Medicine and Health Sciences Commons^™

Application Of A Theory-Based Educational Intervention To Increase The Frequency Of Performing Oral Health Assessments On Children Among Advanced Practice Registered Nurses And Nurses, Denise Michelle Claiborne

Community & Environmental Health Theses & Dissertations

The purpose of this study was to determine if the use of a theory-based educational intervention would increase the frequency of performing oralhealth assessments (OHAs) during well-child visits among nurses. A randomized experimental design was conducted to determine if the educationalintervention would improve frequency of performing OHAs, in addition to, knowledge, confidence in performing OHAs, and advising parents. Using a non-probability sampling frame, “snowball technique,” a total of 46 participants were recruited. After exclusion criteria, 33 advanced practice registered nurses(APRNs), registered nurses (RNs), and licensed practical nurses (LPNs); were randomized into a control or experimental group. Data collection occurred over …

Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot

Dissertations, Theses, and Capstone Projects

Empathy, the ability to both experientially share in and understand others’ thoughts, behaviors, and feelings, is vital for human adaptation. Deficits in empathy development have implications across the lifespan for the development of prosocial behavior, social functioning, mental health disorders, and risk for antisocial behavior (e.g., Guajardo, Snyder, & Petersen, 2009; Moreno, Klute & Robinson, 2008). In light of these societal and individual burdens, it is imperative to foster and strengthen the development of this ability early in life to prevent or ameliorate such negative outcomes. This type of prevention can take a variety of forms, but parent and child …

Prevalence Of Stroke In Children Admitted With Sickle Cell Anaemia To Mulago Hospital, Samden Lhatoo, Martha Sajatovic

Faculty Scholarship

Background: Stroke is a major complication of sickle cell anaemia (SCA). It occurs commonly in childhood with about 10 % of children with sickle cell anaemia getting affected by this complication. In Uganda, there is paucity of data on the prevalence of stroke in children admitted in a tertiary institution. We determined the prevalence of stroke amongst children with SCA admitted to Mulago National Referral Hospital in Uganda and described the ir co-morbidities. Methods: We conducted a retrospective record review of children with SCA admitted from August 2012 to August 2014 to the Paediatric Haematology Ward of Mulago Hospital in …

Unicef Kid Power: Empowering Kids To Get Active And Save Lives, Emily L. Gudaitis

Master's Projects and Capstones

UNICEF Kid Power is a program aimed at increasing U.S. children’s activity levels by tapping into children’s intrinsic desire to do good. Through their activity levels, kids earn points, which unlocks funding from partners that will support treatment for a malnourished child. This one-of-a-kind program was implemented in the Bay Area in Spring 2016 with 7,800 youth participants. The attached paper is a summary of a 300-hour fieldwork experience at the U.S. Fund for UNICEF assisting with the UNICEF Kid Power implementation in the Bay Area. The fieldwork included program implementation and evaluation, presentations at participating schools in the area, …

Embodied Narratives: The Influence Of Dance/Movement Therapy On The Mood Of Hospitalized Children, Ashlea Palafox

Creative Arts Therapies Theses

The purpose of this qualitative collective case study was to understand how my Blanche Evan’s based dance/movement therapy treatment influenced mood for children on my case load in an inpatient general medical pediatrics unit. Patients participated in a minimum of one dance/movement therapy (DMT) session based on: availability, schedule of the subjects’ other medical treatments, and discharge date. Data collection methods included researcher journaling and audio recorded semi-structured interviews with participants and their caretakers following a one-hour dance/movement therapy session. Data was analyzed using thematic narrative analysis with a focus on the conversation between interview data and journal entries. Through …

Embodied Resilience In Unaccompanied Latin American Children In A United States Reception Center, Marcos Oro Caldero

Creative Arts Therapies Theses

The purpose of this study was to explore ways in which a group of unaccompanied children (UC) from El Salvador, Guatemala, Honduras, and Brazil embodied resilience during their stay at a temporary reception center in the United States. The center was located in Illinois and received funding from the Office of Refugee Resettlement (ORR), under the U.S. Department of Health and Human Services. The 12-week clinical case study included a total of 19 male participants aged 12 to 17 years old attending dance/movement therapy sessions, which were scheduled weekly. Group progress notes and individual movement assessment coding sheets were completed …

