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1

Shankel, Tamara, Lynda Daniel-Underwood, Daniel Rogstad, Amy Hayton, and Tamara Thomas. "Loma Linda University School of Medicine." Academic Medicine 95, no. 9S (2020): S46—S49. http://dx.doi.org/10.1097/acm.0000000000003330.

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Werner, Leonard S., Nancy Heine, and Loretta Johns. "Loma Linda University School of Medicine." Academic Medicine 85 (September 2010): S100—S104. http://dx.doi.org/10.1097/acm.0b013e3181e86ad6.

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WERNER, LEONARD S. "Loma Linda University School of Medicine." Academic Medicine 75, Supplement (2000): S30—S31. http://dx.doi.org/10.1097/00001888-200009001-00012.

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Silvestrin, Tory. "Tory Silvestrin, DDS, Combined Endodontic-Implantology Resident, Loma Linda University, Loma Linda, California, USA." Endodontic Topics 30, no. 1 (2014): 106. http://dx.doi.org/10.1111/etp.12054_12.

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Brown, Ralph S., and Samuel P. Bessman. "Academic Freedom and Tenure: Loma Linda University (California)." Academe 78, no. 3 (1992): 42. http://dx.doi.org/10.2307/40250331.

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Herford, Alan S., and Philip J. Boyne. "Loma Linda University Oral and Maxillofacial Surgery Program." Journal of Oral and Maxillofacial Surgery 66, no. 4 (2008): 613–15. http://dx.doi.org/10.1016/j.joms.2006.05.072.

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7

Cramer, Tonya, and Brenda Rea. "The Lifestyle Medicine Outpatient Clinic at Loma Linda University Health." American Journal of Lifestyle Medicine 12, no. 5 (2018): 425–27. http://dx.doi.org/10.1177/1559827618766487.

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Medical management of chronic health concerns relies heavily on behavioral change, most specifically medication adherence. Yet approximately 50% of patients with chronic illnesses are not thought to take their medications as prescribed. Moreover, it is recognized that lifestyle and behavioral changes can reduce the need for medication. It is well documented that patient outcomes and their success in achieving behavioral change is improved with engagement and support from a medical care team. As the inpatient lifestyle medicine service was being conceptualized at Loma Linda University Health (LLUH), it became apparent that an outpatient service would be necessary for follow-up care of the patients and support the lifestyle medicine treatments initiated in the hospital. Additionally, an outpatient clinic would be available to the patient population at Loma Linda and potentially prevent hospitalizations, morbidity, and mortality with proactive lifestyle medicine treatment. The initial outpatient clinic opened in February 2017 and was soon expanded to meet patient demand. Currently, the LLUH Lifestyle Medicine Outpatient Clinic is available 5 days a week, utilizing 5 physicians.
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Baba, Nadim Z. "Nadim Z. Baba, DMD, MS, Professor, Department of Restorative Dentistry, School of Dentistry, Loma Linda University, Loma Linda, California, USA." Endodontic Topics 31, no. 1 (2014): 84. http://dx.doi.org/10.1111/etp.12071.

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Goodacre, Charles J. "Charles J. Goodacre, DDS, MSD, Professor, Department of Restorative Dentistry, School of Dentistry, Loma Linda University, Loma Linda, California, USA." Endodontic Topics 31, no. 1 (2014): 87. http://dx.doi.org/10.1111/etp.12071_4.

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Lee, J., K. Soltad, S. Abd-Allah, J. Fitts, and M. Bock. "Tracheostomy and Pediatric Heart Transplantation: The Loma Linda University Experience." Journal of Heart and Lung Transplantation 38, no. 4 (2019): S474. http://dx.doi.org/10.1016/j.healun.2019.01.1206.

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11

Crall, James J., Judith-Ann Friedman, and Kathryn A. Atchison. "The Pipeline Program at Loma Linda University School of Dentistry." Journal of Dental Education 73 (February 2009): S175—S185. http://dx.doi.org/10.1002/j.0022-0337.2009.73.2_suppl.tb04680.x.

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12

Tamayose, Teri S., Farzin Madjidi, June Schmieder-Ramirez, and Gail T. Rice. "Important Factors When Choosing a Career in Public Health." Californian Journal of Health Promotion 2, no. 1 (2004): 65–73. http://dx.doi.org/10.32398/cjhp.v2i1.584.

