Post-pandemic marketing: when the peripheral becomes the core

PurposeThe purpose of this paper is to articulate the impact of COVID-19 on marketing. It will shift from “physical first” to “digital first,” and from “selling to serving” the customers. This will impact all 4 Ps of marketing, as well as branding and innovation.Design/methodology/approachIt is a conceptual paper based on literature review. The underlying construct used is transaction cost economics (TCE).FindingsUsing TCE, the paper finds that both consumers and marketers are very willing to shift to e-commerce and digital platforms which are both convenient, as well as cost-effective. Also, customer support organization will become a strategic advantage in interactive marketing.Originality/valueThis is an original paper written specifically for the special issue on the post-pandemic shock.

Use of Extracorporeal Membrane Oxygenation as Bridge to Replacement Therapies in Cardiogenic Shock: Insights From the Extracorporeal Life Support Organization

Background: There has been increasing use of extracorporeal membrane oxygenation (ECMO) as bridge to heart transplant (orthotopic heart transplant [OHT]) or left ventricular assist device (LVAD) over the last decade. We aimed to provide insights on the population, outcomes, and predictors for the selection of each therapy. Methods: Using the Extracorporeal Life Support Organization Registry between 2010 and 2019, we compared in-hospital mortality and length of stay, predictors of OHT versus LVAD, and predictors of in-hospital mortality for patients with cardiogenic shock that were bridged with ECMO to OHT or LVAD. One hundred sixty-seven patients underwent LVAD versus 234 patients who underwent OHT. Results: The overall use of ECMO has increased from 1.7% in 2010 to 22.2% in 2019. Mortality was similar between groups (LVAD: 28.7% versus OHT: 29.1%) while length of stay was longer for OHT (LVAD: 49.6 versus OHT: 59.5 days, P =0.05). Factors associated with OHT included prior transplant (odds ratio [OR]=31.26 [CI, 3.84–780.5]), use of a temporary pacemaker (OR=6.5 [CI, 1.39–50.15]), and increased use of inotropes on ECMO (OR=3.77 [CI, 1.39–11.07]), whereas LVAD use was associated with weight (OR=0.98 [CI, 0.97–0.99]), cardiogenic shock presentation (OR=0.40 [CI, 0.21–0.78]), previous LVAD (OR=0.01 [CI, 0.0001–0.22]), respiratory failure (OR=0.28 [CI, 0.11–0.70]), and milrinone infusion (OR=0.32 [CI, 0.15–0.67]). Older age (OR=1.07 [CI, 1.02–1.12]), cannulation bleeding (OR=26.1 [CI, 4.32–221.3]), and surgical bleeding (OR=6.7 [CI, 1.26–39.9]) in patients receiving LVAD and respiratory failure (OR=5 [CI, 1.17–23.1]) and continuous renal replacement therapy (OR=3.82 [CI, 1.28–11.9]) in patients receiving OHT were associated with increased mortality. Conclusions: ECMO use as a bridge to advanced therapies has increased over time, with more patients undergoing LVAD than OHT. Mortality was equal between the 2 groups while length of stay was longer for OHT.

Abstract 10907: Association of Intentional Cooling, Achieved Temperature, and Hypothermia Duration with Survival in Patients Treated with Extracorporeal Cardiopulmonary Resuscitation-An Exploratory Analysis of ELSO Registry

Background: The efficacy of targeted temperature management remains unclear for patients treated with extracorporeal cardiopulmonary resuscitation (ECPR) due to refractory cardiac arrest. Methods: We analyzed the Extracorporeal Life Support Organization registry between 2010 and 2019. Patients 18-79 years old who received ECPR and had a reported temperature were included. First, we compared outcomes between patients who completed intentional cooling (IC) and those who did not complete intentional cooling (NIC). Among those who completed IC, we compared the outcomes between i) actual observed temperature <34°C, 34 - 36°C, and ≥36°C, and ii) hypothermia duration below 36°C for <12 hours, 12 - 48 hours, and >48 hours. The primary outcome was in-hospital death within 90 days. Cox proportional hazard models were conducted with adjustment for covariates. Results: Among a total of 8,060 patients who received ECPR, 911 patients who had a record of actual temperature were identified. After multivariable adjustment, there was no significant difference in in-hospital mortality between patients treated with IC and NIC (Hazard ratio [HR] 1.13 [95% CI 0.93 - 1.39], p=0.2252). However, among patients treated with IC, recorded temperature at 34 - 36°C had a significantly lower adjusted HR for in-hospital mortality compared with ≥36°C (HR 0.73 [0.56 - 0.97], p=0.0274). Maintaining a temperature <36°C for 12 - 48 hours had a significantly lower adjusted HR for in-hospital mortality compared with <36°C for <12 hours (HR 0.70 [0.53 - 0.91], p=0.0080). Conclusion: In this exploratory analysis, IC was not associated with lower in-hospital mortality in patients treated with ECPR. However, among those treated with IC, achieving a target temperature of 34 - 36°C and maintaining it for 12 - 48 hours were associated with lower in-hospital mortality.

