Prevention Management Research Articles

Health Workers in Sexual and Gender Based Violence (SGBV) Care for Refugees: Insights from Frontline Health and Humanitarian Professionals in Rhino Camp Refugee Settlement, Uganda

In the wake of the COVID-19 pandemic, a marked global increase in cases of Sexual and Gender Based Violence (SGBV) has been noted (Johnson et al. 2020). In the refugee settlements of Uganda, this is dramatically illustrated by an escalating crisis of teenage pregnancies (UN Women 2020; Diallo et al. 2023). During lockdowns, conflicts among families and couples increased and vulnerable community members, particularly children and young people, were exposed to heightened risks of abuse (Datzberger et al. 2023). For the humanitarian community, the escalation of the past years highlights the urgent need to sustainably improve SGBV prevention, care and case management in refugee settings.

Decoding Urinary Stones: Compositional Insights and Recurrence Patterns from a Tertiary Care Hospital in Eastern India.

Background and objective Urinary stones are a prevalent medical condition entailing significant health burdens and substantial financial ramifications. Its global prevalence is expected to rise notably, particularly in low-middle-income nations. Understanding the spectrum of diverse urinary stone types is crucial for effective management and prevention. This study aims to elucidate the demographic profiles, clinical types, and recurrence of urinary stone cases at a tertiary care hospital in Eastern India. Methods and materials The clinical data from the electronic medical record of 1,231 patients with urolithiasis who underwent surgery in a tertiary care center in eastern India from January 2015 to November 2022 were retrospectively analyzed. Patient data, including demographic information, clinical records, dietary habits, water intake, and stone recurrence history, were collected. A thorough statistical analysis was conducted to elucidate the associations between patient characteristics, urinary stone composition, and recurrence. Results Among the 1,231 participants, the majority of cases (343 (27.9%)) were in the 31-40 age group, with a higher prevalence in males (876 (71.2%)) than in females (355 (28.8%)). Flank pain or abdominal pain (593 (48.1%)) was the primary complaint, followed by nausea/vomiting (227 (18.5%)). Most stones (922 (74.9%)) were located in the kidney, and calcium oxalate was the predominant stone component (773 (62.8%)). The highest stone recurrence rates were in patients aged between 21-30 years (21 (36.8%)) and 31-40 years (16 (28.0%)). A low non-vegetarian diet and adequate hydration may reduce the likelihood of stone recurrences. Conclusion This study provides insights into the compositional analysis of urinary stones in the eastern Indian population, addressing the causes of their recurrence and management strategies, which are crucial for prevention and effective management. The findings indicate that the early middle-aged group exhibited the highest incidence of urinary stones. We also observed that strict adherence to a low animal protein, along with proper hydration and lifestyle changes, significantly reduced urinary stone recurrence.

A seafarers’ cognitive error mining model based on IDA and TRACEr and mitigation measures for ship collision accidents

Human factor is the main cause of maritime accidents. However, the in-depth study on the mechanism of cognitive errors in seafarers’ human error needs to be supplemented. This study empirically analyzes 116 collision cargo ships along the Yangtze River trunk line. To explore the relationship between seafarers’ task errors and the cognitive process of accidents, a seafarers’ cognitive error mining model is proposed, which integrates the Information, Decision, and Action (IDA) cognitive model into the Technique for the Retrospective and Predictive Analysis of Cognitive Errors (TRACEr). According to the approach of mining from the outside to the inside, firstly, the error mode in the cognitive stage of seafarer tasks are identified. Then the fine-grained main manifestation of the task errors is mined by K-means, and Apriori algorithm is employed to mine the hidden features between the external and internal error modes. The results show that there are four main problems of Yangtze River ship accidents, and seafarers have four to seven corresponding causal chains from psychological error mechanism to performance shaping factors for each major issue in the cognitive stage. On the basis of the results, this study summarizes the guiding principles of accident prevention and seafarer management measures to provide decision support for water traffic safety.

Characterizing medical decision-making in sickle cell disease during childhood: Qualitative perspectives of caregivers.