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The purpose of this descriptive study was to identify the factors perceived to be important and not important when students are choosing a career. Factors derived from the literature review and suggestions made through the processes of content validity and reliability testing were included when developing the four-point Likert scale survey instrument. The instrument was reviewed by a panel of experts for content validity. In the survey, respondents were asked to indicate the level of importance of statements identified as being influential in making career decisions. Methods: The survey instrument was distributed to 258 Loma Linda University School of Public Health students following a short introduction of the study at the New Student Orientation which took place in Loma Linda, California. A total of 103 surveys were returned. Results: Descriptive statistics were used to report results. Frequencies and means were calculated for each variable and variables were ranked to determine level of importance. Correlation Analysis examined the relationship between variables in the study and Exploratory Factor Analysis determined the factors that emerged from the data. Discussion: The service-related statements showed the highest level of importance for choosing a career in public health. Demographic variables were found to have some impact on responses. Findings from this study should aid in the development of a strategic marketing plan for Loma Linda University School of Public Health.
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Wijeratne, Ranjith, and David Condon. "Ampulla of Vater Is Infrequently Visualized By Capsule Endoscopy Wijeratne, R., Condon, D. Loma Linda University Medical Center, Loma Linda, California, U.S.A." Gastrointestinal Endoscopy 63, no. 5 (2006): AB172. http://dx.doi.org/10.1016/j.gie.2006.03.364.

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14

Smith, Joseph A. "Proton therapy for prostate cancer: The initial Loma Linda University experience." Urologic Oncology: Seminars and Original Investigations 22, no. 6 (2004): 494–95. http://dx.doi.org/10.1016/j.urolonc.2004.08.009.

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Slater, Jerry D., Carl J. Rossi, Les T. Yonemoto, et al. "Proton therapy for prostate cancer: the initial Loma Linda University experience." International Journal of Radiation Oncology*Biology*Physics 59, no. 2 (2004): 348–52. http://dx.doi.org/10.1016/j.ijrobp.2003.10.011.

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Bakland, Leif K. "LEIF K. BAKLAND, DDS, Ronald E. Buell Professor of Endodontics, Department of Endodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 23, no. 1 (2010): 154. http://dx.doi.org/10.1111/etp.12009_2.

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Bakland, Leif K. "Leif K. Bakland, DDS, Ronald E. Buell Professor of Endodontics, Department of Endodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 30, no. 1 (2014): 100. http://dx.doi.org/10.1111/etp.12054_6.

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Bakland, Leif K. "LEIF K. BAKLAND, DDS, Ronald E. Buell Professor of Endodontics, Department of Endodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 33, no. 1 (2015): 187. http://dx.doi.org/10.1111/etp.12093.

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Slater, Jerry D. "Development and Operation of the Loma Linda University Medical Center Proton Facility." Technology in Cancer Research & Treatment 6, no. 4_suppl (2007): 67–72. http://dx.doi.org/10.1177/15330346070060s411.

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The Proton Treatment Center at Loma Linda University Medical Center, the world's first hospital-based proton facility, opened in 1990 after two decades of development. Its early years were marked by a deliberately cautious approach in clinical utilization of protons, with intent to establish hospital-based proton therapy on a scientific basis. The facility was designed to be upgradeable, and development since 1990 has proceeded in three distinct phases of upgrades, both in technology and clinical applications. Upgrades continue, all of them based on an underlying program of basic and clinical research; future new applications of proton radiation therapy are expected to follow.
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Leggitt, V. Leroy. "V. LEROY LEGGITT, DDS, MS, PHD, Professor and Graduate Program Director, Department of Orthodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 23, no. 1 (2010): 167. http://dx.doi.org/10.1111/etp.12009_15.

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Nalley, Catlin. "Loma Linda University Health Enhances Care and Outcomes with PSH Learning Collaborative." ASA Monitor 86, no. 7 (2022): 42. http://dx.doi.org/10.1097/01.asm.0000842112.31088.bc.

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Slater, James M., Jerry D. Slater, and Andrew J. Wroe. "Proton Radiation Therapy in the Hospital Environment: Conception, Development, and Operation of the Initial Hospital-Based Facility." Reviews of Accelerator Science and Technology 02, no. 01 (2009): 35–62. http://dx.doi.org/10.1142/s1793626809000181.

