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Screening For Iron-Deficiency Anemia In The Pediatric Population (Ages 1-17) In Gonaïves, Haiti, Cara Rose Fratianni 2020 University of San Diego

Screening For Iron-Deficiency Anemia In The Pediatric Population (Ages 1-17) In Gonaïves, Haiti, Cara Rose Fratianni

Doctor of Nursing Practice Final Manuscripts

Abstract

Purpose: The purpose of this pilot project is to screen for iron-deficiency anemia in pediatric patients (ages 1-17) in a primary school in Gonaïves, Haiti. Patients with anemia will be treated with oral supplemental iron for a period of four weeks according to WHO guidelines (WHO, 2011). All students will be treated empirically for helminths per WHO guidelines, unless treated elsewhere in the last six months (WHO, 2017). Nutritional status will also be assessed using MUAC according to WHO guidelines (2017).

Background Summary: Malnutrition contributes significantly to the problem of iron-deficiency anemia, with one in four children exhibiting stunting ...


Impact Of Childhood Vaccinations Suspended Due To Covid-19, Karina I. Figueroa 2020 Eastern Washington University

Impact Of Childhood Vaccinations Suspended Due To Covid-19, Karina I. Figueroa

2020 Symposium Posters

Due to the COVID-19 outbreak of 2020, a public health issue has been created that has the potential to significantly affect our view on society. Among the variety of preventative tactics to slow the spread of infection, there has been a suspension of childhood vaccination across the globe including among developing countries. The World Health Organization (WHO) has announced that governments suspend preventive vaccination programs briefly during the pandemic as of March 26th (Ray, 2020). As a result of this, there has been an impact on children's health and an increase in mortality rates. The purpose of this research ...


Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani 2020 The University of San Francisco

Black Pregnancy Matters: Racial Reproductive Bias In African American Maternal Mortality, Juhi Khemani

Master's Projects and Capstones

This semester-long research project uncovers how racial biases demonstrated in the reproductive health field, and specifically before, during, and after childbirth, affect the rate of maternal mortality and morbidity for African American mothers in the United States. The rate of maternal mortality for this specific racial group is four times greater as compared to Caucasian women and this discrepancy will be investigated and analyzed throughout this capstone thesis. Interviews were conducted with key figures in the obstetric and gynecological field as well as with Black mothers themselves in an effort to uncover what factors, aside from medical anomalies, are leading ...


Parental Perceptions Of Water Safety Among Children With Autism Spectrum Disorders, Amanda Casey Ph.D., Jennifer Blok, Katherine Vaughan, William O'Dwyer 2020 St. Francis Xavier University

Parental Perceptions Of Water Safety Among Children With Autism Spectrum Disorders, Amanda Casey Ph.D., Jennifer Blok, Katherine Vaughan, William O'Dwyer

International Journal of Aquatic Research and Education

Children with autism spectrum disorders (ASD) are twice as likely to die from unintentional drowning compared to same-age children without ASD emphasizing the importance of water-safety skills and knowledge. Yet little research has been published on perceptions of water safety for this population. The objective of the study was to investigate parental perceptions of water safety amongst children with ASD. An online questionnaire focusing on parental perceptions of water safety was distributed to parents of children with ASD associated with autism support groups across Canada. Forty-nine parents completed the self-report questionnaire with items related to demographics, swimming proficiency and lessons ...


Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach 2020 University of Mississippi

Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach

Honors Theses

Pregnancy is a period of great change in a woman’s body as her baby develops. During this period, women commonly experience symptoms of anxiety (Dennis et al., 2017) and depression (Shidhaye & Giri, 2014). Literature has suggested that socioeconomic status (SES) can contribute to the severity at which pregnant women experience anxiety and depression (Arora & Aeri, 2019; Field et al., 2008; Shagufta & Shams, 2019), and women of low socioeconomic status may be more likely to experience symptoms of anxiety and depression during pregnancy (Field et al., 2008). The present study aimed to assess the relationships between household income and experience of anxiety and depression symptoms, in pregnant women in Mississippi. Specifically, it was hypothesized that lower SES would be associated with increased experience of anxiety and depressive symptoms. Participants included 557 pregnant women (77.4% white; Mage = 28.42) recruited at an OBGYN clinic in north Mississippi. Demographics questionnaire and several self-report measures including the Depression Anxiety Stress Scale-21 (DASS-21; Lovibond & Lovibond, 1995) and the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden, Sagovsky, 1987) were completed. Results demonstrated that symptoms of anxiety measured by the DASS-21 were significantly higher in pregnant women earning less than $10,000 per year than all other income brackets (with the exception ...


