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Arturo González was a thirty-eight-year-old man who presented to our hospital during the Delta variant surge with COVID-related pneumonia that badly damaged his lungs. He was cannulated for extracorporeal membrane oxygenation (ECMO) upon admission; he had been on ECMO for seventy days and was awake and alert when Ethics was consulted. Due to multiple marginalized identities—he was an undocumented immigrant, uninsured, and had limited social support—Arturo did not have access to a lung transplant and was dependent on ECMO for survival. In the face of mounting critical care resource scarcity, Arturo’s intensivists disagreed about whether to continue ECMO indefinitely or to explore discussions about withdrawing support. In this book chapter, we discuss our role as ethics consultants balancing the organizational duty to justly steward scarce resources with the professional duty to this vulnerable patient: setting treatment boundaries while collaborating with Arturo on a treatment plan within these boundaries. We also discuss our role in addressing the care team’s moral distress at the most haunting aspect of this case: that Arturo’s social position limited his access to a lifesaving transplant.
This article seeks to analyze the resilience of arts and cultural nonprofit organizations in France during the Covid-19 crisis. A broad survey and multiple logistic regressions highlight the resources availability, the crisis impact, the NPOs’ needs and the reforms they conducted during the first French lockdown. This study shows that the resilience of these NPOs must be differentiated between activity continuity and organizational persistence. Resilience in culture and the arts is specific, based on reforms, and requires special support from partners.
Systematic and openly accessible data are vital to the scientific understanding of the social, political, and economic consequences of the COVID-19 pandemic. This article introduces the Austrian Corona Panel Project (ACPP), which has generated a unique, publicly available data set from late March 2020 onwards. ACPP has been designed to capture the social, political, and economic impact of the COVID-19 crisis on the Austrian population on a weekly basis. The thematic scope of the study covers several core dimensions related to the individual and societal impact of the COVID-19 crisis. The panel survey has a sample size of approximately 1500 respondents per wave. It contains questions that are asked every week, complemented by domain-specific modules to explore specific topics in more detail. The article presents details on the data collection process, data quality, the potential for analysis, and the modalities of data access pertaining to the first ten waves of the study.
The dramatic rise of charitable crowdfunding has changed the landscape of fundraising and giving. Little empirical work, however, has been done to explore critical factors that are associated with successful charitable crowdfunding campaigns run both by formal charities and non-charities. To advance the literature on donation-based charitable crowdfunding, we draw on a unique dataset of 427 COVID-19 crowdfunding campaigns in China, examining whether and how external and internal quality signals are related to crowdfunding success measured by total donation amount. Our results show that crowdfunding success is positively associated with internal signals (updates and predefined duration), whereas the role of external signals (platform and award) is less certain. While we find a positive relationship between award information and funding success, informal campaigns using an alternative medium seem to generate more donations than formal campaigns using authorized platforms. The implications of this study for theory, practice and policy are also discussed.
During crises such as the present coronavirus disease-19 (COVID-19) pandemic, nonprofits play a key role in ensuring support to improve the most vulnerable individuals’ health, social, and economic conditions. One year into the COVID-19 pandemic, an extensive automated literature analysis was conducted of 154 academic articles on nonprofit management during the pandemic—all of which were published in 2020. This study sought to identify and systematize academics’ contributions to knowledge about the crisis’s impact on the nonprofit sector and to ascertain the most urgent directions for future research. The results provide policymakers, nonprofit practitioners, and scholars an overview of the themes addressed and highlight the important assistance academic researchers provide to nonprofits dealing with the COVID-19 pandemic.
During the COVID-19 pandemic, opposition parties found themselves in a dilemma: either to cooperate with the government for the nation’s sake or to take advantage of the situation for political purposes. However, the extant research has not yet fully uncovered the patterns of opposition behaviour during this recent and rather intense crisis. In this article, we examine the case of Portugal, exploring possible differences between opposition parties on this regard and taking into consideration the role of time and focus of COVID-19-related legislation. We do so by investigating the behaviour of opposition parties in parliament, through an analysis of their voting behaviour, enriched by party leader statements, between March 2020 and January 2022. Our results show a different pattern to the right of the incumbent, with the main opposition party being more collaborative (framing its behaviour as responsible and patriotic) than the newer right-wing opposition parties, both populist and not populist. Pandemic gravity and focus of the legislation under vote are also relevant factors of opposition behaviour.
