Digital Commons Network^™

Bone And Growth Status In Children With Epilepsy: A Hospital Bases Study, Mokhtar Yousef, Nebal Saadi, Eman Alobeidy

Iraqi Postgraduate Medical Journal

Background: Children with epilepsy have a high burden of physical comorbidity, and they experience poor long-term medical outcomes even after remission of their epilepsy. Little is known about types of these comorbidities and their occurrence in children epilepsy in Iraq.Objectives: the aim of this study to assess bone and growth status in children with epilepsy.Patients and methods: a cross sectional case-control study was conducted in Children Welfare Teaching Hospital, in the period from November 2018 to October 2019. The study included 40 children diagnosed with epilepsy and another 40 healthy children, age- and sex-matched. The following parameters were measured in …

Intersection Between Individual, Household, Environmental And System Level Factors In Defining Risk And Resilience For Children In Kenya’S Asal: A Qualitative Study, Esther Chongwo, Barack Aoko, Martha Kaniala, Moses Wesala, Phillis Magoma, Eunice Njoroge, Susan Nyamanya, Joyce Marangu, Anil Khamis, Amina Abubakar

Institute for Human Development, East Africa

Introduction: Children growing up in arid and semi-arid regions of Sub-Saharan Africa (SSA) face heightened risks, often resulting in poor developmental outcomes. In Kenya, the arid and semi-arid lands (ASAL) exhibit the lowest health and developmental indicators among children. Despite these risks, some children grow up successfully and overcome the challenges. However, there is limited comprehensive data on sources of risks and resilience in these children, particularly research that incorporates community perspectives and indigenous knowledge. Systematic documentation of factors influencing child outcomes is crucial for understanding the overall burden, informing policy and implementing targeted interventions. This study aimed at …

National Training Manual For Para Social Workers, Ministry Of Gender Labour And Social Development, Republic Of Uganda

Humanitarian Task Force

Para social workers have become an integral part of Uganda’s social support system. Operating at the grassroots level, often in remote and underserved communities, these individuals provide critical services to vulnerable children, youth, families, and communities in need of support. In the face of limited professional human resources in the social welfare sector, Para Social Workers fill a vital gap, extending the reach of formal systems and ensuring that no one is left behind. This revised edition of the manual reflects the evolving nature of community and social work practice in Uganda. It incorporates new practical tools, and evidence-based approaches …

Academic Proficiency In Ugandan Children With Sickle Cell Anemia: A Cross-Sectional Study, Robert Opoka, Shubaya Kasule Naggayi, Paul Bangirana, Simple Ouma, Betty Nyangoma, Annet Birabwa, Grace Nambatya, Maxencia Kabatabaazi, Ann Jacqueline Nakitende, Dennis Kalibbala

Paediatrics and Child Health, East Africa

Introduction: Academic proficiency is crucial for advancing learning goals, school advancement, and future economic security. Children with sickle cell anemia (SCA) in sub-Saharan Africa (SSA) may be at risk of disease-associated learning difficulties. Limited data exist on this topic among school-age children in the region. We aimed to assess academic proficiency in a sample of children with SCA in Uganda compared with unaffected controls.

Methods: This cross-sectional study was conducted in Kampala, Uganda. Participants were school-going children with SCA, aged 6–12 years, attending Mulago Hospital SCA Clinic, and age-matched sibling controls without SCA. Academic proficiency was assessed by the Wide …

Breaking The Blockade: A Retrospective Analysis Of Pediatricconstipation In Hospitalized Patients, Yenamala Reddy, Jaicy Pottokaran, Eric K. Shaw, Aimee Behnke, Jean B. Wiggins, Lauren Hebert, Norman Taylor Parks

South Atlantic Division GME Research Day 2025

No abstract provided.

Resource Map Of Expenditures For Tennessee Children And Youth, Annual Report To The Legislature 2025, Tennessee. Commission On Children And Youth.

Resource Map Report

No abstract provided.

Aerodigestive Sequelae And Triple Endoscopy After Congenital Tracheoesophageal Fistula Repair In Children, Whitney Jin, Eric H Chiou, Shailendra Das, Kathleen E Hosek, Elton M Lambert

Faculty, Staff and Students Publications

Children post-tracheoesophageal fistula (TEF) repair may present with chronic respiratory and gastrointestinal symptoms that can affect quality of life.

OBJECTIVE: To identify factors associated with positive findings on triple endoscopy following neonatal TEF repair.

STUDY DESIGN: Case series with retrospective review of patients.

SETTING: Tertiary care center aerodigestive program.

