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1.
Value in Health ; 26(6 Supplement):S12, 2023.
Article in English | EMBASE | ID: covidwho-20244364

ABSTRACT

Objectives: To analyze the budget impact (BI) of Covid-19 vaccines from a mixed U.S commercial and Medicare payer perspective after depletion of the Federally-Purchased Supply (FPS). Method(s): BI analyses were conducted in a hypothetical one-million member health plan with a mixed commercial (55%) and Medicare (45%) population over a one-year time horizon based on the current (January 2023) Covid-19 vaccine recommendations from the Centers for Disease Control and Prevention (CDC). The two scenarios in the model include 1) the health plan does not pay for Covid-19 vaccines, and 2) after the depletion of FPS, the health plan must cover all costs for Covid-19 vaccines. Model inputs include the market shares of available Covid-19 vaccines in the US as of December 2022, Covid-19 vaccine utilization trends stratified into age groups (<12, 12-17, 18-24, 25-49, 50-64, >=65 years old) between commercial and Medicare populations, and predicted Covid-19 vaccine costs. Model inputs were based on the CDC publicly available data, real world evidence, published literature, and expert opinions. Sensitivity analyses (SA) were conducted to test uncertainties arising from the input values in the model. Result(s): The number of members receiving one primary dose, completed Covid-19 vaccine series, one booster dose and two booster doses was estimated at 9,253, 49,720, 594,933 and 29,387, respectively. The incremental Covid-19 vaccine cost per member per month over one year after depletion of the FPS was $5.92 for the commercial population, $8.93 for the Medicare population, and $7.27 for the total population in the health plan. In the SA, the largest effect was observed for the scenario which varied the percentage of population >=65 years old receiving one booster dose. Conclusion(s): The model results indicate that there will be a high budget impact from a mixed U.S commercial and Medicare perspective after depletion of the FPS of Covid-19 vaccines.Copyright © 2023

2.
Expanding Underground - Knowledge and Passion to Make a Positive Impact on the World- Proceedings of the ITA-AITES World Tunnel Congress, WTC 2023 ; : 3320-3326, 2023.
Article in English | Scopus | ID: covidwho-20243979

ABSTRACT

Following the elaboration of a Tunnel Safety Documentation for the T4 tunnel, several deviations from the European and national Standards were identified. Moreover, due the tunnels' special characteristics and its ageing equipment, the rehabilitation plan had not only to upgrade the level of safety to "Category A” as per the ADR agreement, but also to perform heavy maintenance works and provide sustainable solutions for the tunnel operations and the local community. The construction methodology poses significant challenges in the operation and the construction. Therefore, special provisions, technical and operational, were required in order for the transport of heavy and dangerous goods vehicles to be allowed in the tunnel during construction. The Covid pandemic and the geopolitical conditions (Ukraine war), seem to negatively affect the projects' duration and financing. With a budget of more than €20M, it is the first tunnel upgrade project of this magnitude and complexity in Greece, that sets the basis as refence for future tunnel upgrades. © 2023 The Author(s).

3.
2022 IEEE 14th International Conference on Humanoid, Nanotechnology, Information Technology, Communication and Control, Environment, and Management, HNICEM 2022 ; 2022.
Article in English | Scopus | ID: covidwho-20242070

ABSTRACT

The school system was greatly affected by the COVID-19 pandemic. There is a need to assess the implementation of flexible learning in academic institutions. The study intends to describe the flexible learning as practiced in the highly urbanized University and the countryside University during the COVID-19 pandemic. This survey research aims to explore students' and faculty members' perceptions of the flexible learning modality implemented in the two institutions of higher learning. It also aims to discover the challenges, preferences, and support students and faculty need. Based on the results, learning becomes not workable given reasonable factors: strength of internet connectivity, quality of modules provided, the validity of the assessment, availability of learning devices such as smartphones, availability of budget for net data subscription, conduciveness of respective households for learning, et cetera. There should be standardized, normativized, and effective modules that are produced out of the intervention of various stakeholders. Requirements must be simple, reasonable, and workable given the students' time, resources, and capacity. Assessments should not be traditional and objective but should be authentic assessments. The digital divide should never be promoted directly or indirectly. The default system for all degree programs has to be the modules. The synchronous and/or asynchronous sessions should be made available to students but not mandatory;the University and teachers have to monitor every student's learning progress effectively. © 2022 IEEE.

