Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons^™

A Social Controversy: Autism Spectrum Disorder's Correlation To The Measles-Mumps-Rubella Vaccination, Lindsay A. Frye

Senior Honors Theses

A 1998 research study lead by Dr. Andrew Wakefield linked the measles-mumps-rubella (MMR) vaccination as a probable cause to autism spectrum disorder. This publication has started a significant debate among healthcare professionals and instigated an anti-vaccination movement within the general population. This vaccination controversy was started by parents who readily accepted Wakefield’s findings as truth and frequently would choose to withdrawal the administration of vaccinations from their children’s care plans. There has also been disapproval by healthcare professionals over Wakefield’s study since numerous research teams have been unable to replicate his findings. This disagreement surrounding the MMR vaccination is likely …

Ventilator Associated Pneumonia Prevention In The Traumatically Injured Patient: Beyond The Bundle!, Cindy Umbrell Msn,Rn,Cns,Ccrn, Kenneth Miller Med, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Sedation Safety Using Clinical Practice Guidelines, Bonnie Wasilowsky Bspa-Hca, Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Program...Validate...Infuse: Developing An Iv Infusion Validation Tool, Nancy Humes Bsn, Rn, Nicole Zimmerman Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

The Utilization Of A Sub-Glottic Endotracheal Tube To Reduce Ventilator Associated Pneumonia Rate, Kenneth Miller Med, Rrt-Nps, Robert Leshko Bs,Rrt, Angela Lutz Bs, Rrt-Nps, Linda Cornman Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Identifying And Co-Managing The Hiv-Infected Adult: A Guidebook For Primary Care Clinicians, Jason Leider, Susan F. Lelacheur, Julie G. Stewart Dnp, Mph

Nursing Faculty Publications

This guidebook was designed to help primary care clinicians improve their performance in terms of HIV identification and co-management. Surmounting barriers to opt-out screening, making an HIV diagnosis, and preventing transmission and opportunistic infections will be discussed, as will selection of initial therapy and considerations for patients receiving antiretroviral therapy (ART).

Hiv: Make The Diagnosis And Take The Next Step, Julie G. Stewart, Amy R. Weinberg

Nursing Faculty Publications

With the CDC urging screening for all willing patients, providers will be testing and managing a growing number of HIV-positive individuals.

The CDC estimates that with more than 40,000 new infections annually, more than 1.2 million people in the United States are living with HIV-and 24% to 27% may not be aware of their infection status.1 Studies have shown that HIV is often diagnosed late in the disease process, when the individual has already developed AIDS, which typically occurs 8 to 11 years after HIV infection.2 Research also points to missed opportunities to offer HIV testing and diagnose the infection …

A Bland–Altman Comparison Of The Lead Care® System And Inductively Coupled Plasma Mass Spectrometry For Detecting Low-Level Lead In Child Whole Blood Samples, Christina Sobin, Tanner Schaub, Natali Parisi, Eva De La Riva

Selected Works Temporary Series

Chronic childhood lead exposure, yielding blood lead levels consistently below 10 μg/dL, remains a major public health concern. Low neurotoxic effect thresholds have not yet been established. Progress requires accurate, efficient, and cost-effective methods for testing large numbers of children. The LeadCare® System (LCS) may provide one ready option. The comparability of this system to the “gold standard” method of inductively coupled plasma mass spectrometry (ICP-MS) for the purpose of detecting blood lead levels below 10 μg/dL has not yet been examined. Paired blood samples from 177 children ages 5.2–12.8 years were tested with LCS and ICP-MS. Triplicate repeat tests …

Forensic Nursing: Death Investigation, Lauren Palazzo

Senior Honors Projects

Forensic Nursing is a fairly new exciting nursing specialty. Television shows such as CSI portray forensic nurses and investigators in a less than realistic manner. Forensic nursing and investigation are exciting fields to specialize in, but the role of the forensic nurse and investigator are often misunderstood. For my project I wrote a research paper on forensic nursing, joined the international association of Forensic nurses, attended the international conference in washington dc and set in on a few meetings with a board, including lawyers, represenatives from the rape crisis center, clinical managers from W&I ED, nurses, NP’s, etc. in discussing …

Technology Brief: Digital Pen And Paper: A Review Of The Technology And Its Potential Application In Healthcare, Martin Schiavenato

Nursing Faculty Scholarship

Electronic medical records (EMR) are a priority in the landscape of US healthcare. Digital pen and paper systems offer an expedient and innovative way of adapting the familiar handwriting medium into the EMR. The technology of the digital pen and paper and its components is reviewed and critically evaluated as to its potential advantages, disadvantages, and implications to patient care. In addition, field testing of a commercial digital pen and paper system was carried out in an informal educational setting by a panel of expert clinicians and educators. Potential nursing and healthcare applications and implications are listed and discussed.

