bluuebunny/crossref_metadata_2025_split huggingface dataset:
EOSINOPHILIC GRANULOMA OF THE SPINE WITH NEUROLOGICAL DEFICIT
Authors: Kumar Anant 
Published: April 2021

ABSTRACT
A case of a 14-year-old boy with a solitary eosinophilic granuloma of the thoracic spine, with paraplegia secondary to the collapse of the vertebra and peridural spread of tumor, is presented. It is the 14th case recorded in literature to this date. This disease is selflimiting, and there is no role of steroids or radiotherapy observed.
IMPEDANCE PLETHYSMOGRAPHY FOR SURVEILLANCE OF DEEP VENOUS THROMBOSIS FOLLOWING EARLY DISCHARGE OF TOTAL JOINT REPLACEMENT PATIENTS
Authors: Mallory Thomas H , Vaughn Bradley K , Lombardi Adolph V , Mitchell Maria B 
Published: April 2021

ABSTRACT
Between April 1988 and February 1989, 877 patients undergoing total hip (394 patients) and total knee (483 patients) replacement surgeries were given warfarin prophylaxis perioperatively and were tested with impedance plethysmography (IPG) approximately 17 days postoperatively (10 days post-discharge) in the outpatient office. There were 69 positive IPG tests (7.8%). Further assessment of patients with positive IPG results using duplex scanning or venography confirmed DVT in 25 of the 69 patients (3.6%) in the popliteal or thigh areas, and ruled out venous disease in 44 patients.
All 25 patients were readmitted for anticoagulation therapy with intravenous (IV) heparin and warfarin. There were no cases of pulmonary embolus. This study indicates that IPG testing is a safe and effective method of screening patients for DVT and its potentially fatal sequela of pulmonary embolus. Furthermore, IPG testing has proven to be cost effective, as it is a relatively simple procedure which can be administered by non-professional personnel in the outpatient office setting.
METASTATIC CARCINOMA OF THE SPINE WITH NEUROLOGIC COMPLICATIONS: AN AUTOPSY REVIEW
Authors: Leeson Mark C , Zechmann Jerome P 
Published: April 2021

ABSTRACT
We conducted post-mortem examinations on 12 patients who had documented metastatic carcinoma to the spine with attendant neurologic complications. The examinations were studied to determine the location of the metastatic lesion in relation to the spinal cord. Both gross and microscopic examinations were performed, with particular attention to the level of compression. The majority of the metastatic tumors involved the vertebral body and pedicles anterior to the spinal cord. The findings of this autopsy review support previous surgical findings, and re-emphasize the importance of considering tumor location before treating compression of the spinal cord secondary to metastatic carcinoma.
USE OF A MODIFIED QUENGEL HINGE TO PREVENT POSTERIOR DISPLACEMENT OF THE TIBIA DURING TREATMENT OF PCL INJURY
Authors: Lee Eun Woo , Jang Eui Chan , Paek Nam Chul 
Published: April 2021

ABSTRACT
During treatment of posterior cruciate ligament (PCL) injuries, posterior displacement of the tibia may occur inside the cast due to the effect of gravity on the lower leg. To prevent this problem the authors attempted to apply the original Quengel cast, first described by Mommsen in 1922 and perfected by Jordan, to correct the flexion contracture of the knee in hemophiliacs. However, the authors found that the cast was not effective in preventing the posterior displacement of the tibia during management of PCL injuries. They modified the design of the original Quengel hinge to obtain a more effective anterior traction on the tibia parallel to the knee joint line. Of the 32 patients who used the modified Quengel brace, IS who could be followed had less than a 3 mm difference between the injured and uninjured knee 3 months postoperatively.
THE ANTERIOR ACROMIAL APPROACH FOR ANTEGRADE INTRAMEDULLARY NAILING OF THE HUMERAL DIAPHYSIS
Authors: Riemer Barry L , D'Ambrosia Robert , Kellam James F , Butterfield Spencer L , Burke Charles J 
Published: April 2021

