Other Medicine and Health Sciences Commons^™

Improving Healthcare Provider Knowledge In Acute And Primary Transgender Health Needs: The Implementation Of A Clinical Education Program With Urgent Care And Emergency Room Staff And Providers, Tonia Lower

Doctor of Nursing Practice Scholarly Projects

The purpose of this project was to improve knowledge and identify personal bias and beliefs in the acute and primary healthcare needs of transgender persons, through the implementation of a clinical education program with healthcare providers and staff working within the urgent care and emergency department settings. The need for such a program exists due to the lack of suitable and accessible healthcare that may lead to misdiagnosis, delay of treatment and poor health outcomes. Including clinical education in the acute and primary healthcare needs of transgender persons that can be integrated into healthcare organizations may aid in the improvement …

Alumni Journal - Volume 87, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
12 | Of Checks and Recyclables
14 | Interview: Mission Trip Man, Arnold L. Petersen ’66
18 | Graduation 2016
32 | The Physician's Ode
33 | Runaway Patient
34 | Not for the Faint of Heart
36 | I'm Sorry, Not Guilty

Departments
2 | From the Editor
3 | This and That
4 | From the President
6 | From the Dean
7 | The Student Fund
8 | School of Medicine News
40 | AIMS Report
44 | Book Review
46 | Placement and Classified Ads
48 | Alumni News
49 | In Memoriam
52 | …

Today - November / December 2016, Loma Linda University Health

TODAY

Inside this issue:

-- LLU Children's Hospital to open pediatric specialty clinic in Indio
-- Wil Alexander remembered: A trailblazer in whole person care
-- Surgical Hospital earns prestigious national award for excellence
-- School of Medicine receives top national ranking for graduates entering family medicine residencies
-- Community event focuses on healing
-- ‘San Bernardino Strong’ kicks off third season of ‘Life on the Line’
-- Allied Health students learn true meaning of service-learning
-- Law enforcement visits campus for a good cause
-- A heartfelt return to Loma Linda Former
-- Regional economist says Loma Linda University Health …

“In Principle We Have Agreement, But In Practice It Is A Bit More Difficult": Obtaining Organizational Buy-In To Patient-Centered Medical Home Transformation, Janelle Applequist, Michelle Miller-Day, Peter F. Cronholm, Robert Gabbay, Deborah S. Bowen

Communication Faculty Articles and Research

The patient-centered medical home (PCMH) is a model of care that emphasizes the coordination of patient treatment among health care providers. Practice transformation to this model, however, presents a number of challenges. One of these challenges is getting the buy-in of all personnel to commit to making organizational changes in the journey to becoming a nationally recognized medical home. This study investigated internal messages of buy-in as communicated by practices transitioning to this type of care. Grounding itself in stakeholder theory, this study analyzed interviews with staff, administration, and practitioners from 20 medical practices in a mid-Atlantic state. The analysis …

Assets And Barriers To Osteoarthritis, Allison K. Wiles

Scholars Week

Osteoarthritis has remained a prevailing health concern in our society for many years. OA is most commonly seen in middle aged men and women suffering from pain and stiffness in the hip, knee, and thumb areas. Risk factors for OA include age, obesity, previous joint injuries, overuse of joint areas, and weak muscles. If not treated, OA could lead to permanent discomfort and pain, and potentially develop into depression, lowered quality of life, or a need for long-term home health care.

