Medicine and Health Sciences Commons^™

Aorto-Enteric Fistula Following Abdominal Aorta Surgery, Arnold A. Michals

Loma Linda University Electronic Theses, Dissertations & Projects

Forty-six aorto-enteric fistuiae following abdominal aorta surgery are here recorded. A number of these have never before been recorded in the literature. For the first time sixteen cases of these aorto-enteric fistulae that were subjected to surgical intervention have been tabulated. Twelve of these had definitive surgery either immediately or eventually. The definitive procedures are also tabulated.

An attempt was made to produce a fistula in dogs. Of twelve dogs, one died six months postoperatively of massive rectal hemorrhage due to an aortoduodenal fistula that followed the implantation of a Teflon vessel graft into the abdominal aorta. The cause of …

Application Of Knowledge Of Medications By Senior Students In A Selected School Of Nursing, Patricia H. Okimi

Loma Linda University Electronic Theses, Dissertations & Projects

The problem arose from the need to study the present method of pharmacology instruction in a selected school of nursing. "How much knowledge of medications do selected senior students have, and how do they apply their knowledge in the administration of medications?"

For this study, the normative survey approach was used as the method of research. Eleven senior students of nursing engaged in the administration of medications, as team leaders, were observed and questioned on two different occasions during one quarter of their school year. The tool of research used to collect data was an observation code sheet developed for …

A Comparison Of Rectal And Axillary Temperatures On One Hundred Selected Newborn Infants, Marlene Van Puymbrouck

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted on one hundred full-term normal newborn infants to compare body temperatures as obtained by axilla and rectal measures and to find out which measure recorded the highest temperature. Three time periods of axillary measurement and three time periods of the three depths of rectal measure were considered. The three time periods were (1) one and one-half, (2) three, and (3) five minutes. The three depths of rectal insertion were (1) insertion of the bulb end of the thermometer just beyond the sphincter, (2) 2.5 cm., and (3) 5 cm. into the rectum.

The research was carried …

A Study Of The Bacteriological Effectiveness Of Oral Thermometer Procedures In Three Selected Hospitals, Esther Mae Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Because pathogens such as streptococcus and staphylococcus have been transferred in many hospitals, the source of the infections is of concern to doctors, nurses, and other medical personnel. As shown by the review of literature, good techniques are necessary to stop the spread of disease.

It was the purpose of this study to investigate one facet of patient safety by: (1) the culture of thermometers ready for use in three selected hospitals; (2) to determine the effectiveness of the Group, Individual, and Central Supply methods of disinfection currently practiced in the three selected hospitals.

The method for the experiment of …

Nursing Care Given To Hemiplegic Patients, Margaret Eugenia Messer

Loma Linda University Electronic Theses, Dissertations & Projects

Statement of the Problem: The purpose of this study was to ascertain whether nursing care currently being given to hemiplegic patients in the area of body mechanics was adequate; to develop a standard from current literature in the field of medicine, physical therapy, and nursing by which nursing care given to hemiplegic patients could be evaluated; and to learn if better prepared nursing personnel were giving better nursing care.

Method: The descriptive survey was the method used in this study. The data were gathered by making actual observations of nursing care given to hemiplegic patients in the area of body …

Guided Abduction In The Treatment Of Congenital Hip Dislocations, Alfred B. Webber

Loma Linda University Electronic Theses, Dissertations & Projects

Guided abduction has been well accepted in Southern California as an effective method in the initial treatment of congenital hip dislocation. Since 1953, when this procedure was first instituted, no report has been made in the world literature describing its application and the results obtained. One of the purposes of this communication has been to outline the stages in treatment and show some of the results obtained.

The early group of congenital hip dislocations represents a difficult problem. It has been shown as a result of this study that guided abduction is an effective way to control the reduction of …

An Analysis Of Incidents Concerning Patient Safety On The Medical Unit Of A Selected Hospital, Florence Foster

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify safety factors in patient care on the medical service of a selected hospital in order to find information which could lead to recommendations for safety measures which might improve patient safety and patient care.

The descriptive-survey method of research was used. Data regarding the reported incidents were collected from the regular incident report forms, in use in the hospital. for a period of one year. Data regarding potential, unreported incidents were collected from special report forms, for a period of two months.

Review of available literature in the field of patient safety …

Effect Of Between-Meal Eating On Stomach Emptying Time, Bernice Peterson

Loma Linda University Electronic Theses, Dissertations & Projects

As yet there is little agreement among health workers as to whether the practice of between-meal eating is harmful, beneficial, or indifferent in its influence on health. Studies which have been done heretofore on between-meal eating have been concerned with the effects on growth, appetite, daily nutrient intake, regularity, body metabolism, overweight, work efficiency, and dental caries. It appears that the possible physiological effects of between-meal eating have been only partially explored. The problem of this study was the effect of eating between meals on stomach emptying time.

