This study analyzes the comparative patterns of democratization between geographic regions and the world. It addresses the question that how some determinants of democracy have different effects among geographical reg...This study analyzes the comparative patterns of democratization between geographic regions and the world. It addresses the question that how some determinants of democracy have different effects among geographical regions. Further, by comparing the similarities and differences in the patterns of democratic diffusion across regions, this study seeks to delineate what changes scholars should adopt in our epistemological approaches and methodological tools, such as the indices of democracy, in an attempt to better understand the policy implications of disparate findings from various empirical studies. As part of a larger research project, this paper focuses its attention on two of the geographical regions Asia and the Middle East.展开更多
This paper will deal with the history of an important political change in Spain during the transition to democracy between 1976 and 1982： the transformation of a unitary and centralized state to one composed of sever...This paper will deal with the history of an important political change in Spain during the transition to democracy between 1976 and 1982： the transformation of a unitary and centralized state to one composed of several political units capable of self-government. The starting point of that process was the confirmation of regional diversity and of the existence of clearly differentiated political sensibilities in some of its territories. The researchers shall rely especially on the legacy of some of the principal actors, and explore the connection between such diversity and the political change that took place.展开更多
After four decades of military dictatorship,Togo is still facing a dilemma of whether to break with the past and take a path of democratization or make changes in the continuity.The death of the former President Gnass...After four decades of military dictatorship,Togo is still facing a dilemma of whether to break with the past and take a path of democratization or make changes in the continuity.The death of the former President Gnassingbe Eyadema in 2005 was seen by the Togolese community at home and around the world as a window of opportunity or a step toward the emergence of the political liberalization in the country.Unfortunately,with the backing of the Togolese army,Faure Gnassingbe,one of the sons of Eyadema,was enthroned as the country’s new President since 2005.The international economic sanctions on Togo in the aftermath of the death of Eyadema,due to continuing human rights abuses and violations by the authoritarian regime,have accentuated the already acute suffering and poverty of the Togolese population.However,the 2006 Global Political Agreement reached between the traditional political opposition parties and the government paved the way to the normalization of the international cooperation with Togo and hence the lifting of economic sanctions by the international community.Drawing from Solow-Swan growth model and a cross-national causality test of the development-democracy-growth hypothesis of Abbas Pourgerami,this paper investigates the impact of foreign aid on the democratization process since 2005 and argues that foreign aid played a paramount role in consolidating electoral authoritarianism instead of establishing a viable democracy in Togo.展开更多
Over two decades have passed by since Poland took the course of democratic changes. In the early 1990s the press sector was re-established as a consequence of de-monopolization and has been taken over by foreigners. T...Over two decades have passed by since Poland took the course of democratic changes. In the early 1990s the press sector was re-established as a consequence of de-monopolization and has been taken over by foreigners. The electronle media sector has been restricted for 15 years and foreign companies could only have one third of the ownership. The complexity of Polish media system reflects the long way from communism and governmental media towards free democratized market with some remnants of the previous era. It is hard to predict when it will be shaped in a brand new way and if it is generally possible.展开更多
The exhaustion of dictatorial powers and communist regimes ushered in the third wave of democratization in francophone Africa,through the emergence of democratic institutions essential to the holding of credible elect...The exhaustion of dictatorial powers and communist regimes ushered in the third wave of democratization in francophone Africa,through the emergence of democratic institutions essential to the holding of credible elections.This new democratic era,which redefines the stakes of power through peaceful political competition in the form of elections,marked the end,at least symbolically,of a time when a coup or popular insurrection seemed to be the only way to overthrow dictatorial regimes.The election thus appears as an instrument of regulation of political life.Through a constructivist perspective,this research aims to discuss the relationship between electoral governance and democratization in francophone Africa.It shows that even if democracy is taken as a tool of political civilization in francophone Africa,there is no institutional linking.It means that electoral must be the key for the regulation and the credibility of democratization and democracy.展开更多
