IMPACT OF ARTIFICIAL INTELLIGENCE AND DIGITAL ECONOMY ON INDUSTRIAL REVOLUTION 4: EVIDENCE FROM BANGLADESH

This research investigates effects of artificial intelligence and digital economy on the 4th industry revolution from the perspective of Bangladesh. Artificial intelligence affecting the labor market both positively and negatively. Because of artificial intelligence, few existing jobs have been demolished and few new jobs have been emerged as well. Digital economy in Bangladesh is now an emerging issues with the blessings of artificial intelligence. Few employment opportunities will be created in Bangladesh because of emerging digital economy. The objective of this research is to analyze these opportunities and come out with few policy recommendations to implement towards industry revolution 4. Secondary data have been used along with recent relevant literatures to achieve the above stated objective as this is an empirical research. Ideas regarding revised national plan, financial tools, emerging digital economy in Bangladesh are the prominent outcome of this research. The policy recommendations of managing the gap between digital economy and industry revolution 4 regarding artificial intelligence could be helpful to The Government of the Peoples’ Republic of Bangladesh to implement policies.

Tuberculosis in the middle of COVID-19 in Morocco: efforts, challenges and recommendations

Tuberculosis (TB) is a deadly infectious disease that kills approximately 1.5 million people per year and is among the most frequent respiratory infections in developing countries. Morocco has made significant progress in the control and management of TB during the past 30 years thanks to its National Plan for Tuberculosis and the continuous support of national and international partners. While tremendous efforts were undertaken to tilt the balance against the COVID-19 pandemic, new challenges resurfaced with regard to long-standing health problems amongst which is TB. The spill-over effect of the COVID-19 pandemic disrupted health service delivery globally, threatening to reverse years of progress made on the TB control front. In Morocco, this crisis highlighted deep shortcomings within the national health system and in the adopted approach to TB control. This article discusses national efforts to get back on track with regard to TB management, the multitude of challenges that co-emerged with the onset of COVID-19 and lays down key recommendations to implement in order to build back a TB control plan that is resilient in the face of health hazards.

Assessment of the Greek National Plan of Energy and Climate Change—Critical Remarks

The Greek National Energy and Climate Plan was validated by the Greek Governmental Committee of Economic Policy on 23 December 2019. The decisions included in this plan will have a significant impact on the Greek energy mix as the production of electricity from lignite combustion ceases in 2028, when lignite will be replaced by natural gas (NG) and renewable energy sources (RES). This work presents an assessment of the Greek National Energy and Climate Plan by analyzing its pros and cons. The main critiques made are focused on the absence of risk analysis and alternative scenarios, the proposed energy mix, the absence of other alternatives on the energy mix and energy storage, the low attention given to energy savings (transport, buildings), the future energy prices, and the economic and social impacts. This analysis shows that delaying this transition for some years, to better prepare it by taking into consideration the most sustainable paths for that transition, such as using more alternatives, is the best available option today.

Potentials and current shortcomings in the cooperation between German centers for rare diseases and primary care physicians: results from the project TRANSLATE-NAMSE

Background The TRANSLATE-NAMSE project with the strengthening of the centers for rare diseases with their affiliation to the European Reference Networks was a major step towards the implementation of the German National Plan of Action for People with Rare Diseases establishing better care structures. As primary care physicians, general practitioners and pediatricians play a central role in the diagnosis of patients with rare disease, as it is usually them referring to specialists and rare disease centers. Therefore, the interface management between primary care physicians and the centers for rare diseases is of particular importance. Methods In a mixed-method-approach an anonymous postal survey of 1,500 randomly selected primary care physicians in Germany was conducted with focus on (1) knowledge about a center for rare diseases and how it works, (2) in case of cooperation, satisfaction with the services provided by centers, and (3) expectations and needs they have with regard to the centers. In addition, in-depth telephone interviews were conducted with physicians who had already referred patients to a center. Results In total, 248 physicians responded to the survey, and 15 primary care physicians were interviewed. We observed a wide lack of knowledge about the existence of (45.6% confirmed to know at least one center) about how to access rare disease centers (50.4% of those who know a center confirmed knowledge) and what the center specializes in. In case of cooperation the evaluation was mostly positive. Conclusion To improve medical care, the interplay between primary care physicians and rare disease centers needs to be strengthened. (1) To improve the communication, the objectives and functioning of the rare disease centers should become more visible. (2) Other projects dealing with the analysis and improvement of interface management between centers and primary care physicians, as described in the National Plan of Action for People with Rare Diseases, need to be implemented immediately. (3) If the project is evaluated positively, the structures of TRANSLATE-NAMSE should be introduced nationwide into the German health care system to ensure comprehensive, quality-assured care for people with rare diseases with special consideration of the key role of primary care physicians—also taking into account the financial expenditures of this new care model.

