Sanitary Crisis Research Articles

The Impact of the COVID-19 Pandemic on the Stroke Unit of a Portuguese Community Hospital.

It is essential to understand the consequences of the COVID-19 pandemic on stroke care, contemplating the potential health and economic consequences of missed diagnoses or treatments. This study examined the pandemic's effects on stroke epidemiology, clinical characteristics, and treatment in a hospital setting, comparing data from March 2020 to February 2021 with the homologous period the previous year. A secondary analysis focused on the state of emergency periods (March 19 to May 2 and November 6 to February 28). The sample included 730 stroke admissions, with 343 during the pandemic. There was a 24.75% reduction in the average daily occupancy rate (p<0.001) and a slight decrease in average daily admissions, especially in June from 132% to 74% (p=0.01). There was a moderate negative correlation between the number of COVID-19 cases and occupancy rates in January (r{s}=-0.422, p=0.01) and February (r{s}=-0.532, p=0.01). Admissions for ischemic stroke decreased by 7.2% (p=0.026), particularly mild events, with a 6.8% decrease in lacunar syndromes (p=0.048). Mechanical thrombectomy (MT) increased by 5.4% (p=0.046), while intravenous thrombolysis (IVT) decreased by 2.8% (p=0.048), especially in severe stroke cases (-21.4%, p=0.001). The pandemic period documented more MT procedures than IVT. Hemorrhagic stroke admissions increased by 6.7% (p=0.01). The analysis suggests a reduction in mild ischemic stroke admissions and fewer patients undergoing IVT for severe strokes during the pandemic. Broader-scale studies are necessary to confirm these findings. Considering the documented decline in diagnosis and treatment, minimizing the impact on stroke care during potential sanitary crises is paramount.

The impact of COVID-19 stringency measures on emerging stock market stability: Does economic resilience matter?

PurposeThe current research aims to investigate the impact of coronavirus 2019 (COVID-19) evolution, government stringency measures and economic resilience on stock market volatility in the Middle East and North African (MENA) emerging markets. Other macroeconomic factors were also taken into account.Design/methodology/approachBased on financial data from 10 selected MENA countries, we tested an integrated framework that has not yet been explored in prior research. The exponential generalized autoregressive conditional heteroskedasticity (E-GARCH) was adopted to analyze data from March 2020 to February 2022.FindingsOur research illustrates the direct and indirect effects of the virus outbreak on stock market stability and reports that economic resilience could alleviate the volatility shock. This finding is robust across the various proxies of economic resilience used in this study. We also argue that the negative impact of the pandemic on equity market variation gets more pronounced in countries with higher level of stringency scores.Practical implicationsPolicymakers ought to strengthen their economic structures and reinforce the economic governance at the national level to gain existing and potential investors’ trust and ensure lower stock market volatilities in times of crisis. Our study also recommends some key economic factors to consider while establishing efficient policies to tackle unexpected shocks and prevent financial meltdowns.Originality/valueOur findings add to the evolving literature on the reaction of economic and financial markets to the sanitary crisis, particularly in developing countries where research is still scarce. This study is the first of its kind to investigate the stock market reaction to stringency measures in the understudied MENA region.

Post-COVID-19 Pandemic Effect on University Students’ Fitness Level

Background and Study Purpose: Through the present paper, we aimed to determine to what extent physical capacity was affected by the restrictions during the pandemic. This confirmatory study hypothesises that university students’ fitness level and effort capacity decreased after the pandemic compared to the results obtained before sanitary restrictions. Material and Methods: Fifty female students at the economic faculties, part of two groups of 25 each, in the age range between 19 and 21, passed six physical tests. The applied physical tests targeted strength (sit-ups and squads in 30 s), power (standing long jump), flexibility (sit and reach), coordination (Matorin test), and cardio-respiratory fitness level (Ruffier test). Results: All test results, except one, demonstrate a statistically significant difference, confirming the hypothesis that the two samples differ in strength, power, flexibility, coordination, and cardio-respiratory fitness. By calculating Cohen d effect size, the standardized mean difference of the pandemic effect demonstrates how substantially different are the two samples. Conclusions: This study compares objective results of standardised fitness tests in two successive samples of young women that can contribute to a better understanding of the long-term impact of the pandemic breakdown on the fitness level. The physical abilities decrease between 10 and 28 per cent, with the most worrying level recorded at flexibility and abdominal strength tests. Remedial measures are needed to reverse the physical potential decrease of young adults after the sanitary crisis. A diminished physical potential of the future educated workforce would have lasting effects on their physical and mental health with higher healthcare expenditure and economic consequences due to a resilience and productivity decrease.

