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Alumni Journal - Volume 84, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features:
12 | Graduation 2013: Keeping the Ball Rolling
26 | Science and Compassion: Two Alums Offer Families Fertility Solutions
32 | Restoring Sight in Zambia: Janie Yoo ‘06 Pioneers Eye Health
38 | AIMS Special Report

News:
4 | School of Medicine News
42 | Alumni in the News
43 | In Memoriam

Editorial:
2 | An Institution Unlike Any Other

From the Dean:
6 | The Cost of Innovation in Medical Education

Interview:
8 | The Physician’s Physician: An Interview with Dr. Ted Hamilton ’73-A

Historic Snapshot:
48 | Class of 1944-B’s Balancing Act

What's Up Doc?
49 …

Updike, Morrison, And Roth: The Politics Of American Identity, Christopher Steven Love

Dissertations

My dissertation analyzes American identity in the works of John Updike, Toni Morrison, and Philip Roth. Specifically, I examine American identity in Updike’s Rabbit tetralogy (1960-1990); Morrison’s trilogy of novels Beloved (1987), Jazz (1992), and Paradise (1998); and Roth’s trilogy comprising the novels American Pastoral (1997), I Married a Communist (1998), and The Human Stain (2000). The studied texts of these three novelists, I argue, attack national myths and undermine exclusive narratives that are incongruent with the nation’s ideal identity as a pluralistic and democratic nation.

Analysis Of Feasibility Of Lincoln's West O Area For Redevelopment, Adam E. Brown

Community and Regional Planning Program: Professional Projects

This project assessed the feasibility of redevelopment of the area around the West O Street & Sun Valley Boulevard Intersection. The project provides information about the area, including specifics about its location, the zoning currently in use, the population of the area and the surrounding areas, housing characteristics, as well as information about mixed use development pertinent to this project and the study areas relation to the City of Lincoln’s Comprehensive Plan, known as LPlan 2040.

The project’s goal was to research and compile relevant information for review by the Lincoln / Lancaster County Planning Department in regards to the …

The Long-Term Effects Of Childhood Malnutrition On Cognitive Development: The Case Of Famine In Ghana, Ampaabeng K. Samuel, Chih Ming Tan

Economics & Finance Faculty Publications

We examine the role of early childhood health in human capital accumulation. Using a unique data set from Ghana with comprehensive information on individual, family, community, school quality characteristics and a direct measure of intelligence together with test scores, we examine the long-term cognitive effects of the 1983 famine on survivors. We show that differences in intelligence test scores can be robustly explained by the differential impact of the famine in different parts of the country and the impacts are most severe for children under two years of age during the famine. We also account for model uncertainty by using …

Do Market Incentives Crowd Out Charitable Giving?, Cary Deck, Erik O. Kimbrough

Economics Faculty Articles and Research

Donations and volunteerism can be conceived as market transactions with a zero explicit price. However, evidence suggests people may not view zero as just another price when it comes to pro-social behavior. Thus, while markets might be expected to increase the supply of assets available to those in need, some worry such financial incentives will crowd out altruistic giving. This paper reports laboratory experiments directly investigating the degree to which market incentives crowd out large, discrete charitable donations in a setting related to deceased organ donation. The results suggest markets increase the supply of assets available to those in need. …

December 2013 Committee Reports/Updates

NASIG Newsletter

No abstract provided.

A Solution Hiding In Plain Sight: Special Education And Better Outcomes For Students With Social, Emotional, And Behavioral Challenges, Yael Cannon, Michael J. Gregory, Julie Waterstone

Faculty Scholarship

This Article will contribute to the ongoing dialogue about special education and the IDEA in two ways. First, it will describe patterns that have emerged from our work with individual children and families that shed light on how common IDEA implementation failures increase the risk of poor outcomes for students with social, emotional and behavioral challenges. Critiques of the law and proposals to amend it should be grounded in an understanding of exactly how and why it is falling short of meeting its promise to these children. Our hope is that mapping the common implementation failures we have seen in …

American Society Of Parasitologists Newsletter, V. 35, No. 3, Winter 2013, Scott Lyell Gardner

American Society of Parasitologists: Newsletter

An issue of the American Society of Parasitologists' quarterly newsletter, also called the Journal of Parasitology Newsletter.

