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D' Avalio et al. 10 reported that patients with positive PCR had vitamin D levels of 11.1 ng/ml, while, among those with negative PCR for COVID-19, the levels were 24.6 Is there a relationship between vitamin D deficiency and the risk of SARS-COV-2 coronavirus infection? Another study linked vitamin D levels with mortality, finding that patients with vitamin D below 10 ng/ml had a 50% chance of dying, compared to 5% of those with a higher level, although the study sample size was small 11. Does serum vitamin D level affect COVID-19 infection and its severity? Meltzer et al. 9, in a 489-patient cohort, with 75% women, found that COVID-19 infection risk was associated with advanced age, non-Caucasian race and vitamin D deficiency. [Extracted from the article]

The COVID-19 pandemic is an unprecedented healthcare emergency causing mortality and illness across the world. Although primarily affecting the lungs, the SARS-CoV-2 virus also affects the cardiovascular system. In addition to cardiac effects, e.g. myocarditis, arrhythmias, and myocardial damage, the vasculature is affected in COVID-19, both directly by the SARS-CoV-2 virus, and indirectly as a result of a systemic inflammatory cytokine storm. This includes the role of the vascular endothelium in the recruitment of inflammatory leucocytes where they contribute to tissue damage and cytokine release, which are key drivers of acute respiratory distress syndrome (ARDS), in disseminated intravascular coagulation, and cardiovascular complications in COVID-19. There is also evidence linking endothelial cells (ECs) to SARS-CoV-2 infection including: (i) the expression and function of its receptor angiotensin-converting enzyme 2 (ACE2) in the vasculature; (ii) the prevalence of a Kawasaki disease-like syndrome (vasculitis) in COVID-19; and (iii) evidence of EC infection with SARS-CoV-2 in patients with fatal COVID-19. Here, the Working Group on Atherosclerosis and Vascular Biology together with the Council of Basic Cardiovascular Science of the European Society of Cardiology provide a Position Statement on the importance of the endothelium in the underlying pathophysiology behind the clinical presentation in COVID-19 and identify key questions for future research to address. We propose that endothelial biomarkers and tests of function (e.g. flow-mediated dilatation) should be evaluated for their usefulness in the risk stratification of COVID-19 patients. A better understanding of the effects of SARS-CoV-2 on endothelial biology in both the micro- and macrovasculature is required, and endothelial function testing should be considered in the follow-up of convalescent COVID-19 patients for early detection of long-term cardiovascular complications. [ABSTRACT FROM AUTHOR]

Coronavirus disease-2019 (COVID-19) has very high rates of hospital-related transmission among healthcare workers (HCWs), mandating the need for careful intensive care unit (ICU) designing, optimization of staff resources, implementation of vigorous infection control practices, environmental disinfection, meticulous sample collection, and criteria for staff quarantine. Most of the ICUs are not designed to deal with airborne viral infections and require redesigning for the safety of HCWs and patients. Infection control practices related to the prevention of spread of COVD-19 are unique and are well described. The training of staff on infection control practices reduces the infection rate among HCWs significantly. Adequate staffing not only helps in infection control but also prevents burnout of the staff. In case of infection to HCW, the staff must be assessed systematically, and institute's infection control committee should guide for isolation period as well as return to work based upon standard recommendations. This article focuses on infection control and prevention measures required in ICU during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

With more than 23 million infections and more than 814,000 deaths worldwide, the coronavirus disease-2019 (COVID-19) pandemic is still far from over. Several classes of drugs including antivirals, antiretrovirals, anti-inflammatory, immunomodulatory, and antibiotics have been tried with varying levels of success. Still, there is lack of any specific therapy to deal with this infection. Although less than 30% of these patients require intensive care unit admission, morbidity and mortality in this subgroup of patients remain high. Hence, it becomes imperative to have general principles to guide intensivists managing these patients. However, as the literature emerges, these recommendations may change and hence, frequent updates may be required. [ABSTRACT FROM AUTHOR]

In a resource-limited country like India, rationing of scarce critical care resources might be required to ensure appropriate delivery of care to the critically ill patients suffering from COVID-19 infection. Most of these patients require critical care support because of respiratory failure or presence of multiorgan dysfunction syndrome. As there is no pharmacological therapy available, respiratory support in the form of supplemental oxygen, noninvasive ventilation, and invasive mechanical ventilation remains mainstay of care in intensive care units. As there is still dearth of direct evidence, most of the data are extrapolated from the experience gained from the management of general critical care patients. [ABSTRACT FROM AUTHOR]

Coronavirus disease 2019 (COVID‐19), a respiratory tract infection caused by a novel human coronavirus, the severe acute respiratory syndrome coronavirus 2, leads to a wide spectrum of clinical manifestations ranging from asymptomatic cases to patients with mild and severe symptoms, with or without pneumonia. Given the huge influence caused by the overwhelming COVID‐19 pandemic affecting over three million people worldwide, a wide spectrum of drugs is considered for the treatment in the concept of repurposing and off‐label use. There is no knowledge about the diagnosis and clinical management of the drug hypersensitivity reactions that can potentially occur during the disease. This review brings together all the published information about the diagnosis and management of drug hypersensitivity reactions due to current and candidate off‐label drugs and highlights relevant recommendations. Furthermore, it gathers all the dermatologic manifestations reported during the disease for guiding the clinicians to establish a better differential diagnosis of drug hypersensitivity reactions in the course of the disease. [ABSTRACT FROM AUTHOR]

Coronavirus Disease 2019 (COVID-19) is escalating all over the world and has higher morbidities and mortalities in certain vulnerable populations. People Who Use Drugs (PWUD) are a marginalized and stigmatized group with weaker immunity responses, vulnerability to stress, poor health conditions, high-risk behaviors, and lower access to health care services. These conditions put them at a higher risk of COVID-19 infection and its complications. In this paper, an international group of experts on addiction medicine, infectious diseases, and disaster psychiatry explore the possible raised concerns in this issue and provide recommendations to manage the comorbidity of COVID-19 and Substance Use Disorder (SUD). [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has changed life in Europe and globally. The pandemic affects both individuals and the broader society across many domains, including physical and psychological health, the economy and general welfare. The measures taken to counteract the pandemic have significantly altered daily life and, along with the threat of contracting the coronavirus and uncertainties surrounding future developments, created a complex system of stressors with a negative impact on public mental health. This paper aims to outline the ESTSS strategy to address mental health issues related to COVID-19 and focuses on (1) trauma-informed policies, (2) capacity building, (3) collaborative research and (4) knowledge-exchange. To facilitate implementation of a trauma-informed approach and appropriate measures, ESTSS has developed a toolkit of recommendations on mental health and psychosocial assistance to be provided during the different phases of crisis and its aftermath. To promote capacity building, ESTSS offers a certification programme based on a curriculum in psychotraumatology and corresponding on-line training to the European community of mental health professionals. To assure evidence-based approaches and methods tailored to current circumstances, ESTSS has initiated a pan-European research project with international cooperation aimed at studying the mental health consequences of the pandemic, with a focus on psychological trauma and other stress-related reactions. To foster knowledge-exchange, the European Journal of Psychotraumatology (EJPT), the official journal of ESTSS, is publishing a special issue on COVID-19. [ABSTRACT FROM AUTHOR]

