Medicine and Health Sciences Commons^™

Using Social Cognitive Theory To Model Health Behaviors Among Chinese Children, Yan Zhang

Health Services Research Dissertations

This study examined the usefulness of Social Cognitive Theory (SCT) to model fast-food intake, fruit/vegetable consumption, and regular physical activity among a group of Chinese-American children in a Southeastern Virginia urban area.

An observational cross-sectional survey research design and snowball sampling were used. The survey employed items from the Health Behavior Questionnaire, the Youth Risk Behavior Survey, and a 24-hour Diet Recall Form. Eighty-four children completed the self-administered survey; 54 of these were enrolled in a Chinese Weekend School. The mean age of the children was 10.5 years (range 6-18) and 43% were girls. Logistic regression models were used to …

Use Of Miswak Versus Toothbrushes: Oral Health And Behaviors Of Jordanian Adults, Reem Saleem Tubaishat

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the perceived relationship among miswak, the toothbrush, and toothbrush-plus-miswak usage on oral health beliefs and behaviors of Jordanians. To examine these relationships, a self-designed questionnaire was distributed to a convenience sample of 150 adult subjects (ages 18-60 years) seeking dental care at the health center, and two private dental clinics in Irbid, Jordan. Via the Oral Health Beliefs and Behaviors of Jordanian People Questionnaire, participants were asked to select one and sometimes more than one response regarding their perceived oral health status and oral care behaviors. Content validity of the questionnaire …

Beyond The Patient: Nursing Presence With Families During The Perioperative Period, Joyce P. Miller

Theses and Graduate Projects

Nurses have used the intervention of caring for many years, but little attention has been given to describing the phenomenon of nursing presence in the perioperative setting. The purpose of this research was to learn more about the experience of the connection of the family to the nurse who kept them informed during the perioperative period. A hermeneutic phenomenological approach was utilized to identify patterns of caring, connecting, and transpersonal nursing presence described by the family of surgical patients. Five women were interviewed for this study. Transcribed interviews became the phenomenological texts for my hermeneutic analysis. Essential themes were uncovered …

Auditory And Visual Correlates Of The Processing Of Gapping Structures In Adults, Tara Hansen

Theses and Dissertations

The purpose of this study was to compare event-related potential (ERP) effects of speech processing and effects in sentence reading elicited by sentences containing gapping structures, or a "missing" verb. N400 and P600 waveforms were collected in 20 adults between 18 and 30 years of age. Two experiments were conducted with each participant. In the two experiments ERP recordings were collected as sentences, some containing gapping structures, were presented to the subjects. In one experiment sentences were presented through headphones in sentences spoken at normal rate and with normal intonation. In the second experiment sentences with the same gapping structures …

Culture Brokering: A Case Study Resolving Conflict In A Health Care Setting, Katherine A. Baumgartner

Theses and Graduate Projects

This paper describes the application of a culture brokering model developed by Mary Ann Jezewski to a cultural conflict within a pediatric clinic. The purpose of the case study was to explore the usefulness of the culture brokering model as a tool in resolving conflict as well as a process to expand cross-cultural understanding and promote connectedness of the patient in the health care system. A practice model for the advanced practice nurse is discussed which combines the cultural brokering model and places it within the framework of Leininger's Theory of Culture Care Diversity and Universality. The cultural conflict in …

Athletic Training And Sports Psychology: A Survey Of Texas High School Athletic Trainers, Sheridan Melson

Graduate Theses

As a result of their role in the athletes’ recovery, athletic trainers should have an understanding of the many aspects involved in the psychological effect of an injury, and how to assist an athlete in their psychological recovery. This includes the components of injury, factors affecting recovery, psychosocial intervention strategies, counseling, and referral. The purpose of this study was to survey licensed athletic trainers in Texas 5 A high schools relating to psychological issues and psychological techniques used in treating and rehabilitating injured athletes. 180 surveys were returned from 128 (51%) out of 250 Texas 5A high schools. Athletic trainers …

Primary Prevention Healthcare Among Black American Men: Social Ecological Factors Predictive Of Prostate Cancer Early Detection Access, Virginia Diane Bush Agbonkhese Woods

