scholarly journals Papass clinical trial protocol: a multi-component school-based intervention study to increase acceptance and adherence to school feeding

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rafael Lavourinha Pinto ◽  
Bárbara da Silva Nalin de Souza ◽  
Anna Beatriz Souza Antunes ◽  
Mara Lima De Cnop ◽  
Rosely Sichieri ◽  
...  
Keyword(s):  
Clinical Trial ◽  
School System ◽  
School Environment ◽  
Intervention Group ◽  
Public School System ◽  
School Meals ◽  
School Feeding ◽  
School Based ◽  
National School ◽  
The Impact

Abstract Background One of the largest school feeding programs in the world is the National School Feeding Program of Brazil. However, results from the 2012 National School Health Survey indicated that only 22.8% of 9th grade students in Brazilian public school system consumed school meals. The literature presents few studies aiming to promote healthy food consumption in the school environment from interventions, which found inconclusive results. Thus, this study aims to present a protocol to evaluate the effectiveness of multi-component school-level interventions to increase adherence and acceptance to school feeding. Methods School-based multi-component clinical trial with students from 4th-9h grade from 3 municipal schools of Sumidouro, Rio de Janeiro, Brazil, in 2019. The study design will be parallel, with 3 arms: Control group (without intervention); Intervention group 1 (changes in school environment) and Intervention group 2 (changes in menu and school environment). Interventions in the environment will be based on the principles of choices architecture and, the modification in the dishes that make up the menus offered to the students, on the factors that contribute to poor adherence and acceptance to school feeding, identified by focus groups. Adherence to school feeding will be assessed through a specific question in the questionnaire directed to the frequency of consuming school meals in the week, applied by researchers in three moments. Acceptance will be assessed from the acceptability test application with dishes served to students during the year. Statistical analyses will be performed using generalized linear models, which will be used to assess the impact of the intervention, and will include 3 main variables: intervention, time and the intervention x time interaction. Discussion This study will investigate if the impact of the implementation of interventions in the environment and in the dishes served to students may increase adherence and acceptance to school feeding. Positive results could show the effect of implementing interventions throughout Sumidouro’s public school system, as well as throughout the country, aiming to improve the consumption of school meals. Trial registration Brazilian Registry of Clinical Trials, RBR-7mf794. Date of registration: December 27, 2018.

scholarly journals Desafios à Atuação dos Conselhos de Alimentação Escolar ## Challenges to School Food Advice Activities

2020 ◽  
Vol 9 (2) ◽  
pp. 32
Author(s):  
Hudson Augusto Silva de Castro ◽  
Evaldo José da Silva ◽  
Lidiane Nazaré da Silva Dias ◽  
Cristiano Descovi Schimith
Keyword(s):  
School Environment ◽  
Financial Resources ◽  
Technical Knowledge ◽  
School Meals ◽  
School Food ◽  
School Feeding ◽  
National School ◽  
Feeding Program ◽  
Data Source ◽  
School Feeding Program