Italy was the first Western country to be severely affected by the COVID-19 pandemic. Within it, immigrants have played an important role as essential workers and throughout solidarity initiatives. The present article is based on 64 in-depth interviews with immigrants who engaged in solidarity actions directed toward the immigrant population and the host society during the COVID-19 pandemic. Analytically, it emerged that through solidaristic initiatives, immigrants articulated what we called ‘claims of recognition.’ Recognition here is considered in both its individual form, as interpersonal acceptance and esteem for single immigrants, and its collective form, as the social regard of immigrant groups as constituents of Italian society. Despite being perhaps 'elementary,' these claims aim to fight forms of both non-recognition and mis-recognition that are pervasive in Italy and aim to transform the symbolic 'fabric' of this country.
This article argues that the COVID-19 crisis has brought to light the importance of state democratic capacities linked with humanist governance. This requires securing individuals’ silent freedoms as embedded in the way “developmental” institutions that constitute social relations and well-being are governed. I argue health and well-being inequalities brought out by the crisis are but a manifestation of the way, in the context of the competition paradigm in global governance, states have become relatedly more punitive and dis-embedded from society. The answer lies in providing a more explicit defence of the features of a human development democratic state. An implication is to move democratic theory beyond the concern with redistributive and participatory features of democracy to consider foundational institutional properties of democratic deepening and freedom in society.
The COVID-19 pandemic has challenged the viability and effectiveness of nonprofit organizations compelling them to make tough choices. Evidence suggests that different wordings or message settings may affect people’s decisions when presenting equivalent outcome information with positive or negative framing. Nevertheless, there have been few attempts to assess how procedural fairness and framing effects shape nonprofit managers’ reactions to job layoffs due to the COVID-19 pandemic. Using a survey experiment, we explore whether framing effects—by affecting perceived outcome favorability—and procedural fairness interact to influence nonprofit managers’ trust and support for their organizations. The findings of this 2 × 2 between-participants experimental design indicated that only when procedural fairness was relatively low did nonprofit managers react more favorably in the positive frame (keep) than in the negative frame (layoff) condition. This study adds to our understanding of how the pandemic impacts nonprofit managers, including their commitment to continue working in the sector, and has practical implications for nonprofit organizations that manage resilience in a crisis.
In this article we challenge the conventional wisdom that COVID-19 and related legal restrictions invariably reinforce a global trend of shrinking civic space. We argue that the legal guarantee (or restriction) of civil society rights is not the sole factor configuring civic space. Instead, we reconceptualize civic space by broadening its determinants to also include needs-induced space and civil society activism. Investigating five countries with flawed democracic or competitive autocracic regimes in Southeast Asia, we propose a three-pronged mechanism of how these determinants interact in the context of COVID-19. First, legal restrictions on civil society rights intertwine with the space created by health and economic needs to create new opportunities for civil society activism. Second, these new opportunity structures lead to the cross-fertilization between service delivery and advocacy activism by civil society. Third, this new trajectory of civil society activism works to sustain civic space.
Why did some individuals react to the Covid-19 crisis in a prosocial manner, whereas others withdrew from society? To shed light onto this question, we investigate changing patterns of charitable giving during the pandemic. The study analyzes survey data of 2000 individuals, representative of the populations of Germany and Austria. Logistic regressions reveal that personal affectedness by Covid-19 seems to play a crucial role: those who were personally affected either mentally, financially, or health-wise during the first 12 months of Covid-19 were most likely to have changed their giving behavior. The observed patterns fit psychological explanations of how human beings process existential threats. Our findings indicate that a profound societal crisis in itself mainly leads to changes in charitable giving if individuals are severely affected on a personal level. Thereby, we contribute to a better understanding of the mechanisms underlying individuals’ charitable giving behavior in times of crisis.
The threat of emergency measures introduced in face of COVID-19 has largely been framed in terms of individual rights. We argue that it is not the protection of the sovereign individual that is most at stake, but the relations between political subjects and the institutions that enable their robust political participation. Drawing on Hannah Arendt's analysis of the ways in which isolation and the incapacity to discern truth or reality condition totalitarianism and are exacerbated by it, we argue that the dangers for the evacuation of democratic politics are stark in our era. We consider contemporary political action in concert in Germany to illustrate this critique of COVID-19 emergency measures. Drawing on the legal concept of “appropriateness,” we explicate how the German critical response to the shutdown is founded on a concern for democratic principles and institutions, and aims to achieve two crucial goals: governmental transparency and social-political solidarity.
