bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of Patient Comments on Patient-Reported Outcome Measures in Orthopaedic Trauma
Authors: Carlson Tim A. , Vang Sandy , Sibley Andrew , Huspeni Rachel , Schroder Lisa K. , Cole Peter A. , Nguyen Mai
Published: August 2023

Background

Patient-reported outcome measures (PROM) surveys are being increasingly utilized in orthopaedic trauma. However, the current validated outcome tools generally do not permit individualized patient narrative responses. With the implementation of a new electronic PROM program that allowed for additional comments, we sought to determine the comment rate on PROM surveys and to define the most common themes discussed by patients.

Methods

A prospectively collected orthopaedic trauma registry from a single metropolitan Level I trauma center from January 2018 to April 2020 was retrospectively reviewed for PROM data. Validated general and injury specific PROM surveys were sent to patients electronically at six weeks, three months, six months, one year and two years post-operatively. Patients were able to leave comments following the multiple-choice questions. These comments were categorized into groups based on their content.

Results

Out of 3068 completed PROM surveys, 1112 (36%) had additional comments. There was no statistically significant difference in age, gender, or PROMIS-10 scores between the group who left comments on completed PROMs and those who did not. A total of nine themes were identified including: positive communication, negative communication, empathy, pain management, positive functional outcome, negative functional outcome, appreciation for care, survey suggestions, and neutral comments. There were more positive comments (57%) than negative comments (35%). Eight percent of the comments had neither a positive nor negative theme. The most common themes were related to interactions with the surgical team and communication (68%). Only 14% of comments were related to functional outcome. Following the dissemination of these findings in our department, we observed a 2.5% increase in satisfaction rating in the proceeding three-month period.

Conclusions

More than one-third of the patients that completed PROM surveys provided additional comments regarding their care. Analysis of patient narrative responses provides valuable information to improve patient-centered, value-based care.
The Next Frontier for Rotator Cuff Augmentation? Strength + Bio-Induction
Authors: McMillan Sean , Arciero Robert , Ford Elizabeth
Published: August 2023

Rotator cuff repair (RCR) is one of the most common arthroscopic orthopedic procedures performed worldwide. A high number of clinical and subclinical re-tears exist post procedure, particularly in the subset group of large (>3cm) to massive tears and revision tears (Agrawal 2012; Galatz et al. 2004; Djurasovic et al. 2001; Burkhart et al. 2007). Advances in RCR over the past two decades have nearly eliminated failures related to implant failure. Currently the most common mechanism of failure lies in suture “pull through” at the suture-tendon interface (Mirzayan et al. 2019; Ponce et al. 2013; Ma et al. 2006). The addition of rotator cuff augmentation has seen significant growth, with improved outcomes rates compared to non-augmented repairs. However, each of the most commonly used synthetic and biologic augmentation options have drawbacks. We describe the current overview of RCR augmentation and introduce a novel bio-composite scaffold featuring a highly porous type I collagen scaffold reinforced with bio-resorbable poly(L-Lactide) (PLLA) microfilaments. This scaffold is intended for the reinforcement of soft-tissue repair and uniquely combines bio-inductive properties with load-sharing strength.
Reduced Opioid Use and Hospital Stay in Patients Undergoing Total Knee or Total Hip Arthroplasty when Treated with Sublingual Sufentanil Compared with Standard of Analgesic Care
Authors: Wiesner Lawrence , Tvetenstrand Christian D
Published: August 2023

INTRODUCTION

A prospective study with a historical control group was performed to assess opioid use and length of stay in patients receiving a sufentanil sublingual tablet (SST) perioperatively for hip or knee arthroplasty compared to standard opioid administration.

METHODS

Patients were prospectively enrolled following informed consent and were dosed with one SST 30 mcg in the post-anesthesia care room following spinal anesthesia. Patients unable to receive spinal anesthesia received one SST 30 mcg dose prior to general anesthesia. The comparator group was patients undergoing the same procedures within the previous 3 months. All patients received non-steroidal anti-inflammatory drugs and acetaminophen, with peripheral anesthesia blocks for knee arthroplasty. Intravenous and oral opioids were used as rescue analgesics.

RESULTS

A total of 110 patients were evaluated, with 53 patients prospectively treated with SST and 57 patients in the comparator group. Patient demographics, anesthesia techniques and type of surgery were similar between the groups. The SST group utilized less morphine milligram equivalents throughout their stay (17.8 ± 2.4 vs 25.0 ± 3.3 for control patients [P < .05]). Hospital length of stay was shorter for the SST group (0.87 ± 0.12 vs 1.23 ± 0.16 nights [P < .05]). In the control group, 9 patients (15.8%) were discharged to a skilled nursing facility compared to none in the SST group (P < .01).