The flexibilization of intellectual property rights in cases of health crises: A case study of Brazil in the face of the AIDS and COVID sanitary crises

AbstractIntellectual property (IP) law is traditionally considered rigid, with little room for maneuvering in crisis cases. In this article, through three case studies, we discuss how health crises have affected IP rights, especially in Brazil, and the relationship of Brazilian decision‐making with internationally accepted legal frameworks. In the first case, on the AIDS crisis, we discuss the initiatives of compulsory licenses in Brazil and the debate on the Doha Declaration on public health, in which the international community recognized the national margin of appreciation of TRIPs in specific cases, making the Brazilian government's action viable. In the second case, on COVID, we discuss some proposals for waiver of IP rights that, although not effectively implemented, were important to pressure economic players to find solutions to transfer technology and expand the production of newly discovered vaccines, with the transfer of technology and expansion of Brazilian vaccine factories. In the third case, also on COVID, we discuss how the health crisis induced the Brazilian Judiciary, Executive, and Legislative branches to change different points of the IP law that had been under discussion for many years and reduced the extent of these rights, to increase access to medicines, but limited by international minimum standards. We conclude that IP law is essential for developing new drugs to deal with health crises. At the same time, these crises are essential for constructing Law that prevents abuses by dominant economic actors.

The Nexus of Crude Oil and Food Prices: Evidence of the Crude Oil Prices Influence on Food Insecurity Problem

Food cost is a fundamental factor in reducing world hunger and minimizing the food insecurity problem. Agricultural commodities prices, especially grains, are determinants of food costs. Therefore, studying the behavior of commodity prices responsible for food security on the planet is essential for economic agents, especially for macroeconomic policy decision-makers. Food production and prices are related to energy prices, mainly through biofuels and fertilizers. Among energy sources, crude oil is one of the main ones in the world's energy matrix. Many studies on crude oil and food prices have been carried out relating energy and food or, more specifically, crude oil and agricultural commodity prices. This work examines the dynamic relationship between oil and grain commodity prices: rice, wheat, corn and soybeans. It also verifies the causality and cointegration between each grain and crude oil price return. Besides that, Autoregressive vector models were estimated to infer the impulse response function and the variance decomposition. The sample period corresponds to the interval between the two biggest crises of the century, the subprime financial crisis and the Covid-19 pandemic sanitary crisis. Thus, the data is not impacted by significant abnormal variations caused by these crises. The inferences show an interaction between crude oil prices practiced in the international market and food commodity prices.