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The world's first hospital-based proton treatment center opened at Loma Linda University Medical Center in 1990, following two decades of development. Patients' needs were the driving force behind its conception, development, and execution; the primary needs were delivery of effective conformal doses of ionizing radiation and avoidance of normal tissue to the maximum extent possible. The facility includes a proton synchrotron and delivery system developed in collaboration with physicists and engineers at Fermi National Accelerator Laboratory and from other high-energy-physics laboratories worldwide. The system, operated and maintained by Loma Linda personnel, was designed to be safe, reliable, flexible in utilization, efficient in use, and upgradeable to meet demands of changing patient needs and advances in technology. Since the facility opened, nearly 14,000 adults and children have been treated for a wide range of cancers and other diseases. Ongoing research is expanding the applications of proton therapy, while reducing costs.
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Bock, M. J., A. Razzouk, R. E. Chinnock, et al. "Heart Transplantation in Infants and Children: The Thirty-Year Loma Linda University Experience." Journal of Heart and Lung Transplantation 37, no. 4 (2018): S190. http://dx.doi.org/10.1016/j.healun.2018.01.464.

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24

Arnett, Margie R., and Nadim Z. Baba. "Improving Tobacco Dependence Education Among the Loma Linda University School of Dentistry Faculty." Journal of Dental Education 75, no. 6 (2011): 832–38. http://dx.doi.org/10.1002/j.0022-0337.2011.75.6.tb05112.x.

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25

Torabinejad, Mahmoud. "MAHMOUD TORABINEJAD, DMD, MSD, PHD, Professor of Endodontics, Director of Advanced Specialty Education Program, Department of Endodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 23, no. 1 (2010): 169. http://dx.doi.org/10.1111/etp.12009_17.

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Chen, Jung-Wei. "JUNG-WEI CHEN, DDS, MS, PHD, Associate Professor and Director, Advanced Specialty Education Program in Pediatric Dentistry, School of Dentistry, Loma Linda University, Loma Linda, CA, USA." Endodontic Topics 23, no. 1 (2010): 158. http://dx.doi.org/10.1111/etp.12009_6.

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27

Krengli, Marco, Norbert J. Liebsch, Eugen B. Hug, and Roberto Orecchia. "Review of Current Protocols for Protontherapy in USA." Tumori Journal 84, no. 2 (1998): 209–16. http://dx.doi.org/10.1177/030089169808400219.

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The basis for interest in proton beams by clinical radiation oncologists lies in reduction in treatment volume. The yields from employing a smaller treatment volume are the increase of tumor control probability and the reduction of normal tissues complication probability. The clinical use of proton therapy began in 1954 at Uppsala University in Sweden and in 1961 at Harvard Cyclotron Laboratory in Boston, USA. So far, the total number of worldwide patients treated by protons is about 20,000. In this paper attention will be given to the treatment of patients at the Massachusetts General Hospital-Massachusetts Eye and Ear Infirmary-Harvard Cyclotron Laboratory, and at the Loma Linda University Medical Center. In particular, a review of the literature about the techniques and the results of treatment of skull base and cervical spine chordoma and low-grade chondrosarcoma, skull base meningioma, pituitary tumors, paranasal sinus carcinoma, glioblastoma multiforme, artero-venous malformations, uveal melanoma, macular degeneration, retinoblastoma, thoracic spine-sacrum tumors, and prostate carcinoma is presented. In order to verify and improve the clinical results, the conduct of prospective trials on an inter-institutional basis is essential. To facilitate the conduct of such studies the US National Cancer Institute and the American College of Radiology have established the Proton Therapy Oncology Group (PROG). Several phase III and some phase I-II trials are active at the Massachusetts General Hospital, Harvard Cyclotron Laboratory, and at the Loma Linda University Medical Center.
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Hino, Christopher S., Verena Tadros, Benjamin Hiramoto, et al. "Inhibition of TKI-activated MIF/CXCR2 Pathway as a Novel Therapeutic Strategy in Acute Myeloid Leukemia." Journal of Immunology 208, no. 1_Supplement (2022): 117.20. http://dx.doi.org/10.4049/jimmunol.208.supp.117.20.

