Community Personnel Research Articles

Social isolation profiles and conditional process analysis among postoperative enterostomy patients with colorectal cancer.

This study aimed to identify social isolation latent profiles and analyze the specific mechanisms in which social support, resilience, and posttraumatic growth associated social isolation from the perspective of positive psychology. Suggestions were offered to improve the mental health status of postoperative enterostomy patients with colorectal cancer. This was a cross-sectional survey. From December 2022 to September 2023, convenience sampling was used to select 303 enterostomy patients from three hospitals in Guangzhou. A paper questionnaire was used to investigate their levels of social support, resilience, posttraumatic growth, and social isolation. T-test, ANOVA, Pearson Correlation Analysis, Latent Profile Analysis and Conditional Process Analysis were used to analyze the correlation between variables. (1) Education level, occupation, family monthly income per capita and times of changing enterostomy bag per week were significantly associated with social isolation. (2) Social isolation of patients included low alienation-fluctuation group (Class 1, 13.9%), medium group (Class 2, 64.0%), high alienation-low meaning group (Class 3, 22.1%). (3) Social isolation was negatively correlated with social support, resilience, and posttraumatic growth (P < 0.001). (4) Resilience played a mediating role in the association between social support and social isolation. (5) The second half path of the mediation model was moderated by posttraumatic growth. Clinical staff, community personnel and family members should pay attention to the potential differences in social isolation experienced by patients. Suitable psychological strategies should be employed to enhance resilience, promote posttraumatic growth, for improving the patients' mental health levels and help them return to society.

‘It overwhelms the system’: examining EMS provision in a South Texas border community

ObjectiveExamine how the characteristics of border communities along the US southern land border impact Emergency Medical Services (EMS) personnel in these border communities.DesignUsing phenomenological approach, we conducted face-to-face, one-on-one interviews...

Advancing a virtual home hospital: a blueprint for development and expansion

BackgroundThe rising demand for hospitals has spurred increased interest in adopting virtual home hospital (VHH) care models. Development in this area often uses rigid research methods. This study describes a...

Improving public safety through precinct and neighborhood-based virtual restorative community-police dialogues

ABSTRACT The Seattle Police Department’s (SPD) Micro-Community Policing Plans (MCPP) is a collaborative police-community engagement initiative between Seattle University and the SPD. The MCPP consists of annual administration of the Seattle Public Safety Survey, Seattle University student Research Analysts (RA) a public-facing website, and virtual community-police dialogues. The MCPP community-police dialogues use a restorative framework to engage the community and police in conversation about the annual Seattle Public Safety Survey results, real-time crime and public safety concerns, and how community and police personnel can work together to improve public safety and neighborhood quality of life. Post dialogue surveys and participant observation meeting notes from 30 dialogues held May–August in 2021 and 2022 were analyzed using qualitative data software, ATLAS.ti. Key themes discussed in the dialogues are presented and the value of the MCPP dialogues are discussed.

Lessons from community engagement to improve COVID-19 diagnosis and treatment in Cochabamba, Bolivia

ABSTRACT Background Community engagement is recognized as a vital component of health-related research and programs, particularly during infectious disease outbreaks and epidemics. Despite the importance of engaging communities in the response to COVID-19, relatively little research has examined how this was (or was not) achieved, and even less in low- and middle-income countries. This article describes the community engagement that accompanied efforts to strengthen COVID-19 diagnosis and treatment as part of the ECO Project in Cochabamba, Bolivia and highlights lessons for future pandemic response. Methods Community engagement involved formative assessment, co-creation to develop a health information campaign, ongoing community listening and evaluation. Qualitative data were collected during workshops, project meetings and focus groups. Questionnaire-based surveys were conducted to assess COVID-19-related attitudes, knowledge and practices. Results The collected data highlighted the value of working closely with well-established community health committees and involving community members with social media skills in the design of COVID-19-related messages to address on- and offline misinformation. Co-creation sessions enabled the adjustment of the information campaign in terms of content and approach based on the needs and preferences of community members and health staff. The continuous listening with community and health personnel facilitated the ongoing adaptation of project activities. Conclusion Through a stepped and multi-pronged approach, incorporating co-creation and community listening, the engagement could respond to emerging local challenges during the pandemic. The project created spaces for dialogue and opportunities for collaboration that strengthened links between the community and the health services.

