Medicine and Health Sciences Commons^™

Loma Linda Nurse - Vol. 28, Loma Linda University School Of Nursing

Loma Linda Nurse

FEATURES

4 | Faces of the Frontlines

12 | The COVID Effect

16 | Far and Away—Gabriele Stevens

18 | Leveling Up— A View of the Future

LLUSN HIGHLIGHTS

20-27 | ALUMNI NEWS

28-31 | HOMECOMING

32-35 | ACADEMICS

36-43 | FACULTY UPDATES

Intraminority Solidarity: The Role Of Critical Consciousness, Esther Burson, Erin B. Godfrey

Psychology: Faculty Publications

A central question in the growing field of intraminority relations is how best to promote solidarity among marginalized groups. The current article reviews existing social psychological theories of intraminority relations, with a focus on barriers to, and facilitators of, intraminority solidarity. In particular, we explore the roles of competition and identity threats in eroding solidarity, and examine how similarity perceptions, a common identity of stigma, and structural and historical attributions generate solidarity. We then suggest that critical consciousness, a theory of sociopolitical development prominent in the developmental and community psychology literatures, can integrate disparate findings and extend our understanding of …

Axios Lumen Apposing Metal Stent In The Treatment Of Peripancreatic Fluid Collections, 4 Year Retrospective Observation At A Large Care Center, Michal Kloska Md, Valery Hrad Md, Abdul Aleem Md, Soorya N. Aggarwal Do, Shashin Shah Md, Zachary Zator Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

The Role And Function Of A Hospital Chaplain In An Interdisciplinary Team, Joseph Richard Jeffries

Doctoral Dissertations and Projects

Healthcare workers provide quality of care to patients who enter the hospital. However, to provide the holistic care, patients need interdisciplinary teams who meet and collaborate on a plan of care. There are various skills sets required on an interdisciplinary team including chaplains. However, members of an interdisciplinary team do not necessarily understand how to utilize the chaplain’s multifaceted training for the best holistic care of the patient. The purpose of this study is to review the interdisciplinary team in the hospital context and address the understanding of the chaplain’s role and function. The study will utilize a qualitative research …

Acute Symptomatic Seizures In Critically Ill Children: Frequency, Etiology And Outcomes, Sanam B. Rajper, Mujtaba Moazzam, Arsheen Zeeshan, Qalab Abbas

Department of Paediatrics and Child Health

Background: Critically ill individuals have an increased risk of acute symptomatic seizures secondary to systemic illnesses; unrecognized or untreated seizures can quickly convert into status epilepticus, which is associated with high morbidity and mortality.
Objective: The aim of this study was to determine frequency, etiology, and outcome of seizures in critical ill children admitted in intensive care unit of a tertiary care hospital.
Materials and methods: Retrospective review of medical records of all children admitted in pediatric intensive care unit (PICU) of the Aga Khan University from January 2016 to December 2018 and who had a new-onset seizure irrespective of …

Jannetta Pearls!, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Trigeminal-Cardiac Reflex During Temporal Cranioplasty, Stanlies D'Souza

All Scholarly Works

No abstract provided.

A Double-Edged Sword! Management Of Elevated Intracranial Pressure And Massive Transfusion With Minimal Coagulopathy During A Cerebral Tumor Debulking Procedure, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Stop! Don't Shock! Patient Is Aware! Identifying Signs Of Awareness During Ga Prior To Administration Of Ect Shock, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Frequent Estimation Of Arterial End-Tidal Co2 Difference During End-Tidal Co2-Management In Patients With Elevated Intracranial Pressure, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Acute Lower Limb Revascularization In A Patient With Current Acute Myocardial Infarction And Low Ejection Fraction, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Four-Quadrant Tap Block And Multimodal Pharmacology: The “Way To Go” To Debulk A Large Uterine Sarcoma In A Patient Requiring Immediate Postoperative Anticoagulation, Stanlies D'Souza

All Scholarly Works

No abstract provided.

