Cognitive-Behavioral and Dialectical Behavior Therapy in High-Intensity Settings.

Youth mental health is a major public health concern. Adolescents experiencing mental health crises are increasingly presenting to high-intensity settings such as inpatient and partial hospitalization programs. These services offer a multimodal approach involving medication management, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT).

Full thickness burn caused by exposure to giant hogweed: delayed presentation, histological features and surgical management.

We report the case of a 10-year-old boy with a full thickness chemical burn on his right pretibial area due to phytophotodermatitis (PPD) following contact with giant hogweed (Heracleum mantegazzianum). Although cutaneous burns due to plants are a well-established cause of chemical burn, previous reports described partial thickness burns that healed with conservative measures. This patient presented to our unit two weeks after the initial injury with an established full thickness burn.

The effects of freezing on the tensile properties of repaired porcine flexor tendon.

Purpose: When conducting complex testing of tendon repairs, it is essential that the samples are adequately preserved to prevent degradation. Freezing of samples is the most convenient method of preservation; however, there is no evidence in the literature to prove that freezing tendon before or after repair is acceptable. We aimed to prove that freezing tendons does not significantly alter the results of linear load-to-failure testing of tendon repairs.

Pre-medication for bronchoscopy: a randomised double blind trial comparing alfentanil with midazolam.

This study was designed to compare the effects of alfentanil and midazolam pre-medication on patient comfort during and after flexible bronchoscopy. A randomised, double-blind study was performed; 40 patients received alfentanil and 29 midazolam. Subjects completed questionnaires about discomfort and adverse effects immediately post-procedure and 24 h later.

The economic benefit for family/general medicine practices employing physician assistants.

Objective: To measure the economic benefit of a family/general medicine physician assistant (PA) practice.

Study Design: Qualitative description of a model PA practice in a family/general medicine practice office setting, and comparison of the financial productivity of a PA practice with that of a non-PA (physician-only) practice.

Methods: The study site was a family/general medicine practice office in southwestern Pennsylvania.