bluuebunny/crossref_metadata_2025_split huggingface dataset:
PRIMARY BATEMAN-LEINBACH BIPOLAR PROSTHETIC REPLACEMENT OF THE HIP IN THE TREATMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES IN THE ELDERLY
Authors: Harwin Steven F , Stern Richard E , Kulick Roy G 
Published: April 2021

ABSTRACT
The results of primary Bateman-Leinbach bipolar prosthetic replacement for comminuted intertrochanteric fractures of the hip in the elderly are examined. In an effort to avoid the postoperative complications seen in open reduction and internal fixation of severely comminuted fractures with osteoporotic bone, and to avoid postoperative restrictions when fixation is suboptimal, a group of 58 patients were treated with a bipolar Bateman-Leinbach prosthesis. They were followed for an average of 28 months. Surgery was performed using an anterolateral approach, which is recommended. A detailed description of the surgical approach and operative technique are provided.
Eighty-eight percent of patients were able to ambulate within the first week, weight bearing as tolerated with no postoperative restrictions, except for a simple abduction pillow for 2 weeks while in bed. Ninety-one percent of patients ambulated prior to discharge. Morbidity and mortality was no greater in this group than in groups treated by open reduction and internal fixation for these types of fractures. Complications were few. Primary Bateman-Leinbach bipolar prosthetic replacement is recommended as the preferred treatment of selected unstable comminuted intertrochanteric fractures in the elderly.
REDUCTION OF POSTOPERATIVE CT ARTIFACTS OF PELVIC FRACTURES BY USE OF TITANIUM IMPLANTS
Authors: Ebraheim Nabil A , Coombs Robert , Rusin Joseph J , Jackson W T 
Published: April 2021

ABSTRACT
The value of CT scanning for both preoperative and postoperative assessment of pelvic and acetabular fractures has been demonstrated. Previous attempts at our institution to obtain useful pelvic CT scans following internal fixation with stainless steel implants have been impaired by metal artifacts that degraded the transaxial CT images. Our use of titanium, instead of stainless steel implants, produced identical fixation and ultimate fracture healing, but yielded minimal artifacts. We recommend the use of titanium implants as substitutes for stainless steel implants in pelvic fixation to maximize the information obtained on subsequent CT exams.
INTRAVENOUS REGIONAL ANESTHESIA FOR OUTPATIENT FOOT AND ANKLE SURGERY: A PROSPECTIVE STUDY
Authors: Kim Donald D , Shuman Charles , Sadr Bahman 
Published: April 2021

ABSTRACTA prospective study was undertaken in 39 patients undergoing 48 foot and ankle procedures using intravenous regional anesthesia (IVRA). FVRA was administered using 35 cc of 033% or 0.5% Iidocaine. Single tourniquets inflated to 250 mm Hg were used at the ankle level. No supplemental analgesia or sedation was used. Those requiring supplemental local anesthetic infiltration were defined as IVRA failures. Thirty-one of the 39 patients (79.5%) tolerated the procedures with little or no discomfort, and 8 (20.5%) required additional local infiltration with 1 % Iidocaine. All 39 patients completed the procedures at the outpatient surgical unit without requiring conversion to other forms of anesthesia. Patchy non-anesthetic areas were noted in 14 patients (36.8%). In 7 patients, because the non-anesthetic areas were excluded from the operative fields, the procedures were completed without discomfort However, in 8 patients where the nonanesthetic areas were directly involved in the operative fields, supplemental local anesthesia was required. Only 1 of the 39 patients complained of tourniquet pain. IVTRA compared favorably with other methods of regional anesthesia in the lower extremity with respect to ease of technique, speed of onset, safety, and patient acceptance. However, it appears that it is less reliable than IVRA in the upper extremity. The reasons for this difference will require further investigation.
Analysis of Retrieved Uncemented Porous-Coated Acetabular Components in Patients With and Without Pelvic Osteolysis
Authors: Barrack Robert L , Castro Frank P , Szuszczewicz Edward S , Schmalzried Thomas P 
Published: April 2021

