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1.
Nutr Clin Pract ; 2022 Oct 29.
Article in English | MEDLINE | ID: covidwho-2094227

ABSTRACT

Product shortages related to the components of parenteral nutrition (PN) therapy have been well described over the past decade. The situation has more recently worsened and expanded globally because of the impact the COVID-19 pandemic has placed on supply chain issues and workforce demand. The impact of enteral nutrition (EN) product shortages is less well documented when compared with PN, and development of management strategies is often left up to the discretion of individual providers. The recent crisis in infant formula supply has heightened the national awareness of how a nutrition support product shortage can significantly impact patient safety. This review provides a historical perspective of PN and EN product shortages to gain insight into the lessons learned and applies this to strategies for managing current and future product shortages. Strategies for managing PN and EN shortages can best succeed if they are tailored to address aspects that are unique to the inpatient and outpatient care setting. In addition, patients who transition between care settings are vulnerable to harm related to product shortages if measures are not in place to communicate and address these shortages. Teamwork and communication within an organization and among key stakeholders are necessary to develop processes that aim to minimize patient harm related to product shortages.

2.
Am J Clin Pathol ; 158(2): 158-159, 2022 Aug 04.
Article in English | MEDLINE | ID: covidwho-1711300

Subject(s)
Laboratories , Humans
3.
Remote Sensing ; 14(19):4793, 2022.
Article in English | ProQuest Central | ID: covidwho-2066344

ABSTRACT

Since the outbreak of the Ukrainian-Russian conflict on 24 February 2022, Ukraine’s economy, society, and cities have been devastated and struck on multiple fronts, with large numbers of refugees fleeing to neighboring countries. The lighting systems in Ukrainian cities have been severely restricted due to Russian missile bombing and curfew policies. The power shortages adversely affected the livelihoods of the Ukrainian residents dramatically. For a timely assessment of the power shortages’ extent and the affected population in Ukraine, this study tracked the dynamics of nighttime light emissions in Ukraine based on the newly developed daily Black Marble product (VNP46A2) from NASA. The results show that the average light radiance in Ukrainian urban areas has decreased by about 37% since the eruption of the war, with Kiev city being the most dramatic region, having a post-conflict decrease of about 51%. In addition, by introducing near-real-time population data, we have implemented a survey of the affected population in Ukraine suffering from war-induced power shortages. Estimates show that about 17.3 million Ukrainian residents were affected by power shortages. In more detail, the number of children under 10 years old was about 2.35 million (about 5.24% of the total population), while the number of elderly people over 60 years old was about 3.53 million (about 7.86% of the total population). Generally, the results of this study could contribute positively to the timely assessment of the impact of the conflict and the implementation of humanitarian relief.

4.
Energies ; 15(18), 2022.
Article in English | Scopus | ID: covidwho-2065777

ABSTRACT

In recent years, due to the rise in energy prices and the impact of COVID-19, energy shortages have led to unsafe power supply environments. High emissions industries which account for more than 58% of the carbon emissions of Guangdong Province have played an important role in achieving the carbon peak goal, alleviating social energy shortage and promoting economic growth. Controlling high emissions industries will help to adjust the industrial structure and increase renewable energy investment. Therefore, it is necessary to comprehensively evaluate the policies of energy security and the investments of high emission industries. This paper builds the ICEEH-GD (comprehensive assessment model of climate, economy, environment and health of Guangdong Province) model, designs the Energy Security scenario (ES), the Restrict High Carbon Emission Sector scenario (RHS) and the Comprehensive Policy scenario (CP), and studies the impact of limiting high emissions industries and renewable energy policies on the transformation of investment structure, macro-economy and society. The results show that under the Energy Security scenario (ES), carbon emissions will peak in 2029, with a peak of 681 million tons. Under the condition of ensuring energy security, the installed capacity of coal-fired power generation will remain unchanged from 2025 to 2035. Under the Restrict High Carbon Emission Sector scenario (RHS), the GDP will increase by 8 billion yuan compared with the ES scenario by 2035. At the same time, it can promote the whole society to increase 10,500 employment opportunities, and more investment will flow to the low emissions industries. In the Comprehensive Policy scenario (CP), although the GDP loss will reach 33 billion yuan by 2035 compared with the Energy Security scenario (ES), the transportation and service industries will participate in carbon trading by optimizing the distribution of carbon restrictions in the whole society, which will reduce the carbon cost of the whole society by more than 48%, and promote the employment growth of 104,000 people through industrial structure optimization. Therefore, the power sector should increase investment in renewable energy to ensure energy security, limit the new production capacity of high emissions industries such as cement, steel and ceramics, and increase the green transition and efficiency improvement of existing high emissions industries. © 2022 by the authors.