Covid-19 has once again brought into focus our limited preparedness to deal with epidemics. Most nations, across the globe, have responded with a resolve to come stronger out of this crisis and leaderships across the world have shown great commitment to protecting its people from Covid-19. Covid-19 has also taught us a few things for the future. One such learning has been that a strong shift in focus towards non-communicable diseases driving health infrastructure across the globe for the last few decades has come at neglect of communicable diseases. In that sense, therefore, the current pandemic has been a wake-up call. Organised Medicine Academic Guild (OMAG), an umbrella organization of professional associations gathered a group of health experts to develop a policy document on epidemic preparedness to limit the influence of epidemics like Covid-19. [ABSTRACT FROM AUTHOR]

Objectives: This document provides an English translation of the Israeli Joint Commission's national guidelines for triaging severely ill patients during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Four subcommittees of medical, legal, ethical-social, and religious experts developed the general principles and practical medical criteria for triaging scarce life-saving resources. Results: The guidelines provide an overview of general principles as well as pragmatic medical criteria and a practical triage protocol to be followed should the healthcare system be overwhelmed due to COVID-19. Issues covered include triggers for activating the guidelines, guiding ethical, legal, and religious principles, equity in access, fair distribution, transparency, consistency, palliation, medical policy prioritization, problem-solving mechanisms, and public trust. Conclusions: The Israeli consensus document and pragmatic medical triage protocol offer a societal and medical roadmap for allocating scarce resources during the COVID-19 pandemic or other disasters. [ABSTRACT FROM AUTHOR]

COVID-19 disease is characterized by serious clinical manifestations which could require urgent hospitalization. Prolonged hospitalization, with catabolism and immobilization, induces a decrease in weight and muscle mass which can result in sarcopenia, a condition that impairs respiratory and cardiac function, worsening the prognosis. In this scenario there is an urgent need of nutritional indications aimed to prevent or contrast hospital malnutrition by improving the patient's response to therapy and to facilitate healthcare professionals in managing nutritional interventions on patients, reducing their already high workload due to the state of emergency. [ABSTRACT FROM AUTHOR]

Against the background of the pandemic caused by infection with the SARS-CoV-2 virus, the German Respiratory Society has appointed experts to develop therapy strategies for COVID-19 patients with acute respiratory failure (ARF). Here we present key position statements including observations about the pathophysiology of (ARF). In terms of the pathophysiology of pulmonary infection with SARS-CoV-2, COVID-19 can be divided into 3 phases. Pulmonary damage in advanced COVID-19 often differs from the known changes in acute respiratory distress syndrome (ARDS). Two types (type L and type H) are differentiated, corresponding to early- and late-stage lung damage. This differentiation should be taken into consideration in the respiratory support of ARF. The assessment of the extent of ARF should be based on arterial or capillary blood gas analysis under room air conditions, and it needs to include the calculation of oxygen supply (measured from the variables of oxygen saturation, hemoglobin level, the corrected values of Hüfner's factor, and cardiac output). Aerosols can cause transmission of infectious, virus-laden particles. Open systems or vented systems can increase the release of respirable particles. Procedures in which the invasive ventilation system must be opened and endotracheal intubation carried out are associated with an increased risk of infection. Personal protective equipment (PPE) should have top priority because fear of contagion should not be a primary reason for intubation. Based on the current knowledge, inhalation therapy, nasal high-flow therapy (NHF), continuous positive airway pressure (CPAP), or noninvasive ventilation (NIV) can be performed without an increased risk of infection to staff if PPE is provided. A significant proportion of patients with ARF present with relevant hypoxemia, which often cannot be fully corrected, even with a high inspired oxygen fraction (FiO2) under NHF. In this situation, the oxygen therapy can be escalated to CPAP or NIV when the criteria for endotracheal intubation are not met. In ARF, NIV should be carried out in an intensive care unit or a comparable setting by experienced staff. Under CPAP/NIV, a patient can deteriorate rapidly. For this reason, continuous monitoring and readiness for intubation are to be ensured at all times. If the ARF progresses under CPAP/NIV, intubation should be implemented without delay in patients who do not have a "do not intubate" order. [ABSTRACT FROM AUTHOR]

What started as a cluster of patients with a mysterious respiratory illness in Wuhan, China, in December 2019, was later determined to be coronavirus disease 2019 (COVID-19). The pathogen severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel Betacoronavirus, was subsequently isolated as the causative agent. SARS-CoV-2 is transmitted by respiratory droplets and fomites and presents clinically with fever, fatigue, myalgias, conjunctivitis, anosmia, dysgeusia, sore throat, nasal congestion, cough, dyspnea, nausea, vomiting, and/or diarrhea. In most critical cases, symptoms can escalate into acute respiratory distress syndrome accompanied by a runaway inflammatory cytokine response and multiorgan failure. As of this article's publication date, COVID-19 has spread to approximately 200 countries and territories, with over 4.3 million infections and more than 290,000 deaths as it has escalated into a global pandemic. Public health concerns mount as the situation evolves with an increasing number of infection hotspots around the globe. New information about the virus is emerging just as rapidly. This has led to the prompt development of clinical patient risk stratification tools to aid in determining the need for testing, isolation, monitoring, ventilator support, and disposition. COVID-19 spread is rapid, including imported cases in travelers, cases among close contacts of known infected individuals, and community-acquired cases without a readily identifiable source of infection. Critical shortages of personal protective equipment and ventilators are compounding the stress on overburdened healthcare systems. The continued challenges of social distancing, containment, isolation, and surge capacity in already stressed hospitals, clinics, and emergency departments have led to a swell in technologically-assisted care delivery strategies, such as telemedicine and web-based triage. As the race to develop an effective vaccine intensifies, several clinical trials of antivirals and immune modulators are underway, though no reliable COVID-19-specific therapeutics (inclusive of some potentially effective single and multi-drug regimens) have been identified as of yet. With many nations and regions declaring a state of emergency, unprecedented quarantine, social distancing, and border closing efforts are underway. Implementation of social and physical isolation measures has caused sudden and profound economic hardship, with marked decreases in global trade and local small business activity alike, and full ramifications likely yet to be felt. Current state-of-science, mitigation strategies, possible therapies, ethical considerations for healthcare workers and policymakers, as well as lessons learned for this evolving global threat and the eventual return to a "new normal" are discussed in this article. [ABSTRACT FROM AUTHOR]

