Social insecurity and varieties of family resilience strategies during the COVID-19 pandemic

PurposeThis study is aimed at developing an understanding of the consequences of the pandemic on families' socioeconomic resilience, and the strategies adopted by the families in overcoming social vulnerabilities amid uncertainty.Design/methodology/approachThe materials for this study consist of semi-structured interviews with 21 families spread across the South Sumatra Province, Indonesia. Families in the study represent four different income levels, namely very high, high, middle and low, and who also work in the informal sector. Each family has at least 1 or more members who fall into the vulnerable category (children, the elderly, people with disabilities unemployed or having potential economic vulnerability).FindingsTwo main findings are outlined. Regardless of their socioeconomic status, many of the families analyzed adopted similar strategies to remain resilient. Among the strategies are classifying the urgency of purchasing consumer goods based on financial capacity rather than needs, leveraging digital economic opportunities as alternative sources of income, utilizing more extensive informal networks and going into debt. Another interesting finding shows that the pandemic, to some extent, has saved poor families from social insecurity. This is supported by evidence showing that social distancing measures during the pandemic have reduced the intensity of sociocultural activities, which require invited community members to contribute financially. The reduction of sociocultural activities in the community has provided more potential savings for the poor.Research limitations/implicationsIn this study, informants who provided information about their family conditions represent a major segment of the workforce and tend to be technologically savvy and younger, due to the use of Zoom as a platform for conducting interviews. Therefore, there may be a bias in the results. Another limitation is that since the interviewees were recommended by our social network in the fields, there is a risk of a distorted selection of participants.Originality/valueThis study offers insights that are critical in helping to analyze family patterns in developing countries in mitigating the risks and uncertainties caused by COVID-19. In addition, the literature on social policy and development could benefit from further research on COVID-19 as an alternative driver to identify mechanisms that could bring about change that would result in "security.” Critical questions and limitations of this study are presented at the end of the paper to be responded to as future research agenda.

Introduction to Climate Change Mitigation and Adaptation

Since the first edition of the handbook, important new research findings on climate change have been gathered. The evidence has further solidified, and the effects have become more visible. Both mitigation and adaptation of climate change are more important than ever before. The handbook in its presently third edition was completely updated and extended in coverage. Climate change is a fact, and aspects of "doing business in climate change” were included alongside scientific evidence on climate change, mitigation technologies – both established and novel – and adaptation measures to provide maximum benefit to its readers. The impacts of climate change have made it into our daily lives. All human beings, in turn, can contribute to the mitigation and adaptation of climate change. Consequently, these topics are discussed in schools, in private settings, in research, and in the business world. We can see solid implications of climate change. The 2020 COVID-19 crisis has paralyzed the entire world almost instantly. Climate change is slower and subtler, but even more severe in its potential and factual consequences, where no "fix” like a vaccination exists to return to the previous state. This handbook is more necessary than ever before. Over the last several million years, there have been warmer and colder periods on Earth, and the climate fluctuates for a variety of natural reasons, as data from tree rings, pollen, and ice core samples have shown. However, human activities on Earth have reached an extent that they impact the globe in potentially catastrophic ways, in terms of magnitude and irreversibility. Mitigation and adaptation are the two principal routes of our responses to climate change, and they, in fact, can be best achieved collectively by world citizens, scientists and nonscientists, in our daily lives. This chapter is an introduction to climate change and the handbook in its third edition. Current state of the arts of climate change mitigation and adaptation approaches are discussed. © Springer Nature Switzerland AG 2022. All rights are reserved.

Shocks, resilience and regional industry policy: Brexit and the automotive sector in two Midlands regions

This article draws upon novel survey evidence to examine the possible regional impacts of Brexit as a ‘disruptive process' to manufacturing operations and logistics in the automotive industry, in the context of the regional resilience literature. The current Brexit (and Covid-19) context, along with the sector's need to re-orientate towards electrification, provides renewed urgency to reconsider industrial policy in spatial terms. The findings have salience not only in the context of anticipating and reacting to Brexit-induced economic shocks at a regional level, but also over the role of decentralized regional bodies. In this regard, the UK government's agenda of ‘levelling up' will be challenging, especially in the context of the place-based shocks likely to arise from Brexit as well as the impact of Covid-19. The article concludes that a more place-based regional industrial policy is required both to anticipate and to respond to shocks and also to reposition the sector in the region going forward.

