334 research outputs found

    Brandt, Palme and Thorsson: A Strategy That Does Not Work?

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    SUMMARY The relationship between security and development has been the focus of much discussion in recent years. The Brandt, Palme and Thorsson reports have linked East?West security and militarisation with Third World problems. This link is critically examined and rejected as a basis for political change. SOMMAIRE Brandt, Palme et Thorsson: une stratégie qui ne colle pas? Le rapport entre la sécurité et le développement a été le point principal de la majorité des discussions de ces dernières années. Les rapports de Brandt, Palme et Thorsson ont liés les problèmes de la sécurité dans l'Est et l'Ouest et la militarisation du Tiers Monde. Ce lien est examiné de façon critique et rejette en tant que base pour changement politique. RESUMEN Brandt, Palme y Thorsson: una estrategia que no funciona? En los años recientes, la relación entre seguridad y desarrollo ha sido el centro de muchas discusiones. El Informe Brandt, Palme y Thorsson ha vinculado los problemas de seguridad Este y Oeste y la militarización con problemas del Tercer Mundo. Este artículo examina dicho vínculo críticamente y lo rechaza como base para un cambio político

    De lokale-globale danskere: En journalistisk udfordring - Mediernes udfordring er at skabe rum for en kritisk lokal-global offentlighed

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    How global or how local are Danish media users? The images of the global and the local are portrayed. The challenge for journalism is that media users are both global and local. The content of the media must reflect this. It is especially difficult to combine, when global and local attitudes and norms are conflicting. The national agenda of media is insufficient to meet the demand of the media users

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    Book Review: Fragile States

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    In an era when good governance features prominently on the global development agenda, there seems to be a corollary spotlight on state fragility. In this book - a quick read that covers much ground - the authors wade into the conceptual waters of state fragility with the following aims: (i) sketching more clearly its conceptual parameters, including its core characteristics; (ii) dissecting its connection to violent conflict; (iii) analyzing the role that international society has played in relation to fragile statehood; and (iv) laying out two proposals for tackling its intractability. These analyses are conducted through the prism of three case studies: The Democratic Republic of the Congo (DRC), Afghanistan, and Haiti. [excerpt

    Impaired transmission in the corticospinal tract and gait disability in spinal cord injured persons

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    Rehabilitation following spinal cord injury is likely to depend on recovery of corticospinal systems. Here we investigate whether transmission in the corticospinal tract may explain foot drop (inability to dorsiflex ankle) in persons with spinal cord lesion. The study was performed in 24 persons with incomplete spinal cord lesion (C1 to L1) and 15 healthy controls. Coherence in the 10- to 20-Hz frequency band between paired tibialis anterior muscle (TA) electromyographic recordings obtained in the swing phase of walking, which was taken as a measure of motor unit synchronization. It was significantly correlated with the degree of foot drop, as measured by toe elevation and ankle angle excursion in the first part of swing. Transcranial magnetic stimulation was used to elicit motor-evoked potentials (MEPs) in the TA. The amplitude of the MEPs at rest and their latency during contraction were correlated to the degree of foot drop. Spinal cord injured participants who exhibited a large foot drop had little or no MEP at rest in the TA muscle and had little or no coherence in the same muscle during walking. Gait speed was correlated to foot drop, and was the lowest in participants with no MEP at rest. The data confirm that transmission in the corticospinal tract is of importance for lifting the foot during the swing phase of human gait

    Urgent lung allocation system in the Scandiatransplant countries

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    BACKGROUND: Throughout the world, the scarcity of donor organs makes optimal allocation systems necessary. In the Scandiatransplant countries, organs for lung transplantation are allocated nationally. To ensure shorter wait time for critically ill patients, the Scandiatransplant urgent lung allocation system (ScULAS) was introduced in 2009, giving supranational priority to patients considered urgent. There were no pre-defined criteria for listing a patient as urgent, but each center was granted only 3 urgent calls per year. This study aims to explore the characteristics and outcome of patients listed as urgent, assess changes associated with the implementation of ScULAS, and describe how the system was utilized by the member centers. METHODS: All patients listed for lung transplantation at the 5 Scandiatransplant centers 5 years before and after implementation of ScULAS were included. RESULTS: After implementation, 8.3% of all listed patients received urgent status, of whom 81% were transplanted within 4 weeks. Patients listed as urgent were younger, more commonly had suppurative lung disease, and were more often on life support compared with patients without urgent status. For patients listed as urgent, post-transplant graft survival was inferior at 30 and 90 days. Although there were no pre-defined criteria for urgent listing, the system was not utilized at its maximum. CONCLUSIONS: ScULAS rapidly allocated organs to patients considered urgent. These patients were younger and more often had suppurative lung disease. Patients with urgent status had inferior short-term outcome, plausibly due to the higher proportion on life support before transplantation. (C) 2018 International Society for Heart and Lung Transplantation. All rights reserved.Peer reviewe
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