Medicine and Health Sciences Commons^™

Atlantoaxial Rotatory Fixation In Children. A Clinical Case Study And Review Of The Literature., Ali Abou-Madawi, Esam Elkhatib, Mohamed El-Qazaz

Advanced Spine Journal

Background Data: Atlantoaxial rotatory fixation is a relatively uncommon condition. It remains a poorly understood entity despite many reports in the literature. There is no consensus about the best imaging modality for the diagnosis and the best therapeutic modality the patients benefit from. Purpose: This study was conducted to determine the efficacy of imaging modality and treatment measures and to determine risk factors for recurrence in consideration of the cause, management, and outcome. Study Design: This is a retrospective clinical case study and a literature review.Patients and Methods: Our hospital records were reviewed between January 1995 and December 2011. We …

The Convergence Of Science And Culture: Developing A Framework For Diabetes Education In Tribal Communities, Michelle Chino Dr, Carolee Dodge Francis, Lemyra Debruyn, Lynn Short, Dawn Satterfield

Journal of Health Disparities Research and Practice

In an unprecedented effort to address the epidemic of diabetes in tribal communities, the Diabetes Education in Tribal Schools project brought together a group of individuals from eight tribal colleges and three federal agencies to develop a diabetes prevention curriculum for American Indian and Alaska Native school children. The curriculum incorporates Western and Native science with culturally responsive teaching techniques. Both the project and its evaluation process have reached beyond conventional bounds to acknowledge fundamental issues of tribal culture, history and health and the integration of science, culture, and community. This article will discuss the challenges and rewards of the …

Relationship Between Plantar Pressures, Physical Activity And Sedentariness Among Preschool Children, Karen J. Mickle, Dylan P. Cliff, Bridget J. Munro, Anthony D. Okely, Julie R. Steele

A. D. Okely

It has been speculated that high plantar pressures might cause foot pain and discomfort which, in turn, may discourage children from being physically active and result in them spending more time in sedentary activities. The purpose of this study was to determine whether plantar pressure distributions generated by preschool children were correlated with objectively measured time spent in physical activity and sedentary behaviour. Dynamic plantar pressures were measured for 33 preschool children (age = 4.3±0.6 years; height = 1.06±0.1 m; mass = 18.4±2.9 kg; 17 boys) as they walked across an emed AT-4 pressure platform. Physical activity was objectively assessed …

Correlates Of Poor Health Among Orphans And Abandoned Children In Less Wealthy Countries: The Importance Of Caregiver Health, Nathan Thielman, Jan Ostermann, Kathryn Whetten, Rachel Whetten, Karen O’Donnell, Positive Outcomes For Orphans (Pofo) Research Team

Faculty Publications

Background: More than 153 million children worldwide have been orphaned by the loss of one or both parents, and millions more have been abandoned. We investigated relationships between the health of orphaned and abandoned children (OAC) and child, caregiver, and household characteristics among randomly selected OAC in five countries.

Methodology: Using a two-stage random sampling strategy in 6 study areas in Cambodia, Ethiopia, India, Kenya, and Tanzania, the Positive Outcomes for Orphans (POFO) study identified 1,480 community-living OAC ages 6 to 12. Detailed interviews were conducted with 1,305 primary caregivers at baseline and after 6 and 12 months. Multivariable logistic …

Do Australian Primary School Environments Affect Children's Playground Physical Activity Levels?, Anne-Maree Parrish, Donald Iverson, Kenneth Russell, Heather Yeatman

Don C. Iverson

No abstract provided.

Using Interviews And Peer Pairs To Better Understand How School Environments Affect Young Children's Playground Physical Activity Levels: A Qualitative Study, Anne-Maree Parrish, Heather Yeatman, Donald Iverson, Ken Russell

Don C. Iverson

School break times provide a daily opportunity for children to be active; however, research indicates this time is underutilized. Reasons for low children’s playground activity levels have primarily focused on physical barriers. This research aimed to contribute to physical environmental findings affecting children’s playground physical activity levels by identifying additional variables through the interview process. Thirteen public schools were included in the sample (total 2946 children). Physical activity and environmental data were collected over 3 days. Environmental variables were manually assessed at each of the 13 schools. Observational data were used to determine which three schools were the most and …

