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COVID-19

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Outdoor Recreation, Greenspace, And Covid-19 In Maine, Jayne Marie Foley Aug 2020

Outdoor Recreation, Greenspace, And Covid-19 In Maine, Jayne Marie Foley

Muskie School Capstones and Dissertations

In this report we are exploring the significance of outdoor recreation and usage in response to the COVID-19 pandemic. We will discuss the importance of green space and outdoor recreation as a part of sustainability and what we can do for the future to provide sustainable and safe spaces for the public. I will be looking at the response of 119 individuals from a survey collected and three interviews from stakeholders in Maine on their experiences with the outdoors during COVID-19 and comparing these results to other similar findings. We can use this information from the COVID-19 experience to better …


The Relative Industry Specific Effects Of Covid-19 On Market Volatility And Liquidity, Callin Christensen Aug 2020

The Relative Industry Specific Effects Of Covid-19 On Market Volatility And Liquidity, Callin Christensen

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Understanding how historical events affect market volatility and liquidity can provide crucial information to financial analysts, investment professionals, and managers in the event that similar circumstances resurface. In this study, I look at how a global pandemic (COVID-19) can introduce frictions into the market and cause disrupt the generation or flow of available information, this could cause prices to deviate significantly from their equilibrium values. I also hypothesize that these inefficiencies may have a greater effect on some industries than others. My analysis seems to confirm this hypothesis. I observe that the global COVID-19 pandemic leads to statistically significant increases …


2020-08-01_Michigandaily_Covidmap, Michigan Department Of Health & Human Services Aug 2020

2020-08-01_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …


Upholding Tribal Sovereignty And Promoting Tribal Public Health Capacity During The Covid-19 Pandemic, Heather Tanana, Aila Hoss Aug 2020

Upholding Tribal Sovereignty And Promoting Tribal Public Health Capacity During The Covid-19 Pandemic, Heather Tanana, Aila Hoss

Utah Law Faculty Scholarship

Tribes are sovereign nations with authorities and responsibilities over their land and people. This inherent sovereign authority includes the right to promote and protect the health and welfare of their communities. The COVID-19 pandemic has brought national attention to the health inequities experienced by American Indian and Alaska Native communities. The sovereign legal authority for Tribes to respond to this pandemic has received less attention. This Chapter describes some, but not all, of the urgent legal issues impacting Tribal response to the COVID-19 pandemic. It describes and identifies gaps in federal Indian health policies and highlights how Tribes have exercised …


Assessment Of Covid-19 Related Misinformation Among The Community In Basrah, Iraq: Assessment Of Covid-19 Related Misinformation Among The Community In Basrah, Iraq, Ali Al-Rubaye, Durgham Abdulwahid, Aymen Albadran, Abbas Ejbary, Laith Alrubaiy Aug 2020

Assessment Of Covid-19 Related Misinformation Among The Community In Basrah, Iraq: Assessment Of Covid-19 Related Misinformation Among The Community In Basrah, Iraq, Ali Al-Rubaye, Durgham Abdulwahid, Aymen Albadran, Abbas Ejbary, Laith Alrubaiy

Iraqi National Journal of Medicine

Background: There has been a rapid rise in cases of COVID-19 infection and its mortality rate since the first case reported in February 2020. This led to the rampant dissemination of misinformation and rumors about the disease among the public Objectives: To investigate the scale of public misinformation about COVID-19 in Basrah, Iraq.  Methods: A cross-sectional study based on a 22-item questionnaire to assess public knowledge and understanding of information related to the COVID-19 infection. Results: A total of 483 individuals completed the questionnaire. The most frequent age group was 26–35 years (28.2%); there were 280 (58%) males and 203 …


Nested Ecology And Emergence In Pandemics, Aaron Jenkins, Stacy D. Jupiter, Anthony Capon, Pierre Horwitz, Joel Negin Aug 2020

Nested Ecology And Emergence In Pandemics, Aaron Jenkins, Stacy D. Jupiter, Anthony Capon, Pierre Horwitz, Joel Negin

Research outputs 2014 to 2021

No abstract provided.


