In June 2013, Brazil faced the largest and most significant mass protests in a generation. These were exacerbated by the population's disenchantment towards its highly fragmented party system, which is composed by a very large number of political parties. Under these circumstances, presidents are constrained by informal coalition governments, bringing very harmful consequences to the country. In this work I propose ARRANGE, a dAta dRiven method foR Assessing and reduciNG party fragmEntation in a country. ARRANGE uses as input the roll call data for congress votes on bills and amendments as a proxy for political preferences and ideology. With that, ARRANGE finds the minimum number of parties required to house all congressmen without decreasing party discipline. When applied to Brazil's historical roll call data, ARRANGE was able to generate 23 distinct configurations that, compared with the status quo, have (i) a significant smaller number of parties, (ii) a higher discipline of partisans towards their parties and (iii) a more even distribution of partisans into parties. ARRANGE is fast and parsimonious, relying on a single, intuitive parameter.
In June 2013, Brazil faced the largest and most significant mass protests in a generation. These were exacerbated by the population's disenchantment towards its highly fragmented party system, which is composed by a very large number of political parties. Under these circumstances, presidents are constrained by informal coalition governments, bringing very harmful consequences to the country. In this work I propose ARRANGE, a dAta dRiven method foR Assessing and reduciNG party fragmEntation in a country. ARRANGE uses as input the roll call data for congress votes on bills and amendments as a proxy for political preferences and ideology. With that, ARRANGE finds the minimum number of parties required to house all congressmen without decreasing party discipline. When applied to Brazil's historical roll call data, ARRANGE was able to generate 31 distinct configurations that, compared with the status quo, have (i) a significant smaller number of parties, (ii) a higher discipline of partisans towards their parties and (iii) a more even distribution of partisans into parties. ARRANGE is fast and parsimonious, relying on a single, intuitive parameter.
Politicians need to decide how to communicate with their voters to build their reputations. This problem is especially complicated during important political events such as the elections when politicians must decide whether to confront and share their thoughts about controversial topics or to simply communicate non-political messages. Aware of these communication behaviors, our goal is to analyze how politicians present themselves in the digital environment and how the public reacts to them. We also investigate whether they change their communication and if there is a typical pattern that is chosen by the majority of politicians over time. To address these problems, we collected 751,117 public tweets of 692 Brazilian deputies from October 2013 to October 2015. Furthermore, we propose a methodology for identifying Twitter messages about political issues at a large scale. We use this methodology to characterize the communication behavior of Brazilian congresspeople in a 2-year span. We found that Brazilian congresspeople changed their communication behavior as the election approached and as they were elected or not. Moreover, we showed that although most of the politicians increased the number of non-political messages during elections, the audience tends to favorite and retweet political messages more.
Ecological monitoring programmes are designed to detect and measure changes in biodiversity and ecosystems. In the case of biological invasions, they can contribute to anticipating risks and adaptively managing invaders. However, monitoring is often expensive because large amounts of data might be needed to draw inferences. Thus, careful planning is required to ensure that monitoring goals are realistically achieved. Species distribution models (SDM s) can provide estimates of suitable areas to invasion. Predictions from these models can be applied as inputs in optimization strategies seeking to identify the optimal extent of the networks of areas required for monitoring risk of invasion under current and future environmental conditions. A hierarchical framework is proposed herein that combines SDM s, scenario analysis and cost analyses to improve invasion assessments at regional and local scales. We illustrate the framework with Acacia dealbata Link. (Silver‐wattle) in northern Portugal. The framework is general and applicable to any species. We defined two types of monitoring networks focusing either on the regional‐scale management of an invasion, or management focus within and around protected areas. For each one of these two schemes, we designed a hierarchical framework of spatial prioritization using different information layers (e.g. SDM s, habitat connectivity, protected areas). We compared the performance of each monitoring scheme against 100 randomly generated models. In our case study, we found that protected areas will be increasingly exposed to invasion by A. dealbata due to climate change. Moreover, connectivity between suitable areas for A. dealbata is predicted to increase. Monitoring networks that we identify were more effective in detecting new invasions and less costly to management than randomly generated models. The most cost‐efficient monitoring schemes require 18% less effort than the average networks across all of the 100 tested options. Synthesis and applications . The proposed framework achieves cost‐effective monitoring networks, enabling the interactive exploration of different solutions and the combination of quantitative information on network performance with orientations that are rarely incorporated in a decision support system. The framework brings invasion monitoring closer to European legislation and management needs while ensuring adaptability under rapid climate and environmental change.
Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.
Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long- term investment in surge capacity for acute care during public health emergencies to protect elective staff and services. Funding National Institute for Health Research Global Health Research Unit, Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, Medtronic, Sarcoma UK, The Urology Foundation, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
