Medicine and Health Sciences Commons^™

Maternal Identity In Previously Infertile And Never Infertile Women, Christal L. Saffee

Masters Theses

M the United States approximately one in five couples are infertile. Infertility can be a major life crisis to the affected individuals. This study compared the difference in maternal identity in previously infertile women as compared to never infertile women during the postpartum period. The conceptual framework used in this study was symbolic interactionist theory. Maternal identity was measured by Myself as Mother (Walker, 1977) scale in both groups of women. Demographic information was collected on each participant in the study. Previously infertile women's maternal identity scores were significantly lower than those scores of fertile women (t=-8.63 df=51 p=.00). This …

Perceived Job Satisfaction Of Nurses Working With Unlicensed Personnel Versus Nurses Working With Licensed Personnel, Wendy J. Koopman

Masters Theses

The purpose of this study was to examine the perceived job satisfaction of nurses who worked primarily with unlicensed assistive personnel (UAP) compared to the job satisfaction of nurses working primarily with licensed personnel. A descriptive comparative study was employed using a random sample of 250 nurses registered in the state of Michigan. Data were collected using a survey methodology. One hundred three nurses responded. Data analysis included a comparison of job satisfaction of participants with the amount of time spent working with unlicensed personnel. The area of practice and level of education of the participants were also compared among …

Perceived Concerns Surrounding The Utilization Of Physical Therapy Aides In Michigan, Jill Bydalek, Greta Swasey-Hadlock

Masters Theses

Utilization of support personnel to perform physical therapy treatments has been a controversial topic in the physical therapy profession for many years. As Managed Care and other health care changes emerged, physical therapists have been pressured to cut costs while maintaining productivity. The use of non-licensed personnel became common place to meet these demands. The purpose of this study was to investigate five research questions. First, to what extent do physical therapists delegate patient treatment and utilize physical therapy aides in Michigan? Secondly, does aide utilization differ based on: the ways in which aides are identified to patients, various settings …

A Study Of Licensed Physical Therapists' Knowledge Regarding Current Legislative Issues, Jennifer Moine, Alexis Snyder, Susannah Steele

Masters Theses

The purpose of this study was to determine the amount of knowledge licensed physical therapists have regarding certain legislation at the state and federal levels. Potential relationships between degree of knowledge and therapist characteristics such as age, number of years in practice, and professional membership were also examined. A survey instrument was mailed to a random sample of licensed physical therapists in the state of Michigan.

Results indicated that licensed physical therapists who were members of a committee within the APTA, or held office in the organization had significantly more knowledge than physical therapists who did not (alpha=0.05). Being a …

Examination Of The Reliability And Validity Of Rancho Los Amigos Observational Gait Analysis, Heather Groth, Sarah Novak

Masters Theses

The Rancho Los Amigos Observational Gait Analysis system (Rancho OGA) is a standardized approach utilized to assess gait impairment for various diagnoses. Physical therapists, orthotists, and physicians utilize Rancho OGA for clinical decision making and recommending treatment interventions for gait disability. This study examined the reliability and concurrent validity of Rancho OGA from gait files obtained from the GVSU/Mary Free Bed Center for Human Kinetic Studies. Comparisons were made between computerized 3-D gait analysis and Rancho OGA data from videotaped records of cerebral palsy gait to determine the level of agreement utilizing the Kappa statistic and percent agreement. Results indicated …

Relationship Between Pulse Oximetry Measurements And Admission To A Hospital In The Wheezing Pediatric Population, Christine K. Dunnuck

Masters Theses

The purpose of this study was to assess the usefulness of pulse oximetry measurements as an objective measure of the severity of wheezing in pediatric emergency clients as demonstrated by subsequent admission. An ex-post facto study design with a retrospective chart review was used. Subjects (n=198) ranged in age from one month to 17 years. Consecutive admissions and random sampling of those discharged were used. Hypotheses were: (a) lower initial pulse oximetry measurements would increase the likelihood of admission and (b) younger patients would be admitted with higher pulse oximetry measurements.

