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Factors Promoting Or Preventing Caregivers From Allowing Pediatric Participation In Research, José R. Fernández, Thomas Taylor, Yenni E. Cedillo, Beatriz Maciel, Daria Salyakina, Jennifer Mccafferty

Journal of Applied Research on Children: Informing Policy for Children at Risk

Introduction The likelihood of a child participating in a clinical trial is mostly independent of the child’s willingness to participate; children’s lack of autonomy obliges parental involvement, which is concurrently conditional to parental understanding, trust and endorsement of the research study. Objectives To identify potential predictors for allowing children to participate in clinical studies and to evaluate if motivators that promote or prevent parental support of children to participate in clinical studies differed according to racial/ethnic categorization.

Methods A stratified sample of 1,057 caregivers of children 1-18 years old who in 2015 resided in South Florida’s Miami-Dade, Broward, and Palm …

Assessing Health Risks In Rural Communities Surrounding Zacapa, Guatemala, Kristy Stearns, Oswald Attin

Virginia Journal of Public Health

Purpose: To determine the prevalence of diabetes, obesity, and anemia among Guatemalan adults, as well as the rates of obesity among children in Zacapa, Guatemala. Location, gender, age, personal education level, household daily income, or employment status were examined to determine whether they influence rates of obesity and anemia among adults in Zacapa, Guatemala.

Methods: Community health assessments involved gathering height, weight, body mass index, blood glucose, hemoglobin, and blood pressure measurements from eligible participants. Microsoft Excel 2016 and IBM SPSS Version 23.0 were used to present descriptive statistics and analyze the data using binomial logistic regression tests.

Results/Findings: There …

Vegan Parents And Children: Zero Parental Compromise, Carlo Alvaro

Publications and Research

Marcus William Hunt argues that, when co-parents disagree over whether to raise their child (or children) as a vegan, they should reach a compromise as a gift given by one parent to the other out of respect for his or her authority. Josh Millburn contends that Hunt’s proposal of parental compromise over veganism is unacceptable on the ground that it overlooks respect for animal rights, which bars compromising. However, he contemplates the possibility of parental compromise over “unusual eating,” of animal-based foods obtained without the violation of animal rights. I argue for zero parental compromise, rejecting a rights-oriented approach, and …

Elementary Classroom Teachers’ Self-Reported Use Of Movement Integration Products And Perceived Facilitators And Barriers Related To Product Use, Roddrick Dugger, Aaron Rafferty, Ethan Hunt, Michael W. Beets, Collin Andrew Webster, Brian Chen, Jeffrey Michael Rehling, Robert Glenn Weaver

Faculty Publications

Movement integration (MI) products are designed to provide children with physical activity during general education classroom time. The purpose of this study was to examine elementary classroom teachers’ self-reported use of MI products and subsequent perceptions of the facilitators of and barriers to MI product use. This study utilized a mixed-methods design. Elementary classroom teachers (n = 40) at four schools each tested four of six common MI products in their classroom for one week. Teachers completed a daily diary, documenting duration and frequency of product use. Following each product test, focus groups were conducted with teachers to assess facilitators …

Parental Involvement As A Mediator Of Ace Scores And Intelligence Among Children, Shirin Mostofi

Loma Linda University Electronic Theses, Dissertations & Projects

Adverse Childhood Experiences (ACEs) include physical, sexual, or psychological maltreatment, domestic violence, household mental illness, household substance abuse and incarceration of parents. ACEs may have negative impacts on children, including brain development and health outcomes. Parents are pivotal figures in children’s lives that contribute significantly to their health, and cognitive development, and may be a critical protective factor, contributing to children’s resiliency and healthy growth. This study focused on the intellectual development of 5-11 year-old children whom may have been exposed to ACEs in their homes. More specifically, the purpose of this study was to examine parental involvement as a …

Fat And Fat-Free Mass Index References In Children And Young Adults: Assessments Along Racial And Ethnic Lines, Roman J Shypailo, William W Wong

Children’s Nutrition Research Center Staff Publications

Background: Fat-free mass index (FFMI) and fat mass index (FMI) are superior to BMI and fat percentage in evaluating nutritional status. However, existing references fail to account for racial/ethnic differences in body composition among children.

Objectives: Our goal was to produce age-based normative references for FFMI and FMI in children for specific racial/ethnic groups.

