bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’expérience Promeneurs du Net : ses effets sur les professionnels de la jeunesse et son impact potentiel en termes de parentalité
Authors: Réguer-Petit Manon , Cathelineau François 
Published: April 2021

L’expérimentation « Promeneurs du Net » a permis de développer une présence éducative en ligne des professionnels de la jeunesse. L’article s’appuie sur l’évaluation de cette expérimentation menée par l’Agence Phare dans quatre départements. Il présente le dispositif et les principaux enseignements de l’évaluation notamment en ce qui concerne les effets de légitimation des pratiques numériques des professionnels de la jeunesse et les nouvelles modalités d’interaction qu’il permet avec les jeunes. En outre, si le dispositif n’est pas destiné spécifiquement aux parents, ses effets en matière de parentalité sont analysés. Le dispositif répond à un besoin d’accompagnement dans l’éducation au numérique exprimé par les parents. Toutefois, un plus grand investissement des parents dans le dispositif pourrait affecter négativement l’implication des jeunes.
Apprendre du travail collectif à partir de la théorie de l’élaboration de l’action chez Alain Savoyant
Authors: Mayen Patrick 
Published: April 2021

Cet article a pour but de discuter et de développer la proposition suivante énoncée par Savoyant : c’est beaucoup parce que le travail est collectif que l’on apprend en situation de travail. Deux aspects des travaux de Savoyant sont examinés : l’analyse des processus de coordination de l’activité, d’une part, les processus d’élaboration de l’action, de l’autre.
Participatory Learning in Continuing Nursing Education: Soviet Edition of a Public Health and Medicine Trivia Game
Authors: Barber-Madden Rosemary , Glanz Karen 
Published: April 2021

ABSTRACT
The challenge in designing professional continuing education programs lies in balancing the need to provide a new knowledge base with the need to engage the interest of the adult learner. This article reports on the use and evaluation of an experiential and innovative educational approach using adult learning techniques in a continuing education program for nurses in a cross-cultural setting.
What Happens to Learning When the Workshop Is Over?
Authors: Kiener Mary Elaine , Hentschel Doe 
Published: April 2021

ABSTRACT
This article presents findings from a study conducted to identify factors that facilitate and hinder the process by which professionals incorporate learning into practice. While a majority of learners identified their new knowledge as a facilitative factor for the incorporation process, nearly a third acknowledged that a knowledge deficit or the task's complexity would hinder the incorporation process. References to administrative support more frequently identified hindrances rather than facilitators.
NCLEX-RN Preparation: Enabling Candidates to Pass
Authors: Colombraro Geraldine C 
Published: April 2021

ABSTRACT
Today's NCLEX-RN candidates are potentially the RNs of tomorrow. It has become increasingly important and cost effective for hospitals to work with their NCLEX-RN candidates to enable them to pass the licensure exam the first time it is taken. Preparation of candidates may include review courses, review books, group work, and individual review materials. Building on the solid educational foundation each nurse brings to the hospital, the nurse educator can develop cost effective strategies to help their candidates pass the NCLEX-RN.
Recruitment and Retention of International Nurses Aided by Recognition of Phases of the Adjustment Process
Authors: Pilette Patricia Chehy 
Published: April 2021

ABSTRACT
Spurred by the shortage of nurses, hospitals are turning to overseas recruitment. The success of such recruitment rests in large measure on an organization's address of an immensely and immediately practical consideration: What is the nature of the adjustment process for the international nurse, and what can a hospital do to facilitate this adjustment?
This article describes the four phases of the adjustment process that are generic to the first-year experience of the international nurse and offers suggestions for an assimilation program.
Personal and Work-Milieu Resources as Variables Associated With Role Mastery in the Novice Nurse
Authors: Dufault Marlene A 
Published: April 2021