Tandem Mass Spectrometry In Newborn Screening, Sandra Banta-Wright, Robert Steiner

Faculty Publications - College of Nursing

Since 1961 newborn screening for errors of metabolism (EM) has improved the diagnosis, treatment and outcome of newborns with an EM. Recently, advances in laboratory technology with tandem mass spectrometry (MS/MS) has increased the identification of newborns with an EM. With a single dried filter paper blood spot (Guthrie R, Susi A. A simple phenylalanine method for detecting PKU in large populations of newborn infants. Pediatrics. 1963;32:338-343). MS/MS can identify more than 30 disorders of metabolism This review will explore MS/MS to provide a better understanding of the development and application of this technology to newborn screening for perinatal and …

Sex And Race Differences In Electrocardiogram Use (The National Hospital Ambulatory Medical Care Survey), Amy L. Arnold, Kerry A. Milner, Viola Vaccarino

Nursing Faculty Publications

There are sex and race differences in many aspects of health care delivery. For example, blacks and women are less likely to receive aspirin and thrombolytic drugs. Blacks and women presenting with chest pain are less likely to be referred for cardiac catheterization. Blacks and women diagnosed with acute myocardial infarction (AMI) are also less likely to undergo cardiac catheterization. The gender differences in diagnostic evaluation after AMI appear more pronounced among younger women. The American College of Cardiology and the American Heart Association joint electrocardiography guidelines state that all patients presenting to the emergency department (ED) with chest pain …

Presentation And Symptom Predictors Of Coronary Heart Disease In Patients With And Without Diabetes, Marjorie Funk, Janice B. Naum, Kerry A. Milner, Deborah Chyun

Nursing Faculty Publications

The aims of this prospective, observational study were to compare: (1) symptom presentation of coronary heart disease (CHD) between patients with and without diabetes and (2) symptom predictors of CHD in patients with and without diabetes. We directly observed 528 patients with symptoms suggestive of CHD as they presented to the ED of a 900-bed cardiac referral center in the northeastern United States. There were no significant differences in symptom presentation of CHD between patients with and without diabetes, although patients with diabetes were slightly more likely to present with shortness of breath (P =.056). Patients with diabetes reported …

Examination Of Iv Antibiotic Use And Length Of Stay In Community-Acquired Pneumonia Patients, Shane Hammock

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between IV antibiotic administration and the length of stay for patients with community-acquired pneumonia. Research demonstrates that pneumonia is a large economic burden to acute care facilities across the United States. An ex post facto design was used to examine the difference in lengths of stay (LOS) for two groups of patients diagnosed with community-acquired pneumonia in the Appalachian region. The first group received IV antibiotic therapy at or within 8 hours of arrival to the hospital. The second group received IV antibiotic therapy after 8 hours of arrival to …

Update - December 1999, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- John and Alice Wong establish bioethics endowment
-- Richard Rice receives Templeton Award
-- "Humans" and "Persons" in Christian Bioethics (Commentary)
-- Mechanically Restraining the Ill and Elderly: Ethical Problems and Proposals
-- Clinical Ethics Consultation
-- Learn to minister in the clinical setting

Update - July 1996, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Stress and Distress in Pediatric Nurses: The Hidden Tragedy of Baby K
-- Ethics Grand Rounds: The Year in Review
-- CEJA Reverses Its Stance on Using Anencephalic Neonates as Live Organ Donors
-- AMA Council's Ethics Overwhelmed by Public Sentiment

Multidimensional Factors Affecting Well-Being: A Pni Based Model For Therapeutic Nursing Intervention., Mary P. Bennett

Nursing Faculty Publications

This paper is posted to assist graduate nursing students and others who are interested in my early PNI theory development work. The paper documents development and initial testing of a midrange theory of the effects of various nursing interventions on the psychoneuroimmunological (PNI) network. The hypothesized effects of interventions on various immune factors and subsequent health outcomes are explored, with special interest given to the use of PNI theory in nursing. More traditional nursing theory design principles are imbedded in this theory, including a definition of nursing and nursing intervention, as well as outlining how nurses educated at various levels …

The Effect Of The Warm Water Bath On Axillary Temperature In Normal Newborns, Ann J. Morton

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to compare the effects of the warm water bath and the radiant heater on the axillary temperatures of normal newborns. The sample group consisted of thirty newborns--15 babies placed into the water bath in Group I, and 15 babies placed under the radiant heater in Group II. Birth weights were between 6.25 and 8.75 pounds, gestational ages between 37 and 41 weeks, and 5-minute Apgar scores were 8 or more. The maternal temperatures, taken within two hours before birth, ranged between 97 and 99 degrees. All infants were born by spontaneous or low-forceps vertex …

The Cardiovascular Effects Of Human Contact With Coronary Artery Disease Patients In The Coronary Care Unit, Margaret A. Palmour

Loma Linda University Electronic Theses, Dissertations & Projects

Ten coronary artery disease patients were selected using purposive method of sampling and observed for six hours. It was postulated that 1) Human contact with coronary artery disease patients in the coronary intensive care unit would be associated with significant (p = 0.05) changes in the electrocardiogram such as: (a) increased heart rate more than 10 per cent, (b) changed atrio-ventricular conduction more than 10 per cent, (c) changed ST segment one millimeter or more and (d) increased frequency of ectopic beats more than 10 per cent. 2) The degree of stress and cardiac response was related to a number …

