Ecological and socioeconomic effects of China's policy for grassland eco-compensation

To reverse the continuous deterioration of grassland ecology and to improve the well-being of herders, China has been formulating many national policies on payments for grassland ecological conservation. One of them, the Grassland Eco-compensation Policy(GEP), is the biggest program for grassland protection in China since 1949. The GEP conserves natural grassland by paying herders cash subsidies. It also has worldwide significance because it can increase vegetative cover, improve the ecological balance, increase carbon sequestration and lessen the amount of dust reaching other countries through inhibiting soil erosion. Overall, we find that its ecological and socioeconomic effects are beneficial and further benefits may be observed in the future because while the socioeconomic effects usually appear quickly, ecological effects may take longer to manifest. 2015 is the last year for the first round of the GEP policy implementation and the extended policy for the GEP will be approved and continued by the central government. To make the policy more successful, we suggest coordinated planning, a comprehensive overview, higher compensation and collaborative study. Efficient implementation of the GEP could also provide valuable experience for other eco-compensation programs in China and numerous other regions of the world.

Impact of early or delayed elective resection in complicated diverticulitis

AIM： To investigate the outcomes of early and delayed elective resection after initial antibiotic treatment in patients with complicated diverticulitis. METHODS： The study, a non-randomized comparison of the two approaches, included 421 consecutive patients who underwent surgical resection for complicated sigmoid diverticulitis （Hinchey classification I - II ） at the Department of Surgery, University Medical Center Hamburg-Eppendorf between 2004 and 2009. The operating procedure, duration of hospital and intensive care unit stay, outcome, complications and socioeconomic costs were analyzed, with comparison made between the early and delayed elective resection strategies. RESULTS： The severity of the diverticulitis and American Society of Anesthesiologists score were comparable for the two groups. Patients who underwent delayed elective resection had a shorter hospital stay and operating time, and the rate of successfully completed laparoscopic resections was higher （80% vs 75%）. Eight patients who were scheduled for delayed elective resection required urgent surgery because of complications of the diverticulitis, which resulted in a high rate of morbidity. Analysis of the socioeconomic effects showed that hospitalization costs were significantly higher for delayed elective resection compared with early elec- tive resection （9296 ± 694 vs 8423 ± 968 ; P = 0.001）. Delayed elective resection showed a trend toward lower complications, and the operation appeared simpler to perform than early elective resection. Nevertheless, delayed elective resection carries a risk of complications occurring during the period of 6-8 wk that could necessitate an urgent resection with its consequent high morbidity, which counterbalanced many of the advantages.