5.
Hospital Pharmacy ; : 1, 2022.
Article in English | Academic Search Complete | ID: covidwho-2064436

ABSTRACT

Background: The COVID-19 pandemic has shown how fragile our healthcare supply chain is with product delays, drug shortages, and labor shortages being exacerbated in recent years. Objective: This article reviews current threats to the healthcare supply chain that impact patient safety and highlights potential solutions for the future. Method: A review of the literature was conducted, and important up-to-date resources associated with drug shortages and supply chain were analyzed to build foundational knowledge. Potential supply chain threats and solutions were then explored through further literature analyses. Conclusions: The information provided in this article helps to brief pharmacy leaders on current supply chain issues and solutions that can be integrated throughout the healthcare supply chain in the future. [ FROM AUTHOR] Copyright of Hospital Pharmacy 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.)

6.
International Journal of Physical Distribution and Logistics Management ; 2022.
Article in English | Scopus | ID: covidwho-2063174

ABSTRACT

Purpose: This paper links supply chain risk management to medicine supply chains to explore the role of policymakers in employing supply chain risk management strategies (SCRMS) to reduce generic medicine shortages. Design/methodology/approach: Using secondary data supplemented with primary data, the authors map and compare seven countries' SCRMS for handling shortage risks in their paracetamol supply chains before and during the first two waves of the COVID-19 pandemic. Findings: Consistent with recent research, the study finds that policymakers had implemented few SCRMS specifically for responding to disruptions caused by COVID-19. However, shortages were largely avoided since multiple strategies for coping with business-as-usual disruptions had been implemented prior to the pandemic. The authors did find that SCRMS implemented during COVID-19 were not always aligned with those implemented pre-pandemic. The authors also found that policymakers played both direct and indirect roles. Research limitations/implications: Combining longitudinal secondary data with interviews sheds light on how, regardless of the level of preparedness during normal times, SCRMS can be leveraged to avert shortages in abnormal times. However, the problem is highly complex, which warrants further research. Practical implications: Supply chain professionals and policymakers in the healthcare sector can use the findings when developing preparedness and response plans. Social implications: The insights developed can help policymakers improve the availability of high-volume generic medicines in (ab)normal times. Originality/value: The authors contribute to prior SCRM research in two ways. First, the authors operationalize SCRMS in the medicine supply chain context in (ab)normal times, thereby opening avenues for future research on SCRM in this context. Second, the authors develop insights on the role policymakers play and how they directly implement and indirectly influence the adoption of SCRMS. Based on the study findings, the authors develop a framework that captures the diverse roles of policymakers in SCRM. © 2022, Emerald Publishing Limited.

7.
International Journal of Research in Business and Social Science ; 11(6):20-32, 2022.
Article in English | ProQuest Central | ID: covidwho-2058147

ABSTRACT

This article intends to uncover the ongoing challenges that South African municipalities are confronted with in realizing SDG 6 (clean water and sanitation) and also explore common good governance principles for sustainable development To realize SDG 6, good governance principles should be promoted and pragmatically implemented. This is a conceptual article which assesses secondary data covering SDG 6 challenges and good governance principles. Existing literature was systematically reviewed from Google Scholar, online newsletters, and other databases from May-July 2022. Secondary data was analyzed using a Thematic Content Analysis (TCA> approach. The theoretical findings of this article show that there is growing concern about attaining SDG 6 due to the bad or weak governance practices in SA. In SA, progress on good governance has been encouraging, but challenges remain. Thus, this article recommends good and inclusive governance because, without it, SA will not achieve its socio-economic goals, like SDG 6. If SA is to achieve its development goals, it must establish mechanisms that promote constitutionalism, accountability, democracy, and good governance. Weak governance, which is characterized by corruption, bribery, mismanagement, and lack of public involvement, transparency, and accountability, should be addressed. SA should have sound governance that is responsive to community needs and fights toward the achievement of the localized SDGs.

