Meeting the needs of the aging population: the Canadian Network on Aging and Cancer—report on the first Network meeting, 27 April 2016

The aging of the Canadian population represents the major risk factor for a projected increase in cancer incidence in the coming decades. However, the evidence base to guide management of older adults with cancer remains extremely limited. It is thus imperative that we develop a national research agenda and establish a national collaborative network to devise joint studies that will help to accelerate the development of high-quality research, education, and clinical care and thus better address the needs of older Canadians with cancer. To begin this process, the inaugural meeting of the Canadian Network on Aging and Cancer was held in Toronto, 27 April 2016. The meeting was attended by 51 invited researchers and clinicians from across Canada, as well as by international leaders in geriatric oncology from the United States and France.The objectives of the meeting were toreview the present landscape of education, clinical care, and research in the area of cancer and aging in Canada.identify issues of high research priority in Canada within the field of cancer and aging.identify current barriers to geriatric oncology research in Canada and develop potential solutions.develop a Canadian collaborative multidisciplinary research network between investigators to improve health outcomes for older adults with cancer.learn from successful international efforts to stimulate the geriatric oncology research agenda in Canada.In the present report, we describe the education, clinical care, and research priorities that were identified at the meeting

ЛИГА АРАБСКИХ ГОСУДАРСТВ КАК ИНСТРУМЕНТ РЕГИОНАЛЬНОЙ ПОЛИТИЧЕСКОЙ КОНСОЛИДАЦИИ: ОСОБЕННОСТИ И ПЕРСПЕКТИВЫ НА СОВРЕМЕННОМ ЭТАПЕ

In the article, the author considered the peculiarities of the participation of the League of Arab States as an actor of political processes in the Middle East region and prospects for the future activities of such an international institution. The role of the League in regional political conflicts related to the period of political turbulence of the “Arab spring” is considered. The author points out that the key factors of the national strength of the League's member states are natural resources and human capital. Special attention is paid in the article to a new stage in the development of interaction between the League of Arab States and the European Union. Points of contact and prospects for such cooperation are identified. The author also focuses on the processes of the need for further closer regional integration of the League's member states not only in economic but also in political format, which will increase the League's share in the global political processes of the modern world.В статье автором рассмотрены особенности участия Лиги арабских государств, как актора политических процессов в ближневосточном регионе и перспективы дальнейшей деятельности такого международного института. Рассмотрена роль Лиги в региональных политических конфликтах, связанных с периодом политической турбулентности «арабской весны». Отмечены, ключевые, по мнению автора, факторы национальной силы государств-членов Лиги - природные ресурсы и человеческий капитал. Отдельное внимание в статье уделяется новому этапу развития взаимодействия Лиги арабских государств и Европейского Союза. Определены точки соприкосновения и перспективы такого сотрудничества. Также автор акцентирует внимание на процессах необходимости дальнейшей более тесной региональной интеграции государств членов Лиги не только в экономическом, но и политическом формате, что позволит повысить удельный вес Лиги в глобальных политических процессах современного мира

EDUCATION AS A SOFT POWER TOOL: SAUDI'S APPROACH AS PUBLIC DIPLOMACY

Researchers have discussed the significance of education as a Soft power tool for decades. These discussions typically focus on higher education and student exchange programs. Middle powers, such as Saudi, are constrained from using hard power to achieve their political goals; consequently, middle powers use soft power tools to achieve their political ends. It is important to use soft power strategically and effectively to maximize its benefits. This study explores Saudi's dissemination cultural institutes and schools in the context of education and analyzes Saudi's multi-channel education strategy. More particularly, this research shows the ways in which Saudi combines sending Saudi students to other countries for education, opening institutes in other countries and give scholarships to international students. Descriptive and analytical approaches were used in this research. The aim of this research is to understand Saudi soft power in education, the purpose of this research is to understand the importance of education in the world of politics. On this analysis based six main benefits of Saudi's approach, this benefits have been identified: 1) Opportunities to establish Saudi businesses in many in multiple places of the world; 2) The construction of a favorable image of Saudi in the eyes of the governments and public resulting from the provision of jobs and study opportunities; 3) Opportunities to promote Saudi culture and language and foster cultural exchanges; 4) A way to attract people to religious tourism; 5) The establishment of strong foundations for future projects; 6) Attract international investment to Saudi Arabia