What Will (Or Might?) Law School Look Like This Fall?: Teaching In The Midst Of A Pandemic, Ted Becker Aug 2020

What Will (Or Might?) Law School Look Like This Fall?: Teaching In The Midst Of A Pandemic, Ted Becker

Articles

January 2020 marked the start of a new semester for Michigan law schools. There was little reason to suspect it wouldn’t be a semester like any other: for 3Ls, the start of the stretch run to graduation; for 1Ls, a chance to begin anew after the stress of their first set of law school final exams; for law school faculty, administrators, and staff, a return to the excitement and activity of crowded hallways and classrooms after the brief interlude of winter break. Classes began and proceeded as normal.


Applied Strategies For Remote Student Teaching Due To Covid-19, Natalie G. Chertoff, Ashleigh B. Thompson Aug 2020

Applied Strategies For Remote Student Teaching Due To Covid-19, Natalie G. Chertoff, Ashleigh B. Thompson

Publications and Research

City University of New York's pre-service teachers in clinical coursework (fieldwork and student teaching) during AY20-21 will face new and emerging challenges. Developing relationships with cooperating teachers, students and families, some of whom may have experienced significant trauma during the pandemic; teaching content remotely; utilizing new technologies — these are just some examples of the topics included in this brief. Sections are intended for pre-service teacher candidates, clinical supervisors, principals and cooperating teachers. Many resources include links to citations so that readers can explore them in greater depth as they think through planning, enacting and assessing remote learning, whether it’s …


Is Exposure To Epidemic Associated With Older Adults’ Health Behavior? Evidence From China’S 2002-2004 Sars Outbreak, Hong Zou, Sha Wen, Hongwei Xu Aug 2020

Is Exposure To Epidemic Associated With Older Adults’ Health Behavior? Evidence From China’S 2002-2004 Sars Outbreak, Hong Zou, Sha Wen, Hongwei Xu

Publications and Research

Objectives: To determine whether exposure to an epidemic is associated with better health behaviors.

Methods: Using nationally representative survey data collected in 2011 and 2014, we identified middle-aged and older Chinese adults whose communities experienced an outbreak of the 2002–2004 severe acute respiratory syndrome (SARS). We estimated logistic models of health behaviors in the years after the SARS epidemic.

Results: Compared to those who lived in communities not hit by the epidemic, respondents who lived in communities with a SARS outbreak in 2002–2004 were more likely to get a physical examination in 2010–2011 and have their blood pressure checked and …


Covid-19: Health As A Common Good, Alfredo Morabia Aug 2020

Covid-19: Health As A Common Good, Alfredo Morabia

Publications and Research

No abstract provided.


Covid-19 Provincially Incarcerated Individuals - A Policy Report, Adelina Iftene Aug 2020

Covid-19 Provincially Incarcerated Individuals - A Policy Report, Adelina Iftene

Articles, Book Chapters, & Popular Press

This document is the result of an investigation into the impact of the COVID-19 pandemic on provincially incarcerated individuals and the Nova Scotia government’s responses relating to its prison population. It was supported by the Nova Scotia COVID-19 Health Research Coalition. In this memorandum, we describe the results of the investigation and propose solutions to better prepare for the second wave of COVID-19 or an alike pandemic situation.


Safety And Efficacy Of Hydroxychloroquine In Covid-19: A Systematic Review And Meta-Analysis, Waqas Ullah, Hafez M. Abdullah, Sohaib Roomi, Yasar Sattar, Talal Almas, Smitha Narayana Gowda, Rehan Saeed, Maryam Mukhtar, Ammar Ahmad, Tony Oliver, M. Chadi Alraies, Donald C. Haas, David L. Fischman Aug 2020

Safety And Efficacy Of Hydroxychloroquine In Covid-19: A Systematic Review And Meta-Analysis, Waqas Ullah, Hafez M. Abdullah, Sohaib Roomi, Yasar Sattar, Talal Almas, Smitha Narayana Gowda, Rehan Saeed, Maryam Mukhtar, Ammar Ahmad, Tony Oliver, M. Chadi Alraies, Donald C. Haas, David L. Fischman

Abington Jefferson Health Papers

Background: During the initial phases of the coronavirus disease 2019 (COVID-19) epidemic, there was an unfounded fervor surrounding the use of hydroxychloroquine (HCQ); however, recently, the Centers for Disease Control and Prevention (CDC) has recommended against routine use of HCQ outside of study protocols citing possible adverse outcomes.