Frequency And Outcome Of Meningitis In Pediatric Intensive Care Unit Of Pakistan, Amna Jawaid, Surriya Bano, Anwarul Haque, Khubaib Arif

Department of Emergency Medicine

Meningitis is a leading cause of morbidity and mortality worldwide in intensive care settings. The aim of this study was to assess the frequency and outcome in children with meningitis through a retrospective chart review done in pediatric intensive care unit of a tertiary care hospital from January 2000 to December 2014. During these 14 years, 64 patients were admitted with meningitis in pediatric intensive care unit. Out of 64, 36 were diagnosed with pyogenic meningitis, 18 patients with viral meningitis, and 10 with tuberculous meningitis. Most complications were observed in the initial 48 hours. Most common presentation was altered …

Aisha, Aisha, Tsos

TSOS Interview Gallery

Aisha, a Syrian native, lived in Latakia with her Palestinian husband and six children. Their children were not allowed to attend school because of their Palestinian heritage. During the war, mortars and missiles hit the city, and Aisha's brother lost three children. Aisha's uncle in Jordan helped to smuggle their family into Turkey after they decided to escape.

They sailed to Greece with a boat carrying about 350 people. The ship's drivers abandoned it during the journey. To save the children on board, Aisha's husband steered the sinking ship. Her husband was arrested in Greece, and Aisha, who was five …

Morena, Morena, Tsos

TSOS Interview Gallery

Morena has two children and a husband, and she is currently pregnant. Her life in Afghanistan felt normal, and she was able to study there until she had to flee. Her father in law was a truck driver for an American company and he had to surrender several vehicles to the Taliban. They robbed his vehicle and threatened violence. Because of this danger, Morena and her family fled. Their eight-month journey included rejection in Turkey and Iran multiple times and many struggles with smugglers and police. They eventually made it to a camp in Greece.

Because Morena is pregnant, they …

Tabish, Tabish, Tsos

TSOS Interview Gallery

Tabish is from Afghanistan. He fled the country because he had enemies there. He was shot multiple times during a Taliban raid, resulting in a broken leg and damaged hand. The bullets had to be pulled out with a stick. He and his family fled Afghanistan to Iran where the police threatened to arrest him for not having the legal papers to work. His family escaped to Turkey but were soon deported back to Iran. They eventually made it through after walking on foot for seven hours at the Turkish border. After spending five hours on the water on the …

Aeham, Aeham, Tsos

TSOS Interview Gallery

Aeham Ahmad is a pianist from Yarmouk, Syria who gained internet fame from videos posted of him performing on the streets. Because of this, he was targeted and forced to flee to Germany, leaving his wife and two sons behind. Since this interview, his family has joined him.

Aeham’s talent and fame opened up opportunities to perform in various cities in Germany. To share his story during these performances, he learned English. He wants to use music to make a difference in the world. During his time in Yarmouk, there was an underground area where children practiced music because it …

"It's Such A Battle": A Phenomenological Account Of Raising A Child On The Autistic Spectrum - A Battle With Bureaucracy And Behaviour, Tara Vassallo

The Plymouth Student Scientist

A sharp rise in the prevalence of Autism Spectrum Disorder (ASD), has led to it becoming one of the most widely researched neurodevelopmental conditions. Although the predominant focus in autism research is child centred, research on parent outcomes has highlighted considerable impact, in terms of parent’s mental health and wellbeing. Previous studies have shown that parents of children with autism suffer extremes of distress, in excess of that of parents of children with other disabilities. However, why this is so is less understood. Interpretative phenomenological analysis was used to analyse data, gathered from semi-structured interviews of seven parents raising children …

