scholarly journals Relationship among state reopening policies, health outcomes and economic recovery through first wave of the COVID-19 pandemic in the U.S.

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260015
Author(s):  
Alexandre K. Ligo ◽  
Emerson Mahoney ◽  
Jeffrey Cegan ◽  
Benjamin D. Trump ◽  
Andrew S. Jin ◽  
...  
Keyword(s):  
Incidence Rates ◽  
Economic Consequences ◽  
Economic Recovery ◽  
State Governments ◽  
Effective Interventions ◽  
Spending Patterns ◽  
Government Mandates ◽  
Health Related ◽  
Relative Decline ◽  
The U.S

State governments in the U.S. have been facing difficult decisions involving tradeoffs between economic and health-related outcomes during the COVID-19 pandemic. Despite evidence of the effectiveness of government-mandated restrictions mitigating the spread of contagion, these orders are stigmatized due to undesirable economic consequences. This tradeoff resulted in state governments employing mandates at widely different ways. We compare the different policies states implemented during periods of restriction (“lockdown”) and reopening with indicators of COVID-19 spread and consumer card spending at each state during the first “wave” of the pandemic in the U.S. between March and August 2020. We find that while some states enacted reopening decisions when the incidence rate of COVID-19 was minimal or sustained in its relative decline, other states relaxed socioeconomic restrictions near their highest incidence and prevalence rates experienced so far. Nevertheless, all states experienced similar trends in consumer card spending recovery, which was strongly correlated with reopening policies following the lockdowns and relatively independent from COVID-19 incidence rates at the time. Our findings suggest that consumer card spending patterns can be attributed to government mandates rather than COVID-19 incidence in the states. We estimate the recovery in states that reopened in late April was more than the recovery in states that did not reopen in the same period– 15% for consumer card spending and 18% for spending by high income households. This result highlights the important role of state policies in minimizing health impacts while promoting economic recovery and helps planning effective interventions in subsequent waves and immunization efforts.

Dissemination and Implementation Research in Health

2017 ◽  
Keyword(s):  
Evidence Base ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Collaborative Partnerships ◽  
Social Service Agencies ◽  
Effective Interventions ◽  
Health Related Research ◽  
Health Related ◽  
Dissemination And Implementation Research ◽  
Policies And Programs

Fifteen to twenty years is how long it takes for the billions of dollars of health-related research to translate into evidence-based policies and programs suitable for public use. Over the past 15 years, an exciting science has emerged that seeks to narrow the gap between the discovery of new knowledge and its application in public health, mental health, and health care settings. Dissemination and implementation (D&I) research seeks to understand how to best apply scientific advances in the real world, by focusing on pushing the evidence-based knowledge base out into routine use. To help propel this crucial field forward, leading D&I scholars and researchers have collaborated to put together this volume to address a number of key issues, including: how to evaluate the evidence base on effective interventions; which strategies will produce the greatest impact; how to design an appropriate study; and how to track a set of essential outcomes. D&I studies must also take into account the barriers to uptake of evidence-based interventions in the communities where people live their lives and the social service agencies, hospitals, and clinics where they receive care. The challenges of moving research to practice and policy are universal, and future progress calls for collaborative partnerships and cross-country research. The fundamental tenet of D&I research—taking what we know about improving health and putting it into practice—must be the highest priority. This book is nothing less than a roadmap that will have broad appeal to researchers and practitioners across many disciplines.

scholarly journals An economic and disease transmission model of human papillomavirus and oropharyngeal cancer in Texas

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chengxue Zhong ◽  
Li Xu ◽  
Ho-Lan Peng ◽  
Samantha Tam ◽  
Li Xu ◽  
...  
Keyword(s):  
Public Health ◽  
Human Papillomavirus ◽  
Oropharyngeal Cancer ◽  
Hpv Vaccine ◽  
Health Benefits ◽  
Incidence Rates ◽  
Vaccine Uptake ◽  
Males And Females ◽  
Quality Adjusted Life ◽  
The U.S

AbstractIn 2017, 46,157 and 3,127 new oropharyngeal cancer (OPC) cases were reported in the U.S. and Texas, respectively. About 70% of OPC were attributed to human papillomavirus (HPV). However, only 51% of U.S. and 43.5% of Texas adolescents have completed the HPV vaccine series. Therefore, modeling the demographic dynamics and transmission of HPV and OPC progression is needed for accurate estimation of the economic and epidemiological impacts of HPV vaccine in a geographic area. An age-structured population dynamic model was developed for the U.S. state of Texas. With Texas-specific model parameters calibrated, this model described the dynamics of HPV-associated OPC in Texas. Parameters for the Year 2010 were used as the initial values, and the prediction for Year 2012 was compared with the real age-specific incidence rates in 23 age groups for model validation. The validated model was applied to predict 100-year age-adjusted incidence rates. The public health benefits of HPV vaccine uptake were evaluated by computer simulation. Compared with current vaccination program, increasing vaccine uptake rates by 50% would decrease the cumulative cases by 4403, within 100 years. The incremental cost-effectiveness ratio of this strategy was $94,518 per quality-adjusted life year (QALY) gained. Increasing the vaccine uptake rate by 50% can: (i) reduce the incidence rates of OPC among both males and females; (ii) improve the quality-adjusted life years for both males and females; (iii) be cost-effective and has the potential to provide tremendous public health benefits in Texas.