Methods: Multiple databases were searched to identify articles on COVID-19. An unadjusted odds ratio (OR) was used to calculate the safety and efficacy of HCQ on a random effect model.

Results: Twelve studies comprising 3,912 patients (HCQ 2,512 and control 1400) were included. The odds of all-cause mortality (OR: 2.23, 95% confidence …


Changes In Recreational Behaviors Of Outdoor Enthusiasts During The Covid-19 Pandemic: Analysis Across Urban And Rural Communities, William L. Rice, Timothy J. Mateer, Nathan Reigner, Peter Newman, Ben Lawhon, B. Derrick Taff Aug 2020

Changes In Recreational Behaviors Of Outdoor Enthusiasts During The Covid-19 Pandemic: Analysis Across Urban And Rural Communities, William L. Rice, Timothy J. Mateer, Nathan Reigner, Peter Newman, Ben Lawhon, B. Derrick Taff

Society and Conservation Faculty Publications

The COVID-19 pandemic presents not only a global health crisis but has also disrupted the daily lives of people around the world. From a leisure perspective, urban outdoor enthusiasts are one group particularly impacted by the pandemic and the subsequent institutional response. Stay-at-home orders and physical distancing recommendations serve as potential inhibitors to outdoor recreation activities central to the lifestyles and wellbeing of outdoor enthusiasts. In urban areas, where these orders and recommendations are most restrictive, the potential impacts on recreation behavior are most consequential. This study provides an empirical analysis of the COVID-19 pandemic’s impact on the recreational behaviors …


Law Library Blog (August 2020): Legal Beagle's Blog Archive, Roger Williams University School Of Law Aug 2020

Law Library Blog (August 2020): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.


Jewish Holidays In The Time Of The Corona Virus Pandemic In Slovakia, Peter Salner Aug 2020

Jewish Holidays In The Time Of The Corona Virus Pandemic In Slovakia, Peter Salner

Occasional Papers on Religion in Eastern Europe

The first wave of the new coronavirus pandemic swept through Slovakia between March 1 and May 31, 2020. During this relatively short period, four important Jewish holidays took place: Purim, Pesach, Lag BaOmer, and Shavuot. When the news of the pandemic initially broke, a large part of Slovak society viewed COVID-19 as a remote, and therefore, not entirely dangerous, threat. This attitude shifted on March 6, , when the first case of the disease was confirmed in the country. On March 9, the authorities reacted by introducing the first set of public health measures, which the Jewish Religious Community immediately …


The Color Of Covid-19: Structural Racism And The Pandemic’S Disproportionate Impact On Older Racial And Ethnic Minorities, Marc A. Garcia, Patricia A. Homan, Catherine Garcia, Tyson H. Brown Aug 2020

The Color Of Covid-19: Structural Racism And The Pandemic’S Disproportionate Impact On Older Racial And Ethnic Minorities, Marc A. Garcia, Patricia A. Homan, Catherine Garcia, Tyson H. Brown

Department of Sociology: Faculty Publications

Objectives: The aim of this evidence-based theoretically informed essay is to provide an overview of how and why the COVID-19 outbreak is particularly detrimental for the health of older Black and Latinx adults.

Methods: We draw upon current events, academic literature, and numerous data sources to illustrate how biopsychosocial factors place older adults at higher risk for COVID-19 relative to younger adults, and how structural racism magnifies these risks for older Black and Latinx adults.

