scholarly journals Fortified Nudges? Protecting the Vulnerable in a Post-COVID Society

2021 ◽  
pp. 169-173
Author(s):  
Robin Pierce

AbstractThe eagerly awaited transition back into a functioning and vibrant society presents numerous challenges, not the least of which is how to protect the vulnerable. As society emerges from the “crisis” phase and the lockdown is lifted, it remains unclear to what extent it should be left to the vulnerable to protect themselves.The elderly, the infirm, and those with existing health conditions are particularly susceptible to tragic outcomes from the coronavirus. To be vulnerable to a severe impact of COVID-19 turns the disease into a pervasively lurking death threat. Yet, to suggest that the vulnerable spend their lives in retreat in order to significantly minimize the risk is problematic in multiple ways. As policy-makers craft the way forward, the question must be asked whether an appeal to the goodwill and voluntary cooperation of people, along with the slow evolution of social norms, is an adequate approach to protecting the vulnerable.

Author(s):  
Aleksander Krasowski ◽  
Joachim Krois ◽  
Sebastian Paris ◽  
Adelheid Kuhlmey ◽  
Hendrik Meyer-Lueckel ◽  
...  

Objectives: We assessed the costs of dental services in statutorily insured, very old (geriatric) Germans. Methods: A comprehensive sample of very old (≥75 years) people insured at a large Northeastern statutory insurer was followed over 6 years (2012–2017). We assessed dental services costs for: (1) examination, assessments and advice, (2) operative, (3) surgical, (4) prosthetic, (5) periodontal, (6) preventive and (7) outreach services. Association of utilization with: (1) sex, (2) age, (3) region, (4) social hardship status, (5) International Disease Classification (ICD-10) diagnoses and (6) Diagnoses Related Groups (DRGs) was explored. Results: 404,610 individuals with a mean (standard deviation, SD) age 81.9 (5.4 years) were followed, 173,733 did not survive follow-up. Total mean costs were 129.61 (310.97) euro per capita; the highest costs were for prosthetic (54.40, SD 242.89 euro) and operative services (28.40, SD 68.38 euro), examination/advice (21.15, SD 28.77 euro), prevention (13.31, SD 49.79 euro), surgery (5.91, SD 23.91 euro), outreach (4.81, SD 28.56 euro) and periodontal services (1.64, SD 7.39 euro). The introduction of new fee items for outreach and preventive services between 2012 and 2017 was reflected in costs. Total costs decreased with increasing age, and this was also found for all service blocks except outreach and preventive services. Costs were higher in those with social hardship status, and in Berlin than Brandenburg and Mecklenburg-Western Pomerania. Certain general health conditions were associated with increased or decreased costs. Conclusions: Costs were associated with sex, social hardship status, place of living and general health conditions. Clinical significance: Dental services costs for the elderly in Germany are unequally distributed and, up to a certain age or health status, generated by invasive interventions mainly. Policy makers should incentivize preventive services earlier on and aim to distribute expenses more equally.


2014 ◽  
Vol 7 (1) ◽  
pp. 85-111
Author(s):  
Alexandra Gueydan-Turek

This article explores the way in which masculinity and femininity are constructed in Algerian manga, an emerging, understudied sub-genre within the field of Algerian graphic art. Through the exploration of youth-oriented publications of shōjo and shōnen manga, I will demonstrate how these new local works offer a privileged form of expression for and platform to address disaffected Algerian youths. The primary focus of this investigation will be the differences (or lack thereof) between ideals of gender performances as expressed in Algerian manga and ideals of gender identity in society at large. This article will demonstrate that, while some differences manifest a desire for change on the part of both artists and readers, they certainly do not constitute radical revisions of the popular Algerian notions of masculinity and femininity. Ultimately, this study will demonstrate the limits of manga as an imported genre within an Arab-Islamic context, oscillating between the promulgation of alternative social ideals and the reinforcement of social norms.


2016 ◽  
Vol 12 (1) ◽  
pp. 51-65
Author(s):  
Damodaran Rajasenan ◽  
M. S. Jayakumar ◽  
Bijith George Abraham

