Medicine and Health Sciences Commons^™

Nurses' Interpretation Of Force Fluids, Colleen W. Blair

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done to survey nurses on the medical units of one hospital in order to (1) ascertain their interpretation of a minimum and maximum amount of fluid in the order "Force fluids", and (2) determine criteria most used by these nurses to identify the fluid quantities.

The descriptive survey was the method of study. A questionnaire, which centered around recorded chart information for four patients whose fluid therapy was prescribed as "Force fluids", was the research tool.

Findings revealed that the upper limits and modes on the minimum and maximum fluid distributions remained constant and the means and …

A Survey Of The Hospital Experience Of The Isolated And Non-Isolated Patient, Rose Marie Olson Kuhn

Loma Linda University Electronic Theses, Dissertations & Projects

The descriptive survey was the method used to conduct the study to find differences in the amount of nurse contact between the isolated patient's and the non-isolated patient's hospital experience, and to explore their feelings concerning their hospitalization. Ten patients, on the surgical units of three hospitals, were included in the study. Five of the patients were isolated because of an infectious disease and comprised Group I. Five patients who were not isolated served as a control and comprised Group II. Data were collected in two main categories: (1) the amount of nurse-patient contact, type of personnel visiting the patient, …

Morbidity, Growth And Development Of Prematurely-Born Twins In Early Childhood, Lynelle King

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with the problem of determining the effect of twinship on the prematurely-born twin's growth and physical and emotional morbidity during early childhood. The immediate purposes of the study were to compare prematurely-born twins with prematurely-born singletons regarding their incidence and types of physical and emotional morbidity, and their growth during early childhood. It was hypothesized that prematurely-born twins have slower growth and more physical and emotional morbidity than prematurely born singletons. The descriptive survey method was used. From children cared for at a selected premature clinic, nineteen twins were matched with nineteen singletons for: race, sex, …

Incidence Of Staphylococcus Aureus On Fomentation Covers, Yvonne Badgley Mcdaniel

Loma Linda University Electronic Theses, Dissertations & Projects

This study was to ascertain whether fomentation covers were contaminated with Staphylococcus aureus prior to being placed on a patient receiving a hydrotherapy treatment.

From a review of literature on the subject of the Staphylococcus aureus organism and from studies of hospital-acquired staphylococcal infection it appeared that: (1) researches had used various techniques for making cultures from fabrics, (2) the Staphylococcus aureus cultures may react in varying ways to the laboratory tests making the classification somewhat difficult, (3) the problem of hospital-acquired staphylococcal cross-infection was present, (4) the role played by the environment in hospital-acquired infections was controversial, and (5) …

The Nature And Sources Of Patients' Pretest Knowledge Of The Diagnostic Test, Electroencephalography, Dorothy Weeks

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to determine the nature and sources of patients' pretest knowledge and understanding of the diagnostic procedure, electroencephalography. A review of literature on electroencephalography and patients' involvement in diagnostic procedures revealed that patients need to be informed about scheduled electroencephalography in order to reduce their anxiety, thereby improving the technical quality of the test. Nursing literature contained many statements encouraging nurses to inform patients about diagnostic procedures. No literature was found concerning the teaching role of physicians in informing patients, although both patients and technicians look to the physician as the expected source of patients' pretest information. …

A Comparison Of Blood Pressure Readings Taken On Preoperative Patients During Hospital Admission And One And One-Half To Three Hours Later, Susan Lee Woodward

Loma Linda University Electronic Theses, Dissertations & Projects

A "before-after" type experimental study was conducted to find an advantageous time to record baseline blood pressure readings on preoperative patients, which could be referred to following surgery and interpreted as representative of normal for the patients. A review of medical and nursing literature revealed that there is a need to established a blood pressure reading indicative of normal for each patient prior to surgery. Because literature substantiated its acceptance, the ausculatory method of taking indirect arterial blood pressure readings was the technique utilized in this study. Sixty conveniently selected general elective surgical patients, twenty-five to forty-five years of age, …

Mandibular Resting Posture : An Electromyographic Evaluation, Carroll L. Bright

Loma Linda University Electronic Theses, Dissertations & Projects

Mandibular resting posture is the positional expression of cranial-facial morphology and the myotatic reflex of its contiguous musculature.

Alteration of sensory input to the main sensory, mesencephalic and motor nucleus of the Fifth nerve in a myotalic reflex system, theoretically should result in changes or alteration in motor response.

The purpose of this study was then to examine post interference phenomena as noted by amplitude variations within muscles during centric occlusion and cyclic chewing and to block its expression via mandibular nerve anesthesia.

