scholarly journals A COVID–19-járvány hatása a szervadományozásra és -átültetésre Magyarországon 2020-ban

2021 ◽  
Vol 162 (23) ◽  
pp. 890-896
Author(s):  
Sándor Mihály ◽  
Anita Egyed-Varga ◽  
Kinga Trnka-Szántay ◽  
Orsolya Deme ◽  
Emese Holtzinger ◽  
...  

Összefoglaló. Bevezetés: A SARS-CoV-2-világjárvány terjedése drasztikus változásokat okozott a mindennapi betegellátásban, amelyek érintették a szervadományozás és -átültetés területét is, így csökkent az élő és az elhunyt donorokból történő donációk és transzplantációk száma világszerte. Az esetszám csökkenése mellett a transzplantált és egyben immunszupprimált betegek védelme érdekében további biztonsági intézkedéseket kellett bevezetni. Módszer: A vizsgálat célja a COVID–19-járvány hazai donációs és transzplantációs aktivitásra gyakorolt hatásának kimutatása volt 2020-ban, a megelőző évvel történő összehasonlításban. A magyar eredményeket összehasonlítottuk elsősorban az Eurotransplant, illetve az Európai Unió tagállamainak adataival is. Eredmények: A lakosságszámra súlyozott, regisztrált COVID–19-fertőzöttség és -halálozás tekintetében nem igazoltunk 2020-ban kiemelkedő eltérést itthon az Eurotransplant-tagállamokhoz képest. A hazai szervdonációs potenciál nem csökkent a vizsgált időszakban, ugyanakkor 38,33%-kal csökkent az agyhalott szervdonorok száma Magyarországon, míg az Eurotransplantban átlagosan 8,64%-kal és 23 adatközlő európai országban 17,55%-kal. Az elhunytból történt szervátültetések száma 29,27%-kal csökkent, különösen a szív- és a májátültetések esetén. A külföldről kapott szervek száma 21,13%-kal és aránya 12,34%-kal emelkedett. Az élő donoros veseátültetések száma nem változott. 2020-ban 25%-kal kevesebb új beteget regisztráltak, mint 2019-ben, és a várólista-mortalitás 28%-kal növekedett az előző évhez képest, kifejezetten a veseátültetésre várók között. Következtetés: A hazai szervátültetési program biztonságos: donoreredetű SARS-CoV-2-átvitel nem történt hazánkban. A szervdonációs potenciál és a COVID–19-járvány mellett a szervdonációs és -transzplantációs aktivitás jelentősen csökkent Magyarországon 2020. márciustól az év végéig. A legtöbb európai országban átmeneti és kisebb mértékű szervdonációs csökkenést regisztráltak. A szervátültetések száma nem csökkent olyan mértékben, mint a donorszám, mert az Eurotransplantból több donorszerv érkezett hazánkba, mint amennyit külföldre küldtünk. Orv Hetil. 2021; 162(23): 890–896. Summary. Introduction: The spread of the SARS-CoV-2 pandemic has resulted in drastic changes in day-to-day patient care, which has also affected the field of organ donation and transplantation, thus reducing the number of donations and transplants from living and deceased donors worldwide. In addition to the reduction in the number of cases, additional safety measures had to be introduced to protect transplanted and implicatively immunosuppressed patients. Method: The aim of the study was to demonstrate the impact of the COVID-19 epidemic on domestic donation and transplantation activity in 2020, compared to the previous year. We also compared the Hungarian results with the data of the Eurotransplant and the European Union member states. Results: In terms of population-weighted, registered COVID-19 infection and mortality, we did not find a significant difference in Hungary in 2020 compared to the Eurotransplant member states. The national organ donation potential did not diminish in the period under review, however, the number of brain-dead organ donors decreased by 38.33% in Hungary, while in the Eurotransplant it did by 8.64% on average and in 23 reporting European countries by 17.55%. The number of organ transplants from the deceased decreased by 29.27%, especially regarding heart and liver transplants. Both the number and the proportion of organs received from abroad increased by 21.13% and 12.34%, respectively. The number of living donor kidney transplants did not change. In 2020, 25% fewer new patients were registered than in 2019 and the mortality on waiting list increased by 28% compared to the previous year, especially among those waiting for a kidney transplant. Conclusion: The national organ transplantation program is safe: donor-derived SARS-CoV-2 transmission did not occur in Hungary. In addition to the organ donation potential and the COVID-19 pandemic, organ donation and transplantation activity decreased significantly in Hungary from March 2020 until the end of the year. Transient and smaller reductions in organ donation rates have been reported in most European countries. The number of organ transplants did not decrease as much as the number of donors, because more donor organs arrived in Hungary from the Eurotransplant than we sent abroad. Orv Hetil. 2021; 162(23): 890–896.

2018 ◽  
Vol 8 (8) ◽  
pp. 2408
Author(s):  
Natália ZAGORŠEKOVÁ ◽  
Michaela ČIEFOVÁ ◽  
Andrea ČAMBALÍKOVÁ

The paper focuses on competitiveness at the national level and on the impact of competitiveness on economic growth. We look at the relationship between competitiveness and economic growth based on the data from the European Union member states. The competitiveness of the economies is measured by the Global Competitiveness Index, which is published by the World Economic Forum. The European Union member states show significant differences in competitiveness. In the sample examined, the positive relationship between the level of competitiveness and economic growth was not confirmed.


