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Performance-Enhancing Drugs: A Review, G Keith Gill

UNM Orthopaedic Research Journal

Performance-enhancing drugs and substances have been an integral part of athletics and society. The immense popularity and financial compensation associated with success in sports often results in a desire to win at all costs, which stimulates a never-ending appetite for use of ergogenic aids. Athletes have experimented with these substances (ranging from over-the-counter supplements to anabolic-androgenic steroids and beyond) if a possibility of advantage exists, whether scientifically or theoretically supported. As the technology to create new designer drugs becomes more available, the ability to test for the presence of these substances lags slightly behind. The knowledge base of sports-medicine physicians …

Radiographic And Clinical Evaluation Of Syndesmotic Screws In Treating Injuries Of The Distal Aspect Of The Tibiofibular Syndesmosis, James A. Dollahite, Paul J. Goodwyn, Katherine J. Gavin, Richard A. Miller

UNM Orthopaedic Research Journal

Background: Several factors can affect the success of surgical treatment of injuries to the distal aspect of the tibiofibular syndesmosis, including the bony articulation between the distal aspect of the fibula, tibia, and the supporting ligamentous structures; number and size of screws; number of cortices penetrated; and planned routine removal of screws.

Methods: We conducted a retrospective review of radiographs and clinic notes for all patients who underwent open reduction and internal fixation of injury to the tibiofibular syndesmosis, which was performed by a single surgeon (RAM), between January 2011 and December 2014. Only screws were used. The screws were …

Hierarchical Modeling Versus Regression Analysis For Evaluating Results Of Orthopaedic Studies That Use The National Inpatient Sample, Joshua W. Hustedt, Kade Mcquivey, John C. Hustedt

UNM Orthopaedic Research Journal

Background: Owing to its hierarchical sampling structure, the National Inpatient Sample (NIS) often involves clusters of study data. We aimed to (1) understand the statistical methods of currently published orthopaedic studies using NIS and (2) examine the role of hierarchical modeling versus traditional regression analysis in a retrospective cohort of patients from NIS.

Methods: We conducted a systematic review to examine statistical methods of orthopaedic studies (published between 2005 and 2014) using NIS. Ultimately, 132 studies were identified. We noted percentages of studies that used hierarchical modeling versus traditional regression analysis. Using NIS, we identified a retrospective cohort of patients …

Determining Frequency And Defining The Patient Profile Of Sacral Insufficiency Fractures, Blake Obrock, Jeremy Wearn, Matthew L. Dehart, Paxton Gehling, Amer M. Mirza

UNM Orthopaedic Research Journal

Background: Insufficiency fractures at the sacrum represent a considerable cause of low back pain and disability within the geriatric population. However, there has never been a large-scale study examining the epidemiologic trends associated with the disease, and thus this condition has been largely under recognized.

Methods: This study analyzed a Nationwide Inpatient Sample (NIS) database to trend frequency and burden of sacral insufficiency fractures (SIF). All inpatient stays from 1998 to 2010 noted on the NIS were included if the case maintained at least one or more diagnostic code. A total of 257,697 unique admissions (63% women, 37% men) met …

Radiographic Prevalence Of Osteoarthritis Of The Scaphotrapeziotrapezoid Joint In Patients With Carpometacarpal Osteoarthritis Of The Thumb: A Retrospective Case Series, Charlotte E. Orr, Robert Mercer, Deana M. Mercer, Drew K. Newhoff, Matthew D. Martin, Moheb S. Moneim

UNM Orthopaedic Research Journal

Background: In planning operative treatment of thumb carpometacarpal (CMC) joint osteoarthritis, surgeons should consider the presence of an arthritic scaphotrapeziotrapezoid (STT) joint. We aimed to determine the radiographic prevalence of concomitant (STT) osteoarthritis with thumb CMC osteoarthritis in patients who underwent surgical treatment at our institution. We hypothesized that the prevalence of concomitant arthritis at these 2 joints (STT and CMC) would be lower than previously reported.

Methods: Between September 2005 and July 2012, a total of 417 patients were identified from our institution using the Current Procedural Terminology code for thumb CMC joint arthroplasty (25447). After applying exclusion criteria …

External Fixation For Treating Tibial Shaft Fractures Using A Triangular Two-Planar Frame: A Computational And Biomechanical Study, Christina Salas, Daniel Hoopes, Mahmoud M. Reda Taha, Thomas A. Decoster

UNM Orthopaedic Research Journal

Background: Construct stability is a necessary characteristic of external fixators. Many commonly used fixators are constructed as symmetric one-plane frames. We postulate that asymmetric two-plane triangular constructs provide enhanced stability with simplicity and freedom in pin placement. We hypothesized that results of finite element analysis would determine optimal geometric configuration, and findings of mechanical testing would confirm the improved stability of two-plane triangular constructs.

