Medicine and Health Sciences Commons^™

Influenza And Asthma: An Evidenced-Based Approach To Increasing Influenza Vaccinations Among Asthmatic Children, Amanda N. Minor

Master of Science in Nursing Evidence-Based Practice Projects

Asthma is a complex inflammatory process affecting over 6 million American children. Influenza is a seasonal viral respiratory illness that rapidly spreads via droplet contact. The most effective means of preventing influenza is with an annual influenza vaccination. Pediatric experts agree that asthmatic children should be vaccinated against influenza. Despite this consensus, vaccination remains low. A local pediatric practice is participating in a quality improvement project. One program component focuses on engaging primary care practices in an initiative to increase influenza vaccines among asthmatic children. Although improved vaccination is a goal, the program has not provided any clear strategies for …

Optimizing Hand Crank Configuration For Therapeutic Use Of Amtrykes® For Children With Upper Extremity Motor Deficits, Jennifer Hardy

Theses and Dissertations

Objective

The purpose of this research study was to create a model to assist therapists, that determines the optimal positioning of the hand cranks when fitting a child for an AmTryke® with a disability that limits upper body strength, such as a brachial plexus injury.

Method

A fitting model was developed by testing the amount of force required to start moving the hand cranks on the AmTryke® when various amounts of weight were applied to the seat of the device. The data collected inserted into a table. A questionnaire developed and emailed to a convenient sample of pediatric physical and …

Raising Children With Type 1 Diabetes And Celiac Disease: Parental Experiences, Kerri Louise Erickson

Theses and Dissertations

The purpose of this qualitative descriptive study was to examine parental experiences and challenges raising children with both T1DM and CD. Twenty-six families, including 30 parents (25 mothers, 4 fathers, and one custodial grandmother), participated in a 30-60 minute audio-recorded interview designed to explore parental experiences raising children with both T1DM and CD. Participants were asked IRB approved open-ended questions about their experiences raising a child with both diseases. Direct quotations best representing categories/sub-categories were identified through selective coding. Analysis revealed seven main themes: Six themes parents are concerned about, including (a) their child's health complications, b) the challenges of …

Effect Of A Voice Recognition System On Paediatric Outpatient Medication Errors, Angela Nyangore Migowa

Theses & Dissertations

Background: Medication errors have potential to cause harm and death; especially children who are three times more vulnerable than adults. Risk of medication errors is higher in out- patient settings due to a stressful work environment with less familiarity of individual patients. This problem in sub-Saharan Africa is however largely undetermined. A Voice Recognition System that converts verbal messages into text and stores it in a database in a retrievable format could impact on reduction of medication errors.

Objectives: The primary objective was to compare medication prescription and dispensing errors in written prescriptions with those from a Voice …

Move Montana: An Exercise Program For Children, Adolescents, And Their Families, Deanna Lynn Babb

Dissertations

Despite advances in medical science, the prevalence of obesity in the US has more than doubled in the last three decades, to over 72 million people (CDC, 2009). The purpose of this project was to pilot an exercise program that would increase physical activity in a group of adolescents and one of their parents or guardians. A convenient sample of 10 adults and eight adolescents returned surveys and exercised through the entire eight weeks (N = 18). Ten of the 18 participants (56%), six parents and four adolescents, reported increased frequency of exercise each week throughout the eight week period. …

Validating Resonance Raman Spectroscopy: A Non-Invasive Assessment Of Skin Carotenoids As A Biomarker Of Fruit And Vegetable Intake In Children, Sheryl Swain Aguilar

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Background: Adult studies have found a strong correlation between serum carotenoids and skin carotenoids measured by resonance Raman spectroscopy (RRS). No published studies have examined correlations between skin and serum carotenoids among children.

Objectives: (1) To validate skin RRS methodology against serum carotenoid measurements by high-performance liquid chromatography and (2) to determine if RRS skin carotenoids can be used as a valid biomarker of total fruit and vegetable (FV) intake among children.

Design: Participants were 45 healthy children age 5-17 who provided 3 blood samples used to assess serum carotenoid concentrations and 3 RRS skin measurements (using a Biophotonic ScannerTM) …

The Impact Of Medicaid Reform On Dental Practice Setting, Barrett W. R. Peters

Theses and Dissertations

Purpose: To assess the impact of dental Medicaid reform in Virginia on dental practice settings (private practice, corporate practice and safety net clinics). Methods: This retrospective cohort study of 16.2 million dental claims is from the Virginia Department of Medical Assistance Services, which included claims for providers participating in Virginia’s Medicaid program during a 10-year period (2002-2012). The dividing date for the reform was July 1, 2005. The outcome measure was mean claims per participating provider. A Poisson regression model was used to predict the mean number of claims per provider with the following predictors: reform period, practice setting, provider …

Determinants Of Food Insecurity Among Vulnerable White And Latino Households: Contextualizing The Impact Of Sociodemographic And Household-Level Factors, Alexandra Lund

