Pemberdayaan Petani Desa Candijati dalam Pencegahan Covid-19 dan Peningkatan Status Ekonomi melalui Pembuatan Masker Jerami Aromaterapi

ABSTRAK Mayoritas masyarakat Desa Candijati Arjasa Jember Jawa Timur bekerja di bidang pertanian (64%). Desa Candijati merupakan penghasil padi terbanyak di Kecamatan Arjasa. Petani desa Candijati termasuk golongan masyarakat terdampak pandemi corona. Pembatasan mobilitas membuat petani kesulitan memasarkan produk pertaniannya. Harga produk pertanian menjadi anjlok. Pendapatan petani menjadi turun drastis. Hal ini mencetuskan kecemasan dan stress pada petani. Petani juga menghadapi ancaman terpapar covid selama pandemi, karena tidak mendapat informasi mengenai penyakit dan pencegahan yang benar. Berdasarkan permasalahan tersebut, tim pengusul pengabdian menawarkan solusi kepada mitra petani kelompok tani Desa Candijati berupa penyuluhan mengenai penyakit covid dan pencegahannya serta pelatihan membuat masker beraromaterapi. Tujuan pengabdian ini adalah mencegah paparan Covid dan mengurangi stress pada petani serta meningkatkan status ekonomi petani. Metode kegiatan terdiri dari identifikasi keluhan/penyakit petani, pemberian penyuluhan mengenai penyakit dan pencegahannya, dan pelatihan pembuatan tisue aromaterapi. Tisue aromaterapi yang terbuat dari jerami dan ditambahkan aroma jeruk disisipkan ke dalam masker kain 2 lapis. Selain mencegah paparan virus covid, aroma jeruk pada tisue saat dipakai dalam masker dapat meredakan kecemasan sehingga membantu mengurangi stress yang dialami petani. Sasaran kegiatan ini adalah ibu-ibu petani desa Candijati kecamatan Arjasa. Hasil akhir kegiatan ini berupa produk masker aromaterapi, peningkatan ketrampilan, pemahaman dan kesehatan masyarakat. Kata Kunci: masker, aromaterapi, tisue, jerami, petani ABSTRACT The majority of the people of Candijati Arjasa Jember East Java work in agriculture (64%). Candijati village is the largest rice producer in the Arjasa district. Candijati farmers are part of the community affected by the corona pandemic. Restrictions on mobility make it difficult for farmers to market their agricultural products. Prices of agricultural products have fallen. Farmers' incomes have fallen drastically. This triggers anxiety and stress in farmers. Farmers also face the threat of being exposed to covid during the pandemic, because they do not get information about the disease and proper prevention. Based on these problems, the team offered solutions to farmers of Candijati Village in the form of counseling about the covid disease and its prevention as well as training to make aromatherapy masks. The purpose of this program is to prevent exposure to Covid, reduce stress, and improve the economic status of farmers. The method of activity consists of identifying farmer complaints/diseases, providing counseling about diseases and their prevention, training in making aromatherapy tisue. This aromatherapy tissue made from straw and added with the aroma of citrus is inserted into a 2-ply cloth mask. In addition to preventing exposure to the covid virus, the smell of citrus on tissues when used in masks can relieve anxiety so that it helps reduce stress. The target of this activity is the farmers of Candijati village, Arjasa sub-district. The end result of this activity is aromatherapy mask products, skill improvement, understanding, and public health. Keywords: masks, aromatherapy, tissue, straw, farmers

The Dartmouth Falls Prevention Training Program: Primary Care and Community-Based Organization Collaboration

Falls are a leading cause of fatal and non-fatal injuries in older adults. Older adult participation in community-based falls prevention programs can significantly reduce falls risk, however, identifying and referring individuals to appropriate programs can be challenging. Through Administration for Community Living (ACL) funding, we have developed a comprehensive Dartmouth Falls Prevention Training Program for healthcare and community based organizations that includes (1) Falls screening in primary care; (2) “Balance Days”, a community-based education and balance screening event encompassing falls risk stratification and coaching into programs; (3) Instructor Training for Tai Ji Quan: Moving for Better Balance®, a highly effective falls prevention program; and (4) Implementation Training, a research informed workshop shown to enhance community-based program sustainability through participant retention. We will share strategies for sustainable collaborations between primary care and CBOs to reach at-risk individuals and improve lives and decrease costs associated with falls.

