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From a relational perspective of the community, we explore the relationships that allowed sustaining life in spaces of proximity during the Covid-19 pandemic in Chile. From a qualitative methodology and the study of cases, one in Concepción and the other in Talca, it is observed that in the face of the rupture of daily life, community relationships are reconfigured to adapt to the new scenario. This plasticity allows them to adapt their production of relational goods to meet needs arising in the crisis and, thus, their action replaces and/or complements state and mercantile actions that diminish their protagonism. Finally, these multiple relationships and the goods they produce can be understood as a social sphere with its own meaning: the community. This plays a central role in the satisfaction of individual and collective needs and the reproduction of life, particularly in contexts of crisis. [ABSTRACT FROM AUTHOR]

This article examines the role of insurgency in scaling up the co‐production of housing. Co‐production has gained in popularity in the past 15 years as both a set of practices and an intellectual framing for analyzing urbanization in the global South. Discussions of co‐production have largely emphasized the cooperative nature of the approach, asserting that a mostly non‐confrontational politics has proven effective at reshaping urban governance in ways that better meet the needs of the urban poor. However, recent analyses have identified conflict versus confrontation as a key tension in co‐production, especially as co‐productive programs seek to go to scale. I contribute to these discussions by analyzing a well‐known case of large‐scale co‐production, Thailand's Baan Mankong program, to understand the roles of insurgent versus cooperative community networks in the program's trajectory. I conclude that a more insurgent network opens up new land, resources and avenues for political participation. A more cooperative network then renders many of these interventions broadly politically acceptable to those in power. The two networks thus exist in a dialectic that has enabled the program's scaling up. I argue that research into co‐production should pay more attention to the importance of confrontational tactics by community networks. [ABSTRACT FROM AUTHOR]

The Leipzig Charter highlights the need for integrated, place-based participatory governance approaches to achieve more sustainable and just urban futures. In this article, we provide a synthesis of our transdisciplinary analysis of ten EU projects which were selected from over 100 EU-funded urban sustainability and justice projects. Through analysing these cases according to the question of 'How can city makers design governance processes for just and sustainable outcomes?', we identify six Enabling Governance Arrangements which are considered of high relevance to the integration of urban sustainability and justice through both municipality and community-led initiatives. Each Enabling Governance Arrangement was not only observed at play in multiple initiatives but was also further consolidated and confirmed in dedicated workshops with over 60 city makers of different backgrounds. This highlights their potential to stir place-specific debates around the governance of sustainable and just cities. Overall, we provide empirically grounded, actionable insights for policymakers, practitioners, and researchers on how to achieve integrated urban sustainability and justice through Enabling Governance Arrangements. Highlights: Formulates six arrangements for sustainable and just governance that can help municipalities and communities Arrangements are based on an analysis of governance processes that contributed to more sustainable and just cities Consolidated and confirmed the potential of these arrangements in workshops with over 60 city makers This demonstrates their potential to stir place-specific debates for the governance of sustainable and just cities [ABSTRACT FROM AUTHOR]

Background: Adolescence is a stage of transition with multiple changes and transformations. It is a critical phase to potentiate or disrupt the life course of human beings. In Latin America, adolescents and young adults from countries like Colombia have unequal access to socioeconomic resources, education, and the job market. This may generate social disadvantages and vulnerability. Aim: We aimed to identify conditions of social vulnerability and psychosocial resilience in the life course of adolescents and young adults from a community art network in Bogota, Colombia. Methods: We conducted a qualitative study with a multivocal design supported by the ethnic-social life history construction. The data were collected using narrative interviews. The interviews were transcribed, coded, categorized, and triangulated according to the principles of grounded theory as an analytical method. We adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist. Results: Eight adolescents and young adults between the ages of 12 and 24 years participated in the study. Five categories emerged: social vulnerability, social environment, artistic processes, psychosocial resilience, and life course. Conclusions: Social vulnerability and psychosocial resilience coexist during the life course of adolescents and young adults. Social support networks and community art processes have the potential to promote psychosocial resilience in adolescents and young adults. [ABSTRACT FROM AUTHOR]

In Chile, the dominant way of organizing local community relations shows little transformative capacity. This has its origin in a sociopolitical process that has fostered a heteronomous, contained, depoliticized and bureaucratized organizational culture, sustained by a neoliberal idea of neighborhood-community and framed in legislation that does not recognize its public function. But in the last fifteen years this hegemonic form has given way to more articulated and flexible community experiences, which discuss the scales of action, the type of relationship with the State and the established modes of organization. Integrating results from research carried out between 2014 and 2023, the article identifies potential for the transformation of community culture expressed in forms of networks that occur in different areas and scales: primary ties and daily neighborhood life, territorial-based organizations and heterogeneous territorial networks. The above allows us to propose the idea-horizon of the Community Sphere, which would allow us to discuss the fragmentation with which the community is observed and experienced in current Chile. [ABSTRACT FROM AUTHOR]

Allosteric regulation of proteins continues to be an engaging research topic for the scientific community. Models describing allosteric communication have evolved from focusing on conformation-based descriptors of protein structural changes to appreciating the role of internal protein dynamics as a mediator of allostery. Here, we explain a violin model for allostery as a contemporary method for approaching the Cooper-Dryden model based on redistribution of protein thermal fluctuations. Based on graph theory, the violin model makes use of community network analysis to functionally cluster correlated protein motions obtained from molecular dynamics simulations. This Review provides the theory and workflow of the methodology and explains the application of violin model to unravel the workings of protein kinase A.

