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This study addresses the persistent challenge of development disparities in Iran’s border regions. Despite the nation's commitment to reducing the development gap between its border and central areas, existing planning documents lack a specific and effective model to achieve this goal. To tackle this issue, we employ the Fuzzy TOPSIS and Fuzzy Analytic Hierarchy Process methods within the ArcGIS framework and the Geographic Weighted Regression (GWR) Model to assess and rank 54 development indicators across Iran’s 16 border provinces. These indicators cover demographics, economics, social well-being, cultural factors, communication, and transportation infrastructure, as well as health and environmental aspects. Our systematic evaluation of these indicators provides a comprehensive vision for the future development of these border regions, highlighting the disparities among them. The findings underscore the importance of a more focused and equitable approach to regional development. This research offers valuable insights for policymakers and contributes to the growing body of knowledge on regional development, emphasizing the need for balanced and sustainable progress in Iran’s border regions. The lack of comprehensive planning and policies has led investments and expenditures to focus in the same direction, worsening regional disparities in border areas. As a result, development barriers continue due to the implementation of planning and policies within the same decision-making system. [ABSTRACT FROM AUTHOR]

Background: Improving the public's understanding of how regional and socioeconomic inequalities create and perpetuate inequalities in health, is argued to be necessary for building support for policies geared towards creating a more equal society. However, research exploring public perceptions of health inequalities, and how they are generated, is limited. This is particularly so for young people. Our study sought to explore young people's lived experiences and understandings of health inequalities. Methods: We carried out focus group discussions (n = 18) with 42 young people, aged 13–21, recruited from six youth organisations in England in 2021. The organisations were located in areas of high deprivation in South Yorkshire, the North East and London. Young people from each organisation took part in three interlinked focus group discussions designed to explore their (i) perceptions of factors impacting their health in their local area, (ii) understandings of health inequalities and (iii) priorities for change. Due to the Covid-19 pandemic, most discussions took place online (n = 15). However, with one group in the North East, we carried out discussions face-to-face (n = 3). Data were analysed thematically and we used NVivo-12 software to facilitate data management. Results: Young people from all groups demonstrated an awareness of a North-South divide in England, UK. They described how disparities in local economies and employment landscapes between the North and the South led to tangible differences in everyday living and working conditions. They clearly articulated how these differences ultimately led to inequalities in people's health and wellbeing, such as linking poverty and employment precarity to chronic stress. Young people did not believe these inequalities were inevitable. They described the Conservative government as prioritising the South and thus perpetuating inequalities through uneven investment. Conclusions: Our study affords important insights into young people's perceptions of how wider determinants can help explain the North-South health divide in England. It demonstrates young people's contextualised understandings of the interplay between spatial, social and health inequalities. Our findings support calls for pro-equity policies to address the structural causes of regional divides in health. Further research, engaging young people in deliberative policy analysis, could build on this work. [ABSTRACT FROM AUTHOR]

The ocean is the largest carbon sink on Earth and an important pathway to China achieving carbon neutrality. From a consumption perspective, studying the capacity of marine carbon sink in each of China's provinces and its interregional transfer is of great significance in harnessing the increase in ocean carbon sink driven by final demand. This article first calculates the productionside carbon sink in coastal provinces. Then, based on the 2007, 2012, 2015, and 2017 Chinese inter-regional input-output tables, each province's consumptionside marine carbon sink is calculated. The article further examines the influencing factors and key transfer paths for the growth of marine carbon sink through Structural Decomposition Analysis (SDA) and Structural Path Analysis (SPA) methods. The results show that each province's total consumption-side carbon sink continues to rise, with significant regional disparities, demonstrating a trend of higher carbon sink in coastal provinces than inland provinces. Among the nine coastal provinces, Hainan and Guangdong are in a net input state regarding carbon sink transfer, while the other seven are in a net output state. SDA results indicate that the carbon sink intensity effect and the consumption demand effect are important factors inhibiting and promoting carbon sink growth, respectively, while the influence of the input-output technical effect is weak and variable. SPA analysis reveals that carbon sink outputs are primarily transferred to the food and tobacco sector, the agricultural and forestry products and services sector, and the wood processing and furniture industry. The key transfer paths mostly occur within a province, with a relatively small proportion of interprovincial transfer paths. Based on the research findings, this article suggests steadily increasing the proportion of marine product consumption, actively expanding the value chain of shellfish and seaweed industries, continuously strengthening coordination between land and marine industries, and further promoting the domestic circulation of marine carbon sinks. [ABSTRACT FROM AUTHOR]

Inclusive green growth is an essential way to achieve sustainable development. We construct an index system for inclusive green growth performance levels (IGGPLs) in Chinese cities and measure the IGGPLs of 271 cities in the Chinese mainland from 2006 to 2020 based on the vertical and horizontal scatter degree method. We employ the Kernel density method, Dagum Gini coefficient method, Moran index method, and Markov chain method to investigate distribution evolution, regional disparities, spatial correlations, and state transition of IGGPLs at the city level, respectively. The research results reveal that: (1) China's IGGPL has improved rapidly, but regions with lower IGGPLs still predominate. The eastern region is far ahead, followed by the northeastern region, with the western and center regions trailing; (2) The development trends of IGGPLs in the eastern and central regions are positive, with no signs of polarization. Although polarizations are obvious in the western and northeastern but have been improved significantly; (3) Regional differences exist, but are gradually narrowing over time. By decomposing regional differences, we find that regional differences are the main cause of total differences; (4) The IGGPLs of cities have significant spatial correlations, presenting the spatial agglomeration characteristics of "high-high" and "low-low". [ABSTRACT FROM AUTHOR]

Big mobility data (BMD) have shown many advantages in studying human mobility and evaluating the performance of transportation systems. However, the quality of BMD remains poorly understood. This study evaluates biases in BMD and develops mitigation methods. Using Google and Apple mobility data as examples, this study compares them with benchmark data from governmental agencies. Spatio-temporal discrepancies between BMD and benchmark are observed and their impacts on transportation applications are investigated, emphasizing the urgent need to address these biases to prevent misguided policymaking. This study further proposes and tests a bias mitigation method. It is shown that the mitigated BMD could generate valuable insights into large-scale public transit systems across 100+ US counties, revealing regional disparities of the recovery of transit systems from the COVID-19. This study underscores the importance of caution when using BMD in transportation research and presents effective mitigation strategies that would benefit practitioners. [ABSTRACT FROM AUTHOR]

This study investigates waterlogging disasters in winter wheat using the Agricultural Production Systems Simulator (APSIM) model. This research explores the effects of soil hypoxia on wheat root systems and the tolerance of wheat at different growth stages to waterlogging, proposing a model to quantify the degree of waterlogging in wheat. Remote sensing data on soil moisture and wheat distribution are utilized to establish a monitoring system for waterlogging disasters specific to winter wheat. The analysis focused on affected areas in Bengbu and Jingzhou. Experimental results from 2017 to 2022 indicate that the predominant levels of waterlogging disasters in Bengbu and Jingzhou were moderate and mild, with the proportion of mild waterlogging ranging from 30.1% to 39.3% and moderate waterlogging from 14.8% to 25.6%. A combined analysis of multi-source remote sensing data reveals the key roles of precipitation, evapotranspiration, and altitude in waterlogging disasters. This study highlights regional disparities in the distribution of waterlogging disaster risks, providing new strategies and tools for precise assessment of waterlogging disasters. [ABSTRACT FROM AUTHOR]

