Impact of the economic crisis and drug shortage on Lebanese cancer patients’care

BACKGROUND As a consequence of the economic crisis,the sociopolitical instability and the advent of the coronavirus disease-19 pandemic,nested challenges faced the Lebanese healthcare system.These have resulted in critical shortages of essential resources,including medications vital for oncologic patients.AIM To assess the ramifications of the ongoing economic crisis on oncology patient care focusing on our outpatient oncology department.METHODS A questionnaire was distributed during the month of February 2022 to oncology patients in Hôtel Dieu de France University Hospital in Beirut during their outpatient therapy.The primary objective was to assess the far-reaching impact of the economic crisis on patient care and the resulting psychological implications.RESULTS Among 182 interviewed patients,31.87%experienced treatment interruption mainly due to acute drug shortages.Despite 87.91%of the patients benefiting from third-party coverage,69.60%had to self-pay for their medications leading to 69.78%of patients perceiving that healthcare was more difficult to access after 2020.Psychologically,one-third of the patients exhibited symptoms of anxiety and/or depression,with 7 patients reporting suicidal ideations.Notably,37.93%of patients who interrupted cancer treatment reported a history of comorbidities,and 89.66%who altered their treatment cited financial difficulties.CONCLUSION Lebanese cancer patients face complex challenges spanning economic,healthcare,and psychological realms.Income inequalities exacerbated by the economic crisis hindered healthcare access.

Nutritional Status of Children during and post-Global Economic Crisis in China

Objective To describe the impact of the global economic crisis on the nutritional status of children in China during and after the crisis.Methods Data from 1990 to 2010 were sourced from the National Food and Nutrition Surveillance System.Approximately 16 000 children under 5 years old were selected using a stratified random cluster method from 40 surveillance sites.Anthropometric and hemoglobin measurements for children under 5 were conducted.Nutritional status was determined according to WHO child growth standards.Results Prevalence of underweight and stunting in children under 5 had a downward trend.Underweight prevalence was close to normal （less than 5%）,with prevalence of stunting 12.6% in 2009 and 12.1% in 2010 in rural areas.Prevalence of stunting in infants under 6 months and 6‐12 months old in poorer rural areas increased from 5.7%‐9.1% and 6.7%‐12.5%,respectively,in 2008‐2009.This trend also continued post‐crisis in 2010.Prevalence of stunting in children left behind by mothers was 20%‐30% higher than in children the same age in general and poorer rural areas.Prevalence of anemia in children did not change in rural areas,but prevalence of anemia in all age groups increased in poorer rural areas,especially in children under 24 months old.Level reached 30%‐40% in 2009,and fluctuated in 2010.Conclusion The nutritional status of children under 5 was comparatively stable during and after the global economic crisis,attributable to the Chinese government＇s policy response.The nutritional status in poorer rural areas fluctuated in response to the economic crisis and,thus,relevant action and intervention must be taken immediately to help the most vulnerable population in poorer rural areas.A proper national nutritional strategy for children under 2 years old,including nutrition supplementation for pregnant women and in‐home fortification for complementary feeding,should be initiated.

Opportunities of manufacture under global economic crisis： The case of Estonia

Because of the smallness of Estonia, its main source of economic growth is export, i.e. successful sales in the world market. It is necessary to shift from branches, activities and value chains where it is difficult to increase value added, to more profitable and promising ones. The present economic situation provides for this an exceptionally good chance. All kinds of development, international relocation of production and reallocation of economic power in the world are gathering speed. It is necessary to rapidly find an opportunity in the ＂declining＂ market, a profitable niche. Manufacturing entrepreneurs and executive managers have for several years already been complaining of shortage of workforce that hinders them carrying out new business plans, increasing production and exports. Increased supply of workforce dismissed from construction is an opportunity for the forced development of the manufacturing export sector and sharp increase in exports.

