Medicine and Health Sciences Commons^™

Kinesiology Of Knee Flexion Deformity Using Electromyography, Paul J. Roby

Loma Linda University Electronic Theses, Dissertations & Projects

A kinesiological electromyographic study was completed to determine the relative changes in muscle activity as a person walks and stands with different degrees of knee flexion deformity. The ultimate aim was to establish criteria for appropriate preventive and corrective measures relating to knee flexion deformity.

Six different muscles were implanted with wire electrodes. The subjects performed a series of walking and standing experiments with the knee flexed at selected angles by a locking leg brace to simulate knee flexion deformity. The electromyographic action potentials were monitored by analog tapes, oscilloscopes and closed circuit television. The analog tapes were displayed on …

Health Status Of Emergency Department Patients, Marjean J. Horning

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to help nursing develop a comprehensive care system for patients in selected emergency departments. To develop such a system, it was necessary to know the characteristics of and the health needs of that population.

The problem of this study was to describe the characteristics and health needs of patients in selected emergency departments.

Patients were interviewed using the Kisch Health Status Proxy (KHSP) and the Health Habits Inventory (HHI) as a guide. The KHSP listed acute and chronic conditions that an individual experienced. It gave a numerical score which rated the respondent in good, …

Oral Lichen Planus : A Clinical Study Of The Association With Diabetes Mellitus And Vascular Hypertension, Gordon M. Rick

Loma Linda University Electronic Theses, Dissertations & Projects

This investigation concerns the relationship of diabetes mellitus and vascular hypertension to oral lichen planus. Questionnaires were sent to 470 patients with oral lichen planus: 286 responded. Of these patients 103 were examined clinically, and 74 with current lesions were divided into ''keratotic'' and ''erosive'' categories. These patients underwent three-hour oral glucose tolerance tests; also, their asterial blood pressure was determined. In the survey group, diabetes was reported about three times more frequently by those with "erosive"; oral lichen planus than by those ''keratoic" lesions. The overall prevalence of diabetes was about two and one-half times greater than expected compared …

Endodontic Sealing Properties Of Cavit, Chloro-Rosin Gutta Percha, N2, And Silver Cones Using Radioisotopes, Frank H. Beal

Loma Linda University Electronic Theses, Dissertations & Projects

The main purpose of this investigation was to test the endodontic sealing abilities of silver cones, N2, warm gutta percha, chemically softened gutta percha, laterally condensed gutta percha and Cavit under carefully controlled conditions. Evaluations were done by radiographic, macroscopic, microscopic, and autoradiographic examinations.

The four points which must be considered when evaluating the efficacy of sealing root canal systems, in vivo, were presented and discussed.

Cavit as a total endodontic filling material was presented, investigated and discussed.

An improvement of the chloro-rosin - gutta percha diffusion technique was presented.

The concept of surface as well as marginal leakage was …

Selected Factors Related To Ability To Regain Bladder Function Following Indwelling Catheterization, Jongkolnee Padmasiri

Loma Linda University Electronic Theses, Dissertations & Projects

This exploratory retrospective study was designed to evaluate selected factors, including the ability to regain bladder function related to post indwelling urethral catheterization in an acute general hospital population.

The records of 107 patients who met the study criteria became the study population. These patients had three-way urethral catheters, continuous antibacterial irrigation and closed drainage system. Twenty patients died (19 percent) before the catheter was removed. Of the 87 patients who were alive, 37 percent (32 patients) had in-adequate bladder function. Of these 32 patients, no attempt was made to remove the catheter from 15 prior to their hospital discharge. …

A Clinical Evaluation Of The Light Progressive Technique During Cuspid And Anterior Retraction, Gary R. Keszler

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to clinically evaluate cuspid and anterior retraction in first bicuspid extraction cases using the Light Progressive Technique. More specifically interest was centered on rate of cuspid and anterior retraction, anchorage preservation or control, difficulty of appliance adjustments, time involved in adjustments, frequency of adjustments, total retraction time, patient discomfort, root resorption, as well as a complete cephalometric appraisal. Seven patients were treated for ten months. The appliance was activated at three week intervals, and progress recorded monthly.

