bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tuberculosis Makes a Comeback
Authors: Haney P.E. , Raymond B.A. , Hernández J.M. , Seeman S. , Berry A.J. 
Published: August 2006

ABSTRACTTuberculosis (TB) has plagued mankind for many centuries. In the past, the number of people afflicted with this potentially deadly disease declined, but there has been a recent dramatic increase in TB incidence. This increase is attributed largely to people who are coinfected with TB and HIV and to the development of resistant strains of Mycobacterium tuberculosis during the last decade. The US social infrastructure also has contributed to a rapid rise in TB cases due to adverse socioeconomic factors and an increase in the number of immigrants and people infected with HIV. This article gives a historical overview of TB; discusses its diagnosis, transmission and prevention modalities; and provides a case study about a TB‐infected patient who required emergent surgical intervention. AORN J 63 (April 1996) 705–715.
Multiple Subpial Transection for Landau‐Kleffner Syndrome
Authors: Buelow Janice M. , Aydelott Pat , Pierz Deborah M. , Heck Barbara 
Published: August 2006

ABSTRACTLandau‐Kleffner syndrome (LKS) is an acquired epileptic aphasia caused by a lesion in the speech centers of the cerebral cortex during a critical period of childhood development. Characteristics of LKS include language deterioration, seizure disorders, and severe electroencephalogram abnormalities. Multiple subpial transection (MST) is a surgical procedure that eliminates seizure activity in the cerebral cortex while preserving the child's normal cortical functions of speech, movement, primary sensation, and memory. This article presents a summary of clinical studies on LKS and discusses the diagnosis of LKS, traditional medical treatments, patient selection for MST procedures, and perioperative care of children undergoing MST procedures. AORN J 63 (April 1996) 727–739.
The Impact of Parental Presence on Parental Anxiety and Satisfaction
Authors: Blesch Pam , Fisher Mary L. 
Published: August 2006

ABSTRACTResearchers used an experimental research design to vary the amount of parental presence during their children's anesthesia induction and recovery and measured the effect of parental presence on parental anxiety and satisfaction with care. The State‐Trait Anxiety Inventory was used to assess parental anxiety. The researchers measured parents' blood pressures and pulse rates as a second measure of anxiety. They found no significant differences in parental anxiety between study groups (ie, the parents attending during their children's anesthesia induction and recovery, the parents not attending) but observed significant differences between mothers and fathers. Overall satisfaction scores were high, with little variability and no significant differences between study groups. Parents and physicians and nursing staff members supported the practice of parental presence during children's anesthesia induction and immediate postoperative recovery period. AORN J 63 (April 1996) 761–768.
Management of Alcoholic Cirrhosis of the Liver
Authors: McEwen Donna R. 
Published: August 2006

ABSTRACTPatients with liver disease require skilled, complex management of the inevitable complications associated with hepatic dysfunction. Portal hypertension, a major consequence of cirrhosis of the liver, causes ascites and esophageal variceal hemorrhages. Many clinical and surgical treatment options are available to manage these complications; however, they often produce only temporary symptom control and may beget further morbidity. This article focuses on the etiology, complications, and treatment of alcoholic cirrhosis. Perioperative nursing care of patients with alcoholic cirrhosis is based on an understanding of normal hepatic functions and the systemic effects of cirrhosis. AORN J 64 (Aug 1996) 209–226.
Cryosurgical Ablation of Unresectable Hepatic Tumors
Authors: Zuro Lynne M. , Staren Edgar D. 
Published: August 2006

ABSTRACTUltrasound‐guided hepatic cryosurgery is a potential treatment option for select patients with unresectable tumors. Intraoperative placement of cryoprobes and monitoring of tumor freezing with ultrasonography produce complete remission in 22% to 29% of patients with unresectable metastatic colorectal tumors to the liver. Perioperative nurses should be knowledgeable about cryosurgical techniques and be prepared to participate in this innovative treatment modality to provide optimal care to surgical Patients. AORN J 64 (Aug 1996) 231–244.
Applying Nursing Theory to Perioperative Nursing Practice
Authors: Gillette Veronica A. 
Published: August 2006

