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The Modified Index Of Severity Scale, Marion Gamundoy Dec 1984

The Modified Index Of Severity Scale, Marion Gamundoy

Loma Linda University Electronic Theses, Dissertations & Projects

[No Abstract Included]


Age-Related Changes Of Neurites In Meissner Corpuscles Of Diabetic, Vicky R. Ras Aug 1984

Age-Related Changes Of Neurites In Meissner Corpuscles Of Diabetic, Vicky R. Ras

Loma Linda University Electronic Theses, Dissertations & Projects

This thesis is based on a qualitative and quantitative study of the neural component of Meissner corpuscles of diabetic and non-diabetic mice. Age-related changes were also documented in these mechanoreceptors. Corpuscles from forty-six diabetic mice and forty-six non-diabetic mice ranging from 2.5 to 17 months old were studied. Forepaw index digital pads were formalin-fixed and frozen-sectioned parallel to each digit and perpendicular to the skin. Serial sections were then silver-impregnated to allow light microscopic examination of the neurites in the corpuscles.

Neurites became more coarse, tortuous, branched, varicose, and thus more complex until middle age. Corpuscle size appeared greatest at …


A Comparison Of Enamel Detachments After Debonding Between Unitek's "Dynalok" Bracket And A Foil-Mesh Bracket: A Scanning Electron Microscope Study, Robert E. Meister Aug 1984

A Comparison Of Enamel Detachments After Debonding Between Unitek's "Dynalok" Bracket And A Foil-Mesh Bracket: A Scanning Electron Microscope Study, Robert E. Meister

Loma Linda University Electronic Theses, Dissertations & Projects

The intent of this paper was to: 1. Evaluate the mode of adhesive failure when debonding both flexible and rigid base orthodontic brackets. 2. Evaluate the bracket bases for enamel detachments. 3. Measure the enamel detachments.

After preforming shear test on flexible and rigid base orthodontic brackets mounted to extracted human teeth it was determined that failure occurred at the enamel/adhesive interface 30% of the time, at the bracket/adhesive interface 10% of the time and a combination of these 60% of the time for both groups.

Five brackets from each group were evaluated for enamel detachments using energy dispersive x-ray …


The Effects Of Tri-O-Cresyl Phosphate On 2',3'-Cyclicnucleotide-3'-Phosphohydrolase Activity In Neural And Non-Neural Tissue Of The Rat, Mark K. Schlager Jul 1984

The Effects Of Tri-O-Cresyl Phosphate On 2',3'-Cyclicnucleotide-3'-Phosphohydrolase Activity In Neural And Non-Neural Tissue Of The Rat, Mark K. Schlager

Chemistry & Biochemistry Theses & Dissertations

A total of 44 Long-Evans rats received 5.7 g/kg tri-O-cresyl phosphate (TOCP) orally every 3 days for 6 days. A second group of 13 rats received 4.6 g/kg orally every 3 days for 6 days. Animals were administered atropine sulfate (10 mg/kg) intraperitoneally every 6 hours or as needed to alleviate cholinergic symptoms. Ten control animals were given corn oil orally. Eight rats (18%) survived the 5.7 g/kg dose regimen and 5 rats (38%) survived the 4.6 g/kg dose regimen. Surviving rats were killed at 30-33 days post-dose. Signs of delayed neuropathy included ataxia and motor impairment.

The CNP activity …


Temporomandibular Joint Relations Of Bone And Lateral Pterygoid Muscle : A Computerized Tomography Study, Duane K. Yamashiro Jun 1984

Temporomandibular Joint Relations Of Bone And Lateral Pterygoid Muscle : A Computerized Tomography Study, Duane K. Yamashiro

Loma Linda University Electronic Theses, Dissertations & Projects

This study utilized the imaging technique of computerized tomography (CT). Scans taken with a GE CT/N 8800 scanner of an adult cadaver and a 12-patient group were obtained through the Loma Linda University School of Dentistry, TMJ Department, and Loma Linda University Medical Center, Department of Neuroradiology.