The effect of between-meal eating on the emptying time of the stomach …

The Ultrastructure Of The Choroid Plexus In Vitamin A Deficient Rabbits, Everet W. Witzel

Loma Linda University Electronic Theses, Dissertations & Projects

The fire structure of the lateral choroid plexus in vitamin A deficient hydrocephalic New Zealand white rabbits has been studied with the aid of both light and electron microscopy.

A special Vitamin A deficient diet was fed to all rabbits and control rabbits in addition received orally 12,500 I. U. of vitamin A powder per week. The offspring of does thus maintained for several months were studied.

All rabbits were decapitated; the left lateral choroid plexus was quickly exposed, and subjected to the fixative within 90 seconds following the death of the animal. Conventional techniques of fixation, embedding, and sectioning …

The Post-Basic Preparation Received By Administrative, Supervisory And Head Nurses In Six Hospitals, Margaret Josephine Patry

Loma Linda University Electronic Theses, Dissertations & Projects

It was the purpose of this survey to find out what post-basic preparation the administrative, supervisory and head nurses had received for their positions in six Seventh-day Adventist hospitals. The descriptive survey was chosen as the method of approach in the study. An information card was devised to gather the data. A total of 190 or 81 percent of the 235 anticipated responses were returned. The recommended preparation for nurses in nursing service positions, as set forth by the American Nurses' Association in the Functions, Standards and Qualifications for Practice, was selected as the criteria by which this preparation was …

Management Of Chronic Otitis Media, Bruce A. Sanderson

Loma Linda University Electronic Theses, Dissertations & Projects

The author presents a detailed review of the methods used in the management of chronic otitis media. The advances made in the diagnosis and treatment of this condition during the past twenty-five centuries are listed. Medical and surgical procedures to eliminate chronic otitis media are reviewed.

The author presents the results of his research studies which have helped to demonstrate a more effective way of preventing recurrent infections of the respiratory system and the ears.

A research project using rabbits has shown that bioflavonoids, Heparin, and rage prevent the inflammatory reaction incidental to the Schwartzman's phenomenon, whereas chilling the rabbit …

An Evaluation Of Two Preoperative Skin Preparation Procedures Used In The Operating Room Of A Selected Hospital, Maxine Darling

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out the immediate and residual antibacterial effects of the two preoperative skin preparation procedures most commonly used in the operating room of this selected hospital.

This study was conducted on one hundred selected surgical patients from the general medical and surgical units of this hospital. The preoperative skin preparation Procedure A (ether-alcohol-tincture of zephiran) was compared with the preoperative skin preparation Procedure B (3 per cent hexachlorophene solution). Data for the comparison were gathered by taking four cultures at specified times. The cultures were taken from the operative sites on the surgical …

The Presence Of Staphylococcus Aureus On Mothers Admitted To Selected Maternity Unit, Catherine Love Glatho

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if Staphylococcus aureus present in mothers when admitted to the maternity unit of the Loma Linda Sanitarium and Hospital could be a factor in the development of staphylococcal infection in infants. Biological specimens were collected from one hundred and forty mothers and their infants from September 1, 1959, to January 31, 1960. The specimens were obtained from the nares and external vulva of all mothers upon admission to the maternity unit, and from the nares and head of their infants after delivery. Of the one hundred and forty mothers participating, specimens were …

A Study Of Team Leader Activity On A Selected Medical Unit In A General Hospital, Margaret Elaine Schulhof

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to observe and analyze the activities of the nursing team leader on a selected medical unit of the Loma Linda Sanitarium and Hospital and to measure the percentage of time spent in each recognized function.

To accomplish this, the descriptive survey method was used. Six team leaders were "shadowed" by an. observer for a total of ten days. Record of all team leader activity was made on a specially prepared form which provided for classification of activity under Leino's six functions for the team leader. These are:

1. To Identify the Patient's Nursing problems
2. To …

A Study To Determine Whether A Relationship Exists Between High Urea Nitrogen Retention And A High Arterial Diastolic Blood Pressure, Esther June Wood

Loma Linda University Electronic Theses, Dissertations & Projects

Statement of the Problem:

The problem in this study was to determine if a relationship exists between high urea nitrogen retention and a high arterial diastolic blood pressure or diseases that are usually associated with a high arterial diastolic blood pressure.

Method of Study:

The descriptive survey method was used. Data for this study were obtained by reviewing charts of all patients whose NPN was 150 mg. percent or over or whose BUN was 100 mg. percent or over. During the specified two year period the White Memorial Clinical Laboratory records revealed thirty-five patients as falling into this category.