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Abstract Despite significant advancements in our understanding of acute myeloid leukemia (AML), relapsed and refractory disease remains a major cause of treatment failure. Approximately 50% of patients with AML will develop relapsed disease following induction chemotherapy, which results in a dismal 5-year overall survival rate of 29%. The development of FMS-like tyrosine kinase 3 (FLT3) inhibitors have led to improved outcomes among patients with FLT3-mutated AML. However many patients eventually relapse and succumb to chemo-resistant disease, highlighting the need to characterize the molecular pathways which confer early TKI resistance. To explore the possible mechanisms responsible for the survival and proliferation of tyrosine kinase inhibitor (TKI) resistant blasts, we compared in vitro and ex vivo cytokine expression of gilteritinib (GILT)-treated and untreated blasts. Here we report that the pro-inflammatory cytokine macrophage migration inhibitory factor (MIF) is significantly expressed by GILT-treated blasts when compared to untreated controls. We further demonstrate that MIF expression promotes blast proliferation through the upregulation of its receptor CXCR2. Most remarkably we found that combination of CXCR2-inhibitor plus GILT works synergistically to reduce the percentage of viable blasts. Together these findings support that targeting the TKI-activated MIF/CXCR pathway could be a novel therapeutic strategy for both newly diagnosed and relapsed/refractory AML. This study is supported by Loma Linda University GRASP and Loma Linda University Research Innovation Grant
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Byrne, John M., Barbara K. Chang, Stuart C. Gilman, et al. "The Learners' Perceptions Survey—Primary Care: Assessing Resident Perceptions of Internal Medicine Continuity Clinics and Patient-Centered Care." Journal of Graduate Medical Education 5, no. 4 (2013): 587–93. http://dx.doi.org/10.4300/jgme-d-12-00233.1.

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Abstract Background In 2010, the Department of Veterans Affairs (VA) implemented a national patient-centered care initiative that organized primary care into interdisciplinary teams of health care professionals to provide patient-centered, continuous, and coordinated care. Objective We assessed the discriminate validity of the Learners' Perceptions Survey—Primary Care (LPS-PC), a tool designed to measure residents' perceptions about their primary and patient-centered care experiences. Methods Between October 2010 and June 2011, the LPS-PC was administered to Loma Linda University Medical Center internal medicine residents assigned to continuity clinics at the VA Loma Linda Healthcare System (VALLHCS), a university setting, or the county hospital. Adjusted differences in satisfaction ratings across settings and over domains (patient- and family-centered care, faculty and preceptors, learning, clinical, work and physical environments, and personal experience) were computed using a generalized linear model. Results Our response rate was 86% (77 of 90). Residents were more satisfied with patient- and family-centered care at the VALLHCS than at either the university or county (P < .001). However, faculty and preceptors (odds ratio [OR] = 1.53), physical (OR = 1.29), and learning (OR = 1.28) environments had more impact on overall resident satisfaction than patient- and family-centered care (OR = 1.08). Conclusions The LPS-PC demonstrated discriminate validity to assess residents' perceptions of their patient-centered clinical training experience across outpatient primary care settings at an internal medicine residency program. The largest difference in scores was the patient- and family-centered care domain, in which residents rated the VALLHCS much higher than the university or county sites.
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Teel, D., C. Tan, K. Ngo, M. Shah, M. Klooster, and G. Yanni. "P0364 PYOGENIC LIVER ABSCESS IN CHILDREN - THE LOMA LINDA UNIVERSITY CHILDREN???S HOSPITAL EXPERIENCE." Journal of Pediatric Gastroenterology and Nutrition 39, Supplement 1 (2004): S194—S195. http://dx.doi.org/10.1097/00005176-200406001-00488.

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31

Allen, William M. "Collections and Displays: The World Museum of Natural History, Loma Linda University Riverside, California." Rocks & Minerals 66, no. 2 (1991): 150–53. http://dx.doi.org/10.1080/00357529.1991.11761614.

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32

Moyers, M. F., and D. W. Miller. "Range, Range Modulation, and Field Radius Requirements for Proton Therapy of Prostate Cancer." Technology in Cancer Research & Treatment 2, no. 5 (2003): 445–47. http://dx.doi.org/10.1177/153303460300200509.

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The Loma Linda University Proton Treatment Facility has treated over 5,000 patients for prostate cancer. Other institutions may find information regarding field size and range requirements for this population of patients useful for designing new proton beamlines. The maximum range, range modulation, and maximum field radius for 240 fields of prostate patients undergoing treatment were sampled and analyzed. Most fields required a range less than 290 mm of water, a modulation width less than or equal to 120 mm, and a radius less than 75 mm.
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Maroney, Sean, Carlos Chavez De Paz, Marjunphilip Duldulao, et al. "Complications of Diverting Ileostomy after Low Anterior Resection for Rectal Carcinoma." American Surgeon 82, no. 10 (2016): 1033–37. http://dx.doi.org/10.1177/000313481608201039.

