scholarly journals Changes in the Care of Neurological Diseases During the First Wave of the COVID-19 Pandemic: A Single Private Center Study in Argentina

2021 ◽  
Vol 12 ◽  
Author(s):  
Ismael L. Calandri ◽  
Maximiliano A. Hawkes ◽  
Mariano Marrodan ◽  
Sebastián F. Ameriso ◽  
Jorge Correale ◽  
...  

Introduction: Healthcare systems are struggling to cope with the rapid evolution of the COVID-19 pandemic. In Argentina, the pandemic is advancing despite prolonged lockdown measures. We aim to analyze the impact of the easing of lockdown measures in the number of visits to the emergency department (ED), and outpatient consultations (OC) to a tertiary neurological center.Methods: We compared the number of ED visits with the social mobility overtime. We also compared the number of OC, and the geographic distribution of patients' addresses between 2019 and 2020.Results: ED visits decreased 48.33% (n = 14,697 in 2019 vs. n = 7,595 in 2020). At the beginning of the lockdown, the social mobility decreased in pharmacies/groceries, and workplaces, along with a reduction in the number of ED visits. With the easing of lockdown restrictions, the social mobility decreased in residential places, slightly increased in workplaces and almost return to normal in pharmacies/groceries. Variations in ED visits correlate better with social mobility in workplaces (coef. =0.75, p < 0.001) than in groceries/pharmacies (coef. =0.68, p < 0.001). OC decreased 43%. Fourteen percent of OC were tele consults. This was associated with an increase of the geographical area of influence of our center (standard distance of 109 km in 2019 and 127 km in 2020).Conclusions: Despite an increase in social mobility, the number of ED visits and OC to an Argentinian tertiary neurological center remain worrisomely low. The pandemic catalyzed the introduction of telemedicine in our country. This has also allowed patients from distant zones to gain access to specialized neurological care.

Uneven Odds ◽  
2018 ◽  
pp. 207-227
Author(s):  
Divya Vaid

The relative and absolute rates of mobility are significant in their own regard, however, it leaves open the question of the ‘processual effects’ of industrialization, or in other words what are the drivers of this mobility. This chapter studies the impact of education on social mobility. The major question posed here is whether education acts as a mediator of mobility or not. Or, are the social origin or inherited characteristics (caste and class) the primary determining factor where the chances of social mobility are concerned? Finally, whether the impact of education varies by community. We find that education mediates the origin-destination relation, with those with higher levels of education able to secure more chances of upward mobility. The critical role of caste and gender is underlined.


2020 ◽  
Vol 318 ◽  
pp. 01037
Author(s):  
Georgios Andreadis ◽  
Ana Isabel Quirós Gámez

The world population in 2020 was estimated at 6.070 million and is projected to grow to around 9 billion by 2050. The evolution and transformation of society in the technological field is a challenge due to its rapid evolution and the social consequences it triggers. The pursued aim is the prospective analysis of diverse scenarios directed by Industry 4.0 macro-drivers, breeding cornerstones for the purpose to presage future pandemic backdrop. In accordance with the evolution of the force for change due to the analyzed factors, a series of recommendations and future work is elaborated to create a weapon to confront this possible context.


Author(s):  
Buyut,V.C Et.al

Massive Open Online Courses (MOOCs) provide quality higher education resourcesfor people around the world. It allows massive number of learners to gain access to free, virtual based open educational subjects offered by accredited and world recognized top ranking institutional. However, numerous studies show that MOOCs success was marred by low completion and high dropout rates.This studyintends to identify and analyse the literature on the social support related factors influencing the utilization of MOOCs. Results from the review show that the relevant and related researchesare extremely limited which call for further studies to be done on influence of social support on MOOCs usage. The review reveals that emotional support is the most identified social support factor included in MOOC studies from various perspectives followed by informational support. Tangible support and belonging support are the least to be included in the selected studies. This review reveals that more researches are required to identify the impact of social support factors in influencing the utilization of MOOCs among learners.


Author(s):  
Mohammad Dawood Erfan

Afghanistan, with major rural population is of the countries that face varieties of problems for transformation from tradition to modernity (underdevelopment). Nowadays various social gaps in this geographical area have crystalized in ethnic cleft; has been originated from another background that the most important is the rural-urban gap. This hidden gap has shown itself in different forms in the social history of Afghanistan. Sometimes with a cover of Tribe, sometimes in the form of wealth and poverty and sometimes it rises with a cover over modernity and tradition. Development experts concentrate on other gaps and they didn’t pay enough attention to this important gap. The question is: What has been the role of rural-urban gap in underdevelopment and political changes in Afghanistan? In a country where social relations are generated from rural areas and political changes rise by using violent tools in different forms, necessitate deep socialistic investigations on ruling relations in rural communities that constitute the most population of the country. It seems inattention to rural people needs and problems led to the profound gap which shaped violent changes in the history of Afghanistan. Meaningful rural relations, nomadism and tribal culture, have led to many partitions in the process of development.


BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eloïse Berger ◽  
Noële Maitre ◽  
Francesca Romana Mancini ◽  
Laura Baglietto ◽  
Vittorio Perduca ◽  
...  

Abstract Background Women with an advantaged socioeconomic position (SEP) have a higher risk of developing breast cancer (BC). The reasons for this association do not seem to be limited to reproductive factors and remain to be understood. We aimed to investigate the impact of lifecourse SEP from childhood and social mobility on the risk of BC considering a broad set of potential mediators. Methods We used a discovery-replication strategy in two European prospective cohorts, E3N (N = 83,436) and EPIC-Italy (N = 20,530). In E3N, 7877 women were diagnosed with BC during a median 24.4 years of follow-up, while in EPIC-Italy, 893 BC cases were diagnosed within 15.1 years. Hazard ratios (HR) were estimated using Cox proportional hazard models on imputed data. Results In E3N, women with higher education had a higher risk of BC (HR [95%CI] = 1.21 [1.12, 1.30]). This association was attenuated by adjusting for reproductive factors, in particular age at first childbirth (HR[95%CI] = 1.13 [1.04, 1.22]). Health behaviours, anthropometric variables, and BC screening had a weaker effect on the association. Women who remained in a stable advantaged SEP had a higher risk of BC (HR [95%CI] = 1.24 [1.07; 1.43]) attenuated after adjustment for potential mediators (HR [95%CI] = 1.13 [0.98; 1.31]). These results were replicated in EPIC-Italy. Conclusions These results confirm the important role of reproductive factors in the social gradient in BC risk, which does not appear to be fully explained by the large set of potential mediators, including cancer screening, suggesting that further research is needed to identify additional mechanisms.


1979 ◽  
Vol 11 (2) ◽  
pp. 209-217 ◽  
Author(s):  
B S Morgan

It is commonly supposed that residential segregation influences the evolution of the stratification system in modern societies in part through its influence on marriage patterns. The impact of the contextual position of the bride's parents in the social environment of the local neighbourhood on her choice of spouse is tested for intraurban marriages in Christchurch in 1971. It is demonstrated that the residential location of parents affects the chances of their daughter making a ‘good’ marriage, but only to a minimal degree. The bride's social mobility is a far more important influence. The impact of the residential environment appears to be greater in the case of high-status and low-status parents. It is difficult to sort out the effect of neighbourhood socialisation from the circumscribing influence of social networks, but the former facet appears to be important.


2005 ◽  
Vol 44 (1) ◽  
pp. 141-173 ◽  
Author(s):  
Margarita Sanchez-Mazas ◽  
Annalisa Casini

English In this article the authors analyze the often 'hidden' impediments which contribute to keep women in the lower positions of the social hierarchy (known as the 'glass ceiling' effect). The asymmetry between men's and women's professional profiles is questioned from an historical and psychosocial perspective. Empirical evidence attesting to the impact of the prevailing organizational norms on the propensity to upward social mobility are presented and discussed on the basis of the notions of 'social identity' (Social Identity Theory, Tajfel et Turner, 1979), 'dominant and dominated groups' (Lorenzi-Cioldi, 1988), and 'normative conflict', as well as the historical analysis of the dichotomies between feminine and masculine (Héritier, 1996, 2002) and public and private spheres of life (Scott, 1998). French Cet article propose une réflexion sur les obstacles, souvent 'invisibles', qui contribuent à maintenir les femmes aux niveaux inférieurs de la hiérarchie sociale, un phénomène qui a été baptisé 'plafond de verre'. L'asymétrie des profils professionnels entre hommes et femmes est interrogée à partir d'une approche historique et psychosociale. Des résultats de recherches attestent l'impact qu'exercent les normes en vigueur dans les organisations sur la propension à la mobilité ascendante. Le 'plafond de verre' est discuté à partir des notions d'identité sociale (cf. Théorie de l'Identité Sociale, Tajfel et Turner, 1979), de 'groupes dominants et dominés' (Lorenzi-Cioldi, 1988) et de 'conflit normatif' ainsi que de la division historique entre féminin et masculin (Héritier, 1996, 2002), sphère publique et sphère privée (Scott, 1998).


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