Indiana University-Purdue University Indianapolis (IUPUI) / The purpose of this study was to test the relationship between dental developmental age and chronologic age as they relate to other aspects of the child's development. The dental developmental age was determined on 74 children, 40 males and 34 females, ranging in age from two to 11 years. The sample population was chosen at random from patients at the Indiana University School of Dentistry. The socio-economic status was determined according to the North-Hatt Occupational Scale; 14.3 per cent of the children fell in the upper class, 84.3 per cent in the middle class, and 1.4 per cent in the lower class. Analysis by race showed that 71.6 per cent of the sample were Caucasian, 23.0 per cent were Negroid, and 5.4 per cent were Oriental. Panoramic radiography, with the S.S. White Panorex, was used to evaluate dental developmental age. Two independent observers scored the radiographs and double blind procedures were used. To determine dental developmental age, Wolanski's method of tooth formation evaluation was used. To determine functioning of children in five developmental skills areas, the Alpern-Boll Developmental Skills Inventory was used. Dental developmental age and chronologic age had a significant positive relationship to children's functioning in five developmental skills areas. There is a chronologic period when determination of dental age appears to be difficult. The data available and methodology for determining dental developmental age of the four-year-old female and the five-year-old male seems to be inadequate. Dental developmental age seems to be a better predictor of general developmental skills for males than it does for females, specifically in the two to eight-year-old group. The highest correlations were found in the youngest age group, i.e. the two to five-year-olds. The correlations between dental developmental age and chronologic age, and between those two indices and the five developmental skills ages remains highly significant in the younger ages but decreases consistently as the child becomes older. The specific age as well as the sex of the child has a definite effect on the correlations obtained. The use of dental developmental age is good but not superior to the use of chronologic age for predicting functioning for normal children. This may not be the case for atypical children. More study is indicated.

Indiana University-Purdue University Indianapolis (IUPUI)

No description available.

Problem: Asthma affects one out of every ten children in the United States. It is recommended that children with persistent asthma take long-term controller (LTC) medications to achieve control. However, adherence varies, and many children do not take their LTC medication at all. The average cost for hospitalization of a child with asthma is $8,406. Asthma in children also contributes to school absenteeism and a decrease in quality of life. Objective: A literature review was performed to examine factors that affect adherence to LTC medications used to control asthma in children. Method: A literature review was performed using the CINAHL, ERIC, Medline, Psych Info, and Academic Search Premier databases. Keywords included asthma AND child* OR pediatric* AND adherence OR compliance AND corticosteroid* OR “leukotriene modifier*” OR “mast cell stabilizer*” OR “monoclonal antibod*” OR “long-acting beta agonist.*” After applying exclusion criteria 35 articles were included in this review. Results: A variety of factors that affect adherence were identified. Internal factors included age, sex, and race/ethnicity. External factors included socioeconomic status, environment, health perception, lack of motivation, parental education, disease/medication beliefs, family dynamics and planning, responsibility, severity, and exacerbations. Interventional factors included caregiver-family communication, asthma knowledge, specialty care, white coat adherence, number of prescriptions, asthma action plans, medication regimens, and technology. Conclusion: It is recommended that healthcare providers use a four-step process during inpatient and outpatient asthma visits. The steps include assess and educate, collaborate, problem-solve, and follow-up. Collectively, this method can help healthcare providers overcome many of the barriers that were identified.

Asthma is the most common chronic disease of childhood. Children diagnosed with asthma are twice as likely to have a comorbid anxiety disorder as their non-asthmatic peers. The presence of both asthma and anxiety in the pediatric patient creates an environment of poor asthma control, and places them at risk for a variety of negative health events. Little is known about comorbid anxiety’s role in asthma health maintenance. Research has identified the link between these two conditions but causation is difficult to conclude. The aim of this thesis is to assess the current state of the science regarding pediatric asthma and anxiety. This integrated review of the literature will identify the factors contributing to the vicious cycle of pediatric anxiety and asthma. Recommendations for practice and future research will be made.

Inaccurate dosing of children’s liquid medication is a major problem that causes adverse effects for children every year. In order to prevent these errors, education for at risk parents is essential. A survey and observational study was done in order to identify parents/caregivers who make dosing errors when measuring out liquid medication for their children. A total of 25 parents/caregivers with children admitted to Arnold Palmer Hospital were included in this study. Study participants completed a survey that included demographic data as well as parenting experience. The parents were directly observed measuring a dose of corn syrup using Children’s liquid Tylenol® dosing instructions. The research participants were offered a variety of common measuring devices and they chose the one they most often used at home. Data indicated a high incidence of dosing errors made by a variety of participants. Of the 25 research participants, 13 (52%) made an error greater than 20% when measuring out the dose based on the provided instructions and their child’s weight. This data suggests nurses need to include dosing education for all parents at discharge. This study has shown that many parents are at risk for making errors when measuring medication. Effective discharge education on the importance of measuring medication accurately can prevent these errors and the adverse effects they cause.

No description available.

No description available.

No description available.

No description available.