Sickle cell disease (SCD) is the most common genetic disorder among children. As the most common type of SCD, sickle cell anemia (SCA) is associated with severe complications across the lifespan. As parents/caregivers hold primary disease management responsibility during childhood, their involvement in disease management activities, including medical decision-making, is critical to successful and timely management of pediatric SCD. However, the processes through which caregivers make SCD-related decisions remain unknown. The current paper examined caregivers' decision-making processes and priorities when managing their child's SCD. Parents and primary caregivers (N=27) of children with SCA (ages 0-12) completed individual semi-structured qualitative interviews exploring links between caregivers' decision-making and both daily and ongoing SCA management practices. Data were transcribed verbatim, cleaned, systematically coded, and analyzed using applied thematic analysis. Participating caregivers were primarily Black or African American (88.9%), mothers (81.5%), publicly insured (55.6%), and single (51.9%). Caregivers described medical decision-making across acute symptom response, preventive disease management, and treatment initiation and/or discontinuation. Across these contexts of disease management, caregivers overarchingly prioritized protecting and improving their child's quality of life. Caregivers' medical decision-making processes were influenced by their SCA management experience, acquisition of SCA knowledge, and trust in medical providers. The extent to which these influences impacted caregivers' decision-making varied based on disease severity, disease management experience, and time since diagnosis. Findings highlight how processes underlying caregivers' decision-making are directly influenced and informed by caregivers' lived experiences. Future work should develop provider-initiated collaborative interventions to support medical decision-making.

Early-Life Risk Factors for Carotid Intima-Media Thickness and Carotid Stiffness in Adolescence

ImportanceAtherogenesis starts during childhood, making childhood and adolescence an important window of opportunity to prevent atherosclerotic cardiovascular disease later in life.ObjectiveTo identify early-life risk factors for preclinical atherosclerosis in adolescence.Design, Setting, and ParticipantsThis cohort study is part of the ongoing Wheezing Illness Study in Leidsche Rijn (WHISTLER) prospective birth cohort study, which includes 3005 healthy newborns born between December 2001 and December 2012 in the Leidsche Rijn area of Utrecht, the Netherlands. Eligible participants included those from the WHISTLER cohort who visited the clinic between March 2019 and October 2020 for adolescent follow-up. This study’s analyses were performed in January 2024.ExposuresEarly-life growth was assessed at birth to 6 months, 5 years, and 12 to 16 years. Abdominal ultrasonography determined abdominal subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) depth. Blood pressure (BP) percentiles and body mass index (BMI) z scores were used.Main Outcomes and MeasuresCarotid ultrasonography was performed at age 12 to 16 years to assess carotid intima-media thickness (cIMT) and the distensibility coefficient (DC), established measures of preclinical atherosclerosis. Multivariable linear regression models were used to identify early-life risk factors for cIMT and DC in adolescence.ResultsIn total, 232 adolescents (median [IQR] age, 14.9 [13.7-15.8] years; 121 female [52.2%]) were included. More postnatal weight gain (B = 12.34; 95% CI, 2.39 to 22.39), higher systolic BP at 5 years (B = 0.52; 95% CI, 0.02 to 1.01), more VAT at 5 years (B = 3.48; 95% CI, 1.55 to 5.40), and a larger change in VAT between 5 and 12 to 16 years (B = 3.13; 95% CI, 1.87 to 4.39) were associated with a higher cIMT in adolescence. A higher BMI (B = −2.70, 95% CI,−4.59 to −0.80) and VAT at 5 years (B = −0.56; 95% CI, −0.87 to −0.25), as well as a larger change in BMI between 5 and 12 to 16 years (B = −3.63; 95% CI, −5.66 to −1.60) were associated with a higher carotid stiffness in adolescence. On the contrary, a larger change in SAT between 5 and 12 to 16 years (B = 0.37; 95% CI, 0.16 to 0.58) was associated with a higher carotid DC in adolescence.Conclusions and RelevanceIn this cohort study of 232 participants, early-life growth parameters, and particularly abdominal VAT development, were associated with a higher cIMT and carotid stiffness in adolescence. These findings suggest that assessment of adipose tissue development during childhood can aid characterization of lifetime risk trajectories and tailoring of cardiovascular prevention and risk management strategies.

Post-myocardial infarction heart failure and long-term high-fat diet: Cardiac endoplasmic reticulum stress and unfolded protein response in Sprague Dawley rat model.