This study delves into hospital mobility within the Italian regions of Apulia and Emilia-Romagna, interpreting it as an indicator of perceived service quality. Utilizing logistic regression alongside other machine learning techniques, we analyze the impact of structural, operational, and clinical variables on patient perceptions of quality, thus influencing their healthcare choices. The analysis of mobility trends has uncovered significant regional differences, emphasizing how the regional context shapes perceived service quality. To further enhance the analysis, SHAP (SHapley Additive exPlanations) values have been integrated into the logistic regression model. These values quantify the specific contributions of each variable to the perceived quality of service, significantly improving the interpretability and fairness of evaluations. A methodological innovation of this study is the use of these SHAP impact scores as weights in the data envelopment analysis (DEA), facilitating a comparative efficiency analysis of healthcare facilities that is both weighted and normative. The combination of logistic regression and SHAP-weighted DEA provides a deeper understanding of perceived quality dynamics and offers essential insights for optimizing the distribution of healthcare resources. This approach underscores the importance of data-driven strategies to develop more equitable, efficient, and patient-centered healthcare systems. This research significantly contributes to the understanding of perceived quality dynamics within the healthcare context and promotes further investigations to enhance service accessibility and quality, leveraging machine learning as a tool to increase the efficiency of healthcare services across diverse regional settings. These findings are pivotal for policymakers and healthcare system managers aiming to reduce regional disparities and promote a more responsive and personalized healthcare service. [ABSTRACT FROM AUTHOR]

This paper empirically studies the impact of telecommunications infrastructure construction on economic and social innovative development using panel data from 31 provinces in China spanning from 2009 to 2022. The research findings indicate that telecommunication infrastructure significantly promotes innovation in terms of R&D investment, knowledge output, and application output. In addition, at various stages of telecommunication technology development, the impact on innovative development varies. Iterative updates in telecommunication technology drive higher R&D expenditures, facilitating better utilization of innovation outcomes in industries. Moreover, there are regional disparities in the influence of telecommunications infrastructure on economic and social innovative development. In the eastern regions, telecommunications infrastructure construction primarily promotes mobile communication, with clear spillover effects. In contrast, in western regions, it mainly facilitates fixed communication networks. Thus, further strengthening telecommunications infrastructure construction provides a new impetus for social innovative development and long-term sustainability. It is essential to persistently advance the coordinated construction of mobile and fixed communication infrastructure to achieve regional development coordination. [ABSTRACT FROM AUTHOR]

This article provides an in-depth analysis of the evolution and current state of industrial policies in the European Union (EU) from the 1980s to the present day. We specifically focus on the resurgence of interest in such policies from 2020. We argue that industrial policies in the EU during the second half of the 2020s and into the 2030s will differ significantly from previous decades, while acknowledging challenges in fully understanding their scope and implementation. In particular, it is argued that the lack of a meaningful EU fiscal capacity constitutes the biggest challenge for the design and implementation of effective industrial strategies, which risks exacerbating regional and national disparities in the dual transition. [ABSTRACT FROM AUTHOR]

Background: In the United States (US), three types of vaccines are available to prevent invasive meningococcal disease (IMD), a severe and potentially fatal infection: quadrivalent conjugate vaccines against serogroups A, C, W, Y (MenACWY), and monovalent vaccines against serogroup B (MenB) as well as a newly licensed pentavalent vaccine (MenABCWY) protecting against serogroup A, B, C, W, and Y. The CDC's Advisory Committee on Immunization Practices (ACIP) routinely recommends MenACWY vaccine for all 11- to 12-year-olds with a booster dose at 16 years. MenB vaccination is recommended based on shared clinical decision-making (SCDM) for 16- to 23-year-olds. Recently, the pentavalent meningococcal vaccine (MenABCWY) was recommended by the ACIP. Meningococcal vaccine uptake is suboptimal across the country, particularly among individuals with lower socioeconomic status (SES), despite these recommendations. The objective of the spatial analyses was to assess the relationship between stocking of MenACWY and MenB vaccines, area-level SES, and state-level policies. Methods: The number of MenACWY and MenB doses stocked by vaccinators was obtained from IQVIA and the CDC's Vaccine for Children (VFC) program and compiled into a county-level dataset from 2016 to 2019. SES, as measured using the CDC's Social Vulnerability Index (SVI), state-level school recommendations, and universal purchasing programs were among the main county-level covariates included to control for factors likely influencing stocking. Data were stratified by public and private market. Bayesian spatial regression models were developed to quantify the variations in rates of stocking and the relative rates of stocking of both vaccines. Results: After accounting for county-level characteristics, lower SES counties tended to have fewer doses of MenB relative to MenACWY on both public and private markets. Lower SES counties tended to have more supply of public vs. private doses. Universal purchasing programs had a strong effect on the markets for both vaccines shifting nearly all doses to the public market. School vaccination strategy was key for improving stocking rates. Conclusions: Overall, the results show that MenACWY has greater stock relative to MenB across the US. This difference is exacerbated in vulnerable areas without school entry requirements for vaccination and results in inequity of vaccine availability. Beyond state-level policy and SES differences, SCDM recommendations may be a contributing factor, although this was not directly assessed by our model. [ABSTRACT FROM AUTHOR]

The discourse on the ascendancy of city‐regions as a geopolitical framework predominately derives from neoliberal experiences, articulating the interplay between the politics of city‐regional distribution and the evolving role of the state in distribution governance, alongside the challenges related to post‐suburban development. Given the diverse political and economic frameworks across the state, exploring the geopolitics of city‐regional distribution beyond overwhelmed neoliberal assumptions is imperative. This study aims to explicate alternative geopolitics of distribution within China's recent city‐region‐building. Through studying the negotiation and development of two Enclave Industrial Parks (EIPs) in the Pearl River Delta, Southern China, we recontextualise the centrally orchestrated city‐regional distribution within the authoritarian framework of the developmental party‐state. We propose a conceptual framework delineating the transitional rationality of the multi‐scalar state, illustrating the political and territorial negotiation of distribution within a hierarchical resource arrangement. We argue that authoritarian distribution schemes, while manipulating the market regime, do not inherently impede the local distribution. Nonetheless, political and territorial mandates on city‐region‐building, which arbitrarily redefine the opportunities of local communities, perpetuate an authoritarian and contested nature of distribution, ultimately contributing to widening regional development disparities in contemporary China. [ABSTRACT FROM AUTHOR]