Elective Tracheostomy In Mechanically Ventilated Children, Prem Kumar Maheshwari, Muhammad Rehan Khan, Anwarul Haque

Department of Paediatrics and Child Health

Tracheostomy is an important procedure in children requiring prolonged mechanical ventilation. We conducted a retrospective study to assess the frequency, indications, postoperative course and short-term outcome of elective tracheostomy in a Paediatric Intensive Care Unit (PICU) of Pakistan. Twenty-five patients underwent tracheostomy in last 5 years (2.2 % of all PICU admissions). Mean age of patients was 6 years and 60% were male. The most common indication for tracheostomy was prolonged mechanical ventilation secondary to neurological disease (60%), followed by upper airway obstruction (40%). Major complications included accidental decannulation (20%) and tube obstruction (20%). Three patients (12%) developed ventilator-associated pneumonia …

Development And Evaluation Of An Audiological Outcome Measure Guideline For Use With Infants, Toddlers, And Preschool Children, Marlene P. Bagatto

Electronic Thesis and Dissertation Repository

The goals of the current work were to: 1) identify caregiver report questionnaires for inclusion in an outcome evaluation guideline for infants, toddlers, and preschool children who wear hearing aids and 2) evaluate the chosen tools to determine their usefulness for the population of interest. A critical review of auditory-related subjective outcome evaluation tools for infants, toddlers, and preschool children is presented (Chapter 2). Good psychometric properties and clinical feasibility were considered important elements for the guideline (Andresen, 2000). Existing norms for the chosen questionnaires were validated with normal hearing children from Canadian English-speaking families (Chapters 3 and 5). Finally, …

Parental Involvement In Speech-Language Intervention, Victoria Beech Finley

Honors Theses

This thesis examines how parents of children who are successful in therapy are involved, from the parent’s perspective. Literature on parental involvement in therapy is limited, especially findings from the parent’s perspective. This thesis follows a phenomenological qualitative design. The investigator interviewed three mothers regarding their participation. The investigator then transcribed the interviews and cyclically analyzed them to find salient themes across all three. There were two shared themes, acceptance and emotions. It is hoped that this study will provide insight for other parents so that they can contribute to their children’s success in speech-language intervention.

Service-Learning At A Camp For Children With Asthma As Part Of An Advanced Pharmacy Practice Experience, Jennifer L. Kirwin, Jenny A. Van Amburgh, Kristyn M. Napoli

Jennifer L. Kirwin

Objectives. To describe a service-learning opportunity within an advanced pharmacy practice experience and report satisfaction survey results from 2001 through present. Design. Pharmacy students volunteered to attend asthma camp during an ambulatory care rotation. Students administered and monitored medications and coordinated educational activities for campers. Students set goals for the week and completed reflective journals about the experience. A survey was administered 1 week and 6 months after the experience to assess satisfaction, changes in attitudes toward children with chronic asthma, and empathy towards patients.Assessment. Most students accomplished their goals and were satisfied with the experience. Approximately 40% of students …

Service-Learning At A Camp For Children With Asthma As Part Of An Advanced Pharmacy Practice Experience, Jennifer Kirwin, Jenny Van Amburgh, Kristyn Napoli

Jenny A. Van Amburgh

Objectives. To describe a service-learning opportunity within an advanced pharmacy practice experience and report satisfaction survey results from 2001 through present. Design. Pharmacy students volunteered to attend asthma camp during an ambulatory care rotation. Students administered and monitored medications and coordinated educational activities for campers. Students set goals for the week and completed reflective journals about the experience. A survey was administered 1 week and 6 months after the experience to assess satisfaction, changes in attitudes toward children with chronic asthma, and empathy towards patients.Assessment. Most students accomplished their goals and were satisfied with the experience. Approximately 40% of students …

Physical Activity Among Latino Children In London, Ontario: An Assessment Of Physical Activity Levels, Sedentary Behaviours, And Physical Activity-Related Barriers And Facilitators, Gillian E. Mandich