By providing photo footage of every day health care issues, Photo voice persuades community members to change habits and …

Synthesis, Characterization, And Application Of Monosized Mesoporous Silica Nanoparticle-Supported Lipid Bilayers For Targeted Therapeutic Delivery To Individual Cells, Paul Durfee

Biomedical Engineering ETDs

Mesoporous silica nanoparticle (MSNP) supported-lipid bilayers, termed ‘protocells,’ represent a potentially transformative class of therapeutic and theranostic delivery vehicles. The field of targeted drug delivery poses considerable challenges that cannot be addressed with a single ‘magic bullet’. Consequently, the protocell has been designed as a modular platform composed of interchangeable biocompatible components. The mesoporous silica core can have variable size and shape to direct biodistribution and controlled pore size and surface chemistry to accommodate diverse cargos. The encapsulating supported lipid bilayer can be modified with targeting and trafficking ligands as well as polyethylene glycol (PEG) to effect selective binding, endosomal …

Decisions, Decisions: Factors That Influence A Patient's Medical Tourism Choices, Louis K. Falk, Thomas J. Prinsen

Communication Faculty Publications

In the digital age, the amount of information and sources concerning Medical Tourism is overwhelming. Knowledge is power in an era of healthcare uncertainty. As health care options have grown in global proportions, it has become more difficult for potential patients to locate the material necessary to make informed decisions or to even know which factors to consider during their information search. Individual financial circumstances vary greatly. This paper suggests how medical tourism makes financial sense for many patients and payers. Proximity and culture play roles in that medical tourists may prefer locations that are not too far from home. …

Chemical Reactions: Marijuana, Opioids, And Our Families, Denise A. Hines Ph.D, Staci Gruber Ph.D, John F. Kelly Ph.D, Kathleen M. Palm Reed, Hilary Smith Connery M.D., Ph.D.

Mosakowski Institute for Public Enterprise

Chemical Reactions: Marijuana, Opioids, and Our Families is the seventh Massachusetts Family Impact Seminar. This seminar was designed to emphasize a family perspective in policymaking on issues related to the legalization of marijuana and managing the opioid abuse crisis in the Commonwealth. In general, Family Impact Seminars analyze the consequences an issue, policy, or program may have for families.

The Effect Of Exercise On Cognitive Function As Measured By Impact Protocol: Aerobic Vs. Anaerobic, John Brutvan Ma, Atc, Kimberly S. Peer Edd, Atc, Fnata, Jacob E. Barkley Phd, Jay Jonas Ms, Atc

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Exercise has long played a critical role in the recovery from athletic injuries. Of recent, concussion research has escalated creating new insights into the treatment of and rehabilitation from concussion syndromes. As part of the concussion research, multiple uses of the ImPACT tool have evolved to measure cognitive function. However, combining the variables of cognitive improvement as measured by the ImPACT protocol with aerobic and anaerobic exercise has not been investigated. Purpose: The purpose of this investigation was to assess the influence of acute bouts of aerobic versus resistance exercise on cognitive function of college-aged participants as measured …

Today - September / October 2016, Loma Linda University Health

TODAY

Inside this issue:

- Behavioral Medical Center celebrates 25 years
- Loma Linda University Medical Center - Murrieta celebrates five years of service
- Navigating Nichol Hall's labyrinth: there's an app for that
- Henry the hamster teaches elementary children in San Bernardino how to be healthy
- Believe Walk 9th annual event celebrates fight against cancer
- Festivities mark the return of LLU students to the campus
- United and dedicated: Convocation service encourages student success with God's help
- LLUMC-Murrieta receives Advanced Comprehensive Stroke Center designation
- Quadruplets and their parents return to Loma Linda University Children's Hospital …

The Costs Of Cancer, Jamie Mosely

Honors Papers and Posters

This poster explores the relationship between more advanced cancer-fighting technologies and the increase in healthcare costs over the last several decades, and the socioeconomic impact this has for patients with less disposable income or no health insurance.

