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Alumni Journal - Volume 91, Number 1, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | Guest Editorial: Warren R. Peters '69
4 | From the President
6 | From the Deam

News
7 | This and That
10 | School of Medicine News
12 | Students
13 | Wedding Announcements
14 | Alumni News
15 | AIMS Report

APC 2020
16 | APC 2020 in Review: Featuring photos, alumni honorees, and more

Features
27 | Interview Feature: Columbus D. Batiste '98 shares his thoughts on healthy living
30 | Department Reports: Dermatology and Cardiothoracic Surgery: Harry Doa Jr., MD, and Anees J. Razzouk '82 report on their respective departments
and distinguished faculty …

Understanding And Identifying The Knowledge And Attitudes Of High School Coaches On Sport-Related Concussions, Marc A. Mortellaro

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Sport-related concussions are a major public health issue, particularly so in the setting of sports. Sports dominate American culture and with millions of athletes of all ages participating in these sports these athletes predispose themselves to the risks of sport-related concussions. High-school athletes are of particular interest because of the heightened risks of long-term consequences and of particular note second impact syndrome, which is a catastrophic injury primarily reported in the adolescent aged athlete. Appropriate concussion assessment and management is necessary for reducing the possibility of these long- term effects of concussions. Properly trained …

Kitchen Concentrations Of Fine Particulate Matter And Particle Number Concentration In Households Using Biomass Cookstoves In Rural Honduras, Megan L. Benka-Coker, Jennifer L. Peel, John Volckens, Nicholas Good, Kelsey R. Bilsback, Christian L'Orange, Casey Quinn, Bonnie N. Young, Sarah Rajkumar, Ander Wilson, Jessica Tryner, Sebastian Africano, Anibal B. Osorto Pinel, Maggie L. Clark

Health Sciences Faculty Publications

Cooking and heating with solid fuels results in high levels of household air pollutants, including particulate matter (PM); however, limited data exist for size fractions smaller than PM2.5 (diameter less than 2.5 μm). We collected 24-h time-resolved measurements of PM2.5 (n = 27) and particle number concentrations (PNC, average diameter 10–700 nm) (n = 44; 24 with paired PM2.5 and PNC) in homes with wood-burning traditional and Justa (i.e., with an engineered combustion chamber and chimney) cookstoves in rural Honduras.

The median 24-h PM2.5 concentration (n = 27) was 79 μg/m3 (interquartile range [IQR]: 44–174 μg/m3); traditional (n = 15): …

Conducting A 10-Minute Search For Evidence To Aid In Clinical Decision-Making, Mark Maceachern Mlis

The Journal of the Michigan Dental Association

This article is a continuation of the Journal’s series on implementing EBD process into clinical practice. The abundance of scientific literature can make it difficult to find the best evidence to answer a clinical question. This article presents strategies for conducting a 10-minute search for the best evidence, including:

• Developing a PICO question to focus the search.
• Using free search engines such as PubMed, Google Scholar, TRIP, PubMed Clinical Queries, Medline-Plus.gov, Epistemonikos, and other online resources such as published ADA Clinical Practice Guidelines.
• Using keywords with search properties, such as Boolean Operators and filters, to discover specific types of articles, …

Development Of A Diabetes Self-Management + Mhealth Program: Tailoring The Intervention For A Pilot Study In A Low-Income Setting In Mexico, Robin Whittemore, Mireya Vilar-Compte, Soraya Burrola-Méndez, Annel Lozano-Marrufo, Roberta Delvy, Mariana Pardo-Carrillo, Selene De La Cerda, Ninfa Pena-Purcell, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

Background: Type 2 diabetes (T2D) is a public health pandemic disproportionately affecting low- and middle-income countries. The purpose of this formative research was to adapt evidence-based diabetes self-management education programs to the context of Seguro Popular clinics in Mexico. A theory-based mHealth (pictorial text messaging) component was developed.

Method: Our formative research and development of the program protocol consisted of six phases: (1) interviews and focus groups with stakeholders on the challenges to T2D management, curriculum content needs, and the use of mHealth as a supplement to a DSME program; (2) review of the theoretical underpinning, curriculum, and interactive strategies …

Development Of Learning Objectives To Guide Enhancement Of Chronic Disease Prevention And Management Curricula In Undergraduate Medical Education, Michael Dekhtyar, Cristin Colford, Ebony Whisenant, Jill Huber, Eric Johnson, Patricia Thomas, Kate Kirley, Lauren Mazzurco, Arden D. Dingle, Valerie Terry, Senthil Rajasekaran, Laken Barkowski, Mrinalini Kulkarni-Date, David Henderson, Luann Wilkerson

School of Medicine Publications

Phenomenon: Chronic disease is a leading cause of death and disability in the United States. With an increase in the demand for healthcare and rising costs related to chronic care, physicians need to be better trained to address chronic disease at various stages of illness in a collaborative and cost-effective manner. Specific and measurable learning objectives are key to the design and evaluation of effective training, but there has been no consensus on chronic disease learning objectives appropriate to medical student education. Approach: Wagner’sChronic Care Model (CCM) was selected as a theoretical framework to guide development of an enhanced chronic …

In Gratitude Of 2019 Jpcrr Peer Reviewers

Journal of Patient-Centered Research and Reviews

Journal of Patient-Centered Research and Reviews gratefully acknowledges the contributions of its submission reviewers from the previous year. Peer review is an essential component to publishing high-quality scientific literature. The editors thank these individuals for their generous volunteerism.