Latin America was hit by COVID-19 in a moment of (socio-)economic distress and political unrest. This essay reflects on the immediate repercussions of the COVID-19 crisis for democracy in the region. It expounds how responding to the pandemic put to the test the still consolidating democracies with their long-standing defects in the areas of political and civil rights and horizontal accountability. In the course of coping with the crisis, it is precisely in these problem areas that additional risks for democracy have arisen due to infringements of political rights and the performance of presidents. Regarding the latter, the ambiguities of presidential leadership become particularly evident when comparing pragmatic and populist responses to the crisis.
How did Civil Society Organizations (CSOs) globally address the needs caused by the COVID-19 pandemic? In this study, we examine the roles CSOs played during the first 18 months of the pandemic, their main challenges, and how the pandemic changed CSOs’ roles in society across 39 countries and economies. Using inductive thematic analysis analyzing responses from global philanthropy experts in two consecutive studies (2020 and 2021), we find that CSOs played fourteen roles, of which we discuss the six most mentioned: providing social assistance; responding to health care needs; coordinating and collaborating with government and business; mobilizing funds to address societal needs; raising awareness and combating misinformation; and advocating. Challenges for CSOs included reduced revenue and difficulty reaching beneficiaries. We found these challenges led to innovative ways of operating and new arrangements between civil societies and governments, which may have opened opportunities for a more active role of CSOs.
Based on grounded theory, the present study summarizes the transcripts from 32 in-depth interviews with Chinese community emergency volunteers to uncover the attributions of community emergency volunteering in China during the COVID-19 pandemic. Community emergency volunteering in China is affected by four main factors: inner awareness, the external environment, national policy, and publicity and advocacy. Among these factors, inner awareness and the external environment are the internal and social psychological attributions, respectively, of emergency volunteering. In addition, publicity and advocacy also play a role in both inner awareness and the external environment and, together with national policies, act on community emergency volunteering. Finally, the high level of trust of some volunteers in their ruling party and government is a deep-seated driving force of their volunteering, a factor that has not been emphasized in past studies.
There is limited research on the association between soda consumption and the risk of metabolic syndrome (MetS), particularly during the COVID-19 pandemic. This study investigated the relationship between soda consumption and MetS in Korean adults, stratified by sex, and compared differences before and after the pandemic using data from the Korea National Health and Nutrition Examination Survey (2017–2021). A total of 13,051 adults aged 19–64 years were included. Soda consumption was assessed using 24-hour recall and categorized into five groups (nondrinkers and four quartiles). Multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for MetS and its components. After adjusting for multiple covariates, no significant association was found between soda consumption and MetS overall. However, adults in the highest quartile of soda consumption (≥373g/day) had higher risks of abdominal obesity (P-trend=0.006) and hypertriglyceridemia (P-trend=0.003), compared to nondrinkers. When analyzed by gender, women in the highest quartile of soda consumption (≥315g/day) had significantly increased risks: MetS by 70% (OR=1.70; 95% CI: 1.08–2.68), abdominal obesity by 63% (OR=1.63; 95% CI:1.12–2.38), hypertriglyceridemia by 83%(OR=1.83; 95% CI:1.23–2.74), and low HDL cholesterol by 46%(OR=1.46; 95% CI:1.06–2.01), whereas no significant associations were observed in men. Post-pandemic analysis revealed a significant association between high soda consumption (≥ 416g/day) and MetS (OR=1.56; 95% CI:1.04–2.34), which was not significant in the pre-pandemic period (P-interaction=0.031). These findings suggest that high soda consumption may increase the risk of MetS, particularly among Korean women.
The COVID-19 pandemic disrupted daily social interactions, potentially affecting mental health. Understanding the risk of depressive and anxiety symptoms is essential for guiding mental health strategies during future crises.
Aims
To explore how social networks influenced mental health outcomes during the pandemic and how these relationships changed over time.
