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Nadph-Diaphorase-Reactive Neurons In Rat Basal Ganglia, Gülgün Kayalioğlu, Fi̇gen Gövsa, Mete Ertürk

Turkish Journal of Medical Sciences

NADPH-d reaction was performed on nine male Sprague-Dawley rats and morphometry of NADPH-d(+) cells was investigated in caudate-putamen, globus pallidus and ventral pallidum. In caudate-putamen we observed intensely stained NADPH-d (+) cells. Maximum diameter and minimum diameters of the NADPH-d (+) cells in caudate-putamen was measured as 19.19±0.04 \mum and 10.42±0.12 \mum, consequently. In globus pallidus, moderately stained NADPH-d (+) cells were observed. We measured the maximum and minimum diameters of the NADPH-d (+) cells as 19.93±0.24 \mum and 10.42±0.12 \mum, consequently. In ventral pallidum, medium-sized, moderately stained cells were present. Maximum and minimum diameters of the NADPH-d (+) cells …

Protein C, Protein S And Antithrombin Iii Levelsin A Rabbit Sepsis Model, Mehmet Totan, Cengi̇z Di̇lber, Davut Albayrak

Turkish Journal of Medical Sciences

The consumption of coagulation inhibitors will augment coagulation triggered excessively in sepsis. The determination of levels of these inhibitors may open new substitution treatment schedules to overcome the plateau of the achieved improvement ratio with antimicrobial treatment. Staphylococcus aureus ATCC 25923, 1x10 9 per kg day for two days was administered intravenously to 30 albino rabbits to induce sepsis. Clinical and hematological signs were determined and sepsis was determined with blood culture. The complete blood count, protein C, protein S and antithrombin III levels were examined at the baseline and after sepsis development. The mean proportions of baseline to sepsis …

Immunohistochemical Study On Thepcna-Immunoreactivity In The Uterus Of Ratsovariectomized Or Treated With Antiestrogenclomiphene Citrate, Leyla Canpolat, İbrahi̇m Hani̇fi̇ Özercan, Nurten Bozlak, Cengi̇z Doğan

Turkish Journal of Medical Sciences

PCNA (proliferating cell nuclear antigen) immunoreactivity in the uterus of mature rats was investigated after long term administration of clomiphene citrate and ovariectomy. In the luminal epithelium and glandular epithelium and endometrial stroma regions, few PCNA-immunoreactive cells were observed. PCNA reactivity was estimated for the luminal and glandular epithelium and for the stromal cells. Treatment of clomiphene citrate decreased the proliferation of the luminal epithelial cell and stromal cells to the same extent as ovariectomy. In both of these groups, the proportion of anti-PCNA positive cells in the glandular epithelium was significantly higher than in the luminal epihelium and stromal …

Determination Of Viable Myocardium In Patientswith Ischaemic Left Ventricular Dysfunction:Comparison Of Thallium-201 Single-Photonemission Computed Tomography With Nitrateand Dobutamine Echocardiography, Mustafa Cemri̇, Ridvan Yalçin, Bülent Boyaci, Özlem Kapucu, Tamer Atasever, Ati̇ye Çengel, Övsev Dörtlemez, Hali̇s Dörtlemez

Turkish Journal of Medical Sciences

The method of Thallium - 201- single - photon emission computed tomography (Tl-201 SPECT) have been commonly used to detect uncontractile but viable myocardium in patients with ischemic left ventricular dysfunction. The aim of this study was to establish the value of nitrate echocardiography (NE) and low dose dobutamine echocardiography (LDDE) to detect viable myocardium when compared to Tl-201 SPECT. Twently patients (16 M, 4F; mean age: 56.4±9.6 years) who had anterior myocardial infarction in the last three months were studied. Within the same week, but on different days NE, LDDE and Tl-201 SPECT procedures were performed to the patients. …

Neutrophil Chemotaxis In Acutely Infected Andclinically Stable Cystic Fibrosis Patients, Burçi̇n Şener, Gülşen Hasçeli̇k, Uğur Özçeli̇k, Ayfer Günalp, Ayhan Göçmen

Turkish Journal of Medical Sciences

Brochopulmonary infection in cystic fibrosis (CF) patients is associated with chronic progressive lung disease. The role of host factors, such as neutrophil functions, in the progressive pathologic processes in the respiratory tract of these patients, is poorly defined. Neutrophil chemotaxis is one of the first mechanisms of host defense to become activated after bacterial invasion has occurred. This study was aimed to evaluate the role of neutrophil chemotaxis in CF and also to determine whether an acute bacterial infection and the nutritional status can affect neutrophil chemotaxis or not. Twelve acutely infected and 12 clinically stable CF patients and 10 …

