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Alumni Journal - Volume 86, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
10 | A Call for Medical Missionaries
12 | They Helped to Establish This Noble Legacy
14 | The Evolution of Graduation
22 | Graduation 2015

Departments
2 | From the Editor
3 | This and That
4 | From the President
5 | From the Dean
6 | The Student Fund
8 | School of Medicine News
38 | AIMS Report
40 | Book Review
42 | Alumni News
43 | In Memoriam
49 | What's Up Doc?

Extras
24 | Note from the Class of 2015 President
48 | 1 Corinthians 13 - Revised Medicalized Version

Today - December 2015, Loma Linda University Health

TODAY

Inside this issue:

-- Terrorist bullets shatter the peace of the holidays in San Bernardino and neighboring communities
-- Loma Linda University Health family remembers victims
-- Advancement team Christmas gathering reflects tragedy and hope
-- Media relations ream inundated with inquiries
-- Faculty and students profess solidarity with victims of San Bernardino terrorist attack
-- Flag of Hope promotes unity, peace, and healing
-- Second graders make Christmas cards for LLUMC emergency department
-- Food distribution event at Highland Springs Medical Plaze provides food supplies for local area families in need
-- Charity Navigator gives LLU coveted 4-star rating …

Effect Of Vestibular Adaptation Exercises On Chronic Motion Sensitivity, Danah Alyahya

Loma Linda University Electronic Theses, Dissertations & Projects

Dizziness is one of the most common complaints reported to primary care physicians. It is often associated with vestibular dysfunction and typically impacts postural stability. Motion sickness, or motion sensitivity, is stimulated by abnormal spatial orientation and is a common symptom related to dizziness and postural instability. The main cause of the motion sensitivity is aberrant sensory input from the visual, vestibular and somatosensory systems. The aim of this study was to measure the effect of vestibular adaptation exercises on postural stability in young healthy adults with subjective awareness of chronic motion sensitivity.

Methods: Fifty healthy male and female …

A 3d Radiographic Evaluation Of Crestal Bone Changes Around Immediately Loaded Endosseous Implants, Keerthi Senthil

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this clinical investigation is to evaluate and compare the 3-dimensional radiographic crestal bone changes around 4 immediately placed and loaded implants supporting full arch fixed mandibular prosthesis in 2 groups of patients. The Test group comprises of patients with failing mandibular teeth needing extraction. ( due to caries, periodontal disease, fractures or prosthetic reasons).The Control group comprises of patients with a fully edentulous mandible presenting for fixed implant supported prosthesis with at least 6 months after the last extraction or bone grafting procedure. Stereolithographic bone model obtained from the patient’s DICOM files was used to fabricate the …

Getting To The Doctor: Bpss Factors Of Health Care Utilization In Fragile Families, Veronica P. Kuhn

Loma Linda University Electronic Theses, Dissertations & Projects

The number of fragile families where a child is born to unwed parents has increased greatly over the past half-century and now represents a diverse population in the United States (Ventura, 2009). These families, who are predominantly African American and Hispanic (Hummer & Hamilton, 2010) and are more likely to live in poverty and experience poorer health, face significant barriers to access and utilize health care services (De Marco & De Marco, 2009; Williams, 2008). Limited research exists on how these facets of the illness experience might differ for fragile families whose resources are limited prior to illness. The Biopsychosocial …

Paternal Depression In The Peripartum Period: An International Delphi Study, Cassidy J. Freitas

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation aims to reach consensus on the defining factors of Paternal Peripartum Depression (PPPD) as well as identify research priorities through the Delphi method. Peripartum Depression is a major health issue for parents and their children. Fathers are at risk for peripartum depression due to the changes in identity, relationship, and biology they face during their transition to parenthood. A father’s mental health plays an intimate role in the overall health and outcomes of his family, but up until this point has been significantly overlooked. Due to the paucity of research and lack of clear consensus on the identifying …

Today - November 2015, Loma Linda University Health

TODAY

In this issue:

-- First hospital-based proton center hosts celebratory events with reunion of hundreds of former patients and families
-- SAC Health Systems celebrates 20 years of health care to San Bernardino residents
-- New global initiative brings dermatological telemedicine to rural communities on the African continent
-- Loma Linda University Health employees enjoy excellent health care benefits and low premiums
-- The Children's Hospital and Proton Treatment and Research Center: a rare combination
-- Team-building program at Drayson Center brings people together through play
-- More than 2,000 people attend Family Health Fair and 5k run
-- Dishes …

Becoming An Ally: Multi-Family Group Therapy Pilot With Low-Income Families, Julie Virginia Estrella

Loma Linda University Electronic Theses, Dissertations & Projects

The increasing demand for couple and family therapists (CFT) in integrated health care settings requires CFTs to learn to effectively serve low-income families. Resilience literature suggests that building families’ resilience and social support directly impacts a family’s chances for socioeconomic mobility. Multi-family group therapy (MFGT) offers an effective vehicle for increasing resilience and social support. This dissertation examines the link between family resilience and poverty and presents an ecological, solution-focused, family resilience lens applied through a pilot MFGT program, Bouncing Forward Family (BFF) Groups, for low-income families. This dissertation includes two publishable papers, and the first focuses on the BFF …

Llusd Articulator - Volume 26, Number 2, Loma Linda University School Of Dentistry, Jung-Wei Chen, Morris J. De Leon

Articulator (Dentistry Journal)

Contents:

4 | Dean's message
7 | Bracing for accreditation
14 | Developing IPE
17 | Shirley Lee's long commute
22 | Commencement 2015
32 | Science:
Accessing Zirconia crowns
40 | How to treat a lion
42 | News:
Noah's cleft cookies
LLUUSD Ironman eBook pedagogy
Healing Hands
Lobbying for kids
57 | Elmer Kelln: LLUSD pioneer
60 | Fond Farewells

Loma Linda University Health - San Bernardino Groundbreaking, Loma Linda University Health

Scope

Table of Contents

Features

2 | New facility in San Bernardino to enhance opportunities
4 | Loma Linda shares its story with world church

Campus news

8 | Historic step taken toward unified governance
9 | Quarter-century milestones celebrated
10 | School of Public Health conferences lead the way

Clinical care

11 | Children’s Hospital receives separate license
11 | Pediatric ICU celebrates 25 years of service
12 | Clinicians train with FEMA for disasters
14 | Woman regains her life through bariatric surgery

Research

15 | Grant enables purchase of next-generation DNA sequencer
16 | Potholes and primordial mysteries: …

Today - October 2015, Loma Linda University Health

TODAY

Inside this issue:

-- Pro surfer and shark attack survivor Bethany Hamilton speaks at PossAbilities luncheon and fundraiser
-- Murry Brandstater honored by donor through special gift
-- Perryman named administrator for Loma Linda University Children's Hospital
-- Chinnock appointed Children's Hospital chief medical officer
-- Becker named director of Loma Linda University Health office of public relations
-- ENT professors teach vocal and choral students to protect their voices
-- Internal medicine residency program celebrates 50 years
-- Loma Linda University Health awarded $1.4 million grant for San Bernardino Campus
-- Corky's Cookies raises $10,000 for pediatric cancer treatment …

Today - September 2015, Loma Linda University Health

TODAY

Inside this issue:

-- Anonymous donor honors three long-time Loma Linda physicians
-- LLUMC - Murrieta accredited as chest pain center
-- SAC Health System granted new status by federal government
-- Nursing dean attends executive training at Wharton School
-- Congressman tours Children's Hospital and research facilities
-- Leadership team from Naval Hospital Twentynine Palms visits Medical Center
-- LLUMC - Murrieta to hold Family Health Fair on Sept. 27
-- School of Public Health presents 'Asthma Theatre' program at Riverside County Office of Education Head Start training
-- End-of-life issues explored and discussed during screening of the PBS …

Treatment Outcomes Of Patients With Unilateral Class Ii Malocclusions: A Cbct Study, Brent Leggett

