Digital Commons Network^™

Objective Physical Activity And Sleep Characteristics Measurements Using A Triaxial Accelerometer In Eight Year Olds, Susan A. Harrington

Dissertations

Secular trends demonstrate that young children are less active and sleep less. Inequity in an individual's energy balance is known to have poor health outcomes. Academic achievement, academic behavior, and weight status are proxy indicators for health and psychosocial outcomes in this study. Current guidelines in place for sleep and physical activity in childhood are the result of data collected in the form of self-reports. Quantification and qualification of physical activity dimensions and sleep characteristics are essential not only for the purpose of clearly establishing parameters but also for the intent of verifying optimal health outcomes and evaluating interventions related …

Systematic Review Of Reflection Spectroscopy-Based Skin Carotenoid Assessment In Children, Saima Hasnin, Dipti Dev, Taren Swindle, Susan B. Sisson, Stephanie Jilcott Pitts, Tirna Purkait, Shari C. Clifton, Jocelyn Dixon, Virginia C. Stage

Department of Child, Youth, and Family Studies: Faculty Publications

Assessing children’s skin carotenoid score (SCS) using reflection spectroscopy (RS) is a non-invasive, widely used method to approximate fruit and vegetable consumption (FVC). The aims for the current review were to (1) identify distributions of SCS across demographic groups, (2) identify potential non-dietary correlates for RS-based SCS, (3) summarize the validity and reliability of RSbased SCS assessment, and (4) conduct meta-analyses of studies examining the correlation between RS-based SCS with FVC. A literature search in eight databases in June 2021 resulted in 4880 citations and peer-reviewed publications written in English that investigated children’s (2–10 years old) SCS using RS. We …

The Use Of Strongkids, Total Lymphocyte Count, And Serum Albumin To Identify The Risk Of Hospital Malnutrition In Children, Hafiza Amadhin Rusti, Nur Aisiyah Widjaja, Roedi Irawan, Ariandi Setiawan

Folia Medica Indonesiana

Highlights: • Medium- and high-risk STRONGkids scores are related with low total lymphocyte count and serum albumin, which are related to hospital malnutrition, albeit indirectly. • The use of STRONGkids with total lymphocyte count and serum albumin can detect the risk of hospital malnutrition in children. Abstract: Hospital malnutrition occurs in hospitalized patients who do not consume enough food while their nutritional requirements increase. It occurs particularly in children who have undergone gastrointestinal surgery. Despite the lack of a universal instrument for detecting hospital malnutrition, various parameters can be considered to assist in its identification. STRONGkids has demonstrated its efficiency …

Child Abuse In Residential Homes Of Ghana, Alyssa Minor

Ballard Brief

Children placed in residential homes in Ghana suffer from physical violence and physical neglect more often than children in family-based homes. In overcrowded residential homes, many basic needs are often not being met, and the use of physical violence is common due to inadequate funding, lack of training, lack of clear policies, and years of normalizing violent disciplinary actions. This problem of child abuse within residential homes of Ghana creates financial burdens on the country and negative psychosocial effects for children suffering from neglect or physical violence, hindering their ability to reach their full earnings potential. Very few interventions have …

Results Of The 2022 Immunization Status Survey Of 24-Month-Old Children In Tennessee, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Undernutrition Among Children In Guatemala, Ellie Ostvig

Ballard Brief

Undernutrition in Guatemala is a serious issue that affects physical, mental, and social well-being. Children are most vulnerable to this dangerous condition, and in Guatemala, almost 50% of children experience inadequate growth and development due to a lack of appropriate nutrient intake. Because of food insecurity and lack of nutrients, young children do not have adequate access to the nutrition that they need. Guatemala is located in an area that makes it prone to natural disasters, which also contributes to the high rates of undernutrition. Undernourished children also experience intense disadvantages because of their weakened immune systems and cognitive underdevelopment. …

“It Helped Us More Than I Could Have Imagined”: How The 2021 Expanded Child Tax Credit Supported Families Raising Children With Disabilities, Laura Brugger, Stephen Roll, Leah Hamilton, Allyson Baughman, Meg Comeau, Candace Jarzombeck, Caroline Parker

Social Policy Institute Research

The 2021 expanded Child Tax Credit (CTC) provided temporary enhancements to the existing CTC for the tax years 2021 and 2022. Under the expanded credit, families with children under the age of 18 were eligible to receive a credit of up to $3,000 per child ($3,600 for children under the age of 6). In addition, half the credit was paid out on a monthly basis rather than as a one-time payment at tax time. This provision was designed to provide more immediate financial support to families with children during the COVID-19 pandemic. However, it also supported families who were at …

