Community Centers Research Articles

Use Patterns, Technical Challenges and Patient Selection Associated With Single Use Duodenoscopes & Duodenoscopes With Single Use Endcaps In The United States & Canada

Background & AimsThe extent of adoption, patient selection and use patterns of single use duodenoscopes and duodenoscopes with single use endcaps have not yet been characterized, nor have large scale assessments of endoscopist-reported function and challenges. MethodsAn anonymous 6-minute electronic survey assessing use and experience with single use duodensocopes and duodenoscopes with novel design features was distributed to US and Canadian endoscopy centers and responses were analyzed using descriptive statistics. ResultsThe survey was notable for a 70.2% response rate, with representation from academic (68.9%), community (18%) and veterans affairs (8.2%) centers. Most institutions use standard reprocessable duodenoscopes and duodenoscopes with single use endcaps (34.4%), or a mix of standard reprocessable duodenoscopes, duodenoscopes with single use endcaps and single use duodenoscopes (29.5%). No center used only single use duodenoscopes (0%). 10.3% planned to transition to the duodenoscope with a single use endcap, 10.3% to a mix of single use duodenoscopes and duodenoscopes with single use endcap, and 1.7% to single use duodenoscopes alone. Challenges were reported with each type of novel duodenoscope and selection patterns for use were characterized. ConclusionsThis first-of-its-kind large scale survey of use patterns and functionality of newly introduced duodenoscopes is notable for fairly widespread use of the duodenoscopes with single use endcaps and more limited use of the single use duodenoscope. Both novel duodenoscope designs are associated with mechanical limitations that respondents indicate represent challenges to successful completion of ERCPs.

Data on librarians' perceptions of participation in a citizen science project in a network of public libraries

Citizen Science (CS) is an approach to scientific work and part of the Open Science movement. This study aims to analyse the perception of the librarians about their participation in the aBEIRAr project, which is a CS partnership for the valorisation of the territory developed in the Intermunicipal Network of Libraries of Beiras and Serra da Estrela (RIBBSE) in Portugal. The methodology comprised a literature review, and the case study includes an interview and a survey. Of the results obtained, the following stand out: the libraries are the driving forces behind the aBEIRAr project; they choose the themes, organise and dynamize the activities in their local communities, and establish various partnerships with the mediation of the project's scientific coordination; the level of satisfaction of the librarians in this project is very satisfactory; in the libraries, after carrying out the aBEIRAr project, the number of participants in other face-to-face activities and the interaction on their social network profiles increased; librarians consider that CS can bring to public libraries and their users participative scientific knowledge. The data provides valuable insights into the possibilities and challenges associated with executing CS projects in collaboration with public libraries. These findings contribute to the ongoing discussion about the role of libraries as essential community centers.

Urban green streets and water management safety hubs in public schools lots

Abstract Green Stormwater Infrastructure (GSI) represents an effective approach to enhance urban resilience to climate change, contributing to runoff regulation and localized flood risk reduction. This study examines the potential for transforming open spaces in public schools into safety hubs for stormwater management in Mediterranean urban contexts, drawing on best practices from North America. Through a methodological analysis combining Research Through Design and an international literary scoping review, case studies of schools in the Metropolitan City of Naples are presented and compared with U.S. projects implementing GSI in school areas. The results highlight the importance of strategic coordination guidelines for local administrators, designers, and school principals, aimed at planning, designing, and managing highly performant green infrastructure networks. An integrated and shared metropolitan-level approach can maximize environmental benefits, transforming schools into community centers for urban resilience education and participatory management of risks related to extreme weather events.

