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Embracing Diversity: Confronting Disparities, Loma Linda University Health 2017 Loma Linda University

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 | Uncovering unconscious bias
30 | Diversity in the Adventist Health Study ...


A Rare Association Of Giant Cell Arteritis With Recurrent Corneal Ulcer, Sailaja Bondalapati, Kay Khine, Maya Bitar, David Chesnutt, Richard M. Davis 2017 Marshall University

A Rare Association Of Giant Cell Arteritis With Recurrent Corneal Ulcer, Sailaja Bondalapati, Kay Khine, Maya Bitar, David Chesnutt, Richard M. Davis

Maya S. Bitar

We report a rare case of association of temporal arteritis with recurrent central corneal ulcer. A 91-year-old male with a remote history of clinically diagnosed giant cell arteritis (GCA) and penetrating keratoplasty (PK) for corneal edema in 1990’s in the left eye presented with irritation and severe dry eye. He progressively developed central corneal ulcer regardless of treatment with aggressive lubrication and patching. The clinical course, blood tests and temporal artery biopsy results yielded the diagnosis of recurrent GCA. The clinical course improved after starting oral steroids. The case report illustrates the importance of ruling out GCA in patients ...


Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, Grace McNair 2017 Abilene Christian University

Gadgets And Grieving: A Chronological Analysis On The Ways In Which Advancements In Medical Technologies Have Altered The Grieving Process, Grace Mcnair

Dialogue & Nexus

Since the 1940s, both end-of-life care and advancements in medical technologies have expanded exponentially. This article explores the advancements in medical technologies and how these have altered the way that Western society grieves death. With the capabilities to prolong life, the family, the patient, and the medical team, all grieve the end of life in different ways. This article provides a chronological analysis of palliative care, hospice care, and various medical advancements. These changes in medicine are then paralleled with alterations in the bereavement process. This article explores historical narratives of Western society’s transformation of grief through the lens ...


A Comparison Of Data Quality Assessment Checks In Six Data Sharing Networks, Tiffany J. Callahan, Alan E. Bauck, David Bertoch, Jeff Brown, Ritu Khare, Patrick B. Ryan, Jenny Staab, Meredith N. Zozus, Michael G. Kahn 2017 Computational Bioscience Program, University of Colorado Denver Anschutz Medical Campus

A Comparison Of Data Quality Assessment Checks In Six Data Sharing Networks, Tiffany J. Callahan, Alan E. Bauck, David Bertoch, Jeff Brown, Ritu Khare, Patrick B. Ryan, Jenny Staab, Meredith N. Zozus, Michael G. Kahn

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Objective: To compare rule-based data quality (DQ) assessment approaches across multiple national clinical data sharing organizations.

Methods: Six organizations with established data quality assessment (DQA) programs provided documentation or source code describing current DQ checks. DQ checks were mapped to the categories within the data verification context of the harmonized DQA terminology. To ensure all DQ checks were consistently mapped, conventions were developed and four iterations of mapping performed. Difficult-to-map DQ checks were discussed with research team members until consensus was achieved.

Results: Participating organizations provided 11,026 DQ checks, of which 99.97% were successfully mapped to a DQA ...


Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown 2017 Chapman University

Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Objective: To describe the prevalence of herbal medicine use among US adults and to assess factors associated with and predictors of herbal use. Design: The data for herbal products use were collected from the 2015 National Consumer Survey on the Medication Experience and Pharmacists’ Roles. Chi-square test was used to analyz factors associated with herbal use, and predictors of herbal use were assessed with logistic regression analysis. Results: Factors associated with herbal supplement use include age older than 70, having a higher than high school education, using prescription medications or over-thecounter (OTC) medications, and using a mail-order pharmacy.” All Disease ...


