Economic Impact Research Articles

Un análisis del impacto del covid-19 en el mundo editorial en Argentina: redes sociales, digitalización y activismo digital

Since March 2020, the effects of the mandatory quarantine promoted by governments to face the pandemic by covid-19, generated an unprecedented impact on the characteristics that the global and national book industry had so far. The present work is part of a project based in the Gino Germani Research Institute of the University of Buenos Aires called “The Argentine edition, between the State and the market”, and its objective is to reflect analytically on the current moment in the publishing world, considering the conjunctural transformations suffered by publishers in terms of economic impact, reprogramming of publishing plans, the initiatives undertaken by publishers and digital activism put into practice in this context. To carry out this objective, we present the results of a survey carried out among 131 publishers in Argentina in May 2020. The results allow us to describe the importance of the digital environment, social networks and digital activism in this new scene. As an example of digital initiatives, we will describe the collective projects “¡Sálvese quien lea!” and Feria del Libro en Casa.

Logistics and supply chain management in the belt and road initiative: research opportunities and future challenges

ABSTRACT Since the establishment of the BRI in 2013, it has attracted much attention in logistics and supply chain research. Since previous studies were mostly limited to narrow topics such as the economic impact of the BRI, this study has formulated a comprehensive research framework from multiple perspectives. From the Web of Science Core Collection database, 146 articles were selected for a structured literature review, and we perform a descriptive and in-depth content analysis. To promote comprehensive research, we develop a research framework with five categories: transportation planning, sustainable development, global value chain development, infrastructure construction, and subject governance. Then, according to the logic of ‘why–what–how’, we distinguish the advantages, obstacles, and promotional measures in the development of global logistics and supply chains based on the BRI over the past decade, and then present challenges and propose future research agenda.

Spinal anesthesia in ambulatory patients.

To assess current practice in the use of spinal anesthesia in major ambulatory surgery, highlighting its advantages over general anesthesia and identifying potential areas for improvement to facilitate a transition to a sustainable healthcare system. Spinal anesthesia might be preferred in selected populations when compared to general anesthesia providing the highest standards of healthcare quality.The use of local anesthetics with short half-life has proven to be efficient in achieving high anesthesia success rates. Spinal anesthesia does not increase perioperative complications; instead, it has shown a reduction in postoperative nausea and vomiting, an improvement in patient comfort, and a favorable economic impact when compared to general anesthesia. Spinal anesthesia is an appropriate method for anesthesia in ambulatory patients, offering advantages over general anesthesia in selected populations.The use of spinal anesthesia is expanding to meet surgical needs. Therefore, it is crucial to plan ahead and anticipate organizational failures in the ambulatory setting to maintain safety and efficiency during outpatient procedures and surgeries.

Assessment of black rot (Xanthomonas campestris) of cabbage (Brassica oleracea) in East Khasi Hills, Meghalaya

Cabbage (Brassica oleracea L. var. capitata) holds significant economic importance in Meghalaya, thriving in its high altitude and cool climate. East Khasi Hills (EKH) district, where cabbage cultivation remains viable throughout the year, contributes 70% of the state's total cabbage production. A severe outbreak of cabbage black rot, caused by Xanthomonas campestris p.v. campestris, has raised concerns in this region. To comprehensively understand the outbreak and assess its economic impact, an extensive disease survey was conducted across 6 districts of Meghalaya, with a particular focus in the EKH during 2021–22 and 2022–23. The survey was on different cruciferous vegetables such as cabbage, broccoli (Brassica oleracea L. var. italica), cauliflower (Brassica oleracea L. var. botrytis), radish (Raphanus sativus L.), mustard (Brassica juncea L.), and knol khol (Brassica oleracea L. var. gongylodes). It was found that on an average, Meghalaya experiences a disease incidence (DI) of a 52.7% and per cent disease index (PDI) of 30.9% for black rot in cabbage. However, in the EKH, highest disease incidence (69.98%) and PDI (43.38%) of black rot was recorded in cabbage, that surpassed knol khol and cauliflower. Highest DI and severity were observed during monsoon season. Further analysis revealed significant correlations (r) between black rot incidence and severity in cabbage with temperature (0.91), humidity (0.87) and rainfall (0.88). Additionally, multiple regression predictive model performed using weather parameters and DI led to the prediction of PDI with accuracy of 95% in EKH.

