Query: community center design

title: Wetland Community Center Design Based on Environmental Contexts and Local Identity
abstract: The objective of this research is finding the way to design architectures harmonized with the environmental contexts and represented local identity. This research emphasizes cognitive analysis and contemplation of the relationships between environmental factors and their effects to local design by using matrix analysis in order to find out the solutions in sustainable design by using documentary research and a site survey. In addition, this research focus on vernacular architectures which were designed related to and with respect to their environments in various dimensions, such as natural, social, cultural, and economic. Moreover, they contain environmental friendly concepts that appear on their physical design, detail design, and layout planning. The case study site is Huai Jorakaemak (HJK) non hunting area, Northeastern of Thailand that the one of the RAMSAR list of Wetlands International Importance and Eastern Sarus Crane reintroduction site. The output can apply these concepts into the real architectural design process, so that architects, planners, and environmentalists can create sustainable architecture and a sustainable environment for local community development.

title: Exploring factors that contribute to relationship building in a community center
abstract: Community centers are fundamental features of many communities as a space for social interaction and the development of social relationships, which can contribute to social capital, a sense of belonging, and a sense of community. An understanding of how relationships develop in community centers may help managers encourage relationship building and contribute to better individual and community health outcomes. A qualitative study was conducted at a public community center in the southeastern United States to understand how visitors' experiences of relationship building occur. In this case, relationships were facilitated by shared identities; support, reciprocity, and trust; and recurring programs. The results of this study can be considered by practitioners during program design to better embed social components in their programs that encourage relationship building.

title: The Evaluation of the Village Community Center in Aspects of Universal Design Principles Focused on 25 Village Community Centers in Hwasoon Province
abstract: This study aimed to evaluate how universal design principles are embodied in the village community center. It will provide preliminary data on constructing a physical space of village community center as small community space in agricultural districts. To achieving the purpose in this study, the research conducted inspection using checklist to 25 village community centers at Hwasoon, Jeonnam province. The conclusion of this study is as follows: Living room and kitchen/dining room by supportive design urgently need installation of Western Style furniture and solutions of stair gap by accessible design, and also the evaluation is unsuited on a fire gas alarm system and prevention of electric shook system on safety oriented design. Entrance evaluated in principle for insufficient on safety handle by supportive design and spare chair by adaptable design, and also it unsuited on the solutions of door sill by accessible design and non skid by safety oriented design. Bathroom is insufficient lever handle and safety grip by supportive design, sink isn`t suitable by adaptable design. Outdoor space information legislation staircase ramp installation and horizontal installation of the staircase was not built.

title: Clinical Course and Molecular Viral Shedding Among Asymptomatic and Symptomatic Patients With SARS CoV 2 Infection in a Community Treatment Center in the Republic of Korea.
abstract: Importance There is limited information about the clinical course and viral load in asymptomatic patients infected with severe acute respiratory syndrome coronavirus 2 (SARS CoV 2)  To quantitatively describe SARS CoV 2 molecular viral shedding in asymptomatic and symptomatic patients.  A retrospective evaluation was conducted for a cohort of 303 symptomatic and asymptomatic patients with SARS CoV 2 infection between March 6 and March 26, 2020. Participants were isolated in a community treatment center in Cheonan, Republic of Korea. Main Outcomes and Measures Epidemiologic, demographic, and laboratory data were collected and analyzed. Attending health care personnel carefully identified patients' symptoms during isolation. The decision to release an individual from isolation was based on the results of reverse transcription polymerase chain reaction (RT PCR) assay from upper respiratory tract specimens (nasopharynx and oropharynx swab) and lower respiratory tract specimens (sputum) for SARS CoV 2. This testing was performed on days 8, 9, 15, and 16 of isolation. On days 10, 17, 18, and 19, RT PCR assays from the upper or lower respiratory tract were performed at physician discretion. Cycle threshold (Ct) values in RT PCR for SARS CoV 2 detection were determined in both asymptomatic and symptomatic patients.  Of the 303 patients with SARS CoV 2 infection, the median (interquartile range) age was 25 (22 36) years, and 201 (66.3% were women. Only 12 (3.9% patients had comorbidities (10 had hypertension, 1 had cancer, and 1 had asthma) Among the 303 patients with SARS CoV 2 infection, 193 (63.7% were symptomatic at the time of isolation. Of the 110 (36.3% asymptomatic patients, 21 (19.1% developed symptoms during isolation. The median (interquartile range) interval of time from detection of SARS CoV 2 to symptom onset in presymptomatic patients was 15 (13 20) days. The proportions of participants with a negative conversion at day 14 and day 21 from diagnosis were 33.7% and 75.2% respectively, in asymptomatic patients and 29.6% and 69.9% respectively, in symptomatic patients (including presymptomatic patients) The median (SE) time from diagnosis to the first negative conversion was 17 (1.07) days for asymptomatic patients and 19.5 (0.63) days for symptomatic (including presymptomatic) patients (P .07) The Ct values for the envelope (env) gene from lower respiratory tract specimens showed that viral loads in asymptomatic patients from diagnosis to discharge tended to decrease more slowly in the time interaction trend than those in symptomatic (including presymptomatic) patients (b 0.065 [SE, 0.023] P .005)  In this cohort study of symptomatic and asymptomatic patients with SARS CoV 2 infection who were isolated in a community treatment center in Cheonan, Republic of Korea, the Ct values in asymptomatic patients were similar to those in symptomatic patients. Isolation of asymptomatic patients may be necessary to control the spread of SARS CoV 2.

