Recent Technical Advancements of Endoscopic Spine Surgery with Disparate or Disruptive Technologies and Patents.

There have been numerous technical advancements in the field of endoscopic spine surgery since it began in the 1980s and its use further expanded in the 1990s. At present, there are many newer technical advancements in this field, each trying to expand the indications and afford more accurate execution of this procedure. We predict some technologies which can be classified as being disruptive and have the potential of being game changers in this exciting field in the near future.

Bioprinting: Prospects, considerations and challenges for application in South African clinical environments.

Bioprinting advances have revolutionised drug discovery and are set to disrupt biomedical research and medical application through the development of reproducible, fine-tuned functional 3D tissues and, eventually, whole organs. This intersectional bottom-up approach of additive manufacturing requires collaboration between tissue engineers, materials chemists, software and electrical engineers and medical practitioners for the software, hardware and wetware required by this disruptive technology. This review provides a current overview of the state of the art of bioprinting and the biomaterials/bioinks required, as well as the challenges and prospects for medical application in South Africa.

Predicting Registered Nurses' Behavioural Intention to Use Electronic Documentation System in Home Care: Application of an Adapted Unified Theory of Acceptance and Use of Technology Model.

The use of electronic documentation systems (EDS) has the potential to ensure timely, up-to-date and comprehensive patient health-related information is available and accessible to nurses regardless of their physical location. Despite the benefits of EDS, nurses' low intention to use such systems is well documented, which may predict behavioural usage. Further, limited knowledge exists about nurses' intention to use EDS in the context of home care. The aim of the study was to examine factors that influence nurses' intention of using EDS in home care practice. The conceptual model framing this study is adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT). A cross-sectional design was used. Nurses (N = 217) currently practicing within the home care sector in Ontario participated in the study. An online survey using adapted and psychometrically sound quantitative instruments was administered. Data were analyzed with descriptive statistics and hierarchical linear regression. Performance expectancy, attitude, social influence and facilitating conditions had significant, positive and direct effects on nurses' behavioural intention. Effort expectancy and nurses' individual characteristics (i.e., age, level of education and technology experience) were not found to have a direct and/or moderating influence on nurses' intention to use EDS in home care practice. Theory, practice and research implications for the findings are presented and discussed.