Russia seeks mediating but not dominant Libyan role

2020 ◽  
Keyword(s):  
Regional Power ◽  
Content Type ◽  
Military Commander ◽  
Military Presence

Significance Moscow is increasingly involved in Libya in support of a dual ambition to be taken seriously as a regional power and an honest intermediary. As Turkey takes sides in the conflict, Moscow will engage with Ankara as it has done in Syria to overcome differences and secure mutually beneficial compromises. The Russian leadership seems less certain about its desired outcomes in Libya: it does not yet have a long-term vision of a future reconciliation and is ambivalent about its main ally, eastern military commander Khalifa Haftar. Impacts Russia will need to pressure Haftar's main backer, the UAE, to make him more cooperative. Russia may use its influence in Egypt and Algeria to seek support for its Libya diplomacy. Moscow may seek to expand its military presence in Egypt if it wants a platform from which to support Haftar.

EU must compete with other powers for Balkan influence

2019 ◽  
Keyword(s):  
Western Balkans ◽  
Political Leaders ◽  
Short Term ◽  
Content Type ◽  
Military Presence ◽  
Previous Decade ◽  
Near Term ◽  
The Eu ◽  
Made In

Subject EU's rivals in Western Balkans. Significance Despite last year’s Austrian presidency of the Council of the EU, and the current Romanian presidency’s interest in the region, the Western Balkans is still largely ignored by European capitals. This is allowing other actors, specifically Russia, Turkey and China, to gain influence. Waning belief in near-term EU expansion has reduced incentives to continue the progress made in the previous decade. Impacts A Western military presence in the region will continue as a means of ensuring stability in the absence of reforms. Domestic political leaders’ reliability will diminish as short-term considerations supersede long-term goals. Public trust in the EU will continue to fall, though EU accession will remain a popular objective.

Allies in Europe face uncertainties despite US funds

2016 ◽  
Keyword(s):  
The United States ◽  
Content Type ◽  
Post Cold War ◽  
Military Equipment ◽  
Military Presence ◽  
Eastern Border ◽  
Defence Strategy ◽  
Russian Military ◽  
Military Activity

Significance Russia's conflict in Ukraine along with an overall deterioration in the Western-Russian relationship has forced the United States to rethink its post-Cold War defence strategy for Europe. Having up until recently cut the size of its military presence on the continent, Washington is now bringing back both troops and military equipment at a considerable rate in order to reassure NATO allies while also attempting to deter further Russian military adventurism. Impacts ERI funding enjoys strong bipartisan support and is unlikely to be subject to political meddling. Long-term US commitments to European defence are contingent on European willingness to increase military spending. Concerns about Russian military activity along NATO's eastern border decrease the likelihood of a Western anti-ISG intervention in Libya.

Russia and post-Netanyahu Israel will seek continuity

2021 ◽  
Keyword(s):  
Middle East ◽  
Content Type ◽  
Military Presence ◽  
Military Planning

Significance Both countries have worked to mitigate the inherent contradictions and risks of escalation. The Kremlin is seeking more influence in the Middle East, and Israel will have to decide how to accommodate itself to this. Impacts Opaque commentary will help both sides gloss over fundamental differences regarding Israeli air strikes in Syria. Israel can live with Russia's aim of a long-term military presence in Syria. Israel will keep a close eye on Russia's military planning: its upgraded Syrian air base can now host bombers with Mediterranean-wide reach.

Dual-isotope single-photon emission computerized tomography scanning in patients with glioblastoma multiforme: association with patient survival and histopathological characteristics of tumor after high-dose radiotherapy

1998 ◽  
Vol 89 (1) ◽  
pp. 60-68 ◽  
Author(s):  
Richard B. Schwartz ◽  
B. Leonard Holman ◽  
Joseph F. Polak ◽  
Basem M. Garada ◽  
Marc S. Schwartz ◽  
...  
Keyword(s):  
Survival Rate ◽  
Glioblastoma Multiforme ◽  
Single Photon ◽  
Photon Emission ◽  
High Dose ◽  
Term Survival ◽  
Content Type ◽  
Dual Isotope ◽  
Fine Print

