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  • COVID-19
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  • Mémoires en Sciences de l'Informati...
  • Frontiers in Public Health

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  • Authors: Ortar, Nathalie; Chapelon, Laurent; Depeau, Sandrine; Feildel, Benoît; +5 Authors

    International audience; Abstract To encourage a modal shift toward cycling during and after the 2020 lockdown the French national government introduced a €120 million budget set of financial incentives, the “coup de pouce vélo.” Meanwhile, inspired by tactical urbanism, city authorities created cycle lanes and tracks, called “coronapistes” (Covid cycle lanes), on a permanent or pop-up basis. This response to the pandemic was driven by a unique set of spatial, social, and political configurations. In this chapter, we analyze the way in which both experienced and novice cyclists made use of the temporary facilities that were introduced in the early months of the Covid-19 pandemic in four cities—Grenoble, Lyon, Montpellier, and Rennes—and contrast this with the case of Saint-Étienne, where the Covid cycle lanes were removed at the end of the spring 2020 lockdown. The chapter aims to observe the effects of public policies on cycling practices and the social representations associated with them, in particular on changes in use in contexts characterized by different relationships to cycling. To capture the ways in which the Covid cycle lanes have been received and used, we employed ride-along interviews, an in situ and qualitative mobile method.

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  • Authors: Rochette, Corinne;

    The patient experience is a variable that has been neglected or even ignored for a long time in the health field, even if it is an important resource for improving and adapting patient care. The patient empowerment initiated in the 1970s is the main manifestation of what can be described as a new paradigm: a more and more active patient, actor of health and his care and finally with a specific form of expertise. This evolution is founded on a process of legitimisation in order that the lived experience of illness can be transformed into an accepted and recognised expertise. The health crisis caused by the coronavirus 19 offers a particularly relevant field for studying this process of legitimation. Indeed, many patients infected with covid 19 report persistent and acute symptoms that are not explained at first and therefore not recognised by society and institutions. Based on the literature on legitimacy and by studying the action of the French association #ApresJ20 we identify the main stages of the process of recognition of Covid Long patient expertise.; L'expérience patient constitue une variable longtemps délaissée voire ignorée dans le champ sanitaire, pourtant elle est une ressource importante pour faire évoluer et adapter les prises en charge des patients. L'empowerment du patient initié dans les années 1970 est la principale manifestation de ce qui peut être qualifié de nouveau paradigme : un patient de plus en plus actif, acteur de la santé et de ses soins et finalement doté d'une forme particulière d'expertise. Cette évolution repose sur un processus de légitimation afin que l'expérience vécue de la maladie puisse se transformer en expertise reconnue et admise de tous. La crise sanitaire provoquée par le coronavirus 19 offre un terrain d'étude de ce processus de légitimation particulièrement pertinent. En effet, de nombreux patients infectés pas la covid 19 rapportent des symptômes persistants et aigus non expliqués dans les premiers temps et donc non reconnus par la société et les institutions. En nous appuyant sur les travaux portant sur la légitimité et en étudiant l'action de l'association française #ApresJ20 nous dégageons les grandes étapes du processus de reconnaissance de l'expertise patient Covid Long.

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    Authors: María Belén Albornoz; Henry Chávez;

    International audience; The evolution of the collaborative economy depends on market-specific prerequisites, such as a consumer base with purchasing power, accessible Internet connectivity, digitised payment mechanisms and new regulatory frameworks. However, countries located in the Global South, such as Ecuador, face challenges in adapting to these requirements due to the presence of infrastructure deficiencies, shortcomings in the local financial ecosystem and regulatory gaps, which impede the maturation of digital industries. However, the unprecedented global economic upheaval stemming from the COVID-19 pandemic, coupled with the imposition of international lockdowns and social distancing mandates, has precipitated the unbridled proliferation of digital platforms and the gig economy. In this unregulated environment, platform workers face intricate labour rights dynamics, marked by income volatility, scarce benefits and an environment rife with precarity and exploitative conditions. This paper aims to answer how the gig economy was installed and developed in Ecuador before and during the context of the Covid-19 pandemic. More specifically, we will try to answer the question of what have been the main challenges and barriers faced by platform workers and platforms in adhering to Fairwork principles in an unregulated context. Based on more than seventy semi-structured interviews and ethnographic material collected between 2020 and 2021, we provide an overview of Ecuador's gig economy and an in-depth examination of the institutional, regulatory, and organisational landscape characterising this country in order to identify the main challenges and obstacles to establishing and enforcing fair work standards. This analysis helped us understand the difficulties in implementing Fairwork principles and come up with practical suggestions for policy and regulation improvements in Ecuador and similar situations.