ABSTRACT
The purpose of this study was to explore the relative contribution of eight independent variables in explaining novices' perceived variation in role mastery 3 months following their appointment. The study sample included 75 novice graduate nurses in a large tertiary teaching hospital. A correlational design using the multivariate procedure of step-wise multiple regression was used.
On day one of orientation, the Schwerian Six-Dimensional Scale of Nursing Performance was administered to the novices, their preceptors, and head nurses. To obtain a measure of the nursing unit's collective expertise, its job satisfaction, and its role socialization, nurse educators rated their units using the Nursing Practice Group Role Mastery Assessment Scale. Participation in bicultural training was documented by attendance. Three months later, the novices were posttested using the Schwerian Scale as the criterion variable.
Of the eight potential explanatory variables, only four entered the regression equation, explaining 40% of the variance (p<.05). These were: entry-level role mastery, the nursing unit's collective expertise, its job satisfaction, and its role socialization. Interestingly, the head nurse's role mastery, and the three interventions used to address role transition problems were not predictors. Also, specific competency weaknesses in novices paralleled their experienced peers in the areas of assessing priorities, written communication, and skills salient to discharge planning.
Productivity in Education: Facing Critical Options
Authors: Keely Beth , Davis Kay 
Published: April 2021

ABSTRACT
Even though hospitals across the country are facing tremendous financial pressure, a change in educational focus can offer a positive and exciting outcome. In this climate, educational productivity demands a clear sense of the mission of education as well as the strategic plans of the organization. To survive, educators must be responsive to meeting goals for staff performance and envision themselves as change agents.
Nurses' Assessment of Patients' Spirituality: Continuing Education Implications
Authors: Boutell Karen A , Bozett Frederick W 
Published: April 2021

ABSTRACT
This article reports the results of a study to determine the extent to which nurses assessed patients' spiritual needs, indicators of spirituality used in the assessments, data collection methods used, and nurses' demographic information related to assessment and methods of data collection. Boutell's Inventory for Identifying Nurses' Assessment of Patients' Spiritual Needs was developed. Test-retest indicated an acceptable level of reliability.
The Inventory was sent to a random sample of 817 nurses eligible to practice nursing in Oklahoma, yielding 238 (29%) usable questionnaires. Criteria for inclusion in the study were that the nurses needed to be employed and giving direct care to patients 18 years of age or older. Findings indicate that the majority of nurses assessed their patients' spiritual needs from a moderate to considerable extent. They most frequently assessed for fears, sources of strength, and feelings of hope. Least frequently assessed were integration, giving love to God, meaning in suffering, and transcendence. Moreover, nurses ages 50 to 59 and psychiatric nurses were more likely than other nurses to assess the spiritual realm. Availability of time and patient acuity were major factors that influenced assessment. Data were most frequently obtained through observation of patients and discussions with patients rather than from secondary sources, such as clergy or patient records. Also, the nurses' basic educational preparation was not found to influence assessment. Suggestions for continuing education and programs are made.
The Generic Research Protocol: An Innovative Technique to Facilitate Research Skills Development and Protocol Preparation
Authors: Jairath Nalini , Fitch Margaret I 
Published: April 2021

ABSTRACT
Hospitals are increasingly delegating responsibility for initiating nursing research to nursing staff whose knowledge of and experience in conducting research may be limited. As a result, nurses involved in continuing education and staff development are increasingly involved in helping staff develop their research skills and prepare research protocols. The generic research protocol (GRP) is a computerized learning package that assists nursing staff in preparing a scholarly research protocol through step-by-step instruction and guidance. When used in two unrelated nursing studies, research skills of participating nursing staff were developed and protocol preparation facilitated. The time and editorial effort required for protocol preparation were reduced, and novice researchers were familiarized with research terminology and issues related to study design.
Information Resources and Knowledge Needs of Rural Nurses Regarding Alzheimer's Disease
Authors: Bellaver Constance , Daly Jeanette M , Buckwalter Kathleen C 
Published: April 2021