A Faraday cage was utilized to completely enclose the experimental subject and a 5P5 polygraph was used …

A Comparative Study Of Four Systems Of Tray Distribution As To Delivery Time, Temperature Control And Cost Factors, Ruth Marie Deming

Loma Linda University Electronic Theses, Dissertations & Projects

The delivery and transportation time, temperature control and cost factors of four systems of tray transportation and distribution were compared. The systems that were used were the following: 'Electra Royal' of Meals on Wheels, 'Unitray' Cart of Swartbough, 'Lampson Trayevors', and the "Dri Heat Food System'. Hospitals which has the specific system were used for the delivery and transportation time and for the temperature control portion of the study. Cost factors were obtained from printed price sheets or by personal communication with the factory representative of the firm concerned.

The delivery time was taken as the time required to deliver …

An Analysis Of Critical Incidents To Determine Effective And Ineffective Clinical Instructions, Nyrabella Fiedler Clague

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this survey to determine what constitutes effective and ineffective clinical instruction from the student's viewpoint, and to make the findings available. The descriptive survey method using the critical incident technique was used as the method of research. A critical incident report form was constructed as a tool for gathering the data. There were 117 students of nursing who submitted 166 incidents; 52 per cent were of effective instruction and 48 per cent of ineffective instruction.

A review of pertinent literature revealed that the reactions of students to teachers were important criteria to use as one …

The Feasibility Of Employing A Neurophysiological Approach To Learning Disabilities In The Public School, Betty M. Zelman

Loma Linda University Electronic Theses, Dissertations & Projects

A number of procedures characteristic of the neurophysical approach to learning problems were employed in the Rialto Unified School District. This study was undertaken to determine the feasibility of their use in the public school setting.

The results of the investigation indicated that:

1. The practices may be employed in public schools.
2. School administrators gave support for the program.
3. School personnel either are or may be trained to carry out the procedures.
4. Chronological age appears to have little expected to be extensive.
5. Cooperation from the home cannot be expected to be extensive.
6. Further study should be given to public school uses …

Selection, Organization And Nutritional Computation Of Recipes For A Cookbook, Patricia Hall Black

Loma Linda University Electronic Theses, Dissertations & Projects

This study was involved in the selection of recipes for a cookbook. Over a thousand recipes were screened from a much larger number. These recipes were processed by grouping, combining and arranging into a uniform style and format. Many recipes were revised and tested. All recipes were of a lacto-ovo-vegetarian type, free from soda, baking powder and harmful condiments and spices.

Basic ingredient cards were prepared for the IBM computer from tables of food composition. Recipe ingredient cards for each item in the recipes were also prepared. These were programmed into the computer to give the total and per serving …

A Comparative Study Of Two Methods Of Obtaining Midstream Urine Specimens, S. Maxine Page

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if the procedure developed by the investigator for obtaining midstream urine specimens for culture from adult female outpatients would produce less contamination than the procedure most often used in the selected outpatient department. Following a review of pertinent literature, two relatively equivalent groups of twenty-two adult females with medical or surgical problems were selected. Persons with symptoms of urinary tract infection were excluded from the study. One group was subjected to the control procedure, designated as Procedure A. Procedure A was an unsupervised procedure involving the use of soap and water …

Interpretation Of Activity Orders By Physicians And Nurses, Sharon Jean Staley

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out the interpretations of activity orders by physicians and nurses in one selected hospital, and to compare the findings of this study to Roose's study to develop a guide for these activity orders. Roose, who surveyed the interpretations of activity orders by physicians and nurses in a group of hospitals, recommended that the same study be replicated in one hospital to find out the discrepancies of interpretation by physicians and nurses in one environment. This study, based on that recommendation, surveyed interpretations by physicians and nurses of four activity orders: (1) complete …

Neurological Complications Following Open Heart Surgery, Lavaun Ward Sutton

Loma Linda University Electronic Theses, Dissertations & Projects

The propose of this exploratory study was to gather data for analysis on possible predisposing or related factors in the development of neurological com plications following open heart surgery as well as to determine the scope and frequency of symptoms exhibited, indicative of cerebral damage. In addition, the researcher hoped to learn the outcome of these patients through information on the duration and resolution of symptoms, noting type and degree of residual problems as well as the incidence of mortality. A review of the literature provided background information for this study. This review indicated that although considerable attention has been …

A Comparison Of Axillary And Rectal Temperatures In Children, Doris Payne

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted on seventy-five children, three to eight years of age. The purpose was to compare a three-minute axillary with a three-minute rectal temperature. Known factors which might influence the findings were eliminated. These were emotional stress, physical exercise, antipyretic medications, cooling and heating measures, gastro-intestinal disturbances, and croupettes or oxygen tents. The range of the difference between the temperatures was from 0.8 degrees to 2.2 degrees with the mean difference of 1.13 degrees. A little less than half of the temperatures had one degree of difference. An additional thirty-two per cent were within 0.2 degrees of being …

Altered Body Image Following Radical Mastectomy, Julia Lee Anne Mcconnell

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify reactions and adjustments to the altered body image following radical mastectomy. It was felt that nurses could be of more assistance to women facing this experience if they knew and understood the common reactions which occur.