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    Digital Geography and Society
    Article . 2024 . Peer-reviewed
    License: CC BY NC ND
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    Digital Geography and Society
    Article . 2024
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      Digital Geography and Society
      Article . 2024 . Peer-reviewed
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      Digital Geography and Society
      Article . 2024
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    Authors: Manavgat, Gökçe; Audibert, Martine;

    The Covid-19 pandemic has raised concerns about the resilience of health systems. The aim of this study is twofold: i) to measure and compare the resilience of health system efficiency of OECD countries before and during Covid-19 and ii) to determine the healthcare efficiency drivers (e.g., socioeconomic) of health system performance. Using a dataset of 31 OECD countries for 2018 and 2020, we first estimate bias-adjusted efficiency scores, followed by a double bootstrap truncated regression procedure to study the drivers associated with health system efficiency. We find that the health system efficiency overall score decreased among OECD countries during the Covid-19 pandemic compared to before Covid-19. Estonia and Japan retained their full efficiency scoreduring Covid-19. We find a negative association between health system efficiency and unemployment rate, share of health expenditure in GDP, and share of population over 65. Conversely, high vaccination rates contribute positively to health system efficiency during the Covid-19 period. International audience

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    https://doi.org/10.1016/j.ssmh...
    Article . 2024 . Peer-reviewed
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      https://doi.org/10.1016/j.ssmh...
      Article . 2024 . Peer-reviewed
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  • image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    Authors: Mahdi Ghaemi Asl; Muhammad Mahdi Rashidi; Hamid Raza Tavakkoli; Hichem Rezgui;

    International audience; This paper aims to assess the performance of Islamic portfolios vis-à-vis their conventional counterparts across two distinct periods: the pre-COVID-19 era and the COVID-19 era. Departing from prior studies, this study makes a novel contribution by employing an extensive array of 18 portfolio optimization techniques to construct optimal portfolios for conventional stock indices encompassing energy, utilities, and environmental, social, and governance (ESG) dimensions, as well as their Islamic equivalents. Performance comparisons are made utilizing three risk-adjusted performance measures, namely the Sharpe ratio, the Omega ratio, and the Sortino ratio. Our findings reveal that Shariah portfolios outperform conventional portfolios across all performance measures and risk-aversion levels when the most effective optimization methods are employed, both during pre-crisis and crisis periods. Additionally, our analysis highlights certain methods, namely EWMA, GM, DCC, and SHC, which produce portfolios exhibiting superior performance relative to alternative methods, as assessed by risk-adjusted metrics. Furthermore, Islamic portfolios demonstrate higher average returns compared to their conventional counterparts. Notably, incorporating ESG-related stocks into energy and utilities assets significantly enhances average returns, underscoring the potential of ESG investments. Collectively, our findings have noteworthy implications for investors, as they emphasize the role of Islamic stocks as effective diversifiers, yielding favorable resource allocation opportunities during times of crisis as well as stability. However, investors should exercise caution in selecting the optimal portfolio optimization method, as substantial performance disparities exist among different approaches.

    image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao The Quarterly Review...arrow_drop_down
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    The Quarterly Review of Economics and Finance
    Article . 2024 . Peer-reviewed
    License: Elsevier TDM
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      image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao The Quarterly Review...arrow_drop_down
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      The Quarterly Review of Economics and Finance
      Article . 2024 . Peer-reviewed
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    Authors: Jie Deng; Yu Fang; QiaoLing Wang; Yanyan Tian; +4 Authors

