The Association Between Community Participation and Loneliness Among Patients in Rural Community Hospitals: A Cross-Sectional Study.

Introduction Loneliness among adults is a critical public health issue, particularly in rural areas where social isolation can be more pronounced. Understanding the factors that influence loneliness can guide the development of effective interventions. This study explores the impact of demographic, health-related, and social participation factors on loneliness among rural Japanese adults, focusing on the role of community participation. Method This cross-sectional study was conducted with rural Japanese adults who regularly visited rural community hospitals. Data were collected on participants' demographic characteristics, health status, and social participation and analyzed using a multivariate logistic regression model to identify factors associated with higher levels of loneliness. The covariates included age, sex, body mass index (BMI), chronic health conditions, and community participation. Results The study found that community participation had a significant negative association with loneliness, with an odds ratio (OR) of 0.46 (p < 0.01), indicating that individuals engaged in community activities were substantially less likely to experience higher levels of loneliness. Higher BMI was associated with lower odds of loneliness (OR = 0.93, p < 0.02), suggesting a protective effect against loneliness. Conclusion The findings highlight the paramount importance of community engagement in mitigating loneliness among rural Japanese adults. The inverse relationship between BMI and loneliness suggests that BMI and social participation influence loneliness. These insights underscore the need for comprehensive interventions that promote community participation and address the multifaceted nature of loneliness. Future research should further explore the mechanisms through which community engagement and BMI impact loneliness to develop targeted strategies for improving the well-being of rural adults.

Support Groups Versus Primary Mental Healthcare on Disability and Continuity of Care: Community Trial [Support Groups for Recovery].

Based on the need to implement strategies to reduce recovery gaps in mental health with the community as axes of recovery, the objective of the present study was to assess the impact on psychosocial disability and care continuity in individuals with suicidal behavior, of the clinical and community components of the Mental Health Gap Action Program (mhGAP), versus exclusive psychiatric care. For this, a controlled community trial carried out in 2023 was conducted, comprising intervention groups: Support Group (SG), mhGAP Group (mhGAPG) and a Control Group (CG). Self-report measurements were collected pretest and posttest, utilizing the Psychosocial Disability Scale and the Alberta Continuity of Care Scale. The study involved the participation of 94 individuals with a history of suicidal behavior, with 30 individuals in the SG, 34 in the mhGAP group, and 30 in the CG. Categorical variables were summarized using frequency distribution tables. Descriptive statistics were used to examine participants' characteristics at the study outcome and estimate treatment compliance. The Mann-Whitney U Test examined differences in sociodemographic variable frequencies. The Jarque-Bera test confirmed a normal distribution for psychological variables, warranting the use of parametric tests. Differences in mean values across groups, each with two measurements per individual, were assessed using a type II repeated measures ANOVA. There were significant differences based on the intervention, with the effect being greater in the SG across all domains. Significant improvement was observed in all domains of the disability and continuity of care scale within the intervention groups. Both groups showed improvement, with better results for the SG. In conclusion, a methodology is proposed for implementing support groups based on core components, which effectively enhances psychosocial disability and the continuity of mental health care, especially in suicidal behavior.

The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations.

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.

Salud, género y reciclaje: un encuentro impostergable / Health, gender and recycling: a meeting that cannot be put off

Introducción. En Asunción existe una zona geográfica llamada Bañados, en esta zona se conforman los llamados «cinturones de pobreza», donde el trabajo informal se impone como principal medio de sustento. El oficio del reciclaje corresponde a uno de los trabajos informales más practicados. Objetivos. Describir aspectos de la zona donde desarrollan su vida trabajadora de la recolección. Incorporar elementos de resignificación positiva acerca del trabajo de reciclaje a mujeres recicladoras organizadas o no del Bañado Sur de la ciudad de Asunción, Paraguay. Material y métodos. Se realizaron 28 encuentros con 153 mujeres agrupadas en 7 grupos, durante el período del 2019 al 2022. La muestra fue seleccionada fue por conveniencia. Se eligió la modalidad de «taller» debido a las prácticas ya conocidas y aceptadas por la comunidad. Resultados. Se realizó conjuntamente la clasificación de la basura o residuos urbanos en sus categorías orgánica/inorgánica/tóxica, pero también en una clasificación más cercana a su realidad concreta. Se identificó cómo son las relaciones familiares y comunitarias, las preocupaciones por los hijos e hijas, el cambio climático, las inundaciones, las viviendas precarias, el acceso al agua, la inseguridad en el barrio y la problemática de drogas en la comunidad. Conclusión. Las jornadas se desarrollaron con mujeres recicladoras organizadas, miembros de una organización civil, que residen en el Bañado Sur – Tacumbú, Asunción (Paraguay). Durante el proceso se logró acercar a los grupos de mujeres que han podido participar de la experiencia, una resignificación positiva del trabajo y su rol en la sociedad, mediante el diálogo. (AU)