ABSTRACTThe perioperative nursing role has evolved from that of task‐oriented specialists to patient‐centered professionals. The concept of caring is significant to perioperative nurses and is manifested by the many caring behaviors perioperative nurses demonstrate toward surgical patients. This article describes how the element of caring is an essential function of perioperative nursing and relates the perioperative nursing role to the work of three nursing theorists (ie, Florence Nightingale; Virginia Henderson, RN, AM; Carol L. Montgomery, RN, PhD).AORN J64 (Aug 1996) 261–270.
A Patient Classification System for Ambulatory Surgery Centers
Authors: Kusler‐Jensen Jane A. 
Published: August 2006

ABSTRACTA well‐developed and operational patient classification system can lessen problems associated with determining and allocating nursing personnel. This article discusses the development of such a tool in a freestanding ambulatory surgery center and includes a tool for facilities that want to develop similar classification systems. AORN J 64 (Aug 1996) 273–277.
Bloodless Medicine and Surgery
Authors: Maness C.P. , Russell S.M. , Altonji P. , Allmendinger P. 
Published: August 2006

ABSTRACTOur hospital is a center for bloodless medicine and surgery (CBMS). It is one of 56 such centers located in the United States. The mission of the center is to provide surgical and medical treatment without the administration of blood or blood‐related products. Patients' rights to autonomy and self‐determination are respected. Development of the CBMS program required the writing and implementation of specific guidelines, developing standards of care, revising existing policies and procedures, and educating staff members. The CBMS program is multifaceted and multidisciplinary. AORN J 67 (Jan 1998) 144‐152.
Blood and Blood Product Use in Perioperative Patient Care
Authors: Dreger Vicki , Tremback Thomas 
Published: August 2006

ABSTRACTA variety of health care personnel are involved in the collection, storage, and administration of the 20 million units of blood products that are transfused into millions of patients each year. This article reviews blood transfusion practices, nursing care guidelines, and new developments to help perioperative nurses prevent or ameliorate adverse transfusion outcomes in surgical patients. AORN J 67 (Jan 1998) 154–190.
Study on Effect of Methods of Preoperative Education in Women
Authors: Lookinland Sandra , Pool Madonna 
Published: August 2006

ABSTRACTThe authors' repeated measures experimental study at a 359‐bed community medical center located in California compared the effect of preadmission structured education with postadmission unstructured education on the outcomes of patient satisfaction, postoperative recovery, and return to functional status. Power analysis for a large effect size was used to determine the sample size of 50 adult females scheduled for open abdominal surgery. The authors used valid and reliable tools to measure the dependent variables and their findings suggest that same‐day admission surgical patients who receive preadmission structured education have improved clinical outcomes, are more satisfied, are more likely to meet the targeted discharge date, and return to prior functional status sooner. AORN J 67 (Jan 1998) 203‐213.
Development of Professional Excellence Puts Best Foot Forward
Authors: DeMello Ann B. , Pagragan Cindy S. 
Published: August 2006

ABSTRACTIn today's changing market, any employee can be laid off, anytime, anywhere. Perioperative nurses everywhere are at risk of losing their jobs. Creating or updating a resume, filling out applications, and facing job interviews can be intimidating. Highly qualified candidates may not be selected for a position; however, the best prepared and most determined often are. This article outlines techniques for a well‐written resume, good communication skills, and a “dressed for success” appearance that are essential in projecting professional excellence. AORN J 67 (Jan 1998) 214‐221.
Bilateral Lung Volume Reduction Surgery for Treatment of Emphysema
Authors: Dickey Desise M. 
Published: August 2006

ABSTRACTPatients suffering from chronic pulmonary emphysema can benefit from a new surgical technique that offers them relief from chronic dyspnea and declining quality of life. Bilateral lung volume reduction surgery (LVRS) involves an innovative surgical stapling technique for removing emphysematous lung tissue. To prevent persistent air leaks, surgeons use bovine pericardium strips to reinforce surgical staple lines created during bilateral LVRS. Perioperative nurses should understand the disease process of chronic pulmonary emphysema, bilateral LVRS techniques, and possible postoperative complications to provide quality nursing care for patients undergoing LVRS procedures. AORN J 63 (Feb 1996) 355–372.
Surgical Treatment of Emphysema Using Bovine Pericardium Strips
Authors: Allen Gloria M. 
Published: August 2006