4.
Value in Health ; 26(6 Supplement):S240, 2023.
Article in English | EMBASE | ID: covidwho-20241216

ABSTRACT

Objectives: The study aims to determine the influence of the efficiency of the cervical cancer program on the budget execution during the COVID-19 pandemic years 2020- 2021. Method(s): Estimating the screened women and using a micro-costing analysis to estimate the cost of treating precancerous lesions and cervical cancer in the pandemic and a non-pandemic scenario during 2020 -2021. Finally, the estimation of the budget execution for the cervical cancer program led by the Ministry of Health in the pandemic and non-pandemic scenarios. The estimation in the study was through two scenarios determined, the pandemic and non-pandemic scenarios during the years 2020 and 2021. After that, it was determined the number of screened and non-screened women. The next step was the cost estimation of the low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesions (HSIL), and cervical cancer at different stages. Therefore, this information is necessary for the Peruvian Ministry of Health to provide healthcare services to patients who did not get screened in the years 2020 and 2021. Result(s): The non-pandemic scenario would be spent USD 33,547,185 and USD 37,428,997 in 2020 and 2021, respectively. Conversely, in the pandemic scenario, spent USD 9,934,440 and USD 23,762,073 by 2020 and 2021. Therefore, by 2020 must be spent 68.7% of the budget, but only had been spent 20.3%. Moreover, in 2021, only 46.7% of the budget was spent when it should be 73.6% of the total budget. Therefore, USD 39,496,476 and USD 27,114,114 were not executed in 2020 and 2021, respectively. Conclusion(s): A total of USD 66,610,590 was the non-executed budget for the cervical program and needs to be reallocated in the following years to provide healthcare services to the women who did not get access to screening and treatment.Copyright © 2023

5.
Business Management ; 2022(4):18-34, 2022.
Article in English | Scopus | ID: covidwho-20240410

ABSTRACT

This article examines the expenditures of Bulgarian households during the COVID-19 pandemic. It specifies the theoretical and methodological features of the concepts of the household total and monetary expenditures and outlines their structure and specific characteristics. It also proves that the amount of total consumer expenditure is greater than the amount of monetary consumer expenditure. The structure and dynamics of the total expenditure average per household and per person are analyzed, deriving the factors that affect the trends in the change of the studied categories. The object of study is household total expenditure, and the subject involves the supposed role of COVID-19 as a factor that affects the state and dynamics of household total expenditure and/or its structure in Bulgaria. The conclusion is that there is a negative pandemic impact, but it should not be overestimated and/or dramatized. © 2022, Dimitar A Tsenov Academy of Economics. All rights reserved.

6.
Value in Health ; 26(6 Supplement):S237-S238, 2023.
Article in English | EMBASE | ID: covidwho-20240135

ABSTRACT

Objectives: To understand changes to granting access to novel vaccines by NITAG and payers and how prevention has become a focus in many markets Methods: Secondary research by studying various NITAG documents and published articles followed by primary research with experts in EU4 and UK Results: For NITAG recommendations, disease burden, vaccine efficacy, vaccine safety, followed by Epidemiology and mathematical modelling are conducted by most Western countries. Published studies on efficacy, effectiveness and reactogenicity are considered as key reference. UK specifically takes into account health economic modelling outputs. Recommendations in other markets are also considered in making local decisions. For vaccine funding payers consider the efficacy, durability and dosing regimen as key drivers, followed by aspects of strain coverage, formulation and storage. Platform were not considered by payers, while physicians considered it to be very important. For cost containment reasons, many NITAGs issue a recommendation for a narrow patient population Payers in all markets indicated that there is focus or prioritization of prevention strategies from ongoing COVID-19 pandemic and are likely to remain. UK for instance has increased its prevention budgets;however, this does not mean there is higher willingness to pay. In Germany there is no ring-fenced prevention specific budget. Conclusion(s): Severity of the disease is an important criterion in assessing the burden, an influential factor in vaccine decision making. In all countries in focus, Payers anticipate that the evaluation of new vaccines launched post-COVID-19 to be faster. Structural changes in Italy (restructure of AIFA and new NITAG) and UK (new public health agency), add to uncertainties on timelines. The length of the evaluation process will depends mainly on pre-work done with availability of local data on burden, epidemiology, and cost-effectiveness modelling.Copyright © 2023

