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1.
Environ Sci Pollut Res Int ; 29(46): 70179-70191, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35583756

RESUMO

This research study evaluates the impact of the Covid 19 pandemics on the downside risk-return volatilities across the four stock markets of the USA, UK, China, and Pakistan. The pandemic results in severe economic and financial consequences both at micro and macro levels as well as across the stock markets of various countries. The selected stock markets of the USA, UK, Pakistan, and China are significantly affected in terms of both investor risk and return during the pandemic time. The entire period distribution of the risk exhibited the downside risk behavior of both markets and investors' serious concern regarding their investment strategies. Using high-frequency data from January 2020 to April 2021, the findings of the study reveal more of the downside abnormal returns across both markets. The impact is larger and high in developed markets of USA and UK compared to the emerging markets of China and Pakistan. The outcomes of the various value-at-risk models disclose the higher downside risk implications for all markets, larger for developed countries. Similarly, the three stock markets of the USA, UK, and China were found to be significantly connected during a pandemic. Investors' reactions were positive and high in case of positive news outbreaks and dwindling in case of negative news and downside impact. The outcomes of the study are useful for investors, portfolio managers, investment advisors, and others to understand the dynamics of the pandemic situation and devise effective strategies to overcome the severities of downside risk.


Assuntos
COVID-19 , COVID-19/epidemiologia , Comércio , Surtos de Doenças , Humanos , Investimentos em Saúde , Assunção de Riscos
2.
Environ Sci Pollut Res Int ; 23(23): 24178-24194, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27646447

RESUMO

This study examined the long-run and causal relationships between international tourism, biodiversity loss, environmental sustainability, and specific growth factors under the premises of sustainable tourism in Austria, by using a consistent time series data from 1975 to 2015. The results reveal that inbound tourism, per capita income, and population density affected the potential habitat area while population density largely affected the food production in a country. Inbound tourism and population density both deteriorate the environmental quality in a form of increasing carbon dioxide (CO2) emissions and fossil fuel energy consumption while per capita income reduces the fossil fuel energy consumption. Food exports increase per capita income, while food imports and population density both decrease economic growth. Inbound tourism and economic growth advance population density while forest area and food exports decrease the population density. The study supports growth-led tourism and growth-led food production in a country.


Assuntos
Biodiversidade , Ecossistema , Densidade Demográfica , Viagem , Áustria , Desenvolvimento Econômico , Humanos
3.
BMC Nephrol ; 15: 83, 2014 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-24885114

RESUMO

BACKGROUND: There is no national policy for allocation of kidneys from Donation after circulatory death (DCD) donors in the UK. Allocation is geographical and based on individual/regional centre policies. We have evaluated the short term outcomes of paired kidneys from DCD donors subject to this allocation policy. METHODS: Retrospective analysis of paired renal transplants from DCD's from 2002 to 2010 in London. Cold ischemia time (CIT), recipient risk factors, delayed graft function (DGF), 3 and 12 month creatinine) were compared. RESULTS: Complete data was available on 129 paired kidneys.115 pairs were transplanted in the same centre and 14 pairs transplanted in different centres. There was a significant increase in CIT in kidneys transplanted second when both kidneys were accepted by the same centre (15.5 ± 4.1 vs 20.5 ± 5.8 hrs p<0.0001 and at different centres (15.8 ± 5.3 vs. 25.2 ± 5.5 hrs p=0.0008). DGF rates were increased in the second implant following sequential transplantation (p=0.05). CONCLUSIONS: Paired study sequential transplantation of kidneys from DCD donors results in a significant increase in CIT for the second kidney, with an increased risk of DGF. Sequential transplantation from a DCD donor should be avoided either by the availability of resources to undertake simultaneous procedures or the allocation of kidneys to 2 separate centres.


Assuntos
Isquemia Fria/estatística & dados numéricos , Sobrevivência de Enxerto , Alocação de Recursos para a Atenção à Saúde/métodos , Falência Renal Crônica/cirurgia , Transplante de Rim/estatística & dados numéricos , Bancos de Tecidos/estatística & dados numéricos , Doadores de Tecidos/estatística & dados numéricos , Adulto , Feminino , Rejeição de Enxerto , Alocação de Recursos para a Atenção à Saúde/estatística & dados numéricos , Humanos , Falência Renal Crônica/epidemiologia , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Obtenção de Tecidos e Órgãos/métodos , Obtenção de Tecidos e Órgãos/estatística & dados numéricos , Reino Unido/epidemiologia , Adulto Jovem
4.
Transplantation ; 97(11): 1161-5, 2014 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-24573113

RESUMO

BACKGROUND: Kidney transplantation from DCD now represents a significant part of the overall transplant activity in the UK. Outcome of different induction immunosuppression regimes and related cost benefit analysis has been reported by very few studies.This is a single centre study on frequency-matched patients who received a DCD kidney transplant between August 2007 and August 2009. METHODS: Data on 45 patients divided in 2 groups were collected prospectively and analyzed retrospectively. Group A (24 patients) received IL2Mab and Group B (21 patients) ATG as induction immunosuppression. Patient and graft survival were similar in both groups. RESULTS: In the ATG-induced group, there was a significant lower rate of DGF, BPAR, and infections requiring readmission.A cost analysis was performed including all immunosuppression-related costs, and it has shown remarkable savings in the ATG-induced group. CONCLUSION: Considering that the number of DCD kidney transplants is destined to rise in the UK, we believe that ATG is a valid option to continue optimizing outcomes of DCD kidney transplant. In our experience, ATG proved to be safe, effective, and contributed to significant cost savings.


Assuntos
Anticorpos Monoclonais/uso terapêutico , Soro Antilinfocitário/uso terapêutico , Terapia de Imunossupressão/métodos , Imunossupressores/uso terapêutico , Transplante de Rim/economia , Transplante de Rim/métodos , Cadáver , Sobrevivência de Enxerto , Custos de Cuidados de Saúde , Humanos , Imunossupressores/economia , Interleucina-2/imunologia , Segurança do Paciente , Estudos Prospectivos , Insuficiência Renal/mortalidade , Insuficiência Renal/terapia , Estudos Retrospectivos , Doadores de Tecidos , Resultado do Tratamento
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