The Significance of Government's Role in Technology Standardization

2010 ◽  
Vol 8 (1) ◽  
pp. 63-74 ◽  
Author(s):  
DongBack Seo
Keyword(s):  
Wireless Communications ◽  
First Generation ◽  
Rapid Development ◽  
Global Market ◽  
Domestic Market ◽  
Economic Consequences ◽  
Technology Market ◽  
Early Decision ◽  
Korean Market ◽  
The U.S

For first generation (1G) wireless communications technology standards, the Japanese government’s early decision provided an opportunity for its national manufacturers to be first movers in the global market, while the late development of wireless communications in Korea made the Korean market dependent on foreign manufacturers by adopting the U.S. standard (AMPS). Moving toward the 2G wireless technology market, both countries decided to develop standards instead of adopting a technology from outside their regions. Japan developed its own standard, PDC, while Korea developed CDMA systems with Qualcomm, the U.S. technology provider. Although these governments’ decisions on technologies looked only slightly different, the socio-economic consequences were greatly distinctive. The Korean success brought not only the rapid development of its domestic market but also opportunities for its manufacturers to become global leaders, while the PDC standard only provided the fast growth of the Japanese domestic market without any opportunities for the Japanese manufacturers to grow further internationally in the 1990s. By the end of 1990s, two nations again had to decide a 3G technology standard with vast challenges and pressures.

scholarly journals Seasonal Trends for Environmental Illness Incidence in the U.S. Army

2021 ◽  
Author(s):  
David W DeGroot ◽  
Catherine A Rappole ◽  
Paige McHenry ◽  
Robyn M Englert
Keyword(s):  
Risk Mitigation ◽  
Cold Season ◽  
Incidence Rates ◽  
Cold Weather ◽  
Medical Surveillance ◽  
Piecewise Regression ◽  
Exertional Heat Illness ◽  
Policies And Procedures ◽  
Icd Codes ◽  
The U.S

ABSTRACT Introduction The incidence of and risk factors for exertional heat illness (EHI) and cold weather injury (CWI) in the U.S. Army have been well documented. The “heat season”, when the risk of EHI is highest and application of risk mitigation procedures is mandatory, has been arbitrarily defined as May 1 through September 30, while the “cold season” is understood to occur from October 1 to April 30 each year. The proportions of EHI and CWI that occur outside of the traditional heat and cold seasons are unknown. Additionally, it is unknown if either of the seasonal definitions are appropriate. The primary purpose of this study was to determine the proportion of EHI and of CWI that occur within the commonly accepted seasonal definitions. We also report the location-specific variability, seasonal definitions, and the demographic characteristics of the populations. Methods The U.S. Army installations with the highest frequency of EHI and of CWI from 2008 to 2013 were identified and used for analysis. In total there were 15 installations included in the study, with five installations used for analysis in both the EHI and CWI projects. In- and out-patient EHI and CWI data (ICD-9-CM codes 992.0 to 992.9 and ICD codes 991.0 to 991.9, respectively) were obtained from the Defense Medical Surveillance System. Installation-specific denominator data were obtained from the Defense Manpower Data Center, and incidence rates were calculated by week, for each installation. Segmental (piecewise) regression analysis was used to determine the start and end of the heat and cold seasons. Results Our analysis indicates that the heat season starts around April 22 and ends around September 9. The cold season starts on October 3 and ends on March 24. The majority (n = 6,445, 82.3%) of EHIs were diagnosed during the “heat season” of May 1 to September 30, while 10.3% occurred before the heat season started (January1 to April 30) and 7.3% occurred after the heat season ended (October 1 to December 31). Similar to EHI, 90.5% of all CWIs occurred within the traditionally defined cold season, while 5.7% occurred before and 3.8% occurred after the cold season. The locations with the greatest EHI frequency were Ft Bragg (n = 2,129), Ft Benning (n = 1,560), and Ft Jackson (n = 1,538). The bases with the largest proportion of CWI in this sample were Ft Bragg (17.8%), Ft Wainwright (17.2%), and Ft Jackson (12.7%). There were considerable inter-installation differences for the start and end dates of the respective seasons. Conclusions The present study indicates that the traditional heat season definition should be revised to begin  ∼3 weeks earlier than the current date of May 1; our data indicate that the current cold season definition is appropriate. Inter-installation variability in the start of the cold season was much larger than that for the heat season. Exertional heat illnesses are a year-round problem, with ∼17% of all cases occurring during non-summer months, when environmental heat strain and vigilance are lower. This suggests that EHI mitigation policies and procedures require greater year-round emphasis, particularly at certain locations.