title: Enhancing Community Based Participatory Research Through Human Centered Design Strategies
abstract: The purpose of this review is to compare and contrast the values, purpose, processes, and outcomes of human centered design (HCD) and community based participatory research (CBPR) approaches to address public health issues and to provide recommendations for how HCD can be incorporated into CBPR partnerships and projects. Review Process. By consulting published literature, source materials, and experts on both approaches, a team of researchers completed a three phased process of synthesizing key similarities and differences between HCD and CBPR and generating recommendations for ways to integrate HCD strategies in CBPR projects.  There are five HCD strategies that can be readily incorporated into CBPR projects to improve outcomes: (1) form transdisciplinary teams, (2) center empathy, (3) recruit and work with "extreme users," (4) rapidly prototype, and (5) create tangible products or services.  Integrating HCD in CBPR projects may lead to solutions that potentially have greater reach, are more readily adopted, are more effective, and add innovation to public health services, products, and policies.

title: A Case Study of Engaging Hard to Reach Participants in the Research Process: Community Advisors on Research Design and Strategies (CARDS)(r)
abstract: Lack of diversity among study participants in clinical research limits progress in eliminating health disparities. The engagement of lay stakeholders, such as patient or community advisory boards (CABs) has the potential to increase recruitment and retention of underrepresented groups by providing a structure for gathering feedback on research plans and materials from this target population. However, many CABs intentionally recruit prominent stakeholders who are connected to or comfortable with research and academia and thus may not accurately represent the perspectives of underrepresented groups who have been labeled hard to reach, including racial minorities and low income or low literacy populations. We developed a partnership between the University of Wisconsin Madison School of Nursing and two community centers to deliberately engage hard to reach people in two lay advisory groups, the Community Advisors on Research Design and Strategies (CARDS)(r) Community center staff recruited the CARDS from center programs, including parenting and childcare programs, women's support groups, food pantries, and senior meal programs. The CARDS model differs from other CABs in its participants, processes, and outcomes. Since 2010, the CARDS have met monthly with nurses and other researchers, helping them understand how research processes and the language, tone, appearance, and organization of research materials can discourage people from enrolling in clinical studies. We have successfully used the CARDS model to bring hard to reach populations into the research process and have sustained their participation. The model represents a promising strategy for increasing the diversity of participants in clinical research.

title: Transgender Health Disparities: Comparing Full Cohort and Nested Matched Pair Study Designs in a Community Health Center.
abstract: U.S. health surveillance systems infrequently include measures to identify transgender respondents or monitor the health of this underserved and marginalized population.  From 2001 2002, transgender and non transgender adults were sampled at a Massachusetts clinic. Health differences were formatively examined by transgender identity using a cross sectional, clinic based sample (n=2,653) and a nested matched pair subsample (n=155) RESULTS Both designs produced virtually identical findings: (1) the prevalence of HIV, substance abuse, and smoking did not differ significantly for transgender and non transgender patients; (2) transgender patients were more likely to endorse a lifetime suicide attempt and ideation compared to non transgender patients (p<0.05) (3) transgender patients disproportionately reported social stressors (violence, discrimination, childhood abuse) relative to non transgender patients (p<0.05)  Findings suggest that a nested design may provide an effective methodology for using clinical data to study transgender health, and underscore the need for routine collection of gender identity in clinical settings.

