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1.
Bulgarian Journal of Agricultural Science ; 29(2):229-242, 2023.
Article in English | CAB Abstracts | ID: covidwho-20244105

ABSTRACT

Aquaculture production in Bulgaria has increased over the last decade, reaching 16 442 tonnes in 2019. Fish production has doubled in comparison with 2007, while that of mussels has increased tenfold. The Bulgarian contribution to EU aquaculture production has been increasing significantly in both volume and value over the years, making up 1.15% of the volume and 1.0% of the value of EU production in 2019. Freshwater aquaculture accounts for 78% of total production. Common carp dominates with about 29.4% (4836 t), followed by rainbow trout with 29.2% (4820 t) in 2019. The cultivation of sturgeon species and caviar production are among the most dynamically developing aquaculture segments. Mariculture in the Black Sea has increased in recent years, with the production of Mediterranean mussel reaching 2932 tonnes in 2019. An average of 405 farms operated during the period 2010-2019. Four regions (Plovdiv, Stara Zagora, Burgas and Montana) account for 50% of the total fish production. Pond aquaculture is the dominant technology used in Bulgaria, and it serves as the basis for numerous other activities, including management of fish stocks in various water bodies mainly for recreational fishing. Approximately 35 net-cage farms currently operate in bigger dams. Recirculating fish farms output made up only 0.15% of the total amount of aquaculture for the period 2010-2019. The aquaculture sector exhibited difficulties in recovering from the financial crisis of 2007-2008, manifested by a slow growth for the period 2010-2014. From 2015 to 2019 there has been a significant growth, manifested in a sharp increase of total revenue and profitability, especially among the larger enterprises in the sector, as well as an increase in the number of employees, and the labour productivity. As a result, in 2019 the registered total revenue per enterprise and total revenue per employee were more than double the respective figures for 2010. The profits of larger enterprises increased more than three times on average, but smaller entities, micro-enterprises with less than 5 employees, operated at the border line between profit and loss. The COVID-19 crisis could have lasting consequences. Despite EUR 1.2 million direct payments in the sector in 2020, there has been a significant drop in the export of aquaculture products. Consumption of fish and other aquaculture products remains low compared to those in the other EU countries.

2.
Victims & Offenders ; 18(5):889-914, 2023.
Article in English | ProQuest Central | ID: covidwho-20243633

ABSTRACT

While there are no new frauds, internet technology provides new opportunities for fraudsters by facilitating volumes of attacks that law enforcement then struggles to address. Moreover, since context can affect how potential victims respond to frauds, crisis context influences how fraudsters design frauds. This article assesses fraudsters' fraud design strategies during two external crisis events that impacted Australia: The Black Summer Bushfires that occurred from September 2019 to March 2020 and the onset and first year of the COVID-19 pandemic that occurred from January 2020 through January 2021. Targets, during these crises, were more likely to be vulnerable according to Steinmetz's model victim for social engineering framework. This study shows that, in both crises, fraudsters deployed the social engineering techniques of "authority” and "scarcity,” techniques that are more likely to be successful based solely on initial contact. Fraudsters designed their requests to be easily actioned and crafted their scams to reference very recent events as the external crisis events evolved. Thus, they targeted broad audiences with minimal personal involvement. Furthermore, this study shows that fraudsters, when disseminating their scams via social media outlets, attempted to build "social proof” to expand their potential victim pool to include the marks' social circles.