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There have been few studies directly comparing the postoperative complications in patients with a diverting ileostomy to patients who were not diverted after low anterior resection (LAR) for rectal carcinoma. This study is a retrospective chart review of all rectal carcinoma patients (99) who underwent a LAR from January 2009 to December 2014 at Loma Linda University Medical Center and Veterans Affairs Loma Linda Healthcare System. A majority of patients were diverted (58% vs 42%). The diverted patients were more likely to have a low tumor location ( P < 0.01), preoperative chemoradiation ( P < 0.01), and more intraoperative blood loss ( P < 0.01). Our study shows a statistically significant higher overall complication rate among patients receiving a diverting ileostomy in the six months after LAR (61% vs 38%, P = 0.02). The difference is due to a higher rate of readmission (27% vs 14%) and acute kidney injury (14% vs 5%) in patients with a diverting ileostomy. It also shows that there is a higher rate of unplanned reoperation (11% vs 6%) due to anastomotic leak (17% vs 5%) in nondiverted patients. Further studies are needed to refine the specific indications to maximize the benefit of diverting ileostomy after LAR for rectal carcinoma.
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Slater, Jerry D. "Clinical Applications of Proton Radiation Treatment at Loma Linda University: Review of a Fifteen-year Experience." Technology in Cancer Research & Treatment 5, no. 2 (2006): 81–89. http://dx.doi.org/10.1177/153303460600500202.

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Proton radiation therapy has been used at Loma Linda University Medical Center for 15 years, sometimes in combination with photon irradiation, surgery, and chemotherapy, but often as the sole modality. Our initial experience was based on established studies showing the utility of protons for certain management problems, but since then we have engaged in a planned program to exploit the capabilities of proton radiation and expand its applications in accordance with progressively accumulating clinical data. Our cumulative experience has confirmed that protons are a superb tool for delivering conformal radiation treatments, enabling delivery of effective doses of radiation and sparing normal tissues from radiation exposure.
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Holmes, G. Alden, Mansee Desai, Brittanya Limone, et al. "A case series of cutaneous COVID-19 vaccine reactions at Loma Linda University Department of Dermatology." JAAD Case Reports 16 (October 2021): 53–57. http://dx.doi.org/10.1016/j.jdcr.2021.07.038.

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36

Rossi, Carl J. "Conformal proton beam therapy of prostate cancer — update on the loma linda university medical center experience." Strahlentherapie und Onkologie 175, S2 (1999): 82–84. http://dx.doi.org/10.1007/bf03038897.

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37

Clem, Kathleen J., and Steven M. Green. "Emergency Medicine Expeditions to the Developing World: The Loma Linda University Experience in Papua New Guinea." Academic Emergency Medicine 3, no. 6 (1996): 624–33. http://dx.doi.org/10.1111/j.1553-2712.1996.tb03473.x.

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38

Wilcox, R. Bruce, Jerald C. Nelson, and Ray T. Tomei. "Heterogeneity in affinities of serum proteins for thyroxine among patients with non-thyroidal illness as indicated by the serum free thyroxine response to serum dilution." European Journal of Endocrinology 131, no. 1 (1994): 9–13. http://dx.doi.org/10.1530/eje.0.1310009.