The study examined the impact of democratization on foreign direct investment in Tunisia and has done a comparison of the pre and post revolution periods.The paper has used secondary data for the variables GDP per cap...The study examined the impact of democratization on foreign direct investment in Tunisia and has done a comparison of the pre and post revolution periods.The paper has used secondary data for the variables GDP per capita,FDI,Gross Fixed Capital Formation(GFCF),Current health expenditure(%of GDP)for the period 2001-2018.The study aims to provide arguments of the favorable political conditions for FDI,the purpose is to understand;whether,democracy and autocracy attract FDI in the Pre and Post-event of revolution in Tunisia.In addition,this investigation discusses the key elements for path dependency in democratic transitions from autocracy to democracy.The study found that there is a correlation between the adoption of a democratic regime and the FDI evolution.A democratic regime creates the right political circumstances to improve macroeconomic performance.It can stimulate growth if it is conducted in a stable political environment.展开更多
The composite time scale(CTS) provides an accurate and stable time-frequency reference for modern science and technology. Conventional CTS always features a centralized network topology, which means that the CTS is ac...The composite time scale(CTS) provides an accurate and stable time-frequency reference for modern science and technology. Conventional CTS always features a centralized network topology, which means that the CTS is accompanied by a local master clock. This largely restricts the stability and reliability of the CTS. We simulate the restriction and analyze the influence of the master clock on the CTS. It proves that the CTS's long-term stability is also positively related to that of the master clock, until the region dominated by the frequency drift of the H-maser(averaging time longer than ~10~5s).Aiming at this restriction, a real-time clock network is utilized. Based on the network, a real-time CTS referenced by a stable remote master clock is achieved. The experiment comparing two real-time CTSs referenced by a local and a remote master clock respectively reveals that under open-loop steering, the stability of the CTS is improved by referencing to a remote and more stable master clock instead of a local and less stable master clock. In this way, with the help of the proposed scheme, the CTS can be referenced to the most stable master clock within the network in real time, no matter whether it is local or remote, making democratic polycentric timekeeping possible.展开更多
In the context of the whole-of-government strategic approach the United States(US)currently applies toward China,the Democratic and Republican parties have reached a consensus on“using Taiwan to contain China,”compr...In the context of the whole-of-government strategic approach the United States(US)currently applies toward China,the Democratic and Republican parties have reached a consensus on“using Taiwan to contain China,”compromising the integrity of the one-China policy and seriously eroding the political foundations of China–US relations.However,considerable differences persist between the two parties regarding Taiwan policy.The Republicans,as represented by Donald Trump,have appeared more radical and more straightforward,whereas the incumbent Biden administration of the Democratic Party has shown significant duplicity.Democrats in the US Congress have introduced relatively fewer Taiwan-related bills than their Republican counterparts;by comparison,some Republican lawmakers have even introduced resolutions calling for resuming“diplomatic ties”with Taiwan.The Taiwan policy gap between the Democratic and Republican parties mirrors their differences on China policy:liberal think tanks advocate for“strategic ambiguity”on Taiwan,but conservatives back“strategic clarity.”And the gap also ref lects the shifting lobbying priorities of Taiwan's Democratic Progressive Party.Looking ahead to the upcoming decade,the Democratic and Republican par ties will continue to compete to“support Taiwan,”thus rendering the Taiwan question even more dangerous.After 2024,if Democrats remain in power,they may hasten the“internationalization”of the Taiwan question;otherwise,if Republicans return to the White House and both chambers of Congress,China and the US may find their relationship even more confrontational.Although the political situation in Taiwan will very unlikely have any fundamental impact on the Taiwan Strait,it will,to a certain extent,influence the intensity of China–US rivalry.展开更多