The lateral scout image and a lateral cephalogram of the cadaver were compared using six angular measurements for facial type from Ricketts' Cephalometric Analysis. The six measurements, Maxillary Depth, Facial Depth, Mandibular Arc, Mandibular Plane, Lower Face Height and Facial Axis, were found to be similar. This allowed the investigator to rely exclusively …


Third Molar Eruption Prediction, Michael L. Jacobsen Jun 1984

Third Molar Eruption Prediction, Michael L. Jacobsen

Loma Linda University Electronic Theses, Dissertations & Projects

The diagnosis and treatment of third molars has often been cited as a special problem to the orthodontist. If the prognosis of third molars could be determined, orthodontic treatment could progress on a more positive basis.

This study was designed to provide a method of deciding whether developing third molars will erupt or become impacted.

Records from 130 orthodontically treated cases of Dr. Fredsall8 were studied. Several factors were evaluated and measured using the patients' cephalometric radiographs.

The actual fate of the third molars were recorded in the hope it could be used to predict what to expect from …


How Registered Nurses In Skilled Nursing Facilities Rate The Importance Of And The Frequency Engaged In Specific Nursing Behaviors Related To Their Role, Christine Anne Heine May 1984

How Registered Nurses In Skilled Nursing Facilities Rate The Importance Of And The Frequency Engaged In Specific Nursing Behaviors Related To Their Role, Christine Anne Heine

Nursing Theses & Dissertations

Registered nurses in skilled nursing facilities were surveyed using the Six-Dimension Scale of Nursing Performance to determine: (1) how they rated the importance of specific nursing behaviors related to their role, (2) how they rated the frequency engaged in the same specific nursing behaviors related to their role, and (3) if there was a relationship between how they rated the specific nursing behaviors for importance and frequency. There were five subgroups of nursing behaviors: (a) leadership, (b) nursing process, (c) teaching and collaboration, (d) interpersonal relations and communication, and (e) professional development. Registered nurses rated all of the behaviors as …


Body Weight Changes Throughout The Menstrual Cycle And Their Effect Upon The Components Of Body Composition, Lovina M. Query Feb 1984

Body Weight Changes Throughout The Menstrual Cycle And Their Effect Upon The Components Of Body Composition, Lovina M. Query

Dissertations and Theses

Research has shown that women experience fluctuations in body weight (BW) due to water retention and/or other processes at various times in the menstrual cycle. The purpose of this study is to measure women repeatedly throughout the course of one menstrual cycle and

(1) to confirm whether significant fluctuations in weight occur at various times and

(2) to determine whether there are significant differences in the components of body composition by hydrostatic weighing which are related to any changes in BW.

It was concluded that while significant fluctuations in BW occur at certain times in the menstrual cycle, the changes …


The Zinc Status Of Pregnant Vegetarian Women, Michelle J. Abu-Assal Sep 1983

The Zinc Status Of Pregnant Vegetarian Women, Michelle J. Abu-Assal

Loma Linda University Electronic Theses, Dissertations & Projects

The zinc status of twelve lacto-ovo-vegetariah pregnant women and seventeen non-vegetarian pregnant women was evaluated. Zinc intakes were calculated from three-day dietary records and twenty-four hour dietary histories. Plasma zinc levels were drawn during the last trimester of pregnancy and approximately ten weeks postpartum. Gestational age at birth, birthweight, and APGAR scores of the infants born were obtained from the medical charts. Dietary zinc intakes for the vegetarians (10.5 ± 4.0 mg) did not differ significantly from the intakes of the non-vegetarians (10.9 ± 3.0 mg). The vegetarian last trimester plasma zinc levels (47.9 ± 12.4 mcg/dl) and postpartum plasma …


Dynamic In-Patient Therapy: A Team Approach, Le Van Cao Jun 1983

Dynamic In-Patient Therapy: A Team Approach, Le Van Cao

Loma Linda University Electronic Theses, Dissertations & Projects

The paper reports on the philosophy and clinical results of an individualized but concentrated team approach to hospitalized patients undergoing a psychological crisis. The team focuses on the patient’s key vital coping technique as the source of his vulnerability and assists the patient toward constructive self-understanding. The approach favors maximum therapeutic benefit from a short hospital stay. Follow-up of the first fifteen cases managed by this method discloses a significantly low percentage of relapse and rehospitalization, and demonstrates that even such relapses can be turned to therapeutic benefit.