Study on the additional financial burden of breast cancer disease on cancer patients and their families. Financial toxicity in cancer.

Breast cancer is among the most frequently diagnosed cancers worldwide, with 2.3 million new cases reported annually. The condition causes a social and economic impact known as financial toxicity of cancer. The study aims to explore the extra expenses borne by patients and their families on being diagnosed with breast cancer. An observational, descriptive, cross-sectional study was conducted. The data was collected between November 2021 and March 2022 at the Medical Oncology Service in Complejo Asistencial Universitario de Salamanca, Spain. The variables under investigation were additional economic costs, physical disability (as measured by the Barthel Index), instrumental activities of daily living (as measured by the Lawton-Brody Scale), and caregiver burden (measured using the ZARIT scale). The final sample size was N = 107. The study yielded the following outcomes: the median age was 55 years old and the majority of participants were female, with a proportion of 99.1%. The incidence rates for stage I and II were 31.8 and 35.5%, respectively. The median Barthel score was 100 points, while the Lawton and Brody score were 8 points and the ECOG score was 2 points. The analysis of primary caregiver burden resulted in a median ZARIT score of 15 points. The expenses related solely to the cancer diagnosis totaled 1511.22 euros per year (316.82 euros for pharmaceuticals; 487.85 euros for orthopedic equipment; 140.19 euros for home help; and 566.36 euros for housing adaptation or transfer to a hospital). The average annual income before diagnosis was 19962.62 euros. However, after being diagnosed with breast cancer, there is a significant income decrease of 15.91%, resulting in a reduced average annual income of 16785.98 euros. Additionally, a significant correlation was found between total expenditure and the level of dependency (p = 0.032) and functional status (p = 0.045). These findings indicate that breast cancer patients experience a considerable economic burden, which worsens as their functional status deteriorates. Therefore, we believe policies should be implemented to help control this economic deterioration resulting from a serious health condition.

Economic and Productive Impact of the Implementation and Use of Agricultural Irrigation in the State of Tabasco, Mexico

O Objective: Three support programs for agricultural irrigation in 8 municipalities in the State of Tabasco were evaluated for a total area of 972.4 ha with 7 crops per municipality. One production cycle was used for the evaluation of the irrigation units in the State of Tabasco. Design/methodology/approach: The software "System for the Evaluation of Irrigation Units" SISEVUR 3.0 was used for the integration and evaluation of a) general operation of infrastructure; b) producer satisfaction with the infrastructure; c) aspects of improvement in the quantity and quality of production; d) benefits of irrigation on agricultural production and suggestions and opinions of producers regarding hydro-agricultural programs e). The economic/financial evaluation. Results: The crops that responded best to the application of irrigation were: 1) forage corn, with an increase in production of 140.7%; 2) lemon with 97.98%; 3. banana with 58.6%, and 4 sugar cane with 41%. Limitations on study/implications: Data collection required several visits to the producer to improve the collection of reliable data. However, there is a margin of error that could not be quantified due to the particularities of the producers and the work. Findings/conclusions: Bananas and citrus improved production quality and product maintenance throughout the year, favoring supply and demand commitments in the domestic and international markets.

Evaluating the Public Health and Health Economic Impacts of Baloxavir Marboxil and Oseltamivir for Influenza Pandemic Control in China: A Cost-Effectiveness Analysis Using a Linked Dynamic Transmission-Economic Evaluation Model.