Abstract
Retrieved polyethylene liners and femoral heads from a consecutive series of revision components of one design were examined. All patients had Long-Term Stable Fixation (OsteoTechnology International, Timonium, Md) total hip arthroplasties (THAs) implanted between 1987 and 1992. The retrieved femoral heads and liners from patients with osteolysis were compared to those without osteolysis. Patients with osteolysis had significantly thinner polyethylene (5.1 mm versus 7.4 mm, P<.01) and a higher linear wear rate (0.5 mm/y versus 0.3 mm/y, P=.05). The average femoral head surface roughness also was significantly greater in patients with osteolysis (67 nm versus 35 nm, P<.05). Patients with osteolysis had more total volumetric wear, total linear wear, and volumetric wear rate compared to patients without osteolysis. Age, obesity index, time in situ, and cup inclination were not different between the two groups. Excessive polyethylene wear, probably accelerated by surface roughness of the femoral heads, was associated with pelvic osteolysis in these patients.
Outcomes of Hip Fracture Surgery in Patients Aged ≥90 Years
Authors: Tanaka Junichi , Tokimura Fumiaki , Seki Naoki 
Published: April 2021

Abstract
The outcomes of 60 patients aged ≥90 years with hip fractures who underwent surgery between 1995 and 1998 were reviewed. Average follow-up was 21 months (range: 4-47 months). All patients experienced pain relief within 2 months postoperatively. Thirty-four of 60 patients failed to attain their prein/ury ambulatory status. The ability to walk 2 months postoperatively was observed more frequently in patients without severe dementia. Patients who were unable to walk postoperatively had a greater chance of dying than those who regained the ability to walk. No surgery related deaths occurred. Six months postoperatively, 2 (3%) patients had died; 1 year postoperatively, 9 (15%) had died. Therefore, patients aged ≥90 years benefit from surgical treatment of hip fractures.
Upper-Extremity Deep Venous Thrombosis Following Humeral Shaft Fracture
Authors: Sawyer Gregory A. , Hayda Roman 
Published: April 2021

Upper-extremity deep venous thrombosis (DVT), although not as common as its lower-extremity counterpart, is a clinical entity with potentially devastating complications. Approximately 1% to 4% of all DVT cases involve the upper extremity, with 9% to 14% of these cases complicated by pulmonary embolism. Prompt diagnosis with duplex ultrasonography and subsequent anticoagulation are the gold standards for identification and treatment. The majority of these cases are secondary to medical comorbidities such as malignancy, hypercoagulable states, and indwelling catheters. Although rare, several case reports of orthopedic-related upper-extremity DVT are present in the literature. This article reports a case of upper-extremity DVT in a humeral shaft fracture treated nonoperatively.
A 58-year-old man presented with right elbow pain after a fall from scaffolding. Radiographs demonstrated a distal humeral shaft fracture at the tip of a previously placed intramedullary nail. Initial treatment consisted of closed reduction in a coaptation splint. The patient re-presented 4 days later with increasing forearm pain and swelling. An ultrasound revealed an extensive thrombus of the right brachial vein. A coaptation splint was replaced and the patient was admitted to the hospital for therapeutic anticoagulation. After hematology consultation and a short hospitalization, the patient was discharged home on a 3-month course of Warfarin. The goal of treatment of upper-extremity venous thrombosis is to improve the patient’s acute symptoms and prevent both pulmonary embolism and post-thrombotic syndrome. Post-thrombotic syndrome is a chronic, potentially debilitating condition that occurs in approximately 15% of upper-extremity DVT cases with symptoms consisting of pain, swelling, paresthesias, and functional limitation.
Neglected Patellar Tendon Rupture: Preserve the Fat Pad
Authors: Mittal Ravi , Singh Davinder Pal , Kapoor Amit 
Published: April 2021

