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Principles Of Arthroscopic - Assisted Open Reduction Internal Fixation In The Management Of Displaced Articular Fractures, Nathan Sherman, Matthew Miller, Michael D. Feldman

Western Journal of Orthopaedics

The primary objective of fracture fixation is to obtain anatomic reduction with stable fixation while minimizing damage to the surrounding structures. Displaced articular fractures represent a surgical challenge, but anatomic alignment with restoration of the articular surface is the gold standard of management. Using open techniques, intra-articular visualization can require large dissections and added soft-tissue insult. However, arthroscopic-assisted open reduction internal fixation (AAORIF) may represent a less invasive means of articular fracture management in appropriate patients with select fractures. The general principles of AAORIF are modified from basic arthroscopic principles, including positioning, portal placement, fluid management, visualization, soft-tissue management, and …

Complex Lisfranc Injury In A Professional Bull Rider, Elizabeth Eichman, Stephan Sierra, Matthew Ferguson

Western Journal of Orthopaedics

American bull riding is one of the most dangerous sports in the world, with a high prevalence of injury. Due to the high-velocity trauma that is common in this sport, injuries occur frequently and are often classified as severe despite the use of protective equipment. While Lisfranc fracture-dislocations are somewhat common in elite athletes, open Lisfranc fractures are much less common. Consequently, there are little data concerning recovery and return to sport. This case demonstrates an uncommon presentation of open Lisfranc fracture dislocation and first metatarsophalangeal dislocation in a professional bull rider who was able to return to sport at …

Terrible Triad In A Pediatric Patient: A Case Report, Colin J. Carroll, Gonzalo Sumarriva, Russell Parks, Caroline Vasco, Ross Dunbar

Western Journal of Orthopaedics

A terrible triad elbow injury consists of an elbow dislocation with associated radial head and coronoid fractures. This type of injury is rare in the pediatric population. In this case, a 14-year-old adolescent male suffered a right-sided terrible triad elbow injury after falling onto his right elbow. He was taken to the operating room for open reduction and internal fixation. The patient is now three years postoperatively with full range of motion of his elbow with no pain and no incidents of dislocation.

Diversifying The Field: Reflflections Of Female Orthopaedic Residents, Kate M. Parker, Audrey C. Wassef

Western Journal of Orthopaedics

No abstract provided.

Development Of A Biomarker Panel For Assessing Cardiovascular Risk In Diabetic Patients With Chronic Limb-Threatening Ischemia (Clti): A Prospective Study, Elisabetta Nardella, Federico Biscetti, Maria Margherita Rando, Andrea Leonardo Cecchini, Maria Anna Nicolazzi, Enrica Rossini, Flavia Angelini, Roberto Iezzi, Luis H. Eraso, Paul J. Dimuzio, Dario Pitocco, Massimo Massetti, Antonio Gasbarrini, Andrea Flex

Department of Medicine Faculty Papers

BACKGROUND: Lower-extremity endovascular revascularization (LER) is often required for diabetic patients with chronic limb threatening ischemia (CLTI). During the post-revascularization period patients may unpredictably experience major adverse cardiac events (MACE) and major adverse limb events (MALE). Several families of cytokines are involved in the inflammatory process that underlies the progression of atherosclerosis. According to current evidence, we have identified a panel of possible biomarkers related with the risk of developing MACE and MALE after LER. The aim was to study the relationship between a panel of biomarkers - Interleukin-1 (IL-1) and 6 (IL-6), C-Reactive Protein (CRP), Tumor Necrosis Factor-α (TNF-α), …

Trans Futures In The Present Moment, Willow Grace Eckmayer

University Honors Theses

The current climate for trans folks in the U.S. remains increasingly hostile and many researchers have called attention to the "joy deficit" within the existing trans literature (Shuster & Westbrook, 2022). This study investigates what trans individuals are currently doing to survive, thrive, and resist in a belligerent socio-political climate. To answer this, five community conversations with 25 participants were held using a semi-structured conversation guide. Within the analysis, the central theme that emerged was that trans individuals are using their communities to create radical futures. Our communities are supporting us through mutual aid and radical acts of care, which …

Impacts Of Human Disturbances On Alaskan Brown Bears (Ursus Arctos): A Literature Review, Stephanie J. Menjivar

University Honors Theses

This thematic literature review presents a comprehensive analysis of the existing research on the various human disturbances that impact Alaskan brown bears (Ursus arctos). It explores key findings, trends, and gaps in the literature, focusing on the overarching themes of Land-Use Overlap, Hunting and Poaching, Noise Pollution, and Industrial Development. By synthesizing and critically evaluating a wide range of studies, this review aims to deepen our understanding of the common sources of disturbances and their implications on the spatial, feeding, and social behaviors of brown bears. A brown bear's response to human activities varies …