DISCUSSION

In patients undergoing hip or knee arthroplasty, the addition of SST to a multimodal analgesic regimen is associated with lower opioid utilization, more rapid discharge and fewer admissions to skilled nursing facilities.
An Evidence-Based Approach to the Treatment of Knee Osteoarthritis
Authors: Brown Gregory A.
Published: August 2023

The Journal of Orthopaedic Experience and Innovation editorial (Kirschenbaum 2021) requesting knee osteoarthritis (OA) treatment protocols or algorithms is important. The American Academy of Orthopaedic Surgeons’ (AAOS) Treatment of Osteoarthritis of the Knee Evidence-Based Guideline (2nd Edition) (Jevsevar et al. 2013) provides evidence of the effectiveness of knee OA treatments, but does not provide a treatment algorithm or protocol. Neither does the clinical practice guideline provide a rank ordering of the effectiveness of different treatments or guidance regarding when to initiate or discontinue treatments. Consequently, information must be incorporated from other sources and synthesized into an evidence-based approach. “Approach” is used because the diversity of patients, their co-morbidities, and their responses is not amenable to a defined protocol or algorithm.
Summary of outcomes of a non-invasive biomechanical therapy for patients with knee osteoarthritis
Authors: Bartels Matthew , Suk Michael
Published: August 2023

Osteoarthritis (OA) is the second most frequent chronic musculoskeletal (MSK) condition after low back pain and a leading cause of disability in the elderly. The number of people living with disability will continue to rise with the aging of the population. Moreover, the rapid increase in rates of surgical intervention, i.e. Total knee replacement (TKR) and revision TKRs, is expected to place an immense burden on the health care system and society. There is a call for better rehabilitation, new interventions, and disease management for patients with knee OA. The purpose of this article is to review the biomechanics of knee OA and biomechanical interventions and to summarize the current literature on a non-invasive, home-based biomechanical treatment for patients with knee OA. The evidence suggests an improvement in symptoms and biomechanical indicators after using the home-based biomechanical intervention. In the presence of value-based payment to improve efficiency and effectiveness in delivering medical care, these results are promising.
Contralateral Prophylactic Pinning for Slipped Capital Femoral Epiphysis: A Delicate Balance Between Slip Prevention and Femoral Morphologic Changes
Authors: Metz Allan K. , Klatt Joshua B. , Froerer Devin , Cheminant Jenna , Aoki Stephan K.
Published: August 2023

The purpose of our study was to characterize the relationship between prophylactic pinning and proximal femur growth. Our hypothesis was that we would see an increased height of the greater trochanter relative to the center of the femoral head and a shortened femoral neck as a result of prophylactic pinning.
Preoperative Optimization Enables Identification of Undiagnosed Diabetics in Elective Orthopedic Surgery
Authors: Sanderson Brent , Dbeis Ammer , Gall Cory , Horvath Dennis , Menninger Fredrick , Hargett Damayea , Benson Emily , Sweet Stephan
Published: August 2023

We set out to assess the prevalence of undiagnosed diabetes among elective orthopedic surgery patients using a preoperative hemoglobin A1c (HbA1c) test. We also aimed to evaluate short term clinical outcomes and any possible surgical delays due to poor glycemic control.
Paget-Schroetter Syndrome: A Case Report of effort induced upper extremity venous thrombosis
Authors: Bishai Shariff K. , Knesek David , Rodriguez Francisco , Ball Guy
Published: August 2023

Effort induced thrombosis of the axillary-subclavian vein, also referred as Paget-Schroetter syndrome, is a relatively uncommon type of deep vein thrombosis of the upper extremity. Although rare, understanding its clinical presentation and etiology is essential for timely diagnosis and formatting correct treatment protocols.

Most upper extremity deep vein thrombosis are secondary to either underlying pathology including cancer, chronic indwelling catheters, and hypercoaguable states making their clinical diagnosis relatively straight forward. On the contrary, effort induced deep vein thrombosis most commonly occur in young otherwise healthy people. Early detection and treatment of this type of thrombosis are essential in preventing late-term complications including post-thrombotic syndrome, and pulmonary embolus.

There is no current consensus in treatment of effort induced upper extremity thrombosis with literature supporting conservative versus surgical treatment depending on patient presentation and physician preference.
Looking Forward: A Systematic Review Assessing Risk Factors Predicting Orthopaedic Trauma “Loss to Follow-up”
Authors: Kirchner Gregory , Kerbel Yehuda , Kim Andrew , Stein Matthew , Ryan William , Mehta Samir
Published: August 2023

Introduction

Loss to follow-up is common after orthopaedic trauma and may disproportionately affect vulnerable populations. Therefore, the purpose of this study was to understand patient characteristics increasing risk of lack of follow-up after orthopaedic trauma.

Methods

The Medline and Cochrane Library databases were queried with combinations of MeSH terms and keywords related to patient compliance in orthopaedic surgery were used. Inclusion criteria were: 1) published in the English language; 2) described patients who underwent surgical treatment for a traumatic orthopedic injury; 3) recorded patient compliance for at least the first scheduled outpatient follow-up appointment; 4) reported characteristics associated with patients who failed to comply with outpatient follow-up or reported patient-cited reasons for failure to comply with outpatient follow-up. Data extracted included rate of follow-up, demographic characteristics (e.g., race/ethnicity and measures of socioeconomic status), patient-reported reasons for non-compliance, and patient-reported outcome measures.

Results

Nine studies representing 7,188 patients met the inclusion criteria. A total of 1,728 (24.0%) of patients were considered lost to follow-up over a range of 2 weeks to 2 years after surgery. Males, younger patients, current tobacco users, and uninsured or patients with government insurance plans were commonly lost to follow-up. Of 166 patients questioned for reasons for failure to follow-up, 31 (18.7%) cited distance or inconvenience as the primary reason. Meanwhile, 19 (11.4%) stated that they did not attend because they felt well.