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Wilcox RB, Nelson JC, Tomei RT. Heterogeneity in affinities of serum proteins for thyroxine among patients with non-thyroidal illness as indicated by the serum free thyroxine response to serum dilution. Eur J Endocrinol 1994;131:9–13. ISSN 0804–4643 Some patients with non-thyroidal illness (NTI) have sera with characteristics suggesting decreased functional affinity of thyroxine-binding globulin (TBG) for T4: increased T4 free fraction, decreased total T4 to TBG ratio, and a fall in free T4 with serum dilution greater than theoretical predictions assuming normal affinity. These studies aimed to further characterize this phenomenon. According to the law of mass action binding protein affinity for T4 can be estimated from the response of free T4 to progressive serum dilution. Free T4 responses in 25 normal controls and in 7 congenital TBG deficient controls resembled the predictions from the law of mass action. Among 25 of 38 medical intensive care unit patients, responses were intermediate between normals and TBG deficiency. Responses in the other 13 NTI were consistent with the presence of a dissociable inhibitor. In this subgroup, total T4 was depressed, both free T4 and TSH were elevated, and there was a positive correlation between TSH and free T4 (r2 = 0.41, p < 0.02). Conclusions: (i) decreased affinities of serum proteins for T4 consistent with binding inhibitor(s) are found in some patients with NTI; (ii) there is an association of these severely altered affinities with reversal of the expected free T4–TSH relationship. R Bruce Wilcox, Department of Biochemistry, Loma Linda University, Loma Linda, CA 92350 USA
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Sirirat, Rawiwan, Celine Heskey, Christine Wilson, et al. "A Comparison of Body Composition Measurements Between Bioelectrical Impedance Analysis (InBody 570) and Air Displacement Plethysmography (BOD POD®)." Current Developments in Nutrition 4, Supplement_2 (2020): 1689. http://dx.doi.org/10.1093/cdn/nzaa063_087.

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Abstract Objectives The accurate measurement of body composition is important in both research and clinical practice. The aim of this study was to compare the InBody relative to the BOD POD®. The latter is widely recognized as one of the most accurate methods to measure human body composition. Methods In the context of a clinical trial of 35 free-living non-athletic individuals [80% F, ages 40–69 years, BMI 25–34 kg/m2], we compared body composition measurements utilizing Bioelectrical Impedance Analysis (BIA) and Air Displacement Plethysmography (ADP). ADP was conducted in a BOD POD® (Cosmed USA Inc., Concord, CA, USA) and BIA measured using InBody 570 (In Body, Cerritos, CA, USA). Body measurements included total body weight, fat mass and fat-free mass which were obtained in kilograms following manufacturer instructions. Spearman's rank (rs) and Pearson correlations (r) were used to evaluate the agreement between the two instruments. Results The BOD POD® and InBody measurements were strongly correlated. Correlation was strongest for total body weight (rs (35) = .99, P < .0001), followed by fat mass (r (35) = .93, P < .0001). The lowest correlation was observed for fat-free mass (rs (35) = .79, P < .0001). Conclusions The InBody 570 is reliable and compares favorably to the BOD POD®. Hence, it can be used in clinical settings and epidemiological studies as a practical and relatively inexpensive alternative to the BodPod and dual-energy x-ray absorptiometry (DEXA). Funding Sources Nutrition Research Center, School of Public Health, Loma Linda University, Loma Linda, CA, USA.
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Rea, Brenda, and April Wilson. "Creating a Lifestyle Medicine Specialist Fellowship: A Replicable and Sustainable Model." American Journal of Lifestyle Medicine 14, no. 3 (2020): 278–81. http://dx.doi.org/10.1177/1559827620907552.

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As new specialties emerge in medicine, certification pathways must be defined and formalized. The Lifestyle Medicine Physician certification, including both experiential and educational pathways, have been in place for several years. Although raising competence across all specialties through the Lifestyle Medicine Physician Diplomates to a foundational level is essential, additional expertise must be attained to be a true Lifestyle Medicine Specialist as outlined by the American Board of Lifestyle Medicine. This column will describe how Loma Linda University Health (LLUH) created a Lifestyle Medicine Specialist Fellowship that meets the educational pathway requirements for the Lifestyle Medicine Specialist certification and how it can be replicated and sustained at other training sites across the nation.
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Arnett, Margie R., Nadim Z. Baba, and Darlene Cheek. "Improving Tobacco Dependence Education for Dental and Dental Hygiene Students at Loma Linda University School of Dentistry." Journal of Dental Education 76, no. 4 (2012): 472–78. http://dx.doi.org/10.1002/j.0022-0337.2012.76.4.tb05279.x.

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Arnett, Margie R., and Ron Forde. "Increasing Student Diversity and Cultural Competence as Part of Loma Linda University School of Dentistry's Service Mission." Journal of Dental Education 76, no. 6 (2012): 721–27. http://dx.doi.org/10.1002/j.0022-0337.2012.76.6.tb05306.x.

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43

Slater, James M., John O. Archambeau, Daniel W. Miller, Michael I. Notarus, William Preston, and Jerry D. Slater. "The proton treatment center at Loma Linda University Medical Center: Rationale for and description of its development." International Journal of Radiation Oncology*Biology*Physics 22, no. 2 (1992): 383–89. http://dx.doi.org/10.1016/0360-3016(92)90058-p.