Intuitive Pathways Into Racist Beliefs, Mehr Latif, Pete Simi, Kathleen Blee, Matthew Demichele

Sociology Faculty Articles and Research

In this article, we present empirical evidence on the cognitive processes underlying racist beliefs and judgement. We draw on 47 life history interviews with former members of White supremacist groups to better understand how social interactions and stimuli from the wider environment inform cognitive pathways or how people think. While we examine both deliberate and intuitive pathways to racist belief, we focus on the intuitive ways that extreme racist beliefs are cognitively processed before, during and after an individual is involved in the White supremacist movement. In doing so, we fill a critical gap in the literature by providing an …

Understanding The Consumption Of Antimicrobial Resistance–Related Content On Social Media: Twitter Analysis, Hyunuk Kim, Chris R. Proctor, Dylan Walker, Ronan R. Mccarthy

Business Faculty Articles and Research

Background: Antimicrobial resistance (AMR) is one of the most pressing concerns in our society. Today, social media can function as an important channel to disseminate information about AMR. The way in which this information is engaged with depends on a number of factors, including the target audience and the content of the social media post.

Objective: The aim of this study is to better understand how AMR-related content is consumed on the social media platform Twitter and to understand some of the drivers of engagement. This is essential to designing effective public health strategies, raising awareness about antimicrobial …

The Pioneering Efforts Of Ellen Larsen: The First Female Sports Information Director At Brigham Young University, Kiana Schlenker

Theses and Dissertations

Title IX began the change of integrating women's sports into universities, but it was up to each university's athletic administration, external media sources, and public relations practitioners to determine how female athletes and sports were supported and publicized. In 1976, Brigham Young University in Provo, Utah hired Ellen Larsen as its first female sports information director responsible for women's sports. Through her 19 years as a sports information director at BYU, Larsen was an advocate for her athletes and helped pave the way for future female athletic administration roles. While there is plenty of literature on male sports information directors, …

Perioperative Nutritional Considerations In Orthopaedic Surgery: A Review Of The Literature, William Curtis, Timothy Choi, Aamir Ahmad, Christopher Shultz

Western Journal of Orthopaedics

Macronutrients and micronutrients play an essential role in the surgical process, beginning in preoperative preparation and extending well into postoperative recovery. It is important that orthopaedic surgeons and their patients understand the physiological impact of the surgical stress response and the ways in which adequate perioperative nutrition can help combat its negative effects. Throughout this article, the authors discuss the important roles of macronutrients, such as carbohydrates, protein, and fatty acids, and that of micronutrients, including zinc and vitamins C, D, A, and E, in the perioperative period. The authors aim to explain the physiological effects of surgery on nutrition …

Treatment Of An Unusual Infection Following Anterior Cruciate Ligament Reconstruction, Daniel Warren, David Michaeli, Benjamin Estrada, James Slauterbeck

Western Journal of Orthopaedics

The authors present an uncommon complication of pediatric anterior cruciate ligament (ACL) reconstruction involving a rare organism in the setting of multiple patient-specific factors that altered treatment. Management of postoperative mycobacterial infections requires thorough knowledge of the side effects of each medication used. Prolonged use of a fluoroquinolone in the setting of ACL reconstruction graft healing introduces the risk of injury to the graft, and tactful patient counseling must be employed to help diminish this risk. The potential for ototoxicity secondary to extended aminoglycoside use is especially worrisome and should be monitored. This plan required careful balancing of several important …

Pelvic Ring Injury Secondary To Traumatic Vaginal Delivery: A Case For Early Surgical Fixation, Tyler J. Chavez, Taylor P. Gurnea, Hernan Lebensohn, Johnathan P. Jensen, Samer Kakish

Western Journal of Orthopaedics

During the gestational period, the body undergoes a normal physiologic widening of the pubic symphysis in preparation for childbirth. Although exceedingly rare, despite increased laxity, the pelvic ring remains at risk of serious injury during delivery. The current body of literature on this topic includes only a few case reports without clear guidance on the acute management of non-physiologic pubic symphysis widening and pelvic ring injuries following childbirth. The authors present a case of a 31-year-old pregnant woman (G2P0101) who sustained an APC2 (OTA B2.3) pelvic ring injury during vaginal delivery requiring open reduction and internal fixation for failure to …

Reconstruction Of Charcot Foot Deformity Using Circular External Fixators And Fusion: A Case Report, M Bryant Transtrum, Allen Wang, Diego Sanchez, Joshua Tadlock, Ahmed Thabet, Amr Abdelgawad

