APPLICATION OF THE GIS-BASED 3D MODELING OF MULTIFLAT BUILDINGS TO ASSESS THE PREVALENCE OF TUBERCULOSIS ON A CITY SCALE

This article is aimed at expanding and deepening knowledge in GIS analysis for medical professionals. Key task of described research is to elaborate a methodology of 3D mapping and visualization of the multiflat buildings in order to study most socially valuable diseases on the apartment scale in the St. Petersburg city. The use of this methodology allows to avoid the aggregation of geographical information within one building, and, on the other hand, allows to move from a general assessment of the prevalence of the disease to specific cases. In this case, the methodology is considered as primary health care support. The paper describes elaborated approach to detailed 3D mapping of multiple disease hotbeds in multiflat buildings. Main benefit of the proposed set of data processing and mapping techniques is the capability of apartment-scale connectivity evaluation of the hotbeds inside multiflat buildings.

Intra-Abdominal Hemorrhagic Catastrophe due to Large Subserous Myomatous Capsular Venous Rupture

Uterine leiomyoma is a common benign uterine tumor of women in the reproductive age group. Although the common symptoms of leiomyoma are menorrhagia and dysmenorrhoea, this patient presenting as a near collapse is a rare finding. The patient presented with abdominal pain and worsening anemia within a span of hours and hypotension, tachycardia, and tachypnoea needing urgent surgical intervention and blood transfusion and intensive care support is relatively rare. Though every effort to know the exact cause of intraperitoneal hemorrhage in this patient was taken, the rarer diagnosis of capsular venous rupture was not identified prior to surgical intervention. Initially, laparoscopy was introduced first to identify the cause of massive hemorrhage; the approach was changed to open myomectomy keeping in mind the general condition of the patient. Hence, for any patient with a prior diagnosis of myoma with hemodynamic instability, the rarer diagnosis of leiomyomatous capsular venous erosion should be a differential diagnosis to aid in the appropriate management of the women. The team of interdisciplinary expertise will definitely improve the outcomes in such cases.

Salutogenic Approaches to Dementia Care

In this chapter, the authors address salutogenic approaches in dementia care support, using a resident-centred model of care. Securing patients’ sense of coherence in care settings requires shifting the locus of decision-making power from only staff, to include residents. In this approach, patients manage more tasks themselves, they get not only what they need but also what they want and they engage meaningfully with others and with life in general. The authors explain that implementing salutogenic models of dementia care is not a simple task. It involves reimagining approaches to interpersonal communication, the thoughtful development of meaningful and enjoyable activities, and creative inclusion and engagement of friends and family. Supportive design of facilities includes spaces that provide choice, opportunities for social interaction, and memory-triggering cues that inform persons living with dementia about where they are, who they are, what there is to do to keep occupied, who other people are – in sum, environments that remind them that they are meaningfully engaged, safe and happy. The authors contend that replacing old-fashioned approaches to care with life-affirming environments is richly rewarding. They explain that success in making this switch requires professionals to pivot away from models that see dementia primarily as a disease to be cured, towards seeing living with dementia in terms of maximum health and well-being. They conclude that salutogenesis is a useful theory to guide this transition.

SOCIAL ECONOMY ENTITIES IN SHAPING SOCIAL POLICY – DIFFERENT ROLES AND AREAS OF INFLUENCE

This paper analyses a myriad of roles played by the social economy entities in selected sub-areas of social policy, such as family and foster care support, senior citizen policy or prevention of poverty and social exclusion. The author points out the role of social economy entities in programming and implementation, monitoring and evaluation of performance, analysis of challenges and development scenarios, and advocacy for the rights and interests of various groups in need of social policy support.

Knowledge, Practices and Attitude of Health Care Support Personnel on COVID-19: A Comparative Study Bhutan and Sri Lanka