An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers 2020 University of Mississippi

An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers

Honors Theses

This thesis investigated the connection between socioeconomic status, healthcare coverage, and birth outcomes. The research question that was posed specifically looked at twenty perinatal services that states covered under Medicaid to varying degrees to see their association, if any, with premature birth rates and low birthweight rates. State-level and Mississippi county-level data were compiled regarding preterm birth rates, low birthweight rates, presumptive eligibility adoption, and coverage of twenty different perinatal services. Using these data, the correlation between state Medicaid expansion status and birth outcomes was first calculated in order to determine if variation in birth outcomes was associated with expanded ...


Understanding Pediatric Injury In Collier County, Florida: A Mixed Methods Analysis, Carmen T. Ramos-Irizarry 2020 KIDZ Medical Specialties/NCH Healthcare Systems

Understanding Pediatric Injury In Collier County, Florida: A Mixed Methods Analysis, Carmen T. Ramos-Irizarry

Florida Public Health Review

Background: The current trauma system in Collier County disperses injured pediatric patients to trauma centers outside the County. There is a critical gap in knowledge in the epidemiology of the County’s pediatric trauma patients.

Purpose: To understand injury patterns in children ages 0-17 years in Collier County and identify challenges in transporting injured children to definitive care.

Methods: This is a cross sectional, descriptive study using a sequential mixed-methods design. A thorough review of the literature and interviews of key stakeholders were conducted in August 2017. Data obtained from the interviews was used to develop a causal loop diagram ...


Youth Violence Prevention In Florida: A Commentary, Yingwei Yang 2020 University of South Florida

Youth Violence Prevention In Florida: A Commentary, Yingwei Yang

Florida Public Health Review

No abstract provided.


Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King 2020 Ursinus College

Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King

Politics Honors Papers

This work examines the gap that exists in access to health care in the Greater Philadelphia Region for children of Latinx immigrant families in comparison to other children in the nation. It provides a critical analysis of the gap in access to coverage, noting that this exists despite wide support for a human right to health. This study draws on existing scholarly research as well as interviews with staff at two health clinics and one community outreach center that are located in Greater Philadelphia. It demonstrates that Latinx immigrant families are less likely to have health insurance and get primary ...


Overcoming Barriers To The Implementation Of Early Warning Systems To Reduce The Maternal Mortality Rate In The United States Of America, Emily Hopkins 2020 University of Tennessee at Chattanooga

Overcoming Barriers To The Implementation Of Early Warning Systems To Reduce The Maternal Mortality Rate In The United States Of America, Emily Hopkins

Honors Theses

The United States has the highest Maternal Mortality Rate in the developed world, and it has been increasing since 1987. To combat this problem, researchers have developed Early Warning Systems (EWS) to identify when a woman is developing signs of a life-threatening problem during the maternal period. The goal of this research is to identify if these early warning systems are being used in U.S. hospitals, and, if not, what the best way is to implement them. Several interviews were performed with hospitals across the U.S. and the transcripts were run through the analyzing software NVivo. Each transcript ...


“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair 2020 University of Nebraska at Omaha

“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair

Theses/Capstones/Creative Projects

This paper explores possible reasons why Black women in the United States experience a higher maternal mortality rate than their white counterparts. Using books, articles, journals, documentaries, personal experiences and stories of Black women and mothers, I argue that barriers from the societal to the individual level create health and medical disparities for Black mothers in pregnancy, during delivery, and the postpartum period. The paper concludes with a multifaceted solution and call to action.


