Other Medicine and Health Sciences Commons^™

Educating Nurses On The Use Of The Bedside Mobility Assessment Tool (Bmat) To Create A Culture Of Safety, Kaylin C. Laine

Master's Projects and Capstones

Healthcare workers are more at risk for injury than workers in any other industry, the injury rate in hospitals is almost double that of the entire private sector put together (OSHA, 2013). This high rate of injury has led hospital administrators and policymakers to take a closer look at the job duties and conditions of nurses and other healthcare workers. Almost half of all healthcare worker injuries are the result of overexertion or bodily reaction, injuries that occur as a result of performing patient handling tasks. Many US states have passed laws requiring hospitals to implement Safe Patient Handling and …

The Effect Of Acute Aerobic Exercise On Hemostasis In Obstructive Sleep Apnea Patients, Ryan A. Martin

Masters Theses, 2010-2019

Purpose: To determine the hemostatic response after acute aerobic exercise in Obstructive Sleep Apnea (OSA). Methods: Eighteen males were recruited from the university and local community. Individuals who presented evidence of cardiovascular, pulmonary, or metabolic disease were excluded. Apnea-Hypopnea Index (AHI) > 5 was criteria for OSA. Subjects performed a treadmill exercise test at 35% and 70% predicted VO₂reserve during the morning hours. Pre exercise blood samples were obtained after 15 minutes supine rest and within two minutes following exercise. Repeated Measures ANOVA were performed for Factor VIII antigen, tPA antigen, tPA activity, and PAI-1 activity across two time …

Association Of Sleep Behavior To Physical Activity And Bmi In 9th And 10th Grade Students, Sonia Lina Davda

Senior Theses

Despite the topic’s popularity in research, the relationship between sleep duration and physical activity (PA) remains unclear. Measurement protocol differences, highly specific samples, and incomplete data contribute to varying results suggesting that additional research is needed. The purpose of the TRACK II study was to examine the relationship between PA, BMI, and self-reported sleep in adolescents. 369 9 th and 10 th grade students from 2 diverse school districts participated in the study. Participants completed a self-reported sleep questionnaire and had their height and weight measured. Demographic variables were also reported by participants. Actigraph accelerometers were used to objectively measure …

The Impact Of Alzheimer’S Disease In An Aging Rural Population, Lynne J. Goebel, Vivian M. Minkemeyer, Courtney Wellman

Internal Medicine

West Virginia already has a large elderly population, and it is expected to increase along with the elderly population of the nation as a whole. Since the most important risk factor for Alzheimer’s disease is older age, it is not surprising that the prevalence of Alzheimer’s disease is projected to increase significantly over the next thirty-five years. This paper discusses the prevalence of Alzheimer’s disease in West Virginia, programs available to assist people and caregivers affected by the disease, and the associated economic burden of the disease.

Today - May 2016, Loma Linda University Health

TODAY

Inside this Issue:

-- More than 3,000 attend Loma Linda University Health Vision 2020 Groundbreaking Event
-- Sold-out LLUH Women's Conference inspires attendees to 'Be the Artist of Your Life'
-- Daniel Samano's two big home runs
-- Loma Linda University Health helps community discover 'Your Best Pathway to Health'
-- Annual Children's Day teaches kids about health care in a fun, safe environment
-- LLU alumna appointed as Florida surgeon general
-- ECMO open house displays new CARDIOHELP technology to help critically ill children survive
-- President Hart leads work bee to uncover original Loma Linda Sanitarium steps
-- …

The Influence Of Anti-Fatigue Matting On Gluteus Medius Muscle Activity During Functional Reaches, Marcus Payne

Health, Human Performance and Recreation Undergraduate Honors Theses

The purpose of this study was to look for changes in gluteus medius muscle activity during functional reaches and investigate whether or not anti-fatigue matting affects these changes. Fourteen participants (seven male & seven female) who did not meet any of the exclusion criteria completed forward and lateral reaches at hip and shoulder height on all four floor conditions for a total of sixteen reaches. Four floor types were tested: a control bare force platform, and a low, medium, and high stiffness anti-fatigue mat. Electromyography was applied bilaterally to the gluteus medius muscles, and maximum voluntary contractions were performed so …

Barriers And Facilitators Of Adolescent Health In Rural Kenya, Molly Secor-Turner, Brandy A. Randall, Courage Chikomborero Mudzongo

