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1.
Risk Manag Healthc Policy ; 17: 903-925, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38623576

RESUMO

Background: The COVID-19 pandemic presents the possibility of future large-scale infectious disease outbreaks. In response, we conducted a systematic review of COVID-19 pandemic risk assessment to provide insights into countries' pandemic surveillance and preparedness for potential pandemic events in the post-COVID-19 era. Objective: We aim to systematically identify relevant articles and synthesize pandemic risk assessment findings to facilitate government officials and public health experts in crisis planning. Methods: This study followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and included over 620,000 records from the World Health Organization COVID-19 Research Database. Articles related to pandemic risk assessment were identified based on a set of inclusion and exclusion criteria. Relevant articles were characterized based on study location, variable types, data-visualization techniques, research objectives, and methodologies. Findings were presented using tables and charts. Results: Sixty-two articles satisfying both the inclusion and exclusion criteria were identified. Among the articles, 32.3% focused on local areas, while another 32.3% had a global coverage. Epidemic data were the most commonly used variables (74.2% of articles), with over half of them (51.6%) employing two or more variable types. The research objectives covered various aspects of the COVID-19 pandemic, with risk exposure assessment and identification of risk factors being the most common theme (35.5%). No dominant research methodology for risk assessment emerged from these articles. Conclusion: Our synthesized findings support proactive planning and development of prevention and control measures in anticipation of future public health threats.

2.
PLoS One ; 18(10): e0292327, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37796858

RESUMO

The study of assortativity allows us to understand the heterogeneity of networks and the implication of network resilience. While a global measure has been predominantly used to characterize this network feature, there has been little research to suggest a local coefficient to account for the presence of local (dis)assortative patterns in diversely mixed networks. We build on existing literature and extend the concept of assortativity with the proposal of a standardized scale-independent local coefficient to observe the assortative characteristics of each entity in networks that would otherwise be smoothed out with a global measure. This coefficient provides a lens through which the granular level of details can be observed, as well as capturing possible pattern (dis)formation in dynamic networks. We demonstrate how the standardized local assortative coefficient discovers the presence of (dis)assortative hubs in static networks on a granular level, and how it tracks systemic risk in dynamic financial networks.

3.
JMIR Public Health Surveill ; 9: e42446, 2023 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-37676701

RESUMO

BACKGROUND: The COVID-19 outbreak has revealed a high demand for timely surveillance of pandemic developments. Google Trends (GT), which provides freely available search volume data, has been proven to be a reliable forecast and nowcast measure for public health issues. Previous studies have tended to use relative search volumes from GT directly to analyze associations and predict the progression of pandemic. However, GT's normalization of the search volumes data and data retrieval restrictions affect the data resolution in reflecting the actual search behaviors, thus limiting the potential for using GT data to predict disease outbreaks. OBJECTIVE: This study aimed to introduce a merged algorithm that helps recover the resolution and accuracy of the search volume data extracted from GT over long observation periods. In addition, this study also aimed to demonstrate the extended application of merged search volumes (MSVs) in combination of network analysis, via tracking the COVID-19 pandemic risk. METHODS: We collected relative search volumes from GT and transformed them into MSVs using our proposed merged algorithm. The MSVs of the selected coronavirus-related keywords were compiled using the rolling window method. The correlations between the MSVs were calculated to form a dynamic network. The network statistics, including network density and the global clustering coefficients between the MSVs, were also calculated. RESULTS: Our research findings suggested that although GT restricts the search data retrieval into weekly data points over a long period, our proposed approach could recover the daily search volume over the same investigation period to facilitate subsequent research analyses. In addition, the dynamic time warping diagrams show that the dynamic networks were capable of predicting the COVID-19 pandemic trends, in terms of the number of COVID-19 confirmed cases and severity risk scores. CONCLUSIONS: The innovative method for handling GT search data and the application of MSVs and network analysis to broaden the potential for GT data are useful for predicting the pandemic risk. Further investigation of the GT dynamic network can focus on noncommunicable diseases, health-related behaviors, and misinformation on the internet.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Infodemiologia , Pandemias , Ferramenta de Busca , Algoritmos
4.
PLoS One ; 18(1): e0279888, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36662719

RESUMO

Systemic risk refers to the uncertainty that arises due to the breakdown of a financial system. The concept of "too connected to fail" suggests that network connectedness plays an important role in measuring systemic risk. In this paper, we first recover a time series of Bayesian networks for stock returns, which allow the direction of links among stock returns to be formed with Markov properties in directed graphs. We rank the stocks in the time series of Bayesian networks based on the topological orders of the stocks in the learned Bayesian networks and develop an order distance, a new measure with which to assess the changes in the topological orders of the stocks. In an empirical study using stock data from the Hang Seng Index in Hong Kong and the Dow Jones Industrial Average, we use the order distance to predict the extreme absolute return, which is a proxy of extreme market risks, or a signal of systemic risks, using the LASSO regression model. Our results indicate that the network statistics of the time series of Bayesian networks and the order distance substantially improve the predictability of extreme absolute returns and provide insights into the assessment of systemic risk.