Sustaining Community-Based Research in Computing: Lessons from Two Tech Capacity Building Initiatives for Local Businesses

The field of human-computer interaction (HCI) has traditionally focused on the design of novel technology artifacts. However, ensuring considerations for artifact maintenance and repair is crucial to sustainably supporting the populations they aim to serve over the long term. Drawing on two multi-year programs for tech capacity building in post-industrial U.S. cities, this article presents a comparative analysis to investigate the challenges and strategies for sustained community-based research in computing. In particular, our work detailed three considerations for academic-community partnerships. First, long-term partnerships prioritized transferring trust across academic and community personnel and continually set expectations that responded to evolving community initiatives (i.e., relational sustainability). Second, partnerships used academic support as a way to kickstart community initiatives, and flexibly reframed interventions to stay aligned with evolving community goals (i.e., economic sustainability). Third, partnerships trained personnel to provide technical support alongside interventions and prioritized advice that resisted short-term trends (i.e., technical sustainability). We provide concrete examples of how our two academic-community partnerships carried out such suggestions-such details go unreported in scholarly articles yet are essential for sustainability considerations. We discuss ongoing challenges, such as rethinking when longevity should and should not be the end goal.

Teachers as first responders: classroom experiences and mental health training needs of Australian schoolteachers

BackgroundSchoolteachers are often the first to respond when a student presents with a mental health issue in the classroom. This places a burden on schools that impacts school staff, healthcare workers and teachers. More broadly, it places a responsibility on the education system to address students’ mental health. This study examines Australian teachers’ classroom experiences and the training areas identified by teachers as necessary to manage these issues.MethodInterviews were undertaken with 18 in-service teachers between 2020 and 2021 from Catholic, Independent and Public schools. Data were gathered via multiple interviews and analysed using thematic content analysis.ResultsThe major mental health issues identified by teachers related to mental disorders, depression, anxiety, and a complex range of negative emotional states. Teachers requested training in child and adolescent mental health, counselling skills, early detection and intervention, and training skills to manage the complex relationship with parents and external health and community personnel. Teachers also reported the need to access mental health resources, support and training, which were differentially accessed along socioeconomic status and postcodes.ConclusionThe data show that teachers are often placed as first responders when a student has a mental health issue but feel inadequately trained to manage these issues in the classroom. We identified mental health issues presenting in Australian classrooms and documented critical features of mental-health training asked for by teachers in order to address those issues. Given the increasing demands on teachers to address the mental health of children and adolescents, we argue that an urgent review of mental health training for teachers is needed.

Mass Decontamination of Companion Dogs in Disaster: Planning for Personnel, Water, and Time Requirements.

The importance of companion animals in the daily lives of people, and the increasing incidence and severity of natural disasters impacting people and their animals, is very well documented. However, despite the advancement of companion animal response capabilities, decontamination remains an inconsistently implemented component of disaster response. The challenge for local authorities is their need for planning factors and protocols specific to companion animal decontamination which are generally lacking. Data is provided on the average time requirements, water use and containment resources necessary, and the personnel required to decontaminate (decon) a large number of companion dogs. Sixty-three lightly contaminated, medium weight, short to medium coat, highly tractable dogs (Labradors and Hounds) from a State facility colony were used to determine the water requirements, soap effectiveness, and time required to complete decon (washing/bathing). Data were collected over a 6-mo period using 2 personnel that were randomly assigned to wash the dogs. Difference in weight, bathing time, and water use between groups was evaluated using a 2-tailed 2-sample t-test for independent data. The time and water requirements were significantly different between medium coated dogs and short coated dogs. On average, for a short coated dog, the amount of time to complete decon was 7 min, and the amount of water was 8-10 gal. For medium coated dogs, the time increased to 10-12 min to complete the process and 12-15 gal water. The results of this study provide important insights emergency management planners, animal response team members, and community personnel tasked with implementation of mass decontamination of companion dogs following a natural or man-made disaster.

Personal Perceptions of Filariasis of Patients at Kodi Bolaghar Subdistrict, Southwest Sumba Regency, East Nusa Tenggara, Indonesia

Perception is a mental process that occurs in humans that will show how we see, hear, feel, give, and feel around us. Patients' positive and negative self-perceptions are internal factors that significantly affect the healing process. Chronic filariasis patients experience a decline in physical condition, which becomes a mental burden for the patients and their families. Patients may experience negative stigma from their family and surrounding community. Some communities still believe in myths, supernatural powers, and magic, and patients suffer illness due to their evil deeds or that they have violated cultural norms that were passed down from generation to generation. How patients perceive themselves, their environment, and their families are rarely studied, though this information is essential to elucidate their needs. Kodi Balaghar subdistrict in the Southwest Sumba regency, East Nusa Tenggara, still has many filariasis cases. This study aimed to know the self-perception of filariasis patients in the Kodi Balaghar subdistrict, Southwest Sumba regency. We have selected ten patients to collect answers regarding self-perception from March to May 2021. The results of our study showed that respondents perceive themselves more negatively to both themselves and their families. We conclude that emotional and spiritual support from family, community, religious leaders, and medical personnel are critical to building self-confidence, life expectancy, enthusiasm, and fighting power to survive and undergo treatment for the disease.