Conclusion

Our review confirms that there is a high rate of follow-up non-compliance after orthopaedic trauma. Furthermore, this study found that the orthopaedic trauma patient lost to follow-up is likely to be male, young, a current tobacco user, and uninsured or on a government health insurance plan.
The Role of Bisphosphonates and Prostaglandins for the Treatment of Subchondral Insufficiency Fractures of the Knee: An Evidenced-Based Opinion
Authors: Aman Zachary S. , DePhillipo Nicholas N. , Lind Dane R.G. , Dekker Travis J. , LaPrade Robert F.
Published: August 2023

Subchondral Insufficiency Fractures of the Knee (SIFK) can result in accelerated cartilage degeneration and poor outcomes. The presence of SIFK is difficult to manage and can cause persistent knee swelling, pain, and prolonged disability. Pharmacologic agents to suppress extensive bone remodeling, improve blood supply, and reduce pain have been suggested as treatment for these lesions. Nonoperative management with prostaglandins and bisphosphonates has emerged as a potentially efficacious intervention for symptom reduction and resolution of knee bone marrow edema. However, previous reports of potential serious adverse effects including atypical femoral fractures of the proximal femur raise concerns for clinical safety. This evidence-based opinion article demonstrates the potential clinical efficacy of various pharmacologic therapies, including prostaglandins and bisphosphonates, for the treatment of SIFK. The overall rate of reporting adverse effects in the literature is high (47.3%), while significant clinical improvements have been identified in 66% to 100% of the patient population. This collective information may help guide physicians during prescription drug therapy for the treatment of SIFK.
Preparedness for Matching into an Orthopaedic Surgery Residency: Student Perspectives as a Model for Institutional Progression
Authors: Pizzo Dane , Filtes Peter , Chandra Akhil , Nasra Matthew , Aryee Jomar , Adolfsen Stephen , McPartland Thomas , Katt Brian
Published: August 2023

Objective

With the increasingly competitive nature of matching into an orthopaedic surgery residency, there is an opportunity for medical schools and orthopaedic faculty to enhance their students’ candidacy. In this study, we aim to evaluate medical students’ satisfaction with our institution’s provision of resources, identify areas of strengths and weaknesses within our department, and use these findings to implement action plans for institutional advancement.

Design

This is a prospective, cross-sectional survey study of alumni from our institution, an allopathic medical school affiliated with a tertiary-care university teaching-hospital, who successfully matched into an orthopaedic surgery residency program between 2006 and 2021.

Setting

Robert Wood Johnson Medical School (RWJMS) Department of Orthopaedic Surgery, New Brunswick, NJ

Participants

The survey was distributed to 83 matched alumni from our institution, 45 (54.2%) responded to the survey.

Results

Forty-four (97.8%) survey respondents successfully matched into a PGY-1 orthopaedic surgery residency position on their first attempt. Nearly 70.0% of survey respondents matched into their top 3 ranked residency program while ~90.0% matched into their top 5 ranked residency program. Survey respondents reported that board exam scores (33.3%), performance on away rotations (28.9%), and letters of recommendation (15.6%) were their greatest strengths, while research experience (53.3%), lack of inclusion in AOA (17.8%), and board exam scores (15.6%) were their greatest weaknesses. On survey responses evaluated using a 1-5 Likert scale, survey respondents reported that their sub-internship at our home institution adequately prepared them to excel on away rotations (4.38 ± 0.912). Conversely, survey respondents from our institution rated faculty and resident’s receptiveness to students seeking research opportunities the lowest (3.38 ± 1.007).

Conclusions

An internal assessment of orthopaedic departments at medical institutions, utilizing student perspectives, can be a useful tool for identifying the strengths and weaknesses of a program’s ability to prepare students to successfully match into an orthopaedic residency. After identification, programs must be able to hone strengths and mitigate weaknesses by setting objectives for improvement and implementing action plans to ensure deficiencies are adequately addressed.
The “Other Side” of Conflict: examining the challenges of female orthopaedic surgeons in the workplace.
Authors: Rodarte Patricia , Kammire Maria S. , Cannada Lisa K. , Poon Selina , Israel Heidi
Published: August 2023

Introduction

Gender bias has not been studied extensively within orthopaedic surgery, where only 8% of practicing orthopaedic surgeons in the US identify as female. As more women enter the field, it is critical to examine female orthopaedic surgeons’ experiences in navigating conflict and its impact on their career and wellbeing.

Methods

An anonymous 54-question survey was distributed through the Ruth Jackson Orthopaedic Society membership roster (n=1.1K) and Women in Orthopaedics (n=1.6K), an online group exclusive to female orthopaedic surgeons in practice/training. Questions inquired about several workplace conflict scenarios.

Results

There were 373 female respondents. 55% were between 35 and 45 years old, 79% were White/Caucasian, 10% Asian/Asian American, 4% Black/African American, and 4% Hispanic/Latinx. Results showed that 73% had been described as “bossy, too assertive, pushy, demanding, or difficult”, 80% had to do more administrative work in clinic than their male counterparts, and 51% had been reported for behaviors that a male counterpart had not. Respondents who were reported noted depression (n=40), anxiety (n=69), burnout (n=85), and sleep disturbances (n=48) as emotional effects of the event. Additionally, 29 respondents

reported being forced out or leaving their previous job due to workplace conflict. When asked if they would choose the same career again, 21% said no.