Faculty Publications - Doctor of Psychology (PsyD) Program

The purpose of this research was to identify perceived barriers and facilitators of health from the perspective of rural Kenyan adolescents and to characterize the cultural context that shapes these barriers and facilitators. Design: Following a semistructured interview guide, qualitative focus group interviews were conducted at day schools with 64 upper-primary and secondary students in rural central Kenya. Participants provided written parental consent and individual assent for study participation. Results: Findings were organized into seven categories (individual, family, peer, school, community, institutional, and cultural) according to a social–ecological framework to highlight the multiple social and environmental contexts that shape health …

Verification And Quantification Of Surface Electromyographic (Emg) Activity Of The Masseter Muscle, Kelsey Bowles

Honors Theses

Purpose: The goal of the present study is to develop and evaluate an automated technique for measuring biting and chewing related surface electromyographic (EMG) activity of the masseter muscle.

Methods: Data from 28 neurologically healthy participants between the ages of 18-40 were selected for this study. The procedure for collecting the bite/chew data consisted of the participant biting down and chewing three small breath mints while an EMG sensor recorded the masseter muscle activity. A five-step Matlab-based algorithm was created to accurately identify onsets and offsets of each bite and chew event.

Results: Compared to manual measurements using standard …

Exploits Of A Helicopter Tv Journalist, Jerry Foster

ERAU Prescott Aviation History Program

Jerry Foster was the first TV helicopter pilot/reporter in the country; the first to go live over the scene of a breaking story. High speed police chases; devastating floods and daring rescues now splashed all over cable TV, started in the early 1970s in Phoenix. Hear this fascinating story from a remarkable aviator who won the Harmon Trophy for his flying exploits. What he pioneered would later be copied by medical and law enforcement agencies throughout the country leading to the saving of countless lives.

Tune Up Your Teaching Toolbox, Anne H. Zachry, J. Flick, S. B. Lancaster

Faculty Presentations

Occupational therapy (OT) educators strive to prepare entry-level practitioners who have the expertise to meet the diverse health care needs of society. A variety of instructional methods are used in the University of Tennessee Health Science Center (UTHSC) MOT program, including traditional lecture-based instruction (LBI), problem-based learning (PBL), team-based learning (TBL), and game-based learning (GBL). Research suggests that active learning strategies develop the critical thinking and problem-solving skills that are necessary for effective clinical reasoning and decision-making abilities. PBL, TBL, GBL are being successfully implemented in the UTHSC MOT Program to enhance the learning process and improve student engagement.

The Role Of Mathematical Modeling In Designing And Evaluating Antimicrobial Stewardship Programs, Lester Caudill, Joanna R. Wares

Department of Math & Statistics Faculty Publications

Antimicrobial agent effectiveness continues to be threatened by the rise and spread of pathogen strains that exhibit drug resistance. This challenge is most acute in healthcare facilities where the well-established connection between resistance and sub-optimal antimicrobial use has prompted the creation of antimicrobial stewardship programs (ASPs). Mathematical models offer tremendous potential for serving as an alternative to controlled human experimentation for assessing the effectiveness of ASPs. Models can simulate controlled randomized experiments between groups of virtual patients, some treated with the ASP measure under investigation, and some without. By removing the limitations inherent in human experimentation, including health risks, study …

Evaluating Virtual Reality Simulators As A Training Tool For Minimally Invasive Surgery, Jennifer F. Louie, Misa Shimono

Human Factors and Applied Psychology Student Conference

Minimally invasive surgery offers a number of advantages over traditional open surgeries, including faster patient recovery time, fewer side effects, and improved cosmesis. However, there are also a number of difficulties involved with performing this type of surgery, including poor visuo-spatial mapping, poor depth perception, and mechanical difficulties (e.g., the fulcrum effect). Considering the decrease in residency training hours required for surgical trainees in 2011 (Rajaram et al., 2014), it is essential that surgical trainees employ training methods that would best result in high accuracy and efficiency.