Aim: This article examines India's present radiotherapy (RT) machine status and requirements, geographical distribution, and infrastructure need in six regional areas, which include 31 member states and union territories (UTs). It also considers the influence of the COVID-19 pandemic on India's teletherapy sector. Materials and Methods: Data from reliable resources, including Atomic Energy Regulatory Board, Global Cancer Observatory, and Directory of Radiotherapy Centres databases, were used to analyze the current status of RT machine (RTM) density, regional disparity, and COVID-19 impact on infrastructure growth-rate. Results: In India, the number of functioning RTM and facilities are 823 and 554, respectively, with an average of 1.5 RTM per institute, of which 69.4% have only one RTM. Over the past 22 years, there has been a paradigm shift towards medical linear accelerator (linac) installation instead of telecobalt machines. Presently, there is a teletherapy density of 0.6 RTM per million population, and there is a shortfall of 1209 RTMs. There is a considerable regional disparity in the distribution of RTMs, ranging from (0.08 RTM/million-2.94 RTM/million) across different regions. There is a significant demand for RTMs in the Northern region (480) and the state of Uttar Pradesh (279). The COVID-19 pandemic temporarily impacted India's RT growth rate, reducing it from 5% to 1.9% in 2020-2021. Conclusions: New policies must be established to accelerate the rate of RT installation growth. To better serve local populations and save patient costs, this article proposes that RT facilities be dispersed equitably across states. [ABSTRACT FROM AUTHOR]

Advancing agricultural carbon emission efficiency and farmers' income simultaneously is crucial for the sustainable progress of agriculture. Our study centered on 31 provinces and cities in China and investigated regional variances and the dynamic evolution aspects of coordinated development in farmers' income and agricultural carbon emission efficiency, utilising panel data from 2005 to 2021. The analysis revealed the following trends: Firstly, China's overall agricultural carbon emission efficiency was steadily increasing, mainly because of technological advancements. Secondly, the correlation between farmers' income and agricultural carbon emission efficiency in China had notably improved from 0.318 to 0.775. Throughout the observation period, disparities in the levels of coordinated development were observed in various provinces with a diminishing fluctuation, indicating regional disparities as the primary instigator. Thirdly, the level of coordinated development highlighted positive clustering attributes, demonstrating an 'east high, west low' pattern; the evolution of coordinated development levels exhibited stability in maintaining the current status. This study holds significant value for developing countries in enhancing farmers' income and agricultural carbon emission efficiency in a coordinated manner. [ABSTRACT FROM AUTHOR]

The aim of the study is to review the evolution of the Hungarian food retail network between 1989 and 2023 and to analyse the acquisition processes of the firms in order to point out future trends. It was examined how the individual networks have evolved and how the ranking of food retailers has evolved, highlighting the reasons behind them. The aim of the research was to follow the expansion of food retailing multinational and domestic retailers both in space and time. The authors' findings show a steady decline in the number of small food stores and a rise in the number of discounters in the Hungarian grocery stores networks. New trends and sales models in the field of retail 4.0 are posing serious challenges for retailers, which may lead to further transformations in the future. [ABSTRACT FROM AUTHOR]

This study evaluated the measurement invariance of a neuropsychological battery across rural and urban older adults from Costa Rica. Rural and urban older adults (N = 295) from the Epidemiology and Development of Alzheimer's Disease (EDAD) study in Costa Rica were assessed. The baseline factor model for the EDAD neuropsychological measures was identified with nine neuropsychological measures and three cognitive constructs: Verbal Memory, Spatial Reasoning, and Cognitive Flexibility. Measurement and structural invariance were established, and, then, group comparisons of the latent cognitive factors were conducted to explore regional disparities. The findings showed that most of the neuropsychological tests in EDAD can be directly compared across the groups, allowing for cognitive constructs comparisons. The rural sample showed a disadvantage in the Spatial Reasoning and Cognitive Flexibility abilities. When age and education were included in the models, differences between the regions disappeared. Having more years of education was associated with higher cognitive abilities, with a larger effect for the rural group. Norms for Costa Rican older adults should consider age and education adjustments. This study contributes to the growing area of measurement invariance in neuropsychological assessment as it highlights the importance of examining the comparability of assessment measures across different cultural groups. [ABSTRACT FROM AUTHOR]

HIV early detection (CD4 counts ≥350 cells/μL) is correlated with higher life expectancy among people living with HIV (PLHIV). Several factors, including physical, cultural, structural, and financial barriers, may limit early detection of HIV. This is a first-of-its-kind study on population-level differences in early detection of HIV across time within Tajikistan and any country in the Central Asia region. Utilizing the Tajikistan Ministry of Health's national HIV data (N = 10,700) spanning 2010 to 2023, we developed median regression models with the median CD4 cell count as the outcome and with the following predictors: time (years), region, age, gender, and area (urban/rural status). Individuals younger than 19 years old were detected early for HIV, whereas those older than 39 years were detected late. Females were detected earlier compared to their male counterparts regardless of region of residence. Rural populations were detected earlier in most years compared to their urban counterparts. The COVID-19 pandemic accelerated HIV early detection in 2021 but most regions have returned to near pre-pandemic levels of detection in 2022 and 2023. There were differences identified among different demographic and geographic groups which warrant further attention. [ABSTRACT FROM AUTHOR]

Market-driven closures of coal mines have typically been associated with negative economic consequences for the affected regions. In Germany, structural policy directed towards ameliorating the negative effects of hard coal decline in the Ruhr area lagged behind the onset of decline, caused major political conflicts, and has been variously criticized for its reactive character that failed to generate a positive image of the future. The phase-out of lignite coal in Germany, in contrast, is policy-driven and accompanied from the outset by compensatory and investment policies that strive to facilitate regional structural change proactively. Against this backdrop, we investigate how the policies of lignite coal phase-out initiated in 2018 and the accompanying public discourse affect the economic worries of individuals in the remaining three lignite coal mining areas in Germany. We focus on the period 2016–2021, using a longitudinal multilevel design based on regional and individual data from the German Socio-Economic Panel (GSOEP). Overall, probabilities of strong economic worries decrease throughout the observed period. Results show that subjective economic worries do not significantly differ between residents of lignite mining regions and those in the rest of the country. Further robustness analyses confirm that the coal phase-out policy has not increased economic uncertainties in the populations of German lignite mining regions. Based on our results, we discuss the need for future research on the effects of policy designs of clean energy transitions on subjective perceptions of the future. [ABSTRACT FROM AUTHOR]

Uneven regional development fomented by city-centric growth agendas generates significant challenges for regional peripheries. Placing regional margins and other plural geographies at the centre, in this article we apply a normative framework based on justice theory to uncover the dominance of urban viewpoints in urban regional development policy. Departing from Nancy Fraser's three-dimensional justice theory, we provide a deconstruction of city-centrism by illustrating how regional disparities in two regions in Sweden are not only reproduced by economic maldistribution but also by political misrepresentation and cultural misrecognition. By doing so, we illustrate the fruitfulness of applying a normative justice framework to create a broader understanding of factors that contribute to the political production of uneven regional development and need to be addressed if a transformative and progressive change is to occur. [ABSTRACT FROM AUTHOR]

The promotion of R&D carries the risk that economically strong regions will benefit to a greater extent and that regional disparities will increase by focusing the economy on high technology. However, this is expected to depend on the specific sectoral and technological composition of R&D funding. R&D funding for a bio-based economy in Germany is particularly illustrative for a shift in funding focus from a narrow concept of biotechnology to a broader concept of bioeconomy. Along with this shift, an impact on the spatial distribution of R&D funding is assumed. Against the background of inclusive innovation policy, this study examines the potential of the bioeconomy for a reduction of regional disparities in public R&D funding. Based on a database containing publicly-funded R&D projects in Germany and further regional data, comparative regressions are conducted in order to identify spatial patterns. The results demonstrate distinct funding mechanisms in the different areas of the bioeconomy. The broadening of R&D funding for bio-based activities from the biotechnology vision towards bioresources and bioecology leads to a greater participation of rural and lagging regions which is expected to be the result of the inclusion of more traditional industries as recipients of R&D funding. [ABSTRACT FROM AUTHOR]