Author(s):  
Brandusa Tudose ◽  
Constantin Strapuc

Summarizing the results of theoretical and empirical research, the paper aims to analyze the impact of tax system on global competitiveness through the following three variables: taxation on incentives to invest; total tax rate and taxation on incentives to work. Summarizing the analysis to the European Union member states, the paper presents rankings and provides interpretations for each case. Luxembourg is the country where there is registered: a) the biggest impact on competitiveness of tax policies supporting investment, b) the largest fiscal affordability (measured by GDP/capita and total tax rate) and c) the most generous labor taxation system in the EU. However, in the ranking realized based on the global competitiveness index Luxembourg ranks on the 22nd place, on the first place being Finland.


2009 ◽  
Vol 12 (4) ◽  
pp. 133-153
Author(s):  
Janina Witkowska

The objective of this article is a comparative analysis of the changing position of new European Union member states and the developing countries of Asia in global and regional FDI flows as well as an assessment of the impact of the global crisis on the position of these regions and selected countries in terms of FDI. The analysis encompasses European Union member states that received membership as a part of the enlargement of 2004 and 2007 as well as the developing sub–regions of Asia—i.e. East, South-East, and South Asia. The conducted analysis demonstrates that the position of the developing countries of Asia is significantly stronger than that of the new European Union member states, which is mainly determined by the scale of the economies of countries such as China and India. Subject to conditions of global crisis, Asia and Oceania as a whole noted growth in the inflow of FDI in 2008 by almost 17%, where the European Union member states saw a 2% fall. The situation inside the analyzed regions is extremely varied in terms of noticeable effects of the crisis in the FDI sphere. It is dependent on not only processes of economic growth, but also on the character of investments made in the individual countries and sub– regions as well as motives behind the actions of investors.


2015 ◽  
Vol 37 (s1) ◽  
pp. 137-155
Author(s):  
Vera Takács ◽  
Ákos Máté ◽  
Sándor Gyula Nagy

The European Union does not have a comprehensive common tax policy and substantial changes in this specialized policy area are not likely in the foreseeable future. Albeit common rules, requirements, minimum rates for certain tax types were implemented in the last few decades, they barely limit the Member States in using their tax policies as one of the worthiest elements of their arsenal in increasing competitiveness or quite the contrary, to undermining their own international competitiveness inadvertently through a misguided tax policy. In this article, we put the tax policies of the Visegrad Group and the Eurozone core countries (Germany, Austria and the Netherlands), as well as changes in these policies under the magnifying glass, in terms of the impact of tax structure changes on economic growth and employment in the last decade.


2020 ◽  
Vol 28 (2) ◽  
pp. 343-356 ◽  
Author(s):  
Magdalena Skowron-Kadayer

Since the establishment of the European Union, Member States do not have true free reign over their legislative activity. The influence from ‘Brussels’ on new national laws has become stronger with the passage of time. Over the years, the Contracting States and the Union legislature have established more and more obligations referring to national legislatures. The most common are the well-known duties to transpose directives into national law. These EU legal acts contain substantive law, rights and/or obligations for individuals, and thus encompass material provisions that can be subject to a transposition process. However, this is not the only way to influence national legal orders. There are also procedural obligations in EU law that do not contain any substantive requirements that national laws ought to foresee. This article deals with the kind of formal obligations that compel Member States to consult EU institutions on draft laws during their national legislative procedures (hereinafter: obligations to consult). These obligations are of a procedural nature, with the outcome of the consultation procedure resulting in substantive law. EU law has always contained provisions like the obligations of Member States to consult EU institutions on their own national legislative procedures. In this regard, EU law shapes national legislative procedures, and the EU institutions influence substantive national law. EU institutions have expertise concerning the impact of new national laws on the internal market, which they can estimate on a Europe-wide scale. A single Member State or its institutions cannot examine the effects of national law on other Member States’ legal orders or on Europe as a whole. That is why it is dependent on the know-how of EU institutions. Their expertise and ability to assess the Europe-wide effect of national law makes up the background of the great impact of those institutions on national draft laws. This article analyses the impact and possible consequences of a Member State’s violations of obligations to consult. It introduces new terms, such as obligations to consult EU institutions on national draft laws and the consultation act, that are necessary in order to reflect the great importance of this category. General comments on obligations to consult refer also to the new mechanism introduced by the Two-Pack Regulation.


Studia BAS ◽  
2021 ◽  
Vol 1 (65) ◽  
pp. 251-282
Author(s):  
Monika Korolewska

The article looks at the issue of local taxation in 22 selected European countries, members of OECD, as well as the European Union member states. The author analyses the importance of local taxes for regional and local governments measured by the share of tax revenues received by these governments as a percentage of GDP and percentage of total tax revenues. She also presents the structure of local tax revenues. The study is based on the OECD revenue and taxes in Europe database.


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