scholarly journals Federalism Complicates the Response to the COVID-19 Health and Economic Crisis: What Can Be Done?

2020 ◽  
Vol 45 (6) ◽  
pp. 951-965 ◽  
Author(s):  
Nicole Huberfeld ◽  
Sarah H. Gordon ◽  
David K. Jones

Abstract Federalism has complicated the US response to the novel coronavirus. States' actions to address the pandemic have varied widely, and federal and state officials have provided conflicting messages. This fragmented approach has surely cost time and lives. Federalism will shape the long-term health and economic impacts of COVID-19, including plans for the future, for at least two reasons: First, federalism exacerbates inequities, as some states have a history of underinvesting in social programs, especially in certain communities. Second, many of the states with the deepest needs are poorly equipped to respond to emergencies due to low taxes and distrust of government, leading to inadequate infrastructure. These dynamics are not new, but they have been laid bare by this crisis. What can policy makers do to address the inequities in health and economic outcomes that federalism intensifies? The first section of this article offers a case study of the Mississippi Delta to illustrate the role of federalism in perpetuating the connection between place, health, and economics. The second section examines challenges that safety net programs will face when moving beyond the acute phase of COVID-19. The final section explores near-, middle-, and long-term policy options to mitigate federalism's harmful side effects.

2018 ◽  
Vol 6 (3) ◽  
pp. 8 ◽  
Author(s):  
Carlos Melo Brito

Universities are increasingly acting as promoters of innovation, economic growth and regional development, a trend that has attracted the attention of both policy makers and researchers. The objective of this paper is to contribute to a deeper understanding of the role of higher education institutions as dynamic promoters of growth and development. The University of Porto is used as a case study to explore how universities can act as innovation ecosystems leaders and integrators. The main contributions of the paper are threefold. First, the case puts in evidence a key success factor: the talent to transform the knowledge produced by universities into valuable solutions for companies and other organisations. Second, links between universities and industry must assume a long-term and relational nature rather than an intermittent and transactional character. Finally, the success of university-based ecosystems depends on the integration of a diversity of actors, resources and competences. This means that a sustainable strategy of innovation and knowledge valorisation requires an approach that fosters both internal and external networking.


Author(s):  
NWANKWO NONYELUM STELLA

Objective: Similar to outbreaks of many other infectious diseases, success in controlling the novel coronavirus infection requires a timely and accurate monitoring of the epidemic. The main objective of the present study is to assess consciousness and precautionary habit relating to COVID-19 infections among students. Methods: The descriptive survey research design method was used. The researcher formulated two research questions. A self-developed questionnaire was adopted for data collection. The sample size consists of students in Nwafor Orizu College of Education, Nsugbe, selected using purposive random sampling technique, subsequently, thirty copies of the questionnaire were administered by the researcher. Mean and standard deviation were used to analyze the data. Results: The study showed among other findings that students are conscious about the possibility of the disease transmission by droplets when an infected person cough, sneezes, or speaks. These findings have the vantage of providing the researchers, government, students, policy makers, and government with adequate and correct baseline data on consciousness and precautionary habit relating to COVID-19 infections among students. Conclusion: Based on the research findings, it was concluded that the world has a long history of successful efforts to prevent or cure widespread infections. The main points in preventing the spread in society are hand hygiene, social distancing, and quarantine. With increased testing capacity, detecting more positive patients in the community will also enable the reduction of secondary cases with stricter quarantine rules.


2021 ◽  
Author(s):  
VP Krylov

Socio-economic outcome of long-term SARS-CoV-2 pandemic poses a major health risk to children. A high number of neurological disturbances and nutrition-associated problems are reported. Hygiene is one of the most important measures to avoid the novel coronavirus infection. Children and adolescents commonly constitute a special population, as disease severity in this group significantly differs from that in middle-aged and senior groups. Lockdown and transition to remote learning result in numerous reasons for emotional stress such as a dramatically altered way of life and education, and an important reduction of physical activity. The basic hygienic measures for children and adolescents included lockdown and transition to remote learning. An altered way of life caused strong emotions and poor academic achievements. As time passes, based on numerous statistical data, we can conclude that the role of children in the infection transmission and spread is insignificant. In spite of doubtful effectiveness of transition to online learning and an abundance of negative consequences for children’s mental health, some authors report that closure of schools resulted in a reduced number of those affected and decreased mortality rate. Hand hygiene is a very important way to prevent the spread of infections. Hygiene promotion aimed at children and adolescents is lacking during the pandemic, as explanatory talks are mainly given by parents.


