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Background As the most basic unit of infectious disease prevention and control，community health service institutions are the frontline and important gateway for the prevention and control of infectious disease. Primary care physicians are responsible for epidemic surveillance，vaccination，health promotion and assistance to centers for disease control in investigating and disposing outbreaks and public health emergencies in their districts，and play an active role in disease prevention and control by groups，susceptible population protection，infectious source control and health education，as well as the effective prevention and control of infectious diseases. Objective To understand the ability of primary care physicians to diagnose and treat infectious diseases in the community，analyse their existing problems and shortcomings，design and conduct a series of intensive training related to infectious diseases for improving the capacity of infectious disease prevention and control at the primary level；To evaluate the effectiveness of online continuing medical education，so as to provide a reference for better continuing medical education on infectious diseases in the community. Methods All participants of the National Community Infectious Diseases Continuing Education Conference held by the Department of Family Medicine of the University of Hong Kong-Shenzhen Hospital in November 2021 were selected as research subjects from November 2021 to March 2022. The questionnaires were distributed to all registered attendees before and after the conference through the QR code of the questionnaire star，and the content of pre-conference questionnaire included demographic characteristics of the participants，participation in infectious disease training in the community since started working，diagnosis and treatment of infectious diseases in the community，subjective attitudes towards the prevention and control of infectious diseases in the community（willingness to manage infectious diseases in the community，satisfaction with their own infectious disease management skills），expertise in infectious disease prevention and control and knowledge related to conference content，attitude towards hepatitis B. The content of the post-conference questionnaire mainly included knowledge about the content of conference，attitude towards hepatitis B and satisfaction survey of this online conference. A total of 301 primary care physicians completed the questionnaire before and after the conference，and a total of 194 completed the questionnaire before and after the conference. Results Among all participants，166 （55.1%） had attended infectious disease training in the community，of whom 49（29.5%） were satisfied with their infectious disease diagnosis and treatment ability；135（44.8%） had not attended the training，of whom 22（16.3%） were satisfied with their infectious disease diagnosis and treatment ability. 143（86.1 %） of 166 participants who had attended infectious disease training in the community indicated their willingness to manage community infectious diseases，99（73.3%） of 135 participants who had not attended infectious disease training in the community indicated their willingness to manage community infectious diseases. 66（27.3%） of participants who were satisfied with their infectious disease diagnosis and treatment ability indicated their willingness to manage community infectious diseases. The top three infectious disease tests conducted by the institutions were hepatitis B，AIDS，and hepatitis C；the top three infectious diseases treated in the past six months were hepatitis B，influenza，hand，foot and mouth disease. Different self-evaluation and willingness to train may affect the willingness to manage community infectious diseases（P<0.05）. Among the participants who completed the questionnaire both before and after the conference，the highest correct answer rate for compulsory management of statutory infectious diseases before the conference was 89.7%，the owest accuracy rate for the type of disinfection of the COVID-19 infection was only 17.0%，the correct rates of other questions ranged from 34.0% to 40.7%. The correct rates of the questions after the conference were higher than those before the conference，and the correct rates ranged from 48.9% to 52.6%. The score of attitude towards hepatitis B after the conference was higher than that before the conference （P<0.05）. In terms of feedback after conference，254（98.1%） expressed satisfaction in the total of 259 questionnaires. In terms of suggestions for online conference，179（69.1%） and 174（67.2%） participants believed that online fluency and online interaction need to be improved. Conclusion The primary care physicians receive relatively less infectious diseases training in the community，inadequate infectious diseases training in the community can improve the confidence of self-competence，attitude of active management of infectious diseases and diagnosis and treatment ability in the primary care physicians. The future direction of continuing medical education should focus on the training of emerging infectious diseases and novel medical concepts，relevant experts should be invited to comment on the necessity and effectiveness of training in the community. © 2023 Chinese General Practice. All rights reserved.
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In this paper, we have mapped the coping methods used to address the coronavirus pandemic by members of the academic community. We conducted an anonymous survey of a convenient sample of 674 faculty/staff members and students from September to December 2020. A modified version of the RCOPE scale was used for data collection. The results indicate that both religious and existential coping methods were used by respondents. The study also indicates that even though 71% of informants believed in God or another religious figure, 61% reported that they had tried to gain control of the situation directly without the help of God or another religious figure. The ranking of the coping strategies used indicates that the first five methods used by informants were all non-religious coping methods (i.e., secular existential coping methods): regarding life as a part of a greater whole, regarding nature as an important resource, listening to the sound of surrounding nature, being alone and contemplating, and walking/engaging in any activities outdoors giving a spiritual feeling. Our results contribute to the new area of research on academic community's coping with pandemic-related stress and challenges.