Discussion

Female orthopaedic surgeons encounter unique workplace challenges that diminish career satisfaction and contribute to burnout. Understanding and acknowledging this relationship between gender bias and orthopaedic surgery is essential to create a more positive working environment for female orthopaedic surgeons and encourage incoming trainees.
Stemless Humeral Implants in Anatomic Total Shoulder Arthroplasty: The Future is Now
Authors: Murthi Anand M. , Gupta Puneet , Wright Melissa A.
Published: August 2023

ABSTRACT

Anatomic total shoulder arthroplasty (TSA) is frequently used in patients with glenohumeral osteoarthritis and other shoulder degenerative joint disease for pain relief and improving shoulder function. Much research is underway to find ways of improving TSA. One area of interest is the design and characteristics of the humeral components, with a particular emphasis on the length of the humeral stem. Currently, there is significant interest and discussion around stemless humeral implants. Stemless humeral implants have many advantages, including greater preservation of bone stock, reduced blood loss and operative times, and reduced stress shielding compared to stemmed humeral components in TSA. As many surgeons are now using these implants, much studies have been conducted evaluating the functional outcomes, biomechanical properties, and complications of these stemless humeral implants, often in comparison to other stemmed humeral implants. Here, we aim to provide a concise review of the advantages, limitations, and future directions for stemless humeral implants.
Customized Individually-Made and Conventional Total Knee Implants are associated with Similar Improvements in Patient-Reported Outcomes
Authors: Herndon Carl L. , Frederick Jeremy S. , Farah Omar K. , Santos Walkania , Shah Roshan P. , Cooper H. John
Published: August 2023

Background

Customized individually-made (CIM) implants aim to reproduce knee kinematics by restoring patient-specific anatomy. There is sparse data comparing outcomes of CIM implants with conventional implants. The purpose of this study was to compare short-term outcomes of total knee arthroplasty (TKA) performed with CIM versus off-the-shelf (OTS) implants.

Methods

We retrospectively compared clinical outcomes of 123 CIM TKAs with 282 concurrent, matched OTS TKAs performed at a single academic medical center by two high-volume arthroplasty surgeons. All CIM TKA were included. Perioperative outcomes evaluated included hospital length-of-stay (LOS), discharge disposition, and patient-reported outcome measures (PROMs) at baseline, 3 months, and 1 year. Student’s t-tests were used for continuous variables, and chi-squared tests were used for categorical variables.

Results

Baseline demographics were statistically similar between groups. CIM Baseline WOMAC Pain and Physical Function scores were statistically, but not clinically, better. There were no differences in LOS (CIM 2.19d vs. OTS 2.35d; p=0.30) or proportion discharged home (78.7% vs. 83.5%, p=0.26). There were no differences in WOMAC subscores or the KSS Functional Score at 3-month and 1-year follow-up. The CIM cohort had a statistically significant, but not clinically significant, higher KSS-Function score at 1-year (79.4 vs. 72.6, p=0.02), but the change from preoperative baseline was not significant between groups.

Conclusions

Compared to traditional TKA implants, CIM implants offered similar improvements and patient-reported outcome scores through the first postoperative year. Longer-term outcomes as well as cost-effectiveness of CIM implants should be studied.
The Transformation of Orthopaedic Care: A Primer
Authors: Barsoum Wael K.
Published: August 2023

This is from a talk given by Wael Barsouom, MD at the Orthopaedic Value based care meeting in 2022
Career Choice Disclosure and Clerkship Grades Among Orthopaedic Residency Applicants
Authors: Mulcahey Mary K. , Henstenburg Jeffrey M. , Hinkle Andrew J. , Stamm Michaela A. , Morley Meghan , Luginbuhl Joshua
Published: August 2023

Objective

Medical student clerkship evaluations are susceptible to preceptor bias. Students interested in orthopaedics may choose not to disclose their career path during clerkships to avoid bias. The purpose of this study was to identify factors that may lead to grading bias, including career choice disclosure, among medical students interested in a career in orthopaedic surgery.

Design

A cross-sectional survey was performed by distributing an anonymous electronic survey. Respondents were asked if they disclosed an interest in orthopaedic surgery during core clerkships and whether or not they believed it impacted their grade. The relationship between demographic variables including age, gender, race, ethnicity, and geographical location were also collected and compared.

Setting

Multiple institutions in different geographic locations in the US.

Participants

Medical students in orthopaedic interest groups or those who completed an orthopaedic surgery rotation.

Results

Of 149 responses, 90 (60.1%) of students chose to disclose an interest in orthopaedics during all clerkships. Over 50% of students were able to achieve honors in core clerkships except for OB/Gyn (41/112, 36.6% honors) and emergency medicine (17/59, 28.8% honors). On average, 7.9% of students believed disclosure had a negative impact on their grade, but in internal medicine and OB/Gyn, those that disclosed were able to achieve honors more often than those that did not. Males (38/50, 76%) were given honors more often than females (11/24, 45.8%) in their surgery clerkship and those that identified as “other” race (1/6, 16.7%) achieved fewer honors in surgery and pediatrics compared to White, Black, Asian, Indian, and Hispanic students (48/68, 70.6%).