Pandemic influenza poses a recurring threat to public health. Antiviral drugs are vital in combating influenza pandemics. Baloxavir marboxil (BXM) is a novel agent that provides clinical and public health benefits in influenza treatment. We constructed a linked dynamic transmission-economic evaluation model combining a modified susceptible-exposed-infected-recovered (SEIR) model and a decision tree model to evaluate the cost-effectiveness of adding BXM to oseltamivir in China's influenza pandemic scenario. The cost-effectiveness was evaluated for the general population from the Chinese healthcare system perspective, although the users of BXM and oseltamivir were influenza-infected persons. The SEIR model simulated the transmission dynamics, dividing the population into four compartments: susceptible, exposed, infected, and recovered, while the decision tree model assessed disease severity and costs. We utilized data from clinical trials and observational studies in the literature to parameterize the models. Costs were based on 2021 CN¥ and not discounted due to a short time-frame of one year in the model. One-way, two-way, and probabilistic sensitivity analyses were also conducted. The integrated model demonstrated that adding BXM to treatment choices reduced the cumulative incidence of infection from 49.49% to 43.26% and increased quality-adjusted life years (QALYs) by 0.00021 per person compared with oseltamivir alone in the base-case scenario. The intervention also amounted to a positive net monetary benefit of CN¥77.85 per person at the willingness to pay of CN¥80,976 per QALY. Sensitivity analysis confirmed the robustness of these findings, with consistent results across varied key parameters and assumptions. Adding BXM to treatment choices instead of only treating with oseltamivir for influenza pandemic control in China appears to be cost-effective compared with oseltamivir alone. The dual-agent strategy not only enhances population health outcomes and conserves resources, but also mitigates influenza transmission and alleviates healthcare burden.

Economic Impact of African Swine Fever (ASF) Disease on Pigs in Ngada Regency East Nusa Tenggara Province

Economic Impact of African Swine Fever (ASF) Disease on Pigs in Ngada Regency East Nusa Tenggara Province

Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis

BackgroundColorectal anastomotic leakage causes severe consequences for patients and healthcare system as it will lead to increased consumption of hospital resources and costs. Technological improvements in anastomotic devices could reduce the incidence of leakage and its economic impact. The aim of the present study was to assess if the use of a new powered circular stapler is cost-effective.MethodThis observational study included patients undergoing left-sided circular stapled colorectal anastomosis between January 2018 and December 2021. Propensity score matching was carried out to create two comparable groups depending on whether the anastomosis was performed using a manual or powered circular device. The rate of anastomotic leakage, its severity, the consumption of hospital resources, and its cost were the main outcome measures. A cost-effectiveness analysis comparing the powered circular stapler versus manual circular staplers was performed.ResultsA total of 330 patients were included in the study, 165 in each group. Anastomotic leakage rates were significantly different (p = 0.012): 22 patients (13.3%) in the manual group versus 8 patients (4.8%) in the powered group. The effectiveness of the powered stapler and manual stapler was 98.27% and 93.69%, respectively. The average cost per patient in the powered group was €6238.38, compared with €9700.12 in the manual group. The incremental cost-effectiveness ratio was − €74,915.28 per patient without anastomotic complications.ConclusionThe incremental cost of powered circular stapler compared with manual devices was offset by the savings from lowered incidence and cost of management of anastomotic leaks.

Epidemiology and Management of Bean Common Mosaic Virus (BCMV) in Traditional Phaseolus vulgaris L. Landraces within Protected Geographical Indications

Protected geographical indications (PGIs) share health problems related to plant propagation material. The PGI “Faba de Lourenzá” encompasses a 1660 km2 area in northern Galicia, Spain, renowned for its “Faba Galaica” (FG) and Faba do marisco” (FM) bean cultivars. The lack of certified virus-free seeds poses a challenge. From 2019 to 2023, seeds from 60 lots were tested for BCMV. Plants from several plots were tested periodically to develop disease progress curves (DPCs). Control methods (plots out PGI zone, virus-free seedlings, rogueing, corn borders, and intercropping) were tested. Yields in five plots were used to assess BCMV’s economic impact. Seed lots were 22.3% FG-infected and <5% FM-infected. The transmission rate of BCMV from infected FG plants to their seeds was 25.5 ± 5%, while for FM it was 12 ± 3%. FG yield losses were on average 31.6 ± 4.5%. Combining virus-free seedlings and infected plant removal in plots outside the PGI area proved effective at reducing infection rates; combining with intercropping resulted in the lowest incidence in an FG plot. Farmer training and off-site plot selection to produce healthy sowing beans are key to improving results.

Impact of multidrug resistance on the virulence and fitness of Pseudomonas aeruginosa: a microbiological and clinical perspective.