Currency Systems and Their Role in Entering and Leaving the Economic Crisis

The paper focuses on a comparison of two contrasting approaches： having a single universal currency in a given fiscal area or supporting a concurrent presence of more competing currencies of different types. A systemic analysis （based on studying both conventional and unorthodox literature） of the modern monetary system points out that the very type of money that is used suffers internal errors that make a crisis inevitable. The indebtedness is systemic and unavoidable in a currency that is issued as a liability. Parallel currencies are proposed as a general solution. A specific solution, including a redefined national currency, is offered too, with an outline of its possible experimental verification. Such a system could help to prevent the next economic crisis, mitigate it, or at least facilitate its leaving. The paper also deals with criticism that is held against the idea of concurrent currencies.

Understanding the Impact of Economic Crisis on the Distribution of Organizational Decision-Making Authority

Understanding the dynamics of decision making in the right way is an important problem for the management of organizations.In today’s business life organizations are becoming more complex,and the environments they are operating in,are becoming increasingly uncertain.The aim of this paper is to contribute to the understanding of the dynamics of managerial decision-making process in complex internal and external environments by sharing the results of an empirical study(Onuk,2009).While taking the levels of the organizational structure as one of the important dimensions of complex internal environment,complex external environment is reflected within the study as economic crisis.Using the survey tool developed by Onuk(2009),the empirical study realized in the Turkish organization of a large global company investigated decision-making process to understand how decision-making authority for different types of decisions,identified as strategic,tactical,and operational level decisions,was distributed throughout the organization levels,and how this distribution was impacted by economic crisis.The results of the study confirmed the following common expectations:(1)Strategic decisions are mostly taken at upper hierarchical levels of the organizational structure;(2)during times of economic crisis strategic decision making is centralized;and(3)during times of economic crisis distribution of decision-making authority is concentrated at upper management levels.

Montenegrin Print Media Manipulation in the Circumstances of Economic Crisis

The economic crisis, which has spread all over the world, soon has become a major scoop for all media. We hear about the effects of the economic crisis on a daily basis----countries going bankrupt, toppled governments, high unemployment rate, lay-offs, and suicides caused by hopeless situation. Montenegrin media also pay considerable attention to economic problems. However, judging by the headlines, the media have no aim to provide citizens with objective reporting of the circumstances in the country. Instead, in the circumstances of economic crisis and depending on their editorial policy, they are trying to manipulate the public. Some portray the situation better than it actually is, failing to provide realistic information of the issues such as unemployment rate, inflation, average wages, and protests of dissatisfied citizens, while the others are focused on attacking their political opponents by hyping up the effects of economic crisis and portraying the events in the worst possible light. Basically, both are driven primarily by their own interests and not by the interests of the citizens.

The United States： Economic Crisis, Productive Restructuring and the New Precarious Labor Conditions

The contemporary economic crisis should be considered within the framework of the contradictions created by the neoliberal model that was adopted in the mid-1970s, in the United States and throughout much of the world. The changes in the labor market and new forms of workforce exploitation based on deregulation, the increase of off-shoring, and flexible hiring practices have led to ＂new＂ precarious labor conditions. Due to the crisis, the United States labor market has been characterized by four factors： the increase of the unemployment, the unedited growth of the informal sector, a dramatic increase in precarious labor conditions for all workers, especially young people, minorities, and immigrants, and the increasing wage polarization. However, capitalist profit rates have actually substantially increased due to neoliberal policies and the resulting economic crisis. This situation led to a rise in the overexploitation of labor. It has had subsequent effects on unemployment, informal work, precarious labor conditions, and unequal salary distribution, especially in recently created positions. Increased labor flexibility has changed the typical forms of wage employment, and stable employment has been replaced by temporary and part-time employment usually with low wages and without social security and benefits.

