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Adobe Medicus 2009 5 September-October, Health Sciences Library And Informatics Center

adobe medicus

No abstract provided.

2008 Annual Report, Thomas F. Turner

Annual Reports

No abstract provided.

Complementary And Alternative Medicine (Cam) Use In Pediatric Oncology: A New Horizon Or Costly Myth?, Justin Roesch, Mark Holdsworth, Stuart Winter, Dennis Raisch

Undergraduate Medical Student Research

Complementary and alternative medicines (CAMs) are increasingly being utilized in the pediatric cancer population, despite unproven risks and benefits, and significant additional cost of treatment. Objective: To identify the prevalence of CAM use and the most frequently utilized CAMs, and to examine the physiologic impact of CAM in pediatric cancer patients undergoing chemotherapy. Additional objectives included identifying the cost associated with CAM, and the rationale for CAM usage.

Ethnic Differences In Dysmorphic Features Among Children With Fetal Alcohol Spectrum Disorders, Philip May, Phillip Gossage, Matthew Smith, Barbara Tabachnick, Luther Robinson, Melanie Manning, Mauro Cecanti, Jones Lyons, Denis Viljoen, Nathaniel Khaole, David Buckley, Wendy Kalberg, Eugene Hoyme

Undergraduate Medical Student Research

Children adversely affected by prenatal exposure to alcohol display a continuum of dysmorphic features, behavioral and neuropsychological deficits best termed fetal alcohol spectrum disorders (FASD). Alcohol exposure during critical stages of central nervous system and midfacial development leads to the observed pattern. Recent research on FASD focuses increasingly on quantifying physical traits (including head circumference, palpebral fissure length, philtrum length, morphology of the philtrum and vermilion border of the upper lip) and comparing them to specific neurocognitive findings. Various standards and cut-off points have been used by dysmorphologists to determine which of the structural features of children prenatally exposed to …

Visualizing Qualitative Information, Debra J. Sloane

The Qualitative Report

The abundance of qualitative data in today's society and the need to easily scrutinize, digest, and share this information calls for effective visualization and analysis tools. Yet, no existing qualitative tools have the analytic power, visual effectiveness, and universality of familiar quantitative instruments like bar charts, scatter-plots, and pie charts. Amid a discussion of the need for more powerful qualitative analysis and visualization tools, this article presents a device that takes us toward better representations of qualitative results.

Low Prevalence Of The Intact Cag Pathogenicity Island In Clinical Isolates Of Helicobacter Pylori In Karachi, Pakistan, Javed Yakoob, Wasim Jafri, Zaigham Abbas, Shahab Abid, R. Khan, N. Jafri, Z. Ahmad

Department of Medicine

Clinical diseases that follow Helicobacter pylori infection are associated with expression of the cagA gene, a part of cytotoxin-associated gene pathogenicity island (cag-PAI). This study aims to determined whether or not the presence of cagA is associated with the presence of complete cag-PAI and to evaluate inflammatory changes associated with the five loci in the cag-PAI of H. pylori comprising cagA, cagA promoter region (cagAP), cagE, cagT and the left end of the cagA gene (LEC). H. pylori isolates were obtained from patients with dyspeptic symptoms. Clinical strains of H. pylori were screened by the polymerase chain reaction (PCR) for …

Knowledge And Practice Of Healthy Lifestyle And Dietary Habits In Medical And Non-Medical Students Of Karachi, Pakistan, Rubina A. Sajwani, Sana Shoukat, Rushna Raza, Muhammad Muhyeuddin Shiekh, Quratulain Rashid, Momin Saulat Siddique, Sukaina Panju, Hasan Raza, Sophia Chaudhry, Muhammad Masood Kadir

Community Health Sciences

OBJECTIVE: To objectively compare the differences in knowledge and practices regarding healthy lifestyle among medical and non-medical students of Karachi along with assessment of any perceived barriers.METHODS: This cross-sectional study included 350 students between ages 17-24 years from 6 private universities of Karachi--three medical and three non-medical Institutions. A self-reported questionnaire was employed to assess attitude and barriers to healthy practices among the simple random selection of students.RESULTS: On a 10-point scale, the average knowledge score of students on general and clinical nutritional knowledge was 5.7 +/- 1.51 and 4.4 +/- 1.77, respectively and the difference was statistically significant (p < 0.01). Conversely the diet and lifestyle score (85-point scale) among medical (41.3) and non medical students (40.8) was not significant (p = 0.646). There was no difference between the perception of medical and non-medical students regarding 'work-related stress' in their life. 'Lack of time' was cited as the most important reason for skipping meals and as a barrier to exercising regularly among both groups.CONCLUSION: The knowledge, attitudes and practices of medical students in Karachi suggest that superior knowledge about healthy lifestyle does not necessarily result into better practices.

