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This study aimed to synthesize and critically analyze 24 empirical studies that focused on Students of Color (SOC) in Integrated Reading and Writing (IRW) classrooms in U.S. community colleges. Our review, through the cultural and community practices framing, examined IRW studies and how SOC, curriculum/institutional reform, and wise pedagogical practices for culturally diverse learning communities were portrayed. Our cultural and community practices framework was informed by culturally sustaining pedagogy and community cultural wealth framework in literacy. Through narratively reviewing studies, we generated the following six themes using our framework of cultural and community practices in classroom settings: ways to culturally diversify reading and writing text, strengthening students' identity through curriculum, fostering community in the postsecondary classroom, supporting students' mother tongue in the classroom, the need for diverse faculty representation, and the need for asset-based narratives in developmental education. Implications for asset-focused research and practice are discussed in postsecondary literacy spaces. [ABSTRACT FROM AUTHOR]

In this qualitative case study, we employ 29 semistructured interviews and an array of supplemental data to explore why and how COVID-19 shaped school and community practices around student and family homelessness in Houston, Texas. Drawing on Small's notion of organizational embeddedness, we find that COVID-19 fundamentally altered school and community practices, as educators and providers faced resource constraints, new concerns about safety, and evolving student and family needs. Providers struggled to meet the depth of need stemming from COVID-19; however, they also embraced innovation in adapting their practices to the pandemic era. We find that this adaptation occurred along a continuum, ranging from pausing or stopping existing practices to developing new practices from scratch. We conclude with implications for theory, research, policy, and practice.

Yanny Trisyani,1 Etika Emaliyawati,1 Aan Nuraeni,1 Ristina Mirwanti,1 Kusman Ibrahim,2 Iqbal Pramukti,3 Titin Sutini,4 Donny Nurhamsyah1 1Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Medical Surgical Nursing, University of Padjadjaran, Sumedang, West Java, Indonesia; 3Department of Community Nursing, Padjadjaran University, Sumedang, West Java, Indonesia; 4Department of Mental Health Nursing, Padjadjaran University, Sumedang, West Java, IndonesiaCorrespondence: Yanny Trisyani, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6281222073465, Fax +622287793411, Email yanny.trisyani@unpad.ac.idBackground: COVID-19 still continue to spread and affects most nations globally to date. In this context, community knowledge, attitudes, and practices (KAP) toward COVID-19 are the most important for controlling and preventing the infectious pandemic disease.Objective: This study aimed to investigate the factors associated with community practices related to COVID-19.Methods: Cross-sectional study was conducted on 330 residents of Sumedang District, Indonesia. Selection of the sample using stratified random sampling. KAP toward COVID-19 was measured using the WHO questionnaire which is valid and reliable. The data were analyzed using the Rasch model, Pearson correlation, and linear regression.Results: This study revealed that most respondents tend to answer correctly on the sociality and disease transmission knowledge (+2.08 logit; SE 1.63), incorrectly in conceptual knowledge (logit measure − 2.05; SE 0.45), tended to have a positive attitude (+1.6 logit; 0.54) and practice (+1.63 logit; SE 0.61). Based on the results of the Wright map, the most challenging statement for respondents was to use masks. Knowledge and attitude were significantly associated with the practice of COVID-19 prevention (p< 0.001). Attitude is the dominant factor influencing society practice towards COVID-19 (Stand. Estimate= 0.2737; 95% CI=0.1608– 0.378; p< 0.001) and knowledge play an important role in improving COVID-19 prevention behaviour.Conclusion: New insight from this research shows that even attitude is the most dominant factor, yet this study also indicated that knowledge is critical for positive attitudes of society to support COVID-19 prevention practices. Since, knowledge is the basis for positive attitudes in preventing the transmission of Covid 19. Therefore, health education that explicates concepts, sociality and disease transmission is important to boost attitudes of the society in the practice of Covid 19 prevention.Keywords: attitude, COVID-19, Indonesia, knowledge, practice