The cohesion policy in the European Union aims to reduce regional disparities and stimulate economic development through the application of various financial instruments. The synchronization of national legal regulations with the European regulatory framework necessitates the amendment and supplementation of applicable and existing legal acts specifically related to the management of funds from European funds under shared management. This article presents the cohesion policy of the European Union and the impact of its implementation on regional policy in Bulgaria. The study pays special attention to the application of the regulatory framework regarding the “cohesion policy” in the context of implementing local self-government and local administration. Following Bulgaria‘s accession to the European Union in 2007, the country has utilized the European Union‘s structural funds to reduce regional disparities, enhance economic growth, and promote sustainable development. This research evaluates the effectiveness of these policies, their role in the regional transformation of Bulgaria, and the latest challenges and future prospects. [ABSTRACT FROM AUTHOR]

This study explores the geographical analysis of the financial performance of accommodation facilities in Slovakia, focusing on regional differences and stability indicators. The increasing interest in understanding how geographical factors and location affect the financial stability and performance of these facilities provides the backdrop for this research. The aim is to analyze and identify key financial indicators that contribute to the stability of accommodation facilities in various regions of Slovakia and to determine how these indicators differ regionally. To achieve this, the study employs a combination of descriptive statistics, analysis of variance (ANOVA), and clustering methods (k-means). Financial data from 405 accommodation facilities were analyzed, focusing on indicators such as assets, equity, profit, revenue, return on equity (ROE), and EBITDA. The ANOVA method was used to test the statistical significance of regional differences in these financial metrics, while k-means clustering helped group firms based on their financial stability. The results reveal significant regional disparities in financial performance. Regions like Bratislava and Žilina host larger, more profitable companies, whereas regions such as Prešov and Košice exhibit higher financial risks and negative equity. The study identifies the debt -toequity ratio and EBITDA as crucial indicators of financial stability, highlighting their variability across regions. These findings offer valuable insights for investors and managers in the hospitality industry, aiding in strategic decision -making regarding the placement and management of accommodation facilities. [ABSTRACT FROM AUTHOR]

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Vegetation is an important link between land, atmosphere, and water, making its changes of great significance. However, existing research has predominantly focused on long-term vegetation changes, neglecting the intra-annual variations of vegetation. Hence, this study is based on the Enhanced Vegetation Index (EVI) data from 2000 to 2022, with a time step of 16 days, to analyze the intra-annual patterns of vegetation changes in China. The average intra-annual EVI values for each municipal-level administrative region were calculated, and the time-series k-means clustering algorithm was employed to divide these regions, exploring the spatial variations in China's intra-annual vegetation changes. Finally, the ridge regression and random forest methods were utilized to assess the drivers of intra-annual vegetation changes. The results showed that: (1) China's vegetation status exhibits a notable intra-annual variation pattern of "high in summer and low in winter," and the changes are more pronounced in the northern regions than in the southern regions; (2) the intra-annual vegetation changes exhibit remarkable regional disparities, and China can be optimally clustered into four distinct clusters, which align well with China's temperature and precipitation zones; and (3) the intra-annual vegetation changes demonstrate significant correlations with meteorological factors such as dew point temperature, precipitation, maximum temperature, and sea-level pressure. In conclusion, our study reveals the characteristics, spatial patterns and driving forces of intra-annual vegetation changes in China, which contribute to explaining ecosystem response mechanisms, providing valuable insights for ecological research and the formulation of ecological conservation and management strategies. [ABSTRACT FROM AUTHOR]

The article examines the ongoing debate surrounding the allocation of public funding to regions that have experienced economic decline or stagnation. Some economists argue against providing more funding to these areas, claiming that it would not generate significant economic returns compared to investing in more prosperous regions. This debate has led to narratives suggesting that elites in the capital are unfairly depriving these regions of their fair share of funding, which has contributed to the rise of populist and Eurosceptic parties. The article highlights the importance of transparency in the distribution of public funding and presents six benchmarks for determining a fair allocation, including autonomy, efficiency, continuity, equality of input, equality of output, and anti-disparity. The text also discusses the need to address the economic decline in these regions to prevent further decline and reduce the appeal of populist parties, but suggests that efforts should focus on adjusting public services and infrastructure to accommodate smaller populations rather than trying to reverse population decline. The article emphasizes the necessity of reliable data on public expenditure and calls for a more informed and nuanced debate on the distribution of funding. [Extracted from the article]

Small businesses within the digital sector are spread across the USA. However, a significant number of promising small businesses concentrate in major technology hubs, either initially or through relocation. This phenomenon can be attributed to the influential role played by localized markets for financing and acquisition, which is, in turn, driven by the dominant market positions held by major digital platforms. Our research demonstrates a clear pattern of localized acquisition markets, particularly in sectors frequently targeted by the seven largest American digital giants—Amazon, Alphabet (Google), Apple, Microsoft, Meta (Facebook), Oracle, and Adobe, collectively known as 'Big Tech'. This localization trend has become more pronounced between 2000 and 2020. Our analysis indicates that the gravitational pull of these acquisition markets poses challenges to local initiatives aimed at fostering digital businesses. These efforts would be more successful if measures were taken to limit the market influence of digital platforms. [ABSTRACT FROM AUTHOR]

Land disputes have significantly disrupted legal order, production, and social harmony, and has been regarded as a quintessential challenge in public governance, attracting worldwide attentions from scholars. As an emblematic feature of China's latest reform and opening-up strategy, the Yangtze River Economic Belt (YREB) in China has experienced rapid development after entering the new era (2012–2021) alongside substantial risks and challenges, particularly regarding land disputes. Better understanding of the manifestation and formation mechanism of new characteristics of land disputes is beneficial for contemporary public governance and for achieving a high-quality development of the YREB, whose Gross Domestic Product (GDP) accounted for 46.3% of the national GDP in 2023. A total of 325,105 land dispute cases in 11 provinces or municipalities of the YREB from 2012 to 2021 were collected and analyzed. On this basis, an evaluation index system of the new characteristics of land disputes, named the overall land dispute (OLD) index, was constructed according to measurement theory by coupling the interactions of quantity, claim amounts, duration periods, and the appeal rate of land dispute. Then, the OLD index was evaluated by descriptive statistical methods, a geographic information system (GIS) spatial analysis, a center of gravity model, kernel density estimation, and Theil index methods, to reveal the new characteristics and formation mechanisms of land disputes in the YREB from 2012 to 2021. The results indicated that: (1) The OLD index exhibited a trend of an initial increase followed by a decline, indicating that land disputes in the YREB showed signs of alleviation. (2) The government's capacity for resolving land disputes was significantly improved, as evidenced by the decline in the OLD index from 0.59 in 2018 to 0.51 in 2021. This improvement could be attributed to the effectiveness of enhanced governmental working mechanisms, regulatory standards, and the integration of digital technologies. (3) The analysis of the center of gravity model indicated that the focus of land disputes shifted westward, propelled by national policy support for upstream regions of the YREB and the need for land ecological protection. (4) The analysis of kernel density estimation indicated that regional disparities in land disputes within the YREB had declined, driven by a positive trend toward balanced regional development and rural governance. This study provides scientific insights into the new characteristics of land disputes in the YREB and guidance for policy decision making on effective land dispute management. [ABSTRACT FROM AUTHOR]

