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Parameters ; 53(2):39-60, 2023.
Article in English | ProQuest Central | ID: covidwho-20235513


The US military, intelligence, and diplomatic communities have overlooked a key vulnerability in their assessment of a potential military conflict between China and Taiwan- Taiwan's growing reliance on agricultural imports and its food stocks (except for rice) that could endure trade disruptions for only six months. This article assesses Taiwan's agricultural sector and its ability to feed the country's population if food imports and production are disrupted;identifies the food products that should be prioritized in resupply operations, based on Taiwan's nutritional needs and domestic food production;and outlines the required logistical assets. These findings underscore the urgency for US military planners to develop long-term logistical solutions for this complex strategic issue.

Transpl Infect Dis ; 23(2): e13526, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-947793


The scope of the impact of the Coronavirus disease 19 (COVID-19) pandemic on living donor kidney transplantation (LDKT) practices across the world is not well-defined. We received survey responses from 204 transplant centers internationally from May to June 2020 regarding the impact of the COVID-19 pandemic on LDKT practices. Respondents represented 16 countries on five continents. Overall, 75% of responding centers reported that LDKT surgery was on hold (from 67% of North American centers to 91% of European centers). The majority (59%) of centers reported that new donor evaluations were stopped (from 46% of North American centers to 86% of European centers), with additional 23% of centers reporting important decrease in evaluations. Only 10% of centers reported slight variations on their evaluations. For the centers that continued donor evaluations, 40% performed in-person visits, 68% by video, and 42% by telephone. Center concerns for donor (82%) and recipient (76%) safety were the leading barriers to LDKT during the pandemic, followed by patients concerns (48%), and government restrictions (46%). European centers reported more barriers related to staff limitations while North and Latin American centers were more concerned with testing capacity and insufficient resources including protective equipment. As LDKT resumes, 96% of the programs intend to screen donor and recipient pairs for coronavirus infection, most of them with polymerase chain reaction testing of nasopharyngeal swab samples. The COVID-19 pandemic has had broad impact on all aspects of LDKT practice. Ongoing research and consensus-building are needed to guide safe reopening of LDKT programs.

COVID-19/prevention & control , Kidney Transplantation , Living Donors , Tissue and Organ Harvesting , Asia , COVID-19/diagnosis , COVID-19 Nucleic Acid Testing , Delivery of Health Care , Europe , Humans , Internationality , Latin America , Mass Screening , Middle East , North America , Patient Safety , Personal Protective Equipment/supply & distribution , SARS-CoV-2 , Surveys and Questionnaires , Telemedicine , Tissue and Organ Procurement