Myocardial infarction (MI) significantly contributes to the global mortality rate, often leading to heart failure (HF) due to left ventricular remodeling. Key factors in the pathomechanism of HF include nitrosative/oxidative stress, inflammation, and endoplasmic reticulum (ER) stress. Furthermore, while a high-fat diet (HFD) is known to exacerbate post-MI cardiac remodeling, its impact on these critical factors in the context of HF is not as well understood. This study aimed to assess the impact of post-MI HF and HFD on inflammation, nitro-oxidative stress, ER stress, and unfolded protein response (UPR). The study was performed on fragments of the left ventricle harvested from 30 male adult Sprague Dawley rats, which were divided into four groups based on diet (normal-fat vs. high-fat) and surgical procedure (sham operation vs. coronary artery ligation to induce MI). We assessed body weight, NT-proBNP levels, protein levels related to nitrosative/oxidative stress, ER stress, UPR, apoptosis, and nitric oxide synthases, through Western Blot and ELISA. HFD and MI significantly influenced body weight and NT-proBNP concentrations. HFD elevated 3-nitrotyrosine and myeloperoxidase levels and altered nitric oxide synthase levels. HFD and MI significantly affected ER stress markers and activated or inhibited UPR pathways. The study demonstrates significant impacts of post-MI HF and dietary fat content on cardiac function and stress markers in a rat model. The interaction between HFD and MI on UPR activation suggests the importance of dietary management in post-MI recovery and HF prevention.

A picit jeu: Agent-based modelling with serious gaming for a fire-resilient landscape

Wildfire governance requires addressing driving physical, biological and socio-economic processes, by promoting the development of fire-resistant and resilient landscapes. These landscapes can best be achieved by strategies that integrate fuel management for direct prevention with allied socio-economic activities, through the collaboration of stakeholders with different and sometimes conflicting interests. This work aims to address the need for new approaches supporting the participatory process of collective decision-making, helping stakeholders explore land management strategies for landscape fire resilience. We present and discuss a methodology combining agent-based modelling with a role-playing game. It was tested in a valley of the Italian Alps, involving 23 local stakeholders in forest and pasture management in three game sessions. Evaluation was based on observation of game sessions, collection of feedback via immediate post-session debriefing and questionnaires, and long-term (multi-year) assessment carried out through semi-structured interviews. We found the methodology valuable for facilitating discussion among different stakeholders, who were able to identify context-related challenges (land fragmentation and land abandonment, stakeholders' limited collaboration, controversial drives of European funding) and possible strategies for producing a fire-resilient landscape (community management forms of pastoralists activities for maintaining land cover diversity). The approach also triggered a positive process for longer-term change. By analysing the outcomes, we are able to identify four key recommendations for future work using serious gaming for sustainable landscapes: 1) aim for an even composition of session groups, 2) consider the multiple levels of organisation in the area, 3) use the allocation of game roles to disrupt power dynamics, and 4) seek to involve the broadest stakeholder spectrum in developing the game itself.

Assessing the impact of the 2021 flood event on the archaeological heritage of the Rhineland (Germany)

BackgroundArchaeological sites are increasingly threatened by climate-related hazards. In response, heritage management authorities initiated projects to document damage and plan risk assessment measures. We present a project initiated after the heavy rainfall and subsequent flood event of July 2021, which involved extensive fieldwork to document the damage to archaeological sites in the Rhineland. We use this database to characterise and assess the damage and investigate site-specific and geospatial factors to identify potential predictive parameters for site damage.ResultsDuring fieldwork, we found that the flood damaged 19% of the 538 archaeological sites surveyed. The majority of damaged sites are relatively recent, dating from the medieval or modern periods, and are associated with the use of water power. Damage was mainly caused by erosion, floating debris and washout, e.g. mortar. In a case study, we tested the option of comparing pre- and post-disaster Airborne Laser Scanning elevation data to identify damages. It showed that not only the damage detected during fieldwork was found but also additional areas of loss. In general, however, and quantified based on the entire dataset, the ordnance survey Airborne Laser Scanning data were of limited use for monitoring flood-related damage and could not replace fieldwork. Our statistical analysis of possible risk factors, including both site characteristics and geospatial parameters, using Naïve Bayes Modelling and chi-squared tests, showed that no set of parameters could consistently predict the preservation or damage of archaeological sites across all catchments. In contrast, some external geospatial factors correlated with the occurrence of damage.ConclusionsThe study highlights both the strengths and limitations of the approaches used to assess and predict the damage to the archaeological heritage in the 2021 flood zones of the Rhineland. It also demonstrates the complexity of the data and spatial processes involved, which limits generalisation but can still inform decision-making for archaeological site management and on-site protection measures in flood-prone areas. With the prospect of more frequent heavy rainfall due to climate change, the specific needs of the archaeological heritage should be integrated into broader prevention and disaster management plans.

