Implementation Of Strict Policies Research Articles

Social Isolation, Loneliness, and Cardiovascular Mortality: The Role of Health Care System Interventions.

The world is proliferating rapidly, with science and technology advancing at an incredible rate. These advances have, however, ushered in an age with a rise in social isolation (SI) and loneliness. SI is an objective term that refers to lacking social contact or support. On the other hand, loneliness is subjective and refers to feeling alone or isolated. These concepts are rapidly gaining prominence mainly due to their negative impact on the physical and psychological health of the population, mainly through behavioural modifications that encompass substance abuse, decreased physical activity and unhealthy food habits, and poor sleep hygiene. This review summarizes the pathophysiology, evaluates the evidence behind impact of SI on cardiovascular mortality, and interventions to overcome SI. Through proposed mechanisms, such as activation of the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis, both SI and loneliness have strong evidence linking them to cardiovascular morbidity and mortality. A systematic review and meta-analysis of 90 prospective cohort studies including 2,205,199 individuals reported that SI was independent predictor of cardiovascular mortality with a point estimate of 1.34 (95% confidence interval:1.25-1.44). The evidence so far is compelling and necessitates urgent action with the implementation of strict policies to tackle this issue. As healthcare professionals, it becomes even more critical to remain vigilant, recognize this insidious pandemic, and take appropriate action.

Determination of potentially toxic elements bioaccumulated in the commercially important pelagic fish narrow-barred Spanish mackerel (Scomberomorus commerson)

Anthropogenic activities have increased the discharge of marine contaminants threatening marine life. Small gulfs, such as the Arabian Gulf, are vulnerable to accumulating potentially toxic elements in marine species due to slow water exchange. The concentration of 21 elements was determined in the tissues of Scomberomorus commerson from Umm Al Quwain (United Arab Emirates) and Bandar Abbas (Iran). Chromium, Copper, and Iron exceeded internationally established maximum permissible limits. Sites could not be distinguished based on Principle Component Analyses of elements. Elevated Cu and Cr in muscle are of concern to marine species as well as humans. Metal Pollution Index showed a significant difference between sites, with 20.34 % and 100 % of individuals suffering high metal toxicity and poor body conditions, respectively. The Arabian Gulf is experiencing an increase in discharge of industrial wastes. Implementation of strict policies to reduce discharge of toxic substances is required to protect marine organisms and humans.

Integrated pollution analysis, pollution area identification and source apportionment of heavy metal contamination in agricultural soil

Given the global prevalence of soil heavy metal contamination, knowledge concerning of soil environmental quality assessment, pollution area identification and source apportionment is critical for implementation of soil pollution prevention and safe utilization strategies. In this study, soil static environmental capacity (QI) for heavy metals was selected to evaluate pollution risks in agricultural soils of Wenzhou, southeast China. Combined with geostatistical methods, the pollution area was identified along with uncertainty analysis. Potential sources were quantitatively apportioned using a positive matrix factorization model (PMF). Results showed that agricultural soils in this study were mainly contaminated by Cd and Pb based on both Nemerow and QI indices. The environmental capacity assessment found more than 90% areas were identified as polluted soils for Qi-Zn, Qi-Cd and Qi-Pb, with minor uncertain areas. Cu was identified as having a high proportion of uncertain pollution area status, which was similar to the results of the integrated environmental capacity for all metals. PMF results indicated that industrial discharge, agrochemicals and parent material accounted for 32.1%, 32.2% and 35.7% of heavy metal accumulation in soils, respectively. Implementation of strict policies to reduce anthropogenic source emissions and remediate soil pollution are crucial to minimize metal pollution inputs, improve agricultural soil quality and enhance food safety.

