Статті в журналах: "First clinical placement"

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Korkmaz, Fatos, Gul Hatice Tarakcioglu Celik, Gulhan Erkus Kucukkelepce, Sevda Arslan, and Senay Gul. "First Clinical Placement: Nursing Students’ Views." Mediterranean Nursing and Midwifery 1, no. 2 (December 28, 2021): 58–67. http://dx.doi.org/10.5152/mnm.2021.21017.

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Hardcastle, Teresa. "First clinical placement: the student ODP experience." Journal of Operating Department Practitioners 2, no. 1 (January 2014): 42–47. http://dx.doi.org/10.12968/jodp.2014.2.1.42.

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Marchant, Julie. "Understanding the Allied Health Professions Student Experience of Practice Placements during the First Wave of the Coronavirus Pandemic." International Journal of Practice-based Learning in Health and Social Care 9, no. 2 (October 5, 2021): 39–48. http://dx.doi.org/10.18552/ijpblhsc.v9i2.741.

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In England, a national lockdown came into effect on 23 March 2020 in response to the rapid spread of the Coronavirus. Healthcare services were quickly redesigned or scaled back to meet the significant and rising demands. Many practice placements were discontinued, which resulted in large numbers of Allied Health Professions (AHPs) pre-registration students requiring placements to meet the required practice hours. The challenge for placement providers, who were experiencing increased demand and uncertainty, was to continue providing quality placements. At the local trust, 58 AHP students had a placement between April and July 2020. Some clinical areas offered traditional placements. However due to social distancing rules many placements utilised blended practice; using aspects of both direct face-to-face and remote practice. It is important to understand the student experience in anticipation of future surges of Coronavirus. In total, 36 students responded to a placement survey. Results showed the majority of the students reported positive placement experiences overall. Despite the ever-changing placement landscape and the need for flexibility, it is important to ensure that placements are well planned and that students are well informed about the safety measures in place. It is vital that student’s feel welcomed and valued in order to learn and reach their full potential whilst on placement. The use of a blended placement model provided valuable learning experiences, however consideration needs to be given to ensure that students feel part of the team and have confidence that their learning needs are met.

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Williams, Janet, Mark Murphy, and Amanda Garrow. "Development of a simulation placement in a pre-registration nursing programme." British Journal of Nursing 31, no. 10 (May 26, 2022): 549–54. http://dx.doi.org/10.12968/bjon.2022.31.10.549.

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Background: A 4-week simulation placement for first-year student nurses using an innovative blended approach was developed and delivered in one university. This was the first tariff-funded simulation placement in the UK for student nurses. Aims: To describe how this flexible simulation placement was developed, operated and adapted due to COVID-19 while exploring the student nurses' experiences and preparedness for practice. Methods: An anonymous online survey was undertaken and a placement evaluation was completed and compared with traditional clinical placement evaluations by previous students at the same point in their studies. Results: Students were as satisfied with the simulation placement as students who had attended real practice placements: 92% of students were satisfied with their simulated placement experience and 92% felt prepared for practice. Conclusion: This simulated placement has been an acceptable replacement for traditional practice placements, particularly during the COVID-19 pandemic.

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Edafe, Ovie, Natasha Mistry, and Philip Chan. "First impressions count: Does FAIRness affect adaptation of clinical clerks in their first clinical placement?" Medical Teacher 35, no. 9 (June 28, 2013): 740–46. http://dx.doi.org/10.3109/0142159x.2013.801944.

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Mažionienė, Asta, Vida Staniulienė, and Vitalija Gerikienė. "THE CLINICAL LEARNING ENVIRONMENT: THE ATTITUDE OF UNDERGRADUATE STUDENT NURSES TOWARDS MENTORSHIP AT HOSPITALS IN LITHUANIA." CBU International Conference Proceedings 6 (September 27, 2018): 659–66. http://dx.doi.org/10.12955/cbup.v6.1229.

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The research sought to determine the attitude of student nurses towards their clinical placement: clinical learning environment, communication with supervisor – mentor, and their satisfaction with the recently completed clinical placement. The research was performed by 283 students of the first to third study year from two Northwest regional higher education institutions for nurses in Lithuania. The students have recently completed their clinical placement at regional hospitals. A quantitative descriptive correlational design was used. The research instrument used was the paper version of the CLES (Clinical Learning Environment and Supervision) questionnaire. The research results revealed that more than half of the students were satisfied with their recently completed clinical placement. Their satisfaction was related to the study year. The student nurses were the most positive about the possibility to approach the members of staff during clinical placement and the fact that there were sufficient meaningful learning cases and situations during clinical placement. Clinical placement of the student nurses was supervised and assessed by supervisors – registered nurses (N=133) and ward managers (N=135). The student nurses assessed their personal contribution in clinical placement as good and very good. Those, who specified the highest personal contribution in their clinical placement, assessed the clinical learning environment the best. The most satisfied students were supervised individually during their clinical placements.

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Furness, Linda, Anna Tynan, and Jenny Ostini. "Words in action: Examining what clinical education placement documents contribute to thinking, acting and feeling like a health professional." Focus on Health Professional Education: A Multi-Professional Journal 21, no. 2 (July 31, 2020): 17–31. http://dx.doi.org/10.11157/fohpe.v21i2.380.

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Introduction: Clinical placements are critical for student learning and transition to practice. They help students integrate their knowledge and skills and support their development of professional identity—so they come to “think, act and feel” like a member of their profession. Students have reported that placements play a role in development of professional identity. Documents are frequently the first contact students have with the placement setting. However, there are few studies examining the impact of clinical placement documents on the development of allied health students’ professional identity. This study examines what clinical placement documents contribute to the development of professional identity through facilitating thinking, feeling and acting like a health professional.Methods: Thematic analysis of clinical education placement documents was conducted using a deductive framework based on review of literature considering how students can be supported to think, act and feel like a health professional.Results: Thirteen placement orientation documents were reviewed. Reference to factors that support “thinking” described learning opportunities to enable students to develop knowledge for practice. Reference to factors that support “acting” described graded learning that enables student contribution to service delivery and recognition as a health professional, and reference to factors that support “feeling” described workplace culture and practices supporting connectedness.Conclusions: This study identified that placement documents can contribute to allied health students thinking, acting and feeling like a health professional while on clinical placement. Academic staff and organisations reviewing clinical placement documents may wish to consider the implications identified in this study, which demonstrate how documents can include or exclude students in the workplace.

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Mahasneh, Deema, Noordeen Shoqirat, Arwa Alsaraireh, Charleen Singh, and Lee Thorpe. "From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan." SAGE Open Nursing 7 (January 2021): 237796082110042. http://dx.doi.org/10.1177/23779608211004298.

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Introduction Although clinical nursing placement is an indispensable component of student nurses' education, data on students' first clinical experiences is scarce in developing countries. Objectives The study aim is to uncover nursing students' first-time clinical placement experience and identify related influencing factors in Jordan. Methods: Focus group discussions (n=4) were used. Results The results showed that the transition from learning with mannequins to practicing on real patients in the clinical placement involved both effective learnings through hands-on practice to dealing with clinical challenges. Students perception of nursing ranged from positive comments such as “humanistic” and “nursing almost medicine” to negative images such as “nursing is all about bedside care” and “nursing has poor social status.” Conclusion Students' experience in their first clinical placement is multifaceted, and incorporation of student's perspective in the first clinical placement is a crucial component of educational planning.

