scholarly journals Developing Optimal Policies to Fight Pandemics and COVID-19 Combat in the United States

2020 ◽  
Vol 13 (2) ◽  
pp. 369-389
Author(s):  
Eyüp Çetin ◽  
Serap Kiremitci ◽  
Barış Kiremitci
Keyword(s):  
United States ◽  
Social Impact ◽  
Health Care Policy ◽  
Optimal Allocation ◽  
The United States ◽  
Global Scale ◽  
Personal Protection ◽  
Real World Data ◽  
Novel Coronavirus ◽  
High Level

The world has faced many outbreaks and pandemics with hundreds of millions of deaths throughout its history. Those epidemics are global health concerns and as well as serious economic issues. There is certain need to allocate scarce sources efficiently to fight such epidemics in both personal and global dimensions. Here we develop and propose two optimization models to maximize the total protection from any epidemic, pandemic or bioterror attacks; the first one is personal protection model or protocol and the other one is mass protection model that is inspired by the well-known weapon-target assignment problem of operations research. These efforts are optimal allocation of scarce medical and economic resources to save millions of lives- gift of life. We implement our general mathematical programming models with real-world data to fight the coronavirus pandemic for a person and the United States. Our personal protection protocol provides 99.99% protection from COVID-19 for an American through personal strategies when the mass protection model supplies 96.961% protection on average from coronavirus pandemic for the United States through across country policies. The mass protection model which recommends general policy frame for health care policy makers could be applied for any epidemic at any level from county to city, to state and country as well as in global scale. The mathematical relation between the personal protection protocol and the mass protection model also highlights the fact of unus pro omnibus, omnes pro uno (one for all, all for one) for fighting epidemics- particularly the moving enemy, novel coronavirus which is double invisible due to its viral nature and the availability of the high level of asymptomatic cases. Recognize the enemy, as protecting yourself means protecting people, love life, follow the rules and stay at home. That is the greatest ever social impact.

scholarly journals Timeline of COVID-19 and its therapeutics in the United States

2020 ◽  
Vol 3 (3) ◽  
pp. 01-04
Author(s):  
Pankaj Bansal
Keyword(s):  
United States ◽  
Severe Acute Respiratory Syndrome ◽  
Vaccine Development ◽  
The United States ◽  
Global Scale ◽  
The Novel ◽  
Therapeutic Trials ◽  
Rapid Spread ◽  
Novel Coronavirus ◽  
Poor Efficacy

The novel coronavirus was first discovered and reported in December 2019. Later termed the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-COv-2) virus, rapid spread was detected in China. Overtime, SARS-COv-2 spread to various other countries requiring swift intervention on a global scale. As infection spread, several therapeutics have been investigated for Coronavirus Disease- 2019 (COVID-19), including remdesivir, lopinavir/ritonavir, hydroxychloroquine, dexamethasone, etc. Furthermore, rapid investigation and construction of several potential vaccines have begun, some of which are in late stage testing. We present a concise timeline representing the evolution of COVID-19, therapeutic trials, and vaccine development. Ultimately, evident by the overall poor efficacy of several medications investigated so far, vaccination success remains the most likely effective step to combat COVID-19.

scholarly journals Dual MD–MPH Degree Students in the United States: Moving the Medical Workforce Toward Population Health

2021 ◽  
pp. 003335492097842
Author(s):  
Jo Marie Reilly ◽  
Christine M. Plepys ◽  
Michael R. Cousineau
Keyword(s):  
Public Health ◽  
United States ◽  
Population Health ◽  
Health Care Policy ◽  
The United States ◽  
Extensive Literature ◽  
Master Of Public Health ◽  
Telephone Interviews ◽  
Public Health Training ◽  
The Impact

Objective A growing need exists to train physicians in population health to meet the increasing need and demand for physicians with leadership, health data management/metrics, and epidemiology skills to better serve the health of the community. This study examines current trends in students pursuing a dual doctor of medicine (MD)–master of public health (MPH) degree (MD–MPH) in the United States. Methods We conducted an extensive literature review of existing MD–MPH databases to determine characteristics (eg, sex, race/ethnicity, MPH area of study) of this student cohort in 2019. We examined a trend in the MD community to pursue an MPH career, adding additional public health and health care policy training to the MD workforce. We conducted targeted telephone interviews with 20 admissions personnel and faculty at schools offering MD–MPH degrees in the United States with the highest number of matriculants and graduates. Interviews focused on curricula trends in medical schools that offer an MD–MPH degree. Results No literature describes the US MD–MPH cohort, and available MD–MPH databases are limited and incomplete. We found a 434% increase in the number of students pursuing an MD–MPH degree from 2010 to 2018. The rate of growth was greater than the increase in either the number of medical students (16%) or the number of MPH students (65%) alone. Moreover, MD–MPH students as a percentage of total MPH students more than tripled, from 1.1% in 2010 to 3.6% in 2018. Conclusions As more MD students pursue public health training, the impact of an MPH degree on medical school curricula, MD–MPH graduates, and MD–MPH career pursuits should be studied using accurate and comprehensive databases.