Evaluation of the Canadian government policies on controlling the COVID-19 outbreaks

In this paper, we investigate the COVID-19 pandemic in Canada and evaluate the Canadian government policies on controlling COVID-19 outbreaks. The first case of COVID-19 was reported in Ontario on 25 January 2020. Since then, there have been over million cases by now. During this time period, the federal, provincial and local governments have implemented regulations and policies in order to control the pandemic. To evaluate these government policies, which may be done by analysing the infection rate, infection period and reproductive number of COVID-19, we approach the problem by introducing an extended susceptible-exposed-infectious-removed (SEIR) model and conduct the model inference by using the iterated filter ensemble adjustment Kalman filter (IF-EAKF) algorithm. We first divide the time period into phases according to the policy intensities in each province by segmenting the time period from 4 March 2020 to 31 October 2020 into three time phases: the exploding phase, the strict policy implementation phase, and the provincial reopening phase. We then use IF-EAKF algorithm to obtain the estimates of the model parameters. We show that the infection rate in the second phase is lower than that in both first and third phases. We also discuss the number of new COVID-19 cases under different policy intensities and different policy durations in the third wave of the pandemic.

Industrial Policies, Manufacturing Sector Development and Macroeconomic Stability in Nigeria

The primary focus of this study is on policy determination of industrialization and manufacturing, and the latter’s impact on macroeconomic stability in Nigeria.  Since independence, Nigeria’s potential of becoming a global economic giant has been wasted away due to lack of diversification and sluggish manufacturing sector. Government appears to be both the problem and solution to Nigeria’s industrialization. Qualitative and quantitative analysis were applied involving primary and secondary time series data. Questionnaire survey and multiple regression analysis (ARCH) were adopted. The model of manufacturing cannot be complete until political will becomes a major variable/determinant. The survey attributed 32 percent of industrial failure to political factor and lack of political will. This is why Nigeria has not been successful in facilitating industrial transformation, despite the rich endowment. The maximum political commitment to propel industrialization has been absent. Industrialization and manufacturing is state-led through policies and interventions, actualized by private sector investments. Domestic manufacturers invest capital to provide alternative infrastructure for their operations. Consequently, they bear prohibitive costs which result in loss of competitiveness and profitability in the domestic and foreign markets. This is enough dis-incentive to manufacture. It becomes cheaper for them to import from Asia and Europe to repackage and retail. It is a macroeconomic damage that most of Nigeria’s entrepreneurs are merely hawkers of foreign goods for foreign manufacturers, where capital is repatriated in a vicious cycle on daily basis, leaving Nigeria poor and the economy sick. This study recommends strict policy implementation, promotion of home-grown technology by investing in education, skills acquisition, research and development and also bargaining with foreign firms to enable technology transfer. Expansionary monetary and fiscal policies, tariff and exchange rate policies to boost domestic manufacturing, domestic demand and export promotion. The study finally concludes that Nigeria can industrialize with aggressive expansion of domestic markets for goods locally manufactured.  

Smokeless tobacco: a ticking time bomb for Pakistan

Oral cancers are one of the most prevalent cancers worldwide with almost 300,000 cases reported annually1. In Pakistan, it is the leading type of cancer in men and women after breast cancer. Each year around 16,000 new cases of oral cancers are documented with 5500 cases resulting in death2. There are multiple etiological factors for oral cancers among which the use of smokeless tobacco (SLT) is at the top of the list. SLT is available in different consumable forms such as chewable tobacco, betel leaf, snuff (naswar), Betelnut, etc., which contain a number of carcinogenic substances3. Studies have revealed that naswar is the most common etiological factor of oral cancers among the Pakistani population as compared to the other forms of SLT3. The basic constituents of naswar are slaked lime, powdered tobacco, and indigo which contain more potent carcinogens such as unionized nicotine and tobacco-specific N-nitrosamines, that are specifically harmful to the oral cavity4. It can be used through different routes either inhaled nasally or by placing inside the mouth under the tongue. The nicotine is absorbed into the oral mucosa which is further aided by the increased pH of the mouth by slaked lime5. It has been observed historically that the use of SLT products is very commonly acceptable in Pakistani culture3. The sale and production of naswar are not well regulated and it is being sold by different vendors at cheaper prices and in different package sizes with no such instructions and health warnings written on it1,2. Moreover, some scientific data implicates it as replacement therapy for tobacco smoke cessation as it is a cheaper nicotine substitute1. In 2005, Pakistan formalized the WHO “Framework Convention on Tobacco Control (FCTC),” which addresses the details of the regulation and control of tobacco and SLT products by regulating its price, taxation, packaging, labeling, advertisement, promotion, and sponsorship5. In the last few years, Pakistan has made significant progress in smoking cessation policies but regulation of STL production and taxing is still lagging5,6. A case-control study, conducted in Khyber Pakhtunkhwa, Pakistan, revealed that 68% (men) and 38% (women) of oral cancer patients in Pakistan are due to naswar use. It was also shown that those who used naswar ever in their lifetime have 20 times more risk to develop oral cancers compared with the nonusers of naswar1. Thus, the increasing incidence of oral cancers with the relative use of naswar sets a ground basis for the implementation of strict policies regarding the manufacture and sales of SLT. Studies have provided shreds of evidence that there is a marked decrease in tobacco product use among young people by applying a ban on their promotion and advertisement. Health warnings and relevant constituents written on packages can also be an important tool for minimizing SLT use6. Sticking firmly to the FCTC protocols of smokeless tobacco use is the dire need of time. Furthermore, awareness regarding the harmful effects of STL use should prevail on urban and rural levels as there is a great lack of knowledge among the local population. Ethical approval None. Sources of funding None. Author contribution S.F., O.A.S., G.S., and A.K.: wrote the manuscript. O.A.S. and S.A.: review editing, formatting, and referencing. Conflict of interest disclosure The authors declare that they have no financial conflict of interest with regard to the content of this report. Research registration unique identifying number (UIN) N/A. Guarantor Omer Ahmed Shaikh. Financial Disclosure The author(s) received no financial support for the research, authorship, and/or publication of this article.

