A wage policy for state servants [New Zealand]
In: The New Zealand journal of public administration, Band 26, S. 49-66
ISSN: 0028-8357, 0110-5000
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In: The New Zealand journal of public administration, Band 26, S. 49-66
ISSN: 0028-8357, 0110-5000
The Nephi Field Station is the oldest dry-Iand experimental farm in America still in operation. It was established in 1903 by action of the Utah legislature and has been in continuous operation since. Five other arid experimental farms were established in Utah at the same time (Widtsoe and Merrill 1905) but they were all discontinued prior to 1920 (Harris et al. 1920). The Nephi Field Station has had a most interesting history, and it is worthy of note that many of the men who were closely associated with it during its early history subsequently distinguished themselves as outstanding leaders. The station came into being largely as a result of the efforts of Dr. John A. Widtsoe, noted irrigation and dry farm authority of the west until his death in 1952. Under his leadership a systematic investigation was undertaken in 1901 to determine the possibilities of farming without irrigation in Utah. The experimental farm at Nephi was established largely as a result of that study.
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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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