Creation of a comprehensive COVID-19 daily news and medical literature briefing to inform healthcare and policy in New Mexico (Preprint)

2020 ◽  
Author(s):  
LynnMarie Jarratt ◽  
Jenny Situ ◽  
Rachel D King ◽  
Estefania Montanez ◽  
Hannah Groves ◽  
...  

BACKGROUND On March 11, 2020, the New Mexico (NM) Governor declared a Public Health Emergency in response to the coronavirus disease 2019 (COVID-19) pandemic. The NM Medical Advisory Team (MAT) contacted faculty at the University of New Mexico (UNM) to form a team to assist in consolidating available information on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and COVID-19 to facilitate NM’s pandemic management. In response, faculty, physicians, staff, graduate students, and medical students created the “UNM Global Health COVID-19 Intelligence Briefing.” OBJECTIVE Based on the growing number of daily scientific publications and news reports and the potential risk of community misinformation, we formed a team of academics to consolidate and disseminate relevant daily briefings with a goal of informing healthcare and public policy decisions for the state of NM. METHODS Microsoft Teams™ was used for manual and automated capture of COVID-19 articles (daily average=456), and composition of briefings. Articles were summarized according to relevant content and statistical findings. Multi-level triaging allowed for the most impactful articles to be reviewed and summarized with priority placed on randomized controlled studies, meta-analyses, systematic reviews, practice guidelines, and other topics informing on healthcare and policy response to COVID-19. Team members met virtually to edit the briefing on clarity and grammar, and to prioritize articles based on scientific merit. The finalized briefing was emailed to a LISTSERV® and posted on the UNM Digital Repository. An IRB-approved survey to assess the impact of the briefing was sent to readers. RESULTS The briefings reached approximately 1,000 people by email alone. This number was likely higher with direct subscribers forwarding to colleagues. Tracking showed 5,047 downloads across 116 countries as of July 5, 2020. The survey received 114 respondents consisting of physicians, academic faculty, administrators, government employees, students, and nurses. Respondent feedback showed 95% gained relevant knowledge of the pandemic, 79% believed it decreased misinformation, 24% used the briefing as their primary source of information, and 79% forwarded to colleagues. CONCLUSIONS Variability in subject matter expertise was addressed with training, standardized article selection criteria, and collaborative editing. The UNM Global Health COVID-19 Intelligence Briefing accomplished the goal of disseminating relevant COVID-19 information to help guide NM government policy and clinical practice. A secondary benefit included advancing medical student education.

2020 ◽  
Vol 14 (4) ◽  
pp. e34-e35
Author(s):  
Luis Alejandro Boccalatte

ABSTRACTThis article reflects on the importance and the impact of scientific publications in the midst of a global health crisis. It aims to raise awareness about the responsibility of accepting manuscripts in such sensitive times and is intended to motivate the production of high-quality papers through a critical vision.


Author(s):  
Adrian Daub

Arnold Schoenberg and Thomas Mann, two towering figures of twentieth-century music and literature, both found refuge in the German-exile community in Los Angeles during the Nazi era. This complete edition of their correspondence provides a glimpse inside their private and public lives and culminates in the famous dispute over Mann's novel Doctor Faustus. In the thick of the controversy was Theodor Adorno, then a budding philosopher, whose contribution to the Faustus affair would make him an enemy of both families. Gathered here for the first time in English, the letters are complemented by diary entries, related articles, and other primary source materials, as well as an introduction that contextualizes the impact that these two great artists had on twentieth-century thought and culture.