Methods: Body composition, weight, and height were measured in 1122 normal healthy children aged 2-21 y. Bone mineral content measured by DXA, total body water by deuterium dilution, and total body potassium by whole-body γ counting were combined to calculate fat-free mass (FFM) and fat mass …

Drivers Of Stunting Reduction In Peru: A Country Case Study, Luis Huicho, Elisa Vidal-Cárdenas, Nadia Akseer, Samanpreet Brar, Kaitlin Conway, Muhammad Islam, Elisa Juarez, Aviva Rappaport, Hana Tasic, Tyler Vaivada, Jannah Wigle, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: Peru reduced its under-5 child stunting prevalence notably from 31.3% in 2000 to 13.1% in 2016.
Objectives: We aimed to study factors and key enablers of child stunting reduction in Peru from 2000-2016.
Methods: Demographic and Health Surveys were used to conduct descriptive analyses [height-for-age z scores (HAZ) means and distributions, equity analysis, predicted child growth curves through polynomial regressions] and advanced regression analyses. An ecological (at department level) multilevel regression analysis was conducted to identify the major predictors of stunting decline from 2000 to 2016, and Oaxaca-Blinder decomposition was conducted to identify the relative contribution of each factor …

Relationship Between Nurses' Management Of Pediatric Oncology Patients' Symptoms And Job Satisfaction, Jennifer Isabelle Rheingans

Dissertations

A primary function of the pediatric oncology nurse is to provide symptom management to children with cancer. Symptom management strategies have been published, but there is scarce literature examining neither the actual use of these nursing interventions, nor the effects of using these interventions on the nurses' perceived work environment. The purpose of this study was to examine the nursing interventions used in treating pediatric oncology patients' symptoms, as well as the emotional sequelae from providing this care. Phase One of this study examined the content validity of the newly developed Nurses Distress and Interventions for Symptoms Survey (NDISS) utilizing …

The Haudenosaunee Legend Of The Three Sisters As A Children’S Picture Book, Jill Ann Long

Theses - ALL

This thesis aims to explain the importance of illustrating this Native American legend in a

children’s book. The Three Sisters is a timeless indigenous legend orally passed down from generation to generation over centuries in many different versions. The legend teaches many lessons: caring for the community as a large family, awareness of the sustainability of resources as a way of life, respecting the land in which they live, and living in harmony with the earth. My inspirations for this picture book are my family influences and childhood experiences with my extended family among the Haudenosaunee people. The thesis will …

A Systematic Review Of Children’S Physical Activity Patterns: Concept, Operational Definitions, Instruments, Statistical Analyses, And Health Implications, Thayse Natacha Gomes, Peter T. Katzmarzyk, Sara Pereira, Mabliny Thuany, Martyn Standage, José Maia

Population and Public Health Science Faculty Publications

Despite the widespread use of the expression “physical activity pattern” (PAP), there apparently is no general consensus regarding its definition. This systematic review aimed to examine available research focussing on (1) definitions of PAP, (2) instruments/techniques used to describe PAP, (3) statistical approaches used to analyse PAP, and (4) implications of PAP on children’s health. A systematic review of the available literature was done to identify studies published up to October 2019, and 76 studies were eligible. None of the studies presented a formal definition of PAP; a wide range of instruments were used to investigate children’s PAP, and most …

Daily Preventive Zinc Supplementation Decreases Lymphocyte And Eosinophil Concentrations In Rural Laotian Children From Communities With A High Prevalence Of Zinc Deficiency: Results Of A Randomized Controlled Trial, Chidchamai Kewcharoenwong, Gertrud U. Schuster, K. Ryan Wessells, Guy Marino Hinnouho, Maxwell A. Barffour, Sengchanh Kounnavong, Kenneth H. Brown, Sonja Y. Hess, Waraporn Samer, For Complete List Of Authors, See Publisher's Website.

College of Health and Human Services

Background: Zinc deficiency impairs immune function and is common among children in South-East Asia.

Objectives: The effect of zinc supplementation on immune function in young Laotian children was investigated.