Introduction. In Asunción there is a geographic area called Bañados. They make up the so-called “poverty belts”, where informal work is laid down as the main means of support. The job of recycling is one of the most performed informal jobs. Aims. To report aspects of the area where collection workers go about their lives. Incorporate elements of positive new meaning about the recycling work to organized or disorganized women recyclers from Bañado Sur in the city of Asunción, Paraguay. Methods. In total 28 meetings were held with 153 women grouped into seven groups, during the period from 2019 to 2022. The sample was selected by convenience. The “workshop” modality was chosen due to the practices already known and accepted by the community. Results. Garbage or urban waste could be classified together in its organic/inorganic/toxic categories but also in a classification more akin to its specific reality. Family and community relationships, concerns for children, climate change, floods, precarious housing, access to water, insecurity in the neighbourhood and drug problems in the community were all identified. Conclusion. The sessions were held with organized women recyclers, members of a civil organization residing in Bañado Sur – Tacumbú, Asunción, Paraguay. During the process, it was possible to bring together the groups of women who were able to take part in the experience, a positive new meaning for work and their role in society, by means of dialogue. (AU)

Controlling bad-actor-artificial intelligence activity at scale across online battlefields.

We consider the looming threat of bad actors using artificial intelligence (AI)/Generative Pretrained Transformer to generate harms across social media globally. Guided by our detailed mapping of the online multiplatform battlefield, we offer answers to the key questions of what bad-actor-AI activity will likely dominate, where, when-and what might be done to control it at scale. Applying a dynamical Red Queen analysis from prior studies of cyber and automated algorithm attacks, predicts an escalation to daily bad-actor-AI activity by mid-2024-just ahead of United States and other global elections. We then use an exactly solvable mathematical model of the observed bad-actor community clustering dynamics, to build a Policy Matrix which quantifies the outcomes and trade-offs between two potentially desirable outcomes: containment of future bad-actor-AI activity vs. its complete removal. We also give explicit plug-and-play formulae for associated risk measures.

Design and validation of a scale of core components of community interventions in mental health.

AIMS: To develop and validate an instrument to identify the core components of community strategies for mental health, especially mutual aid groups: The Mutual Aid Scale . METHODS: 135 community strategies leaders participated in the study. The core components are active agency, coping strategies, recognition, and management of emotions, problem-solving strategies, supportive interaction, trust, self-identity construction, and strengthening of social networks. With these components a scale was designed. Content validity was carried out in addition to an exploratory factor analysis. RESULTS: Two dimensions resulted, strengthening of agency capacity and Coping strategies, and the internal consistency of both factors was acceptable, with a Cronbach's alpha of 0.722 and 0.727, respectively. The Kaiser-Meyer-Olkin (KMO) statistic was used with a score of 0.831 and the Barlett Sphericity Test, with a significant value of 265.175. CONCLUSION: This scale identifies the components of community interventions for mental health and can contribute to a better implementation of these strategies. It also articulates autonomous community processes with strategies developed in health services.

Interorganizational collaboration in a trauma-informed community: A network analysis of cohesion and change.

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.

Health indicators in Brazil and Spain: strategies for health promoting universities.

AIMS: The study aims to identify and compare health indicators collected by national research in Spain and in Brazil that can generate action strategies for health promoting universities. METHODS: This is an epidemiological, descriptive, cross-sectional study that uses the database of the Secretariat of Health Surveillance of the Brazilian Ministry of Health and the database of the National Statistics Institute of Spain. Based on the National Health Promotion Policy, the analyzer axis prioritizes defined themes; percentage of physical exercise, daily smokers, sedentary lifestyle, obesity and self-perception of health status were evaluated. The data were collected from 2014 to 2020. RESULTS: In Brazil, physical exercise is the highest percentage indicator, whereas in Spain, sedentary lifestyle is the highest. Regarding the age group, Brazil presented the lowest prevalence of daily smokers in the age group from 18 to 24, with little increase in older age groups; in Spain, older age groups presented the highest rates of sedentary lifestyle and obesity. In 2020, 4.5% of Brazilians reported a negative self-perception of health and in Spain 6.6%. CONCLUSION: The indicators 'physical exercise', 'daily smokers' and 'sedentary lifestyle' presented better results in Brazil than in Spain. Brazil presents a better perspective on health when compared with Spain, as the results showed that older ages present higher rates of sedentary lifestyle and obesity. Our study results also show that Brazilians report better self-perception in health, which can be interpreted by health promotion strategies.

