The Role of the Pediatric Nurse Practitioner in the Comprehensive Management of Pediatric Oncology Patients in the Inpatient Setting

The role of the pediatric nurse practitioner (PNP) in the comprehensive management of pediatric oncology patients in the inpatient setting was examined at a large tertiary teaching hospital. This article shows role responsibilities including new diagnosis teaching, procedures, routine chemotherapy, patients' comprehensive medical management, coordination of nursing care across settings, phone triage, and professional development. A PNP's typical day is highlighted to illustrate the innovative merging of traditional ambulatory care roles with that of the PNP as a comprehensive manager of pediatric oncology patients in the inpatient setting. This role provides a more seamless care experience and provides critical links in the delivery of health care to pediatric oncology patients.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68349/2/10.1177_104345429901600202.pd

The Life and Death of Barn Beetles: Faunas from Manure and Stored Hay inside Farm Buildings in Northern Iceland

This research was funded by the Commonwealth Scholarship Commission and received support from the Research Budget of the Department of Archaeology at the University of Aberdeen. This project was undertaken as part of doctoral studies supervised by Dr Karen Milek, to whom V.F. is especially grateful for her support and advice. Thomas Birch, Sigrún Inga Garðarsdóttir, and Paul Ledger provided invaluable assistance during fieldwork. V.F. would like to dedicate this paper to Tom and Sía, who met during this fieldwork and are getting married this year. Many people from Fornleifastofnun Íslands – Garðar Guðmundsson, Ólöf Þorsteinsdóttir, Þóra Pétursdóttir, Adolf Friðriksson and Uggi Ævarsson – as well as Unnstein Ingason, Ágústa Edwald, and Mark Young, helped with fieldwork logistics. Special thanks are due to all the Icelandic farmers and their families who kindly allowed us to collect insects on their farms and provided help when needed: Hermann Aðalsteinsson, Hermína Fjóla Ingólfsdóttir, Guðmundur Skúlason, Sigrún Á. Franzdóttir, Dúna Magnúsdóttir, Sverrir Steinbergsson, Valgeir Þorvaldsson, Reynir Sveinsson, Jónas Þór Ingólfsson, and Ívar Ólafsson. Eva Panagiotakopulu, Jan Klimaszewski, Ales Smetana, Georges Pelletier, Gabor Pozsgai, and Jenni Stockham helped with some of the beetle identifications. A.J.D. acknowledges the support of National Science Foundation through ARC 1202692. Consultation of the BugsCEP database (Buckland & Buckland, 2006) aided the redaction of this paper. The authors would like to thank David Smith and two anonymous reviewers for insightful comments that helped improve the quality of this paper.Peer reviewedPostprin

Histone H3.3 beyond cancer: Germline mutations in Histone 3 Family 3A and 3B cause a previously unidentified neurodegenerative disorder in 46 patients

Although somatic mutations in Histone 3.3 (H3.3) are well-studied drivers of oncogenesis, the role of germline mutations remains unreported. We analyze 46 patients bearing de novo germline mutations in histone 3 family 3A (H3F3A) or H3F3B with progressive neurologic dysfunction and congenital anomalies without malignancies. Molecular modeling of all 37 variants demonstrated clear disruptions in interactions with DNA, other histones, and histone chaperone proteins. Patient histone posttranslational modifications (PTMs) analysis revealed notably aberrant local PTM patterns distinct from the somatic lysine mutations that cause global PTM dysregulation. RNA sequencing on patient cells demonstrated up-regulated gene expression related to mitosis and cell division, and cellular assays confirmed an increased proliferative capacity. A zebrafish model showed craniofacial anomalies and a defect in Foxd3-derived glia. These data suggest that the mechanism of germline mutations are distinct from cancer-associated somatic histone mutations but may converge on control of cell proliferation

Removal of Dermoid Cyst in a German Shepherd Dog

[Veterinary World 2010; 3(7.000): 339-339