The participants in this study were teachers and students of a large school district located on the east coast of Canada. We distributed surveys to 1,514 teachers across 84 schools and received 1,423 usable surveys for a return rate of 94%. At the time of the second data collection, three years later, 1574 teachers from 78 schools agreed to participate. Teachers' perceptions of their schools as professional learning communities were assessed using 32 items in a 5-point Likert format. The responses to the 2006 survey were factor analyzed using ML estimation. A number of different factor structures were tested, including a single factor model and a second-order factor analysis. In spite of a heavy emphasis by school board leaders and the collaborative development, introduction, and implementation of PLC practices before and during the study period, no significant measurable effect on student learning was identified.

Background: More than 43 million cases and 5.2 lakhs death have occurred due to COVID-19 in India. Approximately 1 lakh people (cumulative) have been infected by COVID-19 in Faridabad district alone as of 4 April 2022. To understand the effects of COVID-19 on community practices this study was conducted. Methods: A community-based cross-sectional study was conducted in Intensive Field Practice Area of Comprehensive Rural health Services Project (CRHSP), Ballabgarh, Haryana. Five hundred participants (≥18 years) were selected by using simple random sampling from Health Management Information System (HMIS) maintained at Centre for Community Medicine, AIIMS, New Delhi. Participants were informed regarding study and consent was taken. A semi-structured interview schedule was administered. Results: Study participants included 500 adults (52.2% Male). Mean age (S.D.) of participants were 39.1 (14.9) years. Almost all participants started practicing hand sanitisation (496, 99.2%), avoiding crowd (488, 97.6%), and covering face with cloth/handkerchief (459, 91.8%). More than 80% (428, 85.6%) started using mask, and following cough etiquettes (405, 81.0%). More than three-fourth (389, 77.8%) participants were very unsatisfied with lockdown. Majority faced financial difficulties (322, 64.4%), followed by difficulty in their entertainment/recreational activity (158, 31.6%), difficulty in acquiring ration/food items (87, 17.4%) and mental stress (46, 9.2%) during lockdown. Conclusions: Rural community of Ballabgarh showed positive practices with respect to prevention of COVID-19. Financial distress and job loss due to lockdown were widely reported from the rural community. Majority of the community was displeased with lockdown as intervention for COVID-19.

Background and Aims: Transoral incisionless fundoplication (TIF) is an established safe endoscopic technique for the management of GERD but with variable efficacy. In the last decade, the TIF technology and technique have been optimized and more widely accepted but data on outcomes outside clinical trials are limited. We tracked patient-reported and clinical outcomes of GERD patients after TIF 2.0., Methods: Patients with BMI < 35, hiatal hernia < 2cm, and confirmed GERD with typical and/or atypical symptoms from 9 academic and community medical centers were enrolled in a prospective registry and underwent after TIF 2.0 performed by gastroenterologists and surgeons. The primary outcomes were safety and clinical success (response in >2 of 4 endpoints). Secondary endpoints were symptom improvement, acid exposure time (AET), esophagitis healing, proton pump inhibitor (PPI) use, and satisfaction. Outcomes were assessed at last follow-up within 12 months., Results: 85 patients underwent TIF 2.0, 81 were included in the outcomes analysis. Clinical success was achieved in 94%, GERD-HRQL scores improved in 89%, and elevated RSI score normalized in 85% of patients with elevated baseline. Patient satisfaction improved from 8% to 79% (p <0.0001). At baseline, 81% were taking at least daily PPI, while 80% were on no or occasional PPI after TIF 2.0 (p<0.0001). Esophageal AET was normal in 72%, greater with an optimized TIF 2.0 valve >300 degree circumference, >3cm length (94% vs 57%, p=0.007). There were no TIF 2.0-related serious adverse events., Conclusion: TIF 2.0 is a safe and effective endoscopic outpatient treatment option for select patients with GERD., (Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.)

