This dietary intervention did not improve non-allergic nut ingestion by nut allergic children. Hospital challenge increased introduction rates, whilst parentally reported child concern about a reaction reduced success. Non-allergic nut ingestion did not change quality of life or sensitization.

An urban public school system in the northeastern United States implemented the RULER Program, an evidence-based social emotional learning program, into schools in 2014. This case study investigates the impact of the RULER Program on school climate at one pre-K-8 school within that larger urban system. The study sought to determine if there are statistically significant changes in student suspensions, attendance, and academic achievement at that school since the initial implementation of the RULER Program by performing 2-proportion z tests. This study also sought to determine faculty and staff perceptions of school climate at the subject school by performing a descriptive analysis of survey data and coding interview and observation data for themes. The quantitative and qualitative data merge to provide a comprehensive explanation of the impact of a school wide social emotional learning program on school climate.