bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self-Directed Learning and Nursing Orientation Programs: Are They Compatible?
Authors: Prociuk Joan L 
Published: April 2021

ABSTRACT
Is self-directed learning (SDL) effective in meeting the educational needs of nurses? If so, is this method of learning compatible with nursing orientation programs? This article describes a study that examined nurses' experience with and knowledge of SDL, and explored its use in nursing orientation programs. Results showed that most nurses prefer to use SDL over learning directed by educators. However, this study identified a number of factors that educators should consider prior to implementing SDL in hospital orientation programs.
Concept Mapping: Promoting Science Learning in BN Learners in Australia
Authors: Wilkes Lesley , Cooper Karen , Lewin Julie , Batts Judith 
Published: April 2021

ABSTRACT
Background: We reviewed the process of using concept mapping as a methodology to teach science to RNs in a bachelor degree of nursing program in Australia.
Method: The technique was used for two classes of students in the science unit during 1995 with work packages and independent student learning being the focus of the unit.
Results: Both instructors and students found the experience mainly positive. It helped the students become more independent learners, have a greater confidence in their knowledge of science, and allowed their understanding of science in their practice to become more meaningful and personalized. For the instructors it allowed them to concentrate on students with learning difficulties because they had less face-to-face teaching hours. Major issues arising from the process related to how to balance science content and the techniques of concept mapping and how to more effectively assess the learning outcomes of the students.
Conclusion: Concept mapping is a useful technique to link science and nursing practice. Not only can it be used in academic programs to teach the science underlying practice, it can be used in the clinical area to teach patients. As a technique it works well in staff development and continuing education where the focus is on elucidating the rationale for inuring practice and providing evidence for the value of this practice.
Assessment of Nurses' Continuing Education Needs in Jordan
Authors: Al-Ma'aitah Rowaida , Momani Mohammed 
Published: April 2021

ABSTRACT
This study assessed the learning needs of hospital nurses in northern Jordan to develop programming recommendations for future continuing education (CE) efforts. Although few CE programs exist, a response rate of 85% (n = 171) suggested these nurses have important learning needs. Nurses identified eight priority content areas: critical care, management of cardiac arrest, emergency room nursing, delegation and accountability, power and authority, teaching innovations, seminar management, and patient education. The findings showed that almost two thirds of subjects (n = 110) had not attended a CE program in the previous year, and very few (n = 8) had read nursing journals to supplement their nursing knowledge. Although data suggested lack of motivation to participate in CE programs was a frequent problem, they also indicated CE participation would increase if participants could earn some type of credit for this additional education.
A Collaborative Partnership for Improving Newborn Safety: Using Simulation for Neonatal Resuscitation Training
Authors: Palmer Elizabeth , Labant Amy L. , Edwards Taylor F. , Boothby Johanna 
Published: April 2021

Background:

The latest Neonatal Resuscitation Program
®
(NRP) guidelines suggest the use of team-based training using simulation. Furthermore, psychometric testing of instruments appropriate to measure team performance in NRP is needed. This study evaluated the effects of simulation on the training and performance of the health care team attending deliveries at a rural community hospital.

Method:
Twenty-three nurses and nurse anesthetists comprised the sample. A pre- and postintervention repeated measures design was used. Data were collected using the Background/Experience Survey, Self-Assessment and Attitudes Survey, and two Agency for Healthcare Research and Quality TeamSTEPPS tools (the Teamwork Perceptions Questionnaire [T-TPQ] and the TeamSTEPPS Teamwork Attitudes Questionnaire [T-TAQ]), the Simulation Effectiveness Tool–Modified (SET-M), and the Individual and Team Performance Survey.

Results:
Data analysis revealed significant findings in team functioning, situation monitoring, and communication. Prebriefing and debriefing were valuable as measured by the SET-M.

Conclusion:

This project supports the use of simulation to enhance team-based training, performance, and communication.