Earth Power in the New Geopolitics

The best way to think about the climate emergency is to imagine humanity has just arrived at a new planet somewhere in a distant galaxy. After all, as scientists tell us, our planet Earth will soon look like a new planet, with conditions radically changed from the 'climate niche' of the past 10,000 years, during which human civilization developed. Once settled on the new planet, our task is to terraform it, to build a new natural environment fit for human life and human flourishing. My general approach to the politics of climate change thus differs from the most common view among environmentalists. I do not believe we can speak of climate change as a product of the Anthropocene, the human-built world. Our inability to control the consequences of climate change shows this is still at heart a natural process, one triggered by human beings or, more specifically, by our limited ability to control natural processes and therefore by our incapacity to control the unintended consequences of our actions and choices. The solution to the climate emergency is not to exit the Anthropocene but, intriguingly, to enter it for the first time. The world building is a task significantly full of existential meaning and urgency.

International cooperation, production side emissions and environmental sustainability

PurposeRising greenhouse gases have contributed to global warming above the pre-industrial levels with detrimental effects on world climatic patterns. Extreme weather has inflicted drastic impacts, including loss of lives and livelihoods and economic disruption. However, collective international cooperation in adopting greenhouse gas emission mitigating measures can translate into long-run beneficial effects of improving environmental quality. This study examines if international environmental cooperation among the world's top ten polluters can reduce production side emissions.Design/methodology/approachThe panel estimation procedure was applied to data from ten top polluting countries from 2000 to 2019.FindingsThe results revealed a statistically significant inverse association between a nation's commitments to international environmental treaties and carbon dioxide emissions. Other than confirming the environmental Kuznets curve effect, industrial intensification, international trade and law rule are other strong correlations of carbon dioxide emissions.Research limitations/implicationsThe main policy implication is the urgency for the leaders of the world's top ten polluters to actively cooperate in developing and implementing new production-side carbon emission measures as well as the implementation and enforcement of existing international treaties to minimize further environmental damage and let the countries in the lower ranks of carbon emissions to enjoy the long-run benefits of the decarbonized world.Originality/valueThis study makes a new contribution to the environmental research literature by unfolding how collective global cooperation on environmental challenges can help reduce environmental damage in a coherent analytical framework.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-09-2022-0598

Patient perceptions of urgency of their pelvic floor disorders during the COVID-19 pandemic.

INTRODUCTION AND HYPOTHESIS: During the COVID-19 pandemic, many surgical societies released guidelines that included cancellation of elective cases. The aim of this study was to better understand our patients' perceptions of the severity of their pelvic floor disorders (PFDs) and to determine what factors influenced this perception. We also aimed to better understand who might be amenable to telemedicine visits and what factors influenced this decision. METHODS: This is a cross-sectional quality improvement study that included women at least 18 years of age diagnosed with a pelvic floor disorder being evaluated within a university Female Pelvic Medicine and Reconstructive Surgery clinic during the COVID-19 pandemic. Patients whose appointments and procedures were being cancelled were queried on whether they would be willing to answer a telephone questionnaire developed by the clinical and research teams. We gathered descriptive data from 97 female patients with PFDs using a primary phone questionnaire. The data were analyzed using proportions and descriptive statistics. RESULTS: Of the 97 patients, the majority (79%) viewed their conditions as non-urgent. Factors that influenced patients' perception of urgency included race (p=0.037), health status (p≤0.001), a history of diabetes (p=0.011), and willingness to attend an in-person appointment (p=0.010). Further, 52% of respondents were willing to attend a tele-health appointment. Statistically significant factors influencing this decision were ethnicity (p=0.019), marital status (p=0.019), and willingness to attend an in-person appointment (p=0.011). CONCLUSION: The majority of women did not view their conditions as urgent during the COVID-19 pandemic and were amenable to a telehealth appointment.