    BackgroundDuring the coronavirus disease-2019 (COVID-19) pandemic, there have been many studies on knowledge, attitudes, and practices (KAP) toward prevention of COVID-19 infection in China. Except for symptomatic treatment and vaccination, KAP toward COVID-19 plays an important role in the prevention of COVID-19. There is no systematic evaluation and meta-analysis of KAP toward COVID-19 in China. This study is the earliest meta-analysis of KAP toward COVID-19 in China’s general population. Hence, this systematic review aimed to summarize the knowledge, attitudes, and practices (KAP) of Chinese residents toward COVID-19 during the pandemic.MethodologyFollowing the PRISMA guidelines, articles relevant to COVID-19 KAP that were conducted among the Chinese population were found in databases such as Scopus, ProQuest, PubMed, EMbase, Web of Science, Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, CQVIP, Wanfang and Google Scholar. A random-effect meta-analysis is used to summarize studies on knowledge, attitudes, and practice levels toward COVID-19 infection in China’s general population.ResultsFifty-seven articles published between August 2020 and November 2022 were included in this review. Overall, 75% (95% CI: 72–79%) of Chinese residents had good knowledge about COVID-19, 80% (95% CI: 73–87%) of Chinese residents had a positive attitude toward COVID-19 pandemic control and prevention (they believe that Chinese people will win the battle against the epidemic), and the aggregated proportion of residents with a correct practice toward COVID-19 was 84% (95% CI: 82–87%, I2 = 99.7%).In the gender subgroup analysis, there is no significant difference between Chinese men and Chinese women in terms of their understanding of COVID-19. However, Chinese women tend to have slightly higher levels of knowledge and a more positive attitude toward the virus compared to Chinese men. When considering the urban and rural subgroup analysis, it was found that Chinese urban residents have a better understanding of COVID-19 compared to Chinese rural residents. Interestingly, the rural population displayed higher rates of correct behavior and positive attitudes toward COVID-19 compared to the urban population. Furthermore, in the subgroup analysis based on different regions in China, the eastern, central, and southwestern regions exhibited higher levels of knowledge awareness compared to other regions. It is worth noting that all regions in China demonstrated good rates of correct behavior and positive attitudes toward COVID-19.ConclusionThis study reviews the level of KAP toward COVID-19 during the pandemic period in China. The results show that the KAP toward COVID-19 in Chinese residents was above a favorable level, but the lack of translation of knowledge into practice should be further reflected on and improved. A subgroup analysis suggests that certain groups need more attention, such as males and people living in rural areas. Policy makers should pay attention to the results of this study and use them as a reference for the development of prevention and control strategies for major public health events that may occur in the future.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=348246, CRD42022348246.

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    Frontiers in Public Health
    Article . 2024
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      Frontiers in Public Health
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    Authors: Ju Tang; Liang-Liang Chen; Hongtao Zhang; Peifeng Wei; +1 Authors

    ObjectiveWith increasing rates of anxiety and depression during COVID-19, exercise treatment has drawn attention for its effects on COVID-19 patients with anxiety and depression. This study set out to assess the impact of exercise therapy on COVID-19 patients’ anxiety and depression.MethodsPubMed, EMBASE, Web of Science and Cochrane Library were used to search articles about exercise therapy as a means of treating anxiety and depression in COVID-19 patients from inception to April 30, 2023. The risk of bias was assessed by the Cochrane Collaboration bias risk tool. Data were pooled with the random effects model. RevMan version 5.4 was used for the statistical analyses. This work was registered in the PROSPERO database (registration number: CRD42023406439).Selection criteriaRandomized clinical trials (RCTs) of COVID-19 patients with anxiety and depression were included to assess the impact of physical exercise on COVID-19 patients with anxiety and depression.Results6 studies including a total of 461 COVID-19 patients were analyzed in this meta-analysis. Overall, the meta-analysis showed that compared with the control group, exercise could significantly improve anxiety (SMD = −0.76; 95%CI: −0.96, −0.55; p < 0.00001), depression level (SMD = −0.39; 95%CI: −0.70, −0.09; p = 0.01), the PHQ-9 score (MD = −1.82; 95%CI: −2.93, −0.71; p = 0.001) and the sleep quality (SMD = −0.73; 95%CI: −1.32, −0.14; p = 0.01) in COVID-19 patients.ConclusionThe research provided evidence that exercise therapy is able to help COVID-19 patients experience less anxiety and depression and have better-quality sleep.Systematic review registrationCRD42023406439.

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      Frontiers in Public Health
      Article . 2024
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    Authors: Nesibe Simsekoglu; Enes Akyuz; Rabia Guven; Ozge Pasin;