Context: Within only 30 days after the first announcement of infection with "SARS-CoV-2" in Wuhan, it spread to more than 20 countries and become a pandemic by WHO as a "high alarming level of infection" with 136,343 involved cases all over the world. Methods: To uncover more about the probable gastrointestinal transmission and its clinical manifestations, we reviewed all research publications with keywords including: "COVID-19", "SARS-CoV-2", "Coronavirus", "outbreak", "ARAS-CoV" in Medline, Scopus, Google Scholar as well as all news in social media about "novel COVID-19 pandemic". Out of 40 recent publications, 10 articles were studied by 2 authors. Results: Although the SARS-CoV-2 tends to infect respiratory epithelial cells through the respiratory tracts, recent investigations detected the virus in the stool specimen, raising the question of the fecal-oral transmission route. Different studies showed that almost all gastrointestinal signs and symptoms were seen in elderly patients (more than 65 years old). including anorexia (40%), nonspecific abdominal pains (8%), diarrhea (10%) and nausea and Vomiting in about 8% of patients. Anorexia and generalized abdominal pain suffer many treated cases even 10-20 days after negative blood tests (like CRP, lymphopenia) and negative PCRof respiratory samples. The main reason for this prolonged anorexia and abdominal pain may be due to the long persistence of COVID-19 in the gastrointestinal tracts after primary treatment. Conclusions: Comparing to SARS, patients with COVID-19 showed less diarrhea, nausea, vomiting and/or abdominal discomfort before respiratory symptoms. Feces as a potential contagious source of Viral RNA can last even after viral clearance in the respiratory tract. We strongly recommend all cured patients of COVID-19 to disinfect and clean their toilets until 17-20 days after negative blood tests and solving their respiratory disorders. Gastrointestinal manifestations have seen in all men while no women referred with GI signs. [ABSTRACT FROM AUTHOR]

[Display omitted] • A rotational paper-based analytical device was designed for differential detection of SARS-CoV-2 and influenza A H1N1 virus. • The tetrahedral DNA framework could fix aptamer in a straightforward direction and well-defined spacing. • The strong affinity of aptamer toward target S protein and H1N1 ensured the specificity of this strategy. • The developed platform exhibited excellent analysis performance in terms of simple, rapid, low cost, disposability and high sensitivity. Coronavirus disease 2019 (COVID-19) and influenza A are two respiratory infectious diseases with similar clinical manifestations. Because of the complex global epidemic situation of COVID-19, the distinction and diagnosis of COVID-19 and influenza A infected persons is crucial for epidemic prevention and control. In this study, tetrahedral DNA framework (TDF) was combined with a rotational paper-based analytical device, and the color change generated by the reaction between horseradish peroxidase (HRP) and 3,3′5,5′-tetramethylbenzidine (TMB)–H 2 O 2 was used for grayscale signal analysis by ImageJ software. The quantitative detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and influenza A H1N1 virus were realized simultaneously. Under the optimal conditions, the paper-based analytical device showed a good linear relationship between the two viruses in the range of 10-14-10-8g/mL, and the two viruses were not affected by cross reaction. This sensor provides a convenient and reliable method for clinical rapid differentiation and diagnosis of COVID-19 and influenza A. [ABSTRACT FROM AUTHOR]

The following is a list of possible subjects for the special issue, although any submission that is related to the topic is welcome: The COVID-19 pandemic and its high costs are not simply an act of nature. Special Issue Collective: Sara Cantillon*, Elif Karaçimen*, Lawrence King, David Kotz, Jeff Powell, Juan Santarcángelo*, Nuno Teles [*RRPE Editorial Board Member] B EXTENDED DEADLINE for Submissions: August 31, 2023 b The COVID-19 pandemic has not only shown inherent flaws in the capitalist system but also deepened them. [Extracted from the article]

Background During the first epidemic wave, COVID-19 surveillance focused on quantifying the magnitude and the escalation of a growing global health crisis. The scientific community first assessed risk through basic indicators, such as the number of cases or rates of new cases and deaths, and later began using other direct impact indicators to conduct more detailed analyses. We aimed at synthesizing the scientific community's contribution to assessing the direct impact of the COVID-19 pandemic on population health through indicators reported in research papers. Methods We conducted a rapid scoping review to identify and describe health indicators included in articles published between January 2020 and June 2021, using one strategy to search PubMed, EMBASE and WHO COVID-19 databases. Sixteen experts from European public health institutions screened papers and retrieved indicator characteristics. We also asked in an online survey how the health indicators were added to and used in policy documents in Europe. Results After reviewing 3891 records, we selected a final sample of 67 articles and 233 indicators. We identified 52 (22.3%) morbidity indicators from 33 articles, 105 severity indicators (45.1%, 27 articles) and 68 mortality indicators (29.2%, 51). Respondents from 22 countries completed 31 questionnaires, and the majority reported morbidity indicators (29, 93.5%), followed by mortality indicators (26, 83.9%). Conclusions The indicators collated here might be useful to assess the impact of future pandemics. Therefore, their measurement should be standardized to allow for comparisons between settings, countries and different populations. [ABSTRACT FROM AUTHOR]

This paper assesses the extent to which the COVID‐19 (Coronavirus disease 2019) pandemic directed the attention and resources of the international community away from peacebuilding, and the potential impact of this on conflict‐affected environments. It draws from a global survey, interviews, and conversations with peacebuilding practitioners, publicly available information on peacebuilding funding, and real‐time data on conflict events from the Armed Conflict Location & Event Data Project. The paper argues that resources and attention have 'pivoted' away from peacebuilding to tackle the threat presented by COVID‐19, and that this can—but does not always—adversely affect conflict dynamics. It contends that this pivoting belies the interconnectedness of crises, leads to 'forgotten crises' and escalating threats, and exposes deficiencies in peacebuilding funding and, more broadly, preparedness and crisis response. Crises do, however, provide opportunities for reflection and change, including how to address these deficiencies and, in so doing, advance more efficient, effective, and ethical practice. [ABSTRACT FROM AUTHOR]

With government-imposed lockdowns due to the COVID-19 pandemic, one would expect the videogames industry to experience a windfall as locked-down individuals turn to games to fill the time. Despite successful profit margins for game studios, a multitude of issues have affected videogames freelancers, with this paper displaying how the pandemic has not been plain sailing for the industry. Informed by 31 interviews with freelancers and videogames practitioners, this paper adds to knowledge on the viability of worker co-operatives and how they offer hope to those workers looking for more emotional and financial security post-pandemic. The paper concludes by suggesting that although co-operatives provide alleviation for workers against a multitude of concerns, there needs to be more education, promotion and funding for co-ops to make them an accessible corporate structure. [ABSTRACT FROM AUTHOR]