Transformation of Catur Guru Educated in Preventing Cases of Cyber Sexual Harassment Among Adolescents in Bali Province

Among the problems of teenagers in today's digital technology era is sexual violence through social media which is more targeted at youth groups. This research report discusses: (1) What are the forms of sexual violence through social media that kill teenagers? (2) How is the transformation of the Catur Guru teaching in preventing sexual violence against teenagers? As a result of qualitative research, research data were obtained through document study, observation, and in-depth interviews with students or youth, educators, and stakeholders related to the problems studied. The data collected was analyzed by descriptive qualitatively and applying the theory of symbolic interactionism and the theory of developmental ecology. The results of the study show that first, the form of sexual violence that is spread by social media to adolescents is the dissemination of content in the form of photos and videos by students that leads to violence in the form of threats and the real of pornography, so, based on the case of sexual violence, education is needed. in the form of understanding to be wiser in using media and assistance to students or teenagers in using social media. Second, the sexual violence experienced by teenagers can be anticipated by implementing the Catur Guru teachings, namely: (a) maintaining religious awareness (Guru Swadyaya) so that teenagers do not fall into sexual behavior that violates religious norms, (b) parental assistance for teenagers (Guru Rupaka), which is adequate, (c) there is a sufficient direction and sexual education by teachers at the school (Guru Pengajian) which is quite intensive so that teenagers do not become victims of sexual violence, and (d) the implementation of strict policies by the government (Guru Wisesa) in brake the negative influence of social media. Socialization of Catur Guru teachings in curbing the negative influence of social media through outreach activities about the dangers of sexual violence and legal action for violators. The socialization of Catur Guru teachings in anticipating sexual violence against teenagers from social media needs to be developed. In addition, strict legal action must be put in place so that violators of sexual violence can be anticipated.

Environment management policy implementation for sustainable industrial production under power asymmetry in the graph model

In the wake of the Paris agreement, adaptation and mitigation efforts are underway to combat climate change. Despite the promulgation of environmental policies, rules and regulations, and the setting of local environmental regulations, the objectives of cleaner industrial production, and sustainable environmental management are still far from the targets set. However, the stringent implementation of environmental policy is equally important as the decree of environmental laws. Environmental conflicts between the government and industry may source from lenient or less strict policy implementation and/or weak administrative capacity of the governments’ agencies. The use of the government's inherent power can play a pivotal role in determining the preferences of the industry regarding environmental sustainability. This study proposes a power-asymmetric based negotiation strategy by incorporating formal mathematical formulations of the power-asymmetric preferences and stability concepts in the Graph Model for Conflict Resolution (GMCR). A case study of government-industry conflict is resolved to confirm the procedure and application of the proposed methodology. The analysis shows how the decision-maker – industry adjusts its preference when the government imposes strict environmental policy. It provides valuable strategic insights that use of government's inherent power in the stringent implementation of environmental policies is indispensable for cleaner industrial production and sustainable environmental management.