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Azzam, Muhammad, Roidah Taqiyya Zahra Wathoni, Wihasto Suryaningtyas, and Muhammad Arifin Parenrengi. "Pediatric shunt revision analysis within the first year of shunt placement: A single center experience." Surgical Neurology International 12 (August 24, 2021): 419. http://dx.doi.org/10.25259/sni_283_2021.

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Background: Hydrocephalus is a common problem in neurosurgery with shunt placement remains the mainstay of the management. However, shunt placement generally requires following surgical procedures, including shunt revision. Despite the recent developments, the incidence of shunt failure remains high, approximately 30–51% in the 1st year following the shunt placement. Methods: An observational retrospective study of pediatric neurosurgery patients whom underwent CSF shunting procedure, both primary and repeated VPS, VAS, CPS, and subdural-peritoneal shunt procedures between January 2018 and May 2019. The patients were observed for 12 months for potential complication requiring shunt revision following the shunt placement. Results: A total of 142 patients underwent shunt placement. The shunt revision within 12 months was found in 26 patients (18.3%), 25 cases were VPS (96.2%) and one case was CPS (3.8%). The mean period of time between shunt placement to shunt revision was 3.96 months. Age of under 6 months old during the shunt placement showed significantly higher risk for shunt revision (RR 2.32 CI 1.13–4.74, P = 0.018). The most common diagnosis requiring shunt revision was congenital anomaly (16 cases, 61.5%). The most common cause of revision was shunt malfunction, with 21 cases (80.8%) followed by infected shunt with 5 cases (19.2%). Conclusion: The 1st year observation showed relatively high rate for shunt revision. The patient underwent shunt procedure should be regularly followed up in long period for better evaluation of the outcome. The application of shunt registry in some countries appears to be efficient and beneficial for sustainable follow-up in patients underwent shunt placement.

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Hinton, Jean. "An exploration of Operating Department Practice students' experiences of placement support during their first perioperative clinical placement." Nurse Education in Practice 16, no. 1 (January 2016): 242–50. http://dx.doi.org/10.1016/j.nepr.2015.09.005.

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Khatri, Rakesh, Saqib A. Chaudhry, Gustavo J. Rodriguez, M. Fareed K. Suri, Steve M. Cordina, and Adnan I. Qureshi. "Frequency and Factors Associated With Unsuccessful Lead (First) Coil Placement in Patients Undergoing Coil Embolization of Intracranial Aneurysms." Neurosurgery 72, no. 3 (November 30, 2012): 452–58. http://dx.doi.org/10.1227/neu.0b013e3182804ad1.

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Abstract BACKGROUND: There is limited knowledge about associated rates, aneurysm characteristics, technical factors, and immediate impact of unsuccessful placement of the lead (first) coil during endovascular embolization of intracranial aneurysms. OBJECTIVE: To determine the rates, associated risk factors, and consequences of lead coil placement failure in consecutive embolization procedures. METHODS: We reviewed clinical and procedural aspects of all endovascular coil embolizations performed at our 2 academic centers over a period of 3.5 years (2006-2010). Morphologic characteristics of the aneurysm and technical aspects of the treatment were recorded. We also performed a flow model analysis to assess the relationship between aneurysm dimensions, length of coil, packing density with first coil, and occurrence of lead coil placement failure. RESULTS: There were 24 (14%) lead coil placement failure procedures in 172 aneurysm embolization procedures; in 23 of 24 (96%) patients with lead coil placement failure, the failure occurred in aneurysms less than 10 mm in size. The main technical factors associated with lead coil placement failure were related to the coil (length, diameter, and type) followed by microcatheter support failure. Among these patients, 21 (87.5%) required change in the coil length, 17 (70.8%) change in coil diameter, and 10 (41.7%) change in coil type (brand and/or configuration) for successful placement of the lead coil. A total of 4 (16.7%) patients required change in microcatheter, and 6 (24.9%) patients had balloon/stent assistance for successful lead coil placement. Two of 24 (8.3%) patients had rupture of their aneurysms during the attempt to reposition the lead coil. In our flow model, these clinical observations were reproduced with higher risk of lead coil failure in smaller aneurysms. CONCLUSION: Lead coil placement failure is not infrequent during embolization of intracranial aneurysms and may increase the risk of complications. Appropriate coil selection, particularly coil length in small aneurysms, may reduce the rate of lead coil placement failure and associated complications.

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Bylsma, Lauren C., Heidi Reichert, Shawn M. Gage, Prabir Roy-Chaudhury, Robert J. Nordyke, Jon Fryzek, Shannon L. M. Dahl, Theodore Lithgow, and Jeffrey H. Lawson. "Clinical Outcomes of Arteriovenous Access in Incident Hemodialysis Patients with Medicare Coverage, 2012–2014." American Journal of Nephrology 49, no. 2 (2019): 156–64. http://dx.doi.org/10.1159/000495355.

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Background: Chronic hemodialysis requires a mode of vascular access through an arteriovenous fistula (AVF), a prosthetic arteriovenous graft (AVG), or a central venous catheter (CVC). AVF is recommended over AVG or CVC due to increased patency and decreased intervention rates for those that mature. AVG are preferred over CVC due to decreased infection and mortality risk. The aims of this study were to evaluate the lifespan of AVF and AVG in maturation, sustained access use, and abandonment. Methods: The United States Renal Data System (USRDS), Medicare claims, and CROWNWeb were used to identify access placements. Patients with a first end-stage renal disease (ESRD) service from January 1, 2012 to June 30, 2014 with continuous coverage with Medicare as primary payer and ≥1 AVF or AVG placed after ESRD onset were included. Maturation was defined as the first use of the access for hemodialysis recorded in CROWNWeb. Sustained access use was defined as 3 consecutive months of use without catheter placement or replacement. Accesses that were never used at any time post-placement were considered abandoned. Results: The cohort included 38,035 AVF placements and 12,789 AVG placements. Sixty-nine percent of AVF and 72% of AVG matured. Fifty-two percent of AVF and 51% of AVG achieved sustained access use. One quarter of AVF and 14% of AVG were abandoned without use as recorded in CROWNWeb. Conclusion: Although considered the gold standard for vascular access, only half of AVF and AVG placements achieved sustained access use. The USRDS database has inherent limitations but provides useful clinical insight into maturation, sustained use, and abandonment.

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Berry, Jay G., Matthew A. Hall, Vidya Sharma, Liliana Goumnerova, Anthony D. Slonim, and Samir S. Shah. "A MULTI-INSTITUTIONAL, 5-YEAR ANALYSIS OF INITIAL AND MULTIPLE VENTRICULAR SHUNT REVISIONS IN CHILDREN." Neurosurgery 62, no. 2 (February 1, 2008): 445–54. http://dx.doi.org/10.1227/01.neu.0000316012.20797.04.

