bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interpositional Arthroplasty (Jones Technique) for the Treatment of Herniated Lumbar Disks: A Modification of the Soft Posterior Lumbar Interbody Fusion
Authors: Jones Stanley C , Fernau Ronald C , Woeltjen Bonnie Lane 
Published: April 2021

Abstract
Sixty-six patients underwent posterior lumbar interpositional arthroplasty using a combination of calcium sulfate pellets, decompression bone, and autologous growth factors. Patients who underwent this modification of the soft posterior lumbar interbody fusion (PLIF) (Jones technique) were evaluated using clinical and radiographic ratings. The Jones technique produced significantly improved clinical pain scores in all patients, reducing back pain by 71% and leg pain by 90%. Furthermore, 93% of patients achieved at least 50% opacity of the disk space area. The Jones technique for the soft PLIF provided reduction of pain and stabilized the disk space height in addition to decreasing morbidity and cost.
Functional Anterior Cruciate Ligament Bracing: A Survey of Current Brace Prescription Patterns
Authors: Decoster Laura C , Vailas James C 
Published: April 2021

Abstract
This study surveyed orthopedic surgeons regarding anterior cruciate ligament (ACL) bracing practices. Surveys were mailed to 1194 members of the American Orthopaedic Society for Sports Medicine. The return rate was 24% (n=287). Descriptive analysis revealed that 13% of physicians never brace ACL-reconstructed patients, whereas only 3% never brace ACL-deficient patients. Physicians prescribe off-the-shelf braces more frequently for ACL-deficient patients than ACL-reconstructed patients (P=.000). Half reported bracing less frequently than 5 years ago. The wide range of responses reflects the lack of scientific basis for bracing decisions. Continued research efforts are encouraged. In the interim, the physician's clinical judgment provides the basis for bracing decisions.
Hook of the Hamate Fractures in Competitive Golfers: Results of Treatment by Excision of the Fractured Hook of the Hamate
Authors: Aldridge Julian M , Mallon William J 
Published: April 2021

Abstract
Seven competitive golfers presented with isolated fractures of the hook of the hamate. All patients were treated with excision of the fractured hook of the hamate, with complete resolution of pain. All patients returned to their previous level of play. It is reasonable to deduce, with this group of patients, that this fracture pattern represents an overuse or repetitive motion injury; Regardless of etiology, prompt diagnosis and treatment of this injury with excision of the fractured hook of the hamate bone allows competitive golfers to return to their previous level of competition.
Outcomes in Bilateral and Simultaneous Quadriceps Tendon Rupture
Authors: Shah Mrugeshkumar K 
Published: April 2021

Abstract
This study reviewed 55 case reports of simultaneous and bilateral quadriceps tendon rupture and analyzed factors related to outcomes. Mean patient age was 52 years and 82% of patients were male. Most patients (76%) had underlying medical conditions predisposing them to rupture and 1 6 (32%) patients had multiple risk factors. Falls accounted for a majority of injuries (72%) and the osseotendinous junction was frequently the location of the tear (60%). Patients were almost always treated surgically (96%). Gender, mechanism of injury, tear location, and time to diagnosis and repair were not related to outcomes, whereas age, multiple risk factors, and renal or endocrine disease or diabetes were related to outcomes.
Wound Pharmacobiology
Authors: Peters Paul C , Nutescu Edith , Andersen Judith 
Published: April 2021

