DAS NEUE „GREAT GAME“ IN ZENTRALASIEN UM DAS ERDÖL : EINE REGION IM FADENKREUZ DER INTERNATIONALEN INTERESSEN

Die zentralasiatischen Staaten, die aus der Sowjetunion hervorgingen, liegen in der strategischen Region zwischen vier Atommächten – Russland, China, Pakistan und Indien – und an der Schnittstelle zwischen Russland und der islamischen Welt.Die Völker Eurasiens haben heute zum ersten Mal die Möglichkeit, ihr Schicksal und ihre Zukunft selbst In der internationalen Wahrnehmung lässt sich um das Kaspische Meer herum die „Geburt einer neuen Region“ beobachten. Nach dem Zerfall der Sowjetunion wurde ein historisches Schlagwort des 19. Jahrhunderts wieder belebt, das die Einflusskonkurrenz in Zentralasien benannte: „Great Game“.zu bestimmen.In dieser Arbeit werden die rivalisierenden Machtprojektionen der wichtigsten Akteure in Zentralasien seit 1991 beschrieben. Bereits in einer frühen Arbeitsphase des vorliegenden Forschungsprojekts konnte man erkennen, dass die Entwicklungen in der Region nicht ohne die Einbeziehung externer Erfahrungen bewertet werden können. Der realpolitisch wichtigste Faktor für das Interesse der äußeren Mächte in der Region sind die Energiereserven.Der Hauptzweck dieser Studie ist es also, die Interessen der Regional- und Großmächte hinsichtlich der neuen zentralasiatischen Republiken von Kasachstan, Usbekistan, Kirgisien, Turkmenistan und Tadschikistan zu analysieren

Quality of life, depression and self-perceived burden among geriatric and non-geriatric hemodialysis patients

Background: Many hemodialysis patients need support at various levels from their relatives while performing their daily activities. The ‘burden’ of these needs of patients on their relatives and their negative effects on their lives have been shown in the literature. The aim of the study was to evaluate the ‘care burden’ in terms of the patient.Methods: The patient who had received hemodialysis for at least 3 months was included in the study. A patient identification form including demographic data and medical history data was prepared. The Perceived care burden scale, Beck depression scale and WHO Quality of life questionnaire were applied to the patients.Results: A statistically significant positive correlation was found between SPBS and BDI (p<0.001, r=0.820). A statistically significant negative correlation was observed between the perceived care burden and all sub-dimensions of the quality of life scale (p<0.001). The frequency of comorbidity in the geriatric group was higher than non-geriatric group. A statistically significant positive correlation was found between comorbidity and QOL (p<0.001).   The median scores of all sub-dimensions of the QOL scale were lower in geriatric group and there were significance differences except environment dimension.Conclusions: The self-perceived burden on caregivers of hemodialysis patients was positively associated with depression and negatively associated with QOL. Decrease in QOL was more pronounced in geriatric patients

Optimizing the Infrastructure of Electric Vehicles and Developing Business Models for Sustainability

Transportation is one of the major sources of economy for any country. But the main problem with the vehicles is the amount of pollution conducted by them. One needs a particular source that creates Net Zero Carbon Emissions. Electric vehicles are becoming a popular source of transportation as they do not produce any carbon emissions. But due to a lack of proper infrastructure and customer awareness, consumers hesitate to decide on an Electric Vehicle to date. The paper also covers the expansion of VANET Technology that can improve the traffic management system and reduce the number of accidents. For this reason, this paper aims to identify the area of improvement in building the infrastructure of electric vehicles with economic policies

Epidemiology of pemphigus in Turkey: One-year prospective study of 220 cases

Pemphigus is a group of rare and life-threatening autoimmune blistering diseases of the skin and mucous membranes. Although they occur worldwide, their incidence shows wide geographical variation, and prospective data on the epidemiology of pemphigus are very limited. Objective of this work is to evaluate the incidence and epidemiological and clinical features of patients with pemphigus in Turkey. All patients newly diagnosed with pemphigus between June 2013 and June 2014 were prospectively enrolled in 33 dermatology departments in 20 different provinces from all seven regions of Turkey. Disease parameters including demography and clinical findings were recorded. A total of 220 patients were diagnosed with pemphigus during the 1-year period, with an annual incidence of 4.7 per million people in Turkey. Patients were predominantly women, with a male to female ratio of 1:1.41. The mean age at onset was 48.9 years. Pemphigus vulgaris (PV) was the commonest clinical subtype (n=192; 87.3%), followed by pemphigus foliaceus (n=21; 9.6%). The most common clinical subtype of PV was the mucocutaneous type (n=83; 43.2%). The mean Pemphigus Disease Area Index was 28.14±22.21 (mean ± Standard Deviation).  The incidence rate of pemphigus in Turkey is similar to the countries of South-East Europe, higher than those reported for the Central and Northern European countries and lower than the countries around the Mediterranean Sea and Iran. Pemphigus is more frequent in middle-aged people and is more common in women. The most frequent subtype was PV, with a 9-fold higher incidence than pemphigus foliaceus.   </p