An Anthropometric Risk Index Based On Combining Height, Weight, Waist, And Hip Measurements, Nir Y. Krakauer, Jesse C. Krakauer

Publications and Research

Body mass index (BMI) can be considered an application of a power law model to express body weight independently of height. Based on the same power law principle, we previously introduced a body shape index (ABSI) to be independent of BMI and height. Here, we develop a new hip index (HI) whose normalized value is independent of height, BMI, and ABSI. Similar to BMI, HI demonstrates a U-shaped relationship to mortality in the Third National Health and Nutrition Examination Survey (NHANES III) population. We further develop a new anthropometric risk index (ARI) by adding log hazard ratios from separate nonlinear …

Mater: Innovative Programs For Maternal Addiction Education Treatment And Research, Meghan Gannon Phd Msph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

A Rare Association Of Giant Cell Arteritis With Recurrent Corneal Ulcer, Sailaja Bondalapati, Kay Khine, Maya Bitar, David Chesnutt, Richard M. Davis

Ophthalmology

We report a rare case of association of temporal arteritis with recurrent central corneal ulcer. A 91-year-old male with a remote history of clinically diagnosed giant cell arteritis (GCA) and penetrating keratoplasty (PK) for corneal edema in 1990’s in the left eye presented with irritation and severe dry eye. He progressively developed central corneal ulcer regardless of treatment with aggressive lubrication and patching. The clinical course, blood tests and temporal artery biopsy results yielded the diagnosis of recurrent GCA. The clinical course improved after starting oral steroids. The case report illustrates the importance of ruling out GCA in patients with …

Alumni Journal - Volume 87, Number 2, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
10 | An Unexpected Visit
12 | APC 2016 in Review
24 | Medicine, Faith, and Hope

Departments
2 | From the Editor
4 | From the President
6 | From the Dean
7 | The Student Fund
8 | School of Medicine News
42 | AIMS Report
46 | Alumni News
48 | In Memoriam
52 | Historical Snapshot
53 | What's Up Doc?

Extras
3 | New Executive Director
11 | Class Giving Report
49 | Tribute to Lawrence D. Longo '54

Today - August 2016, Loma Linda University Health

TODAY

Inside this issue:

-- Health Disparities Research Symposium recognizes young researchers and their contributions
-- More than 3,000 attend All Star Appreciation Game at San Manuel Stadium
-- Alumnus addresses Republican National Convention
-- Murrieta neurosurgeon honored for health care excellence
-- Blood supplies challenged: your donation can help save a life
-- ASI convention provides opportunity to share mission and vision
-- 17th annual Nursing Research and Evidencebased Practice Conference attended by 150
-- Senior VP of finance recognized—again— by leading industry publication
-- Service learning: a classroom in the community
-- Student testimonies and statistics paint MITHS successes …

Biosimilar Naming Conventions: Pharmacist Perceptions And Impact On Confidence In Dispensing Biologics, Daniel M. Tomaszewski

Pharmacy Faculty Articles and Research

BACKGROUND: The approval of the first biosimilar in the United States has placed increased pressure on the FDA to provide guidance on the naming convention that will be assigned to current and future biosimilars. The release of the FDA draft guidance on nonproprietary naming of biosimilars in August 2015 established a naming convention for all biologic products, including biosimilars. However, the draft guidance is nonbinding while the FDA continues to receive input from stakeholders, and it does not address the naming convention that will be used for products designated as interchangeable biologics.

OBJECTIVES: To (a) determine pharmacist perceptions …

An Evaluation Of African American Fathers’ Perceptions And Influences On Child Food Choices And Physical Activity Behaviors, Valerie Annette Richardson

Dissertations

Child obesity is affecting children’s health nationwide. Rates are highest among African Americans (AA) in the South. Research has explored parents’ influence on child eating and activity, but most has reported on mothers’ influences. The purpose of this research was to investigate perceptions about AA fathers’ influences on their children’s eating and physical activity. Using a structured focus group questionnaire based on the parent layer constructs of Birch and Ventura’s Ecological Model for Child Overweight (2009), four focus groups were conducted with 28 AA fathers with children 6- to 11-years-old in a rural and an urban church setting in southeast …

Molecular Characterization Of Human Papillomavirus In Head And Neck Tumors., Sujita Khanal