2019 ◽  
Vol 48 (1) ◽  
Author(s):  
David Matheakuena Mohale

The 2016–17 Audit Report by the Auditor General points to the deterioration in audit results of South African municipalities. This deterioration confirms the perennial dysfunctionality of municipalities, at least from the governance perspective. Corporate governance is a function of leadership. Municipal councils are, therefore, responsible for the overall performance of municipalities they lead. Sound regulatory framework, good plans, clear strategies, policies, and systems are inadequate if not supported by highly gifted and ethical leadership. The Auditor General’s Audit Report suggests that local government struggles the most in the area of ethics. The Principal-Agent Theory argues that appointed officials are more likely to subvert the interests of an organisation. However, this article argues that the primary source of problems in municipalities is a combination of ineptitude and unethical political leadership taking root. This conclusion is based on the empirical comparative cases of eight municipalities in the Free State Province.  The conduct of councillors makes it difficult to attract and retain professionals in municipalities, resulting in notable deficiencies in the delivery of services. Essentially, councillors are the root cause for governance failure in municipalities arising from a number of factors. Findings in this study contribute towards the understanding of the impact of leadership in the failure of municipalities to meet good governance and developmental objectives. Further, they deepen the theoretical understanding of the political-administrative interface.


2019 ◽  
pp. 50-57
Author(s):  
Yu. V. Vertakova ◽  
A. S. Evtyukhin

The presented study addresses the issues of implementation of an import substitution policy in the Russian oil industry. Support of domestic production is a key objective specified in the message of the President of the Russian Federation in 2019. In light of the current economic situation and considering the importance of the oil industry for the Russian economy, an import substitution policy could help achieve the objective set by the President.Aim. The study aims to identify the problems and ways of implementation of an import substitution policy in the Russian oil industry.Tasks. The authors analyze scientific publications on import substitution and the state of the Russian oil industry at the current stage of development; determine the directions and fundamental trends in the development of the oil industry; identify obstacles that hinder the implementation of an import substitution policy in the oil industry; describe conditions that facilitate the development of the  investment process in the oil industry; propose comprehensive methods and ways to intensify investments and optimize costs for enterprises in the oil industry.Methods. This study uses general scientific methods of cognition, comparative and statistical analysis to identify problems in the implementation of an import substitution policy in the oil industry.Results. Examination of the current state and development prospects of the oil industry allows the authors to identify obstacles to the development of import substitution. The study shows their impact on the potential of import substitution, which has a negative effect on the prospects of intensification of investment processes, and proposes comprehensive methods and mechanisms that could neutralize the impact of the identified obstacles, thus facilitating the formation of a positive investment climate. Conclusions. Investment climate is shown to have a decisive impact on the potential of import substitution in the Russian oil industry, and ways of overcoming negative trends in the development of the oil industry are proposed.


Water ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1331
Author(s):  
Scott Ikard ◽  
Andrew Teeple ◽  
Delbert Humberson

The Rio Grande/Río Bravo del Norte (hereinafter referred to as the “Rio Grande”) is the primary source of recharge to the Mesilla Basin/Conejos-Médanos aquifer system in the Mesilla Valley of New Mexico and Texas. The Mesilla Basin aquifer system is the U.S. part of the Mesilla Basin/Conejos-Médanos aquifer system and is the primary source of water supply to several communities along the United States–Mexico border in and near the Mesilla Valley. Identifying the gaining and losing reaches of the Rio Grande in the Mesilla Valley is therefore critical for managing the quality and quantity of surface and groundwater resources available to stakeholders in the Mesilla Valley and downstream. A gradient self-potential (SP) logging survey was completed in the Rio Grande across the Mesilla Valley between 26 June and 2 July 2020, to identify reaches where surface-water gains and losses were occurring by interpreting an estimate of the streaming-potential component of the electrostatic field in the river, measured during bankfull flow. The survey, completed as part of the Transboundary Aquifer Assessment Program, began at Leasburg Dam in New Mexico near the northern terminus of the Mesilla Valley and ended ~72 kilometers (km) downstream at Canutillo, Texas. Electric potential data indicated a net losing condition for ~32 km between the Leasburg Dam and Mesilla Diversion Dam in New Mexico, with one ~200-m long reach showing an isolated saline-groundwater gaining condition. Downstream from the Mesilla Diversion Dam, electric-potential data indicated a neutral-to-mild gaining condition for 12 km that transitioned to a mild-to-moderate gaining condition between 12 and ~22 km downstream from the dam, before transitioning back to a losing condition along the remaining 18 km of the survey reach. The interpreted gaining and losing reaches are substantiated by potentiometric surface mapping completed in hydrostratigraphic units of the Mesilla Basin aquifer system between 2010 and 2011, and corroborated by surface-water temperature and conductivity logging and relative median streamflow gains and losses, quantified from streamflow measurements made annually at 16 seepage-measurement stations along the survey reach between 1988 and 1998 and between 2004 and 2013. The gaining and losing reaches of the Rio Grande in the Mesilla Valley, interpreted from electric potential data, compare well with relative median streamflow gains and losses along the 72-km long survey reach.


