Digital Commons Network^™

Quality And Access To Care For Cardiovascular Disease Prevalence In Women Veterans: Population Estimate Using Electronic Health Records, Meena Marie Kim-Dopp, Vanessa Gow-Lee, Linda Ferry, Sharon Jamie, Ralph Clark, Suma Singh

Loma Linda University Student Journal

Electronic Health Records are used to measure quality indicators for cardiovascular disease (CVD), but have not been tested for sensitivity and specificity. Computerized Patient Record System (CPRS) used by the Veterans Health Affairs (VHA), has active CVD clinical reminders from Healthcare Effectiveness Data & Information Set (HEDIS) that are compared nationally. San Bernardino County, CA has a 7.8% prevalence of self-reported CVD in both genders. For HEDIS measures, there is only a 4 point CVD composite score gender difference for VHA nationally, but at the Loma Linda VHA there is an 18 point gender difference (2016). Women Veterans (WV) are …

Ischemic Time And Risk Factors Associated With The Incidence Of Cardiogenic Shock In Patients Presenting With St Elevation Myocardial Infarction, Daniel K. Amponsah, Jonathan Evans, David Hamilton, Tigran Khachatryan, Andrew Stewart, Islam Abudayyeh, Kenneth Jutzy, Anthony Hilliard

Loma Linda University Student Journal

Cardiogenic shock (CS) is the number one predictor of mortality in patients with ST-elevation myocardial infarction (STEMI). Emergent evaluation and treatment including revascularization when indicated is recommended upon arrival to hospital. There is variation in time to presentation and total ischemic time in this patient population. We sought to evaluate the impact of ischemic time on incidence of CS and variables which may influence its presentation.

Parenting Stress And Emotion Dysregulation In Children With Dd: The Role Of Parenting Behaviors, Neilson Chan

Loma Linda University Electronic Theses, Dissertations & Projects

Parents of children with developmental delays (DD) report higher levels of parenting stress compared to parents of typically developing children. High levels of parenting stress have been associated with negative outcomes for their children, including higher levels of emotion dysregulation. However, this relationship between parenting stress and child emotion dysregulation has rarely been examined in families of children with DD. Additionally, the mechanisms through which parenting stress influences child emotion dysregulation remain unclear; it may be that parenting stress impacts parenting behaviors (i.e., sensitive and intrusive parenting), which in turn influence the development of the child’s emotion regulatory abilities. In …

Age Of Drinking Initiation’S Association With Cognitive Functioning, Joshua Seth Goldberg

Loma Linda University Electronic Theses, Dissertations & Projects

Research has indicated that alcohol abuse is associated with deleterious effects on cognitive functioning later in life, specifically in the neuropsychological domains of immediate memory, delayed memory, and attention. However, research has been mixed regarding how age of initiation into problem drinking affects cognitive health after abstinence. This study aimed to identify if earlier age of alcohol abuse was associated with significant deficits in neuropsychological functioning in comparison to individuals who commenced alcohol abuse later in life. Participants were recruited from an alcohol rehabilitation program within Loma Linda University’s Behavioral Medicine Center and were administered the Repeatable Battery for the …

The Substance Abuse Treatment Experience Of Men Who Have Sex With Men, Scott Sanford Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

The following qualitative research study focuses on the substance abuse treatment experiences of men who have sex with men. Current research in this area indicates that while these men sometimes seek treatment for substance abuse issues, their treatment experience can be compromised due to personal fears or ignorance on the part of treatment staff members or others in treatment (Cabaj, 2008; Cheng, 2003; Hellman, Stanton, lee, Tytun, & Vachon, 1989). Specific goals of this study include: (1) gaining insight into the treatment experience(s) of these men and (2) learning about how their individual and collective treatment experience(s) contribute to their …

Llusd Articulator - Volume 28, Number 2, Loma Linda University School Of Dentistry, Montry S. Suprono

Articulator (Dentistry Journal)

Contents:

4 | The dean's brown bag
9 | Handysides appointed 6th LLUSD dean
10 | Tory Silvetrin runs life's marathon at a sprint
16 | Jess Hayden family donates his 50,000 prosection slides
20 | LLUSD's 61st Commencement
32 | Bonding & zirconia: a literature review
44 | Falling in L-O-V-E with dentistry
46 | Postgraduate Endo celebrates 50 years
48 | LLUSD News

Loma Linda Nurse - Vol. 25, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

FEATURES

4 | Full Circle – Dexter Emoto and Mao Kimura

6 | Mentorship

8 | A Place for Excellence

10 | New Scholarships at the School of Nursing

LLUSN HIGHLIGHTS

12-17 | ALUMNI NEWS

18-23 | HOMECOMING

24-27 | COMMENCEMENT

28-32 | ACADEMICS

33-35 | FACULTY UPDATES

The Effects Of Poverty And Allostatic Load On The Development Of Chronic Disease, Natali Do

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that there is a significant impact of poverty on poor health outcomes. Poverty is associated with limited access to education and healthcare, increased exposure to violence, and chronic stress that contribute to the development of chronic diseases. The poverty and chronic disease relationship is potentially associated with chronically elevated stress biomarkers. The present study investigated the relationship between demographics, poverty (during childhood, young adulthood, and mid/late adulthood), allostatic load—a cumulative measure of system dysregulation—and the Charlson Comorbidity Index, a measure of chronic disease and mortality, using data from the Biopsychosocial and Religion and Health Study (BRHS; Lee et …

Factors Associated With Orthodontically Induced Apical Root Resorption Of Maxillary Incisors, Brandon Malan

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Resorption of root apices is a ubiquitous occurrence in orthodontic treatment. Although most occurrence of resorption during orthodontic treatment is clinically inconsequential, a small percentage of patients have a severe amount of root structure that is lost. There are factors that are widely accepted as responsible for apical root resorption (RR), such as heavy compressive forces on the periodontal ligament (PDL). Unfortunately, it is still largely unpredictable if one patient will experience more root loss than what is considered normal. Thus, it is of clinical interest to further study what factors play a role in RR. Purpose: The purpose …

Stress, Depression, Social Support, And Help-Seeking In College Student-Athletes, Clint H. Norseth

Loma Linda University Electronic Theses, Dissertations & Projects

Student-athletes have been identified as a distinctive sub-population in universities and colleges that face unique stressors and pressures that may put them at risk for developing mental health problems, including depression, when compared to student non-athletes. However, student-athletes have been found to seek help from mental health professionals less often than student non-athletes. Studies of college students in the general population have shown that social support networks can play an important part in “buffering” or moderating the effect of stress on both depression and help-seeking, which may also be the case for student-athletes. The purpose of the current study is …

Parental Stress, Emotion Regulation, Meta-Emotion, And Changes Following An Mbsr Intervention, Yangmu Xu

Loma Linda University Electronic Theses, Dissertations & Projects

Parents of children with developmental delays (DD) have consistently reported higher rates of parental stress (Dabrowska & Pisula, 2010; Oelofsen & Richardson, 2006). Difficulties with child emotion regulation are often exhibited among children with DD, and the relationship between parental stress and child emotion regulation may be bidirectional. Previous studies have found that underlying thoughts about parent’s own emotions is an important construct that has a direct impact on parental emotional wellbeing and child emotion regulation (Gottman et al., 1996). Furthermore, previous studies suggest that Mindfulness-Based Stress Reduction (MBSR), an empirically supported stress-reduction intervention, is efficacious in reducing parenting stress …

Smoking, Adhd, And Problematic Video Game Use: A Structural Modeling Approach, Hyo Jin Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Problematic video game use (PVGU), or addiction-like use of video games, is associated with negative physical and mental health problems as well as problems in social and occupational functioning. Possible contributors to PVGU include frequency of play, cigarette smoking, and ADHD. The aim of the current study was to explore the relationships among PVGU, cigarette smoking, ADHD, and frequency of play simultaneously using a structural modeling approach. Secondary data analysis was conducted on 2,801 video game users (Mage = 22.43 years, SDage = 4.7; 93% male) who completed an online survey comprising measures of PVGU, ADHD symptomatology, smoking behavior, and …