It was shown that this technique maintains molar anchorage during rapid cuspid retraction without relying on patient cooperation for …

Sero-Epidemiology Of Q Fever With Special Reference To Complications In A Hospital Population Of Southern California, Ajit Singh Randhawa

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

The Degree And Time-Course Of Stress In The Patient Undergoing Cardiac Surgery, Hulda Esther Serra, Patricia Jo Yvonne Tygret

Loma Linda University Electronic Theses, Dissertations & Projects

An important nursing objective is to assist patients through stressful experiences. It has been assumed that cardiac surgery constitutes such a stress situation. For this reason, twenty-two patients undergoing cardiac surgery at Loma Linda University Hospital studied for the purpose of exploring the degree and time-course of were psychological stress.

The methodology consisted of administration of psychological tests before and after surgery; determination of urine catecholamines (UCA) before, during and after surgery; administration of a coping assessment tool before surgery, and a recall interview on the fifth day after surgery. The Multiple Affect Adjective Check List (MAACL)-Today form, and the …

The Relationship Of The Bucco-Lingual Position Of The Mandibular First Molar To Occlusion And Arch Stability, Lothar M. Guttschuss

Loma Linda University Electronic Theses, Dissertations & Projects

Forty non-treated and twenty-two orthodontically treated cases were selected to determine the relationship of the bucco-lingual position of the mandibular first molar to occlusion and arch stability.

Plaster models and occlusal radiographs were obtained from all the cases. Anterior crowding, intermolar width, molar classification, and molar overhang relative to the basal bone were determined. The modified technique for occlusal radiographs used was found to result in radiographs which were more versatile and accurate when interchanged with the model measurements. Clinical applications of this technique include the determination of root angulations, location of impactions, and the fabrication of individualized preformed arch …

The Effect Of Elevated Glucose On Neutrophilic Phagocytosis In Genetically Diabetic Mice, Larry B. Thompson

Loma Linda University Electronic Theses, Dissertations & Projects

Infiltration to an injury site or area of bacterial contamination by polymorphonuclear leucocytes (or neutrophils) is an early and essential phase of the early inflammatory reaction. Their action on foreign matter is the most critical step taken by body defense mechanisms in the first 24 hours. Anything which interferes with that action, phagocytosis, greatly hampers early inflammation. This study was designed to see the effect of elevated glucose levels on neutrophil phagocytosis in a unique strain of genetically diabetic mice.

Twenty-two diabetic and twenty-four control female mice were used. Blood glucose determinations and total white counts were made on each …

Bacteriuria As A Precursor Of Intracatheter Encrustation, Namcy Moll

Loma Linda University Electronic Theses, Dissertations & Projects

The problem with which this study was concerned was the development of criteria that could be used to determine when urinary catheter changes were necessary. By determining when encrustation occurred, it was felt that some complications could be eliminated by changing catheters before obstruction occurred due to encrustation.

It was the purpose of this study to: 1) explore some indications for catheter change, 2) determine if encrustation of urinary catheters necessitates catheter change, and 3) estimate potential criteria for a routine time for catheter changes.

Forty-five catheters were examined after their removal from patients. Flow rates were determined on 33 …

A Computerized Study Of Midpalatal Suture Expansion, Clelan G. Ehrler

Loma Linda University Electronic Theses, Dissertations & Projects

An investigation has been conducted to consider the effects of midpalatal suture expansion on the cranial-facial complex. Nine patients were treated that had constricted maxillae. Data was obtained from frontal and lateral headplate radiographs which were taken at four intervals during treatment. The Rocky Mountain Data Systems diagnosis was utilized to interpret the radiographic data.

