bluuebunny/crossref_metadata_2025_split huggingface dataset:
Career Ladder Program
Authors: Guerrero Jann H , Hansen Mary Lou 
Published: April 2021

ABSTRACT
In June 1990, Santa Rosa Children's Hospital instituted a multitrack career ladder program for registered nurses, in response to the issues of retention of expert nursing staff and development of professional nursing practice. The program incorporates clinical, education, and management tracks, providing vertical and lateral mobility to the registered nurse. Performance evaluation criteria complement the promotional process, and the registered nurse has a menu of requirements to fulfill each year upon promotion to or maintenance of career ladder level. Through incorporation of a graduated salary system, the program has been a retention bonus for registered nurses at Santa Rosa Children's Hospital. In addition, the career ladder program has been very successful in promoting professional nursing practice within the hospital.
Marketing University-Based Continuing Education Programs
Authors: Kuramoto Alice M 
Published: April 2021

ABSTRACT
It is important for nursing educators engaged in the highly competitive business of continuing education (CE) to understand marketing educational programs. There has been hesitancy in using the word "marketing" in the educational setting; and it has only been recently that marketing directors have been hired at some universities to promote their educational programs. The author describes how marketing techniques and business strategies are used in educational settings, especially for marketing CE programs.
An Orientation Plan for Hospital-Based Case Managers
Authors: Kortbawi Patricia A 
Published: April 2021

ABSTRACT
The key to a successful case management program is the case manager. This article is a description of a six-week orientation program provided for new case managers at St. Peter's Medical Center in New Jersey. The principal components of the program are basic content modules, addressing individual learning needs, specific teaching strategies, and a self-paced approach.
Hospitals and the Educational Institution: An Innovative Partnership for Nursing Specialty Education
Authors: Varcoe Colleen , Cresswell Seonag 
Published: April 2021

ABSTRACT
Rapid technological and economic change require that educational institutions respond efficiently and effectively to the needs of the health care industry. Nurses demand education that is accessible, affordable, and relevant, and demand recognition for educational achievement in terms of credentials and financial rewards.
This article describes a partnership between British Columbia Institute of Technology (which is driven by and responds to industry) and The School of Health Science (which prepares nurses for speciality practice). The partnership permits a proactive relationship that utilizes the best qualities of both the health care and educational institutions. Although this alliance has been used extensively to prepare nurses for specialty areas, this partnership model could be implemented by a variety of institutions to meet educational needs in many health care professions.
Collaborative Preceptor Training: A Creative Approach in Tough Times
Authors: Williams Jane , Baker Grace , Clark Betty , Ehnis-Roebuck Carol , Gupta Lisa , Johnson Jackie , Nix M Louise , Petrillo Sherry Spear 
Published: April 2021

ABSTRACT
Rapid changes in the health care environment have challenged educators to find more efficient methods of developing nurses. These demands are leading to the use of collaborative approaches to education. Nurse educators have also found that they have to rely on preceptors for orientation of new employees. The Texas Medical Center Collaborative Preceptor Program was developed in 1989 to prepare nursing preceptors for all nine participating institutions. The goals of the program were to increase efficient use of instructor time, standardize preceptor preparation in the Texas Medical Center, and offer more programs and prepare more nurses per year than each individual institution could do alone. There were many unexpected benefits as well, and future plans for collaboration are already being formulated.
Learning Environment: The Catalyst for Work Excitement
Authors: Lickman Patricia , Simms Lillian , Greene Connie 
Published: April 2021

ABSTRACT
A recent study investigated the relationship between learning environment and work excitement among a group of nurses. In a secondary analysis of the original survey of 268 nurses, approximately 20% were very excited about their work. The learning environment variables (availability of learning opportunities; stimulating, motivating, challenging environment; and opportunity to work with other professionals) were found to be related to the level of work excitement among nurses. Results of this study suggest that enhancement of the learning environment can lead to higher levels of work excitement. Nurses in staff development can use the knowledge obtained in this study to assist nurses to find excitement in their work through new learning and work behaviors. The results suggest the importance of unitbased learning opportunities and flexible work groups that include other health professionals.
Acknowledging Preceptors: Not an Easy Task
Authors: Yonge Olive , Krahn Harvey , Trojan Lorraine , Wilson Sharon 
Published: April 2021