Western Journal of Orthopaedics

Charcot neuroarthropathy is a complication of the joints in patients with peripheral neuropathy, characterized by massive hyperemia, bone resorption, and joint destruction. The complex deformities that can result may lead to subsequent ulcers, osteomyelitis, and eventually limb amputation. Concurrent soft-tissue pathologies, such as ulcers and infections, complicate operative management. Thus, deformity correction may be necessary for wound healing before final fixation. In this case report, the authors describe a 48-year-old man who presented with a severe Charcot deformity of the foot and accompanying non-healing diabetic foot ulcer overlying the talar head. The authors elected to proceed with staged reconstruction, starting …

Differences In Ct Scan Measurements Of Femoral Neck Shaft Angle And Acetabular Version Among Sex, Age, And Ethnicity From A Large Cadaveric Database, Bryce N. Clinger, Scott Plaster, River S. Fine, Justin R. Marshall, Dustin L. Richter

Western Journal of Orthopaedics

Background: Management of proximal femur and acetabular pathologies, such as femoroacetabular impingement, hip osteoarthritis, or hip fractures, requires an understanding of the patient’s anatomy for accurate diagnosis and treatment. Variability in femoral neckshaft angle (FNA) and acetabular version (AV) has been shown, but little insight into differences between ages, ethnicities, and sexes has been evaluated. Methods: Two hundred and fifty cadaveric specimens from the New Mexico Decedent Image Database were evenly divided by sex and among five ethnic groups (Asian American, Black/African American, Hispanic, Native American, White). Using multiplanar reconstruction, thincut computed tomography scans were reviewed by three independent observers. …

The Orthopaedist’S Role In Preventing Workplace Violence, Nicholas W. Brady, Andrew Paterson

Western Journal of Orthopaedics

No abstract provided.

Imposter Syndrome, Or Not?, Allicia O. Imada

Western Journal of Orthopaedics

No abstract provided.

Transport Of Nitrite From Large Arteries Modulates Regional Blood Flow During Stress And Exercise, Joseph C. Muskat, Charles F. Babbs, Craig J. Goergen, Vitaliy L. Rayz

Weldon School of Biomedical Engineering Faculty Publications

Background: Acute cardiovascular stress increases systemic wall shear stress (WSS)–a frictional force exerted by the flow of blood on vessel walls–which raises plasma nitrite concentration due to enhanced endothelial nitric oxide synthase (eNOS) activity. Upstream eNOS inhibition modulates distal perfusion, and autonomic stress increases both the consumption and vasodilatory effects of endogenous nitrite. Plasma nitrite maintains vascular homeostasis during exercise and disruption of nitrite bioavailability can lead to intermittent claudication. Hypothesis: During acute cardiovascular stress or strenuous exercise, we hypothesize enhanced production of nitric oxide (NO) by vascular endothelial cells raises nitrite concentrations in near-wall layers of flowing blood, resulting …

Influences Of Race/Ethnicity In Periodontal Treatment Response And Bacterial Distribution, A Cohort Pilot Study, Bing-Yan Wang, Grayson Burgardt, Kavitha Parthasarathy, Daniel K. Ho, Robin L. Weltman, Gena D. Tribble, Jianming Hong, Stanley Cron, Hua Xie

Pacific Faculty Work

Objectives: Periodontitis disproportionately affects different racial and ethnic populations. We have previously reported the higher levels of Porphyromonas gingivalis and lower ratios of Streptococcus cristatus to P. gingivalis may contribute to periodontal health disparities. This prospective cohort study was designed to investigate if ethnic/racial groups responded differently to non-surgical periodontal treatment and if the treatment outcomes correlated to the bacterial distribution in patients with periodontitis before treatment. Methods: This prospective cohort pilot study was carried out in an academic setting, at the School of Dentistry, University of Texas Health Science Center at Houston. Dental plaque was collected from a total …

June 2023: Region 10 Emerging Special Pathogen Treatment Center (Resptc) At Providence Sacred Heart Medical Center & Children’S Hospital, Providence - Special Pathogens Program

Special Pathogens Newsletters

REGION 10 SPECIAL PATHOGENS NEWSLETTER

The Impact Of Covid-19 On Hospitalization Outcomes Of Patients With Acute Myocardial Infarction In The Usa, F.E. Markson, E. Akuna, C.Y. Lim, L. Khemani, A, Amanullah

Einstein Health Papers

Background/study objective: The effect of the COVID-19 pandemic affected health care delivery, as it led to variable outcomes in different disease states including cardiovascular diseases. In this study, we evaluated the impact of coexisting COVID-19 on Acute Myocardial Infarction (AMI). Design/setting: We analyzed discharge records of AMI patients from the National Inpatient Sample (NIS) in the year 2020.