ABSTRACTChronic pulmonary emphysema (CPE) damages lung tissue, causing it to lose elasticity and no longer exchange oxygen and carbon dioxide efficiently. In the past, lung transplantation was the only surgical treatment for CPE. Lung volume reduction surgery (LVRS) using bovine pericardium strips is a surgical approach that removes emphysematous lung tissue, allows healthy lung tissue to reexpand, and improves the functioning of the intercostal muscles and diaphragm. Surgical stapling devices buttressed with strips of bovine pericardium are used in LVRS procedures to reduce air leaks along staple lines. Patients with CPE who have undergone LVRS procedures using bovine pericardium strips have experienced a dramatic increase in their ability to exchange air, allowing them to have more normal lifestyles. AORN J 63 (Feb 1996) 373–388.
An Approach to the Retrieval of Thoracic Organs for Transplantation
Authors: Lloyd‐Jones H. , Wheeldon D.R. , Smith J.A. , Potter C.D.O. , Wallwork J. , Large S.R. 
Published: August 2006

ABSTRACTA critical, worldwide shortage of thoracic organs exists. The donor management program at Papworth Hospital, National Health Service Trust, Cambridge, United Kingdom, allows satisfactory transplantation of thoracic organs that initially appear unsuitable. The perioperative organ retrieval team members assess the cardiovascular status of all potential donors and manage suboptimal hemodynamics with hormonal replacement therapy consisting of triiodothyronine, antidiuretic hormone, epinephrine, and insulin. These donors' cardiovascular and pulmonary functions must be within acceptable limits at the time of organ excision. Our standardized approach facilitates objective decision making regarding the appropriate use of donor organs and has increased the number of available donor organs at Papworth Hospital by 30%. Morbidity and mortality rates in thoracic organ recipients have not increased since the authors developed the standardized approach, and more patients have benefited from thoracic organ transplantation. AORN J 63 (Feb 1996) 416–426.
AORN's Multisite Clinical Study of Bloodborne Exposures in OR Personnel
Authors: Thompson Julie 
Published: August 2006

ABSTRACTPerioperative nurses are participating in a multisite clinical study to identify risk factors for blood and body fluid exposures in OR settings and to create a surveillance database that can be used to assess the benefits of strategies to prevent these exposures. The project is funded by a grant from Becton Dickinson, Franklin Lakes, NJ, to the AORN Foundation and is coordinated by an AORN Headquarters nurse in collaboration with the primary investigator at the University of Virginia Medical Center, Charlottesville. This article reports the study's implementation and current status. AORN J 63 (Feb 1996) 428–434.
Intraoperative Nursing Care as Experienced by Surgical Patients
Authors: Hankela Sirpa , Kiikkala Irma 
Published: August 2006

ABSTRACTResearchers studied the expectations and experiences related to intraoperative nursing care of patients who underwent hip replacement procedures with regional anesthesia at University Hospital, Tampere, Finland. They used patients' perspectives to develop a conceptual framework that describes quality intraoperative nursing care. AORN J 63 (Feb 1996) 435–442.
Sexual Harassment and Hostile Environments in the Perioperative Area
Authors: Kaye Judy 
Published: August 2006

ABSTRACTNursing has dealt with sexual harassment since the era of Florence Nightingale. Despite legislation and increased media attention, perioperative nurses continue to experience frustration, embarrassment, and psychological and economic repercussions because of sexual harassment. Prevention of sexual harassment must encompass individuals, employers, and the health care profession as a whole. Individuals can take steps to stop sexual harassment by reporting the incidents and confronting the harassers. Employers have a legal responsibility to maintain work environments that discourage sexual harassment. Policies and procedures strictly prohibiting sexual harassment should be well publicized and supported strongly by management. Sexual harassment prevention programs should include medical staff members, because studies indicate most harassers are physicians. Awareness and prevention are the first steps to establishing and maintaining healthy workplaces that are free of sexual harassment. AORN J 63 (Feb 1996) 443–449.
Testing Prototype Products in the Operating Room
Authors: Routledge Janice D. , Henderson Lesley J. 
Published: August 2006

ABSTRACTHistorically, the discussion of which products to use in a hospital has centered around disposable versus reusable products; however, new technology has produced a line of products that are not only disposable but degradable. Perioperative staff members at Redmond Regional Medical Center, Rome, Ga, participated in the testing, evaluation, and use of these prototype products during their development. AORN J 63 (Feb 1996) 450–451.
Perioperative Nursing in Israel
Authors: Waugaman Wynne R. , Lasensky Dorothy J. 
Published: August 2006

