A case of successful replantation of the nose is presented. Two arteries and one vein were anastomosed, providing a stable framework for direct revascularization of the amputated nasal segment. This resulted in complete survival of the nose, with an excellent aesthetic result. However, despite successful microsurgical arterial and venous repair, significant postoperative blood loss still occurred as a result of anticoagulation. In cases of the amputation of specialized structures, the improved functional and cosmetic result obtained with replantation must be weighed against the risk of blood-borne disease transmission when postoperative transfusion is required. Recognizing the potential need for postoperative transfusion in these cases is important in allowing the surgeon to exercise appropriate judgment in deciding whether replantation should be performed.

A 21 year old patient reported a relatively rapid onset of serious chronic fatigue syndrome (CFS), with her worst symptoms being cognitive impairments. Congruent with research on rapid onset CFS, she had no psychiatric history and specialized testing did not suggest that somatization was likely.Neuroimaging and EEG research has documented brain dysfunction in cases of CFS. Therefore, a quantitative EEG was done, comparing her to a normative data base. This revealed excessive left frontal theta brainwave activity in an area previously implicated in SPECT research. Therefore, a novel treatment approach was utilized consisting of a combination of EEG neurofeedback and self-hypnosis training, both of which seemed very beneficial. She experienced considerable improvement in fatigue, vigor, and confusion as measured pre-post with the Profile of Mood States and through collaborative interviews with both parents. Most of the changes were maintained at 5, 7, and 9 month follow-up testing.

During the past 40 years, there has been increased interest in clinical hypnosis among qualified health care professionals. However, training programs in the past have been quite variable. This has led to the identification of a need for an accepted standard curriculum in clinical hypnosis. The present research surveyed professionals regarding qualifications and training in clinical hypnosis. The continued growth of clinical hypnosis among professionals may ultimately rest upon the development of an educational standard that integrates clinical skills and knowledge from research.

Research and some of the valuable applications of ideomotor signaling are discussed. Then in a commentary on the uses and misuses of ideomotor signaling, and on Walsh's (1997) variant of this technique, safeguards are discussed, particularly concerning asking questions regarding the exploring of events from the past.

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