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Abstract OBJECTIVE To evaluate risk factors and predictors of cerebrospinal ventricular shunt revisions in children. METHODS A retrospective, longitudinal cohort of 1307 children ages 0 to 18 years undergoing initial ventricular shunt placement in the year 2000, with follow-up through 2005, from 32 freestanding children's hospitals within the Pediatric Health Information Systems database was studied. Rates of ventricular shunt revision were compared with patient demographic, clinical, and hospital characteristics with use of bivariate and multivariate regression accounting for hospital clustering. RESULTS Thirty-seven percent of children required at least one shunt revision within 5 years of initial shunt placement; 20% of children required two or more revisions. Institutional rates of first shunt revision ranged from 20 to 70% of initial shunts placed among the 32 hospitals in the cohort. Hospitals where one to 20 initial shunt placements per year experienced the highest initial shunt revision rate (42%). Hospitals performing over 83 initial shunt placements per year experienced the lowest revision rate (22%). We found that children undergoing shunt placement in the Midwest were more likely to experience multiple shunt revisions (odds ratio, 1.25; 95% confidence interval, 1.06–1.47) after controlling for hospital volume, shunt type, age, and diagnosis associated with initial shunt placement. CONCLUSION Higher hospital volume of initial shunt placement was associated with lower revision rates. Substantial hospital variation in the rates of ventricular shunt revision exists among children's hospitals. Future prospective studies are needed to examine the reasons for the variability in shunt revision rates among hospitals, including differences in specific processes of care.

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Hayhurst, Caroline, Tjemme Beems, Michael D. Jenkinson, Patricia Byrne, Simon Clark, Jothy Kandasamy, John Goodden, Rishi D. S. Nandoe Tewarie, and Conor L. Mallucci. "Effect of electromagnetic-navigated shunt placement on failure rates: a prospective multicenter study." Journal of Neurosurgery 113, no. 6 (December 2010): 1273–78. http://dx.doi.org/10.3171/2010.3.jns091237.

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Object As many as 40% of shunts fail in the first year, mainly due to proximal obstruction. The role of catheter position on failure rates has not been clearly demonstrated. The authors conducted a prospective cohort study of navigated shunt placement compared with standard blind shunt placement at 3 European centers to assess the effect on shunt failure rates. Methods All adult and pediatric patients undergoing de novo ventriculoperitoneal shunt placement were included (patients with slit ventricles were excluded). The first cohort underwent standard shunt placement using anatomical landmarks. All centers subsequently adopted electromagnetic (EM) navigation for routine shunt placements, forming the second cohort. Catheter position was graded on postoperative CT in both groups using a 3-point scale developed for this study: (1) optimal position free-floating in CSF; (2) touching choroid or ventricular wall; or (3) intraparenchymal. Episodes and type of shunt revision were recorded. Early shunt failure was defined as that occurring within 30 days of surgery. Patients with shunts were followed-up for 12 months in the standard group, for a median of 6 months in the EM-navigated group, or until shunt failure. Results A total of 75 patients were included in the study, 41 with standard shunts and 34 with EM-navigated shunts. Seventy-four percent of navigated shunts were Grade 1 compared with 37% of the standard shunts (p = 0.001, chi-square test). There were no Grade 3 placements in the navigated group, but 8 in the standard group, and 75% of these failed. Early shunt failure occurred in 9 patients in the standard group and in 2 in the navigated group, reducing the early revision rate from 22 to 5.9% (p = 0.048, Fisher exact test). Early shunt failures were due to proximal obstruction in 78% of standard shunts (7 of 9) and in 50% of EM-navigated shunts (1 of 2). Conclusions Noninvasive EM image guidance in shunt surgery reduces poor shunt placement, resulting in a significant decrease in the early shunt revision rate.

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Ramdeen, Beverley. "Student life - Your first clinical placement: prepare well and ask for help." Nursing Standard 31, no. 16-18 (December 14, 2016): 35. http://dx.doi.org/10.7748/ns.31.16-18.35.s41.

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Bamba, Ravinder, Jonathan M. Lorenz, Allison J. Lale, Brian S. Funaki, and Steven M. Zangan. "Clinical Predictors of Port Infections within the First 30 Days of Placement." Journal of Vascular and Interventional Radiology 25, no. 3 (March 2014): 419–23. http://dx.doi.org/10.1016/j.jvir.2013.11.038.

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Howard, Ruth, and Guy Holmes. "Reflections on a specialist groupwork placement." Clinical Psychology Forum 1, no. 179 (November 2007): 11–14. http://dx.doi.org/10.53841/bpscpf.2007.1.179.11.

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Kelley, Rosemarie, Duc H. Duong, and George E. Locke. "Characteristics of Ventricular Shunt Malfunctions among Patients with Neurocysticercosis." Neurosurgery 50, no. 4 (April 1, 2002): 757–62. http://dx.doi.org/10.1097/00006123-200204000-00014.

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Abstract OBJECTIVE: Ventricular shunts used to relieve hydrocephalus among patients with neurocysticercosis have been plagued by high shunt malfunction rates. We examined the characteristics of shunt malfunctions among patients with neurocysticercosis. METHODS: This is a retrospective chart review of data for 122 patients who were admitted with a diagnosis of cysticercosis during a 5.5-year period. Cases of hydrocephalus requiring shunt placement were reviewed with respect to the segment of shunt obstruction, disease activity at the time of shunt placement, and the effects of antihelminthic treatment on shunt failures and longevity. RESULTS: Twenty-one patients required 49 operations for relief of hydrocephalus, including 22 new shunt placements, 23 revisions, and 4 cyst extirpations. Of these shunt failures, 78% occurred within the first 12 months and 96% within 3 years. Of the failures that occurred in the distal segment, 75% occurred within 6 months. By comparison, 33% of proximal segment obstructions and 50% of the total number of valve obstructions occurred within the first 6 months. Of the shunts placed during the vesicular stage of infection, 63% required revisions, compared with 29% of those placed during the colloidal through calcified stages. Nineteen shunts were placed during the vesicular stage, and nine patients received a full course of antihelminthic treatment after shunt placement. In less than 6 months, 33% of the cases involving shunt placement followed by antihelminthic treatment exhibited shunt failure, compared with 90% of the cases without antihelminthic treatment (P < 0.05, χ2 test). CONCLUSION: Among patients with vesicular stage cysticercosis, placement of a ventriculoperitoneal shunt followed by a course of antihelminthic medication seems to promote shunt longevity.

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Mottaghi-Taromsari, S., and L. Wileman. "499 DEVELOPING A NOVEL TEACHING PROGRAMME FOR PHYSICIAN ASSOCIATE STUDENTS WITHIN ELDERLY MEDICINE." Age and Ageing 50, Supplement_2 (June 2021): ii14—ii18. http://dx.doi.org/10.1093/ageing/afab119.10.