    BackgroundAlthough vaccination is one of the most effective means of controlling the spread of COVID-19, public concerns and indecision about vaccination still continue. Because pregnant and breastfeeding individuals are at high risk for severe outcomes in case of infections, determining their level of hesitation and attitude toward COVID-19 vaccines will guide the management of the disease. This study aimed to determine pregnant and breastfeeding women’s levels of hesitation and attitude toward COVID-19 vaccines as well as their related factors.MethodsThe sample of this descriptive research consisted of 103 pregnant or breastfeeding individuals who were seen at the obstetrics and gynecology outpatients clinic of a state hospital in Istanbul, Turkey. The data were collected using a ‘demographic data form’, the ‘Vaccine Hesitancy Scale in Pandemic’, and the ‘Attitudes toward COVID-19 Vaccine Scale’. The research data were analyzed with appropriate statistical methods.ResultsThe mean age of the participants was 29.71 ± 4.75, 51% were pregnant, and 74.8% had received the COVID-19 vaccine. The mean score of the ‘Vaccination Hesitancy Scale in Pandemic’ was 30.83 ± 6.91, and the mean score for the ‘Attitude Scale toward the COVID-19 Vaccine’ was 25.50 ± 5.20. A significant difference was found between the total score of the ‘Vaccine Hesitation Scale in the Pandemic’ and the mean score of the ‘Lack of Confidence’ sub-dimension between the ‘working status’ and the ‘influenza vaccination’ status. In terms of the mean score of the ‘Risk’ sub-dimension, a significant difference was found between the ‘period of vaccination’ (p < 0.05). According to the mean total score of the ‘Attitude Towards COVID-19 Vaccine Scale’, there was a significant difference between the ‘smoking’ status. There was a significant difference in the ‘Positive Attitude’ sub-dimension in terms of the ‘flu vaccination’ status. There was a significant difference in the ‘Negative Attitude’ sub-dimension in terms of the ‘chronic disease’ status. A positive correlation was found between the total scores of the scales.ConclusionIt was concluded that although the participants had a high level of hesitation toward the COVID-19 vaccine, they had a positive attitude. The results obtained will be guided in determining the strategies to be developed for these specific groups in future pandemics.

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    Authors: Juliana N. Vitti; Robert Vitti; Karen Chu; Scott Mellis;

    There is an urgent need for increased understanding of COVID-19 and strategies for its prevention, treatment, and mitigation. All participants in the research enterprise, including institutional review boards, have an ethical duty to protect participants and ensure that the benefits gained from such research do not conflict with the core principles that guided researchers prior to the pandemic. In this review, we discuss the ethical issues surrounding initiation and conduct of clinical trials, focusing on novel COVID-19 therapeutic, vaccine, or biospecimen research, using the principles of autonomy, beneficence, and justice. We discuss strategies to manage the practical challenges associated with the conduct of clinical trials, with an emphasis on maintaining the rights and welfare of research participants.

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    Authors: J. Cunningham-Erves; W. George; M. Sanderson; E. Stewart; +3 Authors

    BackgroundThe COVID-19 pandemic has convoluted hesitancy toward vaccines, including the seasonal influenza (flu) vaccine. Because of COVID-19, the flu season has become more complicated; therefore, it is important to understand all the factors influencing the uptake of these vaccines to inform intervention targets. This article assesses factors related to the uptake of influenza and COVID-19 vaccines among adults in Tennessee.MethodsA cross-sectional, secondary data analysis of 1,400 adults was conducted in Tennessee. The adult sample came from two data sources: Data source 1 completed a baseline survey from January to March 2022, and data source 2 was completed from May to August 2022. Data on vaccine attitudes, facilitators and barriers, and communication needs were collected via random digit dial by Scientific Telephone Samples (STS). Two multivariable logistic regression models were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) to predict sociodemographic and overall vaccine-related factors associated with receipt or non-receipt (referent) of COVID-19 and influenza vaccines.ResultsApproximately 78% of the adult sample had received the COVID-19 vaccination. A significant positive association for COVID-19 vaccine uptake was seen among those who were older (aged 50–65) (aOR = 1.9; 95% CI: 1.2–3.2), Black (aOR = 2.0; 95% CI:1.3–2.8), and had a college education and higher (aOR = 2.3; 95% CI: 1.5–3.6). However, there was a significant negative association for persons reporting they were extremely religious (aOR = 0.5; 95% CI:0.3–0.9). Over 56% of the adult sample had received the influenza vaccination this season. Those who had a higher annual household income ($80,000+) (aOR = 1.9; 95% CI: 1.3–2.6) and had health insurance (aOR = 2.6; 95% CI: 1.4–4.8) had a significant positive association with influenza vaccine receipt. However, those who were employed part-time or were unemployed had a significant negative association for influenza vaccine receipt (aOR = 0.7; 95% CI: 0.5–0.9). Both COVID-19 and influenza vaccine receipt had strongly significant positive trends with increasing belief in effectiveness and trust (p < 0.0001) and strongly significant negative trends with higher levels of overall vaccine hesitancy (p < 0.0001).ConclusionStrategies to increase COVID-19 and influenza vaccination should be age-specific, focus on increasing geographical and financial access, and offer tailored messages to address concerns about these vaccines.

