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Adolescent

Ann Marie McCarthy

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Full-Text Articles in Medicine and Health Sciences

Factors Associated With Academic Achievement In Children With Type 1 Diabetes, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall Oct 2011

Factors Associated With Academic Achievement In Children With Type 1 Diabetes, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall

Ann Marie McCarthy

OBJECTIVE: To examine academic achievement in children with diabetes and to identify predictors of achievement. RESEARCH DESIGN AND METHODS: Participants were 244 children, ages 8-18 years, with type 1 diabetes. Measures included school-administered standardized achievement tests (Iowa Tests of Basic Skills and Iowa Tests of Educational Development [ITBS/ITED]), grade point averages (GPAs), school absences, behavioral assessment, age at disease onset, hospitalizations, and HbA(1c). Statistical differences between subgroups of children were evaluated using t test and ANOVA, statistically controlling for socioeconomic status. Regression analyses were carried out to examine predictors of academic performance. RESULTS: Reading scores and GPA were lower for …


Evaluation Of A School Re-Entry Nursing Intervention For Children With Cancer, Ann Mccarthy, Janet Williams, C. Plumer Oct 2011

Evaluation Of A School Re-Entry Nursing Intervention For Children With Cancer, Ann Mccarthy, Janet Williams, C. Plumer

Ann Marie McCarthy

A retrospective qualitative design was used to identify and compare the concerns, parents, teachers, and children have regarding school re-entry after a cancer diagnosis and to describe the impact of a school re-entry program on parents', teachers', and children's concerns. Audiotaped, semistructured interviews were obtained from a convenience sample of 10 children with cancer (ages 5 to 13 years), 10 mothers, and nine teachers. All participants were positive about the school re-entry nursing intervention, which is described. Results of content analyses indicate that before the intervention, mothers were concerned about their child's safety and peer teasing; teachers were concerned about …


A Descriptive Study Of Individuals With Membranoproliferative Glomerulonephritis, Der-Fa Lu, Anne Mccarthy, L. Lanning, C. Delaney, C. Porter Oct 2011

A Descriptive Study Of Individuals With Membranoproliferative Glomerulonephritis, Der-Fa Lu, Anne Mccarthy, L. Lanning, C. Delaney, C. Porter

Ann Marie McCarthy

OBJECTIVE: Membranoproliferative Glomerulonephritis (MPGN) is one of a group of glomerulonephritides that often begins in childhood and progresses to renal failure. The purpose of this paper is to describe the initial results of a patient-driven database on individuals with MPGN. SAMPLE/SETTING: Patients with MPGN Types I, II, and III and their family members were recruited to this survey study. DESIGN: A population survey design was used. METHODS: A survey was developed for this study that obtained information from the individual with MPGN or a guardian on: patient information, family/patient health history, history of PGN, medications, course of MPGN, history of …


Changes In Medications Administered In Schools, Ann Mccarthy, M. Kelly, S. Johnson, J. Roman, M. Zimmerman Oct 2011

Changes In Medications Administered In Schools, Ann Mccarthy, M. Kelly, S. Johnson, J. Roman, M. Zimmerman

Ann Marie McCarthy

The purpose of this descriptive, cross-sectional study was to determine if there have been changes in the type and number of attention deficit/hyperactivity disorder (AD/HD) medications administered in schools since the introduction of long-acting stimulants. A survey was sent to 1,000 school nurses randomly selected from the National Association of School Nurses membership, with 339 returned (34%). Between 2000 and 2003 the proportion of students receiving any prescription medication (2.9/100 vs. 1.0/100), methylphenidate (1.2 vs. 0.2), or amphetamine/dextroamphetamine (0.3/100 vs. 0.1/100) was significantly reduced ( p < .0001). High school students took fewer prescription ( p < .0001) and AD/HD medications ( p < .0001), but more nonprescription medications than other students. A total of 163 different prescription medications and 28 nonprescription medications were administered during the typical school day. This study suggests that the use of long-acting stimulants has significantly reduced the number of prescription medications administered in schools. This reduction has been accompanied by a dramatic increase in the range of medications administered, making the medication administration process in schools more complex, not less.