IDENTIFICATION OF MENTAL HEALTH WORKERS IN LAMONGAN WITH MACHINE LEARNING

COVID-19 has caused a global health crisis, with increasing numbers of people being infected and dying every day. Various countries have tried to control its spread by applying the basic principles of social aggregation and testing. Experts agree that physical and mental health are interrelated and must be managed and balanced. The government must pay attention to balancing physical and mental health during a pandemic. The Ministry of Health has issued a guidebook for Mental Health and Psychosocial Support (DKJPS) during the COVID-19 pandemic. Based on the mental health conditions of the community or medical personnel, we are trying to create a system for mental health analysis for medical professionals based on the results of questionnaires using the machine learning method (Naive Bayes, Decision Tree, k-NN, SVM, Backpropagation, and Logistic Regression). A total of 24 question questionnaires were submitted to respondents. This study aimed to create a machine learning model (Naive Bayes, Decision Tree, k-NN, SVM, Backpropagation, and Logistic Regression) to identify the mental health of medical personnel during the COVID-19 pandemic. The results of this study are machine learning models that have the highest accuracy in identifying health workers' mental health and are 100% SVM.

Factors Associated with Risk Exposure to Human Rabies among Mammal Bite Cases in Mukah Division, Sarawak, East Malaysia

INTRODUCTION: Rabies is a neglected disease. Before the epidemic of rabies in Sarawak in July 2017, surveillance of mammal bites was not well implemented throughout the state. Our objective was to determine the prevalence of mammal bites in the Mukah Division and the factors that are associated with the risk of exposure to human rabies. MATERIALS AND METHODS: This is a cross-sectional study that used data from reported cases of mammal bites in Mukah Division, Sarawak, from 2018–2019. A universal sampling method was used, and 457 cases of mammal bites were included in the analysis. Data was analysed using single logistic regression and multiple logistic regression. RESULTS: The prevalence of mammal bites in Mukah Division was 0.35% with a cumulative incidence of 354 per 100 000 population. Age group 0-14 years old (AOR 6.49, 95%CI 1.26-33.53), free-roaming pet (AOR 2.93, 95% 1.36-6.28) and stray mammals (AOR 10.88, 95% CI 5.05-23.48) were found to be significantly associated with risk exposure to human rabies in Mukah Division in the final model. CONCLUSION: Health awareness and education should be emphasized to the community and medical personnel on the identified risk factors so that rabies infection can be prevented.

Evaluation of role of mobilizers (ASHA &amp; AWW) on village health and nutrition day (VHND) –Mamta day of study district

Introduction and Aim: Mamta Abhiyaan is one of the major approaches towards reaching the MDGs of reduction of MMR from present 178 to 100 and IMR from present 42 to 30 in India. Mamta Day is celebrated as an outreach services provision to each single beneficiary at grassroots level. Functionaries of Mamta day are FHW, ASHA, and AWW mainly. ASHA &amp; AWW acts as community personnel which helps in counselling and mobilization for all services provided on Mamta day. The aim of the study was to evaluate the role of ASHA and AWW on VHND (Village health and nutrition day) i.e., Mamata day of study district. Materials and Methods: Quantitative and qualitative research method, cross sectional study was conducted in rural areas of western Gujarat covering 40 Mamta days. Every participant was clearly explained the purpose of study and their consent was taken. It was an anonymous study using pre structured proforma from available literature. Results: At 82.5 % sites, AWW was present whereas 77.5% sites ASHA workers were present. At 10 session sites ASHA did not have a due list of any beneficiary. Most sessions were conducted at Anganwadi and sub centre. At all 31 session sites, ASHA was mobilizing beneficiaries to the site; and at 6 (15%) session sites, there was not any mobiliser available. At 30 out of 31 session sites, ASHA was reminding beneficiaries for the next visit. AWW was involved in various services which varied from one session to another. Conclusion: The presence of all three frontline workers (AWW, ASHA, and ANM) is essential for comprehensive VHND services, but there are notable challenges, including incomplete beneficiary lists and inadequate tracking of left-out children, hampering effective growth monitoring.

