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45/m mit Hämoptysen und Gewichtsverlust: Vorbereitung auf die zusatz-weiterbildung internistische intensivmedizin: Fall 17
The implications of the COVID-19 pandemic for clinical mental health care
A Position Paper published in The Lancet Psychiatry in 2020 suggested an agenda for research about the effects of the COVID-19 pandemic on mental health, following which an interdisciplinary Lancet Psychiatry standing commission was established in 2022 to examine the emerging evidence and refine recommendations for more research. In this first Series paper from the standing commission, we focus on changes in the delivery of clinical mental health care during the COVID-19 pandemic. The second paper in the Series focuses on public mental health and policy perspectives, and the third will address neuropsychiatric consequences of infection by SARS-CoV-2. Evidence from high-quality longitudinal studies with pre-pandemic baseline data, controlled intervention trials, or systematic reviews took time to accrue. During the early months of the COVID-19 pandemic, symptoms of anxiety and depression became more prevalent, and many mental health services were compromised by pandemic-related factors; however, whether the COVID-19 pandemic accelerated pre-existing long-term trends of increasing incidence of mental health disorders, especially in children and adolescents, is unclear. Little research has been done in low-income and middle-income countries, or regarding post-COVID-19 condition (also known as long COVID), which emerged as a multisystem condition with mental health implications. Vulnerable populations, including socioeconomically disadvantaged and minoritised groups, faced disproportionate mental health impacts and limited access to care during the COVID-19 pandemic, reflecting systemic, pre-pandemic inequalities. Bold implementation of existing evidence-based mental health support for vulnerable communities, ambitious trials of novel interventions, and systematic pooling of rapidly accumulating evidence about best healh care should be priorities in future pandemics
Gender stereotypes, language and performance
This paper examines how gender stereotypes about competence and language in perfor- mance evaluations influences the assessment of man and women employees. Using a unique dataset of reviews annotated by expert linguists, we identify instances of communal and agentive language used by women and men managers and find that agentive language bene- fits women more than men employees, with stronger effects for women who outperform. We find that women evaluators need to use more agentive language to effectively assess women compared to male evaluators confirming the gender and competence stereotype. Addition- ally, we also find suggestive evidence that agentive language used by women evaluators for men employees negatively affects their ratings while men evaluators can use gender incongruent language. These findings highlight the spillover effects of gendered language and suggest that women leaders may face backlash when using traditionally male-typed language for men employees
Davos has just started, so Oxfam has put out its annual broadside on global inequality: thoughts and highlights
The annual Davos meeting of the global rich opens today, with Donald Trump’s massive US delegation hogging the headlines, and Oxfam publishing it’s by-now traditional report on inequality. It’s been the highlight of Oxfam’s global advocacy calendar for over a decade, and (along with the work of numerous economists and other activists and organisations) has helped put issues of wealth inequality, wealth taxes, the care economy etc onto the political agenda, in my opinion. Hard to prove attribution of course
Do we need a wealth and labour acknowledgement in the UK?
Land and other acknowledgements have become a common feature of academic work in the Anglophone world, but not in the UK. Helen Kara makes the case for why we might consider a wealth and labour acknowledgement in the UK and what it could include
Middle powers, UK, India and pivoting smartly
Mark Carney’s speech at Davos warned that the old world order that existed under the auspices of the United States was over, and urged middle powers to group together. Roli Asthana argues that the UK should heed Carney’s advice by forming issue-based coalitions with selected BRICS countries, and India in particular
Does free travel for women in public transportation make them more inclusive? - An investigation of gendered subsidy initiative in India
The rapid urbanization of developing countries has yet to translate into improved socio-economic status of women. Notably, female mobility within urban areas remains low and non-inclusive public spaces limit the pool of accessible opportunities. This paper studies whether public policies aimed at lowering gender-specific barriers to mobility in Delhi, the capital city of India, have translated into improved mobility outcomes for women. Starting in October 2019, the Delhi Government made all public bus rides free for women and augmented security by deploying over 11,000 marshalls on buses. First, we try to understand the gender differences in travel for Delhi from the Time Use in India Survey 2019. Subsequently, we used a difference-in-differences design over a matched sample of women from the same survey and showed that the policies changed women's travel behaviour. They were 6.4 percentage points more likely to commute after sunset and were less likely to co-travel