Abstract
Wound healing after major joint surgery involves a series of complex events. Over the past several years, thrombin has emerged as a pivotal participant in wound healing. The high incidence of venous thromboembolism following major joint replacement has made prophylaxis with pharmacologic agents a component of postoperative management. Anticoagulant agents of various classes affect different degrees of thrombin inhibition by virtue of their in vivo mechanisms of action. By inhibiting thrombin activity directly, with or without antithrombin III Or other antithrombins, traditional anticoagulants may retard the wound healing process and impair completion. Newer, more selective anticoagulants may provide not only more effective alternatives for venous thromboembolism prophylaxis surrounding major orthopedic procedures, but also an anticoagulant environment more favorable to wound healing.
Leg Length Inequality in Total Hip Arthroplasty
Authors: Goldstein Wayne M , Gordon Alexander , Branson Jill J 
Published: April 2021

abstract
Postoperative leg length inequality after total hip arthroplasty frequently leads to medical liability issues because no standard exists regarding the acceptable disparity. Modular stems allow control of offset, independent sizing of the distal femoral anatomy, as well as proximal medullary sizing. The authors compared the restoration of leg length in two cohort protocols. In the 2001 cohort, tapered stems were exclusively used, giving priority to fit and fill of the medullary canal. In the 2004 cohort, porous-tapered stems, or an S-ROM modular stem (DePuy Orthopaedics Inc., Warsaw, lnd) when needed, were used based on preoperative templating to restore the center of femoral head rotation. Prior to and after surgery, length from center measurements were taken (center of rotation of the femoral head to the top of the lesser trochanter) and the vertical vector to compare the difference in actual leg length. In the 2001 cohort, the mean increase of length from center was 9 mm (7 mm leg length). In the 2004 cohort, 25% of the hips were inappropriate for tapered stems. S-ROMs were used because a tapered stem would lengthen the leg. In the standard offset tapered stem, the mean increase of length from center was 6 mm (4 mm leg length). In the high offset tapered stem, the mean increase of length from center was 7 mm (5 mm leg length). In the S-ROM stem with varying offsets, the mean increase of length from center was 6 mm (4 mm leg length). Only the S-ROM consistently avoids overlengthening in the majority of patients.
The S-ROM Modular Femoral Stem in Dysplasia of the Hip
Authors: Mattingly David A 
Published: April 2021

abstract
Abnormal femoral neck anteversion, previous proximal femoral osteotomies, and small femoral canals with metaphyseal/diaphyseal mismatch are commonly seen in patients with developmental dysplasia of the hip (DDH) and are ideal indications for using a modular femoral stem. The torsional stability of the fluted modular stem makes it the implant of choice for subtrochanteric osteotomy stabilization for reduction of high-riding DDH. Modularity optimizes proximal and distal implant stability while permitting adjustments to anteversion, offset, and leg length to provide custom biomechanical reconstruction of the DDH hip. Clinical results with few complications can be achieved when using this stem in complex DDH surgery.
Total Hip Arthroplasty in Patients With Dwarfism
Authors: Sekund Todd D 
Published: April 2021

abstract
Skeletal dysplasia or dwarfism presents in a host of manners. Degenerative hip disease can present as a primary problem secondary to the abnormal growth disturbance or secondarily from the abnormal load distributions through the hip joint itself. Total hip arthroplasty is a successful procedure but sought with increased risks and complications; when compared to routine hip arthroplasty. Custom or modular hip implants can help a surgeon manage the abnormal bone morphology seen with this condition.
Preventing and Managing Intraoperative Fractures and Perforations in Hip Arthroplasty
Authors: Talmo Carl T , Bono James V 
Published: April 2021

abstract
Intraoperative perforation of the femur, a serious complication of hip arthroplasty, encompasses a broad spectrum - from a simple hole in the bone to a displaced fracture with an unstable prosthesis. Although some intraoperative perforations are managed routinely, others are disastrous and often associated with greater morbidity, mortality, increased blood loss, and poor clinical outcome. Appropriate recognition/ including an awareness of preoperative risk factors, is paramount to the successful management of these complications. We have found the S-ROM (DePuy Orthopaedics Inc., Warsaw, lnd) prosthesis safe in the prevention of cortical perforation in high-risk patients and effective in managing intraoperative perforation and fracture when it occurs.
Comparison of Range of Motion of High-Flexion Prosthesis and Mobile-Bearing Prosthesis in Total Knee Arthroplasty
Authors: Seon Jong Keun , Song Eun Kyoo , Lee Jun Yub 
Published: April 2021