44. Impact of Nursing Home (NH) Universal Decolonization and COVID Prevention Training on COVID-19 Burden During the 2020-2021 Winter Surge in Orange County (OC), California (CA)

Background OC is the 6th largest U.S. county with 70 NHs. Universal decolonization (chlorhexidine for routine bathing, and twice daily nasal iodophor Mon-Fri every other week) was adopted in 24 NHs prior to the COVID-19 pandemic, and 12 NHs (11 of those adopting decolonization) participated in a COVID prevention training program with a rolling launch from July-Sept 2020. We evaluated the impact of these initiatives on staff and resident COVID cases. Methods We conducted a quasi-experimental study of the impact of decolonization and COVID prevention training on staff and resident COVID cases during the CA winter surge (11/16/20-1/31/21), when compared to non-participating NHs. Decolonization NHs received weekly visits for encouraging adherence during the pandemic, and NHs in the COVID training program received 3 in-person training sessions for all work shifts plus weekly feedback about adherence to hand hygiene, masking, and breakroom safety using video monitoring. We calculated incident 1) staff COVID cases, 2) resident COVID cases, and 3) resident COVID deaths adjusting for NH average daily census. We assessed impact of initiatives on these outcomes using linear mixed effects models testing the interaction between any training participation and calendar date when clustering by NH. Because of the overlap of the two initiatives, we evaluated ‘any training’ vs ‘no training.’ Results 63 NHs had available data. 24 adopted universal decolonization, 12 received COVID training (11 of which participated in decolonization), and 38 were not enrolled in either. During the winter surge, the 63 NHs experienced 1867 staff COVID cases, 2186 resident COVID cases, and 251 resident deaths due to COVID, corresponding to 29.6, 34.7, and 4.0 events per NH, respectively. In NHs participating in either initiative, staff COVID cases were reduced by 31% (OR=0.69 (0.52, 0.92), P=0.01), resident COVID cases were reduced by 43% (OR=0.57 (0.39, 0.82), P=0.003), and resident deaths were reduced (non-significantly) by 26% (OR=0.74 (0.46, 1.21), P=0.23). The grey box represents the California COVID-19 winter surge (11/16/20-1/31/21). Incident and cumulative COVID-19 cases and deaths for each nursing home were divided by the nursing home’s average daily census and multiplied by 100, representing events per 100 beds, which were aggregated across groups. Conclusion NHs are vulnerable to COVID-19 outbreaks. A universal decolonization and COVID prevention training initiative in OC, CA significantly reduced staff and resident COVID cases in this high-risk care setting. Disclosures Gabrielle Gussin, MS, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products)Xttrium (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products) Raveena Singh, MA, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products)Xttrium (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products) Shruti K. Gohil, MD, MPH, Medline (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Molnycke (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Co-Investigator in studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products) Raheeb Saavedra, AS, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products)Xttrium (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic products) Robert Pedroza, BS, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products) Chase Berman, BS, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products) Susan S. Huang, MD, MPH, Medline (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Molnlycke (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Stryker (Sage) (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)Xttrium (Other Financial or Material Support, Conducted studies in which participating hospitals and nursing homes received contributed antiseptic and cleaning products)

Sex-Specific Differences in Perceived Injury Management and Prevention in High School Student-Athletes

BACKGROUND: Sport-related injuries are common among high school student-athletes with specific sex disparities in injury risk. Many of these injuries may be avoidable with the use of injury prevention programs (IPPs). Sex differences in injury management and return to sport are not well understood. PURPOSE: To determine sex-specific differences in self-reported injury management and prevention strategies in high school student-athletes. DESIGN: Cross-sectional, survey-based study. METHODS: An anonymous 13-item electronic survey was distributed to all students in a private high school in December 2019 with responses recorded over a one-month study period. Primary outcomes were sex-specific differences in self-reported outcome measures assessing student-athlete experience during injury recovery and familiarity with IPPs. Groups were evaluated via descriptive statistics and differences between groups were compared. RESULTS: From a total of 190 responses, 106 were included in the analysis (63F, 43M, mean age 16.7 years). Female athletes reported decreased exposure to injury prevention training (44.4% vs 69.8%, p=0.01) and practice-based utilization of IPPs (23.8% vs 55.8%, p=0.001) compared to male athletes. Overall, reported utilization of IPPs was low regardless of sex at less than 40% for all athletes. Nearly 85% of female athletes compared to 51% of male athletes felt they could benefit from IPPs (p=0.001), yet fewer than half of female athletes reported ever having training in injury prevention. There were no statistically significant differences in measures of injury management or return to sport between sexes. Females reported similar major impact of injury on life and future plans compared to male athletes. CONCLUSIONS: Male athletes were 1.6x more likely to report injury prevention training and 2.4x more likely to report practice-based utilization of IPPs compared to female athletes. Sex-specific differences in injury management and return to sport were not identified. Better incorporation of IPPs, specifically at the high-school level, may help to address sex disparities in preventable sport-related injuries and allow student-athletes to maximize the myriad benefits of sport participation.

Interprofessional Suicide Prevention Education

The COVID-19 pandemic has raised concerns regarding possible spikes in suicidal behavior in light of heightened risk factors such as social isolation and financial strain; thus, comprehensive suicide prevention training for emerging health service providers is increasingly vital. This article summarizes an interprofessional education (IPE) suicide prevention course delivered in-person in Spring 2020. Pilot data demonstrate that despite the impact of COVID-19 on higher education, this course had long-term impacts on trainee suicide prevention efficacy, IPE attitudes, and use of course content in practice. Discussion serves to address enhancements for interprofessional and suicide prevention education during and after the pandemic. Emphasis is placed on adaptable training strategies, considerations in the delivery format, guidelines for intensive virtual meetings with trainee teams, and future directions in IPE suicide prevention training research.