Background: Health policy and systems research (HPSR) can strengthen health systems and improve population health outcomes. In the Eastern Mediterranean Region (EMR), there is limited recognition of the importance of HPSR and funding remains the main challenge. This study seeks to: (1) assess the reporting of funding in HPSR papers published between 2010 and 2022 in the EMR, (2) examine the source of funding in the published HPSR papers in the EMR and (3) explore variables influencing funding sources, including any difference in funding sources for coronavirus disease 2019 (COVID-19)-related articles. Methods: We conducted a rapid scoping review of HPSR papers published between 2010 and 2022 (inclusively) in the EMR, addressing the following areas: reporting of funding in HPSR papers, source of funding in the published HPSR papers, authors' affiliations and country of focus. We followed the Joanna Briggs Institute (JBI) guidelines for conducting scoping reviews. We also conducted univariate and bivariate analyses for all variables at 0.05 significance level. Results: Of 10,797 articles screened, 3408 were included (of which 9.3% were COVID-19-related). More than half of the included articles originated from three EMR countries: Iran (n = 1018, 29.9%), the Kingdom of Saudi Arabia (n = 595, 17.5%) and Pakistan (n = 360, 10.6%). Approximately 30% of the included articles did not report any details on study funding. Among articles that reported funding (n = 1346, 39.5%), analysis of funding sources across all country income groups revealed that the most prominent source was national (55.4%), followed by international (41.7%) and lastly regional sources (3%). Among the national funding sources, universities accounted for 76.8%, while governments accounted for 14.9%. Further analysis of funding sources by country income group showed that, in low-income and lower-middle-income countries, all or the majority of funding came from international sources, while in high-income and upper-middle-income countries, national funding sources, mainly universities, were the primary sources of funding. The majority of funded articles' first authors were affiliated with academia/university, while a minority were affiliated with government, healthcare organizations or intergovernmental organizations. We identified the following characteristics to be significantly associated with the funding source: country income level, the focus of HPSR articles (within the EMR only, or extending beyond the EMR as part of international research consortia), and the first author's affiliation. Similar funding patterns were observed for COVID-19-related HPSR articles, with national funding sources (78.95%), mainly universities, comprising the main source of funding. In contrast, international funding sources decreased to 15.8%. Conclusion: This is the first study to address the reporting of funding and funding sources in published HPSR articles in the EMR. Approximately 30% of HPSR articles did not report on the funding source. Study findings revealed heavy reliance on universities and international funding sources with minimal role of national governments and regional entities in funding HPSR articles in the EMR. We provide implications for policy and practice to enhance the profile of HPSR in the region. [ABSTRACT FROM AUTHOR]

Background: As evidence related to the COVID-19 pandemic surged, databases, platforms, and repositories evolved with features and functions to assist users in promptly finding the most relevant evidence. In response, research synthesis teams adopted novel searching strategies to sift through the vast amount of evidence to synthesize and disseminate the most up-to-date evidence. This paper explores the key database features that facilitated systematic searching for rapid evidence synthesis during the COVID-19 pandemic to inform knowledge management infrastructure during future global health emergencies. Methods: This paper outlines the features and functions of previously existing and newly created evidence sources routinely searched as part of the NCCMT's Rapid Evidence Service methods, including databases, platforms, and repositories. Specific functions of each evidence source were assessed as they pertain to searching in the context of a public health emergency, including the topics of indexed citations, the level of evidence of indexed citations, and specific usability features of each evidence source. Results: Thirteen evidence sources were assessed, of which four were newly created and nine were either pre-existing or adapted from previously existing resources. Evidence sources varied in topics indexed, level of evidence indexed, and specific searching functions. Conclusion: This paper offers insights into which features enabled systematic searching for the completion of rapid reviews to inform decision makers within 5–10 days. These findings provide guidance for knowledge management strategies and evidence infrastructures during future public health emergencies. [ABSTRACT FROM AUTHOR]

Introduction: This paper presents a structured review of the use of crisis management, specifically examining the frameworks of surge capacity, resilience, and dynamic capabilities in healthcare organizations. Thereafter, a novel deductive method based on the framework of dynamic capabilities is developed and applied to investigate crisis management in two hospital cases during the COVID-19 pandemic. Background: The COVID-19 pandemic distinguishes itself from many other disasters due to its global spread, uncertainty, and prolonged duration. While crisis management in healthcare has often been explained using the surge capacity framework, the need for adaptability in an unfamiliar setting and different information flow makes the dynamic capabilities framework more useful. Methods: The dynamic capabilities framework's microfoundations as categories is utilized in this paper for a deductive analysis of crisis management during the COVID-19 pandemic in a multiple case study involving two Swedish public hospitals. A novel method, incorporating both dynamic and static capabilities across multiple organizational levels, is developed and explored. Results: The case study results reveal the utilization of all dynamic capabilities with an increased emphasis at lower organizational levels and a higher prevalence of static capabilities at the regional level. In Case A, lower-level managers perceived the hospital manager as brave, supporting sensing, seizing, and transformation at the department level. However, due to information gaps, sensing did not reach regional crisis management, reducing their power. In Case B, with contingency plans not initiated, the hospital faced a lack of management and formed a department manager group for patient care. Seizing was robust at the department level, but regional levels struggled with decisions on crisis versus normal management. The novel method effectively visualizes differences between organizational levels and cases, shedding light on the extent of cooperation or lack thereof within the organization. Conclusion: The researchers conclude that crisis management in a pandemic, benefits from distributed management, attributed to higher dynamic capabilities at lower organizational levels. A pandemic contingency plan should differ from a plan for accidents, supporting the development of routines for the new situation and continuous improvement. The Dynamic Capabilities framework proved successful for exploration in this context. [ABSTRACT FROM AUTHOR]

The Coronavirus Disease 2019(COVID-19) has caused widespread and significant harm globally. In order to address the urgent demand for a rapid and reliable diagnostic approach to mitigate transmission, the application of deep learning stands as a viable solution. The impracticality of many existing models is attributed to excessively large parameters, significantly limiting their utility. Additionally, the classification accuracy of the model with few parameters falls short of desirable levels. Motivated by this observation, the present study employs the lightweight network MobileNetV3 as the underlying architecture. This paper incorporates the dense block to capture intricate spatial information in images, as well as the transition layer designed to reduce the size and channel number of the feature map. Furthermore, this paper employs label smoothing loss to address the inter-class similarity effects and uses class weighting to tackle the problem of data imbalance. Additionally, this study applies the pruning technique to eliminate unnecessary structures and further reduce the number of parameters. As a result, this improved model achieves an impressive 98.71% accuracy on an openly accessible database, while utilizing only 5.94 million parameters. Compared to the previous method, this maximum improvement reaches 5.41%. Moreover, this research successfully reduces the parameter count by up to 24 times, showcasing the efficacy of our approach. This demonstrates the significant benefits in regions with limited availability of medical resources. [ABSTRACT FROM AUTHOR]