3.
Sustainability ; 15(11):8846, 2023.
Article in English | ProQuest Central | ID: covidwho-20241930

ABSTRACT

The Moroccan cooperative sector is increasingly important, not only in the social and economic fabric of Morocco, but also in the sustainable development of the Kingdom. With the advent of COVID, the cooperative sector offers more inclusive and sustainable economic alternatives than ever before. In this context, organizational resilience is essential to preserve the sustainability of cooperatives and anticipate potential crises. This study addresses the following issue: What are the organizational factors necessary to strengthen the organizational resilience of the Moroccan cooperative in the Fez-Meknes region in times of COVID-19 crisis? The purpose of this paper was to test the hypothesized relationships between a set of latent constructs (actor involvement and mobilization, organizational learning in times of a crisis and social innovation) and the organizational resilience of cooperatives in times of a COVID-19 crisis. The methodology adopted is structural equation modeling based on the PLS-SEM method under the "SmartPLS Version 3” used on data collected through a printed questionnaire administered to 160 cooperatives in the Fez-Meknes region. The results show the significant and positive influence between the exogenous constructs on the strengthening of organizational resilience of cooperatives as an endogenous construct. The novelty of the study lies in the identification of the organizational resources needed to strengthen the organizational resilience of cooperatives in the Moroccan context. The results show that organizational resilience depends on three selected organizational factors: stakeholder involvement and mobilization, organizational learning in the times of a crisis and social innovation.

4.
European Journal of Women's Studies ; 30:34S-42S, 2023.
Article in English | Academic Search Complete | ID: covidwho-20240750

ABSTRACT

This conversation reflects on the importance of transnational Black solidarity in a global moment where the COVID-19 pandemic has exposed structural inequalities that sustain Black death and the global movement for Black lives has focussed attention on anti-Blackness. We reflect on the legacies of past and contemporary Black, Indigenous, People of Colour activism and the role that this has played in strengthening transnational efforts to deal with colonialism, imperialism and patriarchy. In highlighting how anti-Blackness is sustained across different institutions - from the academy to social movements, we centre Black feminist movements' role in building radical visions of equitable and transformative worlds through a focus on the nexus between patriarchy, capitalism and white supremacy. Black feminist visions we argue are geared at disrupting and transforming current power structures to advance justice and create liberatory futures. A central part of these liberatory futures lies in building collective power that is rooted in the political values of solidarity, hope and joy. [ FROM AUTHOR] Copyright of European Journal of Women's Studies is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

5.
Perspectives in Education ; 41(1):56-73, 2023.
Article in English | ProQuest Central | ID: covidwho-20240111

ABSTRACT

The research on students' sense of belonging in higher education has evolved into a prominent theme worldwide. Institutional research focuses on the institution understanding itself and helps leaders to rethink improvement initiatives. Moreover, the COVID-19 pandemic has required of institutions to revise student support programmes and approaches to maintain a strong sense of belonging. The theories of belonging by Strayhorn (2012) and Dumford et al. (2019) were adopted to analyse student responses. The aim of the study was to understand students' sense of belonging and how the university responded to the challenges presented by the COVID-19 pandemic to ensure a strong sense of belonging. Data were generated through in-depth interviews with 45 undergraduate students from all seven faculties. The findings highlight notable prevention measures intended to limit the spread of the virus on campus and student support in the form of study devices and data. The post-lockdown changes included a return to face-to-face mental health support, drafting COVID-19 catchup plans for first year orientation of 2020 and 2021 cohorts, improving the student voice. Finally, notable principles for responding to a future higher education crisis are highlighted. These initiatives contributed towards establishing and maintaining a strong students' sense of belonging.

6.
Drama Therapy Review ; 9(1):177-189, 2023.
Article in English | Scopus | ID: covidwho-20239865

ABSTRACT

The idea of self-care has been a central theme more recently with the advent of the COVID-19 pandemic. Many people are seeking ways of existing that are about caring for self and others. As drama therapists and artists, the need for us to practise this care with and for others is even more important as we carry the burdens of stories and trauma of our clients. Drama therapy as a mental health modality is suited to address and offer strategies of what care and self-care especially for practitioners might look like. But what exactly are the traits of self-care and how does it link to our ethical caring practice of therapy and theatre-making? In this article, we argue that self-care needs to be redeemed from the individual focus and to be more about community. We offer recipes as performances of communal creation and a model of self-care that occurs with and for others. These recipes are meditations inspired by encounters with ourselves, our loved ones and our past. The article is presented in recipes and conversation form to emphasize the idea that caring cannot occur in isolation outside of others. We look at the moral imperative of rituals of care that have existed in our lives and how these can be brought to the fore to become shared knowledge. We share our experiences of growing up in a community of women who also practise kindness and love. We hope the techniques suggested deepen the existing conversation on centralizing Black women's knowledge systems and healing practices within the drama therapy canon. We do not assume to speak for all Black women everywhere in the world;we write to centre our experiences as Black women who are drama therapists who are accountable to other women. We encourage readers to create their own recipes of what community-centred self-care practices might look like. © 2023 Intellect Ltd Article. English language.

