scholarly journals The Impact of the COVID-19 Pandemic on Multidisciplinary Diagnostic Evaluations for Children and Adolescents With a Neurodevelopmental Disorder.

2021 ◽  
Author(s):  
Eva Cloet ◽  
Jansen Anna ◽  
Leys Mark
Keyword(s):  
Children And Adolescents ◽  
Time Management ◽  
Developmental Disorders ◽  
Neurodevelopmental Disorder ◽  
Temporary Increase ◽  
Optimal Care ◽  
Healthcare Needs ◽  
Policy Measures ◽  
The Impact ◽  
Working Processes

Abstract Introduction Since the end of 2019, measures have been taken to control the spread of COVID-19. The effects of the pandemic-related precautionary measures on children with developmental disorders require specific attention as these children have greater healthcare needs and mental health concerns, and depend on community-based services for support. Prior to the COVID-19 pandemic, adequate access to multidisciplinary diagnostic evaluations for children and adolescents with suspected developmental disorders was already problematic. This article aims to explore the impact of the policy measures in response to the COVID-19 pandemic on the accessibility, changes in working processes and action strategies after the first lockdown period. Methods A rapid response study was done after the first wave of the virus in Belgium. A questionnaire with open-ended questions was sent out to respondents of all centers for ambulatory rehabilitation, autism reference centers and centers for developmental disorders, three types of organizations identified as main providers of diagnostic evaluations for children and adolescents. Qualitative data were thematically analyzed in an iterative process including researcher triangulation.Results The response rate was 0.60. All centers reported an impact of COVID-19-related policy measures on accessibility, working processes, working practices, workload, planning, and time management, as well as on the quality of the diagnostic assessments and the contacts with clients. Suggestions to decrease the impact of the pandemic-related measures on the care trajectories of children with (suspected) developmental disorder include the definition of priority groups, a temporary increase of public financing to expand team capacity, a less rigid application of regulatory restrictions as well as a temporary assignment stop.Conclusion The impact of the COVID-19 pandemic reinforced the problem of accessibility of multidisciplinary diagnostic evaluations for children suspected of a neurodevelopmental disorder. The organization of health services should guarantee optimal care trajectories for all vulnerable children. Accessibility problems can be reduced by providing “bridging care”, helping children and families with needs to overcome “gaps” of care and support during waiting periods. In the long term, an in-depth exploration of mechanisms that strengthen interorganisational collaboration is required to structurally optimize the capacity and accessibility to care for children with suspected neurodevelopmental disorders.

scholarly journals The impact of SARS-CoV-2 on the accessibility of multidisciplinary diagnostics of neurodevelopmental disorders in Flanders, Belgium 

2020 ◽  
Author(s):  
Eva Cloet ◽  
Anna Jansen ◽  
Mark Leys
Keyword(s):  
Neurodevelopmental Disorders ◽  
Time Management ◽  
Developmental Disorders ◽  
Public Funding ◽  
Planning Time ◽  
Catching Up ◽  
Diagnostic Capacity ◽  
Ambulatory Rehabilitation ◽  
Waiting Periods ◽  
The Impact

Abstract Background Neurodevelopmental disorders start in early childhood and may restrict personal, scholastic, social and professional development and functioning. Early detection and smooth trajectories of diagnostics, rehabilitation and support affect the child's development and opportunities. A specialized multidisciplinary team must do a diagnostic evaluation. While accessibility to multidisciplinary diagnostics for all children in Flanders (Belgium) is problematic in regular times, the lockdown measures taken by the end of March 2020 in response to the SARS-CoV-2 pandemic could amplify this problem. This article aims to explore the impact of lockdown policy measures on the accessibility of multidisciplinary diagnostics of developmental disorders.Methods This “rapid response” study was commissioned by the Flemish authorities, as a follow up of a broader study on accessibility of multidisciplinary diagnostics. A questionnaire with open-ended questions was sent out to respondents of three key types of facilities: the Centers for Ambulatory Rehabilitation, Autism Reference Centers and Centers for Developmental Disorders. Qualitative data were thematically analyzed in an iterative process by researcher triangulation.Results Measures taken in response to the SARS-CoV-2 pandemic negatively impacted on waiting periods which lengthened with at least three months and even longer for certain target groups. Specific guidelines to minimize the risk of virus contamination, impact on planning, time management and the quality of the diagnostic assessments. Respondents reported them as being time consuming, uncomfortable, with an increasing workload and leading to a reduction in the number of daily diagnostic activities. Suggested catching-up strategies were increase of public funding, a less rigid application of regulations and a complete or partial assignment stop.Conclusion The SARS-CoV-2 pandemic reinforced the existing problem of accessibility because of a general shortage of diagnostic capacity. On a shorter term accessibility problems can be tempered by providing “bridging care” during waiting periods. On the longer term, strengthening regional interorganisational collaboration is required, to enhance more efficient and effective diagnostic trajectories in facilities providing adapted services to the needs of the children.