This paper is a structured dialogue between its four authors on the question "How might future scenarios nourish our thinking about climate action?" A scenario set for the future of European regional inequality in the year 2048, developed by the Horizon Europe funded IMAJINE programme, is used as the prism for this conversation. Each author has a distinct disciplinary and professional background, and initially approaches the question from their own angle. These individual explorations encompass: the nature of climate change and our understanding of it in each IMAJINE scenario; questions of risk and responsibility now and in times to come; the use of scenarios to identify current blind spots and stimulate creative thinking; and the possibility that scenarios might offer fresh perspectives which allow us to reevaluate our notions of the sustainable "good life" and identify vulnerabilities which are overlooked in the present day. The second part of the paper comprises reflections on these individual contributions, with the authors pairing off so that two authors comment on the inputs by the other two, and vice versa. This exemplifies the polyphonic and discursive nature of scenarios, understood as "the art of strategic conversation". The concluding comments reflect on the wider ability of readers, writers, and researchers to use scenario processes and structured conversations like those in this paper to sustain open spaces of mutual uncertainty, exploration, and generation. [ABSTRACT FROM AUTHOR]

Residential energy storage systems offer significant potential for price arbitrage by capitalizing on fluctuations in electricity prices throughout the day. This study investigates the potential revenue from optimal battery scheduling for residential storage in different north-western European electricity price zones during 2023. Using Nord Pool day-ahead prices, we applied an optimization model to determine the revenue for two types of batteries: 5 kW/10 kWh and 10 kW/10 kWh. The analysis considered battery capacity, charging and discharging efficiency, and maximum charge/discharge rates. Our results show notable variations in potential revenue across different regions, with the Baltic states demonstrating the highest revenue potential. The findings indicate that while 10 kW batteries can generate higher total revenue, 5 kW batteries are more efficient in terms of revenue per cycle. These regional disparities underscore the need for targeted incentives and policies to enhance the economic viability of residential energy storage. The research results provide valuable insights into optimizing residential battery storage for price arbitrage, offering guidance for consumers, policymakers, and energy providers to maximize economic benefits in various electricity markets. [ABSTRACT FROM AUTHOR]

Spain is one of the eight EU-27 countries that failed to reduce early school leaving (ESL) below 10% in 2020, and now faces the challenge of achieving a rate below 9% by 2030. The determinants of this phenomenon are usually studied using cross-sectional data at the micro level and without differentiation by gender. In this study, we analyse it for the first time for Spain using panel data (between 2002 and 2020), taking into account the high regional inequalities at the macroeconomic level and the masculinisation of the phenomenon. The results show a positive relationship between ESL and socio-economic variables such as the adolescent fertility rate, immigration, unemployment or the weight of the industrial and construction sectors in the regional economy, with significant gender differences that invite us to discuss educational policies. Surprisingly, youth unemployment has only small but significant impact on female ESL. [ABSTRACT FROM AUTHOR]

The green transition will affect different places in diverse ways, as place specific and contextual factors, such as pre-existing industrial specialisations, shape how transitions unfold in various territories. In the absence of a place-sensitive approach to decarbonisation, regional disparities are likely to intensify. This may make those who will be potentially hard hit reluctant to support policies necessary for reducing GHG-emissions. Research shows that populist parties that have been the most vocal opponents of climate policies in many countries can capitalize on this sentiment. Thus, investigating how both economic and political costs of the transition will be distributed regionally is key to crafting policies that make a just transition possible. By drawing on the findings of Südekum and Rademacher (2024), the text at hand discusses how the costs of the green transition are likely to be distributed among regions in Germany and what to do about it. It calls for a proactive approach to regional policy and outlines how Germany's most important regional policy programme can be updated. [ABSTRACT FROM AUTHOR]

In the context of China's resolute advancement of dual carbon goals (carbon peaking and carbon neutrality), urban agglomerations emerge as pivotal areas for carbon emission mitigation due to their dense economic activities and rapid urbanization. Previous studies overlook regional disparities in carbon emission prediction, disregarding the variations and policy directives across different provinces or cities. Therefore, this study addresses the research gap by investigating synergistic strategies to foster regional carbon peaking within the Beijing-Tianjin-Hebei region. Employing a novel approach tailored to regional segmentation policies, we provide more accurate predictions reflecting real-world conditions and distinct policy landscapes. Meanwhile, we integrate carbon emission efficiency into our analysis, emphasizing the dual goals of emission reduction and quality economic growth. Our empirical investigation in the Beijing-Tianjin-Hebei region, utilizing the Super-SBM and extended STIRPAT models, reveals upward trends in carbon emission efficiency, with varying trajectories across cities. Scenario simulations informed by the "14th Five-Year Plan" demonstrate that under the green development scenario, carbon peaking accelerates, alongside enhanced efficiency, supporting long-term emission reduction. Moreover, we design seven regional synergy carbon peak strategies for scenario simulations to facilitate the rational layout of dual carbon policies for collaborative development. We find that synergistic strategies have proven more effective in reducing regional carbon emission and increasing efficiency than strategies focusing solely on economic development or energy conservation. This innovative finding emphasizes the necessity of comprehensive green development in the Beijing-Tianjin-Hebei region and provides strong evidence for policymakers. Our research contributes to targeted strategies for improving carbon emission efficiency and reducing emissions, emphasizing the importance of synergistic approaches for regional carbon reduction. [ABSTRACT FROM AUTHOR]

Pediatric burn care is an essential component of emergency care and there are disparities in access to regional burn centers. Teleburn is a tool that enables providers without a certified burn center to provide photos of a burn to experts and receive recommendations. The purpose of this study is to evaluate the effectiveness of a Teleburn system to the in-person consultation regarding burn infection rate, clinic follow-up rate, postburn admission rate, and 72-h bounce back rate. Data were collected from December 2019 to March 2022 through the electronic medical record. A total of 416 patient encounters that met the criteria were analyzed. A non-inferiority study was designed comparing proportional outcomes of Teleburn initial visits to emergency department visits regarding burn infection rate, clinic follow-up rate, postburn admission rate, and 72-h bounce back rate. The data were compared with a difference of greater than 10% being considered inferior. No differences were identified in rates of readmission—1.67% difference (95% CI −27%< x < 23.8%) and return within 72 h—0.7% difference (−18.4%< x < 19.7%). Teleburn patients were 12.6% less likely to follow-up (2.7%< x < 22.40%). Only one infection was identified, which was insufficient to conclude non-inferiority. While convenient, Teleburn consult could not be demonstrated to be non-inferior to in-person consultation. No differences in infection rates were identified, and differences in readmission and return were clinically insignificant. This study demonstrates that Teleburn may be effective and feasible for regional burn centers if follow-up can be improved. [ABSTRACT FROM AUTHOR]

