Sustainable Competitive Advantage Through Market And Entrepreneurial Orientation In Indonesian Retail MSMEs During The COVID-19 Recovery Stage

This study aims to measure the impact of Entrepreneurial and Market Orientation on the Sustainable Competitive Advantage of Micro, Small, and Medium Enterprises in Indonesia during the recovery phase of the COVID-19 Pandemic. The aim of this research is to find solutions to understand the factors of the survival problems of small businesses facing the uncertainty of novelty during and after the Coronavirus outbreak. Using data obtained from the contribution of the questionnaire that was responded to by 335 individuals involved in MSMEs, we calculated the effect of EO and MO on SCA using Structural Equational Modeling, Partial Less Square. The findings show that EO strongly influences MO and SCA, while the relationship between MO and SCA is weaker. © 2022 IEEE.

Effectiveness of Xiangsha Liujun pills on decreased digestive function in convalescent patients of coronavirus disease 2019: a randomized, double blind, placebo controlled clinical trial.

OBJECTIVE: To evaluate the effectiveness and safety of Xiangsha Liujun pills on the decreased digestive function in patients in the recovery phase of the Coronavirus disease 2019 (COVID-19). METHODS: A randomized, double blind, placebo controlled clinical trial was conducted. A total of 200 COVID-19 patients in the recovery phase were included in our study in Ezhou Hospital of Traditional Chinese Medicine. Totally 200 subjects were randomly divided into a treatment group (Xiangsha Liujun pills) and a control group (placebo), with 100 in each group. Subjects took Xiangsha Liujun pills or placebo orally three times a day for two weeks. Three visits were scheduled at week 0 (baseline), week 1 (the middle of the intervention) and week 2 (the end of the intervention) for each eligible patient. The total efficacy rates for improving the Traditional Chinese Medicine (TCM) symptoms (fatigue, poor appetite, abdominal distension and loose stools) and the disappearance rates of symptoms were observed and compared in the treatment and control groups. Adverse events were recorded during the study period. SAS 9.4 was used to analyze the data. RESULTS: A total of 200 patients were included in this study, among which 4 participants withdrew because the drugs did not work. Three patients were excluded for age. Before the treatment, there was no significant difference between the TCM symptoms scores of subjects. After 1 week of treatment, the full analysis set (FAS) showed that the efficacy rates for abdominal distension and loose stools in the treatment group were significantly higher than the control group ( 0.05). There were no significant differences in the efficacy rates for fatigue and poor appetite between the two groups (0.05). In addition, the disappearance rate of fatigue in the treatment group was significantly higher than the control group (0.05); there were no significant differences between the two groups after treatment in the rates of poor appetite, abdominal distension, and loose stools (>0.05). After 2 weeks of treatment, the efficacy rates for fatigue, poor appetite, abdominal distension, and loose stools in the treatment group were significantly higher than the control group (0.05). The disappearance rate of loose stools in the treatment group was significantly higher than the control group ( 0.05). However, there were no significant differences in the disappearance rates of fatigue, poor appetite, and abdominal distension between the two groups ( 0.05). No severe adverse events were reported by subjects during the study. CONCLUSIONS: This clinical study confirmed that Xiangsha Liujun pills can effectively improve the symptoms related to the decreased digestive function in COVID-19 convalescent patients.