ABSTRACT
Background: The need for current information on Alzheimer's disease (AD) is apparent as medical research, diagnostic, and treatment guidelines are advancing at a rapid rate.
Method: A needs assessment survey determined what educational topics related to dementia nurses perceived they most need, would be most likely to attend, and what information they likely would solicit in a telephone consultation.
Results: Nurses in Iowa were interested in continuing education programming and teleconferences on major topics regarding AD provided through the state's fiberoptic system such as: (a) challenging behaviors over the course of illness; (b) family needs such as education, support, respite, referral, and safety; (c) case management services for patients and families; (d) long-term care services from adult care to hospice; and (e) new developments in AD.
Conclusion: Rural nurses experiencing professional isolation and lack of resources can access up-to-date information via continuing education programs transmitted by telecommunication strategies.
Improving Aged Care Education for Australian Rural Nurses Using Problem-Based Learning
Authors: Peterson Raymond , Hakendort Marcia , Guscott Tony 
Published: April 2021

ABSTRACT
Background: A continuing education program in aged care was developed using the principles of problem-based learning (PBL) to improve the participating nurses' understanding of current government guidelines on aged care, to develop their ability to apply this information to their workplace situations, and to give them the confidence and strategies to initiate change in their workplaces. The use of a guided introduction to PBL and the use of journals were important components in the design of this program.
Method: Both quantitative and qualitative approaches were used to evaluate the program, and data collected through observation of the participants when working on case scenarios, journal writing, and pre-questionnaires and post-questionnaires were included. Fifteen nurses participated in the program.
Results: Participants developed a holistic approach to aged care, reflected on their practice in the journals, developed an understanding of the current aged care guidelines, and acquired the skills, strategies, and motivation to make changes in their workplaces.
Conclusion: PBL enabled the nurses to link theory with practice, not only through the case scenarios considered in the program, but also when reflecting on their work practices in their journals. The use of journals by participants and the guided introduction to the PBL approach were important factors in the Aged Care Program's success.
Civilian Gunshot Wounds
Authors: Dugas Robert , D'Ambrosia Robert 
Published: April 2021

ABSTRACT: A wide variety of injuries are encountered in civilian gunshot wounds with the severity directly related to the amount of kinetic energy imparted on the tissues. A surgeon should be aware of the different ballistic properties of the various firearms and be prepared to treat each patient as an individual. Furthermore, the physician should be attentive to severe complications that may occur even after appropriate treatment has been given.
During an 18 month period on the LSU Surgical Service, 431 patients were admitted for gunshot wounds of which 218 had extremity injuries. One hundred seventy of these patients were evaluated and surveyed for type of injury, surgical procedure, and complications relating to the velocity of the involved.
In Vitro Characteristics of Tobramycin-PMMA Beads: Compressive Strength and Leaching
Authors: Kirkpatrick D Kay , Trachtenberg Laura S , Mangino Paul D , Von Fraunhofer Joseph A , Seligson David 
Published: April 2021

ABSTRACT: Antibiotic-impregnated polymethylmethacrylate (PMMA) bone cement beads have been used as a local drug delivery system for the treatment of bone and soft tissue infections. The beads deliver a high local level of antibiotic with a decreased risk of toxic systemic levels. This study was undertaken to determine the antibiotic release characteristics of tobramycin-impregnated beads over time and to determine the compressive strength of these beads.
Acrylic resin (PMMA) bone cement beads were prepared with three different concentrations of tobramycin. The beads were tested for compressive strength, and their antibiotic release characteristics were determined over a 21 day period by radioimmunoassay and by biological testing against a variety of bacteria.
The compressive strength of the beads was found to be adequate to avoid fragmentation during their clinical use. There was gradual release of tobramycin from the beads over the entire 21 days, but the release was most marked during the first 48 hours. There was antibiotic activity against both gram-negative and gram-positive organisms, except Enterococcus, for the entire 21 day period. The release of tobramycin followed a curvilinear relationship and was directly related to the initial antibiotic concentration of the bead. Tobramycin-impregnated polymethylmethacrylate beads may represent a reliable method of local antibiotic delivery with sustained activity against a broad spectrum of organisms.
FACTORS AFFECTING POSTOPERATIVE FLEXION IN TOTAL KNEE ARTHROPLASTY
Authors: Shoji Hiromu , Solomonow Moshe , Yoshino Shinichi , D'Ambrosia Robert , Dabezies Eugene 
Published: April 2021