The Effects Of Timing And Visual Cues On Social Anxiety In Online Communication, Michael R. Knobeloch

All-Inclusive List of Electronic Theses and Dissertations

No abstract provided.

Central Florida Food Culture: The Changing Landscape, Kristin Sweeney

Master of Liberal Studies Theses

The food culture of Central Florida is undergoing a dramatic shift as people begin to reform their diet and embrace a more traditional food culture, emphasizing seasonal, local, and organic ingredients along with the cooking and processing of more of their food at home. This paper examines the efforts of groups and individuals in Central Florida as they work to spread the movement even further among members of the community and provides a framework through which the different educational opportunities and target audiences are classified. For this movement to reach sustainability with a larger audience in the Central Florida area, …

Failure Under Stress: The Effect Of The Exotic Herbivore Adelges Tsugae On Biomechanics Of Tsuga Canadensis, Nicole E. Soltis, Sara Gomez, Gary G. Leisk, Patrick Sherwood, Evan L. Preisser, Pierluigi Bonello, Colin M. Orians

Biological Sciences Faculty Publications

Background and Aims Exotic herbivores that lack a coevolutionary history with their host plants can benefit from poorly adapted host defences, potentially leading to rapid population growth of the herbivore and severe damage to its plant hosts. The hemlock woolly adelgid (Adelges tsugae) is an exotic hemipteran that feeds on the long-lived conifer eastern hemlock (Tsuga canadensis), causing rapid mortality of infested trees. While the mechanism of this mortality is unknown, evidence indicates that A. tsugae feeding causes a hypersensitive response and alters wood anatomy. This study investigated the effect of A. tsugae feeding on biomechanical …

Stevenson Center Compass, Vol. 7, Iss. 1, December 1, 2013, Illinois State University, Stevenson Center For Community And Economic Development

Stevenson Center Compass

Newsletter for the Stevenson Center for Community and Economic Development

James Baldwin's Challenge To Catholic Theologians And The Church, Jon Nilson

Theology: Faculty Publications and Other Works

Racism/white supremacy is seemingly ineradicable, despite its contradictions to the gospel and American ideals. James Baldwin perceived the reason: whites' fears of their own mortality. He did not demonstrate the truth of his claim, but Terror Management Theory (TMT) provides empirical confirmation for it. The Church has declared reconciliation to be the heart of its mission. So TMT must shape its new, effective strategies, like the processes that produced the two influential pastoral letters in the early 1980's.

Effects Of Autonomy-Supported Learning On Academic Achievement In Indiana Schools, Nicole L. Singer

All-Inclusive List of Electronic Theses and Dissertations

No abstract provided.

Brief Structured Observation Of Medical Student Hospital Visits, J Rush Pierce Jr, L Noronha, N P. Collins, E Fancovic

Hospital Medicine

Students' clinical, communication, and professionalism skills are best assessed when faculty directly observe clinical encounters with patients. Prior to 2009, third-year medical students at our institution had one observed clinical encounter by clinic-based faculty during a required internal medicine clerkship. These observations averaged 45 minutes, feedback was not standardized, and student and faculty satisfaction was low. Methods: Two hospital-based faculty members redesigned a shorter, standardized exercise during which a faculty member observed the student making rounds on a hospitalized patient that they were actively following. On a checklist, faculty recorded observations about communication (8 items), physical examination (5 items), and …

The Connection, Volume 8, Issue 01, Winter 2013, Sally Davis, Linda Beltran, Mary Hanrahan

Newsletters

The Connection is published by the Prevention Research Center (PRC), Prevention & Population Sciences, University of New Mexico, Albuquerque. The purpose of The Connection is to provide reports and updates on programs of the PRC and those of its Community Advisory Council and other partners.

Assessment Of The Predictive Reliability Of A Swat Flow Model And The Evaluation Of Runoff Generation And Bmp Effectiveness In A Shale-Gas Impacted Watershed Using A Modeling Approach, Kwasi Asante

Graduate Theses and Dissertations

In order to ensure a harmonious harness of shale-gas resources while ensuring minimal damage to the environment, it is imperative that studies to conduct to inform various aspects of managing the environment. This includes the development of reliable hydrologic models to inform in decisions concerning water and the environment.

