scholarly journals Long-term health-related and economic consequences of short-term outcomes in evaluation of perinatal interventions

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Margreet J Teune ◽  
Aleid G van Wassenaer ◽  
Ben Willem J Mol ◽  
Brent C Opmeer
Keyword(s):  
Economic Consequences ◽  
Short Term ◽  
Health Related

Anti-stigma interventions

2018 ◽  
pp. 411-420
Author(s):  
Petra C. Gronholm ◽  
Claire Henderson ◽  
Tanya Deb ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Intervention Development ◽  
Outcome Data ◽  
Short Term ◽  
People With Mental Illness ◽  
Related Stigma ◽  
Health Related

There is a rich literature on the nature of mental health-related stigma and the processes by which it severely affects the life chances of people with mental health problems. Applying this knowledge to deliver and evaluate interventions to reduce stigma in a lasting way is, however, a complex and long-term challenge. This chapter outlines how mental health-related stigma and discrimination have been defined; describes the negative impact they have on people with mental illness; summarizes anti-stigma strategies and the evidence regarding their effectiveness; and makes suggestions for future intervention development and evaluation. It seems likely that short-term interventions may only have a short-term impact, with the implication being the need to study longer-term interventions and to use interim process and outcome data to improve interventions along the way.

scholarly journals Factors Associated With Health‐Related Quality of Life 2 Years After Left Ventricular Assist Device Implantation: Insights From INTERMACS

2021 ◽  
Author(s):  
Kathleen L. Grady ◽  
Pariya L. Fazeli ◽  
James K. Kirklin ◽  
Salpy V. Pamboukian ◽  
Connie White‐Williams
Keyword(s):  
Heart Transplant ◽  
Left Ventricular ◽  
Short Term ◽  
Ventricular Assist ◽  
Factors Associated ◽  
Vas Score ◽  
Related Quality ◽  
Health Related ◽  
Related Stress

Background Factors related to health‐related quality of life (HRQOL) 2 years after left ventricular assist device (LVAD) implantation are unknown. We sought to determine whether preimplant intended goal of LVAD therapy (heart transplant candidate [short‐term group], uncertain heart transplant candidate [uncertain group], and heart transplant ineligible [long‐term group]) and other variables were related to HRQOL 2 years after LVAD implantation. Methods and Results Our LVAD sample (n=1620) was from INTERMACS (Interagency Registry for Mechanically Assisted Circulatory Support). Using the EuroQol‐5 Dimension Questionnaire (EQ‐5D‐3L), a generic HRQOL measure, and the Kansas City Cardiomyopathy Questionnaire (KCCQ‐12), a heart failure–specific HRQOL measure, multivariable linear regression modeling was conducted with the EQ‐5D‐3L Visual Analog Scale (VAS) score and KCCQ‐12 overall summary score (OSS) as separate dependent variables. Two years after LVAD implant, the short‐term group had a significantly higher mean VAS score versus the uncertain and long‐term groups (short‐term: 75.18 [SD, 20.62]; uncertain: 72.27 [SD, 20.33]; long‐term: 70.87 [SD, 22.09], P =0.01); differences were not clinically meaningful. Two‐year mean scores did not differ by group for the KCCQ‐12 OSS (short‐term, 67.85 [SD, 20.61]; uncertain, 67.79 [SD, 19.31]; long‐term, 67.08 [SD, 21.49], P =0.80). Factors associated with a worse VAS score 2 years postoperatively (n=1205) included not working; not having a short‐term LVAD; and postoperative neurological dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, and less satisfaction with VAD surgery, explaining 28% of variance ( P <0.001). Factors associated with a worse KCCQ‐12 OSS 2 years postoperatively (n=1250) included not working; history of high body mass index and diabetes mellitus; and postoperative renal dysfunction, greater health‐related stress, coping poorly, less VAD self‐care confidence, less satisfaction with VAD surgery, and regret regarding VAD implantation, accounting for 36% of variance ( P <0.001). Conclusions Factors related to HRQOL 2 years after LVAD implantation include demographic, clinical, and psychological variables.

scholarly journals Short-Term Economic Impact of COVID-19 on Spanish Small Ruminant Flocks