7.
British Journal of Haematology ; 201(Supplement 1):81, 2023.
Article in English | EMBASE | ID: covidwho-20240027

ABSTRACT

NHS England Genomics introduced whole genome sequencing (WGS) with standard-of- care (SoC) genetic testing for haemato-oncology patients who meet eligibility criteria, including patients with acute leukaemia across all ages, and exhausted SoC testing. Alongside, the role of germline mutations in haematological cancers is becoming increasingly recognised. DNA samples are required from the malignant cells (somatic sample) via a bone marrow aspirate, and from non-malignant cells (germline sample) for comparator analysis. Skin biopsy is considered the gold-standard tissue to provide a source of fibroblast DNA for germline analysis. Performing skin punch biopsies is not within the traditional skillset for haematology teams and upskilling is necessary to deliver WGS/germline testing safely, independently and sustainably. A teaching programme was designed and piloted by the dermatology and haematology teams in Sheffield and delivered throughout the NHS trusts in North East & Yorkshire Genomic Laboratory Hub. The training programme consisted of a 90-min session, slides, video and practical biopsy on pork belly or synthetic skin, designed to teach up to six students at one time. To disseminate best practice, the standard operating procedure and patient information used routinely in Sheffield were shared, to be adapted for local service delivery. From January 2021 to December 2022, 136 haematology staff from 11 hospitals, including 34 consultants, 41 registrars, 34 nurses and 8 physician associates, across the NEY GLH region completed the skin biopsy training programme. Feedback from the course was outstanding, with consistently high scores in all categories. Practical components of the course were especially valued;98.6% (71/72) trainees scored the practical element of the programme a top score of 5 out of 5, highlighting that despite the challenges of delivering face-to- face teaching due to COVID-19, teaching of practical skills was highly valued;training in this way could not have been replicated virtually. Costs of the programme have been approximately 16 000, including consultant input and teaching/educational materials. Recent support has been provided by a separately funded Genomic Nurse Practitioner (GNP), with succession planning for the GNP to take over leadership from the consultant dermatologist. Plans are in place to use the remaining budget to disseminate the programme nationally. Our training programme has shown that skin biopsy can be formally embedded into training for haematology consultants, trainees, nursing team, and physician associates. Delivery of training can be effective and affordable across regional GLHs with appropriate leadership and inter-speciality coordination, and ultimately sustainable with specialist nursing staff, including GNPs.

8.
Forum Prawnicze ; 69(1):104-116, 2022.
Article in Polish | Scopus | ID: covidwho-20239829

ABSTRACT

Permissibility of repeal or amend participatory (civil) budget resolution can become a real problem during the COVID-19 pandemic (or during other crisis-like periods). On the one hand, that kind of action can undermine members of the local community trust in local authorities. On the other hand, the issue discloses a conflict between the essential values of local government. © 2022, Jagiellonian University. All rights reserved.

9.
Open Economies Review ; 34(2):437-470, 2023.
Article in English | ProQuest Central | ID: covidwho-20239740

ABSTRACT

This paper analyzes the effect of remittance inflows on external debt in developing countries, by identifying international reserves as a potential transmission channel. Using panel data over the period 1970–2017 and covering 50 low-and middle-income countries worldwide, we find a positive and significant effect of remittance inflows on the external debt-to-GDP ratio. We also find a negative and significant effect of international reserves on external debt. After controlling for international reserves, the effect of remittance inflows on external debt increases;it remains positive and significant. The results suggest that the role of international reserves as a self-insurance mechanism, and the Dutch disease effect related to remittance inflows are at play. In addition, we find negative and significant effects of economic growth and savings-investment gap on external debt. We also find positive and significant effects of the nominal exchange rate and the United States lending interest rate on external debt. We discuss the policy implications of these findings, while highlighting factors that policymakers should focus on for containing external debt in developing countries in the post-COVID-19.