2021 ◽  
Vol 20 (4) ◽  
pp. 393-402
Author(s):  
Sotiria Grek ◽  
Paolo Landri

Although the global Covid-19 pandemic is still affecting our lives enormously, we know that a new era of deep reflection about ‘normality’, our planet and our existence on it has also begun. The ‘Education in Europe and the Covid-19 Pandemic’ double Special Issue intends to be part of this reflexive discussion about the post-pandemic European education policy and research space. This is a space shaped continuously by crises and opportunities, by utopias of a shared progressive and liberal education for all, but also the dystopias of nationalism, populism, climate destruction and now a global health emergency. This editorial offers an overview of the current crisis context and of the articles; further, it positions the journal within the post-pandemic research and policy debate about how to understand the impact of the pandemic on the changing forms of education and its enduring inequalities.


Energies ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 3319
Author(s):  
Jamal Mamkhezri ◽  
Leonard A. Malczynski ◽  
Janie M. Chermak

State-mandated renewable portfolio standards affect substantial portions of the total U.S. electricity supply. Renewable portfolio standards are environmentally motivated policies, yet they have the potential to greatly impact economy. There is not an agreement in the literature on the impact of renewable portfolio standards policies on regional economies, especially on job creation. By integrating various methodologies including econometrics, geographic information system, and input–output analysis into a unique system dynamics model, this paper estimates the economic and environmental impacts of various renewable portfolio standards scenarios in the state of New Mexico, located in Southwestern U.S. The state is endowed with traditional fossil fuel resources and substantial renewable energy potential. In this work we estimated and compared the economic and environmental tradeoffs at the county level under three renewable portfolio standards: New Mexico’s original standard of 20% renewables, the recently adopted 100% renewables standard, and a reduced renewable standard of 10%. The final one would be a return to a more traditional generation profile. We found that while the 20% standard has the highest market-based economic impact on the state as a whole, it is not significantly different from other scenarios. However, when environmental impacts are included, the 100% standard yields the highest value. In addition, while the state level economic impacts across the three scenarios are not significantly different, the county-level impacts are substantial. This is especially important for a state like New Mexico, which has a high reliance on energy for economic development. A higher renewable portfolio standard appears to be an economic tool to stimulate targeted areas’ economic growth. These results have policy implications.


Atmosphere ◽  
2020 ◽  
Vol 11 (4) ◽  
pp. 362 ◽  
Author(s):  
Alexander V. Ryzhkov ◽  
Jeffrey Snyder ◽  
Jacob T. Carlin ◽  
Alexander Khain ◽  
Mark Pinsky