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  • Authors: Ortar, Nathalie; Chapelon, Laurent; Depeau, Sandrine; Feildel, Benoît; +5 Authors

    International audience; Abstract To encourage a modal shift toward cycling during and after the 2020 lockdown the French national government introduced a €120 million budget set of financial incentives, the “coup de pouce vélo.” Meanwhile, inspired by tactical urbanism, city authorities created cycle lanes and tracks, called “coronapistes” (Covid cycle lanes), on a permanent or pop-up basis. This response to the pandemic was driven by a unique set of spatial, social, and political configurations. In this chapter, we analyze the way in which both experienced and novice cyclists made use of the temporary facilities that were introduced in the early months of the Covid-19 pandemic in four cities—Grenoble, Lyon, Montpellier, and Rennes—and contrast this with the case of Saint-Étienne, where the Covid cycle lanes were removed at the end of the spring 2020 lockdown. The chapter aims to observe the effects of public policies on cycling practices and the social representations associated with them, in particular on changes in use in contexts characterized by different relationships to cycling. To capture the ways in which the Covid cycle lanes have been received and used, we employed ride-along interviews, an in situ and qualitative mobile method.

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  • Authors: Rochette, Corinne;

    The patient experience is a variable that has been neglected or even ignored for a long time in the health field, even if it is an important resource for improving and adapting patient care. The patient empowerment initiated in the 1970s is the main manifestation of what can be described as a new paradigm: a more and more active patient, actor of health and his care and finally with a specific form of expertise. This evolution is founded on a process of legitimisation in order that the lived experience of illness can be transformed into an accepted and recognised expertise. The health crisis caused by the coronavirus 19 offers a particularly relevant field for studying this process of legitimation. Indeed, many patients infected with covid 19 report persistent and acute symptoms that are not explained at first and therefore not recognised by society and institutions. Based on the literature on legitimacy and by studying the action of the French association #ApresJ20 we identify the main stages of the process of recognition of Covid Long patient expertise.; L'expérience patient constitue une variable longtemps délaissée voire ignorée dans le champ sanitaire, pourtant elle est une ressource importante pour faire évoluer et adapter les prises en charge des patients. L'empowerment du patient initié dans les années 1970 est la principale manifestation de ce qui peut être qualifié de nouveau paradigme : un patient de plus en plus actif, acteur de la santé et de ses soins et finalement doté d'une forme particulière d'expertise. Cette évolution repose sur un processus de légitimation afin que l'expérience vécue de la maladie puisse se transformer en expertise reconnue et admise de tous. La crise sanitaire provoquée par le coronavirus 19 offre un terrain d'étude de ce processus de légitimation particulièrement pertinent. En effet, de nombreux patients infectés pas la covid 19 rapportent des symptômes persistants et aigus non expliqués dans les premiers temps et donc non reconnus par la société et les institutions. En nous appuyant sur les travaux portant sur la légitimité et en étudiant l'action de l'association française #ApresJ20 nous dégageons les grandes étapes du processus de reconnaissance de l'expertise patient Covid Long.

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    Authors: María Belén Albornoz; Henry Chávez;

    International audience; The evolution of the collaborative economy depends on market-specific prerequisites, such as a consumer base with purchasing power, accessible Internet connectivity, digitised payment mechanisms and new regulatory frameworks. However, countries located in the Global South, such as Ecuador, face challenges in adapting to these requirements due to the presence of infrastructure deficiencies, shortcomings in the local financial ecosystem and regulatory gaps, which impede the maturation of digital industries. However, the unprecedented global economic upheaval stemming from the COVID-19 pandemic, coupled with the imposition of international lockdowns and social distancing mandates, has precipitated the unbridled proliferation of digital platforms and the gig economy. In this unregulated environment, platform workers face intricate labour rights dynamics, marked by income volatility, scarce benefits and an environment rife with precarity and exploitative conditions. This paper aims to answer how the gig economy was installed and developed in Ecuador before and during the context of the Covid-19 pandemic. More specifically, we will try to answer the question of what have been the main challenges and barriers faced by platform workers and platforms in adhering to Fairwork principles in an unregulated context. Based on more than seventy semi-structured interviews and ethnographic material collected between 2020 and 2021, we provide an overview of Ecuador's gig economy and an in-depth examination of the institutional, regulatory, and organisational landscape characterising this country in order to identify the main challenges and obstacles to establishing and enforcing fair work standards. This analysis helped us understand the difficulties in implementing Fairwork principles and come up with practical suggestions for policy and regulation improvements in Ecuador and similar situations.