Master's Theses

Household-level characteristics have been shown to be associated with food insecurity but studies among vulnerable populations are sparse. A food security assessment was developed to determine food security and collect sociodemographic and household level data across San Luis Obispo County. The assessments were administered to vulnerable groups through interviews at multiple sites across the County. Three household characteristics (marital status, number of children in the household and number of workers in the household) were examined in this analysis. A total of 808 surveys were collected, 69% in English and 31% in Spanish. Through ethnicity-stratified sequentially adjusted logistic regression models, the …

The Measurement Of Auditory Interhemispheric Transfer Time (Ihtt) In Children With Normal Auditory Processing Abilities, Brittany Suzanne Keahey

Doctoral Dissertations

Interhemispheric transfer time (IHTT) is the time it takes for information to be transmitted from one hemisphere to the other. The goal of this study was to determine if differences existed in the IHTT of children 6 to 9 years of age with normal auditory processing abilities by the use of an objective measure (auditory late evoked potentials [ALEPs]), specifically waves P1, N1 and P2. It was hypothesized that there would be no difference in IHTT between the groups due to the age range of participants being tested. The 16 participants were divided into two groups based on age and …

What Are The Relations Among Stress Perception, Health Perception And Activity Participation In School-Aged Children?, Allison Caplin

Honors Theses and Capstones

This correlational study examined possible relations among children’s activity patterns, perceived stress, and perceived health. A variety of self-report questionnaires were administered to a sample of 33 school age children. The Pediatric Activity Sort (PACS) was used to measure activity participation, a health questionnaire was used to assess health, and the Childhood Stress Questionnaire (CSQ) was used to measure perceived stress. Correlations showed no significant relationships between stress level and the amount of reported activity participation. The absence of significant relationships may be due to testing a sample of middle to upper class, Caucasian children, as there was a skewed …

A Comparison Of Daily Consumption Of Artificial Dye-Containing Foods By American Children And Adults, Carol Christine Bell

Master's Theses and Doctoral Dissertations

Children with developing nervous systems might be at greater risk for any potential neurobehavioral effects of color additives widespread in many foods. This study thus examined whether children consumed foods containing color additives more frequently than adults. Twenty-one adults (aged 18-60) and parents of 14 children (aged 4-7) with regular eating patterns kept detailed food records for five days. Diets were analyzed for foods containing the dyes Red #3, Red #40, Yellow #5, Yellow #6, Blue #1, Blue #2 and Green #3 by comparing ingredient labels found in grocery stores and online. The number of daily dye exposures was significantly …

Understanding Children's Art Making Preferences: Implications For Art Therapy, Amy Morrison

Expressive Therapies Dissertations

This study employed a phenomenological, qualitative approach to investigate children’s art making preferences. The researcher was curious about the meaning that creating two-dimensional and three-dimensional art forms held for children. Influences and contributions to children’s art making preferences were explored. Lastly the study questioned what children’s artistic preferences mean for the field of art therapy. Theories of art therapy, artistic development, and child development informed the study. Thirteen children ages 5 to 11, four boys and nine girls participated. The researcher requested the children choose a subject and create the subject in both two and three dimensions. A range of …

Is Probiotic Supplementation Effective In Reducing The Incidence Of Atopic Dermatitis In Children Age 3 And Under?, Kristen M. Mclaughlin

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not probiotic supplementation is effective in reducing the incidence of atopic dermatitis in children age 3 and younger.

STUDY DESIGN: Systematic review of three Engligh language primary studies one published in 2009 and the other two in 2010.

DATA SOURCES: Three double blind randomized controlled trials comparing the efficacy of probiotic supplementation for reducing the incidence of atopic dermatitis in children ages 3 and under were found using Cochrane Library EBM and PubMed databases.

OUTCOMES MEASURED: Diagnosis of atopic dermatitis, via a positive …

Analysis Of Playground Equipment At Muskegon Public Schools: A Needs Assessment, Kailee Chandonnet,, Elizabeth Elam, Leah Lucas

Pediatrics

A local school district, Muskegon Public Schools, is restructuring due to budget constraints. Therapists at Muskegon Public Schools were concerned about the safety and accessibility of the current playgrounds. The purpose of this needs assessment was to determine if any of Muskegon Public Schools’ playgrounds met the students’ safety and accessibility needs. To determine this, the researchers created a checklist using the Consumer Product Safety Commission’s Handbook on Public Playground Safety (1997) and the U.S. Access Board Summary of Accessibility Guidelines for Play Areas (2005). The checklist was then used to assess all nine Muskegon Public School playgrounds. None of …

An Analysis Of The Association Between Animal Exposures And The Development Of Type 1 Diabetes In The Teddy Cohort, Callyn Hall

USF Tampa Graduate Theses and Dissertations

Research on exposure to animals and risk of type 1 diabetes (T1D) has had conflicting results with some researchers finding that animal exposure reduces the risk of T1D and others finding no association between animal exposure and T1D. Previously conducted studies on the association between animal exposure and T1D are case-control studies that have been limited by recall bias. The purpose of this study is to investigate the association between early life animal exposure and the risk of persistent, confirmed islet autoantibodies (IA) and T1D diagnosis among an eligible cohort of genetically high T1D risk participants enrolled in the international …

School Mental Health: Views Of Services Integration And Attitudes Toward Evidence-Based, Donna L. Burton

USF Tampa Graduate Theses and Dissertations

ABSTRACT

Purpose of the study. Through secondary data analysis of results from the School Mental Health Services Integration Survey (SMHSIS), this study describes indicators of school mental health integration preparedness, including role identification, willingness to engage in tasks associated with mental health services integration and implementation facilitators. The study also investigated the utility of a modified version of the Evidence-Based Practice Attitude Scale (EBPAS) for use with school staff.