The first objective of this study was to evaluate the predictive reliability of the Soil and Water Assessment Tool (SWAT) model based on respective methods of LULC data classification and data type spatial resolution. Results showed that the high-resolution data classified with object-oriented image method does not provide any significant advantage …

The Effects Of Salinity On Pythium Disease Of Rice And Soybean, Terea Jeanette Stetina

Graduate Theses and Dissertations

Increasing salinity is an important factor limiting agricultural productivity worldwide. In addition to direct effects on growth and yield, diseases also may be affected. This study characterized the effects of soil salinity on seedling disease of soybean and rice caused by Pythium spp. Controlled environment experiments on soybean used two cultivars which differed in chloride tolerance and soil treated with a CaCl₂ solution to create a range of electrical conductivity (EC) levels. For soybean, soil was either not infested or infested with Pythium sylvaticum or P. aphanidermatum (pathogenic to soybean), or P. oligandrum (not pathogenic to soybean). Twenty-one days …

Assessing The Impact Of Chlorine Residual On Trihalomethane And Haloacetonitrile Formation Under Chlorination And Chloramination Disinfection Regimes, Thien Duc Do

Graduate Theses and Dissertations

A disinfection byproduct (DBP) formation potential (FP) test can be used to indirectly measure the concentration of DBP precursors in natural waters, permitting assessment of various DBP-related treatment processes and control strategies. While these tests require a 7-day chlorine residual (CR) between 3-5 mg L^-1 as Cl², it is not well known if this recommended residual corresponds to the true DBPFP (i.e., the maximum concentrations) for trihalomethanes (THMs) and haloacetonitriles (HANs). In this study, THMs and HANs were quantified as a function of CR under three common disinfection regimes: (1) free chlorine at pH 7.0 (FC7), (2) …

Effect Of Prescribed Burning In The Forests Of Buffalo National River, Arkansas, Francis Ndar Onduso

Graduate Theses and Dissertations

Prescribed burning (also referred to as controlled or hazard reduction burning) refers to the use of fire under controlled conditions to achieve a desired end product or goal. However, the nature and magnitude of the changes that result from prescribed burning are still incompletely known, and this is especially true for the forests of the Ozarks of northern Arkansas. The overall objective of the research project described herein was to obtain the data necessary to develop a better understanding of these changes, particularly as they relate to the use of prescribed burning as a management technique in the Buffalo National …

Subtype Distribution Of Blastocystis Isolates In Sebha, Libya, A.M. Abdulsalam, I. Ithoi, H.M. Al-Mekhlafi, A.M. Al-Mekhlafi, A. Ahmed, J. Surin

Research Publications (2011 to 2015)

Blastocystis is a genetically diverse and a common intestinal parasite of humans with a controversial pathogenic potential. This study was carried out to identify the Blastocystis subtypes and their association with demographic and socioeconomic factors among outpatients living in Sebha city, Libya

A Comparison Of Nal And Dsl Prescriptive Methods For Paediatric Hearing-Aid Fitting: Predicted Speech Intelligibility And Loudness, Teresa Y.C. Ching, Earl E. Johnson, Sanna Hou, Harvey Dillon, Vicky Zhang, Lauren Burns, Patricia Van Buynder, Angela Wong, Christopher Flynn

ETSU Faculty Works

Objective: To examine the impact of prescription on predicted speech intelligibility and loudness for children. Design: A between-group comparison of speech intelligibility index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. Study sample: Participants were 200 children, who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing-aid data at 3 years of age were used. Results: On average, SII calculated on the …

Differences In Internet Usage Patterns With Stress And Anxiety Among College Students, Levi Malott, Sai Preethi Vishwanathan, Sriram Chellappan

Computer Science Faculty Research & Creative Works

Stress and Anxiety negatively affect mental health and can lead a number of debilitating impacts to overall health and wellbeing. In the recent past, adolescents are becoming increasingly afflicted with Stress and Anxiety. In this paper, we report our findings on a six-week study of 70 students at a college campus on associations between Stress and Anxiety with respect to Internet usage of students. Using Cisco NetFlow records, on-campus Internet usage of students was collected continuously and unobtrusively in a privacy-preserving manner. Using the Depression Anxiety and Stress Scale (DASS), students were separated based on normal scores and high scores …

The Contribution To And Effect Of Design And Architecture On Health And Activity Promotion (H&Ap) In The Workplace, Krystal L. Schumacher