ABSTRACT
Educators commonly discuss the need to reward nurse preceptors. A survey of 295 preceptors teaching nursing students found 118 nurses (36.6%) did not feel a reward was appropriate, while the remainder felt it was. When asked if they had enough support, 68 (22.9%) reported "no" and 213 (73%) reported "yes." Recommendations stemming from this research include: the need to redefine "reward" to be more congruent with the preceptor's perceptions; to provide acknowledgment to preceptors reflective of their educational and professional role; and to recognize that the ongoing communication and feedback with nursing faculty is a crucial factor in preceptors' perceptions of support.
Self-Efficacy Measurements: An Approach for Predicting Practice Outcomes in Continuing Education?
Authors: Murdock Jane E , Neafsey Patricia J 
Published: April 2021

ABSTRACT
This study assessed the usefulness of measurements of self-efficacy in evaluating practice outcomes following a continuing education course in advanced practice pharmacology. Self-efficacy, a central construct in social-cognitive theory, refers to an individual's confidence in being able to perform a specific task to successful completion. The study demonstrated that a valid and reliable measure of self-efficacy could be developed from program objectives and used in conjunction with pre- and post-knowledge measures to gain a broader perspective of learning outcomes. Measurement of self-efficacy was a useful adjunct in postinstruction evaluation and may be a cost-effective alternative to longitudinal impact evaluation.
Networking for Educational Resources in a Rural Community
Authors: Hemman Eileen A , McClendon Beverly J , Lightfoot Shiloh F 
Published: April 2021

ABSTRACT
Four community organizations in a geographically isolated area shared resources and collaborated in providing a continuing education program on trauma care to meet the needs of the healthcare community. The process, from initial needs assessment and educational design through the steps involved in program planning and implementation among coproviders, is outlined. Response was overwhelmingly positive from the participants.
HOSPITAL-ACQUIRED ASPERGILLUS FLAVUS INFECTION IN A SURGICAL WOUND: A CASE REPORT
Authors: Brook Itzhak , Aaron Roy K 
Published: April 2021

ABSTRACT: This report describes a case of hospitalacquired Aspergillus flavus subcutaneous inflammation. The infection developed in a surgical wound and was cured by repeated debridement and amphotericin B therapy.
The rare occurrence of this inflammation is noted. Pressure and necrosis caused by casts may provide a favorable environment for the growth of Aspergillus organisms.
THE DEVELOPMENT, TECHNIQUE, AND EARLY CLINICAL RESULTS OF TOTAL JOINT REPLACEMENT FOR THE METACARPOPHALANGEAL JOINT OF THE FINGERS
Authors: Steffee Arthur D , Beckenbaugh Robert D , Linscheid Ronald L , Dobyns James H 
Published: April 2021

ABSTRACT: A metal-on-plastic semi-joined snaplock prosthesis has been developed for the metacarpophalangeal joint of the fingers. The components are cemented in place. Results were satisfactory in 55% of 160 joints replaced with the first design and in 86% of 272 joints replaced with an improved model that had a lower center of rotation. Pain was relieved in 94% of the patients and ulnar deviation was corrected in 87%. The current model is associated with motion that averaged -17° extensions to 63° flexion. Complications included infection in two patients, dislocation in two, and fracture of the component in two. Roentgenographic evidence of loosening of the distal components was seen in 18% of joints that had follow-up of more than one year, but such loosening has not as yet been symptomatic. Factors in cementing technique and prosthesis positioning have been identified which may decrease the rate of roentgenographic loosening.
Key Words: Total joint replacement; metacarpophalangeal joints; finger joints; metacarpophalangeal prosthesis; prosthesis for rheumatic diseases; finger prosthesis
Epidemiology, Mortality and Morbidity in Multiple Trauma Patients
Authors: Gustilo Ramon B , Corpuz Vicente , Sherman Robert K 
Published: April 2021