ABSTRACT
In the review of 67 cases with total condylar (TC) prostheses, 59 with TC posterior stabilizers, 70 with TC prostheses modified with flat posterior tibial plateau, and 35 with porous-coated arthroplasty (PCA) prostheses, multiple crossexaminations of various factors for postoperative flexion were performed. Follow up was 2 to 9 years. In nearly all cases, no further improvement of flexion was noted after 1 year following surgery. The most influential factor for good postoperative flexion was intense physical therapy, leading to good suprapatellar pouch reconstitution. Residual flexion contracture was more frequent when the posterior cruciate ligament (PCL) was retained in the cases with significant preoperative flexion contracture. However, retention of PCL or preoperative ACL condition did not bear any significance to the ultimate flexion.
FOUR-YEAR AVERAGE FOLLOW UP OF CEMENTED PCA TOTAL KNEES: CLINICAL AND ROENTGENOGRAPHIC ANALYSIS
Authors: Brinker Mark R , Haddad Ray J , Cook Stephen D , Cash James D , James Plas T , Tan Edward H 
Published: April 2021

ABSTRACT
Twenty patients with 25 consecutive primary-cemented Howmedica PCA total knee prostheses were clinically and roentgenographically reviewed. Twenty implants were placed in 16 women and five in four men. The average patient age at surgery was 68.0 years (range, 53 to 82), and average follow up was 51 months. Total knee replacement indication was degenerative joint disease in 21 knees and rheumatoid arthritis in four. Excellent or good results were seen in 22 of 25 knees (88%) at the early follow up examination and 18 of 25 knees (72%) at the most recent follow up examination.
TOTAL ANKLE JOINT REPLACEMENT: A CLINICAL FOLLOW UP
Authors: Jensen Niels Chr , Krøner Karsten 
Published: April 2021

Abstract
The TPR total ankle joint replacement system (Smith & Nephew Richards) was implanted in 30 ankles in 25 patients. Twentythree ankles in 18 patients were followed; 21 had rheumatoid arthritis and two had osteoarthritis. The average age at surgery was 62 years (range: 37 to 77), and the average follow up was 59 months (range: 37 to 89). The improvement was especially obvious with respect to pain and function. The average walking distance improved from 260 m preoperatively to 975 m postoperatively. Even though there was some improvement with respect to pain and function, the results of the study are disappointing in comparison to .studies of ankle arthrodesis.
PATHOLOGIC FRACTURES OF THE ACETABULUM AND THE PELVIS
Authors: Rock Michael G , Harrington Kevin 
Published: April 2021

ABSTRACT
Metastatic involvement of the pelvis, and in particular the acetabulum, is a common finding among patients with metastatic osseous disease. With involvement of the joint surfaces, specifically the hip and sacroiliac joints, marked compromise of function can occur. With advances in imaging and the evolution of surgical reconstructive alternatives, most of these patients can be rendered pain-free and functional by transferring weight distribution onto more stable elements of the hemipelvis. Reconstruction must be feasible and in the best interests of the patient. The decision to proceed represents a collective opinion of the patient, oncologist, and surgeon.
MECHANICAL PROPERTIES OF SM STAPLES IN BONE BLOCK MODELS
Authors: Freeland Alan E , Zardiackas Lyle D , Terral Gregg T , Blickentaff Kyle R 
Published: April 2021

ABSTRACT
The use of power driven staples is an accepted method of fixation for small bones of the hand and wrist and of the foot and ankle. The staples must be applied to flat or nearly flat surfaces. A synthetic model was developed to evaluate the ability of the 3M power driven staple system to resist failure due to pulling out of the staples in cantilever bending, tension, and torsion. Three different staple configurations and two leg lengths were evaluated in each of the test modes. Results indicated statistically significant differences between one and two staple configurations and between longer and shorter leg lengths. There was clear superiority of the two staple configurations and of longer leg lengths.
COMPLICATIONS OF SEIDEL INTRAMEDULLARY NAILING OF NARROW DIAMETER HUMERAL DIAPHYSEAL FRACTURES
Authors: Riemer Barry L , Foglesong Math E , Burke Charles J , Butterfield Spencer L 
Published: April 2021