Pseudomonas aeruginosa is one of the most common nosocomial pathogens and part of the top emergent species associated with antimicrobial resistance that has become one of the greatest threat to public health in the twenty-first century. This bacterium is provided with a wide set of virulence factors that contribute to pathogenesis in acute and chronic infections. This review aims to summarize the impact of multidrug resistance on the virulence and fitness of P. aeruginosa. Although it is generally assumed that acquisition of resistant determinants is associated with a fitness cost, several studies support that resistance mutations may not be associated with a decrease in virulence and/or that certain compensatory mutations may allow multidrug resistance strains to recover their initial fitness. We discuss the interplay between resistance profiles and virulence from a microbiological perspective but also the clinical consequences in outcomes and the economic impact.

Impact of Income on Livelihood of Tribal Goat Farmers of Odisha, India

The present investigation was carried out to find out the contribution of income in improving the livelihood of tribal goat farmers in the Kandhamal district of Odisha which was purposively selected as this district is highly concentrated with local goats. The sample of 112 goat farmers for this study was selected randomly from sixteen villages which were also selected from four randomly selected blocks of the district. With the help of the pre-tested interview schedule, the data for the study was collected personally by the researcher. The study employed ex-post facto research design and focussed group discussion to capture field data. Economic impact a component of overall livelihood impact was measured with the help of 10 validated statements in a five-point Likert type scale with scores on a continuum with 1(strongly disagree) to 5 (strongly agree) for each of the statement. The study revealed that the farmers’ personal savings, ability to spend money for children education, food, clothing and meeting medical expenses have increased due to goat farming. However, the overall economic impact is medium in nature indicating that the important stakeholders including government agencies involved in promotion of goat farming in the tribal areas should put emphasis on improving the business ability of the famers which will be useful in improving the income level leading to strengthening of livelihood.

Analysis of the Economic and Social Impacts of a Silk Production Project in Egypt

Analysis of the Economic and Social Impacts of a Silk Production Project in Egypt

The economic impact of suboptimal treatment and treatment switch among patients with Crohn’s disease treated with a first-line biologic – A US retrospective claims database study

ABSTRACT AIMS: Suboptimal treatment indicators, including treatment switch, are common among patients with Crohn’s disease (CD), but little is known about their associated healthcare resource utilization (HRU) and costs. This study assessed the impact of suboptimal treatment indicators on HRU and costs among adults with CD newly treated with a first-line biologic. METHODS: Adult patients with CD were identified in the IBM® MarketScan® Commercial Subset (10/01/2015–03/31/2020). The index date was defined as initiation of the first-line biologic, and the study period was defined as the 12 months following the index date. Patients were classified into Suboptimal Treatment and Optimal Treatment cohorts based on observed indicators of suboptimal treatment during the study period. Patients in the Suboptimal Treatment Cohort with a treatment switch were classified into the Treatment Switch Cohort and compared to patients with no treatment switch. All-cause HRU and costs were measured during the study period and assessed for patients with suboptimal vs optimal treatment and patients with vs without a treatment switch. RESULTS: The study included 4,006 patients (Suboptimal Treatment: 2,091, Optimal Treatment: 1,915). Treatment switch was a common indicator of suboptimal treatment (Treatment Switch: 640, No Treatment Switch: 3,366). HRU and costs were significantly higher among patients with suboptimal treatment than those with optimal treatment (annual costs: $92,043 vs $73,764; p < 0.01), and among those with a treatment switch than those with no treatment switch (annual costs: $95,689 vs $81,027; p < 0.01). Increases in the number of suboptimal treatment indicators were associated with increased costs. LIMITATIONS: Claims data were used to identify suboptimal treatment indicators based on observed treatment patterns; reasons for treatment decisions could not be assessed. CONCLUSION: This study demonstrates that patients with suboptimal treatment indicators, including treatment switch, incur substantially higher HRU and costs compared to patients receiving optimal treatment and those that do not switch treatments.

