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Impact Of Seasonality And Food Security On Growth And Morbidity In Children Under 2 Years In Rural Honduras, Jacqueline Wilson

Yale Medicine Thesis Digital Library

Child malnutrition remains a significant problem worldwide with children under two years of age at particular risk. Even mild to moderate child undernutrition in food insecure households has been associated with poor growth, increased rates of infection and poor development. Rural Honduras undergoes a rainy and a dry season each year. Households rely on subsistence agriculture and as the dry season progresses, they have fewer food reserves and limited cash resources. It is anticipated that this will lead not only to decreased measures of food security, but also that children in food secure households will have higher rates of growth …

Childhood Injuries In Pakistan: Results From Two Communities, Seema Zainulabdin Lasi, Ghazala Rafique, Habib Peermohammad

Human Development Programme

The study aimed at determining the incidence, nature, and extent of childhood injuries in two suburban and rural communities of Pakistan. The findings of the study are based on a cross-sectional survey of 2,292 children aged 1-8 years. Information was sought retrospectively from the primary caregiver on the occurrence of injury that required formal or informal medical consultation during the past three months. The incidence rate of non-fatal injuries that required care outside home for children aged 1-8 years was 19.7 injuries per 100 person (child)-years of exposure [95% confidence interval (CI) 16.41-23.51]: 26.5 injuries per 100 person (child)-years of …

Oncolog Volume 55, Number 07, July 2010, Joe Munch, Sunni Hoseman

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Refining Approaches to Thyroid Cancer: Time-proven treatments and newer biologic agents offer hope, particularly for patirnts with advanced disease.
• Thyroid Cancer in Children.
• Compass Summer 2010: Locoregional Cancer of the Esophagus: Timimg Surgery and Other Therapies for Resectable Disease.
• HOUSE CALL: Understanding Clinical Trials

Hypertension In Children And Adolescents: Epidemiology And Natural History., Bonita Falkner

Department of Medicine Faculty Papers

Primary hypertension is detectable in children and adolescents and, as in adults, is associated with a positive family history of hypertension, obesity, and life-style factors. Owing to the well-established childhood obesity epidemic, the population prevalence of high blood pressure (BP) in the young is increasing. Hypertension in childhood is commonly associated with other cardiovascular risk factors as well as obesity. Although death and cardiovascular disability do not occur in hypertensive children, intermediate markers of target organ damage, such as left ventricular hypertrophy, thickening of the carotid vessel wall, retinal vascular changes, and even subtle cognitive changes, are detectable in children …

Recent Trends In Exposure To Secondhand Smoke In The United States Population, Chieh-I Chen, Tanya Burton, Christine L. Baker, Vera Mastey, David Mannino

Preventive Medicine and Environmental Health Faculty Publications

BACKGROUND: Previous research using the National Health and Nutrition Examination Surveys (NHANES) data documented a significant downward trend in secondhand smoke (SHS) exposure between 1988 and 2002. The objective of this study was to assess whether the downward trend in exposure continued from 2001 through 2006.

METHODS: We analyzed data from the 2001-2006 NHANES to estimate exposure of nonsmokers to SHS. Geometric means of serum cotinine levels for all nonsmokers were computed.

RESULTS: Overall serum cotinine levels (95% Confidence Intervals) in 2001-2002, 2003-2004, and 2005-2006 were 0.06 ng/mL (0.05-0.07), 0.07 ng/mL (0.06-0.09), and 0.05 ng/mL (0.05-0.06), respectively. Subgroup analysis by …

Oncolog Volume 55, Number 06, June 2010, John Lebas

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• The BATTLE Results Are IN: Phase II trial reveals molecular signatures in lung cancer that may guide treatment decisions.
• Endoscopic Repair of Colon Perforations: Nonsurgical techniques for closing gestrointestinal defects may yiels benefits for patients undergoing colonoscopy.
• INBRIEF: Stem Cells Seen Repairing Heart Attack Damage Over Time/Additional Blood Data May Improve Pediatric Leukemia Predictions/Pediatric Patients with Rare Tumor May benefit from Heated Chemotherapy/New Findings Refute Link Between UVA, Melanoma.
• HOUSE CALL: Skin Cancer Screening: What is It and Who Should Get It ?: Types of skin cancer/Who should be screened ?/What to expect/Self-examination: Check your skin regularly and tell your …

Childhood Obesity: Prevention & Intervention, Carrie Beth Lossing

Psychology and Child Development

Childhood obesity rates have skyrocketed in the recent years. These trends are alarming since childhood obesity has been linked to numerous health conditions, socioemotional consequences, and academic consequences. This project examines the factors that have been associated with childhood obesity and the consequences of being obese or overweight for children. This project also presents lifestyle changes that parents can make to reduce the likelihood of their children becoming overweight or obese.