Background: Health inequalities in African American communities have been further exacerbated by COVID-19. Public health departments and other safety-net providers across the United States have partnered with community-based organizations to address barriers to COVID-19 testing in disproportionately impacted communities. This narrative review summarizes lessons learned from published examples of these community-based COVID-19 testing efforts. Methods: We searched online databases for peer-reviewed articles on community-based COVID-19 testing interventions in the United States aimed at increasing COVID-19 testing among African American populations. We abstracted information about each example and synthesized the primary lessons learned and key aspects that contributed to their success. Results: Seven examples of community-based COVID-19 testing aimed at increasing testing among African Americans and other underserved populations were identified and described, across various U.S. locations and involving multiple types of partners (1) St. Paul, MN (faith, health centers, Mayo Clinic); (2) Chicago, IL (university hospital and health centers); (3) NC (health centers, Community Advisory Board); (4) Baltimore, MD (hospitals, community clinic, mobile clinic); (5) Marion County, FL (health department and community partners); (6) New Orleans, LA (health department and health system); and (7) New York City, NY health and hospital system, mobile clinic). Discussion: Several key aspects of the COVID-19 testing models included the following: (1) close proximity of the testing site to affected communities and availability of walk-up and drive-through testing options; (2) partnerships between safety-net providers and broad community networks, which facilitated outreach and trust; (3) increased resources for safety-net providers; and (4) the use of data to identify areas of need and track impact. The merging of resources and relationships among well-equipped, safety-net providers and other health care institutions and culture-rich, community-centered organizations, to jointly address structural and systemic inequities, is key to cultivating health equity in the distribution of COVID-19 testing and other essential public health services.

Strengthening interorganizational collaboration is critical to mitigate the impact of adverse childhood experiences (ACEs) and improve community health. We examined change in interorganizational collaboration around ACEs within Peace4Tarpon's network and investigated factors influencing collaboration. We conducted a community‐wide social network analysis among 32 trauma‐informed organizations in 2016 and 2018, using network analysis methods to examine interorganizational cohesion (density, transitivity, triad census) over time, and multiple regression quadratic assignment procedure to investigate factors influencing collaboration. Network cohesion measures indicated small increases in collaboration level and greater network cohesion over time. Conducting ACEs screenings was a significant factor (b = 0.237; p < 0.01) predicting likelihood of interorganizational collaboration in 2016. No assessed ACEs practices predicted collaboration in 2018, suggesting variables assessed predicted a small proportion of variance in collaboration change. Results provide a foundation for understanding how ACEs/trauma‐informed practices influence collaboration and highlight implications of interorganizational collaboration. Peace4Tarpon's 2‐year progress provides insights for other trauma‐informed communities. [ABSTRACT FROM AUTHOR]

Digital literacy research and practice typically presume certain conditions, such as an urban orientation and adequate, affordable access to connectivity and devices. But these conditions are not universal; for example, people in small, rural/remote Indigenous communities may seek to balance connectivity challenges and digital innovations with land-based living specific to place and community. Drawing on efforts to broaden critical digital literacies to support Indigenous sovereignty, we consider how overlapping contexts of places, communities, and infrastructures intersect in the cocreation of appropriate digital literacy. Specifically, we discuss a series of virtually facilitated, participatory workshops that utilize "hacker literacies" and "infrastructure literacy" to reimagine connectivity infrastructure and demonstrate the potential of community networking in, with, and by rural/remote Indigenous communities. We also reflect on limitations of this work and identify lessons for future projects. [ABSTRACT FROM AUTHOR]

The availability of medications to induce abortion, especially in contexts of restricted access, has transformed practices and allowed women and/or their community organizations to assist other women in obtaining abortions, whether or not they interact with the healthcare system. This study recovers the experience of a feminist community organization that, from the province of Neuquén, extends throughout the country, creating a network of community care. An exploratory descriptive study with a qualitative approach was conducted to analyze the experiences of women who facilitate access to permitted abortion in Argentina. Through in-depth interviews with three leaders of the feminist collective La Revuelta and semi-structured interviews with 33 members of the socorrista groups, conducted between November 2019 and December 2020, we describe their history and processes of work and growth; we explore their motivations and feelings and characterize the interactions of these organizations with public and private health systems. The results of this work align with the international conversation and bibliographic production about these organizations and their particularities, and with the need to incorporate these forms of care into institutional health systems.

Abstract Latin American and the Caribbean regions (LAC) harbor one of the most biodiverse areas of the world, the Neotropics. True bugs (Hemiptera: Heteroptera) are a diverse lineage of insects, with more than 45,000 species, particularly speciose in the Neotropical region. True bugs are fundamental in the dynamics of natural and modified ecosystems, with several species critical to agriculture and public health. We compiled Heteroptera research in LAC from 1998–2022 using bibliographic databases. Productivity, collaborative networks, and the main topics studied were analyzed. A total of 1,651 Heteroptera studies from LAC were found, with continuous growth being 2021 the most prolific. Four categories (Taxonomy of extant species, Faunistic inventories and new records, Pest species biology, and Community ecology) represent most of the published research. About 60 percent of the records evaluated correspond to five families (Pentatomidae, Reduviidae, Coreidae, Miridae, and Rhyparochromidae). We emphasize the need to keep working on Heteroptera taxonomy because it will allow further advances in other areas such as phylogenetic analyses, biogeography, ecology, and natural history, among others. The results of our analyses characterize the current state of heteropterology in the region, establishing a baseline for future studies and efforts to broaden the knowledge of the group.