Comparative study of knowledge, attitude, and practices towards COVID-19 among MBBS Prof 1 students of two successive years in Motilal Nehru Medical College, Prayagraj, Uttar Pradesh

Background: Coronavirus disease 2019 (COVID-19) is an acute respiratory disease caused by a novel coronavirus. Three waves of COVID 19 have hit us so far. With repeated waves of any disease, it has been observed that panic in the community and healthcare personnel decreases and knowledge and attitude towards the disease and diseased improves. Keeping this in mind, the following study was conducted with the following objective. Aim of this study was to assess and compare knowledge, Attitude and Practices of students of MBBS phase I of two consecutive years- 2020 batch and 2021 batch regarding COVID-19. Methods: Data was collected from two successive MBBS first professional batch students by using questionnaire and assessment of knowledge, attitude and practice was done on the basis of scoring system described by Kaliyaperumal. Results: It was observed that among phase I MBBS students (2020 batch) majority i.e. 55.89% were having medium level of knowledge, with a range of score 11‐15. While among phase I MBBS students (2021 batch), majority i.e. 62.82% were having high knowledge score in the range of 16-21. Regarding the attitude scores, majority of students in both the batches (52.82% in phase I (2020 batch) and 65.45% in phase I (2021 batch)) were having good attitude (score &gt;6). Practice scores were mostly satisfactory (score 3-5) among both batches’ MBBS students. Conclusions: The study revealed that the attitude among students was good while knowledge and practice were satisfactory.

Research on security control technology of smart community based on personnel positioning management

Research on security control technology of smart community based on personnel positioning management

Rancang Bangun Sistem Informasi Pengelolaan Pengangkutan Sampah Berbasis Web

This study discusses a web-based waste management transportation information system that adopts effective waste management concepts and strategies with the principle of reduce, reuse, recycle (3R) as a priority in waste management. The purpose of this research is to enhance public participation in waste management by providing relevant information, services, and resources through a website. The main features of this system include the management of community data, waste data, personnel data, and transaction data. Black box testing was conducted to ensure that the system's functionality complies with the specified requirements. The results of the testing demonstrate that the system operates effectively and is ready for comprehensive utilization. By adopting information technology in waste management, this system has the potential to improve efficiency, effectiveness, and environmental awareness, thus contributing to addressing waste management challenges sustainably.

Establishing a Rural General Surgery Residency Program: Identifying Community Stakeholder Perception and Obstacles of a de Novo Residency in Rural Appalachia.

Rural healthcare has become more challenging over the past several years with increasingly limited access to surgical care in the rural setting. The Accreditation Council for Graduate Medical Education (ACGME) has recently introduced the Rural Track Program (RTP) initiative to combat physician shortage in rural areas. We intend to start the first Rural General Surgery Residency program under the RTP designation in rural Appalachia. 430 community stakeholders were surveyed regarding the anticipated impact of a new training program. Questions focused on the understanding of a Residency Program, the care provided by residents, impact on availability of local care, current geographical limitation of surgical care, and potential benefits/obstacles of the training program. Over 90% of all surveyed approved of training surgeons locally, with the local government believing that the program would be a good investment for the community. Several locals had been treated by resident physicians at other facilities and the majority were satisfied with the care they received. Several families frequently travel to larger cities for surgical care, with 96% of all respondents believing that the program would provide better access to care locally. Our study demonstrated that the community is familiar with healthcare in a training facility and welcoming to a local training program, while believing that trainees will have a positive impact on local surgical care in rural Appalachia. We will continue to work with the local community and healthcare personnel while developing the program and tailor our Residency to the rural setting as able.

Awareness of chronic obstructive pulmonary disease (COPD) among the general population in Aseer Region, Kingdom of Saudi Arabia (KSA).

Chronic obstructive pulmonary disease (COPD) is a common but preventable disease and has a prevalence of 5%-14% in the general population. It is characterized by airflow limitation and persistent respiratory symptoms. In this survey, we aimed to assess the awareness of COPD among the general population in the Aseer Region of the Kingdom of Saudi Arabia (KSA). This was an observational, cross-sectional study in which predesigned electronic questionnaires were distributed to 504 randomly selected community personnel utilizing phone services. The collected data were analyzed using the IBM SPSS Statistics software, version 24 for Windows (IBM Corp., Armonk, NY). Participants were asked 11 questions with yes-or-no answers based on awareness and symptoms of COPD: 35.5% of participants had heard about the COPD as a term and 72% had no detailed information about COPD. Only 3.5% of participants had relatives with COPD. During the survey on COPD symptoms, 31% of participants chose shortness of breath and the rest chose cough (20%), sputum production (15%), wheezing (14%), and chest pain (19%). Almost two-third of the participants had no idea about COPD symptoms. For the most disease knowledge, majority of the study participants had very poor knowledge about the disease that was evident in the 22 questions intended to assess this domain. Social media sites ranked as the most popular source of information on COPD among the study participants. Awareness about COPD among the general population in the Aseer Region in KSA is poor. It is advisable to carry out programs to increase their level of awareness.