abstract
The purpose of this study was to compare the range of motion (ROM) of conventional total knee arthroplasty (TKA) using high-flexion, posterior cruciate ligament (PCL) stabilized prostheses and the ROM of conventional knee arthroplasty using navigation-assisted TKA, with mobile-bearing, cruciate ligament-retaining knees. Fifty conventional TKAs with high-flexion knees and 50 navigation-assisted TKAs with mobile-bearing knees were included in this study. The ROM and number of knees that allowed comfortable kneeling and cross-legged sitting 2 years postoperatively were evaluated and compared. Functional outcomes of the two groups were assessed with the Hospital for Special Surgery (HSS) scores. The authors found no difference between the ROM and functional outcomes of conventional TKA with high-flexion knees and navigation-assisted TKA with mobile-bearing knees.
Navigated Unicompartmental Knee Replacement
Authors: Jenny Jean-Yves 
Published: April 2021

abstract
The author developed a non-image-guided navigation system for unicompartmental knee replacement that can be used with conventional surgery or minimally invasive surgery. The author performed a radiological analysis of the accuracy of implantation for unicompartmental knee replacement with conventional surgery, navigated minimally invasive surgery, and conventional navigated surgery. A significant increase in the rate of prostheses implanted in the desired angular range for all criteria in conventional navigated minimally invasive surgery and conventional navigated surgery was found. The conventional navigated technique was significantly more accurate than minimally invasive surgery.
Unicondylar Knee Arthroplasty: Past and Present
Authors: Tanavalee Aree , Choi Young Joon , Tria Alfred J 
Published: April 2021

educational objectives
As a result of reading this article, physicians should be able to:
1. Describe the historical development of unicondylar knee arthroplasty (UKA).
2. Recognize the desirable features of a unicondylar prosthesis.
3. Identify the ideal patient for UKA.
4. Summarize the principles of the unicondylar surgical procedure.
Total Hip Arthroplasty With Satin Finish, Tapered Stems
Authors: Ritter Merrill A , Harty Leesa D , Lorenzo Rodrigo A , Lutgring Joseph D 
Published: April 2021

abstract
Subsidence of femoral hip prostheses with a rough surface has been associated with osteolysis and loosening. However, recent evidence has suggested that smooth-finish tapered stems may not incur these problems. An experimental monobloc satin finish, tapered femoral component was designed to subside within the cement. There were 49 femoral components implanted, and patients averaged a 1 .8-mm subsidence at the prosthesis-cement interface with a follow-up of 6.76 years. There were no failures attributable to aseptic loosening at the cement-bone interface. This study supports the use of a satin finish, tapered femoral component in cemented total hip arthroplasty.
Nursing's Self-Image - Nursing Education's Responsibility
Authors: Hammer Rita M , Tufts Margaret A 
Published: April 2021

ABSTRACT
This article is concerned primarily with the development of a professional image of nurses and the significant role played by nursing educators. What do nursing educators do or should they do to enhance positive self-image among their students?
After many years of dealing with students at various stages along the way toward RN, and seeing their reluctance to enter the nursing world due to uncertainty and fear, it seemed to the authors that the root of the problem may be in the development of professional self-image. The authors believe that even though curricula are sound and faculty well prepared for their responsibilities, students still develop these feelings of doubt and inadequacy. Perhaps nursing educators need to do a self-examination by answering the questions posed throughout the article. It is the belief of the authors that nursing educators sincerely subscribe to their role in self-image development. But, at the same time, they may unconsciously contribute to some aspects of negative image development. Is it something that they "do or don't do"?
The article is intended to be thought provoking; to stimulate thinking and self-examination. It is not meant to introduce new and innovative material. It reiterates some facts, enumerates a variety of situations, provides examples, and poses many questions. It is divided into three areas of discussion. Self-concept is briefly reviewed as foundation material for the examples and situations enumerated. Further discussion centers on the importance of the individual (nurse) and the importance of the work (nursing). In summary, several guidelines are offered to nurture positive professional self-image development.
Patterns of Practice: Master's Prepared Nurse Practitioners
Authors: Lynaugh Joan E , Gerrity L , Hagopian Gloria 
Published: April 2021