English

BACKGROUND Cyanide is a rapidly acting poison which has been the suicidal agent of choice since time unknown. Its notoriety also extends to homicide, and it has often been used by serial killers. It is found in nature and is used in various industries, but is difficult to obtain nowadays as a result of strict policy implementation. METHODS All cases of cyanide poisoning over a period of 20 years from 2000 to 2019 were studied. Samples were sent for identification and quantification by GC-MS to the chemical examiner’s laboratory. Data was collected in pro forma and entered into Microsoft Excel and analysed using statistical package for social sciences (SPSS). RESULTS A total of 84 cases were studied over a period of 20 years. The majority of cases were recorded in the first decade of the study period. Most common age group involved was 31 to 40 years. Males comprised 84.9 % of the total. Majority were suicidal in nature, and 22.6 % were suicide pacts. The reason for committing suicide could not be found in 59.3 %. 67.9 % were found dead or brought dead to the hospital. In 24 % cases, the typical smell of bitter almonds was identified. Police were able to make out the presence of poison in 83.3 % during the preliminary investigation. CONCLUSIONS Males were the commonly affected. Ingestion of poison was the method of administration in all cases. Majority were suicides, and occurred in the residence of the victims. In majority of cases, police could identify the cause of death as poisoning. The characteristic smell could be identified only in a few cases. KEYWORDS Cyanide, Corrosion, Poisoning, Suicide

Burden, prevention and control of tobacco consumption in Nepal: a narrative review of existing evidence.

Tobacco consumption is one of the major public health problems in the world. Annually, 27 100 premature deaths are attributed to tobacco-related diseases in Nepal. Despite enacting different policies and strategies, the prevalence of tobacco consumption is still high. This study aims to synthesize prevalence, factors associated with its consumption and the policy initiatives for prevention and control in Nepal. This review includes peer-reviewed studies retrieved from two databases (PubMed and EMBASE) and published from 2000 to 2018, and policy initiatives on tobacco prevention and regulations in Nepal. A total of 32 studies and 5 policy documents were reviewed. Findings suggest that tobacco consumption was higher among men, illiterates, older people, people living in rural and mountainous areas and those who initiated smoking as adolescents. Peer pressure and parental/family smoking were major contributing factors for tobacco initiation. Policy analysis showed that low excise tax, weak monitoring mechanisms, poor compliance to bans on the advertisement and promotion of tobacco, smoke-free zones and insufficient programs on tobacco cessation were the major factors behind weak implementation of tobacco-control policies. Hence, targeted and high-risk group tobacco-cessation interventions, increasing taxation and strict policy implementation are crucial for effective tobacco prevention and control in Nepal.

Evolution of External Health Costs of Electricity Generation in the Baltic States.

Implementation of strict policies for mitigating climate change has a direct impact on public health as far as the external health costs of electricity generation can be reduced, thanks to the reduction of emission of typical pollutants by switching to cleaner low carbon fuels and achieving energy efficiency improvements. Renewables have lower external health costs due to the lower life cycle emission of typical air pollutants linked to electricity generation, such as SO2, NOx, particulate matter, NH3, or NMVOC (Non-methane volatile organic compounds), which all appear to have serious negative effects on human health. Our case study performed in the Baltic States analyzed the dynamics of external health costs in parallel with the dynamics of the main health indicators in these countries: life expectancy at birth, mortality rates, healthy life years, self-perceived health, and illness indicators. We employed the data for external health costs retrieved from the CASES database, as well as the health statistics data compiled from the EUROSTAT database. The time range of the study was 2010–2018 due to the availability of consistent health indicators for the EU Member States. Our results show that the decrease of external health costs had a positive impact on the increase of the self-perceived good health and reduction of long-standing illness as well as the decrease of infant death rate. Our conclusions might be useful for other countries as well as for understanding the additional benefits of climate change mitigation policies and tracking their positive health impacts. The cooperation initiatives on clean energy and climate change mitigation between countries like One Belt One Road initiative by the Chinese government can also yield additional benefits linked to the public health improvements.