10.
Ankara Hacı Bayram Veli &Uuml ; niversitesi &Iacute;ktisadi ve &Iacute;dari Bilimler Fakültesi Dergisi; 24(3):1291-1326, 2022.
Article in Turkish | ProQuest Central | ID: covidwho-20235289

ABSTRACT

Finansal ve ekonomik istikrarın sürdürülebilirliği açısından iç ve dış dengenin birlikte sağlandığı maliye politikalarının uygulanması son derece önem arz etmektedir. Bu nedenle, cari işlemler ile bütçe açıkları arasındaki ilişkinin incelenmesi politika yapıcılar, araştırmacılar ve ekonomistler arasında tartışılan önemli konulardan biri haline gelmiştir. Bu kapsamda, çalışmada Türkiye için Ocak 1998 – Aralık 2021 döneminde ikiz açık hipotezi, Granger nedenselliğin geçici istikrarını yeniden değerlendirmek amacıyla kullanılan yinelemeli algoritmalar kullanılarak araştırılmaktadır. Zamanla değişen Granger nedensellik analizden elde edilen bulgular, Türkiye'de ele alınan dönemde cari işlemler dengesi ve bütçe açığı arasında çift yönlü bir nedensellik ilişkisi olduğunu ortaya koymaktadır. Bu sonuç, Türkiye'de ikiz açık hipotezinin geçerli olduğunu ifade etmektedir. Aynı zamanda, nedensellik ilişkisinde anlamlı geçici değişimlerin olduğu gözlenmektedir. Seçim ve kriz dönemlerinde ikiz açık hipotezinin varlığı mevcut iken, 2002-2008 ve 2015-2021 dönemlerinde cari işlemler hedeflemesi politikası uygulanmaktadır. COVID-19 pandemisi döneminde ise, cari işlemler dengesi ve bütçe açığı arasında çift yönlü asimetrik aktarım mekanizmasının işlediği ifade edilebilir.Alternate :Implementing fiscal policies to ensure domestic and foreign balances together is of vital importance to sustain financial and economic stability. Therefore, investigating the relationship between budget deficit and current account deficit is one of the issues debated by popolicymakersnd economists. In this context, the existence of the win deficit hypothesis in Turkey is researched through recursive algorithms used to revaluate the temporal stability of Granger causality for the periods of January 1998-December 2021. The findings from time-varying Granger causality analysis reveal the existence of a bidirectional causality relationship between budget deficit and current account deficit. This result means the validity of the twin deficit hypothesis in Turkey. Also, the temporal changes in the so-called casualty relationships are observed significantly. During the electoral and crisis periods there is the existence of the twin deficit hypothesis wthe hileaccountnt acount targeting policy is implemented during the periods of 2002-2008 and 2015-2021. In the COVID-19 period, a bidirectional asymmetric transmission mechanism between budget deficit andcurrentt account deficit is worked can be stated.