Assessment of disaster mitigation capability oriented to typhoon disaster chains: A case study of Fujian Province, China

Typhoon disasters are the most frequent and severe natural disasters in China’s southeastern coastal region. The strong wind and rainstorms during typhoons result in secondary disasters, such as storm surges, floods, and landslides. This phenomenon is referred to as a typhoon disaster chain that causes significant loss of life and property every year. Accurately assessing the disaster mitigation capacity and reducing limitations are crucial for improving typhoon disaster risk prevention. However, assessing the capacity of mitigating typhoon disaster chains requires further study. In this study, we select Fujian Province, China, as a case study to identify typical typhoon disaster chains, drawing on historical disasters and the sensitivity of the disaster-forming environment. We establish a county-based framework to assess the disaster mitigation capabilities for typhoon disaster chains. The mitigation capacities of 84 counties within Fujian Province are evaluated using the Random Forest (RF) algorithm, which determines the weights of various indicators. The results show the following. 1) The dominant types of typhoon disaster chains in Fujian Province are typhoon-rainstorm-urban waterlogging (TRU), typhoon-rainstorm-flooding (TRF), typhoon-rainstorm-landslide (TRL), and typhoon-strong wind-storm surge (TWS). Significant spatial differences are observed. 2) The assessment framework, which includes disaster prevention, disaster relief, and government management capabilities, accurately reflects the spatial differences in the disaster chain. The results can be extended to other regions or other disaster chains. 3) Significant spatial heterogeneity is observed in the disaster prevention, relief, and disaster mitigation capacity for typhoon disaster chains in the counties in Fujian Province. The eastern coastal areas have high mitigation capacity, whereas the northwest has low capacity. The disaster prevention capacity is very high in Changle City and Xiuyu District (2.4 %), and the disaster relief capacity is very high in Gulou District, Taijiang District, Changle City, and Huli District (4.8 %). The government disaster management capacity is very high in 7 counties (e.g., Longhai City, Minhou County, and Hui’an City (8.3 %)). The comprehensive disaster mitigation capabilities are very high in Changle City, Longhai City, and Xiuyu County (3.6 %). This study provides a scientific reference for assessing disaster chain mitigation capabilities and enhancing grassroots disaster mitigation efforts.

Community-based dementia risk management and prevention program for Aboriginal Australians (DAMPAA): a randomised controlled trial study protocol

IntroductionAboriginal and Torres Strait Islander peoples are the First Peoples of Australia. Up to 45% of dementia in these populations is due to potentially modifiable risk factors. The Dementia Prevention...

Incorporating hydrological constraints with deep learning for streamflow prediction

Streamflow prediction is a fundamental task serving for flood prevention and efficient water resource management. Deep learning-based methods have emerged as the dominant approach and have made remarkable progress in the task. However, these methods ignore the hydrological constraints on streamflow, such as water delay time and streamflow direction, resulting in inaccurate prediction. To address this problem, this study incorporates hydrological constraints with deep learning models to improve streamflow prediction, and develops a hydrological constrained graph convolutional network (HCGCN) model. Specifically, the model designs a time-delayed spatiotemporal directed graph to present the spatiotemporal relationships and hydrological constraints, and develops a hydrological feature aggregation module to adaptively learn the complex spatiotemporal dependencies. In addition, HCGCN proposes a streamflow prediction neural network to predict streamflow by stacking the feature aggregation modules. Experimental results show that HCGCN significantly improves the prediction accuracy in a real streamflow prediction task. This study provides an exploration of introducing hydrological constraints to improve streamflow prediction, and provides a new reference for various hydrological prediction tasks.

