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225 result(s) for "Black, Andrew P"
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How effective are family-based and institutional nutrition interventions in improving children’s diet and health? A systematic review
Background Effective strategies to improve dietary intake in young children are a priority to reduce the high prevalence of chronic non-communicable diseases in adulthood. This study aimed to assess the impact of family-based and school/preschool nutrition programs on the health of children aged 12 or younger, including the sustainability of these impacts and the relevance to socio-economic inequalities. Methods A systematic review of literature published from 1980 to December 2014 was undertaken. Randomised controlled trials involving families with children aged up to 12 years in high income countries were included. The primary outcomes were dietary intake and health status. Results were presented in a narrative synthesis due to the heterogeneity of the interventions and outcomes. Results The systematic search and assessment identified 39 eligible studies. 82% of these studies were set in school/preschools. Only one school study assessed the impact of involving parents systematically. The family-based programs which provided simple positive dietary advice to parents and regular follow-up reduced fat intake significantly. School and family-based studies, if designed and implemented well, increased F&V intake, particularly fruit. Effective school-based programs have incorporated role-models including peers, teachers and heroic figures, rewards and increased access to healthy foods. School nutrition programs in disadvantaged communities were as effective as programs in other communities. Conclusions Family and school nutrition programs can improve dietary intake, however evidence of the long-term sustainability of these impacts is limited. The modest overall impact of even these successful programs suggest complementary nutrition interventions are needed to build a supportive environment for healthy eating generally.
Food subsidy programs and the health and nutritional status of disadvantaged families in high income countries: a systematic review
Background Less healthy diets are common in high income countries, although proportionally higher in those of low socio-economic status. Food subsidy programs are one strategy to promote healthy nutrition and to reduce socio-economic inequalities in health. This review summarises the evidence for the health and nutritional impacts of food subsidy programs among disadvantaged families from high income countries. Methods Relevant studies reporting dietary intake or health outcomes were identified through systematic searching of electronic databases. Cochrane Public Health Group guidelines informed study selection and interpretation. A narrative synthesis was undertaken due to the limited number of studies and heterogeneity of study design and outcomes. Results Fourteen studies were included, with most reporting on the Special Supplemental Nutrition Program for Women, Infants and Children in the USA. Food subsidy program participants, mostly pregnant or postnatal women, were shown to have 10–20% increased intake of targeted foods or nutrients. Evidence for the effectiveness of these programs for men or children was lacking. The main health outcome observed was a small but clinically relevant increase in mean birthweight (23–29g) in the two higher quality WIC studies. Conclusions Limited high quality evidence of the impacts of food subsidy programs on the health and nutrition of adults and children in high income countries was identified. The improved intake of targeted nutrients and foods, such as fruit and vegetables, could potentially reduce the rate of non-communicable diseases in adults, if the changes in diet are sustained. Associated improvements in perinatal outcomes were limited and most evident in women who smoked during pregnancy. Thus, food subsidy programs for pregnant women and children should aim to focus on improving nutritional status in the longer term. Further prospective studies and economic analyses are needed to confirm the health benefits and justify the investment in food subsidy programs.
How We Refactor, and How We Know It
Refactoring is widely practiced by developers, and considerable research and development effort has been invested in refactoring tools. However, little has been reported about the adoption of refactoring tools, and many assumptions about refactoring practice have little empirical support. In this paper, we examine refactoring tool usage and evaluate some of the assumptions made by other researchers. To measure tool usage, we randomly sampled code changes from four Eclipse and eight Mylyn developers and ascertained, for each refactoring, if it was performed manually or with tool support. We found that refactoring tools are seldom used: 11 percent by Eclipse developers and 9 percent by Mylyn developers. To understand refactoring practice at large, we drew from a variety of data sets spanning more than 39,000 developers, 240,000 tool-assisted refactorings, 2,500 developer hours, and 12,000 version control commits. Using these data, we cast doubt on several previously stated assumptions about how programmers refactor, while validating others. Finally, we interviewed the Eclipse and Mylyn developers to help us understand why they did not use refactoring tools and to gather ideas for future research.
Refactoring Tools: Fitness for Purpose
Refactoring is the process of changing software's structure while preserving its external behavior. Refactoring tools can improve the speed and accuracy with which developers create and maintain software-but only if they are used. In practice, tools are not used as much as they could be; this seems to be because sometimes they do not align with the refactoring tactic preferred by most programmers, a tactic the authors call \"floss refactoring.\" They propose five principles that characterize successful floss-refactoring tools - principles that can help programmers to choose the most appropriate refactoring tools and also help toolsmiths to design tools that fit the programmer's purpose.