SRH Needs of Syrian Refugees in Jordan Nine Years Post Crisis: with Emphasis on MISP Implementation and Transition into Comprehensive SRH Services

Background: Millions of Syrians have been forcibly displaced since the start of civil war in March 2011. The vast majority of these refugees live in neighbouring countries including Jordan as one of the affected countries in the Middle East. Adolescent girls and women are among the most vulnerable populations in this humanitarian crisis. MISP/SRH interventions and programs have been implemented by various humanitarian organizations, governments, and other health care providers, to prevent and manage the consequences of sexual violence, reduce HIV transmission, minimize maternal/neonatal morbidity and mortality, reduce unintended pregnancies and unmet family planning needs, and plan for comprehensive SRH services as soon as the situation permits. After almost nine years of the protracted Syrian crisis, it is essential to examine available evidence around the effectiveness of SRH interventions for Syrian refugees in Jordan in order to inform the humanitarian community including the government by identifying best practices, essential gaps, bottlenecks, and lessons learnt. Methods: In 2018, an assessment using a previously validated MISP/SRH survey tool and combining both quantitative and qualitative research methods was conducted in four governorates of Jordan (Amman, Irbid, Zarqa and Mafraq) to evaluate the availability of MISP/SRH interventions and programs. Data were obtained from interviews with key informants (KIs). For the analysis SPSS-IBM statistical software was used.Results: Overall, 58 KIs affiliated with a total of 15 different entities/agencies were were selected for this assessment. KIs/respondents had different levels of knowledge and sources of information about the MISP/SRH services and had variable engagement in implementation. The results of this assessment highlighted significant knowledge gaps about the implementation of the different MISP objectives and priorities, even after almost nine years of the initial onset of the crisis. Among the different MISP activities, family planning, maternal health, condom distribution, and newborn health services had the highest level of preparation and implementation, while availability of antiretrovirals (ARVs) for prevention of mother-to-child transmission (PMTCT) and access to safe blood had the lowest level of preparation and implementation. This assessment also showed lack of national coordination in the provision of the different SRH services, lack of a national plan for capacity building, and lack of adequate logistics support systems and funding. Conclusions: Important gaps in the knowledge and implementation of MISP/SRH activities continue to exist in Jordan, almost nine years into the protracted Syrian displacement. Areas in need of focus included: national coordination in the provision of SRH services, developing a national plan for capacity building, improving logistics support systems, and allocating sufficient funding for the provision of MISP/SRH services. Areas, particularly, in need of additional funding included: Capacity building of services provides with specific focus on MISP training activities around the different MISP/SRH services, facilitating emergency preparedness, improving coordination, and improving referral systems.

PRESENÇA DE CONTAMINANTES INORGÂNICOS EM PESCADO DE CULTIVO E CAPTURA

Commercial fishing and fish farms represent important sectors in the food industry. The global demand for these products had a significant increase in the last decades, due to the growth of the population, increase in income and in urbanization. To ensure a safe product to the population, the National Plan for Control of Residues and Poisoning (PNCRC) was developed, analyzing risks in products of both fishing and farming, aiming to ensure quality in food product throughout the production chain. In this way, the current document analysis aimed to verify, through reports from 2010 to 2016, the presence of inorganic poisons in fish from farming and commercial fishing. From those reports, the number of unsatisfactory samples in regards to poisons was extracted. This study reported that only fish from commercial fishing showed sample numbers with contamination from mercury, arsenium, plumbum and cadmium, with variations from 8,61% and 25,95%. These contaminated fish shouldn’t be made available for human consumption. For this reason, the NPCRP is an important tool to manage the risks of poisoning, promoting chemical safety on food with animal origins produced in Brazil.

Epidemiological profile of orthopedics and traumatology patients in Palmas, Tocantins, Brazil

Epidemiological studies, both in general and specifically, are part of the health promotion process and prophylactic actions that can generate treatment plans for a population, however, the accomplishment of prophylactic work in relation to musculoskeletal (i.e., traumatological) problems must start from the specific and go to the general, from cities to a national plan, since each population has its own characteristics in the general picture of conditions. Hypothetically, the epidemiological profile in traumatology and orthopedics, due to the general behavior in the national territory, presents the lack of prevention; in this way, is necessary to verify. This work aims to determine the incidence of orthopedic and traumatological problems in the region of Palmas, state of Tocantins (TO), Brazil, in order to contribute to a possible prophylactic plan for the population of the region. The data of the present study agree with most other studies about the orthopedic profile in terms of gender, age and problems with vertebral column, in general. However, the finding that most of the conditions were associated with scoliosis was unexpected, as it differs from the findings of most studies. It was possible to establish a profile of patients seen at the clinic-school and indicate the management of training for health professionals related to the treatment of people over the age of 40 years. The importance of the action of physiotherapists in the processes of prevention and primary care was evident given the patients indicated in this and other articles who need help with traumatic diseases.