Analysis of the Application Value of the Six Sigma Methodology in Nursing Management after Percutaneous Coronary Intervention

Objective: The incidence of postoperative complications after percutaneous coronary intervention (PCI) is relatively high, seriously affecting the prognosis of patients. This study explores the application value of the Six Sigma methodology in the preventive management of complications after PCI. Methods: The clinical data of 102 patients who underwent PCI in our hospital from March 2021 to January 2022 were retrospectively analyzed. In accordance with different management methods, these patients were divided into the reference group (n = 49, conventional management method) and the observation group (n = 53, Six Sigma methodology). The anxiety and depression levels, quality of life, cardiac function indexes (left ventricular ejection fraction, left ventricular end-diastolic volume, left ventricular end-systolic volume, and stroke volume), and incidence of complications were compared between the two groups. Results: Before management, no difference was observed in anxiety and depression levels, quality of life, and cardiac function indexes in both groups (p > 0.05). After management, the observation group demonstrated lower anxiety and depression levels, higher quality of life, and lower incidence of complications than the reference group did (p < 0.05), with no significant difference in cardiac function indexes (p > 0.05). Conclusions: The Six Sigma methodology can improve the quality of life and reduce the incidence of postoperative complications, with a high promotion and application value in nursing management after PCI.

PCSK9 inhibitors on the management of primary and secondary cardiovascular prevention

BackgroundProprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i) have represented an important change in the management of hypercholesterolemia, although, until now, they have barely been used. Without PCSK9i, many patients with atherosclerotic cardiovascular disease (CVD) or those at very high risk do not reach their therapeutic LDLc objectives.ObjectiveThe analysis aimed to examine the clinical and biochemical characteristics of subjects receiving PCSK9i treatment in the Dyslipidemia Registry of the Spanish Atherosclerosis Society.MethodsAll consecutive subjects aged ≥ 18 years from different Lipid Units included in the Dyslipidemia Registry of the SEA were analyzed. Inclusion criteria consisted of unrelated patients aged ≥ 18 at the time of inclusion with hypercholesterolemia (LDL-C ≥ 130 mg/dL or non-HDL-C ≥ 160 mg/dL after the exclusion of secondary causes) who were studied for at least two years after inclusion. Participants’ baseline and final visit clinical and biochemical characteristics were analyzed based on whether they were on primary or secondary prevention and whether they were taking PCSK9i at the end of follow-up.ResultsEight hundred twenty-nine patients were analyzed, 7014 patients in primary prevention and 1281 in secondary prevention at baseline. 4127 subjects completed the required follow-up for the final analysis. The median follow-up duration was 7 years (IQR 3.0–10.0). Five hundred patients (12.1%) were taking PCSK9i at the end of the follow-up. The percentage of PCSK9i use reached 35.6% (n = 201) and 8.7% (n = 318) in subjects with and without CVD, respectively. Subjects on PCSK9i and oral lipid-lowering agents with and without CVD achieved LDLc reductions of 80.3% and 75.1%, respectively, concerning concentrations without lipid-lowering drugs. Factors associated with PCSK9i use included increasing age, LDLc without lipid-lowering drugs and the Dutch Lipid Clinic Network (DLCN) score. However, hypertension, diabetes, smoking, and LDLc after oral lipid-lowering drugs were not independent factors associated with PCSK9i prescription. In subjects with CVD, the use of PCSK9i was higher in men than in women (an odds ratio of 1.613, P = 0.048).ConclusionsApproximately one-third of CVD patients received PCSK9i at the end of follow-up. The use of PCSK9i was more focused on baseline LDLc concentrations rather than on CVD risk. Women received less PCSK9i in secondary prevention compared to men.

Ocular Complication in Facial Aesthetic Laser and Light Treatments: A Comprehensive Review.