Abstract Background Social Prescribing is a Primary Health Care service that provides people with non-clinical care alternatives that may have an impact on their health. Social Prescribing can be more or less formal and structured. Social Prescribing Schemes are formal Social Prescribing of health assets by Primary Health Care teams in coordination and follow-up of patients with providers. The emerging evidence suggests that this service can improve people’s health and well-being, create value and provide sustainability for the healthcare system. However, some evaluations note that the current evidence regarding social prescribing is insufficient and needs further investigation. The EvaLRA project aims to elaborate an evaluation model of Social Prescribing Schemes in Primary Health Care based on a set of structure, process, and outcomes indicators. Methods In the region of Aragon, the Community Health Care Strategy aims to promote the development of social prescription schemes in Primary Health Care teams. This study is divided into two stages. Stage 1: identification of primary health care teams that implement social prescribing schemes and establish a first set of indicators to evaluate social prescribing using qualitative consensus techniques with experts. Stage 2 evaluation of the relevance, feasibility and sensitivity of selected indicators after 6 and 12 months in primary health care teams. The results will provide a set of indicators considering structure, process and outcomes for social prescribing schemes. Discussion Current evaluations of the application of social prescribing schemes use different criteria and indicators. A set of agreed indicators and its piloting in primary health care teams will provide a tool to evaluate the implementation of social prescription schemes. In addition, the scorecard created could be of interest to other health systems in order to assess the service and improve its information system, deployment and safety.

This qualitative research is an work with health professionals, who work in the intra and outpatient sector in the city of Talca, Chile. The objective is to understand how the mental health of nurses was affected, due to the work stress caused by the COVID-19 emergency. The results point to fear of contagion and death as the most stressful factors in terms of work; on the other hand, there is evidence of absence of self-care, as well as psycho-emotional assistance from State institutions. He also notices how work stress is aggravated when workers do not feel support from supervisors or co-workers, as well as having limited control over their work and work pressures; Comparing experiences of intra- and extra-hospital teams, he realizes that team dynamics are essential to cope with the high workload; in this context, nurses in the outpatient area were more affected than those working in the in-hospital sector. The discussion points to the need to incorporate care strategies for those who care, highlighting the importance of analyzing social aspects that lead to work stress in extreme situations, placing the role of the community and the agency as keys in mental health management. [ABSTRACT FROM AUTHOR]

Today, the internet is often understood as a monolithic entity. This depiction is increasingly inaccurate and needs to be radically re-examined. The pluriverse concept of the internet examines local and international models of community building in interdependent but separated digital contexts. Drawing on Indigenous knowledge systems some articulations of the pluriverse describe a universe of separate, but connected and interdependent worlds, understood with reference to the concept of communities. Unlike today's internet-based communities, organized in specific siloed venues and forums where users with specific interests rarely face opposition or differences of opinion and where these interests are constantly reinforced by recirculated data and opinions, the pluriverse offers an imaginative frame where we can imagine a series of 'internets', made up of localized networks, community-driven social spaces, open source data sharing, and truly collaborative production at a replicable scale. This paper presents an exploration of the potential for pluriversal "internets." [ABSTRACT FROM AUTHOR]

Background: Networks are an essential component of community-based health research. Community-based networks require a high degree of collaboration, and the quality of this collaboration is a key factor for intervention success. As such, it is important to measure collaboration quality through network evaluation. Established tools, such as social network analysis, primarily measure connections between network members as opposed to network quality. Additionally, only few tools developed for this purpose are used in practice. Methods: This paper describes the process of developing a network assessment tool to measure the quality of network collaboration in practice. To this end, we collaborated with practice partners from a community-based health promotion network and the community health service. We adopted a mixed-methods approach consisting of a literature review and a needs assessment involving practical experts in Germany. On this basis, we developed a new network evaluation tool, the Self-Evaluation Tool for Network Quality Assessment by Practitioners in Community Health Promotion (SNAP-HP), in cyclic-iterative collaboration with our practice partners. Conclusions: The next steps include piloting, evaluating, and adapting the SNAP-HP for final open access. [ABSTRACT FROM AUTHOR]

Background: The core to successful advance care planning (ACP) facilitation is helping people determine their values, beliefs and wishes, and understand substitute decision-making. Recognizing the potential for community members to support public awareness and education we developed a model of ACP education, whereby peer facilitators associated with community organizations host workshops that educate and assist members of the public with ACP. Objectives: Describe the development and evaluation of the model for community-led peer-facilitated ACP workshops for the public. Design: Descriptive mixed methods. Methods: A training curriculum and program model were co-developed with two community organizations that had been successful in delivering ACP workshops independently in their communities. Herein we describe a mixed-methods evaluation of three cycles of implementation and improvement of the model. Results: The model centers on three key concepts; the right content (based around three steps Think, Talk, Plan), the right facilitator, and the right approach. A suite of tools was designed to support the three groups involved in the delivery of the ACP workshops: the public participants, the peer facilitators, and the community-based organizations. The peer-facilitator training addresses the facilitator's learning needs of ACP content knowledge, facilitation skills, and understanding change behavior. Training evaluation data from 106 facilitators confirmed that the curriculum prepared them to facilitate the workshops. Qualitative data revealed that support from organizations with established reputations in their community is critical, with mentoring from more experienced facilitators beneficial. Conclusion: Our model demonstrates the potential of community-led, peer-facilitated ACP initiatives to enhance the capacity of community to upstream ACP conversations. Reaching a broader audience and creating a supportive, inclusive environment for individuals to comfortably learn about ACP can drive the much-needed culture shift to normalize ACP. Meaningful community engagement, empowerment, and partnerships are essential for the successful development and widespread impact of these initiatives. Plain language summary: A model for community-led peer-facilitated advance care planning workshops for the public Why was this study done? Advance care planning (ACP) allows people to reflect on and share their personal values, goals and preferences as they relate to their future healthcare. Despite the benefits of doing ACP, the number of people who have engaged in ACP remains low. Traditionally, most ways of supporting people to engage in ACP have involved healthcare providers. In British Columbia, two community-based organizations had developed successful peer-facilitated workshops to engage and educate the public. In these workshops, non-expert members of the community (peer-facilitators) conduct interactive workshops that help members of the public understand and begin ACP. What did the researchers do? We partnered with these two organizations to develop a training curriculum and other materials required to spread this approach to other community organizations throughout the province. The model is based on three key concepts: the right content, the right facilitator, and the right approach. The materials include a suite of tools for three groups: the public participants, the peer-facilitators and the organizations. What did the researchers find? The training and suite of tools we developed successfully prepared community members ("peers") associated with community organizations to facilitate ACP workshops for the public. Support from community organizations is essential, and mentoring from more experienced facilitators is beneficial. What do the findings mean? As a provincial organization we were able to successfully partner with community organizations to develop a model and spread the workshops provincially and confirm they were acceptable and effective, improving public access to information about advance care planning. [ABSTRACT FROM AUTHOR]

