Regional impacts of COVID-19 on carbon dioxide detected worldwide from space
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ABSTRACT:
SUBMITTER: Weir B
PROVIDER: S-EPMC8565902 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Despite the pandemic's negative effect on the economy, it can help reduce emissions from energy consumption activities in line with the Paris Agreement, especially for high-emitter countries such as Indonesia. However, the policy response to COVID-19 may rebound the emissions to their pre-pandemic levels. To design an efficient policy that considers both economic and environmental variables, this study uses a computable general equilibrium model that assesses how COVID-19 and its stimulus policy will affect the macroeconomic indicator, energy consumption, and emissions at the national and regional levels. The results show that macroeconomic indicators generally performed worse with the current stimulus policy in the short run than in the long run. Refined petroleum energy consumption took the highest hit, followed by coal-based energy consumption and overall electricity demand. The pattern in emissions reduction is similar to the pattern of gross domestic product declination as well. The Sulawesi region particularly experienced the largest decrease in refined petroleum energy consumption. In contrast, the Java-Bali and Sumatra regions experienced the most coal-based energy consumption reduction and the largest emissions reduction. Should COVID-19 provide the impetus to develop more environmentally sound economic development, we would need better policy to address the recovery. Returning to pre-pandemic development will not lead to long-term environmental gain. This study offers policy recommendations for economic recovery and environmental improvement. The government should promote low-carbon technology, clean energy transition, more energy efficiency, and sustainable development to avoid the rebound effect of energy consumption and carbon emission. Coordination between central and local governments is also needed to formulate a fiscal policy inclined toward low-carbon pathways.
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Project description:Disturbed oxygenation is foremost the leading clinical presentation in COVID-19 patients. However, a small proportion also develop carbon dioxide removal problems. The Advanced Organ Support (ADVOS) therapy (ADVITOS GmbH, Munich, Germany) uses a less invasive approach by combining extracorporeal CO2 -removal and multiple organ support for the liver and the kidneys in a single hemodialysis device. The aim of our study is to evaluate the ADVOS system as treatment option in-COVID-19 patients with multi-organ failure and carbon dioxide removal problems. COVID-19 patients suffering from severe respiratory insufficiency, receiving at least two treatments with the ADVOS multi system (ADVITOS GmbH, Munich, Germany), were eligible for study inclusion. Briefly, these included patients with acute kidney injury (AKI) according to KDIGO guidelines, and moderate or severe ARDS according to the Berlin definition, who were on invasive mechanical ventilation for more than 72 hours. In total, nine COVID-19 patients (137 ADVOS treatment sessions with a median of 10 treatments per patient) with moderate to severe ARDS and carbon dioxide removal problems were analyzed. During the ADVOS treatments, a rapid correction of acid-base balance and a continuous CO2 removal could be observed. We observed a median continuous CO2 removal of 49.2 mL/min (IQR: 26.9-72.3 mL/min) with some treatments achieving up to 160 mL/min. The CO2 removal significantly correlated with blood flow (Pearson 0.421; P < .001), PaCO2 (0.341, P < .001) and HCO3- levels (0.568, P < .001) at the start of the treatment. The continuous treatment led to a significant reduction in PaCO2 from baseline to the last ADVOS treatment. In conclusion, it was feasible to remove CO2 using the ADVOS system in our cohort of COVID-19 patients with acute respiratory distress syndrome and multiorgan failure. This efficient removal of CO2 was achieved at blood flows up to 300 mL/min using a conventional hemodialysis catheter and without a membrane lung or a gas phase.
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Project description: Not available
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