[
J Contin Educ Nurs.
2019;50(7):319–324.]
Surgical Treatment of Recurrent Morton's Neuroma
Authors: Nelms Barry A , Bishop John O , Tullos Hugh S 
Published: April 2021

ABSTRACT: In this series, 27 patients underwent surgery for recurrent Morton's neuroma through a plantar incision. All patients were women, with an age range of 35 to 65 years. Followup ranged from 12 months to three years. Twenty-one patients had recurrent neuromas in the third intermetatarsal space, and six patients had recurrence in the second intermetatarsal space.
Twenty-four of 27 patients had excellent or good results, a success rate of 89%. Three patients with poor results had undergone previous surgery, including metatarsal osteotomies and adjacent nerve exploration, with resultant fat pad atrophy and chronic metatarsalgia. None of the patients developed a painful plantar scar. Stress fractures of the third metatarsal were not seen. Normal shoe wear and activity returned at six to 12 weeks in those patients with a satisfactory result.
The Use of Strengthening Exercises in Post-Polio Sequelae: Methods and Results
Authors: Feldman Rubin M 
Published: April 2021

ABSTRACT: Some individuals who had poliomyelitis 20 to 30 years ago are now reporting a recurrence of symptoms of weakness in the same muscle groups that were weakened during the initial onset of the disease. Electrophysiological findings on EMG and repetitive stimulation studies identify changes peculiar to this disease.
Non-fatiguing progressive resistive exercises have been used to strengthen muscle groups demonstrating this secondary weakness after the muscles have been identified by electrophysiological studies. Favorable results are reported after non-fatiguing exercises which, combined with Occupational Therapy and appropriate orthotic management, have resulted in improvement in function of ambulation and activities of daily living. The causes of muscle atrophy and pain seen in these individuals are also discussed.
The Use of Quadratus Femoris Muscle Pedicle Bone Graft for the Treatment of Displaced Femoral Neck Fractures
Authors: Morwessel Rosemarie , Evarts C McCollister 
Published: April 2021

ABSTRACT: In 1974, Meyers et al advocated the use of the quadratus femoris muscle pedicle bone graft with screw fixation to treat displaced femoral neck fractures. In 1979 he quoted a 95% union rate in 144 patients and a 5% incidence of late segmental collapse. Most authors quote a 60% to 80% union rate and a 25% to 30% incidence of late segmental collapse of the femoral head.
From 1974 to 1980 at the University of Rochester, there were 13 patients, ages 20 to 60 years, who underwent the Meyers procedure for displaced femoral neck fractures. Twelve patients were done acutely and one was delayed. Followup averaged 38 months. Average time to bony union was five months. One patient had a nonunion secondary to inadequate fixation. Four patients showed radiographic evidence of late segmental collapse despite fracture union. These patients were between 20 and 28 years old. They had moderate to severe symptoms including pain, limitation of motion, and a limp Subsequently two of them had total hip replacements and one a valgus osteotomy.
To date few if any reports have reaffirmed the results obtained by Meyers et al. Although our series is small, the rate of union was 85% and the rate of late segmental collapse was 23%. These results are the same as or worse than those achieved by several authors using internal fixation alone or in combination with autogenous bone graft.
Urinary Tract Sequelae: Possible Influence on Joint Infections Following Total Joint Replacement
Authors: Ritter Merrill A , Fechtman Robert W 
Published: April 2021

ABSTRACT: A total of 277 patients receiving 364 total joint replacements in a period of 2 years were analyzed to determine whether urinary tract sequelae (infections, catheterization, and genitourinary instrumentation) encountered preoperatively or perioperatively had any significant influence on the development of postoperative joint infections. Three of these patients developed joint injections, none as a result of urinary tract infection. None of these infected patients required any catheterizations or instrumentation of the genitourinary system postoperatively. To enchance the previous data, all joint infections encountered in a period of 16 years were analyzed using the same criteria. Only one infection spread hematogenously from a urinary tract infection, and this occurred 20 months after surgery.
The results of this study show no correlation between preoperative or perioperative urinary tract sequelae and postoperative joint infections. Bacteriuria should not be considered a contraindication for total joint replacement.
PROGRESSIVE DIAPHYSEAL DYSPLASIA: CASE REPORT AND LITERATURE REVIEW
Authors: Aggarwal Praveen , Wali Jyoti P , Sharma Surender K 
Published: April 2021

ABSTRACT
We describe a case of progressive diaphyseal dysplasia occurring sporadically in a 25year-old woman. This patient had monorrhagia, and severe anemia and hepatosplenomegaly, unusual clinical features of this disease.
ANALYSIS OF THE DISCOID MENISCUS IN KOREANS
Authors: Seong Sang Cheol , Park Min Jong 
Published: April 2021