Vertical Haloponics: Sustainable and Resilient Productions Using Brackish Water

While the rapidly growing global population will require a significant increase in food production in the next years, the current climate, sanitary and geopolitical crises highlight the weaknesses of the actual food production systems, excessively dependent on external inputs and involving extremely complex nested scales and non-linear processes. Thus, appears clearly the need of accelerating the transition toward agricultural solutions and food systems based on the principles of the “Green Deal”, encompassing ecological resilience, environmental sustainability, local production, and universal access to healthy foods. Aquaponics (AP) can provide short and eco-friendly food supply chains with increased resource-use efficiency, high environmental sustainability, and food resilience. The sustainability of AP systems could be further increased by exploiting water resources that are not suitable for other purposes (brackish and salt water - haloponics), applying the vertical farming technology for both aquatic and vegetable species, reducing the use of fish meal in aquafeeds, valorizing the system residues (sludge) for agronomic purposes.The VERTICHALPONICS project aims to develop an innovative food production system by implementing an interdisciplinary approach. Since aquaponics combines recirculation aquaculture and hydroponics, within a close loop, it is considered environment friendly. However, given the different technical approaches, it is necessary to evaluate the differences in impacts and specially to assess whether the vertical system is really resource-efficient and economically viable for farmers, in comparison to the business-as-usual. The environmental and economic sustainability of the system is measured by the mean of a combined LCA and the LCC analysis (EN ISO 14040-44 and ISO 15686-5:2017 standards). The system expansion will be used to evaluate the beneficial effect of reducing the overall environmental burden from by-product recovery and utilization of side wastes, specifically the sludge produced. The method applied are Recipe and IPCC 2013 Global Warming Potential 100a. Environmental impact indicators will be provided using both mid-point and end-point categories thank to the Recipe Method, while the IPCC 2013 Global Warming Potential 100a will be applied to calculate the direct global warming potential of the system. Moreover, the inclusion of the agronomic valorization of the sludge will be analyzed to understand the potential in terms of avoided impacts.

Análisis de la producción y exportación de fresa mexicana: 1988-2020.

The objective of this study was to carry out a descriptive analysis of the variables that determine strawberry production in Mexico; to analyze the potential export markets for Mexican strawberries; and to determine the effect of strawberry exports on production using a regression model for the period 1988-2020. The results were that, if the average rural price increases 1%, suppliers will be willing to produce 118,096 tons more and if strawberry exports increase 1%, production will increase 2.9%. The COVID-19 sanitary crisis reduced Mexican strawberry production by 279,794 tons. Since export demand influences strawberry supply, it is necessary to assist small and medium-sized producers to meet export quality standards and take advantage of market opportunities in Latin America and Europe.

Financial Inclusion of Female Social Commerce Entrepreneurs in Light of the Lebanese Economic, Financial, and Sanitary Crisis

Social commerce in Lebanon is on the rise in light of the sanitary, financial, and economic crisis that the country has been facing. Female entrepreneurs are increasingly investing in this informal market. This paper aims to study whether social commerce, in a turbulent context, paves the way for more financially included women. Female social commerce entrepreneurs have been asked to fill a survey about their financial behavior before and after the pivotal point of the Lebanese crisis, on October 17, 2019. Results show that social commerce in Lebanon is mainly cash-based. Nonetheless, a remarkable number admitted using some banking products and services prior to the pivotal point of the crisis, in October 2019. Overall, this article shows that social commerce affects some aspects of female entrepreneurs’ financial inclusion; but the Lebanese triple crisis that has struck the core of the banking system has slowed the financial inclusion process down, possibly reversing it to a financial aversion

"Pronation Compensation Sign" as a New Diagnostic Tool for Carpal Tunnel Syndrome: A Prospective Preliminary Study.

Carpal tunnel syndrome (CTS) is commonly encountered in clinical practice. Diagnostic tools that currently exist include painful provocative maneuvers, invasive nerve conduction studies and the use of tests that require physician's direct participation in an era of sanitary crisis and virtual consultations. Therefore, having an easily accessible, reliable and practical tool for diagnosing CTS would be highly beneficial. Herein, we investigated the diagnostic value of the "pronation compensation sign" that we described for diagnosing CTS. We included 18 hands with and 18 hands without CTS (age: CTS hands = 52.5 ± 13.8 years, non-CTS hands = 43.2 ± 12.3 years; sex ratio: CTS hands = 12:8, non-CTS hands = 9:9). The presence of the "pronation compensation sign" was evaluated in each included hand. The presence of the "pronation compensation sign" were compared between CTS and non-CTS hands using the chi-squared test. Statistical significance was set at p < 0.05. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated of the "pronation compensation sign" for CTS. All 18 hands with CTS showed a positive "pronation compensation sign", while those without CTS were negative. All 18 hands that were positive for the "pronation compensation sign" were hands with CTS, while those that were negative were hands without CTS. The sensitivity and specificity of the "pronation compensation sign" for diagnosing CTS were both 100%. The PPV and NPV of the "pronation compensation sign" for CTS were both 1.000. The rates of the presence of the "pronation compensation sign" were significantly different between hands with and without CTS (p < 0.001). The "pronation compensation sign" seems a useful tool for diagnosing CTS. We believe that the "pronation compensation sign" will help clinicians diagnose CTS with high diagnostic accuracy.