7.
Journal of Aggression, Conflict and Peace Research ; 15(3):187-200, 2023.
Article in English | ProQuest Central | ID: covidwho-20239078

ABSTRACT

PurposeIn March 2020, the UK entered its first lockdown responding to the Covid-19 pandemic. In the same month, the Domestic Abuse Bill had its first reading in Parliament. Charities and non-governmental organisations critiqued the Bill for failing to protect migrants from domestic abuse, and not complying with the Istanbul Convention. Drawing on interviews with staff from Southall Black Sisters, this paper aims to foreground the experiences of practitioners within the women's sector to explore the unique experiences and challenges migrant and racially minoritised women encountered when seeking support from domestic abuse during the Covid-19 pandemic. It highlights how the pandemic-related lockdowns created barriers to accessing support services and housing, creating an epidemic within the pandemic, and how minoritised women and the organisations that supported them had to overcome structural barriers and racism.Design/methodology/approachIn-depth semi-structured interviews were conducted with staff from a leading women's organisation that supports migrant and racially minoritised women. Four participants were asked questions within four themes: domestic abuse before and during the pandemic;accessing support from and reporting domestic abuse;accessibility of resources;and post-pandemic challenges. A phenomenological approach was used to analyse the transcribed interviews.FindingsParticipants consistently highlighted the unique threats and barriers migrant and racially minoritised women faced when seeking support. Barriers included racism, language barriers, cultural constraints, the triple threat of destitution, detention, deportation, and political resistance to protect migrant women from destitution/homelessness.Originality/valueThis paper provides a unique insight into the experiences of staff members within a specialist by and for women's support organisation in England and their perspectives on the barriers racially minoritised and migrant women experienced during the Covid-19 pandemic. It offers rare insights into how service users' needs changed during the lockdowns and how the pandemic affected their ability to operate.

8.
Quarterly Journal of Speech ; 109(2):132-153, 2023.
Article in English | Academic Search Complete | ID: covidwho-20237767

ABSTRACT

Planet Lockdown, a documentary film, claims that the COVID-19 pandemic was manufactured by finance capitalists, Silicon Valley, and the pharmaceutical industry to microchip the population, consolidate global wealth, and enslave the population. Viral videos from the film have received tens of millions of engagements throughout social networks and media, constituting a major source of COVID-19 disinformation. This article argues that COVID-19 enslavement fantasies consummate white conservative fears of racial displacement, brought on by an impending demographic shift and greater visibility of antiracist activism throughout the early stages of the pandemic. I argue that Planet Lockdown's preoccupation with so-called "modern slavery" restages a national primal scene to resecure white power as perceptions of its dominance wanes: a fantasy of the origins of the liberal subject that omits that subject's relationship to slavery and anti-Blackness. By imagining slavery as a future threat to white selfhood rather than the structural organization of a society underwritten by anti-Blackness, COVID-19 conspiracy rhetoric facilitates a disavowal of the structural legacy of white supremacy. [ FROM AUTHOR] Copyright of Quarterly Journal of Speech is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

9.
Journal of the American College of Surgeons ; 236(5 Supplement 3):S58, 2023.
Article in English | EMBASE | ID: covidwho-20236800