scholarly journals We Are Aging Too! Exploring the Social Impact of Late-Life Migration among Older Immigrants in the United States

2021 ◽  
pp. 1-18
Author(s):  
Arati Maleku ◽  
Megan España ◽  
Shannon Jarrott ◽  
Sharvari Karandikar ◽  
Rupal Parekh
Keyword(s):  
United States ◽  
Social Impact ◽  
Late Life ◽  
The United States ◽  
Older Immigrants ◽  
The Social

scholarly journals Beyond Religiosity: A Model to Explain Spirituality Among Middle-Aged and Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 413-414
Author(s):  
Carlyn Vogel ◽  
Debra Dobbs ◽  
Brent Small
Keyword(s):  
United States ◽  
Older Adults ◽  
Good Life ◽  
Multinomial Logistic Regression ◽  
College Experience ◽  
The United States ◽  
Strong Connection ◽  
Deep Appreciation ◽  
The World ◽  
High Level

Abstract Spirituality is difficult to define as researchers assign it different meanings and individuals’ perceptions can vary. For example, spirituality may connect to religiosity, while others consider religiosity a less significant part of spirituality. This study investigates factors outside of religiosity that are significantly associated with spirituality to inform the characteristics of the concept. Webster’s (2004) existential framework of spirituality was used to guide variable selection. The National Survey of Midlife in the United States wave three (MIDUS 3; 2013-2014; n = 2,594; Mage = 63.5, SD = 11, range = 39–92) was used to examine individuals’ reported levels of spirituality. Multinomial logistic regression was conducted to examine factors related to low and high levels of spirituality compared to a moderate level. Participants with low spirituality were more likely to be male, less likely to be mindful, mediate/chant, feel a strong connection to all life, to indicate that they cannot make sense of the world, and to be religious. Participants with high spirituality were more likely to be female, have at least some college experience, be mindful, meditate/chant, feel deep inner peace, have a sense of deep appreciation, think that a sense of purpose is important for a good life, and have a high level of religiosity. Framed by Webster’s conceptual model, the current study observed that religiosity is significantly associated with spirituality and that other mindfulness-based aspects are also present within this concept. Incorporating mindfulness with religious efforts will more accurately and holistically address spirituality.

scholarly journals Employment Diversification as a Determinant of Economic Resilience and Sustainability in Provincial Cities

2021 ◽  
Vol 13 (9) ◽  
pp. 4861
Author(s):  
Marcin Bogdański
Keyword(s):  
United States ◽  
The United States ◽  
Real Estate Market ◽  
Living Standards ◽  
Economic Resilience ◽  
The Real Estate ◽  
The Real Estate Market ◽  
Moderate Negative Correlation ◽  
High Level ◽  
Level Of Living

Differentiated response of selected economies to the global economic crisis caused by the collapse of the real estate market in the United States has drawn the attention of economists to the concept of economic resilience. At the same time, once again, it showed the importance of analysing and creating suitable conditions for sustainable development. Resilient economies are less exposed to the risk of economic crises or slowdowns, which is vital for ensuring stable incomes and high level of living standards. Therefore, the presented analysis was aimed at evaluating the level of economic resilience of provincial cities in Poland in relation to the situation on their labour markets. For this purposes, selected measures of the variation in the distribution feature (e.g., coefficient of variation) and the degree of structure diversification of the examined feature (Amemiya’s index) were used. Subsequently, using correlation analysis, the research determined whether any relationships could be observed between the investigated variables. The results of the research indicate that for provincial cities sub-regions in Poland, a statistically significant, moderate negative correlation could be observed between the degree of employment structure diversification in 2009 and the scale and scope of the collapse in the number of employed persons in subsequent years. This suggests that a high level of employment diversification restricted the level of economic resilience in this case.