Geospatial Determinants Of Increased Screening Mammography In U.S. Black Women, Laura Stiel

Loma Linda University Electronic Theses, Dissertations & Projects

Black women have the highest mortality rate due to breast cancer compared to any other racial/ethnic group in the U.S. and are more likely to be diagnosed with late-stage breast cancer compared to White women. Though the causes of these disparities are multifactorial, early detection by mammography, in combination with improved treatment, is related to improved breast cancer survival outcomes. Recently, the rate of Black women reporting having had a screening mammogram in the last two years has increased, and by some accounts surpassed, that of White women. This dissertation assesses this change in mammography among Black women in order …

Parental Distress And Child Behavior Problems: Parenting Behaviors As Mediators, Catherine M. Sanner

Loma Linda University Electronic Theses, Dissertations & Projects

Parents of children with developmental disabilities (DD) typically report higher levels of parental stress than parents of typically developing children. While the majority of the literature addresses child behavior problems as predictors of parental stress, research has shown that the relation is bi-directional. However, very little research has examined the effects of parental stress on child behavior problems and the possible parenting factors that may explain this relation. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study (N = 31; % male = 67.7, mean age = 3.5, SD = .96; 81% ethic minority), and …

Role Of Cultural And Psychological Factors Influencing Diabetes Treatment Adherence, Sonika Kravann Ung

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic diseases are the leading causes of disability worldwide although health complications can be prevented with lifestyle change (CDC, 2013). Type 2 diabetes is a growing global epidemic, and its prevalence is predicted to increase from 6.4% (285 million adults) in 2010 to 7.7% (439 million adults) by 2030 (Shaw, Sicree, & Zimmet, 2010). Given the reality of cultural diversity in contemporary society, the aim of this study was to address the need for research that integrates both cultural and psychological factors with behaviors central to diabetes control among culturally diverse populations (Betancourt & López, 1993; Betancourt, Flynn, Riggs, & …

Relational Savoring Among Intimate Partners Of Cancer Patients, Adrianna Elyse Holness

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that intimate partners of cancer patients experience similar, if not higher, levels of distress and depression than the patient with regards to the cancer diagnosis. This stress can impact the quality of the relationship and the subsequent care and attention given to cancer patients. As such, identifying factors that can enhance marital relationships during times of illness is key. This project was created in order to assess the efficacy of a brief, portable intervention for improving relational quality among the intimate partners of cancer patients. In this project, we examine the effects of relational savoring, relative to two …

The Effects Of Frequent Smartphone Use On Children’S Upper Posture And Pulmonary Function, Asma Alonazi

Loma Linda University Electronic Theses, Dissertations & Projects

Children are experiencing an increase in sedentary lifestyle as a result of the rising utilization of technology, i.e. smartphones. With the prolonged use of smartphones, increased concerns have been raised regarding constant neck flexion, neck movements limitation, and decreases in pulmonary function due to potential changes in spinal posture. Therefore, the purpose of this research thesis was to evaluate changes in craniovertebral angles (CVA), cervical range of motion (ROM), and pulmonary function among boys and girls 8 to 13 years of age who use smartphones. A cross-sectional study was conducted on a sample of 50 participants (24 boys and 26 …

Embracing Diversity: Confronting Disparities, Loma Linda University Health

Scope

Table of Contents:

Features

4 | Researching the biological footprint of health inequalities
8 | Modeling interfaith cooperation: Religious diversity at Loma Linda University Health
10 | New Diversity Council works towards inclusiveness as a spiritual imperative
13 | First graduating cohort of LLU San Bernardino Campus - San Manuel Gateway College
14 | Race Matters for Health {a lot!}
20 | Loma Linda University Health professor's campaign to end dangerous health disparities
22 | Questions and answers on workforce diversity with Lyndon Edwards
25 | Diversity solves disparities
26 | Gender Dysphoria: Response of the faith-based community
28 | …

Today - July 2017, Loma Linda University Health

TODAY

Inside this issue:

-- Five Loma Linda University Schools honor graduates
-- (pictorial)
-- Ceremony empowers first graduates of San Manuel Gateway College as ‘community faculty’
-- Loma Linda University honors 9 outstanding student leaders with 2017 President’s Award
-- Toward a shared ethical identity in Adventist healthcare
-- Reading day camp now enrolling for summer
-- New cancer treatment offerings bring hope during the 26th Annual Celebration of Life
-- Pediatric heart patient gives back to kids like her
-- Meet the baby snugglers
-- Leading national health industry publication honors Angela Lalas
-- Five new Emergency Department treatment …

Effects Of Head Motion On Postural Stability In Participants With Chronic Motion Sensitivity, Abdulaziz A. Albalwi

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Motion sensitivity, or motion sickness, is common among individuals in modern vehicular and visually stimulating environments; notably, people with normal vestibular function are susceptible to this condition. Motion-provoked dizziness often causes postural instability. Purposes: This study aimed to compare the effects of head motion on postural stability in healthy adults with and without chronic motion sensitivity (CMS) and to determine the effects of head motion direction (horizontal versus vertical) on postural stability. Methods: Sixty healthy adult males and females aged 20 to 40 years old were assigned to two groups, 30 participants with CMS and 30 participants without CMS. …

An Examination Of Foster Youth Socialization To Dating And Sexual Behaviors, Rhoda L. Smith

Loma Linda University Electronic Theses, Dissertations & Projects

Foster youth reportedly face unusual and negative life circumstances and outcomes due to being placed in out-of-home care. Foster care provides a resource for substitute caregiving which can range from archaically institutional to warm and familial. Foster care is a transient system which alters what is normative for youth relative to what mainstream youth experience, especially in adolescence. Being out of control of their lives and futures serves to create vulnerability for foster youth in the area of sexual and reproductive health. Lack of clarity within the child welfare agency regarding responsibility for imparting necessary, relevant information to foster youth …

Relationships, Health, And Spirituality Among College Students: Factors Of College Success, Solomon S. Wang

Loma Linda University Electronic Theses, Dissertations & Projects

This explorative longitudinal study investigated the relationship between healthrelated quality of life (HRQL) and various social and faith factors associated with the home to college transition. Data from 347 collegians attending a Christian University were utilized for this study and results uncovered that over the course of a year, gender, time, significant emotional relationships, a psychosocial abuse history, and faith importance predicted HRQL. In addition to each having a main effect, there were unique interactions among the variables that predicted outcomes. The findings provide valuable theoretical and practical insight on what colleges and universities can do to address deteriorating collegian …

Relationship Between Vestibular System, Vision, Anxiety, And Chronic Motion Sensitivity, Ahmad A. Alharbi

Loma Linda University Electronic Theses, Dissertations & Projects

BACKGROUND: Chronic motion sensitivity (CMS) has been defined as a feeling of un-wellness elicited by either actual or perceived motion. CMS is a common condition and is more prevalent in females than in males. In addition to a variety of symptoms, young adults with CMS have less postural stability than those without CMS. OBJECTIVE: To determine whether vestibular system integrity, dependence on visual cues for postural stability, and the anxiety level are different between young adults with and without CMS, and whether it differs by gender within each group. METHODS: Sixty young adults (30 females and 30 males) were assigned …

Church Member Reactions To Religious Disaffiliation, Alexander Daniel Larson

Loma Linda University Electronic Theses, Dissertations & Projects

Religious disaffiliation is a growing trend in the United States, with estimates of between 15% through 20% of Americans identifying that they have no religion and this rate is growing by roughly 1% each year. Nearly all research concerning religious disaffiliation has focused on the individuals who leave their faith, but little research has empirically explored how church members themselves react to the religious disaffiliation of individuals from their own religious community, as well as what factors potentially contribute to the formation of their attitudes and attributions towards religious disaffiliates. This study utilizes a Seventh-day Adventist sample’s reactions to a …