Commonest Cancers In Pakistan - Findings And Histopathological Perspective From A Premier Surgical Pathology Center In Pakistan., Zubair Ahmad, Romana Idress, Saira Fatima, Nasir Uddin, Arsalan Ahmed, Khurram Minhas, Aisha Memon, Syeda Samia Fatima, Muhammad Arif, Sheema H Hasan, Rashida Ahmed, Shahid Pervez, Naila Kayani Naila Kayani 2017 Aga Khan University

Commonest Cancers In Pakistan - Findings And Histopathological Perspective From A Premier Surgical Pathology Center In Pakistan., Zubair Ahmad, Romana Idress, Saira Fatima, Nasir Uddin, Arsalan Ahmed, Khurram Minhas, Aisha Memon, Syeda Samia Fatima, Muhammad Arif, Sheema H Hasan, Rashida Ahmed, Shahid Pervez, Naila Kayani Naila Kayani

Zubair Ahmad

Abstract CONTEXT: There are no recent authoritative data about incidence and prevalence of various types of cancers in Pakistan. AIM: To determine the frequency of malignant tumors seen in our practice and provide a foundation for building a comprehensive cancer care strategy. MATERIALS AND METHODS: 10,000 successive cases of solid malignant tumors reported in 2014 were included. All cases had formalin fixed, paraffin embedded specimens available and diagnosis was based on histological examination of H and E stained slides plus ancillary studies at the Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi. The ...


Commonest Cancers In Pakistan - Findings And Histopathological Perspective From A Premier Surgical Pathology Center In Pakistan., Zubair Ahmad, Romana Idress, Saira Fatima, Nasir Uddin, Arsalan Ahmed, Khurram Minhas, Aisha Memon, Syeda Samia Fatima, Muhammad Arif, Sheema H Hasan, Rashida Ahmed, Shahid Pervez, Naila Kayani Naila Kayani 2017 Aga Khan University

Commonest Cancers In Pakistan - Findings And Histopathological Perspective From A Premier Surgical Pathology Center In Pakistan., Zubair Ahmad, Romana Idress, Saira Fatima, Nasir Uddin, Arsalan Ahmed, Khurram Minhas, Aisha Memon, Syeda Samia Fatima, Muhammad Arif, Sheema H Hasan, Rashida Ahmed, Shahid Pervez, Naila Kayani Naila Kayani

Rashida Ahmed

Abstract CONTEXT: There are no recent authoritative data about incidence and prevalence of various types of cancers in Pakistan. AIM: To determine the frequency of malignant tumors seen in our practice and provide a foundation for building a comprehensive cancer care strategy. MATERIALS AND METHODS: 10,000 successive cases of solid malignant tumors reported in 2014 were included. All cases had formalin fixed, paraffin embedded specimens available and diagnosis was based on histological examination of H and E stained slides plus ancillary studies at the Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi. The ...


Do Dietary Patterns Explain High Prevalence Of Cardiovascular Risk Factors Among Pakistani Urban Adults? A Cross-Sectional Study, Nilofer F. Safdar, Elizabeth Bertone-Johnson, Lorraine Cordeiro, Tazeen H. Jafar, Nancy L. Cohen 2017 Dow University of Health Sciences

Do Dietary Patterns Explain High Prevalence Of Cardiovascular Risk Factors Among Pakistani Urban Adults? A Cross-Sectional Study, Nilofer F. Safdar, Elizabeth Bertone-Johnson, Lorraine Cordeiro, Tazeen H. Jafar, Nancy L. Cohen

Lorraine Cordeiro

Background The prevalence of cardiovascular disease (CVD) in South Asia is higher than in any other developing countries. The diversity of diets in populations among developing countries may be one explanation for the differences in CVD. This study was carried out to explore the association between dietary patterns and the presence of cardiovascular risk factors among Pakistani low income urban adults. Methods Socio demographic, physical activity and dietary information was collected from 1546 Pakistani subjects aged ≥40 years from the Control of Hypertension and Risk Attenuation (COBRA) study. Anthropometric, clinical and biomarker measures were assessed. Cluster analysis was used to ...


Exploring Disparities In Underrepresented Minority Groups Of Children Diagnosed With Autism Spectrum Disorders Using The Biopsychosocial Theoretical Model, Varleisha Gibbs 2017 Seton Hall University

Exploring Disparities In Underrepresented Minority Groups Of Children Diagnosed With Autism Spectrum Disorders Using The Biopsychosocial Theoretical Model, Varleisha Gibbs

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study

The rate of Autism continues to rise nationally. However, disparities in the age of diagnosis amongst underrepresented minority groups, still remains a major concern. Research supports that racial and ethnic disparities are key factors influencing noted age of diagnosis discrepancies. Traditionally, the medical community has used the biomedical or disability model, as revealed in the Diagnostic Statistical Manual of Mental Disorders, to explore diagnostic differences. However, these models limit the healthcare professional’s ability to examine elements outside of pathology. In attempt to address the issue with a broader perspective, this study explored the ...