The increasing popularity of laser- and light-based esthetic treatments for facial rejuvenation has raised concerns regarding ocular safety. Although these procedures are generally considered safe and effective, there is a growing body of evidence highlighting the potential for ocular complications. This review aims to systematically analyze the types and mechanisms of ocular injuries associated with such treatments, as well as to evaluate preventive measures and management strategies. A comprehensive literature search was conducted using databases including MEDLINE, PubMed and Ovid for relevant studies published on clinical trials, diagnosis and treatment. Some papers were further reviewed using a double-blinding approach, varying sample sizes, control usage, randomization usage and objective endpoint measurements. All studies were classified according to the Oxford Centre for evidence-based medicine evidence hierarchy. Our review identified several types of ocular complications associated with facial laser or light treatments, including but not limited to conjunctival burns, corneal damage, retinal phototoxicity, and transient vision disturbances. The incidence of these complications varies significantly depending on the type of laser or light source employed, treatment parameters, and the anatomical proximity of the eyes to the treatment area. Factors such as inadequate protective measures, patient movement during the procedure, and the operator's experience were found to contribute to the risk of ocular injury. Strategies such as the use of appropriate eye protection, careful patient positioning, and thorough pre-treatment assessments were highlighted as essential preventive measures. Ocular complications, though rare, represent a significant risk in facial esthetic laser and light treatments. This review underscores the importance of awareness among practitioners regarding the potential ocular hazards and the implementation of robust safety protocols. Future research is needed to establish standardized guidelines to minimize risks and enhance patient safety in esthetic dermatological practices. Continued education and improved protective strategies will be essential in safeguarding ocular health as the field of esthetic treatments continues to evolve. This comprehensive review serves as an essential resource for practitioners, informing them of ocular risks, management options, and the need for vigilance to mitigate complications in clinical practice.

COVID testing hesitancy among pregnant patients: lessons learned from the COVID-19 pandemic about the unique needs and challenges of medically complex populations

BackgroundPregnant patients were a significant population to consider during the pandemic, given the impact of SARS-CoV-2 infection on obstetric outcomes. While COVID testing was a central pillar of infection control, it became apparent that a subset of the population declined to test. At the same time, data emerged about pregnant persons also declining testing. Yet, it was unknown why pregnant patients declined tests and if those reasons were similar or different from those of the general population. We conducted this study to explore pregnant patients’ attitudes, access, and utilization of COVID-19 testing to support healthcare for infection prevention management for this unique and medically complex population.MethodsWe conducted a qualitative study of patients who were currently or recently pregnant during the early stages of the pandemic and received outpatient prenatal care at one of the participating study sites. An interview guide was used to conduct in-depth telephone interviews. Coding was performed using NVivo, and analysis was conducted using Grounded Theory.ResultsThe average age of the participants (N = 37) was 32 (SD 4.21) years. Most were < 35 years of age (57%) and self-described as White (68%). Qualitative analysis identified themes related to barriers to COVID-19 testing access and use during pregnancy, including concerns about test accuracy, exposure to COVID-19 in testing facilities, isolation and separation during labor and delivery, and diminished healthcare quality and patient experience.ConclusionsThe implementation of widespread and universal COVID testing policies did not address the unique needs and challenges of pregnant patients as a medically complex population. It is important to understand the reasons and implications for pregnant patients who declined COVID testing during the current pandemic to inform strategies to prevent infection spread in future public health emergencies.

Physical activity in the prevention and treatment of osteoporosis: From biomarkers to quality of life

Introduction and Objective: Osteoporosis is a common skeletal disease typified by diminished bone density and deterioration of bone structure. It represents a significant risk factor for fractures, particularly in postmenopausal women. This study evaluates the role of physical activity and bone biomarkers in the prevention and treatment of osteoporosis. Review and Methods: A review of the literature was conducted with the objective of analysing the impact of weight-bearing exercise and resistance training on bone health and the use of biomarkers in diagnosing and monitoring osteoporosis. Moreover, the potential impact of dietary interventions and supplementation was examined. Abbreviated Description of the State of Knowledge: It is of the utmost importance to engage in regular physical activity, particularly weight-bearing exercises, in order to prevent and treat osteoporosis. It has been demonstrated to enhance bone density and moderate the likelihood of fracture. Biomarkers such as osteocalcin and alkaline phosphatase are of significant value in the assessment of bone health. Summary: The combination of physical activity, a balanced diet and appropriate supplementation is fundamental to the prevention and effective management of osteoporosis. This approach confers substantial benefits with respect to bone health and quality of life. Keywords: Osteoporosis; Physical activity; Bone health; Skeletal System

Exploring the usefulness of the INLA model in predicting levels of crime in the City of Johannesburg, South Africa

