Medicine and Health Sciences Commons^™

Post-Transplant Hepatic Graft Fibrosis In Pediatric Liver-Inclusive Transplant Recipients, Hanh D. Vo

Theses & Dissertations

Hepatic graft fibrosis is a common histologic finding following pediatric liver transplant (LT) that may affect the long-term graft outcome. Hence, it is essential to identify hepatic graft fibrosis at a stage where fibrosis is not yet clinically apparent but has the potential for progression to initiate appropriate intervention and prevent its progression. Liver biopsy is the gold standard for fibrosis staging, but it is invasive, requires general anesthesia in children, and has potential complications. Our long-term goal is to implement non-invasive tests to assess and monitor the progression of hepatic graft fibrosis in liver-inclusive transplant children. The work presented …

The Ecology Of Mental Health And The Impact Of Barriers On Mental Health Service Utilization, Alisha Aggarwal

Theses & Dissertations

Mental health has emerged as a major public health concern in recent times with several disparities and barriers related to adequate health service utilization. Different age groups experience diverse symptoms and face distinct barriers in accessing and utilizing healthcare. Policies like Mental Health Parity and Addiction Equity Act and the Patient Protection and Affordable Care Act were launched to improve insurance coverage and delivery of mental health services. However, a large gap of unmet needs exists for adequate mental health service utilization in the country. This dissertation aims to describe the financial and non-financial barriers to mental health service utilization …

Screening For Human Trafficking: Best Practice Guidelines And Recommendations For Health Care Providers, Bernadette Portillo

Student Scholarly Projects

Human trafficking (HT) is a federal and international crime and is regarded as one of the most pressing human rights issues. Adult and minor victims are trafficked by force (rape, beatings, confinement), fraud, and coercion resulting in profound physical and psychological injuries (Chisolm-Straker et al., 2019, p. 72; Department of Homeland Security, 2020; Vera Institute of Justice, 2014, p. 6). Most clinicians fail to recognize HT victims (Egyud et al., 2017; Leslie, 2018; Mason, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Patient Safety Monitor Journal, 2017; Stevens & Dinkle, 2020). This policy brief’s purpose is to provide health …

Assessment Of Conduct Disorder In Primary Care: Integrative Review, Chantel M. Kilford

DNP Qualifying Manuscripts

Conduct disorder and behavioral problems in children are the 6^th most prominent childhood health disorder within the United States of America. Early recognition and interventions have shown to improve outcomes and reduce lifelong adult sequela. Evidence suggests that primary care providers are not confident or knowledgeable about identification and assessment of the disorder. The manuscript examines the prevalence, co-morbidities, trajectories, mortality risk and outcomes of conduct disorder. Health disparities and diagnostic stigma are also addressed. Additionally, the manuscript provides primary care providers with evidence-based research and recommendations for prompt identification and screening. Conduct disorder has devasting individual, social, and …

Effects Of Dance/Movement Therapy On Pediatric Oncology Patients, Kaitlin Callorina

Nursing | Senior Theses

Pediatric nursing specializes in caring for patients from birth through adolescence; therefore, pediatric nursing can be spiritually challenging but rewarding. This thesis will explore the questions:

• Does dance/movement therapy have the potential to improve the quality of life for children who are diagnosed with cancer?
• How does dance/movement therapy change the quality of life in pediatric cancer patients throughout their diagnosis and treatment?

To aid in answering these questions, this thesis will examine various research articles related to dance/movement therapy and other creative arts therapy as complementary medicine and integrating the activity into nursing care. Children who are diagnosed and …

Long-Term Behavioural Problems In Youth With Childhood-Onset Epilepsy, Rebecca Grace Couper

Electronic Thesis and Dissertation Repository

Children with epilepsy are impacted far beyond having seizures, as children with epilepsy often have more psychiatric and behavioural problems than the general population. Whether these problems remain at elevated rates in the long-term is unclear. This study revealed that the prevalence of long-term behavioural problems in youth with childhood-onset epilepsy did not differ significantly from the assessment normative data. Multivariable regression was used to assess associations of baseline and current characteristics with long-term behavioural problems. No associations with baseline characteristics were found, but current attitude towards epilepsy was associated with total, internalizing, and externalizing behavioural problems while seizure control …

Investigating Physiological Determinants Of Mental Health In Children With Cerebral Palsy, Daniela A. Testani

Electronic Thesis and Dissertation Repository

Background

Fifty-seven percent of children with cerebral palsy (CP) experience mental health symptoms including symptoms of anxiety and depression. Although CP is non progressive, secondary conditions can have progressive effects on an individuals’ functional abilities. Particularly, untreated mental health symptoms can negatively affect a child’s quality of life. Children with CP also experience fatigue, pain, poor physical activity, and sleep disturbances. The presence of these physiological symptoms, separate and in combination, may impact mental health; however, it has not been systematically examined. Identifying factors that contribute to mental health symptoms may prevent the maintenance of these issues into adulthood.

