Matching Items (8)
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This thesis will examine the implications behind a higher than average hysterectomy rate in the United States, particularly for women of color and women with lower incomes. It also examines barriers placed on persons trying to obtain a hysterectomy, such as those who are younger and therefore, considered be within

This thesis will examine the implications behind a higher than average hysterectomy rate in the United States, particularly for women of color and women with lower incomes. It also examines barriers placed on persons trying to obtain a hysterectomy, such as those who are younger and therefore, considered be within the "ideal" demographic for reproduction. This is viewed through both a Critical Race Theory and Reproductive Justice framework. The goal of this research is to determine possible reasons behind disparities in hysterectomy demographics and evaluate how these reasons are influenced by the ideologies of white supremacy, pronatalism, population control, and the medicalization of female bodies integrated into the United States medical system. Understanding the reasons behind these disparities is the first step in deconstructing embedded racism and eliminating unconscious healthcare provider bias in order to provide true equitable care. Exploring the historical context of these embedded values is also essential to understand how they are placed into effect today. This thesis takes into account and evaluates both statistical and phenomenological data in order to understand the full scope of the lived impact. It also provides possible solutions and methods for combating the issues outlined for patients, healthcare professionals and healthcare institutions as well as suggestions on how to take this research further.
ContributorsHiryak, Meghan Elizabeth (Author) / Anderson, Lisa (Thesis director) / Vega, Sujey (Committee member) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
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NovaSure is a device for endometrial ablation, which is a procedure that removes the endometrium, that the US Food and Drug Administration, or FDA, approved for use on 28 September 2001. Endometrium is the tissue that lines the uterus. NovaSure destroys the endometrium by sending electric beams at the endometrium.

NovaSure is a device for endometrial ablation, which is a procedure that removes the endometrium, that the US Food and Drug Administration, or FDA, approved for use on 28 September 2001. Endometrium is the tissue that lines the uterus. NovaSure destroys the endometrium by sending electric beams at the endometrium. Hologic, a medical technology company concerned with women’s health, developed NovaSure to treat menorrhagia, or heavy bleeding during menstruation. Menorrhagia is a common symptom of endometriosis. Endometriosis is the growth of the endometrium outside of the uterus. While NovaSure is not a treatment that doctors use to directly treat endometriosis, the procedure may help alleviate heavy bleeding during menstruation, which may improve a patient’s quality of life as heavy menstrual bleeding is often associated with high levels of anxiety and low levels of confidence.

Created2019-09-20
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Horatio Robinson Storer was a surgeon and anti-abortion activist in the 1800s who worked in the field of women’s reproductive health and led the Physicians’ Crusade Against Abortion in the US. Historians credit Storer as being one of the first physicians to distinguish gynecology, the study of diseases affecting women

Horatio Robinson Storer was a surgeon and anti-abortion activist in the 1800s who worked in the field of women’s reproductive health and led the Physicians’ Crusade Against Abortion in the US. Historians credit Storer as being one of the first physicians to distinguish gynecology, the study of diseases affecting women and their reproductive health, as a separate subject from obstetrics, the study of pregnancy and childbirth. Storer was one of the first physicians to successfully perform a Caesarian section, or the removal of the fetus through a surgical incision, followed by the removal of the woman’s uterus, a procedure which would later be known as Porro’s operation. Storer was also an anti-abortion activist who believed that public attitudes toward abortion were too relaxed and that the laws did not effectively punish what he deemed to be the criminal act of abortion. Historians credit Storer with leading the Physicians’ Crusade Against Abortion, which they consider largely responsible for the increase in laws criminalizing abortion in the late 1800s.