Mode Of Delivery And Infant Cognitive Development, Madison Olson, Laura M. Glynn 2020 Chapman University

Mode Of Delivery And Infant Cognitive Development, Madison Olson, Laura M. Glynn

Student Scholar Symposium Abstracts and Posters

The rate of nonindicated cesarean births is increasing each year within the United States. Although cesarean delivery can function as a life- saving intervention, emerging evidence suggests that it may also be associated with deleterious developmental consequences for the child. Here we test the hypothesis that mode of delivery is associated with cognitive development during infancy. 229 pregnant women were recruited and their infants’ cognitive development was assessed at 6, 12 and 24 months with the Bayley Scales of Infant Development. Medical charts were reviewed by obstetric nurses to determine prenatal medical risk and birth outcomes, including mode of delivery ...


Reflection And Literature Review On Loving Choices Pregnancy Center Internship, Madison Stave 2020 University of Arkansas, Fayetteville

Reflection And Literature Review On Loving Choices Pregnancy Center Internship, Madison Stave

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This honors thesis involves a personal reflection and literature review of a nurse internship at Loving Choices Pregnancy Center in Fayetteville, AR. The purpose of this internship was to provide a learning experience in women’s and obstetrical health. Responsibilities included completing community resource projects and assisting staff and nurses in the Care Center and Pregnancy Clinic. To satisfy honors requirements, five learning objectives were created during the internship. These objectives were all met and reflected upon in the first part of this thesis. The second portion of this thesis involves a literature review of the socioeconomic and health-related risks ...


Sewers Vs. Centers: Politics Of Choice And Localized Public Health In The Underground Community At The Gara De Nord- Bucharest, Aran Valente 2020 Clark University

Sewers Vs. Centers: Politics Of Choice And Localized Public Health In The Underground Community At The Gara De Nord- Bucharest, Aran Valente

International Development, Community and Environment (IDCE)

This thesis is based on ethnographic research conducted on a community of people living in the sewers below the Gara de Nord (Northern Train Station) in Romania’s capital city, Bucharest, between 2011 and 2014. The history of former Romanian president, Nicolae Ceaușescu’s policies on population growth and treatment of orphans provide an important background to my research. Before 1989, Ceaușescu’s pro-natalist policies produced thousands of children who were abandoned by their families and had to be housed by the state. They were forced into state orphanages where they faced abuse so horrendous that some fled into sewers ...


Current Practice Of Trauma Informed Care In Pregnancy Among Obstetric Providers, Morgan R. Abbey, Rebecca Hunt 2020 Maine Medical Center

Current Practice Of Trauma Informed Care In Pregnancy Among Obstetric Providers, Morgan R. Abbey, Rebecca Hunt

Costas T. Lambrew Research Retreat 2020

Purpose: In women with a history of trauma routine events of pregnancy, labor, and delivery can be re-traumatizing. This study will explore how obstetric providers screening for and manage a history of trauma in patients during pregnancy.

Background: A traumatic event can be directly experienced or indirectly. Post traumatic stress disorder (PTSD) is characterized by exposure to a traumatic event and symptoms of re-experiencing, avoidance behavior, negative mood/cognition, alterations in arousal, and dissociation relating to the trauma. Trauma-informed care recognizes the prevalence of trauma, and acknowledges the role trauma may have played in an individual’s life. Trauma and ...


Mother And Father Effects On Child Problem Behaviors In Families With A Child With Asd: A Dyadic Structural Equation Model, Kahsi A. Pedersen, William L. Cook, Briana Taylor, Matthew Siegel, Ellyn Touchette, Christine Peura, Susan L. Santangelo 2020 Maine Medical Center

Mother And Father Effects On Child Problem Behaviors In Families With A Child With Asd: A Dyadic Structural Equation Model, Kahsi A. Pedersen, William L. Cook, Briana Taylor, Matthew Siegel, Ellyn Touchette, Christine Peura, Susan L. Santangelo

Costas T. Lambrew Research Retreat 2020

Background: Several studies have examined mother reports of problem behaviors in their children with autism spectrum disorder (ASD). However, few studies have examined the relative contributions of mother and father characteristics on child outcomes, largely due to limited father participation in research. Research testing dyadic models simultaneously examining mother and father effects is also lacking.