Conclusion

Some students believe disclosing an interest in orthopaedics may negatively impact their grade, but the opposite may be true. Other potential areas of bias include gender and race. More research is needed to improve the clerkship evaluation process given an increasingly competitive application process.
Optimizing Outcomes in Shoulder Arthroplasty: Mitigating Surgical Complications in High-Risk Patients – Case Report
Authors: Szukics Patrick , Ford Elizabeth , Fliegel Brian , Baker William , McMillan Sean
Published: August 2023

Background

The risk of a periprosthetic joint infection after arthroplasty can be devastating to a patient, with the possibility of loss of limb or even death. There are multiple tools at the surgeon’s disposal to help minimize the risk of a complication occurring, and we present a novel intra-operative sterilization technique that has the potential to further minimize these unwanted outcomes.

Case Presentation

A 60-year-old right hand dominant male who had previously undergone two attempted rotator cuff spearing surgeries on his right shoulder now presents with continued right shoulder pain and evidence of rotator cuff arthropathy on imaging. He wished to proceed with a reverse total shoulder arthroplasty (rTSA). Due to his multiple surgeries on this shoulder as well as his medical comorbidities, we were concerned with his elevated risk for intra-operative complications, blood loss and hematoma formation, as well as risk for a periprosthetic joint infection. We present our technique for minimizing the risk of these undesirable outcomes, one of which is a novel intra-operative sterilization technique with sterile betadine being used in the surgical wound.

Conclusions

Our technique to optimize the patient preoperatively, minimize periprosthetic joint infection, and maintain adequate hemostasis throughout the surgery can be utilized to help surgeons minimize the risk of sustaining these unwanted outcomes.
Radiographic Outcomes using a Diaphyseal Engaging Femoral Stem for Revision Total Hip Arthroplasty
Authors: Coden Gloria , Zink Thomas , Fang Christopher , Garvey Kirsten , Schafer Eric , Mattingly David , Gordon Matthew , Smith Eric
Published: August 2023

Introduction

Diaphyseal engaging femoral stems are often required for revision total hip arthroplasty (THA) due to complex anatomy. However, no studies have been performed to identify the best implant or intraoperative radiographic parameters of stability. We sought to evaluate the rate of complications and radiographic parameters of an uncemented diaphyseal engaging femoral stem in revision THA.

Methods

We retrospectively reviewed 54 patients who underwent revision THA using an uncemented diaphyseal engaging modular femoral stem between 2012 and 2019 with mean follow-up of 1.4 years. Mean age was 66.3 years (range 23-90), and 47.2% of patients were female. 36 (73.5%) hips were classified as a Paprosky 3a and 13 (26.5%) patients were classified as a Paprosky 3b. We calculated the radiographic subsidence, canal fill ratio, and complete cortical contact percentage, defined as the sum of anterior, posterior, medial, and lateral cortical contact. Chi-square related-samples t-test, and Pearson’s correlation coefficient were used to compare values. Significance was set at <0.05.

Results

Postoperative periprosthetic infection occurred in 4 patients (7.41%) and was the most common complication. There were no revisions for aseptic loosening or failure of the diaphyseal engaging femoral stem. Canal fill ratio (mean=85.85%, p<0.001) and complete cortical contact (mean=71.74%, p<0.001) were less than the expected, while subsidence was higher than the expected (mean=2.07mm, p<0.001). Complete cortical contact was not associated with canal fill ratio (p=0.07) or subsidence (p=0.50).

Discussion

This uncemented diaphyseal engaging femoral stem had a low complication rate (11.11%) when used for revision THA. While canal fill ratio and complete cortical contact was less than the expected mean of 100%, it was not correlated with subsidence. It is important for surgeons to know that this uncemented diaphyseal engaging femoral stem can be well fitting despite low canal fill ratio and cortical contact.
Cognitive Deficits Following Concussion: A Systematic Review
Authors: Collins Lacee K , Ofa Sione A. , Miskimin Cadence , Mulcahey Mary
Published: August 2023

Context

In the U.S., approximately 1.6 to 3.8 million concussions occur yearly as a result of sports. Athletes are especially at risk of sustaining cognitive deficits as a result of a concussion. These can manifest as impairments of attention, verbal and visual memory, visual perception, and executive function.

Objective

The purpose of this study was to examine cognitive deficits following sport-related concussions in the acute, intermediate, and long-term time period after initial head trauma.

Data Sources

A systematic review of the literature was performed according to PRISMA guidelines using the PubMed, Psychinfo, and Web of Science databases.

Study Selection

Search terms included sports-related concussion, traumatic brain injury (TBI), and cognitive impairments. Studies were excluded if they measured non-cognitive deficits or had subjective results. Participant characteristics such as average age, gender, and athletic status were also included from all articles.

Study Design

Systematic Review.

Level of Evidence

Level 4.

Data Extraction

Studies were included if they met the following criteria: explicit time points following injury, focus on cognitive deficits, and injuries were not self-diagnosed.

Results

Twenty-six studies, with a total of 4,534 patients, were included. Ten of twenty-six (38.4%) studies were separated into control groups versus concussed groups, while nine of twenty-six (34.6%) compared baseline scores to post-injury scores. In the included studies, cognitive deficits were seen across all of the domains in all three time periods following an initial concussion.