This paper deals with an experience on the trajectory of Community Education located in Chinantec communities in the State of Oaxaca. Chinantec teachers have given themselves the historical task of building educational projects from the community, actions that have allowed them to unravel the routes to decolonize education. The symmetrical interaction between the school and the communities has been strengthened through years of work. These school forms and practices also consider their own topics that allow making vindicating processes of community dynamics and structures, such as rural community knowledge and knowledges that are generated on a daily basis, communality is pointed out as a practical-explanatory horizon that helps to articulate community knowledge and knowledges in school practices, then other educational experiences from a conception of collective learning -by understanding-. "Communalizing education", among others, is a principle of the pedagogical movement that guides the educational work among the Chinantecos as community subjects. We have to mention that the pedagogical accompaniment and the link with the political movement of teachers has brought us closer to important data and testimonies from the observation involved and interviews for the elaboration of this localized educational experience.

In the 21st century, computational thinking (CT) has emerged as a fundamental skill. Building on this momentum and recognizing the importance of exploring the use of computational thinking (CT) concepts and tools in teaching and learning, this study conducted a qualitative content analysis to investigate online resources for school and community outreach practices related to integrating CT and coding into mathematics education. The data set was selected from sample websites hosting a community of practice and interpreted through Kafai et al.’s (2020) framings of CT and a combination of three theories of learning and teaching (i.e., constructionism, social constructivism, and critical literacy). The study found that in mathematics, more attention is given to the cognitive approach of CT, which focuses on acquiring CT skills and concepts, rather than the situated approach that emphasizes participation during learning. Additionally, there is not enough emphasis on the critical framing of CT, which examines how learning reflects values and power structures. The study’s significance is grounded in enhancing the perspectives of researchers, educators, and policymakers by providing insights into the wide affordances of CT which meet and exceed the expectations of curriculum content and skills. In light of the recent attention paid to adding coding to the new mathematics curriculum, this study contributes to the literature, practice, and curriculum development on the integration of CT into school mathematics and serves as a basis for future research in the field.

ObjectiveReal-world data characterizing differences between African American (AA) and White women with metastatic triple-negative breast cancer (mTNBC) are limited. Using 9 years of data collected from community practices throughout the United States, we assessed racial differences in the proportion of patients with mTNBC, and their characteristics, treatment, and overall survival (OS).MethodsThis retrospective study analyzed de-identified data from 2,116 patients with mTNBC in the Flatiron Health database (January 2011 to March 2020). Characteristics and treatment patterns between AA and White patients with mTNBC were compared using descriptive statistics. OS was examined using Kaplan-Meier analysis and a multivariate Cox proportional hazards regression model.ResultsAmong patients with metastatic breast cancer, more AA patients (23%) had mTNBC than White patients (12%). This difference was particularly pronounced in patients who lived in the Northeast, were aged 45–65, had commercial insurance, and had initial diagnosis at stage II. AA patients were younger and more likely to have Medicaid. Clinical characteristics and first-line treatments were similar between AA and White patients. Unadjusted median OS (months) was shorter in AA (10.3; 95% confidence interval [CI]: 9.1, 11.7) vs. White patients (11.9; 95% CI: 10.9, 12.8) but not significantly different. After adjusting for potential confounders, the hazard ratio for OS was 1.09 (95% CI: 0.95, 1.25) for AA vs. White patients.ConclusionsThe proportion of patients with mTNBC was higher in AA than White mBC patients treated in community practices. Race did not show an association with OS. Both AA and White patients with mTNBC received similar treatments. OS was similarly poor in both groups, particularly in patients who had not received any documented anti-cancer treatment. Effective treatment remains a substantial unmet need for all patients with mTNBC.