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44

Cramer, Tonya, April Wilson, and Brenda Rea. "Lifestyle Medicine Inpatient Consultation Services at Loma Linda University Health: A Novel Approach in a Tertiary Care Center." American Journal of Lifestyle Medicine 12, no. 3 (2018): 227–29. http://dx.doi.org/10.1177/1559827618754860.

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As a nation facing primary care provider shortages, an expanding chronic disease burden, and rising health care costs, lifestyle medicine interventions have become critical for patient care and management. The current fee-for-service health care system in the United States is designed for delivering acute care but has made it challenging to deliver and be reimbursed sufficiently for lifestyle interventions that can help prevent and treat chronic disease. Loma Linda University Health began to address these concerns through the creation of an inpatient consultation service for the neurology rehabilitation stroke team. Initiation of the consultation service took 2 years of planning, testing, and resource development. Currently, the consultation service operates one half-day per week in the rehabilitation hospital utilizing 1 attending physician and 2 residents. Visiting residents and medical students are also permitted to rotate with the new service. In coordination with billing experts, a standard number of 21.2 to 25.4 RVUs (relative value units) has been established for the half-day service. As the service continues to expand, future considerations include adding consultation availability to other departments and increasing the consultation workforce.
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45

Slater, Jason M., Jerry D. Slater, Joseph I. Kang, et al. "Hypofractionated Proton Therapy in Early Prostate Cancer: Results of a Phase I/II Trial at Loma Linda University." International Journal of Particle Therapy 6, no. 1 (2019): 1–9. http://dx.doi.org/10.14338/ijpt-19-00057.

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Abstract Purpose: To determine whether a hypofractionated proton therapy regimen will control early-stage disease and maintain low rates of side effects similar to results obtained using standard-fraction proton therapy at our institution. Materials and Methods: A cohort of 146 patients with low-risk prostate cancer according to National Comprehensive Cancer Network guidelines (Gleason score <7, prostate-specific antigen [PSA] <10, tumor stage of T1–T2a) received 60 Gy (cobalt Gy equivalent) of proton therapy (20 fractions of 3.0 Gy per fraction) in 4 weeks, a dose biologically equivalent to standard fractionation (44–45 fractions of 1.8 Gy to a total of 79.2 to 81 Gy in 0 weeks). Patients were evaluated at least weekly during treatment, at which time documentation of treatment tolerance and acute reactions was obtained. Follow-up visits were conducted every 3 months for the first 1 years, every 6 months for the next 3 years, then annually. Follow-up visits consisted of history and physical examination, PSA measurements, and evaluation of toxicity. Results: The median follow-up time was 42 months (range, 3–96 months). Acute grade 2 urinary toxicity occurred in 16% (20/120) of the patients; acute grade 2 or higher gastrointestinal toxicity was seen in 1.7% (2/120). At 9 months, 1 patient had late grade 3 urinary toxicity, which resolved by 12 months; no grade 3 gastrointestinal toxicities occurred. The 3-year biochemical survival rate was 99.3% (144/145). The median time to PSA nadir was 30 months. Conclusion: Hypofractionated proton therapy of 60 Gy in 20 fractions was safe and effective for patients with low-risk prostate cancer.
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46

Johnston, Joyce K., Richard E. Chinnock, Craig W. Zuppan, Anees J. Razzouk, Steven R. Gundry, and Leonard L. Bailey. "Limitations to Survival for Infants with Hypoplastic Left Heart Syndrome before and after Transplant: The Loma Linda Experience." Journal of Transplant Coordination 7, no. 4 (1997): 180–86. http://dx.doi.org/10.1177/090591999700700404.

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Untreated, hypoplastic left heart syndrome is a lethal cardiac defect. Heart transplant has become an accepted therapeutic option for this condition. However, significant limitations to survival remain for infants with this condition who are referred for heart transplantation. Attention to the prevention, early detection, and management of common problems occurring at each stage of the transplantation process is important for improving survival rates. This study retrospectively reviewed the cases of 195 infants with hypoplastic left heart syndrome registered for heart transplantation at Loma Linda University Medical Center between November 1985 and July 1996 to determine causes of death. During the waiting period, progressive cardiac failure and complications from interventional procedures were the leading causes. In the early postoperative period, technical issues and acute graft failure were most important, whereas late deaths (more than 30 days after transplant) were most often related to rejection and posttransplant coronary artery disease.
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47

Singh, Pramil N., Olivia Moses, Wendy Shih, and Mark Hubbard. "Cohort profile for the Loma Linda University Health BREATHE programme: a model to study continuously incentivised employee smoking cessation." BMJ Open 12, no. 4 (2022): e053303. http://dx.doi.org/10.1136/bmjopen-2021-053303.