Catastrophic events like COVID-19 cause substantial material losses and significant harm to the public. However, such events may also accelerate socioeconomic developments such as increased digitalization of economic and societal activities, including e-government services. These services become especially critical in crisis situations , providing a vehicle for administrative responses and ensuring social and economic functioning. This paper reports on a pilot study on the impact of COVID-19 on the demand for and the provision of e-government services in a municipality in Poland. Interviews with city administrators and technical staff involved in providing e-government services during COVID-19 are the primary data sources. Issues identified relate to changes in work regulations, adjustments to operations, shifts in volume and types of services, and changes in employee attitudes and behaviors. Employing focusing event theory in interpreting the results, this paper contributes to the literature on information and communication technologies, especially e-government in local administrations. [ABSTRACT FROM AUTHOR]

The aim of this paper is to understand the long-COVID impact on cultural heritage organisations, and future research needed. COVID-19 was disruptive to cultural heritage socioeconomic activities across the world during 2020 and 2021. Whilst government intervention and changes from physical to digital engagement generally prevailed, the long-COVID impact on cultural heritage organisations, their people and users, buildings, and collections remains unknown. The extent, also, to which financing, curating, visiting, and volunteering patterns have changed is uncertain. Following the pandemic closures and associated support, cultural heritage organisations are facing continuing economic, social, political, environmental, technological, and organisational culture pressures. This research examines the existing academic literature, sector publications, annual reports and associated visitor information to understand whether cultural heritage organisations have long-COVID, whether they can survive another pandemic, and what further research is needed to be better prepared. Four case studies from the UK look at the visitor and financial impacts of COVID-19 on the British Library, the London Transport Museum, The Theatre Royal Drury Lane, and Kensington Palace. This paper contributes to heritage research by providing a deeper understanding of the impact that COVID-19 had on heritage, and how to proactively plan for similar future disruptions. The impact themes show that change did not result in a new normal but in the need for a new space, consisting of blended space (physical and digital), mixed space (indoors and outdoors), and community of practice space (isolated or cross-sector networking space). The literature highlights the significance of the sector coming together during the pandemic to share knowledge and provide support through its networks. It also highlights how important it is for such unity not to be lost but to be harnessed to support ongoing organisational sustainability and better preparedness for future crises. Finally, future research suggestions are proposed grouped into social, digital, financial, and operational research themes. [ABSTRACT FROM AUTHOR]

In the US, the COVID-19 pandemic devastated minoritized communities, laying bare centuries of health disparities. In response, government agencies, foundations, nonprofit organizations, and corporations allocated funding for innovative solutions to combat inequality throughout the healthcare landscape. However, this article argues that to achieve sustainable and impactful innovation that helps the US progress toward a more fair, equitable, and effective healthcare system, we must diversify the range of professionals involved in innovation ecosystems, utilize paradigms that allows underserved communities to effectively engage in research to support their health and wellbeing, infuse health equity into innovation ecosystems, and make long-term investments in underserved communities. This article chronicles health disparities in the US., especially during the COVID-19 pandemic, while also discussing the current barriers to inclusive innovation in health equity. Using these barriers as a springboard for a conversation on realizing positive change in the healthcare system, the paper ends by highlighting examples of collaborative, inclusive and potentially impactful initiatives that could address and alleviate the concerns presented at the beginning of the paper. [ABSTRACT FROM AUTHOR]

In this paper, we study the problem of estimation and prediction for a two-parameter distribution with a bathtub-shaped or increasing failure rate function based on lower records and inter-record times, and based on lower records without considering the inter-record times. The maximum likelihood and Bayesian approaches are employed to estimate the unknown parameters. As it seems that the Bayes estimates cannot be derived in a closed form, the Metropolis-Hastings within Gibbs algorithm is implemented to obtain the approximate Bayes point estimates. Bayesian prediction of a future record value is also discussed. A simulation study is conducted to evaluate the proposed point and interval estimators. A real data set consisting of COVID-19 data from Iran is analyzed to illustrate the application of the theoretical results of the paper. Moreover, a simulated data example is presented. Several concluding remarks end the paper. [ABSTRACT FROM AUTHOR]

This paper discusses the lasting impact of the Covid-19 pandemic on research ethics in social sciences by focusing on the concept of vulnerability. We unpack the current conceptualisations of vulnerability and their limitations and argue for the need to reconceptualise vulnerability as multidimensional, consisting of both universal and contextual dimensions, as well as their dynamic interplay. Multidimensional vulnerability is inspired by and relevant to social science research during the pandemic but can also be useful in other contexts such as climate change or conflict. The paper puts forwards several considerations about how this revised concept of vulnerability may be useful when evaluating ethical dimensions of social science research. [ABSTRACT FROM AUTHOR]

Focusing on the challenges brought about by the devastating COVID-19 pandemic in China and the Chinese government's increasingly stringent regulatory policies, this paper poses the following research questions: During the pandemic and in interactions with the government, why did some non-governmental organizations (NGOs) survive while others were shut down, although most of those that survived were small and medium-sized NGOs? In addressing this question, this paper delves into the strategies adopted by small and medium-sized NGOs to cope with COVID-19. Using data drawn from three years of field observations and research in six major cities in China, this paper finds that four types of small and medium-sized NGOs resorted to different strategies that followed degree of competitiveness and scope of main business. The scarcity of resources resulting to the pandemic plunged NGOs into a competitive survival posture; thus, the strategies for the four types of small and medium-sized NGOs achieved three levels of effectiveness, namely good, medium, and poor. The findings of this paper shed significant light on the diversity and complexity of the survival and development of NGOs under the authoritarian regime of China. [ABSTRACT FROM AUTHOR]