Nonprofit networks that oversee housing accessibility within urban neighbourhoods emerge as crucial arenas for inducing transformative shifts in policy and practice in the United States. However, civil society actors are subject to considerable critique in the discourse on radical planning theory. They are often alleged to be hand in glove with state and market actors in enabling displacement and dispossession of marginalised groups. This study challenges some of these entrenched positions and provides important counter-narratives on the transformative roles of civil society. Delving into the roles of various institutions that facilitate low-income homeownership, community building, and neighbourhood stabilisation, the study reveals that civil society actors present opportunities for subaltern expression, disruptive activism, and structural transformation in power relationalities. Their strategies respond to wealth-building pathways through housing and address intersectional challenges related to identity, citizenship, and access, thus reaffirming their transformative potential in the urban planning discourse. [ABSTRACT FROM AUTHOR]

Based on the infamous case of the natural disaster of the Armero volcano eruption, this study aims to analyze the perception of the local community towards the development of dark tourism. In particular, the main central question to be addressed in this article is to examine the motivation of tourists and the perception of local residents towards the tourism activity related to this event. To this end, a qualitative methodology was adopted through observation and interview. Our results show that the main motivation of tourists visiting the Armero region is the curiosity to see other people's deaths. However, his feelings change after visiting this region, as curiosity turns to sadness at seeing the suffering of so many people. On the other hand, some locals are not pleased that their history and heritage revolve around tragedy and the dead. This study highlights the lack of awareness of this type of tourism. It is therefore necessary that governments and competent authorities implement measures to encourage the development of this type of tourism. In this way, the cultural impact of black tourism in Colombia can be improved.

This paper uses visual network analysis (VNA) to do an exploratory data analysis of instapoetry, focusing on the use and co-occurrences of hashtags connected to Scandinavian instapoetry. The goal was to reveal and explore some of the networked patterns and processes connected to the production and distribution of instapoetry, by using digital methods. Through descriptive measurements of metadata of instapoetry and a visual network analysis, this paper has been able to identify characterizations of such patterns. Findings reveal that the Scandinavian instapoetry community is small and Norwegian dominant, with an established use of semantically close words related to poetry being used as tags to organize and make the poetry findable. In addition, the hashtags also reveal larger popular themes and topics. Reoccurring themes are emotions, interpersonal relations, and mental health. While they at one scale state something about the content of the poems, some of these tags bring instapoetry into other communities and interest spheres on Instagram, with prominent examples being interest spaces of specific mental illnesses, but also, by way of one high-visibility instapoet, into the interest sphere of nature photography and Norwegian tourism promotion. [ABSTRACT FROM AUTHOR]

Background: Expressed breast milk (EBM) is the best alternative to direct breastfeeding. However, expressing breast milk requires good milk handling and storage practices to preserve EBM safety and integrity. Mothers require handling and storage guidance, and many seek this from the internet and online support groups. Aim: This study aimed at exploring EBM handling and storage practices within an online exclusively expressing community and comparing these with both internet resources and evidence-based research. Methods: A naturalistic observational design was used. Content analysis was undertaken on 10,000 posts from an Australian Facebook peer-support community for women who exclusively express breast milk. Women's questions, reported practices, and advice for EBM handling and storage were analyzed thematically and compared with both guidelines and evidence-based research. Findings: There were 460 posts on EBM handling and storage. Three key themes emerged: "How should I store my EBM?," "How long can I store my EBM?," and "How do I use my EBM?" The greatest consistency and agreement between recommendations and community practices were found for storage methods, whereas the least was found for storage times. EBM handling and storage practices were influenced by factors such as EBM value, convenience, and cost, leading to occasional deviations from consistent practice recommendations. Conclusion: To facilitate safe EBM handling and continuation of expression, guidelines should be updated so they are consistent, align with current evidence, and cater to mothers' cost, convenience, and milk wastage concerns. Health care providers can partner with women to evaluate online information to empower mothers in their decision making.

