Transthoracic Echocardiography for Diagnosis of Infective Endocarditis Causing Late Left Ventricular Pseudoaneurysm of the Basal Anterolateral Wall.

• Pseudoaneurysms are associated with increased cardiovascular morbidity and mortality. • Pseudoaneurysms can be an early or late complication of IE. • High index of suspicion is important with respect to early diagnosis.

Perennial pastures reduce nitrous oxide emissions in mixed farming systems in a semi-arid environment.

Perennial pastures play a crucial role in mixed farming systems by supplying feed for livestock, restoring soil fertility, reducing deep drainage, providing an opportunity to manage herbicide-resistant weeds and breaking soil-borne disease cycles. However, to our knowledge there is no data on the role of perennial pastures in mitigating NO emissions from the phased crop rotations in semi-arid environments. Two 4-year field experiments were conducted in a semi-arid environment in southern Australia to (a) evaluate the role of perennial pastures in mitigating NO emissions in mixed farming systems, and (b) compare the cumulative NO emissions from different pasture mixes.

A quality improvement project to decrease utilization of multilumen peripherally inserted central catheters.

We performed a quality improvement project to decrease utilization of multilumen peripherally inserted central catheters (PICCs) in favor of single-lumen PICCs and midline catheters. Through optimization of electronic orders, education and decision support, we decreased utilization of multilumen PICCs, changed provider ordering patterns, and showed a downward trend in CLABSIs.

The impact of psychotic experiences in the early stages of mental health problems in young people.

Background: Anxiety and depressive symptoms and psychotic experiences constitute common features of emerging mental disorders in young people. Psychotic experiences and the ultra-high risk (UHR) state for psychosis appear to have a particular importance for clinical presentation, progression of symptomatology, quality of life and functioning, but the impact of psychotic experiences in individuals seeking help at non-UHR services, compared to UHR services, is under-researched.

Methods: Sixty-nine young people (M ± SD at baseline = 20.