The current cases and studies show that the aerosol propagation of COVID-19 is possible in the office buildings. The paper explored the ventilation level and monitoring methods for indoor infection risk in office buildings, improved the Wells-Riley equation and ventilation rate equation, providing the possibility of real-time monitoring of the transmission risk of COVID-19 in office buildings. Then, the main influencing factors of the exposure risk of SARS-CoV-2, including working density, dwell time, and fresh air volume per person, were field measured in three office areas and three conference rooms of an office building in Shenzhen, China. In addition, the field monitored carbon dioxide (CO2) data were used to estimate the possibility of COVID-19 infection in offices and conference rooms. The results show that the number of staff, ventilation rate, and office hours are all important factors affecting the infection risk of workers in the office building environment, but the existing literature rarely considers these three points at the same time. In addition, the paper adopted the method of assessing the infection risk from place to place, time to time, and person to person in the building environment, providing early warning for office buildings and helping to control the spread of airborne diseases. The results can be beneicial to understanding and taking necessary safety considerations against the infection risk in closed public or governmental environments. The paper explored the ventilation level and monitoring methods for indoor infection risk in office buildings and improved the Wells-Riley equation and ventilation rate equation, providing the possibility of real-time monitoring of the transmission risk of COVID-19 in office buildings. The results showed that the number of staff, ventilation rate, and office hours are all important factors affecting the infection risk of workers in the office building environment, but the existing literature has rarely considered these three points at the same time. Meanwhile, research has further demonstrated the connection between the risk of virus infection and indoor monitoring environmental indicators, providing a new path for further accurate prediction of indoor infection risk. The results can be beneficial to understanding and taking necessary safety considerations against the infection risk in closed public or governmental environments. Therefore, evaluating indoor transmission risks through monitoring environmental indicators is feasible and could be used as a reference basis for practical applications. [ABSTRACT FROM AUTHOR]

Since the outbreak of the COVID-19 pandemic, the gender dimension of its more visible socio-economic impacts has been the topic of study by several researchers. The current paper takes this further by focusing on the invisible chores done in the families at home. This paper studies how people's behavior towards housework changed during and after the confinement period in Spain. We analyze whether people did more housework during the lockdown period than before it, the way this housework was distributed between women and men, and whether this has changed since the end of lockdown. The empirical analyses point to a new trend in the housework gender gap: differences between men and women have narrowed since the lockdown, although women continue to bear most of the responsibility. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic and the move to remote education exposed old and new inequities, yet it also represented anopportunity to rethink inclusive education. This paper presents findings from a one-year project DIGITAL in a time of Coronavirus anddraws upon policy analysis and interviews with teachers, principals, and community leaders from six countries in the Global North andSouth (Italy, England, Malaysia, Australia, United States and Chile). By mobilising education assemblage theory to challenge binarydivisions (included/excluded, modern/colonial, local/global), it presents five concepts to rethink inclusion and its relationship withtechnologies. It illustrates how during the pandemic alternative entanglements of digital and non-digital technologies challengednarrow and Eurocentric constructions of the digital divide enabling inclusive subjective experiences. Drawing upon local possibilitiesand histories, re-habilitating non-scientific knowledges, especially in view of future experiences of blended education, the paper seeksto provide policy tools to rethink current understandings of inclusive education. [ABSTRACT FROM AUTHOR]

Background: The novel coronavirus disease 2019 has caused psychological distress such as anxiety and fear among nurses worldwide. Nurses are a creditable source of vaccine‐related information and have a primary role in building confidence regarding vaccines. Aim: The present study was designed to investigate the fear and anxiety of nurses regarding novel coronavirus disease 2019 (COVID‐19) and their attitudes towards the COVID‐19 vaccine. The predictors of fear, anxiety and attitudes towards the vaccine were also investigated. Methods: A descriptive and correlational design was used. The study was conducted in three public hospitals from different parts of the Turkey, and 405 nurses from the three hospitals were recruited by stratified sampling. Results: Anxiety and negative attitudes towards the vaccine were positively related to fear of COVID‐19. Age and fear were also positively associated with anxiety related to COVID‐19. Nurses who had received the vaccine and those who were fearful had a positive attitude towards the vaccine. Conclusion: Psychosocial support programmes should be implemented to improve psychological resilience and coping strategies in nurses and organized education programmes are needed to increase positive attitudes towards vaccination. Summary statement: What is already known about this topic? The COVID‐19 pandemic significantly affected the psychological health of nurses.Nurses have a fundamental function in the general acceptance of vaccines. What this paper adds? Relationships were found between COVID‐19‐related fear, anxiety and attitudes towards the COVID‐19 vaccine.Anxiety and a positive attitude towards the vaccine were found to be predictors of fear related to COVID‐19.Fear related to COVID‐19 and being vaccinated against COVID‐19 were predictors of attitudes towards vaccination. The implications of this paper: Nursing managers could organize programmes to improve the coping skills of nurses in responding to situations that cause psychological burden.Nursing managers could support nurses through education to develop positive attitudes towards vaccines. [ABSTRACT FROM AUTHOR]

Aim: Studies of the effects of COVID‐19, especially post‐acute COVID‐19 syndrome, on psychological health in non‐severe cases are limited. We aimed to evaluate the prevalence and associated risk factors of psychological symptoms, and quality‐of‐life in three groups of outpatients, hospitalized and intensive care patients. Methods: A total 276 patients, previously confirmed with SARS‐CoV‐2 infection, attending the COVID‐19 follow‐up outpatient clinic from December 2020 to July 2021 were interviewed face‐to‐face. In this cross‐sectional, retrospective study, all participants were asked our self‐designed demographic and screening questions to assess their psychological symptoms and administered the WHQOOL‐BREF survey to evaluate quality of life. Results: In screening questions, major depressive disorder symptoms were detected at a rate of 20.3%, generalized anxiety disorder symptoms at a rate of 16.7%, panic attack symptoms at a rate of 10.9%, post‐traumatic stress disorder symptoms at a rate of 28.6% and obsessive‐compulsive disorder symptoms at a rate of 18.1%. The outpatient group with COVID‐19 infection had a higher risk of developing psychological symptoms and decreased quality of life. Conclusion: COVID‐19 infection was found to have a considerable psychological impact on those treated as outpatients despite the less severe course of their illness. Summary statement: What is already known about this topic? Post‐intensive care syndrome affects physical, cognitive and psychological health.It is associated with symptoms such as generalized weakness, memory disturbances, cognitive function impairment, depression, anxiety and post‐traumatic stress disorder.Some physical and psychological symptoms persist for over 12 weeks in some patients and have been classified as 'Post‐acute COVID‐19 Condition or Syndrome' (PCS). What this paper adds? At the post‐acute‐COVID‐19 period, a considerable number of outpatients with COVID‐19 infection were at higher risk for psychological distress symptoms than those who had been treated in the hospital or intensive care unit.Depression, anxiety, panic disorder and PTSD symptoms were found to be higher in outpatients and those with these symptoms were also shown to have a lower quality of life.Our findings highlight the significant psychological impact of COVID‐19 on patients, even after their reported recovery from the acute manifestations of this disease. The implications of this paper: Ongoing psychological symptoms in the post‐COVID period are not associated with the severity of the disease in the acute phase.It is important that healthcare professionals are equally concerned not only with physical condition of post‐COVID‐19 patients but also with their psychological state and the patient's psychology‐related quality of life. [ABSTRACT FROM AUTHOR]