Management of neglected patellar tendon ruptures remains a difficult therapeutic endeavor, as complications such as adhesions, proximal patellar migration, and quadriceps contracture occur. Treatment goals include restoration of extensor mechanism, both structurally and functionally, which allows active knee extension. Few cases of neglected patellar tendon rupture have been reported in the literature, however, all have used preoperative or additional intraoperative procedures to relocate the patella or to provide additional support to the reconstructed tendon.
This article presents a case of a 25-year-old man whose diagnosis of patellar tendon rupture was delayed by 1 year. The patella was mobile and could be brought down to its original position manually. The patellar tendon was successfully reconstructed with autogenous semitendinosus and gracilis tendon graft. No preoperative or intraoperative traction was used on the patella. Quadriceps lengthening was not performed and no hardware was used between the patella and the tibia to augment the reconstruction. Scar tissue was not excised and was used to cover the hamstring tendons. The patient achieved a good functional result after 5 months of rehabilitation. At 14-month follow-up, the patient had returned to his pre-injury level of work with no deterioration of knee function.
Anomalies of the Discoid Medial Meniscus
Authors: Ahn Jin Hwan , Yoo Jae Chul , Wang Joon Ho , Lee Yong Seuk , Yim Hyun Seok , Chang Moon Jong 
Published: April 2021

Anomalies associated with a discoid medial meniscus have been described. However, the clinical relevance of these anomalies has not been previously reported. Therefore, we report the clinical relevance of some of these anomalies based on our experience with a 21-year-old soldier with a 3-month history of medial right knee pain. Magnetic resonance imaging (MRI) revealed bilateral discoid medial menisci, cupping of the medial tibial plateau, and an abnormal anteroinferior transposition of the anterior horn of the meniscus. Partial meniscectomy was performed in the usual manner and the meniscus reshaped, including its anteromedial corner.
Six weeks postoperatively, the patient reported knee pain. Follow-up MRI showed that the anteromedial edge of the cup shaped tibial plateau directly contacted the femoral condyle and subchondral signal changes at the contact point. Several reports have addressed subluxation or dislocation of the anterior horn of the medial meniscus. However, the clinical significance of these lesions has not been clearly defined. In our case, however, subluxation of the anterior horn was combined with a discoid medial meniscus and cupping of the tibial plateau, which may have increased contact stress between the tibia and femur.
Our experience suggests that in cases with combined anomalies, anteroinferior transposition of the anterior horn of the discoid medial meniscus, and cupping of the tibial plateau, trimming of the anteromedial corner should be performed conservatively, because even minimal trimming or reshaping of anteromedial corner of the meniscus can cause direct bone-to-bone contact due to insufficient anterior coverage.
Relationship Between College Success and Employer Competency Ratings for Graduates of a Baccalaureate Nursing Program
Authors: Bolin Sharon E , Hogle Edith L 
Published: April 2021

ABSTRACT
This expost facto correlational study sought to determine which measures of academic success in one class of BSN graduates predicted their competence as employees one year after graduation, as judged by their employers. The relationship between pre-entrance test scores, clinical experience grades, GPA, State Board Test Pool examination scores, and employer competency ratings were also determined. In keeping with the literature in fields other than nursing, the findings suggest that there may be little relationship between academic performance in a nursing program and subsequent job performance as a nurse, even though verbal ability may be predictive of success in school. While significant positive correlations were found between pre-entrance test data and final grade point averages, as well as pre-entrance test scores and State Board Test Pool examination scores, there was little evidence that preentrance test scores were predictive of nursing abilities. Isolated correlations were found between the clinical components of some nursing courses and specific nursing abilities. Using multiple regression analysis, no clinical course grade was found to be a significant predictor of the mean employer competency rating. Significant predictors were found for only four of the individual nursing abilities, with the clinical component of Leadership in Nursing being the most frequent and best predictor.
Nurse Educators' Involvement in Research
Authors: Nieswiadomy Rose M 
Published: April 2021