Effect Of Asymmetrical Loading And Walking Time On Surface Emg Activity Of The Lumbar Paraspinal Muscles, Michael Aenis, Angela Bueche, Brian Trembly

Masters Theses

BACKGROUND A high incidence of back pain is associated with carrying loads asymmetrically and is believed to be influenced by the amount of weight involved and the distance carried. PURPOSE (1) To study the effects of asymmetrical loading on lumbar paraspinal muscle activity. (2) To document ratings perceived exertion (RPE) for carrying an asymmetrical load. METHODS Electromyography (EMG) readings were obtained at the L2/L3 paraspinal level of 12 males and 12 females. All subjects completed three randomized 9-minute trials consisting of walking on a treadmill while carrying an asymmetrical load of either 0, 10 or 20% of their body weight. …

Advisors' Knowledge Of Requirements For Admission To The Physical Therapy Program At Grand Valley State University, Laura Irrer, Elizabeth Knight, Joel Vander Wall

Masters Theses

The purpose of the study was to identify the accuracy and extent of knowledge among G.V.S.U. academic advisors and the sources used to obtain information regarding the physical therapy (P.T.) admission process. Surveys were distributed to 45 advisors of pre-P.T. students. Nineteen surveys were returned and six respondents were chosen for an interview. Interpretations of the data were made using a qualitative coding system.

The authors found the advisors were inaccurate in their knowledge of the weighting of G.P.A . and interview and the role that physical appearance and leadership plays in the admission process. Advisors were accurate in the …

Emg Measurements Of Paraspinal Muscles And The Implications Of Adapting Hand Placement Protocols When Using Passive Extension Exercises, Mark Randell, Geoff Willson

Masters Theses

The purpose of this study was to determine if there is a significant difference in the EMG activity of the paraspinal musculature, based on the width of hand placement used in the McKenzie prone press-up position.

EMG recordings were taken using surface electrodes placed on the lumbar paraspinal musculature of thirty normal, volunteer subjects. These recordings were taken while the subject was in the prone press-up position. This was repeated three times with different widths of lateral hand placement. The resultant EMG recordings were normalized using a recording from a maximal effort of an isometric contraction. The mean EMG recording …

The Effects Of Prosthesis Use Versus Non-Use On Forward Reach Distance In Children Ages 5 To 15 With Unilateral Upper Extremity Amputation As Measured By The Functional Reach Test, Mary E. Weber, Scot G. Smith

Masters Theses

The purpose of this study was to investigate the possible differences in maximal forward reaching distance in children with unilateral upper extremity amputations while wearing and not wearing a prosthesis using the Functional Reach (FR) test. Trends were noted between FR scores of these children and children without disabilities.

Four children, ages 5-8, completed the FR test using the intact arm under two conditions, “prosthesis-off” and “prosthesis-on”. A paired, two-tailed t test (a = .05) was used to determine the statistical significance of the means of differences in FR scores between the two conditions.

No statistically significant difference was found …

Patients' Perceptions Of Physicians' Role In Smoking Cessation By Age And Readiness To Stop Smoking, Chris Van Ryn, Joel Wetzel

Masters Theses

It is imperative for health care providers to initiate an individually tailored program to counsel smokers in a more effectively. Finding patients’ perceptions of their physicians' role in smoking cessation is critical to aid healthcare providers to design an individualized plan to get patients to quit smoking. 68 smokers who presented to their family practice clinics in the rural area of Hastings, Michigan completed self-administered questionnaires. The questionnaires assessed patients’ perceptions of their physicians’ role according to the 4 A s protocol (asking, advising, assisting, and arranging), with a focus on age groups (18-29, 30-49, and >50) and stage of …

What Are Female University Students' Perceptions Of Their Healthcare Needs?, Kathleen K. Loose

Masters Theses

The purpose of this study was to gain a greater awareness of the self-perceived healthcare needs of female university students. An anonymous questionnaire was sent to a random sampling of the total female enrollment at a midwest university. A Healthcare Concern Score was tabulated on 230 completed questionnaires. There were 21 items identified as concerns. Students in the 17-24 year old age bracket had a higher healthcare concern score than individuals in the 24-53 year old age bracket. Orem’s Self-care Deficit Theory (1991) was the conceptual framework for this study. The majority of identified concerns fell within the category of …

Acute Care Nursing: Are Perceived Work Stressors Different For Nurses Working In Critical Care And Non-Critical?, Mary Jane Rolf

Masters Theses

The purpose of this study was to examine, using King’s Conceptual Framework, “stressful” nursing situations that might affect critical care (CC) and non-critical care (NCC) nurses in an acute health care setting. Similarities that existed between the two groups were evaluated using responses to Gray-Toft and Anderson s Nursing Stress Scale (NSS).

