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COVID-19: Complexity and the Black Swan.

新型冠状病毒肺炎: 复杂性和黑天鹅。

  • 影响因子:1.05
  • DOI:10.1037/fsh0000486
  • 作者列表:"Valeras AS
  • 发表时间:2020-06-01
Abstract

:In previous President's Columns (Valeras, 2019a, 2019b), the properties of complexity and complex adaptive systems have been discussed, in terms of the value of continual and iterative change, in order to nudge a system to emerge differently, rather than maintain the status quo. COVID-19 is not a nudge; it is a tidal wave. Engaging with and understanding complexity science allows us to examine the internal rules of our health care system and recognize our own role as agents that can systematically and deliberately disrupt the status quo. The intertwined and interdependent complex relationships that exist in health care between persons, business, academia, and government buffer the system from rapid and drastic change. COVID-19, however, swiftly disrupted many of the rules keeping the system in its previous state. Some would describe this sudden and dramatic systems change as a Black Swan. This column will examine the role of the Black Swan, as it relates to this pandemic. The Black Swan is a term coined in the 2nd century by Roman poet Juvenal's description of something being rara avis in terries nigroque simillima cygno, Latin for "a bird as rare as the black swan" (Taleb, 2007, p. xxxi). At this time, reference to a black swan was meant as a statement of impossibility, because all historical records of swans had been white. In 1697, Dutch explorers discovered black swans living in the wild in Western Australia (Taleb, 2007, p. xxi), and the black swan became a metaphor for events that come as a surprise, have major implications, and can often be understood only with the benefit of hindsight. This theory of the black swan was further articulated by Nassim Nicholas Taleb in his books Fooled by Randomness (Taleb, 2001) and The Black Swan (Taleb, 2007). (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

: 在前任总统的专栏 (Valeras,2019a,2019b) 中,讨论了复杂性和复杂适应系统的性质,即连续和迭代变化的值,为了推动一个系统以不同的方式出现,而不是维持现状。新型冠状病毒肺炎不是一种推动,而是一种浪潮。参与和理解复杂性科学使我们能够检查我们的医疗保健系统的内部规则,并认识到我们自己作为能够系统地故意破坏现状的代理的角色。医疗保健中存在的人、企业、学术界和政府之间相互交织和相互依存的复杂关系缓冲了系统的快速和剧烈变化。然而,新型冠状病毒肺炎迅速扰乱了许多规则,使系统保持以前的状态。有些人会把这种突然而戏剧性的系统变化描述为黑天鹅。本专栏将研究黑天鹅的作用,因为它与这一流行病有关。《黑天鹅》是第2 世纪罗马诗人朱维纳尔在类似cygno的terries nigroque中描述rara avis的术语,拉丁文表示 “像黑天鹅一样罕见的鸟” (Taleb,2007,p. xxxi)。此时,提到黑天鹅的意思是说不可能,因为所有关于天鹅的历史记录都是白色的。1697 年,荷兰探险家在西澳大利亚发现了生活在野外的黑天鹅 (Taleb,2007,p. xxi),而黑天鹅成为一个隐喻的事件来作为一个惊喜,有重大的含义,往往可以理解只有事后的好处。纳西姆 · 尼古拉斯 · 塔勒布在《被随机性愚弄》 (Taleb,2001) 和《黑天鹅》 (Taleb,2007) 中进一步阐明了黑天鹅的这一理论。(PsycInfo数据库记录 (c) 2020 APA,保留所有权利)。

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呼吸道感染方向

呼吸道感染分为上呼吸道感染与下呼吸道感染。上呼吸道感染是指自鼻腔至喉部之间的急性炎症的总称,是最常见的感染性疾病。下呼吸道感染是最常见的感染性疾患,治疗时必须明确引起感染的病原体以选择有效的抗生素。

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