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Inhalant Abuse In The Pacific Islands: Gasoline Sniffing In Chuuk, Federated States Of Micronesia, Mac Marshall, Rocky Sexton, Lee Insko

Pacific Studies

No abstract provided.

Commencement Program 1994, Loma Linda University

Commencement Programs

CONTENTS

2 | 1994 Events of Commencement

3 | Academic Procession

4 | The Speakers

7 | The Honorees

14 | The Zapara Award

Order of Programs

• School of Medicine, 16
• School of Dentistry, 22
• Graduate School, 29
• School of Nursing, 37
• School of Public Health
• School of Allied Health Professions, 48

Prevalence Of Fatty Liver In Japanese Children Ages 4 To 12 Years Old : Relationship To Obesity : An Epidemiological Ultrasonographic Survey, Kunihiko Tominaga

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of fatty liver disease in children is not well established and its relationship to childhood obesity is poorly defined. The present study of 810 northern Japanese school-aged children (4-12 years old), determined the prevalence of fatty liver and its relationship to gender and degree of obesity. Diagnosis of fatty liver was assessed by real-time ultrasonography.

RESULTS: 1. The overall prevalence of fatty liver is 2.6 %. 2. Fatty liver prevalence is higher for boys (3.4 %) than for girls (1.8 %), although not statistically significant (P = 0.15). 3. Fatty liver occurs in children as young as 6 …

An Assessment Of Three Different Forms Of Sterlization And Clinical Usage On Various Orthodontic Pin And Ligature Cutters : A Pilot Study, Warren L. Creed

Loma Linda University Electronic Theses, Dissertations & Projects

With an awareness of cross infection in dentistry and of AIDS (acquired immune deficiency syndrome), sterilization in the dental office has been brought to the public's attention by the news media. Much work has been done on which sterilization methods are acceptable but little has been written about the effects of sterilization procedures on the instruments themselves. In this study, 36 pin and ligature cutters were sterilized 250 cycles using three different methods of sterilization following the guidelines given by the Center for Disease Control (CDC). The cutters were examined for changes in lateral hinge movement, visual appearance and ordinal …

The Influence Of Prepregnancy Weight And Maternal Weight Gain : On Birth Weight Among Black Wic Participants In San Bernardino County, Marta Lukas Sovyanhadi

Loma Linda University Electronic Theses, Dissertations & Projects

Birth records show that San Bernardino County has the highest black infant mortality rate of the 16 counties in California with the largest proportion of African-Americans births. Although total infant deaths in San Bernardino County had fallen to 8.6 per 1,000 live births by 1992, the infant mortality rate among the black population of the county was close to two times higher at 16.8 per 1,000. This is the first study to address the high infant mortality rate among blacks in San Bernardino County. Factors which may affect the black infant mortality rate were examined.

Subjects were drawn from a …

The Media, Risk Assessment And Numbers: They Don't Add Up, Sharon M. Friedman

RISK: Health, Safety & Environment (1990-2002)

Professor Friedman argues that, for risks to be reported accurately, journalism educators must help their students understand science, numbers and statistics.

Patient Perceptions Of Quality: The Influence Of Value And Beneficence, Rebecca H. Waldon

Theses and Dissertations (ETD)

The influence of patient values and patient perception of benefits on patient perceptions of quality have not been extensively investigated, even though patient and provider perceptions of quality have been widely studied. Refocusing quality assessment and improvement to include factors that influence patient perceptions of quality is necessary for humanitarian and economic reasons. The health care patient has certain expectations of health care. These expectations are based on the value the patient places on the services. Value is a predictor of patient-perception of quality. The relative worth of patient goals may also be related to patient perceptions of quality. If …

Immunohistochemical Estrogen Receptor Determination In Human Breast Carcinoma: Correlation With Histologic Differentiation And Age Of The Patients, Shahid Pervez, S. Shaikh, F. Aijaz, S. A. Aziz, M. Naqvi, Sheema H. Hasan

Department of Pathology and Laboratory Medicine

An immunohistochemical assay for the measurement of estrogen receptor (ER) has been evaluated on 290 consecutive human breast biopsy and mastectomy specimens in the year 1992 at The Aga Khan University Hospital laboratories. Immunohistochemical localization of estrogen receptor on frozen/paraffin section was scored in a semi-quantitative fashion incorporating both the intensity and the distribution of specific staining. Histologic grading of the tumour was performed according to Bloom’s method. In this study, 21% of the tumours were estrogen receptor negative, 15% were weak positive, 25% intermediate positive and 39% strong positive. Fifty percent of the well differentiated tumours showed strong ER …

Prevention Of Occupational Exposure Of Tuberculosis To Health Care Workers, Thomas C. Carle

Theses

The resurgence of tuberculosis in the United States within the past decade has prompted the health care community to develop tuberculosis elimination policies. However, recent outbreaks of tuberculosis have proved to be resistant to multiple antibiotics. Tuberculosis infections among health care workers is also rising. This increase in occupational exposures has prompted the examination of current exposure control measures.