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Abstract Introduction The Physician Associate course has been running in the North West since 2016. As such, the format and layout of clinical placements for its students are still in their relative infancy. First year students, similar to third year medical students, begin clinical placement after an intensive lecture series at the University. Placements at Wythenshawe hospital typically involved an initial and closing meeting with their supervisor with little teaching activity organised specifically for them. We therefore set out to devise a formal teaching programme within their elderly care attachment to better address their learning needs. Methods We devised a programme for the placement involving a formal induction, orientation and then rotation through different elements of the elderly medicine faculty. The students spent 4 weeks in total in 3 different clinical areas to obtain different experiences. Formal teaching was arranged once per week with a clinician to cover topics relevant to geriatrics and general medicine. Feedback forms were used to assess the students’ views on the quality of the induction and teaching. A pre-placement questionnaire was used at the start to assess understanding of frailty and confidence with assessing falls. This was then repeated at the end of the placement to evaluate progression. Results From the initial pilot involving 3 cohorts (10 students total), 90% of the students rated the placement positively as a learning opportunity with 100% commending the organisation and structure of the programme. 100% of students rated the content and delivery as good for the organised teaching sessions. Understanding of frailty and confidence in assessing falls also saw marked improvements over the course of the placement. Conclusion We have demonstrated how a better structured teaching programme is valued by the physician associate students and will now proceed to develop and expand this model in elderly medicine and beyond.

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MO, Jinwon, Jie-Hyun Kim, Seung Yong Shin, Da Hyun Jung, Jae Jun Park, Young Hoon Youn, and Hyojin Park. "Clinical outcomes in patients undergoing multiple self-expandable metallic stent placement by stent in stent technique for malignant gastric outlet obstruction." Journal of Clinical Oncology 37, no. 4_suppl (February 1, 2019): 88. http://dx.doi.org/10.1200/jco.2019.37.4_suppl.88.

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88 Background: Self-expandable metallic stent (SEMS) placement is widely used for relieving the obstructive symptoms of malignant gastric outlet obstruction (MGOO). The aims were to evaluate the efficacy and safety of multiple gastroduodenal stent placement by stent in stent technique and identify predictive factors about stent patency. Methods: We retrospectively analyzed data from 170 patients with GOO receiving SEMS by stent in stent technique from July 2006 to July 2018. Among them, 90 patients had been treated with gastroduodenal SEMS placement for MGOO. Technical and clinical success rates were evaluated. And, clinical outcomes with predictors of stent patency were also analyzed. Results: Among the subjects, 34.4% were treated with secondary SEMS placement, and 9.7% were treated with third SEMS placement because of the previous stent dysfunction. The median stent patency time was 15.7 weeks (range 0-89) in the first SEMS, 10.4 weeks (range 0-44) in the second SEMS, and 11.3 weeks (range 1-29) in the third SEMS. The technical and clinical success rate were 100% and 97.8% in the first SEMS, 100% and 90.3% in the second SEMS, 100% and 100% in the third SEMS. In multivariable analysis, the first SEMS placement of covered type including Comvi stent was correlated with prolonged stent patency (OR 4.549, P = 0.001). And both chemotherapy after the first SEMS placement (OR 8.248, P = 0.006) and chemotherapy after the second SEMS placement (OR 7.467, P = 0.003) were correlated with prolonged stent patency. Serious complications such as gastrointestinal hemorrhage or perforation did not occur in any patient. Conclusions: Secondary and third gastroduodenal SEMS placement by stent in stent technique is a safe and effective treatment for the first stent dysfunction in MGOO. The stent placement of covered type and chemotherapy after stent placement is the predictor of stent patency. Keywords: Malignant gastric outlet obstruction, Self-expandable metallic stent, Stent in stent technique, Stent patency, Predictive factor

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Hill, Bradley B., Richard Neville, Gordon L. Hyde, Chien-Suu Kuo, and Edward B. Diethrich. "Angioscopic Evaluation of an Endoluminal Aortic Graft: The First Clinical Experience." Journal of Endovascular Therapy 2, no. 3 (August 1995): 248–54. http://dx.doi.org/10.1177/152660289500200303.

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Purpose: Balloon aortoscopy has been described for viewing aortic endoluminal anatomy and guiding aortic stent placement in animals. We report the first clinical use of this technique to visually inspect the proximal portion of a 1-year-old endovascular aortic graft, its proximal fixation stent, and its relationship to the renal arteries. Methods: The aortoscope is a modified fiber-optic endoscope that is fitted over the lens with a transparent, saline-filled balloon for blood displacement. Its performance was evaluated in a 62-year-old woman who had a Parodi-type Dacron/modified Palmaz stent endoluminal graft implanted to exclude an infrarenal aortic aneurysm in 1994. One year later, during an angioplasty procedure for symptomatic left subclavian and left common iliac artery stenoses, the 1-year-old endoluminal graft was inspected with the balloon-tipped angioscopic assembly. Results: Introduced via the left brachial artery, the aortoscope provided a panoramic view of the endoluminal surface through the solution-filled balloon. The endoluminal aortic graft was clearly identified, as were both renal artery orifices proximal to the graft. The surface of the proximal stent was smooth and without exposed metal. No complications occurred with the angioscopy technique. Conclusions: Aortic angioscopy can be used to evaluate endoluminal aortic grafts and endoluminal anatomy. It provides clear, magnified views that may be useful for guiding precise placement and assessing the function and healing of endoluminal devices in the aorta.

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Mandelka, Eric, Jula Gierse, Paul A. Gruetzner, Jochen Franke, and Sven Y. Vetter. "First Clinical Experience with a Novel 3D C-Arm-Based System for Navigated Percutaneous Thoracolumbar Pedicle Screw Placement." Medicina 58, no. 8 (August 17, 2022): 1111. http://dx.doi.org/10.3390/medicina58081111.

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Background and Objectives: Navigated pedicle screw placement is becoming increasingly popular, as it has been shown to reduce the rate of screw misplacement. We present our intraoperative workflow and initial experience in terms of safety, efficiency, and clinical feasibility with a novel system for a 3D C-arm cone beam computed-tomography-based navigation of thoracolumbar pedicle screws. Materials and Methods: The first 20 consecutive cases of C-arm cone beam computed-tomography-based percutaneous pedicle screw placement using a novel navigation system were included in this study. Procedural data including screw placement time and patient radiation dose were prospectively collected. Final pedicle screw accuracy was assessed using the Gertzbein–Robbins grading system. Results: In total, 156 screws were placed. The screw accuracy was 94.9%. All the pedicle breaches occurred on the lateral pedicle wall, and none caused clinical complications. On average, a time of 2:42 min was required to place a screw. The mean intraoperative patient radiation exposure was 7.46 mSv. Conclusions: In summary, the investigated combination of C-arm CBCT-based navigation proved to be easy to implement and highly reliable. It facilitates the accurate and efficient percutaneous placement of pedicle screws in the thoracolumbar spine. The careful use of intraoperative imaging maintains the intraoperative radiation exposure to the patient at a moderate level.

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Liu, Ann, Yike Jin, Ethan Cottrill, Majid Khan, Erick Westbroek, Jeff Ehresman, Zach Pennington, et al. "Clinical accuracy and initial experience with augmented reality–assisted pedicle screw placement: the first 205 screws." Journal of Neurosurgery: Spine 36, no. 3 (March 1, 2022): 351–57. http://dx.doi.org/10.3171/2021.2.spine202097.