METHODS: Children with neonatally repaired congenital TEF who had a triple endoscopy between 2011 and 2022 were reviewed. The presence of chronic cough, recurrent pulmonary infections, lipid-laden macrophages (LLM), and airway and esophageal anomalies were among the variables analyzed. Chi-square and Kruskal-Wallis univariate analysis was performed.

RESULTS: The mean age was …

Budget Recommendations Fy2025-26, Tennessee. Commission On Children And Youth.

Annual Report

No abstract provided.

The Management Of Dietary Fiber Intake In Children With Chronic Kidney Disease - Clinical Practice Recommendations From The Pediatric Renal Nutrition Taskforce., An Desloovere, Nonnie Polderman, José Renken-Terhaerdt, Vanessa Shaw, Caroline Anderson, Larry A. Greenbaum, Christina L. Nelms, Leila Qizalbash, Stella Stabouli, Jetta Tuokkola, Bradley A. Warady, Johan Vande Walle, Fabio Paglialonga, Rukshana Shroff, Evelien Snauwaert

Manuscripts, Articles, Book Chapters and Other Papers

The benefits of dietary fiber are widely accepted. Nevertheless, a substantial proportion of children fail to meet the recommended intake of dietary fiber. Achieving adequate fiber intake is especially challenging in children with chronic kidney disease (CKD). An international team of pediatric renal dietitians and pediatric nephrologists from the Pediatric Renal Nutrition Taskforce (PRNT) has developed clinical practice recommendations (CPRs) for the dietary intake of fiber in children and adolescents with CKD. In this CPR paper, we propose a definition of fiber, provide advice on the requirements and assessment of fiber intake, and offer practical guidance on optimizing dietary fiber …

Providing Preschool Classrooms With Sensory Kits To Measure The Effectiveness Of Sensory Input On Motor Functioning And Sensory Integration, Elena Tedeschi

Graduate Theses/Dissertations

This study measured the effectiveness of sensory kits in preschool classrooms. Preschool children ages 2 years 9 months to 4 years old were divided into a control group classroom that did not receive sensory kits and an experimental group classroom that did receive sensory kits. Both groups were assessed in a pre-test and a post-test using 10 subsets of the Evaluation of Ayres Sensory Integration assessment to measure sensory integration and using the Peabody Developmental Motor Scale to evaluate motor progression. The control group post-test scores moved farther from norm and average scores, while the experimental group post-test scores showed …

Examining Low-Income Caregivers' Knowledge And Comprehension Of The Dental Caries Process, Melissa Sullivan, Denise C. Mckinney, Deanne Shuman, Qi Zhang

Dental Hygiene Faculty Publications

Purpose Dental caries among young children remains a public health concern in the United States (US). Children of caregivers with low oral health literacy (OHL) tend to have greater unmet dental needs and poorer oral health status. The purpose of this study was to examine the understanding of pediatric dental terms associated with the dental caries process among low-income caregivers.

Methods This study included 14 caregivers with children enrolled in a Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in the Southeastern US. Through structured phone interviews, the validated Oral Health Literacy Inventory for Parents (OH-LIP) was used …

The Use Of Motivational Interviewing In Preventing Dental Caries Among Young Children, Denise C. Mckinney, Melissa L. Sullivan, Futun Alkhalifah

Dental Hygiene Faculty Publications

Dental caries is a complex, preventable disease that remains a global health burden. The burden of this disease has been shown to impact young children before the age of 6 years. Discussing dental caries prevention with the mother/caregiver(s) prior to childbirth is an ideal time to influence positive oral health behaviors. Motivational interviewing (MI) is a person-centered, goal-oriented, collaborative communication style that has been used to help individuals modify behaviors. The interrelated principles of partnership, acceptance, compassion, and evocation underpin the MI approach while utilizing communication skills such as asking open-ended questions, affirmation, reflective listening, and summarizing (OARS) to engage …

A Systematic Review Of The Outcomes And Efficacy Of Complementary And Alternative Non-Pharmacological Interventions In Youth With Attention Deficit Hyperactivity Disorder, Kelly M. Kohler

Theses and Dissertations

A number of behavioral and pharmacological treatments have been widely accepted as evidenced-based approaches to treating symptoms of attention-deficit hyperactivity disorder (ADHD) in children and adolescents. While pharmacological approaches are safe and effective at managing symptoms, a large subset of caregivers do not have access to medication, refuse it, or find it ineffective, necessitating the need for non-pharmacological treatments. Such behavioral interventions are also generally effective approaches to symptom management and reducing the functional impairment of ADHD and may even demonstrate better parent satisfaction than medication alone. However, these interventions are often difficult to access and burdensome to implement, especially …

Under-Five Malaria And Malnutrition Syndemic In Rajasthan, Nandini Sinha

Public Health Theses

Background: The syndemic of severe acute malnutrition (SAM) and malaria in under-five children in Rajasthan presents a critical public health challenge. Current SAM and malaria programs are implemented as siloed interventions despite the potential benefits of integrated approaches. A better understanding of the interactions between these factors is important to strengthen the delivery of integrated services.