Crime prediction serves as a valuable tool for deriving insightful information that can inform policy decisions at both operational and strategic tiers. This information can be used to identify high-crime areas, and optimise resource allocation and personnel management for crime prevention. Traditionally, techniques such as the Poisson model and regression analysis have been widely used for crime prediction. However, recent statistical advancements have introduced Integrated Nested Laplace Approximations (INLA) as a promising alternative for spatial and temporal data analysis. This study focuses on crime prediction using the INLA model. Specifically, the first-order autoregressive model under the INLA modelling framework is employed on longitudinal data for crime predictions in different regions of the City of Johannesburg, South Africa. The model parameters and hyperparameters considering space and time are estimated through the INLA model. In this work, the suitability and performance of the INLA model for crime prediction is assessed, which effectively captures spatial and temporal patterns. This study contributes to research by first introducing a novel approach for South African crime prediction. Secondly, it develops a model using no demographic information other than clustering attributes as an exogenous variable. Thirdly, it quantifies prediction uncertainty. Finally, it addresses data scarcity through demonstrating how INLA can provide reliable crime predictions, where conventional methods are limited. Based on our findings, the INLA model ranked areas by crime levels, obtaining a 29.3% Mean Absolute Percentage Error (MAPE) and 0.8 R2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$R^2$$\\end{document} value for crime predictions. These findings and contributions presents the potential of INLA in advancing evidence-based decision-making for crime prevention.

The green convergence: United States lakes are collectively moving toward a eutrophic state

Nutrient enrichment and climate change promote algal blooms, leading to many lakes being characterized as eutrophic (i.e., green) worldwide. We examined recent eutrophication trends of freshwater lakes at a national scale by collating 32 years (1990–2021) of growing season (July-September) in situ chlorophyll-a, nutrient, transparency, and climate data for 1,082 lakes across 32 freshwater ecoregions in the United States. Based on chlorophyll-a, 78.2 % (427/546) of lakes initially exhibited eutrophic conditions and have remained eutrophic. Moreover, non-eutrophic lakes converged toward a eutrophic state, with oligotrophic (i.e., clear) or mesotrophic (i.e., moderately clear) lakes becoming greener, and hypereutrophic (i.e., very green) becoming less green. Optimized Hot Spot Analysis suggests lakes in the Appalachian Piedmont and Apalachicola freshwater ecoregions eutrophied more rapidly than other locations. Results suggest nutrient management targeting eutrophic lakes has hindered further degradation, but poor preventative management of clear lakes has led to their eutrophication.

Awareness of Burn Injury Prevention and First Aid Management Among Adults in Jazan, Saudi Arabia.

Burn injuries represent a significant public health concern, with the effectiveness of preventive measures and first aid largely dependent on public knowledge. This study aimed to evaluate the awareness of burn injury prevention and first aid management among adults in Jazan, Saudi Arabia. A cross-sectional survey was administered to adults in Jazan using a structured questionnaire. The survey assessed participants' knowledge of burn causes, preventive strategies, and first aid practices. Responses were analyzed to gauge the level of awareness and identify gaps in knowledge. Among the participants (n = 400), 71.3% (n = 285) recognized hot liquids as a primary burn hazard, 27.4% (n = 109) identified electricity, 97.0% (n = 388) cited fire, and 53.8% (n = 215) acknowledged chemicals. In terms of preventive measures, 61.6% (n = 246) understood the importance of following manufacturer safety guidelines, 78.8% (n = 315) knew to keep chemicals out of children's reach, 72.4% (n = 289) were aware of the need to wear gloves, and 61.6% (n = 246) recognized the necessity of avoiding the storage of unnecessary chemicals. For first aid practices, 91.8% (n = 367) knew to use water, 50.8% (n = 203) would seek medical attention, 22.6% (n = 90) would cover burns, and 20.3% (n = 81) considered pain management important. The findings indicate a strong awareness among adults in Jazan regarding burn injury causes, prevention, and first aid practices. Despite this, gaps remain in specific first-aid responses and comprehensive safety measures. Targeted educational initiatives could address these gaps and enhance burn injury prevention and management.

Early education on diabetes mellitus for the community

Diabetes mellitus is a chronic disease that is increasing around the world, including in Indonesia. Early introduction and education about diabetes mellitus are critical to raising public awareness and understanding of this disease and how to prevent and manage it. This community service program aims to provide education about diabetes mellitus to the community, with a focus on symptom recognition, risk factors, prevention, and disease management. The methods used include counseling, workshops, and the distribution of educational materials. The results of this program are expected to increase public knowledge and awareness about diabetes mellitus so that they can take preventive steps and improve the quality of life of people with diabetes. This educational program is expected to contribute to reducing the incidence of diabetes mellitus and enhancing the community's quality of life