China's Fumiture Industry——How to Deal with Foreign Teehnical Barriers to Trade in the Global Economic Crisis

At present,the global economic crisiscontinues to spread across the world.Theeconomies of all countries are sliding into aslump,trade protectionism is gaining ground,andexport orders have declined substantially for productprocessing and trading enterprises.Chinesefurniture companies are suffering from certainnegative impacts.China,as a large furniture producer,should draw lessons from this global economiccrisis.Furniture companies should enhancetheir capabilities of independent innovation andbrand building,increase product quality,and addvalue.In order to reduce losses from foreign technicalbarriers to trade,relevant departmentsshould strengthen their ability to respond to foreigntechnical regulation,standard,conformity assessment,inspection,and quarantine.Because agreat variety of environmental regulations areemerging endlessly,furniture companies must doa good job of producing green label certificationand actively respond to green trade barriers.

The Diffusion of Bilateral Tendencies in the Common Trade Policy of the European Union During the Global Financial and Economic Crisis

In this research work, the author focuses on the analysis of the diffusion of bilateral tendencies in the common trade policy of the European Union （EU） during the global financial and economic crisis. Realistic point is important trends in the trade regime during the economic crisis. The decisions taken by the representatives of the governments participating in the World Trade Organisation （WTO） are, to a significant degree, influenced by various lobbies, such as organisations and unions of food producers or other non-governmental organisations, including trade unions, The main objective of the research task is to give a comprehensive analysis of the international trade policy during the world financial and economic crisis 2008-2010. The particular mains concern the political economy models of foreign trade policy, protectionistic pressures in different political system, the level of protectionistic pressures, food producer pressures, international trade liberalization, and environmental protection bilateral tendencies in the common trade policy of the EU and the respond of the EU to the economic crisis, it must be emphasized that on a theoretical level, understanding the choice of trade policies between liberalizm and protectionisme is very important. Despite the undeniable benefits of the multilateral WTO forum for trade liberalisation, the rapid increase of North-South bilateral and multilateral Free Trade Areas （FTAs） begs a systematic explanation for why some forums are prioritized relative to others.

Becoming Adults During an Economic Crisis： What Happens to the Second Generations？

The paper presents findings of an empirical study carried out in an Italian area and focused on the effects of the economic crisis on immigrant families： the goal was to identify how the difficulties of these years （not only socio-economic but also in terms of negative attitudes toward immigrants） affect on the life-paths of second generations. What happens to their school career？ Are they forced to leave school in order to improve the family＇s income？ Are they sent back to the country of origin of their parents to reduce life-costs in the immigration country？ Thanks to a collection of around 30 interviews with young people between 18-24 years old and 30 interviews with both parents and social workers, the strategies which families are choosing to face economic and labour difficulties and their effects on integration paths and inter-ethnic relations will be described.

Textile Machinery Sector Takes on Economic Crisis,but Requests Urgent Measures

Preliminary year-end 2008 figures for Italy’s textile machinery industry register a 18% drop in production compared to the previous year,with a total production value estimated at 2,285 billion Euros.This decline affects both Italy’s domestic market and export sales.

Hungarian Economic Policy Measures After the 2008 Financial Crisis

The 1923 Global Economic Crisis （also called ＂The Great Depression＂） that had hit the whole world, caused the economists and politicians to see more clearly. As it has become obvious several times after World War II., deep changes were needed to be done concerning economic processes. In those times, many smaller crises had risen in different countries, affecting their micro-economic structures, however neither of them had such widespread effects as the Global Financial Crisis in 2008, that has struck several economic sectors, most of all, the finance industry. Numerous studies had been carried out, examining the causes and consequences of the 2008 Crisis. In this study the authors will give an organized overview on the circumstances that characterized the outbreak of the crisis, and focus on the impacts of the events, in particular, its effects on Hungary. To manage the crisis, each country used different economic approaches, took different measures, but the main concept, that economic processes needed strict regulations, was globally accepted, or at least, identified. Regulation of the financial sector, more specifically, of accounting standards was and is of paramount importance. At the outbreak of the crisis, Hungarian economy had been in a unique situation, and directly after 2008, Hungarian economic indicators showed a more favorable economic state compared to Western European countries. This has occurred because of the government＇s stabilization fiscal and economic policies in the years preceding the depression, when they had been trying to compensate the financial and economic decisions made during the previous years. But these indicators soon have changed and began to demonstrate a more realistic picture and showed the true economic state of the country. Besides the financial area, the Crisis had affected-on account of foreign currency lending--a wide range of the Hungarian society as well.