The objective of this investigation is to identify the cooperative principles, established in the General Law of Cooperative Societies of Mexico, that the members of the Ñu-Xahoi cooperative implement in their organizational processes; as well as deepen their community practices, linked to the social and solidarity economy, specifically, the social organization, community assemblies are resumed; as well as the tasks, in order to know the contribution they have had to the strengthening of the same cooperative. The importance of the work lies in making visible the cooperative experience of coffee producers from the Sierra Otomí-Tepehua of Hidalgo, whose members operate in a scenario of very restrictive socioeconomic and environmental conditions, where poverty and social backwardness predominate. The study method used for the research is ethnographic, which implies in-depth field work, based on participant observation, semistructured interviews and directed interviews; as well as complementary instruments: photographs and maps. Among the first findings, it is found that the Ñu-Xahoi cooperative implements some cooperative principles established by law, such as freedom of association and voluntary withdrawal of members, democratic administration, promotion of ecological culture, etc. At the same time, it takes up elements of their community life, expressed in democratic, supportive and self-management practices that contribute to the strengthening of the organization itself, which means that the Ñu-Xahoi cooperative is part of a social and solidarity economy experience. [ABSTRACT FROM AUTHOR]

Established classifications exist to confirm Sjögren's Disease (SD) (previously referred as Sjögren's Syndrome) and recruit patients for research. However, no established classification exists for diagnosis in clinical settings causing delayed diagnosis. SD patients experience a huge dental disease burden impairing their quality of life. This study established criteria to characterize Indiana University School of Dentistry (IUSD) patients' SD based on symptoms and signs in the electronic health record (EHR) data available through the state-wide Indiana health information exchange (IHIE). Association between SD diagnosis, and comorbidities including other autoimmune conditions, and documentation of SD diagnosis in electronic dental record (EDR) were also determined. The IUSD patients' EDR were linked with their EHR data in the IHIE and queried for SD diagnostic ICD9/10 codes. The resulting cohorts' EHR clinical findings were characterized and classified using diagnostic criteria based on clinical experts' recommendations. Descriptive statistics were performed, and Chi-square tests determined the association between the different SD presentations and comorbidities including other autoimmune conditions. Eighty-three percent of IUSD patients had an EHR of which 377 patients had a SD diagnosis. They were characterized as positive (24%), uncertain (20%) and negative (56%) based on EHR clinical findings. Dry eyes and mouth were reported for 51% and positive Anti-Ro/SSA antibodies and anti-nuclear antibody (ANA) for 17% of this study cohort. One comorbidity was present in 98% and other autoimmune condition/s were present in 53% respectively. Significant differences were observed between the three SD clinical characteristics/classifications and certain medical and autoimmune conditions (p

With groundwater becoming the mainstay for meeting water requirements for life and livelihoods, countries around the world are experimenting with law reforms in order to establish some guiding rules for its use, distribution and protection. A fundamental question about law reforms is the degree to which they incorporate justice and sustainability. This article, in responding to this question, focuses on Maharashtra, India. We base our response on a content analysis of the 2009 Maharashtra Groundwater (Development and Management) Act; the 2018 Maharashtra Groundwater (Development and Management Draft Groundwater Rules; 1 and a village case study. Primary data was collected in Pune, Mumbai, and Hivre Bazar village; this included an empirical analysis of 47 in-depth interviews, participation in a number of village meetings and open-ended discussions, and direct observations of groundwater practices. Our analysis led to three conclusions. First, the 2009 Groundwater Act and the 2018 Draft Groundwater Rules are primarily driven by concern for sustainability of the resource, especially in areas where the water table is steadily declining, but when it comes to groundwater justice, no proactive measures are suggested in either the 2009 Groundwater Act or the 2018 Draft Groundwater Rules. Second, there are certain core factors identified at the local level that we believe to be fundamental in facilitating sustainability and – to a lesser extent – groundwater justice. These factors include a community’s ability to: (1) acknowledge that there is a crisis and display a willingness to engage with it; (2) create a rule-bound community groundwater resource; (3) demonstrate leadership and the feeling of community; and (4) utilise awareness, information and knowledge. Our third conclusion is that there is a need for the co-evolution of community practices and state-led groundwater law; such a co-evolution has the potential to put in place arrangements around groundwater that can support both groundwater justice and sustainability.