P2.04B.02 Eight Year Outcomes of a Multidisciplinary Lung Cancer Screening Program at a Large Community Centre in Canada

P2.04B.02 Eight Year Outcomes of a Multidisciplinary Lung Cancer Screening Program at a Large Community Centre in Canada

Who Holds up the Mirror? Women, Neighborhoods, and Public Education in Black Montreal

The Montreal Regional Committee of the National Congress of Black Women (NCBW), acting out of the burrow of Little Burgundy, was juggling a litany of roles in their service to Black Montrealers by the 1980s. Consisting of a mere fifty members, this non-profit had begun to show vested interest in the affordable public education of their fellow Black citizens, especially in regards to the maintenance of positive self-image in the youths of their communities. One project, “Let’s hold that mirror straight- Towards a positive Black image,” took up much of the energy of this passionate group in 1981. However, despite concerted efforts on the part of the organization and enthusiastic second parties, the event ended up being a middling success at best. This essay will consider how the failure of the “Hold That Mirror Straight” conference reflected the wider social issues plaguing Little Burgundy as a result urban renewal projects, which had been present in the neighborhood for decades by 1981. Indeed, this work will analyze the link between the conference’s lackluster success and another pivotal event which rocked the neighborhood at the end of the calendar year: the closure of the local anglophone secondary school, the Royal Arthur School. These two events, I would argue, would cast a shadow over the community for the next decade, and would mark the earliest steps towards the eventual downfall of the Negro Community Centre in 1993.

Bronze casting in Late Antiquity in the Marche Region

This essay reviews the discovery of three sites where deposits of bronze fragments have been found, in the Roman cities of Pisaurum, Sentinum and Potentia. Each site yielded small bronze fragments and some tools, which lead us to suppose that these were sites of Late Antique foundries, where large bronze statues and other bronze objects were broken up to be remelted. The foundries were located on land previously occupied by taverns in the forum area or by residential quarters. This means that the urban plan of the cities had already been partially transformed, probably due to Christianisation and the construction of churches, which became the new community centres, to the detriment of the older areas of the forum. The rampant poverty and shortage of raw materials, especially metals, made foundries indispensable and, consequently, their widespread presence, even within the cities, probably became customary. Perhaps the numerous bronze fragments found in other centres of the region should also be interpreted in this same sense, as indications of foundries, even if the structures where the metal was worked have not been preserved.

Screening log: Challenges in community patient recruitment for gynecologic oncology clinical trials

BackgroundClinical trial participation can improve overall survival and mitigate healthcare disparities for gynecologic cancer patients in low-volume community centers. This study aimed to assess the effectiveness of a centrally regulated but administratively decentralized electronic screening log system to identify eligible patients across a large catchment area for a National Cancer Institute (NCI)-designated cancer center's open clinical trials. MethodsElectronic screening log data collected between 2014 and 2021 from ten community partner sites in a single NCI-designated cancer center's catchment area were reviewed retrospectively. Clinical factors assessed included cancer site, primary versus recurrent disease status, and histology. Identification efficiency (the ratio of patients screened identified with an available trial) was calculated. Identification inefficiencies (failures to identify patients with a potentially relevant trial) were assessed, and etiologies were characterized. ResultsAcross ten community partner sites, 492 gynecologic cancer patients were screened for seven open clinical trials during the study period. This included 170 (34.5 %) ovarian cancer patients, 156 (31.7 %) endometrial cancer patients, and 119 (24.2 %) cervical cancer patients. Over 40 % had advanced stage disease, and 10.6 % had recurrent disease. Only three patients were identified as having a relevant open trial; none ultimately enrolled due to not meeting trial eligibility criteria. An additional 2–52 patients were retrospectively found to have a relevant trial available despite not being identified as such within the electronic screening log system. Up to 14.4 % of patients had one or more missing minimum data elements that hindered full evaluation of clinical trial availability. Re-screening patients when new trials open may identify 12-15 additional patients per recurrent disease trial. ConclusionsAn electronic screening log system can increase awareness of gynecologic oncology clinical trials at a NCI-designated cancer center's community partner sites. However, it is inadequate as a single intervention to increase clinical trial enrollment. Providing adequate support staff, documenting clinical factors consistently, re-screening patients at relevant intervals, and coordinating with central study personnel may increase its utility.