ABSTRACT
Graduates of the Primary Care-Family Nurse Clinician Program at the Univeristy of Pennsylvania School of Nursing were surveyed as part of an overall, ongoing evaluation of graduate level primary care education in the school. The main focus of the survey was to discover the scope of practice characteristic of the program graduates. The survey revealed that the majority of graduates were providing direct patient care, while some were teaching primary care or embarking on related forms of practice. The graduates were found to be involved in assessment, education and counseling, and were working with physicians and others to provide comprehensive patient care.
Faculty Governance: A Key to Professional Autonomy
Authors: Kritek Phyllis B 
Published: April 2021

ABSTRACT
Faculty governance can play a central role in modeling professional autonomy to student nurses during their socialization processes. Nurse educators, however, may be more familiar with bureaucratic models of governance than with collégial models of governance. The collegial or shared governance model offers nursing access to enhanced academic maturity, and deserves nursings' close attention and study.
Faculty Workload: Myths and Realities
Authors: O'Shea Helen Spustek 
Published: April 2021

ABSTRACT
This survey was done to determine the current workload policies and practices in collegiate schools of nursing. A 40item questionnaire was mailed to all schools holding membership in the American Association of Colleges of Nursing. Seventy-two percent of the schools responded. of the data shows that quantifiable factors which relate directly to teaching are of considerable importance to deans in determining faculty workload while less quantifiable factors such as student advisement, research, publication and involvement in direct client care are of little or no importance in determining workload.
Faculty workload is a subject of interest to faculty and administrators at all levels of education. It is of particular interest in colleges and universities where faculty are responsible not only for teaching, but also for research, publication, and service. Faculty in schools of nursing face additional requirement of maintaining clinical practice The problem of what constitutes a reasonable faculty workload is complicated further by the academic of assigning faculty to teaching responsibilities but rewarding research, publication in refereed journals, active involvement in professional organizations, and service to the academic community. As nursing schools strive to become an integral part of higher education, nursing faculty are having to meet the same criteria for promotion and tenure as those used in other departments of the university. While there have been a number of reports and articles about factors which deans should consider in determining faculty workload, less has been published about factors which deans consider in assigning workload. This paper is a report of a survey of the faculty workload policies and practices currently in use in collegiate schools of nursing.
Reliability and Validity of the Women's Health Care Skills Audit
Authors: Glascock Jane , Brown Marie Annette 
Published: April 2021

ABSTRACT
The Women's Health Care Skills Audit (WHCSA) is a behaviorally oriented instrument which is hypothesized to measure important, clinically relevant components of the basic women's health care skills of Family Nurse Practitioners. The purpose of this research was to examine the reliability and validity of the WHCSA. Two women's health care nurse practitioners independently evaluated the performance of 23 Family Nurse Practitioner students during client visits. Overall internal consistency and test-retest reliabilities of the instrument were high - .96 and .84 respectively. In addition, support for the convergent validity of the WHCSA was also obtained in the study.
Results therefore indicate that the WHCSA is both reliable and valid and holds promise for use in documenting and evaluating basic Family Nurse Practitioner women's health care competencies.
Does the Baccalaureate Make a Difference?: Differentiating Nurse Performance by Education and Experience
Authors: DeBack Vivien , Mentkowski Marcia 
Published: April 2021