Methods: Finite element modeling was used to analyze configurations for 16 triangular designs compared to a single-rod (SR) uniplanar frame. Variables included pin axial angulation (0°, 22.5°, 45°, and 90°), connectivity of the rod-to-pin couplers, and …

Suturing Workshop For Third-Year Medical Students: A Modern Educational Approach, Mary E. Logue, Ryan D. Lurtsema, Yuridia Leyva, Tyler J. Hough, Kelly M. Harrington, Deana M. Mercer

UNM Orthopaedic Research Journal

Background: This study sought to determine if developing suturing workshops based on modern educational theory would lead to a significant increase in third-year medical students’ confidence and preparedness as compared to before the workshop.

Methods: A group of pre-clinical, third-year medical students (n = 20) were voluntarily recruited. The workshop consisted of an interactive didactic session, a hands-on suturing session, and a question-answer session with surgeons. The nine-point Likert scale surveys were given pre-and post-workshop to 17 participants. Total scores of “confidence” and “preparedness” were analyzed using the Student t-test. Results of Q-Q plot and normality tests were used to …

Understanding Radiocarpal Rotation Through In Vivo Pronation And Supination Of The Hand: A Single Case Study, Jorge L. Orbay, Joshua M. Romero, Neal Wostbrock, Deana M. Mercer

UNM Orthopaedic Research Journal

Background: Studies have not clearly defined the motion of the distal radius in relation to the carpus in vivo. We hypothesized that 1) with the hand fixed by grasping a handle to prevent hand and wrist motion, the resulting load in torsion generated by extrinsic muscle in vivo would create motion at the radiocarpal joint; and 2) the motion measured will be between the distal radius and the proximal row of the carpus.

Methods: The data was acquired from the senior author external to our institution; in the current study, we quantify the resulting radiocarpal motion. A K-wire was placed …

Intradepartmental System Of Allocating Operating Room Block Time And Its Financial Impact At The University Of New Mexico Department Of Orthopaedics & Rehabilitation: A Preliminary Report, Dustin L. Richter, Gail Case, Nicholas White, Mary A. Jacintha, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

Background: Within a hospital, the operating room (OR) is one of the most critical and expensive resources. Labor productivity is maximized by filling allocated surgical block time with as many hours of cases as possible. We have found that the intradepartmental block time release system at our institution has improved access to operating time, resulting in a substantial financial advantage within the department.

Methods: The annual charges and collections produced by the pick-up of intradepartmental released block time during the past 4 fiscal years (July 1-June 30) was assessed at both the main hospital and an outpatient surgical center.

Results: …

3d Bioprinter + Electrospinner For Bone-Ligament Tissue Engineering, Sherif H. Aboubakr, Steven Nery, Lauren Long, Christopher A. Buksa, Chanju Fritch, Christina Salas

UNM Orthopaedic Research Journal

Modern 3D bioprinters have been shown to allow for precise control of structural geometry to build patientspecific scaffolds for tissue regeneration—primarily nonload- bearing tissue. However, 3D bioprinting is limited by cell viability, polymer cross-linking characteristics, and poor tensile properties. In comparison, electrospinning has been used to form fibrous structures with accelerated cellular maturation properties, improved growth and migration of cells, and increased tensile properties. Conversely, the mostly uncontrolled deposition of electrospun fibers can limit pore size and cell infiltration. In our Orthopaedic Biomechanics & Biomaterials Laboratory, a custom 3D Bioprinter + Electrospinner hybrid system (E-Spin Printer) was designed to merge …

Automated Device To Enable Passive Pronation And Supination Activities Of The Hand For Experimental Testing With Cadaveric Specimens: A Collaboration Between The University Of New Mexico And New Mexico Institute Of Mining And Technology, Jodie Gomez, Jakub Mroczkowski, Lauren Long, Christopher A. Buksa, Deana M. Mercer, Christina Salas, David I. Grow

UNM Orthopaedic Research Journal

In cadaveric research, reproducing physiological conditions under which the specimens would be loaded in vivo is essential to achieve clinical applicability. This is a collaborative study bringing together engineers from The University of New Mexico and New Mexico Institute of Mining and Technology. We describe development of an automated device to enable passive pronation and supination of the hand (rotation achieved through direct manipulation) for use in cadaveric experimental testing of the hand, wrist, forearm, or elbow. We present a brief motivation for development of this device, design details, an overview of one possible application, and ways to use this …

The Choctaw Nation Of Oklahoma: History, Influences, And Contemporary Setting Of The Choctaw Legal Structure, Austin C. Megli

Tribal Law Journal

The goal of this tribal profile is to provide an overview of the internal laws of the Choctaw Nation of Oklahoma; to give a detailed emphasis on the tribe’s historic use of customary law, governance structures, enacted law, case law; and to examine how their internal law changed throughout history. By helping the reader become familiar with the history of Choctaw customary law and the contemporary structure of the Choctaw government, this profile will assist practitioners and academics in understanding the Choctaw Nation. Part I of this paper will describe the customary laws of the Choctaw Nation. Part II of …

If Trees Could Lobby They Would Be People Too: The Environmental And Cultural Benefits Of Granting Legal Personality To Nature, M. Alexis Volner

Tribal Law Journal

In the Western culture today, the environment is perceived as a source for goods and resources. However, this perspective has resulted in serious environmental degradation and a real threat to our species’ survival. To combat these problems there must be a radical shift in the Western culture’s conception of nature.