Summary …

A Study To Ascertain Factors Which Influence Job Satisfaction Among The Head Nurse And Staff Nurse Groups In A Selected Denominational Hospital, Yvetta Nelson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this survey was to ascertain factors which influence job satisfaction among the head nurse and staff nurse groups in a selected denominational hospital.

For this study the normative survey approach was used as the method of research. The SRA Employee Inventory put out by Science Research Associates, Inc., in connection with the Industrial Relations Center of the University of Chicago was the tool of research used to collect the data. Eighty-two professional nurses participated in the survey.

The data were tabulated, analyzed and interpreted in relation to business and industrial norms as established by Science Research Associates, …

Accidents Involving Nursing Service Personnel Reported During A Two-Year Period In A Selected General Hospital, Evelyn Helen Domke

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted in an attempt to identify factors in the work situation which seemed to have had bearing on accidents involving nursing service employees, and to analyze and classify these factors for use in accident prevention and safety education activities. An accident was any sudden and unexpected event which resulted in a physical injury.

Literature was reviewed to study the findings of past studies in the area of hospital accidents, and to aid in the classification of the accident data which were applicable to nursing service personnel.

The descriptive survey method of research using the California State compensation …

The Effect Of Slowly Digesting Carbohydrates On Abnormal Glucose Tolerance Curves, Marie Klein

Loma Linda University Electronic Theses, Dissertations & Projects

This has been a study in which it was attempted to determine the effect of slowly digesting food on the glucose tolerance curves of patients who had abnormal blood sugar levels.

The experimental method was used. Patients were selected by criteria which included certain symptomology and background of diabetic history. Fifty-two patients were prepared for glucose tolerance tests by a diet predominating in rapidly digested carbohydrates. This diet contained food which is commonly used in the American diet. After following the diet for three days, blood samples were drawn during the fasting state, and the patient was then given glucose, …

The Relationship Of Certain Personality Traits To The Underachievement Of Bright Students In Nursing, Muriel Arline Glover

Loma Linda University Electronic Theses, Dissertations & Projects

The problem of underachievement among bright students of nursing at the college of Medical Evangelists School of Nursing revealed a need for a better understanding of these students by instructors and guidance personnel in order that improved selection and guidance of these students might result.

It was the purpose of this study to identify the relationships of certain personality traits to certain levels of achievement among bright students of nursing at the college of Medical Evangelists, in order to obtain information which might guide the faculty in the selection and guidance of these students.

Bright students were defined as those …

A Community Survey To Identify Rehabilitative Needs In The Home, Marion S. Ryerson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this pilot study was to find trends of needs of senior citizens which would be helpful to the community in planning for rehabilitative services. These needs were identified and described from data secured by personal interviews of 56 respondents, using a prearranged schedule. These respondents were 50 years of age and over who lived in and sought hospitalization in the Arrowhead United Fund Area. They were interviewed an average of 13 days following discharge from the three hospitals selected for the study.

The average respondent was found to be a man, 68 years of age, married and …

A Comparative Study Of The Salivary Glands Of Certain Animals With Widely Diverse Food Habits, Arthur E. Dalgleish

Loma Linda University Electronic Theses, Dissertations & Projects

A comparative study was made of the salivary glands of six animals with diverse diet and food habits. These consisted of the following species: coyote, bobcat, opossum, kangaroo rat, cow and goat. Correlations were sought between the food habits of the animals and the relative size and microscopic structure of their glands.

After recording the gross weights of the animal and the removed glands, microscopic sections were prepared by the paraffin method. Tissues were stained by routine and special stains, including stains specific for mucins.

The cytology of the different glands and the varied mucin reactions are described. Special attention …

An Investigation Of The Feasibility Of Establishing A School Of Nursing In Connection With Bella Vista Hospital, M. Eulalia White

Loma Linda University Electronic Theses, Dissertations & Projects

The Bella Vista Hospital has had problems of staffing since it opened. Nurse shortages have been typical of all insular hospitals. There have been no national Seventh-day Adventist nurses available and no school where they could receive nursing education. The question has been raised whether it would be feasible to establish a school of nursing in connection with the hospital. This would give opportunity for Seventh-day Adventist young people who seek nursing education and would help prepare nurses to staff the hospital.

Through a survey of the Seventh-day Adventist church and youth membership in the Inter-American Division, it was found …

Activities Of The Head Nurse In A Selected Medical Unit Of The Loma Linda Sanitarium And Hospital, Bessie Wat

Loma Linda University Electronic Theses, Dissertations & Projects

Assuming that the performance of duties not specifically on the head nurse level detract from her effectiveness as a head nurse, the problem of this study was to determine what proportion of time the head nurse spent in different activities, on what level of skill these activities were, where she performed them, with whom, and the duration of each activity.