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    Digital Geography and Society
    Article . 2024 . Peer-reviewed
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    Digital Geography and Society
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      Digital Geography and Society
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    Authors: Manavgat, Gökçe; Audibert, Martine;

    The Covid-19 pandemic has raised concerns about the resilience of health systems. The aim of this study is twofold: i) to measure and compare the resilience of health system efficiency of OECD countries before and during Covid-19 and ii) to determine the healthcare efficiency drivers (e.g., socioeconomic) of health system performance. Using a dataset of 31 OECD countries for 2018 and 2020, we first estimate bias-adjusted efficiency scores, followed by a double bootstrap truncated regression procedure to study the drivers associated with health system efficiency. We find that the health system efficiency overall score decreased among OECD countries during the Covid-19 pandemic compared to before Covid-19. Estonia and Japan retained their full efficiency scoreduring Covid-19. We find a negative association between health system efficiency and unemployment rate, share of health expenditure in GDP, and share of population over 65. Conversely, high vaccination rates contribute positively to health system efficiency during the Covid-19 period. International audience

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    https://doi.org/10.1016/j.ssmh...
    Article . 2024 . Peer-reviewed
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      https://doi.org/10.1016/j.ssmh...
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  • image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
    Authors: Mahdi Ghaemi Asl; Muhammad Mahdi Rashidi; Hamid Raza Tavakkoli; Hichem Rezgui;

    International audience; This paper aims to assess the performance of Islamic portfolios vis-à-vis their conventional counterparts across two distinct periods: the pre-COVID-19 era and the COVID-19 era. Departing from prior studies, this study makes a novel contribution by employing an extensive array of 18 portfolio optimization techniques to construct optimal portfolios for conventional stock indices encompassing energy, utilities, and environmental, social, and governance (ESG) dimensions, as well as their Islamic equivalents. Performance comparisons are made utilizing three risk-adjusted performance measures, namely the Sharpe ratio, the Omega ratio, and the Sortino ratio. Our findings reveal that Shariah portfolios outperform conventional portfolios across all performance measures and risk-aversion levels when the most effective optimization methods are employed, both during pre-crisis and crisis periods. Additionally, our analysis highlights certain methods, namely EWMA, GM, DCC, and SHC, which produce portfolios exhibiting superior performance relative to alternative methods, as assessed by risk-adjusted metrics. Furthermore, Islamic portfolios demonstrate higher average returns compared to their conventional counterparts. Notably, incorporating ESG-related stocks into energy and utilities assets significantly enhances average returns, underscoring the potential of ESG investments. Collectively, our findings have noteworthy implications for investors, as they emphasize the role of Islamic stocks as effective diversifiers, yielding favorable resource allocation opportunities during times of crisis as well as stability. However, investors should exercise caution in selecting the optimal portfolio optimization method, as substantial performance disparities exist among different approaches.

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    The Quarterly Review of Economics and Finance
    Article . 2024 . Peer-reviewed
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      The Quarterly Review of Economics and Finance
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    Authors: Jie Deng; Yu Fang; QiaoLing Wang; Yanyan Tian; +4 Authors