Objective: This study investigates the relationship between under-five SAM and malaria infections at the block level in Rajasthan to inform targeted, integrated interventions. By running regression analysis, we will identify associations between these co-occurring health threats to guide state-level policy integration. To the best …

Where Are The Alcohol Advertising Hotspots Near Schools?, Joelie Mandzufas, Karen Lombardi, Robyn S. Johnston, Alexia Bivoltsis, Justine Howard, Paula Hooper, Gina Trapp

Research outputs 2022 to 2026

Issue Addressed: Physically locating liquor stores near schools can strongly influence the chances of youth accessing and consuming alcohol, and may also increase children's exposure to alcohol advertising. Investigating the association between the presence of a liquor store near a school and the prevalence of outdoor alcohol advertising is crucial from a policy perspective, as it can inform future regulations on the placement of liquor stores and outdoor advertising near educational institutions. Methods: All outdoor alcohol advertising within a 500 m radius (audit zone) of 64 randomly selected schools from local government areas across metropolitan Perth was identified by direct …

Balancing Digital Presents And Futures: Understanding First-Time Parents’ Practices, Plans And Perceptions Of ‘Quality’ And Risk In Young Children's Digital Engagements, Katrin Langton, Emma Jayakumar, Harrison W. See, Catherine Archer, Giselle Woodley

Research outputs 2022 to 2026

Parents in Australia today have to make decisions about what counts as appropriate digital media use for their young children in a cultural context characterised by conflicting advice, impractical screen use recommendations and risk-focussed media messaging. These conditions make it challenging for parents to purposefully approach and plan not only their children's current digital engagements but also their futures as digital citizens. How parents negotiate these tensions in managing their young children's digital presents, and how they approach planning for their digital futures, remains underexplored. This paper presents the findings of two rounds of qualitative interviews and three focus groups …

Childhood Prosocial Behavior And Body Mass Index: Longitudinal Findings In The Millennium Cohort Study, Farah Qureshi, Krista Woodward, Laura D. Kubzansky, Julia K. Boehm

Psychology Faculty Articles and Research

Objective: Childhood obesity affects millions worldwide but is challenging to treat. Prosocial or helping behavior may help mitigate childhood obesity. We investigated whether prosocial behavior at ages 5–11 was associated with body mass index (BMI) and reduced obesity risk through age 17. Method: Data were from 8,894 participants in the Millennium Cohort Study. Parents reported children’s prosocial behavior using the Strengths and Difficulties Questionnaire at ages 5, 7, and 11. BMI scores (kg/m2) were calculated from children’s height and weight at ages 5, 7, 11, 14, and 17, which were then standardized by sex (M = 0, SD = 1) …

Improving Hospital Discharge Readiness Among Caregivers Of Children With Complex Medical Needs, Megan M. Bruce

Graduate Theses, Dissertations, and Problem Reports (ETD)

Advancements in medicine and technologies have led to an increase in the population of children living with complex and chronic health conditions. Children with medical complexities (CMCs) and their caregivers frequently have challenges navigating home life after transitioning from hospital to home-based care. A 14-week doctoral capstone project was conducted at Dayton Children’s Hospital to improve caregiver readiness for hospital discharge. Project participants included caregivers of CMCs (n = 6) admitted to the hospital and pediatric acute care occupational therapists (n = 4). The Pediatric Readiness for Hospital Discharge Scale – Long Form (Peds-RHDS) was used as a pre-and post-intervention …

Efficacy Of Probiotics For Treatment Of Acute Or Persistent Diarrhoea In Children From Birth Till 10 Years: Systematic Review And Meta-Analysis, Anmol Minaz, Ridwa Alam, Uswa Jiwani, Khadija Vadsaria, Ahmad Khan, Aqsa Ishaq, Samar Sultan, Marium Mohsin, Ashraf Sharif, Yasir Bin Nisar, Jai K. Das, Sajid Bashir Soofi, Shabina Ariff