ABSTRACT
The purposes of the study were: (1) to determine the relationship between selected demographic characteristics of nurse educators and research productivity; (2) to identify barriers to faculty research; (3) to examine the support being provided by educational institutions for faculty research; and (4) to determine the use of research productivity in the evaluation of faculty members for tenure, promotion and salary increase. Research productivity was defined as: (1) the number of past research studies conducted in relation to degree requirements, (2) the number of past research studies conducted which were not in connection with degree requirements, (3) the number of research studies that have been published, and (4) the number of ongoing research studies.
The study population was composed of nurse educators teaching in institutions granting a diploma, associate degree, baccalaureate degree or higher degree in nursing. A systematic random sample of 500 names was chosen from nurse educators who were members of the American Nurses' Association.
The major findings of the study were: (1) only 25% of the sample indicated current involvement in research; (2) nurse educators holding doctorates are the most productive researchers; (3) nurse educators who have taught more than 20 years reported the smallest percentage of ongoing research studies; (4) the majority of the current research is being conducted by faculty teaching in schools which grant graduate degrees; and (5) educational institutions are providing minimal support for faculty research and 50% of these institutions do not consider research productivity in the evaluation of faculty members for tenure, promotion, or salary increase.
An Analysis of the Relationship of Seven Selected Variables to State Board Test Pool Examination Performance of the University of Tennessee, Knoxville, College of Nursing
Authors: Sharp Theresa G 
Published: April 2021

ABSTRACT
The study was designed to determine whether any one of seven selected variables or a combination of the variables is predictive of performance on the State Board Test Pool Examination. The selected variables studied were: high school grade point average (HSGPA), The University of Tennessee, Knoxville, College of Nursing grade point average (GPA), and American College Test Assessment (ACT) standard scores (English, ENG; mathematics, MA; social studies, SS; natural sciences, NSC; composite, COMP).
Data utilized were from graduates of the baccalaureate program of The University of Tennessee, Knoxville, College of Nursing from 1974 through 1979. The sample of 322 was selected from a total population of 572.
The Statistical Analysis System (SAS) was designed to accomplish analysis of the predictive relationship of each of the seven selected variables to State Board Test Pool Examination performance (result of pass or fail), a stepwise discriminant analysis was designed for determining the predictive relationship of the strongest combination of the independent variables to overall State Board Test Pool Examination performance (result of pass or fail), and stepwise multiple regression analysis was designed to determine the strongest predictive combination of selected variables for each of the five subexams of the State Board Test Pool Examination.
The selected variables were each found to be predictive of SBTPE performance (result of pass or fail).
The strongest combination for predicting SBTPE performance (result of pass or fail) was found to be GPA, MA, and NSC.
Nursing Educators: Perceptions of the Curricular Role of Human Genetics/Bioethics
Authors: Mertens Thomas R , Hendrix Jon R , Morris Martha M 
Published: April 2021

ABSTRACT
In recent years medical geneticists have made tremendous advances in understanding hereditary diseases. Applying this new knowledge raises serious ethical questions which have relevance to nursing practice. Nursing educators must ask themselves: (1) what effects do these advances have on nursing practice; (2) have the subjects of human genetics and bioethics been sufficiently integrated into nursing educational programs; and (3) are professional nurses prepared to help patients become scientifically literate relative to principles of human genetics?
A 35-item questionnaire was prepared, and 616 copies were mailed to the chief administrators of 31 Indiana stateapproved nursing programs listed by the Indiana State Board of Nurses' Registration and Nursing Education. Data obtained from the 250 questionnaire respondents led to the conclusion that Indiana nursing educators are aware of the relevance of human genetics to their work, but they need direct access to helpful information to incorporate genetics instruction as a part of nursing education programs in Indiana. To accomplish this task, the respondents favor continuing education programs in human genetics. Although the data are based on responses of Indiana nursing educators, we believe that our findings can be generalized, at least, to nursing programs throughout the midwest. On the basis of our study, we recommend that continuing education programs in human genetics be implemented with the goal of providing all practicing nurses with a better understanding of the genetic basis of disease, thereby enabling them to counsel wisely those patients entrusted to their care.
Tenure and Promotion: An Update on University Nursing Faculty
Authors: Kruger Susan , Washburn Jane 
Published: April 2021

