scholarly journals Proactive vs. reactive country responses to the COVID19 pandemic shock

Author(s):  
Pier Luigi Sacco ◽  
Francesco Valle ◽  
Manlio De Domenico

The infection caused by SARS-CoV-2, responsible for the COVID-19 pandemic, is characterized by an infectious period with either asymptomatic or pre-symptomatic phases, leading to a rapid surge of mild and severe cases putting national health systems under serious stress. To avoid their collapse, and in the absence of pharmacological treatments, during the early pandemic phase countries worldwide were forced to adopt strategies, from elimination to mitigation, based on non-pharmacological interventions which, in turn, overloaded social, educational and economic systems. To date, the heterogeneity and incompleteness of data sources does not allow to quantify the multifaceted impact of the pandemic at country level and, consequently, to compare the effectiveness of country responses. Here, we tackle this challenge from a complex systems perspective, proposing a model to evaluate the impact of systemic failures in response to the pandemic shock. We use health, behavioral and economic indicators for 44 countries to build a shock index quantifying responses in terms of robustness and resilience, highlighting the crucial advantage of proactive policy and decision making styles over reactive ones.

2017 ◽  
Vol 11 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Cecília Carboni Tardelli Cerveira ◽  
Cláudia Cristina Pupo ◽  
Sigrid De Sousa dos Santos ◽  
José Eduardo Mourão Santos

ABSTRACT Delirium is a common disorder associated with poor prognosis, especially in the elderly. The impact of different treatment approaches for delirium on morbimortality and long-term welfare is not completely understood. OBJECTIVE: To determine the efficacy of pharmacological and non-pharmacological treatments in elderly patients with delirium. METHODS: This systematic review compared pharmacological and non-pharmacological treatments in patients over 60 years old with delirium. Databases used were: MEDLINE (PubMed), EMBASE, Cochrane CENTRAL and LILACS from inception to January 6th, 2016. RESULTS: A total of ten articles were selected. The six non-pharmacological intervention studies showed no impact on duration of delirium, mortality or institutionalization, but a decrease in severity of delirium and improvement in medium-term cognitive function were observed. The most commonly used interventions were temporal-spatial orientation, orientation to self and others, early mobilization and sleep hygiene. The four studies with pharmacological interventions found that rivastigmine reduced the duration of delirium, improved cognitive function and reduced caregiver burden; olanzapine and haloperidol decreased the severity of delirium; droperidol reduced length of hospitalization and improved delirium remission rate. CONCLUSION: Although the pharmacological approach has been used in the treatment of delirium among elderly, there have been few studies assessing its efficacy, involving a small number of patients. However, the improvements in delirium duration and severity suggest these drugs are effective in treating the condition. Once delirium has developed, non-pharmacological treatment seems less effective in controlling symptoms, and there is a lack of studies describing different non-pharmacological interventions.


2014 ◽  
Vol 222 (3) ◽  
pp. 140-147 ◽  
Author(s):  
Ariane Sölle ◽  
Theresa Bartholomäus ◽  
Margitta Worm ◽  
Regine Klinger

Research in recent years, especially in the analgesic field, has intensively studied the placebo effect and its mechanisms. It has been shown that physical complaints can be efficiently reduced via learning and cognitive processes (conditioning and expectancies). However, despite evidence demonstrating a large variety of physiological similarities between pain and itch, the possible transfer of the analgesic placebo model to itch has not yet been widely discussed in research. This review therefore aims at highlighting potential transfers of placebo mechanisms to itch processes by demonstrating the therapeutic issues in pharmacological treatments for pruritus on a physiological basis and by discussing the impact of psychological mechanisms and psychological factors influencing itch sensations.


2019 ◽  
pp. 46-64 ◽  
Author(s):  
Vladimir V. Klimanov ◽  
Sofiya М. Kazakova ◽  
Anna A. Mikhaylova

The article examines the impact of various socio-economic and financial indicators on the resilience of Russian regions. For each region, the integral index of resilience is calculated, and its correlation dependence with the selected indicators is revealed. The study confirms the relationship between fiscal resilience and socio-economic resilience of the regions. The analysis of panel data for 75 regions from 2007 to 2016 shows that there are significant differences in the dynamics of indicators in different periods. In particular, the degree of exposure to the negative effects of the crises of 2008—2009 and 2014—2015 in non-resilient regions is higher than in resilient ones.


Author(s):  
Kim Fridkin ◽  
Patrick Kenney

This book develops and tests the “tolerance and tactics theory of negativity.” The theory argues that citizens differ in their tolerance of negative campaigning. Also, candidates vary in the tactics used to attack their opponents, with negative messages varying in their relevance to voters and in the civility of their tone. The interplay between citizens’ tolerance of negativity and candidates’ negative messages helps clarify when negative campaigning will influence citizens’ evaluations of candidates and their likelihood of voting. A diverse set of data sources was collected from U.S. Senate elections (e.g., survey data, experiments, content analysis, focus groups) across several years to test the theory. The tolerance and tactics theory of negativity receives strong empirical validation. First, people differ systematically in their tolerance for negativity, and their tolerance changes over the course of the campaign. Second, people’s levels of tolerance consistently and powerfully influence how they assess negative messages. Third, the relevance and civility of negative messages consistently influence citizens’ assessments of candidates competing for office. That is, negative messages focusing on relevant topics and utilizing an uncivil tone produce significant changes in people’s impressions of the candidates. Furthermore, people’s tolerance of negativity influences their susceptibility to negative campaigning. Specifically, relevant and uncivil messages are most influential for people who are least tolerant of negative campaigning. The relevance and civility of campaign messages also alter people’s likelihood of voting, and the impact of negative messages on turnout is more consequential for people with less tolerance of negativity.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Kaoru Tachiiri ◽  
Xuanming Su ◽  
Ken’ichi Matsumoto