Conclusion

A sports related concussion could result in cognitive deficits in the domains of visual memory, verbal memory, processing speed, executive function, and reaction time. Additionally, athletes typically experience cognitive deficits for only days to weeks following a sports related concussion, but symptoms can continue for months or years following the injury, depending on severity. These conclusions should be taken into consideration when determining inidivudalized return-to-play protocol for each athlete.
Case Presentation for Arthroscopic Internal Fixation of Coracoid Fracture
Authors: Ball Guy , Bishai Shariff K. , Jensen Bodrie , Maceroni Michael , Howard Samuel
Published: August 2023

This case presentation highlights the ability to fix coracoid fracture nonunion arthroscopically. A right hand dominant 27 year old male with 6 months of symptomatic nonunion of a coracoid fracture. After arthroscopic internal fixation the patient went on to have union at the fracture site and resolution of pain at the coracoid.
Treatment of a comminuted patella fracture with a patella rim plate- a case report.
Authors: Onibonoje Olusegun , Ayzenberg Mark
Published: August 2023

Patella fractures with comminution present a difficult challenge to the orthopedic surgeon. The use of a rim plate technique as a novel low profile method for the surgical management of comminuted patellar fractures provides the ability to minimize soft tissue irritation, hardware prominence, stable construct, and preservation of the patella in cases of comminution while achieving post operative goals of attainment of knee range of motion and ambulatory function.
Voices of Experience: Advice to Medical Students, Residents, Fellows, and Young Surgeons
Authors: Abboud, MD Joseph , Barber, MD Matt , Barsoum, MD Wael , Cannada, MD Lisa , Levine, MD William , Plancher, MD Kevin , Kirschenbaum, MD Ira H.
Published: August 2023

This Open Editorial is the edited transcript of an online seminar run by The Journal of Orthopaedic Experience & Innovation. If features Dr. William Levine, Dr. Joseph Abboud, Dr. Wael Barsoum, Dr. Matt Barber, Dr. Lisa Cannada, and Dr. Kevin Plancher. The session is moderated by Dr. Ira Kirschenbaum, the Editor-in-Chief of The Journal of Orthopaedic Experience & Innovation.
DOENÇA DO ALZHEIMER NA TERCEIRA IDADE
Authors: De Almeida Gabriela Arifa , Pinheiro Mendes Mariana , Bercio de Oliveira Izabela , Rita de Cássia Pereira Alves
Published: August 2023

O Alzheimer é uma patologia neurodegenerativa mais frequente associada à idade em nossa sociedade, sobretudo pelo envelhecimento da população, ela se manifesta de forma lenta e progressiva, através de lapsos de memória, atenção, capacidade de tomar decisões, fazer cálculos, linguagens, habilidades visuoespaciais, e também de sintomas psiquiátricos que acabam comprometendo a independência do indivíduo analisa de maneira simples a necessidade de cuidados específicos e do papel do enfermeiro nesse processo. Frente ao reconhecimento dessa realidade, este estudo revê como objetivo analisar o impacto que a Doença de Alzheimer tem sobre a qualidade de vida de um indivíduo na terceira idade e descrever quais os cuidados que a enfermagem pode oferecer para pessoas com a Doença de Alzheimer na terceira idade de modo a amenizar o impacto sofrido pelo paciente. Para tanto optou-se aqui por utilizar uma metodologia de natureza qualitativa com o intuito de explanar o assunto de forma explicativa, por meio de uma revisão bibliográfica. Foi feita uma revisão de importantes aspectos associados à Doença de Alzheimer, por meio de um levantamento bibliográfico sobre o assunto. Ao final compreendeu-se que os impactos dessa doença não afetam só o idoso portador, mas também a sua família, e esta, na maior parte dos casos, não tem conhecimentos sobre a patologia, e consequentemente, não sabe lidar com a situação. Deste modo considera-se que os cuidados de enfermagem ao idoso acometido pela Doença de Alzheimer são essenciais para melhorar seu estado de saúde, promovendo, dessa forma, uma melhor qualidade de vida e autonomia, aumento sua sobrevida e fortalecimento do seu convívio familiar e social.
A IMPORTÂNCIA DA BRINQUEDOTECA NA PROMOÇÃO DA SAÚDE E NO PROCESSO DE DESENVOLVIMENTO INFANTIL
Authors: DIAS LARISSA , Garcia Andréia , Viana Tainá , Alves Rita
Published: August 2023

O ato de brincar constitui um instrumento de grande importância no processo de desenvolvimento do ser humano. Os brinquedos e brincadeiras são capazes de proporcionar alegria, prazer, descontração e favorecer a interação entre a criança e sua realidade social. Nesta interação, a criança interage com objetos e com pessoas. Tudo isso contribui para a construção da sua identidade social, bem como favorece o seu desenvolvimento cognitivo. A brinquedoteca, então, surge como um instrumento capaz de colocar à disposição da criança e daqueles responsáveis por ela, como um recurso estratégico com vários recursos voltados para o desenvolvimento infantil. Ao interagir com os diferentes brinquedos e brincadeiras, a criança é capaz de representar a sua realidade social de forma mais prazerosa, o que facilita a aquisição de vários conhecimentos e o desenvolvimento de habilidades e capacidades necessárias ao ser humano. Este estudo tem como objetivo investigar as contribuições que os brinquedos e as brincadeiras podem proporcionar à criança ao longo do seu desenvolvimento, levando-se em conta o uso dos recursos da brinquedoteca nos diferentes espaços sociais em que a criança possa encontrar-se inserida. Para isso, realizou-se uma pesquisa bibliográfica exploratória e qualitativa, considerando as contribuições e aportes teóricos de autores renomados na literatura pertinente à temática objeto de estudo. Conclui-se ressaltando que a brinquedoteca é um recurso de vital relevância para a o cuidado infantil, considerando que a infância é uma etapa muito importante para o desenvolvimento humano. Além disso, concebe a necessidade de utilização da brinquedoteca como uma estratégia deve fazer parte de todos os momentos de vivência da criança, em diferentes contextos e espaços sociais.
Strategi Penanggulangan Kelemahan Terhadap Ancaman Keamanan Pada Jaringan Wireless
Authors: Wadly Fachrid , Septian Rio , Ramadhan Zuhri
Published: August 2023

