Controversies in Endoscopic Ultrasound-Guided Biliary Drainage.

In this 14th document in a series of papers entitled "" we discuss various aspects of EUS-guided biliary drainage that are debated in the literature and in practice. Endoscopic retrograde cholangiography is still the reference technique for therapeutic biliary access, but EUS-guided techniques for biliary access and drainage have developed into safe and highly effective alternative options. However, EUS-guided biliary drainage techniques are technically demanding procedures for which few training models are currently available.

Preparing for practice: Nursing intern and faculty perceptions on clinical experiences.

Purpose: Clinical experience and exposure to real patients are required elements of nursing education. Trainees in nursing are expected to be prepared adequately for the hard-working environment, increasing patient complexity, and higher-level competencies. This study investigates differences between nursing interns and clinical faculty on actual and perceived importance of educational preparation and development of clinical competencies, focusing on the nursing curriculum and transition to practice.

Surgical Revascularization of Coexistent Significant Left Main and Right Coronary Artery Stenosis: A Single Center Experience.

Background: Patients with left main coronary artery stenosis often have complex coexisting coronary artery disease. Surgical revascularization is still the standard modality of treatment.

Objective: To present our experience in surgical revascularization for patients with stenosis of both left main and right coronary artery and evaluate the impact of the latter on the outcome of surgery.