Post-pandemic revisit intentions: how shopping value and visit frequency matters

PurposeThis paper examines the effect of shopping value (utilitarian, hedonic and social) on shopping satisfaction and store revisit intention in the post-pandemic phase. Additionally, the authors investigate how shoppers' COVID-responsible behaviour and visit frequency are contingent on their shopping value evaluations.Design/methodology/approachData were collected (n = 527) using the store intercept method during March 2022 (a recovery phase from the third wave of COVID-19 in India). The authors adopted structural equation modelling to test the proposed model.FindingsShopping values significantly impacted shopping satisfaction and store revisit intentions. The effects of utilitarian and hedonic value on satisfaction were stronger for frequent shoppers than infrequent shoppers. While utilitarian value contributes to stronger satisfaction of COVID-responsible shoppers, COVID-non-responsible shoppers are better satisfied with social value. The impact of hedonic and social value on satisfaction has reduced significantly from the pre- to post-pandemic phase.Practical implicationsPractising managers should recognise that positive shopping value evaluations are important for generating satisfaction. Notably, the utilitarian value becomes more important in times of environmental exigencies. The study provides insights to devise strategies to attract and retain frequent shoppers who are major contributors to the store's profit.Originality/valueThis study is one of the few studies which focuses on in-store shopping and consumers' shopping value evaluations in a COVID-19 recovery phase. This study is one of the first that compares the post-pandemic shopping value judgement to a pre-pandemic phase. The authors provide valuable insights into store revisit intentions of shoppers who behave responsibly in a challenging environment.

Post-pandemic revisit intentions: how shopping value and visit frequency matters

PurposeThis paper examines the effect of shopping value (utilitarian, hedonic and social) on shopping satisfaction and store revisit intention in the post-pandemic phase. Additionally, the authors investigate how shoppers' COVID-responsible behaviour and visit frequency are contingent on their shopping value evaluations.Design/methodology/approachData were collected (n = 527) using the store intercept method during March 2022 (a recovery phase from the third wave of COVID-19 in India). The authors adopted structural equation modelling to test the proposed model.FindingsShopping values significantly impacted shopping satisfaction and store revisit intentions. The effects of utilitarian and hedonic value on satisfaction were stronger for frequent shoppers than infrequent shoppers. While utilitarian value contributes to stronger satisfaction of COVID-responsible shoppers, COVID-non-responsible shoppers are better satisfied with social value. The impact of hedonic and social value on satisfaction has reduced significantly from the pre- to post-pandemic phase.Practical implicationsPractising managers should recognise that positive shopping value evaluations are important for generating satisfaction. Notably, the utilitarian value becomes more important in times of environmental exigencies. The study provides insights to devise strategies to attract and retain frequent shoppers who are major contributors to the store's profit.Originality/valueThis study is one of the few studies which focuses on in-store shopping and consumers' shopping value evaluations in a COVID-19 recovery phase. This study is one of the first that compares the post-pandemic shopping value judgement to a pre-pandemic phase. The authors provide valuable insights into store revisit intentions of shoppers who behave responsibly in a challenging environment.

Meta-analysis of 16S rRNA microbial data identified alterations of the gut microbiota in COVID-19 patients during the acute and recovery phases.

BACKGROUND: Dozens of studies have demonstrated gut dysbiosis in COVID-19 patients during the acute and recovery phases. However, a consensus on the specific COVID-19 associated bacteria is missing. In this study, we performed a meta-analysis to explore whether robust and reproducible alterations in the gut microbiota of COVID-19 patients exist across different populations. METHODS: A systematic review was conducted for studies published prior to May 2022 in electronic databases. After review, we included 16 studies that comparing the gut microbiota in COVID-19 patients to those of controls. The 16S rRNA sequence data of these studies were then re-analyzed using a standardized workflow and synthesized by meta-analysis. RESULTS: We found that gut bacterial diversity of COVID-19 patients in both the acute and recovery phases was consistently lower than non-COVID-19 individuals. Microbial differential abundance analysis showed depletion of anti-inflammatory butyrate-producing bacteria and enrichment of taxa with pro-inflammatory properties in COVID-19 patients during the acute phase compared to non-COVID-19 individuals. Analysis of microbial communities showed that the gut microbiota of COVID-19 recovered patients were still in unhealthy ecostates. CONCLUSIONS: Our results provided a comprehensive synthesis to better understand gut microbial perturbations associated with COVID-19 and identified underlying biomarkers for microbiome-based diagnostics and therapeutics.

