Abstract: This paper clarifies the meaning of Perinatal Clinical Psychology by removing the prejudice and the stereotypes that unfortunately pervade children health care facilities still nowadays. The author goes over the basic principles that neuroscience has recently demonstrated in the development of the brain from the fetus to the infant, the child and the adult. The brain is self-generating through experience and not on the basis of genome. Epygenetics accounts for it. The brain needs to learn so as to be able to develop. Nobody has a brain that is the same as anybody else’s and therefore nobody has a mind that is the same as anybody else’s. The brain generates the mind and, in turn, the mind regenerates the brain in a ceaseless feedback. The experience that generates and renews the brain continuously comes from interpersonal relationships. The greatest incidence of this kind of development comes from the relationships with the parents and the caregivers and depends on the emotional moment of the relationship. This opens up transgenerational perspectives. The quality of the mind (and the brain) of the parents and caregivers produces the quality of the mind of the children. The latter, in turn, become adults, condition the mind of their children in cascade effect from one generation to the following. This transmission can produce an improvement but also a worsening for the future generations. As a consequence, Perinatal Clinical Psychology becomes important for prevention and psychological support to the children and the families at risk.

Keywords: Perinatal mind, parents mind, brain’s learning, Children at risk, transgenerationality.

Abstract: Malnutrition is a significant public health problem over the world, with severe impact in developing countries, including Asia and Africa. This paper present to assess malnutrition as a cause of infant and child mortality rate in Torbu community in Bo city, Sierra Leone. We used a community-based cross-sectional survey. A total of 80 mothers with children of under five years were selected using convenience sampling from the different divisions of Bo city. The findings showed that 48 (60%) of the respondents have never been sensitized nor have any knowledge about Malnutrition, of which 16 (50%) were informed via radio while 50 (63%) were not aware of any nutrition facility around the community. Besides, 56 (70%) of the respondents did not practice exclusive breastfeeding, 64 (80%) fed their children on only carbohydrates mainly in the form of rice, and 26 (32.5%) had one meal per day. 64 (80%) reported their children to have been admitted due to malnutrition (with mainly protein-energy malnutrition), while over a half 46 (57%) reported having lost a child to malnutrition. Thus, we recommended more nutrition education to address the poor Infant and Young Child Feeding (IYCF) practices as well as targeted health interventions to mitigate the devastating effects of child malnutrition in the district.

Keywords:  Parental knowledge, Malnutrition, Child mortality, Bo city.

Abstract: Background: Every school day, over 31 million U.S. children eat school lunches. Unfortunately, students often do not choose the healthy options in the school cafeteria. This paper describes outcome results of a pilot study using “nudges” to improve elementary school students’ fruits and vegetables selections.

Methods: A pilot study was conducted from January to May 2012, in six intervention schools and 2 control schools. A behavioral economics-based intervention was conducted using “nudges” or cues from the cafeteria (staff encouragement to select fruit and vegetables, food labels, “Harvest of the Month” posters), school (morning announcement messages, prompts regarding cafeteria food selections), and parents (school newsletter articles, parent listserve messages) to promote students’ selection of fruits and vegetables in the school cafeteria. The serving data from the point-of-service machine provided fruits and vegetables served per student per day.

Results:There were no significant differences in the number of servings of fruits and vegetables served per student per day, averaged over the study period. Process data revealed low implementation of the intervention components, which may partially explain results.

Conclusions: Low implementation of nudges led to non-significant results in this pilot study. However, providing environmental cues are important and warrant further research with full implementation. Starting 2012, the new meal pattern includes two vegetables and a fruit serving for lunch; and two fruit servings for breakfast. Minimal cost interventions should be explored to facilitate successful implementation of new school meal guidelines.

Keywords: National School Lunch Program, fruit, vegetables, behavioral economics, environment, school, cafeteria.

Abstract: Parenting styles and family contributors are the main determinants of obesity risk in children. To date, no research has been reported on parenting styles/practices and family contributors to the development of dietary behaviors in Arab children living in the US. The objectives of this exploratory mixed-method study were to collect data on parenting feeding styles (Caregiver’s Feeding Style Questionnaire- CFSQ) of Arab mothers and family contributors (Family Nutrition Physical Activity- FNPA) to the development of dietary behaviors in their children; and to collect data on Arab mothers' challenges and strategies to promote healthier dietary behaviors in their children. Although all Arab mothers (n=23) self-assessed that they were authoritative, only seven mothers were categorized as having an authoritative feeding style based on their CFSQ scores. The FNPA overall mean was 3.15, indicating less obesogenic family environment and behaviors. Across focus groups, barriers to desirable dietary intake included low vegetable intake and child being distracted by sweets, junk foods, and technology. All mothers wanted their children to have healthier dietary habits and used positive and negative approaches to achieve that. Positive approaches included no pressure to eat and providing healthier alternative foods. Negative approaches included pressuring the child to eat and rewarding with sweets and technology. In correlation analyses, the mother's BMI was significantly correlated with the child's BMI z-scores (r = 0.325, p = 0.005). This study can guide future efforts in assessing parenting style and assessing the home environment regarding the dietary behaviors of Arab families.

Keywords:  Arab mothers, childhood obesity, parenting styles, dietary behaviors, focus groups, mixed methods.