Chi-square analysis and one way ANOVA statistical testing demonstrated …

Paraplegic Functional Ambulation With Long Leg Braces And Upper Extremity Support: Predicting Long Term Usage Patterns Utilizing The Functional Independence Measure, Karin Copenhaver, Matthew Sherman

Masters Theses

Individuals with a spinal cord injury (SCI) are frequently taught to ambulate with long leg braces and upper extremity support during their post-acute rehabilitation. In many cases this training fails to carry over once these individuals return to their homes after their rehabilitation course has ended. Subsequently, these individuals rely on their wheelchair as their primary mode of ambulation. Is ambulation training an expropriate intervention for patients in these cases? The purpose of this study was to investigate whether utilization of the Functional Independence Measure (FIM) may serve as a predictor of long term functional ambulation with long leg braces …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Research Based Practice Among Members Of The Michigan Physical Therapy Association, Sarah M. Bennett, James D. Courter, Rachel E. Hastings

Masters Theses

The purpose of this study was to investigate the extent to which research based practice (RBP) is employed by Michigan Physical Therapy Association Members by assessing attitudes toward research, level of research involvement/scholarly pursuit, and reasons for using or not using treatment interventions.

Three hundred and thirty questionnaires were distributed by mail to a random sample of Michigan Physical Therapy Association Members. A total of 133 questionnaires were used for analysis. Descriptive frequencies were calculated for each section of the questionnaire. Chi-square and Fischer's Exact tests were used to examine significant relationships.

Respondents in the present study overwhelmingly supported (~90%) …

The Effect Of An Osteoporosis Prevention Program On Knowledge And Self-Efficacy, Kathryn Hayter

Masters Theses

The purpose of this study was to examine the effects of an Osteoporosis Prevention Program on knowledge and self-efficacy for exercise and calcium intake. Bandura’s Self-Efficacy Model was used which describes efficacy expectations and outcome expectations as predictors of behavior.

A quasi-experimental design with pre-test and post-test was used with 32 women, age 40-62, at an urban outpatient center. The experimental group attended an Osteoporosis Prevention Program.

There were significant post-test differences between groups for osteoporosis knowledge and osteoporosis self-efficacy for calcium intake but not for osteoporosis self-efficacy for exercise. Additionally, paired t-tests found a significant improvement in scores pretest …

Fetal Infant Mortality In Kalamazoo, Lisa A. Wullschleger

Masters Theses

The purpose of this retrospective study was to examine the incidence rates of five pre-selected perinatal variables that existed within the white and non-white groups of fetal, infant deaths that occurred in Kalamazoo County between January 1, 1995 and December 31, 1997. The variables were prenatal care, birth weight, estimated weeks of gestation, and maternal, fetal, infant medical complications. The question posed was as follows: Is there a difference in incidence rates of the variables between the white and non-white perinatal deaths in Kalamazoo County?

A sample size of 50 cases was studied. Kotelchuck's instrument tool (1994), the Adequacy of …

The Lived Experiences Of Persons Dependent On Hemodialysis, Molly A. Kidner

Masters Theses

End Stage Renal Disease (ESRD) affects almost 300,000 people in the United States. The growth rate is estimated at six to seven percent per year. Of these, over 182,000 chose hemodialysis as the treatment regimen to sustain their lives. Qualitative research is relatively absent specific to this population.

The purpose of this phenomenological study was to discover the lived experiences of persons dependent on hemodialysis. Four self-identified persons dependent on hemodialysis were asked to describe their experiences of being a person dependent on hemodialysis. The verbal descriptions were tape-recorded and transcribed verbatim. These descriptions were analyzed for meaning using the …

Lessons From Community-Based Distribution Of Family Planning In Africa, James F. Phillips, Wendy L. Greene, Elizabeth F. Jackson

Poverty, Gender, and Youth

This paper reviews findings and experiences from efforts to implement community-based family planning services in sub-Saharan Africa. Although research suggests that community-based service delivery can contribute to contraceptive use, the magnitude of impact is often in doubt or is considerably less than was observed in similar projects in Asia in the 1970s and 1980s. Reasons for the constrained impact of community-based family planning in Africa are reviewed and assumptions about the efficacy and mechanism of community-based distribution (CBD) are discussed. Whereas several contrasting approaches to CBD have been tried, little is known about the relative merits of alternative CBD approaches.