City And Community Innovations In Cdas: The Role Of Community-Based Organizations, Carl Rist, Liana Humphrey

Center for Social Development Research

In the SEED Initiative, twelve community-based organizations (CBOs) across the United States and its territories were chosen to offer CDAs, establish best practices in delivering CDAs and demonstrate “proof of concept.” Since the inception of the SEED Initiative, a second wave of CDA programs has emerged at the local level. The purpose of this paper is to analyze these community and city-wide CDA innovations in the U.S. and to examine the role that CBOs play in these innovations. First, this paper explores the theory behind CBO engagement in asset-building and the roles CBOs typically play at the local level. Second, …

Retaining The Next Generation Of Nurses: The Wisconsin Nurse Residency Program Provides A Continuum Of Support, Marilyn Meyer Bratt

College of Nursing Faculty Research and Publications

Because of the high costs associated with new graduate nurse turnover, an academic-service partnership developed a nurse residency program that provides a comprehensive support system that spans 15 months. Now in its fourth year, involving more than 50 urban and rural hospitals of varying sizes and geographic locations, the program provides formalized preceptor training, monthly daylong educational sessions, and mentoring by clinical coaches. Key factors contributing to the success of this program are a dedicated, cohesive planning team of individuals who embrace a common agenda, stakeholder buy-in, appropriate allocation of resources, and clear articulation of measures of success, with associated …

Risk Management & Patient Safety: Focus On The Patient And The Rest Falls Into Place, Kathryn Rapala, Kathryn Leonhardt

College of Nursing Faculty Research and Publications

It is difficult, if not impossible, to define and separate risk management and patient safety roles. Both track and mitigate patient care error and improve processes with the goal of improving patient outcomes. At Aurora Health Care, risk management and patient safety are intertwined throughout the system. In the course of clarifying function, we have attempted to delineate risk management from patient safety, only to conclude that it is difficult to identify where one ends and the other begins. The structure and process that we are developing at Aurora Health Care offer advantages as well as challenges, but the organizational …

The Elucidation Of Metabolic Pathways And Their Improvements Using Stable Optimization Of Large-Scale Kinetic Models Of Cellular Systems, Evgeni V. Nikolaev

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Metabolic engineering of cellular systems to maximize reaction fluxes or metabolite concentrations still presents a significant challenge by encountering unpredictable instabilities that can be caused by simultaneous or consecutive enhancements of many reaction steps. It can therefore be important to select carefully small subsets of key enzymes for their subsequent stable modification compatible with cell physiology. To address this important problem, we introduce a general mixed integer non-linear problem (MINLP) formulation to compute automatically which enzyme levels should be modulated and which enzyme regulatory structures should be altered to achieve the given optimization goal using non-linear kinetic models of relevant …

Introduction To Symposium: International Protection Of Religious Freedom: National Implementation

BYU Law Review

No abstract provided.

Religion And Rule Of Law In China Today, Zhuo Xinping

BYU Law Review

No abstract provided.

The Implementation Of Inter-American Norms On Freedom Of Religion In The National Legislation Of Oas Member States, Evaldo Xavier Gomes

BYU Law Review

No abstract provided.

The Colombian Experience In The Area Of Protection Of The Freedom Of Religion, Sergio González Sandoval

BYU Law Review

No abstract provided.

Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the increase in children born prenatally exposed to methamphetamine, little is known about the cognitive and neuropsychological outcomes of these children. Research specific to prenatal-methamphetamine exposure is extremely limited and has been primarily restricted to rat studies. This research combined with the few studies examining children prenatally exposed to methamphetamine suggests that methamphetamine-exposure is associated with various cognitive and neuropsychological delays and is impacted by both biological and environmental factors. Given the scarcity of research in this area, the current study used archival data from a psychological assessment clinic to (1) describe the frequency of prenatal methamphetamine-exposure cases, (2) …

Observer Reliability Of Cephalometric Landmark Identification On 3-D Mr Images, Michael S. Pollack

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Cephalometric analysis is a cornerstone of orthodontic diagnosis, yet much information is lost when 3-dimensional structures are assessed with 2-dimensional methods. CBCT offers 3-dimensional imaging but at the cost of higher levels of ionizing radiation. Magnetic resonance imaging provides 3-dimensional imaging without ionizing radiation and additionally imparts visualization of soft tissue structures. Prior to employing MR images for cephalometric analysis, reliability of landmark identification must be assessed. The purpose of this study was to evaluate intra- and interobserver reliability in 3-dimensional landmark identification using MR images.

Materials and Methods: Fifteen cranial MR images (3.0 T, MP-RAGE) from subjects between …

Using Cone Beam Computed Tomography To Identify A Prediction Model For Obstructive Sleep Apnea, Jodi Parker

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Obstructive Sleep Apnea (OSA) patients have increased risk of morbidity and mortality. Early diagnosis may reduce morbidity and mortality. Prediction of OSA from imaging may help to identify OSA patients earlier in life. CBCT can be used for OSA diagnostic imaging due to its three-dimensional (3D) visualization of the upper airway and craniofacial complex. Magnification associated with conventional 2D radiography is eliminated with CBCT, and radiation to the patient is significantly less than previous modalities used to measure craniofacial & airway measurements associated with OSA. During a CBCT scan, the patient's image is taken supine, rather than the upright …

Effects Of Functional Appliances On The Tmj And Mandibular Length Of Skeletal Class Ii Patients: A Cone Beam Computed Tomography Study, David C. Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Functional appliances have been efficiently used in the treatment of Class II malocclusions caused by retrognathic mandibles. Cone beam computed tomography has enabled us to make more accurate linear measurements by eliminating superimposition of other structures and to analyze skeletal anatomic detail in all three planes of space. This retrospective study evaluated the osseous changes in the temporomandibular joint (TMJ) and length of the mandible in skeletal Class II malocclusion patients treated with the fixed functional appliances and compared measurements with Class I malocclusion patients treated with orthodontic mechanics that did not alter skeletal relationships.

Materials and Methods: Twelve …

Influence Of Stainless Steel Orthodontic Brackets On Magnetic Resonance Imaging, Christian James Hoybjerg

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Magnetic resonance imaging (MRI) machines provide 2D as well as 3D images that are excellent in contrasting soft-tissue in the maxillofacial region and are void of ionizing radiation. The drawbacks include the lack of depiction of cortical bony detail and image degradation caused by substances in the scanned area. Specifically, in the orthodontic field stainless steel brackets cause more distortion of MR images then any other bracket material. It is unknown what type of stainless steel alloy causes the most MRI distortion. The purpose of this study is to evaluate the degree of craniofacial MR distortion caused by various …

Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell

Loma Linda University Electronic Theses, Dissertations & Projects

Tiefer, Hall, and Tavris (2002) described factors comprising four categories of female sexual function. They suggested that unique factors need to be examined to understand sexual function in women. Socio-cultural, political, or economic factors, partner and relationship factors, psychological factors, and medical factors were described as aspects of women’s lives that can be the source of sexual dysfunction. In a previous study, Merrell (2007) utilized Tiefer et al’s (2002) four factor model of sexual functioning to examine female sexual functioning looking specifically at body shame, relationship satisfaction, positive and negative affect, sexual self-schema, and overall health. Based on the results …

Patient/Physician Communication In Type 2 Diabetes-Related Health Behavior Change, Barbara Marie Thomas

Loma Linda University Electronic Theses, Dissertations & Projects

Adult type 2 diabetes is an increasing problem in the United States and affected over 16 million Americans in 2004. Most patients are treated in primary care settings and managed medically, but controlling insulin resistance through activity and diet is considered the greatest challenge for the next 30 years (Katen, et al., 2007). Understanding how physicians and patients communicate about health behaviors is necessary for developing the most effective strategies for facilitating health behavior change in this population. In the current study, adults with type 2 diabetes (n= 87) from the Loma Linda University Diabetes Treatment Center (LLUDTC), …

