scholarly journals Covid-19: Comparisons by Country and Implications for Future Pandemics

Author(s):  
Lewis E. Mehl-Madrona ◽  
Francois Bricaire ◽  
Adrian Cuyugan ◽  
J. Barac ◽  
Asadullah Parvaiz ◽  
...  

Background. We set out in this paper to compare Covid-19 results by country to better understand the factors leading to the differing results found internationally. Methods. We used publicly available large datasets to explore differences by the country for Covid-19 mortality statistics. We continuously challenged our projections with reality and numbers from countries around the world, allowing us to refine our models and better understand the progression of the epidemic. All our predictions and findings were discussed and validated from a clinical viewpoint. Results. While no lockdown resulted in higher mortality, the difference between strict lock-down and a lax lockdown was not terribly different and favored lax lockdown. Only one of the top 44 countries had long and strict restrictions. Strict restrictions were more common in the worst-performing countries in terms of Covid mortality. The United States had the largest economic growth coupled with the largest rate of mortality. Those who did well economically had lower mortality and less pressure on their population. Yet they had less mortality than average and less than their neighbors. Conclusions. Countries with the least restrictions fared best economically. Some of them fared well in terms of mortality, even better than neighboring countries with similar social structures and more severe restrictions. The mortality rates in the USA, however, appeared to suffer from very high obesity rates. Norway and the northern European countries have less strict restrictions from the rest of Europe and had lower mortality rates. COVID-19 mortality was associated with vitamin D status.

1999 ◽  
Vol 85 (2) ◽  
pp. 381-392 ◽  
Author(s):  
Robert E. Larzelere ◽  
Byron Johnson

Sweden's 1979 law banning corporal punishment by parents was welcomed by many as a needed policy to help reduce physical abuse of children. This study reviews the published empirical evidence relevant to that goal. Only seven journal articles with pertinent data were located. One study reported that the rate of physical child abuse was 49% higher in Sweden than in the USA, comparing its 1980 Swedish national survey with the average rates from two national surveys in the United States in 1975 and 1985. In contrast, a 1981 retrospective survey of university students suggested that the Swedish abuse rate had been 79% less than the American rate prior to the Swedish spanking ban. Some unpublished evidence suggests that Swedish rates of physical child abuse have remained high, although child abuse mortality rates have stayed low there. A recent Swedish report suggested that the spanking ban has made little change in problematic forms of physical punishment. The conclusion calls for more timely and rigorous evaluations of similar social experiments in the future.


Author(s):  
Philippe W. Zgheib

This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


Fractals ◽  
2020 ◽  
Vol 28 (07) ◽  
pp. 2150023
Author(s):  
HAMIDREZA NAMAZI ◽  
ONDREJ KREJCAR ◽  
ABDULHAMIT SUBASI

SARS-CoV-2 is a deadly virus that has affected human life since late 2019. Between all the countries that have reported the cases of patients with SARS-CoV-2 disease (COVID-19), the United States of America has the highest number of infected people and mortality rate. Since different states in the USA reported different numbers of patients and also death cases, analyzing the difference of SARS-CoV-2 between these states has great importance. Since the generated RNA walk from the SARS-CoV-2 genome includes complex random fluctuations that also contain information, in this study, we employ the complexity and information theories to investigate the variations of SARS-CoV-2 genome between different states in the USA for the first time. The results of our analysis showed that the fractal dimension and Shannon entropy of genome walk significantly change between different states. Based on these results, we can conclude that the SARS-CoV-2 genomic structure significantly changes between different states, which is resulted from the virus evolution. Therefore, developing a vaccine for SARS-CoV-2 is very challenging since it should be able to fight various structures of the virus in different states.


2006 ◽  
Vol 198 ◽  
pp. 2-3

•The global growth rate is expected to exceed 5 per cent this year with growth continuing at above 4½ per cent per annum into 2008.•Over the second half of this decade France, Germany and Japan are expected to perform better than the United States.•Adjustment in the United States housing market is unlikely to lead to a recession there.•Investment rates in China are very high. A sharp reduction in Chinese investment would have a clear impact on growth in the developed countries.•Inflation is expected to rise slightly in the Euro Area and Japan but to decline in the United States.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1039-1039
Author(s):  
Paolo Mazzola ◽  
Antonella Zambon ◽  
Giuseppe Bellelli

Abstract Sepsis is highly prevalent in the older population compared to younger age groups. We showed that the SOFA score predicts the risk of death at 30 days in patients discharged from an acute geriatrics unit (AGU). We aim at comparing the ability of both delirium duration and SOFA to predict 1-month and 6-month mortality among septic patients. We performed an observational cohort study recruiting all patients consecutively admitted to San Gerardo hospital AGU (Italy) between March 2017 and January 2020, aged ≥70, who were diagnosed with sepsis according to 2016 Sepsis-3 criteria. All patients underwent a comprehensive geriatric assessment, including delirium twice a day with the 4AT. Outcomes were 1- and 6-month mortality rates. From 3,326 hospitalized patients, 235 were included in the study (median age 84 years, 42% females). Delirium accounted for 71.9% (169 patients, median duration 3 days). One-month and 6-month mortality rates were 32.3% and 55.3%, respectively. Age, albumin, hemoglobin, and PCR levels were associated with mortality and included as covariates in our Base Model. We performed pairwise comparison between c-indexes of the Base Model vs. Base+delirium duration (days) vs. Base+SOFA. The increment of predictive performance of model including delirium duration was statistically significant (c-index: 0.67 vs. 0.75 when considering 1-month mortality; 0.70 vs. 0.75 for 6-month mortality). Base+delirium duration performed better than Base+SOFA, but the difference not significant. Delirium duration performs as well as SOFA score in predicting 1- and 6-month mortality, with practical implications for the management of these patients in the continuum of care.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S269-S269
Author(s):  
Madison B Lenox ◽  
Victor Tran ◽  
Grace Tworek ◽  
Andrew Solow ◽  
Diana Hincapie