Population Weights In The International Order, Geoffrey Mcnicoll

Poverty, Gender, and Youth

Population relativities play little part in the international system. A nation’s economic and military power is influenced by population size, but as one factor among many. Formal relations among states exclude population from consideration by the principle of sovereign equality. Three sources of possible change in this situation are explored, in which states would be “population-weighted” to a greater degree than before. Convergence of productivity levels around the world, expected by many, would bring the economic and population rankings of states more into line. Such convergence is occurring, but selectively and for the most part quite slowly. Anticipation of its …

Effect Of Exercise On Blood Antioxidant Status And Erythrocyte Lipid Peroxidation: Role Of Dietary Supplementation Of Vitamin E, Mustafa Kelle, Hüda Di̇ken, Abdurrahman Şermet, Mukadder Atmaca, Cemi̇l Tümer

Turkish Journal of Medical Sciences

We tested the effects of moderate physical exercise on the blood antioxidant capacity and erythrocyte lipid peroxidation in 21 Wistar albino rats. Erythrocyte superoxide dismutase (SOD) activity increased significantly (p

Effect Of Dehydration On The Pharmacokinetics Of Mefenamic Acid, Shadab Qamar, Nadeem Irfan, Mahmood Ahmad, Muhammad Jamshaid, Naeem A. Muzaffar

Turkish Journal of Medical Sciences

The pharmacokinetic properties and bioavailability of mefenamic acid was studied in normal and dehydrated rabbits. High perfomance liquid chromatography (HPLC) was used for the assay of mefenamic acid in plasma samples. The mean plasma concentration and area under the plasma concentration-time curve decreased but the volume of distribution and total body clearance increased significantly (P

Effects Of Nerve Growth Factor On Acetylcholinesterase Activity Of Injured Spinal Cord, Süleyman Baykal, Savaş Ceylan, Haydar Usul, Yüksel Ali̇yazicioğlu, Hasan Efe, Kayhan Kuzeyli̇, Soner Duru, Fadil Aktürk

Turkish Journal of Medical Sciences

Fourteen rats were examined and divided into two groups of 7: the control (Group a) and NGF-treated animals (Group B). All animals received a 50 g clip-compression injury to tthe spinal cord at the T9 level. In the NGF-treated animals, NGF (0.1 mg/kg NGF) was injected subcutaneously for seven days. After spinal cord injury, the mean AChE activity was 41.47±1.7122 activated substrate min/ml/gr. wet tissue and 47.52±1.471 in NGF-treated animals. The difference between Groups A and B was statistically significant (p

Administration Of Granulocyte Colonystimulating Factor (G-Csf) In Experimentallyinfected Rats, Ömer Cevi̇t, Ruhi̇ye Cevi̇t, Gökhan Köylüoğlu, Di̇lara İçağasioğlu, Asim Gülteki̇n, Fatoş Tanzer

Turkish Journal of Medical Sciences

We investigated the effect of antibiotic or G-CSF plus antibiotic therapy given to E. coli septic rats. In our study, 80 rats were inoculated transperitoneally with 1 ml of a solution containing 10 7 colony forming units per milliliter of E. coli. Rats were divided into four treatment groups before being inoculaded with E. coli in a random fashion. Therapy was then started with cefotaxime (150 mg/kg intraperitonelally) and either Granulocyte-Colony Stimulation Factor (G-CSF; 30 µg/kg intarperitoneally) or placebo 24 hours after inoculation of E. coli for 3 consective days. Group A 1 , sepsis-antibiotics group, had a mortality rate …