University students’ perspectives on online English language learning: Implications for Ecuadorian educators

Online education has mainly been at the core of discussions after Latin America’s Covid-19 sanitary crisis started in March 2020. Teachers and institutions have explored different ways to face what is now called “the new normal”. This study aims to identify the perspectives of Ecuadorian university students on online English language learning in order to inform the design of strategies that allow improvements in the teaching process. This quantitative study was carried out at a university in Ecuador and encompassed 4.936 participants from different majors. An online questionnaire was administered for data collection and analyzed through the application of neural networks. The results showed that students perceive learning English online positively and that their greatest strengths are in listening and writing, while their difficulties lie in developing their reading and speaking abilities. This suggests that more attention should be given to the development of reading and speaking strategies in an attempt to fill the gap that students indicated while answering the questionnaire. Some directions in that regard are given in the conclusion.

ELT Teachers’ and Learners’ Perceptions of Online Core Language Courses during Pandemic

In 2020, the global sanitary crisis of COVID-19 prompted us to search for strategies to keep communicating in all areas of society. The education domain had to adapt and quickly made a significant shift towards digital interactions to facilitate instructional delivery for teaching and learning. This qualitative case study aimed at exploring the perceptions and most challenging facts associated with an Online education model applied to core courses in an ELT program at a Colombian university. Data from surveys interviews and focus groups applied to 115 learners and 20 teachers suggested that despite the benefits regarding authentic materials for language learners, constraints related to learners connectivity, teachers-students interaction, social presence, motivation, evaluation, and the delivery of feedback were the most challenging situations. The overview portrayed in this study will facilitate comprehension of the learning and teaching issues presented during Covid 19 pandemic and will raise awareness of new perspectives for further online instruction.

LIQUIDITY-PROFITABILITY DYNAMICS: IS THE BANKING INDUSTRY RESILIENT IN TIMES OF CRISIS?

The banking industry contributes to the economic expansion since it is considered the keeper and supplier of liquid capital, essential for all commercial and industrial activity. The primary goal of commercial banks is to generate profits while serving clients and maintaining liquidity positions. Hence, this study aims to examine and evaluate the relationship between liquidity (measured through the Liquid assets and Liquid assets to short-term liabilities ratio) and profitability (measured through ROA and ROE) position of the commercial banking system in North Macedonia and Serbia in order to determine whether changes in liquidity levels influence profitability. Since the ten-year examination period (2012-2021) includes the emergence of the Coronavirus global health pandemic, additional tests were conducted to find out whether the sanitary crisis caused changes in the liquidity-profitability dynamics.By employing descriptive, correlation and regression analysis, and observing two sub-periods (2010-2019 vs 2020-2021), we infer changes in the liquidity-profitability positions in times of crisis in both countries. These findings reinvigorate the knowledge on liquidity and profitability performance in times of instability as this is a pioneer study in evaluating the pandemic impact on liquidity and performance using empirics in these two markets. Furthermore, by scrutinizing the interrelationship between liquidity and profitability, the findings reveal that associations are time-dependent, with policy implications for banks and financial industry regulators.

Impact of COVID-19 Pandemic on the Clinical Follow-Up of Patients Living with HIV in Chad: A Retrospective Monocentric Investigation.

The impact of the coronavirus disease 2019 (COVID-19) pandemic on the clinical follow-up of people living with HIV (PLWH) remains poorly documented in Sahelian Africa. We conducted a monocentric retrospective investigation of the outcomes (loss to follow-up [LTFU], transferred, or dead) among a cohort of PLWH receiving antiretroviral treatment (ART) in N'djamena, Chad (December 2019-December 2022). The incidence of LTFU was found to be higher in 2020 than in 2022 (P > 10-4), with increases of incidence of LTFU in the first trimester of 2020 before identified severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection cases in Chad. The all-cause mortality was low and did not appear to be influenced by SARS-CoV-2 infection waves. Our data reveal a concerning trend of significantly increased LTFU among PLWH receiving ART during the COVID-19 pandemic. Our findings indicate that it is crucial to provide accurate information to ensure the continuity of care for PLWH during a sanitary crisis in Sahelian Africa.