Family Characteristics Associated With Parents' Knowledge And Beliefs Regarding Preschoolers' Physical Activity, Christina B. Zurbuchen, Cassandra Ayres, Emily Hill Guseman 2017 University of Wyoming

Family Characteristics Associated With Parents' Knowledge And Beliefs Regarding Preschoolers' Physical Activity, Christina B. Zurbuchen, Cassandra Ayres, Emily Hill Guseman

Honors Theses AY 16/17

The obesity epidemic has been rising in magnitude for several decades and has spread its influence to include children of all ages. Much research has been done to examine the effect that physical activity (PA) has on an individual's weighty. The amount of PA that children participate in is mediated by various factors: high socioeconomic status, more green space, having a sibling, and parental support for PA are all associated with greater child PA. While all of these factors influence PA participation, their concurrent effect is unknown. A holistic perspective is imperative to the understanding of childhood PA, as ...


When One Is Sick And Two Need Help: Caregivers’ Perspectives On The Negative Consequences Of Caring, Ilja Ormel, Susan Law, Courtney Abbott, Mark Yaffe, Marc Saint-Cyr, Kerry Kuluski, Debbie Josephson, Ann C. Macaulay 2017 St. Mary's Research Centre

When One Is Sick And Two Need Help: Caregivers’ Perspectives On The Negative Consequences Of Caring, Ilja Ormel, Susan Law, Courtney Abbott, Mark Yaffe, Marc Saint-Cyr, Kerry Kuluski, Debbie Josephson, Ann C. Macaulay

Patient Experience Journal

Informal or family caregivers contribute significantly to individual care, and to the Canadian healthcare system, yet receive limited support from governments, institutions, and healthcare professionals in recognition of their role, or in response to their health and social care needs – often due to the negative consequences of caregiving. Learning about the diversity of others’ experiences can positively influence personal decision-making, reduce feelings of isolation, as well as promote adjustment to a personal situation. For caregivers, however, few resources exist that provide reliable information on others’ experiences. We collected the narratives of caregivers’ experiences of caring for someone with a chronic ...


Reducing Healthcare Costs Through Patient Targeting: Risk Adjustment Modeling To Predict Patients Remaining High-Cost, Jonathan A. Wrathall, Tom Belnap 2017 Intermountain Healthcare

Reducing Healthcare Costs Through Patient Targeting: Risk Adjustment Modeling To Predict Patients Remaining High-Cost, Jonathan A. Wrathall, Tom Belnap

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Context: The transition to population health management has changed the healthcare landscape to identify high risk, high cost patients. Various measures of patient risk have attempted to identify likely candidates for care management programs. Pre-screening patients for outreach has often required several years of data. Intermountain Healthcare relied on cost-ranking algorithms which had limited predictive ability. A new risk-adjusted algorithm shows improvements in predicting patients’ future cost status to facilitate identifying patient eligibility for care management.

Case Description: A retrospective cohort study design was used to evaluate high-cost patient status for two of the next three years. Modeling was developed ...


Ludwig's Angina, Tanisha M. Stephens 2017 Georgia State University

Ludwig's Angina, Tanisha M. Stephens

Georgia State Undergraduate Research Conference

No abstract provided.


Today - March / April 2017, Loma Linda University Health 2017 Loma Linda University

Today - March / April 2017, Loma Linda University Health

TODAY

Inside this issue:

- Foundation for hospital construction project starts with 'Big Pour'
- Welcoming Alumni Home (pictorial)
- Homecoming kicks off with 'healthy people' event in healthiest community
- Adventist Church's Health Ministries director challenges alumni's ideas of service
- Research highlights featured during Homecoming weekend (pictorial)
- Homecoming vespers program spotlights history, future of outreach
- Alumni Come Together to Remember
- Loma Linda alumni share their talents
- Prayer Walk offers time for reflection
- Homecoming 5K honors memory of Soret, Schrader
- Black student group honors founder for promoting minority student opportunity
- Neurosurgery professor briefs congressional caucus
- Loma Linda University Health recognized in top 25 ...


Teach-Back Method: Improving Health Outcomes, Katherine Smith 2017 University of Southern Maine

Teach-Back Method: Improving Health Outcomes, Katherine Smith

Thinking Matters

To answer the Clinical PICO question: For patients managing chronic disease, how does the implementation of the teach-back method compared to usual standard of care affect health outcomes? By implementing the teach-back method, we will improve the management of chronic disease in the primary care setting.