Methods: Children (n = 512) aged 6-23 mo received daily preventive zinc tablets (PZ; 7 mg Zn/d), daily multiple micronutrient powder (MNP; 10 mg Zn/d, 6 mg Fe/d, plus 13 other micronutrients), therapeutic dispersible zinc tablets only in association with diarrhea episodes (TZ; 20 mg Zn/d for 10 d after an episode), or daily placebo powder (control). These interventions continued for 9 mo. Cytokine production from whole blood cultures, the concentrations …

A Three-Marker Protein Biosignature Distinguishes Tuberculosis From Other Respiratory Diseases In Gambian Children, Toyin Togun, Clive J. Hoggart, Schadrac C. Agbla, Marie P. Gomez

Open Access archive

Background: Our study aimed to identify a host cytokine biosignature that could distinguish childhood tuberculosis (TB) from other respiratory diseases (OD). Methods: Cytokine responses in prospectively recruited children with symptoms suggestive of TB were measured in whole blood assay supernatants, harvested after overnight incubation, using a Luminex platform. We used logistic regression models with Least Absolute Shrinkage and Selection Operator (LASSO) penalty to identify the optimal biosignature associated with confirmed TB disease in the training set. We subsequently assessed its performance in the test set. Findings: Of the 431 children included in the study, 44 had bacteriologically confirmed TB, 60 …

Parental Impact On Child Physical Activity And Sedentary Time In Appalachian North Carolina, Allison V. Farrell, Richard W. Christiana, Rebecca A. Battista, J. Joy James

Journal of Appalachian Health

Introduction: Physical activity has positive health benefits across the lifespan including reduced rates of chronic disease. Despite having ample availability of outdoor space for physical activity in the Appalachian Mountain region, there are low rates of physical activity along with high rates of sedentary time and increased prevalence of overweight individuals across all age groups. Therefore, there is a need to understand the factors that influence family’s physical activity and sedentary time.

Purpose: To assess whether parental attitudes and behaviors influence children’s physical activity and sedentary time.

Methods: The current study was a secondary analysis of the baseline data from …

Take 10 Program Effects On Fifth Grade Academic Achievement, Emily Janes

Dissertations

Problem Less than one-fourth of children reach their recommended 60-minutes of daily physical activity. Inactivity can result in poor academic performance; whereas physical activity stimulates brain functions responsible for regulating comprehension and attention, release of brain chemicals to improve learning, and enhances neurogenesis resulting in better cognition. The purpose of this quality improvement project was to evaluate the Take 10 exercise program in a rural, Midwestern elementary school fifth grade classroom.

Methods An observational, descriptive design with a purposeful sample of fifth-grade students in a rural elementary school. Grades in math, science, and reading were examined the semester before (quarter …

Breastfeeding And Childhood Obesity: A 12-Country Study, Jian Ma, Yijuan Qiao, Pei Zhao, Wei Li, Peter T. Katzmarzyk, Jean Philippe Chaput, Mikael Fogelholm, Rebecca Kuriyan, Estelle V. Lambert, Carol Maher, Jose Maia, Victor Matsudo, Timothy Olds, Vincent Onywera, Olga L. Sarmiento, Martyn Standage, Mark S. Tremblay, Catrine Tudor-Locke, Gang Hu

Population and Public Health Science Faculty Publications

This study aimed to examine the association between breastfeeding and childhood obesity. A multinational cross-sectional study of 4,740 children aged 9–11 years was conducted from 12 countries. Infant breastfeeding was recalled by parents or legal guardians. Height, weight, waist circumference, and body fat were obtained using standardized methods. The overall prevalence of obesity, central obesity, and high body fat were 12.3%, 9.9%, and 8.1%, respectively. After adjustment for maternal age at delivery, body mass index (BMI), highest maternal education, history of gestational diabetes, gestational age, and child's age, sex, birth weight, unhealthy diet pattern scores, moderate-to-vigorous physical activity, sleeping, and …

Formative Research To Inform The Development Of A Healthy Eating Social Marketing Campaign In Mississippi, Rahel Mathews, Laura H. Downey, Patrick Gerard

Journal of Human Sciences and Extension

Mississippi leads the nation in child obesity, chronic diseases, poverty, and food insecurity. Stemming the long-term consequences of high obesity rates will require a cultural attitude and behavioral shift towards healthy eating. This study explored the perceptions, beliefs, practices, and self-efficacy towards healthy eating among limited resource Mississippi parents to inform a SNAP-Ed social marketing campaign. A statewide telephone survey was conducted with income-eligible or current SNAP recipients who provided or prepared food for children in their household. Likert-type scale questions measured intrapersonal factors, self-efficacy, and practices regarding healthy eating, such as shopping and meal planning. A total of 206 …

Three Essays On The Implementation Of Food Assistance Programs, Saied Toossi

Dissertations - ALL

This dissertation uses experimental and quasi-experimental methods to evaluate policy instruments available to state and local officials administering food assistance programs for improving children’s utilization of services, nutritional intake, and food security. More specifically, this dissertation consists of three chapters pertaining to the National School Lunch Program (NSLP) and the Supplemental Nutrition Assistance Program (SNAP).

