Russia’s summit with ASEAN: Pivot to the East?

Russia is hosting a summit in Sochi on 19-20 May 2016 to commemorate twenty years of its dialogue relations with ASEAN. It will explore further cooperation between the two in another affirmation of Russia’s growing ‘pivot to the east’ policy under President Vladimir Putin, concurrent with its falling-out with the West. What are Russia’s objectives, its ‘Asian’ credentials and the potential for economic and strategic cooperation with ASEAN

Russia’s Asia Pivot: Engaging the Russian Far East, China and Southeast Asia

The Russia-ASEAN summit being held in Sochi on 19-20 May 2016 to mark twenty years of Russia’s dialogue partnership with ASEAN is a further indicator of President Vladimir Putin’s ‘pivot to Asia’ policy, triggered also by its current confrontation with the west. Through this pivot, Moscow wants to assert Russia’s geopolitical status as a Euro-Pacific as well as AsiaPacific power. It is a pragmatic response to the shifting of global power to Asia. It also builds on the growing Russo-Chinese relations to develop the Russian Far East, a resource-rich but underdeveloped region into the gateway for expansion of Russia into the Asia Pacific. At the same time, the growing asymmetry in achieving the economic and strategic goals of Russia and China has resulted in fears that the Russian Far East will turn into a raw materials appendage of China. Moscow lacks the financial resources to support Putin’s Asia pivot. Therefore, Russia needs to strengthen ties with other Asia-Pacific countries and ASEAN as a regional grouping so as to attract more diversified trade and investments into its Far East region. It is in this context that the Sochi summit takes on added significance. However, given Russia’s sporadic interest in Southeast Asia and its strategic role defined mainly by the limited potential of Russian energy and arms exports to ASEAN Member States, the PR diplomacy and summitry at Sochi may not deliver substantive outcomes for Russia. Nonetheless, Moscow aims to enhance its status in the east and seek business and strategic opportunities through the summit thereby compensating to some extent Russia’s loss following the sanctions imposed by the west over the annexation of Crimea

Diagnosis of malignant effusion using cell block and immunohistochemistry

The distinction between reactive mesothelial and adenocarcinoma cells specially signet ring type in serous effusions may be very difficult based only on morphological features particularly in early stage. Reactive mesothelial cells show varying degree of cytological atypia hence posing difficulty in differentiating it from adenocarcinoma cells. We report a case of 45 year old female patient presented with abdominal distension. Patient was an operated case of adenocarcinoma of stomach. Smears prepared from ascitic fluid and cell block shows large number of reactive mesothelial cells and few atypical cells. Atypical cells were immunoreactive for cytokeratin, epithelial membrane antigen and carcinoembryonic antigen. These confirmed the presence of malignant epithelial cells so we reported it as a malignant effusion

Carcinoma of breast with medullary features: a case report in 27 year old female

Medullary carcinoma of breast is a rare variant of invasive ductal carcinoma of breast and its incidence is less than 5% of invasive breast carcinomas. These tumours tend to occur in younger women, with the average age reported to range from 42 to 52 years. Authors are presenting this case in a 27 years old female having single, large, well circumscribed mass in right breast for 6 months. Fine needle aspiration cytology report was proliferative lesion with atypia Histopathology report was given as carcinoma with medullary features. Immunohistochemistry showed Estrogen Receptor (ER), Progesterone Receptor (PR) and Her-2 neu negative. Authors are presenting this case of Medullary carcinoma of breast for being a specific histopathological subtype

Peripheral Giant Cell Granuloma in 9-Year-Old Female Patient

The peripheral giant cell granuloma (PGCG) is a benign hyperplastic gingival lesion of unknown etiology occurring mostly in adults. However, it is less commonly seen in females withpreponderance for fifth and sixth decade of the life. It is clinically difficult to distinguish PGCG from pyogenic granuloma, fibrous epulis or irritation fibroma. This article presents a case with exophytic gingival lesion in 9 years old female patient. This lesion was interfering with functions and altering the esthetics. It is a challenge for the clinician to manage such type of pathologies in young children

A Retrospective Analysis of Demographic and Clinical profile of Pediatric Dental Patients Treated Under General Anesthesia

Aim - To determine the demographic and clinical profile of children treated under general anaesthesia in last 7 years. Methodology - A Medical-record department (MRD) based retrospective study was planned. Dental records all the pediatric patients treated under general anaesthesia in past 7 years (2012-2019) were reviewed and evaluated in the current retrospective analysis. For each patient, detailed clinical and demographic details were extracted and analysed using descriptive statistical analysis and chi-square test. Results – In the current study, dental records of total 93 patients were included. These were divided into 2 groups – based on patient’s medical history, wherein group A included healthy children and group B included children with special health care with mean age of 5.40 ± 2.1 years and 10.3 ± 6.3 years respectively. Dental anxiety and un-cooperative behaviour (57%) were the main indication for treating pediatric patient under general anaesthesia and stainless-steel crown cementation was the most frequent procedure performed for both groups. Intra-group analysis showed significant association between age of the patient and need for dental treatment under general anaesthesia in group A (P ≤ 0.05). However, there was no significant difference and corelation found between gender and need for general anaesthesia. (P ≥ 0.05). Conclusion - According to the study, majority of the children treated under general anaesthesia were below 5 years and the major indication was un-cooperative behaviour. Stainless-steel crowns cementation was the most common treatment modality provided. It is important to emphasis more on prevention dental caries and thus avoid unnecessary exposure of children to general anaesthesi