Introduction: Vaccination plays a pivotal role in mitigating the repercussions of the COVID-19 pandemic. However, vaccination campaigns encounter obstacles, especially in developing countries like the Democratic Repub...Introduction: Vaccination plays a pivotal role in mitigating the repercussions of the COVID-19 pandemic. However, vaccination campaigns encounter obstacles, especially in developing countries like the Democratic Republic of the Congo (DRC). This study aimed at investigating the roles of vaccine hesitancy, refusal, and access barriers, while identifying individual-level factors associated with non-vaccination in Mbujimayi, DRC. Methods: A community-based cross-sectional survey was conducted in three health districts and included 1496 residents. Attitudes and behaviors related to seeking COVID-19 vaccination were assessed using a standardized questionnaire. Hierarchical logistic regression modeling was used to assess factors potentially affecting non-compliance with vaccination. Results: Among participants (median age = 33, IQR = 23.3, M/F sex ratio = 0.7), 60% displayed misconceptions about COVID-19 or its vaccine, while only 35.2% perceived COVID-19 as a significant health threat. Vaccination coverage was estimated at 49.1% (95% CI: 47.5;52.6), with 71.8% of vaccinated individuals having received one dose. Among the unvaccinated individuals, 50.9% expressed no intention to be vaccinated in the future, citing hesitation (30.4%) or refusal (39.6%) mainly due to side effects or distrust of vaccines. Conversely, 32.7% of the unvaccinated persons expressed access barriers despite willingness to be vaccinated. Misconceptions about COVID-19 and its vaccines were the main drivers of vaccination non-compliance. Conclusion: These findings demonstrate significant vaccine non-compliance driven by hesitancy, refusal, and access barriers. Strategies to enhance vaccination coverage and pandemic preparedness should address misconceptions, sociodemographic barriers, and geographic disparities.展开更多
Background: Prostate cancer, the most common male cancer, represents a real public health problem in terms of its frequency and severity in different countries around the world. It disproportionately affects people of...Background: Prostate cancer, the most common male cancer, represents a real public health problem in terms of its frequency and severity in different countries around the world. It disproportionately affects people of African descent wherever they live in the world [1]. To the best of our knowledge, its extent and particularities in the African environment are not well known. Objective: To determine the epidemiological and histopathological profile of prostate cancer in the CUK anatomopathology department. Methodology: This is a retrospective study conducted at the University Clinics of Kinshasa Anapathology Department from January 1, 2015 to December 31, 2022, a period of 8 years. Word processing and tables were entered using the Hp brand computer, with Microsoft Office WORD 2016 software. Data analysis was performed with SPSS version 22.0 software. Results were presented in tables and figures. Results: Prostate was diagnosed in 132 cases, i.e. 1.58% of all CUK laboratory analyses and 8% of cancers diagnosed. The age group most affected was 66-75 years, i.e. 59% of all subjects. Adenocarcinoma was the most frequent histological type, and biopsy dominated in 111 cases (84.1%). Conclusion: Prostate cancer is a real public health problem. Worldwide, and in the Democratic Republic of Congo, it is the most frequently diagnosed cancer in men, and the leading cause of cancer-related death in men. In the DRC, because of the delay in consulting our patients and the weakness of systematic screening, patients are seen at an advanced stage of the disease. Treatment is multidisciplinary, involving surgery, radiotherapy and chemotherapy (including targeted therapies). Patient awareness and screening campaigns will help to considerably reduce the delay in diagnosis and the morbidity and mortality associated with prostate cancer.展开更多
Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my ...Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my experience and the challenges of this aesthetic plastic surgery among black African women. Material and Methods: A retrospective study was conducted about the abdominoplasties, liposuctions and Brazilian butt lift (BBL) which I operated in public and private hospitals at Kinshasa (Democratic Republic of Congo) in black African women. It covers a period of 13 years, going from December 1, 2010 to December 1, 2023. For this study, I had at least 6 months period (to Juin 1, 2024) to assess the occurrence of early and late postoperative complications. Results: I performed 84 abdominoplasties, 144 liposuctions and 23 Brazilian butt lifts (BBL). The average age at the time of abdominoplasty was 44 years with extremes ranging from 26 to 55 years and a concentration of cases (60.7%) in the age group of 40 to 49 years. The age group of 20 to 29 years old represented the lowest rate of requests for abdominoplasty (4.7%). Patients with a BMI of 30 to 2 were the majority (61.9%), followed by those between 25 to 2 (29.7%). 