Recent Diarrhea Is Associated With Elevated Salivary Igg Responses To Cryptosporidium In Residents Of An Eastern Massachusetts Community, A. I. Egorov, L. M. Montuori Trimble, L. Ascolillo, H. D. Ward, Deborah A. Levy, R. D. Morris, E. N. Naumova, J. K. Griffiths

Journal Articles: Epidemiology

BACKGROUND: Serological data suggest that Cryptosporidium infections are common but underreported. The invasiveness of blood sampling limits the application of serology in epidemiological surveillance. We pilot-tested a non-invasive salivary anti-Cryptosporidium antibody assay in a community survey involving children and adults.

MATERIALS AND METHODS: Families with children were recruited in a Massachusetts community in July; symptoms data were collected at 3 monthly follow-up mail surveys. One saliva sample per person (n = 349) was collected via mail, with the last survey in October. Samples were analyzed for IgG and IgA responses to a recombinant C. hominis gp15 sporozoite protein using a …

Preschool Teachers' Perceptions Of Obesity At Ages 3-5 Years, Jessica D. Mackinney

PCOM Psychology Dissertations

The purpose of this study was not only to investigate the knowledge of preschool teachers on the topic of obesity, but also to determine whether or not they find obesity to be a significant problem facing 3-5 year old children. Results indicate that preschool teachers agree that obesity is a concern; however, they are unclear on the causality of obesity. Preschool teachers feel the long-term consequences of being obese at ages 3-5 years affect future academic, social, and physical growth, but they do not feel intervention should take place at the preschool level. This study contributed to a better understanding …

Trace Elements And Physical Activity In Children And Adolescents With Depression, M. Meti̇n Donma, Orki̇de Donma

Turkish Journal of Medical Sciences

Depression is a common mental health problem among adolescents. Depressive symptoms are also important and may appear even during the preschool period. Physical activity, which may improve some mental health problems, is inversely associated with depression. Due to the presence of some clinical evidence about the relation between the use of antidepressants and suicide, there is a need for supportive agents during antidepressant therapy. Within this context, essential trace elements gain importance for further consideration. Protection of the developing brain from the negative effects of iron deficiency is important because of iron deficiency's association with poor mental development. Reactions between …

Body Mass Index, Adiposity Rebound And Early Feeding In A Longitudinal Cohort (Raine Study), Paola Chivers, Beth P. Hands, Helen Parker, Max K. Bulsara, Lawrence Beilin, Garth Kendall, Wendy Oddy

Health Sciences Papers and Journal Articles

Objective: This study examined the influence of type and duration of infant feeding on adiposity rebound and the tracking of body mass index (BMI) from birth to 14 years.

Methods: A sample of 1330 individuals over eight follows-ups was drawn from the Western Australian Pregnancy Cohort (Raine) Study. Trajectories of BMI from birth to adolescence using linear mixed model (LMM) analysis investigated the influence of age breastfeeding stopped and age other milk introduced (binomial 4-month cut-point). A sub-sample of LMM predicted BMI was used to determine BMI and age at nadir for early infant feeding groups.

Results: Chi square analysis …

Functional State Following The Fontan Procedure., Ismee A. Williams, Lynn A. Sleeper, Steven D. Colan, Minmin Lu, Elizabeth A. Stephenson, Jane W. Newburger, Welton M. Gersony, Meryl S. Cohen, James F. Cnota, Andrew M. Atz, Richard V. Williams, Renee Margossian, Andrew J. Powell, Mario P. Stylianou, Daphne T. Hsu, Pediatric Heart Network Investigators, Girish S. Shirali

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Despite improvements in outcomes after completion of the Fontan circulation, long-term functional state varies. We sought to identify pre- and postoperative characteristics associated with overall function.

