scholarly journals Program for Healthier School Cafeterias in Rio Grande do Sul, Brazil: Protocol for a Community-Based Randomized Trial

10.2196/22680 ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. e22680
Author(s):  
Mariana Balestrin ◽  
Carla Cristina Bauermann Brasil ◽  
Ericles Andrei Bellei ◽  
Vanessa Ramos Kirsten ◽  
Mario Bernardes Wagner
Keyword(s):  
Educational Intervention ◽  
Intervention Program ◽  
Rio Grande ◽  
The State ◽  
Controlled Study ◽  
Control Group ◽  
Rio Grande Do Sul ◽  
Community Based ◽  
School Cafeterias ◽  
Hygienic Conditions

Background School cafeterias can promote poor eating habits, as these retail outlets have a variety of foods considered to be nonnutritive and unhealthy. However, despite the need for effective preventive strategies, there is still disagreement on the best approach due to the lack of evidence on interventions to prevent and treat obesity in the school settings. Objective We aim to verify the efficacy of an educational intervention program to improve the hygienic conditions and the composition of the menu offered in school cafeterias in the state of Rio Grande do Sul, Brazil. Methods We will conduct a randomized, parallel, two-arm, community-based controlled study. Elementary and high schools, both public and private, in the State of Rio Grande do Sul, Brazil, that have a cafeteria will be eligible. Schools will be recruited and randomly assigned to the intervention (n=27) or control (n=27) group. The intervention group will receive an educational intervention program based on the guidelines issued by the Ministry of Health of Brazil, consisting of a 160-hour distance-learning qualification course, for 10 weeks, and using the Moodle platform and WhatsApp app. The intervention targets the owners and people in charge of the cafeterias, food handlers, principals, vice principals, teachers, pedagogical coordinators, dietitians, representatives of students' parents, and students over 16 years old. Meanwhile, the control group will receive only a printed copy of the book containing the guidelines used. The efficacy of the intervention will be determined by the hygienic conditions of the cafeteria and the composition of the menu offered, also considering the levels of processing of food sold. All outcomes will be analyzed as intention-to-treat and per-protocol. We will use covariance analysis or a generalized linear model for continuous data and ordinal logistic regression for ordinal categorical data. The level of statistical significance considered will be P<.05 for a 95% CI. Results This project was funded in early 2018. We administered the intervention program in 2019. All data have already been collected, and we are analyzing the data. The results are expected in 2021. Conclusions To our knowledge, this may be the first randomized controlled study in school cafeterias held in Brazil. The results will provide evidence for the formulation of public food and nutritional security policies and for the development of effective strategies to provide safe and healthy school meals. Trial Registration Brazilian Clinical Trials Registry RBR-9rrqhk; https://ensaiosclinicos.gov.br/rg/RBR-9rrqhk International Registered Report Identifier (IRRID) DERR1-10.2196/22680

scholarly journals Program for Healthier School Cafeterias in Rio Grande do Sul, Brazil: Protocol for a Community-based Randomized Trial (Preprint)

2020 ◽  
Author(s):  
Mariana Balestrin ◽  
Carla Cristina Bauermann Brasil ◽  
Ericles Andrei Bellei ◽  
Vanessa Ramos Kirsten ◽  
Mario Bernardes Wagner
Keyword(s):  
Educational Intervention ◽  
Intervention Program ◽  
Rio Grande ◽  
The State ◽  
Controlled Study ◽  
Control Group ◽  
Rio Grande Do Sul ◽  
Community Based ◽  
School Cafeterias ◽  
Hygienic Conditions