ABSTRACT

Introduction: Historically, clinical trial patient populations have lacked adequate diversity while studies have shown that differences exist in the biological response of different ethnicities to various healthcare interventions. Minority populations have suffered higher rates of Covid-19 infection, hospitalization, and mortality than their non-Hispanic white counterparts. It is vital that Covid-19 treatment research is appropriately diverse. This paper aims to define the demographic characteristics of COVID-19 therapeutic clinical trials to date. Method(s): A literature search initially returned 117 unique publications, 67 of which met the inclusion criteria and were analyzed. Main variables of interest were reporting of demographic data, percent white, Black, and Asian, and type of study. Statistical analysis was carried out via Stata software. Result(s): Among analyzed studies, 74.63% reported demographics. The demographic representation was 78.87%, 12.27% and 8.86% for white, Black, and Asian populations. Among vaccine related studies, the representation for Black, Asian, and Hispanic individuals was 5.01%, 6.40%, and 13.71%. A qualitative analysis of outlier studies with high (>30%) Black populations revealed that none were vaccine related, 1/3 were in hospitalized patients, and none were related to pharmacologic interventions. Of the studies with low levels (<2%) of Black patients, 4/6 were vaccine related, none were in hospitalized patients, and all were related to pharmacologic interventions. Conclusion(s): This analysis reveals concerning trends in therapeutic clinical trial enrollment to date. In the context of yet another health insult that disproportionately affects minority populations, America's scientific community is not doing enough to produce equitable scientific evidence on Covid-19 treatment.

10.
Health Promotion with Adolescent Boys and Young Men of Colour: Global Strategies for Advancing Research, Policy, and Practice in Context ; : 17-31, 2023.
Article in English | Scopus | ID: covidwho-20236261

ABSTRACT

The COVID-19 pandemic piled stress and strain onto a history of structural racism that has impeded opportunities for Black men to be mentally healthy, happy, and well. Yet, interventions to promote the mental health and wellbeing of young Black men are few and are often limited in their ability to reach a large portion of this population. There is a need to mobilize the resources ubiquitous in young Black men's lives to promote their mental health and wellbeing. Becoming was designed to help fill this gap, and to promote the mental health, wellbeing, and self-care of 18-to-25-year-old Black men in the United States. While there are many aspects of Becoming, this chapter focuses on the rationale for and aspects of mental health, wellbeing, and self-care that underlie this program. Using a biopsychosocial approach, we discuss key considerations for promoting wellbeing as a foundation for increasing participants' capacity to protect and promote their mental health by engaging in intentional self-care practices. We highlight how anti-Black gendered structural racism shapes but does not determine Black men's opportunities to be healthy and thrive, and we use the Information-Motivation-Behavioural Skills (IMB) model of health behaviour change to outline and justify the conceptual targets of the program. © Springer Nature Switzerland AG 2023. All rights reserved.

11.
Urban Education ; 58(6):1435-1440, 2023.
Article in English | Academic Search Complete | ID: covidwho-20236173

ABSTRACT

Black Lives Matter at School: Community Schools, COVID-19 and Freedom Dreams Edited by Denisha Jones and Jesse Hagopian, I Black Lives Matter at School: An Uprising for Educational Justice i is a must-read for all educators and organizers who are truly committed to centering Black lives in and outside of classrooms. It will be critical moving forward to demonstrate how the knowledge and skills necessary to bring about Black Lives Matter at School and similar Black liberatory curricular efforts can be implemented in teacher education programs, beyond ad-hoc professional development sessions. [Extracted from the article] Copyright of Urban Education is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

12.
APA PsycInfo; 2023.
Non-conventional in English | APA PsycInfo | ID: covidwho-20236118

ABSTRACT

The duel systemic societal harms of the COVID-19 pandemic and violent racial injustice have reexposed centuries-long oppression and violence that affects Black people in the United States. These systemic harms, however, are not unilaterally distributed across racial lines, as Black women and girls endure intersectional oppression, including the unique amalgamation of racism and sexism. It is within these interlocking oppressions that sexual abuse flourishes. This chapter opens with critical visioning regarding how we understand inequality in social justice movements. It introduces scholarship on anti-Black racism, intersectional oppression, and Crenshaw's (1991) theories of intersectionality to frame the contextually oppressive experiences of Black women and girls. The chapter provides an application for examining intersectionality within the field of psychology. It details what such intersectional oppression can actually look like in the lives of Black women and girls. Finally, the chapter closes with summary bullet points of the main takeaway messages. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