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The social outbreak that occurred in Chile in October 2019, added to the COVID-19 pandemic, has made visible and exacerbated inequities of all kinds in the country (health, work, housing, education etc). This has resulted in the activation of various social and community processes that try to reverse situations of injustice and also to subvert the economic and social logic that has led us to this situation. In this scenario, the question arises, what can Chilean Community Psychology contribute to this crisis? An attempt is made to answer this question in this chapter, which addresses, from an integrated perspective, the various alternatives that our discipline has to contribute to this process of social transformation. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Spanish) El estallido social que se produjo en Chile en octubre de 2019, sumado a la pandemia por COVID-19, ha hecho visibles y ha agudizado las inequidades de todo tipo en el pais (salud, trabajo, vivienda, educacion, etc.). Lo anterior ha tenido como consecuencia la activacion de diversos procesos sociales y comunitarios que intentan, por un lado, revertir las situaciones de injusticia y, por otro, subvertir la logica economica y social que nos ha llevado a esta situacion. En este escenario surge la pregunta: ?que puede aportar la psicologia comunitaria chilena en esta crisis? A esta interrogante se intenta dar respuesta en este capitulo que aborda desde una mirada integrada las diversas alternativas que tiene nuestra disciplina para aportar a este proceso de transformacion social. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic has raged around the world over the recent years, raising the global community's awareness of the interconnection of human civilizations and urging the reconsideration of the human-nature relationship. The escalating worldwide ecological crises are putting human survival and development at risk. The phenomenon has aroused the awareness of "ecological rationality,” consciousness of "economic value” and appeal for "ecological justice” in the universal sense. The endeavor of promoting ecological civilization has been included as part of the five-sphere integrated plan for building socialism with Chinese characteristics since the 18th National Congress of the Communist Party of China (CPC). General Secretary Xi Jinping's thought on ecological civilization has fully manifested the value and goal of comprehensively promoting ecological civilization and adhering to the Chinese path to modernization. The Chinese path to modernization, which has reflected on and outclassed the Western-style logic for modernization, shows a unique horizon and independent wisdom. Focusing on addressing the uncertainties facing human survival in the New Era and aiming at embracing the future, the Chinese path to modernization has shifted the mindset from economic rationality to ecological rationality, abandoned anthropocentrism, and firmly upheld and fulfilled the code of conduct for rational "economic man.” The endeavor of building an eco-friendly society and an ecological community has showcased the favorable institutional practice in Chinese modernization and China's wisdom, demonstrated rational planning, prudential design and effective implementation for the prospect of mankind and highlighted a progressive trend in human civilization. © 2022 Brill Academic Publishers. All rights reserved.
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Purpose: First, the key vulnerability factors from the literature are identified. Second, using the vulnerability factors as indicators, a composite index is developed. Last, from the index values, a set of vulnerability knowledge maps, showing the vulnerability hotspots, are prepared. Design/methodology/approach: This study aims to develop a pandemic vulnerability knowledge visualisation index to support the strategic decision-making efforts of authorities. Findings: Ten indicators are identified as vulnerability factors that could significantly impact the virus spread risks. Verifying the identified hotspots against the recorded infected cases and deaths has evidenced the usefulness of the index. Determining and visualising the high-vulnerability locations and communities could help in informed strategic decision-making and responses of the authorities to the pandemic. Originality/value: The study demonstrates that the developed pandemic vulnerability knowledge visualisation index is particularly appropriate in the context of Australia. Nonetheless, by replicating the methodologic steps of the study, customised versions can be developed for other country contexts. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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This chapter illustrates how the change to a virtual setting challenged students' social connectedness and sense of belonging. It demonstrates how students found a way to build social connectedness in a virtual setting that reinforced their sense of community. The chapter discusses how Students of Color experienced the COVID-19 interruption. It offers insights into whether thriving in college is even possible for students when their means of creating community have been disrupted. At the University of Utah, the detachment was experienced by students in their interactions with faculty and their relationships with their friends, peers, and classmates. The closing of campus and the shift to online learning also limited students' social connectedness with friends, classmates, and peers. Students also relied on new communities to gain motivation and achieve academically. University employees were also a part of students' relational communities. Some students created a strong emotional connection with staff members, such as advisors and student affairs professionals. The pandemic and the resulting educational changes added another layer of complexity to the academic experiences of Students of Color. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Academic debates highlight bureaucratic steering of crisis governance in authoritarian China. Nonetheless, the crisis response from the bottom up has been less represented. To address this lacuna, we explore how citizens initiate the crisis response in the neighbourhood by investigating Community Group Buying (CGB) during the 2022 pandemic lockdown in Shanghai. We qualitatively analyze the narratives of Chinese stakeholders, to get insight into the dynamics, components and implications of CGB. This study indicates that facing urgent needs and the failure of institutional response system, community residents leveraged social media to bond together to purchase essentials in bulk during the lockdown. The components of CGB involve: constructing online interactive spaces, creating community conventions, forming leadership, optimizing CGB procedures, legitimizing CGB by social media promotion. CGB favoured neighbourhood ties and advanced civic participation and increased the reciprocal interaction of the state and society and the responsiveness of policy practitioners to public demands during crises. However, local disagreements eroded volunteerism and citizens' initiatives in neighbourhood governance to some extent. Our study will not only deepen global audiences' understanding of spontaneous neighbourhood governance in authoritarian China, but also contribute neighbourhood-level solutions for responding to the future crises globally.