ABSTRACTPerioperative nursing in Israel's Hadassah Medical Organization hospitals—Ein Kerem and Mt Scopus—reflects quality patient care practices paralleling those in US hospitals. Although these two hospitals, both located in Jerusalem, represent only 5% of the hospital beds in Israel, they receive more than 60% of referrals made to all Israeli hospitals. Throughout Israel's tumultuous history, the Hadassah Medical Organization has served the country during both war and peace. In 1991, Mt Scopus was designated as the hospital on duty in case of a chemical attack during the Gulf War. The authors provide an overview of perioperative nursing at the Ein Kerem and Mt Scopus Medical Centers of the Hadassah Medical Organization and describe one American nurse's experience as a volunteer in the Mt Scopus Medical Center OR during the Gulf War. AORN J 64 (Nov 1996) 691–701.
Surgical Instrument Manufacturing in Southern Germany
Authors: Bower Janet O. 
Published: August 2006

ABSTRACTMost of the finer surgical instruments are manufactured in a small town in southern Germany. The creation of these instruments follows a complex process that has evolved since the turn of the century. This article discusses the history of the town's instrument manufacturing and the process the craftsmen follow as observed by the author. AORN J 64 (Nov 1996) 710–714.
Managing Patients with Pancreatic Cancer
Authors: McEwen Donna R. , Sanchez Maria M. , Rosario Ana , Allen Wilhelmenia E. 
Published: August 2006

ABSTRACTThe diagnosis of pancreatic cancer is devastating for patients and family members because of the high morbidity and mortality rates associated with the disease. Regardless of the stages of their illnesses or the treatments they receive, only 3% of patients diagnosed with pancreatic cancer survive five years or more after diagnosis. Compassionate, knowledgeable, supportive nursing care is necessary throughout all stages of pancreatic cancer. This article provides perioperative nurses with information about the diagnosis, treatment, and palliative care for patients diagnosed with pancreatic cancer. AORN J 64 (Nov 1996) 716–735.
The Role of the Anesthesia Care Coordinator in Preadmission Testing
Authors: Swanson Heidi L. , Scheb Diane M. 
Published: August 2006

ABSTRACTSurgery delays and cancellations are costly to hospitals and emotionally distressful to patients. At Sarasota (Fla) Memorial Hospital, staff members developed a critical pathway—the preanesthesia collaborative care track, called “the Track,” to address problems associated with preparing patients for surgery. The Track is designed to facilitate preoperative patient assessments and nursing interventions that achieve desirable patient outcomes and to enhance the delivery of quality health care to surgical patients. The RN anesthesia care coordinator of the Track assists in early patient‐problem identification and ensures that appropriate clinical data are available for perioperative nurses, anesthesiologists, and surgeons to avoid last‐minute delays and cancellations of scheduled surgical procedures. AORN J 64 (Nov 1996) 776–780.
A Perioperative Educators Network Promotes Collegiality
Authors: Beck Sandra M. , Utz Pamela K. 
Published: August 2006

ABSTRACTThe term collegiality, as defined in the AORN professional performance standards, identifies an obligation for perioperative nurses to advance their specialty and contribute to the growth of peers and colleagues. Networking is a personally inspiring and cost‐effective way to accomplish many of the goals set forth in these standards. A group of perioperative nurse educators in southeastern Michigan recognized this opportunity and combined resources to achieve collegiality and reach common goals. The benefits of increasing contacts, sharing resources, and gaining peer support contribute to the ultimate goal of providing quality education for perioperative staff members. AORN J 64 (Nov 1996) 786–791.
Preventing Intravasation in Women Undergoing Hysteroscopic Procedures
Authors: Bennett Kaye L. , Ohrmundt Christine , Maloni Judith A. 
Published: August 2006