PERCEIVED LEADERSHIP CHALLENGES IN SAUDI EDUCATION AND ITS MANAGEMENT TECHNIQUES

There is a lot that goes into managing techniques. Some of it is task-oriented, while other parts are human behavior-oriented. Various management techniques helps any leader build stronger teams that are more effective and productive, he can mix and match these techniques, as the situation warrants. This research paper is aiming to discuss the perceived leadership challenges and the management techniques in education in Saudi. Saudi Arabia is trying to develop unprecedented approach in the field of education, this requires an effective management techniques always. The recent implications of the Saudi leadership foreshadow a new approach in visualizing the future of culture and education in the Kingdom. The aim of this research is to study the attitudes of the Saudi leadership towards education and the administrative methods used to develop education. The purpose of this research is to contribute to an understanding of the educational leadership process at the level of state policy. Descriptive and analytical approaches were used in this study. On this analysis based five main changes of Saudi's approach, these changes have been identified: 1) Change in women's social role; 2) Organizing educational competencies; 3) Increase government investment in the education sector; 4) Rapid growth towards high technological development; 5) Adopt a balanced approach between local and global values

Арабское единство. Почему арабы терпят неудачу в единстве, а другие преуспевают?

The Arabs, despite their predecessors, did not succeed in building an effective and influential political force. Trump recognized Jerusalem as the capital of the State of Israel in 2017. He also recognized Israeli sovereignty over the territory of the Syrian Golan in 2019. The dispersion of the Arab position is the biggest proof of the failure of Arab unity. The authors present a brief study on the success of European countries in achieving unity, while the Arabs failed to achieve unity, which has been the goal of gathering Arab countries for many years. The comparative analysis of attempts at Arab unity and the process of European unity was conducted by the authors of the paper. The study is of scientific and practical importance for political scientists and political analysts was performed. The authors ask: Why did the European Union succeed and the Arab Unions failed? Based on the analysis of various theories and concepts of research, the authors of the paper come to meaningful conclusions that may be of interest to a wide circle of readers. Both the European and Arab systems originated in different historical and international contexts, and therefore it was natural for each of them to produce different approaches and mechanisms of complementarity with these contexts. There has been a tendency to praise the European experience and praise it in the Arabic literature, and in return there is criticism of the Arab experience. In this article we will raise many issues concerning Arab unity.Авторы представляют краткое исследование об успехах европейских стран в достижении единства, в то время как арабам не удалось достичь той же цели. Они провели сравнительный анализ попыток арабского единства и процесса европейского единства. Исследование имеет научное и практическое значение для политологов. Авторы задаются вопросом: «Почему Европейский Союз преуспел, а Арабские Союзы потерпели неудачу?». На основе анализа различных теорий и концепций исследования авторы приходят к содержательным выводам, которые могут быть интересны широкому кругу читателей. Как европейская, так и арабская системы возникли в разных исторических и международных контекстах, и поэтому для каждой из них было естественно выработать разные подходы и механизмы взаимодополняемости с этими контекстами. Наблюдается тенденция хвалить европейский опыт и превозносить его в арабской литературе, но на этом фоне существует критика арабского опыта. В этой статье мы поднимаем много вопросов, касающихся арабского единства

Supplementary Material for: Endovascular Treatment Plus Medical Treatment vs Medical Treatment Alone in Ischemic Stroke: A Systematic Review and Meta-analysis

Introduction This study was conducted to assess the hypothesis that endovascular treatment in addition to medical treatment improve stroke mortality and post-stroke disability. Methods In this systematic review and meta-analysis, the studies were included if they were randomized controlled trials in design and compared between endovascular treatment and medical therapy vs medical therapy alone in stroke management. Results The search yielded 22 articles that included 5,049 patients. The analysis showed significant association between the intervention and reduction in disability measured by Modified Rankin Scale (mRS) (mRS=0-2) (OR=1.61; 95%CI:1.27-2.06) and National Institute of Health Stroke Scale (NIHSS) (NIHSS=0-15) (OR=2.13; 95%CI: 1.04-4.34). Also, we found a significant difference in disability scores between the intervention and the medical therapy group (mRS WMD=-0.59; 95%CI: -1.15- -0.02, NIHSS WMD= -4.52; 95%CI: -6.32- -2.72). Additionally, there was significant reduction in mortality in the intervention group (OR=0.79; 95%CI: 0.68-0.92). There was no significant difference in the rate of any serious adverse effects between the two study groups except for asymptomatic intracerebral hemorrhage. Conclusion Our study provides strong evidence stemmed from randomized clinical trials that endovascular treatment combined with medical therapy is superior to medical therapy alone in the management of stroke

Supplementary Material for: Endovascular Treatment Plus Medical Treatment vs Medical Treatment Alone in Ischemic Stroke: A Systematic Review and Meta-analysis

