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Mr. Daniel Fiott is a Doctoral Researcher at the Institute for European Studies, Free University of Brussels (VUB), a Fellow of the Research Foundation – Flanders (FWO) and a Senior Editor of the online magazine European Geostrategy.
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Mary L Trump, the niece of Donald Trump wrote a book which was published during the us presidential elections capaign in 2020. In this book she tries to show, without giving arguments or evidence, that Donald Trump is inappropriate to be president of the US. In the last 40 pages she enters the field of political analysis, blaiming Donald Trump for different facts that are difficult to prove. The book seems more like a revange taken against Donald Trump because Mary Trump and her brother as well as her late father, have been excluded from the Trump family and from the inheritance that they expected / considered to deserve. Our conclusion is that – if Mary Trumps statements are true – both parties were wrong in means of family business.
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Introduction Emerging strains of Klebsiella pneumoniae resistant to different antibiotics, especially metallo-beta-lactamase-(MBL)-producing isolates, are major therapeutic problems worldwide. The aim of this study was to determine the prevalence of MBL-producing K. pneumoniae and their antimicrobial pattern. Methods This descriptive study included 100 K. pneumoniae isolates recovered from inpatients and outpatients, which were referred to 3 hospitals in Hamadan, Iran. In this study antibiotic susceptibility was determined using disk diffusion and E-test. MBL-producing isolates were detected by the double disk synergy test (DDS test). Furthermore, the frequency of blaVIM-1, blaVIM-2 and blaIPM-1 genes was investigated using PCR. Results The highest resistance rate was observed to cefixime (48%), followed by ceftriaxone (47%) and cefotaxime (46%). In contrast, the most active antibiotic agents against K. pneumoniae were meropenem (95%) and imipenem (88%). The frequency of MBL and multidrug-resistant isolates were 5% and 43%, respectively. Also, only blaVIM-1 was detected in 5% of the isolates. Conclusion In summary, our results showed that the most effective antibiotic agents for the treatment of infections caused by K. pneumoniae strains in this region are meropenem and imipenem.
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Introduction Early identification and determination of antimicrobial susceptibilities of microorganisms growing in blood cultures is crucial as delay can lead to increased mortality, morbidity and cost. This study was done to evaluate the usefulness of the FilmArray blood culture identification (FA-BCID) in comparison with conventional techniques in early identification and antimicrobial initiation. Methods This was a single centre, prospective study conducted in a 24-bed critical care unit (CCU) of a tertiary care hospital at Chennai, India between October 2016 and December 2016. Patients whose blood culture bottles were flagged using the BACTEC-FX system were included. The blood culture was processed by FA-BCID and by conventional method and the results were compared. Results A total of 36 positive blood cultures were analyzed by both FA-BCID and conventional method from patients admitted in the CCU. FA-BCID accurately identified 80% of the organisms. Of 32 isolates identified by FA-BCID, 50% (16/32) showed isolated growth of Gram negative bacteria (GNB), 37.5% (12/32) showed isolated growth of Gram positive (GP) bacteria, whereas 12.5% (4/32) showed >1 micro-organism in the same culture bottle. Overall, sensitivity, specificity, positive predictive value and negative predictive value were 100% for the identification of GP bacteria, and 69%, 100%, 100% and 76.4% for GNB, respectively. FA-BCID identified oxacillin resistance (mec A) accurately, whereas resistance mechanisms could not be predicted at all in cases of Gram negatives as the kit only has KPC gene identification system. The turnaround time of FA-BCID was a median of 2 hours compared to 2 days for the conventional method. Antibiotics were de-escalated or escalated in 47.2% of patients based on FA-BCID within a median time of 3 hours. Conclusion FA-BCID is a significant advance in the early identification and escalation or de-escalation of treatment for bacteremia in critically ill patients, with a high sensitivity for Gram positive bacteria as compared to Gram negative bacteria. Incorporation of probes for prevalent pathogens and resistance genes would make this panel more useful in Indian settings.
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Introduction Disseminated granuloma annulare, one of the rare clinical forms of granuloma annulare, is characterized by a prolonged evolution, frequent relapses and difficulty in finding the best therapeutic approach for the accompanying skin lesions. Case report We report the case of a female patient with disseminated granuloma annulare resistant to standard therapy, in evolution for more than 5 years, whose cutaneous lesions began to respond to topical treatment with calcineurin inhibitors only after the underlying systemic conditions (autoimmune thyroiditis and diabetes) were properly treated. Discussion The pathogenesis of the disease is not totally elucidated, various hypotheses of immunological origin are taken into consideration. The association and causal interaction between granuloma annulare and various systemic and autoimmune diseases has been brought to attention. Conclusion Granuloma annulare may be associated with various systemic diseases, such as diabetes mellitus and autoimmune thyroiditis, which interfere with the natural course of the skin lesions.