The first step in this shift is to recognize the environment as a legal person. The United States should grant legal personality to all publicly owned lands containing sites held sacred by Indigenous peoples and establish a collaborative board to manage the sites to recognize Indigenous cultural rights and encourage …

What Communities Can Do To Rein In Payday Lending: Strategies For Successful Local Ordinance Campaigns Through A Texas Lens, Nathalie Martin, Robert Mayer

Faculty Scholarship

Because New Mexico has one of the highest consumer usage rates and highest concentrations of payday and title loan shops in the nation,2 we thought it would be an ideal place to measure the public’s knowledge of and interest in these ubiquitous loans. We also measured knowledge of interest rate caps in the context of credit cards, as a point of comparison. Our data are consistent with that of previous studies showing that the general public overwhelmingly supports interest rate caps both in general and for certain types of loans. More uniquely, we also found that many consumers are unaware …

February 7, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the February 7, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

September 5, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the September 5, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

October 10, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the October 10, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

December 5, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the December 5, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

November 3, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the November 3, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

April 11, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the April 11, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

January 10, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the January 10, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

Recommended Citation

March 7, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the March 7, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

June 6, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the June 6, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

May 9, 2017 Finance And Facilities (F&F) Committee Meeting, Senior Vice President For Finance And Administration

Finance and Facilities Committee

Documents related to the May 9, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

February 7, 2017 Finance And Facilities (F&F) Committee Meeting, Evp For Administration

Finance and Facilities Committee

Documents related to the February 7, 2017 Board of Regents' Finance and Facilities Committee Meeting. (Agenda, Minutes, eBook, Notice)

Healthy Here Wellness Referral Center Evaluation Report, T H. Cruz, C Solomon, C A. Fitzgerald

Reports & Documents

No abstract provided.

New Mexico Youth Risk & Resiliency 2015 Survey Results Report: Tobacco Use And Related Behaviors, R Healy, D Green, C Fitzgerald, L Penaloza

Reports & Documents

Tobacco use remains the leading cause of preventable disease in the US. Tobacco use and nicotine addiction typically begin during adolescence and young adulthood, and nicotine exposure during adolescence can lead to addiction, may harm brain development, and could lead to sustained tobacco use among youths. The New Mexico Youth Risk & Resiliency Survey includes questions about tobacco use and other risk behaviors as well as protective (resiliency) factors that can help reduce these risk behaviors.

New Mexico Youth Risk And Resiliency 2015 Survey Results Report: Students With Physical Disabilities, C Fitzgerald, D Green, T Bannerman, L Penaloza

Reports & Documents

Students with disabilities experience numerous challenges and risks, including from bullying and other forms of violence, lower overall physical activity and difficulties stemming from accessibility issues. They are also more prone to a sedentary lifestyle, which can lead to chronic health issues. Students with physical disabilities are more likely to engage in risky behaviors than students without disabilities, and also demonstrate decreased protective factors. In 2015, 11.3% of New Mexico high school students had a physical disability or long-term illness.

New Mexico Youth Risk & Resiliency 2015 Survey Results Report: Housing Instability And Health, C Fitzgerald, T Bannerman, D Green, L Penaloza

Reports & Documents

In 2015, for the first time, the NM-YRRS questionnaire included a question on homelessness, or housing status. The question mirrored the homelessness definition of the McKinney-Vento Act, which is used by the New Mexico Public Education Department to identify homeless students. For the purposes of this report, students identified as homeless will be referred to as students in unstable housing. Students living in unstable housing were at significantly increased risk for facing violence, using alcohol, tobacco, and other drugs, suicidal behaviors and other mental health issues and other serious challenges.

New Mexico Youth Risk & Resiliency 2015 Survey Results Report: Alcohol Use And Related Behaviors., R Healy, D Green, C Fitzgerald, L Penaloza

Reports & Documents

Alcohol is the most commonly used and abused drug by youth in the United States. Youth who drink alcohol before age 15 are six times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at age 21 or older. Binge drinking (5 or more drinks on a single occasion) accounts for about 90% of the alcohol consumed by youth 12–20 years of age in the United States. The New Mexico Youth Risk & Resiliency Survey (NM-YRRS) includes questions about alcohol use, access, attitudes, and behaviors as well as protective (resiliency) factors that can …