BACKGROUND School cafeterias can promote poor eating habits as these retail outlets have a variety of foods considered to be nonnutritive and unhealthy. However, despite the need for effective preventive strategies, there is still disagreement on the best approach due to the lack of evidence on interventions to prevent and treat obesity in the school settings. OBJECTIVE We aim to verify the efficacy of an educational intervention program to improve the hygienic conditions and the composition of the menu offered in school cafeterias in the state of Rio Grande do Sul, Brazil. METHODS We will conduct a randomized, parallel, two-arm, community-based controlled study. Elementary and high schools, both public and private, in the State of Rio Grande do Sul, Brazil, which have a cafeteria, will be eligible. Schools will be recruited and randomly assigned to the intervention (n=27) or control (n=27) group. The intervention group will receive an educational intervention program based on the guidelines issued by the Ministry of Health of Brazil, consisting of a 160-hour distance-learning qualification course, for 10 weeks, and using the Moodle platform and WhatsApp app. The intervention targets the owners and people in charge of the cafeterias, food handlers, principals, vice-principals, teachers, pedagogical coordinators, dietitians, representatives of students' parents, and students over 16 years old. Meanwhile, the control group will receive only a printed copy of the book containing the guidelines used. The efficacy of the intervention will be determined by the hygienic conditions of the cafeteria and the composition of the menu offered, also considering the levels of processing of food sold. All outcomes will be analyzed with the intention-to-treat and per-protocol. We will use covariance analysis or the Generalized Linear Model for continuous data and ordinal logistic regression for ordinal categorical data. The level of statistical significance considered will be P <.05 for a 95% CI. RESULTS This project was funded in early 2018. We administered the intervention program in 2019. All data has already been collected and we are starting to analyze the data. The first results are expected to 2021. CONCLUSIONS To our knowledge, this may be the first randomized controlled study in school cafeterias held in Brazil. The results will provide evidence for the formulation of public food and nutritional security policies and for the development of effective strategies to provide safe and healthy school meals. CLINICALTRIAL Brazilian Platform of Clinical Trials (REBEC – Registro Brasileiro de Ensaios Clínicos) RBR-9rrqhk

scholarly journals Asthma Counselling Targeted to Removal of Domestic Animals

2008 ◽  
Vol 15 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Louise Hagan ◽  
Pierre Valois ◽  
Hélène Patenaude ◽  
Hélène Boutin ◽  
Louis-Philippe Boulet ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Transtheoretical Model ◽  
Intervention Program ◽  
Behavioural Change ◽  
Intervention Group ◽  
Educational Interventions ◽  
Domestic Animals ◽  
Controlled Study ◽  
Control Group ◽  
The Individual

OBJECTIVES: To create and evaluate the efficacy of a short individualized educational intervention program, based on Prochaska’s transtheoretical model, for a six-month period in a population of adult asthma patients living with domestic animals but sensitized to these pets.METHODS: A randomized, controlled study using a pretested questionnaire was conducted at three different times (pretest, and at three and six months postintervention).RESULTS: Eleven members (29%) of the intervention group and eight members (21%) of the control group removed their pets within six months (χ2=3.23; P>0.35). The two groups showed similar improvements in their perception of the benefits of pet removal and in their level of belief that they could do it. The experimental group showed a greater improvement in knowledge acquisition about asthma and allergies than the control group (P<0.05). Both experimental and standard educational interventions were effective in facilitating progression through the stages of behavioural change.CONCLUSION: Overall, the results do not support the utility of behavioural change educational intervention, tailored to the transtheoretical model stage of the individual, in the context of convincing patients to remove their pets from their homes. However, the decision-making aid appears to be helpful in raising awareness of the problem of asthma and allergy in the patient, and in developing appropriate knowledge.

scholarly journals Crustacea, Isopoda, Oniscidea Latreille, 1802: new continent record and distribution extension in Brazil

Check List ◽  
2010 ◽  
Vol 6 (2) ◽  
pp. 217 ◽  
Author(s):  
Mariana Juventina Magrini ◽  
Paula Beatriz Araujo ◽  
Marcio Uehara-Prado
Keyword(s):  
Rio Grande ◽  
Sao Paulo ◽  
The State ◽  
Southeastern Brazil ◽  
Pitfall Traps ◽  
São Paulo ◽  
Undescribed Species ◽  
Rio Grande Do Sul ◽  
Serra Do Mar ◽  
First Time

Terrestrial Isopods were sampled in four protected Atlantic Forest areas located in Serra do Mar, state of São Paulo, southeastern Brazil. A total of 2,217 individuals of six species (Atlantoscia sp., Benthana werneri, Pseudodiploexochus tabularis, Pudeoniscus obscurus, Styloniscus spinosus and Trichorhina sp.) were captured in pitfall traps. The exotic species S. spinosus is recorded for the first time for the Americas. Another introduced species, P. tabularis, previously recorded only from the state of Rio Grande do Sul, had its geographic distribution extended to the state of São Paulo. The most abundant isopods in this study belong to an undescribed species of Atlantoscia.