The Effect Of Acute Exercise On Skin Potential In Trained Athletes, Uğur Tarik Turaçlar, Sena Erdal, Abdullah Arslan, Ahmet Yildiz

Turkish Journal of Medical Sciences

Endosomatic electrodermal activity (skin potential level, skin potential response and latency) as an indirect indicator of sympathetic nervous system activity was measured in 22 trained athletes during resting and after acute exercise. The aim of this study was to investigate the difference in skin potential parameters in trained atheletes before and after acute exercise on a bicycle ergometer. Skin potential level (SPL) increased (p

Urinary Serotonin And 5-Hydroxyindolacetic Acid Levels In Preeclampsia, Pervi̇n Vural, Cemi̇l Akgül, Mukaddes Canbaz, Alkan Yildirim

Turkish Journal of Medical Sciences

The role of serotonin in the pathogenesis of hypertension which is one of the main symptoms of preeclampsia is of growing importance. The levels of serotonin (5-Hydroxytryptamin or 5-HT) and its metabolite, 5-Hydroxyindolacetic acid (5-HIAA) in twenty-four hour urine samples taken from severe preeclamptic and normotensive pregnant women were determined by colon chromotography and spectrophotometry. In preeclamptic pregnant women there was a significant increase in 5-HT levels (P

The Effect Of Race On The Exposure Of Theinternal Auditory Canal Via The Retrosigmoidapproach In Turkish Subjects, Eni̇s Alpi̇n Güneri̇, Handan Çakmakçi, Ahmet Ömer İki̇z, Keri̇m Ceryan

Turkish Journal of Medical Sciences

Hearing conservation in acoustic neuroma surgery via the retrosigmoid approach depends upon a good exposure of the internal auditory canal from behind avoiding labyrinthine injury. The accessibility is influenced largely by the individual characteristics of the temporal bone and the variability of the surgical landmarks is the result of different skull base shapes among different races. The aim of this study was to evaluate the effect of race on the exposure of the internal auditory canal of Turkish subjects via the retrosigmoid approach. Axial temporal bone CT scans of 40 Turkish individuals were studied by measuring the relevant parameters and …

Accessory Limb Attached To The Back, Di̇dem Akyol, Volkan Baltaci, Hakan Kozi̇noğlu, Kutlugül Yüksel, Sai̇me Kiş, Nedi̇m Çi̇çek, Tayfun Güngör

Turkish Journal of Medical Sciences

No abstract provided.

Oxidative Damage In Erythrocytes During Cold Storage With Organ Preservation Solution, Aki̇f B. Memmedoğlu, Ahmet Özaydin, İsmai̇l Seçki̇n, Gönül Sultuybek

Turkish Journal of Medical Sciences

It is known that erythrocyte aggregation in renal tissue during preserva-tion is cause of microcirculation defects in the reperfusion period. The aim of our study is to investigate oxidative damage in erythrocytes relative to the time of cold ischemia during organ preservation and relationship between lipid peroxidation and development of these damages. In experiments with a rabbit model, explanted kidneys were exposed to perfusion and 96 hours preservation with Euro-Collins (EC) in the 1st group, and University of Wisconsin (UW) solution in the 2nd group. Electron-microscopic examinations in renal tissueswere performed. Lipid peroxidation and glutathione levels in erythrocytes preserved in …

Action Of Aspirin On Acetylcholine-Stimulatedtear Secretion In Rats, Zerri̇n Kapicioğlu, Gamze Çan, I. Nuri̇ Kalyoncu

Turkish Journal of Medical Sciences

In this study we investigated the effect of acetylsalicylic acid (ASA) on tear secretion in rats. The animals were anesthetized intraperitoneally (ip) with urethane (1,2g/kg). The treatment was injected subcutaneously (s.c.). Tear samples were collected by folding a 5 mm section of a Schirmer strip over the lower lid margin to absorb tear fluid from the lower conjunctival sac for 5 min. Forty animals were divided into four groups (n=10). Group 1 (control) received 1ml of saline, group 2 received 60mg/kg of ASA, group 3 received 50mg/kg of Acetylcholine (Ach), and group 4 received 60mg/kg of ASA and 30 min …