ResumoAinda hoje uma parcela da população brasileira tem como única refeição diária aquela que é servida no ambiente escolar. Desta forma, políticas públicas como o Programa Nacional de Alimentação Escolar (PNAE) que, dentre outros objetivos, visa garantir a disponibilização da merenda escolar, precisam ter suas ações efetivadas. Para tanto, o controle social deve ser presente. O Conselho de Alimentação Escolar (CAE), portanto, deve atuar com o intuito de fiscalizar sua execução e apontar irregularidades nas ações. Assim sendo, vê-se como importante identificar o perfil dos membros desses conselhos e os fatores que impactam em sua atuação. Com o objetivo de identificar e analisar os desafios dos Conselhos de Alimentação Escolar para sua efetividade a partir dos fatores que impactam a ação dos conselheiros, a presente pesquisa utilizou como fonte de dados entrevista realizada com 37 conselheiros do estado do Pará. Como resultados identificou-se que a falta de conhecimentos técnicos, de transporte, de recursos financeiros e de local adequado para a realização de reuniões dificultam a realização das atividades dos Conselhos de Alimentação Escolar, o que leva ao questionamento se as políticas do PNAE estão de fato sendo efetivadas.AbstractEven today, a portion of the Brazilian population has the only daily meal that is served in the school environment. Thus, public policies such as the National School Feeding Program (PNAE), which, among other objectives, aims to ensure the availability of school meals, need to have their actions implemented. For that, social control must be present. The School Food Council (CAE), therefore, must act in order to inspect its execution and point out irregularities in the actions. Therefore, it is seen as important to identify the profile of the members of these boards and the factors that impact their performance. In order to identify and analyze the challenges of the School Meals Councils for their effectiveness based on the factors that impact the action of the counselors, this research used as a data source an interview with 37 counselors from the state of Pará. the lack of technical knowledge, transportation, financial resources, and an adequate place to hold meetings makes it difficult to carry out the activities of the School Meals Councils, which leads to the question of whether the policies of the PNAE are actually being implemented.

ADHD and school

2018 ◽  
Author(s):  
Christine Merrell ◽  
Kapil Sayal
Keyword(s):  
Academic Outcomes ◽  
School Environment ◽  
Longitudinal Research ◽  
Long Term Outcomes ◽  
Secondary Schooling ◽  
School Based ◽  
School Based Interventions ◽  
Children’S Behaviour ◽  
The Impact

Within the school environment, teachers are well placed to identify children who exhibit ADHD symptoms. Universal school-based screening for ADHD is, however, not recommended. Teachers’ ratings of children’s behaviour at age 5 have been found to predict later academic outcomes. Longitudinal research suggests that inattention is substantively and significantly associated with poor academic outcomes whereas hyperactivity is not significantly related to later academic attainment, and impulsivity might be advantageous. Symptoms of inattention remain largely stable over time but symptoms of hyperactivity and impulsivity change. Whilst the school environment can present significant challenges for children with ADHD, advice and guidance to teachers about how to help children with inattentive, hyperactive, and impulsive behaviour to succeed in the classroom can facilitate more positive behavioural and academic outcomes. There is a need for research that assesses long-term outcomes and cost-effectiveness of school-based interventions as well as the impact of transition into secondary schooling.

scholarly journals Monitoring the impact of a national school based deworming programme on soil-transmitted helminths in Kenya: the first three years, 2012 – 2014

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Collins Okoyo ◽  
Birgit Nikolay ◽  
Jimmy Kihara ◽  
Elses Simiyu ◽  
Joshua V. Garn ◽  
...  
Keyword(s):  
Soil Transmitted Helminths ◽  
School Based ◽  
National School ◽  
The Impact

scholarly journals Investigating the impact of physical-mental exercises on depression depression after preterm delivery: A clinical trial

2020 ◽  
pp. 128-138
Keyword(s):  
Clinical Trial ◽  
Preterm Delivery ◽  
Intervention Group ◽  
Psychological Trauma ◽  
The Body ◽  
Public Hospitals ◽  
Control Groups ◽  
The Mean ◽  
The Impact ◽  
Stretching Exercises

Background and Aim: Preterm delivery, and the consequences are include premature newborn, hospitalization in the NICU ward, psychological damage to mother and heart family performing low-cost, practical interventions can play an important role in promoting maternal health by to reduce psychological trauma. Therefore, the present study was performed to determine the impact of physical-mental exercises on depression after preterm delivery. Materials and Methods: In this clinical trial, 100 women with preterm delivery 28-36 weeks, it was performed in public hospitals in Mashhad in 2019. Sampling was performed by random blocking method and the subjects were selected by available method and were divided into two control groups (n=50) and intervention (n=50). The intervention group performed stretching exercises as well as meditation by the researcher on the third day after delivery with a frequency of two sessions per week for up to 8 sessions, and the control group received the usual care. Beck's depression questionnaire was completed for both groups in the first 24 hours after delivery and at the end of the study. Statistical analysis of the data was performed by independent t-test, Mann-Whitney and Wilkaxon. Results: The mean score of depression in the intervention and control groups at the end of the study was statistically significant (p≥0.001). The mean score of depression in the intervention group was significant at the beginning and the end of the study (P<0.001). Conclusion: Stretching exercises with a focus on the body after delivery can reduce the rate of depression in mothers with preterm delivery. Key Words: Meditation; Postpartum Depression; Preterm Delivery; Stretching Exercise