Object. The study was conducted to determine the association between dual-isotope single-photon emission computerized tomography (SPECT) scanning and histopathological findings of tumor recurrence and survival in patients treated with high-dose radiotherapy for glioblastoma multiforme. Methods. Studies in which SPECT with 201Tl and 99mTc-hexamethypropyleneamine oxime (HMPAO) were used were performed 1 day before reoperation in 47 patients with glioblastoma multiforme who had previously been treated by surgery and high-dose radiotherapy. Maximum uptake of 201Tl in the lesion was expressed as a ratio to that in the contralateral scalp, and uptake of 99mTc-HMPAO was expressed as a ratio to that in the cerebellar cortex. Patients were stratified into groups based on the maximum radioisotope uptake values in their tumor beds. The significance of differences in patient gender, histological characteristics of tissue at reoperation, and SPECT uptake group with respect to 1-year survival was elucidated by using the chi-square statistic. Comparisons of patient ages and time to tumor recurrence as functions of 1-year survival were made using the t-test. Survival data at 1 year were presented according to the Kaplan—Meier method, and the significance of potential differences was evaluated using the log-rank method. The effects of different variables (tumor type, time to recurrence, and SPECT grouping) on long-term survival were evaluated using Cox proportional models that controlled for age and gender. All patients in Group I (201Tl ratio < 2 and 99mTc-HMPAO ratio < 0.5) showed radiation changes in their biopsy specimens: they had an 83.3% 1-year survival rate. Group II patients (201T1 ratio < 2 and 99mTc-HMPAO ratio of ≥ 0.5 or 201Tl ratio between 2 and 3.5 regardless of 99mTc-HMPAO ratio) had predominantly infiltrating tumor (66.6%); they had a 29.2% 1-year survival rate. Almost all of the patients in Group III (201Tl ratio > 3.5 and 99mTc-HMPAO ratio ≥ 0.5) had solid tumor (88.2%) and they had a 6.7% 1-year survival rate. Histological data were associated with 1-year survival (p < 0.01); however, SPECT grouping was more closely associated with 1-year survival (p < 0.001) and was the only variable significantly associated with long-term survival (p < 0.005). Conclusions. Dual-isotope SPECT data correlate with histopathological findings made at reoperation and with survival in patients with malignant gliomas after surgical and high-dose radiation therapy.

Long-term management of patients with multiple brain metastases after shaped beam radiosurgery

2004 ◽  
pp. 406-412
Author(s):  
Paul Okunieff ◽  
Michael C. Schell ◽  
Russell Ruo ◽  
E. Ronald Hale ◽  
Walter G. O'Dell ◽  
...  
Keyword(s):  
Brain Metastases ◽  
Tumor Control ◽  
Content Type ◽  
Negative Results ◽  
Multiple Metastases ◽  
Extracranial Disease ◽  
Successful Control ◽  
The Brain

✓ The role of radiosurgery in the treatment of patients with advanced-stage metastatic disease is currently under debate. Previous randomized studies have not consistently supported the use of radiosurgery to treat patients with numbers of brain metastases. In negative-results studies, however, intracranial tumor control was high but extracranial disease progressed; thus, patient survival was not greatly affected, although neurocognitive function was generally maintained until death. Because the future promises improved systemic (extracranial) therapy, the successful control of brain disease is that much more crucial. Thus, for selected patients with multiple metastases to the brain who remain in good neurological condition, aggressive lesion-targeting radiosurgery should be very useful. Although a major limitation to success of this therapy is the lack of control of extracranial disease in most patients, it is clear that well-designed, aggressive treatment substantially decreases the progression of brain metastases and also improves neurocognitive survival. The authors present the management and a methodology for rational treatment of a patient with breast cancer who has harbored 24 brain metastases during a 3-year period.

Spinal meningioma after treatment for Hodgkin disease

2001 ◽  
Vol 95 (2) ◽  
pp. 232-235 ◽  
Author(s):  
Andrew J. Martin ◽  
Christopher J. Hammond ◽  
H. Jane Dobbs ◽  
Safa Al-Sarraj ◽  
Nicholas W. M. Thomas
Keyword(s):  
Hodgkin Disease ◽  
Second Primary ◽  
Combined Modality Treatment ◽  
Spinal Meningioma ◽  
Primary Tumors ◽  
Content Type ◽  
Radiation Induced ◽  
Mutagenic Effects ◽  
Long Term Survivors

✓ Long-term survivors of Hodgkin disease may develop second primary tumors caused by the mutagenic effects of radio- and chemotherapy. The authors describe the case of a 35-year-old woman who presented with an unusual meningioma of the cervical spine 9 years after undergoing combined-modality treatment for Hodgkin disease. To the authors' knowledge, this is the first report of spinal meningioma as a complication of such therapy. Whereas radiation-induced intracranial meningiomas are well described in the literature, treatment-induced meningiomas of the spine have not been widely recognized.