An Immunohistochemical Study Of Gastricneuroendocrine Tumors: Expression Ofproliferating Cell Nuclear Antigen Andp53 Oncoprotein, Gülen Doğusoy, Süha Göksel, Işil Paki̇ş, Haydar Durak, Gökhan Ersoy, Selda Göçener

Turkish Journal of Medical Sciences

The aim of this study is to examine expression of Proliferating cell nuclear antigen (PCNA) and p53 oncoprotein in gastric neuroendocrine tumors. 35 gastric neuroendocrine tumors were analyzed for first histopathologic features and then, immunohistochemical study was done to detect labeling index of PCNA and accumulation of p53 protein by using monoclonal antibodies and the Labeled strepavidin-biotin method. PCNA labeling index and p53 protein expression were compared with histopatholoic features in statistical methods of Fisher's exact, chi square and logistic regression tests. No significant correlation was found between them except PCNA score and depth of invasion. In conclusion, our findings …

Total Parenteral Nutrition-Associated Cholestasisin Surgical Neonates, Alaeddi̇n Di̇lsi̇z

Turkish Journal of Medical Sciences

Purpose: The aim of this study was to determine the risk factors in the development of total parenteral nutrition associated cholestasis which is a significant clinical problem for pediatric surgeons. Methods: The medical records of 54 neonates who had received total parenteral nutrition for more than two weeks were reviewed retros pectively. Prematurity, duration of parenteral nutrition, enteral starvation, composition of the parenteral nutrition solution, the number of septic episodes and the presence of jejunostomy were evaluated as risk factors. The results were analyzed by dividing the patients into two groups, based on conjugated plasma bilirubin levels (greater or less …

Regional Odontodisplasia Presenting As A Softtissue Swelling, Murat Meti̇n, Cahi̇t Üçok, Ahmet Keski̇n, Fi̇gen Çi̇zmeci̇

Turkish Journal of Medical Sciences

Regional odontodisplasia is a developmental anomaly of dental tissues with characteristic clinical, radiographic and histologic appearances. It most commonly affects the maxillary anterior teeth of both the primary and permanent dentition, and occurs in females twice as often as in males. The pathogenesis is unknown. A case of a twelve- year old female with regional odontodisplasia is presented. Although the affected teeth displayed the radiographical and clinical features of odontodisplasia, the patient appeared with significant soft tissue swelling on the anterior region of the mandible.

A Combined Variation Of The Arteries And The Nerve In A Leg, Zeli̇ha Kurtoğlu, M. Haluk Uluutku

Turkish Journal of Medical Sciences

During the dissection of an amputed leg, we discovered a combined variation involving the branching of the popliteal artery and tibial nerve. The popliteal artery showed a trifurcation pattern, and one of its branches, the posterior tibial artery, was hypoplastic. In addition, a small branch arising from the tibial nerve in the upper part of the leg distally crossed the peroneal artery and contributed to the medial plantar nerve. In this article, such a case of embryonic origin is discussed, along with the clinical significance of these variations. The variant nerve and its relationship with the variant artery have not …

Adenoma Of The Ampulla Of Vater: A Genetic Condition?, Francesco M. Serafini, Larry C. Carey

Surgery Faculty Publications

The etiology of adenoma of the ampulla of Vater is not well understood. Previous authors reported the association of this neoplasm with polycystic kidney disease of two fraternal sisters. They concluded that these two conditions were somehow related. We describe a case of ampullary adenoma associated with polycystic kidney disease. This presentation raises again the question of a possible link between these two diseases.

Ada News Daily - 1999 Day 4, American Dental Association, Publishing Division

ADA News

The ADA News Daily (also called the ADA News Convention Daily) is a special edition of the ADA News published each day during American Dental Association Annual Sessions.