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purposes of this study were to determine the prevalence of Class II (Cl II) subdivision patients, to quantify the change in TMJ complex, and mandibular length after treatment was accomplished. Materials and Methods: Records of consecutive patients who sought orthodontic treatment at Loma Linda University (LLU) were screened. Only patients with dental Cl II subdivision that had completed treatment with pre- (T1) and post-treatment (T2) cone beam computed tomograms (CBCTs) available were evaluated for changes in the TMJ complex position related to Foramen Rotundum (TMJ-FR), joint spaces and mandibular length (condylion to genial tubercles). Comparisons were made between …

Physical Therapy After Triangular Fibrocartilage Injuries And Ulnar Wrist Pain, Mohamed A. Abdelmegeed

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The ulnar side of the wrist has been referred to as the “black box” of the wrist because of its complex structures and sophisticated anatomy, disorders at this anatomical site have been compared to those of low back pain

Purposes: The purpose of this study was to apply the Brief International Classification of Functioning (ICF) Core Set for Hand Conditions to the physical therapy outcome measures, and to evaluate the contribution of these measures to overall health in subjects with ulnar wrist pain. A secondary purpose was to investigate the effect of wrist orthotics and strengthening exercise on …

Comparison Of Maxillary Anterior Teeth Width To Facial Dimensions Among Three Races, Ewa Parciak

Loma Linda University Electronic Theses, Dissertations & Projects

Dental esthetics and tooth proportions have become increasingly relevant in dentistry, as the cosmetic demands of patients increase. Determining the appropriate esthetic dimensions of the maxillary anterior teeth is an important aspect in fixed and removable prosthodontics. The proportion of facial structures and the relationship between facial measurements and natural teeth could provide additional guidance in selecting denture teeth as well as in determining ideal teeth size for fixed restorations. There have been many publications on this topic, however, the subjects in these studies have been mostly selected from the Caucasian race. With the increasing diversity of the American population …

Program Evaluation And Guideline Development For Psychological Treatment Of The Adolescent And Young Adult Population With Cancer, Kayla R. Kraich

Loma Linda University Electronic Theses, Dissertations & Projects

The adolescent and young adult (AYA) cancer population suffers from many unique medical and mental health challenges. Both medical, psychological and support services play an important role in the lack of improvement in survival rates of this population. The purpose of this project was to identify the unique mental health challenges and treatment needs of the Adolescent and Young Adult (AYA) Oncology population and to evaluate current oncology programs available to this population at Loma Linda University. The project provides guideline recommendations for implementing a comprehensive and developmentally appropriate AYA oncology program at Loma Linda University.

Music Listening As Therapy, David M. Rosenblatt

Loma Linda University Electronic Theses, Dissertations & Projects

Music is a universal phenomenon and is a real, physical thing. It is processed in neural circuits that overlap with language circuits, and it exerts cognitive, emotional, and physiological effects on humans. Many of those effects are therapeutic, such as reduced symptoms of physical and mental ailments. Music is the result of the elements rhythm, melody, harmony, timbre, dynamics, and form. Rhythm is the focus of pop music, and melody is the focus of classical music. The mind perceives and organizes music in learned, consistent ways in order to generate predictions and extract meaning. There are perceptual laws and information …

Developing Dyadic Measurements In Marriage And Family Therapy: The Dyadic Supervision Evaluation, Adrian Avila

Loma Linda University Electronic Theses, Dissertations & Projects

This study applies integrative developmental theory and a common factors approach in evaluating and describing how Marital and Family Therapy trainee’s progress in mastering the core competencies set forth by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) through the process of clinical supervision. More specifically, this project evaluates the internal reliability, construct validity, and predictive validity of the Dyadic Supervision Evaluation (DSE). The important role and influence of clinical supervision as well as the next steps for validating and evaluating dyadic, developmental, core competencies and common factors measurements in clinical supervision are discussed.

Morphological Changes In Alveolar Bone Following Orthodontic Space Closure, Ninette Hacopian

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Changes occurring in anterior alveolar bone following orthodontic tooth movement are controversial. Some research has shown that orthodontic tooth movement results in the adaptation of cortical bone; others have shown that it results in dehiscence and fenestrations.

Purpose: The purpose of this study was to evaluate the alveolar bone changes around maxillary anterior teeth following orthodontic space closure.