Purpose – The purpose of this paper is to link the multifarious problems of the elderly in a socio-economic and psychological framework. Design/methodology/approach – The universe of the sample is elderly left behind in emigrant households in Kerala. In total, 600 samples were mustered using multistage stratified random sampling method. The paper, with the aid of factor analysis, χ2 and correspondence analysis, blemish the principal factors responsible for the migration-induced exclusion of the elderly. Findings – The empirical result derived from the study shows that migration-induced exclusion is all pervasive in Kerala. The elderly left behind yearn for the presence of their children rather than the emigration and concomitant remittances. Research limitations/implications – The findings of the study are helpful to the policy makers to understand the issues faced by the elderly and include all stakeholders concerned to find a solution to tackle these problems faced by the elderly due to emigration of their children. Practical implications – The study is practically relevant in developing appropriate policy framework in Kerala as it illumines the role of the government to overcome the exclusionary trend and other manifold problems of the elderly. Social implications – The study sheds light to a new social problem developing in the state in the form of elderly exclusion owing to emigration of the young working groups in regional dimensions, demographic levels, community angles and the emerging culture of old age home in the Kerala economy and society. Originality/value – The study is a unique one and tries to situate the principal factors responsible for the emigration-induced exclusion of the elderly in Kerala with empirical evidence.


2021 ◽  
Author(s):  
Mohammed Ali

BACKGROUND cardiovascular diseases (CVDs) have become prevalent in the world. They cause millions of deaths globally with the World Health Organization putting the figure at 17.9 million people every year. These statistics indicate the need for healthcare systems to leverage contemporary advanced technology to detect and diagnose CVDs and provide appropriate and timely care to reduce mortality rates. OBJECTIVE To conduct a scoping review exploring individual use of smartwatches with self-monitoring ECG functionality for diagnosing arrhythmias. METHODS Source were selected from six credible bibliographic databases: PubMed, Medline, EMBASE, PsycInfo, CINAHL, and Google Scholar. Intervention-related terms were used to identify relevant sources. Additionally, a forward search strategy was used to search the databases and identify appropriate peer-reviewed journals. RESULTS The research returned 230 sources, out of which 40 met the inclusion criterion. The studies revealed that increased research, development, and adoption of smartwatches and other wearable devices have intensified in the past two decades. The studies showed that using smartwatches can detect cardiac arrhythmias although this depends on the algorithms and biometric sensors utilized in the smartwatches. Watches with advanced algorithms, PPG, and EKG functionalities exhibit high accuracy, sensitivity, and specificity, detecting AFib and other arrhythmias with high efficacy. Therefore, the best way for technology companies to improve their watches’ accuracy is to design and use advanced algorithms and combine PPG, EKG, activity, and biochemical sensors. Conclusion: The contemporary healthcare space is replete with wearable and non-wearable ¬systems and devices central to detecting health conditions and informing the relevant stakeholders to take corrective actions. Smartwatches are wearable devices used chiefly by patients, health, and fitness enthusiasts to detect and monitor a series of conditions, such as heart rate. Their use has fostered timely detection of cardiac arrhythmias, and therefore, caregivers and policy-makers should emphasize their use. CONCLUSIONS Technological systems have proliferated many human spaces in the last three decades, including education, healthcare, and entertainment. Their use has improved operational efficiency, reduced costs, saved lives, and increased organizations’ bottom lines. Healthcare systems use technological devices and appliances to diagnose patients, perform surgeries, improve pharmacy operations, and reduce medical errors. That way, most healthcare facilities provide quality care, attaining positive clinical outcomes. The contemporary healthcare space is replete with wearable and non-wearable ¬systems and devices central to detecting health conditions and informing the relevant stakeholders – caregivers, patients, and family members – to take corrective actions. Smartwatches are wearable devices used chiefly by patients, health, and fitness enthusiasts to detect and monitor a series of conditions, such as heart rate. They are highly effective in detecting cardiac arrhythmias, and therefore, caregivers and policy-makers should emphasize their use.


2016 ◽  
Vol 4 (1) ◽  
pp. 81
Author(s):  
Léonard KOUSSOUHON ◽  
Fortuné AGBACHI

<p>This paper is an attempt to examine the way male and female participants perform gender in 03 novels, <em>Everything Good Will Come</em> (2006), <em>Swallow</em> (2010) and <em>A Bit of Difference</em> (2013), by a contemporary Nigerian writer called Sefi Atta. The study draws on Gender Performative Theory as developed by the feminist Butler (1990/1999). This theory considers gender identities as being socially constructed. The study highlights the multiple ways in which male and female participants perform gender according to established social norms in the selected novels. Regarding the existing social norms in Nigeria, the findings by scholars like Fakeye, George and Owoyemi (2012), Mejiuni and Awolowo (2006), Bourey et al (2012), Gbadebo, Kehinde and Adedeji (2012), Okunola and Ojo (2012) exude that men are traditionally portrayed as career people, assertive, powerful and active, independent and violent while women are stereotypically depicted as housewives, submissive, powerless and passive, dependent and non-violent (or victims). Based on the above dichotomies between men and women, the study unveils the ideology that underpins gender performances in the novels.</p>


2019 ◽  
pp. 129-137
Author(s):  
Judith N. Shklar

In this chapter Shklar identifies the problems that arise with the development of industrial capitalism. She traces the emergence of social obligations to fellow citizens and the new concerns this raised, paying particular attention to the way the English idealist T.H. Green addressed these issues. She discusses the thinking behind the new welfare state and the rising popularity of social norms and obligations, often also expressed in terms of “the common good,” “positive rights,” and “the obligation to be just.”