Improving community detection in blockmodel by distance-based observation selection

Community detection is an important research topic in complex systems and has plenty of applications in real-world networks. Probabilistic methods, such as the Expectation–Maximization (EM), are developed to classify nodes that have similar connection patterns in a network based on blockmodels. However, the detection procedures in these models are typically started from randomly generated initial community distributions without prior knowledge. In biological and social networks, there are practical measures to obtain prior knowledge for a subset of nodes, such as local observations. These facts lead us to question how we can select a subset of nodes with known community labels to enhance the accuracy of the EM method. The current selection methods lack the relationship between detection accuracy and structural characteristics and most approaches consider the nodes as the center of communities, which is not suitable for block models. In this paper, we first study the relationships between the structural distance and detection accuracy without prior knowledge. Then we propose a distance-based indicator to describe the performance of the observation node set in the EM method. Finally, we introduce a scoring method based on the indicator to select a partial observation set, improving the accuracy of community detection using the EM method. Empirical results from synthetic and real-world networks corroborate that the proposed indicator could contribute to a better performance in kinds of scenarios.

Abstract B046: Factors influencing patient decision-making to complete Low Dose CT screening for lung cancer

Abstract As part of a randomized, controlled trial (RCT) to increase lung cancer screening (LCS) with low-dose CT scan (LDCT) within the Choctaw Nation of Oklahoma’s tribal health system, we conducted a qualitative study to explore the barriers behind patient decisions to forego screening. Thirty eligible participants who had been in the RCT for at least one year were identified as LCS completers (n=7) or non-completers (n=23). A single interviewer completed all interviews using a semi-structured interview guide, designed to explore experiences, barriers/facilitators to LCS, factors influencing screening decisions, and suggested strategies for expanding the LCS program into the community. Interviews were recorded and transcribed verbatim. Data were analyzed using conventional content analysis. Most non-completers reported having no conversations about the availability of LCS with their primary care provider (PCP) or receiving any information about the LCS program. In contrast, the completers all reported PCP-initiated discussions about the LCS program, their risk factors, and an overview of the testing process. Key themes that emerged included fears, e.g., being unsure about what the test involves, afraid of being diagnosed with lung cancer and what might follow, and afraid of dying. Some voiced concerns, e.g., feeling guilty as active smokers and being stigmatized should they be diagnosed with lung cancer. Many participants posited that there was no reason for screening without symptoms. Lack of understanding, especially about cancer care, was identified as a contributing factor. Suggested strategies to increase the reach into the community included using existing infrastructure within Choctaw Nation, such as disseminating information through the tribal newsletter, inserts in prescription refills, and notifications via the patient portal. Community education programs at local community centers, particularly around senior citizen meals, were offered as strategies to change the perception that lung cancer is a death sentence. Hosting an informational booth at the annual tribal Labor Day festival was commonly suggested. In conclusion, multiple reasons were cited for forgoing LDCT screening. In this tribal setting, findings are similar to ones documented in other settings. This suggests that interventions to overcome these challenges may build off known evidence-based interventions, such as the recommendations for cancer prevention documented by the Community Preventive Services Task Force. Addressing fears through multiple educational approaches and adapting strategies from the American Lung Association to address stigma could lead to enhanced interventions. Finally, capitalizing on tribal resources (newsletter) and tribal events to increase LCS awareness may be promising strategies to improve screening in the local tribal setting. Citation Format: Kathleen Dwyer, Zsolt Nagykaldi, Mark Doescher, Dorothy A. Rhoades. Factors influencing patient decision-making to complete Low Dose CT screening for lung cancer [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B046.

City and Countryside in Byzantine Anatolia: Amorium

Amorium is a key site for the period AD 700-900 owing to its historical importance as the capital of the Anatolic Theme. The well preserved remains provide an exceptional opportunity to study the layout and function of the Byzantine city and its excavation sheds light on the transition, modification, and continuity of the settlement between the Late Roman and Byzantine periods. The evidence from twenty years of excavation points to the existence of a large and prosperous city during Early and Middle Byzantine times, where various trades and crafts were practised and which served as the centre of a vibrant rural community engaged in agriculture as well as animal husbandry. The destruction layers from the capture of Amorium by the Arabs in 838 create a fixed horizon and reference point for the entire archaeology and material culture of early to mid-ninth century Anatolia. Pottery and coin finds in particular provide good indicators of the level and nature of economic activity. In this study some conclusions are drawn from that material, and discussion of it is set in the context of other sites and the interpretation of finds there. The evidence from Amorium presents new insights that appear at odds with accepted views of the Byzantine world in the Early Middle Ages.