Cancer Center Regional Benchmarks For Psychosocial Care, Desiree R. Azizoddin

Loma Linda University Electronic Theses, Dissertations & Projects

The American College of Surgeons (ACoS) Commissions on Cancer (CoC) formulated and implemented standard 3.2 for Psychosocial Distress Screening. This standard requires that all accredited cancer centers evaluate psychosocial distress and provide appropriate triage and intervention for all cancer patients. Over the past decade, Loma Linda University Medical Oncology Center (LLUMOC) administration, physicians, nurses, psychosocial care staff, and chaplaincy collaborated to implement a psychosocial screening and referral program throughout cancer patient services. This current research includes qualitative analysis assessing strengths and barriers of the psychosocial program at LLUMOC from the perspective of LLUMOC providers and two directors of Supportive Care …

Veterans, Ptsd Severity, And Health Conditions Over Time, Macey Mendez-Vigo Wolfe

Loma Linda University Electronic Theses, Dissertations & Projects

PTSD has been linked to the development of numerous health conditions; this study’s aim is to determine if PTSD predicts the diagnosis of type II diabetes, overweight/obesity, hypertension, musculoskeletal disorders, neurological disorders, and chronic pain. Participants were 416 veterans presenting for PTSD assessment/treatment that had served in the most recent conflicts (Operation Enduring Freedom, Operation Iraqi Freedom, Operation New Dawn, and Dessert Storm) with a mean age of 35.5 (SD = 10.9). Participants completed a measure of PTSD symptomatology. Electronic medical records were used to obtain diagnosis of health conditions. Cox-Regression analyses were used to evaluate PTSD as a predictor …

Living On Borrowed Time: A Longitudinal Examination Of A Time-Limited Housing Voucher Program, Lauren D. Foster

Loma Linda University Electronic Theses, Dissertations & Projects

There are a number of families currently living in poverty across the United States (Census, 2010). These families are often stressed and spread thin in their daily lives. Different governmental supports are used to bolster individuals and families during their experiences of poverty. One such entity is the United States Department of Housing and Urban Affairs (HUD). This agency provides housing to countless residents each year (HUD, 2016). Much is known about the different program that HUD offers but information is limited what strengths families can bring in that can aid in their experiences while living in poverty. Using Hierarchical …

Preliminary Validation Of The Pediatric Rating Of Chronic Illness Self-Efficacy, Natacha Donoghue Emerson

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Tracking self-efficacy may be useful for identifying children at risk for medical noncompliance. We created the Pediatric Rating of Chronic Illness Self-Efficacy (PRCISE) to measure self-efficacy in children and adolescents dealing with a chronic illness (CI). Method: Data were collected from 217 families where one child aged 7-20 (Mage = 13.62, SDage = 2.92; 62.7% Latino, 58.1% female) had a CI. Parent participants provided demographic information. Youth completed a depression measure, the Patient Health Questionnaire for Adolescents (PHQ-A), and the PRCISE. To determine the underlying latent structure of the scale, an exploratory factor analysis was conducted using parallel analysis. …

Coping As A Mediator Between Symptom Burden And Distress In Lung Cancer Patients, Spring F. Gehring

Loma Linda University Electronic Theses, Dissertations & Projects

Lung cancer is considered the leading cause of cancer death worldwide. An estimated 224,390 new cases of lung cancer are expected to be diagnosed and 158,080 Americans are expected to die from lung cancer in 2016 (National Institutes of Health, 2016; Siegel, Miller, & Jemal, 2016). Lung cancer patients also report the highest levels of psychological distress and symptom burden than any other forms of cancer (Linden, Vodermaier, MacKenzie, & Greig, 2012). Given the prevalence and impact of lung cancer, it is imperative to address the emotional toll this diagnosis can have on those suffering with the disease to develop …

Demographic Differences In Resting State Eeg In Healthy Controls And Patients With Schizophrenia, Keshia M. Sanders

Loma Linda University Electronic Theses, Dissertations & Projects

The default mode network (DMN) is composed of neural nodes that are synchronously activated when the brain is at rest and displays a decrease in activation when the brain is involved in a task. Disruptions in the DMN can potentially serve as assessment/screening for individuals with neuropsychological disorders. Many studies use electroencephalography (EEG) to study the brain at rest because of its high temporal resolution and its ability to provide a time sensitive measure of large-scale neural activity. Previous studies examining the brain at rest have found differences when comparing patients with Schizophrenia (Sz) and healthy controls (HC). While many …