Loma Linda University Electronic Theses, Dissertations & Projects

Access to healthcare requires individuals to have a place to go, a healthcare provider to see them, resources to obtain proper care, and the appropriate health services given in an appropriate timeframe. Non-Hispanic Black American men have the highest incidence rate of prostate cancer in the world, 180.6 per 100,000 (NCI, 2004). It is not clear as to why high rates persist, but higher death rates are associated with late detection. This mixed-methods ecological study was to investigate physician and Black male perceptions and practices regarding prostate cancer early detection with prostate specific antigen (PSA) blood test, and the digital …

Effects Of Feeding Regular Eggs, N-3 Fatty Acid Enriched Eggs, And Walnuts, On Blood Lipids, Membrane Incorporation Of Fatty Acids, And Serum Lutein, In Free-Living Lacto-Ovo Vegetarians, Bonny Burns-Whitmore

Loma Linda University Electronic Theses, Dissertations & Projects

Americans do not receive enough n-3 fatty acids (F. A.) in their diets. Walnuts are good source of α-linolenic acid (ALA), while n-3 F.A. enriched eggs provide a dietary source of DHA. Whether ALA and DHA have equivalent effects modifying cardiovascular risk factors is not known. This study compared the changes in blood and erythrocyte membrane lipids in twenty free-living lacto-ovo vegetarians following the consumption of regular eggs (6/wk), n-3 F.A. enriched eggs (6/wk), or walnuts (6 oz/wk) in a triple crossover design.

Results indicate significant differences between treatments for serum triacylglycerols (TAGs), total cholesterol (TC), apo B, apo B: …

The Effect Of Positioning On Pelvic Floor Muscle Activity As Evaluated With Surface Electromyography In Normals, Karen R. Whitter-Brandon

Loma Linda University Electronic Theses, Dissertations & Projects

Physical therapists who treat patients with urinary incontinence commonly utilize sEMG biofeedback. Practitioners compare resting tone, maximal contraction, and muscle endurance measures before and after pelvic floor exercise instruction to determine intervention and demonstrate progress. There is little research that supports the use of biofeedback in positions other than supine. The purpose of this study was to examine the effect of positioning on pelvic floor muscle activity as measured by surface electromyography (sEMG) in supine, sitting, and standing. Subjects were healthy nulliparous and multiparous women, 23-74 years old, with no symptoms, history, diagnosis, or treatment of incontinence. Subjects were randomized …

Resveratrol Regulates Igf- Ii And Cathepsin D In Breast Cancer Cells, Sharda Kalla Vyas

Loma Linda University Electronic Theses, Dissertations & Projects

Breast cancer is the most common type of cancer among women in the US. Phytoestrogen resveratrol (RS V) has been described as a potential ehemotherapeutic agent, but has been associated with breast cancer cell growth and cell death. RSV binds to estrogen receptors (ER) and functions as a mixed estrogen agonist/antagonist. The mechanism by which RSV regulates breast cancer growth is largely unknown, but it likely targets factors regulated by estrogens. Insulin-like growth factor II (IGF-II) and its precursor (proIGF-II) are estrogen-regulated mitogens that are over-expressed in breast carcinoma. Thus, I hypothesized that IGF-II/proIGF-II might mediate the biphasic effects of …

The Effect Of Pre-Heating On Depth Of Cure And Surface Hardness Of Resins, Peter R. Bond

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction of a device to pre-heat composites prior to curing has prompted this study to evaluate the effect of pre-heating on the surface hardness and depth of cure of composite resins. Factors considered in this study included curing time (10, 20 and 40 seconds), curing temperature (70, 100 and 140 degrees F), curing light type (halogen and LED), and composite type (hybrid and microhybrid).

The surface hardness portion of the study included 180 samples (5 of each of 36 combinations of factors) prepared according to the ADA standard for surface hardness. Four Knoop hardness measurements were obtained from both the …

The Effect Of Posterior Versus Anterior Glide Joint Mobilization On External Rotation Range Of Motion Of Patients With Shoulder Adhesive Capsulitis, Andrea J. Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

Study Design: Repeated measures, randomized comparison of two treatment groups.

Objective: To compare effectiveness of two manual therapy procedures, posterior and anterior glide joint mobilization, for improving external rotation in patients with adhesive capsulitis of the shoulder.

Background: Joint mobilization procedures are often used by physical therapists to treat the accessory motion impairments associated with shoulder adhesive capsulitis. However opinions differ regarding the value of posterior versus anterior glide mobilization. especially for improving external rotation.