Assuntos
Diretivas Antecipadas , Modelos Econômicos , Teorema de Bayes , Hong Kong , Fatores de Tempo
5.
Nurse Educ Today ; 121: 105676, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36516718

RESUMO

BACKGROUND: Interviewer effects may cause unfairness in assessments in multiple mini-interviews (MMIs). Due to cultural differences, the bias factors of interviewers may vary between the East and the West. MMIs are a relatively new type of assessment setting in China and few studies have been conducted to examine the interviewer effects of MMIs in this context. OBJECTIVES: We adopted a multi-faceted Rasch measurement (MFRM) to measure interviewer effects in assessments in Hong Kong. METHODS: Data were collected from a nursing school in Hong Kong. There were 431 candidates and 12 interviewers engaged in a six-station MMI setting. The scores collected from the interviews were analyzed in terms of 1) interviewer stringency/leniency, 2) candidate gender, 3) interview time, and 4) rating category in the station. The Student's t-statistic values were calculated to investigate the marking tendencies of individual interviewers. RESULTS: The research findings suggest that interviewers differ in their degree of stringency/leniency, but the number of candidates examined by each interviewer does not affect interviewer stringency/leniency in terms of the interviewer's assessment. There is not sufficient evidence indicating that candidate gender and interview time are bias factors affecting assessment score in this study. Among the six rating categories examined, honesty/integrity is the most stringent category, while self-awareness is the most lenient category. Interview bias from individuals was identified. When we consider the interview scores given by individual interviewers, it is evident that some interviewers may have been biased toward a certain gender or rating categories. CONCLUSIONS: MMIs are useful when selecting student nurses in a Chinese setting. However, interviewer bias may exist. We used an MFRM to better understand interviewer bias across various dimensions. The present study contributes to the development and use of MMIs in non-Western countries and can be used as a reference to extend this research to other locations.


Assuntos
Critérios de Admissão Escolar , Humanos , China , Percepção , Estudantes
6.
Npj Ment Health Res ; 2(1): 15, 2023 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-38609493

RESUMO

The stress burden generated from family caregiving makes caregivers particularly prone to developing psychosocial health issues; however, with early diagnosis and intervention, disease progression and long-term disability can be prevented. We developed an automatic speech analytics program (ASAP) for the detection of psychosocial health issues based on clients' speech. One hundred Cantonese-speaking family caregivers were recruited with the results suggesting that the ASAP can identify family caregivers with low or high stress burden levels with an accuracy rate of 72%. The findings indicate that digital health technology can be used to assist in the psychosocial health assessment. While the conventional method requires rigorous assessments by specialists with multiple rounds of questioning, the ASAP can provide a cost-effective and immediate initial assessment to identify high levels of stress among family caregivers so they can be referred to social workers and healthcare professionals for further assessments and treatments.

7.
Epidemiol Infect ; 150: e161, 2022 08 22.
Artigo em Inglês | MEDLINE | ID: mdl-35989440

RESUMO

This study assesses governments' long-term non-pharmaceutical interventions upon the coronavirus disease 2019 (COVID-19) pandemic in East Asia. It advances the literature towards a better understanding of when and which control measures are effective. We (1) provide time-varying case fatality ratios and focus on the elderly's mortality and case fatality ratios, (2) measure the correlations between daily new cases (daily new deaths) and each index based on multiple domestic pandemic waves and (3) examine the lead-lag relationship between daily new cases (daily new deaths) and each index via the cross-correlation functions on the pre-whitened series. Our results show that the interventions reduce COVID-19 infections for some periods before the period of the Omicron variant. Moreover, there is no COVID-19 policy lag in Taiwan between daily new confirmed cases and each index. As of March 2022, the case fatality ratios of the elderly group in Japan, Hong Kong and South Korea are 4.69%, 4.72% and 1.48%, respectively, while the case fatality ratio of the elderly group in Taiwan is 25.01%. A government's COVID-19 vaccination distribution and prioritisation policies are pivotal for the elderly group to reduce the number of deaths. Immunising this specific group as best as possible should undoubtedly be a top priority.