ABSTRACT
The nursing profession continues to debate the question of whether level of education matters in performance once the nurse is oriented to a particular setting, or whether the assumed advantages of baccalaureate education can be substituted by on-the-job experience. In this study, nurses with a baccalaureate degree demonstrated more nursing competencies when compared with their associate degree or diploma colleagues. Results also suggest that education promotes a broader range of abilities than does experience.
Criterion-Related Validity of a Clinical Simulation
Authors: Holzemer William L , Resnik Barbara , Slichter Mark 
Published: April 2021

ABSTRACT
This study explored the criterion-related validity of a clinical simulation by examining nurse practitioner's (NP) performance as measured by a chart audit and direct observation of care with performance on a clinical simulation. The clinical problem for all three instruments was the assessment and management of hypertension. Seventeen NPs completed all three instruments. The findings suggest that the chart audit and observation data were significantly correlated, but neither was significantly correlated with the clinical simulation. No evidence of criterion-related validity was noted, although several limitations of the study prohibited a definitive conclusion. Nurse educators are cautioned about using clinical simulations for evaluating student's performance until there is more support for criterion-related validity.
An Investigation of Decision Theory: What are the Effects of Teaching Cue Recognition?
Authors: Thiele Joan E , Baldwin Joan H , Hyde Roberta S , Sloan Beth , Strandquist Gloria A 
Published: April 2021

ABSTRACT
As currently formulated, decision theory assumes that care givers learn cue recognition primarily by experience. However, it seems probable that the ability to receive and recognize cues can be taught. To investigate cue recognition abilities of junior and senior baccalaureate nursing students, five computer simulations were developed. The specific question investigated was: What are the effects upon students' cue recognition and clinical decision-making abilities of teaching cue recognition?
Following teaching of cue recognition and decision making, a statistically significant difference was noted in both junior and senior students in relation to accuracy of cue recognition and clinical decision making. The conclusions were that cue recognition and cue sorting can be taught. Also, linking or grouping of related cues can be taught. In this study, the teaching of cue recognition and linking of cues improved the accuracy of clinical decisions made by students who were presented computer simulations of a variety of clinical situations.
Succeeding in a Man's World: Women's Expectations for Success and Perceptions of Ability
Authors: Barron Cecilia A 
Published: April 2021

ABSTRACT
With the introduction of research content into nursing curricula, female students are expected to achieve in an area traditionally considered male-oriented. The purpose of this study was to determine which factors may influence women's expectations for success and perceptions of ability on a task described as either male- or female-linked. Two hundred fifty-four female undergraduates constituted the sample of convenience. Measures were obtained on the following variables: private self-consciousness, sex-role orientation, past experience with task, present motivation, expectations for success, actual performance on task, and attributions made to ability. Multiple-regression analyses indicated that stable personality factors influenced expectations for success and perceptions of ability on the male task but not on the female task. The findings provide nurse educators with information useful in predicting which female students may have difficulty with the male-linked nature of research.
The Relationship of Empathy to Clinical Experience Among Male and Female Nursing Students
Authors: Becker Heather , Sands Dolores 
Published: April 2021

ABSTRACT
While a number of educational interventions aimed at increasing empathy among nurses have been undertaken, research on empathy has yielded inconsistent findings. This study used a new multidimensional measure to study empathy levels among BSN nursing students during their first year of nursing education. Thirty-five nursing students completed Davis' Interpersonal Reactivity Index (IRI) at four times during their junior year. The results of a repeated measures ANOVA indicated high consistency for all IRI scores across the four data collection periods. T-tests were also performed to compare IRI scores by gender. Males scored significantly lower than female nursing students on the Personal Distress Scale. While there were no other consistent, significant differences, males did not tend to score slightly higher than females on Perspective Taking. This response pattern is the opposite of what has been reported for other groups, although it is consistent with previous nursing resesarch. The relationship between age, previous health-care experience, and IRI scores also varied by sex. Implications of these findings for educational interventions, recruitment, and retention of nursing students are discussed.