A model for community-led peer-facilitated advance care planning workshops for the public.

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.

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.

Social Prescribing Schemes in Primary Care in Spain (EvalRA Project): a mixed-method study protocol to build an evaluation model.

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.

Evaluación de una actividad formativa en acción comunitaria realizada por estudiantes pregrado / Evaluation of a training activity on community action conducted by undergraduate students

Objetivo: evaluar el aprendizaje y la metodología de un trabajo académico sobre el diseño de una actividad comunitaria local.Método: estudio evaluativo mixto realizado en estudiantes de Enfermería. Tras una introducción teórica a 144 estudiantes sobre acción comunitaria se formaron equipos que, durante dos meses, realizaron un análisis de población parcialmente real, mapeo de activos, búsqueda bibliográfica para conocer los estilos de vida, búsqueda y análisis crítico de experiencias comunitarias anteriores y diseño de una propuesta de actividad. El profesorado la calificó mediante rúbrica (0 a 10 puntos) y se ofreció al alumnado evaluarla mediante cuatro preguntas abiertas y dos cerradas (interés suscitado y necesidad de mantener la actividad formativa -escalas Likert de 1 mín. a 5 máx.-). Se llevaron a cabo índices estadísticos descriptivos y análisis de contenido.Resultados: realizaron la actividad 27 grupos que obtuvieron una calificación mediana de 8,17 puntos. La evaluaron 96 estudiantes que consideraron que era interesante (x–= 4,29) y debía mantenerse (x–= 4,17). Identificaron como “necesarios” e importantes los proyectos de promoción de la salud en la comunidad local y el trabajo compartido con ella. Reflejaron haber descubierto otro campo de acción profesional. Apenas reflejaron visión salutogénica y encontraron dificultades para enfocar la tarea, en la búsqueda de bibliografía y de experiencias previas.Conclusión: la actividad fue resuelta con éxito por los estudiantes y logró en el corto plazo la familiarización con el trabajo comunitario que buscaba. El alumnado encontró dificultades para desarrollar la metodología, pero percibieron la actividad como interesante y relevante. (AU)

Objective: to evaluate the level of learning and the methodology of an academic paper on the design of a local community activity.Method: a mixed evaluative study conducted on Nursing students. After a theoretical introduction on community action, 144 students formed teams and, during two months, conducted a partially real population analysis, article mapping and bibliographic search in order to understand the lifestyles, search and critical analysis of previous community experiences, and design a proposal of activity. Professors graded it through signature (0 to 10 scores), and students were offered an evaluation through four open questions and two closed-ended questions (interest generated and the need to maintain the training activity, Likert scales with min. 1 to max. 5). Descriptive statistical analyses were conducted, as well as content analysis.Results: the activity was conducted by 27 groups, who achieved a median score of 8.17. It was then evaluated by 96 students, who considered that it was interesting (x–= 4.29) and should be maintained (x–= 4.17). They identified as “necessary” and important the health promotion projects in the local community and the work shared with it. They showed that they had discovered another area of professional action. They scarcely showed salutogenic vision and had difficulties to focus the task on a search for bibliography and previous experiences.Conclusion: the activity was successfully conducted by students, and the desired familiarity with the community work was achieved at short term. Students met difficulties to develop the methodology but perceived the activity as interesting and relevant. (AU)

Salubrízate, un proyecto de armonía con las personas y el entorno / Salubrízate: a project in harmony with the people and the environment

Introducción. Salubrízate es un grupo de procesos y activos comunitarios que realiza intervenciones de educación y promoción de la salud para el bienestar colectivo, en Ourense y alrededores desde el año 2018. Objetivo. El objetivo principal es conocer y responder a las inquietudes de salud de la ciudadanía. Métodos. Esta experiencia se basa en un modelo abierto a la participación, intersectorial y multidisciplinar, que tiene la capacidad de adaptarse a diversas circunstancias sanitarias o sociales, como la COVID. Se trabaja en cuatro áreas: hábitos saludables, bienestar emocional y social, entornos saludables y seguridad ciudadana. Tiene como recursos principales a las personas, los medios de comunicación colectiva como la radio y las redes sociales y diversas instituciones tanto sanitarias como sociales. Resultados. La repercusión de Salubrízate se está midiendo a través del alcance de cada uno de los proyectos llevados a cabo por el grupo, analizando también las debilidades que limitan el proyecto y sus fortalezas. (AU)