Other studies have indicated that major areas of adjustment focus upon dress and appearance. Sexual and social relationships, and curiosity of others. The disruption of a body image makes necessary certain adjustments in the individual's perceptions of himself.

The method of research in this study was descriptive survey with the use of partially structured interviews. Thirty-five …

A Survey Of Needs For, And Availability Of, Referral Sources For The Yucaipa Joint Unified School District Speech And Hearing Therapy Program, Matthew J. Digby

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Nurse Attendance Versus Use Of Analgesic Medication In The First Stage Of Labor, Jo Ann Soulé Henriksen

Loma Linda University Electronic Theses, Dissertations & Projects

To determine if the woman who receives the continuous attendance of a nurse during the first stage of labor requires less analgesic medication than the woman who is given interrupted or intermittent nursing care, a study was made employing the experimental method with the parallel-group technique. Thirteen patients meeting the criteria of the study who received continuous nursing attendance during the first stage of labor by the nurse researcher were closely matched to thirteen patients from a group of one hundred seventy-three, whose nursing care was given by the staff personnel. As an objective method of assessing support during labor …

Mayo Dental Morphology, Val K. Artress

Loma Linda University Electronic Theses, Dissertations & Projects

The Mayo Indian of Sonora, Mexico, was selected for a study of dental morphology. The objectives of the investigation were to determine the extent to which the Mayo conformed to the four criteria of the Mongoloid dental master pattern, and to compare eight other specific tooth morphologic characteristics with like studies on Mongoloid and non-Mongoloid peoples. Plaster casts were made on a sample of forty-one Mayos.

The results of the study indicate that Mayos exhibit a 46 percent frequency of shovel-shape maxillary incisors, classifying "moderate shovel" and "shovel" together. The maxillary central-lateral width difference of 1.5 mm is small compared …

Development Of A Positioning Device For Use In Conjunction With Panoral Radiography, Ray M. Hymer

Loma Linda University Electronic Theses, Dissertations & Projects

A cephalometric positioning device has been developed for use on the XRM Panorex X-Ray machine. Tests have demonstrated that the variability in producing serial radiographs with this device is comparable to, or less than, that currently accepted in conventional radiographic cephalometry.

Two procedures for obtaining serial radiographs were employed. Two patients were used for the first procedure and three patients were used in the second procedure.

In the first procedure each patient was positioned in the device and two radiographs were taken in sequence without disturbing the patient.

In the second procedure three clinic patients were used as subjects and …

A Comparative Time Study Of Emergency Room Service In A Selected Hospital, Marlohn Balas

Loma Linda University Electronic Theses, Dissertations & Projects

This comparative study was conducted in order to determine (1) the average length of stay patients experienced in a selected emergency room, (2) in what area this time was being spent, (3) what class of patients required the most time, and (4) if there was an increase or decrease in the average length of time for twenty-five patients in Group I in 1963, and twenty-five patients in Group II in 1965.

A review of literature was done relating to emergency room service. The descriptive survey was chosen as the method of study. A checklist was the tool of research.

Findings …

The Piezoelectric Effect Of Bone In Vitro, Lloyd E. Gauntt

Loma Linda University Electronic Theses, Dissertations & Projects

The mechanism of bone deposition and resorption, under stress, is incompletely understood. The direct piezoelectric properties of bone have been suggested as playing an active role in the internal morphology of bone tissue.

This study was designed to fabricate an apparatus and develop a technique to measure, quantitatively, the direct piezoelectric effect of the crystallites of bone.

In vitro studies were done with bone samples taken from bovine femur. The samples were subjected to stress loading and were observed to exhibit a pressure-induced electrical phenomenon. The amplitude of the potentials generated was dependent upon the magnitude of the bony deformation. …

The Extent To Which Patients Follow Their Low-Cholesterol Diets, Beverly Jo Peterson

Loma Linda University Electronic Theses, Dissertations & Projects

This exploratory study was conducted to discover to what extent patients follow their low-cholesterol diets. If they did not, the reasons were investigated. It was hoped that the findings would aid in defining areas of instruction which need greater emphasis when patients receive instruction concerning a low-cholesterol diet.