Competition Policy under Economic Crisis

2009 ◽  
pp. 54-69 ◽  
Author(s):  
A. Shastitko ◽  
S. Avdasheva ◽  
S. Golovanova
Keyword(s):  
Division Of Labor ◽  
Economic Crisis ◽  
Industrial Policy ◽  
Competition Policy ◽  
Transition Economy ◽  
Economic Recession ◽  
Price Rigidity ◽  
Key Factor ◽  
Policy Measures ◽  
The Impact

The analysis of competition policy under economic crisis is motivated by the fact that competition is a key factor for the level of productivity. The latter, in its turn, influences the scope and length of economic recession. In many Russian markets buyers' gains decline because of the weakness of competition, since suppliers are reluctant to cut prices in spite of the decreasing demand. Data on prices in Russia and abroad in the second half of 2008 show asymmetric price rigidity. At least two questions are important under economic crisis: the 'division of labor' between pro-active and protective tools of competition policy and the impact of anti-crisis policy on competition. Protective competition policy is insufficient in transition economy, especially in the days of crisis it should be supplemented with the well-designed industrial policy measures which do not contradict the goals of competition. The preferable tools of anti-crisis policy are also those that do not restrain competition.

Recent data on the causative agent of pale green dwarf (Acholeplasma laidlawii var. granulum incertae sedis) in Ukraine: pathogenicityand virulence factors and host reactions

2015 ◽  
Vol 2 (1) ◽  
pp. 30-34
Author(s):  
K. Korobkova ◽  
V. Patyka
Keyword(s):  
Phenylalanine Ammonia Lyase ◽  
Proteolytic Enzymes ◽  
Physiological State ◽  
Plant Cells ◽  
Temporary Increase ◽  
Adhesive Properties ◽  
The Impact ◽  
Signaling Interactions ◽  
Pale Green

Contemporary state of the distribution of mycoplasma diseases of cultivated crops in Ukraine was analyzed. The changes of the physiological state of plant cells under the impact of mollicutes were investigated. It was demonstrated that there is temporary increase in the activity of peroxidase, catalase, polyphenoloxidase, phenylalanine-ammonia-lyase at the early stages of interaction. The adhesive properties are changed in the mollicutes under the impact of plant lectin; there is synthesis of new polypeptides. It was determined that the phytopathogenic acholeplasma is capable of producing a complex of proteolytic enzymes into the culture me- dium. It was concluded that when plant cells are infected with acholeplasma, a number of signaling interactions and metabolic transformations condition the recognition of pathogenesis and ensure the aggregate response of a plant to stress in the form of defense reactions. It was assumed that some specifi cities of the biology of phy- topathogenic acholeplasma determine their avoiding the immune mechanisms of plants and promote long-term persistence of mollicutes.