Ceo Turnover In Georgia Rural Hospitals, 2011-2017, Bettye Apenteng, Samuel Opoku, Linda Kimsey, Charles Owens, Bill Mase, Angela Peden

Center for Public Health Practice & Research

Highlights: The average annual turnover rate in Georgia rural hospitals between 2011 and 2017 was 24%, with a low of 17% in 2012 and in 2015 and a high of 37% in 2016. Between 2011 and 2017, rural hospitals had on average, approximately two CEO changes, with 46% reporting three or more CEO changes. Annual turnover rates were found to be consistently higher in rural prospectively paid (PPS) hospitals, compared to Critical Access Hospitals (CAHs).

Background: Hospital chief executive officer (CEO) turnover rates have increased nationally over the last decade, increasing from 15% in 2007 to 18% in …

October 2020, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy.

Health Priorities For Sustainable Development, Lisa E. Sachs, Jeffrey D. Sachs

Columbia Center on Sustainable Investment Staff Publications

The right to health has been repeatedly recognized as one of the core human rights, essential for human functioning, human dignity, economic well-being and development. But the right to health continues to elude hundreds of millions and with Covid-19, perhaps billions of people. Poverty remains the most critical obstacle to the realization of the right to health in developing countries. Achieving universal health coverage, before the additional costs of Covid-19, would require roughly $50 billion per year, approximately 0.1 percent of the GDP of the high-income OECD countries. Yet despite this broad understanding of the vicious cycle of poverty and …

The Impact Of Delayed Treatment Of Uncomplicated P. Falciparum Malaria On Progression To Severe Malaria: A Systematic Review And A Pooled Multicenter Individual-Patient Meta-Analysis, Andria Mousa, Abdullah Al-Taiar, Nicholas Anstey, Cyril Badaut, Bridget Barber, Quique Bassat, Joseph Challenger, Aubrey Cunnington, Dibyadyuti Datta, Robert Opoka

Paediatrics and Child Health, East Africa

Background: Delay in receiving treatment for uncomplicated malaria (UM) is often reported to increase the risk of developing severe malaria (SM), but access to treatment remains low in most high-burden areas. Understanding the contribution of treatment delay on progression to severe disease is critical to determine how quickly patients need to receive treatment and to quantify the impact of widely implemented treatment interventions, such as 'test-and-treat' policies administered by community health workers (CHWs). We conducted a pooled individual-participant meta-analysis to estimate the association between treatment delay and presenting with SM.

Methods and findings: A search using Ovid MEDLINE and …

The Intersection Of An Epidemic And Pandemic: Smoking, Risk-Taking, And Covid-19, Allison H. Stranick

Student Publications

Electronic cigarette use has risen drastically in recent years among teens and young adults. Rates of conventional cigarette use have decreased, while rates of electronic cigarette use are on the rise. Knowledge and perceptions of the risks and benefits of conventional and electronic cigarettes greatly impacts adolescents and young adults’ decisions to use these products. Published literature explores the issues of social norms, intertemporal choice, present bias, prospect theory, and hyperbolic discounting as means to explain the way in which young populations perceive risk and risky behavior. Research suggests that children and young adults believe that e-cigarettes are safer, less …

A Systematic Approach To Big Data Analysis In Cataract Patients In Telangana State, India, Amna Alalawi

Full-Text Theses & Dissertations

Big data is the new gold, especially in healthcare. Advances in collecting and processing Electronic Medical Records (EMRs), coupled with increasing computer capabilities have resulted in an increased interest in the use of big data in healthcare. Big data require collection and analysis of data at an unprecedented scale and represents a paradigm shift in healthcare, offering on one hand the capacity to generate new knowledge more quickly than traditional scientific approaches, and, on the other hand, a holistic understanding of specific illnesses when socio-demographics are incorporated in the analysis. Big data promises more personalized and precision medicine for patients …

Implicit Learning Of Children With And Without Developmental Language Disorder Across Auditory And Visual Categories, Wanchi Yu

Dissertations and Theses

The current study examined implicit sound- and visual-meaning-mappings of children with and without Developmental Language Disorder (DLD).