    BackgroundDuring the coronavirus disease-2019 (COVID-19) pandemic, there have been many studies on knowledge, attitudes, and practices (KAP) toward prevention of COVID-19 infection in China. Except for symptomatic treatment and vaccination, KAP toward COVID-19 plays an important role in the prevention of COVID-19. There is no systematic evaluation and meta-analysis of KAP toward COVID-19 in China. This study is the earliest meta-analysis of KAP toward COVID-19 in China’s general population. Hence, this systematic review aimed to summarize the knowledge, attitudes, and practices (KAP) of Chinese residents toward COVID-19 during the pandemic.MethodologyFollowing the PRISMA guidelines, articles relevant to COVID-19 KAP that were conducted among the Chinese population were found in databases such as Scopus, ProQuest, PubMed, EMbase, Web of Science, Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, CQVIP, Wanfang and Google Scholar. A random-effect meta-analysis is used to summarize studies on knowledge, attitudes, and practice levels toward COVID-19 infection in China’s general population.ResultsFifty-seven articles published between August 2020 and November 2022 were included in this review. Overall, 75% (95% CI: 72–79%) of Chinese residents had good knowledge about COVID-19, 80% (95% CI: 73–87%) of Chinese residents had a positive attitude toward COVID-19 pandemic control and prevention (they believe that Chinese people will win the battle against the epidemic), and the aggregated proportion of residents with a correct practice toward COVID-19 was 84% (95% CI: 82–87%, I2 = 99.7%).In the gender subgroup analysis, there is no significant difference between Chinese men and Chinese women in terms of their understanding of COVID-19. However, Chinese women tend to have slightly higher levels of knowledge and a more positive attitude toward the virus compared to Chinese men. When considering the urban and rural subgroup analysis, it was found that Chinese urban residents have a better understanding of COVID-19 compared to Chinese rural residents. Interestingly, the rural population displayed higher rates of correct behavior and positive attitudes toward COVID-19 compared to the urban population. Furthermore, in the subgroup analysis based on different regions in China, the eastern, central, and southwestern regions exhibited higher levels of knowledge awareness compared to other regions. It is worth noting that all regions in China demonstrated good rates of correct behavior and positive attitudes toward COVID-19.ConclusionThis study reviews the level of KAP toward COVID-19 during the pandemic period in China. The results show that the KAP toward COVID-19 in Chinese residents was above a favorable level, but the lack of translation of knowledge into practice should be further reflected on and improved. A subgroup analysis suggests that certain groups need more attention, such as males and people living in rural areas. Policy makers should pay attention to the results of this study and use them as a reference for the development of prevention and control strategies for major public health events that may occur in the future.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=348246, CRD42022348246.

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      Frontiers in Public Health
      Article . 2024
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    Authors: Ju Tang; Liang-Liang Chen; Hongtao Zhang; Peifeng Wei; +1 Authors

    ObjectiveWith increasing rates of anxiety and depression during COVID-19, exercise treatment has drawn attention for its effects on COVID-19 patients with anxiety and depression. This study set out to assess the impact of exercise therapy on COVID-19 patients’ anxiety and depression.MethodsPubMed, EMBASE, Web of Science and Cochrane Library were used to search articles about exercise therapy as a means of treating anxiety and depression in COVID-19 patients from inception to April 30, 2023. The risk of bias was assessed by the Cochrane Collaboration bias risk tool. Data were pooled with the random effects model. RevMan version 5.4 was used for the statistical analyses. This work was registered in the PROSPERO database (registration number: CRD42023406439).Selection criteriaRandomized clinical trials (RCTs) of COVID-19 patients with anxiety and depression were included to assess the impact of physical exercise on COVID-19 patients with anxiety and depression.Results6 studies including a total of 461 COVID-19 patients were analyzed in this meta-analysis. Overall, the meta-analysis showed that compared with the control group, exercise could significantly improve anxiety (SMD = −0.76; 95%CI: −0.96, −0.55; p < 0.00001), depression level (SMD = −0.39; 95%CI: −0.70, −0.09; p = 0.01), the PHQ-9 score (MD = −1.82; 95%CI: −2.93, −0.71; p = 0.001) and the sleep quality (SMD = −0.73; 95%CI: −1.32, −0.14; p = 0.01) in COVID-19 patients.ConclusionThe research provided evidence that exercise therapy is able to help COVID-19 patients experience less anxiety and depression and have better-quality sleep.Systematic review registrationCRD42023406439.

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    Frontiers in Public Health
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      Frontiers in Public Health
      Article . 2024
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    Authors: Nesibe Simsekoglu; Enes Akyuz; Rabia Guven; Ozge Pasin;