Background: Social Prescribing is a Primary Health Care service that provides people with non-clinical care alternatives that may have an impact on their health. Social Prescribing can be more or less formal and structured. Social Prescribing Schemes are formal Social Prescribing of health assets by Primary Health Care teams in coordination and follow-up of patients with providers. The emerging evidence suggests that this service can improve people's health and well-being, create value and provide sustainability for the healthcare system. However, some evaluations note that the current evidence regarding social prescribing is insufficient and needs further investigation. The EvaLRA project aims to elaborate an evaluation model of Social Prescribing Schemes in Primary Health Care based on a set of structure, process, and outcomes indicators. Methods: In the region of Aragon, the Community Health Care Strategy aims to promote the development of social prescription schemes in Primary Health Care teams. This study is divided into two stages. Stage 1: identification of primary health care teams that implement social prescribing schemes and establish a first set of indicators to evaluate social prescribing using qualitative consensus techniques with experts. Stage 2 evaluation of the relevance, feasibility and sensitivity of selected indicators after 6 and 12 months in primary health care teams. The results will provide a set of indicators considering structure, process and outcomes for social prescribing schemes. Discussion: Current evaluations of the application of social prescribing schemes use different criteria and indicators. A set of agreed indicators and its piloting in primary health care teams will provide a tool to evaluate the implementation of social prescription schemes. In addition, the scorecard created could be of interest to other health systems in order to assess the service and improve its information system, deployment and safety. [ABSTRACT FROM AUTHOR]

The increasing frequency and cost of zoonotic disease emergence due to global change have led to calls for the primary surveillance of wildlife. This should be facilitated by the ready availability of remotely sensed environmental data, given the importance of the environment in determining infectious disease dynamics. However, there has been little evaluation of the temporal predictiveness of remotely sensed environmental data for infection reservoirs in vertebrate hosts due to a deficit of corresponding high‐quality long‐term infection datasets. Here we employ two unique decade‐spanning datasets for assemblages of infectious agents, including zoonotic agents, in rodents in stable habitats. Such stable habitats are important, as they provide the baseline sets of pathogens for the interactions within degrading habitats that have been identified as hotspots for zoonotic emergence. We focus on the enhanced vegetation index (EVI), a measure of vegetation greening that equates to primary productivity, reasoning that this would modulate infectious agent populations via trophic cascades determining host population density or immunocompetence. We found that EVI, in analyses with data standardised by site, inversely predicted more than one‐third of the variation in an index of infectious agent total abundance. Moreover, in bipartite host occupancy networks, weighted network statistics (connectance and modularity) were linked to total abundance and were also predicted by EVI. Infectious agent abundance and, perhaps, community structure are likely to influence infection risk and, in turn, the probability of transboundary emergence. Thus, the present results, which were consistent in disparate forest and desert systems, provide proof‐of‐principle that within‐site fluctuations in satellite‐derived greenness indices can furnish useful forecasting that could focus primary surveillance. In relation to the well‐documented global greening trend of recent decades, the present results predict declining infection burden in wild vertebrates in stable habitats; but if greening trends were to be reversed, this might magnify the already upwards trend in zoonotic emergence. [ABSTRACT FROM AUTHOR]

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The volumes of waste in urban areas around the globe continue to increase due to the upsurge in disposals from exponentially growing urban populations. Ideally, the waste must be regularly collected by responsible councils, but in some countries, the collection has been erratic due to operational challenges. Unfortunately, this is the current and perpetually unresolved problem in Zimbabwe. A lack of garbage collection vehicles, as well as a lack of fuel for the available refuse collection trucks, has resulted in sporadic refuse collection in urban areas. The accumulation of uncollected waste in Zimbabwe's urban areas pollutes the environment and exposes the inhabitants to health risks, leaving waste management responsibilities to the community. This research, adopts the mixed-methods approach to evaluate the efficacy of using community social capital in waste management in urban Zimbabwe. Data was collected through a survey, observations and key informant interviews. The study revealed that due to poor refuse collection by the Harare City Council, residents have taken the initiative to use their social capital to manage waste in their communities through mechanisms like clean-up exercises, environmental cleanliness training workshops as well as forming collaborations with community-based organisations. However, these social capital initiatives are backtracked by some errant residents who continue to dump waste in undesignated areas. Measures such as the introduction of waste recycling income generation projects, giving incentives to community clean-up participants and enforcement of penalties for dumping waste in illegal places are recommended to support social capital initiatives in municipal waste management in Harare.

Shaping digital inclusion policy and practice to meet community-defined goals requires more than access to digital devices and connectivity; it must also enable their effective design and use in situated local settings. For the Nation of Hawai’i, a Kānaka Maoli (Hawai’ian) sovereignty organization with a land base in Pu‘uhonua o Waimānalo on the island of Oahu, these activities are closely associated with broader goals of Nation-building and sovereignty. Recognizing there are many different approaches to sovereignty among diverse Kānaka Maoli, in this paper we document how the Nation of Hawai’i is conceptualizing the ongoing evolution of their community networking project. We suggest that the Pu‘uhonua o Waimānalo initiative reflects one Indigenous organization’s efforts to frame community networks as a means to generate a “sovereignty mindset” among members of the Nation, as well as share resources and experience among local community members and with other communities in Hawai’i and beyond.