Electronic Theses and Dissertations

Head and neck cancers (HNCs) are common causes of cancer-related deaths worldwide. An increasing incidence of subsets of HNCs is due to human papillomavirus (HPV). Other subsets are associated with tobacco and alcohol use. Determination of differential biomarkers and molecular mechanisms distinguishing HPV-associated and unassociated HNCs should improve diagnostic and therapeutic strategies. This study was designed to identify potential biomarkers for HPV detection, and to evaluate viral and host genetic and epigenetic mechanisms involved in HPV-associated HNCs. Overexpression of a cellular protein, p16INK4a, which is widely used as a surrogate marker for HPV-positive HNC, is non-specific because some HPV-negative cancers …

Potentially Inappropriate Medication Use In Older Patient With Breast And Colorectal Cancer, Meghan S. Karuturi

Dissertations and Theses (Open Access)

Our objective was to determine predictors of potentially inappropriate medication (PIM) use and its impact on outcomes (including ER visits, hospitalization, all cause death, and composite of three) in breast and colorectal cancer patients receiving chemotherapy. We used data from the SEER database linked to Medicare claims. Our cohort included patients ≥ 66 years diagnosed with of Stage II/III breast or colorectal cancer between 7/1/2007-12/31/2009. Baseline PIM was defined using the Drugs to Avoid in the Elderly list (DAE) or Beers criteria. Univariate and multivariable logistic regression were used to determine the associations of baseline PIMs with different covariates. Event-free …

Today - July 2016, Loma Linda University Health

TODAY

Inside this issue:

-- Ribbon-cutting ceremony for Loma Linda University Health– San Bernardino celebrates history, relationships, and future
-- New vice president/administrator named for East Campus and Surgical Hospital
-- $2.4 million grant will integrate psychological and medical care for low-income population
-- The bird song legacy of the San Manuel Band of Mission Indians
-- Pediatric patients treated to bundles of toys from Rancho Cucamonga Quakes
-- Finding sea turtles: a green sea turtle’s view
-- LLUCH mascot celebrates birthday construction style
-- Innerweave: A sense of self, a syllabus toward
-- School of Nursing receives $2 million HRSA …

Nutrition Informatics: Information Technology Transition For Registered Dieticians, Arlanda Bell

Applied Research Projects

The passing of the Health Information Technology for Economic and Clinical Health Act (HITECH) has created a growing push for healthcare organizations to no longer use paper based records and convert to an Electronic Health Record (EHR). Along with the adoption of an EHR comes a necessary change for ancillary services like nutrition and dietetic services because it affects patient care as well. In order to maintain a professional standard in patient healthcare as other health disciplines have done, the development of nutrition informatics model has become necessary. Nutrition informatics will prove to be a necessary addition to the developing …

Encoding Of Saltatory Tactile Velocity In The Adult Orofacial Somatosensory System, Rebecca Custead

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Processing dynamic tactile inputs is a key function of somatosensory systems. Spatial velocity encoding mechanisms by the nervous system are important for skilled movement production and may play a role in recovery of motor function following neurological insult. Little is known about tactile velocity encoding in trigeminal networks associated with mechanosensory inputs to the face, or the consequences of movement.

High resolution functional magnetic resonance imaging (fMRI) was used to investigate the neural substrates of velocity encoding in the human orofacial somatosensory system during unilateral saltatory pneumotactile inputs to perioral hairy skin in 20 healthy adults. A custom multichannel, scalable …

12-Day Adventure Run-Hike Training At Altitude Improves Sea Level 5km Performance, Andrew M. Jones

All NMU Master's Theses

Elite and recreational endurance athletes routinely seek strategies to enhance sea level (SL) performance. Altitude (ALT) training continues to be an appealing approach. The primary purpose of this study was to measure the effect of a 12-day adventure running camp at ALT on 5 km time trial (TT) performance at SL. Secondarily, we explored changes in select metabolic and blood variables. We hypothesized an improvement in TT at SL. A group of five well-trained individuals (2 females) volunteered. TT, maximal oxygen uptake (VO₂max), running economy (RE), and a complete blood count (CBC) were measured at SL before and …