ABSTRACT
Discoid meniscus is a relatively common disorder of the knee in Koreans. Its arthroscopic treatment is one of the most technically demanding procedures of this field. The purposes of this study were to define the clinical features of the discoid meniscus in Koreans and to suggest an adequate arthroscopic technique. We performed arthroscopic meniscectomy on 37 knees with a lateral discoid meniscus. The average length of follow up was 21 months. The presence of synovial hypertrophy in the knee with discoid was significantly higher than that with a non-discoid meniscal lesion. A medial midpatellar portal for the arthroscope is advisable for clean arthroscopic surgery in this situation. We obtained satisfactory results through the partial resection of the discoid meniscus, leaving the normal semilunar-shaped meniscus intact as much as possible.
EVALUATION, PROGNOSIS, AND MEDICAL TREATMENT CONSIDERATIONS OF METASTATIC BONE TUMORS
Authors: Brage Michael E , Simon Michael A 
Published: April 2021

ABSTRACT
Metastatic cancer can cause severe pain and disability. Metastases can occur in any bone, but usually are located in the axial or proximal appendicular skeleton. The most frequently encountered primary tumors that spread to bone are those of the prostate, breast, kidney, lung, and thyroid. When the origin of the primary cancer is known, skeletal metastases are more often from breast or prostate. When the primary site is unknown, the lung and kidney should be suspected as sites of origin. The nonoperative management of skeletal metastases from multiple myeloma and from carcinomas of the prostate, breast, kidney, lung, and thyroid are discussed.
TREATMENT OF UNUNITED TIBIAL FRACTURES: A COMPARISON OF SURGERY AND PULSED ELECTROMAGNETIC FIELDS (PEMF)
Authors: Gossling Harry R , Bernstein Richard A , Abbott Joan 
Published: April 2021

ABSTRACT
The use of pulsed electromagnetic fields (PEMF) is gaining acceptance for the treatment of ununited fractures. The results of 44 articles published in the English language literature have been compiled to assess the effectiveness of PEMF vs surgical therapy. For ununited tibial fractures, 81% of reported cases healed with PEMF vs 82% with surgery. After multiple failed surgeries, the success rate of PEMF is reported to be greater than with surgery; this discrepancy increases with additional numbers of prior surgeries. In infected nonunions, the results of surgical treatment decreased by 21% and were less than the results utilizing PEMF (69% vs 81%). In open fractures, surgical healing exceeded PEMF (89% vs 78%), whereas in closed injuries PEMF cases healed more frequently (85% vs 79%). In general, PEMF treatment of ununited fractures has proved to be more successful than noninvasive traditional management and at least as effective as surgical therapies. Given the costs and potential dangers of surgery, PEMF should be considered an effective alternative. Experience supports its role as a successful method of treatment for ununited fractures of the tibia.
EVALUATION OF THE DEGREE OF EFFECTIVENESS OF BIOBEAM LOW LEVEL NARROW BAND LIGHT ON THE TREATMENT OF SKIN ULCERS AND DELAYED POSTOPERATIVE WOUND HEALING
Authors: Iusim M , Kimchy J , Pillar T , Mendes D G 
Published: April 2021

ABSTRACT
Twenty-one patients with 31 postoperative delayed open wounds resistant to conventional therapy were randomly allocated to three groups. Group 1 was treated with red low level narrow band (LLNB) light (660 nm); group 2 was treated with infrared LLNB light (940 nm); and group 3 was treated with a placebo such as the Biobeam machine (no light irradiation). Group 1 showed a significant improvement compared to groups 2 and 3 (t-test).
ENERGY DEMANDS FOR WALKING IN DYSVASCULAR AMPUTEES AS RELATED TO THE LEVEL OF AMPUTATION
Authors: Pinzur Michael S , Gold Julia , Schwartz David , Gross Nicholas 
Published: April 2021