Assuntos
COVID-19 , Pandemias , Idoso , Vacinas contra COVID-19 , Ásia Oriental/epidemiologia , Governo , Humanos , Pandemias/prevenção & controle , Políticas , SARS-CoV-2
9.
Sci Rep ; 12(1): 2668, 2022 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-35177679

RESUMO

Systemic risk in financial markets refers to the breakdown of a financial system due to global events, catastrophes, or extreme incidents, leading to huge financial instability and losses. This study proposes a dynamic topic network (DTN) approach that combines topic modelling and network analysis to assess systemic risk in financial markets. We make use of Latent Dirichlet Allocation (LDA) to semantically analyse news articles, and the extracted topics then serve as input to construct topic similarity networks over time. Our results indicate how connected the topics are so that we can correlate any abnormal behaviours with volatility in the financial markets. With the 2015-2016 stock market selloff and COVID-19 as use cases, our results also suggest that the proposed DTN approach can provide an indication of (a) abnormal movement in the Dow Jones Industrial Average and (b) when the market would gradually begin to recover from such an event. From a practical risk management point of view, this analysis can be carried out on a daily basis when new data come in so that we can make use of the calculated metrics to predict real-time systemic risk in financial markets.

10.
PLoS One ; 17(1): e0261969, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35025893

RESUMO

During the 2019 novel coronavirus disease (COVID-19) pandemic, many employees have switched to working from home. Despite the findings of previous research that working from home can improve productivity, the scale, nature, and purpose of those studies are not the same as in the current situation with the COVID-19 pandemic. We studied the effects that three stress relievers of the work-from-home environment-company support, supervisor's trust in the subordinate, and work-life balance-had on employees' psychological well-being (stress and happiness), which in turn influenced productivity and engagement in non-work-related activities during working hours. In order to collect honest responses on sensitive questions or negative forms of behavior including stress and non-work-related activities, we adopted the randomized response technique in the survey design to minimize response bias. We collected a total of 500 valid responses and analyzed the results with structural equation modelling. We found that among the three stress relievers, work-life balance was the only significant construct that affected psychological well-being. Stress when working from home promoted non-work-related activities during working hours, whereas happiness improved productivity. Interestingly, non-work-related activities had no significant effect on productivity. The research findings provide evidence that management's maintenance of a healthy work-life balance for colleagues when they are working from home is important for supporting their psychosocial well-being and in turn upholding their work productivity.


Assuntos
COVID-19/psicologia , Pandemias/prevenção & controle , Adolescente , Adulto , Idoso , Eficiência/fisiologia , Feminino , Nível de Saúde , Ambiente Domiciliar , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2/patogenicidade , Inquéritos e Questionários , Equilíbrio Trabalho-Vida/métodos , Adulto Jovem
11.
Inform Health Soc Care ; 47(2): 211-222, 2022 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-34709118

RESUMO

This study examined the association between caregivers' burdens and their individual characteristics and identified characteristics that are useful for predicting the level of caregiver burden. We successfully surveyed 387 family caregivers, having them complete the caregiver burden inventory scale (CBI) and an individual characteristic questionnaire. When we compared the average CBI scores between groups with a particular individual characteristic (including caring for older adult(s), educational level, employment status, place of birth, marital status, financial status, need for family support, need for friend support, and need for nonprofit organizational support), we found a significant difference in the average scores. From a logistic regression model, with burden level as the outcome, we found that caring for older adult(s), educational level, employment status, place of birth, financial situation, and need for nonprofit organizational support were significant predictors of the burden level of caregivers. The research findings suggest that certain individual characteristics can be adopted for identifying and quantifying caregivers who may have a higher level of burden. The findings are useful to uncover caregivers who may need prompt support and social care.


Assuntos
Sobrecarga do Cuidador , Cuidadores , Idoso , Família , Humanos , Apoio Social , Inquéritos e Questionários
12.
PLoS One ; 16(12): e0260132, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34874945

RESUMO

Understanding how textual information impacts financial market volatility has been one of the growing topics in financial econometric research. In this paper, we aim to examine the relationship between the volatility measure that is extracted from GARCH modelling and textual news information both publicly available and from subscription, and the performances of the two datasets are compared. We utilize a latent Dirichlet allocation method to capture the dynamic features of the textual data overtime by summarizing their statistical outputs, such as topic distributions in documents and word distributions in topics. In addition, we transform various measures representing the popularity and diversity of topics to form predictors for a rolling regression model to assess the usefulness of textual information. The proposed method captures the statistical properties of textual information over different time periods and its performance is evaluated in an out-of-sample analysis. Our results show that the topic measures are more useful for predicting our volatility proxy, the unexplained variance from the GARCH model than the simple moving average. The finding indicates that our method is helpful in extracting significant textual information to improve the prediction of stock market volatility.


