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A Call for Conscious Changes to Counter COVID-19

ABSTRACT: This article lays out the contours of a novel approach to social change and interactions, based on the organic interplay of individuals, institutions, countries and the global society. This approach is based on the POZE paradigm, which posits that change starts inside and is nurtured from the outside in – both for individuals and for durable social change. Such a holistic perspective is crucial to build society as it emerges from the Pandemic. COVID-19 is a reminder that humans around the World are fundamentally all the same; the result of 4 dimensions – soul, heart, mind and body, which find their expression in aspirations, emotions, thoughts and sensations. These 4 dimensions constantly interact and influence each other in ways that reflect the 4-dimensional dynamic that shapes our collective existence. Individuals are the micro dimension that stands at the center of everything else. Forming part of various institutions, from families to parties, individuals are constitutive components of the meso dimension. Individuals and institutions form countries and economies, the macro-dimension. These dimensions in addition to nature and supra-national institutions form the meta-dimension. A constant interplay connects and determines what happens in each dimension and what derives from it. To thrive in the post-pandemic world, we must understand and optimize this interplay. This is the point of departure for the argumentation laid out in this article. The prevailing systemic imbalance in which many lack the means to cover their basic needs can only be addressed by planting the C-Core (completion, compassion, creativity, cooperation) at the center of human interactions. When we bring risks, responsibility and real opportunities together in one coherent framework whilst applying the proposed twice 4-dimensional paradigm-shift a set of concrete recommendations appears. Looking at individuals, and institutions, the article concludes with suggestions to seize this moment and shape not merely a response to the crises, but to lay the ground for a new social contract. In the past the C in C-Suite stood for Chief, the upper part of the leadership ladder in an institution. In the future that C must represent C-Core qualities.

Supplementary Information

The online version contains supplementary material available at 10.1007/s42413-021-00110-0.

SUBMITTER: Walther C

PROVIDER: S-EPMC8138956 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundIn response to COVID-19, government-mandated health directives including widespread lockdowns were implemented. Changes in alcohol purchasing were reported, with growing concern that alcohol may be consumed as a way to cope with pandemic-associated stressors. Hitherto, there have been limited studies examining alcohol-related harms, including acute harms requiring an ambulance, and their relationship to government announcements or policies related to COVID-19.MethodsAnalyses were conducted between January and September 2020, with matched months in 2019, using Victorian data from the National Ambulance Surveillance System in Australia. Interrupted time series (ITS) models with odds ratios (OR) were used to map alcohol-related harms as a function of government policies for both metropolitan and regional areas.FindingsA total of 43,003 alcohol intoxication-related ambulance attendances occurred between January 2019 and September 2020. Attendances in the home increased in 2020 by 9% compared to matched 2019 months. The most socioeconomically advantaged cases showed the highest percentage change. ITS models showed decreased odds of alcohol-related attendances at the beginning of each COVID-19 wave in metropolitan (OR:0•77; 95%CI: 0•71-0•83; p<0•001) and regional Victoria (OR: 0•72; 95%CI: 0•67-0•79, p<0•001) separately, and increased odds following the introduction of harsher restrictions in metropolitan Melbourne (OR:1•07; 95%CI:1•01-1•11, p=0•005). A 19% increase in odds of alcohol-related harms was observed at the end of the second wave lockdown period in regional Victoria (OR:1•19; 95%CI: 1•01-1•41, p=0•004).InterpretationAlcohol-related attendances during COVID-19 restrictions showed a displacement to home settings. Changes in patterns of harms were evident in specific sociodemographic groups, and geographic regions when mapped to government health directives. This study is one of the first to investigate alcohol-related harms at the population level in response to a global pandemic.FundingCommonwealth Department of Health and Victorian Department of Health.

Project description:Background:Surgical specialties face unique challenges caused by SARS-COV-2 (COVID-19). These disruptions will call on clinicians to have greater consideration for non-operative treatment options to help manage patient symptoms and provide therapeutic care in lieu of the traditional surgical management course of action. This study aimed to summarize the current guidance on elective surgery during the COVID-19 pandemic, assess how this guidance may impact orthopaedic care, and review any recommendations for non-operative management in light of elective surgery disruptions. Methods:A systematic search was conducted, and included guidance were categorized as either "Selective Postponement" or "Complete Postponement" of elective surgery. Selective postponement was considered as guidance that suggested elective cases should be evaluated on a case-by-case basis, whereas complete postponement suggested that all elective procedures be postponed until after the pandemic, with no case-by-case consideration. In addition, any statements regarding conservative/non-operative management were summarized when provided by included reports. Results:A total of 11 reports from nine different health organizations were included in this review. There were seven (63.6%) guidance reports that suggested a complete postponement of non-elective surgical procedures, whereas four (36.4%) reports suggested the use of selective postponement of these procedures. The guidance trends shifted from selective to complete elective surgery postponement occurred throughout the month of March. The general guidance provided by these reports was to have an increased consideration for non-operative treatment options whenever possible and safe. As elective surgery begins to re-open, non-operative management will play a key role in managing the surgical backlog caused by the elective surgery shutdown. Conclusion:Global guidance from major medical associations are in agreement that elective surgical procedures require postponement in order to minimize the risk of COVID-19 spread, as well as increase available hospital resources for managing the influx of COVID-19 patients. It is imperative that clinicians and patients consider non-operative, conservative treatment options in order to manage conditions and symptoms until surgical management options become available again, and to manage the increased surgical waitlists caused by the elective surgery shutdowns.

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A Call for Conscious Changes to Counter COVID-19

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