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PurposeThe purpose of the Loma Linda University Health (LLUH) BREATHE cohort is to test the efficacy of a novel method of continuously incentivising participation in workplace smoking cessation on participation, long-term abstinence, health outcomes, healthcare costs and healthcare utilisation.ParticipantsIn 2014, LLUH—a US academic medical centre and university—incentivised participation in a workplace smoking cessation programme (LLUH BREATHE) by lowering health plan costs. Specifically, LLUH introduced a Wholeness Health Plan (WHP) option that, for the smokers, continuously incentivises participation in nicotine screening and the LLUH BREATHE smoking cessation programme by offering an ‘opt-in wellness discount’ that consisted of 50%–53% lower out of pocket health plan costs (ie, monthly employee premiums, copayments). This novel ‘continuously incentivised’ model lowers annual health plan costs for smokers who, on an annual basis, attempt or maintain cessation from tobacco use. The annual WHP cost savings for smokers far exceed the value of short-term incentives that have been tested in workplace cessation trials to date. This ongoing health plan option offered to over 16 000 employees has created an open, dynamic LLUH BREATHE cohort of current and former smokers (n=1092).Findings to dateOur profile of the LLUH BREATHE cohort indicates that after 5 years of follow-up in a prospective cohort study (2014–2019), continuously incentivised smoking cessation produced a 74% participation (95% CI (71% to 77%)) in employer-sponsored smoking cessation attempts that were occurring less than a year after the incentive was offered. The cohort can be purposed to examine the effect of continuously incentivised cessation on cessation outcomes, health plan utilisation/costs, use of electronic nicotine delivery systems, and COVID-19 outcomes.
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48

Schulte, R., V. Bashkirov, F. Hurley, S. Penfold, A. Rosenfeld, and B. Patyal. "TH-D-BRC-09: A Status Update On the Development of Proton CT at Loma Linda University Medical Center." Medical Physics 36, no. 6Part28 (2009): 2813. http://dx.doi.org/10.1118/1.3182682.

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49

Hogue, Michael. "Losing Access to Care: Your Pharmacy is Closing." Journal of Contemporary Pharmacy Practice 67, no. 1 (2020): 7–8. http://dx.doi.org/10.37901/jcphp20-000e1.

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Many folks who have a minor ailment, a question about medicines, or a health concern in general often stop by their local pharmacy to ask the pharmacist for advice. I grew up in a rural area of Southern Illinois that did not have a fulltime physician. The health department clinic was only open on select mornings each week to administer vaccines. The pharmacist was the only healthcare professional that my family could easily see within 30 miles. Regardless of where we live, we've likely taken for granted that there is a pharmacy nearby. Today those pharmacies are often owned by CVS or Walgreens or are situated in a grocery store or big box retailer like Wal-Mart, Costco or Target. Health systems like Loma Linda University Health also own community pharmacies. There are still nearly 22,000 privately owned pharmacies in the U.S.
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50

Fu, Jasmine Y., Cassie Krause, Reed Krause, et al. "Integration of Point-of-Care Ultrasound Training into Undergraduate Medical Curricula–-A Perspective from Medical Students." Journal of Medical Education and Curricular Development 3 (January 2016): JMECD.S38240. http://dx.doi.org/10.4137/jmecd.s38240.

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The utility of point of care ultrasound training during medical school is becoming more and more evident. At the Loma Linda University School of Medicine, we have formally integrated ultrasound education into the curriculum of all four years. Exposure begins in the first few months of Year 1 and takes form in a variety of educational mediums through Year 4. Whether students receive training through mandatory sessions during physical diagnosis courses or extracurricular workshops provided through the Ultrasound Interest Group–-the experience equips learners of at all different skill levels with the confidence to apply what they have learned to patient care. The successful integration of ultrasound training into the medical curriculum can be attributed to progressive administration, devoted faculty and eager students. The perspective of medical students during the integration process is described in this paper.
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