AbstractFor the purpose of identifying the key processes and sectors involved in the interaction between Earth and socio-economic systems, we review existing studies on those processes/sectors through which the climate impacts socio-economic systems, which then in turn affect the climate. For each process/sector, we review the direct physical and ecological impacts and, if available, the impact on the economy and greenhouse gas (GHG) emissions. Based on this review, land sector is identified as the process with the most significant impact on GHG emissions, while labor productivity has the largest impact on the gross domestic product (GDP). On the other hand, the energy sector, due to the increase in the demand for cooling, will have increased GHG emissions. Water resources, sea level rise, natural disasters, ecosystem services, and diseases also show the potential to have a significant influence on GHG emissions and GDP, although for most of these, a large effect was reported only by a limited number of studies. As a result, more studies are required to verify their influence in terms of feedbacks to the climate. In addition, although the economic damage arising from migration and conflict is uncertain, they should be treated as potentially damaging processes.


2020 ◽  
Vol 18 (6) ◽  
pp. 644-647
Author(s):  
Allison J. Applebaum ◽  
Kara Buda ◽  
Michael A. Hoyt ◽  
Kelly Shaffer ◽  
Sheila Garland ◽  
...  

AbstractObjectiveInsomnia is a common, distressing, and impairing psychological outcome experienced by informal caregivers (ICs) of patients with cancer. Cognitive behavioral therapy for insomnia (CBT-I) and acupuncture both have known benefits for patients with cancer, but such benefits have yet to be evaluated among ICs. The purpose of the present study was to evaluate the feasibility, acceptability and preliminary effects of CBT-I and acupuncture among ICs with moderate or greater levels of insomnia.MethodParticipants were randomized to eight sessions of CBT-I or ten sessions of acupuncture.ResultsResults highlighted challenges of identifying interested and eligible ICs and the impact of perception of intervention on retention and likely ultimately outcome.Significance of the resultsFindings suggest preliminary support for non-pharmacological interventions to treat insomnia in ICs and emphasize the importance of matching treatment modality to the preferences and needs of ICs.


2021 ◽  
Vol 26 (3) ◽  
pp. 5-5
Author(s):  
Alex Gough

Summary In this month's Small Animal Review, we summarise three recently published papers from other veterinary journals. The papers for this issue explore the impact of open registries on inbreeding, in the working Australian Kelpie population particularly, and the impact of vehicle trauma on the canine shock index, as well as the potential role for lung ultrasound in monitoring for cardiogenic pulmonary oedema in dogs being treated for left-sided congestive heart failure.


2021 ◽  
pp. 097265272110153
Author(s):  
Lan Khanh Chu

This article examines the impact of institutional, financial, and economic development on firms’ access to finance in Latin America and Caribbean region. Based on firm- and country-level data from the World Bank databases, we employ an ordered logit model to understand the direct and moderating role of institutional, financial, and economic development in determining firms’ financial obstacles. The results show that older, larger, facing less competition and regulation burden, foreign owned, and affiliated firms report lower obstacles to finance. Second, better macro-fundamentals help to lessen the level of obstacles substantially. Third, the role of institutions in promoting firms’ inclusive finance is quite different to the role of financial development and economic growth. JEL classification: E02; G10; O16; P48


Energies ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1432
Author(s):  
Xwégnon Ghislain Agoua ◽  
Robin Girard ◽  
Georges Kariniotakis

The efficient integration of photovoltaic (PV) production in energy systems is conditioned by the capacity to anticipate its variability, that is, the capacity to provide accurate forecasts. From the classical forecasting methods in the state of the art dealing with a single power plant, the focus has moved in recent years to spatio-temporal approaches, where geographically dispersed data are used as input to improve forecasts of a site for the horizons up to 6 h ahead. These spatio-temporal approaches provide different performances according to the data sources available but the question of the impact of each source on the actual forecasting performance is still not evaluated. In this paper, we propose a flexible spatio-temporal model to generate PV production forecasts for horizons up to 6 h ahead and we use this model to evaluate the effect of different spatial and temporal data sources on the accuracy of the forecasts. The sources considered are measurements from neighboring PV plants, local meteorological stations, Numerical Weather Predictions, and satellite images. The evaluation of the performance is carried out using a real-world test case featuring a high number of 136 PV plants. The forecasting error has been evaluated for each data source using the Mean Absolute Error and Root Mean Square Error. The results show that neighboring PV plants help to achieve around 10% reduction in forecasting error for the first three hours, followed by satellite images which help to gain an additional 3% all over the horizons up to 6 h ahead. The NWP data show no improvement for horizons up to 6 h but is essential for greater horizons.


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