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Prospects of interventions to alleviate rural–urban migration in Jiangsu Province, China based on sensitivity and scenario analysis
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Rural–urban migration is an adaptive response to location-specific environmental or socio-economic stressors. Jiangsu Province, China is witnessing rapid economic growth fuelled by manufacturing and services sector. Rural–urban migration in Jiangsu, which brings higher stress to resource-carrying capacity of urban areas, is driven by rural "push" factors, principally labour surplus and unemployment in agriculture. This study investigates possible policy interventions aimed at relieving the rapid rural–urban migration in Jiangsu based on a sensitivity analysis of driving factors in rural agricultural production. It shows that rural–urban migration is sensitive to input elasticities of precipitation and labour. Two groups of scenario analysis corresponding to possible policy interventions are implemented. The first policy focuses on providing government subsidies to rural non-agricultural industries then compensate for the shrinking agricultural production. Another policy supports education in rural areas to provide more skilled labour resource which can be absorbed by non-agricultural industries. Both two policies are effective in reducing rural unemployment and alleviating rural–urban migration.
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Never Ask for a Lighter Rain but a Stronger Umbrella
In a recent editorial in the journal Nature Sustainability, the editors raised the concern that journal submissions on water studies appear too similar. The gist of the editorial: "too many publications and not enough ideas." In this response, we contest this notion, and point to the numerous new ideas that result from taking a broader view of the water science field. Drawing inspiration from a recently hosted conference geared at transcending traditional disciplinary silos and forging new paradigms for water research, we are, in fact, enthusiastic and optimistic about the ways scientists are investigating political, economic, historical, and cultural intersections toward more just and sustainable human-water relations and ways of knowing.
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Elective surgery cancellations due to the COVID-19 pandemic. Global predictive modelling to inform surgical recovery plans
Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. This case mix was applied to country-level surgical volumes. The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. Results: The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). Most would be operations for benign disease (90·2 per cent, 25 638 922 of 28 404 603). The overall 12-week cancellation rate would be 72·3 per cent. Globally, 81·7 per cent of operations for benign conditions (25 638 922 of 31 378 062), 37·7 per cent of cancer operations (2 324 070 of 6 162 311) and 25·4 per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption. Conclusion: A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.
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