Results: We identify three proximate mechanisms through which structural racism operates as a fundamental cause of racial/ethnic inequalities in COVID-19 burden among older adults: (1) …


Responding To Covid-19: How Massachusetts Senior Centers Are Adapting, Ceara Somerville, Caitlin Coyle, Jan Mutchler Aug 2020

Responding To Covid-19: How Massachusetts Senior Centers Are Adapting, Ceara Somerville, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

The COVID-19 pandemic has swept the United States with force and speed. Massachusetts is one of the hardest hit states in nation, with over 120,000 cases and over 8,500 deaths to date. Local governments across the Commonwealth have had to work quickly to meet the needs of their constituents in a constantly changing environment. With older adults being at high risk of contracting COVID-19, having more severe symptoms, and at higher risk of dying from the disease, special efforts are warranted to ensure that they are supported in their efforts to maintain physical distance while meeting needs for food and …


Evaluation Of The Humoral Immune Response As A Potential Indicator Of Disease Severity For Patients Hospitalized With Covid-19, Spencer Sterling Aug 2020

Evaluation Of The Humoral Immune Response As A Potential Indicator Of Disease Severity For Patients Hospitalized With Covid-19, Spencer Sterling

Capstone Experience: Master of Public Health

Members of the family Coronaviridae, including the severe acute respiratory syndrome coronaviruses (SARS-CoV-1 and SARS-CoV-2), Middle East respiratory syndrome coronavirus (MERS-CoV) and seasonal human coronaviruses (HCoV-HKU1and HCoV-OC43), are highly communicable respiratory viruses; SARS-CoV-1, SARS-CoV-2, and MERS can cause severe disease, while seasonal human coronaviruses present with mild to moderate illness. Coronavirus envelope spike (S) glycoproteins are involved in receptor binding and cell fusion, and are the primary target for a neutralizing humoral response. The S protein is comprised of the S1 and S2 subunits; the S1 subunit contains the receptor-binding domain (RBD), while the S2 …


Intussusception In An Infant As A Manifestation Of Covid-19, Zorays Moazzam, Areej Saleem, Alina Ashraf, Fyezah Jehan, Muhammad Arshad Aug 2020

Intussusception In An Infant As A Manifestation Of Covid-19, Zorays Moazzam, Areej Saleem, Alina Ashraf, Fyezah Jehan, Muhammad Arshad

Medical College Documents

Gastrointestinal manifestations of COVID-19 are rare and have primarily been limited to diarrhea or vomiting. Intussusception is the most common cause of bowel obstruction in infants, with up to 30% of pediatric intussusception cases having a preceding viral illness. We present the rare case of intussusception in a SARS-CoV-2 positive infant. This is the first documented case of survival in a SARS-CoV-2 positive patient presenting with intussusception as the primary manifestation. As our knowledge of this disease evolves, surgeons need to remain suspicious for possible gastrointestinal manifestations of COVID-19.


Private Insurance Limits And Responses, Elizabeth Weeks Aug 2020

Private Insurance Limits And Responses, Elizabeth Weeks

Scholarly Works

The COVID-19 pandemic exposed a number of existing flaws in the United States’ patchwork approach to paying for and providing access to medical care. Shelter-in-place orders, social distancing, and other public health strategies employed to address the pandemic spawned a global recession, causing rapid and high unemployment rates in many countries. The U.S. unemployment rate peaked in April 2020 at 14.7%, higher than in any previous period since World War II. The United States has long hewed an anachronistic policy of relying heavily on private employers to provide health insurance to a substantial portion of the population. Those who are …


Collective Sensemaking Around Covid-19: Experiences, Concerns, And Agendas For Our Rapidly Changing Organizational Lives, Keri Stephens, Jody L.S. Jahn, Stephanie Fox, Piyawan Charoensap-Kelly, Rahul Mitra, Jeannette Sutton, Eric D. Waters, Bo Xie, Rebecca J. Meisenbach Aug 2020

Collective Sensemaking Around Covid-19: Experiences, Concerns, And Agendas For Our Rapidly Changing Organizational Lives, Keri Stephens, Jody L.S. Jahn, Stephanie Fox, Piyawan Charoensap-Kelly, Rahul Mitra, Jeannette Sutton, Eric D. Waters, Bo Xie, Rebecca J. Meisenbach

College of Communication Faculty Research and Publications

Uncertainty is at the forefront of many crises, disasters, and emergencies, and the COVID-19 pandemic is no different in this regard. In this forum, we, as a group of organizational communication scholars currently living in North America, engage in sensemaking and sensegiving around this pandemic to help process and share some of the academic uncertainties and opportunities relevant to organizational scholars. We begin by reflexively making sense of our own experiences with adjusting to new ways of working during the onset of the pandemic, including uncomfortable realizations around privilege, positionality, race, and ethnicity. We then discuss key concerns about how …