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The main goal of this paper is to answer the following research question: How did the Libyan military react to the protest against the regime of Muammar al Gaddafi, i.e. what factors determined its role in the transition, how did that role influence the course of transition and the possibility of establishing civilian control over military in the new regime? Accordingly, the paper covers description and explanation of political, historical and cultural identity of Libya, the basic features of Gaddafi’s rule, as well as the position of the military in its regime. Finally, there is given analysis of the influence of the military division into the pro-regime and anti-regime forces during the uprising, on the results of the transition. Post-spring Libya lost the elements of statehood i.e. monopoly over coercive force. Libya is ruled by “militias” that fighting for control over oil resources. Available data were analyzed, classified and systematized using the historiographical method, as well as method of case analysis and method of analysis of available literature and documentation.
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The Cold War refers to the period of development of international relations after the Second World War, which was characterized by ideological, political, military and overall bloc bipolarization and confrontation between the great powers of the West, ie the North Atlantic Treaty Organization (NATO) founded in 1949 and the Warsaw Pact established by the USSR in 1955. The epithet „cold” was given to this war because its actors sought to achieve their goals of supremacy and domination in international relations by avoiding direct armed conflict through the bloc and interest division of the world. After the collapse of the Soviet Union and the Warsaw Pact, NATO continued to dominate unhindered globally. The new millennium has brought an era of multipolarity and the economic and political influence of the West is declining.
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This study aims to examine the impact of the growth of peer-to-peer (P2P) lending on the growth of rural bank lending. Further, this study investigates the outcome of the partnership agreement between the Rural Bank Association and Financial Technology (FinTech) Association in the last quarter of 2017 on the effect of P2P lending on rural bank lending by analyzing the impact separately in 2018 and 2019. The publicly available data from the Financial Services Authority and Bank of Indonesia were examined using panel data regression. The results show that P2P lending’s growth is a substitute for the growth of the rural bank loan in 2018. However, the partnership between the Rural Bank Association and FinTech Association changed the effect of substitution into complementary in 2019. Moreover, the impact of P2P lending was more prominent in provinces with a higher number of rural banks and regions with lower economic growth. The restricted number of publicly available data becomes the limitation of this study to obtain the best results.
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Aim: The aim of this retrospective study was to evaluate the number of enucleations realized at the Department of Ophthalmology of the Faculty of Medicine of Comenius University in the period from 2009 to 2019. Material and methods: Retrospective study includes patients 244 patients in period 2009 - 2019, who were indicated for enucleation or evisceration of the eye globe. Results: Out of a total of 244, 214 were enucleated eyeballs and 30 were eviscerated. Enucleation was indicated in 141 (65.8%) patients for the malignant process and 73 (34.2%) patients underwent enucleation for non-tumor causes (condition after repeated operations, condition after acute injury, condition after trauma in the past, secondary glaucoma, bulb atrophy, corneal ulceration. The mean age of the patients in the cohort was 70 years. Conclusion: The ophthalmologist always seeks to improve or maintain visual functions, and we perform primary enucleation or evisceration only in the event of a serious devastation injury or to prevent the spread of an infection that could endanger the patient's life. In acute conditions, the ophthalmologist always seeks primary suture, but out of a total of 214 patients over the 11 years it was necessary to proceed with enucleation or evisceration in 8 patients.
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Today, most of the people live far from the natural environment and try to fulfill their longing for the green environment with ornamental plants. Ornamental plants and flowers are also often purchased from flower vendors. The aim of this study is to determine the general structure of the ornamental plant intermediaries’/flower sellers in Şanlıurfa and their view of the ornamental plant sector. For this purpose, a survey was conducted through face-to-face interviews with flower sellers selected by simple random sampling method in Şanlıurfa in 2020. According to the results, 90.9% of the participants have a satisfactory income, and the average monthly sales amount of 45.5% is 5001 TL and above. According to the participants, the most important sector problem of ornamental plants and flower sellers is the absence of a vendor union or cooperative with 78.33%. Organized structures are a necessity for producers, intermediaries and consumers. Encouraging by extension activities for the establishment of an organized structure will contribute positively to the development of the sector and the welfare of individuals. This study is the first study on this subject in Şanlıurfa.