Analyses Of The 2019 Nobel Prize In Physiology Or Medicine: Molecular Machinery For Cellular Oxygen Level Response, Neyda V. Gilman

Library Scholarship

Gregg L. Semenza, William G Kaelin, Jr, and Sir Peter J. Ratcliffe were awarded the 2019 Nobel Prize for Physiology or Medicine on October 7, 2019. Their work led to the understanding of how cells recognize and adapt to varying oxygen levels. Hypoxia-inducible nuclear factors play an essential role in this mechanism by turning on other genes that work towards increasing oxygen levels in hypoxic environments. Other vital pieces of the machinery include von Hippel-Lindau proteins and prolyl hydroxylation. Due to the necessity of oxygen in numerous human physiological systems, this discovery will likely have nearly immeasurable impacts on human …

Human Factor Associations With Safety Events In Radiation Therapy, Sheri M. Weintraub

Health Sciences Program Student Theses, Dissertations and Capstones

One important connection for all human beings is that we have a shared need for health care and are at some risk of experiencing medical error. Errors documented in the field of radiation therapy have included tragic levels of suffering and even death from preventable mistakes. Efforts to improve patient safety include an approach called incident learning that makes use of information about known errors to inform safetyimprovement strategy. The complexity of human contributing factors challenges those safety improvements. The problem addressed by this dissertation study is that radiation therapy puts patients at risk, and the incident learning systems designed …

The Relationship Between Youth Inactivity And Health, Alexis Michelle Dress-Moran

2020 Symposium Posters

As technology advances, youth engage in the sedentary lifestyle of playing computer games, leaving no time for physical activities. The purpose of this study is to prove the relationship between youth inactivity and health. The inactive behavior of adolescents has contributed to increased health issues. Among them are cardiovascular diseases, obesity, depression, type 2 diabetes, and hypertension. The research data was collected in the form of secondary data from a literature review, where credible peer reviewed articles published between 2013 to 2020, and government websites were used for the study. By studying the connection of physical inactivity and the health …

Relationship Between Alpha-1 Antitrypsin Deficiency And Obstructive Sleep Apnea, Lindsay Megenhardt

Health Sciences Program Student Theses, Dissertations and Capstones

Alpha-1 antitrypsin deficiency (AATD) is a genetic condition that causes inadequate production of the alpha-1 antitrypsin (AAT) protein, which is known to protect connective tissues in the body from destruction. The purpose of this dissertation study was to identify if individuals with mild to severe AATD are at higher risk for developing obstructive sleep apnea than the general population. The investigator hypothesized there would be a higher prevalence of OSA in the AATD population due to the etiology of disease. A seven-question sleep apnea risk assessment questionnaire, STOPBAG, was applied to the retrospective, de-identified, self-reported 2,338 participant responses from the …

Production Of Flavoured Fiti Probiotic Yoghurt For The London Community, Chengyu (Jennifer) Guo, Stephanie Huff, Maria Medina, Bob Gough, Sharareh Hekmat

Africa Western Collaborations Day 2020 Abstracts

No abstract provided.

The Use Of An Embedded Librarian To Enhance Student Information Literacy Skills: A Pilot Study, Elaina J. Dalomba, Elizabeth Kavanaugh, Kaitlin Manbeck, Samantha O'Neill, Kyle Soldevilla, Melanie Watson, Ellen Mclaughlin

Journal of Occupational Therapy Education

This pilot study explored an embedded librarian (EL) intervention to enhance occupational therapy student information literacy skills development. The EL provided computer laboratory and in-class instruction, online presence in the classroom website, and extensive office hours to assist students in the identification of information needed, determination of how and where to find scholarly information needed, and assessment and utilization of information retrieved to meet assignment requirements. Participants were 46 third-year (junior) occupational therapy students. Three tools were used to assess skills pre and post intervention: the Student Assessment of Information Literacy Skills, the Student Perception of Literacy Skills-Q (SPIL-Q), and …

Internet Of Things For Sustainable Human Health, Abdul Salam

Faculty Publications

The sustainable health IoT has the strong potential to bring tremendous improvements in human health and well-being through sensing, and monitoring of health impacts across the whole spectrum of climate change. The sustainable health IoT enables development of a systems approach in the area of human health and ecosystem. It allows integration of broader health sub-areas in a bigger archetype for improving sustainability in health in the realm of social, economic, and environmental sectors. This integration provides a powerful health IoT framework for sustainable health and community goals in the wake of changing climate. In this chapter, a detailed description …