67.8% of patients were obese (BMI ≥ 30 kg/m2). The average age at the time of liposuction was 41 years with extremes ranging from 21 years to 69 years;and more than half of cases (68%) in the age group between 30 and 49 years. As for Brazilian butt lift (BBL), the average age was 33 years with extremes ranging from 24 to 42 years and a concentration of patients (91.3%) between 20 and 39 years. The immediate postoperative complications of abdominoplasties observed were: seroma in 7% of cases, hematoma and partial infection of the surgical site in 5% of cases. Pathological scars (hypertrophic, keloid) after abdominoplasties were observed in 9% of cases. The most common complication of liposuction was contour deformity. I observed 16 patients (11.1%) with soft-tissue depressions or elevations, skin panniculus or folds. For Brazalian Butt Lift (BBL), complications like asymmetry for 2 patients (8.9%), contour irregularities for 2 patients (8.9%), and excessive fat removal for 6 patients (26%), had observed. I have not recorded any cases of death or pulmonary embolism. Conclusion: I perform aesthetic plastic surgery procedures in black African women with a high socioeconomic standard of living compared to the average of the general population. The renunciation of planned surgery is motivated by the impossibility of paying the cost of the operation as well as by popular and religious perceptions regarding cosmetic surgery. The results of these aesthetic plastic surgery procedures carried out are very satisfactory for them. The challenges to overcome are mainly threefold: the unforeseeable complications of these cosmetic plastic surgery procedures, popular and religious perceptions of cosmetic surgery as well as the poverty of the population.展开更多
The article shows that the situation of agricultural cooperatives in the world in general and agricultural cooperatives in Vietnam in particular are facing certain challenges in the context of globalization in the 21s...The article shows that the situation of agricultural cooperatives in the world in general and agricultural cooperatives in Vietnam in particular are facing certain challenges in the context of globalization in the 21st century.The article points out limitations on:the nature,principles of democratic member control and principles of surplus distribution of the International Cooperative Alliance,as well as Vietnamese law in cooperative management.展开更多
The US’s Middle Eastern democratization strategy is based on realist considerations of anti-terrorism and national security,while in contrast the Islamic-Arab world’s anti-Americanism originates from negative effect...The US’s Middle Eastern democratization strategy is based on realist considerations of anti-terrorism and national security,while in contrast the Islamic-Arab world’s anti-Americanism originates from negative effects of modernization and globalization along with perceptions of an inherent unfairness in the US’s Middle East policy.Consequently,the advancement of the Middle Eastern democratization processes within this context are bound to face obstacles and distortion.Anti-Americanism not only leads to the absence of a stable environment for democratization in the Middle East,but also constrains the US’s possible avenues to pursue its Middle Eastern democratization strategy when some Arab authoritarian governments use it as a check and balance to resist the US’s democratization pressure.展开更多
A key requirement of today’s fast changing business outcome and innovation environment is the ability of organizations to adapt dynamically in an effective and efficient manner. Becoming a data-driven decision-making...A key requirement of today’s fast changing business outcome and innovation environment is the ability of organizations to adapt dynamically in an effective and efficient manner. Becoming a data-driven decision-making organization plays a crucially important role in addressing such adaptation requirements. The notion of “data democratization” has emerged as a mechanism with which organizations can address data-driven decision-making process issues and cross-pollinate data in ways that uncover actionable insights. We define data democratization as an attitude focused on curiosity, learning, and experimentation for delivering trusted data for trusted insights to a broad range of authorized stakeholders. In this paper, we propose a general indicator framework for data democratization by highlighting success factors that should not be overlooked in today’s data driven economy. In this practice-based research, these enablers are grouped into six broad building blocks: 1) “ethical guidelines, business context and value”, 2) “data leadership and data culture”, 3) “data literacy and business knowledge”, 4) “data wrangling, trustworthy & standardization”, 5) “sustainable data platform, access, & analytical tool”, 6) “intelligent data governance and privacy”. As an attitude, once it is planned and built, data democratization will need to be maintained. The utility of the approach is demonstrated through a case study for a Cameroon based start-up company that has ongoing data analytics projects. Our findings advance the concepts of data democratization and contribute to data free flow with trust.展开更多