Electronic Thesis and Dissertation Repository

The purpose of the study was to assess the physical activity (PA) levels, sedentary behaviours, and PA-related barriers and facilitators of a sample of Latino children in London, Canada. Forty boys and 34 girls (mean age = 11.4 years) completed questionnaires related to PA levels, sedentary behaviours, and PA-related barriers and facilitators, and 64 of these children wore an accelerometer for 4 consecutive days. Children spent an average of 53 minutes per day in moderate-to-vigorous PA. The average daily sedentary time for participants was 8.6 hours, and subjective measures revealed that participants spent 3.8 hours per day in front of …

Malnutrition In Young Pakistani Children, Shela Akbar Ali Hirani

School of Nursing & Midwifery

Background: Pakistan is a developing country with the second highest infant and child mortality rate in South Asia. In this region, malnutrition underlies much of the high infant and under five child morbidity and mortality rates. Although struggle to tackle the issue of malnutrition among young Pakistani children has been going on since many decades, till yet a realistic solution for this growing problem has not been found.

Objective: This paper aims at reviewing literature to analyse the biological, maternal, socio-cultural, environmental, and politico-economical determinants of malnutrition among young children in Pakistan so that need based interventions can …

Profiling The Ethnic Characteristics Of Domestic Injuries In Children Younger Than Age 5 Years., Tolulope A. Oyetunji, Adrienne A. Stevenson, Aderonke O. Oyetunji, Sharon K. Onguti, Sarah A. Ames, Adil H. Haider, Benedict C. Nwomeh

Manuscripts, Articles, Book Chapters and Other Papers

The home remains a very common location for deadly injuries among children younger than 5 years. The aim of this study is to describe the demographic and injury characteristics of domestic injuries in children younger than 5 years. The National Trauma Data Bank's National Sample Program data set was queried for children younger than 5 years with the injury site classified as home. Bivariate analysis was performed to determine unadjusted differences by ethnicity. Appropriate weight was applied to the sample to determine accurate national estimates. A total of 7,364 children, representing 32,033 children, were analyzed. Overall mortality was 1.6 per …

Occupational Therapy Practice Opportunities When Working With Mothers With Breast Cancer: A Pilot Study, Katie Tam

School of Occupational Therapy Master's Theses (2010-2015)

The purpose of this study was to identify current and ideal occupational therapy practice for mothers with breast cancer, from the perspective of the occupational therapist, in order to describe strategies for effective occupational therapy practice with this population. A grounded theory approach was used to analyze two interviews from occupational therapists working with mothers with breast cancer. Three themes emerged from the interviews, identifying effective treatment strategies: giving a voice, preventing loss of motherhood, and collaborating with multiple disciplines. These themes identified opportunities for occupational therapists to maintain the occupational performance and feelings of success in mothers with breast …

Acquisition Of Initial Mental Graphemic Representations By Children At Risk For Literacy Development, Kenn Apel, Shurita Thomas-Tate, Elizabeth B. Wilson-Fowler, Danielle Brimo

Faculty Publications

We examined the acquisition of initial mental graphemic representations (MGRs) by 46 kindergarten children (mean age = 5 years, 9 months) at risk for literacy development because of low socioeconomic status. Using a storybook context, we exposed children to novel nonwords that varied in their phonotactic and orthotactic probabilities and then assessed the children's development of initial MGRs through spelling and reading recognition tasks. The children developed some initial MGRs but less than past reports of children from middle socioeconomic backgrounds. Children with more advanced word recognition abilities developed more initial MGRs than their peers with less advanced word recognition …

Influence Of Information Related To Child Physical Abuse On Professional Ratings Of Adjustment And Prognosis, Virginia M. Deroma, David J. Hansen, Amy C. Tishelman, Peter D'Amico

David J. Hansen

The study investigates the influence of access to information of a history of physical maltreatment on the evaluative responding of social service and clinical psychology professionals. Written vignettes were used in a 2 × 2 × 2 factorial design to manipulate the: (a) presence/absence of abuse history; (b) presence/absence of behavior problems; and (c) gender of the child. Professionals rated children presented in 12 case vignettes along five treatment-related dimensions: (a) overall adjustment; (b) predicted 6 month temporal stability of behavior; (c) likelihood of treatment referral; (d) expected home intervention success; and (e) expected school intervention success. Four dimensions related …

Evaluation Of Urinary Pesticide Biomarkers Among A Sample Of The Population In The United States, Alex Lance Lebeau