The utilization of polarimetric weather radars for optimizing cloud models is a next frontier of research. It is widely understood that inadequacies in microphysical parameterization schemes in numerical weather prediction (NWP) models is a primary cause of forecast uncertainties. Due to its ability to distinguish between hydrometeors with different microphysical habits and to identify “polarimetric fingerprints” of various microphysical processes, polarimetric radar emerges as a primary source of needed information. There are two approaches to leverage this information for NWP models: (1) radar microphysical and thermodynamic retrievals and (2) forward radar operators for converting the model outputs into the fields of polarimetric radar variables. In this paper, we will provide an overview of both. Polarimetric measurements can be combined with cloud models of varying complexity, including ones with bulk and spectral bin microphysics, as well as simplified Lagrangian models focused on a particular microphysical process. Combining polarimetric measurements with cloud modeling can reveal the impact of important microphysical agents such as aerosols or supercooled cloud water invisible to the radar on cloud and precipitation formation. Some pertinent results obtained from models with spectral bin microphysics, including the Hebrew University cloud model (HUCM) and 1D models of melting hail and snow coupled with the NSSL forward radar operator, are illustrated in the paper.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 733.2-734
Author(s):  
I. Flouri ◽  
N. Kougkas ◽  
N. Avgustidis ◽  
A. Repa ◽  
A. Eskitzis ◽  
...  

Background:Long-term observational studies of patients under biologic disease-modifying anti-rheumatic drug (bDMARD) therapies in routine clinical practice can provide us with important data regarding patients with comorbidities, who are usually excluded from randomized controlled studies.Objectives:To study the impact of comorbidities in the outcome (response and persistence to therapy) of patients with spondyloarthritis (SpA) receiving bDMARDs in real-world clinical practice.Methods:Prospective study of all patients who start a bDMARD in a tertiary centre University Hospital after their consent. All patient comorbidities [among a list of approximately 100 pre-specified major comorbidities] are registered by treating physicians at baseline and during follow-up.Comorbidities were studied as total Comorbidities Count (CC) and rheumatic disease comorbidity index (RDCI). Statistical analyses were performed using logistic and Cox regression models, adjusting for the potential confounding of age, sex, disease duration, diagnosis (axial vs. peripheral SpA), number of previous conventional synthetic and biologic DMARDs, year of therapy start, and co-administered methotrexate and corticosteroids (yes/no). Analyses of response to therapy also included baseline BASDAI or ASDAS indices as confounding variables.Results:A total of 603 biologic treatments (1st: 298, 2nd: 157, ≥3rd: 148) were analyzed. Half (51%) of the patients were female, 413 patients had axial SpA (AxSpA) and 190 peripheral SpA (perSpA). At baseline, median (IQR) age: 48 (38-57) years, disease duration: 11 (4-19) years, CC: 2 (1-4) and RDCI: 1 (0-2). Both comorbidity indices were significantly higher in perSpA compared to AxSpA (p<0.001).At 6 months of therapy, 31% of patients with AxSpA achieved BASDAI50 and 39% had ASDAS-ESR < 2.1. Higher CC was an independent predictor of insufficient response according to BASDAI50 [OR (95%) = 0.70 (0.52-0.94), p=0.019] and higher RDCI was predicting failure to achieve ASDAS-ESR < 2.1 [OR (95%) = 0.59 (0.37-0.94), p=0.027]. Other independent predictors of non-response were age, longer disease duration and (for ASDAS-ESR<2.1) higher baseline disease activity.During 1405 patient-years of follow-up, 349 (58%) treatments were discontinued. The adjusted hazard ratio for bDMARD discontinuation within the first 2 years of treatment due to insufficient response was doubled in patients with CC ≥2 versus those with CC ≤1 [HR = 2.27 (1.14-4.53), p=0.020] or with RDCI ≥1 (vs. RDCI = 0) [HR = 2.23 (1.22-4.07), p=0.009]. Comorbidities’ indices were not significant predictors of treatment discontinuations due to adverse events.Conclusion:The presence of comorbidities in patients with SpA is an independent predictor for insufficient 6-month response to bDMARDs and resultant treatment discontinuation due to failure.Acknowledgements:This research is co-financed by Greece and the European Union (European Social Fund- ESF) through the Operational Programme «Human Resources Development, Education and Lifelong Learning» in the context of the project “Reinforcement of Postdoctoral Researchers - 2nd Cycle” (MIS-5033021), implemented by the State Scholarships Foundation (ΙΚΥ).Disclosure of Interests:None declared


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