A Job Task Analysis of the Expanding Role of the Pediatric Mental Health Specialist and the Nurse Practitioner in Pediatric Mental Health

Lack of access to support, services, and providers for children and adolescents with mental health conditions is a serious problem in the United States. Fewer than half of the children who need services obtain them. To meet this demand, the Pediatric Nursing Certification Board launched a new specialty certification in 2011 for advanced practice registered nurses called the pediatric primary care mental health specialist (PMHS). In 2016, a job task analysis of the role of the PMHS and nurse practitioners practicing in pediatric mental health and developmental/behavioral pediatrics was conducted. Surveys were completed by 293 respondents. Demographic characteristics, tasks performed in practice, diagnoses made, assessment and screening tools used, and types of pharmacologic and nonpharmacologic interventions were obtained and are reported. The roles of the PMHS and nurse practitioner in pediatric mental health are well established and key to expanding services and access to children and their families.     

Risk prediction of cerebrovascular events with carotid plaque magnetic resonance analysis: A meta-analysis

Background and purpose

It is not conclusive that magnetic resonance (MR)-based carotid atherosclerotic plaque assessment identifies high-risk features associated with cerebrovascular events. We aimed to systematically summarize the association of MR imaging (MRI)-determined intraplaque hemorrhage (IPH), lipid-rich necrotic core (LRNC), and thinning/rupture of the fibrous cap (TRFC) with subsequent ischemic events.

二期翻修治疗人工髋、膝关节置换术后感染的研究进展

目的综述二期翻修治疗人工髋、膝关节置换术后感染的研究进展。方法广泛查阅近年国内外相关文献，总结二期翻修治疗人工髋、膝关节感染中间隔器的选择、全身性抗生素使用疗程及预后危险因素评估方面的新进展。结果二期翻修是治疗人工髋、膝关节置换术后感染的常用方式。第 1 阶段术中使用的间隔器类型多样，各有优缺点。其中，非关节型间隔器主要用于关节周围软组织条件欠佳、存在严重骨缺损患者，但间隔器植入后关节活动度不佳；关节型间隔器可使受累关节术后恢复运动，改善后期关节活动度。应用抗生素是治疗过程中不可缺少部分，短期应用抗生素治疗也可获得与长疗程相似疗效。明确影响二期翻修预后的危险因素有助于术前管理以及降低感染复发率。结论目前二期翻修治疗人工髋、膝关节置换术后感染过程中间隔器的选择以及抗生素应用疗程等问题仍存在争议，影响二期翻修预后的影响因素有待探究，需要进一步高质量研究加以明确。     

Photorealistic imaging of left atrial appendage occlusion/exclusion

Recent improvements in 3D TEE post processing rendering techniques referred to as TrueVue (Philips Medical Systems, Andover, MA, USA). It allows for novel photorealistic imaging of cardiac structures including left atrial appendage (LAA) and its closure devices. Here we present TrueVue images of the LAA prior to and after LAA exclusion/occlusion using various percutaneous and surgical techniques. TrueVue may improve delineation of LAA anatomy prior to occlusion as well as visualization of occluder device position within the LAA.