METHODS AND RESULTS: We analyzed data from 476 survivors with the Fontan circulation enrolled in the Pediatric Heart Network Fontan Cross-sectional Study. Mean age at creation of the Fontan circulation was 3.4 plus or minus 2.1 years, with a range from 0.7 to 17.5 years, and time since completion was 8.7 plus or minus 3.4 years, the range being from 1.1 to 17.3 years. We calculated a functional score for the survivors by …

Epidemiology And Outcomes Of Candidemia In 2019 Patients: Data From The Prospective Antifungal Therapy Alliance Registry., David L Horn, Dionissios Neofytos, Elias J Anaissie, Jay A Fishman, William J Steinbach, Ali J Olyaei, Kieren A Marr, Michael A Pfaller, Chi-Hsing Chang, Karen M Webster

Jefferson Hospital Staff Papers and Presentations

BACKGROUND: Candidemia remains a major cause of morbidity and mortality in the health care setting, and the epidemiology of Candida infection is changing.

METHODS: Clinical data from patients with candidemia were extracted from the Prospective Antifungal Therapy (PATH) Alliance database, a comprehensive registry that collects information regarding invasive fungal infections. A total of 2019 patients, enrolled from 1 July 2004 through 5 March 2008, were identified. Data regarding the candidemia episode were analyzed, including the specific fungal species and patient survival at 12 weeks after diagnosis.

RESULTS: The incidence of candidemia caused by non-Candida albicans Candida species (54.4%) was higher …

Ultrasound Measurement Of The Inferior Vena Cava Diameter In The Assessment Of Pediatric Dehydration, Yunie Kim

Yale Medicine Thesis Digital Library

Dehydration is a common pediatric condition, but limitations exist with current methods of assessing pediatric fluid status, particularly with interobserver variabilities in clinical assessment and the inaccuracy and questionable validity of laboratory tests. Bedside ultrasonography (US) measurement of the inferior vena cava (IVC) and aorta (Ao) may be useful in objectively assessing children with suspected dehydration. The objectives of this study were 1) to compare the IVC and Ao diameter (IVC/Ao) ratio of dehydrated children with euvolemic controls and 2) to compare the IVC/Ao ratio before and after intravenous (IV) rehydration in children with clinical dehydration. This prospective observational study …

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, April 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, Ashley Lewis

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Laparoscopic Treatment Of Pancreatic Pseudocysts In Children., Suzanne M. Yoder, Steven Rothenberg, Kuojen Tsao, Mark L. Wulkan, Todd A. Ponsky, Shawn D. St Peter, Daniel J. Ostlie, Timothy D. Kane

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Pancreatic pseudocysts are problematic sequelae of pancreatitis or pancreatic trauma causing persistent abdominal pain, nausea, and gastric outlet obstruction. Due to the low volume of disease in children, there is scant information in the literature on the operative management of pseudocysts with minimally invasive techniques. We conducted a multi-institutional review to illustrate several technical variations utilized in achieving laparoscopic cystgastrostomy in the pediatric population.

METHODS: A retrospective review was conducted of all patients who underwent laparoscopic cystgastrostomy in five institutions. Patient data, operative techniques, and postoperative course were analyzed.

RESULTS: There were 13 patients with a mean age of …

The Association Between Pediatric Overweight And Ankle Injuries: A Case-Control Analysis, Ellen Margaret House

Yale Medicine Thesis Digital Library

Pediatric obesity has become a worldwide pandemic and trauma is the leading cause of pediatric morbidity and mortality. Our hypothesis is that being overweight increases the likelihood of acute ankle injuries in children. Our study consisted of a case-control analysis in an urban pediatric emergency department with subjects between 5-19 years of age. Cases consisted of children presenting with acute ankle injury; controls had chief complaints of fever, headache, or sore throat. Demographic information, physical activity score, heights, and weights were obtained on all participants; injury severity was calculated for the cases. Age and gender specific body mass index percentiles …

The Parent Child Purchase Relationship, Catriona Nash

Masters

This is an interpretive inquiry into the ‘parent-child purchase relationship’. This study aims to understand the parent-child purchase relationship from the consumer perspective, rather than the much reported ‘vested interest’ perspective, in order to enhance and inform an understanding of the phenomenon. Commencing with an overview of current literature, specifically that of the pester power phenomenon, to contextualise the theoretical framework, the extant construct of pester power is examined along with detailed arguments from vested interest parties supported by international studies. The child consumer is examined from a cognitive and socialisation perspective, but more pertinently in relation to their influencers; …

Practice-Based Care Coordination: The Outcomes Of Care Coordination Activities In An Inner-City Pediatric Clinic, Giorelly Jacqueline Prado

UCHC Graduate School Masters Theses 2003 - 2010

No abstract provided.