The use of wireless-based technology devices at this time is so much, good used for voice and data communications. Because wireless technology utilizes frequency high to deliver a communication, then the vulnerability to security is also higher compared to other communication technologies. Various security measures can be taken through communication devices used by users and by operators who provide services communication. Weaknesses of wireless networks in general can be divided into 2 types, namely weaknesses on the configuration and weakness on the type of encryption used. Broadly speaking, the gap on wireless network spans over four layers where the four layers actually are is the process of occurrence of data communication on wireless media. The four layers are layers physical layer, network layer, user layer, and application layer. The security handling models that occur in each layer of wireless technology can be done, among others, by: hide SSID, make use of WEP keys, WPA-PSK or WPA2-PSK, facility implementation, MAC filtering, installation of captive portal infrastructure.
RANCANG BANGUN RFID ABSENSI PEGAWAI KANTOR DESA SOSOPAN KECAMATAN KOTAPINANG
Authors: Hermadi Heru Pangestu , Herdianto
Published: August 2023

The development of science and technology is currently growing very rapidly from time to time. the application of various existing technologies encourages the development of work efficiency and service quality in companies, government agencies, and the world of education. The development of information technology can improve performance, including employee absences. Recording employee absences is an important factor in human resource management. In-depth and detailed information about the presence of an employee can determine work performance, salary, productivity or progress of the institution in general. The Sosopan Village Office, Kotapinang District, still uses manual attendance, and therefore requires a system that can increase efficiency, including what will be made, namely Arduino-based Employee Attendance RFID, attendance is only for data that has been registered. The purpose of this research is to make it easier for every employee. office and help the admin to record every attendance.
Pembangunan Web Modul Prestasi Sebagai Alat Analisis Data Prestasi
Authors: Batubara Supina
Published: August 2023

Achievement is one of the critical aspects in the world of education that must be considered continuously. To improve the quality of education and make the right decision, a tool is needed that can analyze achievement data more efficiently. This study aims to develop an achievement web module that functions as a comprehensive achievement data analysis tool. The development of the achievement module web is carried out using a needs-based development approach and active participation from various related parties, such as teachers, lecturers, and administrative staff. This module is designed with an intuitive and responsive interface, allowing users to easily access and analyze performance data in real-time. The developed achievement module presents academic and non-academic achievement data visually in the form of graphs, tables and reports. Complete data analysis features allow users to identify achievement trends, patterns of increase or decrease in achievement, as well as factors that influence student or participant performance. The results showed that the achievement web module has increased the efficiency of achievement data analysis, provided more in-depth information, and supported more informed decision making. The use of this module has assisted related parties in formulating strategies and intervention programs aimed at improving overall performance.
Élaboration et validation d’une échelle de mesure de la professionnalisation des étudiants et des étudiantes universitaires en sciences de la santé
Authors: Bélisle Marilou , Heilporn Géraldine , Lavoie Patrick , Lakhal Sawsen , Lechasseur Kathleen , Fernandez Nicolas , Caty Marie-Eve , Chichekian Tania
Published: August 2023

Cet article présente les résultats d’une étude ayant pour objectif l’élaboration et la validation d’une échelle de mesure de la professionnalisation des étudiants et étudiantes universitaires en sciences de la santé. Des éléments de preuve de contenu, de processus de réponse et de structure interne de cette échelle ont été apportés au fil de l’étude, entre autres grâce à une collecte de données auprès de 561 étudiants et étudiantes de premier et deuxième cycles provenant de quatre universités québécoises. Les analyses factorielles exploratoires appuient une structure interne à quatre facteurs, avec une très bonne cohérence interne. Un quatrième facteur (valorisation de la profession) s’ajoute aux trois facteurs (compétences, identité et culture professionnelles) énoncés dans le cadre conceptuel initial. Les analyses factorielles confirmatoires confirment cette structure ainsi que la relation entre ces quatre facteurs de premier ordre et un unique facteur de professionnalisation de second ordre. Cette échelle constitue un instrument robuste permettant d’étudier la professionnalisation des étudiants et étudiantes aux différentes étapes de leur formation en sciences de la santé.
Développement et validation d’une mesure de bien-être social au doctorat : l’échelle du sentiment de communauté scientifique
Authors: Vincent Cynthia , Plante Isabelle , Tremblay-Wragg Émilie
Published: August 2023