Abstract The American Stroke Association reports stroke as the fourth leading cause of death in the United States, with 66% of hospitalized cases being older adults. Recovery from stroke is a public health issue, as post-stroke depression (PSD) is a significant concern. Approximately 20-23% of stroke survivors identified co-occurring diagnoses, which are associated with physical, functional, and cognitive limitations and increased mortality risk. Antidepressant use has exhibited its efficacy in treating PSD. This study explores the association between antidepressant use and mortality risk in older adults with history of stroke. Older adults aged 65 and older (N=3631, 55.4% female, 72.6% Caucasian, Mage=79.64 years, SDage=7.29 years, MEd=14.55 years, SDEd=8.269 years) with history of stroke were selected from the National Alzheimer’s Coordinating Center database to explore the association between antidepressant use and mortality. A chi-squared test of independence was calculated comparing antidepressant use and mortality rates. A significant association was found (χ2 (1) = 15.933, p < .001) between current antidepressant use and mortality. Findings suggest antidepressant use is associated with lower mortality rates in subjects with a history of stroke. Implications include highlighting the role psychologists play in the early identification of PSD and early antidepressant intervention post-stroke to increase life longevity. Although findings only infer association, they demonstrate evidence for the link between PSD, antidepressant use, and lower mortality rates. Future directions include exploring other forms of depression treatment and mechanisms of antidepressant use. Limitations include examining potential moderators (e.g., gender, SES, type of stroke), and substance use within this population.


This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


2019 ◽  
Vol 6 (2) ◽  
pp. 41-44
Author(s):  
Luis Fernando Barbosa Silva ◽  
Viviane de Deus Silva ◽  
Larissa Mendonça Ferreira ◽  
João Guilherme Silva Oliveira ◽  
Silvio Alves Silva

Acute mesenteric ischemia is not a common affection, it happens in 1 to 1,000 people in the United States. Acute mesenteric ischemia should always be one of the differential diagnoses for abdominal pain as it is difficult to diagnose and has very high mortality rates. Among its causes, the most uncommon remains the obstruction caused by displacement of atherosclerotic plaques. Therefore, the description of a case of acute mesenteric ischemia caused by detachment of a plaque in the thoracic aorta is contributing to academic field. The present case was treated by immediate exploratory laparotomy with resection of the distended segments and implantation of an endoprosthesis via femoral artery. Keywords: Bile duct cancer. Epidemiology. Cholelithiasis. Anatomicopathological. Cholecystectomy. RESUMO A isquemia mesentérica aguda não é comum, atinge 1 a cada 1000 habitantes nos Estados Unidos. Por ser de difícil diagnóstico e de elevada mortalidade deve sempre ser um dos diagnósticos diferenciais para dor abdominal. Dentre suas causas, mais incomum ainda é a obstrução causada por deslocamento de placa aterosclerótica. Portanto, torna-se útil demonstrar um caso de isquemia mesentérica aguda causada por descolamento de placa da aorta torácica, tratado por laparotomia exploradora imediata com ressecção das alças em sofrimento e implantação de endoprótese torácica reta via femoral.   Palavras-chave: Câncer de ducto biliar. Epidemiologia. Colelitíase. Anatomopatológico. Colecistectomia.


2017 ◽  
Vol 89 (9) ◽  
pp. 53-59 ◽  
Author(s):  
S A Boytsov ◽  
I V Samorodskaya ◽  
N N Nikulina ◽  
S S Yakushin ◽  
E M Andreev ◽  
...  

Aim. To comparatively analyze the registered mortality rates from coronary heart disease (CHD) as a whole, as well as myocardial infarction (MI) and other acute forms of CHD during a 15-year period in the Russian Federation (RF, 2000—2014) and the United States of America (USA, 1999-2013). Materials and methods. Primary data were obtained from the database of the RF State Statistics Service, the World Health Organization Mortality Database, Human Mortality Database, then converted into standardized mortality rates and are presented in three age groups (30+, 30-49, and 50+ years old) in men and women separately. Results. The analysis revealed a substantial excess of the registered mortality rates from CHD in the RF versus in the USA, as well as a lower incidence of MI and a higher incidence of other acute CHD forms registered as the cause of death. It also showed considerable differences in the structure of registered types of MI as the cause of mortality. Conclusion. The differences found in the mortality rates from CHD, MI, and other acute forms of CHD in the RF and the USA can be explained by objective (the higher prevalence of cardiovascular risk factors, the higher and earlier incidence of CHD in the RF, as well as differences in the organization of medical care and, as a result, actually higher mortality rates from CHD in Russia) and subjective (differences in approaches to statistically developing a population-based mortality rate, as well as defects in filling out the medical documents and coding the causes of death) factors.


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