What Works Is Work: Welfare Reform And Poverty Reduction, Ron Haskins

Northwestern Journal of Law & Social Policy

This is an essay about how the 1996 welfare reform law and other policies contributed to the sharpest decline in child poverty since the early 1970s. The story is told in the context of the nation's long struggle to reduce poverty and the factors that have made it so difficult to make progress against poverty. These factors involve both forces over which individuals have little or no control and factors over which they have almost complete control. Such factors include the problems with child poverty, male non-work, education rates, and the influx of low-skilled immigrants. To a large extent, the …

Improving Work Supports: Using The Family Resource Simulator To Identify Problems And Test Solutions, John Bouman, Kinsey Alden Dinan, Nancy K. Cauthen

Northwestern Journal of Law & Social Policy

Neither the federal government, nor the states, has a coordinated or comprehensive work supports system. The current work supports system is comprised of a patch work of programs, such as EITC, child care programs, food stamps, Medicaid, SCHIP, and TANF. As a result of this disjointed history, these work support programs do not always help working parents meet their families' needs. Using the Family Resource Simulator, a web-based policy tool, the authors make specific suggestions for how to improve the Illinois work support system. First, the Article present the landscape of work support systems and how they affect working families …

Changing The Subject: From Welfare To Poverty To A Living Income, Peter B. Edelman

Northwestern Journal of Law & Social Policy

No abstract provided.

Evaluation And Follow-Up Of Cases Diagnosed As Child Abuse And Neglect At A Tertiary Hospital In Turkey, Ülkü Tiraş, Di̇lek Di̇lli̇, Yildiz Dallar, Resmi̇ye Oral

Turkish Journal of Medical Sciences

Aim: Data on child maltreatment in Turkey would appear to be scarce. This manuscript aims to address the prevalence and severity of child maltreatment in Turkey. Materials and methods: We report on 215 cases at the Ministry of Health’s Ankara Training and Research Hospital that were followed-up by the multidisciplinary Child Protection Team (CPT) between 1 January 2001 and 31 December 2005. The data collected on subjects included characteristics of the victims and the perpetrators, family demographics, maltreatment types, medical findings, mortality rate, and outcomes for the victim and the perpetrator. Results: Age and gender distribution of the victims were …

Relationship Between Social Problem-Solving Skills, Quality Of Life, And Family Adjustment In Caregivers Of Children With Developmental Disability, Bonita Ellen Fisher

PCOM Psychology Dissertations

This study focused on the relationship between a caregiver's problem solving skills, their perceived quality of life, their family's adjustment to their child's disability, and the potential for mediation of those relationships by the child's behavior. A total of 111 parents completed the Social Problem Solving Skills Inventory-Revised, short form (SPSI-R:S), the World Health Organization Quality of Life Assessment, brief version (WHOQOL-BREF), the Family Impact of Childhood Disability Scale (FlCD), the Nisonger Child Behavior rating Form (NCBRF) and a demographics questionnaire. Analyses of the data by Pearson product-moment correlation coefficient identified significant correlations between scores on the problem orientation components …

Objectively Measured Physical Activity And Its Association With Adiponectin And Other Novel Metabolic Markers: A Longitudinal Study In Children (Earlybird 38)., Bs Metcalf, An Jeffery, J Hosking, Ld Voss, N Sattar, Tj Wilkin

Peninsula Medical School

OBJECTIVE: Recent evidence suggests that, in children, traditional markers of metabolic disturbance are related only weakly to physical activity. We therefore sought to establish the corresponding relationships with newer metabolic markers. RESEARCH DESIGN AND METHODS: This was a nonintervention longitudinal study of 213 healthy children recruited from 54 schools in Plymouth, U.K. MTI accelerometers were used to make objective 7-day recordings of physical activity at ages 5 +/- 0.3 (mean +/- SD), 6, 7, and 8 years. Overall physical activity was taken as the average of the four annual time points. The metabolic markers at 8 years were adiponectin, leptin, …