Background: Health care support personnel are more vulnerable to COVID-19 due to the nature of their work. Their comparatively lower education qualifications, the important service they provide and associated risks of infection to themselves and others are high. This study attempts to explore and compare the knowledge, practices, and attitude of health care support personnel in Bhutan and Sri Lanka. Methods: A descriptive cross-sectional study using a purposive stratified sampling method with a questionnaire administered on knowledge, practices, and attitude was conducted from September 2020 to June 2021. The analysis was run using SPSS 21. Results: There were 775 (383 Sri Lankans, 392 Bhutanese) respondents. They consist of attendants (204), health care assistants (labourers) (355), cleaners (140), ambulance drivers (35) and security guards (41). Their levels of education were Grade 12 (24.5%), Grade 10 (41.2%), Grade 8-5(22.2%), and no formal education (12.1%). The majority (66.3%) had a ‘good’ knowledge level of COVID-19. Sri Lankan and Bhutanese mean knowledge score is 7.55 and 7.44 respectively (p<0.05). Overall, not much difference is observed in Practice related to COIVD-19 in both countries. Sri Lankans reported less fear of contact with COVID patients than Bhutanese (p<0.05), but more Bhutanese feel safe at work than Sri Lankans (p<0.05). More Bhutanese (90.8%) report satisfaction with measures taken by their hospital compared to Sri Lankans (49.3%). Conclusion: Sri Lanka reports slightly higher knowledge test means compared to Bhutan. While more Bhutanese report fear of contact with COVID-19 patients, more Bhutanese report satisfaction with measures taken by their hospitals for their safety, comparatively. It is important to explore the low levels of appreciation perceived, fears reported, and study ways to improve the psychological well-being of healthcare support staff.

Determinan Perilaku Kunjungan Antenatal Care di Puskesmas Bojongsari Kota Depok Tahun 2021

Introduction: The behavior of antenatal care visits is the action of pregnant women who carry out pregnancy checks from the first trimester to the third trimester. Objective: To determine the relationship between health service facilities, health promotion, health care support, and the quality of health services on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City in 2021. Methods: This type of research used a quantitative analytic survey using a cross-sectional approach. The population in this study was 141 pregnant women in the third trimester. The sampling technique used was the Lemeshow formula with purposive sampling. The number of respondents was 103 third-trimester pregnant women. The types of data used are primary and secondary data with univariate and bivariate analysis. Results: Pregnant women with poor antenatal care visits were 58 pregnant women (56.3%). Conclusion: There is a relationship between the variables of service facilities (OR = 27.773), health promotion (OR = 19.213), health care support (OR = 22.519), and the quality of health services (OR = 26.057) on the behavior of antenatal care visits at the Bojongsari Health Center, Depok City. 2021.

Development & Testing of a Comprehensive Digital Self-Care Support System for Older Adults With Chronic Conditions

This 3-phase study involves the conceptualization and design, development and usability testing of a Comprehensive Digital Self-care Support System (CDSSS) named myHESTIA for older adults with multiple chronic conditions (MCC). The objective of this study was to test whether a CDSSS can be developed for those who are dealing with MCC and whether such a system that is specifically developed for older adult patients will enable daily capture of self-care data. Participants for this 3-phase study included: 10 older adults (age&gt;60) and 10 caregivers in Phase 1; 15 Geriatrics clinicians and 25 community-dwelling low-income older adults in Phase 2; and, 10 older adults (age&gt;60) with MCC in Phase 3. Agile method of system development was used for the design and development of the system. The first two phases involved collecting data for designing and developing myHESTIA. The third phase involved small group usability and feasibility testing, in which the participants used myHESTIA trackers for 4 weeks. Results from phase 3 shows daily inputs were possible and the self-reported data shows that it was not at all difficult for older adults to track their symptoms daily. User experience data (n=10) shows overall positive experience along pragmatic (5.8 out of 7), hedonic (4.6 out of 7), sociability (5.5 out of 7) and usability (6.3 out of 7) experience dimensions. Finally, all the participants (n=10) who completed the phase 3 study reported intention to continue using myHESTIA. Results indicate that it is feasible to design a CDSSS for older adults with MCC.

Advancing Dementia Care Interventions With Technology Solutions

Over the past two decades, a number of interventions have been developed and tested to help meet the complex care needs of persons living with dementia (PLWD) and the family care support system. Despite the large foundation of empirical evidence, they are often not readily available as part of dementia care support services. Interventions leveraging technology-based solutions have the potential to bolster their desirability, efficacy, and feasibility. While progress has been made, there is still a need to design and test new innovative solutions in real-world settings. This symposium will highlight three such innovative technology solutions for dementia care and explore lessons learned in their development and testing. Smith et al. demonstrate the feasibility of using a novel in-situ sensor system to assess daily functions for PLWD in home or assisted care settings. Results of detecting and classifying diverse forms of functional assessment and environmental conditions will be discussed in the presentation. Czaja et al. describe a randomized controlled trial evaluating the feasibility and efficacy of an innovative dyadic intervention (DT) delivered through an interactive technology. Recruitment challenges and lessons learned from the feasibility of implementing a dyadic intervention will be presented. Stevens et al. introduce an online approach to delivering REACH II, GamePlan4Care (GP4C). Qualitative thematic analyses from GP4C user test sessions related to both the content and technical features will be discussed. Discussant Dr. Elena Fazio will address the role of technology solutions as a strategy within dementia care interventions and unique challenges and contributions of each project.