In the first chapter, co-authored with Amy Ellen Schwartz, I use large, uniquely detailed longitudinal administrative data on New York City students and schools, including the different lunch menus they offer over time, to present the first plausibly causal evidence on the link between school …

Achieving Accurate Estimates Of Fetal Gestational Age And Personalised Predictions Of Fetal Growth Based On Data From An International Prospective Cohort Study: A Population-Based Machine Learning Study, Russell Fung, Jose Villar, Ali Dashti, Leila Cheikh Ismail, Eleonora Staines-Uria, Eric O. Ohuma, Maria Carvalho, Shama Munim, Zulfiqar Ahmed Bhutta, International Fetal And Newborn Growth Consortium For The 21st Century (Intergrowth-21st)

Department of Obstetrics & Gynaecology

Background: Preterm birth is a major global health challenge, the leading cause of death in children under 5 years of age, and a key measure of a population's general health and nutritional status. Current clinical methods of estimating fetal gestational age are often inaccurate. For example, between 20 and 30 weeks of gestation, the width of the 95% prediction interval around the actual gestational age is estimated to be 18-36 days, even when the best ultrasound estimates are used. The aims of this study are to improve estimates of fetal gestational age and provide personalised predictions of future growth.
Methods: …

Resistance Training And Milk-Substitution Enhance Body Composition And Bone Health In Adolescent Girls, Ana L. Gomez, William J. Kraemer, Carl M. Maresh, Elaine C. Lee, Tunde K. Szivak, Lydia K. Caldwell, Emily M. Post, Matthew K. Beeler, Jeff S. Volek

Health and Sport Sciences Faculty Scholarship

Background: Increased soft-drink consumption has contributed to poor calcium intake with 90% of adolescent girls consuming less than the RDA for calcium.

Purpose/objectives: The purpose of this investigation was to determine the independent and additive effects of two interventions (milk and resistance training) on nutrient adequacy, body composition, and bone health in adolescent girls.

Methods: The experimental design consisted of four experimental groups of adolescent girls 14–17 years of age: (1) Milk + resistance training [MRT]; n = 15; (2) Resistance training only [RT]; n = 15; (3) Milk only [M] n = 20; (4) Control [C] n = 16. …

Facing Real-World Challenges Of Immunogenicity In Pediatric Inflammatory Bowel Disease., Kyle Gress, Julie A. Bass, Ryan S Funk, Ryan Morrow, Rachel Hasenkamp, Valentina Shakhnovich

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Teachers’ Perceptions And Understanding Of Children’S Fluid Intake, Kristy Howells, Tara Coppinger

Publications

No public health data exists on elementary teachers’ perceptions of both their own fluid intake and of their elementary school aged children’s fluid intake. A total of 271 (20 males, 251 females) teachers in developed areas of Australia, Belgium, England, Ireland, United Arab Emirates, and the United States of America completed an online questionnaire (Feb–Mar 2019) on: (i) their fluid intake, (ii) their perception and understanding of children’s fluid intake and (iii) barriers in the school day that they felt prevented school children consuming fluids. Overall, the data indicated that teachers consume considerably lower amounts than recommended themselves, but have …

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is …

Work–Family Conflict In Low-Income Households, Maritza G. Hiciano Ramos

Dissertations, Theses, and Capstone Projects

The United States is the only country not offering paid parental leave. Paid leave is left at the discretion of employers and only a few states offer Paid Family Leave benefits. The FMLA was established to protect workers from losing their jobs in case they needed to care for an elderly person or for their children. However, since value is not placed in family structures there has not been much development in that area. The FMLA fails to account for the grand majority of people in the U.S., especially those of lower socioeconomic status. Moreover, the vast inequalities that exists …