The Impact of the Nicaragua Case on Matters of Evidence and Fact-Finding

2012 ◽  
Vol 25 (1) ◽  
pp. 149-156
Author(s):  
PAUL S. REICHLER
Keyword(s):  
United States ◽  
Armed Conflict ◽  
The United States ◽  
Pulp Mills ◽  
Government Officials ◽  
The Government ◽  
Fact Finding ◽  
Day To Day Operations ◽  
High Level ◽  
The Impact

AbstractThe Nicaragua case demonstrates the Court's competence in receiving and interpreting evidence, and in making reasoned findings of fact, even in the most complicated evidentiary context, as is often presented in cases involving use of force and armed conflict. The Court applied well-established standards for evaluating the conflicting evidence presented to it. In particular, the Court determined that greater weight should be given to statements against interest made by high-level government officials than to a state's self-serving declarations. The Court also determined that statements by disinterested witnesses with first-hand knowledge should receive greater weight than mere statements of opinion or press reports. In applying these guidelines, the Court found, correctly, that (i) the United States had used military and paramilitary force against Nicaragua both directly and indirectly, by organizing, financing, arming, and training the Contra guerrillas to attack Nicaragua; (ii) the evidence did not support a finding that the United States exercised direct control over the Contras’ day-to-day operations; and (iii) there was no evidence that Nicaragua supplied arms to guerrillas fighting against the government of El Salvador during the relevant period, or carried out an armed attack against that state. While Judge Schwebel's dissent criticized the last of these findings, in fact, the evidence fully supported the Court's conclusion. In subsequent decisions during the past 25 years, the Court has continued to rely on the approach to evidence first elaborated in the Nicaragua case and has continued to demonstrate its competence as a finder of fact, including in cases involving armed conflict (Bosnia Genocide) and complex scientific and technical issues (Pulp Mills).

PERCENTAGE OF UNINSURED CHILDREN HAS INCREASED

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1051-1051
Author(s):  
STUDENT
Keyword(s):  
Public Health ◽  
United States ◽  
Health Care ◽  
Low Income ◽  
Health Care Policy ◽  
The United States ◽  
Public Health Insurance ◽  
Care Policy ◽  
Low Income Families ◽  
Uninsured Children

The proportion of children in the United States without private or public health insurance increased from roughly 13 percent to 18 percent between 1977 and 1987, according to a new study by the Agency for Health Care Policy and Research (AHCPR). The growth in the proportion of uninsured children in poor and low-income families over the decade was even more dramatic—it rose from 21 percent to 31 percent.

Social impact bonds and their implications for third sector organisations: experiences from the Netherlands

2021 ◽  
Author(s):  
Valentina Patetta ◽  
Marta Enciso Santocildes
Keyword(s):  
United States ◽  
The Netherlands ◽  
Social Impact ◽  
Third Sector ◽  
The United States ◽  
The United Kingdom ◽  
The Social ◽  
Private Investments ◽  
Social Impact Bonds ◽  
Third Sector Organisations

The social impact bond (SIB) is defined as a form of payment-by-results scheme combining governmental payments with private investments. This paper explores the motivations and implications of three third sector organisations (TSOs) participating in SIBs in Continental Europe. It offers an understanding of the involvement of TSOs in this type of scheme; and it shares insights about a context that is different from the United Kingdom and the United States – the Netherlands – which presents the opportunity to expand our knowledge about SIBs.

What's the Buzz? The Neuroscience and the Treatment of Tinnitus

2021 ◽  
Author(s):  
Amanda Henton ◽  
Thanos Tzounopoulos
Keyword(s):  
United States ◽  
The United States ◽  
Global Scale ◽  
Current Treatment ◽  
Public Health Issue ◽  
Current State ◽  
Acquired Hearing Loss ◽  
Neurophysiological Mechanisms ◽  
Necessary And Sufficient

Tinnitus is a pervasive public health issue that affects approximately 15% of the United States population. Similar estimates have also been shown on a global scale, with similar prevalence found in Europe, Asia, and Africa. The severity of tinnitus is heterogeneous, ranging from mildly bothersome to extremely disruptive. In the United States, approximately 10-20% of individuals who experience tinnitus report symptoms that severely reduce their quality of life. Due to the huge personal and societal burden, in the last twenty years a concerted effort on basic and clinical research has significantly advanced our understanding and treatment of this disorder. Yet, neither full understanding, nor cure exists. We know that tinnitus is the persistent involuntary phantom percept of internally-generated non-verbal noises and tones, which in most cases is initiated, by acquired hearing loss and maintained only when this loss is coupled with distinct neuronal changes in auditory and extra-auditory brain networks. Yet, the exact mechanisms and patterns of neural activity that are necessary and sufficient for the perceptual generation and maintenance of tinnitus remain incompletely understood. Combinations of animal model and human research will be essential in filling these gaps. Nevertheless, the existing progress in investigating the neurophysiological mechanisms has improved current treatment and highlighted novel targets for drug development and clinical trials. The aim of this review is to thoroughly discuss the current state of human and animal tinnitus research, outline current challenges, and highlight new and exciting research opportunities.

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