Family Perceptions Of Medication Administration At School: Errors, Risk Factors, And Consequences, D. Clay, K. Farris, Ann Mccarthy, M. Kelly, R. Howarth Oct 2011

Family Perceptions Of Medication Administration At School: Errors, Risk Factors, And Consequences, D. Clay, K. Farris, Ann Mccarthy, M. Kelly, R. Howarth

Ann Marie McCarthy

Medications are administered every day in schools across the country. Researchers and clinicians have studied school nurses' and educators' experiences with medication administration, but not the experiences of children or their parents. This study examined medication administration from the child and parent perspectives to (a) determine problems children experience with medicines at school, (b) clarify risk factors for medication errors, and (c) examine the perceived impact of medication errors on school performance and social relationships. Participants included children ages 8 to 18 years (n=157) being treated at a large Midwestern Children's Hospital in diabetes, asthma, and Attention Deficit Hyperactivity Disorder …


Innovative Approaches For Teaching Children With Chronic Conditions, J. Engvall, Ann Mccarthy Oct 2011

Innovative Approaches For Teaching Children With Chronic Conditions, J. Engvall, Ann Mccarthy

Ann Marie McCarthy

No abstract provided.


Issues Of Medication Administration And Control In Iowa Schools, K. Farris, Ann Mccarthy, M. Kelly, D. Clay, J. Gross Oct 2011

Issues Of Medication Administration And Control In Iowa Schools, K. Farris, Ann Mccarthy, M. Kelly, D. Clay, J. Gross

Ann Marie McCarthy

Who is responsible for medication administration at school? To answer this question, a descriptive, self-administered survey was mailed to a random sample of 850 school principals in Iowa. The eight-page, 57-item, anonymous survey was mailed first class, and a follow-up reminder post card was mailed two weeks later. Descriptive analyses were conducted, with type of respondent (principal versus school nurse), grade level, and size of school examined to explore differences. A 46.6% response rate was obtained; 97% of respondents indicated their schools had written guidelines for medication administration. Principals (41%) and school nurses (34%) reported that they have the ultimate …


The Early Bird Does Not Get The Worm: Time-Of-Day Effects On College Students' Basic Cognitive Processing, P. Allen, J. Grabbe, Ann Mccarthy, A. Bush, B. Wallace Oct 2011

The Early Bird Does Not Get The Worm: Time-Of-Day Effects On College Students' Basic Cognitive Processing, P. Allen, J. Grabbe, Ann Mccarthy, A. Bush, B. Wallace

Ann Marie McCarthy

We conducted a neuropsychological and cognitive assessment study to determine whether time of day affects cognitive performance. We measured executive control (fluency), processing speed, semantic memory, and episodic memory performance. We followed 56 students across 3 different times of day, testing performance on vocabulary, fluency, processing speed, and episodic memory. Results showed an advantage for fluency and digit symbol task performance in the afternoon and evening testing times relative to morning testing (regardless of testing order), but that time of day did not affect semantic or episodic memory performance. These results suggest that optimal executive functioning and processing speed may …


Psychological Screening Of Children For Participation In Nontherapeutic Invasive Research, Ann Mccarthy, L. Richman, R. Hoffman, L. Rubenstein Oct 2011

Psychological Screening Of Children For Participation In Nontherapeutic Invasive Research, Ann Mccarthy, L. Richman, R. Hoffman, L. Rubenstein

Ann Marie McCarthy

BACKGROUND: The need for children to participate in research has raised concerns about ethical issues surrounding their participation. OBJECTIVES: To describe a protocol of preresearch psychological screening and postresearch outcomes and to present the results of the screening process for a nontherapeutic, invasive research study. DESIGN AND SETTING: Descriptive study carried out at The University of Iowa Hospitals and Clinics, Iowa City. PARTICIPANTS: Twenty-eight children (mean age, 10.6 years) were screened, with 4 not completing the research study and another 4 unavailable for psychological follow-up. MAIN OUTCOME MEASURES: Prescreening interviews with parent and child and screening measures of appropriate child …


Chronic Headaches In Children, Ann Mccarthy Oct 2011

Chronic Headaches In Children, Ann Mccarthy

Ann Marie McCarthy

No abstract provided.