8.
International Journal of Care and Caring ; 6(3):355-355–377, 2022.
Article in English | ProQuest Central | ID: covidwho-2054223

ABSTRACT

Globally, life expectancy is increasing, as is the need for effective care responses to chronic health conditions, global emergencies and health disparities. Alongside this is a shortage of skilled caregivers. This four-country qualitative study investigates the views of ‘care’ and ‘care careers’ of Generation Z (the next generation to join the workforce). Four cross-cultural themes emerged: conceptualising care;objects and subjects of care;recognising the challenges of care;and appreciating care work. Discussed in relation to Tronto’s analysis of care, these themes illuminate Generation Z’s commitment to care and highlight the need for organisational and political action to attract young people to care careers.

9.
2nd ACM Conference on Information Technology for Social Good, GoodIT 2022 ; : 300-307, 2022.
Article in English | Scopus | ID: covidwho-2053345

ABSTRACT

Despite substantial advancements in healthcare systems and management, little progress has been achieved in addressing supply chain constraints such as, inefficient purchasing, ordering, predicting, and administration procedures. Healthcare authorities needs to effectively manage the healthcare supply chain processes not just during pandemics like COVID-19, but also in their everyday operations to guarantee best possible services. Product recalls, product supply shortage monitoring, expiry, and counterfeiting are some of the critical healthcare supply chain operations which must be ensured. Our suggested solution combines blockchain technology and distributed storage to increase transparency, improve stakeholder communication, and shorten product procurement timelines while eliminating crucial disparities and faults. We present a generic framework for the healthcare supply chain, equipped with comprehensive algorithms showing various stakeholder interactions. Our system uses the Ethereum network to link all parties, including the healthcare authority, manufacturer, wholesaler, retailer, and healthcare provider. Remix IDE platform was used to develop and test the smart contract codes. As decentralized storage, we have used the combination of InterPlanetary File System (IPFS) and Hyperledger Fabric. We have also examined a variety of security issues, provided a cost analysis of the various transactions proposed in our solution while making comparison with similar blockchain-based solutions. © 2022 Owner/Author.

10.
129th ASEE Annual Conference and Exposition: Excellence Through Diversity, ASEE 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2045848

ABSTRACT

The COVID-19 pandemic has significantly impacted a wide variety of industries including construction management. The scope and magnitude of these effects may vary based on geographic location and section of industry. Our motivation to conduct a research study, by collecting the industry professionals' opinions and feedback about COVID-19 impacts on construction, was derived from the growing uncertainty caused by the pandemic. The objectives of the survey are to measure how the industry has been affected by the pandemic and investigate if the outbreak would affect the future of construction industry. The survey was sent out to approximately one thousand professionals working in different sections of the industry across the United States, and 83 responses were collected in late 2020 and early 2021. The results of the survey suggest that economic uncertainty, safety, and communications are the worst challenges that the construction industry faced so far due to the pandemic. Industry professionals identified cancellation or delay of contracts and supply chain shortages as the main negative impacts of the COVID-19 outbreak on the construction. Currently, the construction industry is experiencing a sharp recovery while suffering from supply chain disruptions, skilled labor shortages, escalating inflation rate, and higher risk of COVID-19 infections compared to other industries due to the lower vaccination rate. This study shows that the pandemic had a silver lining that forced construction companies to adoption of new technologies and increasing the productivity rate. It provides new opportunities to build more manufacturing and warehouses within the states, and create more domestic job opportunities while avoiding uncertainty associated with outsourcing. This research provides academia with insight to better prepare new generation for upcoming changes and have these new technologies and trends included in the curriculum. © American Society for Engineering Education, 2022.

