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Local Impact - Serving Our Community, Loma Linda University Health 2018 Loma Linda University

Local Impact - Serving Our Community, Loma Linda University Health

Scope


Table of Contents

Features
10 | Outreach to San Bernardino
14 | Community Health Workers
16 | Creating community for the disabled
18 | Water safety in Coachella Valley
19 | People of impact
24 | Serving the homeless with a sacrament
26 | Better child mental health for better physical health
28 | Guilds support children

Departments
4 | From our President - Why we serve
6 | Innovation - Published research
30 | Vision 2020 - Update in images
32 | Giving - Philanthropy focus
34 | Gallery - Commencement 2018
38 | Alumni - Serving nearby
40 | Annual Report - Highlights and financials from the fiscal year


The Chapman Bone Algorithm: A Diagnostic Alternative For The Evaluation Of Osteoporosis, Elise Levesque, Anton Ketterer, Wajiha Memon, Cameron James, Noah Barrett, Cyril Rakovski, Frank Frisch 2018 Chapman University

The Chapman Bone Algorithm: A Diagnostic Alternative For The Evaluation Of Osteoporosis, Elise Levesque, Anton Ketterer, Wajiha Memon, Cameron James, Noah Barrett, Cyril Rakovski, Frank Frisch

Mathematics, Physics, and Computer Science Faculty Articles and Research

Osteoporosis is the most common metabolic bone disease and goes largely undiagnosed throughout the world, due to the inaccessibility of DXA machines. Multivariate analyses of serum bone turnover markers were evaluated in 226 Orange County, California, residents with the intent to determine if serum osteocalcin and serum pyridinoline cross-links could be used to detect the onset of osteoporosis as effectively as a DXA scan. Descriptive analyses of the demographic and lab characteristics of the participants were performed through frequency, means and standard deviation estimations. We implemented logistic regression modeling to find the best classification algorithm for osteoporosis. All calculations and ...


Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, Inés Martínez, Maria X. Maldonado-Gomez, João Carlos Gomes-Neto, Hatem Kittana, Hua Ding, Robert J. Schmaltz, Payal Joglekar, Roberto Jiménez Cardona, Nathan L Marsteller, Steven W. Kembel, Andrew K. Benson, Daniel A. Peterson, Amanda Ramer-Tait, Jens C. Walther 2018 University of Nebraska-Lincoln

Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, Inés Martínez, Maria X. Maldonado-Gomez, João Carlos Gomes-Neto, Hatem Kittana, Hua Ding, Robert J. Schmaltz, Payal Joglekar, Roberto Jiménez Cardona, Nathan L Marsteller, Steven W. Kembel, Andrew K. Benson, Daniel A. Peterson, Amanda Ramer-Tait, Jens C. Walther

Faculty Publications in Food Science and Technology

The factors that govern assembly of the gut microbiota are insufficiently understood. Here, we test the hypothesis that inter-individual microbiota variation can arise solely from differences in the order and timing by which the gut is colonized early in life. Experiments in which mice were inoculated in sequence either with two complex seed communities or a cocktail of four bacterial strains and a seed community revealed that colonization order influenced both the outcome of community assembly and the ecological success of individual colonizers. Historical contingency and priority effects also occurred in Rag1-/- mice, suggesting that the adaptive immune system is ...


How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, Linda Norton 2018 The University of Western Ontario

How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, Linda Norton

Electronic Thesis and Dissertation Repository

Wound prevention and management best practice guidelines and literature contain recommendations that treatment plans need to consider the client’s lifestyle but offer little guidance about the specific lifestyle factors to be considered, nor how to address these. A post positivist constructivist grounded theory study was used to explore this gap Participants were health care providers with at least 5 years of experience working with community dwelling adults with chronic wounds. Data were transcripts of two semi structured individual interviews, a reflective journal, relevant documents identified by participants and transcripts of focus groups.

A common understanding of lifestyle factors was ...