The sample of 131 included registered nurses and licensed practical nurses at a 300-bed acute care tertiary hospital in Northern Michigan representing two critical care areas and three non-critical care areas. The NSS, letter of explanation and waiver, and return envelope were sent to participants’ homes. Data indicate …

Efficacy Of Sexual Assault Nurse Examiner Evidence Collection: A Northern Michigan Study, Camille J. Griswold

Masters Theses

King’s Theory of Goal Attainment provided the basis for this descriptive, two group comparison study design to determine if sexual assault evidence kits prepared by sexual assault nurse examiners (SANE) would be more complete than evidence kits prepared by non-sexual assault nurse examiners. A convenience sample of 100 evidence kits (41 SANE and 59 non-SANE) were analyzed using the Evidence Kit Audit Tool consisting of 18 questions that reflect the standards for submission of evidence.

The kits submitted by SANEs were significantly (t=5.6, df=71, p<.001) more complete (mean=93%) than those completed by non-SANEs (mean=77%). Corrected Chi-square comparisons of the two groups on whether or not individual items of evidence were complete indicated significant differences in 11 out of 18 items. A higher percentage of SANEs completed each item. Therefore, the hypothesis of sexual assault evidence kits prepared by a SANE will be more complete than sexual assault kits prepared by a non-SANE was supported.

Does The Method Of Treating Bacterial Vaginosis In Early Pregnancy Affect The Re-Occurrence Rate Near Term?, Karen Taylor

Masters Theses

There is no significant difference in the relationship between oral or vaginal metronidazole and oral clindamycin in the treatment of bacterial vaginosis (BV) in early pregnancy and the re-occurrence rate of BV at 35 to 37 weeks gestation. Treatment of BV in pregnancy has been shown to decrease the preterm delivery rate saving millions of dollars and improving the health of infants. This was a descriptive, correlational study using a retrospective chart review. A constructed checklist was used for collecting data from 186 charts.

Age, parity, and insurance were comparable in each of the three drug groups. The re-occurrence rate …

The Life Experiences Of Male Occupational Therapists As It Relates To Career Choice: A Qualitative Study, Jason R. Bomia

Masters Theses

This study examined the life experiences of male occupational therapists and how various life experiences influenced their choice of career. Research in occupational therapy has not addressed this topic, focusing instead on external influences, such as salary, advancement and prestige on career choice for male therapists. In order to study more intrinsic influences of male occupational therapists, this study interviewed male therapists using semi-structured interviews and hermeneutic data collection and analysis techniques. The results indicate a dynamic relationship between personal history, selfexpression and professional issues that contribute to how meaningful occupational therapy is to the males in this study. This …

An Examination Of Patient And Nurse Perceptions Of Stressors During The Electrophysiology Study, Donna J. Thurn

Masters Theses

The purpose of this study was to (a) identify the perceived stressors of patients undergoing an electrophysiology study (EPS) and (b) compare them to the stressors identified by nurses caring for those patients.

A descriptive two group comparative design with a non-probability convenience sample was used. Data were obtained using self report questionnaires. The sample consisted of 25 patients undergoing an EPS and 25 nurse responses. Data analyses included a comparison of the ordering of stressors according to perceived concern by the patient and the nurse. While similar items were identified, there was a difference in the perceived order of …

The Effects Of Animal-Assisted Therapy At A Long Term Care Facility, Sarah Kendziorski, Carol Treacy

Masters Theses

This thesis is a qualitative study on how resident pets impacted the lives of residents in a nursing home. Through the hermeneutic process, ten participants were interviewed to determine their relationships with the animals. Five common themes emerged from this study; (a) the participants enjoyed the companionship of pets, (b) the participants found pleasure in feeding the pets, (c) the participants enjoyed petting the animals, (d) most of the participants were unable to care for the animals, and (e) a resident animal would be an important factor in choosing a new nursing home for these participants. This thesis supports the …

Therapeutic Touch For Treatment Of Chronic Pain Related To Fibromyalgia, Lois M. Christian

Masters Theses

Therapeutic touch (TT) has been used to treat persons with many different illnesses, especially those with chronic pain. The purpose of this study was to determine if TT reduces fibromyalgia pain.

In this study five TT treatments were given to each of 10 female subjects with fibromyaIgia from 36 to 59 years old using a quasi-experimental single-subject design.