Abstract Background It is becoming more common for parents of children with chronic conditions to join research teams as partners. Parent partnerships can help align research with what is relevant and important to families. It is also common for parent partners to be asked to share information about a study through their personal networks, which supports study recruitment. In this parent-led study, we explored parents' experiences when working together with researchers in patient-oriented research studies, in relation to study recruitment. Methods Demographic data were collected through a brief online survey (SurveyMonkey®) and analysed descriptively (n, %, median (interquartile range; IQR)). Qualitative data were collected through focus groups and interviews (July to October 2021), transcribed verbatim, and analysed thematically. Parent co-leads were involved in every stage of the study, including study design, recruitment, data collection, analysis, interpretation, and knowledge mobilization. Results Fifteen parents (n = 14 women) who had research partnership experience participated in this study. Most (n = 13) participants self-identified as White or of European descent. The majority (n = 10) had partnered in 1–3 research projects, while five participants had partnered in 4 + projects. Parents had a median of 3 years (IQR: 5) of partnership experience. We identified the following three themes: motivations, authentic partnerships, and learned decision making. Each theme included reflections about recruitment, and about research partnership in general. Motivations included a personal connection to the research topic, a connection to the community impacted by the research topic, and a desire to create change. Authentic partnerships were important for a meaningful experience, and enhanced participant’s willingness and ability to share study materials. Learned decision making reflected parents’ evolving decisions and practices related to sharing study information or personal information to support research. We provide a summary of participants’ recommendations for researchers who work with parent partners, and recommendations for parents as they approach research partnerships. Conclusions Experiences shared by parents who have partnered in research provide valuable information to inform recruitment methods and improve team functioning. Parent partners expressed a willingness to support recruitment and valued a strong research team working together for a common outcome. This study yields a set of recommendations guiding future research that engages parents as team members.

Abstract Background Chronic wounds are frequently colonized or infected with multiple bacterial or fungal species, which can both promote or inhibit each other. Network analyses are helpful to understand the interplay of these species in polymicrobial infections. Our aim was to analyse the network of bacterial and fungal species in chronic wounds. Methods Swabs (n = 163) from chronic wound infections (Masanga, Sierra Leone, 2019–2020) were screened for bacterial and fungal species using non-selective agars. Some of these wounds were suspected but not confirmed Buruli ulcer. Species identification was done with MALDI-TOF mass spectrometry. Network analysis was performed to investigate co-occurrence of different species within one patient. All species with n ≥ 10 isolates were taken into account. Results Of the 163 patients, 156 had a positive wound culture (median of three different species per patient; range 1–7). Pseudomonas aeruginosa (n = 75) was the dominating species with frequent co-detections of Klebsiella pneumoniae (21 cases; OR = 1.36, 95%CI: 0.63–2.96, p = 0.47), Staphylococcus aureus (14 cases; OR = 1.06, 95%CI: 0.44–2.55, p = 1) and Proteus mirabilis (13 cases; OR = 0.84, 95%CI: 0.35–1.99, p = 0.69). Conclusion The culturome of chronic wounds in Sierra Leonean patients is highly diverse and characterized by the co-occurrence of P. aeruginosa, K. pneumoniae and S. aureus.

Objective: Despite recognized benefits, engagement in Advance Care Planning (ACP) remains low. Research into peer-facilitated, group ACP interventions is limited. This study investigated the acceptability of community-led peer-facilitated ACP workshops for the public and whether these workshops are associated with increased knowledge, motivation and engagement in ACP behaviors. Methods: Peer-facilitators from 9 community organizations were recruited and trained to deliver free ACP workshops to members of the public with an emphasis on conversation. Using a cohort design, workshop acceptability and engagement in ACP behaviors was assessed by surveying public participants at the end of the workshop and 4–6 weeks later. Results: 217 participants returned post-workshop questionnaires, and 69 returned follow-up questionnaires. Over 90% of participants felt they gained knowledge across all 6 learning goals. Every ACP behavior saw a statistically significant increase in participant completion after 4–6 weeks. Almost all participants were glad they attended (94%) and would recommend the workshop to others (95%). Conclusion: This study revealed an association of peer-facilitated ACP workshops and completion of ACP behaviors in public participants. Innovation: This innovative approach supports investment in the spread of community-based, peer-facilitated ACP workshops for the public as important ACP promotion strategies.

This article examines, with ethnographic lenses, the emergence of shared networks in the Tseltal and Zapoteco communities in Chiapas and Oaxaca (Mexico). 'Shared networks' are first-mile signal-sharing practices that articulate interconnection infrastructure and values of coexistence to, in the cases studied, extend the internet to areas where the services of existing larger internet service providers are unsatisfactory or unavailable. It argues that by infrastructuring their own local networks and interconnecting to the global internet, Tseltal and Zapoteco people are effectively internet codesigners, building Latin-Centric Indigenous networks and shaping internet governance from below. When comunalidad values, supported by unlicensed frequencies of the electromagnetic spectrum, towers, radio antennas, houses' rooftops, routers, and cables, intersect with the values of the internet service providers and their policies, hybrids emerge. Shared networks are a result of what these hybrids enact and constrain, as well as evidence of the vivid struggles for a more inclusive and pluriversal internet. [ABSTRACT FROM AUTHOR]

The mounting evidence that current efforts to meet international goals for increasing Internet connectivity are likely to fall short has heightened interest in alternative connectivity models such as community networks. Already, there are many such initiatives globally taking differentiated approaches towards their setup and operation. This results in fragmented knowledge on the initiatives and systematic analysis of these models is limited. This study applies the People, Technology, Organization and Environment (TOE) framework to examine 21 community networks across countries in different continents to produce insights into their structure and components. The aim is to identify ways in which initiatives become sustainable. Data for the study were collected in two steps. First, qualitative data were gathered using in-depth interviews to produce a database of case studies. Second, the qualitative data were quantized, which enables the researchers to produce descriptive data. Overall, the study findings demonstrate the existence of several technology options, but the main technology used for community level connectivity is Wi-Fi. Initiatives also adopt different organizational approaches, but strategic partnerships are critical for the success of the initiatives. While strategic partners provide support for the initial set up lack of business models affect the sustainability of initiatives. Also, while environment-related issues (regulation, infrastructure) play a significant role, they are malleable as shown by changes in regulatory regimes. This study findings are useful to practitioners implementing community networks, researchers looking to gain more insights on these models and policy makers responsible for the telecommunication, and digital policies. [ABSTRACT FROM AUTHOR]