ABSTRACT
At three institutions, 71 humeral intramedullary nails were inserted into the shoulder; 67 were reviewed at 6 months and at completion of treatment. Fifty-one utilized the anterior acromial approach and 16 were inserted lateral to the acromion. Shoulder motion was rated as: excellent (asymptomatic and within 15° of normal); good (normal daily function within normal motion); and poor. Nails were also inserted into the humeral diaphysis of eight cadaver shoulders. Fifty-one nails were inserted via the anterior acromial incision; 48 were graded as excellent, one as good, and two with traumatic axillary neuropathy and reflex sympathetic dystrophy as poor. Sixteen nails were inserted lateral to the acromion; 8 were rated, 7 good, and 1 poor. Motion returned in an average of 17 weeks (range:0-29). The greatest clinical concern is not ultimate shoulder function, but the rate of return. The authors conclude that either the anterior acromial approach or an extraarticular entry portal must be utilized for antegrade humeral diaphyseal nailing.
Postoperative Results of Rheumatoid Arthritis Patients on Methotrexate at the Time of Reconstructive Surgery of the Hand
Authors: Kasdan Morton L , June Lisa 
Published: April 2021

Abstract
We conducted a retrospective chart review examining the frequency of local postoperative infection and poor wound healing of 15 methotrexate-treated rheumatoid arthritis patients undergoing 155 procedures during 39 surgeries. The patients were compared to a group of rheumatoid patients not on methotrexate who underwent similar reconstructive surgery of the hand. The patients taking methotrexate were followed postoperatively for a minimum of 10 weeks, with a mean follow-up time of 1 year, 42 weeks. There were no postoperative complications that would lead to the belief that the administration of methotrexate results in poor wound healing or leaves the patient more susceptible to postoperative infection. Our findings and a review of the literature support a continuation of methotrexate therapy in rheumatoid arthritis patients scheduled for reconstructive surgery of the hand and wrist.
A SPECIAL HIGH TIBIAL OSTEOTOMY TECHNIQUE FOR TREATMENT OF UNICOMPARTMENTAL OSTEOARTHRITIS OF THE KNEE
Authors: Nakhostine Manoutch , Friedrich Niklaus F , Müller Werner , Kentsch Axel 
Published: April 2021

ABSTRACT
Tibial osteotomy is a well-established procedure for treatment of the varus osteoarthritic knee. A special new technique of oblique tibial osteotomy at the level of the tibial tubercle, preserving the medial cortex and iliotibial band, is presented which allows partial weight bearing the first postoperative day. Postoperatively the femorotibial alignment should be 5° to 7° of valgus in elderly patients. Because in younger individuals the intact iliotibial band is a strong restraint against varus deformity, we seek to correct to 3° to 5° of valgus in these patients. Of 172 cases treated with this technique between 1982 and 1986, 50 patients were retrospectively reviewed. After a follow-up period of 6 months to 3 years, pain was relieved in 46 patients. Complications consisted of 5 secondary wound healings, including 2 superficial infections, 1 tibial plateau fracture, and 3 varus recurrences.
INCLINATION OF THE ACETABULAR CUP IN ERECT POSTURE RADIOGRAPHS
Authors: Hoikka Veijo , Ylikoski Mauno , Eskola Antti , Santavirta Seppo 
Published: April 2021

ABSTRACT
Inclination of the acetabular component was measured in a series of 100 patients who underwent total hip replacement. The radiographs were taken with the patients in erect posture. Two different reference lines were used in the measurements: the ischial reference line, and the true horizontal line perpendicular to a plumb-line used as a vertical reference line. The values measured using these two reference lines correlated well with each other, though there were important differences caused by pelvic tilt. Often an inclination that was within the normal range when measured, using the ischial tuberosity line as a reference, shifted excessively to horizontal or vertical when control measurements were performed using the true horizontal line as the reference. We conclude that inclination of the acetabular cup should be measured in erect posture radiographs, because pelvic tilt increases the degree of inclination on the side of pelvic adduction.
Surgical Management of Adjacent Level Degeneration Following Lumbar Spine Fusion
Authors: Glassman Steven D , Pugh Kevin , Johnson John R , Dimar John R 
Published: April 2021