ABSTRACT: Three hundred, twenty-nine multiple trauma patients with skeletal injuries admitted to Hennepin County Medical Center, Minneapolis were analyzed for mortality and morbidity based on injury severity score (ISS) and timing of fracture stabilization. Fifty-three deaths (16%) occurred with 38% dying during the first six hours. Survival prospects with injury severity score over 40 were bleak. Agei sex, mechanism of injury, and time of occurrence of injury was also tabulated.
Two hundred, twenty-nine patients with 474 long bone fractures were analyzed based on timing of fracture stabilization: a) immediate stabilization within 24 hours; b) delayed primary stabilization over 24 hours to one week; c) secondary osteosynthesis more than one week; d) nonoperative treatment.
Respiratory distress syndromes occurred in 6%, 2.4%, 9%, and 12%; mortality rate of 3%, 0%, 6.4%, and 26% for treatment groups A, B1 C, and D respectively. However, it must be noted that treatment group B with lower ARDS and mortality rate had no type III open fractures and lower injury severity score.
Experimental Free Vascularized Epiphyseal Transplants
Authors: Bowen Vaughan 
Published: April 2021

ABSTRACT: Growth plates have been transferred both clinically and in experimental models since the end of the 19th century. Results have been unpredictable and frequently unsatisfactory due to postoperative ischemia. Modern microvascular techniques have minimized this problem and preservation of growth plate structure and function has been reported after replantation and free tissue transfers in children and immature animals.
Experimental revascularized growth plate transplants were first reported in 1979. Viable orthotopic transfers are associated with rapid bony union, maintenance of radiological structure, and continued growth in length at near normal rates. Detailed studies have demonstrated a continuation of cell division, metabolic activities, and normal histology. Technetium bone scans have been a useful postoperative indicator of viability, and ischemic times of more than three hours can be tolerated.
The behavior of heterotopic transplants has not yet been fully studied. Early attempts suggest that biomechanical problems may be troublesome.
Early Post-Surgical Prosthetic Limb Fitting in Dysvascular Below-Knee Amputees with a Pre-Fabricated Temporary Limb
Authors: Pinzur Michael S , Littooy Fred , Osterman Helen , Wafer David 
Published: April 2021

ABSTRACT: Two consecutive series of patients undergoing below-knee amputation for peripheral vascular insufficiency were compared relative to the length of acute-care hospitalization and rehabilitation. The residual limb control group was treated with soft-surgical dressings and non-weight bearing ambulation with referral to the amputee clinic when the residual limb wound was "ready." The residual limb experimental group was treated with rigid plaster (cast) dressings with early post-surgical prosthetic limb fitting and progressive weight bearing ambulation.
Acute-care hospitalization following amputation surgery averaged 27.7 days in the control group, and 23.7 days in the treated group. Patients were either re-admitted or transferred to a rehabilitation unit where hospitalization averaged 42.9 days in the control group and 14.1 days in the treated group. This resulted in a cost savings of almost $15,000 per patient based on present hospital fees. The results of this study suggest that early post-surgical prosthetic limb fitting not only hastens recovery amputation, but can be safe and cost effective.
Synovium Transplantation onto the Cartilage Denuded Patellar Groove of the Sheep Knee Joint
Authors: Rothwell A G 
Published: April 2021

ABSTRACT: A macroscopic and histologic study has been made on the changes during a 2-year period in a free composite graft of synovium subsynovial fat and periosteum taken from the medial femoral condyle and placed on the cartilage denuded patellar groove of the knee joint in skeletally mature sheep. The results have been compared to a control group which had the same surgical management except that the graft was discarded. The study demonstrated that following "take" and revascularization, the composite graft had converted to a single layer of vascular fibrobfastic tissue by 6 weeks and over the ensuing year this had been largely replaced by flbrocartilage of variable differentiation. However, over the next year much of this fibrocartilage would appear to have undergone either redifferentiation into disorganized fibrochondroid tissue or developed secondary degenerative changes.
By contrast, the control specimens had profound resorption of the bone plate followed by patchy resurfacing with tissue ranging from a very loose fibrous connective tissue to well differentiated fibrocartilage. The latter had gradually increased in amount over the 2-year period, but secondary degenerative changes had also developed as in the grafted group. Despite some of the drawbacks, particularly the magnitude of the patello-femoral compression force, the technique has now been refined into a reliable animal model for the study of different parameters either in the graft or the graft environment in the hope that a way can be found to increase the life span of the metaplastic cartilage.
PRELIMINARY RESULTS OF MILLER-GALANTE UNCEMENTED TOTAL KNEE ARTHROPLASTY
Authors: Joseph James , Kaufman Eugene E 
Published: April 2021