“Stuck in, Can’t Come Out”: Physical Distancing and YouTube Spaces for LGBTQ Adolescents’ Wellbeing

The pandemic has led to physical distancing measures put in place to minimize the spread of COVID-19, leading schools and community centers to close their physical locations. For many lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals living with their family, their home can be considered harmful and unsupportive due to their family’s rejection towards LGBTQ identity. LGBTQ YouTubers can be a unique avenue to understand how they can use their social media presence to act as an online supportive system that parallel traditional offline supportive systems during the pandemic where offline supportive spaces are limited. The purpose of the study is to analyze online video platforms (ie. YouTube) and whether LGBTQ YouTubers can act as support systems for their LGBTQ community during the pandemic through video content creation. Four LGBTQ YouTubers that have created videos related to the COVID-19 outbreak were chosen and their video comments (NVideo1 = 147; NVideo2 = 195; NVideo3 = 238; NVideo4 = 79) were analyzed through content analysis. Results revealed the following categories: 1) Community support and engagement between the community and the YouTuber, 2) diverse coping strategies as a result of COVID-19, 3) community’s emotional experiences surrounding COVID-19, 4) community members’ use of diverse support types, 5) YouTuber authenticity and relatability to community, and 6) intersectional identity (e.g., disability, ethnicity) experiences. Emerging themes suggest LGBTQ YouTubers can be informal online social support systems that can parallel the physical connections and support lost due to COVID-19.

The Role of Disaster Memorial Facilities in Disaster Risk Reduction: Experiences from the Tohoku Region in Japan

Disaster memorials have emerged as pivotal approaches for not only commemorating disasters but also imparting lessons to future generations. However, despite discussions on preservation, little involvement has been reflected in the impacts of different memorial patterns in disaster risk reduction (DRR). This study examines the roles of disaster-related memorial facilities in DRR, exploring how distinct memorial patterns transfer disaster experiences to future generations. This research is based on a quantitative strategy, applying an online questionnaire with 538 respondents who visited the three selected sites under the background of the Great East Japan Earthquake and Tsunami (GEJET) to identify their triggers and purpose for visiting, the impact of facilities on raising disaster awareness, the practical contents, and the important roles of DRR. The findings reveal that while all three facilities contribute to DRR with the same most important role as disseminating the lessons of the GEJET, their impact on visitors’ disaster awareness varies. Sendai Arahama Elementary School particularly raises awareness of disaster threats, while the Higashi-Matsushima Memorial Museums and the 3.11 Memorial Community Center enhance visitors’ disaster-related knowledge. Visually stimulating exhibits in the facilities, such as remains, photos, and videos, underscore the importance of disaster preparedness, while panels and science exhibits offer comprehensive insights into disaster-related knowledge. However, none of the three sites have significant roles in deepening regional exchange.

Effects of Virtual Reality Motor-Cognitive Training for Older People With Cognitive Frailty: Multicentered Randomized Controlled Trial.