11.
Value in Health ; 26(6 Supplement):S103, 2023.
Article in English | EMBASE | ID: covidwho-20233469

ABSTRACT

Objectives: Mucormycosis is a rare invasive fungal infection with high lethality, affecting mainly patients with hematological neoplasia, decompensated diabetes, and covid-19 infection. The aim was to perform a cost-effectiveness analysis of liposomal Amphotericin B (standard treatment) versus isavuconazole for treating mucormycosis in the consolidation phase from the perspective of the Brazilian Unified Health System. Method(s): A decision tree model was built. The analysis considered the costs of the treatment over a six-month time horizon. This included hospitalization during the entire course of treatment and the expenditures related to dialysis, complication occurring in 5% (3%-6%) of cases treated with the Amphotericin B. Appointments with specialists were included in the isavuconazole arm, and amphotericin B was used if the patient failed to respond to isavuconazole. The utility of the patient with mucormycosis, cured and with renal failure was estimated. Uncertainties were assessed through probabilistic and deterministic sensitivity analyses. Result(s): The average cost of amphotericin B and isavuconazole arm was R$1.054.874,39 and R$522.344,05, respectively. The utility was 0.479 with amphotericin B and 0.480 with isavuconazole. The ICER was R$ -684,494,237 (dominant). In deterministic sensitivity analysis, the probability of dialysis was the variable with the greatest impact. In probabilistic analysis, the ICER is distributed in the right and left lower quadrant, the acceptability curve for all the scenarios analyzed is favorable for isavuconazole. The budget impact suggests a potential savings of between R$ 350 million and R$ 415 million over five years. Conclusion(s): The treatment of mucormycosis during the consolidation phase with isavuconazole represents a lower cost, besides the convenience of oral treatment and reduced incidence of severe adverse events, with mortality similar to the Amphotericin B arm. In Brazil, the formulation of posaconazole approved is inadequate for treating mucormycosis during the consolidation phase, therefore isavuconazole is the single oral drug available.Copyright © 2023

12.
Local Government Studies ; : 1-20, 2023.
Article in English | Web of Science | ID: covidwho-20230839

ABSTRACT

This study investigates the effects of receipt and anticipation of intergovernmental revenues on local governments draw on accumulated fiscal reserves to cushion the impacts of COVID-19-related fiscal stress. Several studies have been conducted on determinants of fiscal reserves accumulation. However, little is known about the determinants of government draw on fiscal reserves, beyond revenue shortfall, in times of fiscal stress. Dwelling on the premise that government's draw on fiscal reserves is influenced by factors beyond revenue shortfall and controlling for the effects of revenue shortfalls and other factors, we analysed local government survey data to determine the effects of intergovernmental revenue on government draw on fiscal reserves. Results show that draw on fiscal reserves is significantly constrained by percent of FY 2020 revenue received from federal and state governments, but significantly and positively inluenced by revenue losses and percent of FY 2021 revenue anticipated from federal government.

13.
Area Development & Policy ; 8(2):162-181, 2023.
Article in English | Academic Search Complete | ID: covidwho-2324695

ABSTRACT

Analysis of trends in interregional inequality in Russia in 2015–21 and of the actual outcome during the 2020 pandemic and the subsequent recovery in 2021 reveals short-term regional convergence in seven indicators, albeit of different depth and duration. Sub-federal budget revenue experienced the most significant and persistent reduction in interregional disparities, the main sources of which were a reduction of unevenness in a number of taxes, a significant increase in federal transfers and a change in their nature. After a strong short-term convergence, industry, trade, transport and investment all tended to return to long-term divergence paths. Personal income and wage inequality responded weakly to the shock in the short term and entered the new long-term path. Multidirectional spatial trends resulted from the interaction of sectorial and fiscal policy effects during the pandemic. (English) [ FROM AUTHOR] Cómo ha afectado la pandemia en las desigualdades interregionales en Rusia. Area Development and Policy. En los análisis sobre las tendencias en las desigualdades interregional en Rusia durante el periodo de 2015 a 2021, el resultado actual durante la pandemia de 2020 y la recuperación posterior en 2021 se observa una convergencia regional a corto plazo en siete indicadores, si bien con diferencias en cuanto a la profundidad y la duración. En los ingresos presupuestales subfederales se observó la reducción más significativa y persistente en las desigualdades interregionales, siendo las principales fuentes la reducción de las desigualdades en una serie de impuestos, un aumento significativo en las transferencias federales y un cambio en su naturaleza. Tras una fuerte convergencia a corto plazo, la industria, el comercio, el transporte y las inversiones tendían a volver a las rutas de divergencia a largo plazo. Los ingresos personales y las desigualdades salariales respondieron débilmente al choque a corto plazo y entraron en una nueva fase a largo plazo. Las tendencias espaciales multidireccionales surgieron a partir de la interacción de los efectos de la política sectorial y fiscal durante la pandemia. (Spanish) [ FROM AUTHOR] Как пандемия повлияла на межрегиональное неравенство в России. Area Development and Policy. Анализ тенденций межрегионального неравенства в России в 2015–21 гг. и фактического неравенства во время пандемии 2020 г. и последующего восстановления в 2021 г. выявил краткосрочную конвергенцию регионов по семи показателям разной глубины и продолжительности. В доходах субфедерального бюджета произошло наиболее значительное и стойкое сокращение межрегиональных диспропорций, основными источниками которого стали уменьшение неравномерности по ряду налогов, значительное увеличение федеральных трансфертов и изменение их характера. После сильной краткосрочной конвергенции промышленность, торговля, транспорт и инвестиции, как правило, возвращались к долгосрочным траекториям дивергенции. Неравенство личных доходов и заработной платы слабо отреагировало на шок в краткосрочной перспективе и вступило на новую долгосрочную траекторию. Разнонаправленные пространственные тренды возникали в результате взаимодействия отраслевых эффектов и фискальной политики во время пандемии. (Russian) [ FROM AUTHOR] 流行病如何影响俄罗斯地区间不平等? Area Development and Policy. 本文分析了2015–21年间俄罗斯区域间不平等趋势、2020年爆发的流行病所造成的实际结果以及2021随后的疫情恢复情况, 研究表明七个指标在短期内区域趋同, 尽管深度和持续时间不同。联邦以下各级预算收入在区域间差异方面经历了最显著和持久的减少, 其主要来源是一些税收不平衡性减少, 以及联邦转移的显著增加和其性质的改变。在短期强劲趋同之后, 工业、贸易、运输和投资都倾向于回归长期的趋同路径。个人收入和工资不平等在短期内对冲击反应微弱, 并进入新的长期路径。多方的空间趋势是流行病期间部门和财政政策影响相互作用的结果。 (Chinese) [ FROM AUTHOR] Copyright of Area Development & Policy 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.)