Anti-hegemonic movements in Japan had occurred frequently since the early 20th century,and democratic revolution debate in the 1920s was the first significant domestic debate on future development strategy.Various dis...Anti-hegemonic movements in Japan had occurred frequently since the early 20th century,and democratic revolution debate in the 1920s was the first significant domestic debate on future development strategy.Various discussions on it from Japanese academia involved state power,absolutism,agrarian revolution,and revolutionary strategy,etc.An analysis of early Japanese scholars’perspectives on the democratic revolution helps to know about the social milieu in Japan at that time,and is of positive significance to comprehend the development process of the current Japanese democratic revolution.展开更多
BACKGROUND Cancer diagnosis is increasing around the world and in the Democratic Republic of the Congo(DRC).The proportion of thyroid cancer has increased over the past three decades.There are very few studies on canc...BACKGROUND Cancer diagnosis is increasing around the world and in the Democratic Republic of the Congo(DRC).The proportion of thyroid cancer has increased over the past three decades.There are very few studies on cancer epidemiology,and in particular on thyroid cancer in the DRC.AIM To establish the most recent proportion of thyroid cancer in the DRC compared to other cancers.METHODS This is a retrospective and descriptive study of 6106 consecutive cancer cases listed in the pathological registers of 4 Laboratories in the city of Kinshasa.This study included all cancer cases recorded in the registers between 2005 and 2019.RESULTS From a sample of 6106 patients,including all cancer types,68.3%cases were female and 31.7%were male.Breast and cervical cancer were the most common types of cancer in women and,prostate and skin cancer were the most common types in men.Thyroid cancer was sixth in proportion in women and eleventh in men compared to all cancers.Papillary carcinoma was the most common of thyroid cancers.Rare cancers such as anaplastic and medullary thyroid carcinomas had a proportion of 7%and 2%,respectively.CONCLUSION Newer diagnostic tools led to a surge in cancer diagnoses in the DRC.Thyroid cancer has more than doubled its proportion over the last several decades in the country.展开更多
Environmental change is characterized as an alteration in the environment caused primarily by human activities and ecological processes that are natural. Given the fact that the southern part of the province of Haut-K...Environmental change is characterized as an alteration in the environment caused primarily by human activities and ecological processes that are natural. Given the fact that the southern part of the province of Haut-Katanga in the Democratic Republic of the Congo (DRC) is part of the African Copperbelt and has been a region of intense mining for decades, humans have affected the physical environment in various ways: such as overpopulation, suburbanization, wastage, deforestation. It is therefore important to track and control the changes in the area’s mining activities. This study aimed to analyze these changes using remote sensing techniques. Landsat satellite images from 2002 and 2022 were processed and classified to quantify changes in built-up area, agricultural land, and vegetation cover over the 20-year period. The classification results revealed sizable differences between the two time points, indicating considerable expansion of built-up land and declines in agricultural land and vegetation cover from 2002 to 2022 in Likasi. These findings provide evidence that urban growth has transformed the landscape in Likasi, likely at the expense of farmland and ecosystems. Further analysis of the remote sensing data could quantify the changes and model future trends to support sustainable land use planning. The land cover and land use analysis were performed with the assistance of the ERDAS 16.6.13 software by mapping LANDSAT data from two different years 2002 and 2022.展开更多