Cognitive frailty refers to a clinical syndrome in which physical frailty and mild cognitive impairment coexist. Motor-cognitive training and virtual reality (VR) have been used to launch various therapeutic modalities to promote health in older people. The literature advocates that motor-cognitive training and VR are effective in promoting the cognitive and physical function of older people. However, the effects on older people with cognitive frailty are unclear. This study examined the effects of VR motor-cognitive training (VRMCT) on global cognitive function, physical frailty, walking speed, visual short-term memory, inhibition of cognitive interference, and executive function in older people with cognitive frailty. This study used a multicentered, assessor-blinded, 2-parallel-group randomized controlled trial design. Participants were recruited face-to-face in 8 older adult community centers. Eligible participants were aged ≥60 years, were community dwelling, lived with cognitive frailty, had no dementia, and were not mobility restricted. In the intervention group, participants received VRMCT led by interventionists with 16 one-hour training sessions delivered twice per week for 8 weeks. In the control group, participants received the usual care provided by the older adult community centers that the investigators did not interfere with. The primary outcome was global cognitive function. The secondary outcomes included physical frailty, walking speed, verbal short-term memory, inhibition of cognitive interference, and executive function. Data were collected at baseline (T0) and the week after the intervention (T1). Generalized estimating equations were used to examine the group, time, and interaction (time × group) effects on the outcomes. In total, 293 eligible participants enrolled in the study. The mean age of the participants was 74.5 (SD 6.8) years. Most participants were female (229/293, 78.2%), had completed primary education (152/293, 52.1%), were married (167/293, 57.2%), lived with friends (127/293, 43.3%), and had no VR experience (232/293, 79.5%). In the intervention group, 81.6% (119/146) of participants attended >80% (13/16, 81%) of the total number of sessions. A negligible number of participants experienced VR sickness symptoms (1/146, 0.7% to 5/146, 3%). VRMCT was effective in promoting global cognitive function (interaction effect: P=.03), marginally promoting executive function (interaction effect: P=.07), and reducing frailty (interaction effect: P=.03). The effects were not statistically significant on other outcomes. VRMCT is effective in promoting cognitive functions and reducing physical frailty and is well tolerated and accepted by older people with cognitive frailty, as evidenced by its high attendance rate and negligible VR sickness symptoms. Further studies should examine the efficacy of the intervention components (eg, VR vs non-VR or dual task vs single task) on health outcomes, the effect of using technology on intervention adherence, and the long-term effects of the intervention on older people with cognitive frailty at the level of daily living. ClinicalTrials.gov NCT04730817; https://clinicaltrials.gov/study/NCT04730817.

Sustainability and Quality of Life in Marginalized Areas: An Impact Evaluation of a Community Center in Santa Fe, Mexico

The aim of this paper is to present the results of an impact evaluation of a community center in health, capacity building, and digital access, which form an approximation of quality of life, in the population of Santa Fe town in Mexico City, from 2022 to 2024. The methodology is quantitative, using an impact index and the differences in differences (DD) technique. The data were obtained from primary sources with surveys undertaken via questionnaires. The center is operated by a private university and funded by private firms. The results show a positive impact of 0.287127 out of 1 on the weighted impact index, which allows us to consider this program successful in improving the quality of life of the target population. Through impact evaluation, the effectiveness of interventions and opportunities for improvement are identified, fostering collaboration among local actors, including community members, state-run public programs, and community centers. This collaborative effort improves the quality of life, creating a sustainable community wherein each actor addresses specific needs. Impact evaluation plays a crucial role in measuring sustainability because it is a continuous improvement process that, when combined with other actions, enhances the community’s overall well-being.

Lower survival for surgical treatment of human papillomavirus–related oropharynx cancer at community cancer centers

Abstract Background The rate of primary surgery for human papillomavirus (HPV)–related oropharynx cancer has recently declined, whereas use of transoral robotic surgery has lagged at community cancer centers. We hypothesize that differences in overall survival exist between patients undergoing surgery for HPV-related oropharynx cancer at community centers and low transoral robotic surgery volume (<15 transoral robotic surgeries per year) academic centers and high transoral robotic surgery volume (≥15 transoral robotic surgeries per year) academic centers. Methods Patients from the US National Cancer Database with a diagnosis of HPV-related oropharynx cancer from 2010 to 2019 who underwent primary surgical treatment were included. Trends in transoral robotic surgery use, rates of positive surgical margins, quality of adjuvant treatment, and 5-year overall survival were compared between community centers, low transoral robotic surgery volume academic centers, and high transoral robotic surgery volume academic centers. Results A total of 5406 patients met study criteria. A clinically and statistically significantly lower proportion of patients at community centers underwent transoral robotic surgery than at low transoral robotic surgery volume academic centers or high transoral robotic surgery volume academic centers (26.2% vs 44.0% vs 73.9%, respectively; P < .001). The rate of positive surgical margins was clinically and statistically significantly higher at community centers than at low transoral robotic surgery volume academic centers or high transoral robotic surgery volume academic centers (25.7% vs 15.3% vs 9.2%, respectively; P < .001). A greater proportion of patients undergoing adjuvant radiotherapy (RT) received prolonged courses (23.6% vs 13.1% vs 8.8%; P < .001) or excessive doses (16.5% vs 11.5% vs 8.7%; P < .001) of RT at community centers than at low transoral robotic surgery volume academic centers or high transoral robotic surgery volume academic centers, respectively. Five-year overall survival was lowest at community centers (85.2%, 95% confidence interval [CI] = 81.7% to 88.2%), intermediate at low transoral robotic surgery volume academic centers (88.9%, 95% CI = 87.2% to 90.4%), and highest at high transoral robotic surgery volume academic centers (91.4%, 95% CI = 89.5% to 92.9%; Plog-rank < .01). Conclusions Clinically and statistically significant differences in the type and quality of surgical and adjuvant treatment for HPV-related oropharynx cancer exist between facility types based on transoral robotic surgery volume. Overall survival was lowest at community centers, intermediate at low transoral robotic surgery volume academic centers, and highest at high transoral robotic surgery volume academic centers.