13.
COVID ; 3(5):693-702, 2023.
Article in English | Academic Search Complete | ID: covidwho-20235335

ABSTRACT

Vaccines have been identified as a crucial strategy to control the spread of COVID-19 and reduce its impact. However, there are concerns about the acceptance of vaccines within African, Caribbean, and Black (ACB) communities. Based on a community sample of ACB people in Ottawa, Ontario (n = 375), the current study aimed to use logistic regression analysis and identify factors associated with COVID-19 vaccine willingness. A multivariate analysis shows that ACB people who believed that the ACB population is at a higher risk for COVID-19 were more likely to be willing to receive the vaccine compared to those who did not (OR = 1.79, p < 0.05). ACB people who had received at least one dose of the COVID-19 vaccine were more likely to be willing to receive it in the future (OR = 2.75, p < 0.05), and trust in government COVID-19 information was also positively associated with vaccine willingness (OR = 3.73, p < 0.01). In addition, English-speaking respondents were more willing to receive the vaccine compared to French-speaking respondents (OR = 3.21, p < 0.01). In terms of socioeconomic status, ACB people with a post-graduate degree (OR = 2.21, p < 0.05) were more likely to report vaccine willingness compared to those without a bachelor's degree. Based on these findings, we discuss implications for policymakers and directions for future research. [ FROM AUTHOR] Copyright of COVID is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

14.
Applied Clinical Trials ; 31(1/2):10-11, 2022.
Article in English | ProQuest Central | ID: covidwho-20234622

ABSTRACT

The critical element, of course, is that there can be no compromise on trial design, execution and data collection to deliver a robust drug development package. AUM's strategy is to reverse this flow and go from Asia to the West, satisfying the need of the Asian population for innovative and affordable drug development and reducing the cost of health care in Western countries by introducing drugs at an "Asian" price point. [...]the dislocation in services from widespread lockdowns resulted in significant delays in data collection and management of research samples. Even when we could transfer them to appropriate laboratories for analysis, the staff shortages, backlog of samples, and supply chain disruption of critical reagents and parts caused troubling delays in obtaining and analyzing data.

15.
Journal of Black Studies ; 52(3):296-309, 2021.
Article in English | APA PsycInfo | ID: covidwho-20233761

ABSTRACT

Black bodies have been the site of devastation for centuries. We who inhabit and love these bodies live in a state of perpetual mourning. We mourn the disproportionate dying in our families, communities and the dying in the black diaspora. We are yet to come to terms with the death that accompanied the AIDS pandemic. Tuberculosis breeds in the conditions within which most of us live. We die from hours spent in the belly of the earth where we dig for minerals to feed the unquenchable thirst of capital. Malaria targets our neighbors with deathly accuracy. Ebola stalks west Africa where it has established itself as a rapacious black disease. It kills us. In the black diaspora, African Americans are walking targets for American police who kill and imprison them at rates that have created a prison industrial complex. Africans die in the Mediterranean ocean and join the spirits of ancestors drowned centuries ago. With South Africa as the point of departure, this paper stages a transcontinental examination of black death. It is animated by the following questions. What are the dimensions of black death, what is its scale and how is it mourned? What does the COVID-19 pandemic mean for we who are so intimately familiar with death? (PsycInfo Database Record (c) 2023 APA, all rights reserved)