Ethics In Community-Based Research With Vulnerable Children: Perspectives From Rwanda, Theresa Betancourt, Mary C. Smith Fawzi, Anne Stevenson, Fredrick Kanyanganzi, Catherine Kirk, Lauren Ng, Christina Mushashi, Justin I. Bizimana, William Beardslee, Guiseppe Raviola, Stephanie Smith, Yvonne Kayiteshonga, Agnes Binagwaho

Dartmouth Scholarship

A “risk of harm” protocol to identify youth in need of immediate emergency assistance in a study on mental health and HIV in Rwanda among 680 youth ages 10–17 is described. Cases are presented that describe the experience in using this protocol to ensure safety of participants, with ethical and logistical challenges considered. Among the population of the study, 3.2% were deemed "risk of harm.” The most prevalent presenting problem was non-fatal suicidal behavior (91% of risk of harm cases), with 36% having a history of a reported previous attempt. Challenges included: acute food insecurity/significant poverty; lack of support/adequate supervision …

Epidemiology News, Georgia Southern University

Biostatistics, Epidemiology & Environmental Health Sciences: News & Publications (2011-2018)

• Georgia Southern shows dangerous disconnect between doctors and parents of overweight children

Community Health News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Georgia Southern shows dangerous disconnect between doctors and parents of overweight children

National Trends In Off-Label Use Of Atypical Antipsychotics In Children And Adolescents In The United States, Minji Sohn, Daniela C. Moga, Karen Blumenschein, Jeffery C. Talbert

Pharmacy Practice and Science Faculty Publications

The objectives of the study were as follows: to examine the national trend of pediatric atypical antipsychotic (AAP) use in the United States; to identify primary mental disorders associated with AAPs; to estimate the strength of independent associations between patient/provider characteristics and AAP use. Data are from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. First, average AAP prescription rates among 4 and 18-year-old patients between 1993 and 2010 were estimated. Second, data from 2007 to 2010 were combined and analyzed to identify primary mental disorders related to AAP prescription. Third, a multivariate logistic …

Psychometrically Equivalent Bisyllabic Word Lists For Spanish Pediatric Word Recognition Testing, Brenda Karina Peterson

Theses and Dissertations

While recorded speech audiometry materials have been developed in Spanish for adults, currently there are no speech audiometry materials available in Spanish that are suitable for a pediatric population. Thus, the purposes of this study were (a) to analyze Spanish bisyllabic words previously developed for adults to determine the words' appropriateness when testing word recognition scores in native Spanish-speaking children and (b) to compare the logistic regressions results from the Spanish adult data obtained in a previous study with the logistic regressions from Spanish pediatric data obtained in the present study. Using common-use children's dictionaries in the Spanish language, a …

Removable Partial Dentures Vs Overdentures In Children With Ectodermal Dysplasia: Two Case Reports, Georgios Maroulakos, Ioli I. Artopoulou, Matina V. Angelopoulou, Dimitris Emmanouil

School of Dentistry Faculty Research and Publications

Ectodermal dysplasia (ED) represents a disorder group characterised by abnormal development of the ectodermal derivatives. Removable partial dentures (RPD), complete dentures (CD) or overdentures (OD) are most often the treatment of choice for young affected patients. Prosthetic intervention is of utmost importance in the management of ED patients, as it resolves problems associated with functional, aesthetic, and psychological issues, and improves a patient’s quality of life. However, few studies present the principles and guidelines that can assist in the decision-making process of the most appropriate removable prosthesis. The purpose of this study was to suggest a simple treatment decision-making algorithm …

Glycaemic Control In Type 1 Diabetes Mellitus Among Children And Adolescents In A Resource Limited Setting In Dar Es Salaam - Tanzania, Mariam Noorani, Kaushik Ramaiya, Karim Manji

Faculty of Health Sciences, East Africa

Background

Type 1 Diabetes Mellitus is a rapidly growing problem in Tanzania. Children and adolescents with type 1 diabetes have previously been found to have poor glycaemic control and high prevalence of complications. Strict glycaemic control reduces the incidence and progression of chronic complications. The aim of this study was to identify the factors associated with glycaemic control among children and adolescents.