Introduction. Salubrízate is a group of community processes and assets that has been implementing health education and promotion interventions for collective well-being in Ourense and its surroundings since 2018.Aim. The main purpose is to be aware of the health concerns of citizens and respond to them.Methods. This experience is based on an intersectoral and multidisciplinary model open to participation, which can adapt to various health or social circumstances, such as COVID-19. The programme works on four areas: healthy habits, emotional and social well-being, healthy environments and citizen safety. Its key resources are people, mass media such as radio and social media and various health and social institutions.Results. The impact, strengths and limiting weaknesses of Salubrízate are being analysed by means of the scope of each project conducted by the group.

Community-led, peer-facilitated Advance Care Planning workshops prompt increased Advance Care Planning behaviors among public attendees.

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.

Remotely sensed localised primary production anomalies predict the burden and community structure of infection in long-term rodent datasets.

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.

Iniciativas de autonomía alimentaria como escenarios para la acción comunitaria en salud basada en activos / Food autonomy initiatives as scenarios for community action in health based on assets

Se expone el desarrollo de un proceso territorial de acción comunitaria para la salud basada en activos, que tuvo como objetivo generar estrategias concretas para combatir el hambre y la malnutrición en un barrio popular de la ciudad de Tunja (Colombia) con altas brechas de desigualdad económica y fragmentación social. A partir de la identificación y la dinamización de diversas iniciativas de autonomías alimentarias se generó una red comunitaria que facilitó la utilización colectiva de recursos, saberes y prácticas propias alrededor del proceso agroalimentario. Con ello se promovió la accesibilidad a alimentos saludables y culturalmente legítimos, a la vez que se configuró un espacio vincular de autonomía, organización, participación y cooperación solidaria entre vecinos. Esto demuestra la potencialidad salutogénica de las acciones locales en salud y de abordar la alimentación de manera participativa, hecho que señalamos como una propuesta político-popular y académica para la promoción de la salud colectiva.(AU)

This paper presents the development of a territorial process of community action for health based on assets. Its objective was to generate concrete strategies to combat hunger and malnutrition in a working-class neighbourhood of the Colombian city of Tunja where there are significant gaps in terms of economic inequality and social fragmentation. Through the identification and dynamization of diverse initiatives of food autonomy, a community network was created which facilitated the collective use of their own resources, knowledge, and practices around the agri-food process. This promoted access to healthy and culturally accepted foods and a space where autonomy, organisation, participation, and cooperation among neighbours converged. The above shows the salutogenic potentiality of local actions in health and of approaching food in a participative way, something that we point out as a political-popular and academic proposal for the promotion of collective health.(AU)

Dataset for anomaly detection in a production wireless mesh community network.

Wireless community networks, WCN, have proliferated around the world. Cheap off-the-shelf WiFi devices have enabled this new network paradigm where users build their own network infrastructure in a do-it-yourself alternative to traditional network operators. The fact that users are responsible for the administration of their own nodes makes the network very dynamic. There are frequent reboots of the networking devices, and users that join and leave the network. In addition, the unplanned deployment of the network makes it very heterogeneous, with both high and low capacity links. Therefore, anomaly detection in such dynamic scenario is challenging. In this paper we provide a dataset gathered from a production WCN. The data was obtained from a central server that collects data from the mesh nodes that build the network. In total, 63 different nodes were encountered during the data collection. The WCN is used daily to access the Internet from 17 subscribers of the local ISP available on the mesh. We have produced a dataset gathering a large set of features related not only to traffic, but other parameters such as CPU and memory. Furthermore, we provide the network topology of each sample in terms of the adjacency matrix, routing table and routing metrics. In the data we provide there is a known unprovoked gateway failure. Therefore, the dataset can be used to investigate the performance of unsupervised machine learning algorithms for fault detection in WCN. To our knowledge, this is the first dataset that allows fault detection to be investigated from a production WCN.

Determining the benefits and drawbacks of parents using personal connections and social networks for recruitment in research projects: a qualitative study.

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.

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.

[Food autonomy initiatives as scenarios for community action in health based on assets]. / Iniciativas de autonomía alimentaria como escenarios para la acción comunitaria en salud basada en activos.