Epidemiology of Pemphigus in Turkey: One-year Prospective Study of 220 Cases

Durdu, Murat/0000-0003-1247-3932; Erdem, Cengizhan/0000-0002-9312-5683; Aktan, Sebnem/0000-0002-0201-4663; Onsun, Nahide/0000-0001-6259-0219; uzun, soner/0000-0001-7059-5474; gunasti topal, suhan/0000-0003-0467-5884; GUREL, Mehmet Salih/0000-0002-7031-6516; Bilgic, Asli/0000-0001-7910-7908WOS: 000413524200001PubMed: 29252169Pemphigus is a group of rare and life-threatening autoimmune blistering diseases of the skin and mucous membranes. Although they occur worldwide, their incidence shows wide geographical variation, and prospective data on the epidemiology of pemphigus are very limited. Objective of this work is to evaluate the incidence and epidemiological and clinical features of patients with pemphigus in Turkey. All patients newly diagnosed with pemphigus between June 2013 and June 2014 were prospectively enrolled in 33 dermatology departments in 20 different provinces from all seven regions of Turkey. Disease parameters including demography and clinical findings were recorded. A total of 220 patients were diagnosed with pemphigus during the 1-year period, with an annual incidence of 4.7 per million people in Turkey. Patients were predominantly women, with a male to female ratio of 1:1.41. the mean age at onset was 48.9 years. Pemphigus vulgaris (PV) was the commonest clinical subtype (n= 192; 87.3%), followed by pemphigus foliaceus (n= 21; 9.6%). the most common clinical subtype of PV was the mucocutaneous type (n= 83; 43.2%). the mean Pemphigus Disease Area Index was 28.14 +/- 22.21 (mean +/- Standard Deviation). the incidence rate of pemphigus in Turkey is similar to the countries of South-East Europe, higher than those reported for the Central and Northern European countries and lower than the countries around the Mediterranean Sea and Iran. Pemphigus is more frequent in middle-aged people and is more common in women. the most frequent subtype was PV, with a 9-fold higher incidence than pemphigus foliaceus

Blood eosinophil levels, proteomics patterns of strail and CXCL8, correlated survival with bevacizumab (anti-VEGF monoclonal antibody) treated stage-4 colon cancers

World Allergy and Asthma Congress of the European-Academy-of-Allergy-and-Clinical-Immunology and World-Allergy-Organization -- JUN 22-26, 2013 -- Milan, ITALYWOS: 000325142905257…European Acad Allergy & Clin Immunol, World Allergy Or

Epidemiology of Pemphigus in Turkey: One-year Prospective Study of 220 Cases

Pemphigus is a group of rare and life-threatening autoimmune blistering diseases of the skin and mucous membranes. Although they occur worldwide, their incidence shows wide geographical variation, and prospective data on the epidemiology of pemphigus are very limited. Objective of this work is to evaluate the incidence and epidemiological and clinical features of patients with pemphigus in Turkey. All patients newly diagnosed with pemphigus between June 2013 and June 2014 were prospectively enrolled in 33 dermatology departments in 20 different provinces from all seven regions of Turkey. Disease parameters including demography and clinical findings were recorded. A total of 220 patients were diagnosed with pemphigus during the 1-year period, with an annual incidence of 4.7 per million people in Turkey. Patients were predominantly women, with a male to female ratio of 1:1.41. The mean age at onset was 48.9 years. Pemphigus vulgaris (PV) was the commonest clinical subtype (n= 192; 87.3%), followed by pemphigus foliaceus (n= 21; 9.6%). The most common clinical subtype of PV was the mucocutaneous type (n= 83; 43.2%). The mean Pemphigus Disease Area Index was 28.14 +/- 22.21 (mean +/- Standard Deviation). The incidence rate of pemphigus in Turkey is similar to the countries of South-East Europe, higher than those reported for the Central and Northern European countries and lower than the countries around the Mediterranean Sea and Iran. Pemphigus is more frequent in middle-aged people and is more common in women. The most frequent subtype was PV, with a 9-fold higher incidence than pemphigus foliaceus