Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

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Objective/Aims: Assess the prevalence of sibling recurrent dental general anesthesia (DGA) at VCU Pediatric Dentistry. Assess factors that contribute to sibling recurrent dental general anesthesia. Methods: The guardian of patients with siblings were provided a questionnaire to assess the prevalence and factors associated with recurrent DGA. Results: A total of 40 families with a child presenting for GA and at least one sibling were included in the study. Of these, 45% had sibling-recurrent GA treatment (20% in one sibling; 25% in 2 or more siblings). Additionally, 13% of the children currently presenting for GA had already been treated under GA, and 15% of the siblings previously treated with GA had recurrent caries after GA. Conclusion: Sibling-recurrent general anesthesia is high at VCU Pediatric Dentistry Clinic. This increased prevalence could be due to parental acceptance and positive experiences with DGA. Dental providers should be pro-active with prevention methods.

Thesis (M.S.)--Boston University

<p>The aim of the study was to determine the oral and debntal health status of pediatric cardiac patients, 12 years of age and younger, and compare them with non-cardiac patients. A total of 150 children, 75 with known cardiac condition (study group) and 75 no-cardiac (control group) were examined. No statistically significant differences were established in the study between the caries experience score for the cardiac and control groups. The study concludes that the cardiac group generally has a higher decay component and a lower missing component which may be an indication of the lack of dental intervention. The gingival inflammation was significantly higher in the cardiac group although the plaque scores were similar in the two groups.</p>

Objectives: The objectives of this study were two-fold: (1) to describe the epidemiology of childhood fractures in Ontario; (2) to determine if having a fracture in childhood is associated with an increased risk of having a future fracture. Methods: This was a population-based retrospective cohort study using Ontario health administration data. Children aged 0 to 15 years were grouped according to baseline fracture status. Associations between predictors and future fracture were assessed using Poisson and Cox PH regression. Results: 43,154 Ontario children experienced a baseline fracture (17.5 per 1000 child years). Children with a baseline fracture had a 60% higher rate of fracture during 7 years of follow-up after adjustment for sex, rurality, history of previous fracture and the occurrence of head injury and soft-tissue injury. Conclusions: The occurrence of a baseline fracture is associated with an increased rate of future fracture irrespective of age at time of baseline fracture.

Objectives: The objectives of this study were two-fold: (1) to describe the epidemiology of childhood fractures in Ontario; (2) to determine if having a fracture in childhood is associated with an increased risk of having a future fracture. Methods: This was a population-based retrospective cohort study using Ontario health administration data. Children aged 0 to 15 years were grouped according to baseline fracture status. Associations between predictors and future fracture were assessed using Poisson and Cox PH regression. Results: 43,154 Ontario children experienced a baseline fracture (17.5 per 1000 child years). Children with a baseline fracture had a 60% higher rate of fracture during 7 years of follow-up after adjustment for sex, rurality, history of previous fracture and the occurrence of head injury and soft-tissue injury. Conclusions: The occurrence of a baseline fracture is associated with an increased rate of future fracture irrespective of age at time of baseline fracture.

This study identifies variables that influence childhood psychosocial adjustment to cancer diagnosis and treatment by examining the illness-related factors of physical functionality, severity of illness, relapse status, and stage in treatment; family context factors of parenting stress and family psychosocial risk; and within-child factors of personal resiliency. These factors were assessed among 37 children with leukemia or lymphoma, one of their caretakers (29 mothers, 7 fathers, 1 grandmother), and one of their medical care providers (14 physicians, 22 nurse practitioners, 1 physician’s assistant) through a one-time completion of questionnaires. Results revealed that several significant associations were found between child adjustment and independent variables. Specifically, the child’s age at the time of diagnosis, the time since his/her diagnosis, his/her gender, the caregiver’s stress related to parenting an ill child, and the child’s personal resiliency were each identified as factors related to child psychosocial adjustment. Directionally, children who are diagnosed at a younger age, or who have been in treatment for a longer period of time may be at risk for psychosocial adjustment difficulties. Female gender and increased frequency and difficulty of parenting stress may also be risk factors associated with maladjustment. Personal child resiliency, as measured by presence of social and emotional strengths, can be protective in terms of preventing adjustment difficulties.

THESIS (D.N.P. (Doctor of Nursing Practice))--School of Nursing, University of San Francisco, 2009. / Title from running header of part one. Converted to PDF files from various formats. Includes bibliographical references.

Thesis (M.S.N.)--Marshall University, 2003. / Title from document title page. Document formatted into pages; contains vi, 61 p. Includes bibliographical references (p. 46-48).