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OBJECTIVE Augmented reality (AR) is a novel technology which, when applied to spine surgery, offers the potential for efficient, safe, and accurate placement of spinal instrumentation. The authors report the accuracy of the first 205 pedicle screws consecutively placed at their institution by using AR assistance with a unique head-mounted display (HMD) navigation system. METHODS A retrospective review was performed of the first 28 consecutive patients who underwent AR-assisted pedicle screw placement in the thoracic, lumbar, and/or sacral spine at the authors’ institution. Clinical accuracy for each pedicle screw was graded using the Gertzbein-Robbins scale by an independent neuroradiologist working in a blinded fashion. RESULTS Twenty-eight consecutive patients underwent thoracic, lumbar, or sacral pedicle screw placement with AR assistance. The median age at the time of surgery was 62.5 (IQR 13.8) years and the median body mass index was 31 (IQR 8.6) kg/m2. Indications for surgery included degenerative disease (n = 12, 43%); deformity correction (n = 12, 43%); tumor (n = 3, 11%); and trauma (n = 1, 4%). The majority of patients (n = 26, 93%) presented with low-back pain, 19 (68%) patients presented with radicular leg pain, and 10 (36%) patients had documented lower extremity weakness. A total of 205 screws were consecutively placed, with 112 (55%) placed in the lumbar spine, 67 (33%) in the thoracic spine, and 26 (13%) at S1. Screw placement accuracy was 98.5% for thoracic screws, 97.8% for lumbar/S1 screws, and 98.0% overall. CONCLUSIONS AR depicted through a unique HMD is a novel and clinically accurate technology for the navigated insertion of pedicle screws. The authors describe the first 205 AR-assisted thoracic, lumbar, and sacral pedicle screws consecutively placed at their institution with an accuracy of 98.0% as determined by a Gertzbein-Robbins grade of A or B.

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Ruhnau, Jens, Tom Olsen, Vibeke Greven, Katarina Nielsen, and Kirsten Herbild. "Dental Implant Replacement of the Mandibular First Molar Tooth in a Dog." Journal of Veterinary Dentistry 20, no. 2 (June 2003): 84–90. http://dx.doi.org/10.1177/089875640302000203.

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A new dental implant system was used to replace the mandibular right first molar tooth in an eleven-month-old mole/intact, utility trained German shepherd dog. The permanent mandibular right first molar tooth had been extracted as treatment for an extensive carious lesion when the dog was 9-months of age. There were no complications associated with placement of the dental implant. However, peri-implant osteomyelitis occurred secondary to a traumatic oral wound 6-months following implant placement. The 17-month postoperative examination indicated that the implant system used in this case could be maintained in a working dog that uses extreme bite forces. However, periodontal inflammation and vertical bone loss exposing the implant fixtures were noted during oral examination. Further clinical applications are required to determine if the periodontal inflammation and vertical bone loss noted in this case were complications associated with the implant, maturity of bone at the time of implant fixture placement, general biting/chewing forces placed on carnassial teeth, or the oral trauma that occurred 6-months following implant placement.

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Steward, Barbara. "Using Nominal Group Technique to Explore Competence in Occupational Therapy and Physiotherapy Students during First-Year Placements." British Journal of Occupational Therapy 64, no. 6 (June 2001): 298–304. http://dx.doi.org/10.1177/030802260106400606.

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Exploring supervisors' opinions about student competence is a complex issue. The nominal group technique offers an alternative to focus groups and individual interviewing, allowing opportunities for individual data generation and group discussion and evaluation. This paper records and critically appraises its use as part of an investigation of the qualities therapists value in students in their first full fieldwork placement. This small-scale and exploratory qualitative study suggests that occupational therapists and physiotherapists appear to value very similar personal qualities in students, but that departments and individuals may give different weightings to skills and knowledge. The findings have implications for students, fieldwork supervisors and college educators when preparing for clinical placements.

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Clarke, Pat. "Student nurses on placement – collaborators or challengers." Journal of Adult Protection 17, no. 5 (October 12, 2015): 287–95. http://dx.doi.org/10.1108/jap-11-2014-0032.

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Purpose – All nursing students have the opportunity to gain experience in the Independent Sector. The Health and Social Care Act (2012) in the UK has led to more health services being provided by the Independent Sector. The purpose of this paper is to explore the perceptions of first year student nurses of their learning experience in nursing homes placements within the Independent Sector. Design/methodology/approach – Two focus groups were undertaken with first year student nurses, one with six students and the other with seven students. All students had completed four week clinical placements in nursing homes. The focus groups were semi structured. Thematic analysis was undertaken on the data. Findings – Important themes that emerged from the data included: leadership issues, poor practice relating to infection control and manual handling, team dynamics, commitment to addressing issues when raised and challenges to raising issues within the placement area. The findings provided an insight into some of the barriers for student nurses when raising issues. The decision to raise concerns was multifactorial and complex. Attention was also focused on the relationship between the mentor and the student and the impact that can have on the learning environment. Research limitations/implications – The limitations for this study included: this was a small scale study, the findings were from a small number of placement areas within a small geographical area of the UK. Some students may have felt reluctant to share their views in a focus group. The findings reflect the views of first year student nurses only. However, first year students can provide an alternative view of a placement area. Their lack of experience can be an opportunity to question accepted norms with the mentor, acting as a resource of new ideas. Originality/value – This paper identified opportunities and challenges for student nurses and education providers alike. For the student it was the complexities of raising issues and for the education provider it was equipping students with the knowledge and skills to raise such issues not only as a student but also upon qualification.

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Carr, Jacqui, Rachel Taylor, and Margaret Pitt. "Supporting student nurses who have their first clinical placement in the community nursing team." British Journal of Community Nursing 23, no. 10 (October 2, 2018): 496–500. http://dx.doi.org/10.12968/bjcn.2018.23.10.496.

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Alshahrani, Yousef, Lynette Cusack, and Philippa Rasmussen. "Undergraduate nursing students' strategies for coping with their first clinical placement: Descriptive survey study." Nurse Education Today 69 (October 2018): 104–8. http://dx.doi.org/10.1016/j.nedt.2018.07.005.

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Currie, Geoffrey M., and Janelle M. Wheat. "The first year clinical placement for undergraduate medical radiation science students: tool or toil?" Radiographer 52, no. 2 (August 2005): 18–22. http://dx.doi.org/10.1002/j.2051-3909.2005.tb00032.x.

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Hayward, Mark, Rosalie Hughes, Debbie Southwood, Kathryn Pearce, and Nan Holmes. "User involvement in placement activity: The full monty." Clinical Psychology Forum 1, no. 167 (November 2006): 10–13. http://dx.doi.org/10.53841/bpscpf.2006.1.167.10.

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This article utilises multiple perspectives to explore a trainee’s experience of working within a service user organisation. In order to emphasise the relational nature of this experience, where possible, contributors are referred to by their first names rather than their role.

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Garell, P. Charles, Roman Mirsky, M. Daniel Noh, Christopher M. Loftus, Patrick W. Hitchon, M. Sean Grady, Ralph G. Dacey, and Matthew A. Howard. "Posterior ventricular catheter burr-hole localizer." Journal of Neurosurgery 89, no. 1 (July 1998): 157–60. http://dx.doi.org/10.3171/jns.1998.89.1.0157.