This study considers whether the use of the neighborhood-focused social networking web application, Nextdoor, might in certain instances rise to the level of community development envisioned over 25 years ago by "community networking" (ComNet) scholars. In the 1980s and 1990s, academics and journalists recognized the potential of "electronic community networks," or ComNets, to help people connect with their geographic communities and help struggling communities with civic and economic development. Those early ComNets were described as helping residents to "get together" to tackle neighborhood issues from the grassroots. Through a case study drawing from interview data and participant observation, this study looks at how residents in a metropolitan US city and a nearby suburban area might, or might not, be using Nextdoor in these developmental ways envisioned by the ComNet literature. [ABSTRACT FROM AUTHOR]

Background: It is becoming more common for parents of children with chronic conditions to join research teams as partners. Parent partnerships can help align research with what is relevant and important to families. It is also common for parent partners to be asked to share information about a study through their personal networks, which supports study recruitment. In this parent-led study, we explored parents' experiences when working together with researchers in patient-oriented research studies, in relation to study recruitment. Methods: Demographic data were collected through a brief online survey (SurveyMonkey®) and analysed descriptively (n, %, median (interquartile range; IQR)). Qualitative data were collected through focus groups and interviews (July to October 2021), transcribed verbatim, and analysed thematically. Parent co-leads were involved in every stage of the study, including study design, recruitment, data collection, analysis, interpretation, and knowledge mobilization. Results: Fifteen parents (n = 14 women) who had research partnership experience participated in this study. Most (n = 13) participants self-identified as White or of European descent. The majority (n = 10) had partnered in 1–3 research projects, while five participants had partnered in 4 + projects. Parents had a median of 3 years (IQR: 5) of partnership experience. We identified the following three themes: motivations, authentic partnerships, and learned decision making. Each theme included reflections about recruitment, and about research partnership in general. Motivations included a personal connection to the research topic, a connection to the community impacted by the research topic, and a desire to create change. Authentic partnerships were important for a meaningful experience, and enhanced participant's willingness and ability to share study materials. Learned decision making reflected parents' evolving decisions and practices related to sharing study information or personal information to support research. We provide a summary of participants' recommendations for researchers who work with parent partners, and recommendations for parents as they approach research partnerships. Conclusions: Experiences shared by parents who have partnered in research provide valuable information to inform recruitment methods and improve team functioning. Parent partners expressed a willingness to support recruitment and valued a strong research team working together for a common outcome. This study yields a set of recommendations guiding future research that engages parents as team members. Plain English summary: It is becoming common for parents of children with chronic conditions to join research teams as partners. These partnerships help ensure that research is relevant to families. In partnership roles, parents are often asked to share information through their personal networks to support recruitment. In this parent-led study, we explored parents' experiences related to sharing research information through their personal networks. Through interviews and focus groups, our team asked 15 parents with research partnership experience how they felt about using their personal connections to help recruit for research. Interviews and focus group recordings were transcribed. We looked at the data to find common patterns, or themes, and found three: motivations, authentic partnerships, and learned decision making. Each theme included reflections about recruitment, and about research partnership in general. Motivations included a personal connection to the research topic, a connection to the community impacted by the topic, and the desire to create change. Authentic partnerships were important for a meaningful experience, and enhanced participant's willingness to share study recruitment materials. Learned decision making reflected parents' evolving decisions and practices related to sharing study information or personal information to support research. We provide a summary of participants' recommendations for researchers who work with parent partners, and for parents as they consider partnerships. Experiences shared by parents who have partnered in research provide valuable information to inform recruitment methods and improve team functioning. Parent partners expressed a willingness to support recruitment and valued a strong research team working together for a common outcome. [ABSTRACT FROM AUTHOR]

Introduction: The solidarity circles are made up of groups of 10 to 30 people from disadvantaged strata of the city of Medellín, Colombia, excluded from the traditional financial system, who cooperate for the development of economic and productive activities. This article shows the results of the research, "Impact of the Public Policy of the Bank of the opportunities of the Municipality of Medellín in the credit lines Círculos Solidarios and Bancuadra of the Corporación Fomentamos"; Its objective is: to describe the benefits of social impact, associated with microfinance, within the framework of the application of said Public Policy, from the perspective of human and social development. Materials and methods: 9794 beneficiaries of the policy, 8123 of the solidarity circles credit line and 1671 of the Bancuadra credit line were taken as the target population, by simple random sampling with 133 beneficiaries. Results: The results ratify solidarity microfinance as an alternative for improving the human and social development of people living in poverty, which could be made visible in aspects such as: The improvement or acquisition of housing, savings, credit, better living conditions, comprehensive training, relevant inclusion from the gender perspective, generation of links, relationships and bonds of trust between the beneficiaries and members of the solidarity circles. Conclusions: In general terms, the solidarity circle becomes valid when solutions to family and social problems are generated, when basic, essential, and urgent needs are solved, when the community is prevented from resorting to illegal loans. [ABSTRACT FROM AUTHOR]