14.
7th IEEE World Engineering Education Conference, EDUNINE 2023 ; 2023.
Article in English | Scopus | ID: covidwho-2323368

ABSTRACT

Low vaccination rates, inferior-quality vaccines, limited testing, and a lack of funding forced many institutions in Sub-Saharan Africa into online-learning-only environments for two years during the COVID-19 pandemic. Instructors scrambled to put classes online. Only in 2022 did some face-to-face classes resume. Unforeseeable and unprecedented circumstances forced university personnel to function with reduced budgets and without regard for the return to in-person classes. We taught, studied, and analyzed a cohort of third-year Sub-Saharan African students who spent their first two years of studies online. We describe the struggles they faced and what can be done to make up for their shortcomings and missed opportunities. We quantify the shortcomings through focus groups, an analysis of what parts of an accredited program would have fallen short, interviews, and through anecdotal evidence. Our findings can help those who suffered a similar fate. These observations can be applied to non-STEM disciplines. © 2023 IEEE.

15.
Hepatology International ; 17(Supplement 1):S19-S20, 2023.
Article in English | EMBASE | ID: covidwho-2322379

ABSTRACT

In 1990, the seroprevalence of antibody against hepatitis C virus (anti- HCV) in Taiwan was first documented to be 0.95% in volunteer blood donors, 90% in hemophiliacs, and 81% in parenteral drug abusers. The risk factors for HCV infection in Taiwan include iatrogenic transmission (medical injection, hemodialysis, acupuncture, and blood transfusion), tattooing, and sexual transmission. The long-term risk of hepatic and non-hepatic diseases has been well-documented by REVEL-HCV study. A national program of antiviral therapy for chronic viral hepatitis was launched in Taiwan in 2003. Mortality rates of end-stage liver diseases decreased continuously from 2000-2003 to 2008-2011 in all age and gender groups. When the World Health Assembly adopted the Global Health Sector Strategy on Viral Hepatitis in 2016, National program to eliminate hepatitis C was very carefully evaluated. It became a consensus to reach the WHO's 2030 goals in 2025. Taiwan Hepatitis C Policy Guideline 2018-2025 was approved and published at the beginning of 2019. There are triple focuses of hepatitis C elimination in Taiwan including (1) therapy spearheads prevention, (2) screening supports therapy, and (3) prevention secures outcome. A total of US$1.7 billion will be allocated from 2017 to 2025 for the elimination of HCV. The coverage of HCV screening and treatment has been increasing significantly since 2017. The HCV screening coverage was almost 100% for dialytic patients, 96% for HIV-infected patients, 65% for patients under opioid substitution treatment, 63% for patients in the pre-end-stage renal disease care program, 57% for patients in the early chronic kidney disease care program, 52% for patients in diabetes care program, 39% for prisoners, and 38% for adults aged 45-79 years old in the general population by April 30, 2020. The budget to cover the cost of DAA increased from US$101 million in 2017 to US$219 million in 2019. The number of chronic hepatitis C patients receiving DAA therapy increased from 9,538 in 2017, 19,549 in 2018, to 45,806 in 2019. However, the number of DAA-treated CHC patients reduced to 36,159 in 2020 and 20,559 in 2021 due to the COVID-19 pandemic. The cure rate based on SVR12 was 96.8% in 2017, 97.4% in 2018, over 98.6% after 2019. It is expected that Taiwan will achieve WHO's HCV elimination goal by 2025.