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✓ Proper ventricular catheter placements are associated with improved shunt performance. When placing ventricular catheters via the posterior approach, the surgeon must determine an optimum trajectory and then pass a catheter along that trajectory. The incidence of optimal posterior catheter placements is increased by using a posterior catheter guide (PCG); however, errors may still occur because of poor selection of a posterior burr-hole site. In this report an easy-to-use posterior burr-hole localizer (Localizer) is described that defines the optimum burr-hole location based on geometric relationships involving the ear and supraorbital rims. The basic design principle of the Localizer was formulated and tested by using neuronavigational imaging tools to examine normal adult ventricular anatomy in relation to surface landmarks and by reviewing imaging studies obtained in 50 adult patients with hydrocephalus. Subsequently, the Localizer was used in 28 consecutive patients scheduled to undergo shunt surgery performed by using the PCG. In all cases the catheter entered the ventricle on the first pass and postoperative imaging studies demonstrated successful placement in the ipsilateral anterior horn. There were no catheter-related complications. These early results indicate that the Localizer and PCG devices may be safe and effective when used in combination for placement of posterior ventricular catheters.

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Ebraheim, Nabil A., Rongming Xu, Ashok Biyani, and Matthew C. Nadaud. "Morphologic Considerations of the First Sacral Pedicle for Iliosacral Screw Placement." Spine 22, no. 8 (April 1997): 841–46. http://dx.doi.org/10.1097/00007632-199704150-00002.

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Nahman, N. S., D. F. Middendorf, W. H. Bay, R. McElligott, S. Powell, and J. Anderson. "Modification of the percutaneous approach to peritoneal dialysis catheter placement under peritoneoscopic visualization: clinical results in 78 patients." Journal of the American Society of Nephrology 3, no. 1 (July 1992): 103–7. http://dx.doi.org/10.1681/asn.v31103.

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The placement of percutaneous peritoneal dialysis catheters under direct peritoneoscopic visualization is a relatively new technique for establishing peritoneal dialysis access. In this study, in which a modification of the Seldinger technique was used to facilitate the placement of the peritoneoscope, the experience with 82 consecutive catheterization procedures in 78 patients is reported. In 2 (2.4%) of 82 catheterization procedures, we were unable to enter the peritoneal cavity but experienced no other complications unique to the percutaneous approach. Of the 80 successful catheterization procedures, 76 represented first-time catheter placement and constituted a population subjected to life-table analysis examining catheter survival rates, the time to first cutaneous exit site or s.c. tunnel infection, and the time to first episode of peritonitis. After a follow-up period of 50.1 patient yr, 11 catheters were lost because of catheter dysfunction. Other clinical complications included peritoneal fluid leaks at the cutaneous exit site in 11 instances (0.22/patient yr), cutaneous exit site infection in 7 instances (0.14/patient yr), s.c. tunnel infection in 2 instances (0.04/patient yr), and 34 episodes of peritonitis (0.68/patient yr). The results of this study demonstrate that the suggested modification of the percutaneous placement of peritoneal dialysis catheters, under peritoneoscopic visualization, is a viable method for establishing peritoneal access.

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Struksnes, Solveig, and Ragna Ingeborg Engelien. "Nursing students' conception of clinical skills training before and after their first clinical placement: A quantitative, evaluative study." Nurse Education in Practice 16, no. 1 (January 2016): 125–32. http://dx.doi.org/10.1016/j.nepr.2015.10.009.

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Yahanda, Alexander T., Emelia Moore, Wilson Z. Ray, Brenton Pennicooke, Jack W. Jennings, and Camilo A. Molina. "First in-human report of the clinical accuracy of thoracolumbar percutaneous pedicle screw placement using augmented reality guidance." Neurosurgical Focus 51, no. 2 (August 2021): E10. http://dx.doi.org/10.3171/2021.5.focus21217.

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OBJECTIVE Augmented reality (AR) is an emerging technology that has great potential for guiding the safe and accurate placement of spinal hardware, including percutaneous pedicle screws. The goal of this study was to assess the accuracy of 63 percutaneous pedicle screws placed at a single institution using an AR head-mounted display (ARHMD) system. METHODS Retrospective analyses were performed for 9 patients who underwent thoracic and/or lumbar percutaneous pedicle screw placement guided by ARHMD technology. Clinical accuracy was assessed via the Gertzbein-Robbins scale by the authors and by an independent musculoskeletal radiologist. Thoracic pedicle subanalysis was also performed to assess screw accuracy based on pedicle morphology. RESULTS Nine patients received thoracic or lumbar AR-guided percutaneous pedicle screws. The mean age at the time of surgery was 71.9 ± 11.5 years and the mean number of screws per patient was 7. Indications for surgery were spinal tumors (n = 4, 44.4%), degenerative disease (n = 3, 33.3%), spinal deformity (n = 1, 11.1%), and a combination of deformity and infection (n = 1, 11.1%). Presenting symptoms were most commonly low-back pain (n = 7, 77.8%) and lower-extremity weakness (n = 5, 55.6%), followed by radicular lower-extremity pain, loss of lower-extremity sensation, or incontinence/urinary retention (n = 3 each, 33.3%). In all, 63 screws were placed (32 thoracic, 31 lumbar). The accuracy for these screws was 100% overall; all screws were Gertzbein-Robbins grade A or B (96.8% grade A, 3.2% grade B). This accuracy was achieved in the thoracic spine regardless of pedicle cancellous bone morphology. CONCLUSIONS AR-guided surgery demonstrated a 100% accuracy rate for the insertion of 63 percutaneous pedicle screws in 9 patients (100% rate of Gertzbein-Robbins grade A or B screw placement). Using an ARHMS system for the placement of percutaneous pedicle screws showed promise, but further validation using a larger cohort of patients across multiple surgeons and institutions will help to determine the true accuracy enabled by this technology.

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Rajpal, Sharad, David B. Niemann, Beverly Aagaard-Kienitz, and Aquilla S. Turk. "Intracranial endovascular stent placement for symptomatic metastatic non-Hodgkin lymphoma." Journal of Neurosurgery 102, no. 5 (May 2005): 922–26. http://dx.doi.org/10.3171/jns.2005.102.5.0922.

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✓ A case of cranial-based metastatic non-Hodgkin lymphoma with cerebral vascular compromise is presented. The patient underwent intracranial endovascular stent placement resulting in an improvement in his symptoms. This is the first reported case of endovascular stent placement for an intracranial neoplasm in the literature to date.

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Rose, Peter, Benjamin A. Goldberg, Ronald W. Lindsey, Christian Foglar, Thomas D. Hedrick, Theodore Miclau, John L. Haddad, and Myrna Khan. "Computed Tomography Assessment of Sacroiliac Screw Placement Relative to the First Sacral Neuroforamen." Journal of Spinal Disorders 14, no. 4 (August 2001): 330–35. http://dx.doi.org/10.1097/00002517-200108000-00008.

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Abe, Michiko, Shotaro Matsumoto, Nao Nishimura, Satoshi Nakagawa, and Norihiko Tsuboi. "The Effect of Clinical Experience on the Learning Curve of Pediatric Intensive Care Unit Residents for the Central Venous Catheter Placement Procedure." Journal of Pediatric Intensive Care 07, no. 01 (July 6, 2017): 039–42. http://dx.doi.org/10.1055/s-0037-1604153.