The Perseverance Of Play: An Archaeological Analysis Of Residential Blocks With Preschools At The Amache National Historic Site, Megan Brown

Electronic Theses and Dissertations

The purpose of this project is to expand on the understanding of experiences of Japanese American children, specifically preschool-aged children, within the Amache National Historic Site, a WWII Japanese American internment facility located in Granada, Colorado. Through archaeological methods, GIS analysis, oral histories, and archival research, I analyzed the landscape and material culture of the five residential blocks within Amache that had designated preschools. I then compared these blocks with preschools to residential blocks without preschools to determine if there are any patterns and discernable differences between the two study areas. The findings of this research provide insight into how …

Bnt162b2 Mrna Vaccination Against Coronavirus Disease 2019 Is Associated With A Decreased Likelihood Of Multisystem Inflammatory Syndrome In Children Aged 5-18 Years-United States, July 2021 - April 2022, Laura D Zambrano, Margaret M Newhams, Samantha M Olson, Natasha B Halasa, Ashley M Price, Amber O Orzel, Cameron C Young, Julie A Boom, Leila C Sahni, Aline B Maddux, Katherine E Bline, Satoshi Kamidani, Keiko M Tarquinio, Kathleen Chiotos, Jennifer E Schuster, Melissa L Cullimore, Sabrina M Heidemann, Charlotte V Hobbs, Ryan A Nofziger, Pia S Pannaraj, Melissa A Cameron, Tracie C Walker, Stephanie P Schwartz, Kelly N Michelson, Bria M Coates, Heidi R Flori, Elizabeth H Mack, Laura Smallcomb, Shira J Gertz, Samina S Bhumbra, Tamara T Bradford, Emily R Levy, Michele Kong, Katherine Irby, Natalie Z Cvijanovich, Matt S Zinter, Cindy Bowens, Hillary Crandall, Janet R Hume, Manish M Patel, Angela P Campbell, Adrienne G Randolph, Overcoming Covid-19 Investigators

Faculty, Staff and Students Publications

BACKGROUND: Multisystem inflammatory syndrome in children (MIS-C), linked to antecedent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, is associated with considerable morbidity. Prevention of SARS-CoV-2 infection or coronavirus disease 2019 (COVID-19) by vaccination might also decrease MIS-C likelihood.

METHODS: In a multicenter, case-control, public health investigation of children ages 5-18 years hospitalized from 1 July 2021 to 7 April 2022, we compared the odds of being fully vaccinated (2 doses of BNT162b2 vaccine ≥28 days before hospital admission) between MIS-C case-patients and hospital-based controls who tested negative for SARS-CoV-2. These associations were examined by age group, timing of vaccination, …

Exposure To Violence And Instability Among Children In Palestine, Grace Andros

Ballard Brief

Exposure to violence and instability can cause mental and physical challenges among children, who are one of the most vulnerable populations in the world. Palestinian children have long been exposed to violence and instability due to military conflict, forced displacement, and lack of access to essential resources like food, water, and electricity. The volatile political situation of the Israeli-Palestinian conflict and the unstable Palestinian governments exacerbates these issues. As a result of being exposed to high levels of violence and instability, Palestinian children experience PTSD, exhibit high levels of aggression, and face physical injuries and death. Legal aid and advocacy …

From Childhood Obesity Risk To Healthy Growth In The U.S.: A 10-Year Social Work Research & Policy Update, Brittany R. Schuler, Christian E. Vazquez, Nicole O'Reilly

Social Work Faculty Publications and Presentations

Childhood obesity is a major health issue and a prominent chronic health condition for children in the United States (U.S.), caused by a multitude of factors. Most existing models of childhood obesity prevention have not worked, yielding little to no effect on improving weight status or the proximal health behaviors most attributed to obesity risk: nutritional intake, physical activity, sedentary behaviors, and sleep. There is an urgent need for new approaches to prevent health disparities that are responsive to impacts of economic inequality on healthy child growth in marginalized populations. In this Short Commentary, a social justice update is …

Secular Trends In Physical Fitness Of Peruvian Children Living At High-Altitude, Carla Santos, Sara Pereira, Olga Vasconcelos, Go Tani, Donald Hedeker, Peter T. Katzmarzyk, José Maia, Alcibíades Bustamante