Abstract
Thirty-eight patients who underwent extension of a prior lumbar fusion for treatment of adjacent level degeneration were retrospectively evaluated. Patient age, pain relief with the initial surgical procedure, and distal level of fusion significantly affected outcome. Overall, this study suggests that adjacent level fusion yields results that are not optimal but provides significant clinical improvement for patients with symptomatic adjacent level degeneration.
Femoral Neck and Intertrochanteric Fractures: Radiographic Indicators of Fracture Healing
Authors: Szechinski J W , Grigorian M A , Grainger A J , Elliott J M , Wischer T K , Peterfy C G , Genant H K 
Published: April 2021

Abstract
Serial hip radiographs from 280 patients with proximal femoral fractures were analyzed retrospectively by 3 radiologists to evaluate conventional radiographic healing patterns. Patients with hemiarthroplasty or insufficient follow-up were excluded, (n the remaining 41 patients, the fracture line and callus was assessed. Intertrochanteric fractures demonstrated increasing callus and sclerosis at the fracture site. No such association was seen in femoral neck fractures. Traditional indicators of fracture healing cannot be readily applied at the hip. Radiographic features relate more to fracture type and fixation method.
Stem Modularity: Rarely Necessary in Primary Total Hip Arthroplasty
Authors: Lombardi Adolph V , Mallory Thomas H , Fada Robert A , Adams Joanne B 
Published: April 2021

Abstract
A retrospective review of two consecutive series of cementless primary THA performed simultaneously from November 1987 to February 1994 within a single orthopedic practice by three surgeons was conducted. A series using non-modular Mallory-Head Porous (Biomet Inc, Warsaw, Ind) femoral components was compared to a series using modular Sivash Range of Motion (DePuy, Warsaw, Ind) femoral components to evaluate whether modularity of the femoral stem body is necessary in cementless primary THA.
Clinically and radiographically, both components performed at comparable levels with equally satisfactory results. Both series demonstrated effective femoral fixation as evidenced by excellent Engh fixation scores. However, this study has shown the importance of circumferential proximal porous-coating to form an effective seal, preventing the propagation of particulate debris. Modular systems were associated with a higher degree of technical difficulty, operative time, and blood loss.
The Effectiveness of a Pain Wrap Compared to a Standard Dressing on the Reduction of Postoperative Morbidity Following Routine Knee Arthroscopy: A Prospective Randomized Single-Blind Study
Authors: Hayden Jennifer K , Cole Brian J 
Published: April 2021

Abstract
A pain wrap dressing in patients undergoing routine knee arthroscopy was evaluated to determine its ability to decrease postoperative pain and swelling. Bilateral knee examinations were performed pre- and postoperatively. Patients recorded narcotic usage and pain levels for 10 postoperative days. Twenty-four patients completed the study. The pain wrap group had lower pain ratings (2.2 versus 4.6 [P=.03]) and demonstrated lower skin temperatures (1.1 °F versus 3.9°F [P=.02]). Less postoperative swelling was noted in the treatment patients, whereas postoperative arc of motion and narcotic usage was similar in both groups.
The Risk of Venous Thromboembolism in Non-Large-Joint Surgeries
Authors: Muntz James E 
Published: April 2021

Abstract
The risk of venous thromboembolism, particularly deep venous thrombosis, after knee arthroscopy, surgically assisted arthroscopy, or treatment of lower extremity fracture may be substantial in patients with factors known to increase the risk of postoperative thromboembolism. Few prospective studies have examined the effect of prophylaxis in these patient populations. However, results suggest that routine administration of a low-molecular-weight heparin reduces the rate of deep venous thrombosis in such patients. Additional clinical studies are necessary to determine whether the benefits of prophylaxis outweigh its risks and whether it is cost-effective. Until such data are available, risk for deep venous thrombosis must be assessed in all patients undergoing an orthopedic procedure. Thromboprophylaxis with pharmacologic agents may be considered in those at high risk.
ACL Tibial Spine Avulsion: Mid-Term Outcomes and Rehabilitation
Authors: May Jedediah H. , Levy Bruce A. , Guse Darlene , Shah Jay , Stuart Michael J. , Dahm Diane L. 
Published: April 2021

