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In recent years there has been more focus on investigating sex differences across all medical fields, including cardiology. There are sex differences in disease presentation, treatment and baseline function. These differences are critical to understand in order to properly treat both men and women. Even with an increased focus on this field, research has a male bias and there is more work to be done. Cardiac conduction is a highly synchronized process. Electrical signals are passed cell to cell through two mechanisms, ephaptic coupling and gap junctional coupling. These methods of electrical communication rely on gap junctions, sodium channels and the perinexus. When conduction is disrupted it causes arrhythmias. When investigating these three critical determinants of cardiac conduction in guinea pig hearts, we determined that there are sex differences in two of three investigated determinants. It appears that females are more susceptible to sodium channel modulation while males are more susceptible to gap junction modulation. Understanding these differences is critical to clinical care. It has been shown that females have higher mortality following cardiothoracic surgery and the reason for this is unknown. During cardiothoracic surgery the heart is arrested and maintained by a fluid, cardioplegia solution. Cardioplegia solutions contain components that are known to modulate conduction. We investigated the sex differences in cardiac electrophysiology with a focus on cardiac conduction and components of a common cardioplegia solution; we determined that there are electrophysiologic sex differences in response to both magnesium and mannitol. The sex substrates in three of the major determinants of conduction (sodium channels, gap junctions and perinexal width) and the differences in the effects of cardioplegia components on males and females may help to explain the higher mortality of females post cardiothoracic surgery. / Master of Science / In recent years there has been more focus on investigating sex differences across all medical fields, including cardiology. There are sex differences in disease presentation, treatment and baseline function. These differences are critical to understand in order to properly treat both men and women. Even with an increased focus on this field, research has a male bias and there is more work to be done. Cardiac conduction is a highly synchronized process. Electrical signals are passed cell to cell through two mechanisms, ephaptic coupling and gap junctional coupling. These methods of electrical communication rely on gap junctions, sodium channels and the perinexus. When conduction is disrupted it causes arrhythmias. When investigating these three critical determinants of cardiac conduction in guinea pig hearts, we determined that there are sex differences in two of three investigated determinants. It appears that females are more susceptible to sodium channel modulation while males are more susceptible to gap junction modulation. Understanding these differences is critical to clinical care. It has been shown that females have higher mortality following cardiothoracic surgery and the reason for this is unknown. During cardiothoracic surgery the heart is arrested and maintained by a fluid, cardioplegia solution. Cardioplegia solutions contain components that are known to modulate conduction. We investigated the sex differences in cardiac electrophysiology with a focus on cardiac conduction and components of a common cardioplegia solution; we determined that there are electrophysiologic sex differences in response to both magnesium and mannitol. The sex substrates in three of the major determinants of conduction (sodium channels, gap junctions and perinexal width) and the differences in the effects of cardioplegia components on males and females may help to explain the higher mortality of females post cardiothoracic surgery.

The purpose of this study was to examine how male and female leaders view their own effectiveness as compared to their objective performance. This study also examined sex and gender differences in subordinate's views of male and female leaders. Forty-two mixed-sex groups led by appointed male and female leaders were observed to assess objective and perceived leader effectiveness. Gender role of participants was assessed using the Bem Sex Role Inventory (BSRI). No sex or gender differences were found in objective leadership effectiveness. An unexpected finding was that male and female leaders perceived themselves accurately as leaders. Significant differences were found in the way male subordinates rated men and women leaders when taking into account gender role. Results indicated that the study of gender bias in leadership is complex and should be examined in conjunction with gender role. Social role theory helps to explain this bias.

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Spatial ability is the skill associated with mental relations among objects, the process of maintaining the physical aspects of an object after mentally rotating it in space. Many studies report a strong association of spatial ability with success in various areas of health care, especially surgery, radiology and dentistry. To date, similar investigations in professional nursing could not be located. Registered nurses, employed in an acute care multi-hospital setting, were surveyed using the Shipley-2Block Pattern Test, the Group Embedded Figures Test, and a newly created test of general nursing knowledge. The sample size of 123 nurses was composed of 31 male nurses and 92 female nurses. Data was collected between May and August of 2013 and analyzed using R, version 2.15.2. The present study did not demonstrate a statistically significant effect for gender differences on two measures of spatial ability. However, Cohen’s d effect sizes for mean gender differences in the present study are consistent with prior studies. This may suggest the nursing profession is comparable with other professions where males perform higher than females on spatial ability. The present study should be considered an initial step toward evaluating the relevance of spatial ability in the performance of nursing care.