title: The Relationships Among Health Promotion Behaviors, Compassion Fatigue, Burnout, and Compassion Satisfaction in Nurses Practicing in a Community Medical Center
abstract: The objective of this study was to examine the relationships among health promotion behaviors, compassion fatigue, burnout, and compassion satisfaction among nurses practicing in a community medical center.  Compassion fatigue and burnout are significant nursing stressors. Programs are available to offset the negative consequence of compassion fatigue and burnout and enhance compassion satisfaction, yet there remains a paucity of literature examining the relationships between health promotion behaviors, compassion fatigue, burnout, and compassion satisfaction.  A nonexperimental design using a convenience sample of nurses completed the Health Promoting Lifestyle Profile II, the Professional Quality of Life Scale, and a demographic data sheet.  Statistically significant relationships among health promotional behaviors and compassion fatigue, compassion satisfaction, and burnout were identified.  Compassion fatigue, burnout, and compassion satisfaction are outcomes associated with nursing practice. Support for engagement in health promotional behaviors may contribute to nurses' well being in counteracting compassion fatigue and burnout and enhancing compassion satisfaction.

title: A randomized trial of vitamin D supplementation in 2 community health center networks in South Carolina.
abstract: We sought to determine whether 4000 IU/d (vs 2000 IU/d) of vitamin D during pregnancy is safe and improves maternal/neonatal 25 hydroxyvitamin D [25(OH)D] in a dose dependent manner.  A total of 257 pregnant women 12 16 weeks' gestation were enrolled. Randomization to 2000 vs 4000 IU/d followed 1 month run in at 2000 IU/d. Participants were monitored for hypercalciuria, hypercalcemia, and 25(OH)D status.  Maternal 25(OH)D (n 161) increased from 22.7 ng/mL (SD 9.7) at baseline to 36.2 ng/mL (SD 15) and 37.9 ng/mL (SD 13.5) in the 2000 and 4000 IU groups, respectively. While maternal 25(OH)D change from baseline did not differ between groups, 25(OH)D monthly increase differed between groups (P .01) No supplementation related adverse events occurred. Mean cord blood 25(OH)D was 22.1 10.3 ng/mL in 2000 IU and 27.0 13.3 ng/mL in 4000 IU groups (P .024) After controlling for race and study site, preterm birth and labor were inversely associated with predelivery and mean 25(OH)D, but not baseline 25(OH)D.  Maternal supplementation with vitamin D 2000 and 4000 IU/d during pregnancy improved maternal/neonatal vitamin D status. Evidence of risk reduction in infection, preterm labor, and preterm birth was suggestive, requiring additional studies powered for these endpoints.

title: Partnering for Health with Nebraska's Latina Immigrant Community Using Design Thinking Process
abstract: The Center for Reducing Health Disparities at the University of Nebraska Medical Center partnered with El Centro de Las Americas, a community based organization, and various community members to develop a 1 day Spanish language health conference entitled El Encuentro de La Mujer Sana (Healthy Woman Summit) for immigrant Latinas in Nebraska during May 2013 as part of National Women's Health Week. Design thinking was used to create a meaningful learning experience specifically designed for monolingual Spanish speaking immigrant Latinas in Nebraska and build a foundation for collaboration between an academic institution, community based organizational partners, and community members. We used the design thinking methodology to generate ideas for topics and prototyped agendas with community stakeholders that would be relevant and provide culturally and linguistically appropriate health education. By developing community based health education programs for Latinas with Latinas through a community engaged co creation process, organizations and communities build trust, enhance community capacity, and meet identified needs for education and service. Design thinking is a valuable tool that can be used to develop community health education initiatives and enhance civic participation. This method holds promise for health education and public health in becoming more relevant for traditionally marginalized or disenfranchised populations.