Tibial spine fractures are characterized by fractures at the insertion site of the anterior cruciate ligament (ACL) on the tibia and were first classified into 3 types. For displaced (type II/III) fractures, surgical treatment has included fixation with screws, sutures, or wires performed through either open or arthroscopic approaches. Optimal treatment methods remain controversial and are varied by classification type, surgeon preference, and patient age.
We retrospectively studied the outcome of 22 surgically treated patients with tibial spine fractures. We analyzed factors such as age, skeletal maturity, fixation device, surgical approach, presence of comminution, loss of reduction, and rehabilitation protocol against the development of arthrofibrosis and clinical and functional outcomes. We found that age older than 18 years was a statistically significant factor for lower outcome scores. Two factors trended toward significance including; those with comminution had lower Tegner scores, and those with early range of motion returned to previous activity level more frequently. Factors found to be insignificant included surgical approach, fixation device, weight bearing, skeletal maturity, postoperative immobilization, and loss of reduction. Those with screw fixation had a higher reoperation rate due to symptomatic hardware removal. Age was the only factor that negatively impacted final functional scores.
Bilateral, Atraumatic, Proximal Tibiofibular Joint Instability
Authors: Morrison Troy D. , Shaer James A. , Little Jill E. 
Published: April 2021

Dislocation of the tibiofibular joint is rare and usually results from a traumatic event. Only 1 case of atraumatic proximal tibiofibular joint instability in a 14-year-old girl has been reported in the literature, however this condition might occur more frequently than once thought. A wide range of treatment options exist for tibiofibular dislocations. Currently, the first choice is a conservative approach, and when this fails, surgical means such as resection of the fibula head, arthrodesis, and reconstruction are considered. However, no consensus exists on the most effective treatment.
This article reports a unique case of bilateral, atraumatic, proximal tibia and fibular joint instability involving a 30-year-old man with a 20-year history of pain and laxity in the right knee. The patient had no trauma to his knees; he reported 2 immediate family members with similar complaints, which suggests that this case is likely congenital. After conservative approaches proved to be ineffective, the patient underwent capsular reconstruction using free autologous gracilis tendon. At 6-month postoperative follow-up, the patient was pain free with no locking and instability. He then underwent surgery on the left knee. At 1-year follow-up after the second surgery, the patient had no symptoms or restrictions in mobility. We provide an alternative surgical approach to arthrodesis and resection for the treatment of chronic proximal tibiofibular instability. In the treatment of chronic tibiofibular instability, we believe that reconstruction of the tibiofibular joint is a safe and effective choice.
Innovation in Orientation: A Community Health Learning Package
Authors: Seigel Harriet 
Published: April 2021

Abstract
In order to stimulate learning in the orientation of new staff nurses to community health concepts as well as increase the efficiency and effectiveness of the staff responsible for teaching the orientation, a self-learning module was developed. Learning theory postulated by Gagne, Skinner, and Bevis have been incorporated into a slide-tape presentation for use in a large medical center. Suggestions which can reduce the waste of time and money during production are put forth.
Independent Study As A Learning Experience in Baccalaureate Nursing Programs: Perceptions and Practices
Authors: Dear Margaret R , Bartol Genevieve 
Published: April 2021

ABSTRACT
While nursing education recognizes the need for independent study in baccalaureate nursing education, the literature suggests that nursing educators hold diverse views on the meaning, purpose, and conduct of independent study. This study reports the findings of a survey of nursing faculty designed to learn more about the perceptions and practices of independent study in baccalaureate nursing education. A mailed questionnaire was used to gather information from a random sample of nursing faculty at 40 baccalaureate nursing programs in the South. Fifty-one percent of the 441 faculty members responded. Of the 219 respondents, 95% reported independent study in their schools; however, wide variation in practices and faculty perceptions was evident. Limitations in curriculum design, available resources and time were influential factors in provision of opportunities for independent study. The lack of consensus suggests that faculty examine independent study options so that efforts may be better coordinated.
Collective Bargaining in the Service Setting: A Survey of Faculty Attitudes
Authors: Tilbury Mary S 
Published: April 2021