The Effect Of Warmed Humidified Oxygen On The Temperature Of Depressed Newborns, Earlene Scharping

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the effect of warmed humidified oxygen on the body temperature of depressed newborns and compare it to the effect of unwarned un-humidified oxygen administered under similar circumstances. The sample group consisted of a total of ten infants (five control and five experimental) with birth weights > 2000 gms who had an Apgar score of less than seven at birth and who required the administration of oxygen. The control group received oxygen in the routine delivery room manner (unwarned and un-humidified). The experimental group received oxygen which had been warmed to a temperature of …

Relationship Between Some Demographic Characteristics And Adverse Reactions Experienced By Women Undergoing A Therapeutic Abortion While Awake, Karen K. House

Loma Linda University Electronic Theses, Dissertations & Projects

With the liberalization of abortion laws by the Supreme Court in 1973, American women have been able to obtain therapeutic abortions in hospitals and out-patient clinics in ever increasing numbers. With the increased number of women seeking abortions the medical field has responded with abortion procedures that are safe and relatively quick. With the speed doctors use to perform the procedure, many women may wish to take advantage of the medically safer method of abortion under local anesthesia. However, some women are unable to withstand the psychological and physical stress associated with a therapeutic abortion while awake. It would be …

Selected Physiological Responses To A Back Rub, Norma (Ewing) Anderson

Loma Linda University Electronic Theses, Dissertations & Projects

The back rub, which has been an established part of evening patient care for many years, is given to promote relaxation and sleep as well as to promote skin care. Yet its place in modern nursing seems questionable. Today's nurse is less willing to practice using empirically established procedures.

There have been few investigations showing the effect of massage to the back and no studies have shown that a brief back rub, as given by nurses, promotes relaxation. In cardiovascular nursing there is some controversy as to whether or not the back rub causes stimulation to the cardiovascular system that …

Patient Preference In Two Types Of Colostomy Irrigations, Mildred Ann Marks

Loma Linda University Electronic Theses, Dissertations & Projects

The purposes of this study were threefold: (1) to find which method of colostomy irrigation (enema bag vs. bulb syringe) was best accepted by colostomy patients; (2) to functionally evaluate the two types of colostomy irrigation methods; and (3) to report the results of this study to medical personnel interested in advancements for colostomy irrigations. The population in this study consisted of colostomy patients who had irrigated on a regular basis with the bag technique for a minimum of six months. Twelve colostomates completed this study by recording the parameter of time, amount of irrigation fluid used, quality of return, …

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. …

Relationship Of Ventilation Ability And Positioning In Left-Sided Congestive Heart Failure Patients, Nancy E. Carson

Loma Linda University Electronic Theses, Dissertations & Projects

Proper positioning is used to relieve dyspnea, edema, and fatigue in congestive heart failure patients. According to the review of literature, improved ventilation as measured by specific lung volumes and lung mechanics occurred with upright positioning in normal persons. The effects of specific changes in lung volumes related to position change in congestive heart failure patients has not been documented in literature, although various recommendations related to positioning are made. This exploratory study was undertaken with nine congestive heart failure patients to see if a relationship existed between degree of head elevation and lung ventilation ability as measured by water-bell …

Sensory Stimulation To Influence Body Awareness In The Adult Hemiplegic Patient, Sue Carol Bradley

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted in four convalescent facilities using fourteen CVA patients with body scheme disturbances. The study was done to test the hypothesis that the experimental technique of light touch sensory stimulation as supplied by fast brushing to the skin dermatomes C 5, 6, 7, and 8 of the affected arms would increase the scores of the subjects in the experimental group.

Patients were assigned via a random process to the experimental or control groups if, upon taking the MacDonald Test of Body Scheme, they obtained a score of 39 or below. Subjects in the experimental group received …

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 …

A Study To Demonstrate The Immediate Destination Of An Embolus Formed In The Lumen Of A Peripheral Venous Catheter, Rosemarie Morikone Emori

Loma Linda University Electronic Theses, Dissertations & Projects

This study was designed to show the immediate destination of an embolus formed in the lumen of an intravenous catheter placed in a peripheral vessel. The hypothesis stated that clots injected into a peripheral vessel will lodge in the lungs. A subhypothesis was that the clot may lodge anywhere along the circulatory pathway.

Indications of need for the study as shown by the review of literature were the following: (1) the complications resulting from the frequent use of intravenous polyethylene catheters, (2) experimental studies that showed that clots were formed around intravenous catheters, (3) the evidence that intravenous catheters predispose …

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. …

What Nursing Personnel Know About Identifying The Signs Of Increased Intracranial Pressure, Naomi Bullard

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with finding out how much nursing personnel know about identifying signs of increased intracranial pressure and what understanding they have regarding the importance of prompt reporting of these signs.

A statement was prepared describing what the registered nurse, the license vocational nurse and the nursing assistant should know. This was validated by a panel of experts.

A two part questionnaire was developed from this statement. Part I asked for an essay response regarding the definition, causes, signs and symptoms and the nurse responsibility in intracranial pressure. Part II presented situations to which best answers were to …