Centre of Excellence in Women and Child Health

Background: Numerous studies have investigated the efficacy of probiotics in treating acute and persistent diarrhoea. However, probiotics have not been established as a recommended management option for diarrhoeal illness by the World Health Organization (WHO). Therefore, we conducted a systematic review of randomised controlled trials to assess the efficacy of probiotics for the management of acute and persistent diarrhoea in children.
Methods: A systematic search on PubMed, CINAHL, Wiley Cochrane Library, Scopus, Clinicaltrials.gov, and WHO International Clinical Trials Registry Platform (ICTRP) was performed. All studies published in the year 2000 and onwards that assessed the use of probiotics in the …

Beyond Fear: Opportunities And Positive Use Of Ict Among Children And Adolescents, Mariana Buenestado-Fernández, Rosa García-Ruiz, Estefanía Jiménez-Iglesias, Rosario Barba-González

Journal of Media Literacy Education

This study aimed to understand the advantages of digital connectivity in children and teenagers up to 18 years. Utilizing the PRISMA protocol, a decade’s worth of literature was reviewed, analyzing 128 articles from WOS and Scopus databases. The research highlighted five key areas where digital connectivity can exert a positive impact on children: 1) Entertainment, information, and communication; 2) Emotional and social development; 3) Healthy lifestyle; 4) Citizen participation; and 5) education. Recent trends show a rise in studies related to education and training, mainly employing qualitative methods, and predominantly focusing on European adolescents (12 to 18). The research’s goal …

Determinants Of Pediatric Tuberculosis In Dki Jakarta During The Covid-19 Pandemic, Chandrayani Simanjorang, Rana Zahra Raniyah Wangsawinangun, Ulya Qoulan Karima, Fajaria Nurcandra

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

The COVID-19 pandemic has affected the diagnosis and treatment of pediatric tuberculosis (TB), which can pose a public health burden if not properly treated. This study aims to find out the risk factors for pediatric TB. The design of this study was cross-sectional, using TB surveillance data extracted from maintenance cards of individuals who underwent TB screening in 2020–2022 at health facilities in DKI Jakarta. The independent variables in this study are age, gender, contact history, BCG immunization, and nutritional status. Logistic regression analysis was performed to identify factors associated with childhood TB after bivariate analysis using chi-square to determine …

Integrated Child Nutrition, Parenting, And Health Intervention In Rural Liberia: A Mixed-Methods Feasibility Study, Sejla Isanovic, Musa Sanoe, Shelbie Wooten, Edward A. Frongillo Ph.D., Aisha K. Yousafzai, Christine E. Blake Ph.D., Rd, Mufaro Kanyangarara Ph.D., Melanie Swan, Nicole Rodger, Miriam Murray, Leila M. Larson Ph.D., Mph

Faculty Publications

In Liberia, children are exposed to multiple forms of adversity which can negatively impact their health and development. Research is needed to examine the feasibility and benefits of integrated interventions that can be incorporated into existing health delivery programs to simultaneously address low responsive stimulation, undernutrition, and infection. This study assessed the feasibility of an integrated intervention promoting psychosocial stimulation and improved child feeding by the provision of eggs and fish. The integrated intervention was incorporated into an existing government health program. Thirty female caregiver-child dyads were randomly selected from two rural communities in Liberia. Participants received fortnightly group parenting …

Early Childhood Educators’ Perceptions Of Changes In Student Executive Function Skills And Challenging Behaviors Post-Covid-19, Sofia Cicero

Honors College Theses

The COVID-19 pandemic greatly impacted children’s lives in a number of ways, including their educational and social lives. Many children had to switch to online learning platforms or follow social distancing rules. There is a lack of research exploring the lasting impact that the isolation period left on young children, specifically those in early childhood (3-7 years old). The purpose of this study was to explore if teachers perceived changes in student executive function skills and challenging behaviors after the pandemic. In addition, play-based learning has been shown to improve executive function and behavioral outcomes, and this study also attempted …

Intervention Mapping For Refining A Sport-Based Public Health Intervention In Rural Schools, Mckenna G Major, Janette M Watkins, Janelle M Goss, Derek W Craig, Zack Waggoner, Vanessa M Martinez Kercher, Kyle A Kercher

Faculty, Staff and Student Publications

Sport-based youth development programs, delivered through campus-community partnerships, can create impactful experiences for college students, meet university objectives, and improve the health of children in under-resourced rural communities. This study aimed to pilot test intervention mapping (IM), a systematic approach to intervention development and implementation, to refine the Hoosier Sport intervention, which is a local public health initiative that utilizes the Obesity-Related Behavioral Intervention Trials (ORBITs) model to improve physical activity in middle school children. The IM process, which included a diverse IM planning and advisory group of university representatives and local schools, was guided by self-determination theory (SDT) and …