The Homeless Population finds several barriers to accessing health services, as result, in large part, of prejudices about their ways of being in life, increasing their vulnerability and social exclusion. Objective: To analyze the health trajectory of a group of homeless people based on the concepts of access and barrier. Method: Qualitative descriptive study using semi-structured interviews and Bardin's content analysis. Results and discussion: Three analytical categories emerged from the study: i) access to the Health Care Network; ii) barriers to health production; iii) possibilities discovered in the territory - Rede Viva. The services most accessed by the Homeless Population are emergency services or those specific to this population. Barriers to health services and production of life appear in several speeches, revealing prejudice, negligence, violent experiences in institutions and situations where access was denied or made difficult. Living networks show themselves as potentialities in the territory to assist in their basic needs. Final considerations: The implementation of specific public policies for PSR and the reorganization of health services are conditions for offering life-producing care that takes into account the particularities of this population. [ABSTRACT FROM AUTHOR]

Copyright of Pensamiento y Acción Multidisciplinaria is the property of Universidad Catolica del Maule. Escuela de Trabajo Social and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Shaping digital inclusion policy and practice to meet community‐defined goals requires more than access to digital devices and connectivity; it must also enable their effective design and use in local settings. For the Nation of Hawaiʻi, a Kānaka Maoli (Native Hawaiian) organization with a land base on the island of Oahu, these activities are closely associated with broader goals of nation‐building and sovereignty. In this article, we document how the Nation of Hawaiʻi is conceptualiz‐ ing its community networking project as an example of an Indigenous organization’s efforts to frame community networks as a means to generate a “sovereignty mindset” among its members, as well as share resources and experience among community members and with other communities in Hawaiʻi and beyond. [ABSTRACT FROM AUTHOR]

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper explores the effects of a group-randomized controlled trial, Community Partners in Care (CPIC), on the development of interagency networks for collaborative depression care improvement between a community engagement and planning (CEP) intervention and a resources for services (RS) intervention that provided the same content solely via technical assistance to individual programs. Both interventions consisted of a diverse set of service agencies, including health, mental health, substance abuse treatment, social services, and community-trusted organizations such as churches and parks and recreation centers. Participants in the community councils for the CEP intervention reflected a range of agency leaders, staff, and other stakeholders. Network analysis of partnerships among agencies in the CEP versus RS condition, and qualitative analysis of perspectives on interagency network changes from multiple sources, suggested that agencies in the CEP intervention exhibited greater growth in partnership capacity among themselves than did RS agencies. CEP participants also viewed the coalition development intervention both as promoting collaboration in depression services and as a meaningful community capacity building activity. These descriptive results help to identify plausible mechanisms of action for the CPIC interventions and can be used to guide development of future community engagement interventions and evaluations in under-resourced communities.

Background/objectivesCognitive and mobility impairments are common and underdiagnosed chronic conditions that afflict community-dwelling older adults. This study describes the organization, implementation, and evaluation of an intervention for underserved and ethnically diverse older patients with dementia and/or falls risk.DesignObservation, baseline and 1 year after intervention.SettingCommunity-based primary care county clinics in inland southern California.ParticipantsA total of 272 persons, aged 70 years and older, who screened positive for falls and/or dementia and enrolled in the Cognition and Mobility Care Management program during the study period.InterventionA nurse care manager performed a patient and caregiver evaluation and created and implemented a care plan with medical, behavioral, and psychosocial interventions in partnership with patients and their primary care providers.MeasurementsProcess outcomes included rates of positive screening for dementia and fall risk, referral, enrollment, and visit completion. Patient outcomes included fall history, mobility and cognitive assessments, and depression scales. Patients and/or caregivers completed questionnaires rating perceived benefits of enrollment after 1 year in the program.ResultsMedical assistants screened 573 patients aged 70 years and older during the study period; 78% screened positive for dementia and/or fall risk. Of the patients who screened positive, 94% were referred; 91% of contacted patients elected to enroll, and 272 patients completed an intake visit (meanage = 77 years; 65% female; 75% Latino; 10% African American). The patients and caregivers who completed satisfaction questionnaires 1 year after enrollment rated the program highly, and 92% would recommend the program to others.ConclusionA primary care-based screening and comanagement program to identify and manage dementia and falls risk in primarily Latino and African American older adult patients living in an underserved area was well received, with high satisfaction and perceived benefit from patients and caregivers.

Opportunities exist to promote inclusive cancer care and clinical research to reduce disparity and achieve health equity. Through raising awareness of the nuances of the clinical encounter to promote inclusivity as well as reducing barriers to access and enrollment in clinical trials, a more complete understanding regarding the spectrum of disease and opportunity for inclusive cancer care can be achieved. [ABSTRACT FROM AUTHOR]

Background and Aim: Comprehensive evaluations that include the experience of patients and service providers are vital if interventions are to be translated into the standard practice of health services and allow formal networks to work as partners with informal community networks. However, published evaluations are limited in the palliative care volunteering literature. The objective of the study is to explore the experiences and views of both patients and their family carers who received support and their referring healthcare providers concerning their participation in the Compassionate Communities Connectors programme, in the south-west region of Western Australia. Connectors identified and addressed gaps in community and healthcare provision by accessing resources and mobilising social networks of people with life-limiting illnesses. The perspectives of patients, carers and service providers concerning the feasibility and acceptability of the intervention were sought. Methods: Semistructured interviews were undertaken with 28 patients/families and 12 healthcare providers, resulting in 47 interviews in total (March 2021-April 2022). An inductive content analysis was used in analysing interview transcripts to identify key themes. Results: Families greatly appreciated the support and enablement received from the Connectors. Healthcare providers were impressed with the high level of resourcefulness exhibited by the Connectors and perceived a great need for the programme, particularly for those socially isolated. Three themes captured the patients'/families' perspectives: connector as an advocate, increasing social connectedness and taking the pressure off families. Healthcare providers' perspectives were captured in three themes: reducing social isolation, filling a gap in service provision and building the capacity of the service. Conclusions: Perspectives of patients/families and healthcare providers demonstrated the mediating role of Connectors. Each group saw the Connectors' contribution through the lens of their particular interests or needs. However, there were indications that the connection was shifting the way each group understood and practised care, encouraging or restoring agency to families and reminding healthcare providers that collaborating beyond the boundaries of their roles actually enhances the whole ecology of care. Using a Compassionate Communities approach to mobilise health and community sectors has the potential to develop a more holistic approach that addresses the social, practical and emotional domains of care. [ABSTRACT FROM AUTHOR]