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Objectives: To evaluate COVID-19 vaccines in primary prevention against infections and lessening the severity of illness following the most recent outbreak of the SARS-CoV-2 Omicron variant in Shanghai. Method(s): To investigate whether inactivated vaccines were effective in protecting against COVID-19 infections, we estimated the odds ratio (OR) of the vaccination in COVID-19 cases vs. matched community-based healthy controls. To evaluate the potential benefits of vaccination in lowering the risk of symptomatic infection (vs. asymptomatic), we estimated the relative risk (RR) of symptomatic infections among diagnosed patients. We also applied the multivariate stepwise Logistic regression analyses to measure the risk of disease severity (symptomatic vs. asymptomatic and moderate/severe vs. mild) in COVID-19 patient cohort with vaccination status as an independent variable while controlling for potential confounding factors. Result(s): Out of the 153,544 COVID-19 patients included in the analysis, 118,124 (76.9%) patients had been vaccinated and 143,225(93.3%) were asymptomatic patients. Of the 10,319 symptomatic patients, 10,031(97.2%), 281(2.7%) and 7(0.1%) experienced mild, moderate, and severe infections, respectively. There is no evidence that the vaccination helped protect from infections (OR=0.82, p=0.613). The vaccination, however, offered a small but significant protection against symptomatic infections (RR=0.92, p < 0.001) and halved the risk of moderate/severe infections (OR=0.48, 95% CI: 0.37 - 0.61). Older age (> 60 years) and malignant tumors were significantly associated with moderate/severe infections. Gender also appeared to be a risk factor for symptomatic infections, with females being associated with a lower risk for moderate/severe illness. Conclusion(s): Inactivated COVID-19 vaccines helped provide a small but significant protection against symptomatic infections and halved risk of moderate/severe illness among symptomatic patients. The vaccination was not effective in blocking COVID-19 Omicron variant community spread.Copyright © 2023
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Cultural competency is the ability to respectfully engage, understand, and communicate through conscientious interaction, enabling effective work and meaningful relationships in cross-cultural situations. Cultural competency recognizes the importance for organizations of participants' diverse social and cultural values, beliefs, and behaviors, and has gained attention because it can bridge health perspectives, understanding, and respect between health professionals and patients. There remains a need for cultural competency in healthcare as disparities persist across the U.S. in racial and ethnic minority groups who experience worse health outcomes and lower healthcare quality than the general public. Therefore, a cultural competency training curriculum was created using various resources to improve interactions between Pacific Islander patients and healthcare professionals. This training helps to reduce racial/ethnic disparities in healthcare by encouraging mutual understanding and improving patient satisfaction, adherence to medical instructions, and overall health outcomes by highlighting patient-centered care as a result of utilizing components of cultural competency. To improve patient experiences in Hawai'i, healthcare professionals need the tools to better interact with patients from different cultures, such as Pacific Islanders. This training provides healthcare professionals with culturally-based content for improving cultural competence techniques for interacting with Pacific Island patients. This training was pilot tested with key stakeholders from community organizations and Cancer Center faculty/staff. Local health clinics, providers, and practices will have the opportunity to participate in this training through a Zoombased electronic training format and be provided with three continuing medical education credits. The initial delivery of the training was intended for in-person sessions;however, a virtual format was adapted due to the COVID-19 pandemic and subsequent social distancing regulations. Healthcare providers are provided pre-training resources, a pre- and post-test, and a course evaluation to determine the validity of training objectives. To date, two Federally Qualified Health Centers have been provided the training, n=60, as well as one Cancer Health Equity Partnerships' Scientific Workshop, n=40. For attendees, the analysis of correct responses from the pretest to post-test showed a significant improvement on 6 of the 12 questions. Respondents also agreed that the training resources aligned with the course objectives. Improved patient interactions from this training can help support better patient outcomes, adherence to medical advice regarding cancer screenings, and many other aspects of improving health equity for Pacific Islanders.
