Evaluation of the Electric Field Induced in Transcranial Magnetic Stimulation Operators

Bottauscio, O.; Zucca, M.; Chiampi, Mario; Zilberti, Luca

doi:10.1109/tmag.2015.2489561

Cited by 14 publications

(33 citation statements)

References 18 publications

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“…The two abstracts covering roles of nurses in relation to "neurostim" both focused on clinical roles and clinical knowledge and therapeutic education [122]. "Transcranial magnetic stim" (TMS), in relation to nurses, indicated operator information [98,105,123], treatment use [98,[123][124][125][126][127], and safety concerns for health professionals [128,129]. One article outlined the role of the nurse in administering repetitive transcranial magnetic stimulation (rTMS) treatment, and the potential for nursing leadership [105].…”

Section: Quantitative Results: Newspapermentioning

confidence: 99%

Neuro-Advancements and the Role of Nurses as Stated in Academic Literature and Canadian Newspapers

Deloria

Wolbring

2019

Societies

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Neurosciences and neurotechnologies (from now on called neuro-advancements) constantly evolve and influence all facets of society. Neuroethics and neuro-governance discourses focus on the impact of neuro-advancements on individuals and society, and stakeholder involvement is identified as an important aspect of being able to deal with such an impact. Nurses engage with neuro-advancements within their occupation, including neuro-linked assistive technologies, such as brain-computer interfaces, cochlear implants, and virtual reality. The role of nurses is multifaceted and includes being providers of clinical and other health services, educators, advocates for their field and their clients, including disabled people, researchers, and influencers of policy discourses. Nurses have a stake in how neuro-advancements are governed, therefore, being influencers of neuroethics and neuro-governance discourses should be one of these roles. Lifelong learning and professional development could be one mechanism to increase the knowledge of nurses about ethical, social, and legal issues linked to neuro-advancements, which in turn, would allow nurses to provide meaningful input towards neuro-advancement discussions. Disabled people are often the recipients of neuro-advancements and are clients of nurses, therefore, they have a stake in the way nurses interact with neuro-advancements and influence the sociotechnical context of neuro-advancements, which include neuro-linked assistive devices. We performed a scoping review to investigate the role of narrative around nurses in relation to neuro-advancements within academic literature and newspapers. We found minimal engagement with the role of nurses outside of clinical services. No article raised the issue of nurses having to be involved in neuro-ethics and neuro-governance discussions or how lifelong learning could be used to gain that competency. Few articles used the term assistive technology or assistive device and no article covered the engagement of nurses with disabled people within a socio-technical context. We submit that the role narrative falls short of what is expected from nurses and shows shortcomings at the intersection of nurses, socio-technical approaches to neuro-assistive technologies and other neuro-advancements and people with disabilities. Neuro-governance and neuroethic discourses could be a useful way for nurses and disabled people to co-shape the socio-technical context of neuro-advancements, including neuro-assistive technologies. Lifelong learning initiatives should be put in place to provide the knowledge necessary for nurses to take part in the neuroethics and neuro-governance discussion.

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Section: Quantitative Results: Newspapermentioning

confidence: 99%

Neuro-Advancements and the Role of Nurses as Stated in Academic Literature and Canadian Newspapers

Deloria

Wolbring

2019

Societies

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“…Abbreviation: MRI, magnetic resonance imaging. Literature references used: MRI 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ) ; Magnetic stimulation 35 , 36 , 37 , 38 , 39 , 40 ) ; Magnetotherapy 39 , 41 ) ; Diathermy 6 , 39 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ) ; Hyperthermia 5 , 55 , 56 ) ; Electrosurgery 6 , 7 , 37 , 39 , 52 , 57 , 58 , 59 , 60 , 61 ) ; Other (intensive care, emergency, pharmacy, physiotherapy, dentistry, ultrasound, defibrillator) 39 , 41 , 54 , 62 ...…”

Section: Resultsmentioning

confidence: 99%

“…Abbreviations: CNS, central nervous system; ELV, exposure limit value; MRI, magnetic resonance imaging; PNS, peripheral nervous system. Literature references used: MRI 17 , 22 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ) ; Magnetic stimulation 37 , 38 ) ; Electrosurgery 60 ) . …”

Section: Resultsmentioning

confidence: 99%

Occupational exposure to electromagnetic fields from medical sources

Stam

Yamaguchi-Sekino

2018

INDUSTRIAL HEALTH

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High exposures to electromagnetic fields (EMF) can occur near certain medical devices in the hospital environment. A systematic assessment of medical occupational EMF exposure could help to clarify where more attention to occupational safety may be needed. This paper seeks to identify sources of high exposure for hospital workers and compare the published exposure data to occupational limits in the European Union. A systematic search for peer-reviewed publications was conducted via PubMed and Scopus databases. Relevant grey literature was collected via a web search. For each publication, the highest measured magnetic flux density or internal electric field strength per device and main frequency component was extracted. For low frequency fields, high action levels may be exceeded for magnetic stimulation, MRI gradient fields and movement in MRI static fields. For radiofrequency fields, the action levels may be exceeded near devices for diathermy, electrosurgery and hyperthermia and in the radiofrequency field inside MRI scanners. The exposure limit values for internal electric field may be exceeded for MRI and magnetic stimulation. For MRI and magnetic stimulation, practical measures can limit worker exposure. For diathermy, electrosurgery and hyperthermia, additional calculations are necessary to determine if SAR limits may be exceeded in some scenarios.

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“…This then induce an electric field in the tissue that can reach the threshold for localized axonal depolarization of more than 100 V/m. For further information on this, we refer the reader to Deng et al [7], Bottauscio et al [8] and Lu and Ueno [6]. Since the limit for occupational exposure for the frequencies used in TMS is around 1 V/m, it is not surprising that staff can be at risk for overexposure if working too close to the coil when in use.…”

Section: Different Coil Designmentioning

confidence: 99%

Occupational Exposure to Magnetic Field in Transcranial Magnetic Stimulation Treatment

Mild¹,

Mollerlokken²

2018

Transcranial Magnetic Stimulation in Neuropsychiatry

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Transcranial magnetic stimulation (TMS) is used both as a diagnostic instrument and for therapy, available only at some psychiatric clinics for treatment of depression and at clinical neurophysiology where TMS is used for diagnosis of nerve damage. The Swedish National Board of Health and Welfare issued a referral edition about the use of repetitive TMS as an alternative treatment for depression. This may lead to a major increase in the application of TMS to treat depression. TMS is based on induction of an electric (E) field inside the brain by application of an external magnetic field with rapid rise and fall time. The E field in the brain has been calculated when different coils were used for the treatment. The reported E fields are of the order of tens to hundreds of volts per meter and the induced current density is estimated at tens of A/m 2 . This field can depolarize neurons or modulate cortical excitability by selecting the appropriate parameters for stimulation and the duration of the treatment session. The mechanisms of action of neurostimulation still remain incompletely understood.

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Evaluation of the Electric Field Induced in Transcranial Magnetic Stimulation Operators

Cited by 14 publications

References 18 publications

Neuro-Advancements and the Role of Nurses as Stated in Academic Literature and Canadian Newspapers

Neuro-Advancements and the Role of Nurses as Stated in Academic Literature and Canadian Newspapers

Occupational exposure to electromagnetic fields from medical sources

Occupational Exposure to Magnetic Field in Transcranial Magnetic Stimulation Treatment

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