Omission of Axillary Lymph Node Dissection in Patients with Residual Nodal Disease After Neoadjuvant Chemotherapy.

Axillary management after neoadjuvant chemotherapy (NAC) is evolving but axillary lymph node dissection (ALND) remains the standard of care for patients with residual nodal disease. The results of the Alliance A011202 trial evaluating the oncologic safety of ALND omission in this cohort are pending but we hypothesize that ALND omission is already increasing. The National Cancer Database was queried to identify patients diagnosed with cT1-3N1M0 breast cancer who underwent NAC and had residual nodal disease (ypN1mi-2) from 2012 to 2021. Temporal trends in omission of completion ALND were assessed annually. Multivariable logistic and Cox regression models were used to identify factors associated with ALND omission and overall survival (OS), respectively. A total of 6101 patients were included; the majority presented with cT2 disease (57%), with 69% HER2+, 23% triple-negative, and 8% hormone receptor-positive/HER2-. Overall, 34% underwent sentinel lymph node biopsy (SLNB) alone. Rates of ALND were the lowest in the last 4years of observation. After adjustment, treatment at community centers (vs. academic) and lower pathologic nodal burden were associated with omission of ALND. ALND omission was associated with a higher unadjusted OS (5-year OS: 86% SLNB alone vs. 84% ALND; log-rank p=0.03), however this association was not maintained after adjustment. Despite the impending release of the Alliance A011202 results, omission of ALND in patients with residual nodal disease after NAC is increasing. This practice appears more prominent in community centers and in patients with a lower burden of residual nodal disease. No association with OS was noted.

Communities as Victims of Inter-Cattle Rustling Gangs in the Northern Regions of Kenya and Uganda

Cattle rustling remains a deeply rooted issue in the Northern regions of Kenya and Uganda and encompasses a complex and multi-faceted problem with far-reaching implications for victimized communities. This issue, originating from tribal tensions, territorial disputes, economic incentives, marginalization, and climate change, demands a comprehensive investigation. This study aims to shed light on the intricate dynamics of inter-cattle rustling attacks, delving into the temporal patterns, distinct attack characteristics, and their societal impact. In this context, the research objectives include determining patterns and trends of these attacks, assessing their impacts on affected communities, and proposing measures to enhance the protection and empowerment of these communities. The study employed a mixed methods research approach, which involved a target population of approximately 400,000 individuals from the Pokot and Sebei communities living along the Kenya-Uganda border. Data collection methods included semi-structured interviews with key informants, focus group discussions, and a review of existing reports and records. The study identified distinct temporal patterns of inter-cattle rustling attacks, with attacks occurring most frequently during specific timeframes, such as early morning, late morning, afternoon, and late evening. This temporal pattern offers insights into the strategic considerations of the attackers. In addition, the study revealed that attacks exhibit distinct characteristics depending on the time of day. In the morning, attacks are marked by swiftness, a "grab and run" mentality, and a readiness to eliminate opposition. Afternoons see a shift in focus, with caretakers becoming the primary targets. Evening raids are conducted with stealth and aim to drive stolen animals across the border. Further, the attackers, known as "Morans," were found to be well-prepared and armed, with a high level of coordination, particularly in morning and evening attacks. Their identity adds to the complexity of the confrontations. The impact of inter-cattle rustling attacks goes beyond economic losses, resulting in the loss of life, displacement of communities, closed schools, and the disruption of community centers. Entire sections of communities are forced to relocate, upending livelihoods and contributing to a sense of desolation. The attacks traumatize victim communities, with children, in particular, bearing a heavy psychological burden, especially in the brutal morning confrontations. This psychological impact further erodes the social fabric. Based on these findings, the study recommends implementing community-based resilience programs, establishing psychosocial support services, engaging in conflict resolution and mediation efforts, strengthening security measures, promoting sustainable resource management, providing economic opportunities, and facilitating cross-cultural dialogues. These recommendations are expected to contribute to the development of more effective policies and interventions. In summary, this study contributes valuable insights that can inform evidence-based policy development to address the multi-faceted challenge of cattle rustling and its diverse implications for the affected communities in the Northern regions of Kenya and Uganda.