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Severe pneumonia is a condition with a high risk of death and mandatory hospitalization in the intensive care unit. The incidence of severe pneumonia has increased dramatically during the pandemic of new coronavirus infection. Timely diagnosis and early initiation of adequate treatment of severe pneumonia are crucial for improving survival of critically ill patients. The aim of this review was to analyze published scientific research on molecular markers that allow to objectively assess the severity of pneumonia and to determine treatment tactics based on the predicted outcome upon admission to the hospital. A systematic search was conducted in the electronic databases PubMed, Medline, Web of Science for the period 2019 - 2022. Conclusion. The review focuses on the prognostic role of a number of markers of immune response, vascular transformation, as well as angiotensin II and angiotensin converting enzyme-2. Further prospective studies of potential predictors of severe pneumonia will enable using marker molecules in a comprehensive clinical and laboratory diagnosis for early prediction of the hospitalized patient's condition and expected outcome.Copyright © Volchkova E.V. et al., 2023.
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This paper proposes a deep learning-based approach to detect COVID-19 infections in lung tissues from chest Computed Tomography (CT) images. A two-stage classification model is designed to identify the infection from CT scans of COVID-19 and Community Acquired Pneumonia (CAP) patients. The proposed neural model named, Residual C-NiN uses a modified convolutional neural network (CNN) with residual connections and a Network-in-Network (NiN) architecture for COVID-19 and CAP detection. The model is trained with the Signal Processing Grand Challenge (SPGC) 2021 COVID dataset. The proposed neural model achieves a slice-level classification accuracy of 93.54% on chest CT images and patient-level classification accuracy of 86.59% with class-wise sensitivity of 92.72%, 55.55%, and 95.83% for COVID-19, CAP, and Normal classes, respectively. Experimental results show the benefit of adding NiN and residual connections in the proposed neural architecture. Experiments conducted on the dataset show significant improvement over the existing state-of-the-art methods reported in the literature. © 2022 ACM.
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This paper maintains that the growing crisis of water scarcity cannot be addressed from within the paradigm that created the problem. The extractive paradigm which prevails views high economic growth as the main goal of development to be achieved through the increasing extraction of natural resources. Approaches to water management that are based on this paradigm view water as a resource primarily meant for human consumption. In contrast, the paper proposes an ecosystem paradigm in which water is viewed as being embedded within the ecosystem as an essential part of it to be conserved and preserved for future generations. The author identifies five areas of action for water management in the post-COVID context: move away from water-intensive agriculture through crop diversification;sustainable and community-based groundwater management;protection of river systems and wetlands;ensuring water quality and drinking water security and the creation of strong legal frameworks for water governance. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023.
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Clerkship on primary care and family medicine is multi-elemental and was very challenging during the COVID-19 pandemic. Some medical students postponed their graduation because the clerkship at the health center could not be carried out in a pandemic situation. This article aims to describe the community medicine clerkship (CMC) module and its implementation amidst the COVID-19 pandemic. This module was delivered by online and offline activities from 10th August to 13th September 2020. A total of forty students, twelve faculty mentors, and fifteen Primary Health Care (PHC) preceptors from ten PHCs in the Tangerang District, Indonesia were involved. Students could carry out activities and fulfil assignments given in the midst of a pandemic with a re-designing of the CMC module. The one-sample t-tests were employed to compare the difference between the study values and the values before the COVID-19 pandemic. The study showed that the scores of students participating in CMC module during the COVID-19 pandemic were significantly different from the scores before the pandemic in terms of both individual and group scores. The findings of the study clearly indicated that all clinical clerkship modules must be redesigned to suit the current conditions. Modifications and variations of various learning methods, guidance techniques, monitoring and coordination are all factors that must be considered in implementing changes to these modules. © 2023 Dwi Tyastuti, Risahmawati Risahmawati, Marita Fadhillah, Fika Ekayanti, Sity Kunarisasia & Ahmad A. Habibi.