Architecture Masters of Science Program: Theses

Expanding the research and awareness on the contribution to and affect of design and architecture on health and activity promotion in the workplace (h&ap) is essential in moving forward in the design of working environments. As humans, we spend the majority of our time indoors, for an average American adult he or she spends the majority of the day in a working environment. The impact that our spaces have is much deeper than the aesthetic. Our environments can depict how we act, feel and operate based on the design of our surroundings. Through this research, the goal was to study …

Developing And Teaching The Crisis Communication Course, Mitchell Friedman

Communication Studies

Comer (2010) noted the absence of literature offering guidance to instructors charged with developing standalone courses on crisis management. This article aims to fill this void, relating the author’s experience in developing two crisis communication classes (one offered online, one in a traditional classroom setting). Drawing on 15 years of teaching experience (including single sessions devoted to crisis communication, reputation management, and related issues in public relations and business courses) plus the investigation of scholarly contributions related to the development of such courses, syllabi, and feedback from practitioners who develop and deliver related training, the article delivers the essential components …

Injury And Illness Benchmarking And Prevention For Children And Staff Attending U.S. Camps: Promising Practices And Policy Implications, Barry A. Garst, Linda E. Erceg, Edward Walton

Publications

The camp experience has been an important American tradition for 150 years. In 2012, more than 11 million youth and adults attended an estimated 12,000 day and resident camps.1 Day and resident camp experiences differ; a typical day camp lasts roughly six to eight hours on any given day, while resident (overnight) camps operate 24/7 during a camp session. Youth and adults live at resident camp and are therefore in personal contact with one another for a longer timeframe than is typical of the day camp experience. Day or resident camp sessions can last from one week to up to …

Clemson Commencement Program, December 2013, Clemson University

Clemson Commencement Programs

No abstract provided.

Myocarditis After Trimethoprim/Sulfamethoxazole Treatment For Ehrlichiosis, Seema U. Nayak, Gary L. Simon

Medicine Faculty Publications

The manifestations of human monocytic ehrlichiosis range from a mild febrile syndrome to a severe multisystem illness. Myocardial involvement is uncommon. We report a woman, 78 years of age, who was treated with trimethoprim/sulfamethoxazole after a tick bite, in whom myocarditis was subsequently diagnosed. She recovered completely after doxycycline therapy.

Clinical And Laboratory Features Distinguishing Juvenile Polymyositis And Muscular Dystrophy, Gulnara Mamyrova, James D. Katz, Robert V. Jones, Ira N. Targoff, Peter A. Lachenbruch, Olcay Y. Jones, Frederick W. Miller, Lisa G. Rider

Pathology Faculty Publications

OBJECTIVE:

To differentiate juvenile polymyositis (PM) and muscular dystrophy, both of which may present with chronic muscle weakness and inflammation.

METHODS:

We studied 39 patients with probable or definite juvenile PM and 9 patients with muscular dystrophies who were initially misdiagnosed as having juvenile PM. Differences in demographic, clinical, and laboratory results; outcomes; and treatment responses were evaluated by Fisher's exact and rank sum tests. Random forests classification analysis and logistic regression were performed to examine significant differences in multivariable models.

RESULTS:

Clinical features and serum muscle enzyme levels were similar between juvenile PM and dystrophy patients, except 89% of …

Targeting Inflammation Using Salsalate In Patients With Type 2 Diabetes: Effects On Flow-Mediated Dilation (Tinsal-Fmd)., Allison B Goldfine, J Stewart Buck, Cyrus Desouza, Vivian Fonseca, Yii-Der Ida Chen, Steven E Shoelson, Kathleen A. Jablonski, Mark A Creager, The Tinsal-Fmd Team

GW Biostatistics Center

OBJECTIVE: To test whether inhibiting inflammation with salsalate improves endothelial function in patients with type 2 diabetes (T2D).

RESEARCH DESIGN AND METHODS: We conducted an ancillary study to the National Institutes of Health-sponsored, multicenter, randomized, double-masked, placebo-controlled trial evaluating the safety and efficacy of salsalate in targeting inflammation to improve glycemia in patients with T2D. Flow-mediated, endothelium-dependent dilation (FMD) and endothelium-independent, nitroglycerin-mediated dilation (NMD) of the brachial artery were assessed at baseline and 3 and 6 months following randomization to either salsalate 3.5 g/day or placebo. The primary end point was change in FMD at 6 months.

RESULTS: A total …