Simulator-based training addresses many of the issues of traditional master-apprentice surgical training methods …

Award-Winning Documentary 'A Certain Kind Of Light', Loma Linda University Health

Scope

Table of Contents:

Campus News

2 | Campus transformation is well underway
4 | Terror in San Bernardino
6| Children's Hospital receives new head coach
7| Bailey among 50 'stars' honored for Flag for Hope

Wholeness

8 | 'A Certain Kind of Light' documentary premires
10 | Prayer notes inspire with winning images
11 | Spiritual plan will help steer Loma Linda University Health

Clinical Care

12 | Behavioral Medical Center celebrates 25 years
14 | Liver recipients at Transplantation Institute live longer
14 | New affiliation with Southern Mono Healthcare District
15 | Future rabbi shares story at 25th …

Alumni Journal - Volume 87, Number 1, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
8 | APC 2016: A Preview
12 | Risley Hall: More than 75 Years of Research and Basic Sciences
14 | Interview: Making a Bigger Difference Karen Gaio Hansberger ’91
20 | Family Medicine: Its Genesis, Growth, and Current Status
26 | Vision 2020: Loma Linda Prepares to Construct Two New Hospitals

Departments
2 | From the Editor
3 | From the President
4 | From the Dean
5 | The Student Fund
6 | School of Medicine News
38 | AIMS Report
40 | Book Review
44 | In Memoriam
48 | Historical Snapshot
49 | What's Up …

Today - April 2016, Loma Linda University Health

TODAY

Inside this issue:

-- Loma Linda University Health family and surrounding communities invited to historic groundbreaking on May 22
-- Press conference highlights $6.29 million NIH grant for hypoxia research at Center for Perinatal Biology
-- Front entrance to adult and children's hospitals moved across from Prospect Avenue; patient and visitors receive free valet
-- Record number of high school students apply for summer research experience
-- Leo's story: celebrating occupational and speech therapists during April and May
-- Hero of Family Medicine for 2016 announced
-- Big Hearts for Little Hearts Desert Guild ends 2015-2016 season with evening of …

Effects Of Body Weight Loading On Arch Height, Anastasia Bjelopetrovich

Honors Theses

Deformation of the medial longitudinal arch under body weight loading is often assessed using the Arch Height Index Measurement System. This system assesses change in arch height between sitting and standing, estimated to be 10 and 50% of body weight, respectively. However, body weight forces during ambulation exceed these loads, therefore limiting our understanding of arch deformation under ambulatory load ranges. Thus, the study aims were 1) to assess if sitting and standing arch height differed from that seen under 10 and 50% body weight using a force target-matching procedure, and 2) to characterize the relationship between arch deformation and …

Effects Of Local Blood Flow On Muscle Stiffness, Megan E. White, Aaron J. Engel, Greg Bashford

UCARE: Research Products

Muscle injuries, in the form of strains or even tears, affect millions of people each year through undue tension on muscles during everyday activities, work tasks, or physical activity including sports or working out. These injuries can take from a few weeks to even months to heal, with patients having to deal with inflammation, swelling, and pain throughout the healing process. Scar tissue also forms when the muscle is injured, which regenerates throughout the healing process, but never fully recovers to its state prior to injury. This scar tissue is thought to make the muscle more prone to subsequent injury, …

The Relationship Between Physical Activity And Diet And Young Children's Cognitive Development: A Systematic Review, Pooja S. Tandon, Alison Tovar, Avanthi T. Jayasuriya, Emily Welker, Daniel J. Schober, Kristen Copeland, Dipti A. Dev, Ashleigh L. Murriel, Dima Amso, Dianne S. Ward

Department of Child, Youth, and Family Studies: Faculty Publications

Objective. Given the high prevalence of suboptimal nutrition and low activity levels in children, we systematically reviewed the literature on the relationship between physical activity and dietary patterns and cognitive development in early childhood (six months to five years).

Methods. In February 2016, we conducted two different searches of MEDLINE, PsycINFO, and ERIC. Each search included either physical activity (including gross motor skills) or diet terms, and neurocognitive development outcome terms. Included studies were in English, published since 2005, and of any study design in which the physical activity or diet measure occurred prior to age five.

Results. For physical …

The Construct And Predictive Validity Of Psychosocial Correlates Of Television Viewing, Raheem Paxton, Pascal Jean-Pierre, Saehwan Park, Yong Gao Dr., Stephen Herrmann, G J. Norman

Journal of Health Disparities Research and Practice

Background: Many studies have examined the consequences of prolonged television viewing, but few studies have examined the psychological states that contribute to this behavior. In this study, we evaluated the construct and predictive validity of psychosocial correlates of television viewing in a population of African American (AA) breast cancer survivors (BCS).

