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Biomedical subjects

W Replogle

Publications and source records attributed to W Replogle.

5 recordsLinked to original sources

Quantitative evaluation of fine-needle aspiration.

A protocol was developed to obtain mature lymphocytes from freshly harvested tonsils by a combination of 5-, 10-, and 20-cm3 syringes and 21-, 23-, and 27-gauge needles. The cells were then suspended in Earle's balanced salt solution and counted with an automated cell counter. Cell counts for each study group was compared as a function of needle and syringe size. The range of harvested cells was 900 to 2800 cells per cubic millimeter, allowing adequate cellular material for diagnostic purposes. The amount of negative pressure for each syringe/needle combination was measured with a manometer. Pressures ranged from -500 to -700 cm of H2O pressure. In this particular study, fine-needle aspiration with a 20-cm3 syringe and 21-gauge needle yielded the best results.

Biopsy, Needle↗

Residents' formal knowledge acquisition and preferred learning styles.

BACKGROUND: Many family practice residency programs use the Myers-Briggs Type Indicator (MBTI) in their educational programs. Our purpose was to study the relationship between learning style, as determined by MBTI personality preferences, and residents' cognitive knowledge acquisition, measured by in-service training examination (ISTE) scores during the first and third years of residency. METHODS: We evaluated 36 residents using both their first- and third-year ISTE composite scores and their MBTI scores. ISTE scores were analyzed according to the MBTI personality factors. We used the Wilcoxon Rank-Sum Test to determine the association between the improvement in residents' ISTE scores between the first- and third-year examinations and preferred learning styles. RESULTS: Significant differences were found on the composite ISTE scores for the thinking/feeling and judgment/perception scales. Feelers increased ISTE scores more than thinkers (P = .031); judgers increased ISTE scores more than perceivers (P = .04). CONCLUSIONS: Results do not support the literature or current MBTI learning theory. Intuitive residents demonstrated no advantage over sensing residents. Residents using feeling/judgment as their preferred learning style acquired more knowledge over 3 years than their thinking/perceiving counterparts, as measured by ISTE scores.

Adult↗

Prevalence of sexual assault among women patients seen in family practice clinics.

OBJECTIVE: This study assesses the prevalence and characteristics of sexual assault among women patients attending two family medicine residency training clinics. METHODS: Two hundred four consecutive women patients 18 years and older were asked to complete a questionnaire; one hundred eighty-eight (92.2%) agreed. RESULTS: Fifty-four (28.7%) of the 188 women patients reported some type of sexual assault. Approximately 15% of patients reported being victims of rape; 8% reported attempted rape, and 5.3% reported forced sexual contact. Twelve (41.4%) of the 29 rape victims indicated that they had been raped more than once. Only 24% of rape and attempted rape victims reported the incident to police, 18.2% sought medical attention, and 21% sought counseling. CONCLUSIONS: Family physicians should be aware of the prevalence of sexual assault in their practices and should understand proper questioning, management, counseling, and referral of patients.

Adolescent↗

A comparative view of the Myers-Briggs type indicator.

BACKGROUND AND OBJECTIVES: Many family practice residency programs use the Myers-Briggs Type Indicator (MBTI) in the process of resident advising. The purpose of this study was to validate the MBTI with an alternative personality evaluation instrument. METHODS: We evaluated 44 residents with both the MBTI and the Sixteen Personality Factor Questionnaire (16PF) and computed correlation coefficients. RESULTS: The highest correlations between the two tests were for the Extraversion/Introversion dimension of personality (r = -.71). The 16PF factors of Tough Poise, Independence, and Superego/Control were also significantly correlated with items on the MBTI. The Anxiety dimension of the 16PF yielded no significant correlations with the MBTI. CONCLUSIONS: The Extraversion/Introversion variables of the MBTI and 16PF are highly correlated. Other variables on the 16PF and MBTI are also correlated.

Adult↗