This paper examines the trends in life expectancy and life disparity among the older population in China and its sub-national regions based on China National Population Census data from 1981 to 2020, using the life disparity indicator developed by Zhang and Vaupel. It is shown that, first, the life expectancy of the older population in both China and its sub-national regions has experienced a significant upward trend; however, the growth is uneven across regions. Second, life disparities due to deaths among the elderly in China and its sub-national regions followed a downward trend, but life disparities due to deaths among the elderly as a ratio of total life disparities increased, indicating an increasing importance of deaths among the elderly in life disparities amid overall mortality improvements. Third, multiple linear regression models indicate that variations in life expectancy and life disparity among the older population across regions in China may stem from uneven development in the health transition process and resulting disparities. The eastern region of China has experienced a faster health transition compared to the western region, as evidenced by the greater impact of investments in medical facilities and economic development levels on increasing old-age life expectancy and reducing old-age life disparities in the eastern region. This paper reveals that the life expectancy and life disparity of China's older population has improved considerably over the past four decades, and its relatively lagging improvement compared to that of developed countries over the same period may be related to the relatively lagging health transition in the western region of the country. [ABSTRACT FROM AUTHOR]

Climate variability has become one of the most pressing issues of our time, affecting various aspects of the environment, including the agriculture sector. This study examines the impact of climate variability on Ghana's maize yield for all agro-ecological zones and administrative regions in Ghana using annual data from 1992 to 2019. The study also employs the stacking ensemble learning model (SELM) in predicting the maize yield in the different regions taking random forest (RF), support vector machine (SVM), gradient boosting (GB), decision tree (DT), and linear regression (LR) as base models. The findings of the study reveal that maize production in the regions of Ghana is inconsistent, with some regions having high variability. All the climate variables considered have positive impact on maize yield, with a lesser variability of temperature in the Guinea savanna zones and a higher temperature variability in the Volta Region. Carbon dioxide (CO2) also plays a significant role in predicting maize yield across all regions of Ghana. Among the machine learning models utilized, the stacking ensemble model consistently performed better in many regions such as in the Western, Upper East, Upper West, and Greater Accra regions. These findings are important in understanding the impact of climate variability on the yield of maize in Ghana, highlighting regional disparities in maize yield in the country, and highlighting the need for advanced techniques for forecasting, which are important for further investigation and interventions for agricultural planning and decision-making on food security in Ghana. [ABSTRACT FROM AUTHOR]

Given limited institutional resources, low-income populations often rely on social networks to improve their socioeconomic outcomes. However, it remains in question whether small-scale social interactions could affect large-scale economic inequalities in under-resourced contexts. Here, we leverage population-level data from one of the poorest South African settings to construct a large-scale, geographically defined, inter-household social network. Using a multilevel network model, we show that having social ties in close geographic proximity is associated with stable household asset conditions, while geographically distant ties correlate to changes in asset allocation. Notably, we find that localised network interactions are associated with an increase in wealth inequality at the regional level, demonstrating how macro-level inequality may arise from micro-level social processes. Our findings highlight the importance of understanding complex social connections underpinning inter-household resource dynamics, and raise the potential of large-scale social assistance programs to reduce disparities in resource-ownership by accounting for local social constraints. Yu and colleagues leverage population-level data to construct a large-scale, geographically defined, inter-household social network. Using a multilevel network model, they show that having social ties in close geographic proximity is associated with stable household asset conditions, while geographically distant ties correlate to changes in asset allocation. Notably, they find that localised network interactions are associated with an increase in wealth inequality at the regional level, demonstrating how macro-level inequality may arise from micro-level social processes. [ABSTRACT FROM AUTHOR]

Improving individual health not only enhances labor productivity but also boosts the productivity of society as a whole. China's economic development is in urgent need of transitioning from being driven by factors to being driven by innovation, which places higher demands on Health Human Capital (HHC). An evaluation system consisting of 18 indicators across four dimensions—basic health, preventive healthcare, medical resources, quality, and healthy environment—was used to calculate the HHC index of 31 provinces and cities in China from 2005 to 2019 using the entropy method. Following that, this study assessed the influence of HHC on economic growth using endogenous growth theory and the Corgis production function. Firstly, we discovered that the level of home healthcare services in China is on a steady incline, with eastern China showing better results compared to western and northeastern regions. Secondly, enhancing HHC will lead to a rise in the local real per capita GDP and foster economic growth, although there may be regional disparities. Thirdly, provinces with a higher level of economic development exhibit a more significant promoting effect, with southern China showing a greater impact than northern China. China should continue to prioritize both efficiency and equity in the allocation of medical and health resources, while also working to reduce the disparities in HHC development among different regions. [ABSTRACT FROM AUTHOR]

Energy transition, as a crucial aspect of the country's high-value-added economic development, involves the construction of an energy transition index system and empirical analysis using methods such as the entropy weighting method, kernel density estimation, Markov chain, Dagum Gini coefficient, σ-convergence, and β-convergence. This study measures the level of energy transition in 280 Chinese cities from 2010 to 2019 and analyzes their evolutionary trends, regional disparities, structural differences, and convergence. The findings reveal that China's energy transition generally exhibits characteristics of "improvement in development levels and reduction in absolute disparities". The disparities in energy transition primarily stem from developmental differences among the three major regions, displaying typical σ-convergence and β-convergence characteristics. This analysis contributes to understanding the real level and distribution features of China's energy transition, providing a basis for identifying focal points for enhancing energy transition in the current and future stages. [ABSTRACT FROM AUTHOR]

Cervical cancer (CC) continues to be a significant global health issue, which in part can be attributed to disparities in access to CC screening services. This study aims to conduct a trend of CC in Kazakhstan and to compare attitudes towards the screening program between women living in urban and rural areas. In the first stage, we conducted a trend study of CC indicators in Kazakhstan using official statistics. In the second stage, a cross-sectional study was conducted using a structured questionnaire to assess adherence to screening. The trend study reveals a decline in cervical cancer mortality rates (from 7.15 to 5.93 per 100,000 female inhabitants) over the period studied, while the incidence remains stable (from 18.51 to 19.38 per 100,000 female inhabitants). Regional variations in Period Prevalence rates were observed. Significant differences were found in screening participation rates between urban n = 41 (74%) and rural n = 23 (38%) women, p < 0.001, as well as awareness of the screening program (urban: n = 15 (27%), rural: n = 35 (58%), p < 0.001). The trend study highlights a decrease in cervical cancer mortality rates over the specified period, accompanied by a consistent incidence rate. Additionally, regional disparities in period prevalence rates of cervical cancer were observed. The primary factor contributing to the low adherence of rural women to screening was found to be a lack of awareness regarding the screening program. Therefore, increasing awareness about the importance of screening is crucial for improving adherence rates among rural women in Kazakhstan. [ABSTRACT FROM AUTHOR]