Objectives: Describe a sample of mothers and fathers and their children with ASD who were hospitalized in a specialized inpatient psychiatric unit due to problem behaviors. Test a dyadic model examining parenting efficacy as a mediator between parental stress and child problem behaviors for both ...


Birth Across Borders: Migueleña Maternal Experience In Palm Beach County, Florida, Inbal Mazar 2020 Drake University

Birth Across Borders: Migueleña Maternal Experience In Palm Beach County, Florida, Inbal Mazar

Maya America: Journal of Essays, Commentary, and Analysis

Dangers for pregnant Maya women in San Miguel Acatán, a highland hamlet in Huehuetenango, Guatemala are exceptionally high. Those who migrate to Palm Beach County, Florida also face significant risks during pregnancy. However, conceptualizing migrants as vulnerable and non-agentive dismisses the opportunity to explore other dimensions of migrant women experiences. Interviews with Migueleña mothers and midwives and health professionals and advocates in both regions revealed resilience strategies Migueleña migrants create and employ as they navigate linguistically and culturally foreign medical systems. The support they provide each other results in more positive maternal experiences under arduous circumstances. Over time, Migueleñas are ...


Measuring Patient-Centered Care For Specific Populations: A Necessity For Improvement, Sara C. Handley MD, MSCE, Ingrid M. Nembhard PhD, MS 2020 Children's Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania

Measuring Patient-Centered Care For Specific Populations: A Necessity For Improvement, Sara C. Handley Md, Msce, Ingrid M. Nembhard Phd, Ms

Patient Experience Journal

The measurement of patient-centered care (PCC) is a fundamental component of assessing and improving health care quality. There are a variety of PCC measures available which have been tailored to different health care conditions and settings. These distinct measures are valuable given the diversity of health conditions and contexts encountered in the health care system. However, the type of patient has received significantly less attention when measuring PCC despite the multitude of unique patient populations that exist. Specific patient populations raise several core challenges for PCC measurement to which researchers and practitioners need to attend: identifying what principles to measure ...


Dancing During Labor: Social Media Trend Or Future Practice?, Caroline P. Toberna, Drew Horter, Kayla Heslin, Marie M. Forgie, Emily Malloy, Jessica J. F. Kram 2020 Aurora Research Institute; Aurora UW Medical Group, Aurora Health Care; Center for Urban Population Health

Dancing During Labor: Social Media Trend Or Future Practice?, Caroline P. Toberna, Drew Horter, Kayla Heslin, Marie M. Forgie, Emily Malloy, Jessica J. F. Kram

Journal of Patient-Centered Research and Reviews

Over the past 30 years, medical interventions in pregnancy and childbirth have increased. Some pregnant women seek less invasive and nonpharmacological options to manage discomforts during labor. While exercise during pregnancy is recommended, less is known about exercise, specifically dancing, during labor. While anecdotal evidence is supportive, little is known about the implications of exercise and dance during the first stage of labor for pain reduction and labor progression. Some movements common in dance, such as expanding hip circles that loosen and relax muscles of the pelvic floor, may be beneficial to women during labor. Available evidence suggests that dancing ...


Supporting The Role And Transition To Motherhood Through The Occupation Of Feeding, BethAnne N. Vidmar 2020 University of St. Augustine for Health Sciences

Supporting The Role And Transition To Motherhood Through The Occupation Of Feeding, Bethanne N. Vidmar

Student Capstone Projects

The purpose of this capstone was to assess and explore the occupational needs of mothers who are feeding their infants in a variety of ways to then identify psychosocial and occupational barriers effecting women’s choices in feeding options for their infant through survey and interviews and opportunities for occupational therapists to become more involved in the occupation of breastfeeding.

Data analysis for this capstone project consisted of running a needs assessment in Santa Barbara County. The needs assessment consisted of written or online surveys and semi-structured in-depth interviews. Of the 95 women who filled out the hard-copy or online ...


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