Methods: AA BCS (N = 342, Mean age = 54 years) completed measures of decisional balance, self-efficacy, family support, and time spent watching television online. Exploratory structural equation modeling (ESEM) was used to examine the construct and predictive validity as well as the differential item functioning of the instruments …

Current Prevalence Rate Of Latex Allergy: Why It Remains A Problem?, Miaozong Wu, James Mcintosh, Jian Liu

MIIR Faculty Research

OBJECTIVES: This article aims to review the current prevalence rate of latex allergy among healthcare workers, susceptible patients, and the general public, and to investigate why latex is still a ubiquitous occupational health hazard.

METHODS: Scientific publications on PubMed, particularly those published within the last five years, and current regulations from agencies such as Food and Drug Administration (FDA) were reviewed. Consumer and commercial products that may contain latex were also surveyed.

RESULTS: Approximately 12 million tons of natural rubber latex is produced annually and is widely used to manufacture millions of consumer and commercial products. Only limited number of …

Understanding Physicians’ And Non-Physician Practitioners’ Recommending Practices, Knowledge, Attitudes, Beliefs And Expectations Regarding Music As A Cost-Effective Complementary And Alternative Medicine Approach, Paul F. Franco

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: With the rise in healthcare costs, partly due to an aging demographic (of whom these care-receivers and their informal family member/friend caregivers are experiencing high stress and anxiety levels resulting in an increase in nursing home placement), a need exists for a cost-effective alternative to the traditional medical approach. Specifically, Music Therapy, a form of Complementary and Alternative Medicine (CAM) has been shown to decrease the severity of the problem by alleviating symptoms of an illness and improving overall well-being. The purpose of this study was to create a valid tool entitled “The Global …

Exploring Relationships Between School-Based Health Clinics And Academic Performance In Elementary School-Aged Children, Cynthia Elizabeth Sherwood-Samuel

Seton Hall University Dissertations and Theses (ETDs)

School based health clinics provide medical services and healthcare to students within the school setting. Research suggests that students who use school based health clinic services perform better academically in school by improving their attendance, health status, and addressing their medical needs. This retrospective study explored the relationship between school based health clinics and academic performance in elementary school-aged children. Academic performance was measured using students’ final grades, New Jersey Assessment of Skills and Knowledge (NJ ASK), and Language Arts Literacy (LAL) scores. Students were tracked longitudinally from grades 3-5 comparing students who used an onsite school based health clinic …

Diet As A Risk Factor In Obstructive Sleep Apnea, Caitlin Bove, Vivek Jain, Naji Younes, Marijane Hynes

GW Research Days 2016 - 2020

Rationale: Obstructive sleep apnea (OSA) is a common disease affecting approximately 2% of women and 4% of men. It is independently associated with cardiovascular disease and metabolic syndrome. Established risk factors for OSA include obesity, male gender, post-menopausal state, smoking and increased neck circumference. Sleep deprivation, a common occurrence in OSA, is associated with weight gain and cravings for carbohydrates. Preference for fatty foods has been documented in sleep deprivation. Studies using mouse models have suggested that high fats diets increase the severity of sleep apnea independent of BMI (body mass index). We hypothesized that dietary habits, especially increased …

Commonest Cancers In Pakistan - Findings And Histopathological Perspective From A Premier Surgical Pathology Center In Pakistan., Zubair Ahmad, Romana Idress, Saira Fatima, Nasir Uddin, Arsalan Ahmed, Khurram Minhas, Aisha Memon, Syeda Samia Fatima, Muhammad Arif, Sheema H Hasan, Rashida Ahmed, Shahid Pervez, Naila Kayani Naila Kayani

Department of Biological & Biomedical Sciences

Abstract

CONTEXT:

There are no recent authoritative data about incidence and prevalence of various types of cancers in Pakistan.

AIM:

To determine the frequency of malignant tumors seen in our practice and provide a foundation for building a comprehensive cancer care strategy.