2021 ◽  
pp. medethics-2021-107763
Author(s):  
Nancy S Jecker ◽  
Derrick K S Au

Since the World Health Organization (WHO) first declared the novel coronavirus a pandemic, diverse strategies have emerged to address it. This paper focuses on two leading strategies, elimination and mitigation, and examines their ethical basis. Elimination or ‘Zero-COVID’ dominates policies in Pacific Rim societies. It sets as a goal zero deaths and seeks to contain transmission using stringent short-term lockdowns, followed by strict find, test, trace and isolate methods. Mitigation, which dominates in the US and most European nations, sets targets for community transmission and lifts restrictions once targets are met. This approach takes calculated risks and regards a certain amount of disease and death as ethically justified. Section I examines different societal responses to risk that underlie these different policy approaches. Section II focuses on ethical arguments favouring Zero-COVID and raises health equity objections. Section III proposes a long-term strategy that balances the twin goals of promoting population health and health equity.


Author(s):  
Альберт Новацький

Role of memory in forming national identity. “The land of bitter tenderness” by Volodymyr Lys The paper offers an attempt to look at the “The Land of Bitter Tenderness” by contemporary Ukrainian writer Volodymyr Lys in the context of the search for individual and national identity, national memory, as well as the history of the 20th century Ukraine. In the analyzed work, the writer uses the image of a child, which, in the researcher’s opinion, is a quite rare phenomenon in Ukrainian literature. The is technique was used by the writer in order to capture the reader’s attention and make him penetrate the text of the novel deeper. The us, the author informs the reader that the main idea of the work is extremely important because the average person is accustomed to paying more attention to children. On occasion, the writer points out that manipulating a child’s memory was the easiest way for the Bolsheviks in their criminal social experiment. The writer emphasizes that the effects of ‘brainwashing’ may be prevented, but it is impossible to cure the trauma left by this process in the soul of a person. Analyzing the mentioned novel, the author of the paper refers to the works in the fields of literary studies, pedagogy, sociology, and psychology, written by Philip Aries, Rudolf Schaffer, Ellen Kay, Pierre Nora, Katarzyna Segiet, and others.  The Ukrainian writer, describing the fate of three women (grandmother, daughter, and granddaughter), presented against the backdrop of the tumultuous Ukrainian history of the last century, is trying to restore the lost memory, both individual and collective, in order to secure the process of building Ukrainian national identity. The writer draws attention to the fact that during almost all the 20th century not only the Ukrainian nation but also Ukrainian history has been the subject of constant Bolshevik manipulation and fraud. He emphasizes that the prerequisite for building a unified Ukrainian identity is the attempt to restore individual and collective memory in Ukrainians, including the memory of history.


2021 ◽  
Vol 35 (3) ◽  
pp. 3-24
Author(s):  
Stefania Albanesi ◽  
Jiyeon Kim

The economic crisis associated with the emergence of the novel corona virus is unlike standard recessions. Demand for workers in high contact and inflexible service occupations has declined while parental supply of labor has been reduced by lack of access to reliable child care and in-person schooling options. This has led to a substantial and persistent drop in employment and labor force participation for women, who are typically less affected by recessions than men. We examine real-time data on employment, unemployment, labor force participation and gross job flows to document the impact of the pandemic by occupation, gender and family status. We also discuss the potential long-term implications of this crisis, including the role of automation in depressing the recovery of employment for the worst hit service occupations.


2018 ◽  
Vol 6 (3) ◽  
pp. 8-16
Author(s):  
Carlos Melo Brito

Universities are increasingly acting as promoters of innovation, economic growth and regional development, a trend that has attracted the attention of both policy makers and researchers. The objective of this paper is to contribute to a deeper understanding of the role of higher education institutions as dynamic promoters of growth and development. The University of Porto is used as a case study to explore how universities can act as innovation ecosystems leaders and integrators. The main contributions of the paper are threefold. First, the case puts in evidence a key success factor: the talent to transform the knowledge produced by universities into valuable solutions for companies and other organisations. Second, links between universities and industry must assume a long-term and relational nature rather than an intermittent and transactional character. Finally, the success of university-based ecosystems depends on the integration of a diversity of actors, resources and competences. This means that a sustainable strategy of innovation and knowledge valorisation requires an approach that fosters both internal and external networking.