Population and Public Health Science Faculty Publications

The physical fitness of children is an important marker of health, and monitoring its temporal changes provides important information for developing interventions. We aimed to: (1) describe secular trends in physical fitness across age, within each sex, in Peruvian schoolchildren; and (2) verify if these trends are also present when adjusted for changes in height and weight. We sampled 1590 children (707 in 2009; 883 in 2019), aged 6–11 years. Physical fitness was assessed with four tests from the EUROFIT battery. ANOVA and ANCOVA statistical models were used. Results showed that with increasing age, girls and boys were significantly stronger …

Expert Consensus Statement: Management Of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy, Stacey L Ishman, Stephen Maturo, Seth Schwartz, Margo Mckenna, Cristina M Baldassari, Mathieu Bergeron, Boris Chernobilsky, Zarmina Ehsan, Lisa Gagnon, Yi-Chun Carol Liu, David F Smith, Jeffrey Stanley, Habib Zalzal, Nui Dhepyasuwan

Faculty, Staff and Students Publications

OBJECTIVE: To develop an expert consensus statement regarding persistent pediatric obstructive sleep apnea (OSA) focused on quality improvement and clarification of controversies. Persistent OSA was defined as OSA after adenotonsillectomy or OSA after tonsillectomy when adenoids are not enlarged.

METHODS: An expert panel of clinicians, nominated by stakeholder organizations, used the published consensus statement methodology from the American Academy of Otolaryngology-Head and Neck Surgery to develop statements for a target population of children aged 2-18 years. A medical librarian systematically searched the literature used as a basis for the clinical statements. A modified Delphi method was used to distill expert …

Massage Therapy For Children, Adolescents, And Young Adults: Clinical Delivery And Effectiveness In Hematology And Oncology, Samuel N. Rodgers-Melnick, Mandy Bartolovich, Neha J. Desai, Smitha Hosahalli Vasanna, Amma Owusu-Ansah, Sanjay P. Ahuja, Jeffery A. Dusek, David W. Miller

Student Scholarship

Background: Children, adolescents, and young adults with hematologic and/or oncologic conditions experience multiple, significant symptoms (e.g., pain, stress, and anxiety), which may be addressed by nonpharmacologic approaches such as massage therapy (MT). The purpose of this study was to describe the clinical delivery of MT provided by a certified pediatric massage therapist and assess effectiveness in two patient groups: those with sickle cell disease (SCD) or hematologic and/or oncologic conditions excluding SCD (HemOnc). Methods: Investigators conducted a retrospective review of MT sessions provided to patients 0–39 years with hematologic and/or oncologic conditions at a large pediatric academic medical center. Results: …

Would You Like Fries With That? Investigating Fast-Food Outlet Availability Near Schools In Perth, Western Australia, Gina S. A. Trapp, Paula Hooper, Wesley Billingham, Lukar Thornton, Ainslie Sartori, Kelly Kennington, Amanda Devine, Stephanie Godrich, Ros Sambell, Justine Howard, Alexia Bivoltsis

Research outputs 2022 to 2026

Issue addressed: Locating fast-food outlets near schools is a potential public health risk to schoolchildren, given the easy access and repeated exposure to energy-dense, nutrient-poor foods they provide. Fast-food outlet availability near schools has not been previously investigated in Perth, Western Australia. This study aimed to quantify fast-food outlet availability near Perth schools and determine whether differences in area-level disadvantage and school type exist. Methods: Fast-food outlet locations were sourced from Perth Local Governments in 2018/2019. All Perth Primary (n = 454), Secondary (n = 107) and K-12 (n = 94) schools were assigned an area-level disadvantage decile ranking based …

Protocol For Validation Of The Global Scales For Early Development (Gsed) For Children Under 3 Years Of Age In Seven Countries, Vanessa Cavallera, Gillian Lancaster, Melissa Gladstone, Maureen M. Black, Gareth Mccray, Ambreen Nizar, Salahuddin Ahmed, Muhammad Imran Nisar, Farzana Begum, Fyezah Jehan

Department of Paediatrics and Child Health

Introduction: Children's early development is affected by caregiving experiences, with lifelong health and well-being implications. Governments and civil societies need population-based measures to monitor children's early development and ensure that children receive the care needed to thrive. To this end, the WHO developed the Global Scales for Early Development (GSED) to measure children's early development up to 3 years of age. The GSED includes three measures for population and programmatic level measurement: (1) short form (SF) (caregiver report), (2) long form (LF) (direct administration) and (3) psychosocial form (PF) (caregiver report). The primary aim of this protocol is to validate …

Increasing Parental Participation In The Spiritual Formation Of Children At Spencer Baptist Church In Spindale, North Carolina, Kelly Settlemyre

Doctor of Ministry Projects

A program was created at Spencer Baptist Church in Spindale, NC to increase parental involvement in spiritual formation in the home. The 5-week program sought to connect spiritual identity with parental actions and confidence. The project focused on spiritual formation and then examined biblical mandates of family discipleship as well as examples of biblical family formation. Resources were given to participants for use within the family. Surveys measured the quantitative effectiveness of the program, while group participation provided qualitative insights. At the conclusion, there was a significant increase in participation in the spiritual formation of children in the home.