The data from the nine cases were averaged to obtain a composit [sic] change at each of the four times.

Examination of the lateral headplate data revealed that no permanent significant alteration occurred to the positions of the mandible or maxilla in a vertical or …

A Comparison Of Various Teaching Methods For Patients With Chronic Obstructive Pulmonary Diseases, B. Carol Altizer, Nancy S. Bailey

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether patients with chronic obstructive pulmonary disease (C.O.P.D.) learn more from auditory or from visual teaching. Of the 30 patients in the sample, 10 used a programmed instruction booklet, 10 used a taped recording of the same programmed material and 10 were in a control group which received no specific teaching.

A pre-test was given to each of the patients who met the criteria for the study. One researcher gave the pre-test through an oral interview with the patient. After the pre-test, the patient received the teaching device assigned to him …

Cold For Relief Of Postoperative Limitation Of Activity Due To Incisional Pain, Haroldine Roberts

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with testing the effectiveness of cold to aid the cholecystectomy patient in performing certain selected activities usually inhibited by incisional pain.

Available references of the effects of cold on the abdominal area were studied to formulate a method of approach as no previous methodology was found in the literature.

The experimental method of research was used on a sample of 18 cholecystectomy patients meeting the criteria for the study, independent variable for the 10 patients in the experimental the application of cold over the closed incision, plastic bag covered with one thickness of towel was used …

Foster Family Care For The Aged, Donald V. Sekora

Dissertations and Theses

The following was a research practicum instituted as an actual project for the State of Montana Welfare Department between June, 1970, and May, 1971. The project had a two-fold purpose in being conceived: one purpose was to fulfill a graduate school academic requirement; and the second purpose was to fulfill a responsibility to the people of Montana who would eventually gain some benefits from this project. The series of written documents that follow are the description of that project's conception and actualization in six Montana counties. The first part is the project idea and theory; the next two parts consist …

A Follow-Up Study Of Patients With Chronic Obstructive Lung Disease And Their Practice Of The Breathing Pattern, A. Theodora Djagia

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this descriptive survey was to do a follow-up study on patients with COPD to find out to what extent these patients have followed instruction to continue exercising the abdominal and diaphragmatic muscles, with the utilization of a breathing pattern. Literature was reviewed which revealed contradictory findings in regard to the physiological benefits of the use of the breathing pattern. Nine patients met the criteria and signed a consent sheet to be visited in their homes. An Observation Data Sheet and Interview Guide were the tools used to collect data. A point system was constructed and used with …

Adherence Of Men With Myocardial Infarction To Prescribed Exercise, Marsha Schwartz

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if men with myocardial infarction followed exercise prescribed by the physician. The reasons the patients did or did not follow the exercise prescription were investigated.

An interview guide was used to gather the data for this exploratory study. The questions on the interview guide were designed to obtain information to compare the former exercise pattern of the patient to exercise after infarction. Adherence to the exercise prescription was also determined by the exercise reported in the interview. Fifteen male subjects who had myocardial infarction were interviewed in the hospital and after …

The Relationship Between The Lingual Surface Of The Maxillary Central Incisor And The Eminence Of The Mandibular Fossae, Robert A. Huffer

Loma Linda University Electronic Theses, Dissertations & Projects

Gnathologists have suggested that in order to prevent excessive wear on posterior teeth, alveolar bone loss due to traumatic occlusion, and temporomandibular Joint (TMJ) disturbances, the mandibular incisors should disclude the posterior teeth by moving along the lingual surfaces of the maxillary incisors as the condyles move down the articular eminence in protrusion. It is suggested that in order for this to occur, the lingual surface of the maxillary incisors should be steeper than the eminence.