Author(s):  
Munawar Iqbal

This paper aims to begin a dialogue on how to seek a longer term solution to the sovereign debt problems in general and those of EU in particular. Although the history of debt crises is quite old, none of the several solutions proposed and tried in the past have been successful to curb recurring debt crisis. This issue has assumed critical importance as the Eurozone debt crisis, which followed after the 2007-09 global financial crisis. Several governments have been outvoted in Europe due to this crisis and the cohesion of Eurozone is at stake. A rethinking on debt creation and its macroeconomic effects are being seriously studied. It seems that traditional options available to policy makers have lost much of their luster. It is high time that unconventional measures may have to be offered for consideration to provide longer term solution. This paper is a brief on the Islamic approach to the role of debt, and has potential to limit debt creation in the long term. We present some basic tenets of that approach referring in particular to the current developed nation sovereign debt crisis.  


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Patric Winzap ◽  
Allan Davies ◽  
Roland Klingenberg ◽  
Slayman Obeid ◽  
Marco Roffi ◽  
...  

Abstract Background Hyperglycemia in the setting of an acute coronary syndrome (ACS) impacts short term outcomes, but little is known about longer term effects. We therefore designed this study to firstly determine the association between hyperglycemia and short term and longer term outcomes in patients presenting with ACS and secondly evaluate the prognostic role of diabetes, body mass index (BMI) and the novel biomarker Cyr61 on outcomes. Methods The prospective Special Program University Medicine-Acute Coronary Syndrome (SPUM-ACS) cohort enrolled 2168 patients with ACS between December 2009 and October 2012, of which 2034 underwent PCI (93.8%). Patients were followed up for 12 months. Events were independently adjudicated by three experienced cardiologists. Participants were recruited from four tertiary hospitals in Switzerland: Zurich, Geneva, Lausanne and Bern. Participants presenting with acute coronary syndromes and who underwent coronary angiography were included in the analysis. Patients were grouped according to history of diabetes (or HbA1c greater than 6%), baseline blood sugar level (BSL; < 6, 6–11.1 and > 11.1 mmol/L) and body mass index (BMI). The primary outcome was major adverse cardiac events (MACE) which was a composite of myocardial infarction, stroke and all-cause death. Secondary outcomes included the individual components of the primary endpoint, revascularisations, bleeding events (BARC classification) and cerebrovascular events (ischaemic or haemorrhagic stroke or TIA). Results Patients with hyperglycemia, i.e. BSL ≥ 11.1 mmol/L, had higher levels of C-reactive protein (CRP), white blood cell count (WBC), creatinine kinase (CK), higher heart rates and lower left ventricular ejection fraction (LVEF) and increased N-terminal pro-brain natriuretic peptide. At 30 days and 12 months, those with BSL ≥ 11.1 mmol/L had more MACE and death compared to those with BSL < 6.0 mmol/L or 6.0–11.1 mmol/L (HR-ratio 4.78 and 6.6; p < 0.001). The novel biomarker Cyr61 strongly associated with high BSL and STEMI and was independently associated with 1 year outcomes (HR 2.22; 95% CI 1.33–3.72; Tertile 3 vs. Tertile 1). Conclusions and relevance In this large, prospective, independently adjudicated cohort of in all comers ACS patients undergoing PCI, both a history of diabetes and elevated entry glucose was associated with inflammation and increased risk of MACE both at short and long-term. The mediators might involve increased sympathetic activation, inflammation and ischemia as reflected by elevated Cyr61 levels leading to larger levels of troponin and lower LVEF. Trial registration Clinical Trial Registration Number: NCT01000701. Registered October 23, 2009


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 977-982
Author(s):  
Mohamed J. Saadh ◽  
Bashar Haj Rashid M ◽  
Roa’a Matar ◽  
Sajeda Riyad Aldibs ◽  
Hala Sbaih ◽  
...  

SARS-COV2 virus causes Coronavirus disease (COVID-19) and represents the causative agent of a potentially fatal disease that is of great global public health concern. The novel coronavirus (2019) was discovered in 2019 in Wuhan, the market of the wet animal, China with viral pneumonia cases and is life-threatening. Today, WHO announces COVID-19 outbreak as a pandemic. COVID-19 is likely to be zoonotic. It is transmitted from bats as intermediary animals to human. Also, the virus is transmitted from human to human who is in close contact with others. The computerized tomographic chest scan is usually abnormal even in those with no symptoms or mild disease. Treatment is nearly supportive; the role of antiviral agents is yet to be established. The SARS-COV2 virus spreads faster than its two ancestors, the SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV), but has lower fatality. In this article, we aimed to summarize the transmission, symptoms, pathogenesis, diagnosis, treatment, and vaccine to control the spread of this fatal disease.


Sign in / Sign up

Export Citation Format

Share Document