Cognitive Behavioral Pain And Anxiety Interventions In Pediatric Oncology Centers And Bone Marrow Transplant Units, Ann Mccarthy, V. Cool, M. Petersen, D. Bruene Oct 2011

Cognitive Behavioral Pain And Anxiety Interventions In Pediatric Oncology Centers And Bone Marrow Transplant Units, Ann Mccarthy, V. Cool, M. Petersen, D. Bruene

Ann Marie McCarthy

Although research conducted on the treatment of pain and anxiety in children has found a number of cognitive behavioral interventions to be effective, it is not known to what extent this research has been put into practice. The purpose of this project was to obtain information on the use of cognitive behavioral interventions to help children and families cope with the pain and anxiety experienced during lumbar punctures and bone marrow aspirations. In this descriptive study, 15 Pediatric Bone Marrow Transplant Units and 32 Pediatric Hematology/Oncology Centers from across the country were surveyed using a questionnaire developed to obtain information …


Effects Of Diabetes On Learning In Children, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall Oct 2011

Effects Of Diabetes On Learning In Children, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall

Ann Marie McCarthy

OBJECTIVE: Subtle neuropsychological deficits have been found in some children with type 1 diabetes. However, these data have been inconsistent, and it is not clear what the impact of these deficits might be on the learning of children with diabetes over time. The purpose of this study was to determine whether type 1 diabetes significantly interferes with the development of functional academic skills. It was hypothesized that 1) children with type 1 diabetes would demonstrate deficits in academic performance and behavior when compared with sibling or classmate control subjects and 2) that academic performance in children with type 1 diabetes …


Medication Administration Practices Of School Nurses, Ann Mccarthy, M. Kelly, D. Reed Oct 2011

Medication Administration Practices Of School Nurses, Ann Mccarthy, M. Kelly, D. Reed

Ann Marie McCarthy

This study assessed the medication administration practices of school nurses. From a random sample of 1,000 members of the National Association of School Nurses, 649 (64.9%) completed the survey developed for the study. These school nurses report that during a typical day, 5.6% of children receive medication in school, with 3.3% receiving medications for ADHD. Almost all the school nurses follow written guidelines for administering medication. Potential problems were identified in documenting side effects of medications, storage of medications, student self-administration practices, and appropriate authorization of nonprescription drug use. Most nurses (75.6%) delegate medication administration to unlicensed assistive personnel (UAP), …


School Nurses' Experiences With Children With Chronic Conditions, Janet Williams, Ann Mccarthy Oct 2011

School Nurses' Experiences With Children With Chronic Conditions, Janet Williams, Ann Mccarthy

Ann Marie McCarthy

No abstract provided.


Cognitive Behavioral Interventions For Children During Painful Procedures: Research Challenges And Program Development, Ann Mccarthy, V. Cool, Kirsten Hanrahan Oct 2011

Cognitive Behavioral Interventions For Children During Painful Procedures: Research Challenges And Program Development, Ann Mccarthy, V. Cool, Kirsten Hanrahan

Ann Marie McCarthy

The purpose of this report is to describe a pilot program designed to introduce the use of cognitive behavioral interventions for painful pediatric procedures at a university hospital, and to discuss the challenges that occurred during this process. Participants in the program included ten parents and their children who were newly diagnosed with leukemia, and staff who provided treatment for these children. Measures included direct videotaped observations of the children, perceptions of pain and anxiety completed by children, parents, and staff, and parent and staff ratings of satisfaction with the program. Results indicated strong acceptance of the interventions. This report …