Brain Structural Differences In Children With Fetal Alcohol Spectrum Disorder And Its Subtypes, Theresah Boateng, Kathryn Beauchamp, Faerl Torres, Chaselyn D. Ruffaner-Hanson, John Fl Pinner, Kishore Vakamudi, Cassandra Cerros, Dina E. Hill, Julia M. Stephen

Pediatrics Research and Scholarship

INTRODUCTION: The teratogenic effects of prenatal alcohol exposure (PAE) have been examined in animal models and humans. The current study extends the prior literature by quantifying differences in brain structure for individuals with a fetal alcohol spectrum disorder (FASD) compared to typically developing controls, as well as examining FASD subtypes. We hypothesized the FASD group would reveal smaller brain volume, reduced cortical thickness, and reduced surface area compared to controls, with the partial fetal alcohol syndrome (pFAS)/fetal alcohol syndrome (FAS) subtypes showing the largest effects and the PAE/alcohol-related neurodevelopmental disorder (ARND) subtype revealing intermediate effects.

METHODS: The sample consisted of …

Growing Up Ghanaian: The Well-Being Of Ghanaian Children In The United States And Ghana, Akua Bemma Opoku

Dissertations and Theses

Children’s subjective well-being is a child’s judgment of their well-being. Subjective well- being can have positive and negative indicators. Positive indicators include but are not limited to safety, feeling happy, and feeling excited. Negative indicators include but are not limited to lack of safety, lack of confidence, and sadness. Children’s ethnic background and their relation to their ethnic background may influence their subjective well-being. Research focusing on ethnic identity and child well-being has found positive associations. Research has also found a relationship between the context of family, school, peers, religion, community, and ethnic identity. This comparative phenomenological study aimed to …

The Effects Of Screen Time On Children, Jacqueline Valdepenas

Nursing | Senior Theses

With the development of technology continuing to grow at a fast-paced pace in society, children are now becoming exposed to such technology at a younger age. The introduction of smartphones and tablets, which is defined as screen time in this paper, are being introduced to children as young as 6 months of age. Instead of children playing with toys recommended for their age, they use screen time for their play needs and entertainment. Some parents use screen time as a distraction and/or relief for their own needs when the child is upset or they’re unable to tend to the child. …

Cultivating Carrots, Community, And Health-Conscious Children: Investigating The Effects Of Community Garden Implementation On Nutrition Attitudes Of Elementary Students In The Los Angeles Unified School District, Hannah Michele Tiedemann

Scripps Senior Theses

Growing up in an urban food desert can significantly affect children's development, health, and well-being (Jencks et al., 1990; Leventhal et al., 2000). Compared to their more affluent peers, youth living in low-socioeconomic urban neighborhoods are at greater risk of experiencing poor-quality diets, food insecurity, unhealthy body weights, and mental health problems (Duncan et al., 1997; Sampson et al., 1997). Moreover, children living in food-insecure households are more likely to consume calorically dense diets high in trans fat and added sugar, putting them at risk for poor health, childhood obesity, and chronic, diet-related diseases as adults (Nielsen et al., 2002). …

Factorial Validation Analysis Of The Children’S Eating Behavior Questionnaires And Association With Weight Status: The Ola Tuputupua’E Cohort Study, Wenya Tian

Public Health Theses

Background: Childhood obesity is a pressing issue requiring a reliable tool for assessing health-related eating behaviors. The Child Eating Behavior Questionnaire (CEBQ) is a parent-reporting measure designed to assess multiple dimensions of children's eating behavior. This study aimed to assess CEBQ factor structure with data collected from Ola Tuputupua's Cohort and analyze the association between children's eating behavior and weight.

Methods: The confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were conducted. Multinominal logistic regression analyses were conducted to examine associations between the CEBQ subscales with children's weight (healthy weight/overweight/obesity) as the dependent variable.

Results: The original eight-factor CEBQ …

Second Look Commission 2023 Annual Report, Tennessee. Commission On Children And Youth.

Second Look Commission Annual Report

No abstract provided.