The Detraditionalization of Intimacy Reconsidered

2005 ◽  
Vol 23 (3) ◽  
pp. 286-311 ◽  
Author(s):  
Neil Gross
Keyword(s):  
Intimate Relationships ◽  
The United States ◽  
Sexual Intimacy ◽  
Moral Communities ◽  
Cultural Frameworks ◽  
The World ◽  
Relative Decline ◽  
Modern Era ◽  
Late Modern ◽  
The U.S

This essay challenges those strains of contemporary social theory that regard romantic/ sexual intimacy as a premier site of detraditionalization in the late modern era. Striking changes have occurred in intimacy and family life over the last half-century, but the notion of detraditionalization as currently formulated does not capture them very well. With the goal of achieving a more refined understanding, the article proposes a distinction between “regulative” and “meaning-constitutive” traditions. The former involve threats of exclusion from various moral communities; the latter involve linguistic and cultural frameworks within which sense is made of the world. Focusing on the U.S. case and marshaling various kinds of empirical evidence, the article argues that while the regulative tradition of what it terms lifelong, internally stratified marriage has declined in strength in recent years, the image of the form of couplehood inscribed in this regulative tradition continues to function as a hegemonic ideal in many American intimate relationships. Intimacy in the United States also remains beholden to the tradition of romantic love. That these meaning-constitutive traditions continue to play a central role in structuring contemporary intimacy suggests that detraditionalization involves the relative decline only of certain regulative traditions, a point that calls into question some of the normative assessments that often accompany the detraditionalization thesis.

scholarly journals America’s Failing Trade War With China: A Focus on Fentanyl

2021 ◽  
Vol 8 (2) ◽  
pp. 171-182
Author(s):  
Corinna K. Hamilton
Keyword(s):  
Economic Interdependence ◽  
Prescription Opioids ◽  
State Governments ◽  
People's Republic Of China ◽  
Republic Of China ◽  
Trade Relations ◽  
Synthetic Opioids ◽  
History Of ◽  
Trade War ◽  
The U.S

As this article will explain in detail, much of the fentanyl reaching the hands of Americans comes from The People’s Republic of China (“China”). However, as seen by the rise in overdoses, most efforts to control the invasion of fentanyl have been unsuccessful. Although the federal and state governments have attempted to curtail this crisis by imposing sanctions and urging China to regulate production and shipping of the substance, fentanyl continues to flood the streets of the U.S. Moreover, the economic interdependence between the two nations complicates the matter. Because of this interdependence, the U.S. must take control of the situation. The U.S. fentanyl problem will persist if Americans are not dissuaded from using the drug. We must focus on the demand, rather than the supply. This comment focuses on the rise of opioids and synthetic pain relievers, and the variety of attempts at decreasing the number of addicts and overdoses. Initially, the comment will discuss the history of the popular drug opium, opiates, and prescription opioids, discussing state and federal attempts at curbing the crisis that the U.S. faces. It will address the rise of synthetic opioids, such as fentanyl, and how and why it was created. Section two will discuss how fentanyl and its precursors are imported into the U.S. from China. Section three will discuss U.S. federal and state attempts at legislation to control the flow of fentanyl into the U.S. Section four will address the implications, or perhaps fuel to the fire, that the influx in the supply of fentanyl from China has had on trade relations, and how the trade linkage between the two nations obfuscates the situation. The comment will conclude by hypothesizing how the U.S. and China will recalibrate their relationship and recommend that to combat the fentanyl emergency, the U.S. needs to take steps to offer Americans with drug addictions the assistance they need.

Deployment to a combat zone and other risk factors for mental health-related disability discharge from the U.S. Army: 1994-2007

2011 ◽  
Vol 24 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Nicole S. Bell ◽  
Phillip R.Hunt ◽  
Thomas C. Harford ◽  
Ashley Kay
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Health Related ◽  
The U.S

Tobacco spending patterns and their health-related implications in Turkey

2013 ◽  
Vol 35 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Abdulbaki Bilgic ◽  
Wojciech J. Florkowski ◽  
Steven T. Yen ◽  
Cuma Akbay
Keyword(s):  
Spending Patterns ◽  
Health Related
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