Pandemic Makers: How Citizen Groups Mobilized Resources to Meet Local Needs in a Global Health Crisis: ET&P

The enormous scale of suffering, breadth of societal impact, and ongoing uncertainty wrought by the COVID-19 pandemic introduced dynamics seldom examined in the crisis entrepreneurship literature. Previous research indicates that when a crisis causes a failure of public goods, spontaneous citizen ventures often emerge to leverage unique local knowledge to rapidly customize abundant external resources to meet immediate needs. However, as outsiders, emergent citizen groups responding to the dire shortage of personal protective equipment at the onset of COVID-19 lacked local knowledge and legitimacy. In this study, we examine how entrepreneurial citizens mobilized collective resources in attempts to gain acceptance and meet local needs amid the urgency of the pandemic. Through longitudinal case studies of citizen groups connected to makerspaces in four U.S. cities, we study how they adapted to address the resource and legitimacy limitations they encountered. We identify three mechanisms—augmenting, circumventing, and attenuating—that helped transient citizen groups calibrate their resource mobilization based on what they learned over time. We highlight how extreme temporality imposes limits on resourcefulness and legitimation, making it critical for collective entrepreneurs to learn when to work within their limitations rather than try to overcome them.

Transverse myelitis 48 hours after the administration of an mRNA COVID 19 vaccine

Background Vaccinations against SARS-CoV-2 have been a topic of political, social, and medical intrigue since the declaration of the COVID-19 pandemic in early 2020. The vaccine side effects have been relatively mild to date, with few observed systemic effects. Case presentation A 69-year-old previously healthy female presented with symptoms of asymmetric bilateral lower and upper extremity weakness 2 days after vaccination with the Pfizer-BioNTech mRNA vaccine. MRI of the cervical spine revealed a non-compressive myelitis extending from C3-4 to T2-3. Common known causes of transverse myelitis were ruled out by diagnostic techniques. Conclusions Transverse myelitis is a rare autoimmune disorder that has been shown to have a temporal association with vaccination in the past. With a progressively partisan societal view on vaccinations, it is important for clinicians to remain vigilant on documenting potential associations without encouraging fear of causation.Copyright © 2021 The Author(s)

The Lessons of COVID for Climate Pedagogy with Young People: Learning to Navigate Urgency

Young people are currently emerging as political citizens into a world dominated by intersecting global crises, from the COVID pandemic to the quintessentially ‘wicked' problem of climate change. The rapid response of governments and education systems to the pandemic, once sufficient consensus built on the urgency of the threat, demonstrated that it is both possible and necessary to reorient education around supporting young people and their communities to thrive in crisis situations. Yet the very urgency of climate action has generated pedagogical approaches which can disillusion, frustrate and overburden young people. I draw on both educational literature and my own experience as an educator in schools, universities, youth theatres and activist spaces to identify four paradigms of climate education—‘Do Your Bit', ‘Apocalypse Soon', ‘Manifestos and Microcosms' and ‘Emotionally Reflexive Pedagogies'—and examine what each might learn from the ‘crisis pedagogies' of the COVID pandemic. Emotional literacy, active hope, systems thinking and comfort with uncertainty emerge as more important aims than immediate behavioural change. I also propose that story should take on a much greater role within learning, as a central pillar of a ‘thing-centred pedagogy' which brings adults and children together around the problem of building community resilience. © The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022

Four Patterns of Digital Innovation in Times of Crisis

Exogenous shocks, such as COVID-19, significantly change fundamental premises on which economies and individual organizations operate. The light-asset nature of digital technologies provides the potential to not only facilitate an immediate crisis response, but also to catalyze novel innovation types to address the societal and economic changes caused by exogenous shocks. As digital innovation became a relevant part of organizations' COVID-19 responses, and given that a corresponding structured knowledge base did not exist, we found the need to better understand crisis-driven digital innovation. Drawing on prior knowledge from crisis management and organizational ambidexterity as a theoretical lens, we present four patterns of crisis-driven digital innovation, classified along two dimensions: (1) driven by a sense of urgency or ambition and (2) focusing on exploitative or explorative innovation. Based on a thorough analysis of digital innovation cases during the COVID-19 crisis, we illustrate and discuss these four patterns and their emerging properties to explain how and why they led to digital innovation in the context of the crisis. Our work contributes to the explanatory knowledge on digital innovation in times of crisis, helping researchers and practitioners to understand and develop digital innovation in response to exogenous shocks.