Oral health is high on the global agenda following the adoption of the 2022 global strategy on oral health at the 75th World Health Assembly. Given the global burden of oral disease, workforce development to achieve universal health coverage [UHC] is crucial to respond to population needs within the non-communicable disease agenda. The aim of this paper is to present an overview of the oral health workforce [OHWF] globally in relation to key contextual factors. Data from the National Health Workforce Accounts and a survey of World Health Organization [WHO] member states were integrated for analysis, together with country-level data on population and income status. Data are presented using the WHO categorisation of global regions and income status categories established by the World Bank. Workforce densities for key OHWF categories were examined. Multiple regression was used to model workforce density and contextual influences. Challenges and possible solutions were examined by country income status. There are approximately 3.30 dentists per 10,000 population globally, and a combined OHWF [dentists, dental assistants/therapists and dental prosthetic technicians] of 5.31 per 10,000. Marked regional inequalities are evident, most notably between WHO European and African regions; yet both make greater use of skill mix than other regions. When adjusted by region, 'country income status' and 'population urbanization' are strong predictors of the workforce density of dentists and even more so for the combined OHWF. Maldistribution of the workforce [urban/rural] was considered a particular workforce challenge globally and especially for lower-income countries. Strengthening oral health policy was considered most important for the future. The global distribution of dentists, and the OHWF generally, is inequitable, with variable and limited use of skill mix. Creative workforce development is required to achieve the global oral health agenda and work towards equity using innovative models of care, supported by effective governance and integrated policies. [ABSTRACT FROM AUTHOR]

Background: In China, economic, urbanization, and policy differences between the eastern and western regions lead to uneven healthcare resources. This disparity is more pronounced in the west due to fewer healthcare personnel per thousand individuals and imbalanced doctor-to-nurse ratios, which exacerbates healthcare challenges. This study examines the spatial distribution of human resources in maternal and child healthcare from 2016 to 2021, highlighting regional disparities and offering insights for future policy development. Methods: The data were sourced from the "China Health and Family Planning Statistical Yearbook" (2017) and the "China Health and Health Statistics Yearbook" (2018–2022). This study utilized GeoDa 1.8.6 software to conduct both global and local spatial autocorrelation analyses, using China's administrative map as the base dataset. Results: From 2016 to 2021, there was an upward trend in the number of health personnel and various types of health technical personnel in Chinese maternal and child healthcare institutions. The spatial distribution of these personnel from 2016 to 2021 revealed clusters characterized as high-high, low-low, high-low and low-high. Specifically, high-high clusters were identified in Guangxi, Hunan, Jiangxi, and Guangdong provinces; low-low in Xinjiang Uygur Autonomous Region and Inner Mongolia Autonomous Region; high-low in Sichuan province; and low-high in Fujian and Anhui provinces. Conclusions: From 2016 to 2021, there was evident spatial clustering of health personnel and various health technical personnel in Chinese maternal and child healthcare institutions, indicating regional imbalances. [ABSTRACT FROM AUTHOR]

New urbanization (NU) and ecological welfare performance (EWP) play pivotal roles in achieving sustainable urban development, with both emphasizing social equity and environmental management. Exploring the coordinated relationship between EWP and NU is invaluable for understanding the symbiotic interplay between humans and nature. We constructed a framework to elucidate the coupling mechanism of EWP and NU from the perspective of systems theory. We quantified the levels of NU and EWP utilizing the entropy weighting method and the super-efficient SBM method, respectively. Furthermore, we assessed the degree of coupling coordination between the two using the coupling coordination degree model (CCDM). Spatial and temporal evolution analysis was conducted, and factors influencing the degree of coupling coordination between EWP and NU were explored through a spatial–temporal geographically-weighted regression model (GTWR). The results indicate: (1) During the study period, the average annual increase in EWP in the study area was 2.59%, with a narrowing relative gap between cities. Conversely, the average annual increase in the level of NU was 7.6%, with demographic and economic dimensions carrying the highest weights. (2) The type of coupling coordination between EWP and NU transitions from basic coordination to moderate coordination, with the development of EWP lagging behind that of NU. (3) City size demonstrates a positive yet diminishing trend on the coupling coordination level, with economic development exerting the greatest influence and exhibiting a "V" trend, while the impact of green technology innovation diminishes negatively. Additionally, regional disparities are significant, with city size exhibiting a negative impact in areas of high population density and low economic levels, and green technology innovation showing notable polarization characteristics in core cities. These findings serve as a foundation for fostering coordinated ecological development amid the rapid urbanization process of the Chengdu–Chongqing Economic Circle. [ABSTRACT FROM AUTHOR]

Background: Medical service efficiency is an important indicator for measuring the equity of medical services. Therefore, this study primarily focuses on investigating the spatiotemporal domain to explore both spatial and temporal characteristics, as well as influencing factors that affect medical service efficiency across diverse provinces in China. Methods: The super Epsilon-based Measure (EBM) unexpected model has previously been utilized to quantify energy eco-efficiency, carbon emission efficiency, and green development efficiency. However, limited studies have applied this method to assess the efficiency of healthcare services. Therefore, this study investigates the application of the super-EBM-unexpected model in evaluating medical service efficiency, and further integrates spatial econometric models to explore the influencing factors of medical service efficiency and aims to identify potential avenues for improvement. Results: The average efficiency of medical services in the 31 provinces of China ranges from 0.6 to 0.7, indicating predominantly low efficiency values. However, economically developed coastal areas exhibit relatively high efficiency levels above 1. Conversely, regions with relatively lower levels of economic development demonstrate lower efficiency rates at approximately 0.3. Evidently, substantial regional disparities exist. For the influencing factors, the enhancement of residents' living standards can effectively foster the medical service efficiency, while residential living standards of nearby areas can also exert an impact in this region. The influence of educational attainment on medical service efficiency exhibits a significant inhibitory effect. Conclusions: The majority of China's 31 provinces exhibit suboptimal medical service efficiency, with notable regional disparities. Future policy initiatives should be tailored to address the unique challenges faced by regions with lower levels of economic development, prioritizing enhancements in both the efficacy and quality of their healthcare systems. [ABSTRACT FROM AUTHOR]

The deep integration of higher education with digital technology represents an inevitable trend, and evaluating the interplay between higher education resources (HER) and digital infrastructure construction (DIC) holds significant value for advancing the development of digital higher education and mitigating regional disparities in China. This study establishes two comprehensive evaluation frameworks for HER and DIC. Panel data from 31 provinces, spanning the period from 2011 to 2020, are utilized for analysis. The coupling coordination degree (CCD) model is employed in this work to evaluate the synergy between HER and DIC in China. Furthermore, we analyze the regional differences, spatial distribution, and trend evolution of this synergy. The study results revealed that there is an initial decrease followed by an increase in the synergy between HER and DIC, and the overall CCD is at a moderate coordination, with the mean CCD of the eastern region being significantly higher than that of the other three regions, and the inter-regional difference is the main source of regional disparity in this synergy. The current state of synergistic development reveals a slight inclination towards multi-polarization, although the disparity in regional development was decreasing. Additionally, there is an observed convergence in the coordinated development of HER and DIC, with spatial factors playing a significant role. These findings offer empirical support for efforts to enhance the integration of HER and DIC, reduce regional disparities in higher education, and foster sustainable development in China's higher education sector. [ABSTRACT FROM AUTHOR]