ABSTRACT
From July 1984 through February 1986, a total of 46 knees were placed in 42 patients. The average age of all patients was 58 years (range, 32 to 68). Osteoarthritis was the diagnosis in 38 knees, traumatic arthritis in 5, and rheumatoid arthritis in 3. During follow up, averaging 3.6 years (range, 2.0 to 4.5), the total knee score based on a modified Hospital for Special Surgery knee rating scale improved from a preoperative average of 59 to 93 postoperatively. Radiographically, partial radiolucencies (<1 mm) were present in at least one view in 72% of the knees in which the interface was well visualized. No radiolucencies were progressive. Complications occurred mainly in the patellar components, as 17% of metal-backed uncemented patellae required revision to cemented non-metal backed components. There were no deep infections. The authors remain cautiously optimistic while awaiting longterm follow up.
ADAPTATIONS DURING THE STANCE PHASE OF GAIT FOR SIMULATED FLEXION CONTRACTURES AT THE KNEE
Authors: Cerny Kay , Perry Jacquelin , Walker Joan M 
Published: April 2021

ABSTRACT
Adaptations in the stance phase of gait to knee flexion contractures simulated by a knee-ankle-foot orthosis were studied in 20 healthy women (mean age: 25 ± 3.6 years). Stride characteristics, jouit postures, floor reactions, and indwelling electromyographic activity of the lower gluteus maximus, vastus Iateralis, long head of the biceps femoris, and soleus muscles were measured during walking with the orthosis, with and without contracture simulation. Simulated knee flexion contracture resulted in decreased stride length and velocity and increased forefoot weight bearing and flexion posture in stance. Increases were also seen in magnitude and/or duration of flexion floor reaction torques and gluteus maximus, vastus Iateralis, and soleus muscle activity. The addition of a restriction of plantar flexion resulted hi a further decrease in velocity and stride length and a small increase in hip extension posture. These results show that knee flexion contractures, simulated in healthy subjects, cause a decrease in gait function with a simultaneous increase in muscular demand.
ENHANCED SPINO-PELVIC FIXATION FOR SEGMENTAL SPINAL INSTRUMENTATION: A PRELIMINARY BIOMECHANICAL EVALUATION
Authors: Thomas Kevin A , King Andrew G S , Zembo Michele M , Solomonow Moshe , Summersgill Louis E , Dabezies E Jean 
Published: April 2021

ABSTRACT
A new method for spino-pelvic fixation of Luque rods was developed and biomechanically evaluated on cadaveric specimens. The technique is surgically simpler and fester than the Galveston technique because it does not require the complex three-dimensional bending of rods to conform to the medullary cavity of the iliac wings. Spines were tested in axial compression in both bilateral and unilateral ischial weight bearing in the intact condition, instrumented with the new technique, and instrumented with the Galveston technique. Compared to the intact spine, the technique increased bilateral average stiffness by 131% and unilateral average stiffness by 192%. Compared directly to the Galveston technique, the new method exhibited increased average stiffness of 15% in bflateral and 11% in unilateral ischial weight bearing. The new method combines the advantages of a simpler and faster surgical procedure than the Galveston technique with enhanced spino-pelvic fixation with the potential to decrease migration of rods relative to each other and the pelvis.
LATE MECHANICAL STABILITY OF THE PROXIMAL COATED AML PROSTHESIS
Authors: Sugiyama Hajime , Whiteside Leo A , Engh Charles A , Otani Takuya 
Published: April 2021

ABSTRACT
Micromotion of a bone-ingrown anatomic medullary locking (AML) femoral component was evaluated in a specimen retrieved from a 66-year-old man who died 4 years following total hip replacement Radiographic signs suggested bone ingrowth into the proximal porous coating, but a radiolucent line surrounded by a sclerotic line was present around the distal stem. Both torsional and axial loading to physiologic levels elicited minimal micromotion at the proximal boneprosthesis interfaces. However, mediallateral micromotion at the distal tip was found to be as high as 44 µ?? with axial load. An AML femoral component of similar design was inserted into the opposite normal femur using the cementless press-fit technique originally used for the implanted specimen. Micromotion proximally was much greater in the freshly implanted systems in response to both torsional and axial loading than in the bone ingrown specimen. However, distal medial-lateral micromotion was much greater for the bone-ingrown stem. These findings show that bone ingrowth provides rigid fixation of the implant to bone; however, flexibility of the femur causes increased micromotion of the femur around the smooth distal stem despite initial tight distal fit.
BIPOLAR HEMIARTHROPLASTY FOR PRIMARY OSTEOARTHRITIS OF THE HIP
Authors: Prieskorn David , Burton Paul , Page Billy Joe , Swienckowski John 
Published: April 2021