The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents

2010 ◽  
Vol 0 (0) ◽  
Author(s):  
Silvia M. A. Campanha ◽  
Maria J. F. Fontes ◽  
Paulo A. M. Camargos ◽  
Lincoln M. S. Freire (in memorian)
Keyword(s):  
Allergic Rhinitis ◽  
Children And Adolescents ◽  
Speech Therapy ◽  
Mouth Breathing ◽  
The Impact

Art, Idleness and Food: The Ethics of War Communism and the Origins of Production Art, 1918–1919

2019 ◽  
Vol 29 (1) ◽  
pp. 273-287
Keyword(s):  
Theory And Practice ◽  
State Institutions ◽  
Early Production ◽  
Policy Measures ◽  
Soviet Ideology ◽  
The Right ◽  
The Impact ◽  
The City ◽  
Further Development ◽  
Theory Of Production

The article examines the impact of the discourses concerning idleness and food on the formation of “production art” in the socio-political context of revolutionary Petrograd. The author argues that the development of the theory and practice of this early productionism was closely related to the larger political, social and ideological processes in the city. The Futurists, who were in the epicenter of Petrograd politics during the Civil War (1918–1921), were well acquainted with both of the discourses mentioned, and they contrasted the idleness of the old art with the dedicated labor of the “artist-proletarians” whom they valued as highly as people in the “traditional” working professions. And the search for the “right to exist” became the most important goal in a starving city dominated by the ideology of radical communism. The author departs from the prevailing approach in the literature, which links the artistic thought of the Futurists to Soviet ideology in its abstract, generalized form, and instead elucidates ideological influences in order to consider the early production texts in their immediate social and political contexts. The article shows that the basic concepts of production art (“artist-proletarian,” “creative labor,” etc.) were part of the mainstream trends in the politics of “red Petrograd.” The Futurists borrowed the popular notion of the “commune” for the title of their main newspaper but also worked with the Committees of the Rural Poor and with the state institutions for procurement and distribution. They took an active part in the Fine Art Department of Narkompros (People’s Commissariat of Education). The theory of production art was created under these conditions. The individualistic protest and “aesthetic terror” of pre-revolutionary Futurism had to be reconsidered, and new state policy measures were based on them. The harsh socio-economic context of war communism prompted artists to rethink their own role in the “impending commune.” Further development of these ideas led to the Constructivist movement and strongly influenced the extremely diverse trends within the “left art” of the 1920s.

The impact of symptomatic femoral neck anteversion and tibial torsion on gait, function and participation in children and adolescents

2021 ◽  
Vol 86 ◽  
pp. 144-149
Author(s):  
Jessie Mackay ◽  
Pam Thomason ◽  
Morgan Sangeux ◽  
Elyse Passmore ◽  
Kate Francis ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Children And Adolescents ◽  
Tibial Torsion ◽  
Femoral Neck Anteversion ◽  
Gait Function ◽  
The Impact

scholarly journals The impact of COVID-19 on households´ income in the EU

2021 ◽  
Author(s):  
Vanda Almeida ◽  
Salvador Barrios ◽  
Michael Christl ◽  
Silvia De Poli ◽  
Alberto Tumino ◽  
...  
Keyword(s):  
Fiscal Policy ◽  
Disposable Income ◽  
Income Loss ◽  
Eu Member States ◽  
Policy Interventions ◽  
Discretionary Fiscal Policy ◽  
Policy Measures ◽  
The One ◽  
The Impact ◽  
The Eu

AbstractThis analysis makes use of economic forecasts for 2020 issued by the European Commission in Autumn 2019 and Spring 2020, and of a counterfactual under a no-policy change assumption, to analyse the impact of the COVID-19 crisis on EU households´ income. Additionally, our analysis assesses the cushioning effect of discretionary fiscal policy measures taken by the EU Member States. We find that the COVID-19 pandemic is likely to affect significantly households’ disposable income in the EU, with lower income households being more severely hit. However, our results show that due to policy intervention, the impact of the crisis is expected to be similar to the one experienced during the 2008–2009 financial crisis. In detail, our results indicate that discretionary fiscal policy measures will play a significant cushioning role, reducing the size of the income loss (from −9.3% to −4.3% for the average equivalised disposable income), its regressivity and mitigating the poverty impact of the pandemic. We conclude that policy interventions are therefore instrumental in cushioning against the impact of the crisis on inequality and poverty.

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