Friends from North, Foes from South

2017 ◽  
Author(s):  
Avinash Paliwal
Keyword(s):  
South Asia ◽  
Military Presence ◽  
Proxy War ◽  
Military Support

The United Front’s relationship with India was anything but that of ‘dependency’. In limited in capacity and separated by geography, India was arguably the least important cog in the Iran-Russia-India triumvirate that gave covert military support to the UF. Even though the India-UF relationship withstood various Taliban and Pakistani military onslaughts, its long-term sustainability was in doubt among Indian policymakers. One incident that gave an impetus to this relationship — but also underlined its limitations — however, was the hijacking of Indian Airlines flight IC-814 in December 1999. The incident further strengthened partisans who wanted to wage an active proxy war against Pakistan and theTaliban. Occurring in the wake of nuclearization of South Asia in 1998, the India-Pakistan conflict in Kargil in 1999, and Pakistani military presence in Afghanistan, Indian diplomacy on Afghanistan in the second half of 1990s is highly indicative both of its strategic resolve and limits of influence.

To examine the relationships between supplier development practices and supplier-buyer relationship practices from the supplier’s perspective

2017 ◽  
Vol 24 (5) ◽  
pp. 1309-1336 ◽  
Author(s):  
Sarang Joshi ◽  
Manoj Kharat ◽  
Rakesh Raut ◽  
Sachin Kamble ◽  
Sheetal Kamble
Keyword(s):  
Structural Equation ◽  
Success Factors ◽  
Structural Model ◽  
Manufacturing Firms ◽  
Supplier Development ◽  
Competitive Advantages ◽  
Content Type ◽  
The Relationship ◽  
Relationship Improvement

Purpose The purpose of this paper is to examine the relationships between supplier development practices (SDPs) and supplier-buyer relationship practices from the supplier’s perspective (SBRSP), and seek to understand how specific SDPs may impact a buyer’s operational performance as well as supplier-buyer relationship practices. Design/methodology/approach The authors conducted a survey of 512 respondents from the different manufacturing firms in India and applied structural equation modelling to test a structural model that proposes the impacts of various efforts of SDPs on a buyer’s performance as well as SBRSP. Findings The study concludes that SDPs and SBRSP together improve the relationship between a buyer and supplier, and this improved relationship leads to competitive advantages (CAs) followed by profitability. Results indicate that supplier perspective of buyer-supplier relationship can be improved under the condition of SDPs and SBRSP together. SDPs are driven by productive measure and competitive pressure, whereas customer uncertainty is found to be statistically insignificant. Research limitations/implications The study was carried out in North Maharashtra Industrial Zone of India, where the auto sector and machine/components manufacturing firms have been established for a considerable period of time. Results of the study are limited to manufacturing organizations predominantly focussing on the automobile sector and machine/components manufacturing firms. Practical implications This study provides significant insights into the specific impact of various SDPs and SBRSP for both academics and practitioners. SDPs along with SBRSP practices lead to improvement in the relationship leading to CAs. SBRSP suggests that trust, long-term commitments and the supplier’s perspective are important practices for relationship improvement. Originality/value The current study attempts to identify what are the success factors for the supplier-buyer relationship from the supplier’s perspective and SDPs and how the supplier-buyer relationship can be improved under the condition of SDPs and SBRSP. Hence, the aim is to develop a more thorough understanding of the outcomes of a supplier-buyer relationship improvement from both buyer’s and supplier’s perspective, under the conditions of supplier development to achieve CAs leading to profitability. Furthermore, the study analyses the effect of the improved supplier-buyer relationship for achieving CAs leading to profitability.

scholarly journals Sinabung volcano: how culture shapes community resilience

2019 ◽  
Vol 28 (3) ◽  
pp. 290-303
Author(s):  
Marta Mori ◽  
Ronan McDermott ◽  
Saut Sagala ◽  
Yasmina Wulandari
Keyword(s):  
Structured Interviews ◽  
Content Type ◽  
Aid Dependency ◽  
Relief Operations ◽  
Long Term Impact ◽  
Cultural Experts ◽  
Practical Implications

Purpose The purpose of this paper is to explore how culture, including traditions and social structures, can influence resilience and how culturally sensitive relief operations can put affected people and their context at the core of any interventions. Design/methodology/approach A case study of the Mt Sinabung volcano area in Indonesia was undertaken. As part of the case study, an analysis of interventions was conducted, which was complemented by semi-structured interviews with Karo cultural experts and humanitarian organisations. Findings Culture influences the manner in which the Karo people react to volcano eruptions with varying implications for recovery. In addition, relief organisations which understand people’s actions through a cultural lens have better managed to tailor programs with long-term impact, thereby avoiding aid dependency. Practical implications Practical examples of disaster management activities that adequately account for the beneficiaries’ way of living prior to the eruptions are provided. Aid actors are provided with guidance concerning how to better tailor their activities in line with a cultural lens. Originality/value The study provides empirical grounding for claims concerning the role of culture in planning interventions in Indonesia and other similar contexts.

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