Materials and Methods: Cone beam computed tomograms (CBCTs) of non-growing patients who received orthodontic treatment with bilateral maxillary premolar extraction were evaluated. Only patients with at least 5 degrees of changes in maxillary incisor (U1) to palatal plane angle were included …

The Lived Experience Of Aging: Listening To The Oldest-Old, Julia A. Pusztai

Loma Linda University Electronic Theses, Dissertations & Projects

Although embraced as desirable by most, living into very old age is largely unexplored as a distinct season of life, with increased, varied, and cumulative changes during a unique time of vulnerability and frailty. The purpose of this study was to listen to the oldest-old, and to explore their lived experience of growing old. This hermeneutic phenomenology study examines the experience of finding meaning and living with losses and gains in advanced old age. This study design included three separate interviews one month apart with participants over 85 years of age. Purposive sampling resulted in 13 participants, 5 being male …

Effect Of Diamond Bur And Root Canal Irrigants On Retention Of Fiber Posts, Rami Jekki

Loma Linda University Electronic Theses, Dissertations & Projects

Esthetic glass fiber-reinforced posts are being used more often. The most commonly reported complication associated with these posts is debonding. Dentine conditioning with solutions such as EDTA or MTAD results in removal of smear layer and might improve the retention of posts to root canal dentin. Therefore, the purpose of this study was to investigate the effect of cleansing the post space with MTAD or EDTA on the bond strength of glass fiber-reinforced posts, when a diamond roughening instrument is used prior to cementation with self-adhesive resin cement. Forty-five (n=15) extracted human premolar teeth were sectioned at the cemento-enamel junction …

Cross-Cultural Adaption And Psychometric Properties Testing Of The Arabic Anterior Knee Pain Scale, Abdullah S. Alshehri

Loma Linda University Electronic Theses, Dissertations & Projects

Patellofemoral pain syndrome (PFP) is a common condition affecting the musculoskeletal system and has a tendency of becoming chronic and is problematic in the affected people. It is the commonest cause of anterior knee pain. In over 2/3 of the patients affected it has been successfully treated through the use of rehabilitation protocols which are designed in pain reduction and returning the functionality to an individual. Many cases of patellofemoral pain syndrome can be avoided only if a clinician can make a pre-diagnosis. Preparation Screening Evaluation testing done by a certified athletic trainer can also help in prevention of this …

Are Bone Turnover Markers And Vitamin D Levels Associated With Frequency Of Complete Denture Relines?, Shweta Puri

Loma Linda University Electronic Theses, Dissertations & Projects

PURPOSE: To compare groups of subjects with varying frequencies of complete denture relines in terms of their bone turnover markers; C-terminal Telopeptide (C-Tx), Osteocalcin (OCN) and Vitamin D (25 OH-Vit D) levels to determine the presence of and the degree of association between them.

METHODS: This study was designed as a cross-sectional study wherein a retrospective chart review of three hundred twenty four edentulous subjects with history of complete denture use for at least a year was performed to determine history and frequency of their complete denture relines. A total of 100 patients were enrolled. After consent was obtained, each …

Tooth Length Measurements On 3t Mr Images: A Retrospective Study, Kevin G. Murray

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purpose of this study was to determine if MRI can be used to accurately measure tooth lengths. Methods: MRI tooth length measurements were compared with “actual tooth lengths” as measured on CBCT scans. Twenty three subjects received two scans (one CBCT and one MRI). Tooth length was measured and compared between the resultant images. Intraclass correlations were used for statistical analysis. Results: Tooth length measurements made on MRI scans showed moderate to almost perfect agreement with tooth length measurements made on CBCT scans. Higher levels of agreement were present in the maxillary arch compared to the mandibular arch. …

The Effect Of Scan Settings On The Identification Of Tooth Socket Lamina Dura Surface: A Cbct Study, Erick Carlucci

Loma Linda University Electronic Theses, Dissertations & Projects

Aim: Cone-beam computed tomography (CBCT) is becoming a common adjunct in orthodontic diagnosis and treatment, however several questions remain about the impact of surrounding anatomical structures and varying scan settings on the ability to delineate buccal bone and overall diagnostic quality of images produced. The aim of this study was to determine if adjacent structures with similar radiodensity and variable scan settings (field of view and voxel size) significantly impact the ability to accurately identify the tooth socket facial lamina dura, facial bone surface, facial bone margin, as well as the facial bone thickness measurement. Materials & Methods: CBCT scans …