Mandibular Repositioning With Frankel Appliance Therapy, Clark E. Schneekluth Jun 1983

Mandibular Repositioning With Frankel Appliance Therapy, Clark E. Schneekluth

Loma Linda University Electronic Theses, Dissertations & Projects

A sample of twelve Frankel appliance (FR-2) treated patients, in the mixed dentition stage, were selectively chosen by an orthodontist based on the Class II correction and evaluated from before treatment and end of treatment laminagraphic and lateral cephalometric radiographs. The average treatment period was 22 months (1 yr. 10 mos.). The average pre-treatment age was 9.5 years with a range from 8 to 11 years old, while the average post-treatment age was 11.3 years with a range of 10 to 13 years.

Frankel appliance therapy was the only form of mechanics used in this study.

The before treatment lateral …


Registered Nurses' Ability To Discriminate Similar Human Need Fulfillment Alterations Specific To Chronic Obstructive Pulmonary Disease And To Diabetes Mellitus, Kathleen Bowen Waite May 1983

Registered Nurses' Ability To Discriminate Similar Human Need Fulfillment Alterations Specific To Chronic Obstructive Pulmonary Disease And To Diabetes Mellitus, Kathleen Bowen Waite

Nursing Theses & Dissertations

The problem for this research study was to ascertain if registered nurses of varying educational backgrounds and experience discriminated similar human needs as being altered by specific pathologic states. The two pathologic states studied were chronic obstructive pulmonary disease and diabetes mellitus, chosen for their high prevalence in the population. A population sample of 55 registered nurses practicing on medical units in five hospital settings were surveyed. Data for this study were collected using the Human Needs Assessment Scales developed for this study. It was determined that registered nurses in this study did discriminate similar human need fulfillment alterations specific …


The Development And Evaluation Of A Seminar For Teachers On The Awareness And Management Of Allergic Conditions Of Their Students In The Classroom, Elwin C. Munson Jan 1983

The Development And Evaluation Of A Seminar For Teachers On The Awareness And Management Of Allergic Conditions Of Their Students In The Classroom, Elwin C. Munson

Dissertations

Problem. Many children with allergic problems go without treatment because their problems go unrecognized by both their parents and teachers. The purpose of this project was to bring about change on the part of teachers enabling them better to address allergic problems in their students. Literature was reviewed with respect to allergies and with respect to the use of inservice seminars for teachers. The posttest means for all three areas of measurement of the seminar group and control group were adjusted for pretest scores by analysis of covariance which indicated a significant difference in favor of the seminar group in …


Serial Cardiovascular Adaptations During Pregnancy, Mark Vincent Hart Jan 1983

Serial Cardiovascular Adaptations During Pregnancy, Mark Vincent Hart

Dissertations and Theses

Maternal cardiovascular adaptations appear to be essential in order to supply extra circulation to both the developing fetus and maternal system during a successful pregnancy. Since inadequate cardiovascular adjustments may produce abortions or maternal morbidity, the characterization of maternal cardiovascular changes during pregnancy and the elaboration of the underlying mechanism for these changes are essential to the understanding of how the heart enlarges during pregnancy and what significance this enlargement might have. To provide needed information regarding this time course and extent of maternal cardiac enlargement and the hormonal and hemodynamic changes which may be responsible for these changes, the …


Protein Contributions Of The Male Accessory Organs To The Composition Of Human Seminal Plasma As Determined By High Resolution Two-Dimensional Electrophoresis, Edward E. Gaunt Jan 1983

Protein Contributions Of The Male Accessory Organs To The Composition Of Human Seminal Plasma As Determined By High Resolution Two-Dimensional Electrophoresis, Edward E. Gaunt

Theses and Dissertations in Biomedical Sciences

Human Seminal Plasma was evaluated using a High Resolution Two-Dimensional Electrophoresis technique adapted by this laboratory. Seminal plasma from healthy volunteers with recently proven fertility were characterized using this technique to establish "normal" protein distribution patterns in the two-dimensional polyacrylamide gel slab. In addition, time studies were performed on selected specimens to determine the effects of liquefaction on seminal plasma protein composition within the first several hours after collection. Split ejaculates were collected for identification and elaboration of accessory organ components in the whole seminal plasma specimen. A more direct approach to accessory organ component analysis involved electrophoresis of semen …


Blood Reservoir Function Of The Fetal Guinea Pig Liver, Gregory A. Roda, Raymond D. Gilbert, Gordon G. Power Aug 1982

