43 research outputs found

    Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries

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    Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures (‘lockdowns’). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95–0.98, P value <0.0001), second (0.96, 0.92–0.99, 0.03) and third (0.97, 0.94–1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96–1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88–1.14, 0.98), third (0.99, 0.88–1.12, 0.89) and fourth (1.01, 0.87–1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02–1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03–1.15, 0.002), third (1.10, 1.03–1.17, 0.003) and fourth (1.12, 1.05–1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

    Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.

    Get PDF
    Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from -90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95-0.98, P value <0.0001), second (0.96, 0.92-0.99, 0.03) and third (0.97, 0.94-1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96-1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88-1.14, 0.98), third (0.99, 0.88-1.12, 0.89) and fourth (1.01, 0.87-1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02-1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03-1.15, 0.002), third (1.10, 1.03-1.17, 0.003) and fourth (1.12, 1.05-1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

    Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.

    Get PDF
    Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from -90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data from 52 million births in 26 countries, 18 of which had representative population-based data, with overall PTB rates ranging from 6% to 12% and stillbirth ranging from 2.5 to 10.5 per 1,000 births. We show small reductions in PTB in the first (odds ratio 0.96, 95% confidence interval 0.95-0.98, P value <0.0001), second (0.96, 0.92-0.99, 0.03) and third (0.97, 0.94-1.00, 0.09) months of lockdown, but not in the fourth month of lockdown (0.99, 0.96-1.01, 0.34), although there were some between-country differences after the first month. For high-income countries in this study, we did not observe an association between lockdown and stillbirths in the second (1.00, 0.88-1.14, 0.98), third (0.99, 0.88-1.12, 0.89) and fourth (1.01, 0.87-1.18, 0.86) months of lockdown, although we have imprecise estimates due to stillbirths being a relatively rare event. We did, however, find evidence of increased risk of stillbirth in the first month of lockdown in high-income countries (1.14, 1.02-1.29, 0.02) and, in Brazil, we found evidence for an association between lockdown and stillbirth in the second (1.09, 1.03-1.15, 0.002), third (1.10, 1.03-1.17, 0.003) and fourth (1.12, 1.05-1.19, <0.001) months of lockdown. With an estimated 14.8 million PTB annually worldwide, the modest reductions observed during early pandemic lockdowns translate into large numbers of PTB averted globally and warrant further research into causal pathways

    Motivations, Preferences, and Barriers to Going Abroad: Russian High-tech Start-ups and Small Innovative Enterprises

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    This article is devoted to studying the motives, preferences, and market entry barriers for Russian high-tech start-ups and small innovative enterprises (SIE) that took part in the “Startup Village” event held at Skolkovo Innovation Centre in May 2019. Due to limitations in neoclassical theories, corporate motivation at the micro-level cannot be accurately quantified. Thus, this work uses survey and interview methods to gather primary data directly from top representatives of participating enterprises. In total, about 100 participants were interviewed. Every respondent expressed intentions to engaged in for eign economic activity; half of them already have experience operating outside of Russia. Further, 44% intend to sell their business or intellectual property rights outright, with only 12% ready to cooperate in a join venture. Based on the analysis of the results, the corporate motives of Russian startups and SIEs going abroad is in seeking: new markets (17.3%), improved efficiency (20.0%), resources (40.0%), and strategic assets (22.7%). This is diverges significantly from the average estimates made by UNCTAD in 2005/2006, where they found motivation from foreign companies in developing and transition economies to be 51%/22%/13%/14%. Against this background, Russian innovative enterprises appear far more resource-oriented and more interested in finding strategic assets. However, they are notably less interested in acquiring new markets or efficiency gains. Additionally, the preferences in foreign partners by Russian enterprises exhi bit some variety. Many choose the CIS countries (mainly Belarus and Kazakhstan) and BRICS nations (primarily China) as desirable partners. Most also express interest in developed economies in the EU (namely Germany). Among the main barriers to establishing foreign relations is the lack of personal finances and other key resources, as well as a lack of state support in promoting Russian companies abroad. Based on the obtained results, impactful recommendations are offered to the government of the Russian Federation to strengthen the investment motivation of Russian innovative enterprises. Also, recommendations are given to advance the international cooperation of BRICS in the form of joint global value chains (GVCs) using their own innovative capability

    Ekstensywnosc inwazji Fasciola hepatica L. u bydla na terenie woj.lubelskiego w latach 1993-2001

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    Extensivity of infection of Fasciola hepatica L. among cattle in Lublin's voivodship from 1993-2001. Aim of the work was to determine extensitivity of appearance of hepatica among catlle pul to slaughter in slaughtershouses in Lublin's voivodship from 1993 to 2001. Substance for the work was braught from the annual reports of official examination of slaughtered animals, reached from both main Inspectorate (department) of Veterinary in the Ministry of Agriculture and from Regional Institute of Veterinar's Hygiene in Lublin. Results of researches are as follow: extensivity of infection of Fasciola hepatica among cattle in Lublin and voivodship between 1993-1999 oscillates about 5%. In 2000 extensivity of invasion reached 10,9 %

    Czestosc wystepowania bablowicy u trzody chlewnej na terenie woj.lubelskiego w latach 1993-2000

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    Aim of the vork was presentation of appearance of hydatid among swine in Lublin's voivodship between 1993-2000. Substance for researches was brought from annual reports inserted into journals of official examination leaded by Yeterinary's Inspenction of Sanitation in slaughterhouses. It was proved that average 10,1% of swine on territory of Lublin's voivodship in period 1993-2000 was infected. Frequency of infection among examined ani mais were the highest in last year of researches 200 and reached 13,4%

    EXTENSIVITY OF INFECTION OF FASCIOLA HEPATICA L. IN CATTLE IN LUBLIN’S VOIVODSHIP IN THE YEARS 1993-2001

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    Extensivity of infection of Fasciola hepatica L. among cattle in Lublin's voivodship from 1993-2001. Aim of the work was to determine extensitivity of appearance of hepatica among catlle pul to slaughter in slaughtershouses in Lublin's voivodship from 1993 to 2001. Substance for the work was braught from the annual reports of official examination of slaughtered animals, reached from both main Inspectorate (department) of Veterinary in the Ministry of Agriculture and from Regional Institute of Veterinar's Hygiene in Lublin. Results of researches are as follow: extensivity of infection of Fasciola hepatica among cattle in Lublin and voivodship between 1993-1999 oscillates about 5%. In 2000 extensivity of invasion reached 10,9 %

    EXTENSIVITY OF APPEARANCE OF HYDATID AMONG SWINE IN LUBLIN’S VOIVODSHIP IN PERIOD 1993-2000

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    Aim of the vork was presentation of appearance of hydatid among swine in Lublin's voivodship between 1993-2000. Substance for researches was brought from annual reports inserted into journals of official examination leaded by Yeterinary's Inspenction of Sanitation in slaughterhouses. It was proved that average 10,1% of swine on territory of Lublin's voivodship in period 1993-2000 was infected. Frequency of infection among examined ani mais were the highest in last year of researches 200 and reached 13,4%
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