Abstract 19836: Lipid Metabolism is Modified by the Interaction Between Cholesteryl Ester Transfer Protein Gene Polymorphism and Mediterranean Diet in Patients in Secondary Prevention for Cardiovascular Disease

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Antonio Garcia Rios ◽  
Francisco Gomez-Delgado ◽  
Ana Isabel Perez Caballero ◽  
Andreea Corina-Baba ◽  
Vanesa Navarro-Martos ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Lipid Metabolism ◽  
Cholesteryl Ester ◽  
Mediterranean Diet ◽  
Cholesteryl Ester Transfer Protein ◽  
Dietary Intervention ◽  
Intervention Group ◽  
Low Fat ◽  
Transfer Protein ◽  
The Impact

Introduction: Cholesteryl ester transfer protein (CETP) gene has been implicated in lipid metabolism. However, little is known about the impact of this gene on coronary heart disease (CHD) patients and its interaction with diet. Hypothesis: To evaluate whether the chronic consumption of a Mediterranean diet enriched in olive oil, compared with a Low fat diet, interacts with the rs3764261 SNP at CETP locus in order to modify lipid metabolism among MetS patients from the CORDIOPREV clinical trial Methods: Plasma lipid concentrations and rs3764261 genotypes were determined in 424 MetS subjects participating in the CORDIOPREV clinical trial. Gene-diet interactions were analyzed after a year of dietary intervention (Mediterranean diet (35% fat, 22% MUFA) vs Low fat diet (28% fat, 12% MUFA)) Results: We found significant gene-diet interactions between rs3764261 SNP and the dietary pattern for HDL-C ( P=0.006 ) and triglyceride concentrations ( P=0.040 ). Specifically, after 12 months of Mediterranean diet intervention, subjects who were carriers of the minor T allele (TT+TG) displayed higher plasma HDL-C concentrations ( P=0.021 ) and lower triglycerides ( P=0.020 ) compared with homozygous for the major allele (GG). In contrast, in the Low fat intervention group no significant differences were found between CETP genotypes after 12 months of dietary treatment. Conclusions: Our data support the notion that a chronic consumption of a Mediterranean diet may play a contributing role in triggering lipid metabolism by interacting with the rs3764261 SNP at CETP gene locus in MetS patients

Use of Imagery Procedures with Students Labeled ‘Trainable Retarded’

1984 ◽  
Vol 54 (2) ◽  
pp. 595-605 ◽  
Author(s):  
June Groden ◽  
Joseph R. Cautela
Keyword(s):  
Public School ◽  
School System ◽  
School Environment ◽  
Public School System ◽  
Multiple Baseline ◽  
The Public ◽  
Motor Behaviors ◽  
Change Behavior ◽  
Modeling Techniques ◽  
Consistent Change

Two experiments are described in which covert-conditioning procedures were modified for use with two students enrolled in a class for “trainable retarded” within the public school system. This seems to be the first reported use of covert procedures with this population. The design, which used a multiple baseline across behaviors, was utilized to study the effect of covert procedures on inappropriate motor behaviors. The design included phases in which strong requests to change behavior controlled the influence of demand. The request phase produced no consistent change in the rates of behavior, however, covert procedures did prove effective. Results suggest that both covert reinforcement and covert modeling techniques can be utilized effectively with retarded individuals in a school environment. This can be used to advantage in mainstreaming and integrating children with special needs.