Nutritional impacts of a fruit and vegetable subsidy programme for disadvantaged Australian Aboriginal children
Healthy food subsidy programmes have not been widely implemented in high-income countries apart from the USA and the UK. There is, however, interest being expressed in the potential of healthy food subsidies to complement nutrition promotion initiatives and reduce the social disparities in healthy eating. Herein, we describe the impact of a fruit and vegetable (F&V) subsidy programme on the nutritional status of a cohort of disadvantaged Aboriginal children living in rural Australia. A before-and-after study was used to assess the nutritional impact in 174 children whose families received weekly boxes of subsidised F&V organised through three Aboriginal medical services. The nutritional impact was assessed by comparing 24 h dietary recalls and plasma carotenoid and vitamin C levels at baseline and after 12 months. A general linear model was used to assess the changes in biomarker levels and dietary intake, controlled for age, sex, community and baseline levels. Baseline assessment in 149 children showed low F&V consumption. Significant increases (P< 0·05) in β-cryptoxanthin (28·9 nmol/l, 18 %), vitamin C (10·1 μmol/l, 21 %) and lutein–zeaxanthin (39·3 nmol/l, 11 %) levels were observed at the 12-month follow-up in 115 children, although the self-reported F&V intake was unchanged. The improvements in the levels of biomarkers of F&V intake demonstrated in the present study are consistent with increased F&V intake. Such dietary improvements, if sustained, could reduce non-communicable disease rates. A controlled study of healthy food subsidies, together with an economic analysis, would facilitate a thorough assessment of the costs and benefits of subsidising healthy foods for disadvantaged Aboriginal Australians.
Post-Javaism
The Java programming language has been a phenomenal success. It's a significant improvement over C and C++, and its libraries for network and GUI programming have introduced large numbers of programmers to previously esoteric disciplines.But Java isn't the end of programming language history. What language will we use 10 or 20 years from now?
Post-Javaism object-oriented languages
The Java programming language has been a phenomenal success. It's a significant improvement over C and C++, and its libraries for network and GUI programming have introduced large numbers of programmers to previously esoteric disciplines. The recent European Conference for Object-Oriented Programming (ECOOP) included the workshop on object-oriented language engineering for the post-Java era at which researchers gathered to examine languages that diverge from this model. The only way to produce a language over which one programmer can have intellectual mastery is to start with a really tiny kernel and add on what 30 years of experience has shown to be absolutely necessary.
Rotten green tests in Java, Pharo and Python
Rotten Green Tests are tests that pass, but not because the assertions they contain are true: a rotten test passes because some or all of its assertions are not actually executed. The presence of a rotten green test is a test smell, and a bad one, because the existence of a test gives us false confidence that the code under test is valid, when in fact that code may not have been tested at all. This article reports on an empirical evaluation of the tests in a corpus of projects found in the wild. We selected approximately one hundred mature projects written in each of Java, Pharo, and Python. We looked for rotten green tests in each project, taking into account test helper methods, inherited helpers, and trait composition. Previous work has shown the presence of rotten green tests in Pharo projects; the results reported here show that they are also present in Java and Python projects, and that they fall into similar categories. Furthermore, we found code bugs that were hidden by rotten tests in Pharo and Python. We also discuss two test smells —missed fail and missed skip —that arise from the misuse of testing frameworks, and which we observed in tests written in all three languages.
The Eden System: A Technical Review
The Eden project is a five year experiment in designing, building, and using an \"integrated distributed\" computing system. We are attempting to combine the benefits of integration and distribution by supporting an object based style of programming on top of a node machine/local network hardware base. Our experimental hypothesis is that such an architecture will provide an environment conducive to building distributed applications.
Object-oriented programming: some history, and challenges for the next fifty years
Object-oriented programming is inextricably linked to the pioneering work of Ole-Johan Dahl and Kristen Nygaard on the design of the Simula language, which started at the Norwegian Computing Centre in the Spring of 1961. However, object-orientation, as we think of it today---fifty years later---is the result of a complex interplay of ideas, constraints and people. Dahl and Nygaard would certainly recognise it as their progeny, but might also be amazed at how much it has grown up. This article is based on a lecture given on 22nd August 2011, on the occasion of the scientific opening of the Ole-Johan Dahl hus at the University of Oslo. It looks at the foundational ideas from Simula that stand behind object-orientation, how those ideas have evolved to become the dominant programming paradigm, and what they have to offer as we approach the challenges of the next fifty years of informatics.