Learning From The Past: Distributed Cognition And Crisis Management Capabilities For Tackling Covid-19, Seulki Lee, Jungwon Yeo, Chongmin Na Aug 2020

Learning From The Past: Distributed Cognition And Crisis Management Capabilities For Tackling Covid-19, Seulki Lee, Jungwon Yeo, Chongmin Na

Research Collection School of Social Sciences

The outbreak of coronavirus disease 2019 (COVID-19) has presented an unprecedented public health crisis across the globe. Governments have developed different approaches to tackle the complex and intractable challenge, showing variations in their effectiveness and results. South Korea has achieved exceptional performance thus far: It has flattened the curve of new infections and brought the outbreak under control without imposing forceful measures such as lockdowns and travel ban. This commentary addresses the South Korean government’s response to COVID-19 and highlights distributed cognition and crisis management capabilities as critical factors. The authors discuss how the South Korean government has cultivated distributed …


How Do Intercrisis Learning Outcomes Affect Intracrisis Learning? “Learning In The Making” In The Case Of South Korea’S Covid-19 Response, Chongmin Na, Seulki Lee, Jungwon Yeo Aug 2020

How Do Intercrisis Learning Outcomes Affect Intracrisis Learning? “Learning In The Making” In The Case Of South Korea’S Covid-19 Response, Chongmin Na, Seulki Lee, Jungwon Yeo

Research Collection School of Social Sciences

This study explores the processes of intercrisis and intracrisis learning and the link between them, drawing on South Korea’s responses to the COVID-19 pandemic as an example. The crisis management literature suggests that intracrisis learning is less likely to occur than intercrisis learning due to inherent barriers that hinder learning and adaptation in the heat of crisis. Based on the conceptual framework of problem-oriented governance and crisis learning, we unpack how prominent outcomes of intercrisis learning facilitate intracrisis learning during the acute phase of an emerging crisis. We postulate that learning after 2015 MERS crisis developed the core capabilities for …


Prostitution During The Pandemic: Findings Show Need For Nordic Model, Debra K. Boyer Aug 2020

Prostitution During The Pandemic: Findings Show Need For Nordic Model, Debra K. Boyer

Dignity: A Journal of Analysis of Exploitation and Violence

The impact of COVID-19 on sexually exploited individuals provides an opportunity to advance the Nordic Model approach and create lasting change. Although subject to gender-based violence and denied safety net services, commercially sexually exploited women are seldom seen as a “vulnerable” group in the pandemic. Interviews from social service agencies in Seattle, Washington show women are experiencing more physical and sexual violence from sex buyers and women who have exited prostitution are finding their stability and security in jeopardy. Advocates can make the case to address disparities with safety net guarantees and structural change with the adoption of the Nordic …


A Tale Of Two Crises: The Compounded Effect Of Covid-19 And Anti-Immigration Policy In The United States, Luz M. Garcini, Melanie M. Domenech Rodriguez, Alfonso Mercado, Manuel Paris Aug 2020

A Tale Of Two Crises: The Compounded Effect Of Covid-19 And Anti-Immigration Policy In The United States, Luz M. Garcini, Melanie M. Domenech Rodriguez, Alfonso Mercado, Manuel Paris

Psychological Science Faculty Publications

The COVID-19 pandemic is highlighting some important sources of health disparities that assail our society’s most vulnerable people, particularly undocumented immigrants and asylum seekers. The focus of this commentary is on uncovering those sources of health disparities and making a call for action.


Pandemic Pause, Heidi K. Brown Aug 2020

Pandemic Pause, Heidi K. Brown

Articles & Chapters

Some lessons we can learn as a profession.