Therapeutic Exercise Protocols for People Recovering After Covid-19: A Tele-Health Approach

Post-Covid-19 syndrome occurs in at least half survivors, that claim to suffer from a mild to severe deconditioning syndrome, fatigue, muscle wasting and pain, dizziness, very low tolerance to minimal efforts, depression and anxiety, when they not will suffer from post-critical neurological syndrome and peripheral neuropathies. Telemedicine and telerehabilitation could be decisive solutions to safely take care and follow these patients in the recovery phase, as well as to alleviate the burden of healthcare structures, in order to reach the majority of people and in the presence of the need for social distancing. The study aims at verifying the feasibility and level of users’ satisfaction of a tele-health service that provide therapeutic education protocols for people recovering from Covid-19. An average of 350 accesses per day have been registered on the platform since 31 March to 30 June 2020. 50 people answered the users’ satisfaction questionnaire and declared no side effects and a good effectiveness (median 7.5/10) to manage fatigue and anxiety. Most subjects (66%) were people hospitalized for Covid-9 and discharged home (32,6%,) or exclusively treated at home (27,6%), instead, 11,6% of subjects were still convalescent in hospital. In conclusion, tele-health was appreciated, safe and possibly useful to integrate rehabilitative management of subjects recovering from Covid-19. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Trilateral Water Quality Monitoring from Space during Covid-19

In order to control the spread of the pandemic of Corona-Virus Disease 2019 (COVID-19), lockdowns of various durations and intensities have been established in many countries over the world all through the year 2020. The trilateral dashboard jointly implemented by NASA, JAXA and ESA aims at exploiting remote-sensing data to evaluate the impact of these restrictions, and subsequent recovery phases on many different environmental, agriculture and economic indicators. More specifically, this paper presents the indicators implemented to monitor the impact of COVID-19 restrictions on Water Quality, together with preliminary analysis results over a few Areas of Interest. © 2021 IEEE.

Malaysian Government Digital Transformation Stimulus Accelerate the Growth of SMEs in E-commerce Ecosystems: The Recovery Phase of the Post Covid-19 Pandemic in 2020

The Covid-19 outbreak has significantly hit and altered the way people live, socialise, and do business operations, causing many governments to step in with stimulus packages to help them survive. Major victims of this situation are small and medium-sized enterprises (SMEs). This breakup in society has a devastating effect on SMEs, causing economic disruption, uncertainty, and confusion. Simultaneously, as with every big crisis, fresh possibilities to reimagine business in a new light. This article presents a critical examination of the Malaysian government’s approach to the Covid-19 issue and its implications on spurring SMEs’ growth in e-commerce. It will look back on 2020 as the year that revolutionised everything for regular living, business activities, and healthcare systems. It is an analysis of discourse within a range of archival evidence. It is based on examining major publications and documented materials emanating from government reports, newspapers, and international reports from internet resources of the success stories of the Malaysia stimulus program. The government has implemented a comprehensive economic response to realise the full potential of the e-commerce ecosystem in terms of connecting people, driving change, and improving corporate outcomes. Furthermore, this study allows us to analyse the role of the government in assisting SMEs. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Exercising operational agility in virtual training sessions

As businesses adapt during the recovery phase of COVID-19, there has been a major reset in the way work activities are prepared, conducted, and delivered. In this challenging environment, it may not be prudent or possible to have face-to-face workshops involving key personnel. This certainly applies to the conduct of hazard management training, where personnel would typically learn, apply, and reinforce the required learning competencies in a collegiate environment. It has become evident that facilitators have had to alter the way they organize and deliver content in a virtual environment to ensure that there is no adverse change in quality. The challenge is to maintain engagement and foster a nurturing environment to promote learning and communication among the learners as well as between the learners and facilitator(s). This paper relays the good and bad experiences from Sherpa's delivery of hazard management virtual training to operating facilities located nationally and overseas. Sherpa identified eight key steps in the plan and prepare phase of developing a training session that can be used to equip facilitators with operational agility. Sherpa then developed solutions to overcome the challenges of a virtual environment and ensure that key learning outcomes are successfully delivered. © 2022 American Institute of Chemical Engineers

Serum surfactant protein D in COVID-19 is elevated and correlated with disease severity.