Prospective Assessment Of Health Disparities And Injury Risk Factors At Basic Combat Training At Ft. Jackson, Kristin Lescalleet

Theses and Dissertations

Numerous recruits for Basic Combat Training (BCT) for the Army fail to complete the course due to injury and time lost. This study was designed to provide a more thorough list of risk factors involved in injury and attrition through real-time data analysis throughout a cycle of BCT. Throughout BCT, a researcher was placed in the Battalion Aid Station (BAS) and recorded the reason for the visit, whether it was a new or existing condition, injury location, medical history, and how long this injury has been an issue. Several risk factors were tested: sex, age, and ethnicity/race. It was found …

Non-Steroidal Anti-Inflammatory Drug Effects On Core Temperature, Hydration, Gastrointestinal Distress, And Performance In Exercising Humans, Dawn Marie Emerson

Theses and Dissertations

Naproxen is a commonly used non-steroidal anti-inflammatory drug designed to relieve pain and inflammation. Due to potentially adverse effects on the gastrointestinal (GI) tract, cardiovascular and immune system, and renal function, naproxen may negatively affect thermoregulation, fluid and electrolyte balance, and performance during exercise, particularly in the heat. Therefore, the purpose of this study was to determine the effects of naproxen on core temperature (Tc), inflammation, hydration, GI distress, and performance during cycling in a hot environment. We utilized a double-blind, randomized and counterbalanced, cross-over design to determine the effects of naproxen (dose = 3 220 mg naproxen sodium pills) …

Transcriptional And Post-Transcriptional Regulation Of Nrf2 In The Heart By The Deubiquitinase Cyld, Bryan J. Mathis

Theses and Dissertations

The cylindromatosis (CYLD) is a K63-linked deubiquitinase (DUB) that has been linked to the regulation of multiple physiological or pathological processes, such as neural development, inflammation and fibrosis. However, a novel paradigm for CYLD has been recently postulated; namely that of CYLD as a mediator of cardiac disease. Nuclear factor, erythroid-2 related factor 2 (Nrf2), a master antioxidant transcription factor, has been shown to suppress cardiac pathological remodeling and dysfunction via downregulation of reactive oxygen species formation (ROS). It is normally regulated by Kelch-like ECH associated protein 1 (Keap1). However, the regulatory link between CYLD and Nrf2 in the diseased …

Psychological And Psychiatric Comorbidities Associated With Tinnitus: A Systematic Review, Shanna Hymowitz

Dissertations, Theses, and Capstone Projects

The purpose of this systematic literature review was to examine the current literature evidence pertaining to the relationship between tinnitus and psychological and psychiatric comorbidities. Literature was found discussing the prevalence of tinnitus with psychological and psychiatric comorbidities, differences in self-reports, and whether the perception of tinnitus is aided with the use of psychological counseling and psychotropic medications. Relative search strings applied to Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline Complete, and PubMed identified studies to be included in this review. (Will put total amount of studies found once collected). An assessment of all research literature found …

Today - June 2016, Loma Linda University Health

TODAY

Inside this issue:

-- Two weekends of commencement ceremonies add more than 1,500 new alumni and recognize honorees
-- Loma Linda University and Siemens' PETNET Solutions, Inc. announce PET production and research facility
-- Commencement 2016 photo memories (pictorial)
-- Becker's Hospital Review names senior vice president of finance among '150 hospital and health system CFOs to know in 2016'
-- Reading day camp to take place in July
-- Another Emmy win for advancement films
-- Employees line up to sign banners of support for two Florida hospitals in the aftermath of tragic shootings
-- New patient parking structure …

Commencement Program 2016, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2016 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

21 | The University Honorees

36 | The School Honorees

56 | The President's Award Recipients

66 | The Program

• School of Medicine, 67
• School of Pharmacy, 90
• School of Dentistry, 98
• School of Allied Health Professions - Allied Health Studies, Cardiopulmonary Sciences, Clinical Laboratory Science, Health Informatics and Information Management, Nutrition and …