Dietary Intake And Bio-Activation Of Nitrite And Nitrate In Newborn Infants, Jesica Ann Jones

Loma Linda University Electronic Theses, Dissertations & Projects

Nitrate and nitrite are commonly thought of as inert end products of nitric oxide (NO) oxidation, possibly carcinogenic food additives, or well-water contaminants. However, recent studies have shown that nitrate and nitrite play an important role in cardiovascular and gastrointestinal homeostasis through conversion back into NO via a physiological system involving enterosalivary recirculation, bacterial nitrate reductases, and enzyme-catalyzed or acidic reduction of nitrite to NO. The diet is a key source of nitrate in adults; however, infants ingest significantly less nitrate due to low concentrations in breast milk. In the mouth, bacteria convert nitrate to nitrite, which has gastro-protective effects. …

The Effects Of A Novel Therapeutic Intervention In Diabetic Peripheral Neuropathy Patients, Adel M. Alshahrani

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes mellitus (DM) is a common disorder affecting individuals in the United States and in the world. The prevalence of DM has increased noticeably over the last three decades with an estimated 380 million people currently diagnosed with this disease. DM is associated with numerous systemic complications that affect the retina, heart, brain, kidneys, and nerves. The most common complication of DM is diabetic peripheral neuropathy. Diabetic peripheral neuropathy causes reduced sensation, reflexes, proprioception, and strength in lower limbs that leads to balance problems. Various manual therapy techniques have not approached a pilot study for the efficacy of a manual …

Tooth Size Ratio In Orthodontic Patients With Varied Sagittal Skeletal Patterns; A Cbct Study, James Barra

Loma Linda University Electronic Theses, Dissertations & Projects

Objective: Maxillomandibular tooth size ratio (TSR) is an important aspect in achieving a satisfactory orthodontic outcome. The purpose of this study is to compare TSR among orthodontically treated patients with different skeletal anteroposterior (AP) patterns. Methods and Materials: The post-treatment (T2) cone beam computed tomograms (CBCTs) of patients treated orthodontically without extraction and finished with canine and molar class I occlusion were evaluated. The subjects were categorized into class I, class II and class III skeletal pattern by analyzing A point-Nasion-B point (ANB) at T2. Overbite (OB), overjet (OJ), TSR for canine to canine (TSR3-3) and molar to molar (TSR6-6), …

Palmitic Acid Activation Of Dendritic Cells: Implications For Type 2 Diabetes, Dequina Angelina Nicholas

Loma Linda University Electronic Theses, Dissertations & Projects

Infiltration of immune cells into visceral adipose tissue is observed in type 2 diabetes development. Monocytes are recruited to obese visceral adipose tissue in large numbers and retain the ability to differentiate into dendritic cells, important antigen presenting cells in the immune system. Differentiation of monocytes into dendritic cells likely accounts for the increased number of dendritic cells observed in the adipose tissue of type 2 diabetic patients. We have demonstrated this differentiation process is regulated in part by a major reduction of linker histone proteins. In adipose tissue, dendritic cells are exposed to high levels of saturated fatty acids. …

Prevalence And Rationale Of Orthodontic Extractions At Loma Linda University, Teresa T. Tran

Loma Linda University Electronic Theses, Dissertations & Projects

Aim: The purpose of this study was to determine the prevalence of orthodontic extraction cases and the rationale for the decision-making. Materials & Methods: The records of consecutive patients who had completed orthodontic treatment at Graduate Orthodontic Clinic, Loma Linda University School of Dentistry, between January 2010 and December 2014 were reviewed for prevalence of orthodontic extractions. Cone beam computed tomograms (CBCTs) of patients, that had extraction(s) prescribed as part of orthodontic treatment, were analyzed dentally and skeletally. Patients were then categorized according to the degree of crowding in each dental arch. A one-way ANOVA (Kruskal-Wallis) test and …