11.
Front Pharmacol ; 12: 813405, 2021.
Article in English | MEDLINE | ID: covidwho-2039694

ABSTRACT

The coronavirus disease that emerged in 2019 (COVID-19) has affected health, societies and economies. Policies that have been imposed by different countries to slow the spread of the disease, including national lockdowns, curfews, border closures and enforcement of social distancing measures have disturbed the drug supply chain and resulted in drug shortages. Uncertainty concerning the pandemic has also led to the panic buying of drugs and the stockpiling of drugs in households, which has amplified the problem. In this cross-sectional study, a self-developed questionnaire was distributed online in order to a) assess the practice of household drug stockpiling prior to the national lockdown in Jordan, b) investigate the factors affecting it and c) measure peoples' knowledge about the consequences of this behaviour. Results from this study show that drug purchasing was reported by 44.3% of the participants and was most common among participants from non-medical backgrounds (336, 75.7%) or those who have chronic diseases (261, 58.8%) and taking chronic supplements (282, 63.5%) regardless of their age, gender, living area or the possession of health insurance. Analgesics and antipyretics were the most frequently purchased drugs (225, 70.5%) and anticipation of their need was the most common reason for purchasing drugs (231, 52.0%). Buyers were also less aware, when compared to non-buyers, that panic buying and drug stockpiling may lead to drug shortages (204, 45.9% vs 325, 58.1%) and that this behaviour can pose a health hazard, especially to children (221, 47.5% vs 342, 61.2%). Our study shows that panic buying of drugs and household drug stockpiling were common in Jordan during the COVID-19 pandemic and this was related to participants' medical knowledge and educational backgrounds. Therefore, educating the general population regarding rational drug use is urgently needed. This is also a compelling case for the development of national guidelines for drug management that target the general population and healthcare personnel, especially pharmacists, to avoid drug shortages during crises.

12.
Wirtschaftsdienst ; 102(9):665-668, 2022.
Article in German | ProQuest Central | ID: covidwho-2035097

ABSTRACT

The COVID-19 pandemic and the Ukraine war mark a turning point for the German labour market. These crises accelerate transformative forces that have been at work for some time, such as digitalisation and decarbonisation, and are likely to permanently change the international division of labour and mobility. The shortage of skilled workers, which already hampered development ahead of the crisis, has now grown into a broader labour shortage and has also reached the low-wage sector. This article outlines how labour shortages could be countered by concerted action from the supply and demand sides. It shows that coping with the changes in the German labour market requires more efforts from policymakers, firms and the labour force.

13.
Wirtschaftsdienst ; 102(9):664-664, 2022.
Article in German | ProQuest Central | ID: covidwho-2035096

ABSTRACT

ZusammenfassungNicht zuletzt durch die Verwerfungen der Coronapandemie ist die Lage derzeit in vielen Branchen angespannt. So sind fehlende Arbeitskräfte vor allem in der Gastronomie, an Flughäfen, in der Pflege und im Handwerk ein Problem. In Summe gab es im ersten Quartal 2022 insgesamt 1,7 Mio. offene Stellen, ein Höchstwert. Ursächlich ist dafür zum einen die Situation, dass sich viele Beschäftigte aufgrund von unsicheren Arbeitsverhältnissen während der Pandemie in andere Branchen umorientiert haben. Das gilt auch für Jobs in der Pflege, die besonderen Belastungen ausgesetzt waren und sind. Eine weitere Ursache ist die Demografie. Es kommen weniger junge Arbeitskräfte nach und die Arbeitsmigration kann nur einen Teil dieser Lücke schließen. Es stellt sich die Frage, wie der Staat auf diesen Arbeitskräftemangel reagieren kann und in welcher Frist die entsprechenden Maßnahmen greifen können.Alternate :Due in part to the distortions of the coronavirus pandemic, the current situation in the labour market is tense. The lack of workers is a problem especially in the catering industry, at airports, in nursing and in skilled trades. In total, there were 1.7 million vacancies in the first quarter of 2022, an all-time high. The reason for this is two-fold: on the one hand, many employees have reoriented themselves to other sectors due to insecure employment during the pandemic. This also applies to jobs in nursing, which were and are subject to particular stress. Another cause is demography. Fewer young workers are joining the workforce and labour migration can only fill part of this gap. The question for the government is how to respond to this labour shortage and how long will it take the corresponding measures to take effect.

