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At least 19 recordsLinked to original sources

An international look at school-based children's dental services.

School-based dental clinics, when well-managed, can bring good quality care to children where they normally congregate, thus avoiding many of the problems found where children must be taken to private offices out of school hours. Both capital and running expenses for primary care can be substantially reduced. Utilization figures for school-based dental services now reach 98 per cent of eligible children in New Zealand, where dental nurses do simple operative dentistry including cavity preparation and fillings. Australia, where a modified New Zealand plan has been expanding for about 12 years, is moving rapidly to attain similar utilization. In Sweden, 95 per cent of the school-age population is reported to receive school-managed dental service through a government program. In the United States, however, it is commonly reported that less than one-half the school-age population receives good periodic dental care.

Adolescent

Screening and referral outcomes of school-based health services in a low-income neighborhood.

A school health program, conducted by the Division of Community and Social Pediatrics of Harlem Hospital Center at two elementary schools in central Harlem, provides screening, followup, and health education services. The children attending these schools are largely dependent on public medical care, with low accessibility and lack of continuity of care. The effectiveness of the program's services were evaluated with respect to screening and referral outcomes. During the spring of 1974, the school health records were reviewed for the 221 children who had been in the program for 1 year in one of the schools. The evaluation results indicated that although major health conditions were not commonly disclosed by the screening component of the program, the examining physicians noted that 57% of the children had one or more health problems. Children with dental caries were the most frequently observed as well as the most frequently referred for care. Children with two-thirds of the medical problems who were referred for further care received medical attention. The program demonstrates the capability of relevant school-based health services in a low-income neighborhood to address the medical needs of elementary school children.

Child

Preoperative administration of fluids.

A study by questionnaire was sent to 134 Surgical Services at Veterans Administration Hospitals to ascertain the prevalence of the practice of preoperative hydration during the period of hydropenia preceding surgery. A 92.5 per cent response was noted and the following conclusions are drawn: (1) The majority of Veterans Administration Surgical Services do not routinely provide intravenous fluids during the immediate preoperative period. (2) Affiliation with a medical school-based postgraduate training program does not alter significantly the proportion of Surgical Services providing preoperative intravenous therapy on a routine basis. (3) These observations suggest a need for Surgical Services to assess the desirability and indications of preoperative hydration. (4) However, in the case of chronic renal failure patients there is little question of the necessity for careful preoperative, intraoperative, and postoperative hydration.

Evaluation Studies as Topic

Combination of school-based primary and secondary preventive dental programs in the United States and other countries.

School-based programs in the United States are very limited. Other countries in the world have established programs for many years which provide comprehensive services to school-age children. In this country philosophical and professional pressures have maintained school-based programs only in the area of primary prevention. Most treatment programs involving secondary prevention are not school-based and are targeted at specific population groups rather than all children. The basic questions of whether primary and secondary preventive school-based programs can be successful have been examined in this paper. The evidence based on the pilot program presented here is that these programs can be successful. They are well accepted by parents and children, they provide quality care at a reasonable cost, and, most importantly, they can reduce dental disease. It's time for a committment by the profession and the nation to establish school-based dental programs for the health and welfare of our children.

Child

Severely handicapped children in the public schools. A new frontier for the physical therapist.

Recent court decisions are currently generating the need for the development of a more humane, school-based system of educational options for severely and profoundly handicapped children. This natural commitment, which includes provisions for various ancillary services, has major implications for the profession of physical therapy. This paper includes the problems, issues, and trends related to the development of public school physical therapy programs and presents some guidelines and suggestions which might be helpful in the implementation of such programs.

Activities of Daily Living

Description and evaluation of a preventive mental health program for preschoolers.

A school-based model of preventive intervention is described which identified and significantly overcame school maladaptation among preschool children enrolled in a Detroit Public School Title I Program. Children were screened by teachers for learning and behavioral difficulties using the AML Scale, the Classroom Adjustment Rating Scale, and the Caldwell Preschool Inventory. Sixty-four children were identified on the basis of these instruments as exhibiting some form of school maladaptation. These children were randomly assigned to an experimental condition (N = 32) or placebo control (N = 32). Individually designed prescriptive techniques were developed for high-risk children in the experimental group and were implemented by college student aides after training by the project staff. A multivariate analysis of variance and follow-up univariate analyses, testing differences between experimental and control groups on the posttests, were performed. The difference between the groups on all three criteria measures was significant and favored the experimental children.

Child Behavior Disorders

School-based sexual violence prevention: A systematic review.

PURPOSE: Sexual violence profoundly affects the health and development of children, adolescents, and young adults, representing a persistent challenge to public policy. This systematic review examined the effectiveness of school-based interventions aimed at prevention. METHODS: Eighteen randomized controlled trials published between 2012 and 2024 were retrieved from four major databases. The programs were implemented in primary, secondary, and higher education settings and targeted children, adolescents, and young adults. RESULTS: The results revealed improvements in knowledge and attitude, particularly regarding consent and awareness, whereas evidence supporting behavioral changes was less frequent and often limited. Methodological limitations, such as short follow-up periods and participant attrition, restricted the assessment of long-term outcomes. CONCLUSIONS: This review highlights the importance of multicomponent, participatory, and culturally sensitive approaches, along with the integration of digital tools and continuous evaluation systems, to strengthen the role of schools as safe and transformative spaces in the prevention of sexual violence. IMPLICATIONS AND CONTRIBUTIONS: This systematic review suggests that school-based interventions hold significant potential for the prevention of sexual violence. It identifies promising strategies and reinforces the importance of culturally sensitive, sustained, evidence-based approaches to ensure learning environments that are safe, protective, and promotive of gender equity.