Virtual Culinary Nutrition Education: Youth And Parent/Guardian Acceptability Of The Switch Cooking School, Summer Mcvicker, Laura Paulsen, Anna Mlodzik, Allison Henry, Maren Wolff

Journal of Extension

Face-to-face cooking programs can positively impact food choices, fruit and vegetable intake, and cooking self-efficacy; however, little is known about virtual cooking programs. We studied the perceived acceptability of the virtual SWITCH Cooking School (SCS). Four monthly cooking classes were offered for each participating school. Classes included nutrition education, food safety, and cooking demonstrations. Feedback was collected through post-class surveys and focus groups with parent/guardian and youth participants. Families valued the convenience of the virtual delivery and were interested in participating again. Future considerations for the SCS include incorporating additional variety of culinary skills and modifying registration methods.

Identification Of Atypical Pediatric Diabetes Mellitus Cases Using Electronic Medical Records, Marcela F Astudillo, William E Winter, Liana K Billings, Raymond Kreienkamp, Ashok Balasubramanyam, Maria J Redondo, Mustafa Tosur

Faculty, Staff and Students Publications

INTRODUCTION: There are no established methods to identify children with atypical diabetes for further study. We aimed to develop strategies to systematically ascertain cases of atypical pediatric diabetes using electronic medical records (EMR).

RESEARCH DESIGN AND METHODS: We tested two strategies in a large pediatric hospital in the USA. Strategy 1: we designed a questionnaire to rule out typical diabetes and applied it to the EMR of 100 youth with diabetes. Strategy 2: we built three electronic queries to generate reports of three atypical pediatric diabetes phenotypes: unknown type, type 2 diabetes (T2D) diagnosed(AbNegT1D).

RESULTS: Strategy 1 identified six cases …

Obesity In Children: Systematic Review Over A 6-Year Period, Including The Covid-19 Pandemic, Cecilia Curis, Valeriu Ardeleanu, Lavinia Alexandra Moroianu, Corina Manole, Roxana Adriana Stoica, Florentina Gherghiceanu, Anca Pantea Stoian

Journal of Mind and Medical Sciences

Although obesity is a frequently formulated diagnosis at all ages, due to the long-term projection of the consequences of this condition in children it is a real public health problem. The etiology of obesity is multiple and its complexity requires a multidisciplinary medical approach from which the psychological component cannot be omitted. Thus, diseases such as diabetes, dyslipidemias, cardiovascular diseases, sleep apnea syndrome, non-alcoholic fatty liver or neoplasia are encountered with a higher incidence in this category of individuals. During the COVID-19 pandemic, the isolation and, consequently, the reduction of access to ways of performing physical exercise increased the balance …

Intimate Partner Violence And Failure To Thrive In Children: A Literature Review, Pamela C. Kimeto

Leadership Connection

Session presented on Friday, September 26, 2014:

Failure to thrive is best described as inadequate growth or the inability to maintain growth, usually in early childhood. It is a sign of under nutrition (Gahagen, 2006; Levy, A., Levy, A., & Zangeten, 2009). In the United States, FTT is seen in 5-10% in primary care settings and in 3-5% in hospital settings (Cole & Lanham, 2011; Daniel, Kleis & Cemeroglu, 2008). Traditionally, the causes of FTT were subdivided into organic (medical) and nonorganic (social or environmental). There is increasing recognition that in many children the cause is multifactorial and includes biologic, …

Reducing Food Insecurity In Pediatric Patients And Families, Alexandra Yusah Cramer

General Submissions: Clinical Settings Materials

This pilot was designed to evaluate the feasibility of implementing food insecurity interventions on our pediatric general surgery and orthopedic inpatient unit.

Prevalence Of Bad Oral Habits And Their Effects On The Occlusion Of Children Aged 3-6 Years In Prishtina, Kosovo, Vesel Rrustemaj

UBT International Conference

Purpose: Bad oral habits are risk factors for the incidence of malocclusions. Diagnosing parafunctional and functional habits is crucial, as they can interfere with normal growth and development of the jaws, occlusion, and dental arches, leading to malocclusions. Investigating factors associated with malocclusions is essential for public health policies. This study aims to assess the prevalence of bad oral habits and malocclusions in the primary dentition of children aged 3-6 years in kindergartens in Prishtina, Kosovo, to provide an epidemiological reference for early interceptive and preventive policies. Methodology: A total of 655 Kosovar children (378 boys and 277 girls aged …