    BackgroundAlthough vaccination is one of the most effective means of controlling the spread of COVID-19, public concerns and indecision about vaccination still continue. Because pregnant and breastfeeding individuals are at high risk for severe outcomes in case of infections, determining their level of hesitation and attitude toward COVID-19 vaccines will guide the management of the disease. This study aimed to determine pregnant and breastfeeding women’s levels of hesitation and attitude toward COVID-19 vaccines as well as their related factors.MethodsThe sample of this descriptive research consisted of 103 pregnant or breastfeeding individuals who were seen at the obstetrics and gynecology outpatients clinic of a state hospital in Istanbul, Turkey. The data were collected using a ‘demographic data form’, the ‘Vaccine Hesitancy Scale in Pandemic’, and the ‘Attitudes toward COVID-19 Vaccine Scale’. The research data were analyzed with appropriate statistical methods.ResultsThe mean age of the participants was 29.71 ± 4.75, 51% were pregnant, and 74.8% had received the COVID-19 vaccine. The mean score of the ‘Vaccination Hesitancy Scale in Pandemic’ was 30.83 ± 6.91, and the mean score for the ‘Attitude Scale toward the COVID-19 Vaccine’ was 25.50 ± 5.20. A significant difference was found between the total score of the ‘Vaccine Hesitation Scale in the Pandemic’ and the mean score of the ‘Lack of Confidence’ sub-dimension between the ‘working status’ and the ‘influenza vaccination’ status. In terms of the mean score of the ‘Risk’ sub-dimension, a significant difference was found between the ‘period of vaccination’ (p < 0.05). According to the mean total score of the ‘Attitude Towards COVID-19 Vaccine Scale’, there was a significant difference between the ‘smoking’ status. There was a significant difference in the ‘Positive Attitude’ sub-dimension in terms of the ‘flu vaccination’ status. There was a significant difference in the ‘Negative Attitude’ sub-dimension in terms of the ‘chronic disease’ status. A positive correlation was found between the total scores of the scales.ConclusionIt was concluded that although the participants had a high level of hesitation toward the COVID-19 vaccine, they had a positive attitude. The results obtained will be guided in determining the strategies to be developed for these specific groups in future pandemics.

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      Frontiers in Public Health
      Article . 2024
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    Authors: Juliana N. Vitti; Robert Vitti; Karen Chu; Scott Mellis;

    There is an urgent need for increased understanding of COVID-19 and strategies for its prevention, treatment, and mitigation. All participants in the research enterprise, including institutional review boards, have an ethical duty to protect participants and ensure that the benefits gained from such research do not conflict with the core principles that guided researchers prior to the pandemic. In this review, we discuss the ethical issues surrounding initiation and conduct of clinical trials, focusing on novel COVID-19 therapeutic, vaccine, or biospecimen research, using the principles of autonomy, beneficence, and justice. We discuss strategies to manage the practical challenges associated with the conduct of clinical trials, with an emphasis on maintaining the rights and welfare of research participants.

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      Frontiers in Public Health
      Article . 2024
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    Authors: J. Cunningham-Erves; W. George; M. Sanderson; E. Stewart; +3 Authors

    BackgroundThe COVID-19 pandemic has convoluted hesitancy toward vaccines, including the seasonal influenza (flu) vaccine. Because of COVID-19, the flu season has become more complicated; therefore, it is important to understand all the factors influencing the uptake of these vaccines to inform intervention targets. This article assesses factors related to the uptake of influenza and COVID-19 vaccines among adults in Tennessee.MethodsA cross-sectional, secondary data analysis of 1,400 adults was conducted in Tennessee. The adult sample came from two data sources: Data source 1 completed a baseline survey from January to March 2022, and data source 2 was completed from May to August 2022. Data on vaccine attitudes, facilitators and barriers, and communication needs were collected via random digit dial by Scientific Telephone Samples (STS). Two multivariable logistic regression models were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) to predict sociodemographic and overall vaccine-related factors associated with receipt or non-receipt (referent) of COVID-19 and influenza vaccines.ResultsApproximately 78% of the adult sample had received the COVID-19 vaccination. A significant positive association for COVID-19 vaccine uptake was seen among those who were older (aged 50–65) (aOR = 1.9; 95% CI: 1.2–3.2), Black (aOR = 2.0; 95% CI:1.3–2.8), and had a college education and higher (aOR = 2.3; 95% CI: 1.5–3.6). However, there was a significant negative association for persons reporting they were extremely religious (aOR = 0.5; 95% CI:0.3–0.9). Over 56% of the adult sample had received the influenza vaccination this season. Those who had a higher annual household income ($80,000+) (aOR = 1.9; 95% CI: 1.3–2.6) and had health insurance (aOR = 2.6; 95% CI: 1.4–4.8) had a significant positive association with influenza vaccine receipt. However, those who were employed part-time or were unemployed had a significant negative association for influenza vaccine receipt (aOR = 0.7; 95% CI: 0.5–0.9). Both COVID-19 and influenza vaccine receipt had strongly significant positive trends with increasing belief in effectiveness and trust (p < 0.0001) and strongly significant negative trends with higher levels of overall vaccine hesitancy (p < 0.0001).ConclusionStrategies to increase COVID-19 and influenza vaccination should be age-specific, focus on increasing geographical and financial access, and offer tailored messages to address concerns about these vaccines.

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      Frontiers in Public Health
      Article . 2024
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