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AbstractThe objective of this study is to ascertain the effect of clinical experience on pediatric intensive care unit (PICU) residents' learning curve for central venous catheter placement in critically ill children. It was a 58-month retrospective observational study. The setting was multivalent PICU with 20 beds at a tertiary children's hospital. The subjects were PICU residents undergoing training in central venous catheter placement. During the study period, 22 residents were enrolled in the study, and 1,157 catheter placement procedures (485 central venous, 605 peripherally inserted central venous, 57 hemodialysis, and 10 “other” types of catheter placement procedures) were analyzed. The total success rate was 82.7%. After ultrasound-guided training simulation in catheter placement, the residents' learning curve for the procedure rose from 71% in the clinical setting at the first trial to 75% at the fourth trial and 80% by the 24th trial. Significant positive correlation was found between procedure success and number of trials with a Spearman coefficient (p < 0.019). Adequate clinical experiences were necessary for PICU residents to achieve competency in central venous catheter placement in critically ill children.

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Sibold, Hannah Claire, Gavin Paul Campbell, John Bourgeois, Margie D. Dixon, R. Donald Harvey, and Rebecca D. Pentz. "Improving consent forms for first-in-human trials through participant feedback." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e13563-e13563. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13563.

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e13563 Background: Risks and benefits of investigational agents that have not been tested in humans are, at best, incompletely characterized in nonclinical investigations. Despite the growing emphasis to include patient voices in clinical trial design, no published research has explored patient preferences on how best to convey the information that the agent has not been tested in humans. This study established that First in Human (FIH) consent forms present this information in different locations and queried participants for their input on the preferable FIH consent form structure. Methods: Consent forms for FIH oncology trials open to accrual at Winship Cancer Institute in 2019-2020 were analyzed for (1) the location of the mention that the study drug has not been used in humans before (FIH information), (2) the location of animal and other nonclinical data, and (3) placement of the risks section. Patients offered enrollment in a FIH trial were eligible for this study. Participants were interviewed during a clinic visit after consent was obtained. An ethics researcher asked questions about the participant’s opinions on the wording and placement of the FIH, nonclinical, and risk information in the specific trial consent form. All interviews were audio-recorded and double coded by two independent coders. The location of FIH and nonclinical data in the consent forms was compared to the patient’s suggested location for this information. Results: Saturation of themes was reached after interviewing 17 (17/19, 89% accrual) participants who were enrolled in 9 different FIH trials. Twenty FIH consents were qualitatively analyzed. Preferred placement compared to actual consent placement is listed in the table. 82% (14/17) of participants thought that nonclinical data on risks and efficacy was important to mention. 95% (19/20) of consents listed nonclinical data and most participants thought the placement in the consent was appropriate but 18% (3/17) of participants wanted the information earlier in the consent. No consent forms that were analyzed had the risks section before the study schedule; however, 47% (8/17) of participants wanted to move the risks sections before the study schedule. Conclusions: There is considerable variation in the layout of FIH consent forms that does not align with patient preferences. Standardization of FIH consent forms to better reflect patient input is essential in order to promote understandability of these important yet sometimes misunderstood clinical trials and to ensure ethical informed consent.[Table: see text]

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Maus, Volker, Alex Brehm, Ioannis Tsogkas, Silja Henkel, and Marios-Nikos Psychogios. "Stent retriever placement in embolectomy: the choice of the post-bifurcational trunk influences the first-pass reperfusion result in M1 occlusions." Journal of NeuroInterventional Surgery 11, no. 3 (July 27, 2018): 237–40. http://dx.doi.org/10.1136/neurintsurg-2018-014114.

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BackgroundEmbolectomy using Stent retriever Assisted Vacuum-locked Extraction (SAVE) is effective in intracranial large vessel occlusion. Which post-bifurcational trunk should be chosen for distal stent retriever placement in M1 occlusions is, however, elusive.MethodsWe conducted a retrospective analysis of prospectively collected data from a comprehensive stroke center between 2015 and 2017. Eighty-nine consecutive patients with M1 occlusions were treated with SAVE. Digital subtraction angiography (DSA) series were studied to determine the anatomy of middle cerebral artery division, the position of the stent retriever, and to measure vessel diameters. The primary endpoint was first-pass complete/near-complete reperfusion, defined as a modified Thrombolysis in Cerebral Infarction (mTICI) score of 2c or 3, after distal stent retriever placement in the inferior trunk.ResultsIn 76/89 (85%) patients, microcatheter series were documented. A microcatheter was placed within the inferior trunk in 30/76 (40%) cases. First-pass near-complete/complete reperfusion was more likely to be achieved when the inferior trunk was used for stent retriever placement rather than the superior trunk (mTICI ≥2c: 22/30 (73%) vs 22/46 (48%), P=0.034; and mTICI 3: 20/30 (67%) vs 17/46 (37%), P=0.018). Median diameter of the inferior trunk was larger than the superior trunk (1.4 mm (IQR 1.26–1.62) vs 1.18 mm (IQR 0.98–1.43), P=0.011). The inferior trunk was dominant in 56/76 (74%) cases. Successful reperfusion was associated with placement within the dominant trunk (33/40 (83%) vs 22/36 (61%), P=0.044).ConclusionThe choice of the inferior trunk for distal stent retriever placement in M1 occlusions is associated with a high rate of first-pass near-complete/complete reperfusion when using SAVE.

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Mwachiro, Michael, Robert Parker, Justus Lando, Ian Simel, Nyail Chol, Sinkeet Ranketi, Robert Chepkwony, et al. "Predictors of adverse events and early mortality after esophageal stent placement in a low resource setting: a series of 3823 patients in Kenya." Endoscopy International Open 10, no. 04 (April 2022): E479—E487. http://dx.doi.org/10.1055/a-1783-9829.

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Abstract Background and study aims Dysphagia from esophageal cancer may be palliated with self-expanding metallic stents (SEMS). Controversy exists about the use of dilation before SEMS deployment. Patients and methods We performed a retrospective cohort study of patients who had SEMS placement without fluoroscopy for palliation at Tenwek Hospital in Bomet, Kenya between January 1999 and April 2019. The primary outcome was any serious adverse event (AE) (chest pain, stent migration, perforation, bleeding, or all-cause mortality) within 30 days of the procedure. Various demographic and clinical characteristics, and procedural details, were examined as risk factors. Technical success, defined as correct SEMS placement, and clinical success, defined as dysphagia score improvement without 30-day mortality, were examined. Results A total of 3823 patients underwent SEMS placement, with 2844 (74.4 %) placed in the second decade of the study. Technical and clinical success were achieved in 97.2 % and 95.5 %, respectively, with mean dysphagia scores improving from 3.4 (SD 0.6) to 0.9 (SD 1.3) post-stent placement. AEs occurred in 169 patients (4.4 %). AEs, specifically perforations, were associated with dilation to greater than 36F in the first decade. Perforation rates decreased from the first (4.1 %) to the second decade (0.2 %). Only 30% had complete 30-day follow-up data. Conclusions SEMS placement is a safe, effective method of palliating malignant dysphagia, with low rates of AEs and 30-day mortality and high rates of clinical and technical success. Dilation can facilitate placement of SEMS without fluoroscopy but should not be performed above 36F due to the risk of perforation.