Borderline Personality Disorder: An Overview Of History, Diagnosis And Treatment In Adolescents, Linah Al-Alem, Hatim A. Omar

Pharmacology and Nutritional Sciences Faculty Publications

Borderline personality disorder (BPD) is a cluster B personality disorder. It is characterized by erratic behaviors, emotional instability and one of its hallmarks is self injurious behavior, which starts in adolescence. Patients with BPD are difficult to treat, most have a history of child sexual abuse, about a quarter present with sexual abuse from a caretaker. Although personality disorders are diagnosed only in adults, BPD manifests itself in adolescence in the form of uncontrollable anger, self mutilations, dissociation and other such behaviors. Hence, there is a growing number of scientists discussing the possibility of diagnosing BPD in adolescents. Here, we …

Characteristics Of A Spina Bifida Population Including North American Caucasian And Hispanic Individuals, Kit Sing Au, Phong X Tran, Chester C Tsai, Michelle R O'Byrne, Jone-Ing Lin, Alanna C Morrison, Amy W Hampson, Paul Cirino, Jack M Fletcher, Kathryn K Ostermaier, Gayle H Tyerman, Sabine Doebel, Hope Northrup

Faculty, Staff and Student Publications

BACKGROUND: Meningomyelocele (MM) is a common human birth defect. MM is a disorder of neural development caused by contributions from genes and environmental factors that result in the NTD and lead to a spectrum of physical and neurocognitive phenotypes.

METHODS: A multidisciplinary approach has been taken to develop a comprehensive understanding of MM through collaborative efforts from investigators specializing in genetics, development, brain imaging, and neurocognitive outcome. Patients have been recruited from five different sites: Houston and the Texas-Mexico border area; Toronto, Canada; Los Angeles, California; and Lexington, Kentucky. Genetic risk factors for MM have been assessed by genotyping and …

Muscle-Bone Relationships In The Lower Leg Of Healthy Pre-Pubertal Females And Males, Teresa L. Binkley, Bonny Specker

Ethel Austin Martin Program Publications

Muscle-bone relationships in healthy pre-pubertal children were investigated using four muscle measures as predictors of tibial strength: 66% tibia cross-sectional muscle area (CSMA) by pQCT; leg lean mass (LLM) by DXA; and muscle power (Power) and force (Force) measured during a two-footed jump. Polar strength strain index (pSSI), a calculated surrogate for bone strength at the 20% distal tibia, was obtained on 105 (54 male) self-assessed pre-pubertal children. The amount of muscle (CSMA, LLM) may influence bone strength more than muscle strength (Power, Force) during periods of rapid growth. Correlations and multiple regression partial-R values from models controlling for age, …

Pediatric Safety And Quality, Susan R. Lacey, Janis B. Smith, Karen Cox

Manuscripts, Articles, Book Chapters and Other Papers

Excerpt

Pediatric care is complex due to developmental and dependency issues associated with children. How these factors impact the specific processes of care is an area of science in which little is known. We are only beginning to understand the relationship between nurse staffing and adverse events in hospitalized children; effects that may be compounded by inadequate numbers of pediatric nurses. Throughout health care providing safe and high quality patient care continues to provide significant challenges. Efforts to improve the safety and quality of care are resource intensive and take continued commitment not only by those who deliver care, but …

The Uses Of Rickets: Race, Technology, And The Politics Of Preventive Medicine In The Early Twentieth Century, M. Allison Arwady

Yale Medicine Thesis Digital Library

Rickets, the bone disease classically caused by Vitamin D deficiency, was one of the most common diseases of children 100 years ago. It has been recognized as a disease of urban living and linked to issues of race and culture for generations. This paper uses unpublished patient records from 1904 to 1909 and archival and published materials from multiple community-based trials, including the New Haven Rickets Study (1923-1926), to explore how the definition, diagnosis, and treatment of rickets shifted in the first decades of the twentieth century in the United States. Before 1910, as evidenced by patient records, neither the …