83 research outputs found

    Agua y contra-hegemonía: la lucha kurda en el Tigris y Éufrates en Turquía

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    Water issues are often related to general questions of justice. This article discusses Tigris and Euphrates water issues from the point of view of Kurds in Turkey. The goal here is not to discuss the entire landscape of power relations and interests in the recent history of these rivers inside the country or across borders, but to understand how opposition Kurds view the way in which Turkish authorities manage water resources, policies and politics within the basins, affecting local society and the environment. It has been found that beyond establishing hydro-hegemony over co-riparian states along the Tigris and Euphrates (Syria and Iraq), the Turkish state has sought to deploy its soft and hard power over Kurds. The opposition Kurdish movement has responded by developing its own counter-hegemonic measures. Their proposals seem to aim at winning over Kurds, but also Turks and other peoples. Their framing of a different type of stakeholder participation in decision-making calls for a model of direct democracy covering different aspects of life, including water management and environmental soundness. The research is based on academic and government literature and a number of semi-structured interviews with Kurdish municipal officials, faculty and activists.El tema del agua afecta otros asuntos de justicia. En el artículo se discute del agua del Tigris y Éufrates desde puntos de vista kurdos en Turquía. No se aborda todo el entramado de relaciones de poder e intereses en la historia de estos ríos dentro del país o a través de las fronteras, sino cómo los opositores kurdos perciben cómo las autoridades turcas manejan los recursos hídricos y su política en la cuenca, afectando a la población y al medio ambiente. Se argumenta que el Estado, más allá de establecer su hidro-hegemonía sobre los países corribereños (Siria e Iraq), ha intentado proyectar su poder blando y duro sobre los kurdos. El movimiento kurdo opositor ha respondido estableciendo sus propias medidas contra-hegemónicas. Sus propuestas parecen buscar ganar a los kurdos, pero también a los turcos y a otras poblaciones. Su propuesta de participación social en la toma de decisiones es una propuesta de democracia directa que incluye el manejo del agua y preocupaciones ambientales. La investigación se basa en el estudio de bibliografía académica, documentos oficiales turcos y una serie de entrevistas semiestructuradas con funcionarios municipales, profesores universitarios y activistas kurdos

    El Medio Oriente: entre rebeliones populares y geopolítica

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    The uprisings witnessed by many Arab countries since 2011, faced geopolitical actions by regional and world powers. Regional actors have come to clash in the Middle East in ways reminiscent of the Arab Cold War that lasted from the mid-1950s to the early 1970s. The differences, however, are noticeable, including, for instance, the emergence of non-state actors that do not fall into the logic of poles, intrinsic to any cold war. The current divisions display two conservative spheres, one under the hegemony of the Saudi monarchy – which faces an internal rivalry with Qatar – and the other led by the Iranian rulers, without being, however, a simple binary contradiction between Sunnis and Shiites. This text explores the genesis and character of what we have called the “New Middle East Cold War,” and the ways in which these Cold Warriors—conservative in both sides—have dealt with the Arab uprisings.Medio Oriente ha sido escenario de fuertes convulsiones desde los levantamientos populares de 2011. Los enfrentamientos entre dos ámbitos de actores regionales con conexiones internacionales y su influencia en los conflictos existentes mantiene similitudes con la guerra fría árabe terminada alrededor de 1971. Sin embargo, también tiene grandes diferencias, como la aparición de nuevos actores no estatales que escapan a la lógica de los polos, intrínseca a cualquier guerra fría. La situación actual exhibe dos ámbitos conservadores, uno liderado por la monarquía saudí, que incluye la rivalidad de esta con la qatarí, y otro por los gobernantes iraníes. Esto, sin embargo, no debe confundirse con una oposición binaria entre sunníes y shiíes. En el texto se explora la génesis y el carácter de lo que podríamos llamar “la nueva guerra fría del Medio Oriente”, particularmente en el contexto de las diversas revueltas populares en los países árabes y las reacciones conservadoras más importantes

    Paz ambiental transfronteriza» como interacción de normas regionales y poder local: Lecciones desde análisis y debates transregionales sobre seguridad hídrica

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    This article contends that notions of «peace» and «justice» in cross-border water management vary in different world regions. Moreover, it argues that «peace» and «justice» can be explained by analyzing the interaction between «regional» interpretations and implementation of water security norms and local cross-border power structures. «Regional water security» is defined as the normative commitment to provide necessary water resources to communities within world regions. «Power,» which is defined traditionally as «the ability of actors to obtain their objectives despite opposition» is viewed as a function of political entrepreneurialism and opportunity structures. This article derives from a review of the pertinent literatures on «water security» and «water justice,» the two elements of «water peace» as well as scholarship on cross-border water management in different world regions. It discusses water governance within the framework of cross-border politics and comparative regional integration. It also includes analysis of the policy documents and websites of seventeen regional organizations as well as interviews with key actors and local experts on water management in specific cross-border case studies. The article is divided into five sections. Following this introduction, part two examines «water security» and «water justice» in international affairs. Part III then discusses «power» in cross-border water governance debates and addresses the transnational face of water security discussions. Part IV presents a comparative examination of cross-border «water justice» in selected world regions which is followed by theoretical considerations that are addressed in part V, the conclusion. In general, the article emphasizes the need to promote comparative cross-regional research on cross-border water governance in order to examine how «peace,» «security» and «justice» are framed in debates over water resources

    Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

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    A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Pratos e mais pratos: louças domésticas, divisões culturais e limites sociais no Rio de Janeiro, século XIX

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    Reply to ten comments on a paper published in the last issue of this journal. The discussion follows along six main lines: History museums, identity, ideology and the category of nation; the need of material collections and their modalities: patrimonial, operational, virtual; theater versus laboratory; visitors and their ambiguities; Public History: the museum and the academy.Resposta aos comentários de dez especialistas que contribuíram no debate de texto publicado no último número desta revista. A discussão orientou-se segundo seis tópicos principais: museus históricos, identidade, ideologia e a categoria de nação; a necessidade de acervos materiais e suas modalidades: acervo patrimonial, operacional, virtual; teatro versus laboratório; o público e suas ambigüidades; História Pública: o museu e a Academia

    Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

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    Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt
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