Spondylocostal dysplasia and brachydactyly associated with TBX6 and IHH variants: A case report.

We report a preterm male neonate presenting with a short trunk, short neck, low hairline, deformed ears, preauricular skin tag, penoscrotal transposition (PT), palmar crease, short and broad fingers and toes (brachydactyly), hypoplastic and deep-set nails, metatarsal abductus, and cross-fused, small echogenic kidneys. Radiologic findings and genetic studies are consistent with spondylocostal dysostosis (SCD) and autosomal dominant brachydactyly. This is the first case report of spondylocostal dysostosis and brachydactyly associated with and variants.

Fatal Gastrointestinal Hemorrhage in a Patient with Brunner's Gland Hyperplasia.

Brunner's gland hyperplasia is a rare cause of duodenal mass and gastrointestinal hemorrhage. Imaging and esophagoduodenoscopic evaluation of this condition are frequently consistent with a duodenal malignancy often resulting in surgical resection. However, the malignant potential of these lesions is still unknown, and most are benign.

The importance of fidelity in peer-based programs: the case of the Wellness Recovery Action Plan.

Topic: This article reflects on the importance of fidelity in the delivery of the peer-based Wellness Recovery Action Plan.

Purpose: The purpose of this account is to describe efforts being made to preserve the evidenced-based practice of the Wellness Recovery Action Plan in ways that sustain the core value of self-determination, maintain fidelity to its copyrighted curriculum, and support its positive impact for all people.

Sources Used: The writing is based on personal knowledge and research literature related to the Wellness Recovery Action Plan.

Pennsylvania Certified Peer Specialist initiative: training, employment and work satisfaction outcomes.

Objective: Certified Peer Specialist training initiatives leading to paid peer support positions are increasing nationally. This longitudinal study examines a comprehensive set of outcomes associated with such an initiative undertaken in Pennsylvania beginning in 2004.

Methods: Certified Peer Specialist Training participants in three regions of Pennsylvania responded to a 60-item, multiple choice knowledge test based on the Certified Peer Specialist training curriculum.