Alumni Journal - Volume 89, Number 2, Loma Linda University School of Medicine 2018 Loma Linda University

Alumni Journal - Volume 89, Number 2, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
14 | True Sustenance
17 | Department Reports: Pediatrics and Obstetrics and Gynecology
24 | APC 2018 Review

Departments
2 | From the Editor
4 | From the President
6 | From the Dean
9 | This and That
10 | School of Medicine News
12 | AIMS Report and Awards
13 | The Student Fund
34 | Book Review
37 | Classified/Placement Ads
38 | Alumni News
39 | In Memoriam
43 | Historical Snapshot
44 | What's Up Doc? - Daniel L. Bouland '82

Extras
8 | New Board of Directors Members and Alumni Association Officer


An Opportunity For Pharmacists To Help Improve Coordination And Continuity Of Patient Health Care, Jon C. Schommer, Lawrence M. Brown, Ryan (Alyssa) Bortz, Alina Cernasev, Basma T. Gomaa, Keri D. Hager, Lisa Hillman, Olihe Okoro, Serguei V. S. Pakhomov, Paul L. Ranelli 2018 University of Minnesota

An Opportunity For Pharmacists To Help Improve Coordination And Continuity Of Patient Health Care, Jon C. Schommer, Lawrence M. Brown, Ryan (Alyssa) Bortz, Alina Cernasev, Basma T. Gomaa, Keri D. Hager, Lisa Hillman, Olihe Okoro, Serguei V. S. Pakhomov, Paul L. Ranelli

Pharmacy Faculty Articles and Research

Pharmacist workforce researchers are predicting a potential surplus of pharmacists in the United States that might result in pharmacists being available for engagement in new roles. The objective for this study was to describe consumer opinions regarding medication use, the health care system, and pharmacists to help identify new roles for pharmacists from the consumer perspective. Data were obtained from the 2015 and 2016 National Consumer Surveys on the Medication Experience and Pharmacist Roles. Out of the representative sample of 36,673 respondents living in the United States, 80% (29,426) submitted written comments at the end of the survey ...


Implementation Of A Screening Protocol To Improve Provider Assessment Of Depression In Patients With Psoriasis, Marlee Bryant 2018 Liberty University

Implementation Of A Screening Protocol To Improve Provider Assessment Of Depression In Patients With Psoriasis, Marlee Bryant

Graduate Student Projects and Scholarship

Patients with psoriasis are at an increased risk for depression. Despite this risk, many dermatology care providers do not screen for depression in practice, including providers at the target practice for this project. This evidence-based practice pilot project was purposed to increase dermatology providers’ assessment of depression in patients with psoriasis. This project involved implementing a depression screening protocol at one private dermatology practice and educating providers on the use of the protocol including the embedded depression screening tool, the Patient Health Questionnaire-9. The project leader used a quasi-experimental design and collected data utilizing retrospective chart reviews completed pre- and ...


Improving Health And Well-Being: Connecting Research And Practice. The 24th Annual Conference Of The Health Care Systems Research Network, Karen L. Margolis, Nico Pronk, Jane E. Duncan, Sarah M. Greene 2018 HealthPartners Institute

Improving Health And Well-Being: Connecting Research And Practice. The 24th Annual Conference Of The Health Care Systems Research Network, Karen L. Margolis, Nico Pronk, Jane E. Duncan, Sarah M. Greene

Journal of Patient-Centered Research and Reviews

The 24th annual conference of the Health Care Systems Research Network (HCSRN, formerly the HMO Research Network), held April 11–13, 2018, in Minneapolis, Minnesota, attracted 357 attendees. The HCSRN is a consortium of 18 community-based research organizations embedded in or affiliated with large health care delivery systems. Its annual research conference, held since 1994, is a unique venue that brings diverse stakeholders (eg, research teams, clinicians, patients, funders) together to explore a range of health research topics and scientific findings, with a unifying goal of connecting applied research to real-world care delivery for the betterment of individual and community ...


Health Sciences Libraries Advancing Collaborative Clinical Research Data Management In Universities, Tania P. Bardyn, Emily F. Patridge, Michael T. Moore, Jane J. Koh 2018 University of Washington

Health Sciences Libraries Advancing Collaborative Clinical Research Data Management In Universities, Tania P. Bardyn, Emily F. Patridge, Michael T. Moore, Jane J. Koh

Journal of eScience Librarianship

Purpose: Medical libraries need to actively review their service models and explore partnerships with other campus entities to provide better-coordinated clinical research management services to faculty and researchers. TRAIL (Translational Research and Information Lab), a five-partner initiative at the University of Washington (UW), explores how best to leverage existing expertise and space to deliver clinical research data management (CRDM) services and emerging technology support to clinical researchers at UW and collaborating institutions in the Pacific Northwest.

Methods: The initiative offers 14 services and a technology-enhanced innovation lab located in the Health Sciences Library (HSL) to support the University of Washington ...


Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, Deanna Powelson 2018 University of Missouri, St. Louis

Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, Deanna Powelson

Dissertations

Purpose: The inappropriate use of antibiotics has led to the development of antimicrobial

resistance which is a severe threat to the public and an increasing global problem. The

Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses

and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States (CDC,

2014). The purpose of this quality improvement (QI) project was to evaluate the

effectiveness of an antibiotic stewardship program (ASP) on urgent care providers'

prescribing on viral respiratory tract infections (RTIs) including the common cold,

pharyngitis, and bronchitis.

Methods: This QI project implemented the CDCs ...


Cancer - The Formidable Opponent, Loma Linda University Health 2018 Loma Linda University

Cancer - The Formidable Opponent, Loma Linda University Health

Scope

Table of Contents:

Features
14 | Mark Reeves on a cancer diagnosis
16 | Genetic testing
17 | Immunotherapy
18 | Psychosocial support
21 | Myths of clinical trials
22 | Treating cancer in children
24 | Hope for stage IV patients
26 | Treating leukemia in the surrounding Hispanic population
28 | Turning off a cell's switching mechanism
29 | Prompting leukemia cells to die
30 | Cancer-fighting foods
32 | Finding answers and treatments with California's cancer database
34 | Mapping cancer screening
36 | History of our proton therapy
37 | Out next step in battling cancer

Departments
4 | From our President: Living for a cure
6 | Updates: Clinical ...


Parkinson’S Disease Support Groups In Rural America: Barriers, Resources, And Opportunities, Erin J. Bush, Reshmi L. Singh, Mary Jo C. Hidecker, Catherine Phillips Carrico 2018 University of Wyoming

Parkinson’S Disease Support Groups In Rural America: Barriers, Resources, And Opportunities, Erin J. Bush, Reshmi L. Singh, Mary Jo C. Hidecker, Catherine Phillips Carrico

The Qualitative Report

People with Parkinson’s disease who live in rural communities may lack information and support regarding their condition, compared to those in urban or suburban areas. For the study described herein, the researchers sought to gain a deeper understanding of support group experiences of rural Parkinson’s disease stakeholders through merging an interpretive phenomenological design with Community-based Participatory Research (CBPR). Using this merged approach, we collected qualitative data from five focus groups to gain a community perspective. The qualitative data was analyzed thematically, first, and then further explored for an overall essence. The theme, Support Group Benefits: Opportunities for Communication ...


Patient Acceptance Of Remote Scribing Powered By Google Glass In Outpatient Dermatology: Cross-Sectional Study, Sandra Odenheimer, Deepika Goyal, Veena Jones, Ruth Rosenblum, Lam Ho, Albert Chan 2018 Palo Alto Medical Foundation

Patient Acceptance Of Remote Scribing Powered By Google Glass In Outpatient Dermatology: Cross-Sectional Study, Sandra Odenheimer, Deepika Goyal, Veena Jones, Ruth Rosenblum, Lam Ho, Albert Chan

Faculty Publications

Background: The ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient’s relevant EHR information. The medical scribe is able to chart patient encounters in real-time working in an offsite ...


Today - June 2018, Loma Linda University Health 2018 Loma Linda University

Today - June 2018, Loma Linda University Health

TODAY

Inside this issue:

-- School of Medicine honors Leonard Bailey’s contributions to infant heart transplant field
-- School of Pharmacy graduates encouraged to find value in life beyond work
-- School of Dentistry graduates begin their professional journeys
-- Allied Health Professions graduates encouraged to share love of Jesus with their future patients
-- School of Public Health graduating class represents 25 nations
-- Schools of Religion, Behavioral Health graduates encouraged to serve others
-- School of Nursing celebrates milestone as 10,000th graduate receives degree
-- University President’s Award winners announced for 2018
-- 42 graduate from San Manuel Gateway College’s medical certificate programs


Understanding The Factors Influencing The Perception Of Organizational Sustainability Among Healthcare Professionals (Hcps) Post The Patient Protection And Affordable Care Act, Funso A. Olufade 2018 Seton Hall University

Understanding The Factors Influencing The Perception Of Organizational Sustainability Among Healthcare Professionals (Hcps) Post The Patient Protection And Affordable Care Act, Funso A. Olufade

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Healthcare costs in the United States has continued to increase annually, and new policy's attempt at protocol changes in healthcare practices does not ensure quality care delivery. An example of these policies include provisions and new guidelines under the 2010 healthcare legislation, - The Patient Protection and Affordable Care Act (ACA). The premise with the Affordable Care Act (ACA) is increased healthcare access for patients. However, not responsibly balancing the increased demand with the escalating cost of care creates an unsustainable system (Department of Health & Human Services, 2015). Healthcare organizations, including hospitals and medical ...


