospitality industry, accompanied by another tax increase and mass media campaign (July 2008). This was a national quasi-experimental study using Netherlands Perinatal Registry data (2000-2011; registration: ClinicalTrials.gov NCT02189265). Primary outcome measures were: perinatal mortality, preterm birth, and being small-for-gestational age (SGA). The association with timing of the tobacco control policies was investigated using interrupted time series logistic regression analyses with adjustment for confounders. Among 2,069,695 singleton births, there were 13,027 (0.6%) perinatal deaths, 116,043 (5.6%) preterm live-births and 187,966 (9.1%) SGA live-births. The 2004 policies were not associated with significant changes in the odds of developing any of the primary outcomes. After the 2008 policy change, a -4.4% (95% CI -2.4; -6.4, p < 0.001) decrease in odds of being SGA was observed. A reduction in SGA births, but not preterm birth or perinatal mortality, was observed in the Netherlands after extension of the smoke-free workplace law to bars and restaurants in conjunction with a tax increase and mass media campaign. ; Myrthe J Peelen, Aziz Sheikh, Marjolein Kok, Petra Hajenius, Luc J Zimmermann, Boris W Kramer, Chantal W Hukkelhoven, Irwin K Reiss, Ben W Mol, Jasper V Been

This paper reports observations of a 22 GHz water maser 'superburst' in the G25.65+1.05 massive star-forming region, conducted in response to an alert from the Maser Monitoring Organisation (M2O). Very long baseline interferometry (VLBI) observations using the European VLBI Network (EVN) recorded a maser flux density of 1.2 × 104 Jy. The superburst was investipgated in the spectral, structural, and temporal domains and its cause was determined to be an increase in maser path length generated by the superposition of multiple maser emitting regions aligning in the line of sight to the observer. This conclusion was based on the location of the bursting maser in the context of the star-forming region, its complex structure, and its rapid onset and decay. © 2019 The Author(s) Published by Oxford University Press on behalf of the Royal Astronomical Society ; RAB acknowledges support through the EACOA Fellowship from the East Asian Core Observatories Association. GO acknowledges support from the Australian Research Council Discovery project DP180101061 funded by the Australian Government, the CAS 'Light of West China' Program 2018-XBQNXZ-B-021, and the National Key R&D Program of China 2018YFA0404602. TH is financially supported by the MEXT/JSPS KAKENHI Grant Number 17K05398. BM acknowledges support from the Spanish Ministerio de Economía y Competitividad (MINECO) under grants AYA2016-76012-C3-1-P and MDM-2014-0369 of ICCUB (Unidad de Excelencia 'María de Maeztu'). NS acknowledges support from Russian Science Foundation grant 18-12-00193. AMS is supported by the Ministry of Science and High Education (the basic part of the State assignment, RK No. AAAA-A17-117030310283-7) and by the Act 211 Government of the Russian Federation, contract No.02.A03.21.0006. JOC acknowledges support by the Italian Ministry of Foreign Affairs and International .