THE PROBLEMS OF OLDER PEOPLE AND DIRECTIONS OF MEDICAL, SOCIAL AND PSYCHOLOGICAL SUPPORT DURING THE COVID-19 PANDEMIC

В обзорной статье рассмотрены медицинские, психологические и социальные проблемы людей пожилого возраста в связи с пандемией. Продемонстрировано негативное влияние хронического стресса на формирование психопатологических расстройств (тревога, астения, паника, когнитивная дисфункция). На основании результатов собственного клинического опыта лечения и психологической коррекции этих психопатологических расстройств у людей старшего поколения, переживавших пандемию, а также по итогам аналогичных результатов других исследователей в разных странах, проведён анализ методов психологической поддержки при различных психопатологических расстройствах у пожилых людей. На основании результатов собственных исследований в период пандемии выявлено увеличение частоты астении и психосоматических расстройств у пациентов. Представлены алгоритмы дифференциальной диагностики и лечения астении в рамках постковидного синдрома. Описаны особенности опыта самоизоляции для пожилых людей в разных странах, проанализированы причины психической дезадаптации, формирования аддикций. Продемонстрированы алгоритм и итоги психологической поддержки, оказанной людям старшего поколения в формате работы организации социально-психологической помощи. The review article examines the medical, psychological and social problems that older people face due to the pandemic. The article contains the analysis of the mortality rate in the older age group in different countries. It also demonstrates the negative impact of the pandemic stress on the formation of psychopathological disorders (anxiety, asthenia, panic, cognitive dysfunction). The authors carried out an analysis of psychological support methods for various psychopathological disorders among the elderly, based on both the results of their own clinical experience in the treatment and psychological correction of the disorders of older people experiencing the pandemic, and similar results of other researches in other countries. The results of the presented research during the pandemic suggest that the frequency of asthenia and psychosomatic disorders in patients was increased. The paper presents algorithms for the differential diagnosis and treatment of asthenia as part of the post-covid syndrome. The article contains an objective scientific and practical assessment of the experience of self-isolation for the elderly, as well as the analysis of the reasons for mental maladjustment and the formation of addictions. The algorithm and the results of psychological support, provided to older people by a psychosocial support organization, are demonstrated.

The Effect of Work Involvement and Organizational Support on Employee Performance in the Company

Effect of engagement and support organization of work the performance of employees in port of indonesia i Medan this study aims to determine the effect of job involvement and organizational support to employees performance in pt port of Indonesia i Medan. This research was conducted at PT Pelabuhan Indonesia i Medan. The study population was employees PT. port i Medan Indonesia totaling 261 people. The sample in this study amounted to 73 people by using simple random sampling method. This type of research is associative research. The data used are primary and secondary data. Primary data were collected through a questionnaire distributed to employees of PT Pelabuhan Indonesia I Medan, while secondary data obtained from the documentation obtained from various information owned by PT Pelabuhan Indonesia I Medan. The analytical method used is multiple linear regression analysis. The results based on multiple linear regression analysis showed that work engagement has the effect of 33.1% to the support organization at PT Pelabuhan Indonesia I Medan and 66.9% are influenced by factors other than job involvement and support organizations have an influence of 36.5%, and 63.5% are influenced by factors other than the support of the organization at PT Pelabuhan Indonesia I Medan. Partially (t test) indicates that the Employment Engagement has T_ (count (2.071)>) T_ (table (1.66), Support Organization has T_ (count (4.135)) F_table (9.447> 2.95) based on the hypothesis testing criteria H_a H_0 is accepted and rejected. Simultaneously (Test f) indicates that the involvement and support of organizations working simultaneously and significantly affects the performance of employees. Partially (t test) showed that work engagement had a positive and significant impact on employee performance and organizational support has positive and significant impact on the performance of employees of PT Pelabuhan Indonesia I Medan.