ABSTRACT
One hundred twenty-five bipolar hemiarthroplasties of the hip were performed at the authors' hospital. Although the procedure was performed for acute femoral neck fractures, rheumatoid arthritis, revision hemiarthroplasty, and primary osteoarthritis, only the latter is the subject of this review. A modified Harris hip score (HHS) was used to evaluate the patients both preoperatively and postoperatively. Radiographs were taken preoperatively as well as postoperatively at 2-, 4-, 6-, and 24-month intervals. A total of 68 patients underwent bipolar hemiarthroplasty for primary hip osteoarthritis. The mean preoperative HHS was 35.5 (SEM = 1.86); the mean postoperative score was 81.2 (SEM = 1.64) with an average improvement of 45.7 (SEM = 2.03). The results of this review were compared to a control group of conventional total hip arthroplasties performed at the same institution. The mean postoperative HHS for the group of conventional arthroplasties was 87.2 (SEM = 1.07). The results of this review indicate a good clinical result from bipolar hemiarthroplasty, but significantly less postoperative function when compared to conventional total hip arthroplasty.
TREATMENT OF COMMINUTED DISTAL RADIUS FRACTURES: AN APPROACH BASED ON PATHOMECHANICS
Authors: Agee John M , Szabo Robert M , Chidgey Larry K , King Francis C , Kerfoot Cynthia 
Published: April 2021

ABSTRACT
Following dorsally displaced fractures of the distal radius, the classic position of immobilization is with the wrist flexed and in ulnar deviation. This is not the position of function and entails morbidity in the form of fìnger stiffness, which may require prolonged rehabilitation. We treated 20 consecutive, comminuted, intraarticular distal radial fractures using a new external fixation system with the wrist m a neutral to extended position, thereby promoting metacarpophalangeal joint flexion by relatively relaxing the fìnger extensor tendons. Supplemental pin fixation was used in eight cases. Most patients were performing active digital motion on the day of surgery and 95% maintained functional fìnger motion during treatment. All fractures healed uneventfully. Palmar tilt was restored in 55% of patients in spite of a wrist neutral or extended position. This method of fixing distal radial fractures allows restoration of anatomy while avoiding hand stiffness.
THE DEEP BRANCH OF THE ULNAR NERVE IN GUYON'S CANAL: BRANCHING AND INNERVATION OF THE HYPOTHENAR MUSCLES
Authors: Gonzalez Mark H , Brown Anthony , Goodman David , Black Brian 
Published: April 2021

ABSTRACT
Thirty-seven embalmed, unpaired cadaver hands were dissected to delineate and classify the innervation of the hypothenar musculature. The deep branch of the ulnar nerve passed between the abductor digiti minimi and flexor digiti minimi and then pierced the opponens in all specimens. All branching occurred on the ulnar aspect of the deep branch of the ulnar nerve. A classification based on proximity of the different branches is prepared. Five different patterns have been noted.
UNCEMENTED TOTAL KNEE ARTHROPLASTY: REPORT OF 109 TITANIUM KNEES WITH CANCELLOUSSTRUCTURED POROUS COATING
Authors: Baldwin James L , El-Saied M R A , Rubinstein Richard A 
Published: April 2021

ABSTRACT
One hundred twenty-three uncemented total knee arthroplasties were performed between Novemher 1986 and November 1989. The implants were pure titanium with porous coating for bony ingrowth. One hundred nine of these knees were followed for 2 to 5 years (average: 31.5 months). Clinical evaluation of the results, using the Hospital for Special Surgery Knee Rating Scale, revealed an increase in the average knee score from 62.9 preoperatively to 92.5 postoperatively, with excellent or good results in 94.5% of the cases. Thirteen knees (12%) had 26 radiolucent lines or areas. There was no complete lucency underneath any implant, and no knees were revised for loosening. One knee required replacement of the tibial insert for instability. While titanium implants were successful in achieving secure fixation and high knee scores in the short term, longer follow up will be necessary for more definitive conclusions, especially in regard to the potential problems with titanium wear debris.