Methods and Measures: Subjects with idiopathic adhesive capsulitis exhibiting a specific external rotation range deficit, were randomly assigned to one of two treatment groups. For …

Psychological Stress And High Sensitivity C-Reactive Protein Levels In Overweight And Obese Men, Olivia L. Moses

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. High sensitivity C-reactive protein (hs-CRP), a measure of inflammatory response, is now considered an independent marker for coronary heart disease. Psychological stress also affects the immune system and influences the inflammatory response. Ladwig, et al (2003) found a significant positive association between hs-CRP levels and depression (F=4.9, p^.008) in 726 obese males, even after adjusting for smoking, high blood pressure and age. This study investigated if there was a similar association between increased hs-CRP levels and psychological stress in overweight and obese males.

Method. Sixty-one overweight (n=28) or obese (n= 33) males, ages 20-35, were recmited …

Predictors Of Intention To Use Contraception, Given Alcohol Consumption, Among Women In Southeast Alaska, Donna Louise Hebbeler

Loma Linda University Electronic Theses, Dissertations & Projects

Fetal alcohol exposure is a serious public health problem and is 100% preventable. Traditionally, FASD prevention programs and research recommendations have targeted peri-conceptual or pregnant women. Another approach to the prevention of FASD involves preventing pregnancy in women who use alcohol. The purpose of this cross sectional study was to identify factors that predicted women’s intention to use contraception using the theory of planned behavior (TPB), to determine if predictors of the theoretical constructs varied in women depending on alcohol use, and to examine interactions between alcohol use and TPB constructs. Qualitative data was gathered to triangulate with the quantitative …

Religious Problem Solving And Coping With End Stage Renal Disease, Eva Bella Martinez

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the impact of end-stage renal disease life-related couple/family stressors and strains on marital satisfaction, parental satisfaction, life satisfaction, and depression on end-stage renal disease patients and their spouses, as well as quality of life for patients. Also, it examined the moderating effects of three styles of religious problem-solving on the relationship between the ESRD couple/family stressors and strains and the outcome variables. Data included a sample of two hundred subjects and their spouses. Subjects were recruited from seven dialysis centers in southern California. Both patients and spouses were given survey questionnaires (i.e. Personal History Inventory, Religious Problem-Solving …

Secular Trends In Life Expectancy By Diet Status Among Never Smoking Seventh-Day Adventists, Noha Salim Daher

Loma Linda University Electronic Theses, Dissertations & Projects

To evaluate how life expectancy changed by age and secular time from 1960 through 1988, two cohort studies, the Adventist Mortality Study (AMS, 1960-1985, n = 27,530) and the Adventist Health Study (AHS, 1976-1988, n = 34,192) were combined. The life expectancy of omnivores was compared to vegetarians separately in never-smoking males and females for all-cause mortality, and where the cause of death was cardiovascular disease or all site-cancer. Life expectancies were calculated for subjects who had survived to ages 30, 50, 70, and 80 during six calendar periods: 1960- 1964, 1965-1969, 1970-1974, 1975-1979, 1980-1984, and 1985-1988. Ten-year calendar periods …

Thought Suppression Change In Cancer Patients And Survivors After Writing, Erin O'Carroll Bantum

Loma Linda University Electronic Theses, Dissertations & Projects

Breast cancer is a debilitating and many times fatal disease that will affect approximately 215,990 women in the United States alone this year. Treatment for breast cancer can involve many physically and psychologically straining features. The illness perception theory states that individuals form illness representations to make sense of health threats and illness. These representations contain a number of individual, specific attributes about the illness identity, and cause, time-line, consequences of, and cure/control of the illness. Many women who have experienced breast cancer have also been found to be keeping their thoughts inside. Thought suppression has been linked to many …

The Application Of The Transtheoretical Model Of Change To Self-Care Behaviors In Type 2 Diabetics, Heather N. Mercer

Loma Linda University Electronic Theses, Dissertations & Projects

Background. The Transtheoretical Model of Change (TTM) has been investigated as a model of health behavior change; however, it has only begun to gain recognition in the diabetic population, and has not yet been investigated as it relates to the full-spectrum of diabetes self-care behaviors.

Purpose. The purpose of this study was to compare the pattern of stages of change across four self-care behaviors between intervention and control groups, and examine psychosocial and health outcome variables.