This paper presents the development of a territorial process of community action for health based on assets. Its objective was to generate concrete strategies to combat hunger and malnutrition in a working-class neighbourhood of the Colombian city of Tunja where there are significant gaps in terms of economic inequality and social fragmentation. Through the identification and dynamization of diverse initiatives of food autonomy, a community network was created which facilitated the collective use of their own resources, knowledge, and practices around the agri-food process. This promoted access to healthy and culturally accepted foods and a space where autonomy, organisation, participation, and cooperation among neighbours converged. The above shows the salutogenic potentiality of local actions in health and of approaching food in a participative way, something that we point out as a political-popular and academic proposal for the promotion of collective health.

Luchas comunitarias por la subsistencia en la vereda Granizal: entre la esperanza y la desesperanza

Objetivo: develar las tensiones percibidas por los actores comunitarios en el poblamiento y conformación del territorio durante la práctica de la Facultad de Medicina de la Universidad de Antioquia en la vereda Granizal entre 2009 y 2018. Metodología: estudio hermenéutico que usó técnicas de la teoría fundamentada para recolección y análisis. Se realizaron once entrevistas en profundidad a líderes y dos grupos focales a madres comunitarias, docentes y líderes y se analizaron con técnicas de codificación abierta, axial y selectiva. Resultados: existe una tensión permanente entre un liderazgo de diferentes matices y la unidad comunitaria, que recibe diversas amenazas por el desalojo persistente de sus espacios vitales por actores fuera de la ley ligados al narcotráfico, al vacío de Estado y a los intereses internos por el poder. Dicha tensión busca ser superada mediante el esfuerzo colectivo para aprender a subsistir y a través de los vínculos que nacen de la confianza generada con la Universidad y la Facultad de Medicina con su práctica, que han apoyado la comprensión progresiva de la determinación social del proceso salud-enfermedad, lo que ha permitido lograr mayor bienestar. Conclusiones: en Granizal existen unas luchas comunitarias constantes por vencer las privaciones de los mínimos vitales de subsistencia, en las cuales, la autonomía y el desarrollo humano se debaten entre la esperanza y la desesperanza por mantener la firmeza en la construcción del tejido social y en la búsqueda de salidas que posibiliten la vida y el bienestar.

Objective: to reveal the tensions perceived by community actors in the settlement and conformation of the territory during the internship of the School of Medicine of Universidad de Antioquia in the rural settlement Granizal between 2009 and 2018. Methods: Hermeneutic study that used Grounded Theory techniques to collect and analyze data. Eleven in-depth interviews with leaders were conducted and two focus groups with community mothers, teachers and leaders were carried out which were analyzed with open, axial and selective coding techniques. Results: there is a permanent tension between leadership with different shades and the community unity which receives various threats due to the permanent eviction of their vital spaces by outlaw actors linked to drug trafficking, to the absence of the State and to internal interests for power. This tension seeks to be overcome through the collective effort to learn to survive and through the links that are born from the trust generated with the University and the internship of the Faculty of Medicine that has supported the progressive understanding of the social determination of the health-disease process which has allowed for greater wellbeing. Conclusions: There are constant community struggles in Granizal to overcome the deprivations of subsistence vital minimums, in which autonomy and human development are debated between hope and despair to maintain firmness in the construction of the social fabric and in the search for solutions that make life and wellbeing possible.

Objectivo: amostrar as tensões percebidas pelos atores comunitários no povoamento e conformação do território durante a prática da Faculdade de Medicina da Universidade de Antioquia no vilarejo Granizal entre 2009 e 2018. Metodologia: estudo hermenêutico que usou técnicas da teoria fundamentada para coleta e análise. Realizaram-se onze entrevistas a fundo a líderes e dois grupos focais a mães comunitárias, docentes e líderes e se analisaram com técnicas de codificação aberta, axial e seletiva. Resultados: existe uma tensão permanente entre uma liderança de diferentes matizes e a unidade comunitária, que recebe diversas ameaças pelo despejar persistente de seus espaços vitais por atores fora da lei e conectados com o narcotráfico, a o vazio do Estado e aos interesses internos pelo poder. Esta tensão procura ser superada mediante o esforço coletivo para aprender a subsistir e a través dos vínculos que nascem da confiança gerada com a Universidade e a Faculdade de Medicina com sua prática, que tem apoiado a compreensão progressiva da determinação social do processo saúde-doença, o que tem permitido lograr maior bem-estar. Conclusões: em Granizal existem umas lutas comunitárias constantes por vencer as privações dos mínimos vitais de subsistência, nas quais, a autonomia e o desenvolvimento humano, se debatem entre a esperança e a desesperança por manter a firmeza na construção do tecido social e na busca de saídas que possibilitem a vida e o bem-estar.