Blood Reservoir Function Of The Fetal Guinea Pig Liver, Gregory A. Roda, Raymond D. Gilbert, Gordon G. Power

Loma Linda University Electronic Theses, Dissertations & Projects

To determine of the fetal liver functions as a blood reservoir, we measured liver blood volume under normal conditions and after hemorrhage and volume loading. Nineteen pregnant guinea pig sows and 54 near-term fetuses were injected intravenously with 51Cr-labeled red cells while the fetuses remained in utero. Ninety seconds later a 0.5-1.0 g sample of liver was garroted with a sharp wire into a tared tube with minimal blood loss. A blood sample was taken to measure counts per ml of blood, the fetus killed and the remainder of the liver weighed. Blood volume of the liver and body …


The Effect Of Self-Help Support Groups On Self Esteem And Blood Glucose In Young Insulin-Dependent Diabetics, Linda L. Woertz Aug 1982

The Effect Of Self-Help Support Groups On Self Esteem And Blood Glucose In Young Insulin-Dependent Diabetics, Linda L. Woertz

Loma Linda University Electronic Theses, Dissertations & Projects

Successful adaptation to diabetes is probably a function of many factors: the stress involved, the rewards, the motivation of the individual, and the self concept. The more optimal the self concept the more optimal the behavior may be. By helping the patient shape a positive self concept, a base can be built for blood glucose control (Bruhn, 1977, pp. 93-97). One method of improving self concept or self esteem may be through the development of self-help support groups for diabetics.

The purpose of this study was to evaluate the effect of self-help support group intervention on the levels of self …


Observation Of Bone Formation In The Mandibular Symphysis Following Surgical Separation And Slow Mechanical Expansion In A Baboon, Robert J. Homer Jun 1982

Observation Of Bone Formation In The Mandibular Symphysis Following Surgical Separation And Slow Mechanical Expansion In A Baboon, Robert J. Homer

Loma Linda University Electronic Theses, Dissertations & Projects

Mechanical expansion of the maxilla, at the midline suture, is a widely accepted orthodontic procedure used to gain arch width in certain types of maxillary deficient arches.

In animal research on the mandible, techniques using surgical separation at the symphysis with immediate expansion up to 12 mm, fixation with a metal splint, and autogenous bone transplanted into the expanded area, have been reported to be successful.

To date, no experiment utilizing slow mechanical expansion of the mandible at the symphysis has been reported.

In this pilot study, the mandible of a female baboon was surgically separated A-P at the symphysis. …


A Correlation Study Of Facial Soft Tissue Proportions (Golden Sections) And Cephalometric Measurements Of Golden Sections And The Eleven Factor Analysis, Russell Andrew Sutliff Apr 1982

A Correlation Study Of Facial Soft Tissue Proportions (Golden Sections) And Cephalometric Measurements Of Golden Sections And The Eleven Factor Analysis, Russell Andrew Sutliff

Loma Linda University Electronic Theses, Dissertations & Projects

Frontal photographs on a total of one hundred and three individuals who had been treated by Dr. Ricketts, and had been involved in a prior study at Rocky Mountain Data Systems, were evaluated for facial proportions according to Ricketts application of Pythagoras' golden section. Seven facial proportions were analyzed from 1:1 retention phase frontal photographs. Forty individuals, made up of twenty-two females and eighteen males, 12.2 to 21.0 years of age, were selected and divided into two groups of twenty each, according to their soft tissue facial proportions. A range of acceptability for the facial proportions was derived. Proportions within …


Postmortem Stability Of Drugs In Blood And Tissues, Barry Steven Levine Jan 1982

Postmortem Stability Of Drugs In Blood And Tissues, Barry Steven Levine

Theses and Dissertations

The delay that occurs between specimen acquisition and analysis in clinical and forensic toxicology requires the establishment that no changes in drug concentration have occurred during this timed interval. In this research, severai groups of common drugs were examined for stability in serum, blood and tissues at room temperature and at 4°C. Specifically, benzodiazepines, barbiturates, lidocaine, procainamide and nortriptyline were studied. Decreases were found in the following drugs: chlordiazepoxide, norchlordiazepoxide, demoxepam, and nitrazepam. No changes were found in the other drugs. More detailed work was performed on chlordiazepoxide (CDP). Two breakdown products, demoxepam and nordiazepam (ND) were identified and quantitated. …


Survey Of Pediatricians : What Are The Criteria Used For Referral To Speech And Language Pathologists?, Janet Bradley Aug 1981

Survey Of Pediatricians : What Are The Criteria Used For Referral To Speech And Language Pathologists?, Janet Bradley

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of the present research was to summarize from the pediatric literature the norms for speech and language development and to determine if the pediatrician is utilizing these norms as criteria for making referrals to speech and language pathologists. Research tends to show a discrepancy between the incidence of speech and language disorders and the rate of referrals made by physicians.