16.
Russian Law Journal ; 11:329-344, 2023.
Article in English | Web of Science | ID: covidwho-2321567

ABSTRACT

Purpose: The objective of the research is proposed a methodology to prepare a Zero-Based Budget ( ZBB) for Small and Medium-sized Enterprises (SMEs) in Ecuador, applying fuzzy logic. Design/methodology/approach: A quantitative approach is assumed to show findings derived from the work carried out in these Ecuadorian business units, belonging to non-essential sectors such as wood, textiles and footwear. Fuzzy logic, the technique of expertise, and Trapezoidal Fuzzy Numbers ( TpFN) are used to capture true budget levels. Findings: The results recommend that optimal budget levels can be obtained for SMEs in restrictive and health emergency contexts. Originality/value: As a result of COVID-19 pandemic, markets and demand are contracting causing variations in income and demanding greater rationalization at the level of expenditures. For SMEs is essential prepared income and disbursements estimates. Based on the methodology proposed, predictions are made to achieve the objectives of SMEs. Directors will be able to make more successful decisions for the benefit of their companies, to streamline operations, direct the achievement of objectives, rationalize expenses (costs and expenses), and to project better scenarios in the future before carrying out cost-benefit analysis.

17.
Financial and Credit Activity-Problems of Theory and Practice ; 1(48):91-104, 2023.
Article in English | Web of Science | ID: covidwho-2326850

ABSTRACT

External threats (Russian-Ukrainian war, climate change on the planet, consequences of the COVID-19 pandemic) and internal factors (lack of funding, inefficient use of funds, inconsistency of powers of the executive power at different levels) lead to unbalanced adoption of budget decisions at the local level in Ukraine. A major role in overcoming such bottlenecks lies in rethinking the functions of accounting and control. The purpose of the article is to find new conceptual approaches that will improve the efficiency of municipalities based on providing the management of the territorial community with complete, accurate and operational data. The authors analyze the publications for 1946-2022 from SCOPUS by computer program VOSviewer, using methods of content analysis and clustering. In addition, the authors use a number of scientific methods: analysis and synthesis, induction and deduction, the system method, analogies, etc. The study deals with a number of problems and solutions implemented by municipalities during wartime, related to local budgets. The influence of natural factors, sustainable development, accounting and control on ensuring the manageability of budgets of territorial communities has been clarified. The authors propose a new conceptual approach to the organization of the budgetary process of territorial communities, which is based on the concept of STEM. For its practical implementation, it is recommended to apply the smart city concept. The study identifies the main advantages and caveats regarding its implementation in Ukraine. The practical significance of the obtained results lies in the possibility of improving accounting and control of local budgets.