One child with DLD and 29 children with typical language development (TLD) were included in the study, based on results from a hearing screening and standardized assessments of cognitive and expressive language skills. Participants completed two computer-based experiments, which were designed to investigate: 1) sound discrimination (pitch and duration), implicit mapping of sound stimuli to objects; 2) visual discrimination, implicit mapping of visual stimuli to objects.

The current study showed that children with TLD who implicitly learned pitch categories showed better mapping of …

Student Evaluation Of Cultural Competence Instruction In Dietetics Education, Monica L. Strahley

Doctor of Education (Ed.D)

The purpose for this study was to examine the perceptions of students' preparation and development of cultural competence during university coursework in the field of dietetics. A secondary aim of the study was to examine if cultural competency training is provided in the university curriculum for prospective nutrition professionals in their role as interdisciplinary team members/leaders. There was a paucity of literature directed at the importance of university curricular providing cultural competency training for students in preparation for their role as the nutrition expert on multidisciplinary teams. The quantitative study was a non-experimental survey method. The study’s participant sample was …

The Effects Of Golf On The Mental Health Of Older Adults: A Content Analysis Of The Literature And A Proposed Future Study, Robert K. Upton Iii

Senior Theses

Through my academic and personal experiences as a student at the University of South Carolina, I developed an interest to research the effects of golf on the mental health of older adults. Physical activity can have many positive results on older adults, including increased cardiorespiratory fitness, decreased risk of chronic diseases, increased longevity, and improved memory and cognition. Golf may be a suitable form of physical activity for older adults, but the relationship between golf and the mental health of older golfers must be investigated. Through a literature review and content analysis of secondary sources, this thesis intends to determine …

The Role Of Paraprofessionals In The Mental Health Structure Of India, Amy Abraham

Senior Theses

The mental health treatment gap in India is part of a growing public health crisis, with over 95% of those in need of services never receiving them. Over 197 million Indians suffer from at least one diagnosable mental health disorder, and this number continues to grow given the treatment gap. The treatment gap is a result of four major factors: lack of government support, stigma, limited treatment facilities, and the dearth of professionals able to provide treatment. The current study aimed to analyze several factors of paraprofessional led mental health interventions including setting, treatments delivered, treatment models, and client outcomes. …

An Analysis Of How Stress Impacts Dietary Habits In First-Year Students, Matthew Telfer

Senior Theses

The majority of students will experience stress during their first year at college. Stress can have many ill effects on the well-being of a first-year student and can even be a significant factor in weight gain – hence the term “The Freshman 15”. Sixty seven first-year students at the University of South Carolina were recruited to participate in a sixteen-item questionnaire focused on analyzing the relationship between stress and dietary habits. It was hypothesized that first -year students who had higher levels of stress would have significantly more unhealthy eating habits than first-year students who had lower levels of stress. …

Effects Of A Physical Activity Intervention On The Stress Reduction Of Underserved Adolescent Youth, Gwenyth C. Asbury

Senior Theses

Stress levels of American teenagers are rising. Studies show that teens are reporting higher stress levels than what they perceive to be healthy and that these levels are higher than the levels of perceived stress reported by adults (APA, 2013). In addition to reporting unhealthy levels of stress, adolescents are reporting feeling overwhelmed and depressed due to their stress (APA, 2013). These findings are especially true for underserved adolescents who are more likely to have exposure to violence, discrimination, racism and conditions of poverty in addition to experiencing the typical stressors associated with adolescence (American Academy of Child and Adolescent …

The Experience Of Family Therapists Providing An In-Person Group Intervention, Responding To The Covid-19 Pandemic, And Attempting To Continue With A Comparable Intervention In A Virtual Setting, Miranda R. Gab