The Influence of Changes in Daily Life Habits and Well-Being on Fatigue Level During COVID-19 Pandemic.

The COVID-19 pandemic and its lockdown in March 2020 have led to changes in lifestyle and increased levels of anxiety, depression, and fatigue. This survey examined a number of factors (anxiety state, sleep quality, daily activities, mental load, work-related variables) influencing mental and physical fatigue during lockdown and how these relations have evolved one year later. A cohort of 430 workers and 124 retirees were recruited in April-May 2020 (lockdown period, data set 1), and a subsample (133 workers and 40 retirees) completed the same questionnaire in April-May 2021 (data set 2). Linear regression models showed a significant subjective increase in both physical and mental fatigue in both worker and retiree groups during lockdown, and a supplementary increase in physical fatigue and anxiety level in spring 2021 compared to the lockdown period. During lockdown, anxiety level, concerns about COVID-19, work flexibility, mental load, and sleep metrics were associated with the evolution of fatigue among workers. For retirees, only anxiety and physical activity levels were linked to changes in physical fatigue. In April-May 2021, the only associations which remained significant were those in workers between fatigue and anxiety level and workload. These findings suggest that the increased fatigue levels during the lockdown are likely due to the swift and significant changes in daily routines (such as sleep patterns and work dynamics) and psychological states (including increased anxiety and concerns) prompted by the sanitary crisis. On the other hand, the increase in fatigue observed one year after the beginning of the pandemic seems to result from more psychological factors associated with the health situation.

CHANGES IN TOURIST BEHAVIOR IN THE CONTEXT OF THE COVID-19 PANDEMIC

The tourism industry has been seriously affected by the COVID-19 pandemic, both from a social and from an economic perspective. Despite showing signs of resilience, the negative repercussions on tourism-related activities have been serious, the hospitality industry proving to be the most sensitive in the face of the sanitary and economic crises which started more than a year ago. Even though the full (and cumulative) impact of the events which shaped the current global situation cannot be quantified without a high degree of uncertainty, the negative effects are visible in the economies of many countries, around the world, at microeconomic, macroeconomic, and behavioural levels (for businesses and individuals). Usually, such economic, social, sanitary crises or other extreme circumstances (terrorism, natural disasters) trigger a change in the behaviour of tourists, the differences being dependent on region, country, etc. Thus, given the current economic and social context, the current paper focuses on the behavioural change of the Romanian tourists. The practical purpose of this research is to show the agents working in the tourism industry on which aspects to focus more and how to diversify their offer based on the change in demand specific to the "new normal". The most recent research conducted by experts have shown that the pandemic has negative effects on travel intention for multiple reasons, among them being the selectivity in choosing the destination based on criteria such as the increased need for hygiene and healthcare conditions, for travel insurance, etc.

Resonances of the Global Sanitary Crisis on the Development of Cloud Accounting. The Impact on the Accounting and Tax Fields (II)

Resonances of the Global Sanitary Crisis on the Development of Cloud Accounting. The Impact on the Accounting and Tax Fields (II)

Mediating effect of sleep in the association between social media use and mental health among French adolescents during the COVID-19 sanitary crisis