IDENTIFICATION OF MENTAL HEALTH WORKERS IN LAMONGAN WITH MACHINE LEARNING

COVID-19 has caused a global health crisis, with increasing numbers of people being infected and dying every day. Various countries have tried to control its spread by applying the basic principles of social aggregation and testing. Experts agree that physical and mental health are interrelated and must be managed and balanced. The government must pay attention to balancing physical and mental health during a pandemic. The Ministry of Health has issued a guidebook for Mental Health and Psychosocial Support (DKJPS) during the COVID-19 pandemic. Based on the mental health conditions of the community or medical personnel, we are trying to create a system for mental health analysis for medical professionals based on the results of questionnaires using the machine learning method (Naive Bayes, Decision Tree, k-NN, SVM, Backpropagation, and Logistic Regression). A total of 24 question questionnaires were submitted to respondents. This study aimed to create a machine learning model (Naive Bayes, Decision Tree, k-NN, SVM, Backpropagation, and Logistic Regression) to identify the mental health of medical personnel during the COVID-19 pandemic. The results of this study are machine learning models that have the highest accuracy in identifying health workers' mental health and are 100% SVM.

Transparent, Stretchable, and Adhesive Conductive Ionic Hydrogel-Based Self-Powered Sensors for Smart Elderly Care Systems.

Nowadays, with the intensification of the aging society, the demand for elderly care and medical services is increasing and the elderly care and health systems are facing serious challenges. Therefore, it is imperative to develop a smart elderly care system to achieve real-time interaction between the elderly, the community, and medical personnel and to improve the efficiency of caring for the elderly. Here, we prepared ionic hydrogels with stable properties of high mechanical strength, high electrical conductivity, and high transparency by the one-step immersion method and used them in self-powered sensors for smart elderly care systems. The complexation of Cu2+ ions with polyacrylamide (PAAm) endows ionic hydrogels with excellent mechanical properties and electrical conductivity. Meanwhile, potassium sodium tartrate prevents the generated complex ions from precipitating into precipitates, thus ensuring the transparency of the ionic conductive hydrogel. After optimization, the transparency, tensile strength, elongation at break, and conductivity of the ionic hydrogel reached 94.1% at 445 nm, 192 kPa, 1130%, and 6.25 S/m, respectively. By processing and coding the collected triboelectric signals, a self-powered human-machine interaction system attached to the finger of the elderly was developed. The elderly can complete the transmission of distress and basic needs by simply bending their fingers, greatly reducing the pressure of inadequate medical care in an aging society. This work demonstrates the value of self-powered sensors in the field of smart elderly care systems, showing a wide implication in human-computer interface.

The Maritime SPOR SUPPORT Unit (MSSU) Bridge Process: An Integrated Knowledge Translation Approach to Address Priority Health Issues and Increase Collaborative Research in Nova Scotia, Canada.

There is evidence of the benefits of integrated knowledge translation (IKT), yet there is limited research outlining the purpose of a knowledge broker (KB) within this approach. The Maritime SPOR SUPPORT Unit (MSSU) acts as a KB to support patient-oriented research across the Maritime provinces in Canada. The "Bridge Process" was developed by the Nova Scotia (NS) site as a strategy that involves work leading up to and following the Bridge Event. The process supports research addressing priority health topics discussed at the event by stakeholder groups. The objectives of this paper were to (1) describe the outputs/outcomes of this IKT approach; and (2) examine the role of the KB. Quantitative data were collected from registration and evaluation surveys. Outputs are described with descriptive statistics. Qualitative data were collected through evaluation surveys and internal documents. Data related to KB tasks were categorized into three domains: (1) Knowledge Manager, (2) Linkage and Exchange Agent, and (3) Capacity Developer. The Bridge Process was implemented four times. A total of 314 participants including government, health, patient/citizen, community, and research personnel attended the events. We identified 24 priority topics, with 7 led by teams receiving support to complete related projects. Participants reported improved understanding of the research gaps and policy needs and engaged with individuals they would not have otherwise. Although patients/citizens attended each Bridge Event, only 61% of participants who completed an evaluation survey indicated that they were 'actively engaged in group discussion.' The KB's role was identified in all three domains including Knowledge Manager (eg, defining questions), Linkage and Exchange Agent (eg, engaging stakeholders), and Capacity Builder (eg, research interpretation). The MSSU facilitated an IKT approach by acting as a KB throughout the Bridge Process. This deliberative and sequential process served as an effective strategy to increase collaborative health research in the province.