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Results for “Project START”

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At least 19 recordsLinked to original sources
PubMed2004

Cardiovascular risk reduction in preschool children: the "Healthy Start" project.

OBJECTIVE: To evaluate the impact of a multicomponent cardiovascular health intervention ("Healthy Start") which included a food service modification in a largely minority Head Start preschool population. The primary outcome measure was the change in serum cholesterol from the beginning to the end of the school year. METHODS: Nine Head Start centers in Upstate N.Y. were assigned to either food service modification or control conditions. In addition, half of the centers assigned to the food service modification received supplemental nutrition education (FS/NU--food service modification/nutritional education), while the remaining centers were provided with supplemental safety education materials (FS--food service modification only). The control preschool centers (CON) also received supplemental safety educational curricula for children but their food services remained unchanged. Children had serum cholesterol, as well as height and weight measured at the beginning and end of the school year. A generalized linear univariate procedure was used with percent change in total serum cholesterol as the outcome variable and intervention group as the primary independent variable. RESULTS: There was a significant decrease in total serum cholesterol among preschool children in food service intervention groups, (FS/NU and FS), compared to Controls (-6.0 versus -0.4 mg/dL). In addition to the significant difference in group means, children with elevated cholesterol at baseline were significantly more likely to have a cholesterol level in the normal range (<170 mg/dL) at follow-up if they attended a preschool in the food service modification group. There was a 30% reduction in risk of elevated cholesterol in the latter compared to controls. Participation in the dietary intervention did not affect short-term growth. CONCLUSIONS: A preschool heart health intervention, "Healthy Start," designed to reduce the total and saturated fat content of snacks and meals to recommended levels was effective in reducing serum cholesterol in the study population as a whole and specifically children 'at risk'; i.e., those with initial elevated serum cholesterol.

Cardiovascular Diseases↗
PubMed2006

Predictors of compliance with the postpartum visit among women living in healthy start project areas.

OBJECTIVES: Few studies have examined factors associated with compliance with a postpartum visit (PPV). The identification of such factors is of particular importance in populations with high rates of unintended pregnancies and medical complications of pregnancy. This study seeks to determine factors associated with compliance with a PPV among low-income women in the population served by fourteen Healthy Start sites. METHODS: Data from the Healthy Start Survey of Postpartum Women were reviewed to identify variables associated with compliance with a PPV at or beyond 6 weeks. Multiple logistic regression models were created, based on a sociobehavioral model of health services use, to examine which types of factors (demographic, social, enabling or need) are most strongly associated with the use of a PPV. RESULTS: The study population consisted of survey respondents interviewed six weeks or more following delivery. Eighty-five percent of respondents had had a PPV at time of interview. In a multiple regression analysis, enabling factors such as multiple moves (OR (95% CI)=0.34 (0.18, 0.67)), trouble understanding the provider (OR (95% CI)=0.65 (0.43, 0.99)) and appointment reminders (OR (95% CI)=2.37 (1.40, 4.02)) were most strongly associated with a PPV. CONCLUSIONS: This work finds that women with unstable housing, transportation barriers, and difficulties communicating with providers are at risk for not receiving a PPV. This suggests that access to postpartum health services in the Healthy Start communities studied may not be entirely equitable. Policies aimed at improving interconception care will need to address these barriers to accessing health services.

Adult↗
PubMedDate not supplied

[Curricular guidelines and pedagogical projects: starting a reflection].

This text presents some reflections which we intend to use as subsidies for discussions stemming from the need to implement the current Curricular Guidelines in undergraduate Nursing programs in Brazil. Having as a reference authors who write from a post-critic perspective in Education, the text proposes a change in focus to address these reflections, namely, answers to questions, from certainty to doubt, from prescription to problematization. Following this line, we suggest that curricular guidelines should aim at providing references for the creation of political-pedagogical projects which articulate both with the political and social demands of the broad-based society as to local needs and interests, without attaching to or submitting to them.

Brazil↗
PubMed2003

Outcomes analysis in hand surgery patients--get your project started!

Once there are answers to the research questions, the results must be used in clinical practice to alter treatment plans, giving patients the most appropriate choices and the highest quality outcomes based on scientific data. Daily clinical practice can be improved by applying the results of outcomes studies to alternative treatment options. This in turn helps lead the clinician to choose the path to the best outcome for the patient. Because most practitioners recognize the need and the importance for conducting outcomes research, finding alternative avenues for them to be successful in the process is essential.

Data Collection↗
PubMedDate not supplied

[Curricular guidelines and pedagogical projects: starting a reflection --comments on the text].

This text dwells on ideas stemming from reflections found in the base article of the debate section about national curricular guidelines, namely, interdisciplinary ideas, ideas of a curriculum taken as a product and producer of culture and identity and the emergence of the notion of competence. As a result of this discussion, it signals that there is no way to deny that learning is coded by discipline and curriculum, that it organizes itself within time and space, and that it becomes a cultural basis for an area of knowledge. Its conclusion suggests that nurses/teachers should ask themselves which abilities they need to acquire as teachers, in order to meet the requirements of this pedagogical praxis.

Brazil↗
PubMed1967

The lobotomy patient--a decade later: a follow-up study of a research project started in 1948.

One hundred and fifty patients with chronic mental illness were treated with prefrontal lobotomy between 1948 and 1952 as part of a research study. Follow-up assessments were made by the author in 1952 and again in 1962. One hundred and sixteen patients of the original 150 were available for the follow-up study which provides the basis for this report. Sixty-seven per cent improved sufficiently to live out of hospital, although 26% did have periods of relapse requiring further treatment. The maximum postoperative response usually occurred at six months and was usually maintained subsequently. Most significant complications of lobotomy were epilepsy (12%) and a personality defect (91%). The results of this lobotomy study were examined in relationship to current psychiatric therapy, with particular reference to recent clinical experience with lobotomy. It was concluded that if prefrontal lobotomy is used for selected cases of intractable mental disorder only, it has probably found its proper place in psychiatric treatment.

Adult↗
PubMed1996

After slow start, project to channel drug company funds to universities builds steam.

Drug companies appear to have been listening when researchers began complaining about their lack of participation in the MRC/PMAC Health Program, for the 30-month-old project appears to have taken on new life. It is designed to increase collaboration between university and pharmaceutical industry researchers by directing more of the industry's growing investment in Canada through the MRC's peer-review process. By mid-May, program commitments stood at $60 million.

Canada↗
PubMed1992

Wisconsin wrestling minimum weight project.

Starting in the 1991-1992 school year, Wisconsin was the first state to have a mandatory minimum weight established for high school wrestlers, along with a comprehensive standardized nutrition education program. The minimum weight project was phased in over 2 years. The goal of the project is to scientifically predict a healthy minimum weight for high school wrestlers. No guidelines were previously set and unhealthy weight loss practices are sometimes used to achieve desired weights. A wrestler's weight is often determined by the need to fill a wrestling class and not on a good scientific basis. Many wrestling coaches across the state have tried to implement individual programs, but until this project there had been no coordinated, collective effort.

Adolescent↗
PubMed1967

Project Head Start. An evaluation of the medical components in California.

Half of 1,135 children medically examined as a part of Project Head Start in California had one or more conditions that warranted referral to a physician or dentist, and only one-fifth of these were under care. In the judgment of the examining physicians, one-third of the referable medical conditions were described as "major." Follow-up procedures were variable and not very successful. Increased local medical society participation in planning the health services for these children is recommended as an especially important step in securing care for the problems that are identified.

California↗