Political Islam and Non-Muslim Religions - A Lesson from Lessing for the Arab Transition

Hardly any region has recently captured the global geopolitical imagination as much as the Arab world after the so-called Arab Spring and very likely no state more so than Egypt. Finally it seemed that democracy was coming to the region, that this would spell the end of radical Islam, and of any local aspirations of creating Islamic states, and mark the beginning of a rapprochement between East and West. This article analyses and links those dynamics, with particular reference to the transition process in the wake of the so-called Arab Revolution, and gauges what may be at stake for members of non-Muslim faiths. It particularly traces the rift between theoretical Muslim discourse about Islamic tolerance towards other faiths and its implementation or the absence thereof in practice. It concludes that so far no real progress has been made and that, for the relationship to evolve, Islam needs to proceed to a state in which it sees itself as no more than an equal to other religions. The recognition of its tradition-based nature and of the consequences that flow from such a realization for the treatment of its fundamental sources, the Qur'an and the Sunna, will be addressed. To evaluate the current situation and the outlook, we shall use the example of the famous eighteenth-century German play by Gotthold Ephraim Lessing, Nathan the Wise, about the occupation of Jerusalem by Saladin

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)