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We investigated if infants with a Barlow positive hip(s) have natural hip stabilization and can thus avoid Pavlik Harness (PH) treatment. We conducted a chart review for infants who presented within two weeks of life, had a Barlow positive hip, and were deferred treatment. Of the thirty infants, eighteen were treated with PH at 4–6 weeks or 12 weeks due to persistent dysplasia. Twelve infants avoided PH entirely. There were zero cases of PH failure. Parents can be counseled that deferring treatment until at least 4–6 weeks of age might avoid treatment altogether without an increased risk of harness failure.

SiC device area is presently limited by material and processing defects. To meet the large current handling requirements of power conditioning systems, paralleling of a large number of devices is required. This can increase cost and complexity through dicing, soldering, insertion of ballast resistors, and forming multiple wire bonds. Furthermore, paralleling numerous discrete devices increases package volume/weight and reduces power density. To overcome these complexities, 79 p-i-n diodes were interconnected on a 3-in 4H-SiC wafer to form a 6.9-cm2 active-area full wafer diode. The interconnected wafer diode blocked a voltage of 4 kV at an extremely low leakage current density of 0.07 $\mu \text{A}$ /cm2. The wafer diode was subsequently mounted in a hockey puck package and subjected to high power pulsed testing, wherein initial energy stored in a capacitor bank discharged through the interconnected wafer diode into a resistive load. At a pulsed current density of 8 kA/cm2 and a rise rate of $di/dt=1.3~{\rm kA}/\mu \text{s}$ , the interconnected wafer diode conducted a peak current of 54.8 kA and dissipated 149 J. The calculated action was 420 kA2-s.

Sociocultural poetry can be used in conjunction with a counselor empathy model to assist community college counselors to build cultural competence, to understand lived experiences of clients from culturally different backgrounds, and to foster the use of empathy skills in counseling relationships.

Sociocultural poetry can be used in conjunction with a 6-step counselor empathy model to help gifted students understand the lived experiences of others, as well as to help these same students explore their own feelings and thoughts about self in relation to the world. The model can also be utilized to assist in the development of basic empathy skills.

This investigation was undertaken to determine whether perioperative variables present in patients scheduled for elective coronary artery bypass grafting (CABG) surgery, and documented in earlier studies at university programs, bear any significant relationship to mortality occurring in a population of prospectively monitored non-university hospital patients. The investigation sought to identify the risk factors that might be present in these patients. Toward this purpose, data from 1,095 patients having CABG surgery at four major non-university Pittsburgh hospitals were analyzed using univariste and multivariate analysis to develop a model for predicting survival. From this model, three variables, unstable angina or recent myocardial infarction (< 6 weeks); evidence of chronic heart failure at the time of the preoperative examination; and greater than 65 years of age were found to have high statistical significance (P< 0.02) in predicting mortality in this non-university-hospital population. In summary, the study demonstrated that three variables, previously confirmed as being valuable predictors of risk in university hospital populations, also have significant predictive value in elective non-university CABG survival.

The use and abuse of alcohol and other drugs (AOD) occurs as frequently, and perhaps more frequently among persons with disabilities. Still, rehabilitation professionals tend to minimize its occurrence, as well as the Impact of AOD misuse in the rehabilitation process. The purpose of this article is to highlight the prevalence and incidence of AOD, the effects of AOD misuse, and unique treatment issues among persons with six disabling conditions. The six disabling conditions include: (1) mental retardation, (2) learning disabled, (3) hearing impaired, (4) visually Impaired, (5) mobility Impaired, or (6) mentally ill/substance abusing.

Because of the high Incidence, and the possible resulting vocational disability it is very likely that rehabilitation counselors, particularly those employed in medical settings and the state, federal system, will work with women who have breast cancer and are eligible for services. Cancer of the breast may have significant impact on the emotional and psychological constructs of the individual, as it affects not only the patient, but her family as well and may interfere with, and disrupt the organization of the family, social, financial, education, vocational goals, and indeed the very definition of the family unit. Suggestions are made for some counseling techniques which may be used in dealing with these problems.

Early reports suggest that patients with novel coronavirus disease-2019 (COVID-19) infection carry a significant risk of altered coagulation with an increased risk for venous thromboembolic events. This report investigates the relationship of significant COVID-19 infection and deep venous thrombosis (DVT) as reflected in the patient clinical and laboratory characteristics.

Forty-three consecutive patients with previous balloon atrial septostomy have undergone a Senning type repair of transposition of the great arteries without patch augmentation of the atrial septum. A technique was used that allows expansion of the atrial septum without the use of additional foreign or autogenous materials. The operative (30-day) mortality rate was 4.6% (2/43) with no late deaths. A mean follow-up of 20 months shows that 83% of the patients are in sinus rhythm and none of these patients have clinically detectable caval or pulmonary venous obstruction or baffle leaks. In patients selected for atrial switch, the Senning operation may be performed without patch augmentation of the septum. Performed by the method described herein, the operation provides predictable early and late results with a low prevalence of arrhythmias. Significant venous obstruction has not occurred.

The article presents the possible benefits in attending the 77th Military Operations Research Society (MORS) Symposium (MORSS) to be held at Fort Leavenworth, Kansas City area. It notes that the event will be convenient and relaxing since the MORSS activities are concentrated in a very small footprint on post. Furthermore, Fort Leavenworth is a pleasant place to visit and is uniquely historic, and the small city of Leavenworth, which is adjacent to the post, is quite welcoming to all.

The article focuses on the Fort Leavenworth, Kansas being the host of the 77th Military Operations Research Society (MORS) Symposium. It notes that the symposium will center on the Lewis and Clark Center, the home of the U.S. Army Command and General Staff College (CGSC). The facilities that will be used during the symposium which includes the Eisenhower Hall and the Combined Arms Research Library are also noted.

The article focuses on the impact of the launch of the pneumococcal childhood immunisation programme on general practitioners in Great Britain. It details the financial implications of the program to physicians. Prevenar pneumococcal conjugate vaccine (PCV) and Menitorix Hib+Meningitis C vaccine are the two new vaccines included in the program. It emphasizes the importance of educating staff about the new program.

Ebola virus–infected macaques were successfully treated with a cocktail of monoclonals manufactured in plants.

The article offers information on the 77th Military Operations Research Society Symposium (MORSS) to be held at the U.S. Army Command and General Staff College (CGSC) in Fort Leavenworth, Kansas on June 16-18, 2009.

The article reports on competency framework for nurses working in travel health in Great Britain. It states that the Royal College of Nursing Competencies define the knowledge expected of nurses providing travel health services, listing standards required of a competent, experienced or proficient nurse and the high level of expectations of a senior practitioner or expert nurse. It adds that nurses should get hold of the competencies document.

The article focuses on charges from general practitioners (GP) for giving hepatitis B immunization. It states that a GP can charge for giving hepatitis vaccine as a single vaccine and cannot charge if they are giving a combined hepatitis A and B jab because this will attract a payment from the British National Health Service. Dispensing fee and reimbursement can be claimed by GP through the personal administration scheme.

The article presents the poem "The First Four Minutes," by Michael Ingram. First Line: It was a crisp, dark night. Last Line: I knew the game was mine with the first whoosh of the serve.