Objectives …

Anxiety And Social Withdrawal Among Children: Associations With Emotion Awareness And Emotion Regulation Strategy Use At The Intra- And Interpersonal Levels, Janae Ellen Teer

Theses and Dissertations

Anxiety and social withdrawal are two frequently experienced internalizing conditions among children. These early-onset challenges are associated with numerous maladaptive outcomes in the academic, social, and psychological domains (Levitt & Merrill, 2009; Long, 2018; Sanchez et al., 2018; Shernoff et al., 2017). While identifying anxious and socially withdrawn children in the classroom is difficult as symptoms generally occur internally, distinguishing between the conditions is perhaps more challenging as the two are closely associated, oftentimes overlapping constructs (Barzeva et al., 2019; Rubin et al., 2009). Particularly, it is unclear whether anxiety and social withdrawal are similarly or differently associated with key …

Association Of New And/Or Progressive Multiple Organ Dysfunction Syndrome With Mortality And New Morbidity Among Children Encountering Septic Shock, Rachel L. Waworuntu

Capstone Experience

Despite reductions in sepsis mortality, there remains a substantial morbidity burden among children who survive sepsis. Furthermore, the majority develop multiple organ ‘group has historically been analyzed as a single cohort. Using the Life After Pediatric Sepsis Evaluation (LAPSE) investigation database, we studied the association of new and progressive multiple organ dysfunction syndrome (NPMODS) with morbidity and mortality among children with septic shock. We hypothesized that NPMODS represents a distinct phenotype based on evolving organ dysfunction. There was evidence of an association but it did not reach the 0.05 level of significance. We also hypothesized and confirmed that children with …

Designing A Virtual Reality Experience To Reduce Anxiety Of Children With Chd During The Perioperative Period, Yang Zhang

Theses - ALL

Children with congenital heart disease (CHD) often need to bear great anxiety related to various invasive surgeries and medical procedures. In a study of virtual reality technology in the medical industry, I found that it has great development potential in reducing children's anxiety. Therefore, the goals of this thesis project were to use virtual reality technology to reduce anxiety for children with CHD. Using previous research of anxiety in children with CHD and the solutions to children's anxiety in various hospitals, this thesis summarizes the design directions. Then, through interviews with pediatric cardiologists, child development experts, and children with coronary …

Evaluation Of A Dirfloortime® Program For Autism Spectrum Disorder, Jennifer L. Pipitone

Dissertations

Problem. Parents with children who have neurodevelopmental disorders, such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) experience high levels of parenting stress. The prevalence of ASD is on the rise in the United States. As a result, there has been an increase in the use of treatment modalities, in effort to better understand which modalities have the most positive impact on children and their parents. DIRFloortime® is a developmental treatment modality used to help strengthen the parent-child bond and used to decrease parental-child stress. The Autism Parenting Stress Index (APSI) measures the impact of an intervention …

Storytelling As An Expressive Arts Therapy Intervention With Children Via Telehealth, Sidney Marie Joines

Expressive Therapies Capstone Theses

As an expressive arts therapist in training working in the midst of a global pandemic, I sought to develop a creative, safe, accessible, and effective intervention for children via telehealth during a time of great uncertainty. Coronavirus 2019 has had a massive impact on mental and physical health and disrupted the lives of billions across the globe; the pandemic also forced mental health professionals to online formats. I found a significant lack of literature around expressive arts therapy via telehealth. Through considering theoretical approaches from cinematherapy, narrative therapy, metaphor therapy, play therapy, and expressive arts therapy, I developed an eight-week …

Association Between Physical Health Indicators And Cardiorespiratory Fitness Among School Children Aged 10-13 Years In Mangalore: A Cross-Sectional Study, Chaitali Yeragi

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Relationship Between Weight Bearing Symmetry, Trunk Control And Fear Of Fall Amongst Subjects With Stroke: A Cross Sectional Study, Vivian Nehal Monis

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Screening For Resilience In Pediatric Primary Care, Kaitlin Phelan, Martha Grant Fuller

Doctor of Nursing Practice Final Manuscripts

Introduction: Adversity in childhood increases risk for physical and mental health problems. Children who undergo adverse events can still flourish, due to the concept of resilience. Literature shows that resilience influences health more than adversity, and screening for resilience may improve practice.

Method: A valid screening tool for resilience, The CD-RISC, was given to children twelve and above during their well visit during February 2021 at a clinic in Oceanside, CA. Scores were categorized into four quartiles. Children responding in the lowest two quartiles received provider follow up.