University Honors Theses

Group interventions are widely used in mental health and educational settings. Studies have shown that these groups can be conducted in either in-person or virtual settings with success, though there is limited research on the delivery of synchronous, online group interventions, particularly an in-person group intervention that abruptly transitioned to telehealth delivery due to the coronavirus. This observational research aims to tell the story of how two family therapists, who served as co-facilitators for an in-person parenting intervention, transitioned to deliver the same content virtually due to the restrictions of the COVID-19 pandemic. Drawing upon previous and present research in …

The Utility Of Multiplex Closeness Centrality For Predicting Item Difficulty Parameters In Anomia Tests, Khanh L. Nguyen

University Honors Theses

Background: Confrontation naming tests for the assessment of aphasia are perhaps the most commonly used tests in aphasiology. Recently, such tests have been modeled using item response theory approaches. Despite their advantages, item response theory models require large sample sizes for parameter estimation that are often unrealistic when working with clinical populations. As an alternative approach, Fergadiotis, Kellough & Hula (2015) explored automatic item calibration by regressing item difficulty parameters on word length, age of acquisition (AOA), and lexical frequency as quantified by the Log10CD index. Despite the high predictive utility that they achieved, the model’s performance was far from …

Exploratory Study Of Obesogenic Commercial School Food Environments In The Portland Metropolitan Area, Sruthi Eapen

University Honors Theses

Objective

The purpose of this exploratory research was to study commercial food environments around high schools in the Portland metropolitan area to explore the question: How do the economic, geographic, and racial demographics of public high schools in the Portland metropolitan area affect the prevalence and make-up of obesogenic commercial food environments surrounding these schools?

Methods

Commercial food environments within a 1 km radius of 35 public high schools in the Portland metropolitan area were surveyed. The “healthiness” of the environment was calculated by establishing a “Food Environment Score.” This score was correlated with economic, geographic, and racial demographics obtained …

Nlrp3 Inflammasome Signaling Regulates The Homing And Engraftment Of Hematopoietic Stem Cells (Hspcs) By Enhancing Incorporation Of Cxcr4 Receptor Into Membrane Lipid Rafts, Mateusz Adamiak, Ahmed K. Abdel-Latif, Kamila Bujko, Arjun Thapa, Krzysztof Anusz, Michał Tracz, Katarzyna Brzezniakiewicz-Janus, Janina Ratajczak, Magda Kucia, Mariusz Z. Ratajczak

Internal Medicine Faculty Publications

Fast and efficient homing and engraftment of hematopoietic stem progenitor cells (HSPCs) is crucial for positive clinical outcomes from transplantation. We found that this process depends on activation of the Nlrp3 inflammasome, both in the HSPCs to be transplanted and in the cells in the recipient bone marrow (BM) microenvironment. For the first time we provide evidence that functional deficiency in the Nlrp3 inflammasome in transplanted cells or in the host microenvironment leads to defective homing and engraftment. At the molecular level, functional deficiency of the Nlrp3 inflammasome in HSPCs leads to their defective migration in response to the major …

What You Should Know About Racism-20: A Fact Sheet In The Time Of Covid-19, Ryan J. Petteway

OHSU-PSU School of Public Health Faculty Publications and Presentations

Satire has a history within public health and medical scholarship. However, research and academic works related to COVID-19, health inequities, and structural racism to date have not engaged/explored satire as a critical mode of reflection, analysis, and commentary. Drawing from social epidemiology literature related to structural racism, and rooted in critical race theory and critical theory related to narrative power, this paper—in the form of a "RACISM-20" fact sheet/health promotion flyer—uses satire and humor as critical commentary on mainstream public health discourse of/responses to COVID-19, transposing structural racism and COVID-19 to accentuate how individualist, apolitical, and “colorblind” downstream frames of …

The Write Stuff - Autumn 2020 (Vol. 17, No. 4), Research Medical Library

Write Stuff 2020

• New NIH training module: Vertebrate Animals Section
• When a journal requests English-language editing
• CRediT aims to clarify contributions to scientific publications
• The Assisted Referral Tool (ART): A resource for selecting the best NIH study sections for your grant proposal
• Unusual terms used in scientific writing and publishing: Cascading peer review