USF Tampa Graduate Theses and Dissertations

Pesticide use in the United States continues to attract negative public attention. In recent years, this attention has focused on the effects that chronic, low-level pesticides may have, especially on children and various sub-populations. Over the past decade, studies have attempted to correlate negative health effects with detections of pesticide biomarkers in biological media. The current research investigates biomarker of exposure levels in a sample of the United States population. Data from the 2001-2002 NHANES dataset (n=11,039) was evaluated. The detection frequency of urinary biomarkers of exposure and the geometric mean from the NHANES pesticide dataset (n=3,152) were determined. Of …

Air Pollution And Acute Respiratory Response In A Panel Of Asthmatic Children Along The U.S.–Mexico Border, Stefanie E. Sarnat, Amit U. Raysoni, Wen-Whai Li, Fernando Holguin, Brent A. Johnson, Silvia Flores Luevano, Jose Humberto Garcia, Jeremy A. Sarnat

School of Earth, Environmental, and Marine Sciences Faculty Publications and Presentations

Background: Concerns regarding the health impact of urban air pollution on asthmatic children are pronounced along the U.S.–Mexico border because of rapid population growth near busy border highways and roads.

Objectives: We conducted the first binational study of the impacts of air pollution on asthmatic children in Ciudad Juarez, Mexico, and El Paso, Texas, USA, and compared different exposure metrics to assess acute respiratory response.

Methods: We recruited 58 asthmatic children from two schools in Ciudad Juarez and two schools in El Paso. A marker of airway inflammation [exhaled nitric oxide (eNO)], respiratory symptom surveys, and pollutant measurements (indoor and …

Effect Of Parallel Talk On The Language And Interactional Skills Of Preschoolers With Cochlear Implants And Hearing Aids, Sharon A. Raver, Jonna Bobzien, Corrin Richels, Peggy Hester, Anne Michalek, Nicole Anthony

Communication Disorders & Special Education Faculty Publications

Children with profound congenital hearing loss often do not have the same prelinguistic opportunities for social and verbal interaction as their peers with typical hearing [14]. Consequently, language and social skills may be challenging for this group, even after they are provided with amplification or a cochlear implant. This pilot study examined the effectiveness of using a parallel talk intervention to increase the language and interactional skills of three preschoolers with deafnesss. Results revealed that all participants increased verbal turn-taking and that two of the three increased initiated and responded vocal/verbal comments, and initiated and responded nonverbal responses during a …

Youth Sport Injury Prevention Is Key, Jane Shimon

Jane Shimon

Describes how providing a well-designed injury prevention program that includes attention to growth and development, training and conditioning, protective equipment, and emergency care can minimize youth sport injuries.

Moving Physical Activity Beyond The School Classroom: A Social-Ecological Insight For Teachers Of The Facilitators And Barriers To Students' Non-Curricular Physical Activity, Brendon Hyndman, Amanda Telford, Caroline F. Finch, Amanda C. Benson

Australian Journal of Teacher Education

Non-curricular avenues such as active play during school breaks have been established as a major source for children’s physical and cognitive development, yet there is little information for teachers on the influences affecting primary and secondary school students’ non-curricular physical activity. During this study focus groups and drawing were used to explore the broader influences on primary (n=47) and secondary (n=29) school students’ physical activity behaviour beyond the classroom. Barriers and facilitators to children’s physical activity were categorised using a multi-level social-ecological framework incorporating intrapersonal, interpersonal, physical environment and policy factors. Based on the drawings, comparisons between students’ existing play …

The Impact Of A 3-Year After-School Obesity Prevention Program In Elementary School Children, Zenong Yin, Justin B. Moore, Maribeth H. Johnson, Marlo M. Vernon, Bernard Gutin

Faculty Publications

Background: Children tend to be sedentary during the after-school hours, and this has deleterious effects on their health. The objective of the present study was to determine the effects of a 3-year after-school physical activity (PA) program, without restriction of dietary energy intake, on percent body fat (%BF), cardiorespiratory fitness (CRF), and cardiometabolic markers in children.