18.
2023 Gas and Oil Technology Showcase and Conference, GOTS 2023 ; 2023.
Article in English | Scopus | ID: covidwho-2319171

ABSTRACT

The oil industry is experiencing a critical situation as the Covid-19 pandemic outbreak. There are several challenges that facing the industry specially the investors as the global decline in demand for Energy merchandises, the future exploration and development drilling in new assets that require massive investments is still uncertain based on the current market price and conditions. The much-reported fall in oil prices and the acute pressure on IOCs to survive in this environment led the companies to stop many ongoing projects and shrink work profile that affected the oil production all over the world. The situation in Egypt is quite challenging for the investors as Egypt is a big consumer, along with the political stability that kept the economy running directed the big IOCs to embrace innovative approaches to lower the operating costs that has the direct impact on the cost per barrel to support maintaining the country growth and secure current energy demand. Dragon Oil company as newly introduced to Egypt's market after acquiring the market shares of one of the major joint ventures in Egypt (Gulf of Suez Petroleum Company- GUPCO) in October 2019 has faced the same dilemma of exerted pressure on the expenditures (Capex and Opex) in order to cope with the global market circumstances. However that didn't deter the company to embrace an innovative way of thinking and handling for the situation. Dragon Oil/GUPCO multi-disciplinary teams achieved successfully a production incremental increase of 10,000 barrels per day through the past six month by adapting a strategic management innovative plans, alternative lower cost technical solutions, production optimization and introducing new proved technologies to the 50 years old assets. This paper will highlight the complete workflow adopted by GUPCO/Dragon Oil teams covering the whole process aspects;appraise, select, define and execution phases to achieve the company goals. The work done was including restoring production from Shut-in offshore platforms or wells via fixing the surface network using neoteric solutions, widely applying rigless interventions using several new techniques in the current producers to maximize their production and optimizing the production cycle across the four production chokes In Summary, Dragon Oil/GUPCO teams managed to increase GUPCO's production despite of the restricted budget and the negative impact of COVID-19 pandemic on the oil price and reach an outstanding performance in operation excellence and safety aspects that results in arresting the natural decline and increase the growth production by about 15% from the 2019 Average production. Copyright © 2023, Society of Petroleum Engineers.

19.
Canadian Medical Association Journal (CMAJ) ; 195(17):E622-E623, 2023.
Article in English | Academic Search Complete | ID: covidwho-2318062
20.
2023 Offshore Technology Conference, OTC 2023 ; 2023-May, 2023.
Article in English | Scopus | ID: covidwho-2316724

ABSTRACT

The second phase of Johan Sverdrup came on stream in December 2022. This paper focuses on the execution of Johan Sverdrup phase 2 and describes the assessments and investments for improved oil recovery (IOR) from one of the largest oil fields in Norway. The Johan Sverdrup field development has been called Equinor's ‘digital flagship', and this paper includes the proof of concept for the digital initiatives after more than three years of operation. Despite the Covid-19 pandemic Johan Sverdrup phase 2 has been able to deliver on schedule, under budget, and with an excellent safety record. The paper includes experiences from the concept development and engineering phase to the global contracting strategy, through the construction on multiple building sites in Norway and globally, and until the end of the completion phase offshore Norway. Johan Sverdrup is the third largest oil field on the Norwegian Continental Shelf (NCS), and with recoverable reserves estimated at 2.7 billion barrels of oil equivalents, has the resources to be a North Sea Giant. Start-up of the Johan Sverdrup phase 2 extends and accelerates oil and gas production from the NCS for another five decades. This paper aims to highlight what it took to make Johan Sverdrup a true North Sea Giant, fit for the 21st century: a safe and successful execution of a mega-project, with next-generation facilities adapted to a more digital way of working, with an ambition to profitably recover more than 70% of the resources, while limiting carbon emissions from production to a minimum. In many ways the Johan Sverdrup development has set a new standard for project execution in Equinor. The impact of different variables made during the execution of the project, such as the Covid-19 pandemic, market effects, procurement strategies, value improvement initiatives, execution performance and reservoir characteristics is addressed, as well as describing assessments and investments for improved oil recovery (IOR). Data acquisition, Permanent Reservoir Monitoring (PRM), fibre-optic monitoring of wells, innovative technologies, and digitalization, as well as new ways of working are included. Equinor ´s digital strategy was established in 2017, and Johan Sverdrup was highlighted as a digital flagship at that time and a frontrunner in applying digital solutions to improve safety and efficiency from the development to the operational phase. What has been implemented so far together with experiences will be shared. © 2023, Offshore Technology Conference.

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