scholarly journals The impact of a school-based tooth-brushing program on dental caries: a cross-sectional study

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Yuri Tashiro ◽  
Keiko Nakamura ◽  
Kaoruko Seino ◽  
Shiro Ochi ◽  
Hiroshi Ishii ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
School Environment ◽  
Tooth Brushing ◽  
Permanent Teeth ◽  
Socioeconomic Characteristics ◽  
School Based ◽  
The Impact ◽  
5Th Grade ◽  
Children’S Oral Health

Abstract Background Promotion of oral health in children is recognized as one of the components of health-promoting schools (HPSs). However, few studies have addressed supportive school environments for children’s oral health. This study aimed to evaluate the status of dental caries in school children at HPSs, with the objective of examining the impact of a supportive school environment for oral health, considering the lifestyles of individual children and the socioeconomic characteristics of their communities. Methods Data of 2043 5th-grade students in 21 elementary schools in Ichikawa city between 2008 and 2013 were analyzed. Children’s oral health status was evaluated using the decayed, missing, and filled permanent teeth (DMFT) index. A self-reported lifestyle questionnaire, a survey of the school environment promoting tooth-brushing, and community socioeconomic characteristics derived from the National Census data were included in the analyses. Bivariate analyses were conducted to evaluate the children’s DMFT status, and zero-inflated negative binominal (ZINB) regression was used to assess the relationships between DMFT and other variables. Results Prevalence of dental caries in the permanent teeth of 5th-grade children (aged 10–11 years) was 33.3%, with a mean DMFT score (± SD) of 0.83 ± 1.50. According to multilevel ZINB regression analysis, children from schools with after-lunch tooth-brushing time showed a higher odds ratio (OR) for excess zero DMFT (OR = 1.47, 95% CI = 1.00–2.15, P = 0.049) as compared to those from schools without it. Neither bivariate analysis nor ZINB model analysis revealed any significant influence of children’s gender or use of a toothpaste with fluoride. Conclusions The school-based environment supportive of oral health was significantly associated with a zero DMFT status in children. School-based efforts considering the socioeconomic characteristics of the area warrant attention even with declining prevalence of dental caries.

scholarly journals THE EFFECTIVENESS OF A SCHOOL-BASED INTERVENTION FOR THE TREATMENT OF IRON DEFICIENCY ANEMIA

2021 ◽  
Vol 9 (5) ◽  
pp. 113-126
Author(s):  
Eliana Pereira Vellozo ◽  
Francisco Plácido Nogueira Arcanjo ◽  
Maria Sylvia de Souza Vitalle ◽  
Mauro Fisberg ◽  
Carla Cristina Enes ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Intervention Group ◽  
Public Health Problem ◽  
Child Growth ◽  
Deficiency Anemia ◽  
Controlled Clinical Trial ◽  
School Based Intervention ◽  
School Based ◽  
The Impact

Background: In Brazil, iron deficiency anemia is considered a public health problem, which has a direct impact on the process of child growth and development. To assess the impact of a powdered supplement added to food preparations, on hemoglobin (Hb) levels and other hematimetric parameters in children. Method: This study is a double-blind, community-controlled clinical trial conducted in education centers in the northeast of Brazil. In this trial, food preparations were offered with a powdered supplement, enriched with iron (intervention) and control (no supplementation), Monday through Friday, for 60 days. Two biochemical evaluations were performed to determine Hb, hematocrit (Ht), mean corpuscular volume and ferritin levels before and after the intervention. Results: For participants in the 6- to 59-month age range, we identified an increase in mean Hb concentrations and other hematimetric parameters. In the 5- to 11-year age group, there was a significant increase in both groups for Hb and Ht values, and mean Hb concentration was significantly greater in the intervention group (12.25±0.76 vs. 11.93±0.94, p<.0035). In the 12- to 14-year-olds, all variables analyzed presented an increase. Conclusions: This school-based intervention effectively increased Hb concentrations other hematimetric parameters and reduced the prevalence of anemia in children and adolescents.