Using a visual Analogue Scale (VAS) to measure the subject's pain before and after each of 5 TT treatments, a repeated measures ANOVA was employed to analyze the data. .A significant difference in pain levels was found between the pre- and post-test …

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 …

Impact Of Attention Deficit Hyperactivity Disorder (Adhd) On Parents And Children: What Are The Lived Experiences Of A Parent With A Child With Adhd?, Deborah K. Taylor

Masters Theses

The purpose of this study was to seek a fuller understanding of and to identify and describe the underlying themes of the lived experiences of a parent with a child with attention deficit hyperactivity disorder (ADHD). The Husserelian phenomenological and Giorgi methods of research were utilized in this study. Four meanings emerged: 1) discovery, 2) searching for control, 3) struggling for normalization/overcoming obstacles, and 4) hope. The synthesized structural description of the experience that emerged was described as an emotional experience that progressed in stages that were cyclic and ongoing in nature. The data suggests that chronic sorrow, as it …

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 …

Functional Effects Of Botulinum Toxin-A Intramuscular Injections In A Patient With Traumatic Brain Injury: A Single Subject Case Design, Christina M. Higel, Molly L. Arndt

Masters Theses

This single subject case design sought to evaluated the long-term and short-term effectiveness of Botulinum Toxin-A (BTXA) treatment in conjunction with directed physical therapy on spasticity, active range of motion (AROM), passive range of motion (PROM), Functional Independence Measurement (FIM) scores, and motor performance in a patient with TBI. Researchers hyopothesized that directed physical therapy in conjunction with BTXA would maximize a subject’s motor control and performance. An "A₁-BC-B-A₂” single subject design, scheduled to last six months and three weeks, was proposed. Clinically significant changes were defined as: a decrease by one point for the Modified …

Perceived Benefits' And Barriers' Effect On Occurrence Of Exercise In Women, Denise K. Petersen

Masters Theses

Perceived benefits and barriers affect exercise occurrence. The purpose of this study was to determine the affect of perceived benefits of and perceived barriers to exercise in women, ages 20-69. A descriptive correlational design was used to determine this relationship. A convenience sample of 61 women were surveyed using the Exercise Benefits/Barriers scale, the activity section of the Health Promoting Lifestyle Profile, and demographical data. Data were analyzed using a Pearson's r correlation and an independent t-test. The hypothesis of a decrease in occurrence of exercise as perceived barriers increased and the hypothesis of an increase in occurrence of exercise …

Predictors Of Successful Completion In A Physical Therapist Assistant Program, Debra S. Howell, Susan M. Stout

Masters Theses

The basis of this research was to investigate the ability of age, gender, ASSET test and science GPA (Human Anatomy & Physiology I and II, Essentials of Pathophysiology, Clinical Kinesiology, Neurological Foundation of Motor Control and Clinical Pathology) to predict the successful completion of a PTA program by a student. In this causal-comparative study (ex post facto), the sample consisted of ninety graduates and five non-graduates from the PTA program at Baker College of Muskegon (1993 -1998).

This study used a logistic regression method to make an attempt to demonstrate that Clinical Kinesiology was significant as a predictor …

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 …

The Effect Of Antibiotic And Resistance Education On Patient Knowledge, Karen Niemchick

Masters Theses

Our society, which has enjoyed the benefits of antibiotics for over fifty years, is now experiencing an increase in bacterial resistance. One contributing factor is a lack of patient understanding about antibiotics resulting in their inappropriate usage. This study examined the effect of patient education in antibiotics and bacterial resistance on patient knowledge.

Adults from various medical facilities (a student health services clinic, an urgent care office, a family practice, and a community convenience sample) were given a ten-question survey designed to assess their knowledge of antibiotics and resistance. Half of the participants were randomly given an educational brochure to …

Health Care Provider Knowledge Of The Immunization Schedule And The Contraindications To Vaccinate, Lisa Huffstutter, Diane Kassuba, Kelly Beschoner

Masters Theses

The purpose to this study was to determine if the current knowledge of Kent county's health care providers contributed to the under immunization of children less than two years of age.

A survey, modified from a previous study done in Los Angeles, was distributed to Family Practice and Pediatrics offices within the greater Grand Rapids area. Several areas of health care provider knowledge were assessed. These included: (1) knowledge of the primary series immunization schedule in both a child on time and delinquent, (2) knowledge of timing between diptheria, tetanus, and pertussis boosters, and (3) knowledge of the contraindications to …

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 …

Validation Of The "Timed Up And Go" Test As A Functional Mobility Assessment Tool In The Pediatric Population, Susan Carman, Christina Rook, Cathy Ruprecht

Masters Theses

The purpose of this study is to determine the concurrent validity of the Timed Up and Go (TUG) as an assessment of functional mobility in the pediatric population. The TUG scores were correlated with the Pediatric Evaluation of Disability Inventory (PEDI). Eighteen subjects with a variety of cognitive and physical disabilities, aged 6 to 7 years, were recruited. A one-tailed Spearman’s Rank Correlation Coefficient was used to analyze the scores. A weak inverse relationship between the TUG and PEDI scores (r_s = -0.386, p = 0.075) was found when the scores from all participants were analyzed. A moderate inverse …

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 …