Regeneration diagnosis for the service lifespans of residential buildings on a circular economy perspective

As urbanized areas progress into the era of stock, an immense number of existing residential buildings (RBs) are destined to undergo replacement and renovation. The irrational decision of urban renewal led to serious economic waste and environmental unsustainability. In this regard, this study proposes and validates a method for regeneration diagnosis and optimal regeneration of RBs based on circular economy (CE) theory. A hybrid diagnostic tool of life cycle cost (LCC)-life cycle assessment (LCA) model to systematically evaluate the economic and environmental impact of RBs throughout the circular lifecycle was proposed. On this basis, with the minimum average annual economic and environmental impact as the objective function, the optimal dynamic regeneration cycle of RBs is obtained using a multi-objective optimization method. The results of the case study show that: (1) The discount rate and deterioration rate changes the development tendency of economic and environmental data, which brings a new regenerating time point, (2) the economic impact of RBs’ regeneration tends to be more pronounced during the intermediate stages, while the environmental impact becomes more significant in the later stages, (3) the environmental benefits of regeneration outweigh the economic benefits, (4) the regeneration of all building elements at the local optimal level leads to enhanced comprehensive benefits compared to multiple regenerations of a single building element. The feasibility of the method employed in this study has been corroborated by practical case studies. This approach transcends the limitations of quantitative analysis in assessing the regeneration of RBs in a circular lifecycle and offers profound implications for the development of urban renewal and sustainable strategies.

A pilot trial of CRESCENT in a large academic healthcare system: A CaReEcoSystem primary Care Embedded demeNtia Treatment

ObjectiveThe prevalence of Alzheimer's Disease (AD) and related dementias is escalating, with substantial societal and economic impact. Existing dementia care is often inadequate due to underdiagnosis, delayed diagnosis, and insufficient resources, especially for caregivers. Behavioral symptoms of dementia further complicate care, contributing to negative outcomes. Collaborative care programs show promise, yet resource-intensive models can be challenging to scale. This study aimed to assess the feasibility of CRESCENT (CaReEcoSystem primary Care Embedded dementia Treatment), an adaptation of the CareEcosystem intervention, providing dementia care training to nurse care managers in a primary care setting. DesignEmbedded pilot cluster randomized controlled study. ParticipantsThe thirty nurse care managers enrolled in the trial had 393 patients with an ICD-10 diagnosis code consistent with dementia on their panels, 206 patients corresponding to the 15 intervention nurses and 187 patients corresponding to the 15 control nurses. MeasurementsPrimary outcome: Feasibility of capturing ED utilization using Medicare claims data and of implementing the intervention in a care management program. Secondary outcomes: ED use and change in caregiver distress (via survey) between baseline and 6-month follow-up using the Neuropsychiatric Inventory Questionnaire (NPI-Q) Distress scale. ResultsWe demonstrated the feasibility of collecting ED visit data through Medicare claims and of implementing the intervention in a busy care management program. In the 6-month follow-up, there were no changes in ED visits post-intervention. A non-significant 2.7-point greater reduction in caregiver distress among caregivers of PWD in the intervention cohort was observed. ConclusionA dementia care coordination program can be integrated into a care management program. Future trials will explore the effectiveness of CRESCENT in a fully powered clinical trial, aiming to address the rising dementia epidemic and improve dementia-informed care in healthcare systems.

Cost-of-Illness of Skin Cancer: A Systematic Review.

Skin cancer's rising incidence demands understanding of its economic impact. The current understanding is fragmented because of the various methodological approaches applied in skin cancer cost-of-illness studies. This study systematically reviews melanoma and keratinocyte carcinoma cost-of-illness studies to provide an overview of the applied methodological approaches and to identify the main cost drivers. This systematic review was conducted adhering to the 2020 PRISMA guidelines. PubMed, Embase, and Web of Science were searched from December 2022 until December 2023 using a search strategy with entry terms related to the concepts of skin cancer and cost of illness. The records were screened on the basis of the title and abstract and subsequently on full text against predetermined eligibility criteria. Articles published before 2012 were excluded. A nine-item checklist adapted for cost-of-illness studies was used to assess the methodological quality of the articles. This review included a total of 45 studies, together evaluating more than half a million patients. The majority of the studies (n = 36) focused on melanoma skin cancer, a few (n = 3) focused on keratinocyte carcinomas, and 6 studies examined both. Direct costs were estimated in all studies, while indirect costs were only estimated in nine studies. Considerable heterogeneity was observed across studies, mainly owing to disparities in study population, methodological approaches, included cost categories, and differences in healthcare systems. In melanoma skin cancer, both direct and indirect costs increased with progressing tumor stage. In advanced stage melanoma, systemic therapy emerged as the main cost driver. In contrast, for keratinocyte carcinoma no obvious cost drivers were identified. A homogeneous skin cancer cost-of-illness study design would be beneficial to enhance between-studies comparability, identification of cost drivers, and support evidence-based decision-making for skin cancer.