An interview guide was used as a data gathering tool. The dietitians at one private teaching hospital recorded all dietary prescriptions sent to them during the specified period and ten physicians were contacted for permission to include their patients in the study. The patients were then contacted by telephone and the interviews …

Sex And The Transurethral Prostatectomy, Edward T. Moon

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to find out what effects the TURP has on ejaculatory ability, frequency of coitus and the emission of seminal fluid. The sample consisted of 50 men, age 46-65, who were married, and had no cancer or other possible physical causes for impotence. Each man was personally interviewed.

Forty-six patients (92 percent) were able to ejaculate. A decrease in the frequency of coitus was reported by 40 per cent of the men. A normal ejaculation of seminal fluid was experienced by thirteen (26 percent) of the men. Considering all the changes in the sexual function …

The Affect Of Activities In The Intensive Care Unit On Patients, Dorothy Millholland Mottweiler

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether there is a relationship between what the patient can see and hear of on-going activities in the intensive care unit and patient stress. The descriptive survey method was used. A checklist was developed from several sources in literature. Data were collected by observation of individual patients in two intensive care units and by recording their behavior on the checklist. Recording of stress signs was done for five minute intervals every thirty minutes for eight hours, making sixteen intervals for every eight hour period. Nineteen separate patient observations of eight hour …

The Facial Complex Of The Mayo Indian: A Radiographic Cephalometric Study, David G. Webster

Loma Linda University Electronic Theses, Dissertations & Projects

In order to investigate the characteristics of the facial complex of the Mayo Indian and to make comparisons between the facial complex of the Mayo Indian and the facial complex observed in other ethnic groups, measures of facial angles and linear relationships were obtained from a group of Mayo Indians in the state of Sonora, Mexico.

A simple of thirty subjects, seventeen boys and thirteen girls, with a mean age of 18.3 years was selected for this study. The criteria for selection was based on the integrity of the dental arches, occlusion and tooth morphology. Plaster casts and cephalometric x-rays …

A Comparative Study Of Discomfort Experienced By Surgical Patients On Three Selected Postoperative Days, Lillian Barker Bartlett

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive survey was conducted to compare the discomfort experienced on three selected postoperative days to determine if there is one day identified by the patient as the most uncomfortable and to assess the symptoms of which he might complain. A checklist of twelve symptoms common to postsurgical patients was administered on the evenings of the second, third and fourth postoperative days by the researcher. Findings indicated that nineteen or 56 per cent of the thirty-four patients interviewed stated that the second day was most uncomfortable, nine or 27 per cent the third and six or 17 per cent the …

Factors Which Deterred Twenty-Three Selected Patients From Utilizing Public Health Nursing Services, Lora Wood Welch

Loma Linda University Electronic Theses, Dissertations & Projects

A study was conducted to identify factors which deterred twenty-three selected epileptic patients from utilizing public health nursing services. The literature was reviewed in areas relating to factors which may contribute to or deter patients use of clinic or public health services.

The descriptive survey approach employing an interview guide was used. Data on the guide were classified in two areas: (1) personal characteristics and (2) participant responses. The participant responses were further categorized according to (1) perception of the public health department and public health nursing services, (2) perception of the needs of the epileptic patient and his parents, …

A Cephalometric Comparison Of The Chamula, Mayo And Navajo Indians, Norman C. Bunker

Loma Linda University Electronic Theses, Dissertations & Projects

Lateral head x-rays were obtained on selected samples of 24 Chamula, 29 Mayo and 39 Navajo Indians for cephalometric comparison.

Cephalometric evaluation was carried out by means of the Bjork analysis. Mean values for each of the Indian groups were determined and compared with each other and with the mean values of a group of Swedish conscripts studied by Bjork. The mean values were statistically analyzed and and subjected to the Student's "t" test to determine the significant levels of differences.

Results revealed that in comparing the three Indian groups significant differences do appear. They are few and general concordance …

The Use Of A Programmed Textbook In Diabetic Patient Education, K. Helen Emori

Loma Linda University Electronic Theses, Dissertations & Projects

This study was done to test the effectiveness of a programmed textbook as a method of teaching diabetic patients at home. The textbook used was prepared from a programmed filmstrip provided by the United States Public Health Service. The study was conducted in connection with the Los Angeles County General Hospital Metabolic Clinic and the White Memorial Hospital Lipid Clinic. A group of 37 patients who met the criteria of an I.Q. of at least 60, a reading level of at least the second grade, and who would be returning to the clinic within four weeks were included in the …