16.
American Quarterly ; 75(2):365-370, 2023.
Article in English | Academic Search Complete | ID: covidwho-20233261

ABSTRACT

For example, Gilmore notes that few people asked why California prison growth came to a halt in 2011 after over twenty years of expansion. These themes challenge the notion that prisons are I inevitable i , a deliberate fiction created to naturalize prisons and one that Gilmore's work methodically disassembles. 4 Ruth Wilson Gilmore, "Mothers Reclaiming Our Children", in I Golden Gulag: Prisons, Surplus, Crisis, and Opposition in Globalizing California i (Berkeley: University of California Press, 2007), 181-240;Gilmore, "Public Enemies and Private Intellectuals: Apartheid USA", in I Abolition Geography i , 78-91;Gilmore, "You Have Dislodged a Boulder: Mothers and Prisoners in the Post Keynesian California Landscape", in I Abolition Geography i , 355-409. [Extracted from the article] Copyright of American Quarterly is the property of Johns Hopkins University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

17.
Value in Health ; 26(6 Supplement):S255, 2023.
Article in English | EMBASE | ID: covidwho-20232712

ABSTRACT

Objectives: To examine the role of telemedicine in providing access to outpatient psychotherapy for children and young adults with incident major depressive disorder (MDD) before and during the COVID-19 pandemic, overall and by race and ethnicity. Method(s): Medical claims from a large, national insurer were retrospectively analyzed to identify two cohorts of individuals aged 10-26 years old, based on incident diagnosis ("index") date of MDD (pre-COVID: March-December 2018, COVID: March-December 2020). We tracked health care utilization, utilization by site of care, modality of care, and psychotherapy Results: The majority of patients in the two cohorts (pre-COVID: N=7,758, COVID: N=8,517) were White (78.9% and 78.8%, respectively), followed by Hispanic (11.5% and 10.9%), Black (6.6% and 7.1%), and Asian (3.0% and 3.2%). While pre-index utilization was similar between cohorts, the COVID cohort had 919 psychotherapy visits per 1,000 patients compared to 735 for the pre-COVID cohort in the month post-index. The increase in visits is largely attributable to an increase in telemedicine visits for the COVID cohort. Similarly, psychotherapy visits increased for all racial and ethnic groups in the COVID cohort compared to the pre-COVID cohort in the month post-index: 22.3% for Whites (931 visits per 1,000 patients in COVID cohort vs. 759 in pre-COVID cohort), 45.0% for Asians (951 vs. 656), 20.5% for Blacks (792 vs. 657) and 46.5% for Hispanics (860 vs. 587). Conclusion(s): Telemedicine increased access to mental health services during the pandemic across races and ethnicities, but racial and ethnic disparities persisted. Health systems should capitalize on the telehealth infrastructure developed during the pandemic to sustain this increased access to care while continuing work to reduce disparities.Copyright © 2023

18.
Vayu Aerospace and Defence Review ; - (3):3-4, 2023.
Article in English | ProQuest Central | ID: covidwho-20232469

ABSTRACT

According to the WHO, this virus still exists in many parts of the globe in some form or the other. After the end of the Cold War in the early 90s, the global geopolitical and geo-economic divide, consequent to the ongoing Russo-Ukraine War, has never been so harshly polarised. [...]it is pertinent to note what President Xi had spoken recently in the National People's Congress stating that he will endeavour to "more quickly elevating the armed forces to world-class standards-and make it a great wall of steel." Importantly, for decades, India does carry some moral authority with itself with its foreign policy based on the Nehruvian concept of nonalignment now aptly called 'strategic autonomy' which has been long respected by the 'third world' now referred to as the 'global south'.