MATERIALS AND METHODS:

10,000 successive cases of solid malignant tumors reported in 2014 were included. All cases had formalin fixed, paraffin embedded specimens available and diagnosis was based on histological examination of H and E stained slides plus ancillary studies at the Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi. The latest …

Today - March 2016, Loma Linda University Health

TODAY

In this issue:

-- DNA sequencers dedicated at Loma Linda University Center for Genomics allowing researchers to access the future of medicine
-- After nearly 50 years, the Medical Center main entrance will now face Prospect Avenue
-- 'LIVE IT: Online Health Show' 12th episode released
-- U.S. Department of Health and Human Services representative offers insights into Affordable Care Act
-- Helpful Honda People make donation to NICU
-- Loma Linda hosts 2016 Healthy People in Healthy Communities conference
-- Fifth-year dentistry students dedicated during 56th Annual Alumni Student Convention
-- AUCA representatives visit LLU campus amid plans for …

Today - February 2016, Loma Linda University Health

TODAY

Inside this issue:

-- 23rd annual Foundation Gala raises more than $1.3 million for LLU Children's Hospital
-- Doctors perform unprecedented facial re-implantation surgery on 2-year-old dog bite victim
-- 'LIVE IT' commercial goes viral on Facebook
Adventist Health Study-2 anticipates significant findings in 2016
-- Nearly $36,000 raised during Ontario Reign's LLU Children's Hospital Night
-- Faculty are invited to the first annual Service Learning Spring Colloquium
-- Representatives from Mexican Consulate in San Bernardino meet with Loma Linda University School of Public Health
-- Big Hearts for Little Hearts Loma Linda Guild treats patients to Valentine's Day craft …

Postoperative Pain Management In Children Of Hispanic Origin: A Descriptive Cohort Study, Rebecca Brown, Michelle A. Fortier, Sheeva Zolghadr, Padma Gulur, Brooke N. Jenkins, Zeev N. Kain

Psychology Faculty Articles and Research

BACKGROUND:

It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations.

METHODS:

This study included 105 families of children aged 2 to 15 years of Hispanic origin and low income undergoing outpatient tonsillectomy and adenoidectomy surgery. Participating parents completed baseline and demographic packets. Recorded postoperative pain ratings and administration of analgesics at home for 1 week were collected during home visits.

RESULTS:

Despite the high (70%; 99% confidence interval [CI], 57%–82%) incidence of significant pain in the first 24 hours home, 32% (95% CI, …

Using Technology To Increase Physical Activity In Health Profession Students, Mary Ann Stark, Kelly Elrod, Sara Haller, Andrea Mahon

The Open Journal of Occupational Therapy

Health profession students may need help establishing and maintaining positive health behaviors when they are in college. This study explored the effectiveness of text messaging as an innovative method for promoting an increase in daily physical activity. A convenience sample (N = 134) was recruited from students at a college of Health and Human Services in Michigan. The participants were randomized into an intervention or control group (n = 67 each). The intervention group received daily affective text messages encouraging more physical activity by taking more steps. The control group received only messages reminding them to report their number of …

Interrater Reliability Of Quantitative Ultrasound Using Force Feedback Among Examiners With Varied Levels Of Experience, Michael O. Harris-Love, Catheeja Ismail, Reza Monfaredi, Haniel J. Hernandez, Donte Pennington, Paula Woletz, Valerie Mcintosh, Bernadette Adams, Marc R. Blackman

Exercise and Nutrition Sciences Faculty Publications

Background. Quantitative ultrasound measures are influenced by multiple external factors including examiner scanning force. Force feedback may foster the acquisition of reliable morphometry measures under a variety of scanning conditions. The purpose of this study was to determine the reliability of force-feedback image acquisition and morphometry over a range of examiner-generated forces using a muscle tissuemimicking ultrasound phantom.

Methods. Sixty material thickness measures were acquired from a muscle tissue mimicking phantom using B-mode ultrasound scanning by six examiners with varied experience levels (i.e., experienced, intermediate, and novice). Estimates of interrater reliability and measurement error with force feedback scanning were determined …

Evaluation Of A Cervical Cancer Surveillance Program At A Community Health Center, Naquita Jackson Manning

Student Theses, Dissertations and Capstones

Background: Cervical cancer is reportedly the easiest gynecologic cancer to prevent, and measures that have the most impact are regular screening and timely follow-up. Although the Papanicolaou (Pap) test used to screen for cervical cancer has been recognized as one of the most valuable clinical preventive service for women, variation in screening and tracking remain a barrier for some women achieving optimal health. Missed opportunities for care in the form of inadequate follow-up is a patient safety and quality of care issue that can be appropriately addressed through implementation of a tool to be used as a component of a …