Epidemiology of influenza B infection in the state of Rio Grande do Sul, Brazil, from 2003 to 2019

2021 ◽  
Author(s):  
Marina Beretta Duarte ◽  
Tatiana Schäffer Gregianini ◽  
Letícia G. Martins ◽  
Ana Beatriz G. Veiga
Keyword(s):  
Rio Grande ◽  
The State ◽  
Influenza B ◽  
Rio Grande Do Sul

scholarly journals Access to treatment for phenylketonuria by judicial means in Rio Grande do Sul, Brazil

2015 ◽  
Vol 20 (5) ◽  
pp. 1607-1616 ◽  
Author(s):  
Luciano Mangueira Trevisan ◽  
Tatiele Nalin ◽  
Tassia Tonon ◽  
Lauren Monteiro Veiga ◽  
Paula Vargas ◽  
...  
Keyword(s):  
Genetic Diseases ◽  
Rio Grande ◽  
Right To Health ◽  
The State ◽  
Rio Grande Do Sul ◽  
Access To Treatment ◽  
Unified Health System ◽  
Department Of Health ◽  
Legal Remedy ◽  
The Right

Treatment of phenylketonuria (PKU) includes the use of a metabolic formula which should be provided free of charge by the Unified Health System (SUS). This retrospective, observational study sought to characterize judicial channels to obtain PKU treatment in Rio Grande do Sul (RS), Brazil. Lawsuits filed between 2001- 2010 and having as beneficiaries PKU patients requesting treatment for the disease were included. Of 20 lawsuits filed, corresponding to 16.8% of RS patients with PKU, 19 were retrieved for analysis. Of these, only two sought to obtain therapies other than metabolic formula. In all the other 17 cases, prior treatment requests had been granted by the State Department of Health. Defendants included the State (n = 19), the Union (n = 1), and municipalities (n = 4). In 18/19 cases, the courts ruled in favor of the plaintiffs. Violation of the right to health and discontinuation of State-provided treatment were the main reasons for judicial recourse. Unlike other genetic diseases, patients with PKU seek legal remedy to obtain a product already covered by the national pharmaceutical assistance policy, suggesting that management failures are a driving factor for judicialization in Brazil.

scholarly journals Biofeedback Intervention for Stress and Anxiety among Nursing Students: A Randomized Controlled Trial

ISRN Nursing ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Paul Ratanasiripong ◽  
Nop Ratanasiripong ◽  
Duangrat Kathalae
Keyword(s):  
Nursing Students ◽  
Stress Level ◽  
Clinical Training ◽  
Intervention Program ◽  
Controlled Trial ◽  
Controlled Study ◽  
Control Group ◽  
Moderate Increase ◽  
Randomized Controlled ◽  
The Impact

Purpose. It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training. The purpose of this randomized controlled study is to investigate the impact of biofeedback intervention program on nursing students' levels of stress and anxiety during their first clinical training. Methods. Participants consisted of 60 second-year baccalaureate nursing students. The 30 participants in the biofeedback group received training on how to use the biofeedback device to assist in stress and anxiety management for 5 weeks while the 30 in the control group did not receive any training. Findings. Results indicated that the biofeedback group was able to maintain the stress level while the control group had a significant increase in the stress level over the 5-week period of clinical training. Additionally, the biofeedback group had a significant reduction in anxiety, while the control group had a moderate increase in anxiety. Conclusions. The better the nursing students can manage their stress and anxiety, the more successful they can be in their clinical training. Ultimately, the more psychologically healthy the nursing students are, the more likely they will flourish and graduate to become productive and contributing members of the nursing profession.