Athens in Crisis, Sustainable Mobility and Climate Change

Athens, a metropolis characterized by agglutination and compactness, but at the same time facing numerous urban and transport issues, saw its population swell during the 20th century which led to extensive urbanization phenomena. This continued urbanization increases profoundly all urban activities with transportation being the key driver in energy consumption. Theories for sustainable cities prerequisite are the integration of a number of acts in order to reduce energy consumption, with mobility being the first consideration among others. The aim of this paper is to critically explore implemented policies and plans as well as forthcoming strategic plans in terms of sustainable mobility as imposed in large scale regeneration plans in contemporary Athens. Research focuses on strategic interventions since the 1980s, such as the Athenian Daktylios （ring road for circulation management） and its later adjustments, the upcoming pedestrianization and unification of the commercial triangle and its subsequent tram line extension as well as the notable implementation of the metropolitan cycling network. Moreover, the discussion takes into consideration the implications of the Greek economic crisis in mobility choices, as aimless travels have been reduced to a minimum, several cars have been abandoned and cyclists seem to tentatively claim some space in the urban environment. What will likely be the next day in the Athenian historic centre？ Considering the transformations that are expected in the immediate future, this research paper explores their potential to enhance urban environment, reduce climate change impacts and amplify resilience.

Permanence of Economic Potential of Cities Based on Sector Development

The paper attempts to answer the following key question: how will a city′s world rank change in the face of crisis in its main economic sector? Crisis is defined here as a decline in financial performance in the given sector, which leads to the decline of its constituent firms and corporations on the world economic scene. The World Economic Center Index(WECI) has been created in order to rank cities based on the value of their resident corporations by sector and show their level of stability upon the removal of the most important sector. This provides information on the potential of each analyzed city as well as on its advanced features or area of specialization. Research has shown that nearly half the World Economic Centers are dominated by the financial and materials sectors of the economy. Different sectors dominate different regions of the world. For example, consumer staples and materials were dominant in North America, while information technology and financials were dominant in Europe. In Asia, several sectors tend to dominate the economy. Research has shown that the ability of a principal economic sector to resist economic crisis largely depends on the strength of the command and control function of a city. Finally, a high globalization level of a city is a key determinant of its susceptibility to economic crisis.

China＇s Oil Security Issues and Countermeasures in the Context of Economic Globalization

In the context of economic globalization and economic crisis, China＇ s oil security issues are not merely related to energy access and consumption, but also involve many aspects of the political and economic factors which are becoming increasingly complex. In view of this, we should not only need to attach great importance to energy security, making full use of ＂two markets and two resources＂ to take a variety of channels to ensure oil supply diversification, but also should develop oil security strategy from a strategic level, and actively participate in international oil trading system. Furthermore, we should support China＇ s oil enterprises from the political, financial and other aspects, so as to ensure adequate, stable and affordable supply ofoil to meet China＇ s economic construction requirement.