The occupational exposure to tuberculosis is prevented by the use of administrative policies, engineering controls and personal protective equipment. Each control measure has inherent strengths and weaknesses and when implemented through an exposure control plan the risk of occupational exposure can …

Managing Occupational Hazards Confronting Healthcare Workers, Kiran A. Mody

Theses

The primary goal of this thesis is to identify, evaluate, and control occupational hazards that may exist in health care facilities.

Due to the complex nature of health care facilities, healthcare workers are always challenged by an imposing group of occupational hazards. The magnitude and diversity of these hazards, and the constantly changing nature of government regulations make it difficult to guarantee absolute protection and accuracy of the material contained herein. However, awareness of the risks, compliance with basic preventive measures, and adequate interventions are all essential components to consider in protecting healthcare workers.

Therefore, potential health effects of various …

Federal Support For Medical Education: Framing The Issues For The Systems Reform Debate, Karen Matherlee

National Health Policy Forum

Designed primarily for federal legislative and regulatory health staff involved in systems reform efforts, the session provided a primer on current medical education policies (with emphasis on federal strategies) and a prospectus on policies to change them.

Patients As Subjects For Research: Ethical Dilemmas For The Primary Care Clinician-Investigator, Susan F. Slatkoff, Peter Curtis, Ann L. Coker

CRVAW Faculty Journal Articles

Background: Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN). In 1987, University of North Carolina (UNC) Hospitals Family Practice Center clinicians were approached for a control population to study this association. Methods: One hundred fives patients attending the UNC Hospitals Neoplasia Clinic with biopsy-proven CIN 2 or 3 and 268 control patients attending the UNC Family Practice Center for a routine Papanicolaou smear were enrolled in this case-control study. Case and control patients consented to having an additional cervical specimen taken and to being interviewed. The cervical specimens were classified by the Southern blot …

An Assessment Of Four-Hour Sample Durations Used To Determine Full-Shift Noise Exposures In A Foundry, Vince Marlo Fleming

Community & Environmental Health Theses & Dissertations

Full-shift sampling, usually eight hours, is traditionally performed to assess daily occupational noise exposure. This sampling approach is inefficient, and costly for repeated, long-term exposure evaluations. This study assessed the use of four-hour sample durations and subsequent data analysis to determine daily occupational noise exposures in a foundry. The four-hour sample durations were extracted from full-shift samples and analyzed on their ability to provide valid data for estimating mean daily noise exposure levels without significantly affecting sampling precision or accuracy. Results of this study indicate four-hour sample durations can be used successfully to estimate full-shift noise exposures provided certain criteria …

The Identification And Magnitude Estimation Of Occupational Stressors In The Industrial Hygiene Profession, Judith Hinch

Community & Environmental Health Theses & Dissertations

The industrial hygiene professional is responsible for the evaluation and control of hazards in the workplace. Job stress has been identified as a factor affecting the health, safety and productivity of workers and can be considered a workplace hazard.

This study involved the development of an instrument to identify and quantify sources of stress within a give profession. The industrial hygiene profession was chosen, though the method can be, and has been, used to evaluate stress in other groups of individuals. The method involved the identification of the most significant sources of stress by surveying a small number of the …

Humic And Fulvic Acids: Sink Or Source In The Availability Of Metals To The Marine Bivalves Macoma Balthica And Potamocorbula Amurensis?, Alan W. Decho, Samuel N. Luoma

Faculty Publications

Humic acids (HA) and fulvic acids (FA) are common forms of organic matter in marine sediments, and are routinely ingested by deposit- and suspension-feeding animals. These compounds may be a sink for metals, implying that once metals are bound to humic substances they are no longer available to food webs. A series of experiments was conducted to quantitatively examine this premise using 2 estuarine bivalves from San Francisco Bay, USA: the suspension feeder Potarnocorbula arnurensis and the facultative deposit feeder Macoma balthica. HA and FA, isolated from marine sediments, were bound as organic coatings to either hydrous ferric oxides …

Use Of In Vivo Complementation In Mycobacterium Tuberculosis To Identify A Genomic Fragment Associated With Virulence, Lisa Pascopella, Frank M. Collins, Jean M. Martin, Mong Hong Lee, Graham F. Hatfull, C. Kendall Stover, Barry R. Bloom, William R. Jacobs Jr.

Public and Community Health Sciences Faculty Publications

Novel molecular tools and genetic methods were developed to isolate genomic fragments of Mycobacterium tuberculosis that may be associated with virulence. We sought to restore virulence, a characteristic of M. tuberculosis that is correlated with growth rate in mouse spleen and lung tissue, to the avirulent strain H37Ra by complementation. A representative library of the virulent M. tuberculosis strain H37Rv was constructed and transformed into H37Ra. Enrichment for individual faster-growing recombinants was achieved by passage of pools of H37Ra transformants harboring the H37Rv library through mice. A molecular strategy was devised to isolate and clone the H37Rv genomic DNA fragment …

Ua66/14/4 Kentucky Partnership Newsletter, Vol. Ii, No. 2, Kentucky Partnership For Farm Family Health & Safety

University Organizations

Newsletter created by and about the Kentucky Partnership for Farm Family Health & Safety.