scholarly journals Freshwater temperature in the state of Rio Grande do Sul, Southern Brazil, and its implication for fish culture

2008 ◽  
Vol 6 (2) ◽  
pp. 275-281 ◽  
Author(s):  
Luciano de Oliveira Garcia ◽  
Carlos Eduardo Copatti ◽  
Flávio Wachholz ◽  
Waterloo Pereira Filho ◽  
Bernardo Baldisserotto
Keyword(s):  
Water Temperature ◽  
Fish Species ◽  
Native Species ◽  
Amazon Basin ◽  
Rio Grande ◽  
The State ◽  
Tropical Species ◽  
Southern Brazil ◽  
Rio Grande Do Sul ◽  
Lower Growth

In this study we verified data of water temperatures collected by CORSAN-RS from 1996 to 2004 in several cities of the state of Rio Grande do Sul, southern Brazil, and analyzed the possibility of raising the most cultivated fish species in Brazil. The water temperature from 1996 to 2004 was 16 to 28ºC in summer, 17 to 23ºC in fall, 14 to 17ºC (down to 9ºC in the coldest months) in winter and 14 to 21ºC in spring. Native species of this state, such as silver catfish (Rhamdia quelen), traíra (Hoplias malabaricus), dorado (Salminus brasiliensis), pintado (Pimelodus maculatus), as well as carps (family Cyprinidae), are resistant to the low winter temperatures. These species have a lower growth rate in coldest months (winter/spring) but a good development in warmer months (summer/fall), reaching a satisfactory performance throughout the year. In the periods of more intense cold, mortality of some introduced species, such as surubim from Amazon Basin (Pseudoplatystoma sp.), pirapitinga (Piaractus brachypomus), pirarucu (Arapaimas gigas), pacu (Piaractus mesopotamicus), tambaqui (Colossoma macropomum) and Nile tilapia (Oreochromis niloticus) may occur. In addition, as most tropical species have a thermal range for growth and reproduction between 20 to 28ºC, some species may have poor development even in fall. Therefore, water temperature in this state should be considered in the choice of fish species to be cultivated.

scholarly journals Temporal evolution and spatial distribution of maternal death

2014 ◽  
Vol 48 (4) ◽  
pp. 662-670 ◽  
Author(s):  
Ioná Carreno ◽  
Ana Lúcia de Lourenzi Bonilha ◽  
Juvenal Soares Dias da Costa
Keyword(s):  
Spatial Distribution ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Temporal Evolution ◽  
Maternal Mortality Ratio ◽  
Rio Grande ◽  
The State ◽  
Rio Grande Do Sul ◽  
Maternal Risk ◽  
Mortality Ratio

OBJECTIVE To analyze the temporal evolution of maternal mortality and its spatial distribution.METHODS Ecological study with a sample made up of 845 maternal deaths in women between 10 and 49 years, registered from 1999 to 2008 in the state of Rio Grande do Sul, Southern Brazil. Data were obtained from Information System on Mortality of Ministry of Health. The maternal mortality ratio and the specific maternal mortality ratio were calculated from records, and analyzed by the Poisson regression model. In the spatial distribution, three maps of the state were built with the rates in the geographical macro-regions, in 1999, 2003, and 2008.RESULTS There was an increase of 2.0% in the period of ten years (95%CI 1.00;1.04; p = 0.01), with no significant change in the magnitude of the maternal mortality ratio. The Serra macro-region presented the highest maternal mortality ratio (1.15, 95%CI 1.08;1.21; p < 0.001). Most deaths in Rio Grande do Sul were of white women over 40 years, with a lower level of education. The time of delivery/abortion and postpartum are times of increased maternal risk, with a greater negative impact of direct causes such as hypertension and bleeding.CONCLUSIONS The lack of improvement in maternal mortality ratio indicates that public policies had no impact on women’s reproductive and maternal health. It is needed to qualify the attention to women’s health, especially in the prenatal period, seeking to identify and prevent risk factors, as a strategy of reducing maternal death.

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