Assisting Children With Velocardiofacial Syndrome Who Have Developmental Disabilities And Delays Associated With Speech, Communication, And Education, Mckenzie K. Holty

Honors Thesis

Children with velocardiofacial syndrome (VCFS) have a variety of complex needs. Research shows that VCFS is characterized by a combination of medical problems, developmental delays, and learning disabilities, which vary from child to child. This syndrome also puts adolescents at a higher risk for developing psychiatric and psychotic disorders. The complexity of symptoms that can arise from VCFS can influence the ability of these children to communicate, socialize, and learn effectively. This literature review aims to discuss literature for caregivers, educators, and physicians to aid children effectively and understand their challenges relating to speech, communication, and education. This topic is …

C'Est Vraiment Compliqué: A Case Study On The Delivery Of Maternal And Child Health And Nutrition Interventions In The Conflict-Affected Regions Of Mali, Anushka Ataullahjan, Michelle F. Gaffey, Moctar Tounkara, Samba Diarra, Seydou Doumbia, Zulfiqar Ahmed Bhutta, Diego G. Bassani

Woman and Child Health

Background: Mali is currently in the midst of ongoing conflicts which involve jihadist groups, rebels, and the state. This conflict has primarily centered in the North of the country. Humanitarian actors delivering services in these geographies must navigate the complex environment created by conflict. This study aimed to understand how humanitarian actors make decisions around health service delivery within this context.
Methods: The current case-study utilized a mixed methods approach and focused on Mopti, Mali's fifth administrative region and fourth largest in population. Latent content analysis was used to analyze interview transcripts guided by our research objectives and new concepts …

Vulnerable Agents: Ugandan Children's Experiences With Hiv Rehabilitation And Reintegration, Colleen Walsh Lang

Arts & Sciences Graduate Student Theses and Dissertations

No abstract provided.

Implementing A Health Promotion Physical Activity Program For Middle School Youth In A Rural, Faith-Based Organization, Karmin Maher-Hasse

Doctor of Nursing Practice Projects

Problem: Childhood obesity is more prevalent in rural areas, and these areas have fewer resources to address it. Geographic distance to available resources, health care provider shortages, parental obesity, and poverty contribute to higher prevalence of obesity in rural children compared to urban children.

Rationale: Obesity prevention and treatment often requires long-term healthy lifestyle behavior changes including nutrition counseling and physical activity (PA). It is likely an obese pre-adolescent will have obesity as an adult, and the likelihood increases if obesity continues into adolescence. Pre-adolescence provides a window of opportunity to influence healthier PA habits to prevent overweight (OW) and …

Elevated School Dropout Rates In Rural China, Mollie Bradley

Ballard Brief

Children in the rural provinces of northern and western China face challenges in obtaining educational opportunities that could aid them in overcoming their poverty-ridden upbringing. These challenges come due to inherent inequalities between the rural and urban regions of China. which stem from a historical diversion of resources from the western to eastern provinces. The factors that specifically affect students and their families as they strive to attend school and gain a quality education are the lack of properly trained and motivated teachers. the high cost of schooling borne by families. the economic inequality of rural and urban provinces, the …

Chronic Poverty Among Youth In The United States, Kara Reed

Ballard Brief

In the United States, 15.5 million children are living in poverty. The more time children spend in poverty, the more likely they are to continue to experience poverty as an adult. The cycle of intergenerational and chronic poverty is perpetuated by various factors. such as unsatisfied basic needs. lack of access to quality education, and issues related to underemployment and unemployment. As a result. youth in poverty are more likely to perform poorly in school, be exposed to and affected by crime. and experience health problems. Some leading practices for poverty focus on strengthening the quality of early childhood education. …

Transformation Leadership And Youth Development Soccer Coaches: Behaviors That Enhance Coaching Performance, Diego Barros Dos Santos

Leadership Education Capstones

This quantitative study investigated the potential relationship between youth development soccer coaching style and transformational leadership behaviors. An anonymous survey was the source of data for this study. Participants responses were categorized into the four factors of transformational leadership which include (1) intellectual stimulation, (2) inspirational motivation, (3) idealized influence, and (4) individualized considerations. Recommendations for future research encompass expanding the demographics, sample size and field observations. Additionally, further research could include a contrast and comparison between coaches perspective x athletes perspective about transformational leadership behaviors. Furthermore, transformational leadership workshop and post survey intervention might expose how coaches leadership style …