scholarly journals Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study

10.2196/32729 ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. e32729
Author(s):  
Patrícia Paula Bazzanello Henrique ◽  
Fabrízzio Martin Pelle Perez ◽  
Osvaldo Henrique Cemin Becker ◽  
Ericles Andrei Bellei ◽  
Daiana Biduski ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Older Women ◽  
Intervention Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Epigenetic Marks ◽  
Exercise Interventions ◽  
Group A ◽  
Clinical Trials Registry ◽  
The Impact

Background Kinesiotherapy is an option to mitigate worsening neuropsychomotor function due to human aging. Moreover, exergames are beneficial for the practice of physical therapy by older patients. Physical exercise interventions are known to alter the epigenome, but little is known about their association with exergames. Objective We aim to evaluate the effects of kinesiotherapy with exergaming on older women’s epigenetic marks and cognitive ability, as well as on their clinical functional variables. Our hypothesis states that this kind of therapy can elicit equal or even better outcomes than conventional therapy. Methods We will develop a virtual clinic exergame with 8 types of kinesiotherapy exercises. Afterward, we will conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with exergames (intervention group) against conventional kinesiotherapy (control group). A total of 24 older women will be enrolled for 1-hour sessions performed twice a week, for 6 weeks, totaling 12 sessions. We will assess outcomes using epigenetic blood tests, the Montreal Cognitive Assessment test, the Timed Up and Go test, muscle strength grading in a hydraulic dynamometer, and the Game Experience Questionnaire at various stages. Results The project was funded in October 2019. Game development took place in 2020. Patient recruitment and a clinical trial are planned for 2021. Conclusions Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To the best of our knowledge, this may be one of the first studies exploring epigenetic outcomes of exergaming interventions. Trial Registration Brazilian Clinical Trials Registry/Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-9tdrmw; https://ensaiosclinicos.gov.br/rg/RBR-9tdrmw. International Registered Report Identifier (IRRID) DERR1-10.2196/32729

scholarly journals Pupillometry pain index decreases intraoperative sufentanyl administration in cardiac surgery: a prospective randomized study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Vivien Berthoud ◽  
Maxime Nguyen ◽  
Anouck Appriou ◽  
Omar Ellouze ◽  
Mohamed Radhouani ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cardiac Surgery ◽  
Primary Outcome ◽  
Randomized Study ◽  
Intervention Group ◽  
Prospective Randomized Study ◽  
Control Group ◽  
Standard Group ◽  
Postoperative Course ◽  
The Impact

AbstractPupillometry has proven effective for the monitoring of intraoperative analgesia in non-cardiac surgery. We performed a prospective randomized study to evaluate the impact of an analgesia-guided pupillometry algorithm on the consumption of sufentanyl during cardiac surgery. Fifty patients were included prior to surgery. General anesthesia was standardized with propofol and target-controlled infusions of sufentanyl. The standard group consisted of sufentanyl target infusion left to the discretion of the anesthesiologist. The intervention group consisted of sufentanyl target infusion based on the pupillary pain index. The primary outcome was the total intraoperative sufentanyl dose. The total dose of sufentanyl was lower in the intervention group than in the control group and (55.8 µg [39.7–95.2] vs 83.9 µg [64.1–107.0], p = 0.04). During the postoperative course, the cumulative doses of morphine (mg) were not significantly different between groups (23 mg [15–53] vs 24 mg [17–46]; p = 0.95). We found no significant differences in chronic pain at 3 months between the 2 groups (0 (0%) vs 2 (9.5%) p = 0.49). Overall, the algorithm based on the pupillometry pain index decreased the dose of sufentanyl infused during cardiac surgery.Clinical trial number: NCT03864016.

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