Clostridioides Difficile Infection In Hospitalized Pediatric Patients: Comparisons Of Epidemiology, Testing, And Treatment From 2013 To 2019, Price T Edwards, Cary W Thurm, Matthew Hall, Jordan D Busing, Stacy A Kahn, Richard Kellermayer, Larry K Kociolek, Maria M Oliva-Hemker, Julia S Sammons, Madison Weatherly, Kathryn M Edwards, Maribeth R Nicholson

Faculty, Staff and Students Publications

OBJECTIVES: To compare the incidence, epidemiology, testing patterns, treatment, and outcomes of Clostridioides difficile infection (CDI) among hospitalized pediatric patients from 2013 to 2019.

STUDY DESIGN: The Pediatric Health Information System database was queried for patient admissions (age 0-17 years) with International Classification of Diseases, 9th and 10th edition, codes for diagnoses of CDI with a billing code for a CDI-related antibiotic treatment.

RESULTS: We identified 17 142 pediatric patients, representing 23 052 admissions, with CDI. The adjusted annual CDI incidence decreased over the study period from 7.09 cases per 10 000 patient-days (95% CI, 6.15-8.18) in 2013 to 4.89 …

Perspectives On Care Coordination For Youth With Tbi: Moving Forward To Provide Better Care, Jennifer P. Lundine, Erika Hagen, Susan C. Davies

Counselor Education and Human Services Faculty Publications

BACKGROUND: Care coordination aligns services and optimizes outcomes for children with traumatic brain injury (TBI), yet numerous obstacles can impede effective care coordination following a TBI.

OBJECTIVE: The goal of this work is to identify barriers and facilitators to care coordination from the perspective of individuals who care for young people impacted by TBI.

METHODS: Twenty-one care providers participated in semi-structured interviews to gather their perspectives on systems of care coordination for youth with TBI and potential areas for improvement. Using reflexive thematic analysis, researchers identified key themes across interviews.

RESULTS: Three themes were identified: 1) gaps in knowledge; 2) …

Orphans, White Unity, And The Charleston Orphan House, 1860-1870, Ruth Poe White

Theses and Dissertations--History

This dissertation explores the ways the Charleston Orphan House, a nineteenth-century whites-only benevolent institution, promoted white unity in South Carolina between 1860 and 1870. Just as it had during the antebellum era, the Orphan Home knit together white society by providing poor white families a source of social security, middling white families a source for cheap labor in the form of indentured service, and elite whites an opportunity to display social prominence. Yet, maintaining this delicate balance throughout the siege of Charleston and the Home’s eventual evacuation to Orangeburg, South Carolina was no easy feat. The Chairman of the Board …

Kids Count State Of The Child 2022, Tennessee. Commission On Children & Youth.

The State of the Child in Tennessee

No abstract provided.

The State Of The Child In Tennessee 2023 Data Highlights, Tennessee. Commission On Children & Youth.

The State of the Child in Tennessee

No abstract provided.

Assessment Of Carotid Intima-Media Thickness And Its Relation To Cardiovascular Risk Factors In Obese Children, Faten A.A. Fathi, Somaya M. Abd El Ghany, Ahmed A.H. Taha, Gihan F.A. Hassan, Eman Fouad

Journal of Medicine in Scientific Research

Background Childhood obesity is one of the most critical public health problems today. This study aims to assess the relation between carotid intima-media thickness (CIMT) and cardiovascular risk factors in obese children. Patients and methods This is a case–control study conducted on 80 Egyptian children aged 6–18 years; 40 children with simple obesity as defined by WHO (2011) and 40 healthy children age matched and sex matched were taken as a control group. Cases were selected from the National Nutritional Institute randomly from December 2017 to March 2018. All patients and control groups were subjected to the following: full history …

Effectiveness Of The Catch (Coordinated Approach To Child’S Health) Rainbow Program In Elementary Schools For Change In Fruit And Vegetable Intake, Ashley M. Valinskas

Graduate Research Theses & Dissertations

Background: There is currently a lack of nutrition education programs that effectively increase fruit and vegetable (FV) intake among children. Not meeting the recommendations for fruits and vegetables increases the risk for poor academic achievement, obesity, and chronic diseases such as cardiovascular disease, type II diabetes, asthma, and more. Nutrition, cooking, and gardening lessons individually and together have shown to increase fruit and vegetable (FV) consumption in school-aged children.Methods: Two-Hundred Twenty-five 4th and 5th graders participated in six cooking and six gardening lessons between September 2021 and May 2022 at Genoa Elementary school. Each nutrition education session was 25-minutes long, …