Crowdfunding emerged as a flexible method of financing various projects during the financial crisis but has since developed into a fully fledged financing instrument that requires special attention from the academia and legislators. The purpose of this study is to perform a quantitative analysis of the up-to-date crowdfunding research employing bibliometric analysis. We have used data from the Scopus database and have extracted a number of 1951 research papers. Using VOSviewer software, we have looked into the yearly research production, the categories in which the studies fall, citation records, highly cited authors and papers, most prolific authors and country of origin in crowdfunding. We grouped keywords into clusters and identified emerging trends. We then revealed the thematic progression of the occurring keywords into four time ranges. We find that crowdfunding research has been growing steadily from 2006 to date, with a particular focus on business and finance. The most productive countries are highly developed economies, but other countries have started exploring crowdfunding, too. The most cited references are published between 2013 and 2016, which is when the bases of this stream of research have been established. We finally discuss the theoretical and practical implications. [ABSTRACT FROM AUTHOR]

This paper critically examines the ways ageing migrants perceive and experience a sense of belonging in a mediascape during the pandemic. It underscores how 15 elderly people from Culturally and Linguistically Diverse (CALD) backgrounds in Victoria, Australia stayed connected among their networks in and beyond Australia by accessing and consuming COVID-19 information via traditional and digital channels. By analysing the data based on conducting remote interviews in 2020 and 2021, the findings highlight the paradoxical nature of mediated belonging. On the one hand, ageing migrants forged connections at a distance with their familial and social networks by circulating and consuming COVID-19 information. This practice provided ageing migrants an assurance of their safety and their networks. On the other hand, differentiation and racialisation stirred frustrating, polarising and exclusionary-mediated environments. In this case, they deployed connective strategies to negotiate connections and belonging. In sum, this paper reveals the possibilities and politics of mediated belonging fuelled by intersecting structural and technological divides. [ABSTRACT FROM AUTHOR]

Governments around the world acted in response to the COVID-19 pandemic through lockdowns and border closures that had specific impacts on temporary residents (migrants, asylum seekers and refugees). In Australia, there were differential responses across states and territories, and a critical distinction made at Federal government level between permanent residents and citizens as compared to temporary migrants. The result has been the continued Othering of certain groups of Australians of culturally and linguistically diverse backgrounds as well as migrants and refugees on the basis of racial characteristics and visa status. This paper will consider the period where arguably multicultural policies were 'on hold' by investigating the timeline leading up to major policy decisions and the immediate and longer-term after-effects during the COVID-19 pandemic. Arguably the way in which multicultural communities were treated has shown the superficial nature of multicultural policies in Australia and the lack of more solid foundations in support of what now demographically constitutes a majority of the country's population. Drawing on secondary data analysis, the paper will outline the distance these actions have put between political leaders and multicultural communities, and queries the implications for a sustained commitment to multicultural policies in an era of temporary migration. [ABSTRACT FROM AUTHOR]

An ensemble n-sub-epidemic modeling framework that integrates sub-epidemics to capture complex temporal dynamics has demonstrated powerful forecasting capability in previous works. This modeling framework can characterize complex epidemic patterns, including plateaus, epidemic resurgences, and epidemic waves characterized by multiple peaks of different sizes. In this tutorial paper, we introduce and illustrate SubEpiPredict, a user-friendly MATLAB toolbox for fitting and forecasting time series data using an ensemble n-sub-epidemic modeling framework. The toolbox can be used for model fitting, forecasting, and evaluation of model performance of the calibration and forecasting periods using metrics such as the weighted interval score (WIS). We also provide a detailed description of these methods including the concept of the n-sub-epidemic model, constructing ensemble forecasts from the top-ranking models, etc. For the illustration of the toolbox, we utilize publicly available daily COVID-19 death data at the national level for the United States. The MATLAB toolbox introduced in this paper can be very useful for a wider group of audiences, including policymakers, and can be easily utilized by those without extensive coding and modeling backgrounds. [ABSTRACT FROM AUTHOR]

This paper examines the challenges posed by the COVID-19 pandemic on the existing health inequalities disproportionately affecting vulnerable populations. It explores the impact of COVID-19 pandemic response measures to "curb the spread" on informal sector workers in Ghana. In Ghana, like many other developing countries, the informal sector was impacted by a higher risk of exposure to the COVID-19 infection and the slew of pandemic response measures, for example, lockdowns and stay-at-home orders, as well as guidelines around social distancing implemented by their governments. Given the high level of precarity that undergirds work in the informal sector and the intersectional forces that contribute to and maintain their marginality—class, race, ethnicity, gender, religion, and geographic location—this paper creates a space for dialogue about the unintended consequences of pandemic response measures on the livelihood security of informal sector workers. [ABSTRACT FROM AUTHOR]

In 2000, during a time when cyber security research was focused on the risks and threats posed by digital systems, the notion of being able to withstand and recover from cyber attacks, also known as cyber resilience, emerged. Recently, this concept has gained increasing attention due to the COVID-19 pandemic and the rapid acceleration of digitalization. While experts acknowledge the distinction between cyber security and cyber resilience, the exact definition and evolution of the latter remain somewhat ambiguous. The aim of this paper is to offer a thorough comprehension of how the notion of cyber resilience has developed throughout history. It delves into the concept of cyber resilience and its progression over time in response to the rising frequency and complexity of cyber threats. Cyber resilience, a new concept, has gained significant recognition as a critical component of cyber security strategy across diverse sectors, encompassing public and private domains alike. It begins with an overview of the definition and key components of cyber resilience and then traces the origin of the concept from its early development in the 2000s. The paper also explores the major milestones and events that have shaped the evolution of this capacity, including changes in technology and societal factors, up to the COVID-19 pandemic outbreak. This study provides valuable insights into future challenges for ensuring the continued resilience of digital infrastructure by examining the historical and contextual factors that have influenced the concept. [ABSTRACT FROM AUTHOR]