The impact of Kahramanmaraş (2023) earthquakes: A comparative case study for Adıyaman and Malatya

This study examines the effects of two major earthquakes of magnitude 7.7 and 7.6 that struck Kahramanmaraş on February 6th, 2023, followed by a magnitude 6.4 quake in Hatay on February 20th, which caused major damage in 11 Turkish provinces. The study focuses on Adıyaman and Malatya and uses an interdisciplinary approach to analyze the economic and environmental impacts. Primary data sources, including field visits and interviews, reveal clear labor-related challenges in both provinces, characterized by a government-induced labor shortage. In both provinces, physical capital has been severely damaged, particularly affecting small businesses, historic bazaars, and old industrial areas. The impact on businesses varies by size and location, with Adıyaman suffering more severe setbacks than other cities. The shortage of skilled labor related to the earthquake damage affects the quality of production, which can have a serious economic impact. Transportation disruptions continue to hamper supply chains and affect companies' ability to meet their export commitments. The environmental consequences, particularly the large amount of debris, pose a major challenge. The lack of a comprehensive disaster waste plan at the central government level leads to inadequate waste management. The study recommends sorting the debris at temporary sites to obtain reusable items while paying attention to the sustainability and transparency of debris management processes. In summary, this comparative case study highlights the need for tailored approaches to address the different impacts in the 11 provinces. A one-size-fits-all solution is insufficient and an individual needs assessment is needed for each province in order to implement targeted economic and environmental recovery measures.

The Vision and Impact of Redeemed Christian Church of God and Cherubim and Seraphim Movement

The paper is a comparative study of Redeemed Christian Church of God and Cherubim and Seraphim Movement as African indigenous movements. The work adopts a qualitative research design and relied on secondary method using comparative approach. It was found in the study that these indigenous Christian movements have their vision shaped by their founders. However, there are certain features that are common among them as well as notable differences. Both practiced Pentecostal theology and the place of Scriptures is central to both of them. While the Redeemed Christian Church of God is said to have more social, political and economic impact on the people and the society Cherubim and Seraphim Movement gives more attention to the issue of spiritual liberation and deliverance from the forces of darkness. The Redeem Christian Church of God follows more strictly, the teaching of the Bible while Cherubim and Seraphim Society is syncretic. The paper recommends that there is a need for a comparative study of the teachings and practices of these indigenous movements. And there is a need for these movements to develop a clear theology and doctrines that define them.

Study on eco-efficiency and influencing factors of freshwater aquaculture based on the Super-NSBM model in the Yangtze River Economic Belt

Ecological efficiency is a crucial index to evaluate the green development of freshwater aquaculture industry, which is an important factor for its rapid and sustainable development. Taking the Yangtze River Economic Belt from 2014 to 2022 as an example, the Super-NSBM model was used to estimate the freshwater aquaculture's ecological efficiency and phased efficiency. The influence mechanism of freshwater aquacultural ecological efficiency was investigated by the Tobit model. Then, the dynamic evolution of the total factor productivity was analyzed by the super-efficiency SBM-Malmquist index. The results showed that: (1) During the study period, the average ecological efficiency of freshwater aquaculture in the Yangtze River Economic Belt was greater than 1, beyond the valid value. Respectively, showing upper stream > middle stream > down-stream; In terms of stages, the efficiency in the first stage is generally higher than that in the second stage. (2) From the dynamic perspective of efficiency, the total factor productivity of freshwater aquaculture is more influenced by the efficiency of technological progress. (3) From the perspective of influencing factors, the structural adjustment of aquaculture, the degree of marketization and the level of economic development impact positively the ecological efficiency and phased efficiency of freshwater aquaculture, while the disaster rate has a negative effect on both of them; Training intensity has an adverse influence on the first stage.