ABSTRACTHysteroscopic procedures, which are an alternative to hysterectomy for surgical treatment of menorrhagia and uterine fibroids, place women at risk for intravasation of uterine distention fluid. Intravasation can produce fluid overload, pulmonary edema, congestive heart failure, and electrolyte imbalances. To examine risk factors for and evaluate nursing interventions to decrease the incidence of intravasation, the researchers compared mean arterial pressures (MAPs) and intrauterine pressures (IUPs) in two groups of women undergoing elective outpatient hysteroscopic procedures. The experimental group consisted of 20 women in whom fluid infusion pump pressures were maintained below the women's MAPs. The control group consisted of 20 women whose fluid infusion pump pressures were set at random. Distention fluid deficits and the total infused distention fluid volume differed significantly between the two groups, supporting the study hypothesis that maintaining equilibrium between women's IUPs and MAPs decreases the risk of uterine distention fluid absorption into the vasculature and fluid overload complications. Perioperative nurses need to monitor women's MAPs before and during hysteroscopic procedures and maintain fluid infusion pump pressures at or below women's MAPs to decrease the potential for intravasation. AORN J 64 (Nov 1996) 792–799.
Intraoperative Positioning of Surgical Patients
Authors: McEwen Donna R. 
Published: August 2006

ABSTRACTAll perioperative team members are responsible for the safe positioning of surgical patients. Circulating nurses coordinate the positioning of patients during intraoperative periods of care. Skilled perioperative nursing interventions afford patients safe and comfortable positioning during surgery, ensure optimal exposures of surgical sites, and prevent postoperative complications (eg, pressure injuries, neuropathies, cardiovascular and respiratory compromises). Perioperative nurses should have a working knowledge of anatomy and physiology, patient risk factors, Injury mechanisms, potential complications, and positioning devices before placing patients in required perioperative positions. AORN J 63 (June 1996) 1059‐1079.
Laparoscopic Extraperitoneal Herniorrhaphy
Authors: Collins Lynnette G. 
Published: August 2006

ABSTRACTLaparoscopic extraperitoneal (LEP) herniorrhaphy procedures allow direct visualization and repair of many types of hernias (eg, direct, indirect, femoral, sliding, bilateral). Common complications of open herniorrhaphy procedures are avoided when LEP herniorrhaphy procedures are used because the peritoneum is not entered. The placement of synthetic mesh in the preperitoneal space during LEP hernlorrhaphy procedures prevents inadvertent contact with peritoneal contents and minimizes patients' risks of adhesions, bowel obstructions, fistulas, and intraabdominal vascular injuries. Improved anatomic presentation and optimal patient outcomes are achieved with this approach. AORN Journal 63 (June 1996) 1089‐1098.
Laparoscopic Distal Pancreatectomy Proceclures in a Rural Hospital
Authors: Clark Gregory J. , Onders Raymond P. , Knudson J. Duane 
Published: August 2006

ABSTRACTLaparoscopic surgical procedures are replacing traditional, more invasive surgical procedures—even in small, rural hospitals. During a period of 12 months, the authors performed laparoscopic distal pancreatectomy procedures on two patients at a 20‐bed hospital in North Dakota. Although surgeons in other countries have reported performing laparoscopic distal pancreatectomy procedures, this is the first published report of a US surgical team performing this procedure. Laparoscopic dissection of the distal pancreas allows preservation of patients' spleens, decreases postoperative pain and length of hospitalization, and permits patients to return to activities of daily living more quickly than with traditional open pancreatectomy procedures. AORN J 65 (Feb 1997) 334–343.
Development of a Patient‐Centered Preprocedure Program
Authors: Hoeksema Janice , Munski Joann 
Published: August 2006

ABSTRACTStaff members at Blodgett Memorial Medical Center, Grand Rapids, Mich, developed and implemented a prototype for a new patient‐centered preadmission testing (PAT) program. Using continuous improvement principles, an implementation team improved the existing PAT program by increasing patient satisfaction, reducing duplication of care and services, and avoiding delayed or canceled surgical procedures in the OR. The implementation team then designed a preprocedure learning process in which nurses performed patient assessments, coordinated information between departments, and made appropriate referrals. AORN J 65 (Feb 1997) 388–395.
Breast Cancer in the Nineties
Authors: Buyske Jo , Mackarem Gasan , Ulmer Brenda C. , Hughes Kevis S. 
Published: August 2006

ABSTRACTBreast cancer is the most common cancer in women and is the second (after lung cancer) leading cause of cancer deaths in women. Knowledge of breast cancer and its epidemiology, natural course, and response to treatment continue to evolve, making the survival rates for patients with breast cancer more optimistic. Women with breast cancer must decide, in partnership with expert physicians and nurses, what their options are for screening, diagnosis, and treatment. This article provides an overview of options available to women diagnosed with breast cancer.