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TEACHER PARTICIPATION AND THE G.C.E. BOARDS: THE ROLE OF THE N.U.T. STANDING COMMITTEES
In: Journal of educational administration & history, Band 4, Heft 2, S. 39-46
ISSN: 1478-7431
Assessing VR technology adoption and use among mid-life and older adults
In: Gerontechnology: international journal on the fundamental aspects of technology to serve the ageing society, Band 23, Heft s, S. 1-1
ISSN: 1569-111X
Spatial Heterogeneity - Challenge and Opportunity for Net-Zero Germany
The energy system transformation in Germany is a challenge for society, economy and politics and has several impacts on multiple scales. This paper investigates the effects of the trajectories towards net zero emissions by 2050 through focusing on the spatial dimension of impacts, benefits, and losses for different stakeholders and technologies. Spatial heterogeneity in the energy transition means that regions enjoying benefits from decarbonization might diverge from regions experiencing losses, and that there are different geographical potentials and challenges. The question arising is one of the need for redistribution between benefits and losses, whilst ensuring that all stakeholders remain willing to act as frontrunners in the transformation of the energy system. Inclusion and participation in the process, together with a carefully targeted mixed set of regional energy policy, combining tax solutions and incentives for acceptance of required measures could facilitate a successful, efficient policy-supported energy transition.
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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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