Background: In accordance with its measles elimination strategic plan 2012-2020, the Democratic Republic of the Congo (DRC) organized a follow-up vaccination campaign against measles from October to December 2019 in 2...Background: In accordance with its measles elimination strategic plan 2012-2020, the Democratic Republic of the Congo (DRC) organized a follow-up vaccination campaign against measles from October to December 2019 in 26 provinces. This study aims to establish the contribution of this supplementary vaccination campaign to protecting children against measles. Methods: The survey was carried out in November 2020 among households of the DRC, according to the 2018 revised version of the World Health Organization’s stratified cluster sampling method, using multiple stage sampling. It targeted 280 children aged 6 - 59 months per stratum or province, with 10 children in each of the 28 selected clusters. Data collection using tablets with centralized and real-time data processing was preceded by enumeration to refine the household sampling frame. Clusters and households were selected by random draw. Data collected with CS Pro 7 software were analyzed with SPSS, Epi info 7 and Excel software to determine indicators and make before-after comparisons using the McNemar test, at a precision threshold of 5%. Results: Of the 8535 surveyed children, 89.5% were vaccinatedduring the follow-up campaign and 81.6% were vaccinated before. Only 3.7% had correctly completed campaign vaccination cards. Estimated vaccination coverage increased from 80.8% before the campaign to 92.6% after the campaign (p 0.001). Vaccination coverage after campaign against measles improved in all provinces (p < 0.001) except Bas-Uele and Maniema. Thirteen provinces reached the national coverage target of 95%, compared to five before the campaign. The proportion of zero-dose children dropped significantly after this campaign from 19.2% to 7.4% (p 0.001), and even fell below 1% in six provinces. Conclusion: This measles vaccination campaign improved overall vaccination coverage by 10% and reached more unvaccinated children. Efforts must continue to improve the retention of vaccination card, the adherence of unvaccinated children and the effectiveness of routine vaccination.展开更多
Background: The Democratic Republic of the Congo (DRC) faces severe malaria, postpartum haemorrhage, malnutrition and sickle cell disease that require transfusion. The latter poses immunological, infectious, metabolic...Background: The Democratic Republic of the Congo (DRC) faces severe malaria, postpartum haemorrhage, malnutrition and sickle cell disease that require transfusion. The latter poses immunological, infectious, metabolic and hemodynamic risks to recipients. Objective: To present transfusion safety in the DRC through data from the literature. Methods: This review consists of listing the various articles and abstracts published online and presented in scientific conferences having as a subject of interest transfusion safety in the DRC. Results: The review is dominated by articles from eastern DRC and blood mobilization is around 0.5% of the general population. All screening tests are serological with a proven residual risk. The prevalence of HIV, HBV, HCV and syphilis infections is documented at more than 80% and represents respectively 1.9%, 2.96%, 1.89% and 1.21%. The prevalence of other pathogens, the immunological and haemodynamic risk are very poorly documented (12.5% to 25%). The prevalence of Parvovirus B19 infection is 5.3% and that of bacterial contamination at 1.4%, that of malaria infestations between 0.3% and 28.3%, that of trypanosomiasis at 1.3%, that of babebiosis at 0.17% in blood donors. Allo-immunization represents 47.8%, adverse reactions 3.4%, iron deficiency 63.2, iron deficiency anemia 25.9% and anemia 36.5%. Pediatrics is the biggest user of this blood. Conclusion: The prevalence of HIV, HBV, HCV and Syphilis infections is within the range of sub-Saharan African countries. The serological test is systematic and involves the residual risk, it is necessary to introduce the molecular tests. The prevalence of other pathogens (emerging viruses, bacteria and hemoparasites), the immunological and metabolic risk is poorly documented. The search for these pathogens, irregular antibodies and the determination of ferritin in blood donations is not systematic.展开更多
文摘This study analyzes the comparative patterns of democratization between geographic regions and the world. It addresses the question that how some determinants of democracy have different effects among geographical regions. Further, by comparing the similarities and differences in the patterns of democratic diffusion across regions, this study seeks to delineate what changes scholars should adopt in our epistemological approaches and methodological tools, such as the indices of democracy, in an attempt to better understand the policy implications of disparate findings from various empirical studies. As part of a larger research project, this paper focuses its attention on two of the geographical regions Asia and the Middle East.
文摘This paper will deal with the history of an important political change in Spain during the transition to democracy between 1976 and 1982： the transformation of a unitary and centralized state to one composed of several political units capable of self-government. The starting point of that process was the confirmation of regional diversity and of the existence of clearly differentiated political sensibilities in some of its territories. The researchers shall rely especially on the legacy of some of the principal actors, and explore the connection between such diversity and the political change that took place.