Study rationale. With as many as 20% of children meeting criteria for mental disorders that cause impairment, the gaps in mental health services delivery to this special needs population are evident …

The Role Of Connectedness And Religious Factors On Bullying Participation Among Preadolescents In Puerto Rico, Melissa C. Mercado-Crespo

USF Tampa Graduate Theses and Dissertations

Relationships or connections with caring pro-social others (e.g., parents, teachers, school, friends, neighborhood, religion) serve as pro-resilience assets that may enhance children's abilities to cope with bullying. The purpose of this research study was to explore the roles of connectedness and religiosity as potential factors that could enhance resiliency against bullying among preadolescents in Puerto Rico (PR). This doctoral dissertation also addressed several gaps in the children's bullying, resilience and religiosity research literature.

A sample of 426 community-based afterschool program preadolescents (ages 10-12 years old) participated in this exploratory, cross-sectional study, by completing a quantitative questionnaire in paper and pencil …

The Association Of Vitamin D Status With Allergy And Asthma In Children: Findings From The National Health And Nutrition Examination Survey (Nhanes) 2005-2006, Silvia Flores

Open Access Theses & Dissertations

About 23 million people, including almost 10 million children, have asthma in the United States. Asthma prevalence is higher among families with lower incomes living at the US/ Mexico Border and represents the most common serious chronic diseases of childhood. It is the third-ranking cause of hospitalization among children under 15, (De Frances, 2007) as well as the cause of seven million physician visits and nearly 200,000 hospitalizations every year. An average of one out of every ten school-aged children has asthma and, 13 million school days are missed each year due to asthma symptoms (Akinbami, 2006). According to the …

The Sensory Processing Patterns And Activity Choices Of A Child With Autism Spectrum Disorder: A Mixed-Methods Case Study, Valerie Miller

Online Theses and Dissertations

It is estimated that up to 95% of children with autism spectrum disorder experience sensory processing problems. Minimal research is available on the relationship between specific sensory processing patterns, activity preference and behavior patterns in children. It is hypothesized that if children participate in play activities that support their sensory needs, they will experience less behavioral problems, more self-regulating behavior and a higher quality of life. This mixed-methods case study examines how a child with autism spectrum disorder participates in activities and looks at if those activities support sensory needs, thus reinforcing self-regulatory behaviors.

Selected College Students' Perceptions, Knowledge And Awareness Of Sexual Abuse Of Children, Farhiya A. Muse

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research was to assess and evaluate selected college students' perception of and knowledge and awareness about sexual abuse of children. In order to collect data a 29-item survey was developed and administered to students in selected classrooms in Minnesota State University, Mankato campus regarding their perception, knowledge, awareness, and prevention strategies of sexual abuse of children; as well as demographic information. The findings from the quantitative analysis for each research question are presented in this study. The findings of the study indicated there were college students who do have much knowledge and awareness about sexual abuse …

Speech And Language Processes In Children Who Stutter Compared To Those Who Do Not Within An Oral Narrative Task, Sarah Pillar

Theses : Honours

Background and Purpose: Language ability in children who stutter has been linked to the occurrence of stuttering, however, the validity of research supporting this connection has been recently questioned. Previous research, within this area, has been limited by methodological confounds, such as lack of appropriately matched comparison groups, and the use of measures with insufficient sensitivity to potentially examine the subtle differences between children who stutter (CWS) and children who do not stutter (CWNS). Frequent hesitations or pauses are defining characteristics of the speech of people who stutter. However, little is known about the nature and frequency of the pauses …

Identification Of Effective Play Techniques For Use With Children In A Outpatient Mental Health Clinic, Jan Schwarzrock

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research project was to identify which play techniques are the most effective and produce good outcomes for children. Children enter therapy for a number of reasons to improve their emotional and cognitive wellbeing, however engaging them can be challenging. During a therapeutic session, children use play to share experiences through the toys they choose, whereas adults verbally express themselves. The Allina Health/NUMC Outpatient Therapy Department was interested in the identification of play techniques that they could be used to enhance their work with children with the intent to explore the impact of using play techniques on …

The Effects Of Morphophonic Faces As A Method For Teaching Sight Words, Ashley Jean Williams

LSU Master's Theses

Previous studies exploring the use of superimposed pictures for sight word learning provide mixed results, with inconclusive benefits. One criticism is that even when sight word learning is enhanced, it does not improve the learner’s use of the alphabetic principle. A second criticism is that it is only feasible for easily depicted words. This study addressed these criticisms by using pictured sight words representing a hybrid between alphabet and sight word learning, MorphoPhonic Faces (MPF). MPF have the first letter drawn in the mouth of a face suggesting speech production cues. Thus, participants were provided alphabet cues first and then …