This paper sets two questions. (a) What changes has the pandemic engendered? (b) How should the government connect these changes to efficient administration?. Three changes can be delineated. (a) The Special Law established a prefectural-centered management. (b) Substantial power was assigned to the governors. (c) The effectiveness of inter-prefectural cooperation is reflected. The governments face the challenges: (a) demand for strengthening public health administration, (b) difficult complex financial management, and (c) regional disparities. The governments are trying to overcome these challenges. This paper focuses on (a) the enrichment of medical welfare personnel and (b) living shift and local revitalization. [ABSTRACT FROM AUTHOR]

The Southern African Mission in Mozambique (SAMIM) has been relatively under-researched in view of its conception among Mozambicans. This study used views, insights and attitudes of Mozambicans in Johannesburg, South Africa on the relevance of the SAMIM's counterinsurgency efforts in Cabo Delgado. While the deployment of the SAMIM's forces serve to minimise the effects of terrorism and set a platform on which addressing the root causes of insurgency and is motivated by the desire for lasting peace, the findings of this study revealed that it falls short of addressing high levels of poverty, marginalises the views of disgruntled Mozambicans, and cannot address regional disparities between the southerners and northerners in Mozambique. Consequently, the participants argued that the SAMIM's approach holds no prospect of denying insurgency the necessary sustenance and support to survive. The study recommended leveraging the use of local assemblies and incorporating views of marginalised and disgruntled Mozambicans within the SAMIM's counterinsurgency strategy to address structural violence that abets and sustains insurgents in Cabo Delgado. [ABSTRACT FROM AUTHOR]

There is a cyclical nature to the dilemmas confronting international donors willing to operate in Myanmar. Brief periods of relative openness led to rapid surges in development assistance, regularly interrupted by long phases of military rule and disengagement by donors. Amidst all this, many predicaments remain. This article engages with one of them: the inequality between regions. How have international donors reacted to the issue of domestic regional inequality? Recent studies suggest that official development assistance (ODA) does not target poor regions very well, but it is not always clear why this is the case. Myanmar's sudden, yet uneven and unequal liberalization from 2011 to 2021 catalyzed huge inflows of ODA, while it also confronted donors with new policy dilemmas. The article shows that aid providers struggle with the problem of rising regional inequality, especially for political reasons. Donor and recipient interests often do not align well on this issue. In the case of Myanmar, donors who press for regional inequality to sit prominently on the agenda might fare less successfully than those who address the issue indirectly. The article concludes that regional inequality and the politics of targeting deserve a more central role in the political economy of ODA. [ABSTRACT FROM AUTHOR]

Drawing on a highly detailed database of anonymized tax returns (N = 400,000) from Czechia (2008–2020), we aim to describe and explain regional patterns in individual giving. The key research question is to what extent regional differences are shaped by individual factors and to what extent by factors at the regional level, including regional economic performance and structure (industrial, ownership), position in the urban hierarchy, human and social capital, rurality, and political preferences. Czechia is a relatively small, developed, and ethnically homogeneous country, with a centralised tax system. Potential regional differences in individual giving are likely to be driven by particularities of economic structure and/or social capital. Hierarchical linear regression models with fixed effects were employed to distinguish the effects of these two groups of factors. [ABSTRACT FROM AUTHOR]

Beans are a traditional grain crop consumed by humans that is of great importance for food security and farmers in terms of income in Brazil. Paraná is one of the largest bean-producing states in the country, but the area needed for its production is being lost, changing the dynamics of bean cultivation, and generating social and economic impacts. The objective of this study was to verify the spatiotemporal and economic dynamics of bean production in Paraná. For this purpose, using mainly data from the 2006 and 2017 agricultural censuses, the location quotient, the Hirschman–Herfindahl Index (HHI), the Williamson coefficient (V w), exploratory spatial data analysis (ESDA), and principal component analysis (PCA) were applied. From the results, it was possible to verify that there was a 13.95% reduction in the number of municipalities that specialized in bean production, from 98 municipalities in 2006 to 86 in 2017. Most specialized municipalities produced black beans or a combination of other colored beans. The HHI revealed that the specialized municipalities accounted for the most income from bean production. The V w indicated that the economic development of the central-eastern and southeastern Paraná mesoregions was related to bean production. Based on the ESDA, it was found a statistically significant and positive presence of spatial concentration in 2006 (Moran' I = 0.36) and 2017 (Moran' I = 0.51). Based on the PCA, it was possible to identify two main components that together explained 71.52% of the data variability. The reduction in the planted area, the decrease in the number of specialized municipalities, and the concentration of income from bean production in some municipalities make it difficult to reduce regional disparities in Paraná, and in addition, these factors increase concern about food security; thus, public policies are needed to reduce such impacts. [ABSTRACT FROM AUTHOR]

The Czech healthcare system primary care segment, comprising general practitioners and pediatricians, faces persistent challenges due to the unbalanced and aging workforce of physicians. Ensuring adequate generational turnover in this sector is threatened at the national level and will exert an even more significant impact regionally. The changing age structure of the population will also play a crucial role in shaping the future demand for healthcare services. Using data obtained from the largest Czech health insurance company, this article highlights current regional disparities regarding the number, structure and capacity of general practitioners and pediatricians. It estimates the potential decline in the availability of physicians due primarily to advancing age – it has been estimated that almost 40% of general practitioner and 55% of pediatrician capacity will be withdrawn by 2035. Using regional population projections, the study determines the capacity required in each region to maintain the appropriate doctor/patient ratios. The results of the projections serve to raise awareness of the impact of changing age structures on the future supply of, and demand for, healthcare. Although the study does not determine a precise estimate of unfilled capacity, it prompts further discussions on ensuring accessible healthcare in the future. [ABSTRACT FROM AUTHOR]

Canada's decentralized healthcare system may lead to regional disparities in survival among Canadians diagnosed with central nervous system (CNS) tumours. We identified 50,670 patients diagnosed with a first-ever primary CNS tumour between 2008 and 2017 with follow-up until 31 December 2017. We selected the four highest incidence histologies and used proportional hazard regression to estimate hazard ratios (HRs) for five regions (British Columbia, Prairie Provinces, Ontario, Atlantic Provinces and the Territories), adjusting for sex, tumour behaviour and patient age. Ontario had the best survival profile for all histologies investigated. The Atlantic Provinces had the highest HR for glioblastoma (HR = 1.26, 95% CI: 1.18–1.35) and malignant glioma not otherwise specified (NOS) (Overall: HR = 1.87, 95% CI:1.43–2.43; Pediatric population: HR = 2.86, 95% CI: 1.28–6.39). For meningioma, the Territories had the highest HR (HR = 2.44, 95% CI: 1.09–5.45) followed by the Prairie Provinces (HR = 1.52, 95% CI: 1.38–1.67). For malignant unclassified tumours, the highest HRs were in British Columbia (HR = 1.45, 95% CI: 1.22–1.71) and the Atlantic Provinces (HR = 1.40, 95% CI: 1.13–1.74). There are regional differences in the survival of CNS patients at the population level for all four specific histological types of CNS tumours investigated. Factors contributing to these observed regional survival differences are unknown and warrant further investigation. [ABSTRACT FROM AUTHOR]