Movement pedagogies in pandemic times: Extinction Rebellion Netherlands and (un)learning from the margins

This article is based on activist research conducted alongside Extinction Rebellion Netherlands. By taking a pedagogical approach to social movements, it posits that Extinction Rebellion Netherlands is simultaneously bound up in the reproduction of and resistance to dominant ways of knowing and being. It discusses how ‘pedagogies of urgency' reproduce the learning of hegemonic forms of life associated with modernity/coloniality. Treating the movement's margins as a privileged space of epistemological possibility, it examines how the COVID-19 pandemic has shifted who is ‘heard, seen and rendered knowing' [Motta & Esteves. (2014). Reinventing emancipation in the 21st century: The pedagogical practices of social movements. Interface, 6(1), 1–24, p. 5)]. This has facilitated the unlearning of pedagogies of urgency, and the learning of new relationships, subjectivities and knowledges that centre justice, prefiguration, and building relations across difference. Nevertheless, the pandemic also underscores some of the impossibilities for learning and dialogue inherent in the exclusions and violence at the heart of modern/colonial power relations.

Ulcerative Colitis: Rapid Evidence Review

Ulcerative colitis is a relapsing and remitting inflammatory bowel disease of the large intestine. Risk factors include recent Salmonella or Campylobacter infection and a family history of ulcerative colitis. Diagnosis is suspected based on symptoms of urgency, tenesmus, and hematochezia and is confirmed with endoscopic findings of continuous inflammation from the rectum to more proximal colon, depending on the extent of disease. Fecal calprotectin may be used to assess disease activity and relapse. Medications available to treat the inflammation include 5-aminosalicylic acid, corticosteroids, tumor necrosis factor-alpha antibodies, anti-integrin antibodies, anti-interleukin-12 and -23 antibodies, and Janus kinase inhibitors. Choice of medication and method of delivery depend on the location and severity of mucosal inflammation. Other treatments such as fecal microbiota transplantation are considered experimental, and complementary therapies such as probiotics and curcumin have mixed data. Surgical treatment may be needed for fulminant or refractory disease. Increased risk of colorectal cancer and use of immunosuppressive therapies affect the preventive care needs for these patients. (Am Fam Physician. 2022;105(4):406-411. Copyright © 2022 American Academy of Family Physicians.)Copyright © 2022 American Academy of Family Physicians. All rights reserved.

Critical health literacy in pandemics: the special case of COVID-19.

In the current COVID-19 pandemic the active participation of the public is of central importance, however, certain factors found in this new pandemic disease complicates the participation. Addressing these complications needs public health and health promotion experts to understand the role of critical health literacy in a pandemic. We present the case for a definition of critical health literacy in a pandemic, CHL-P. We suggest that CHL-P can help professionals to support individuals and communities as agents for effectively dealing with the unique features of this pandemic.

Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study.

BACKGROUND: Urinary incontinence (UI) is one of the most common symptoms during menopause, leading to a decreased quality of life and limited social activities. This study aimed to determine the prevalence and severity of urinary incontinence and associated risk factors in postmenopausal women. METHODS: It was a cross-sectional study using cluster sampling on 433 postmenopausal women in Tabriz-Iran, 2021-2022. Data were collected using questionnaires of socio-demographic characteristics, Questionnaire for Urinary Incontinence Diagnosis (QUID), and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UISF). Multivariate logistic regression was used to determine factors related to urinary incontinence. RESULTS: The overall prevalence of urinary incontinence was 39.5%; 20.6% stress urinary incontinence (SUI), 10.4% urgency urinary incontinence (UUI), and 8.5% mixed urinary incontinence (MUI). Multivariate logistic regression analysis showed that the prevalence of SUI (aOR 0.38; 95% CI 0.18-0.77) and UUI (aOR 0.38; 95% CI 0.15-0.94) was significantly lower in women with three childbirths than the ones with fewer childbirths. Also, the odds of UUI increased significantly in women at the 50-55 age range (aOR 3.88; 95% CI 1.16-12.93) than those less than 50 years. CONCLUSION: Due to the high prevalence of urinary incontinence in postmenopausal women, caregivers should screen for early diagnosis and appropriate treatment of urinary incontinence to prevent its destructive impact on the quality of life.