Thermoregulatory Dysfunction In Multiple Sclerosis, Dustin R. Allen 2018 Southern Methodist University

Thermoregulatory Dysfunction In Multiple Sclerosis, Dustin R. Allen

Department of Applied Physiology and Wellness Theses and Dissertations

Multiple sclerosis (MS) is a progressive neurological disease of the central nervous system (CNS) affecting an estimated 2.3 million people worldwide. Marked by lesions in the brain and spinal cord, MS leads to conduction abnormalities in the CNS. Evidence suggests ~60% of individuals with MS experience temporary worsening of their symptoms upon exposure to heat. Adding complexity, observational evidence suggests these individuals exhibit reduced thermoregulatory responses in upon increases in core temperature. Consequently, these individuals face a vicious cycle of heat sensitivity and thermoregulatory dysfunction, substantially impacting their quality of life. With this in mind, our lab is dedicated ...


Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes 2018 Lesley University

Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes

Expressive Therapies Capstone Theses

Play is a major topic of conversation when discussing childhood development is associated with creativity and imagination. Although there has been some research involving the creative process amongst children, little has been explored in regards to expressive arts as a technique to further current studies on play. This paper presents a combined method of intermodal expressive arts therapies and play therapy techniques to aid in the fostering of creativity within children with disabilities by utilized the theoretical framework provided by the Expressive Therapies Continuum (ETC). A current review of literature on the ETC, cognitive functions, and expressive arts modalities is ...


Método Innovador De Neurociencia Y Coaching Que Reduce El Estrés Y Mejora El Rendimiento Y La Capacidad Cerebral, Sara Dobarro, Javier Simón, Alejandro Marin, Santiago Dobarro 2018 Universidad de Zaragoza

Método Innovador De Neurociencia Y Coaching Que Reduce El Estrés Y Mejora El Rendimiento Y La Capacidad Cerebral, Sara Dobarro, Javier Simón, Alejandro Marin, Santiago Dobarro

ICOT 18 - International Conference on Thinking - Cultivating Mindsets for Global Citizens

Presentación de los resultados obtenidos con la aplicación del Método mSD en el manejo del estrés, la ansiedad, y otros estados mentales motivados por procesos involuntarios. El mSD se ha aplicado sobre niños, jóvenes, adultos, ancianos con y sin patologías clínicas, dando todos ellos excelentes resultados. También se ha trabajado con el mSD en pacientes con Alzheimer en un proyecto de investigación farmacológica.


Energy Expenditure Performing Hands-Only Cardiopulmonary Resuscitation During Average Emergency Response Times, Johnathan Valdez, Savanna Edson, Micha Emmel, Jesus Rivera-Macias, Benjamin Adams, Mary Casilla 2018 Eastern Washington University

Energy Expenditure Performing Hands-Only Cardiopulmonary Resuscitation During Average Emergency Response Times, Johnathan Valdez, Savanna Edson, Micha Emmel, Jesus Rivera-Macias, Benjamin Adams, Mary Casilla

2018 Symposium

Early cardiopulmonary resuscitation (CPR) by civilian responders is a critical aspect in the survival of cardiac arrest patients. According to the American Red Cross (ARC), the average response time to a 911 call is 8-12 min. High-quality CPR performed as soon as possible following cardiac arrest considerably increases a person’s chances of survival and recovery. It is possible that fatigue may decrease CPR quality, and to date no data exists on the metabolic cost of preforming hands-only CPR. PURPOSE: To determine the energy expenditure of performing hands-only CPR during the average emergency response time. METHODS: Eight college-aged participants (23 ...


An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup 2018 Abilene Christian University

An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup

Electronic Theses and Dissertations

ABSTRACT On March 23, 2010, Congress passed the Patient Protection and Affordable Care Act (ACA) to increase value of care, improve clinical outcomes, decrease health care costs, and increase affordability in health care access. The purpose of the study attempts to examine the moderating effects of patient enablement impacting barriers, low socio economic status, and unmet basic needs, toward health care access in uninsured populations post ACA. Only certain aspects of patient enablement in self-management of an individual’s health care goals have been conducted with uninsured populations with barriers toward health care access. The research design was a quantitative ...


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