A pilot study of virtual reality for inpatients with opioid use disorder.

Background And Objectives: While inpatient withdrawal management/acute stabilization can improve outcomes for individuals with opioid use disorder (OUD), patients often leave treatment early due to mood, tension, and cravings associated with opioid withdrawal. The aim of this study was to evaluate the feasibility and preliminary effectiveness of a novel virtual reality (VR) based intervention; 3D Therapy Thrive (3DTT).

Methods: Subjects with OUD (N = 32) were recruited from a community acute stabilization program and received up to two sessions of 3DTT.

Through the Looking Glass: Diversity, Equity, Inclusion, and Belonging: A Call for Action from the National Association of Pediatric Nurse Practitioners.

In response to growing health disparities, social inequities, structural racism, and discrimination, the National Association of Pediatric Nurse Practitioners established a Diversity, Equity, and Inclusion Taskforce. In 2020, this group transitioned into a national committee to infuse equity across the organization and empower pediatric-focused advanced practice registered nurses as agents of change to address health disparities. Emphasizing the critical need for understanding health disparities in the context of racism and discrimination, this committee champions a paradigm shift, transcending educational initiatives, advisory roles, advocacy efforts, leadership strategies, and community services to illuminate an equitable future for all children and families.

Gallstone ileus with an enterovaginal fistula: a rare complication of pelvic radiotherapy.

Gallstone ileus is a rare cause of small bowel obstruction. Chronic gallstone irritation can lead to the formation of a cholecystoduodenal fistula, with gallstone impaction typically in the terminal ileum. Rarely gallstones can become impacted in other structures such as the colon or can even erode through the bowel.

Role of magnetic resonance angiography in vascular surgery.

Magnetic resonance angiography (MRA) is a method of non-invasive vascular imaging that has evolved and improved significantly since first described. In this article, the basic principles of MRA are reviewed and MRA compared with the more conventional imaging techniques of Doppler ultrasound and angiography. The ways in which MRA can be used in conjunction with more conventional vascular imaging techniques in investigation and management of carotid disease, aortic disease, and peripheral vascular disease are discussed in this article.