A cephalometric technique was developed to accurately determine the anatomical form of the articular eminence. A regular orthodontic tracing of the head was done …

A Comparative Roentgenographic Cephalometric Study Of The Facial Profile Of Orthodontic Patients Treated At Loma Linda University With Winners Of The "Smiles Of The Year" Contest, Romeo I. Stoll

Loma Linda University Electronic Theses, Dissertations & Projects

The "Smiles of the Year" winners and patients treated at Loma Linda University by the extraction or non-extraction approach were compared by linear and angular variables of skeletal, dental and soft tissue components. These findings were analyzed statistically to determine significant differences in the profile and detect the relationship between the integument and hard structures.

The following conclusions were drawn from this investigation to reflect the trend of treatment at Loma Linda University.

1. After treatment the patients had less skeletal convexity, but were more convexity than established standards.
2. The incisors of the patients treated by the extraction approach were less …

Sensory Stimulation To Produce Micturition In The Cerebral Vascular Accident Patient, Mary Alice Pearce

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted in a university and a convalescent hospital using eight female CVA patients with urinary incontinence to test the hypothesis that the experimental technique of icing and brushing LI dermatome skin area would increase the probability that the CVA patient would void within a prescribed time and place. A modified one group method was used in which the patient served as her own control by participating in two types of bladder training programs over an eight to twelve hour period for four consecutive days. Program A used the experimental technique; Program B omitted the experimental technique. …

The Role Of The Articular Eminence In Mandibular Protrusion, Norman E. Corbett

Loma Linda University Electronic Theses, Dissertations & Projects

Since movements of the TMJ may be translatory, rotary, or both, the form of the articular eminence becomes an integral part of the anatomy of the joint and is important in an understanding of TMJ function. A cephalometric technique was developed to accurately determine the anatomical form of the articular eminence. From a series of cephalograms, taken in various mandibular positions, the protrusive condylar path was determined. This path was also determined from a gnathological recording technique. The paths obtained were observed to be the same. The condylar path and articular eminence curves were mathematically expressed by computer programmed quadratic …

An Analysis Of Orthodontic Treatment Results Employing Class Ii Armstrong Adjustable Intermaxillary Springs, Michael E. Shumate

Loma Linda University Electronic Theses, Dissertations & Projects

A study of orthodontic treatment results employing Class II Armstrong Adjustable Intermaxillary Springs was made on twenty-eight randomly selected patients which were treated by Dr. Maclay Armstrong.

The skeletal and dental changes observed during treatment with the Class II springs was compared with those results observed when comparable type malocclusions were treated with Class II elastics. A list of changes which were observed during treatment with Class II elastics was compiled from the literature using individual studies published by Ricketts, Creekmore and Hanes.

The study was based on the findings observed in the initial and final cephalometric radiographs. A statistical …

A Cephalometric, Anatomic And Histologic Investigation Of The Effects Resulting From A Heavy Interrupted Orthopedic Force To The Maxilla Of The Macaca Mulatta Monkey, Roger Wayne Triftshauser

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine changes that occur in the craniofacial complex, when a heavy interrupted orthopedic force is employed to retract the maxilla in the post puberal rhesus monkey. Cephalometric, histologic and anatomic examinations were utilized to substantiate the findings.

Four female rhesus monkeys were used for experimentation. Two were experimental animals and the other two controls. Cervical retraction with headgear was applied over a period of 313 days and 159 days to the two experimental animals. Forces not exceeding 2.5 lbs. were found most effective.

The findings were as follows:-

1. A total posterior displacement of …

Some Aspects Of Cranial Bone Growth In The Puberal Macaca Mulatta Monkey: As Evidenced By Metallic Implants And Cephalometric Roentgenography And The Application Of A Geological Lapidary Technique For The Semi-Serial Thin Sectioning Of Undecalcified Bone, Lee Eugene Olsen

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to investigate cranial and facial bone growth in the puberal Macaca mulatta monkey over a six month period utilizing the methods of metallic implantation combined with serial cephalometric roentgenography and a bichromatic vital staining method.