Objectives　This study aimed to develop scales for evaluating the level of implementation of community practices and explore the perception of public health nurses in municipalities regarding their community practices.Methods　Draft scales were developed based on a literature review and interviews with municipal public health nurses. Subsequently, a questionnaire survey was conducted with municipal public health nurses across Japan in response to these draft scales. Respondents were recruited based on the municipality population size. Questionnaires were distributed to 2,074 individuals from 52 municipalities ensuring representation from diverse municipalities. Exploratory factor analysis was performed to determine the number of factors, while confirmatory factor analysis was performed to determine the factor structure. The reliability of the scales was assessed by calculating Cronbach's alpha coefficients, and their validity was tested by examining correlations with existing scales, namely the Moral Competence Scale for Public Health Nurses and the Professional Identity Scale for Public Health Nurses, and years of experience as a public health nurse.Results　A total of 721 (34.8%) valid respondents were included in the analysis. Three scales, methods of community practices (three factors, nine items), perceptions of public health nurses toward community residents through community practices (three factors, 10 items), and organizational environment supporting community practices (two factors, 11 items) were developed as indicators of the implementation of public health nurses' community practices. Cronbach's alpha coefficients for the three scales were 0.896, 0.913, and 0.868, respectively. As hypothesized, each subfactor exhibited a positive correlation with the existing scales. However, certain subfactors did not demonstrate any correlation with years of experience.Conclusion　The three scales developed in this study were individually examined for reliability and validity. These scales can be used independently or in combination, allowing public health nurses to select the most suitable scale(s) based on their objective.　A notable contribution of this study is the establishment of concrete indicators for evaluating community practices, addressing the previously vague nature of this evaluation. By incorporating the scale items into daily health practices, we anticipate that these indicators can be employed to evaluate community practices at the organizational and individual levels.

Influencing government policy in adult learning areas requires consistent efforts in having findings noticed by educational policymakers. Submissions by Adult Learning Australia and researchers have called for unified educational policies and practices across Australia. This paper argues that, whilst it is important to address macro issues of policy formation, research into micro issues can also be valuable in assisting policy formation. Using information technology and communication teaching in a community centre, it considers analysis of informal daily policies and practices and what is working at the everyday level is important. Student experience examples at one centre teaching these skills to older adult are reported to show the types of policies and practices which maximised the long-term running of the centre and long periods of student retention. Like researchers addressing macro adult learning issues, it requires consistent reporting of results to educational policy-makers to remind them of what practices and policies do work for older adults.

This article aims to demonstrate how research in communication design can contribute to disseminating community practices in economically disadvantaged contexts, such as in social housing neighbourhoods. This study stems from the ECHO research project, where the main mission is to understand and document two self-initiated community practices in the social housing neighbourhood of Balteiro, in Vila Nova de Gaia, Portugal, to disseminate them and foster their replication in similar social contexts. It begins with a literature review on the role of design on behalf of communities, focusing, in particular, on the concepts of social design and universal design, which substantiate the relevance and pertinence of the issue under study. Then, it describes the case study of Balteiro. It presents the methodologies adopted in this research, namely the interviews conducted to learn about the history of the two community practices. This provided the basis for developing a preliminary study for an online platform and a series of documentary films. This study proved the importance of involving designers in this dissemination process through multidisciplinary teams. The research work in the field should be close to the community, the institutions and the different social actors involved to understand the complexity of the study context and define how design should operate. The empirical experience from this study has shown that work in the social area should be developed locally, focused on small communities or informal organisations, and aware that results are achieved slowly and gradually. [ABSTRACT FROM AUTHOR]