Created2020-09-21
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Vincenz Czerny was a surgeon in the nineteenth century who specialized in cancer and women’s surgical care. Czerny performed one of the first breast augmentations using a reconstruction method to correct asymmetry and disfigurement of a woman’s breasts. Additionally, Czerny improved the safety and efficacy of existing operations, such as

Vincenz Czerny was a surgeon in the nineteenth century who specialized in cancer and women’s surgical care. Czerny performed one of the first breast augmentations using a reconstruction method to correct asymmetry and disfigurement of a woman’s breasts. Additionally, Czerny improved the safety and efficacy of existing operations, such as the vaginal hysterectomy, which involves the surgical removal of some or all of a woman’s reproductive structures. He contributed to other surgeries involving the esophagus, kidneys, and intestines. He was also one of the first individuals to research alternative methods of cancer treatment and founded the Institut für Experimentelle Krebsforschung (Institute for Experimental Cancer Research), in Heidelberg, Germany. The institute became one of the first hospitals dedicated solely to the study of cancer. Czerny’s development of the breast augmentation and vaginal hysterectomy, as well as his cancer research, helped shape the creation of modern-day surgical procedures.

Created2020-10-06
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A hysterectomy is the surgical removal of a woman's uterus. For many women, a hysterectomy comes as a solution to health problems as diverse as abnormal bleeding to reproductive cancers. First performed in the early 1800s, this procedure has evolved in terms of both technique and popularity. The first

A hysterectomy is the surgical removal of a woman's uterus. For many women, a hysterectomy comes as a solution to health problems as diverse as abnormal bleeding to reproductive cancers. First performed in the early 1800s, this procedure has evolved in terms of both technique and popularity. The first successful abdominal hysterectomy was performed by Ellis Burnham in Lowell, Massachusetts, in 1853, although earlier attempts were made in the 1840s. These first hysterectomies were not performed under effective anesthetics-it was not until later in 1853 that a patient of surgeon Gilman Kimball would benefit from the use of chloroform. The hysterectomy of the modern era has become a common and much safer procedure-so common, in fact, that many believe that the hysterectomy is performed too often and in place of other, perhaps healthier, alternatives. In addition to its inherent surgical risks, a hysterectomy also makes it impossible for a woman to have further children.

Created2010-09-02
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Reproductive hormones are recognized for their diverse functions beyond reproduction itself, including a vital role in brain organization, structure, and function throughout the lifespan. From puberty to reproductive senescence, the female is characterized by inherent responsiveness to hormonal cyclicity. For most women, a natural transition to menopause occurs in midlife,

Reproductive hormones are recognized for their diverse functions beyond reproduction itself, including a vital role in brain organization, structure, and function throughout the lifespan. From puberty to reproductive senescence, the female is characterized by inherent responsiveness to hormonal cyclicity. For most women, a natural transition to menopause occurs in midlife, wherein the endogenous hormonal milieu undergoes significant changes and marks the end of the reproductive life stage. Although most women experience natural menopause, many women will undergo gynecological surgery during their lifetime, which can lead to an abrupt surgical menopause. It is of critical importance to better understand how endogenous and exogenous reproductive hormone exposures across the lifespan influence cognitive and brain aging, as women are at a greater risk for developing a variety of diseases after menopause, including dementia. Using rodent models, this dissertation explores how the etiology of reproductive senescence, that is, whether it is transitional or surgical, influences the female phenotype to result in divergent cognitive outcomes dependent upon a variety of factors, with an emphasis on age at the time of intervention playing a key role in brain outcomes. Furthermore, the impact of exogenous hormone therapy on cognition is evaluated in the context of surgical menopause. A novel rat model of hysterectomy is also presented, with results demonstrating for the first time that the nonpregnant uterus, which is typically considered to be a quiescent organ, may play a unique, direct role in modulating cognitive outcomes. Neurobiological mechanisms associated with reproductive hormones and aging are assessed to better recognize neural correlates underlying the observed behavior changes. The overarching goal of this dissertation was to elucidate novel factors contributing to cognitive aging outcomes in females. Collectively, the data presented herein indicate that the age at the onset of reproductive senescence has significant implications for learning and memory outcomes, and that variations in gynecological surgery can have unique, long-lasting effects on the brain and cognition. Translationally, this series of experiments moves the field forward toward the goal of improving the health and quality of life for women throughout the lifespan.
ContributorsKoebele, Stephanie Victoria (Author) / Bimonte-Nelson, Heather A. (Thesis advisor) / Conrad, Cheryl D. (Committee member) / DeNardo, Dale F (Committee member) / Newbern, Jason M (Committee member) / Reiman, Eric M (Committee member) / Arizona State University (Publisher)
Created2019
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Objective: To compare intra-operative and post-operative outcomes of total abdominal hysterectomy, total vaginal hysterectomy, total laparoscopic hysterectomy, and total robotic hysterectomy for benign conditions, as well as to conduct a cost approximation of each. Methods: Retrospective chart review of all hysterectomies by two surgeons between January 2017 and January 2019.