Potential to be more effective: Reduction in lower urgency emergency department presentations during the COVID-19 period in New South Wales, Australia.

OBJECTIVE: Diverting lower urgency ED presentations to more suitable healthcare is a key goal of several healthcare systems. During the early stages of the COVID-19 pandemic in 2020, there was a substantial drop in ED presentations in New South Wales (NSW), potentially because of lower risk of illness and injury through social restrictions, or ED avoidance for lower urgent care. The present study aimed to better understand the impact of social restrictions during the pandemic on ED presentations, to inform potential shifts to alternative modes of care in emergency medicine. METHODS: We conducted a quasi-experimental study of public ED presentations in NSW. We compared changes in weekly ED presentation counts by urgency, during and after the period of tightest social restrictions in contrast to the baseline period. Expected weekly counts were estimated using segmented quasi-Poisson regression, accounting for age and seasonality. RESULTS: Lower urgency presentations fell more than mid-high urgency presentations, both during and after the period of tightest social restrictions. Lower urgency presentations reduced 30.9% compared to the baseline period during tightest restrictions, in contrast to 20.9% reduction for mid-high urgency presentations. Lower urgency presentations remained 14.4% lower after the tightest restrictions compared to the baseline period, whereas mid-high urgency presentations returned to usual levels. CONCLUSIONS: This finding suggests that reducing lower urgency ED presentation beyond the COVID-19 pandemic maybe feasible, by supporting alternative, more appropriate sources of care.

A creeping crisis when an urgent crisis arises: The reprioritization of plastic pollution issues during COVID‐19