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After the 2008 financial crisis, many investors diversified their portfolios with different commodities, including the so-called softs. This paper aims to answer the question of whether individual investors can benefit from technical analysis on soft commodity markets. The empirical study is based on daily quotations of six soft commodities: coffee, cocoa, sugar, cotton, rubber and frozen concentrated orange juice from 2010 to 2018, and investigates the profitability of applying indicators and oscillators based on moving averages with different length. The results show that the application of five-day simple and weighted moving averages and momentum oscillators was most effective, providing positive returns in five out of six soft commodities markets.
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Zapraszamy na IX Noc Biologów 2020. Tematem przewodnim Nocy są Globalne Zmiany Środowiska. Już w piątek 10 stycznia 2020 roku odbędzie się dziewiąta edycja Nocy Biologów. Organizatorzy wydarzenia przygotowali liczne atrakcje na Wydziale Biologii oraz w Centrum Nauk Biologiczno-Chemicznych Uniwersytetu Warszawskiego. Wstęp wolny.
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The article deals with the narrative structure of Denis Villeneuve’s Arrival. Using the concept of a skeptical viewer as a starting point, the author follows the processes of unveiling meanings, both when it comes to the understanding of the plot of the story, as well as the senses and morals stemming out of it. The viewer’s activity appears to be engaged with the activity of a character who is determined to discover the generic science fiction mystery, i.e. to learn the secret of the aliens’ language. The language, in turn, leads to revealing the time reliances in the film, as well as to formulating the thesis on a specific kind of storytelling: not as a “narrative about time,” but rather a “narrative by time.”
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Following the dissolution of the Soviet Union, Moscow’s attention rapidly retreated from the Middle East, partly on account of a major drop in resources, and partly because of a devaluation of the region in political terms. Of the earlier client countries, Egypt had already distanced itself from the Soviet Union in the 1970s. As a consequence of Saddam Hussein’s confrontational politics Iraq, became such an uncomfortable partner that Gorbachev did not pose any obstacle at all to the forceful bridling of Iraq after it overran Kuwait in the summer of 1990. Thereon Syria remained – in addition to Iran – the only country in the region that continued to benefit from Moscow’s attention and support after the end of the Soviet Union. A number of circumstances contributed to this position: significant debts Damascus had stacked up towards Moscow; the use of Soviet arms across the Syrian army; the regional weight and importance of the country; as well as the fact that the only military base Russia finally kept outside of the CIS area was the Tartus naval base in Syria. After sketching an overview of the Soviet Union’s Middle East politics with special attention to its relations with Egypt, Iraq, and Syria, this study sets out to provide a detailed introduction to the role Putin’s Russia has assumed in the Syrian crisis since 2011.
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Aim of investigation. The article summarizes the scientific idea of the epoch-making path of the detrimental effect of patient safety – medical error, in the practical activity of doctors around the world and substantiation of its place in the conditions of transformation of the system of medical care to the population of Ukraine to the European standards. The historical, bibliographic, abstract, historical and comparative, logical and analytical research methodologies are used, as well as deductive awareness, analogy, synchronization, structural and logical analysis taking into account the principles of systematization the current, passive, retrospective, continuous research is performed, where the scientific material is available domestic and foreign scientific medical information sources of various genesis, collected for processing using the electronic search engine Google in accordance with package of Microsoft Office 2016. Scientific novelty. For the first time the epochal way of formation of a detrimental consequence of patient safety – a medical error is systematically and scientifically substantiated, in the practical activity of doctors of the world and its place in the conditions of transformation of the system of medical care to the population of Ukraine to the European standards is substantiated. This allows the practitioner and the head of the body or institution of medical care convincingly and fully realize the importance of such a component of evidence-based medicine as patient safety, in the context of efficiency and cost-effectiveness of medical service; the patient – to understand the content of safety in the treatment process and the ability of the health care system to minimize risks in diagnostic, treatment, preventive and rehabilitation processes, and to the scientist from medicine to comprehend corresponding quality and efficiency in scientific researches. Conclusions. Based on world experience in the observance of patients' rights in the context of medical service safety, to create a patient safety system in Ukrainian medicine that will raise the medical practice of doctors to the European level in accordance with the principles of evidence-based medicine and minimize medical error according to its legal, psychological, deontological, spiritual, bioethical, social, economic and medical aspects.
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