Data for development in health: a case study and monitoring framework from Kazakhstan.

Healthcare reforms are often not coupled with a relevant and appropriate monitoring framework, leaving policymakers and the public without evidence about the implications of such reforms. Kazakhstan has embarked on a large-scale reform of its healthcare system in order to achieve Universal Health Coverage. The health-related 2020 Strategic Development Goals reflect this political ambition. In a case-study approach and on the basis of published and unpublished evidence as well as personal involvement and experience (A) the indicators in the 2020 Strategic Development Goals were assessed and (B) a 'data-mapping' exercise was conducted, where the WHO health system framework was used to describe the data available at present in Kazakhstan and comment on the different indicators regarding their usefulness for monitoring the current health-related 2020 Strategic Development Goals in Kazakhstan. It was concluded that the country's current monitoring framework needs further development to track the progress and outcomes of policy implementation. The application of a modified WHO/World Bank/Global Fund health system monitoring framework was suggested to examine the implications of recent health sector reforms. Lessons drawn from the Kazakhstan experience on tailoring the suggested framework, collecting the data, and using the generated intelligence in policy development and decision-making can serve as a useful example for other middle-income countries, potentially enabling them to fast-track developments in the health sector

Book Review Roundtable: Alexander Cooley’s Great Games, Local Rules: The New Great Power Contest in Central Asia

In this book review roundtable, seven experts discuss Alexander Cooley’s Great Games, Local Rules: The New Great Power Contest in Central Asia, followed by a response essay from the author

The Tidal Disruption Event AT2021ehb : Evidence of Relativistic Disk Reflection, and Rapid Evolution of the Disk-Corona System

© 2022. The Author(s). Published by the American Astronomical Society. This is an open access article distributed under the Creative Commons Attribution License, to view a copy of the license, see: https://creativecommons.org/licenses/by/4.0/We present X-ray, UV, optical, and radio observations of the nearby ($\approx78$ Mpc) tidal disruption event (TDE) AT2021ehb/ZTF21aanxhjv during its first 430 days of evolution. AT2021ehb occurs in the nucleus of a galaxy hosting a $\approx 10^{7}\,M_\odot$ black hole ($M_{\rm BH}$ inferred from host galaxy scaling relations). High-cadence Swift and NICER monitoring reveals a delayed X-ray brightening. The spectrum first undergoes a gradual ${\rm soft }\rightarrow{\rm hard}$ transition and then suddenly turns soft again within 3 days at $\delta t\approx 272$ days during which the X-ray flux drops by a factor of ten. In the joint NICER+NuSTAR observation ($\delta t =264$ days, harder state), we observe a prominent non-thermal component up to 30 keV and an extremely broad emission line in the iron K band. The bolometric luminosity of AT2021ehb reaches a maximum of $6.0^{+10.4}_{-3.8}\% L_{\rm Edd}$ when the X-ray spectrum is the hardest. During the dramatic X-ray evolution, no radio emission is detected, the UV/optical luminosity stays relatively constant, and the optical spectra are featureless. We propose the following interpretations: (i) the ${\rm soft }\rightarrow{\rm hard}$ transition may be caused by the gradual formation of a magnetically dominated corona; (ii) hard X-ray photons escape from the system along solid angles with low scattering optical depth ($\sim\,$a few) whereas the UV/optical emission is likely generated by reprocessing materials with much larger column density -- the system is highly aspherical; (iii) the abrupt X-ray flux drop may be triggered by the thermal-viscous instability in the inner accretion flow leading to a much thinner disk.Peer reviewe

Relatório de estágio em farmácia comunitária

Relatório de estágio realizado no âmbito do Mestrado Integrado em Ciências Farmacêuticas, apresentado à Faculdade de Farmácia da Universidade de Coimbr

State-Propagated Narratives about a National Defender in Central Asian States

This article examines the relationship between narratives propagated by the state about a historical national hero and a contemporary soldier's professional ideology in the post-Soviet Central Asian countries (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan). It argues that while elite-maintained mass publishing of cohesive narratives about a vividly drawn historical persona, male and warrior, trigger at raising a loyal soldier unified with his compatriots on the basis of cultural values and objects of loyalty, state elites seek to link a contemporary army recruit with his historical predecessors who fought for unity, integrity, and  dominance of the nation. But the link inevitably merges with ethno-centric ideas of protecting the cultural community identified with the narrative, as opposed to a physical entity within the state borders. State elites  reinforce the significance of military experience of the titular ethnic entity in accordance with their own political interests. Narratives about a national defender articulate what the political elites expect from the military service but are restrained from depicting in official policy documents. In order to reach effective results, the Central Asian states retained the same Soviet tools of cultivating patriotism as the basis for the army's internal discipline, but primordial characters have also been incorporated into the indoctrination

Introduction

Two decades after the Soviet regime's collapse, military and security institutions of Central Asia play an ever more important role in supporting national regimes and addressing national and regional challenges. After becoming independent in 1991, the leaders of Central Asian countries increased their reliance on the military in address addressing security challenges. Too often, however, decisions over military institutions are concentrated in the hands of individual leaders that like to see ..

Z. Barany, Democratic Breakdown and the Decline of the Russian Military, Princeton: Princeton University Press, 2007, 247 pages.

The dilemmas created by the abrupt collapse of the Soviet military in 1991 and the inefficient defense reforms that followed in post-Soviet Russia have been analyzed from various perspectives. In his book on the decline of the Russian military, Zoltan Barany puts forth two explanations. First, the author argues that the Russian military became increasingly politicized, with a small group of generals influencing important issues in the defense sector. Second, centralization of presidential pow..

State-Propagated Narratives about a National Defender in Central Asian States

This article examines the relationship between narratives propagated by the state about a historical national hero and a contemporary soldier's professional ideology in the post-Soviet Central Asian countries (Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan). It argues that while elite-maintained mass publishing of cohesive narratives about a vividly drawn historical persona, male and warrior, trigger at raising a loyal soldier unified with his compatriots on the basis of cultural values and objects of loyalty, state elites seek to link a contemporary army recruit with his historical predecessors who fought for unity, integrity, and  dominance of the nation. But the link inevitably merges with ethno-centric ideas of protecting the cultural community identified with the narrative, as opposed to a physical entity within the state borders. State elites  reinforce the significance of military experience of the titular ethnic entity in accordance with their own political interests. Narratives about a national defender articulate what the political elites expect from the military service but are restrained from depicting in official policy documents. In order to reach effective results, the Central Asian states retained the same Soviet tools of cultivating patriotism as the basis for the army's internal discipline, but primordial characters have also been incorporated into the indoctrination