Heart Rate Variability And Cardiovascular Adaptations Among Cancer-Survivors Following A 26-Week Exercise Intervention, Heather P. Tarleton

Health and Human Sciences Faculty Works

Cardiotoxicity as a result of cancer treatment contributes to autonomic dysfunction and decreased cardiorespiratory fitness among cancer survivors. These deleterious cardiovascular outcomes reduce the survival prognosis for cancer patients and contribute to poor quality of life among survivors. Exercise interventions have been shown as effective in mitigating treatment-related side effects. However, previously published interventions have not explored the potential for improvement in autonomic dysfunction (heart rate variability, HRV). This study examined cardiovascular adaptations in cancer survivors (n = 76) who participated in a 26-week intervention consisting of combined aerobic and resistance training (CART). The most noteworthy improvements occurred during the …

The Effects Of Gspt1 Degradation On Serum Calcium, Parathyroid Hormone, And Fibroblast Growth Factor 23 Concentrations In Human Cereblon Knock-In Mice, Kamran Ghoreishi

Theses and Dissertations

Test article CC-325 is a potent oral cereblon (CRBN) modulator that has shown potent G1 to S phase transition 1 (GSPT1) degradation and anti-tumor activity in pre-clinical models. One of the adverse effects associated with CC-325 was dose dependent hypocalcemia, which was determined to be an on-target toxicity.

To investigate the mechanism of hypocalcemia, we conducted a toxicity study in human cereblon (huCRBN) knock-in (KI) mice with CC-325. The huCRBN KI mice are transgenic mice engineered to express human cereblon that is capable of binding to CRBN and degrading GSPT1. Four groups of mice were treated with vehicle (0 mg/kg), …

Student Experiences With Engagement In A Nursing And Physical Therapy Interprofessional Education Simulation, Sarah Koplow, Melissa Morris, Shari Rone-Adams, Heather Hettrick, Bini Litwin, Lisa B. Soontupe, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional Education (IPE) incorporated into healthcare discipline instruction has been shown to be successful in improving the understanding perceptions of complimentary professions. The purpose of this mixed method study was to measure differences in perceptions of early Baccalaureate of Science in Nursing (BSN) students and Doctor of Physical Therapy (DPT) with participation in a immersive interprofessional education experience. Method: Students completed a pre and posttest survey consisting of the Readiness for Interprofessional Learning Scale and several short answer qualitative questions. Cohorts of BSN and DPT students participated in a computerized mannequin simulation experience or a hybrid simulation. Results: Students …

Predicting Pance Outcomes From First Year Evaluative Measures In A Pbl Curriculum, Anthony Goreczny, Susan Hawkins, John R. Laird

Internet Journal of Allied Health Sciences and Practice

Purpose: Previous research has explored various Physician Assistant (PA) student evaluative measures to see if they have predictive validity with regard to Physician Assistant National Certifying Exam (PANCE) scores. Recent literature has begun to evaluate how measures from the first year of didactic education might be helpful in identifying at-risk individuals early in the program. The purpose of this paper was to extend work in that area within a problem-based learning (PBL) curriculum. Method: Participants included 140 students from two consecutive PA classes. Data were imported regarding each student’s evaluative measures of multiple choice question (MCQ) examinations, patient management assessments …

Opioids And An Active Population: Athletic Trainers' Perceptions, Dana Karlene Bates

Internet Journal of Allied Health Sciences and Practice

Purpose: Opioid use, misuse, and abuse are occurring in both high school and collegiate athletes. There is limited research that examines athletic trainers' perceptions of opioids. The purpose of this qualitative research study was to investigate athletic trainers’ awareness and practice of opioids in an active population. Method: Qualitative inquiry was used to explore athletic trainers' awareness of opioids in an active population. Ten athletic trainers (7 male, 3 female) employed in the Northwest Athletic Training Association (6 collegiate, 4 high schools) volunteered for this study. Phone interviews were conducted in July to September 2017 with a semi-structured …

An Interprofessional Clinical Placement In A Primary Healthcare Setting: A Pilot Study, Christina Aggar, Beth Mozolic-Staunton, Renee Joyce Lovi, Maggie Scorey, Melissa Kemp, Tara Walker, Sian Lewis

Internet Journal of Allied Health Sciences and Practice

Purpose: Internationally, and in Australia, interprofessional education (IPE) is becoming typical in primary healthcare delivery and is core to delivering patient-centred care. It is essential that primary healthcare education develop interprofessional capacity in order to produce a skilled workforce. An IPE clinical placement for undergraduate health students was developed and piloted in primary healthcare settings. The aim of this study was to evaluate the impact of the IPE clinical placement in a primary healthcare setting on students’ perceptions of interprofessional education. Method: A pre-post placement validated questionnaire (n=19) indicated overall perceptions of IPE significantly increased over the course of …