Single‐use plastics (SUPs) are increasingly polluting terrestrial, coastal, and marine habits, contributing to the creeping “plastic crisis.” The COVID‐19 pandemic provided a window of opportunity for decision makers to change the degree of urgency and responsiveness to this crisis and for policy entrepreneurs and industry who are against reducing plastic consumption to influence decision makers to change their position on various plastic‐related issues. Hygiene/health concerns have been used as a justification by governments and industry to increase the use of SUPs resulting in a reversal in, or a reprioritization of, policy decisions. Through the Multiple Streams Framework (MSF), I examine how creeping crises become secondary to urgent crises through agenda setting that is influenced and leveraged by policy entrepreneurs. I explore examples of such plastic policy decisions finding that they have been politically driven and influenced by entrepreneurs and industry rather than being primarily based on health concerns.Related ArticlesDiaz‐Kope, Luisa, and John C. Morris. 2022. “Why Collaborate? Exploring the Role of Organizational Motivations in Cross‐sector Watershed Collaboration.” Politics & Policy 50(3): 516â€"39. https://doi.org/10.1111/polp.12470.Gerlach, John David, Laron K. Williams, and Colleen E. Forcina. 2013. “The Science‐Natural Resource Policy Relationship: How Aspects of Diffusion Theory Explain Data Selection for Making Biodiversity Management Decisions.” Politics & Policy 41(3): 326â€"54. https://doi.org/10.1111/polp.12017.Neill, Katharine A., and John C. Morris. 2012. “A Tangled Web of Principals and Agents: Examining the Deepwater Horizon Oil Spill through a Principalâ€"Agent Lens.” Politics & Policy 40(4): 629â€"56. https://doi.org/10.1111/j.1747‐1346.2012.00371.x.Alternate :Una crisis progresiva cuando surge una crisis urgente: La repriorización de los problemas de contaminación plástica durante el COVID‐19Los plásticos de un solo uso (SUP) están contaminando cada vez más los hábitos terrestres, costeros y marinos, lo que contribuye a la progresiva "crisis del plástico". La pandemia de COVID‐19 brindó una ventana de oportunidad para que los tomadores de decisiones cambien el grado de urgencia y capacidad de respuesta a esta crisis y para los empresarios de políticas y la industria que están en contra de reducir el consumo de plástico para influir en los tomadores de decisiones para cambiar su posición sobre varios temas relacionados con el plástico. Los gobiernos y la industria han utilizado las preocupaciones de higiene/salud como justificación para aumentar el uso de SUP, lo que ha dado lugar a una reversión o una nueva priorización de las decisiones políticas. A través del Marco de Corrientes Múltiples (MSF, por sus siglas en inglés), examinamos cómo las crisis progresivas se vuelven secundarias frente a las crisis urgentes a través del establecimiento de una agenda que es influenciada y aprovechada por los empresarios de políticas. Exploramos ejemplos de tales decisiones sobre políticas de plástico y descubrimos que han sido impulsadas políticamente e influenciadas por empresarios y la industria en lugar de basarse principalmente en preocupaciones de salud.Alternate :紧急危机发生时的慢性危机:2019å† çŠ¶ç—…æ¯'病期间塑料污æŸ"问题的优先次序调整一次性塑料(SUP)越来越多地污æŸ"陆地、沿海å'Œæµ·æ´‹çŽ¯å¢ƒï¼Œä¸ºæ…¢æ€§â€œå¡‘料危机”作贡献。2019å† çŠ¶ç—…æ¯'ç—…(COVID‐19)大流行为决策者提供了一个机会之窗，以改变对这场危机的紧迫程度å'Œå"åº”程度，并为反对减少塑料消费的政策企业家å'Œè¡Œä¸šæä¾›æœºä¼šï¼Œä»¥å½±å"å†³ç­–者改变其在不同塑料相关问题上的立场。卫生/健康问题已被政府å'Œè¡Œä¸šç”¨ä½œå¢žåŠ SUP使用的理由，从而导致政策决策发生逆转或优先次序调整。通过使用多源流框架(MSF)，我们分析了慢性危机如何在一个受政策企业家影å"å'Œåˆ©ç”¨çš„议程设置下次于 ´§æ€¥å±æœºã€‚我们探究了这类塑料政策决策的例子，发现决策的制定并非主要基于健康问题，而是受到企业家å'Œè¡Œä¸šçš„政治驱动å'Œå½±å"ã€‚

Research on the Distribution and Transportation of Emergency Materials Under Public Health Emergencies

In order to reduce the shortages caused by public health events, emergency supplies must be reasonably allocated and transportation routes must be scientifically planed to maximize the rescue effect of emergency supplies. A two-stage model of emergency material distribution-transportation was modeled, and a genetic algorithm was designed to solve combining with the relevant data of COVID-19 in Xi'an. The results show that there is a negative correlation between the shortage effect and the fair distribution of objective function in the distribution model, as well as between the transportation cost and the delay cost of objective function in the transportation model. © 2022 SPIE.

Consciousness and Environmental Education: Transdisciplinary Urgencies from the Post-Pandemic Context

This paper presents reflections on the fundamentals of Environmental Education when dealing with the urgency of learning the lessons from the pandemic crisis period of the Coronavirus. For this, from a transdisciplinary approach, crossing and seeking to go beyond different disciplines, some of the chal lenges that were intensified with the pandemic are contextualized, with the support of authors from sociology (Boaventura de Sousa Santos) and philosophy (Edgar Morin), in dialogue with authors who discuss in the field of education (Balduíno Andreola;Paulo Freire), as wel l as the inspiration of literature (Ernesto Sabato). As a convergence point of the reflections there is the investigative treatment about the concept of consciousness in different perspectives and how we can articulate criticality and transdisciplinarity the urgencies in learning process on Environmental Education. Among these socio-environmental urgencies that appear is the need to pedagogical ly approach the complexity of the concept of life and the inequalities that mark the pandemic period. © 2023 by the authors.