Objective: To compare intra-operative and post-operative outcomes of total abdominal hysterectomy, total vaginal hysterectomy, total laparoscopic hysterectomy, and total robotic hysterectomy for benign conditions, as well as to conduct a cost approximation of each. Methods: Retrospective chart review of all hysterectomies by two surgeons between January 2017 and January 2019. For each patient, the following metrics were recorded and analyzed: age, BMI, medical history, abdominal/pelvic surgical history, surgical indication, route of hysterectomy, intra-operative complications, total operative time, time to discharge, estimated blood loss, post-operative complications, pain status, return to activities of daily living, and return to employment. Results: A total of 521 patients who underwent total abdominal hysterectomy (n=40), total vaginal hysterectomy (n=55), total laparoscopic hysterectomy (n=131), and total robotic hysterectomy (n=292) were analyzed. There were no significant differences among the groups in age, BMI, or surgical history. The total vaginal hysterectomy category included the highest percentage of pre-existing medical history (p=0.043, p=0.011). Of the four categories, total robotic and total laparoscopic hysterectomies involved shorter operative times (p=0.026, p=0.044), shorter inpatient stays (p= <0.001), fewer intra-operative complications (p= <0.001), decreased pain status (p= <0.001), and quicker return to both employment (p=0.039, 0.044) and activities of daily living (p=0.002). Total robotic hysterectomy showed less estimated blood loss (p= <0.001) and fewer post-operative complications (p=0.022, p=0.046) when compared to laparoscopic hysterectomy. Robotic hysterectomy was noted to have the highest OR-specific costs and total encounter costs. Conclusions: The two minimally invasive routes to hysterectomy, robotic and laparoscopic, appear to both be comparable in terms of intra-operative and post-operative outcomes, and are associated with improved outcomes when compared to abdominal and vaginal routes to hysterectomy. However, due to the high cost of robotic surgery, it may not be the most cost-effective approach.
ContributorsTehranchi, Darya (Author) / Kennedy, Denise (Thesis director) / Mayer, Gregory (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Histology, the microscopic examination of tissues, is a pivotal tool in research. By providing a detailed view of cellular structures and their organization, this technique allows researchers to advance knowledge in many different disciplines including women’s health and ovarian studies. Studying the female reproductive system is of utmost importance due

Histology, the microscopic examination of tissues, is a pivotal tool in research. By providing a detailed view of cellular structures and their organization, this technique allows researchers to advance knowledge in many different disciplines including women’s health and ovarian studies. Studying the female reproductive system is of utmost importance due to its multifaceted effects on aspects such as biological functions, cellular mechanisms, and complex behavioral patterns in women. Therefore, the aim of this honors thesis is to refine and adapt a set of protocols from the Mayer-Dyer Laboratory for ovarian and follicular processing so that they are optimal to use in the Bimonte-Nelson Laboratory of Memory and Aging in the Department of Psychology at Arizona State University. The subsequent aim for the thesis is to replicate and extend the new protocols to complete histology of the ovaries from an interdisciplinary study that evaluated the consequences of hysterectomy with and without estrogen replacement for brain and cognition. This dual-pronged approach will not only contribute to the ongoing discussion regarding the effects of hysterectomy, but also provides a valuable framework for future research endeavors in the field.
ContributorsMitbander, Avantika (Author) / Bimonte-Nelson, Heather (Thesis director) / Mayer, Loretta (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Public Affairs (Contributor) / School of International Letters and Cultures (Contributor)
Created2024-05