ABSTRACT
Cardiac function and oxygen consumption were measured in 25 patients who underwent amputation for peripheral vascular disease (PVD), and in five similarly aged control patients with PVD. Five patients at each of the midfoot, Syme's, below-, through-, and above-knee amputation levels and the five controls were measured at rest, normal walking speed, and maximum walking speed on a treadmill. At normal walking speed, all of the patients functioned at approximately 80% of their cardiac capacity. Normal walking speed and cadence decreased and oxygen consumption per meter walked increased with more proximal amputation. The ratio of cardiac function and oxygen consumption at normal walking speed as compared with at rest increased with more proximal amputation, and the capacity to increase walking speed and oxygen consumption lessened. Our results suggest that peripheral vascular insufficiency amputees function at a level approaching their maximum functional capacity. At more proximal amputation levels, the capacity to walk short or long distances is greatly impaired.
CUMULATIVE TRAUMA DISORDERS
Authors: Schwartz Robert G 
Published: April 2021

ABSTRACT
Cumulative trauma disorders have increased five-fold since 1979 and now account for up to 47% of workplace injuries. Nerve entrapment, tendonitis, and other soft tissue injuries are the most common diagnostic groups. Both occupational and non-occupational factors contribute to the etiology of these disorders. Epidemiology, differential diagnosis, and interventions for treatment are reviewed.
THE EFFECT OF POSTOPERATIVE WOUND DRAINAGE REINFUSION IN REDUCING THE NEED FOR BLOOD TRANSFUSIONS IN ELECTIVE TOTAL JOINT ARTHROPLASTY: A PROSPECTIVE, RANDOMIZED STUDY
Authors: Simpson Michael B , Murphy Kevin P , Chambers Henry G , Bucknell Allan L 
Published: April 2021

ABSTRACT
A prospective, randomized study was conducted in 24 patients using the Solcotrans Orthopaedic Drainage Reinfusion System (Smith & Nephew Richards Ine, Memphis, Tenn) for postoperative blood salvage in total joint arthroplasty. The amount of postoperative autologous blood salvage averaged 946 mL. Only 25% of the study group required postoperative transfusions, compared to 83% of the control group (P =.016). In total knee arthroplasties, only 11% of the study group required transfusions, compared to 78% of the control group (P=. 018). There were no transfusion reactions, infectious complications, or coagulopathies. Postoperative blood salvage is a safe, reliable, and effective source of autologous blood.
PRIMARY BONE TUMORS OF THE SPINE: A SURVEY OF THE EVALUATION AND TREATMENT AT THE ISTITUTO ORTOPEDICO RIZZOLI
Authors: Boriani S , Biagini R , De Iure F , Andreoli I , Campanacci L , Di Fiore M , Zanoni A 
Published: April 2021

ABSTRACT
The experience at Istituto Rizzoli with 366 primary bone tumors of the spine focuses on the criteria for planning and treatment. An accurate preoperative evaluation by standard radiograph, computerized tomography scan, and magnetic resonance imaging allow the classification of benign lesions as latent (not requiring treatment), active (curettage), or aggressive (curettage plus adjuvants or marginal resection). The malignant lesions are classified as intracompartmental or extracompartmental (both low and high grade). Wide resection is attempted, but seldom is feasible. An angiographic study of the spinal cord is compulsory for lesions located in the thoracolumbar region. The value of embolization is enhanced, primarily in highly vascular lesions. An accurate preoperative study of the vital parameters of the patient, together with a continuous intraoperative monitoring, is mandatory.
THE EFFECTIVENESS OF CUT-PROOF GLOVE LINERS: CUT AND PUNCTURE RESISTANCE, DEXTERITY, AND SENSIBILITY
Authors: Salkin Jeffrey A , Stuchin Steven A , Kummer Frederick J , Reininger Rhonda 
Published: April 2021

