Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

Research paper (M.A.) -- Cardinal Stritch College -- Milwaukee, 1980. / A research paper submitted in partial fulfillment of the requirements for the degree of Master of Arts in Education (Education of learning disabled children). Includes bibliographical references (47-57 p.).

Asthma is a common chronic disorder in Western countries and is increasing in prevalence in both children and adults. Although genetic risk for atopy is an important factor for the development of asthma, it does not explain the tremendous increase in prevalence seen in recent decades. Environmental exposures in early life that affect immune maturation appear to be the key factors for the development of asthma. The indoor environment is a likely candidate since infants spend 90% of the time indoors at a time when immune deviation usually occurs. Exposure to indoor pollutants represents a potentially modifiable cause of allergic sensitization and asthma. In this context, it becomes important to establish which environmental factors might influence the development of asthma in predisposed individuals. Allergic reactions to certain environmental allergens such as house dust mites, cats, and cockroaches, have shown a high level of association with asthma prevalence, but in the last five years increasing attention is being paid to indoor environmental factors, other than allergens, that may be involved in the development of this disorder. The potential irritants include nitrogen dioxide, environmental tobacco smoke, formaldehyde, volatile organic compounds, and particulate matter (PM[subscript]2.5;10).The aim of the study was to examine the nature of the relationship between asthma and environmental exposure to indoor environmental irritants.A population based case-control study had been carried out in Perth, Western Australia. The study population consisted of young children (N = 192) aged between 6 months and 3 years old. Cases (n = 88) were asthmatic children who attended the Accident and Emergency Department at Princess Margaret Hospital for Children and were discharged with asthma as a primary diagnosis. Controls (n = 104) were children in the same age group as cases ++ / who had never been diagnosed with asthma, identified from birth records accessed through the Health Department of Western Australia. Information, regarding the respiratory conditions experienced by the study children and characteristics of the home, was collected using a standardised questionnaire. The questionnaire consists of questions about potential risk factors for asthma and these factors were grouped in three categories. The first category included information on personal and social factors such as age and gender of the child, and mother's and father's educational level. The second category was related to personal susceptibility factors such as child's allergy, parental and sibling's asthma, eczema and hay fever. The last category included environmental exposure in the house such as parental and visitors smoking inside the house, exposure to gas heating and cooking, kerosene space heaters, open fireplaces, and pets. Other questions related to environmental exposure were the presence of air conditioning, humidifiers, and type of floor covering in the child's bedroom and the living room. Measurements of indoor nitrogen dioxide (NO[subscript]2), formaldehyde (HCHO), volatile organic compounds (VOCs), particulate matter (PM[subscript]10), and house dust mite exposure were made on two occasions over one year, winter (middle June through September 1998) and summer (December 1998 through March 1999), Indoor temperature and relative humidity were also measured. The atopic status of the children was assessed by skin prick tests to common allergens.The study results indicated that age, gender, family history of asthma, atopy and domestic exposure to indoor environmental factors were significant predictors of asthma early in life. The study found that indoor exposure to formaldehyde, volatile organic compounds and house dust mite significantly increased the risk of ++ / having asthma. Presence of air conditioning appeared to be a protective factor for asthma.In conclusion, the study results confirmed the role of susceptibility factors in asthma and show that indoor environmental factors contribute as risk factors for asthma in early stage of fife. The observation that exposure to indoor air pollutants in early childhood is associated with asthma suggests the possibility that irritants in indoor air might be involved in the initiation phase of asthma. Since the quality of the indoor environment is potentially modifiable there might be opportunities for intervention to reduce asthma symptoms. In order to counteract the increasing prevalence in asthma, the significance of the indoor environment where children grow and spend most of their time need to be given greater attention.

Thesis (MSD (Play Therapy))--University of Pretoria, 2004. / Includes bibliographical references.

