We investigated the effect of sleep deprivation on postural control during a simple reaction time task (SRT), during a task requiring the intermittent inhibition of a reaction (IRT), and in the absence of a concurrent information processing task. Postural sway, i.e. changes in center of pressure on a force platform, was recorded in three increasingly difficult standing conditions (fixed platform, sway-referenced platform and sway-referenced platform with sway-referenced visual scene) during the three information-processing task conditions. Five healthy subjects performed the tasks either after normal sleep or following 24 h of sustained wakefulness. As hypothesized, sleep deprivation significantly increased postural sway only in the IRT condition. Within the IRT condition, sleep deprivation significantly increased sway across all postural conditions.

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There is increasing interest in methods to improve access to behavioral health services for children and adolescents. Children's Community Pediatric Behavioral Health Service (CCPBHS) is an integrated behavioral health service whose method of (a) creating a leadership team with empowered administrative and clinical stakeholders who can act on a commitment to change and (b) having a clear mission statement with integrated administrative and clinical care processes can serve as a model for implementing integration efforts within the medical home. Community Pediatrics Behavioral Health Service (CPBHS) is a sustainable initiative that improved the utilization of physical health and behavioral health systems for youth and improved the utilization of evidence-based interventions for youth served in primary care.

Development of a clinical neuroscience curriculum at the authors' program provides a potential framework for implementation in other psychiatry residency programs.

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I t is demonstrated that measured relationships between the vibration and pressurejluctwtion at the input and output ends of hydraulic hoses, such as would be generated by a pump and transmitted to the subsequent circuit, can be described satisfoctorily by two types of wave involving differing proportions of predominantly axial motion of the hose and the contained jiuid, together with bending and torsional wave motion. The values of the wave properties required to do this are presented for four representative hose constructions, and the relationship of the properties t o the construction is discussed.A0 c; c 2 ' a cb C a 1 c a 2 cb1cb2 E l F F T J k 1 P P S t NIN2 ' I ; U

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