Main outcome measures: Using propensity score matching, we assessed the impact of COVID-19 infection on the in-hospital outcomes of patients presenting with AMI.

Results: There were 1154 patients with concomitant COVID-19 infection and AMI who were matched with 109,990 patients with AMI …

Unh Hosts Government Power Researchers, Beth Potier

UNH Today Archive

No abstract provided.

The Significance Of Honoring Juneteenth, Scott Ripley

UNH Today Archive

No abstract provided.

Intention To Revisit The Chariot Festival (Ratha Yatra): An Experience Economy Approach, Prakash Chandra Dash Dr., Mrutyunjay Dash Dr., Chandrakanta Sahoo Dr.

International Journal of Religious Tourism and Pilgrimage

The present study addresses visitors’ experiences at the world-famous Chariot Festival - Ratha Yatra - which is held every year at Shri Kshetra, Puri Dham in the state of Odisha, India. Empirical evidence is used to analyse how each of the experience dimension affects the overall event and to assess the likelihood of revisiting. In order to develop a conceptual framework for the study, a thorough review of the literature was conducted. The conceptual framework was then tested using a quantitative approach, in which data were gathered from a convenience sample of 295 respondents using a self-administered questionnaire. Finally, Structural …

Reducing The Environmental Impact Of Surgery On A Global Scale: Systematic Review And Co-Prioritization With Healthcare Workers In 132 Countries, Ahmad Ozair

All Publications

Background: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.

Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their …

The Intersection Of American Nativism And Eugenics: Anti-Japanese Sentiment Prior To World War Ii, James Richard Chesemore

History Theses, Dissertations, and Student Creative Activity

This thesis examines how the anti-Japanese sentiment and legislation promoted by those leading the American eugenics movement contributed to the key economic, diplomatic, and social policies that influenced the start of the Pacific War. In the years leading up to and following World War I, Japan desired and sought full parity, including diplomatic racial equality, with the United States and other Anglo-Saxon powers. However, the United States wanted to maintain the pre- and post-World War I world order, which meant the continued subordination of Japan on the world stage. As both nations sought global economic expansion and colonialism in the …

Factors Influencing High Nurse Turnover In A Midwestern U.S.A. Community Hospital And A Proposal For Change, Deborah Mokeira Omagwa

Doctor of Nursing Practice Projects

Nurse turnover has become a universal problem in recent years, causing nurses to bear the burden of higher patient loads, working overtime hours, and dealing with unfavorable working conditions. Nurses sometimes feel they have no voice to fight for them while they struggle at the bedside to improve patient outcomes. The purpose of this project was to be a voice for the nurses to inform the hospital administration on data driven results on how nurse turnover can be reduced, with the goal that the proposed nurse retention strategies will be implemented in this community hospital.

This was a qualitative project …

Strengthening The Choice For A Generic Qualitative Research Design, Jeri L. Ellis Edd, David L. Hart Phd

The Qualitative Report

Supporting the choice for research using a generic qualitative design is needed to assist the researchers with helpful guidance and descriptions about the approach in research. The name “generic” can be rather obtuse. Determining its appropriateness goes beyond discussions about combining elements of other traditional qualitative designs and considers the generic approach as a standalone methodology. Despite its inherent flexibility, the strength of the generic design offers a view of descriptive research data for interpretation that includes personal meaning making in research and is particularly well suited for counseling and other social sciences. The strengths, benefits, and limitations of the …

The Effects Of An Oral Narrative And Expository School-Age Language Intervention: A Low-Dosage Study, Giana H. Hunsaker

Theses and Dissertations

Purpose: This study is Phase One of a multi-phase research initiative. The purpose of this study was to examine how well a low-dose, dual oral narrative and expository language intervention delivered in a small group setting improved expressive and receptive oral narrative and expository language in kindergarten, first grade, and second grade students who have been identified as having language disorder or emerging English academic language. Method: We administered a dynamic assessment of language to 325 kindergarten, first, and second grade students from two elementary schools in two school districts. The results of the dynamic assessment identified 61 students who …

Evaluating Parameter Uncertainty In Transportation Demand Models, Natalie Mae Gray

Theses and Dissertations

The inherent uncertainty in travel forecasting models -- arising from errors in input data, parameter estimation, or model formulation -- is receiving increasing attention from the scholarly and practicing community. In this research, we investigate the variance in forecasted traffic volumes resulting from varying the mode and destination choice parameters in an advanced trip-based travel demand model. Using Latin hypercube sampling to construct several hundred combinations of parameters across the plausible parameter space, we introduce substantial changes to mode and destination choice logsums and probabilities. However, the aggregate effects of of these changes on forecasted traffic volumes is small, with …