Methods

A cross sectional study was done at the diabetes clinic for children and adolescents. Data on socioeconomic, demographic and diabetes specific variables including adherence, diabetes knowledge, caregivers knowledge and their involvement in the care of the child …

Glycaemic Control In Type 1 Diabetes Mellitus Among Children And Adolescents In A Resource Limited Setting In Dar Es Salaam - Tanzania, Mariam Noorani, Kaushik Ramaiya, Karim Manji

Paediatrics and Child Health, East Africa

Background, Type 1 Diabetes Mellitus is a rapidly growing problem in Tanzania. Children and adolescents with type 1 diabetes have previously been found to have poor glycaemic control and high prevalence of complications. Strict glycaemic control reduces the incidence and progression of chronic complications. The aim of this study was to identify the factors associated with glycaemic control among children and adolescents.

Methods, A cross sectional study was done at the diabetes clinic for children and adolescents. Data on socioeconomic, demographic and diabetes specific variables including adherence, diabetes knowledge, caregivers knowledge and their involvement in the care of the child …

Use Of Mobile Phones For Infant And Young Child Feeding Counseling In Sri Lankan Tea Estates: A Formative Study, Manuj C. Weerasinghe, Upul Senerath, Sanjeeva Godakandage, Hiranya Jayawickrama, Aravinda Wickramasinghe, Indika Siriwardena, Srisothinathan Nimalan, Michael J. Dibley, Ashraful Alam

The Qualitative Report

Despite the availability of free health services, children residing in Sri Lanka’s less developed plantation sector are more likely to be undernourished than children in urban and rural sectors. Hence, we need new approaches to improve their nutritional status. One promising approach involves mobile health initiatives, which is used effectively in other countries in primary health care settings. We studied the nature of mobile phone use in this community, and their perceptions on using m-health counseling for infant and young child feeding. Focus group discussions and in-depth interviews were the study methods. We found that mobile phone usage is common …

Maternal, Environmental, And Social Context Predicts Diarrheal Infection Incidence In Young Children In Sundarbans, India, Sohini Mukherjee, Laura M. Glynn

Student Scholar Symposium Abstracts and Posters

Diarrheal infection is the third leading cause of childhood mortality in India and is responsible for 13% of all deaths per year in children under 5 years of age (Lakshaminarayan & Jayalakshmy, 2015). The Sundarbans in West Bengal is amongst the poorest regions of India and is the epitome of abject deprivation and the acute struggle against geographical and socioeconomic challenges. The incidence of diarrhea in this region is considerably high; about 42,000 reported cases occur per month, and one in five diarrhea cases are reported as severe (with blood in stool). In addition, 37% of children hospitalized for ailments …

Social Communication As An Early Indicator Of Autism In High-Risk Infant Populations, Alexis Marie Brewer

Senior Theses

This senior thesis analyzes the social communicative profiles of children at high-risk for autism compared to typically developing controls. The project focuses specifically on the differences in initiating joint attention gaze shifts and joint attention gestures at 12 months in two high-risk groups, children with fragile X syndrome and younger siblings of children already diagnosed with autism. Their frequencies of gaze shifts and gestures were also analyzed to determine whether the joint attention behaviors are indicative of later autism symptom severity at 24 months.

The Global Strategy For Women's, Children's And Adolescents' Health (2016-2030): A Roadmap Based On Evidence And Country Experience., Shyama Kuruvilla, Flavia Bustreo, Taona Kuo, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

The Global strategy for women’s, children’s and adolescents’ health (2016–2030) provides a roadmap for ending preventable deaths of women, children and adolescents by 2030 and helping them achieve their potential for and rights to health and well-being in all settings.1 The global strategy has three objectives: survive (end preventable deaths); thrive (ensure health and well-being); and transform (expand enabling environments). These objectives are aligned with 17 targets within nine of the sustainable development goals (SDGs),2 including SDG 3 on health and other SDGs related to the political, social, economic and environmental determinants of health and sustainable development.