The employment of the vital stains, alizarin Red S and anthracene blue, over the six month period of the study, failed to stain the actively growing bone as evidenced by gross and microscopic analysis of the undecalcified bone preparations.

Interimplant measurements were made across certain bone sutures and the following results were obtained: The zygomaticotemporal sutures showed marked growth …

An Investigation Of The Methods Used In High School Football For The Prevention Of Ankle Sprains, Dennis R. Ferguson

Masters Theses

No abstract provided.

Relationship Between Sleep Deprivation And Postpartum Depression, Janet Wagner

Loma Linda University Electronic Theses, Dissertations & Projects

Postpartum depression was thought to be an important component of maternity blues and was the factor explored in this study. Sleep was hypothesized as a factor affecting either the occurrence or severity of postpartum depression. Hence, the purpose of this study was to determine the relationship between sleep deprivation and postpartum depression.

Twenty patients were interviewed one to three weeks prior to their expected dates of delivery. The Minnesota Multiphasic Personality Inventory Depression scale was administered during the interview and each patient kept a record of her hours of sleep during the following week. Each patient again kept a record …

Play Preparation For The Adeno-Tonsillectomy Patient, Carol Brown, Harriet Hecker

Loma Linda University Electronic Theses, Dissertations & Projects

Hospitalization and surgery have been recognized as being psychologically stressful for the majority of children. Hospital personnel have attempted to reduce some of the unnecessary psychological stress incurred by children by the use of many different methods. This study attempted to evaluate the use of preoperative play preparation sessions for minimizing this stress. The method was experimental with one variable. The subjects were forty-one children aged three and one-half to seven and one-half who had adeno-tonsillectomies. Twenty-one children comprising Group E were involved in a play session by the researchers. Twenty children were not prepared in this way. The tools …

Masseter Muscle Position Relative To Skeletal Open Bite And Skeletal Closed Bite, Alonzo David Proctor

Loma Linda University Electronic Theses, Dissertations & Projects

Modification of cephalometric roentgenographic procedures provided a means to identify the anterior borders of the right and left masseter muscles and relate them to surrounding dentoskeletal elements. Attachment of short, stiff, wires to the cheeks in a position superficial to the anterior borders of the muscles, subsequent to palpation and prior to exposure of the roentgenographic film, was the procedure used. The bi-lateral images projected on the film were averaged and traced along with dentoskeletal elements including those associated with skeletal type. This line representing the anterior border of the musculature was used to assess muscle position in the vertical …

The Advantages Of A Condyle-Gnathion Reference Line In Roentgenographic Cephalometry, Ernest N. Chan

Loma Linda University Electronic Theses, Dissertations & Projects

Evaluation of the cephalograms of 150 patients showed a wide range in the angulation of the lower border of the mandible to the various facial planes. The degree of this angulation did not always correspond with the severity of malocclusion. Group I represents normal occlusions, Group II comprises malocclusions.

A new reference line is submitted for the investigation of its advantages in cephalometric roentgenography. The mandibular radius drawn through the geometric center of the condyle to the point gnathion is correlated with several indices of facial growth, namely (1) ANB difference, (2) upper facial:lower facial height and (3) PoNB distance …

Roentgenographic Evaluation Of Nasion-Menton And Sella-Gonion Measurements And Their Relationship To The Mandibular Plane Angle, David I. Asatani

Loma Linda University Electronic Theses, Dissertations & Projects

A convenience sample of 480 Caucasians using original diagnostic cephalometric films was selected to evaluate the nasion-menton and sella-gonion distances and their relationship to the mandibular plane angle.

The anterior facial height was represented by the nasion-menton plane. The posterior facial height was represented by sella-gonion plane. The facial depth was represented by sella-nasion and menton-gonion planes. The mandibular plane angle was represented by the intersection of the sella-nasion and menton-gonion planes.

The descriptive data, correlation analysis, and regression analysis was calculated for the following groups: total sample, females, males, prepubertal and postpubertal ages and various mandibular plane angles of …