ABSTRACT
Collective bargaining activity by nurses is a fairly recent event in the health care industry and labor-management relations. This article reports the findings of an exploratory study designed to identify the attitudes of baccalaureate nursing faculty toward collective bargaining in the service setting. The project is based on the premise that faculty attitudes are a fundamental factor in shaping the views of future practitioners. The attitude of faculty was found, at best, conditional. Consensus is lacking in such areas as professionalization vs. unionization and in feelings about the use of the strike.
A Study of the Effects of Personal and Academic Exposures on Attitudes of Nursing Students Toward Death
Authors: Coolbeth Lucie A Cook , Sullivan Lorelei I 
Published: April 2021

ABSTRACT
A study of attitudes toward death was conducted utilizing a modified version of Hopping's Death Attitude Indicator. Seventy-two senior and 43 sophomore nursing students from the University of Connecticut were compared for the effects of academic exposure and personal exposure to death. Scores were analyzed using an analysis of variance at the 0.05 alpha level. Results revealed no significant changes due to personal exposure or to the interaction of personal and academic exposure. There was found to be a significant change in attitude due to academic exposure.
Communicating Leveled Clinical Expectations to Nursing Students
Authors: Carlson Dorothy Stano , Lubiejewski Mary Ann , Polaski Arlene Lacey 
Published: April 2021

ABSTRACT
Nurse educators agree on thé need for objectives in the classroom situation and frequently communicate them in a written form. Written expectations for clinical, however, are rarely given to student nurses prior to their clinical experience. Clinical expectations are understood by instructors, but communicating them to students result in mixed interpretations. The article describes the development of a written method of communicating clinical expectations to solve this problem. This method correlates clinical expectations with classroom content and course objectives and levels the expectations in increasing complexity by using the nursing process as a framework. The written leveled expectations are distributed to student nurses on a weekly basis. Clinical experiences are enhanced for students and faculty who use this method.
Role-Taking Skills and Perceived Similarity in Baccalaureate Nursing Students
Authors: Moser Rosemarie Scolaro 
Published: April 2021

ABSTRACT
The importance of exercising effective role-taking skills as a nursing care provider is described. Twenty-six baccalaureate nursing students provided role-taking responses to four real life events. Students also reported whether or not they had ever experienced similar events and to what degree they perceived themselves as similar to the individuals in the events on a number of personal characteristics. Role taking was compared across the situations. Having experienced a similar life event or perceiving similarity to the main character did not appear to enhance role-taking responses. The results suggest that it may not be necessary to have had a life experience or background similar to that of the clients in order to be perceived as a nurse who is caring and understanding. Implications for nursing students are discussed.
The Relationship Between Educational Preparation and Performance on Nursing Certification Examinations
Authors: Raymond Mark R 
Published: April 2021

ABSTRACT
The purpose of this study was to investigate the empirical relationship between level of educational preparation and performance on certification examinations. Data from 12 different examinations administered by ANA in 1985 were available for a total sample of 12,308 RNs. Standardized effect sizes were computed for the following comparisons: baccalaureate vs. prebaccalaureate (associate degree and diploma), master's vs. baccalaureate, and master's vs. prebaccalaureate. Results were cumulated, averaged, and compared using meta-analytic procedures. The major finding was that effect sizes were consistently positive and statistically significant, indicating that nurses with more education generally obtain higher scores than those with less education. The present findings are discussed in the context of the widely known finding that baccalaureate candidates for RN licensure generally score lower than associate degree and diploma-prepared candidates on the RN licensure examination. It is suggested that the disparity in findings is not necessarily anomalous, given that licensure and certification serve very different functions.
Developing Teaching Strategies Based on New Knowledge
Authors: Davis Ada R 
Published: April 2021

ABSTRACT
New research in the areas of cognition, learning, memory, and motivation indicates that people can team more and at a faster rate, than was previously thought, by means of improved teaching strategies aimed specifically at enhancing memory storage and retrieval, cognition, and learning (Estes, 1983; Kirby & Biggs, 1980; Murphy & Smith, 1982). Other research in psychology, educational psychology, biochemistry, and neurology shows that human intelligence can be more fully developed or modified (Machado, 1980). One of the means to achieve these ends is teaching strategies developed specifically to enhance the brain's natural capacities.