Results: 97 surveys were scored: 39 scoring in the lowest quartile, 19 …

Food Insecurity And Adiposity Among Children And Adults Nhanes 2015-2016, Denise Vidal

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Obesity is a preventable disease that has been associated with many adverse health outcomes. A possible factor that may influence adiposity development is food insecurity. Although several epidemiological studies have been conducted examining the association between food insecurity and adiposity among children and adults, results have been inconsistent. Objective: This cross-sectional study investigates the relationship between food insecurity and adiposity among children and adults using recent data from a representative sample of the US population. Methods: We examined 3,391 adults and 2,837 children from the National Health and Nutrition Examination Survey (NHANES) 2015-2016. Household food insecurity was assessed using …

A Cross-Content Validation: Sosi-M & Bot-Sf, Eleanor Brewer, Emily Yuen, Alyssa Asuncion, Taylor Hanson, Mariella Villanueva

Occupational Therapy | Graduate Capstone Projects

This thesis paper examines a new assessment, Structured Observations of Sensory Integration- Motor (SOSI-M), and it’s concurrent validity against the well-validated Bruininks- Oseretsky Test of Motor Proficiency Second Edition (BOT-2). This research study answers the question of “Do the scores from SOSI-M correlate with scores from the BOT-2 in a sample of children 5 to 14 years of age?”. The participants for this study are school-aged children between the ages of five to fourteen years old, all genders, English-speaking, ambulate without assistance or use of orthotic devices, and have motor and sensory abilities sufficient in order to complete both motor …

Frequency-Modulated Multiple-Tone Distortion Product Otoacoustic Emissions In Young Children With Normal Hearing, Kathryn Arielle Vlietstra Baker

MSU Graduate Theses

Distortion-product otoacoustic emissions (DPOAEs) are objective tests of the integrity of the outer hair cells of the cochlea in response to a single-tone pair stimulus. Despite advances in DPOAEs test protocols and technology, there is little research about the use of frequency modulated tones to improve response characteristics. This study evaluates the efficacy of a new frequency modulated stimulus with multiple-tone pair DPOAEs (mDPOAEs) compared to the standard stimulus protocol for mDPOAEs to determine whether frequency modulation (FM) will achieve more robust and faster results. Normative data for this novel test protocol were obtained in 11 healthy normal-hearing children aged …

Communication Resources For Deaf Or Hard Of Hearing Children In Mississippi: Parents’ Perspectives, Julia Rossano

Honors Theses

A parent’s ability to communicate with their child through formative years may often be taken for granted, as the options for such communication seem intuitive and apparent. However, hearing parents of children with hearing loss must not only make a choice between several communication methods, but they must also navigate an environment where the methodologies are not clearly delineated. Blaiser and colleague provide succinct descriptions of the most common methods which can be chosen. These methods include listening and spoken language systems, manual-visual systems, and systems combining these two modalities (Blaiser & Bargen, 2018). This choice is often challenging because …

The Impact Of Technology On The Developing Visual And/Or Auditory Memory In School-Aged Children, Cameron Mayer

Honors Theses

This study aimed to determine whether time spent on technology impacts the developing auditory or visual memory in school-aged children. A survey was completed with the child participants to acquire a catalog of time spent on both technological devices and non-technological activities. Tests included a visual and auditory memory assessment adapted from the Preschool Language Scales Fifth Edition (PLS-5). The results indicated that there was no significance between the time spent on technology and the visual and auditory memory scores. However, the researchers did find that the auditory mean scores were significantly different from the visual mean scores across the …

Speech Sound Acquisition In Some South Indian Dravidian Languages: A Systematic Review, Jesica George

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Let’S Dance: Exploring The Physical, Psychological, And Social Effects Of Dance In Children, Alexis Sunderlage

Senior Theses

Movement and dance have a lot of positive health benefits, physically, psychologically, and socially. Children love to intrinsically move and creating a structured dance program is one way to gain the benefits of dance. The purpose of this study is to explore the physical, psychological, and social effects of dance in children while gaining insights that could be applied to the setting of occupational and physical pediatric therapies. This was done by conducting a literature review and exploring how children react to learning and following dance videos in a classroom setting by evaluating ability, engagement, and enjoyment by creating Let’s …

Does Buzzy® Reduce Needlestick Pain In Children Between The Ages 5 And 12 Years Old?, Morgan T. Gilcrest

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Does Buzzy® reduce needlestick pain in children between the ages 5 and 12 years old?”

STUDY DESIGN: A systematic review of three nonblinded, randomized controlled trials (RCTs). All studies were published in English between 2018 and 2019.

DATA SOURCES: Three RCTs were obtained from PubMed and published in peer-reviewed journals. The studies were chosen based on their relevance to the clinical question.