Factors Influencing Older People's Intentions to Vaccinate.

Vaccination is crucial in reducing the spread of disease and improving overall patient mortality. Limited information exists regarding pharmacist accessibility outside traditional medical settings or impact on older patients' intention to vaccinate. This study aimed to examine patient perceptions regarding pharmacist accessibility and vaccination intention. Researchers used a quantitative research method of older people from Ohio, Kentucky, and Indiana. A survey was given to community-dwelling older people who attended different vaccine clinics. The survey included 10 questions describing reasons for not receiving vaccines in the past, how likely they are to receive vaccines if administered at community events, and the importance of having easy access to vaccines. For Likert-type items, a 5-point scale was used. The surveys were collected electronically and anonymously from several community events. Aggregate data were analyzed with descriptive and inferential statistics. One hundred seventy-eight responses were collected. The average age of participants was 75 years, and 70.8% were females. Of the respondents, 44.9% preferred to receive vaccines at a community center, 17.4% at the doctor's office, 4.5% at a clinic, and 9.6% at a sporting event like a boxing match. Men were more likely to receive a vaccine at a sporting event, while women were more likely to be interested in receiving a vaccine at a community center (P < 0.05). Respondents somewhat agreed (median = 4, interquartile range = 3-5) that they do not have transportation to places with vaccines. Age was significantly and negatively correlated with educational attainment (P < 0.001). However, as participants' ages increased, they were significantly more likely to have a belief that vaccines do not work (P = 0.011). The study addressed how pharmacists should consider more community outreach events in convenient locations, like community centers, for older people to improve vaccination rates.

Precarity Factors of Street-Based Sex Work Within Criminalised Contexts: A Study in Athens, Greece

This community research study aims to investigate the intersecting self-identified precarity factors and identities associated with street-based sex work in a criminalised context, specifically in Athens, Greece, to improve the effectiveness of individualised care interventions. Interviews of 264 cis and trans female sex workers were conducted from June 2021 to December 2022, at a community day centre for sex workers in Athens. The community-based precarity index for sex workers was used, which was developed at the community centre, using factors identified by sex workers themselves. Street-based sex workers more commonly reported interrelated precarious factors, such as perceived problematic substance use, homelessness, client violence, medical issues, and trouble with the police. Trans and refugee identities were both associated with street-based sex work as well. Harm reduction, gender-affirmative and multilingual and multicultural interventions are essential in street-based sex work intervention programs. Decriminalisation of sex work is recommended to reduce the harms and risks associated with sex work.

Artistic Living for the Elderly of Shanghai

Over-60 seniors in Shanghai have at their disposal arts courses, community activities, and arts education, all geared toward their physical and mental well-being, according to the traditional Chinese theory of “artistic living.” If current university programs for the elderly accurately identify the artistic needs of the elderly, further individualizing curricula and holding more varied events at community centers, it would help to solve elderly people’s anxieties around loneliness and social marginalization, while allowing them to live in harmony with nature.