文摘After four decades of military dictatorship,Togo is still facing a dilemma of whether to break with the past and take a path of democratization or make changes in the continuity.The death of the former President Gnassingbe Eyadema in 2005 was seen by the Togolese community at home and around the world as a window of opportunity or a step toward the emergence of the political liberalization in the country.Unfortunately,with the backing of the Togolese army,Faure Gnassingbe,one of the sons of Eyadema,was enthroned as the country’s new President since 2005.The international economic sanctions on Togo in the aftermath of the death of Eyadema,due to continuing human rights abuses and violations by the authoritarian regime,have accentuated the already acute suffering and poverty of the Togolese population.However,the 2006 Global Political Agreement reached between the traditional political opposition parties and the government paved the way to the normalization of the international cooperation with Togo and hence the lifting of economic sanctions by the international community.Drawing from Solow-Swan growth model and a cross-national causality test of the development-democracy-growth hypothesis of Abbas Pourgerami,this paper investigates the impact of foreign aid on the democratization process since 2005 and argues that foreign aid played a paramount role in consolidating electoral authoritarianism instead of establishing a viable democracy in Togo.
文摘Over two decades have passed by since Poland took the course of democratic changes. In the early 1990s the press sector was re-established as a consequence of de-monopolization and has been taken over by foreigners. The electronle media sector has been restricted for 15 years and foreign companies could only have one third of the ownership. The complexity of Polish media system reflects the long way from communism and governmental media towards free democratized market with some remnants of the previous era. It is hard to predict when it will be shaped in a brand new way and if it is generally possible.
文摘The exhaustion of dictatorial powers and communist regimes ushered in the third wave of democratization in francophone Africa,through the emergence of democratic institutions essential to the holding of credible elections.This new democratic era,which redefines the stakes of power through peaceful political competition in the form of elections,marked the end,at least symbolically,of a time when a coup or popular insurrection seemed to be the only way to overthrow dictatorial regimes.The election thus appears as an instrument of regulation of political life.Through a constructivist perspective,this research aims to discuss the relationship between electoral governance and democratization in francophone Africa.It shows that even if democracy is taken as a tool of political civilization in francophone Africa,there is no institutional linking.It means that electoral must be the key for the regulation and the credibility of democratization and democracy.
文摘The study examined the impact of democratization on foreign direct investment in Tunisia and has done a comparison of the pre and post revolution periods.The paper has used secondary data for the variables GDP per capita,FDI,Gross Fixed Capital Formation(GFCF),Current health expenditure(%of GDP)for the period 2001-2018.The study aims to provide arguments of the favorable political conditions for FDI,the purpose is to understand;whether,democracy and autocracy attract FDI in the Pre and Post-event of revolution in Tunisia.In addition,this investigation discusses the key elements for path dependency in democratic transitions from autocracy to democracy.The study found that there is a correlation between the adoption of a democratic regime and the FDI evolution.A democratic regime creates the right political circumstances to improve macroeconomic performance.It can stimulate growth if it is conducted in a stable political environment.
基金supported in part by the National Natural Science Foundation of China (Grant No.61971259)the National Key R&D Program of China (Grant No.2021YFA1402102)Tsinghua University Initiative Scientific Research Program。
文摘The composite time scale(CTS) provides an accurate and stable time-frequency reference for modern science and technology. Conventional CTS always features a centralized network topology, which means that the CTS is accompanied by a local master clock. This largely restricts the stability and reliability of the CTS. We simulate the restriction and analyze the influence of the master clock on the CTS. It proves that the CTS's long-term stability is also positively related to that of the master clock, until the region dominated by the frequency drift of the H-maser(averaging time longer than ~10~5s).Aiming at this restriction, a real-time clock network is utilized. Based on the network, a real-time CTS referenced by a stable remote master clock is achieved. The experiment comparing two real-time CTSs referenced by a local and a remote master clock respectively reveals that under open-loop steering, the stability of the CTS is improved by referencing to a remote and more stable master clock instead of a local and less stable master clock. In this way, with the help of the proposed scheme, the CTS can be referenced to the most stable master clock within the network in real time, no matter whether it is local or remote, making democratic polycentric timekeeping possible.
