Biomedical subjects
Publications and source records attributed to M Schaffner.
Endoscopic stent placement is a well established treatment for biliary obstruction. The known disadvantage of plastic stents is their tendency to clog. This article describes another approach to treating biliary obstruction secondary to malignant neoplasms using the expandable metallic Wallstent endoprosthesis.
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At Duke University Medical Center approximately 1,000 endoscopic retrograde cholangiopancreatography procedures are completed per year. Hints for biliary stenting have been developed. This article is meant to provide the GI nurse/associate with a quick reference when assisting with stent placement.
The purpose of this study was to determine the prevalence of dental erosion in an adult population in Switzerland. 391 randomly selected persons from two age groups (26-30 and 46-50 yr) were examined for frequency and severity of erosion on all tooth surfaces. Information was gathered by interview about lifestyle, dietary and oral health habits. For facial surfaces 7.7% of the younger age group and 13.2% of the older age group showed at least one tooth affected with erosion with involvement of dentin (grade 2). 3.5 teeth per person in the younger and 2.8 teeth per person in the older age group were affected. Occlusally, at least one severe erosion was observed in 29.9% of the younger and 42.6% of the older sample with 3.2 and 3.9 erosion-affected teeth per person, respectively. 3.6% of the younger age group and 6.1% of the older age group showed slight lingual erosion on the maxillary anterior teeth. Severe lingual erosions were scarce. Data from interviews and multiple regression analyses revealed that acids from beverages are significantly associated with presence of erosion.
Interviewing, orientation and evaluation of staff are probably three of the most important and challenging tasks of any manager. This paper will discuss these processes and how they can be of value in the GI Unit.
The gastroenterology nurse is an integral member of the patient care team with a wide range of responsibilities combining the role of patient care manager with technical responsibilities for the use of complex equipment. With the increase in diagnostic and therapeutic endoscopy has come a keener awareness of what constitutes proper cleaning and disinfecting of endoscopes and endoscopic accessories as well as general aspects of infection control.
The skill of writing job descriptions begins with an understanding of the advantages, as well as the basic elements, of a well written description. The end result should be approved and updated as needed. Having a better understanding of this process makes writing the job description a challenge rather than a chore.
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