Introduction This study was conducted to assess the hypothesis that endovascular treatment in addition to medical treatment improve stroke mortality and post-stroke disability. Methods In this systematic review and meta-analysis, the studies were included if they were randomized controlled trials in design and compared between endovascular treatment and medical therapy vs medical therapy alone in stroke management. Results The search yielded 22 articles that included 5,049 patients. The analysis showed significant association between the intervention and reduction in disability measured by Modified Rankin Scale (mRS) (mRS=0-2) (OR=1.61; 95%CI:1.27-2.06) and National Institute of Health Stroke Scale (NIHSS) (NIHSS=0-15) (OR=2.13; 95%CI: 1.04-4.34). Also, we found a significant difference in disability scores between the intervention and the medical therapy group (mRS WMD=-0.59; 95%CI: -1.15- -0.02, NIHSS WMD= -4.52; 95%CI: -6.32- -2.72). Additionally, there was significant reduction in mortality in the intervention group (OR=0.79; 95%CI: 0.68-0.92). There was no significant difference in the rate of any serious adverse effects between the two study groups except for asymptomatic intracerebral hemorrhage. Conclusion Our study provides strong evidence stemmed from randomized clinical trials that endovascular treatment combined with medical therapy is superior to medical therapy alone in the management of stroke

The delaying of elective surgeries after COVID-19 infection decreases postoperative complications

Summary: Background: Huge controversy surrounds delaying elective surgeries after COVID-19 infection. Although two studies evaluated the issue, several gaps still exist. Methods: A propensity score matched retrospective single center cohort design was used to evaluate the optimum time of delaying elective surgeries after COVID-19 infection and the validity of the current ASA guidelines in this regard. The exposure of interest was a previous COVID-19 infection. The primary composite included the incidence of death, unplanned Intensive Care Unit admission or postoperative mechanical ventilation. The secondary composite included the occurrence of pneumonia, acute respiratory distress, or venous thromboembolic. Results: The total number of patients was 774, half of them had a history of COVID-19 infection. The analysis revealed that delaying surgeries for 4 weeks was associated with significant reduction in primary composite (AOR = 0.02; 95%CI: 0.00–0.33) and the length of hospital stay (B = 3.05; 95%CI: 0.41–5.70). Furthermore, before implementing the ASA guidelines in our hospital, a significant higher risk for the primary composite (AOR = 15.15; 95%CI: 1.84–124.44; P-value = 0.011) was observed compared to after applying it. Conclusion: Our study showed that the optimum period of delaying elective surgery after COVID-19 infection is four weeks, with no further benefits from waiting for longer times. This finding provide further support to the current ASA guidelines about delaying elective surgeries. Further large-scale prospective studies are needed to give more evidence-based support to the appropriateness of the 4-week waiting time for elective surgeries after COVID-19 infection and to investigate the effect of type of surgery on the required delay

The role of cerclage wiring in the management of subtrochanteric and reverse oblique intertrochanteric fractures: a meta-analysis of comparative studies

Purpose Subtrochanteric and reverse oblique intertrochanteric fractures are challenging and often difficult to reduce. While intramedullary nailing (IMN) is considered the standard treatment, achieving anatomic reduction prior to fixation is essential. This study aimed to assess the impact of cerclage wiring with IMN on the outcomes and complication rate in treating subtrochanteric and reverse oblique intertrochanteric fractures. Methods This meta-analysis was conducted in line with PRISMA guidelines. The primary outcome was the time to union. The secondary outcomes were operative time, blood loss, quality of reduction, reduction alignment (if in varus), complications and reoperations. PubMed, Cochrane, Web of Science and Google Scholar were searched till July 2021. Articles that compared intramedullary nailing (IMN) versus intramedullary nailing and cerclage wiring (IMN-C) in the treatment of subtrochanteric and reverse oblique intertrochanteric fractures were included. The risk of bias was assessed using the Newcastle–Ottawa scale. Results This meta-analysis included 415 patients with subtrochanteric and reverse oblique intertrochanteric fracture from six comparative studies. Our findings showed that IMN-C was significantly associated with higher mean duration of surgery and blood loss. However, IMN-C had significantly lower mean time to union compared to IMN alone. In addition, IMN-C had lower pooled prevalence of varus reduction and overall complications. Conclusion This study showed that the use of cerclage wiring is associated with lower time to union, lower prevalence of varus reduction and overall complications. Therefore, cerclage wiring augmentation is a safe technique with low complication rate and may be advised whenever open reduction is needed in the management of subtrochanteric and reverse oblique intertrochanteric fractures.Other Information Published in: European Journal of Orthopaedic Surgery & Traumatology License: https://creativecommons.org/licenses/by/4.0See article on publisher's website: http://dx.doi.org/10.1007/s00590-022-03240-z</p

Pulmonary metastasectomy in colorectal cancer patients with previously resected liver metastasis: pooled analysis

Data addressing the outcomes and patterns of recurrence after pulmonary metastasectomy (PM) in patients with colorectal cancer (CRC) and previously resected liver metastasis are limited