Animals ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 1357 ◽  
Author(s):  
Irene Vidaurreta ◽  
Christian de la Fe ◽  
Juan Orengo ◽  
Ángel Gómez-Martín ◽  
Bernardino Benito
Keyword(s):  
Economic Impact ◽  
Small Ruminant ◽  
Small Ruminants ◽  
Economic Consequences ◽  
Control Measures ◽  
Dairy Goat ◽  
Short Term ◽  
Using Data ◽  
Meat Market

The human pandemic COVID-19 caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) started in China in 2019 and has rapidly spread around the world, leading to extreme control measures such as population confinement and industry activity closure. Although small ruminants are not sanitary affected by this virus, the short-term economic impact derived by COVID-19 on Spanish flocks is estimated in this study, using data provided by producers and two major slaughterhouses. Milk prices of dairy goat flocks suffered a substantial drop in April 2020, close to 4.5 cts EUR/liter compared to the previous month. In contrast, the monthly milk prices in sheep remained almost stable during this period, and even increases of more than EUR 6 cts were reported in comparison with the previous year. Nevertheless, economical differences are reported by areas where producers could receive a higher income, close to EUR 0.3 per liter of milk. Global data provided by feedlots affecting 2750 Spanish flocks evidenced a lamb price drop ranging from 16.8% to 26.9% after the pandemic arrival; in line with the data directly reported by a limited sample of producers (ranging from 11.0% to 23.7%). The goat kid meat market also suffered a reduction in prices per kg, near 12.5%; although, for some flocks, losses reached up to 40%. In the same line, 2 slaughterhouses reported a sudden sacrifice drop around 27% for lambs and goat kids sacrifices in April, in contrast with the usual sacrifice figures from the beginning of 2020. Moreover, our study showed a temporary and unexpected retention of lambs and goat kids at farms due to a reduction in animals slaughtered during this period. In conclusion, data evidenced a considerable negative economic impact on Spanish small ruminant flocks, throughout the first 60 days after COVID-19’s pandemic declaration. Further studies are needed to evaluate the long-term economic consequences, in order to establish contingency plans and avoid the collapse of small ruminant industries when a crisis of these characteristics occurs.

Coronavirus pandemic and trends of economic policy

2021 ◽  
pp. 5-30
Author(s):  
V. A. Mau
Keyword(s):  
Economic Policy ◽  
Economic Development ◽  
Government Regulation ◽  
Economic Consequences ◽  
Medium Term ◽  
Short Term ◽  
Current Crisis ◽  
Monetary Policies ◽  
Long Term Trends

The paper deals with social and economic consequences of COVID-19 in the context of long-term trends of economic development. The current crisis is compared with economic and war cataclysms of 20th—21st centuries. Special attention is paid to types of anti-crisis policies as well as to relations between anti-crisis (short-term) and modernization (medium-term) challenges. The paper discusses the influence of pandemic on budget and monetary policies, trends of globalization, and new approaches to government regulation of economic development.

UK resilience to a chemical incident

2019 ◽  
Vol 166 (2) ◽  
pp. 95-98 ◽  
Author(s):  
Samuel Alexander Clarke ◽  
A G A Weir
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Local Population ◽  
National Level ◽  
Economic Consequences ◽  
Law And Order ◽  
Healthcare Provision ◽  
Short Term ◽  
Chemical Incidents

Following the deliberate chemical attacks in Salisbury last year, a review of UK resilience to chemical incidence was undertaken. The scope was not limited to deliberate attacks, related to terrorism, but was to include non-deliberate and accidental events. Chemical incidents have wide-reaching consequences irrespective of whether they are deliberate or not. The effects of these incidents manifest themselves in terms of immediate health consequences and will also include economic, political and public health effects that may have a much longer impact than the initial disruption. The economic consequences of the Novichok attack were devastating to the local population and businesses in both the short term and the long term, being felt over a year later. This review discusses the effects of these incidents on infrastructure, healthcare provision, law and order, economics and government at a local, regional and national level. The NHS Emergency Preparedness, Resilience and Response Framework was reviewed, and this provides a basic outline of advice for local government to follow in the case of chemical incidents. However, the wider issues of interdepartmental co-operation and how to maintain a response in the long term require further thought. Moreover, the methods by which interagency and regional resilience is maintained in preparing for such an event require a clearer guideline.

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