The methodology involved developing a three-part questionnaire to determine what screening instruments are being used in the pediatric office in regard to speech, language, and hearing, and what informal criteria are utilized for making referrals for a speech …


A Comparison Of Self-Esteem And Health Locus Of Control In Adolescents With Insulin Dependent Diabetes Mellitus, Janice Mace Aug 1981

A Comparison Of Self-Esteem And Health Locus Of Control In Adolescents With Insulin Dependent Diabetes Mellitus, Janice Mace

Loma Linda University Electronic Theses, Dissertations & Projects

This study was a descriptive survey establishing a baseline level of self-esteem and health locus of control in insulin dependent diabetes mellitus (IDDM) adolescents. The purpose of the research was to study and describe health behaviors of IDDM adolescents in regards to self-concept and health locus of control. These behaviors are believed to have life-long ramifications on the IDDM adolescent's health status.

The sample consisted of 91 IDDM adolescents, 34 male and 57 female, in a nonrandom convenience cluster attending a 10-day summer camp.

Null hypothesis one was: Insulin dependent diabetes mellitus would make no difference at the .05 level …


The Evolution Of Prenatal Care In The United States : The Formative Years, Cristina M. Thomsen Jun 1981

The Evolution Of Prenatal Care In The United States : The Formative Years, Cristina M. Thomsen

Loma Linda University Electronic Theses, Dissertations & Projects

In the early decades of the twentieth century prenatal care became an accepted part of routine obstetrical care. This thesis is a description of the evolution of the prenatal care idea in the United States during these years. Two approaches are used in this description. An internal approach to prenatal care notes the maturation of procedure and technique. An external approach notes the inpatient and outpatient suggestions for providing prenatal care, the suggestions for educating the public to value and expect prenatal care and the medical profession to provide such care, and the varied promoters of such care, with their …


Environmental Enrichment And Nursing Therapy With Comatose Patients : Two Case Studies, Marilyne R. Sayler Jun 1981

Environmental Enrichment And Nursing Therapy With Comatose Patients : Two Case Studies, Marilyne R. Sayler

Loma Linda University Electronic Theses, Dissertations & Projects

As a part of a larger research project with comatose patients the problem stated for this portion of the research study was to investigate the potential for identifying whether or not the quality of nursing care for comatose patients could be improved by nursing therapy with environmental enrichment and meaningful systematic orienting stimuli given by professional nurse clinicians and a patient's significant others. The effects of the orienting stimuli were measured by observable changes in arousal patterns in serial electroencephalograms (EEGs) , level of arousal as scored on the Glasgow Coma Scale (GCS), and selected measures of recovery outcome (RO). …


Cineradiography Of The Temporomandibular Joint : A Research Entity And Diagnostic Modality, L. Albert Lewis Jan 1981

Cineradiography Of The Temporomandibular Joint : A Research Entity And Diagnostic Modality, L. Albert Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

Readily accessible equipment as utilized for cineangiography has been demonstrated to be useful in producing dynamic studies of the temporomandibular joint.

The reproducible studies have been obtained without adaptation of equipment. Methods used in this project were based on principles which have been advocated for the past thirty years for static radiographs of the temporomandibular joints.

Studies were made of a variety of subjects varying in size and joint integrity. Diagnostic views were obtained on all subjects showing normal osseous joint structures and typical joint function via the use of motion picture records. Changes in osseous joint structures were readily …


Placing A Parent In A Nursing Home: Factors Related To Adult Children's Decisions, Ruth Cordle Hatch Jan 1981

Placing A Parent In A Nursing Home: Factors Related To Adult Children's Decisions, Ruth Cordle Hatch

Dissertations and Theses @ UNI

Purpose. The purpose of this study was to identify alternatives and factors considered in the decision to place parents in nursing homes and to Identify feelings, relationships, needs, and satisfaction levels of the adult children involved in the decision. The researcher also sought suggestions of ways adult children's needs might be met.