14.
Journal of Long-Term Care ; 2022:205-211, 2022.
Article in English | Scopus | ID: covidwho-2030611

ABSTRACT

Context: The UK social care sector has come under increased pressure to combat workforce shortages. With international recruitment of professionals impacted by Brexit and the COVID-19 pandemic, social care is in need of innovations to attract, recruit and retain staff. Objectives: This review aimed to identify (1) innovations to attract, recruit, and retain social workers (professionals working with children and adults to protect them from harm, often as case managers) and the wider social care workforce (workers providing direct practical support to children and adults with their daily activities) and (2) factors influencing staff turnover in the UK context. Method: Pre-defined inclusion criteria were developed using the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework. Searches were conducted across three databases and 32 key United Kingdom third sector and government organisations from 2001. In total, 1,835 citations were retrieved and 40 met the eligibility criteria (13 for social workers and 28 for social care workforce). Thematic analysis was used to explore the data and presented across two evidence maps. Findings: Evaluation evidence was only available for a small portion of innovations identified. Practice learning, fast-track graduate programmes, and apprenticeships may support the retention of social workers, while pre-employment training, national recruitment campaigns, care work ambassadors, and values-based recruitment could help attraction, recruitment, and retention of the wider social care workforce. Limitations: Most of the included studies were conducted pre-pandemic and mainly relied on descriptive and explorative methodologies. Implications: Future policy initiatives should include an evaluation strategy from the outset to develop a more extensive evidence base. Funding bodies should offer schemes supporting research in this area. © 2022 The Author(s).

15.
Montenegrin Journal of Economics ; 18(4):19-30, 2022.
Article in English | Scopus | ID: covidwho-2030366

ABSTRACT

The COVID-19 shock affected the global economy mainly through the col-lapse of demand, labour supply and industrial output, supply chains, commodity prices, international trade and capital flows. From the second half of 2020, various bottlenecks (logistical disruptions;shortages of raw materials and parts) in the EU economy have had a growing impact on growth. Following the recurrent pandemic shocks, the war shock has caused further severe supply-side disruptions from February 2022 onwards, in particular in raw materials markets (including energy sources and agricultural raw materials) and international logistics. Supply shortages in the EU have not only a one-off but also a ripple effect throughout the economy. Spill-over effects across Member States are of great importance. Together, the shortages of production inputs can have a significant negative impact on output and the recovery of the economy. At the same time, supply-side shocks can have a significant impact on the restructuring of supply chains, the deepening of green and digital transformation, and productivity growth. © 2022, Economic Laboratory for Transition Research. All rights reserved.

16.
Wireless Communications & Mobile Computing (Online) ; 2022, 2022.
Article in English | ProQuest Central | ID: covidwho-2020530

ABSTRACT

With the rapid development of machine learning and artificial intelligence, hotel service robots are widely used, but there are many problems to be solved in the scheduling scheme of hotel service robots. In this study, the Pareto optimal definition is used to model the problem, and a nondominated sorting heuristic method including genetic algorithm and differential evolution algorithm is designed to solve this problem. Experimental results show the effectiveness and stability of our algorithm. In addition, compared with the previous methods, the method proposed in this paper can provide a more personalized and reasonable service robot scheduling scheme for hotels. Finally, the hotel can optimize its management and operation and further deepen the degree of hotel intelligence.