Method
Data from the Omtanke2020 study, a prospective cohort study of Swedish adults, were analysed using structural equation modelling (N = 10 918). Surveys at baseline and follow-up at 6 and 12 months assessed social networks, including structural components (e.g. relationship status, frequency of social contact) and perceived components (e.g. emotional support from family, feeling safe at home). Cross-lagged panel modelling was used to observe changes over time in the associations between social network indicators and depressive and anxiety symptoms.
Results
Stronger perceived social support – specifically closeness to family, perceived warmth or love from others and increased societal cohesion – were negatively correlated with depressive and anxiety symptoms across all time points (β coefficients = −0.14 to −0.23, all P < 0.001). Social network variables consistently predicted mental health outcomes, with effect sizes remaining relatively stable over time (β coefficient = −0.17 at baseline, β coefficient = −0.21 at 1-year follow-up).
Conclusions
This study highlights the protective role of the social network – namely perceived social support – in combatting depressive and anxiety symptoms during the COVID-19 pandemic. Interventions that strengthen close interpersonal ties and community cohesion may help mitigate mental health impacts during future public health crises.
This paper studies the impact of the COVID-19 epidemic on economic and health outcomes in China from January 20 to September 28, 2020. We first document China’s containment policies and present empirical evidence on the role of the online economy. We then use a SIR-macro model to study the macroeconomic and health outcomes of the epidemic. The model can generate infection and death dynamics broadly consistent with the data and the U-shaped recovery of the Chinese economy at the weekly frequency. The analysis reveals that, in addition to the containment policies, the development of the online economy (both online consumption and remote work) plays a critical role in fighting an epidemic.
To compare and analyze COVID-19 control outcomes, including case severity, vaccination, and excess mortality, across 6 nations (USA, UK, China, Russia, Japan, and South Africa) from January 2020 to December 2022.
Methods
This study utilized data from the “Our World in Data” dataset to characterize the epidemiological features of COVID-19 across 6 countries. Generalized linear models (GLMs) were employed to examine the associations between Stringency Index (SI), vaccination coverage, and epidemiological outcomes.
Results
The USA had the highest median cases per million and the UK the highest deaths per million, while China reported the lowest for both. Hospitalization and ICU rates were highest in the UK and the USA, respectively, and lowest in Japan. Vaccination coverage was highest in China and lowest in South Africa. Excess mortality was highest in Russia and lowest in Japan. Generalized linear models indicated a negative association between the SI and cases in China (β = −40, P = 0.015), which became stronger after adjusting for vaccination (β = −311, P < 0.001), but positive associations were observed in the USA, UK, and South Africa. SI was negatively associated with excess mortality in most countries.
Conclusions
Effective pandemic control is highly context-dependent. The relationships among vaccination, variant prevalence, and health care burden were complex, shaped by implementation context, public compliance, and health care capacity.
This study aimed to evaluate the impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and inactivated virus vaccination on intracytoplasmic sperm injection (ICSI) outcomes in infertile couples. A retrospective case–control study was conducted at the Royan Institute from August 2020 to March 2022. The study included 90 couples in the COVID-19 infection phase and 31 in the vaccination phase. A total of 30 infected but unvaccinated couples were compared to a control group of 60 couples with no COVID-19 infection or vaccination history. Additionally, 31 couples underwent treatment before and after receiving the Sinopharm inactivated vaccine. Key variables analysed included sperm parameters (concentration, motility, progressive motility and morphology), ovarian parameters (antral follicle count, oocyte retrieval), embryological outcomes and pregnancy outcomes. SARS-CoV-2 infection significantly reduced sperm motility (P = 0.02) and progressive motility (P = 0.01) compared to controls. Sperm concentration and morphology showed non-significant declines. Post-vaccination analysis revealed similar but statistically insignificant changes in sperm parameters. Ovarian stimulation parameters and embryological outcomes remained unaffected by both infection and vaccination. Although biochemical, clinical pregnancy and live birth rates were lower among the infected group, these differences did not reach statistical significance (p = 0.16, 0.08 and 0.09). SARS-CoV-2 infection has been associated with impaired sperm progressive motility, which may negatively influence ICSI outcomes. In contrast, vaccination with an inactivated virus does not appear to impact fertility outcomes. These findings provide crucial guidance for physicians and infertile couples managing treatments during and after the pandemic, suggesting the need for extended recovery periods before ART procedures following COVID-19 infection.