Menopausal Hormone Replacement: Not Necessarily Routine, Mary Guinan

School of Public Health Faculty Research

No abstract provided.

Ua12/4 Commuter Link, Vol. 2, No. 2, Wku Health Services

WKU Administration Documents

Newsletter created for non-traditional students returning to WKU.

The Effects Of Organizational Culture On Quality Of Life For Older Veterans, Michelle Diane Stone

Dissertations

The organizational culture in a Veteran's Administration Medical Center (VAMC) was described using triangulated methods which included both secondary quantitative survey data, and internal documentary data sources. The initial survey data collected, from staff and elder veterans revealed an overall positive perception from both samples regarding the quality of life for elder veterans living on extended care wards. The study investigated the extent to which the VAMC's organizational culture affected these perceptions of quality of life.

Documentary data were collected from a variety of VAMC sources regarding behaviors, ideologies, leadership trends, mechanisms of control, and the formal organizational structure. A …

The Effect Of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program On Knowledge, Attitudes And Sexual Behavior Of Selected College Students, Arlene Jaine Jackson Montgomery

Health Services Research Dissertations

The problem studied in this investigation was whether a behaviorally focused Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Program affects the knowledge, sexual attitudes and sexual behavior of college students.

Three hundred and six first-and third-year college students were included in the study from one university located in Southeastern Virginia. The sample was predominately female, African-American and mainly between the ages of 16-22 years of age.

Freshmen students were presently enrolled in the institution's HIV/AIDS education program, which was a part of a required course. The class sessions consisted of a pretest prior to student's completing the reading assignment …

Ua66/14/4 Kentucky Partnership Newsletter, Vol. Ii, No. 1, Kentucky Partnership For Farm Family Health & Safety

University Organizations

Newsletter created by and about the Kentucky Partnership for Farm Family Health & Safety.

Intelad : Intelligent Computer Workstation Adjustment Software, David W. Venezia

Theses

Muscular-skeletal disorders are a significant safety concern for professional computer users. Regard for human health, regulatory emphasis, and the inherent cost of the disorders give rise to this point. In an attempt to reduce the risk of injury to computer operators from Carpal Tunnel Syndrome, this body of work provides an easy to use tool capable of determining the near optimal workstation orientation for any operator/workstation combination. Using a unique algorithm and compiled anthropometric data, computer software has been specially developed to map individual workstations in the Cartesian coordinate system. This mapping yields a recommended orientation that is compared to …

Quantitative Economic Evaluations Of Hiv-Related Prevention And Treatment Services: A Review, David R. Holtgrave, Ronald O. Valdiserri, Gary A. West

RISK: Health, Safety & Environment (1990-2002)

Dr. Holtgrave and colleagues at the CDC set forth an extensive taxonomy of HIV prevention and treatment services and review reports of efforts to subject some of those services to formal economic evaluation. They find few services thus far to have been so evaluated, no evaluation to have focused solely upon behavioral outcomes and most economic evaluations to lack formal quantitative analyses.

A Case Study Of Health Risk Communication: What The Public Wants And What It Gets, Jeannette M. Trauth

RISK: Health, Safety & Environment (1990-2002)

Dr. Trauth presents a content analysis of 40 years of coverage of a major local source of air pollution by a Pittsburgh newspaper. She also summarizes the results of a survey conducted to determine the extent to which citizens of most likely affected communities, e.g., understand health risks and desire further information.

A Financial Analysis Of A Southern California Coalition Of Visiting Nurse Associations, Diane Sutton Burns

Theses Digitization Project

No abstract provided.

Certified Nursing Assistants' Satisfaction With Education And Training Programs In Long-Term Care Facilities: A Massachusetts Study, Sheila Kenny Morin

Theses Digitization Project

No abstract provided.

Development Of A Test Of Cognitive Bias In Medical Decision Making, Paul J. Hershberger, Howard M. Part, Ronald J. Markert, Steven M. Cohen, William W. Finger

Family Medicine Faculty Publications

Purpose. To develop an inventory to measure the influence of cognitive biases on medical decisions. Method. The Inventory of Cognitive Biases in Medicine (ICBM) consists of 22 medical scenarios in which respondents choose between alternatives that represent bias-prone or statistically based decisions. In 1992 and 1993 the ICBM was administered to 102 medical students and residents and 318 physician faculty at the Wright State University School of Medicine. Results. The statistically correct decision was made in fewer than half the ICBM scenarios for both groups (students and residents, 41%; faculty, 49%); and only the faculty scored better than chance. Acceptable …

Introduction (Environmental Threats In Egypt: Perceptions And Actions), Salwa Sharawi Gomaa

Faculty Book Chapters

[abstract not provided]

Pollution And People In Cairo, Nicholas S. Hopkins, Sohair Mehanna, Tamer Abdelkader, Noha Abu Gazia, Samer El-Karanshawy, Inas Tewfik

Faculty Book Chapters

[abstract not provided]