Plusieurs études qualitatives suggèrent que le sentiment de faire partie de la communauté scientifique est essentiel à la réussite du parcours doctoral. Bien que quelques outils aient été développés pour capter certaines composantes du sentiment de communauté scientifique, il n’existe aucun instrument pour mesurer ce construit dans sa globalité. La présente étude visait donc à développer l’Échelle du sentiment de communauté scientifique (ÉSCS) et à en examiner les qualités psychométriques auprès d’un échantillon de 318 doctorants au Canada. Cinq indicateurs de la validité de construit (exploratoire, confirmatoire, discriminante, prédictive et concourante) et trois indicateurs de fidélité (cohérence interne, test-retest et stabilité temporelle) de l’ÉCSC ont été examinés. En somme, cette échelle comporte 18 items répartis en trois facteurs (perception d’appartenir, d’influencer et de bénéficier de soutien) présentant tous de bons indices de cohérence interne. Les qualités psychométriques de l’ÉSCS justifient son usage dans des études ultérieures.
Hereditary Retinal Dystrophies: Current Scientific Knowledge
Authors: Mermeklieva Elena
Published: August 2023

Hereditary retinal dystrophies are a heterogeneous group of inherited diseases characterized by involvement of different layers of the retina, most often the complex retinal pigment epithelium (RPE) – photoreceptors and cause severe visual impairment – loss of night vision, visual field, colour vision and visual acuity in the initial stages and lead to progressive and severe loss of visual function by altering the anatomy and function of the retina.

The development of medical science and technology has led to the introduction of new, increasingly sophisticated methods for early diagnosis of these diseases – the electrophysiological studies have become more complex and informative. Together with computer automated perimetry, optical coherence tomography (OCT), angio-OCT, fluorescein angiography (FA), fundus autofluorescence (FAF) and adaptive optics, they allow very accurate topographical localization of the defect. And along with the advances in genetics, optogenetics, molecular biology, retinal biochemistry and regenerative medicine, they provide a better understanding of the mechanism of these diseases and increase the therapeutic opportunities.

The treatment of many of these diseases is still problematic, but because most of them are severely disabling the individual, the scientists' efforts are focused on finding an appropriate therapy. For many of these diseases, there are clinical trials worldwide, the results of some of them are quite encouraging, and many effective therapies for these currently incurable diseases are expected to be introduced in the near future.

The purpose of this study is to analyze the scientific knowledge, as well as the therapeutic opportunities that are being experimented to date.
Clonal In Vitro Propagation as a Tool for Production of High Quality Planting Material of Helichrysum italicum (Asteraceae)
Authors: Kozhuharova Asya , Stanilova Marina , Vladimirov Vladimir , Nikolova Milena , Traykova Boryanka , Berkov Strahil
Published: August 2023

Helichrysum italicum (immortelle), Asteraceae, is a perennial plant species with increasing market demand for its essential oil possessing anti-inflammatory, antibacterial, and antioxidant properties. The present study deals with clonal in vitro propagation of high-productive immortelle individuals. In vitro culture was initiated from stem tips on basal MS medium and sub-cultured several times on the same medium or on media supplemented with activated charcoal or with different plant growth regulators. Plants differed by their height, ramification, in vitro rooting, and callus formation. The highest propagation rate of 13.5±4.2 new shoots per explant, along with spontaneous rooting, was noticed in spring on the control MS medium. About 180 plants were successfully ex vitro adapted first in a phytotron, then in a greenhouse, and 14 were transferred outdoor in the ex situ collection where they acclimatized and bloomed in the first season. The nuclear DNA amount in 65 individuals was measured by flow cytometry, and no deviations in the ploidy level were detected. The results suggest the genome of the in vitro obtained plants is stable. Essential oil was extracted by water distillation from two pooled samples, one for the mother plants and another one for the ex vitro adapted plants. The main components identified by GC/MS in both samples were α-pinene, nerol acetate, and γ-curcumene. The results proved that the method of the in vitro clonal propagation is reliable for obtaining of numerous true-to-type plants in a short time, by direct organogenesis of high-productive individuals of H. italicum.
Computational Mechanical Analysis of AO 44A1, 44B1, and 44C1 Fractures with Finite Element Modeling: Evaluation of Screw, Plate, and Kirschner Wire Fixation
Authors: Olçar Hacı Ali , Özer Alaettin , Mutu Halil Burak , Yurdakul Göker , Kuru Tolgahan , Aydın Davut , Korkmaz Murat
Published: August 2023

Background: The aim of this study was to create AO 44A1, 44B1, and 44C1 fractures using finite element analysis to determine the stability of Kirschner wire, intramedullary screw, and plate-screw fixation methods in fracture.

Methods: Using finite element analysis, the postreduction behavior of AO 44A1, 44B1, and 44C1 fractures with Kirschner wire, intramedullary screw, and plate-screw fixation methods was analyzed and compared in terms of displacement and stress.

Results: The lowest amount of displacement was provided with the intramedullary screw method in AO 44A1 and 44B1 fractures and with the 4-mm Kirschner wire method in AO 44C1 fractures. The total displacement of the intramedullary screw system used for fixation in AO 44A1, 44B1, and 44C1 fractures was lower.

Conclusions: According to finite element analysis results, the lowest amount of displacement was obtained with intramedullary screw fixation in AO 44A1 and 44B1 fractures, and 4-mm Kirschner wire fixation was achieved in AO 44C1 fractures.