Method. In a cross-sectional design, a sample of 132 adult subjects with type 2 diabetes completed surveys. The survey assessed stages of change among …

Resonance Frequency Analysis As A Determinant Of Implant Initial Stability, Negar Tabandeh

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The clinicians' decision regarding immediate loading is largely determined by the assessment of initial stability of the dental implant. Computed tomographic assessment of recipient site bone quality, insertion resistance torque and post-insertion resonance frequency are currently the only objective methods of measurement establishing initial stability.

Purpose: A study was designed to measure resonance frequency of root form dental implants placed in cadaver jaws. The resonance frequency values were compared to previous subjective and objective data reported in prior studies in the series.

Materials and Methods: Resonance frequency measurements were secured using the Osstell ™ mentor unit on 4.0 X …

Histological Comparison Of White And Gray Mta In Repair Of Furcation Perforations, Miguel Elias Mego

Loma Linda University Electronic Theses, Dissertations & Projects

Mineral trioxide aggregate (MTA) has been shown to promote regeneration of the periodontal apparatus when used as a repair material in furcation perforations. Two variations of MTA (Gray and White) have been introduced to the dental market. The purpose of this study was to histologically compare the in vivo response to immediate furcation perforation repair using gray or white MTA in beagle dogs.

Under general anesthesia, non-surgical root canal therapy and furcal perforations were performed on sixteen mandibular premolars of eight 2-year old beagle dogs. The perforations were immediately repaired with either white (n=8) or gray (n=8) MTA. The animals …

Social Welfare Systems And Their Effects On Adolescent Violence, Injecting Drug Use, And Negative Health Behaviors, Elvin A. Hernandez

Loma Linda University Electronic Theses, Dissertations & Projects

Youth and young adults who are injection drug users (IDU’s) often live and survive in physical and emotional environments that are associated with negative behaviors and outcomes. Past environmental and social factors, such as participation in social welfare systems or institutionalization in foster care or juvenile hall, have been found to be associated with IDU-involved young adults’ health behaviors when they become older. Social networks, which include drug, sex, or hangout networks, may influence their health outcomes and behaviors. The goals of this dissertation include an investigation of how reported past social welfare participation and institutionalization is associated with IDU-involved …

The Effect Of Electrical Stimulation On Blood Flow In Chronic Wounds In Patients With And Without Diabetes, Daryl J. Lawson

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Only 3% of the U S population is afflicted by diabetes, yet one of the most common chronic wounds is the diabetic ulcer. Decrease in blood flow may be one reason why only 31% of neuropathic diabetic ulcers heal in 20-weeks. The purpose of this investigation was to compare healing rates and blood flow of chronic stage III and IV wounds in people with diabetes and those without diabetes over four weeks of treatment. Blood flow was measured before, during, and after stimulation using one of two different electrical stimulation waveforms in a 32°C room.

Subjects …

A Comparative Study Of Conventional-Ligating And Self-Ligating Bracket Systems, Gabriela Garcia

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to determine the frictional resistance of four self-ligating brackets and two conventional bracket systems using two different types of orthodontic arch wires in both wet and dry fields. Six different brands of upper right central incisor brackets with 0.018-in slots were evaluated. Group A : self-ligating bracket: Opal (Ultradent), Damon 2 (Ormco), Time (American Orthodontics), In-Ovation (GAC). Group B: conventional-ligating: Virage (American Orthodontics), and Mini-Twin (Unitek) served as the control brackets. Two different orthodontic wires of varying alloys and sections were tested: 0.016-in round stainless steel (Ormco) and 0.016x0.022 inch rectangular nickel-titanium (American Orthodontics). …

Difference In Transverse Plane Scapular Position Of Professional Baseball Players Relative To Baseball Field Position, James M. Syms

Loma Linda University Electronic Theses, Dissertations & Projects

The objective of this study was to identify the variation of the scaption angle of professional baseball players among field position played. Subjects consisted of 109 minor league professional baseball players reporting for the 2002 spring training season, who were under contract with the Anaheim Angels professional baseball organization. Subjects reported to a sports medicine/physical therapy clinic for their 2002 spring training pre-participation physical examination. The scaption measurements were taken as a component of the examination.