Assuntos
Investimentos em Saúde/economia , Modelos Econométricos , Padrões de Referência
13.
Stat (Int Stat Inst) ; 10(1): e408, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34900251

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has led to tremendous loss of human life and has severe social and economic impacts worldwide. The spread of the disease has also caused dramatic uncertainty in financial markets, especially in the early stages of the pandemic. In this paper, we adopt the stochastic actor-oriented model (SAOM) to model dynamic/longitudinal financial networks with the covariates constructed from the network statistics of COVID-19 dynamic pandemic networks. Our findings provide evidence that the transmission risk of the COVID-19, measured in the transformed pandemic risk scores, is a main explanatory factor of financial network connectedness from March to May 2020. The pandemic statistics and transformed pandemic risk scores can give early signs of the intense connectedness of the financial markets in mid-March 2020. We can make use of the SAOM approach to predict possible financial contagion using pandemic network statistics and transformed pandemic risk scores of the COVID-19 and other pandemics.

14.
Artigo em Inglês | MEDLINE | ID: mdl-33808764

RESUMO

In this paper, we propose a latent pandemic space modeling approach for analyzing coronavirus disease 2019 (COVID-19) pandemic data. We developed a pandemic space concept that locates different regions so that their connections can be quantified according to the distances between them. A main feature of the pandemic space is to allow visualization of the pandemic status over time through the connectedness between regions. We applied the latent pandemic space model to dynamic pandemic networks constructed using data of confirmed cases of COVID-19 in 164 countries. We observed the ways in which pandemic risk evolves by tracing changes in the locations of countries within the pandemic space. Empirical results gained through this pandemic space analysis can be used to quantify the effectiveness of lockdowns, travel restrictions, and other measures in regard to reducing transmission risk across countries.


Assuntos
COVID-19 , Pandemias , Controle de Doenças Transmissíveis , Humanos , SARS-CoV-2 , Simulação de Ambiente Espacial
15.
Sci Rep ; 11(1): 5112, 2021 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-33664280

RESUMO

The spread of coronavirus disease 2019 (COVID-19) has caused more than 80 million confirmed infected cases and more than 1.8 million people died as of 31 December 2020. While it is essential to quantify risk and characterize transmission dynamics in closed populations using Susceptible-Infection-Recovered modeling, the investigation of the effect from worldwide pandemic cannot be neglected. This study proposes a network analysis to assess global pandemic risk by linking 164 countries in pandemic networks, where links between countries were specified by the level of 'co-movement' of newly confirmed COVID-19 cases. More countries showing increase in the COVID-19 cases simultaneously will signal the pandemic prevalent over the world. The network density, clustering coefficients, and assortativity in the pandemic networks provide early warning signals of the pandemic in late February 2020. We propose a preparedness pandemic risk score for prediction and a severity risk score for pandemic control. The preparedness risk score contributed by countries in Asia is between 25% and 50% most of the time after February and America contributes around 40% in July 2020. The high preparedness risk contribution implies the importance of travel restrictions between those countries. The severity risk score of America and Europe contribute around 90% in December 2020, signifying that the control of COVID-19 is still worrying in America and Europe. We can keep track of the pandemic situation in each country using an online dashboard to update the pandemic risk scores and contributions.


Assuntos
COVID-19/epidemiologia , Modelos Estatísticos , Pandemias/estatística & dados numéricos , Humanos , Medição de Risco
17.
Int J Infect Dis ; 103: 97-101, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33212255

RESUMO

OBJECTIVES: The United States has become the country with the largest number of COVID-19 reported cases and deaths. This study aims to analyze the pandemic risk of COVID-19 outbreak in the US. METHODS: Time series plots of the network density, together with the daily reported confirmed COVID-19 cases and flight frequency in the five states in the US with the largest numbers of COVID-19 cases were developed to discover the trends and patterns of the pandemic connectedness of COVID-19 among the five states. RESULTS: The research findings suggest that the pandemic risk of the outbreak in the US could be detected as early as the beginning of March. The signal was prior to the rapid increase of reported COVID-19 cases and flight reduction measures. Travel restriction can be strengthened at an early stage of the outbreak while more focus of local public health measures can be addressed after community spread. CONCLUSIONS: The study demonstrates the application of network density on detection of pandemic risk and its relationship with air travel restriction in order to provide useful information for policymakers to better optimize timely containment strategies to mitigate the outbreak of infectious diseases.


Assuntos
Viagem Aérea , COVID-19/epidemiologia , Surtos de Doenças , SARS-CoV-2 , Humanos , Estados Unidos/epidemiologia
19.
Int J Infect Dis ; 96: 558-561, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32437929

RESUMO

With the domestic and international spread of the coronavirus disease 2019 (COVID-19), much attention has been given to estimating pandemic risk. We propose the novel application of a well-established scientific approach - the network analysis - to provide a direct visualization of the COVID-19 pandemic risk; infographics are provided in the figures. By showing visually the degree of connectedness between different regions based on reported confirmed cases of COVID-19, we demonstrate that network analysis provides a relatively simple yet powerful way to estimate the pandemic risk.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Medição de Risco/métodos , Betacoronavirus , COVID-19 , China , Saúde Global , Humanos , Pandemias , SARS-CoV-2
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