ABSTRACT
Forty acute blunt fractures of the humeral diaphysis were treated with Seidel nails (9mm diameter) between April 1988 and August 1992. Follow up was available for 36 patients. Average Injury Severity Score (ISS) was 22. Forty-eight pelvic and lower extremity fractures necessitated humeral weight bearing in 23 patients. Patients were grouped by canal diameter measured at the point of distal humeral fixation: ≤9 mm or ≥10 mm. Data were analyzed with regard to complications, fracture pattern, and time to union. Due to difficulties reaming the humeral canal, five different reaming systems were used. In the ≤9 mm group (N = 12), there were seven complications (58%). Two patients had iatrogenic comminution distal to the nail. The two open fractures in this group (II, IIIA) developed wound infections, and one, osteomyelitis. Three patients had nonunions: one was lost to follow up at 6 months, and two united at 41 and 74 weeks after exchange nailing and bone grafting. Average time to union was 21 weeks. Six of the seven complications occurred in patients who required reaming of a long, tight segment of distal canal. In the ≥10 mm group (N = 24), there was one complication of iatrogenic comminution (4%). There were four open fractures (three, grade II; one, 111B) with no infections. All fractures united (average = 10 weeks). The differences in complications (P=.001) and union (P=.04) between groups were significant. Other complications were not associated with canal diameter or union. There were seven radiographic failures of the distal locking device (19%). Four nails (11%) were left prominent in the shoulder due to technical or equipment failures, and were eventually removed. Four patients (11%) had residual shoulder stiffness (three due to neurologic injury). These primary data suggest use of the Seidel nail is associated with a higher complication rate in humeri with canal diameters ≤9 mm.
THE ROLE OF A COMPOSITE, DEMINERALIZED BONE MATRIX AND BONE MARROW IN THE TREATMENT OF OSSEOUS DEFECTS
Authors: Tiedeman Jeffrey J , Garvin Kevin L , Kile Todd A , Connolly John F 
Published: April 2021

ABSTRACT
The efficacy of demineralized bone matrix (DBM) used alone and with bone marrow as a graft material in the treatment of osseous defects was evaluated in 48 patients. Of these 48 patients, 39 were available to follow up and review. Follow up averaged 19 months for all patients. In the entire series, 30 of 39 patients demonstrated osseous union for a 77% success rate. Patients with fracture nonunion represented the most recalcitrant group clinically, with union achieved in only 61 % of these cases. Overall, the 39 patients grafted with DBM demonstrated healing that was comparable to results achieved with standard iliac crest bone graft. The results indicate the DBM and marrow composite grafting is a suitable alternative to autologous iliac crest bone graft for use in certain clinical situations, such as bone defects in children, comminuted fractures with associated bone loss, nonunited fractures, or to augment an intended arthrodesis site.
PHYSICIAN PRACTICES IN THE PREVENTION OF DEEP VEIN THROMBOSIS: THE MASSPRO DVT STUDY
Authors: Anderson Frederick A , Audet Anne-Marie 
Published: April 2021

ABSTRACT
Numerous well-designed clinical trials have demonstrated that prophylaxis reduces the incidence of acute deep vein thrombosis (DVT) in high-risk surgical patients by two-thirds, with a corresponding reduction in mortality from pulmonary embolism. However, studies of clinical practices suggest that DVT prophylaxis is underused - for example, only 39% of high-risk surgical patients in 16 central Massachusetts hospitals were administered DVT prophylaxis in 1986. Subsequently, an intensive educational initiative was launched to improve utilization of DVT prophylaxis. Although some improvement was reported, the level of use was not optimal. The Massachusetts Peer Review Organization (MassPRO) DVT study was designed to gather data on recent practice patterns among Massachusetts surgeons and determine the need for additional educational and quality assurance efforts. The results indicate that there is broad compliance among orthopedic surgeons with consensus recommendations for the use of DVT prophylaxis. Nearly all patients who undergo total hip replacement in Massachusetts are protected from DVT by one or more methods of prophylaxis. These data suggest that the ongoing efforts to improve the use of DVT prophylaxis in Massachusetts since 1986 have come to fruition, at least with respect to total hip replacement.