Objective/BackgroundSocial media use could have deleterious effects on mental health through short sleep duration and poor sleep quality among adolescents. This study aimed to investigate the mediating role of both sleep duration and sleep quality in the association between social media use and mental health among adolescents. Patients/methodsWe used cross-sectional data collected from adolescents in the EXIST pilot project conducted during COVID-19 pandemic. Adolescents self-reported wellbeing (WEMWBS), anxiety and depression (HADS) as mental health outcomes. We used ad-hoc questionnaires to assess social media use during weekdays and weekend days, and sleep duration and quality. Mediation analyses were carried out following Baron and Kenny's method, using adjusted linear regression models. ResultsA total of 340 adolescents (13.5 ± 0.6 years, 45.3 % girls) were included. Greater social media use, poorer sleep quality, and shorter sleep duration were associated with poorer mental health. Greater social media use was associated with poorer sleep quality only during the weekend days. The total effect of social media use during weekend days on anxiety (β = 2.54; 95%CI [-1.59; 6.68]) was significantly conveyed through sleep quality (β = 1.22; 95%CI [0.17; 2.62]; mediated proportion = 48.0 %) and duration (mediated proportion = 46.8 %). Mediated proportions ranged from 12.5 % to 20.6 % for wellbeing and depression. Mediating effects were not evident during weekdays. ConclusionsSleep duration and quality mediated the association between social media use and mental health among adolescents during weekend days but not weekdays. Our findings highlight the importance of promoting healthy social media habits, especially during periods of increased reliance on digital platforms, such as COVID-19 pandemic.

Innovative shortcuts and initiatives in primary health care for rural/remote localities: a scoping review on how to overcome the COVID-19 pandemic.

The COVID-19 pandemic has emerged as one of the greatest challenges to societies, world health systems and science in the past century, making it imperative to restructure care networks. Therefore, it is essential to discuss the role and initiatives of primary health care (PHC) to deal with it. However, regarding the response to the pandemic, including the current global effort against COVID-19, the nuances of the rural/remote PHC context in the pandemic is barely visible. Rural and remote communities have differentiated health risks, such as socioeconomic disadvantages, difficulties in mobility and access to health services, in addition to linguistic and cultural barriers. This scoping review aimed to analyze the set of individual and collective initiatives and innovations developed to face the COVID-19 pandemic, within the PHC scope, in rural and remote areas. A scoping review methodology was applied to peer-reviewed articles. Eight databases were searched to identify scientific articles published in English, Spanish and Portuguese, initially from January 2020 to July 2021, complemented by a rapid review of articles published from January 2022 to April 2023. The main focus sought in the literature was the set of initiatives and innovations carried out within the PHC scope in rural and remote locations during the pandemic, as well as the comparison with pre-pandemic situations and between different countries. The bibliographic information of each search result was imported into Rayyan (Intelligent Systematic Review), followed by the screening and eligibility stages, performed independently by two reviewers, with a third reviewer being accessed in case of conflicts. This review included 54 studies, with publications mostly from Australia, Canada, the US and India. The main PHC initiatives were related to access; to the roles of community health workers and health surveillance; and to the importance of placing, retaining and valuing human resources in health. Cultural, equity and vulnerability issues occupy a major place among the initiatives. Regarding the innovations, telehealth and customized communication are highlighted. From an organizational point of view, rural and remote locations showed enormous flexibility to deal with the pandemic and to improve intersectoral activities at the local level. The description of rurality and remoteness is practically coincident with that of the specific populations, present in geographic areas of difficult sociospatial and cultural access. Rarely, there is an index to measure rurality, or its description deals with the need to overcome distances and obstacles. The findings highlight and summarize knowledge about initiatives and innovations developed to face the COVID-19 pandemic, within the PHC scope in rural and remote areas in the world. This review has identified collective, clinical, intersectoral and, mainly, organizational health initiatives. An articulation between different government levels would be paramount in evaluating the implementation of policies and protocols in rural and remote locations for future sanitary crises. Innovations and lessons learned are equally relevant in strengthening health services and systems. This issue calls for considerable further exploration by new reviews and empirical research that seek evidence to assess the sustainability and effectiveness of the implemented measures to face post-pandemic difficulties and other adversities.

The Architecture of Steam: Waterworks and the Victorian Sanitary Crisis by James Douet (review)

The Architecture of Steam: Waterworks and the Victorian Sanitary Crisis by James Douet (review)

Resonances of the Global Sanitary Crisis on the Development of Cloud Accounting. The Impact on the Accounting and Tax Fields (I)

Resonances of the Global Sanitary Crisis on the Development of Cloud Accounting. The Impact on the Accounting and Tax Fields (I)