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This study evaluated the impact of a 6-month school nutrition intervention on changes in dietary knowledge, attitude, behavior (KAB) and nutritional status of Syrian refugee children. A quasi-experimental design was followed; Syrian refuge children in grades 4 to 6 were recruited from three informal primary schools (two intervention and one control) located in the rural Bekaa region of Lebanon. The intervention consisted of two main components: classroom-based education sessions and provision of locally-prepared healthy snacks. Data on household socio-demographic characteristics, KAB, anthropometric measures and dietary intake of children were collected by trained field workers at baseline and post-intervention. Of the 296 school children enrolled, 203 (68.6%) completed post-intervention measures. Significant increases in dietary knowledge (β = 1.22, 95% CI: 0.54, 1.89), attitude (β = 0.69, 95% CI: 0.08, 1.30), and body mass index-for-age-z-scores (β = 0.25, 95% CI = 0.10, 0.41) were observed among intervention vs. control groups, adjusting for covariates (p < 0.05). Compared to the control, the intervention group had, on average, significantly larger increases in daily intakes of total energy, dietary fiber, protein, saturated fat, and several key micronutrients, p < 0.05. Findings suggest a positive impact of this school-based nutrition intervention on dietary knowledge, attitude, and nutritional status of Syrian refugee children. Further studies are needed to test the feasibility and long-term impact of scaling-up such interventions.

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Sheep breeds which are indigenous to arid and semi-arid regions are known for their ability to adapt to rustic environments, to climatic variations as well as to shortages in resources. Water scarcity, often combined with heat stress, is a common challenge facing these animals, causing physiological perturbations and affecting the animal's productivity. This review reports the effect of different forms of water stress on physiological indicators, blood parameters, thermoregulation and immunological status in sheep. Although the breed effect may be significant, the following are generally observed common responses: drop in feed intake and weight loss, increase in evaporative cooling through panting, production of a small volume of highly concentrated urine, haemoconcentration, high blood osmolality, and immunosuppression. Prolonged water shortage may affect lamb birth weight and survival, and lead to a decrease in milk production, especially in non-adapted breeds, which could lead to important economic losses, as reported in heat-stressed sheep husbandries. Novel stress alleviation approaches are also presented, such as vitamin C supplementation