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Following the elaboration of a Tunnel Safety Documentation for the T4 tunnel, several deviations from the European and national Standards were identified. Moreover, due the tunnels' special characteristics and its ageing equipment, the rehabilitation plan had not only to upgrade the level of safety to "Category A” as per the ADR agreement, but also to perform heavy maintenance works and provide sustainable solutions for the tunnel operations and the local community. The construction methodology poses significant challenges in the operation and the construction. Therefore, special provisions, technical and operational, were required in order for the transport of heavy and dangerous goods vehicles to be allowed in the tunnel during construction. The Covid pandemic and the geopolitical conditions (Ukraine war), seem to negatively affect the projects' duration and financing. With a budget of more than €20M, it is the first tunnel upgrade project of this magnitude and complexity in Greece, that sets the basis as refence for future tunnel upgrades. © 2023 The Author(s).
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While the rationale for localizing humanitarian health response is well established at the level of policy rhetoric, the operationalization of the concept and its mainstreaming into concrete practice still require clearer intentionality. With COVID-19 pushing more people further into vulnerability, placing local communities at the heart of humanitarian and development health efforts has never been more urgent. Focusing on Jordan, this essay brings attention to the significant toll of violence against women and girls in conflict-affected communities and the importance of empowering local actors with community knowledge and resources to prevent and respond to gender-based violence. The essay follows on from the research conducted for CARE Jordan's She Is a Humanitarian report (2022) and draws on interviews I conducted with the heads of women's organizations in the summer of 2022. The essay explores the role of local women humanitarian actors as frontline responders, the challenges that hinder their role, and the advantages such actors enjoy, which, if harnessed, can achieve gains in accountability, health service quality, and gender equality.
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This study aimed to assess the impact of COVID-19 on recovery housing (RH), an important resource for individuals in recovery from substance use disorder (SUD). A cross-sectional survey was disseminated electronically between June and July of 2020 to RH owners and operators affiliated with Oxford House or the National Alliance of Recovery Residences nationwide. The survey intended to develop an understanding of the impact of COVID-19 on RH in terms of (a) resident housing access, (b) mitigation strategies to reduce COVID-19 spread, (c) RH financials, and (d) health and well-being of residents and staff. Impacts were assessed among all houses in the sample and then by rurality of RH location (rural vs. nonrural). Among 1,419 respondents, only 4.6% reported positive COVID-19 cases, and 85% reported having implemented centers for disease control-recommended policies. More than half (59%) reported financial impacts, and close to half (49%) reported COVID-19 had "a lot of impact" on residents attending meetings. Rural RH represented only 9% of respondents and a greater fraction of rural RH respondents reported spending more on all COVID-19 expense categories compared to nonrural RH respondents. Compared to nonrural RH, rural RH were significantly more likely to report having a process for evaluating COVID-19 (p = .007), wearing masks (p = .047), taking temperatures (p = .042), and spending more on food due to COVID-19 (p = .015). With SUD rates and the associated morbidity and mortality from SUD continuing to rise, addressing the financial viability of RH, an important resource supporting individuals in recovery is crucial. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement This study suggests that recovery housing, an important resource for individuals seeking or in recovery from a substance use disorder (SUD), is proactive in ensuring resident safety during national emergencies such as COVID-19. The most prominent impacts found in this study were financial (for the recovery home) and residents' ability to attend mutual aid recovery support meetings. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
During a global pandemic, another pandemic of loneliness impacted undergraduate college students and influenced the way members of the 18-25-year-old population lived and learned throughout a time of intentional distancing. Additionally, the insurgence of loneliness impacts members of the 18-25 age group in startling rates. This qualitative case study explored how undergraduate women who participate in comedy troupes fostered community while living and learning during a global pandemic known as COVID-19 between the spring of 2020 and the fall of 2021. The research added to the body of knowledge on how comedy and levity can enhance wellness and how humor can be brought into various aspects of life from work to play. This study explored how undergraduate students living in a time of heightened loneliness infused humor in their relationships with one another. The study explored the relationship dynamics built by women-identified comedians and focused on how the participants developed community by using humor, comedy, and levity as the pillars of their interactions. Lastly, this study is rooted in better understanding how higher education student affairs practitioners can better support collegiate comedians invested in their relationships with one another. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Este artigo aborda conflitos socioambientais decorrentes da construção de complexos portuários no estado do Pará a partir de três parâmetros de análise: ameaças às comunidades tradicionais, agentes envolvidos e formas de resistências daquelas comunidades. Em função da pandemia do novo coronavírus (SARS-COV-2), os procedimentos metodológicos foram redefinidos, utilizando-se da técnica de Revisão Sistemática de Literatura (RSL) agregada à pesquisa documental, observação in loco e entrevistas realizadas na comunidade de Guajará de Beja, município de Abaetetuba, um dos lócus da pesquisa. Da aplicação do Protocolo de Pesquisa (PP) da RSL resultaram dez estudos selecionados, os quais, após análise agregada aos demais procedimentos metodológicos, indicaram que as disputas por recursos naturais/locacionais, em especial para instalação de complexos portuários no estado do Pará, têm produzido conflitos socioambientais entre agentes econômicos, agentes públicos e comunidades tradicionais na Amazônia paraense.Alternate :This article addresses socio-environmental conflicts arising from the construction of port complexes in the state of Pará from 03 (communities) parameters of analysis - threats to traditional communities, agents involved and forms of complex resistance. Due to the new coronavirus (SARS-COV-2) pandemic, the methodological procedures were redefined, using the Systematic Literature Review (RSL) technique combined with documentary research, on-site observation and interviews carried out in the community of Guajará de research Beja, municipality of Abaetetuba, one of the locus of the research. The application of the RSL Research Protocol/PP resulted in 10 (ten) selected studies which, after being added to the other methodological procedures, indicating that as natural/locational resources, especially for the analysis of port complexes in the state of Pará, companies socio-environmental producers between local agents for audiences and traditional communities in the Amazon.
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Aims: At our Trust, all severe inpatient hypoglycaemic episodes in individuals with diabetes (defined as a hypoglycaemic episode requiring injectable treatment) are reported to NaDIA-Harms (National Diabetes Inpatient Audit). We conducted a detailed review of the care of all these events to improve patient safety. In this study, we assessed the risk of 12-month mortality following an episode of severe inpatient hypoglycaemia. Method(s): Reportable NaDIA harms of patients admitted during the period 2018-2022 were recorded into a dataset. Applicable patient records were reviewed at 12 months following the event to see how many patients were deceased and details of comorbidities at the time of the severe hypoglycaemic episode were collected. Result(s): To date, of 107 inpatients who experienced a severe hypoglycaemic episode 55% were deceased within 12 months. In patients admitted during the peak of the Covid-19 pandemic recorded as year April 2020/March 2021, 80% of patients who had a NaDIA hypoglycaemic event died within 12 months. Conclusion(s): Mortality rate following an episode of inpatient hypoglycaemia appears to be several-fold higher than previous reported rates of 4.45%-22.1% for community-dwelling individuals who experience a severe hypoglycaemic event. This maybe partially explained by the increased frailty, polypharmacy and multimorbidity among this cohort, but there is evidence linking hypoglycaemia with cardiovascular mortality. Although no causality between severe inpatient hypoglycaemia and death can be inferred from this study because of the observational nature, it does highlight the importance preventing inpatient episodes of hypoglycaemia through effective monitoring and proactive treatment modification.
ABSTRACT
The beginning of 2020 was an extraordinary event for the whole world. This is because almost all parts of the world are hit by the Covid-19 outbreak which causes unrest and has a big impact on every field. The COVID-19 pandemic makes people have to maintain their health by washing their hands, maintaining distance, not crowding, and maintaining cleanliness (Abidin, et al., 2021). Buhungo (2012) explained that environmental cleanliness is a condition where the environment is free from various kinds of dirt and disease that can cause losses to the community, both from activities and the environment. The condition of the COVID-19 pandemic forces every community to maintain cleanliness, both their personal hygiene and also the cleanliness of their environment. To provide assistance to the community, especially in the village of Kedisan Kintamani, the Faculty of Economics and BEM-FEB Universitas Pendidikan Nasional (UNDIKNAS) Denpasar collaborate in holding community social activities which are also under the auangan of LP2M and the Dean of FEB UNDIKNAS. The community social activities were held with the theme "Economy Social Care". This activity aims to help the community around Kedisan Kintamani village in maintaining the cleanliness of their surrounding environment. [ FROM AUTHOR] Copyright of Journal of Social Science (2720-9938) is the property of Ridwan Institute 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 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 . (Copyright applies to all s.)