Methods: A cluster randomization design was employed. A total of 574 3^rd grade children from 18 elementary schools in the south-eastern United States participated. The intervention consisted of 80 minutes of age-appropriate moderate-to-vigorous PA each school day. The main outcomes of interest were …

An Integrated Knowledge Translation Experience: Use Of The Network Of Pediatric Audiologists Of Canada To Facilitate The Development Of The University Of Western Ontario Pediatric Audiological Monitoring Protocol (Uwo Pedamp V1.0)., Sheila T F Moodie

Electronic Thesis and Dissertation Repository

The goals of this project were: (1) to determine the important factors that influence implementation of evidence-based practice by Canadian audiologists; and (2) to utilize the knowledge-to-action process (Graham et al., 2006) during the development of a guideline for outcome measures to evaluate the auditory development and performance of young children who wear hearing aids, to facilitate clinical uptake and identify barriers to implementation (Bagatto, Moodie & Scollie, 2010; Bagatto et al., 2011; Bagatto, Moodie, Seewald, Bartlett, & Scollie, 2011; Moodie, Bagatto et al., 2011; Moodie, Kothari et al., 2011).

Two projects (Chapters 3 and 4) included the participation of …

A Comparative Review Of “How To” Books For Parents Of Adhd Children And “How To” Books For Parents Of Typical Children, Bora Pajo, Paul H. Stuart Dr.

All Faculty and Staff Scholarship

Although an increasing number of children are diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and take medications to control their behaviors, a well-publicized controversy persists about whether ADHD refers to a common neurobehavioral disorder of childhood or to various medicalized temperamental, educational, and cultural differences and difficulties of children. Moreover, behaviors indicative of ADHD are commonly found among all children—although with different frequencies. This paper aims to identify and compare the type of information provided to parents of ADHD and non-ADHD diagnosed children through readily available self-help books. Searches using popular online bookstores were conducted to rank and select the …

Defiant Children: A Clinician's Manual For Assessment And Parent Training By Russell A. Barkley, M.D., Stephen Zerby M.D.

Jefferson Journal of Psychiatry

No abstract provided.

Early Detection Of Autism In The Population, John D. Mclennan M.D., Ph.D.

Jefferson Journal of Psychiatry

Frequently there is a delay in the diagnosis of autism in children which may result in a lost opportunity to provide early intervention. Signal detection studies have suggested that single items have good predictability for autism which suggests simple screening procedures may be helpful in the early detection of an autistic disorder. Studies of autism in the very young have found that specific social deficits appear to characterize this group. A three stage procedure is presented as a possible approach to detect autism at an early age in the population thereby allowing for early intervention.

Children And Adolexcents Of Distinction - Culturally Diverse Children And Adolescents: Assessment, Diagnosis, And Treatment By Ian A. Canino, M.D. And Jeanne Spurlock, M.D., Lloyda R. Broomes M.D.

Jefferson Journal of Psychiatry

No abstract provided.

Geographical Information Systems Facilitate Child Lead Screening Efforts, Daniel Kruger, Lauren Shirey, Sherry Taylor

Michigan Journal of Public Health

Background: Children at the highest risk for lead poisoning are African American, living in families with low incomes, or are living in housing built prior to 1946. The Greater Flint Lead Safe Children Program (GFLSCP) was designed to increase the proportion of African Americans under 6 years of age who are tested for lead in a State-designated high risk area for childhood lead poisoning. Objective: We used Geographical Information Systems to create maps that facilitate program process and evaluation. Methods: We created maps of neighborhood outreach coverage and lead screening results. We identified areas with higher concentrations of African American …

Primary Closure Without Diversion In Management Of Operative Blunt Duodenal Trauma In Children, Katherine Smiley, Tiffany Wright, Sean Skinner, Joseph A. Iocono, John M. Draus

Surgery Faculty Publications

Background. Operative blunt duodenal trauma is rare in pediatric patients. Management is controversial with some recommending pyloric exclusion for complex cases. We hypothesized that primary closure without diversion may be safe even in complex (Grade II-III) injuries. Methods. A retrospective review of the American College of Surgeons' Trauma Center database for the years 2003-2011 was performed to identify operative blunt duodenal trauma at our Level 1 Pediatric Trauma Center. Inclusion criteria included ages < 14 years and duodenal injury requiring operative intervention. Duodenal hematomas not requiring intervention and other small bowel injuries were excluded. Results. A total of 3,283 hospital records were reviewed. Forty patients with operative hollow viscous injuries and seven with operative duodenal injuries were identified. …