The Influence Of Work Of Fracture On Six Orthodontic Bonding Systems, Tyler S. Pritchard

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Bonding is the primary method of attaching brackets to teeth in modem orthodontics. Thus, many studies have focused on the maximum shear bond strength values of orthodontic adhesives. In contrast, very little research has been performed considering the work of fracture of orthodontic bonding systems. Work of Fracture is defined as the area under the curve of a stress-strain graph. Previous shear bond strength studies measured the force necessary to produce bond failure. The purpose of this study was to measure the maximum shear force and displacement of six bonding systems and to calculate the work of fracture.

Materials …

Nurses' Spiritual Care Practices: Assessment, Type, Frequency, And Correlates, Iris Mamier

Loma Linda University Electronic Theses, Dissertations & Projects

This descriptive, correlational study described the type, frequency, and correlates of nurses' spiritual care practices (quantitative) and their experiences with the sacred at work (qualitative). A convenience sample of 554 (24%) of the Registered Nurses employed at a western United States faith-based tertiary care health system participated in this online survey. Nurses' spiritual care practices were assessed using the 17-item Nurses' Spiritual Care Practice Questionnaire (NSCQ). Factorial validity and reliability of the pilot NSCQ were established. Spiritual care practices most frequently endorsed were assessing patients' spiritual beliefs pertaining to health and listening to patients' stories of illness and their spiritual …

Effects Of Functional Appliances On Pharyngeal Airway Dimensions: A Cone Beam Computed Tomography Study, Melissa K. Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Functional appliances are intended to correct by incremental advancement of the mandible for correction of skeletal Class 11 relationships. Similar in design to functional appliances, mandibular advancing devices (MAD) are used for obstructive sleep apnea (OSA) patients as they increase the size of the airway by drawing the tongue and soft palate forwards, and thus maintain its patency during sleep. It has been shown that significant increases in airway dimensions and decreases in airway resistance were gained in OSA patients while evaluated with a MAD in place. This retrospective study evaluated volumetric, cross-sectional area and linear changes in the …

Minimizing Disease In Your Sheep Flock, A Guide To Preventive Flock Health, Kerry A. Rood, C Kim Chapman

All Current Publications

This publication serves as a guide to preventative sheep flock health that explains risks, nutrition, vaccinations, etc.

Food Storage Exposed To Floodwater, Fire And Chemicals, Christine E. Jensen

All Current Publications

This publication gives tips and instructions on how to deal with food storage that has been exposed to floodwater, fire, and chemicals.

Putting Best Practices Into Practice: Implementing Change One Step At A Time, Lisa Radtke Bliss

Faculty Publications By Year

No abstract provided.

Excess Hispanic Fetal-Infant Mortality In A Midwestern Community, Gerald L. Hoff, Jinwen Cai, Felix A. Okah, Paul C. Dew

Faculty and Staff Publications

Objective: We assessed excess fetal-infant mortality for Hispanic, non-Hispanic white, and non-Hispanic black populations in five contiguous counties of Missouri and Kansas.

Methods: We conducted a perinatal periods of risk (PPOR) assessment of fetal-infant mortality using electronic linked birth-death record files from 2001 through 2005. We generated an internal reference group in accordance with established PPOR protocol. We used Kitagawa analysis to determine whether excess deaths were due to birthweight distribution (a higher frequency of prematurity or growth retardation) or to higher mortality rates once born at that birthweight (birthweight-specific mortality).

Results: We found the excess fetal-infant death rates for …

Abuse Of Lower Castes In South India: The Institution Of Devadasi, Maria Costanza Torri

Journal of International Women's Studies

The ‘devadasi’ system has been the object of several studies and is quite controversial. Some authors, particularly in the past associated the ‘devadasi’ with power and prestige, other, more lately, with degradation and prostitution. This article firstly explores the origin of ‘devadasi’ practice and its evolution over time as well as its religious and ritual meaning, while attempting to identify the main factors explaining the signification of the ‘devadasi’ system in the past. Secondly it analyses the social status and economic condition of ‘devadasis’ and draws a global view of the reasons why young girls are still today consecrated in …