17.
Commentary - C.D. Howe Institute ; - (626):1-23,I-II, 2022.
Article in English | ProQuest Central | ID: covidwho-2011924

ABSTRACT

To attract more digital talent and to make immigration a tool for capturing opportunities in the digital economy, the federal and provincial governments should reform immigration programs to increase the admission of immigrants with prior study-permit-holder status and retain international students, particularly in STEM fields;ensure that the combined temporary and permanent immigration programs sufficiently increase the supply of newcomers with digital skills and that skilled immigrants receive the tailored support they need to integrate successfully into the labour market;and reduce the underemployment of skilled immigrants through greater efforts to bolster language skills and address barriers to the recognition of foreign credentials and experience. To develop digital talent, governments at all levels, according to their responsibilities, should take a holistic approach, including: * reforming the education system, ensuring availability of resources and training options for teachers to implement modernized curricula;* increasing STEM enrolment and graduation numbers by raising students' performance in STEM subjects, closing the STEM gender divide by better helping students to make study and career choices and encouraging under-represented groups to continue their education in STEM fields by identifying and addressing their particular needs;* working with educational institutions to develop and expand digital skills learning, artificial intelligence (AI) and data science courses and programs;* increasing high-quality work experience options such as work-integrated learning (WIL) opportunities and expanding co-op programs in the information and communications technology (ICT) sector;* investing in micro-credential/certification programs that are paired with work placement for youth not in education, employment or training;* investing in upskilling and reskilling the existing workforce;and, * preventing brain drain and retaining new graduates. [...]employers should also take actions to expand the pool of digital talent and address their digital skills needs. [...]digital and data skills are increasingly required across all sectors of the global economy including in Canada.

18.
Nursing Economics ; 40(4):187-190, 2022.
Article in English | ProQuest Central | ID: covidwho-2011348

ABSTRACT

Creating a nursing and midwifery workforce in health system infrastructures worldwide should be a top priority within health care right now as staffing shortages continue to rise into the future. Nursing and midwifery leaders hold the key to successful health systems and can work within their positions to create a better landscape to prepare for global health emergencies. Now, more than ever, it is important for public and private sectors in health care to collaborate and build a better future for nursing and midwifery.

19.
Technology and Innovation ; 22(2):199-217, 2022.
Article in English | ProQuest Central | ID: covidwho-2002774

ABSTRACT

In the first quarter of 2020, SARs-CoV-2 (COVID-19) infections began to grow at an alarming rate despite drastic measures to reduce infection rates. Severe COVID-19 cases required mechanical ventilation, resulting in ventilator shortages worldwide. To address the ventilator shortages, the authors developed the CoreVent 2020, an emergency-use ventilator for adult patients that was designed, built, and tested in ten days. The CoreVent 2020 is a pressure-cycled, time-limited ventilator with a breath-assist mode that operates on standard pressurized oxygen and medical air. It provides adjustable peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP). A medical-grade commercially available breathing circuit is used to minimize non-medical component requirements. The CoreVent 2020 was fabricated in-house at Stony Brook University Hospital and tested on three mechanical lung simulators in which the operating modes and alarm features were demonstrated. Animal studies were also performed in both normal breathing mode and breath-assisted modes. Arterial blood gas measurements confirmed that the ventilator provided satisfactory ventilation for the test subjects. The COVID-19 pandemic presented unique constraints on the design and innovation process not normally encountered in typical practice. Design decisions such as component choice, delivery time, and ease of high-volume, rapid manufacturing influenced all aspects of the design process. This aspect of the design/innovation process is also discussed, as well as an introductory discussion on how training and simulations can be developed so that innovation can occur efficiently in future crises situations.

20.
Real Estate Issues ; 46(6):1-3, 2022.
Article in English | ProQuest Central | ID: covidwho-1999580

ABSTRACT

is Senior Vice President at Cushman & Wakefield Iowa Commercial Advisors. Basic economics, as we've learned, is the creation of equilibrium between supply and demand to create economic harmony. Since humans first started trading, those with goods and services in demand adjusted their business to produce more to support growing demand. According to recent research, 88% of contractors report moderate to high levels of difficulty finding workers and 35% have turned down work due to labor shortages.

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