Orientador: Fábio Luiz Mialhe / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-18T05:09:36Z (GMT). No. of bitstreams: 1 Paula_JaniceSimpsonde_M.pdf: 1969283 bytes, checksum: aaac5bdcd96aaabe9c3b380db0c6642d (MD5) Previous issue date: 2011 / Resumo: Considerando o crescente interesse pelas percepções subjetivas do indivíduo em relação à sua saúde bucal e qualidade de vida, o presente trabalho, teve como objetivo geral avaliar o impacto das percepções subjetivas e condições socioambientais no auto-relato de qualidade de vida relacionada à saúde bucal (QVRSB) em escolares. Para tal, foram desenvolvidas três análises baseadas em um estudo epidemiológico observacional do tipo transversal que apresentou os seguintes objetivos específicos: 1. Investigar, por meio de um inquérito epidemiológico, a existência de associações entre a variável desfecho QVRSB e as variáveis preditoras saúde bucal, nível socioeconômico, ambiente familiar, percepções subjetivas dos escolares e dos seus pais sobre sua saúde geral e bucal; 2. Testar associações entre as condições clínicas e socioambientais e a variável desfecho (QVRSB) de acordo com os domínios do instrumento usado para este fim (Child Perceptions Questionnaires - CPQ11-14); 3. Avaliar a existência de associações entre a percepção dos pais sobre a saúde bucal e geral de seus filhos, as condições de saúde bucal e a QVRSB em escolares. Para o estudo 1, a amostra foi composta de 515 escolares de 12 anos de idade, provenientes de escola públicas e particulares do município de Juiz de Fora, Minas Gerais, mediante processo amostral por conglomerado. Para os estudos 2 e 3, uma subamostra de 283 escolares foi utilizada. Foram coletados dados clínicos relativos à presença de cárie, trauma dentário, sangramento gengival, defeitos do desenvolvimento do esmalte, necessidade de tratamento e má oclusão. Para isto, foram utilizados os seguintes índices: CPOD, ceod, SiC, índice modificado de defeitos de desenvolvimento do esmalte (DDE) e índice de estética dental (DAI). Informações relativas a QVRSB nos escolares foram obtidas por meio da aplicação da versão brasileira do questionário CPQ11-14. Os escolares também responderam as questões referentes ao ambiente familiar e as percepções sobre sua saúde bucal e geral. Aos pais foi enviado um questionário com a finalidade de avaliar as percepções dos mesmos em relação à saúde bucal e geral de seus filhos, além de questões sobre o nível socioeconômico. A análise dos dados foi realizada por meio de estatística descritiva, teste qui-quadrado e regressão de Poisson. Também foram utilizados testes não paramétricos. Em relação ao estudo 1, controlando variáveis confundidoras, observou-se que as variáveis percepção da criança sobre sua saúde bucal ruim, renda familiar menor que três salários, gênero feminino, necessidade de tratamento ortodôntico, mãe com até 8 anos de escolaridade, até 2 irmãos e aglomeração por domicílio maior que uma pessoa por cômodo apresentaram impacto negativo em sua auto-percepção relacionada à QVRSB (p<0,05). Para o estudo 2, verificou-se que o gênero da criança, renda e escolaridade da mãe foram estatisticamente associados com os quatro domínios do CPQ11-14, assim como a necessidade de tratamento ortodôntico foi fortemente associada com o domínio 'limitações funcionais'. As crianças com presença de sangramento e que não moravam com ambos os pais biológicos relataram maior impacto nos domínios bem-estar emocional e social da QVRSB. Para o estudo 3, de acordo com testes não-paramétricos, observaram-se associações estatisticamente significantes entre a percepção dos pais sobre saúde bucal e geral dos escolares e o relato de QVBSB (p<0.05). Conclui-se que as condições socioambientais podem ter influências negativas sobre a qualidade de vida relacionada à saúde bucal (Capítulo 1), constatando-se que o impacto desses fatores pode ser diferente entre os quatro domínios do instrumento utilizado (Capítulo 2). Além disso, verificou-se que houve associação entre a percepção subjetiva dos pais e a QVRSB dos escolares (Capítulo 3), demonstrando que o ambiente familiar pode exercer influência sobre aspectos subjetivos relacionados à saúde bucal em escolares / Abstract: Considering the growing interest in the individual's subjective perceptions about their oral health and quality of life, the