BACKGROUND: The serum surfactant protein D (SP-D) level is suggested to be a useful biomarker for acute lung injuries and acute respiratory distress syndrome. Whether the serum SP-D level could identify the severity of coronavirus disease 2019 (COVID-19) in the early stage has not been elucidated. METHODS: We performed an observational study on 39 laboratory-confirmed COVID-19 patients from The Fourth People's Hospital of Yiyang, Hunan, China. Receiver operating characteristic (ROC) curve analysis, correlation analysis, and multivariate logistic regression model analysis were performed. RESULTS: In the acute phase, the serum levels of SP-D were elevated significantly in severe COVID-19 patients than in mild cases (mean value ± standard deviation (SD), 449.7 ± 125.8 vs 245.9 ± 90.0 ng/mL, P<0.001), while the serum levels of SP-D in the recovery period were decreased dramatically than that in the acute phase (mean value ± SD, 129.5 ± 51.7 vs 292.9 ± 130.7 ng/ml, P<0.001), and so were for the stratified patients. The chest CT imaging scores were considerably higher in the severe group compared with those in the mild group (median value, 10.0 vs 9.0, P = 0.011), while markedly lower in the recovery period than those in the acute phase (median value, 2.0 vs 9.0, P<0.001), and so were for the stratified patients. ROC curve analysis revealed that areas under the curve of lymphocyte counts (LYM), C-reaction protein (CRP), erythrocyte sedimentation rate (ESR), interleukin-6 (IL-6), and SP-D for severe COVID-19 were 0.719, 0.833, 0.817, 0.837, and 0.922, respectively. Correlation analysis showed that the SP-D levels were negatively correlated with LYM (r = - 0.320, P = 0.047), while positively correlated with CRP (r = 0.658, P<0.001), IL-6 (r = 0.471, P = 0.002), the duration of nucleic acid of throat swab turning negative (r = 0.668, P<0.001), chest CT imaging score on admission (r = 0.695, P<0.001) and length of stay (r = 0.420, P = 0.008). Multivariate logistic regression model analysis showed that age (P = 0.041, OR = 1.093) and SP-D (P = 0.008, OR = 1.018) were risk factors for severe COVID-19. CONCLUSIONS: Elevated serum SP-D level was a potential biomarker for the severity of COVID-19; this may be useful in identifying patients whose condition worsens at an early stage.

Acute motor-sensory axonal polyneuropathy variant of Guillain-Barre syndrome complicating the recovery phase of coronavirus disease 2019 infection: a case report.

INTRODUCTION: The novel coronavirus, since its first identification in China, in December 2019, has shown remarkable heterogeneity in its clinical behavior. It has affected humans on every continent. Clinically, it has affected every organ system. The outcome has also been variable, with most of the older patients showing grave outcomes as compared with the younger individuals. Here we present a rare and severe variant of Guillain-Barre syndrome that complicated the disease in recovery phase. CASE PRESENTATION: A 60-year-old Afghan man, who had been recovering from symptoms related to novel coronavirus associated disease, presented with sudden onset of progressive muscle weakness and oxygen desaturation. Electrophysiological workup confirmed the diagnosis of Guillain-Barre syndrome, and early institution of intravenous immunoglobulin resulted in complete resolution. CONCLUSION: Guillain-Barre syndrome has recently been reported in many patients diagnosed with novel coronavirus associated disease. While clinical suspicion is mandatory to guide towards an effective diagnostic workup, early diagnosis of this complication and timely institution of therapeutic interventions are indispensable and lifesaving.