OUTCOMES MEASURED: In all of the articles used for this review, the main outcome measured was pain reduction. The participants’ level of pain was …

Is Levetiracetam More Effective Than Phenytoin In Seizure Cessation In Children With Convulsive Status Epilepticus That Don’T Respond To First-Line Treatment?, Sydney A. Santiago

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Is levetiracetam more effective than phenytoin in seizure cessation in children with convulsive status epilepticus that don’t respond to first-line treatment?”

Study design: Systematic review of three randomized controlled trials (RCTs) published in peerreviewed journals in English in 2019. Data Sources: Three RCTs published in peer reviewed journals were found using Alt HealthWatch, AMED, CINAHL Plus, and Scopus.

Outcome(s) Measured: Clinical cessation of seizure, defined as cessation of continuous rhythmic clonic activity, was measured by the investigator after infusion of treatment.

Results: The study by Dalziel …

Evaluating The Nutritional Adequacy Of Peruvian-American Children, Delainey Dietz

Honors Undergraduate Theses

As people move and integrate cultures, nutritional trends may change from those of their native country to those of their new country. With today's increasing global immigration, studies have only scratched the surface of the impact of acculturation on children's health and nutrition. Specifically, the Peruvian-American diet is one that has garnered minimal research. The purpose of this study is to evaluate the common foods and drinks that Peruvian-American children consume, assess the children's physical health, and discuss the possible causative factors of any diet trends. The population sampled is children under 18 years living in the United States whose …

The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile

Walden Dissertations and Doctoral Studies

AbstractThe need for culturally competent mental health providers and the Mexican American immigrant population in the United States are growing. This study focused on themes from therapists’ narratives that may help to comprehend the intricacy of difficulties facing Mexican American children living with substance-abusing parents. The firsthand knowledge and experiences of the therapists who have worked with this population provided a basic understanding of what to expect and which therapeutic interventions may work best for both the child and their parents. The purpose of this narrative inquiry was to qualitatively identify therapists’ lived experiences and understand how they interacted with …

The Lived Experience Of Parents Of Children With Irlen Syndrome: A Biopsychosocial Perspective Of The Effects Of Tinted Lenses And Colored Overlays, Bettina Lenise Young

Walden Dissertations and Doctoral Studies

Reading illiteracy is a continuing problem in society. Irlen purported many individuals struggle with reading due to a perceptual processing problem called Irlen Syndrome (IS). Existing research supports the use of colored overlays and tinted lenses to alleviate reading difficulties but has focused primarily on the biological benefits of improved reading while neglecting the IS child’s psychological and social well-being. Viewed from a biopsychosocial perspective, the purpose of this qualitative phenomenological study was to explore the lived experiences of parents of children with IS who used colored overlays or tinted lenses. Engel’s biopsychosocial theory acted as a guide for the …

Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema

Walden Dissertations and Doctoral Studies

Stunting is the most common form of undernutrition globally and is a major public health concern. Child stunting has both short-term negative effects on children’s health and long-term negative effects on adult health and human capital. Zimbabwe has a high prevalence of stunting, 27% in 2015. Although some of the factors associated with stunting are known, there is a gap on comprehensive evidence on the significant factors associated with persistent high levels of child stunting. The UNICEF conceptual framework for malnutrition was used to guide a cross-sectional study using the 2015 Zimbabwe Demographic and Health Survey data to identify and …

Why Do You Wear A Mask? Children’S Conceptualizations Of Covid-19 And Contagion Avoidance Behaviors, Emily Hillman

Scripps Senior Theses

With the outbreak of the COVID-19 pandemic, a need has emerged for psychological research on children’s understanding of infectious disease transmission. However, little existing research examines the link between children’s cognitive reasoning about illness and their subsequent behaviors regarding its transmissibility. This study will examine children’s conceptualizations of contagious illnesses such as COVID-19 and their subsequent contagion avoidance. A mixed methods approach will be used to establish the content of children’s conceptualizations of contagion and level of causal reasoning related to illness transmission. Dyads will be constructed comprising 4-12-year-old children and their parents. It is expected that parental contagion avoidance …

Cannabis Treatment Of Autism In Children: A Literature Review, Mai Xiong

All Graduate Theses, Dissertations, and Other Capstone Projects

Objectives: This literature review aims to summarize the effects of medical cannabis use in children on Autism Spectrum Disorder (ASD) symptoms, side effects and provide recommendations for practice, education, and research. Background: ASD is characterized by core behaviors of significant impairment in social communication and interaction and restricted and repetitive patterns of behavior, interests, or activities (APA, 2013). In addition to these core behaviors, individuals with ASD often have noncore behavioral disorders and several medical comorbidities. Treatment for ASD symptoms includes Cognitive Behavioral Therapy (CBT), aripiprazole (Abilify) and/or risperidone (Risperdal). As of this review, 14 states have added ASD …