Impact of climate factors on cyanobacterial dynamics and their interactions with water quality in South Taihu Lake, China

ABSTRACTCyanobacterial bloom events in South Taihu Lake cause serious water quality problems and disturb aesthetic view of lake’s environment. In this study, correlations between cyanobacterial blooms and hydro-meteorological factors, including water quality, temperature and precipitation were investigated. Results demonstrated that South Taihu Lake was heavily affected by cyanobacteria and the proliferation of cyanobacteria due to variations in hydro-meteorological factors and water quality conditions. Water quality parameters, including COD, NH3-N, TN and TP improved significantly since 2008 even at an elevated cyanobacterial bloom situation. Correlation analyses have shown that the development of cyanobacterial density and chlorophyll a concentration was sensitive to a wider temperature variation. The optimum temperature for cyanobacteria was 20°C, while extremely low and high temperatures were found to suppress their growth. Moreover, unusual rainfall patterns were measured during the study period (2003–2009), which showed an adverse impact on cyanobacterial development. Findings from this study suggested that seasonal lake’s water quality monitoring; suitable treatment of cyanobacterial blooms and strict policy implementation can solve the water quality issues in highly eutrophic lakes like Taihu.

Cost–Benefit Analysis of Reducing Premature Mortality Caused by Exposure to Ozone and PM2.5 in East Asia in 2020

In this paper, we compared the costs and benefits of reducing premature mortality caused by exposure to surface ozone and particulate matter with an aerodynamic diameter <2.5 μm (PM2.5) in East Asia in 2020. The cost of ozone and PM2.5 emission reduction is estimated using the Greenhouse Gas and Air Pollution Interactions and Synergies (GAINS)-China model. The benefit of reducing premature mortality caused by exposure to corresponding ozone and PM2.5 emission is valued by the value of statistical life (VSL). The costs and benefits are evaluated for two emission reduction policies in 2020 with varying stringency in China: Case FS (the strict policy implementation case in China) and Case FR (the less strict policy implementation case in China). For ozone, the emission reduction cost and the benefit of life saving are 33,000 and 8200, 36,600–99,700 and 22,200–60,700 (million int. $, 2005), for Case FS and Case FR, respectively. The corresponding cost and benefit for PM2.5 are 3580 and 523, 292,000–797,000 and 194,000–530,000 (million int. $, 2005), respectively. In total (ozone and PM2.5), the respective values are 36,400 and 8720, 329,000–897,000 and 217,000–591,000 (million int. $, 2005). Owing to these large benefits and also relatively low PM control costs, the benefits of controlling PM2.5 surpass control costs significantly. The benefit/cost ratio is especially high for PM2.5 for both policies and highlight the priority of controlling aerosol emissions in East Asia.

English

This study aims to examine the graft and corruption practices among selected public officials in southern Philippines. The study is qualitative in nature making use of case study method in which an in-depth analysis of primary data obtained from eight informants, four of whom are town mayors and their four incumbent municipal treasurers, is employed. The findings revealed that the mayor informants got elected through vote buying and bribery. Politics and family matters intersect as informants are supported by their families during election who used guns, gold and goons to ensure election victory. The clannish nature of the community finds expression also in the selection of relatives in municipal employment and in accessing municipal resources. The most prevalent corruption practice disclosed by the informants is amassing the internal revenue allotment (IRA) for personal purposes in order to recover the huge amount of money spent during election. Other types of corruption practices also include falsification of documents, nepotism, bribery, kickbacks, and evasion of public bidding. These public officials also do not seem to perform official duties in their towns as they live outside of their municipalities. Inter-agency involvement of corruption among different government agencies in the areas studied are also uncovered. Moreover, the perceived negative effects of corruption are manifested in the poor delivery of the community’s basic social services in health, water supply, education, and security protection. Corruption also adversely affects the construction of community infrastructure facilities and the establishment of an equitable and solid economic base. The study has implications to the strict policy implementation of the provisions of the 1991 Local Government Code of the Philippines, The Anti-Graft and Corrupt Practices Act, and other pertinent laws in order to improve the transparency, integrity and accountability of public officials not only in southern Philippines but also in the entire country KEYWORDS: governance, inter-agency corruption involvement, Internal Review Allotment, maratabat, nepotism