Like the SDGs, …

Creating Therapy Materials To Improve Communication Of Young Children, Allison J. Corey

Senior Honors Projects

Once children start preschool, they should be able to speak in simple sentences and use basic syntax. When they complete preschool and begin kindergarten, they should be using complete, complex sentences, have an extensive vocabulary, and use correct grammar. However, sometimes a child’s language doesn’t develop as expected resulting in speech delays or impairments. This problem could arise for a multitude of reasons, for example, the child may be on the autism spectrum, he/she may have a specific language delay, or it may be due to an articulation/phonology problem. The role of a speech language pathologist (SLP) in a school …

The Effects Of Acoustic Bandwidth On Simulated Bimodal Benefit In Children And Adults With Normal Hearing, Sterling W. Sheffield, Michelle Simha, Kelly N. Jahn, René H. Gifford

Communication Sciences and Disorders Faculty Publications

Objectives—The primary purpose of this study was to examine the effect of acoustic bandwidth on bimodal benefit for speech recognition in normal-hearing children with a cochlear implant (CI) simulation in one ear and low-pass filtered stimuli in the contralateral ear. The effect of acoustic bandwidth on bimodal benefit in children was compared to the pattern of adults with normal hearing. Our hypothesis was that children would require a wider acoustic bandwidth than adults to 1) derive bimodal benefit, and 2) obtain asymptotic bimodal benefit.

Design—Nineteen children (6–12 years) and ten adults with normal hearing participated in the study. Speech recognition …

The Effect Of Grief On Bonding With A Deaf Child, Gabriela Cardona

Senior Honors Projects

Since hearing screenings for children happen after birth, there is no way for

parents to prepare themselves for having a child with hearing loss and any

lifestyle changes that will follow. Many parents have trouble coping with and

accepting the news of having a deaf or hard-of-hearing child. This diagnosis also

often brings along with it the stress of additional necessary appointments and

decisions. The parent’s idea of a “perfect and ideal” child is gone. Parents need

to grieve the loss of this idea while also tending to their child and giving their

child the opportunities and support needed for …

To Screen Or Not To Screen Parent’S Perceptions Of Eye Care Prevention For Pre-School Age Children, Bonnie E. Keaton

Honors Theses

One in 20 children is at risk for permanent vision loss from disorders such as amblyopia and strabismus (Why Save Sight, 2016). Despite vision disorders and childhood blindness being a common disability in children, preventative vision screenings are not at the center of prevention discussions. Studies have suggested that vision screenings for young children are beneficial in preventing permanent vision loss (Vision Screenings for Healthy Vision, 2016). Vision screenings for preschool children are important and require more attention in the United States. This descriptive study addressed parental perceptions of early detection of vision problems among preschoolers in southeast Mississippi as …

The Relationships Between The Home Food Environment And Weight Status Among Children And Adolescents, Ages 6–17 Years, Martha J. Nepper

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

The home food environment is an important setting in regard to a child’s dietary intake and the development of obesity, since 65% to 72% of daily calories are consumed in the home. Research is beginning to explore how the home food environment may influence children’s weight status. It is suggested that homes with healthy weight children are more likely to have healthier food options available and limit access to unhealthy foods. Prior research on the influence of the home food environment on children and adolescent’s weight status is not clear, as some researchers have found that the home food environment …

Effects Of Vocal Fold Nodules On Glottal Cycle Measurements Derived From High-Speed Videoendoscopy In Children, Rita R. Patel, Harikrishnan Unnikrishnan, Kevin D. Donohue

Electrical and Computer Engineering Faculty Publications

The goal of this study is to quantify the effects of vocal fold nodules on vibratory motion in children using high-speed videoendoscopy. Differences in vibratory motion were evaluated in 20 children with vocal fold nodules (5–11 years) and 20 age and gender matched typically developing children (5–11 years) during sustained phonation at typical pitch and loudness. Normalized kinematic features of vocal fold displacements from the mid-membranous vocal fold point were extracted from the steady-state high-speed video. A total of 12 kinematic features representing spatial and temporal characteristics of vibratory motion were calculated. Average values and standard deviations (cycle-to-cycle variability) of …