present study aimed at evaluating the impact of subjective perceptions and socio-environmental conditions on schoolchildren's oral health-related quality of life (OHRQoL). To this end, we developed an analysis based on three observational epidemiological transversal that revealed the following specific objectives: 1. Investigate, by epidemiological survey, the associations outcome variable OHRQoL and oral health, socioeconomic status, home environment, subjective perceptions of parents and schoolchildren about oral and general health; 2. To test associations between clinical conditions and socioenvironmental and outcome variable (OHRQoL) according to the domains of the instrument (Child Perceptions Questionnaires - CPQ11-14); 3. To evaluate the associations between parents'perception about oral and general health of their children, the oral health status of schoolchildren and OHRQoL. For the study a sample composed of 515 students from 12 years old, from public and private schools in the city of Juiz de Fora, Minas Gerais, through conglomerate sampling process. For studies 2 and 3, a sub-sample of 283 students was used. We collected data on the presence of caries, dental trauma, bleeding gums, developmental enamel defects and dental and malocclusion treatment needs. For this, we used the following indices: DMFT, dmft, SiC, modified developmental defects of enamel index (DDE) and dental aesthetic index (DAI). Information concerning the OHRQoL in schoolchildren were obtained through the application of the Brazilian version of questionnaire CPQ11-14. The students also answered questions relating to home environment and perceptions about oral and general health. Parents were sent a questionnaire about their perception in relation to oral and general health of their children, as well as questions about socioeconomic status. Data analysis was performed using descriptive statistics, chi-square test and Poisson regression, and nonparametric tests. In relation to Study 1, controlling confounding variables, it showed that the variables children's self perception of their oral health, low family income, female gender, orthodontic treatment need, 8 years of mother's education, until 2 siblings and household overcrowding with more one person for room had negative impact on their self perception related to OHRQoL. For the second study, it was found that the gender of the child, income and mother's education were statistically associated with the four domains of CPQ11-14, as well as the orthodontic treatment need was strongly associated with the domain 'functional limitations'. Children with presence of bleeding and that not living with both biological parents reported greater impact on emotional and social well-being of OHRQoL. For study 3, According to nonparametric tests, it was found statistically significant associations between parents' perception about oral and general health and report of OHRQoL of schoolchildren (p <0.05). We conclude that the socio-environmental conditions can have negative influences on OHRQoL (Chapter 1), noting that the impact of these factors may be different among the four domains of the instrument used - CPQ11-14 (Chapter 2). Moreover, it was found that there was an association between the subjective perception of the parents and schoolchildren's OWRQoL (Chapter 3), demonstrating that the family environment can influence the subjective aspects related to oral health in children / Mestrado / Saude Coletiva / Mestre em Odontologia

Thesis (M.I.T.)--The Evergreen State College, 2007. / Title from title screen viewed (6/23/2008). Includes bibliographical references (leaves 142-146).

Thesis (M. Ed.)--University of Hong Kong, 1996. / Includes bibliographical references (leaf i-x).

Thesis (M.Ed.)--University of Hong Kong, 1996. / Includes bibliographical references (leaves i-x). Also available in print.

Thesis (M.I.T.)--The Evergreen State College, 2010. / Title from title screen (viewed 7/7/2010). Includes bibliographical references (leaves 50-55).

Thesis (Ph. D.)--Illinois State University, 1999. / Title from title page screen, viewed July 27, 2006. Dissertation Committee: Mark Swerdlik (chair), E. Paula Crowley, Daniel Graybill, Jeffry Kahn, Douglas H. Lamb. Includes bibliographical references (leaves 131-155) and abstract. Also available in print.