Goniometric measurements were taken with the players in a relaxed standing position. Players were instructed to remain looking forward, roll their shoulders forward three …

Reasons For Complementary And Alternative Medicine Usage In Japanese Americans, Theodora Stratis

Loma Linda University Electronic Theses, Dissertations & Projects

Complementary and Alternative Medicine (CAM) has received much research attention in the last several years due to marked increase in usage in the U.S. To date, findings indicate that 34% of adults in the U.S. report using at least one form of CAM for the maintenance of general health and acute symptoms and such use continue to increase (Astin, 1998; Eisenberg et al., 1993). CAM therapies are also used by those who suffer from chronic physical and psychological symptoms not successfully treated by conventional medicine (Testerman et al., 2004). Though researchers have examined who is using CAM and why they …

The Effects Of Brain Gym® Activities On Second-Grade Students' Academic Performance And Handwriting Skills, Kristen Keinath

Masters Theses

Objective: The purpose of this quantitative study was to determine the effects of Brain Gym® activities on second-grand students' academic performance and handwriting skills.

Method: Results were obtained by administering the Test of Handwriting Skills (THS) to two classrooms in a Northern Michigan Elementary School and having both teachers complete a self-developed Academic Performance Form on each student participating in the study. The data from was analyzed using a t-test for the THS and mean scores for the self-developed Academic Performance Form.

Results: Findings suggest a significant difference (p < .05) in the number of letters produced in 20 seconds and spacing of letters. Non-standardized testing showed a decrease in attention to task scores between pre- and post-testing.

Conclusion: Brain Gym® activities were shown to positively effect handwriting …

A New Interpretation Of The Drug Levodopa In The Treatment Of Parkinson's Disease, Joanne T. Vannah

Graduate Masters Theses

An argument for levodopa induced dyskinesias (LID) as an expression of long term potentiation (LTP) in the striatum is presented. Normally, with an intact nigrostriatal dopamine (DA) input, long term depression (LTD) is expressed in the striatum, however, striatal LTD is lost following DA denervation and chronic levodopa treatment. It is possible that these changes in synaptic efficacy are due to two other chemical modulators, achetylcholine (ACh) and glutamate, which in turn leads to the induction of striatal LTP. ACh and glutamate may produce these changes in motor behavior by affecting the striosomal pathway in addition to their effect on …

The Effects Of Long Term Walnut Consumption On Levels Of Plasma Tocopherols And Inflammatory Mediators, Suwimol Sapwarobol

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the effects of long term walnut consumption on plasma levels of tocopherols and the inflammatory mediators interleukin-1β (IL-1β ), interleukin-6 (IL-6), tumor necrosis factor-a (TNF-a) and Creactive protein (CRP) in healthy participants. Ninety participants were recruited into a 12-month randomized crossover intervention study, which consisted of two phases, the walnut supplemented diet and the habitual diet. Participants were randomly assigned to either of these two phases for six months and then switched to the other phase for the second six months. During the walnut supplemented diet phase, participants incorporated walnuts (28-56 g/d) …

Comparison Of Different Methods Of Assessing Ridge Width Prior To Implant Placement, Lung-Cheng Chen

Loma Linda University Electronic Theses, Dissertations & Projects

The aim of this study was to compare the following 3 methods of assessing alveolar ridge dimensions prior to placement of dental implants: 1) ridge mapping measurement before surgical flap reflection using a caliper; 2) direct caliper measurement following surgical exposure of the bone, and 3) measurement using images from cone beam computerized tomography.

Sixteen subjects having 25 sites for planned implant placement or ridge augmentation were recruited. An acrylic stent was fabricated for each patient. The stent provided 3 buccal/lingual pairs of consistent measurement points for each implant site, located 4, 7 and 10 mm from the summit of …

Unintended Pregnancy Prevention And Active Duty Women, Min S. Chung-Park Phd, Msn, Whnp

Dissertations

Studies have shown that a structured education program for women decreases risky sexual behavior identified as vulnerable for AIDS. However, the outcomes from a structured, repeated, educational intervention in reducing the rates of unintended pregnancies have not been studied in military females who are considered as a high risk. The purpose of this quasi-experimental longitudinal study was to implement and evaluate the effects of a reproductive health educational program regarding knowledge, attitudes, decisional balance, self-efficacy, stages of change, and contraceptive use, and to identify independent variables most likely to predict behavior change in the use of contraceptives among single, active …