A Review Of The Use Of Massive Open Online Courses (Moocs) In Medical Imaging Education, Kevin R. Clark, Beth L. Vealé, Lynette K. Watts 2017 Midwestern State University

A Review Of The Use Of Massive Open Online Courses (Moocs) In Medical Imaging Education, Kevin R. Clark, Beth L. Vealé, Lynette K. Watts

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this review article is to describe the benefits and challenges associated with massive open online courses (MOOCs) and to discuss the implications specific to medical imaging education and training. Methods: Peer-reviewed journal articles pertaining to MOOCs in higher education were analyzed to identify commonalities, relationships, and possible gaps in the literature. Results: Analysis revealed several repetitive themes and concepts regarding the use of MOOCs in higher education: theory of connectivism, instructors’ and students’ perspectives, and benefits and challenges. Implications for medical imaging education and training were also discussed. Conclusions: As web-based education and technology integration continue ...


Do You Really Want A Hunter-Gatherer Microbiota? Perils And Pitfalls For Your Gut, Michael Ruscio 2017 Dr. Michael Ruscio

Do You Really Want A Hunter-Gatherer Microbiota? Perils And Pitfalls For Your Gut, Michael Ruscio

Journal of Evolution and Health

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The Case For The Long Body, Frank Forencich 2017 Exuberant Animal

The Case For The Long Body, Frank Forencich

Journal of Evolution and Health

No abstract provided.


The Host Microbiome Regulates And Maintains Human Health: A Primer And Perspective For Non-Microbiologists, Sunil Thomas, Jacques Izard, Emily Walsh, Kristen Batich, Pakawat Chongsathidkiet, Gerard Clarke, David A. Sela, Alexander J. Muller, James M. Mullin, Korin Albert, John P. Gilligan, Katherine DiGuilio, Rima Dilbarova, Walker Alexander, George P. Prendergast 2017 Lankenau Institute for Medical Research, Wynnewood, Pennsylvania

The Host Microbiome Regulates And Maintains Human Health: A Primer And Perspective For Non-Microbiologists, Sunil Thomas, Jacques Izard, Emily Walsh, Kristen Batich, Pakawat Chongsathidkiet, Gerard Clarke, David A. Sela, Alexander J. Muller, James M. Mullin, Korin Albert, John P. Gilligan, Katherine Diguilio, Rima Dilbarova, Walker Alexander, George P. Prendergast

Faculty Publications in Food Science and Technology

Humans consider themselves discrete autonomous organisms, but recent research is rapidly strengthening the appreciation that associated microorganisms make essential contributions to human health and well being. Each person is inhabited and also surrounded by his/her own signature microbial cloud. A low diversity of microorganisms is associated with a plethora of diseases, including allergy, diabetes, obesity, arthritis, inflammatory bowel diseases, and even neuropsychiatric disorders. Thus, an interaction of microorganisms with the host immune system is required for a healthy body. Exposure to microorganisms from the moment we are born and appropriate microbiome assembly during childhood are essential for establishing an ...


Utilization Of Health Services In A Resource-Limited Rural Area In Kenya: Prevalence And Associated Household-Level Factors, Anthony Ngugi, Felix Agoi, Megan R. Mahoney, Amyn Lakhani, David Mang’ong’o, Esther Nderitu, Robert Armstrong, Sarah Macfarlane 2017 Aga Khan University

Utilization Of Health Services In A Resource-Limited Rural Area In Kenya: Prevalence And Associated Household-Level Factors, Anthony Ngugi, Felix Agoi, Megan R. Mahoney, Amyn Lakhani, David Mang’Ong’O, Esther Nderitu, Robert Armstrong, Sarah Macfarlane

Faculty of Health Sciences, East Africa

Background: Knowledge of utilization of health services and asso- ciated factors is important in planning and delivery of interventions to improve health services coverage. This knowledge is however limited in many developing countries. We determined the preva- lence and factors associated with health services utilization in a rural area of Kenya. Our findings inform the local health management in development of appropriately targeted interventions.

Methods: Design: Cluster sample survey. Population: Residents of Kaloleni sub-County in Kenya.

Participants/respondents: Household key informants. Outcomes: (i) History of illness for household members and (ii) health services utilization in the preceding month, (iii) factors ...


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