Procedure. Adult children who were listed as next-of-kin of parents residing in Black Hawk County, Iowa intermediate care nursing homes were sent questionnaires developed by the researcher. Structured interviews were conducted with 12 of the 106 respondents to obtain information of greater depth. Instruments included multiple …


The Coronary Distribution Zone : Mathematical Modelling Of The Left Ventricular Epicardial Surface For Area Calculation, Three-Dimensional Rotaton And Display, S. Matts E. Sjölander Dec 1980

The Coronary Distribution Zone : Mathematical Modelling Of The Left Ventricular Epicardial Surface For Area Calculation, Three-Dimensional Rotaton And Display, S. Matts E. Sjölander

Loma Linda University Electronic Theses, Dissertations & Projects

A computer model of the left ventricular (LV) epicardial surface was developed from Jang’s truncated ellipsoidal model, which has a minor to major axis ratio of 6:10. The model was applied in calculating the area of a segment of the myocardium, jeopardized by an impending occlusion of its associated artery. The endangered segment of the LV muscle was also visualized in different projections by rotations in three space and graphical displays simulating the three dimensions.

The area formula for the surface of the ideal model , a truncated prolate spheroid, was derived and used in producing maps for manual calculations …


The Effect Of Natural Measures To Aid In Sleep As Compared With The Use Of Flurazepam 30 Milligrams As Seen In The Hospitalized Male Patient, Myra Ladd Thompson Aug 1980

The Effect Of Natural Measures To Aid In Sleep As Compared With The Use Of Flurazepam 30 Milligrams As Seen In The Hospitalized Male Patient, Myra Ladd Thompson

Loma Linda University Electronic Theses, Dissertations & Projects

Sleep is necessary for physical and psychological restoration of the body. Studies indicate that tissue repair is augmented during sleep, showing that rates of protein synthesis and of mitotic division are higher at times of rest and sleep. Studies evaluating sleep-deprived subjects reveal that after loss of normal sleep, some types of memory and learning processes are impaired. These subjects generally become anxious and irritable, especially after loss of dreaming sleep.

Sleeping medications have been implicated by observers and researchers to be a cause of altered sleep patterns. These medications not only disrupt normal sleep cycles, but their continued use …


The Analysis Of S-Adenosylmethionine And S-Adenosylhomocysteine In Normal And Neoplastic Cells, Kathryn Elizabeth Godburn Jul 1980

The Analysis Of S-Adenosylmethionine And S-Adenosylhomocysteine In Normal And Neoplastic Cells, Kathryn Elizabeth Godburn

Chemistry & Biochemistry Theses & Dissertations

Altered patterns of methylation have been shown in both ribosomal and transfer RNA isolated from cancer cells. In contrast to the elevated activity of the methyltransferases responsible for this modification, hypomethylation appears as a general characteristic. The endogenous levels of S-adenosylmethionine and S-adenosylhomocysteine are important in relationship to their role as substrate and product of the transmethylation reaction. The levels of S-adenosylmethionine and S-adenosylhomocysteine were determined using phosphocellulose cation exchange or high pressure liquid chromatography. High voltage paper electrophoresis was used in a modified procedure to directly resolve (35s) labeled S-adenosylmethionine and S-adenosylhomocysteine in small quantities of cell …


An Analysis Of The Attitudes Of Unlicensed Personnel In San Bernardino Metropolitan Area Convalescent Hospitals Toward Their Jobs And The Geriatric Patients, Theodore G. Sneed Jun 1980

An Analysis Of The Attitudes Of Unlicensed Personnel In San Bernardino Metropolitan Area Convalescent Hospitals Toward Their Jobs And The Geriatric Patients, Theodore G. Sneed

Loma Linda University Electronic Theses, Dissertations & Projects

In American society, convalescent facility residency is a fact of life for many of the aged. Typically, in these geriatric facilities, eighty to ninety percent of primary patient care services are delivered by unlicensed personnel. Unfortunately, this segment of the convalescent facility employee population tends to be transient, underpaid and overworked, and to feel very low esteem for themselves and their jobs. This situation has produced many service abuses and interaction difficulties in the convalescent facilities. Up until the present there has been little attempt on the part of Sociology to study this portion of the employee population in these …