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Chesser-Smyth, Patricia A. "The lived experiences of general student nurses on their first clinical placement: A phenomenological study." Nurse Education in Practice 5, no. 6 (November 2005): 320–27. http://dx.doi.org/10.1016/j.nepr.2005.04.001.

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Jonsén, Elisabeth, Hanna-Leena Melender, and Yvonne Hilli. "Finnish and Swedish nursing students' experiences of their first clinical practice placement — A qualitative study." Nurse Education Today 33, no. 3 (March 2013): 297–302. http://dx.doi.org/10.1016/j.nedt.2012.06.012.

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Thomas, Juliet, Annette Jinks, and Barbara Jack. "Finessing incivility: The professional socialisation experiences of student nurses' first clinical placement, a grounded theory." Nurse Education Today 35, no. 12 (December 2015): e4-e9. http://dx.doi.org/10.1016/j.nedt.2015.08.022.

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Bamba, R., J. Lorenz, S. Mehta, A. Lale, B. Funaki, and S. Zangan. "Abstract No. 288: Clinical predictors of port infections within the first thirty days of placement." Journal of Vascular and Interventional Radiology 23, no. 3 (March 2012): S117. http://dx.doi.org/10.1016/j.jvir.2011.12.343.

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Lewis, Timothy J., David Chard, and Terrance M. Scott. "Full Inclusion and the Education of Children and Youth with Emotional and Behavioral Disorders." Behavioral Disorders 19, no. 4 (August 1994): 277–93. http://dx.doi.org/10.1177/019874299401900404.

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The recent professional literature has been replete with articles focusing on the school reform movement labeled full inclusion whereby advocates are pushing for the placement of all students with disabilities in general education settings. While the movement's roots can be traced to advocates of persons with severe handicaps, educators, administrators, and parents are generalizing the movement's goals to students with other disabilities including emotional and behavioral disorders. Related issues surrounding the full inclusion movement must be examined prior to wide adaptation for all students with disabilities. The purpose of this article is to explore three relevant issues in determining appropriate placements for students with emotional and behavioral disorders. First, this article examines some of the current objectives of the full inclusion movement in relation to the education of students with emotional and behavioral disorders. Second, issues surrounding the placement of students with disabilities are often resolved not in professional literature but in courtrooms; therefore, current court cases focusing on inclusion that impact how special education services are delivered are also summarized. Finally, provided a general education setting is the most appropriate placement, promising practices for educating students with emotional and behavioral disorders to maximize their success are discussed.

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Ma, Xiang-Yang, Qing-Shui Yin, Zeng-Hui Wu, Hong Xia, Jing-Fa Liu, and Shi-Zhen Zhong. "Anatomic Considerations for the Pedicle Screw Placement in the First Cervical Vertebra." Spine 30, no. 13 (July 2005): 1519–23. http://dx.doi.org/10.1097/01.brs.0000168546.17788.49.

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Satoh, Toru, Yu Sato, Kenji Sugiu, Tomohito Hishikawa, Masafumi Hiramatsu, Jun Haruma, and Isao Date. "Hemifacial spasm due to vertebral artery dissecting aneurysm treated with stent-in-stent placement; Pre- and post-treatment evaluation by 3D multifusion imaging using silent MR angiography." Surgical Neurology International 13 (June 3, 2022): 232. http://dx.doi.org/10.25259/sni_253_2022.

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Background: Hemifacial spasm (HFS) due to vertebral artery (VA) dissecting aneurysm (VADA) is rare and endovascular treatment has been performed in selected cases. Case Description: We encountered a case of HFS caused by VADA that was managed with endovascular stent placement and additional stent-in-stent placement. Therapeutic strategies and benefits based on pre- and post-treatment evaluation by 3D multifusion imaging using silent MRA were discussed. Conclusion: This is the first case report of stent-in-stent placement in successful treatment of HFS caused by VADA, in which relief of neurovascular contact was demonstrated by multifusion imaging.

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Ash, Simon, and Norman Hay. "Adhesive Pre-coated Brackets, a Comparative Clinical Study." British Journal of Orthodontics 23, no. 4 (November 1996): 325–29. http://dx.doi.org/10.1179/bjo.23.4.325.

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The adhesive pre-coated bracket system along with the application of light curing for orthodontic bracket placement were compared with a conventional adhesive system, in a prospective randomized study. Of 38 consecutive patients requiring fixed orthodontic appliances, half were treated with adhesive pre-coated brackets and half with a no-mix adhesive. The timings for the clinical stages involved in bracket placement, were recorded. This also included the time and reliability of bracket identification and orientation. The peri-bracket flash distribution, time taken for clean up at the subsequent visit, the site, and number of bracket failures at the time of bracket placement and during the first 3 months, were recorded. The study showed that althought the time taken to place and care the adhesive pre-coated system was longer than for the no-mix system, this difference was not statistically significant. However, this difference in time was compensated for in the time taken for bracket orientation in the control group and subsequent clean up at the second visit. Both the bracket failure rate and peri-bracket flash scores were reduced in the adhesive pre-coated group as compared with the control and these differences were statistically significantly. Other advantages of the adhesive pre-coated system are reported.

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Vardiman, Arnold B., David J. Wallace, Grant A. Booher, Neil R. Crawford, Jessica R. Riggleman, Samantha L. Greeley, and Charles G. Ledonio. "Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery?" Journal of Robotic Surgery 14, no. 4 (September 21, 2019): 567–72. http://dx.doi.org/10.1007/s11701-019-01019-9.

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Abstract Robotic assistance with integrated navigation is an area of high interest for improving the accuracy of minimally invasive pedicle screw placement. This study analyzes the accuracy of pedicle screw placement between an attending spine surgeon and a resident by comparing the left and right sides of the first 101 consecutive cases using navigated robotic assistance in a private practice clinical setting. A retrospective, Institutional Review Board-exempt review of the first 106 navigated robot-assisted spine surgery cases was performed. One attending spine surgeon and one resident performed pedicle screw placement consistently on either the left or right side (researchers were blinded). A CT-based Gertzbein and Robbins system (GRS) was used to classify pedicle screw accuracy, with grade A or B considered accurate. There were 630 consecutive lumbosacral pedicle screws placed. Thirty screws (5 patients) were placed without the robot due to surgeon discretion. Of the 600 pedicle screws inserted by navigated robotic guidance (101 patients), only 1.5% (9/600) were repositioned intraoperatively. Based on the GRS CT-based grading of pedicle breach, 98.67% (296/300) of left-side screws were graded A or B, 1.3% (4/300) were graded C, and 0% (0/300) were graded D. For the right-side screws, 97.67% (293/300) were graded A or B, 1.67% (5/300) were graded C, and 0.66% (2/300) were graded D. This study demonstrated a high level of accuracy (based on GRS) with no significant differences between the left- and right-side pedicle screw placements (98.67% vs. 97.67%, respectively) in the clinical use of navigated, robot-assisted surgery.

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