AbstractThe aim of the paper was to assess the nexus between COVID 19, trade and gender. Since readymade garments (RMG) and remittances (i.e. services exports) dominant exports in Bangladesh, the paper analyses the impact of the COVID-19 via the RMG and remittance shocks on women workers and entrepreneurs in Bangladesh. The economic and social impacts on trade and COVID 19 are large in Bangladesh. Supportive measures were needed to address these deleterious impacts. The paper recommends tapping into the potential for job creation in ready-made garment and service sectors with supporting policies to alleviate women’s unpaid care work, to reduce gender-based violence in the public space and at work and to upgrade women’s skills – in particular, digital skills to accompany the economic transformation to a shift towards the ICT and service sector. It was also suggested that the government should ensure that support packages reach women entrepreneurs by partnering up with micro-finance institutions and offer reduced collaterals, prolonged repayment timeline and flexibility as to the size of the interest free loan. [ABSTRACT FROM AUTHOR]

he parameters of the weighted exponential regression model for panel data are estimated using the maximum likelihood method which represents the aim of this paper. Weekly infection and recovery ratios of COVID-19 data are predicted, where the model is converted from its nonlinear into a linear state using the Taylor series. The novelty of this paper lies in dealing with nonlinear panel data. Furthermore, the panel data of the model are tested to determine whether the data follows fixed or random effects by the Hausman test, as well as the exclusion of the pooled effects because the model does not include the intercept term. The simulation is depended on the generated data to compare the fixed and random effects models for different sample sizes (5, 10, 20, 30). COVID-19 data is used for three Iraqi governorates to represent the panel data model. Three months,May, June, and July of 2022 are taken to represent the research sample and then predict the ratios of infection and recovery for the next three months. Depending on the Bayesian Information Criterion (BIC) and Akaike's Information Criterion (AIC), the random effects of the weighted exponential regression give better results than the fixed effects. Depending on this, we predict the weekly infection ratios of COVID-19 in Iraq that will decrease during the next ten weeks. [ABSTRACT FROM AUTHOR]

Land public transport is an important link within and between cities, and how to control the transmission of COVID-19 in land public transport is a critical issue in our daily lives. However, there are still many inconsistent opinions and views about the spread of SARS-CoV-2 in land public transport, which limits our ability to implement effective interventions. The purpose of this review is to overview the literature on transmission characteristics and routes of the epidemic in land public transport, as well as to investigate factors affecting its spread and provide feasible measures to mitigate the infection risk of passengers. We obtained 898 papers by searching the Web of Science, Pubmed, and WHO global COVID database by keywords, and finally selected 45 papers that can address the purpose of this review. Land public transport is a high outbreak area for COVID-19 due to characteristics like crowding, inadequate ventilation, long exposure time, and environmental closure. Different from surface touch transmission and drop spray transmission, aerosol inhalation transmission can occur not only in short distances but also in long distances. Insufficient ventilation is the most important factor influencing long-distance aerosol transmission. Other transmission factors (e.g., interpersonal distance, relative orientation, and ambient conditions) should be noticed as well, which have been summarized in this paper. To address various influencing factors, it is essential to suggest practical and efficient preventive measures. Among these, increased ventilation, particularly the fresh air (i.e., natural ventilation), has proven to effectively reduce indoor infection risk. Many preventive measures are also effective, such as enlarging social distance, avoiding faceto-face orientation, setting up physical partitions, disinfection, avoiding talking, and so on. As research on the epidemic has intensified, people have broken down many perceived barriers, but more comprehensive studies on monitoring systems and prevention measures in land public transport are still needed. [ABSTRACT FROM AUTHOR]

This paper considers queer studies in the global geopolitical hotspot of Asia, as well as how we can reimagine queer theories through both the Covid-19 pandemic and the intensified regional and global superpower competition and geopolitical tensions. It argues for a rethinking of queer studies through today's international relations and geopolitical complications in a sociological political economy. The aim is to connect critical studies with analyses of economic and social class structures, an approach that has been substantiated by the current crises, and to present an expanded queer mobility theory with two brief case studies (mini-critiques) of the current socioeconomic conditions facing marginalized people under Covid-19 and the changing geopolitical landscape. In so doing, this paper actively explores what queer studies can do and can be through the current historical turning point of the pandemic and geopolitical rivalry toward potential post-Covid socioeconomic revival and recovery. [ABSTRACT FROM AUTHOR]

Public emergencies are focal events that present possibilities for policy changes. This study aims to explain policy insights on policy change in Iran through analyzing how the Iranian government's policy toward the long‐awaited e‐authentication finally changed in the wake of the outbreak of COVID‐19. Due to the policy context of Iran, it uses the Multiple Stream Model, in which three streams were identified: problem, policy, and political dynamics. The paper contends that while the second stream existed prior to the pandemic, the first one had not yet been appropriately recognized by the government. Furthermore, it identifies the political stream as the third missing link for policy change. With the spread of coronavirus, these three streams converged, thus opening a window of opportunity for enacting this policy change. Two main reasons behind the emergence of this opening are identified: first, arising a new complex problem (COVID‐19) that necessitated new initiatives, and second, growing public anxiety about the pandemic. Iran's desperate circumstances, which included an already severely depressed economy as the result of sanctions, were further exacerbated through the socio‐economic repercussions of the pandemic. Furthermore, the growing demand from prospective traders to register for the stock exchange during the lockdown prompted officials to make a realistic decision. As a result, barriers to e‐authentication were overcome and policy change happened. The paper highlights the security perspective as a necessary condition for policy change in Iran. Finally, it discusses the likelihood of permanency of the change. [ABSTRACT FROM AUTHOR]

Health authorities worldwide address older adults as a risk group for more serious illness and health complications associated with COVID-19, while social gerontologists have warned that addressing older adults as a risk group of COVID-19 bears the risk of reinforcing ageism. This paper empirically explores to what extent older adults perceive themselves as part of a COVID-19 risk group and how these perceptions influence their everyday lives and experiences of age and ageing. This paper draws upon data from a mixed-methods study on older adults' risk perceptions during COVID-19 in Lower Austria, including a representative survey on 521 adults (60+ years) and data from 20 semi-structured interviews. Approximately two-thirds of the respondents consider themselves at risk of COVID-19 and name age, in addition to pre-existing illness, as a contributing factor in this risk perception. Older adults with health constraints, and especially older men, have a higher probability of perceiving risk due to COVID-19. Additionally, older adults report that they experience being 'suddenly seen as old' or 'being put into a box' during the pandemic, which influenced their experiences and images of ageing. Our study provides insights into how perceived COVID-19 risk affects the everyday lives of older adults. Age-based categorisations of risk contribute to a shift in images of age and ageing, drawing on insecurity and risk, rather than successful and active ageing, to conceptualise later life. [ABSTRACT FROM AUTHOR]

This paper discusses the panic-buying of COVID-19 vaccines by wealthy countries for their citizens, otherwise known as 'vaccine nationalism', and the quest to develop local capacity for the production of vaccines in Nigeria. The paper argues that in the light of the global race, and attempts by countries to urgently secure the COVID-19 vaccines for their citizens, it behoves on the government of Nigeria to invest in the health security of its citizens and put aside the over-dependency on charity and goodwill of Western countries at every turn. The paper concludes that vaccine nationalism can spur the development of home-grown capabilities not just for vaccine against COVID-19 but vaccines and other novel therapeutic or prophylactic products for the prevention and treatment of endemic and emerging disease. This will in turn create jobs, improve healthcare delivery, curb medical tourism and stem the tide of migration of health professionals. The methodology is descriptive in approach, relying on personal observation and data gleaned from journals, magazines and Newspapers. [ABSTRACT FROM AUTHOR]