Xiaoxuan Zhang

Purpose COVID-19 has severely affected urban and rural tourism in China, which has been extensively reported in the newspapers. This paper aims to discuss the impact of COVID-19 on urban and rural tourism at each critical juncture of the COVID-19 pandemic, as well as the studies, measures and attitudes of various stakeholders toward urban and rural tourism and their future development. Design/methodology/approach This paper collects Chinese news reports as the research object and uses ROST Content Mining 6.0 and Gephi software to analyze and visualize the data for high-frequency words and analyzed the discourse of stakeholders within the newspaper text. Findings This study found that prior to February 20, 2020, the Chinese Government mainly focused on pandemic prevention. From February 21 to April 3 (before The Qingming Festival), resumption of work and production became the theme. From April 4 to May 1 (before May Day), a time-sharing reservation system was widely implemented and the differentiation between urban and rural tourism became more prominent. After May 1, rural tourism attracted greater attention. Originality/value This paper uses discourse analysis to understand the impact of COVID-19 on urban and rural tourism from the perspective of time nodes and the relationship between various stakeholders and predicts the development trends within urban and rural tourism. This paper enriches and expands tourism management knowledge in the face of major crises, providing valuable advice for managers and investors and makes suggestions for the development of urban and rural tourism.

BACKGROUND: To investigate the clinicopathological features of recurrent papillary thyroid carcinoma (PTC). METHODS: A retrospective analysis on clinical and pathological data of 34 patients with recurrent PTC was carried out. A total of 281 patients with non-recurrent PTC during the same time period were chosen as the control group. RESULTS: Patients were divided into three groups according to the pathological subtype. The number of patients belonging to Groups 1, 2, and 3 were 28, 154, and 133, respectively. 78 patients underwent partial or whole thyroidectomy, 151 cases underwent thyroidectomy combining neck regional lymph node dissection, and 86 patients underwent thyroidectomy combining modified or radical neck dissection. Univariate analysis showed that PTC recurrence was associated with tumor size, extrathyroid invasion, initial surgery approach, lymph node metastasis, and pathological subtype (P < 0.05). Patient age, gender, complication with Hashimoto's thyroiditis, and multifocality were unrelated to PTC recurrence (P > 0.05). Multivariate analysis showed that initial surgery approach and pathological subtype perform important functions in PTC recurrence (P < 0.001). Initial surgery approach presented a negative correlation with PTC recurrence (β = -0.320, OR = 0.726). The pathological subtype was also related to PTC recurrence (β = 0.923, OR = 2.517). CONCLUSION: PTC patients without neck dissection showed greater likelihood of postoperative recurrence. Patients with the tall cell, columnar cell, diffuse sclerosing, and oncocytic variants showed a higher propensity for PTC recurrence after operation compared with those who did not. Tumor volume, extrathyroid invasion, and multiple lymph node metastases at the time of initial operation were also significantly related to postoperative recurrence. Follow-up supervision must be enhanced after initial treatment to mitigate PTC recurrence in susceptible patients. Effective and standard treatments must be adopted immediately after the discovery of recurrence.