Humans

Reducing adolescent obesity through a school health program.

The feasibility and effectiveness of conducting a school-based multi-component behavioral weight reduction program was tested on 119 overweight junior high school students. Four schools in the metropolitan New York area were randomly assigned to either the experimental or control conditions. After participating in a school-wide health-profile screening, students in the experimental group were invited to participate in a ten-session weight reduction program that included behavior modification, nutrition education, and exercise management. Comparison of the experimental and control groups with respect to changes on weight and triceps skinfold measures indicated significant differences between the two groups. Although the long-term effectiveness of the weight reduction program cannot be determined, the present study clearly demonstrates the short-term effectiveness and feasibility of conducting such a program in a school setting.

Adolescent

Mini-groups for school children: preventive self-help groups that teach physicians.

School Health Program mini-groups were initiated with a two-fold purpose: (1) to create an environment in which a young person is able to explore a self-identified concern in a group setting, and (2) to provide one of several school-based learning experiences for pediatric residents. Drawing on past successes, the program will now channel its efforts toward developing evaluative research methodology and expanding the mini-group experience to include trainees from other disciplines concerned with the health, learning and behavior of children.

Allied Health Personnel

Preventable mortality in Mexico: bridging gaps in chronic disease and ageing care.

Preventable mortality remains a critical public health challenge in Mexico, with 819 672 deaths recorded in 2024. Of these, 37.21% in the general population were attributed to ischaemic heart disease (IHD) and diabetes mellitus. We analyse Instituto Nacional de Estadística y Geografía mortality data to assess disparities in cardiovascular mortality across age groups, sex and geographical regions, and to identify key gaps in Mexico's preventive care strategies. Age-standardised mortality rates (ASMRs) reveal persistently elevated cardiovascular mortality in northern states, including Chihuahua, Coahuila, Durango and Nuevo León, and in southeastern states, including Veracruz, Tabasco, Campeche and Yucatán. The burden is highly concentrated among older adults and geographically clustered in specific high-risk regions. These patterns reflect structural gaps in prevention, early detection and access to adequate care rather than unavoidable demographic change. Obesity, diabetes and hypertension form a pathophysiological triad that synergistically exacerbates cardiovascular disease through shared mechanisms and comorbidities. Despite substantial global declines in IHD mortality over the past two decades, Mexico continues to experience elevated and regionally extreme cardiovascular mortality, highlighting a failure to translate established global evidence into national practice. Drawing on evidence-based interventions implemented in comparable health systems, we propose seven scalable strategies: (1) expanding access to health services in underserved regions, (2) integrating preventive health programmes within primary care, (3) developing structured physical activity initiatives, (4) establishing a geriatric care framework, (5) promoting community-based nutrition and wellness programmes, (6) advancing gender-sensitive cardiovascular prevention across adulthood and ageing and (7) implementing school-based health education programmes. These interventions could substantially reduce cardiovascular mortality, lower healthcare costs and improve long-term population health outcomes in Mexico.

Humans

Asthma Exacerbation Risk and School Asthma Readiness.

OBJECTIVES: School-based asthma management is a key facet of child asthma care. We aimed to describe the proportion of students whose schools have child-specific components of asthma care, derive a composite metric of these components ("school asthma readiness"), and assess its association with asthma exacerbations (asthma risk) in the preceding year. METHODS: Within a nested cohort of children enrolled in a larger randomized clinical trial, we assessed the baseline proportion of children whose school had elements of necessary asthma care. We then derived a "school asthma readiness" composite and used ordinal logistic regression to model the association between number of asthma exacerbations in the preceding year and the composite, accounting for demographic, clinical, and school characteristics. RESULTS: Of 202 participants aged 5 to 13 years, most identified as Black (95%) and non-Hispanic (98%), and most participants (73%) had an emergency department visit for asthma in the year before enrollment. Most students' schools (79%) had awareness of the child's asthma diagnosis, whereas fewer had reliever medications and valved holding chambers (both 31%) and asthma care plans (7%). Asthma exacerbations in the prior year were associated with a significantly higher school asthma readiness in bivariate (odds ratio [OR], 1.44 [95% CI, 1.14-1.82]; P = .002) and multivariable analysis (OR, 1.31 [95% CI, 1.02-1.7]; P = .037). CONCLUSIONS: A minority of children attended schools that were equipped to manage asthma symptoms. More past exacerbations were associated with higher school readiness, suggesting that more work is needed to support proactive asthma care in schools.

Humans

Occupational therapy roles and functions in the education of the school-based handicapped student.

This article presents current roles and functions of the school-based occupational therapist that were identified through data analyses of surveys conducted during 1978. The major roles emerging from data are evaluation/screening, program planning, implementing intervention programs, supervision, and consultation. Functions of occupational therapy educational management for each of the roles are specified. The findings will be used in the development of competency-based educational programs to prepare the occupational therapist with the specialized competencies needed in the provision of services within school systems.

Persons with Disabilities