The Efficiency of Non-repayable Funding Against Crisis Effects in Romania

The current economical crisis pointed out the gaps and the weak development of the Romanian economical system. If we were to compare the economy of a country to the human body then we would realize that constant and massive loss of ＂blood＂ may eventually lead to collapse of the economical system, which require Romania to speed up financial ＂transfusions＂. In these conditions, the most accessible and inexpensive source of funding is the non-repayable funding that Romanian economy can acquire by the year of 2013. In this paper we analyze the evolution of non-repayable funds allocated to Romania, in terms of those funds for the approved projects （their implementation has not yet started） but also in terms of those contracted projects or in the process of running （in fact representing ＂the necessary＂ amount of money that the Romanian economy needs）. The first part of the paper contains an overview of the situation about the requiring and the absorption of non-repayable funding since 2007 （officially since the crisis emerged in the U.S.） to present, also making an analysis of the influence they had on the Romanian economy. We take into account in this analysis that the effects of the crisis in Romania began to be felt in the second half of 2008, economical politics against crisis were not taken into accounted by this date. In this analysis we started from the assumption that one anti-crisis policy, taken into account by public decision members in Romania, is to increase efficiency and absorption of funds by raising the capacity of the Romanian economical environment for the implementation （and not only the winning ） of these funds. The second part of the paper contains an econometrieal development model which highlights the influence of changing the interest rates and exchange rate on the rate of contracting projects during January 2007-March 2010. The Analysis of the results emphasizes the stronger influence of the changing rate on the approved contracting projects compared with the changing influence of the reference interest rate. Following the results of the analysis we highlight the main reasons for which this economical policy of attracting and using outstanding funding represents until now, a failure more than a success. Also we present these several solutions to increase the volume of financial ＂transfusion＂ with a direct impact on the Romanian economy, arguing that such measures cannot be implemented without real political will from decision-makers in Romania.

How Can the Modern State Combine the Adverse International Conditions, Technological Disruption, and the Emergence of AI With the Social Policy?

In 2022-2023, barely a little over a decade after the global financial crisis that affected credit markets, as the world is still recovering from the economic recession caused by COVID-19, we are dealing with the effects of the “special military operation” in eastern Ukraine on people living in different parts of the world. After a brief analysis of the international legal basis of the situation, I will focus on the example of Hungary to explore how governments can effectively assist their citizens in difficult economic situations using tools created by science and technology while minimizing the need for additional resources.

Failure of the Business Cycle Theory and Call for a New Theory

The US economy has emerged from the recent financial crisis and embarked on a path of recovery. A key response of the US government to the crisis was to restore the health of crisis-ridden financial institutions through direct fiscal relief and continuous quantitative easing and pumping sufficient liquidity into the financial markets. Fortunately, this process did not give rise to widely feared vicious inflation or post-crisis depression. Does this suggest that as long as the central bank offers unlimited loans or economic assistance to crisis-ridden entities to restore their health, a crisis can be averted？ If this conclusion holds true, does this mean that the theory of cyclical economic crisis has failed？ What is the new theoretical methodology to avoid economic crises？ The answers to these questions will guide us in preventing and responding to financial or economic crises in the future.

Education and Employment （2005-2009） A Comparative Analysis Between the Spanish and Foreign Working Population

Spain became a net receiver country of a high number of foreigners entering the labour market in the first decade of the 21 st century. The ensuing economic crisis, beginning in 2007, led to the destruction of a large number of companies and jobs. The objective of this paper is to analyze the relationship between educational level, employment and economic activity, in the Spanish and foreign working population in the Spanish labour market and the impact that the economic crisis is having on employment and self-employment. The hypotheses considered have been as followed--HI： The economic crisis mainly affects the less educated working population, both Spanish and foreign; H2： Self-employment is characterized by being an initiative of a working population with low educational levels for both population groups （Spanish and foreign）; H3： Employment is related to the productive economic structure. Micro-data from the Labour Force Survey 2009 （EPA in Spanish） has been used, compiled by Spains National Statistics Office （INE in Spanish）, and it has been applied Multiple Correspondence Analysis （MCA） to detect possible associations among the study variables （nationality, level of education, salaried employment, self-employment and economic activity）. The results show significant differences between both groups： Spanish and foreign working population. The study also shows how the crisis affects employment, and the important role played by the educational level of the working population, especially foreigners employed in certain economic activities.