This study was conducted on a selected medical unit of the Loma Linda Sanitarium and Hospital. The normative survey method as recommended by the Division of Nursing Resources was used. The morning and afternoon head nurses or their reliefs were …

A Selected Bibliography Suitable For Use In Overseas Missionary Nursing Preparation, Anna May Vaughan

Loma Linda University Electronic Theses, Dissertations & Projects

Missionary nursing, as one form of nursing and as a method of endeavor, has been neglected in both nursing and mission literature.

It was the purpose of this study to identify, classify, and list bibliographical material which is applicable and would serve as a source of information to those preparing for, and directing others towards, overseas mission nursing.

The material for the bibliography was obtained through three sources (1) twenty-five institutions of religious education which offered courses in missions, (2) personal interviews, and (3) personal library research. The volumes included in this bibliography were selected on the basis of the …

A Follow-Up Study Of Paradise Valley School Of Nursing Graduates From 1950-1957, Charlotte D. Ross

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to find out if Paradise Valley School of Nursing is meeting certain specified objectives and to gather information which could help in future curriculum planning to better meet the needs of the students.

The normative-survey was the method used to gather data from graduates of the 1950-1957 classes. This group comprised those graduating from the three-year diploma program. A questionnaire was mailed to 149 graduates of which 124 responded.

The study shows that:

The graduates are residing in 22 states and 4 foreign countries.

Sixty-six per cent are married with over half being married within 3 …

Pharmacological Studies Of Antidiabetic Chinese Herbs, Mun Fa Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Rehmannia glutinosa, Atractylus ovata, and Polygonatum chinense have all been employed by the Chinese as oral antidiabetic agents and reported by Min (1928), Kin (1931), and Li et al. (1936) to possess hypoglycemic activity. This prompted the pharmacological studies of these herbs.

Materials and methods. Their pharmacognosy was condensed from all available Chinese and scientific literature. Preliminary chemical and physical analyses included determinations for moisture, ash, crude fat, carbohydrates, protein, phosphorus, pH, alkaloids, melting point, and spectroscopy. Employing the Somogyi-Nelson method, their glycemic activity was studied in rats, rabbits, and dogs. Stress reactions were minimized. The effect …

An Investigation Regarding Faculty-Student Ratio In The Medical-Surgical Area In Accredited Collegiate Schools Of Nursing, Frances Louise Fickess

Loma Linda University Electronic Theses, Dissertations & Projects

Statement of the Problem: the purpose of this study was to find out the current faculty-student ratio in the medical-surgical area in collegiate school of nursing which were fully accredited by the National League for Nursing and the number of students with which instructors felt comfortable in their clinical instructions.

Method: the descriptive survey method with a questionnaire was used to collect data from the study. Eighty-six instructors returned the questionnaire.

Summary of Findings: most instructors were responsible for teaching more than one class level of students and were teaching in a hospital without segregated service. Forty-eight …

An Evaluation Form For Professional Staff Nurses, Barbara Jean Brauer

Loma Linda University Electronic Theses, Dissertations & Projects

The problem of this study was to develop an evaluation form to measure the differentiation in quality of nursing care given by professional staff nurses. It was hoped that the evaluation form could be used by administrators of nursing service as a basis for giving pay increases based on nursing performance.

A review of nursing literature did not reveal the existence of an evaluation form based on verifiable data of performance upon which an objective evaluation could be made.

The critical incident technique was used to gather the data for the study. The respondents were nursing supervisory personnel employed in …

Incidents Which Threaten Patient Safety Classified For Use In Teaching Operating Room Nursing, Elsie Dorothy Vivian Wendth

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted in an attempt to identify incidents threatening the safety of patients in the care of operating room personnel and to classify them for use in teaching safety in operating room nursing.

Literature was reviewed to find concepts of safety and to aid in classification of safety hazards which are applicable to hospital patient safety. Need was shown for safe working conditions and for personnel with attitudes of safety as well as skills and knowledge. Safety included freedom from mechanical, thermal, chemical, bacteriological, and psychological injury.

The descriptive method of research using the critical incident technique was …

A Comparison Of The Members Of A Children's Health Club With Non-Members By Use Of A Standardized Health Test And Behavior Inventory, Barbara Mcdonald

Loma Linda University Electronic Theses, Dissertations & Projects

Many methods of health education are being used today to help children and young people grow into healthy useful citizens. A health club is one such method which may be used to provide activities and health knowledge which may influence attitude and behavior.

The purpose of this study was to compare children who had been members of a health club with other children who were not members to see if there was any difference between the two groups in health knowledge, attitudes, and behavior as measured by a Health Achievement Test and a Health Behavior Inventory.

Twenty-two members of the …