A Study On 696 Covid-19 Cases In Basrah-Southern Iraq: Severity And Outcome Indicators: A Study On 696 Covid-19 Cases In Basrah-Southern Iraq: Severity And Outcome Indicators, Basim Al-Hijaj, Ali Al-Rubaye, Ziyad Al-Hashim, Mustafa Mohammed, Omran Habib Aug 2020

A Study On 696 Covid-19 Cases In Basrah-Southern Iraq: Severity And Outcome Indicators: A Study On 696 Covid-19 Cases In Basrah-Southern Iraq: Severity And Outcome Indicators, Basim Al-Hijaj, Ali Al-Rubaye, Ziyad Al-Hashim, Mustafa Mohammed, Omran Habib

Iraqi National Journal of Medicine

Background: COVID-19 epidemic is escalating in Basrah regardless of the efforts to abate the wave of new cases.Objectives: To present a profile on the demographic and selected clinical characteristics of COVID-19 cases reported in Basrah from March 9 to May 19, 2020.Patients and Method: A record-based observational study was conducted in Basrah. Data were compiled from all available sources on the cases reported between March 9 and May 19, 2020. Data included age, sex, residence, occupation, date of onset of detection of infection, severity of clinical condition, and fate in terms of cure, continuing treatment, or death. Excel and Statistical …


Comparison Of The Epidemiological Features Of Covid-19 In Iraq And Selected Countries: Comparison Of The Epidemiological Features Of Covid-19 In Iraq And Selected Countries, Asaad Alyassen, Dhurgham Alajwadi, Nazar Haddad, Nabil Khudair4, Alaa Abed Aug 2020

Comparison Of The Epidemiological Features Of Covid-19 In Iraq And Selected Countries: Comparison Of The Epidemiological Features Of Covid-19 In Iraq And Selected Countries, Asaad Alyassen, Dhurgham Alajwadi, Nazar Haddad, Nabil Khudair4, Alaa Abed

Iraqi National Journal of Medicine

Background: The COVID-19 pandemic is a puzzling phenomenon and complete knowledge regarding its various aspects is yet to be available.Objective: This research aims to present a comparative profile of the epidemiological features of the COVID-19 pandemic in Iraq and several other countries.Methods: This paper used data on the daily cases of COVID-19 pandemic in Iraq and eight other countries—three from the Eastern Mediterranean region (Bahrain, Iran and Lebanon), four from Europe (Greece, Switzerland, Austria and Norway), along with Brazil. These countries were chosen based on the similarity in the date of onset of the pandemic. Relevant data were obtained from …


“Tomorrow Never Dies”: Recent Advances In Diagnosis, Treatment, And Prevention Modalities Against Coronavirus (Covid-19) Amid Controversies, Partha Laskar, Murali M. Yallapu, Subhash C. Chauhan Aug 2020

“Tomorrow Never Dies”: Recent Advances In Diagnosis, Treatment, And Prevention Modalities Against Coronavirus (Covid-19) Amid Controversies, Partha Laskar, Murali M. Yallapu, Subhash C. Chauhan

School of Medicine Publications

The outbreak of novel coronavirus disease (2019-nCoV or COVID-19) is responsible for severe health emergency throughout the world. The attack of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is found to be responsible for COVID-19. The World Health Organization has declared the ongoing global public health emergency as a pandemic. The whole world fights against this invincible enemy in various capacities to restore economy, lifestyle, and safe life. Enormous amount of scientific research work(s), administrative strategies, and economic measurements are in place to create a successful step against COVID-19. Furthermore, differences in opinion, facts, and implementation methods laid additional layers …


Multilateralism, Pushback, And Prospects For Global Engagement?, Michael Donald Kirby The Honourable Aug 2020

Multilateralism, Pushback, And Prospects For Global Engagement?, Michael Donald Kirby The Honourable

Indiana Journal of Global Legal Studies

In this article, the author draws on long engagement with multilateralism, both in domestic jurisdiction and international institutions. He describes the growth of post-War United Nations activities and the increasing impact of international law, including on universal human rights. He records international initiatives on global problems like HI V/AIDS and in individual countries, such as Cambodia and North Korea. He then describes recent examples of '"pushback" against multilateralism, especially on the part of the United States, the United Kingdom, some European countries, and Australia. He concludes with illustrations and reasons why the global community should remain optimistic about multilateralism, despite …