Biomedical subjects

T C Michels

Publications and source records attributed to T C Michels.

4 recordsLinked to original sources

PubMed1998

Predicting exercise in older Americans: using the theory of planned behavior.

INTRODUCTION: Given the benefits of exercise, and low participation, promoting exercise in older Americans is a national goal. METHODS: This study used a survey to military beneficiaries using the theory of planned behavior and measurements of physical activity. RESULTS: The response rate was 81.6%. The percentage of respondents who get regular exercise (61.2%) was not different from that in national samples. Those getting regular exercise were more likely to state that their doctor recommends exercise (p < 0.01). The theory of planned behavior regression model, using variables for attitude, social norm, and perceived behavioral control, is strongly associated with intent to exercise; the addition of habit significantly adds to this model (R2 = 0.468, p < 0.001). DISCUSSION: The theory of planned behavior is a valid model for predicting both the intention to exercise and actual exercise in older adults. This study emphasizes the role of clinicians and this model in promoting exercise in older persons.

Aged↗

PubMed1995

Barriers to screening: the theory of reasoned action applied to mammography use in a military beneficiary population.

BACKGROUND: Mammography practices of women eligible for military health care are not known. METHODS: A questionnaire was mailed to a stratified sample of 500 military beneficiary women. The hypothesis was that this group would not differ from the general population in regular mammography use (31%) and that the theory of reasoned action (TRA) is significantly associated with intent to obtain a mammogram. RESULTS: Only 12.8% of these women had regular mammography according to current recommendations. High participation is associated with breast cancer risk factors, income, education, perceived risk of breast cancer, and a doctor's recommendation. The expanded model of the TRA regression is significantly associated with intent. CONCLUSIONS: Regular use of mammography among military beneficiaries is lower than rates in the non-military population. Providers need to stress regular use and address scheduling problems and patient beliefs about mammography. The TRA is a useful model for screening behavior.

Adult↗

PubMed1995

Chronic endometritis.

Chronic endometritis is an inflammatory condition of the uterus and is characterized by the presence of plasma cells in the endometrium. This disorder may be discovered when an endometrial biopsy is performed to evaluate hormonal therapy, abnormal vaginal bleeding or other conditions. If the specific etiology of chronic endometritis (e.g., infection with Chlamydia trachomatis or a postpartum state) can be determined, appropriate treatment should be initiated. However, empiric treatment is often required, since the etiology of chronic endometritis frequently is unclear. Treatment consists of antimicrobial therapy and hormonal manipulation.

Chronic Disease↗

PubMed1986

Mucocutaneous lymph node syndrome in adults. Differentiation from toxic shock syndrome.

Since infantile mucocutaneous lymph node syndrome was first reported in the United States in 1974, a number of cases of so-called Kawasaki syndrome have been reported in adults. A patient with characteristics of both mucocutaneous lymph node syndrome and toxic shock syndrome is described, and 12 cases reported in the American literature are reviewed in an attempt to clarify the differential diagnosis. Most cases initially reported as Kawasaki syndrome are probably toxic shock syndrome.

Adult↗