2018 ◽  
Vol 11 (3) ◽  
pp. 55 ◽  
Author(s):  
Ionel Bostan ◽  
Carmen Toderașcu ◽  
Anca Gavriluţă (Vatamanu)

Given the contradiction between the current demands for sustainability and the way that the financial system works, this paper explored in a retrospective and a prospective view, Romanian Public Finance Sustainability, highlighting the major challenges and vulnerabilities. Relating to the retrospective part, we concentrated mainly on empirical tests on Romanian government solvency between the period 1990–2020, by applying un it root and co-integration tests. To gain a better, general understanding of the behavior of policy-makers, in the second part we used a scenario analysis of budgetary adjustment in the short and medium run under alternative hypotheses. The results provided formal proof that policy makers decisions face critical and complex questions, and the way in which they manage fiscal stimuli has a direct implication on the sustainability of the country and on the lax implementation of fiscal policy.


JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 87-90
Author(s):  
Shariq Rashid Masoodi

Today more people are travelling than ever before. Travel uWith more people travelling, health care professionals should become more familiar with some of the unique health issues associated with travel and pilgrimage.Travel has some unique safety and health issues, especially for the young and the elderly. Physicians need to be aware of the health issues related to travelling, identify people at risk for health problems during travel, and provide appropriate anticipatory guidance. Many guidelines have been developed to help inform physicians about some of the health issues of people travelling. These guidelines are to provide information on the risks of travel to people, determine which pre-existing health conditions may be complicated by a particular mode of travel, and offer preventative measures that can minimize potential risks to people during the travel. sed to be a leisure which could only be afforded by a few.... JMS 2012;15(2):87-90


2016 ◽  
Vol 43 (2) ◽  
pp. 142-180
Author(s):  
Mircea Platon

Astolphe de Custine’s collection of letters La Russie en 1839, first published in France in 1843, was rediscovered by Henri Massis in 1946. Massis re-introduced Custine’s by then long forgotten letters on Russia to the French public. Once American Cold Warriors such as George Kennan and General Walter Bedell-Smith discovered the book, they promptly promoted it to the status of the most prophetic book on the “Russian soul.” Denounced as “fictional,” by many nineteenth-century writers and by a host of twentieth-century scholars, Custine’s book was accepted as canonical by a large reading public and, more importantly, by successive generations of us policy makers. This article contributes to the historiography of Cold War propaganda by looking first at the context in which the book was initially resurrected by Massis, and then by analyzing the ways in which Cold War propaganda constructed its “relevance,” “actuality” and “prophetic” character. The article begins by taking a look at the way in which Massis, the first popularizer of the book, fitted it into his own ideological pattern. In a second movement, the article analyzes the ways in which the book functioned in the post-wwii ideological context, seeking to discover if the alleged relevance of the book had anything to do with the survival into the postwar world of the European Right’s interwar tangle of received ideas and patterns of prejudice.


2021 ◽  
Vol 2 (1) ◽  
pp. 027-033
Author(s):  
Thatit Nurmawati ◽  
Nawang Wulandari ◽  
Anita Rahmawati ◽  
Aurizal Ahmad Aziz ◽  
Lutvi Febriana ◽  
...  

The condition of the COVID-19 Pandemic which is full of uncertainty makes the elderly easily plagued by feelings of excessive anxiety which has an impact on physical health conditions. The purpose of the community service was to provide mental and psychosocial support (MHPSS) during Covid-19 pandemic through booklets. The method used health education by distributing booklets. The activity was conducted in Blitar district area through the online network on February 2021 with 21 elderly people as the respondents. The results showed that the elderly were able to follow all the activities given and able to re-practice physical activities that could be done to deal with anxiety as a psychological impact of COVID-19 properly. Batik activity is one form of occupational therapy for People with mental disorders to continue to be carried out so that independence and entrepreneurial spirit can increase, so they will be more productive. The Mental and Psychosocial Support (MHPSS) for all elderly groups in the community needs to be continuously carried out by involving elderly cadres as an effort to control anxiety as a result of the COVID-19 Pandemic.


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