Educational Curriculum for Peripheral Nerve Stimulation Developed by the North American Neuromodulation Society.

Background: Peripheral nerve stimulation (PNS) is an effective neuromodulation therapy for chronic neuropathic and nociceptive pain. Although the total number of PNS implantations has increased over the last decade, no curriculum exists to guide training and learning of this therapy. The goal of the North American Neuromodulation Society (NANS) education committee is to develop a series of competency-based curriculums for neuromodulation therapies.

A Qualitative Study of Parental Perspectives on Prenatal Counseling at Extreme Prematurity.

Objective: To determine parental preferred language, terminology, and approach after prenatal counseling for an anticipated extremely preterm delivery.

Study Design: Pregnant persons (and their partners) admitted at 22-25 weeks of estimated gestation participated in post antenatal-counseling semistructured interviews to explore preferred language and decision-making approaches of their antenatal counseling session. Interviews were audio-recorded and transcribed, and thematic analysis of the data was performed.

Premature Infants Have Normal Maturation of the T Cell Receptor Repertoire at Term.

Premature infants are known to have immature immune systems compared to term infants; however, the impacts of ex utero immune development are not well characterized. Our previous retrospective clinical review showed prolonged T cell lymphopenia in a subset of extremely premature infants, suggesting that they may have lasting abnormalities in their T cell compartments. We used T cell receptor (TCR) repertoire sequencing to analyze the composition of the T cell compartment in premature and term infants in our NICU.

Feasibility of the Figure-of-8-Suture as Venous Closure in Interventional Electrophysiology: One Strategy for All?

: Venous vascular access with higher sheath size is common in interventional electrophysiology. In contrast to arterial vascular access, no dedicated closure devices exist for closure after venous access with higher sheath sizes. The Figure-of-8-Suture, an easy to apply suture, may be as a feasible approach for closure venous puncture.

2018 Guide to Nursing Certification Boards.

Nursing specialty certification is a way to demonstrate clinical and professional growth. Use this resource to learn about available certifications and contact the certifying body that meets your needs.

[Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience].

Background: Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators.

Methods: Consecutive ablation procedures with the use of a 3D mapping system were analyzed.

2017 Guide to Nursing Certification Boards.

Nursing specialty certification is one way to enhance your professional development and to exhibit dedication to high-quality, safe patient care and a commitment of excellence to your organization. Use this resource to explore your options and contact the certifying body that meets your needs.

Isolation and genetic analysis of bovine viral diarrhea virus from infected cattle in indiana.

Species and biotype distribution was determined in 44 bovine viral diarrhea virus- (BVDV-) positive samples submitted to the Animal Disease Diagnostic Laboratory (ADDL) in Indiana during 2006-2008. BVDV RNA was detected in the 5'-untranslated region and N(pro) region using reverse transcriptase PCR followed by sequencing analysis of the PCR product. Additionally, cases were classified into one of six categories according to history and/or lesions: acute symptomatic, hemorrhagic, respiratory distress, reproductive, persistent infection (PI), and mucosal disease (MD).

Seroprevalence of infectious bovine rhinotracheitis and bovine viral diarrhea virus type 1 and type 2 in non-vaccinated cattle herds in the Pacific Region of Central Costa Rica.

The objectives of this cross-sectional study were to estimate the seroprevalence of infectious bovine rhinotracheitis (IBR, BHV-1) and bovine viral diarrhea virus (BVDV) in a population of non-vaccinated, double purpose, dairy and beef herds in the Pacific Region of Central Costa Rica. Blood samples were collected from a total of 496 animals from 35 herds. Sera were tested for antibodies against BHV-1(IBR) and BVDV types 1 and 2 using serum neutralization test.

Validation of the German version of the Chronic Liver Disease Questionnaire.

Objective: The Chronic Liver Disease Questionnaire is an instrument for the assessment of health-related quality of life in patients with chronic liver diseases. So far it has not been validated for German speaking countries.

Methods: Two hundred and three consecutive patients with chronic liver diseases (age, 52.

Computed tomography of renal lymphoma with ultrasound correlation.

The computed tomography (CT) and ultrasound findings in 18 patients (35 kidneys) with non-Hodgkin lymphoma involving the kidneys are presented. Renal involvement was bilateral in 13 patients. The most common presentation was that of multiple intraparenchymal nodules (15 kidneys).

Gray-scale ultrasonic demonstration of peripancreatic adenopathy.

The ultrasonic appearance of peripancreatic adenopathy in ten patients is described. The enlarged nodes may appear as well-defined, echo-poor, ovoid or rounded masses in a retropancreatic location, or they may surround and silhouette the region of the pancreatic head and body. The former appearance should be easy to differentiate from primary pancreatic neoplasm, but with a confluent mass of peripancreatic nodes it may be impossible to exclude pancreatic disease.

Thickening of the posterior wall of the bronchus intermedius. A sign on lateral radiographs of congestive heart failure, lymph node enlargement, and neoplastic infiltration.

The posterior wall of the bronchus intermedius (PWBI) is outlined on most lateral chest radiographs by air in the lumen and in adjacent lung. In a prospective review over a 19-month interval, the authors found 36 patients whose PWBI was thick, defined as thickness greater than the normal upper limit of 3.0 mm (33 patients) or as increase of 1.

Effect of light intensity on macromolecular synthesis in cyanobacteria.

The light-dependent incorporation of NaH(14)CO3 into low molecular weight compounds, polysaccharide, or protein was determined in cultures of the cyanobacteriumMerismopedia tenuissima incubated at a series of light intensities. There was an inverse relationship between incorporation into polysaccharide and protein. At light intensities of 90 μE/m(2)/sec or above, relative incorporation of radioisotope into polysaccharide was greatest and relative incorporation into protein was lowest.

Pharmacological modulation of edema mediated by prostaglandin, serotonin and histamine.

Previous studies demonstrated that the formamidine pesticide chlordimeform (CDM) reversibly inhibited prostaglandin biosynthesis and prevented the late (PG-mediated) phase of carrageenin-induced hind paw edema. This study emphasizes antagonism by CDM of the early (5HT and histamine-mediated) phase of carrageenin edema. CDM and cyproheptadine both antagonized paw edema induced by albumin (5HT and histamine-mediated) and by the direct injection of 5HT and histamine, whereas aspirin and the PG antagonist, SC-19220, were ineffective.

Prolapsing neoplasms of the terminal ileum simulating enlarged ileocecal valves.

Prolapsing and/or intussuscepting neoplasms of the terminal ileum are an uncommon cause of a prominent ileocecal valve as seen on a barium enema. Because of their varying position, these lesions require several spot films with reflux into the terminal ileum for their detection and accurate diagnosis. Five cases are described and illustrated, four lipomas and one carcinoid.

Primary hyperparathyroidism and benign monoclonal gammopathy.

Three patients had primary hyperparathyroidism and monoclonal serum immunoglobulins. Although multiple myeloma was suspected in each case, subsequent evaluation was consistent with a "benign monoclonal gammopathy". Parathyroid adenomas were removed from two patients.

The anion gap in asymptomatic plasma cell dyscrasias.

The presence of a low anion gap in patients with multiple myeloma has recently been emphasized. This has been related to the retention of chloride and bicarbonate anions to offset the cationic charge of the monoclonal immunoglobulins. We now report the presence of a low anion gap in 50 patients with asymptomatic plasma cell dyscrasias.