ABSTRACT
Five types of commercial glove liners (within double latex gloves) were compared to single and double latex gloves for cut and puncture resistance and for relative manual dexterity and degree of sensibility. An apparatus was constructed to test glove-pseudofinger constructs in either a cutting or puncture mode. Cutting forces, cutting speed, and type of blade (serrated or scalpel blade) were varied and the time to cut-through measured by an electrical conductivity circuit. Penetration forces were similarly determined with a scalpel blade and a suture needle using a spring scale loading apparatus. Dexterity was measured with an object placement task among a group of orthopedic surgeons. Sensibility was assessed with Semmes-Weinstein monofilaments, two-point discrimination, and vibrametry using standard techniques and rating scales. A subjective evaluation was performed at the end of testing. Time to cut-through for the liners ranged from 2 to 30 seconds for a rapid oscillating scalpel and 4 to 40 seconds for a rapid oscillating serrated knife under minimal loads. When a 1 kg load was added, times to cut-through ranged from 0.4 to 1.0 second. In most cases, the liners were superior to double latex. On average, 100% more force was required to penetrate the liners with a scalpel and 50% more force was required to penetrate the liners with a suture needle compared to double latex. Object placement task times were not significantly longer for subjects wearing liners compared to double latex gloves. Semmes-Weinstein monofilaments, two-point discrimination, and vibrametry showed no difference in sensibility among the various liners and double latex gloves. Subjects felt that the liners were minimally to moderately impairing. An acclimation period may be required for their effective use.
ASSESSMENT OF PATELLAR HEIGHT AFTER AUTOGENOUS PATELLAR TENDON ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Authors: Shelbourne K Donald , Rubinstein Richard A , Braeckel Cynthia J , Butler Jack P 
Published: April 2021

ABSTRACT
In this study, we sought to determine if a significant change in patellar height occurs after autogenous patellar tendon anterior cruciate ligament (ACL) reconstruction at our clinic. In a series of 71 patients (52 males and 18 females; average age: 22 years; range: 12 to 41) randomly selected, all had undergone an identical autogenous patellar tendon ACL reconstruction, by the same surgeon, and followed the same postoperative accelerated rehabilitation program. All patients bad standardized preoperative and postoperative lateral knee radiographs. The patellar tendon length as well as the patellar height and ratio of Blackburne and Peel were measured by the same person for all subjects. The length of the patellar tendon shortened by an average of 0.4 mm (range: 6% lengthening to 12% shortening) which is less than 1% and not statistically significant (P=.068). The Blackburne and Peel ratio for patellar height decreased by 1%, which was also not statistically significant (P=.060). The evidence obtained from this study indicated no significant change in patellar height after autogenous patellar tendon ACL reconstruction combined with postoperative accelerated rehabilitation and no correlations with postoperative complications, secondary surgeries, timing of surgery, age, or anterior knee symptoms.
Measurement of Bone Mineral Density in Osteoporotic Fractures of the Spine Using Dual Energy X-Ray Absorptiometry
Authors: Jahng Jun Seop , Lee Weon Ik 
Published: April 2021

ABSTRACT
The authors analyzed bone mineral density (BMD) in 283 postmenopausal and senile women using dual energy x-ray absorptiometry from March 1990 to April 1 992. Bone mineral density of the vertebral body in the osteoporotic fracture group was compared with that in the osteoporotic group to investigate the correlation among BMD, age distribution, and fracture type, and to estimate fracture threshold in the osteoporotic fracture group. BMD decreased rapidly (10%) from 50 and 60 years of age and decreased slowly after 60 years of age; osteoporotic spine fractures were found in 98 cases (35%); there was significant difference in BMD between the osteoporotic group and osteoporotic fracture group; there was no spine fracture when BMD was above 1 .00 g/cm2; fracture threshold was 0.85 g/cm2 at the 90th percentile; BMD in multiple spine fracture and old fracture groups was lower than in the single and fresh fracture groups and this was statistically significant We have concluded that when BMD decreases to less than 0.85 g/cm2, the risk of osteoporotic vertebral fractures escalates rapidly. Postmenopausal and senile women with BMD less than this fracture threshold should receive prophylaxis for osteoporotic fracture.
Managing the Risk of Thrombosis in the Perioperative Period in Patients Undergoing Orthopedic and Trauma Surgery With Low-Molecular-Weight Heparin: Enoxaparin
Authors: Lassen Michael R , Borris Lars C 
Published: April 2021

ABSTRACT
Patients undergoing arthroplastic surgery of the lower limbs and those with multiple injuries have a high risk of thromboembolism. Enoxaparin is a highly effective antithrombotic drug that is well tolerated and without the need for monitoring. Numerous controlled trials in these patient groups have demonstrated enoxaparin to be at least as effective as heparin in reducing the occurrence of deep vein thrombosis while showing a tendency towards lower risk of bleeding complications; therefore, enoxaparin is recommended as thromboprophylaxis in patients undergoing major hip or knee surgery or suffering from multiple trauma.