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The article discusses the community-based health care model for individuals with disabilities. It mentions about health care reform in the U.S. which includes better facility and health care support at lower cost for patients with developmental disabilities. It further informs about importance of changes in primary care practices of disable patients.

Concurrent with the sweeping changes in health care during the past decade, particularly in Medicaid financed health care, has been the reshaping of social policy toward people with developmental disabilities. The extent to which managed care entities match the themes now driving social services for people with mental retardation and other developmental disabilities (cerebral palsy, autism, etc.)is the extent to which they will be successful in serving this unique group of consumers of managed health care. The authors suggest a number of considerations for managed care organizations that increasingly serve significant numbers of this population. [ABSTRACT FROM AUTHOR]

The article presents a reprint of the article regarding access to astronomy from "Plainville Citizen," which appeared on the March 22, 2010 issue. It features author Noreen Grice who invented nonvisual access to astronomy. It states that Grice, recognized worldwide for providing access to astronomy for the blind, meets with fellow blind members. It adds that she is also associated with the National Aeronautics & Space Administration (NASA) to make educational materials for the blind.

• Low-meat and no-meat diets rely strongly on global pollinator abundance and diversity. • The location of land and water footprints differs among USA diets. • Low-meat diets support natural nitrogen fixation despite lower demand for land. • Trade-offs between global and local impacts of dietary shift call for sustainable trade. Low-meat and no-meat diets are increasingly acknowledged as sustainable alternatives to current Western food consumption patterns. Concerns for the environment, individual health or animal welfare are raising consumers' willingness to adopt such diets. Dietary shifts in Western countries may modify the way human-environment systems interact over distances, primarily as a result of existing trade flows in food products. Global studies have focused on the amount of water, land, and CO 2 emissions embodied in plant-based versus animal-based proteins, but the potential of alternative diets to shift the location of environmental impacts has not yet been investigated. We build on footprint and trade-based analyses to compare the magnitude and spatial allocation of the impacts of six diets of consumers in the United States of America (USA). We used data on declared diets as well as a stylized average diet and a recent dietary guideline integrating health and environmental targets. We demonstrate that low-meat and no-meat diets have a lower demand for land and utilize more crops with natural nitrogen fixation potential, yet also rely more widely on pollinator abundance and diversity, and can increase impacts on freshwater ecosystems in some countries. We recommend that governments carefully consider the local impacts of the alternative diets they promote, and minimize trade-offs between the global and local consequences of dietary shifts through regulation or incentives. [ABSTRACT FROM AUTHOR]