19.
J Am Geriatr Soc ; 2023 Jun 12.
Article in English | MEDLINE | ID: covidwho-20243931

ABSTRACT

BACKGROUND: Poor quality of care in nursing homes (NHs) with high proportions of Black residents has been a problem in the US and even more pronounced during the COVID-19 pandemic. Federal and state agencies are devoting attention to identifying the best means of improving care in the neediest facilities. It is important to understand environmental and structural characteristics that may have led to poor healthcare outcomes in NHs serving high proportions of Black residents pre-pandemic. METHODS: We conducted a cross-sectional observational study using multiple 2019 national datasets. Our exposure was the proportion of Black residents in a NH (i.e., none, <5%, 5%-19.9%, 20-49.9%, ≥50%). Healthcare outcomes examined were hospitalizations and emergency department (ED) visits, both observed and risk-adjusted. Structural factors included staffing, ownership status, bed count (0-49, 50-149, or ≥150), chain organization membership, occupancy, and percent Medicaid as a payment source. Environmental factors included region and urbanicity. Descriptive and multivariable linear regression models were estimated. RESULTS: In the 14,121 NHs, compared to NHs with no Black residents, NHs with ≥50% Black residents tended to be urban, for-profit, located in the South, have more Medicaid-funded residents, and have lower ratios of registered-nurse (RN) and aide hours per resident per day (HPRD) and greater ratios of licensed practical nurse HPRD. In general, as the proportion of Black residents in a NH increased, hospitalizations and ED visits also increased. DISCUSSION/IMPLICATIONS: As lower use of RNs has been associated with increased ED visits and hospitalizations in NHs generally, it is likely low RN use largely drove the differences in hospitalizations and ED visits in NHs with greater proportions of Black residents. Staffing is an area in which state and federal agencies should take action to improve the quality of care in NHs with larger proportions of Black residents.

20.
Environ Geochem Health ; 2022 Nov 11.
Article in English | MEDLINE | ID: covidwho-20236382

ABSTRACT

The mean mass concentrations of black carbon (BC), biomass burning (BC)bb, and fossil fuel combustion (BC)ff have been estimated during March-May 2020 (during the COVID-19 outbreak) and March-May 2019 at a semiarid region of Agra over the Indo-Gangetic basin region. The daily mean mass concentration of BC in 2020 and 2019 was 3.9 and 6.9 µg m-3, respectively. The high monthly mean mass concentration of BC was found to be 4.7, 3.4 and 3.3 µg m-3 in Mar-2020, Apr-2020, and May-2020, respectively, whereas in Mar-2019, Apr-2019, and May-2019 was 7.7, 7.5 and 5.4 µg m-3, respectively. The absorption coefficient (babs) and absorption angstrom exponent (AAE) of black carbon were calculated. The highest mean AAE was 1.6 in the year 2020 (Mar-May 2020) indicating the dominance of biomass burning. The mean mass concentration of fossil fuel (BC)ff and biomass burning (BC)bb is 3.4 and 0.51 µg m-3, respectively, in 2020 whereas 6.4 and 0.73 µg m-3, respectively, in 2019. The mean fraction contribution of BC with fossil fuel (BC)ff was 82.1 ± 13.5% and biomass burning (BC)bb was 17.9 ± 4.3% in 2020, while in 2019, fossil fuel (BC)ff was 86.7 ± 13.5% and biomass burning (BC)bb was 13.3 ± 6.7%. The population-weighted mean concentration of BC, fossil fuel (BC)ff, and biomass burning (BC)bb has been calculated. The health risk assessment of BC has been analyzed in the form of attributable relative risk factors and attributed relative risk during the COVID-19 outbreak using AirQ + v.2.0 model. The attributable relative risk factors of BC were 20.6% in 2020 and 29.4% in 2019. The mean attributed relative risk per 10,000,000 populations at 95% confidence interval (CI) due to BC was 184.06 (142.6-225.2) in 2020 and 609.06 (418.3-714.6) in 2019. The low attributed factor and attributed relative risk in 2020 may be attributed to improvements in air quality and a fall in the emission of BC. In 2020, due to the COVID-19 pandemic, the whole country faced the biggest lockdown, ban of the transportation of private vehicles, trains, aircraft, and construction activities, and shut down of the industry leading to a fall in the impact of BC on human health. Overall, this was like a blessing in disguise. This study will help in future planning of mitigation and emission control of air pollutants in large and BC in particular. It only needs a multipronged approach. This study may be like torch bearing to set path for mitigation of impacts of air pollution and improvement of air quality.

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