Aim: Practicing physicians have a special position as disseminators of community-based prevention for children. However, it is unclear to what extent physicians inform parents about programs. The study investigated: To what extent do physicians disseminate information about community-based prevention for children aged 0–7? Do differences exist along family's socioeconomic position (SEP) and immigrant background? Subject and methods: We conducted a retrospective cohort study in a German school entrance examination. Parents were invited to participate in a survey on community-based prevention with information about their awareness and information source. SEP was measured by parental education, immigrant background by country of birth. For nine services types, we counted how often parents named physicians and other professional groups as information sources. To estimate social differences, we calculated adjusted odds ratios (OR) with 95% confidence interval (CI). Results: Survey participants included 6480 parents (response 65.49%). Compared to other information sources, physicians were mentioned less frequently. For example, regarding language therapy, 31.2% of parents were informed by healthcare/social services, and 4.4% by physicians. Lower educated parents were less frequently informed by physicians about counseling services (OR 0.58; 95% CI 0.46–0.73) compared to higher educated parents. Parents with immigrant background were informed less often about parenting skills courses (OR 0.79; 95% CI 0.70–0.90) compared to parents without immigrant background, but more often about language therapy (OR 1.47; 95% CI 1.13–1.91). No further social differences were observed. Conclusion: The role of physicians as disseminators for community-based prevention is expandable. They should promote parenting skills courses in a socially sensitive way. [ABSTRACT FROM AUTHOR]

Background: Chronic wounds are frequently colonized or infected with multiple bacterial or fungal species, which can both promote or inhibit each other. Network analyses are helpful to understand the interplay of these species in polymicrobial infections. Our aim was to analyse the network of bacterial and fungal species in chronic wounds. Methods: Swabs (n = 163) from chronic wound infections (Masanga, Sierra Leone, 2019–2020) were screened for bacterial and fungal species using non-selective agars. Some of these wounds were suspected but not confirmed Buruli ulcer. Species identification was done with MALDI-TOF mass spectrometry. Network analysis was performed to investigate co-occurrence of different species within one patient. All species with n ≥ 10 isolates were taken into account. Results: Of the 163 patients, 156 had a positive wound culture (median of three different species per patient; range 1–7). Pseudomonas aeruginosa (n = 75) was the dominating species with frequent co-detections of Klebsiella pneumoniae (21 cases; OR = 1.36, 95%CI: 0.63–2.96, p = 0.47), Staphylococcus aureus (14 cases; OR = 1.06, 95%CI: 0.44–2.55, p = 1) and Proteus mirabilis (13 cases; OR = 0.84, 95%CI: 0.35–1.99, p = 0.69). Conclusion: The culturome of chronic wounds in Sierra Leonean patients is highly diverse and characterized by the co-occurrence of P. aeruginosa, K. pneumoniae and S. aureus. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVES: Early diagnosis of cerebral palsy (CP) is critical in obtaining evidence-based interventions when plasticity is greatest. In 2017, international guidelines for early detection of CP were published on the basis of a systematic review of evidence. Our study aim was to reduce the age at CP diagnosis throughout a network of 5 diverse US high-risk infant follow-up programs through consistent implementation of these guidelines. METHODS: The study leveraged plan-do-study-act and Lean methodologies. The primary outcome was age at CP diagnosis. Data were acquired during the corresponding 9-month baseline and quarterly throughout study. Balancing measures were clinic no-show rates and parent perception of the diagnosis visit. Clinic teams conducted strengths, weaknesses, opportunities, and threats analyses, process flow evaluations, standardized assessments training, and parent questionnaires. Performance of a 3- to 4-month clinic visit was a critical process step because it included a Hammersmith Infant Neurologic Examination, a General Movements Assessment, and standardized assessments of motor function. RESULTS: The age at CP diagnosis decreased from a weighted average of 19.5 (95% confidence interval 16.2 to 22.8) to 9.5 months (95% confidence interval 4.5 to 14.6), with P = .008; 3- to 4-month visits per site increased from the median (interquartile range) 14 (5.2-73.7) to 54 (34.5-152.0), with P < .001; and no-show rates were not different. Parent questionnaires revealed positive provider perception with improvement opportunities for information content and understandability. CONCLUSIONS: Large-scale implementation of international guidelines for early detection of CP is feasible in diverse high-risk infant follow-up clinics. The initiative was received positively by families and without adversely affecting clinic operational flow. Additional parent support and education are necessary.

The House Ball Community consists of sexual, gender and ethnic minority youth who form family-like houses and compete in balls. Many rely on community-based organisations as venues for socialising and accessing health-related resources. In recent years, urban gentrification has challenged the economic survival of the organisations that serve this community and its members. Between 2016 and 2017, we conducted 45 in-depth interviews with houses and gay families in the San Francisco Bay Area and regular participant observation at community events, including balls. In addition to forcing community organisations to close or move, rising rents have increased housing instability among Ballroom Community members, with some moving to distal locations. Participants felt nostalgia for organisations that provided HIV-related services and hosted balls in previous years, feeling the loss of space keenly. To maintain community and generate employment, the San Francisco Ballroom Community now offers Vogue classes at private dance studios. This allows participants to recruit new house members, welcoming a broader array of individuals into the community than those who have historically participated. However, accessing culturally appropriate sexual health services remains difficult. Health advocates should recognise that community organisations are necessary for diverse youth to build community and access sexual health services.

In California Medicaid home-and-community-based services (HCBS), recipients' family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.