ABSTRACT
The status of tenure and promotion practices in nursing schools in university settings was studied. Forty nursing administrators from nursing programs around the country responded to a questionnaire regarding requirements to achieve tenure and/or promotion in the areas of teaching, research and scholarly activities, clinical competence, and community service. Findings revealed that while a growing number of nursing programs were more integrated into the academic community, many programs continued to struggle with the need for more faculty prepared at the doctoral level and for increased research activities.
Health Policy in Nursing Curriculum
Authors: Andreoli Kathleen C , Musser Leigh Anne , Otto Dorothy A 
Published: April 2021

ABSTRACT
This article presents the findings of a study on how health policy is integrated into the nursing curriculum at both the graduate and undergraduate levels, with particular emphasis on type of coursework, faculty preparation, and teaching strategies. The sample for the study included 210 randomly selected schools of nursing: 150 with undergraduate programs only and 60 with both graduate and undergraduate programs. The findings indicate that health policy has not yet received optimal placement in the curriculum at either the undergraduate or graduate level of nursing preparation. Recommendations are made based upon the findings of the study, a review of the literature, and the collective experience of the authors.
Clinical Teaching is More Than Evaluation Alone!
Authors: Flagler Susan , Loper-Powers Sue , Spitzer Ada 
Published: April 2021

ABSTRACT
Gaining self-confidence as a nurse is an essential aspect of the nursing student's professional development. The purpose of this study was to determine clinical instruction behaviors that students perceived as important in promoting their self-confidence. One hundred thirty-nine baccalaureate students rated 16 clinical teaching behaviors as to the degree each helped or hindered their self-confidence as nurses. Factor analysis of these behaviors revealed five dimensions of clinical teaching that characterized the instructor as: resource, evaluator, encourager, promoter of patient care, and benevolent presence. Behaviors contributing to the dimensions of clinical instruction other than evaluation were rated by students as helpful in the development of their self confidence as nurses. Students' responses to open-ended questions provided further evidence of the importance of the nonevaluation dimensions. Focusing on evaluation to the exclusion of other aspects of clinical teaching may impede nursing students' professional development.
Nursing, Nursing Education, and Anxiety
Authors: Biggers Thompson , Zimmerman Rick S , Alpert Geoffrey 
Published: April 2021

ABSTRACT
One hundred seventy-one graduating students in associate degree, diploma, and baccalaureate nursing programs completed a questionnaire concerning various state and trait measures of emotions (including general anxiety, apprehension about communication, and anxiety about one's future nursing career).
Differences among the three groups of nursing students on the various dimensions of emotions, anxiety, and communication apprehension were assessed from the perspective of Mehrabian's theory of emotion. Predictors of anxiety about one's nursing career were investigated for the overall sample and for the three groups separately.
Findings indicate that baccalaureate students are least apprehensive about communicating and feel most dominant in their setting. In addition, associate degree students were most anxious about nursing if they did not feel dominant, diploma students were most anxious if they did not feel dominant or were apprehensive about communication, and baccalaureate students were most anxious if they were generally unhappy. The results are discussed in terms of Mehrabian's emotion theory, the current crisis in and future direction of nursing education, and the use of theory in designing a strategy for nursing as a profession.
Attracting Men to Nursing: What Will They Find Important in Their Career?
Authors: Galbraith Michael 
Published: April 2021

ABSTRACT
This study was designed to increase understanding of the career choices of men in non traditional careers such as nursing by exploring what they find important in their career, their sex role identity, and their personality components. The instruments used in the study were the Important Components of a Career Scale, Bern Sex Role Inventory, and the Cattell 16 Personality Factor measure. Questionnaire packets were mailed to a total of 1,000 potential respondents in the following five groups: male and female nurses and early educators, and male engineers. The response rate was 46%. The men in nursing (n = 57) and early education (n = 76) valued relationshiporiented components of their careers more than the men in engineerings = 103) (F [2,233] = 35.39, p < .01).