基金the phased result of a key project supported by the National Social Science Fund of China in 2022 entitled“A Comparative Study of the Shifting Political Ecology in the United States and the China Policy of Its Two Major Parties”(Grant Number:22AGJ011)。
文摘In the context of the whole-of-government strategic approach the United States(US)currently applies toward China,the Democratic and Republican parties have reached a consensus on“using Taiwan to contain China,”compromising the integrity of the one-China policy and seriously eroding the political foundations of China–US relations.However,considerable differences persist between the two parties regarding Taiwan policy.The Republicans,as represented by Donald Trump,have appeared more radical and more straightforward,whereas the incumbent Biden administration of the Democratic Party has shown significant duplicity.Democrats in the US Congress have introduced relatively fewer Taiwan-related bills than their Republican counterparts;by comparison,some Republican lawmakers have even introduced resolutions calling for resuming“diplomatic ties”with Taiwan.The Taiwan policy gap between the Democratic and Republican parties mirrors their differences on China policy:liberal think tanks advocate for“strategic ambiguity”on Taiwan,but conservatives back“strategic clarity.”And the gap also ref lects the shifting lobbying priorities of Taiwan's Democratic Progressive Party.Looking ahead to the upcoming decade,the Democratic and Republican par ties will continue to compete to“support Taiwan,”thus rendering the Taiwan question even more dangerous.After 2024,if Democrats remain in power,they may hasten the“internationalization”of the Taiwan question;otherwise,if Republicans return to the White House and both chambers of Congress,China and the US may find their relationship even more confrontational.Although the political situation in Taiwan will very unlikely have any fundamental impact on the Taiwan Strait,it will,to a certain extent,influence the intensity of China–US rivalry.
文摘Introduction: Vaccination plays a pivotal role in mitigating the repercussions of the COVID-19 pandemic. However, vaccination campaigns encounter obstacles, especially in developing countries like the Democratic Republic of the Congo (DRC). This study aimed at investigating the roles of vaccine hesitancy, refusal, and access barriers, while identifying individual-level factors associated with non-vaccination in Mbujimayi, DRC. Methods: A community-based cross-sectional survey was conducted in three health districts and included 1496 residents. Attitudes and behaviors related to seeking COVID-19 vaccination were assessed using a standardized questionnaire. Hierarchical logistic regression modeling was used to assess factors potentially affecting non-compliance with vaccination. Results: Among participants (median age = 33, IQR = 23.3, M/F sex ratio = 0.7), 60% displayed misconceptions about COVID-19 or its vaccine, while only 35.2% perceived COVID-19 as a significant health threat. Vaccination coverage was estimated at 49.1% (95% CI: 47.5;52.6), with 71.8% of vaccinated individuals having received one dose. Among the unvaccinated individuals, 50.9% expressed no intention to be vaccinated in the future, citing hesitation (30.4%) or refusal (39.6%) mainly due to side effects or distrust of vaccines. Conversely, 32.7% of the unvaccinated persons expressed access barriers despite willingness to be vaccinated. Misconceptions about COVID-19 and its vaccines were the main drivers of vaccination non-compliance. Conclusion: These findings demonstrate significant vaccine non-compliance driven by hesitancy, refusal, and access barriers. Strategies to enhance vaccination coverage and pandemic preparedness should address misconceptions, sociodemographic barriers, and geographic disparities.
文摘Background: Prostate cancer, the most common male cancer, represents a real public health problem in terms of its frequency and severity in different countries around the world. It disproportionately affects people of African descent wherever they live in the world [1]. To the best of our knowledge, its extent and particularities in the African environment are not well known. Objective: To determine the epidemiological and histopathological profile of prostate cancer in the CUK anatomopathology department. Methodology: This is a retrospective study conducted at the University Clinics of Kinshasa Anapathology Department from January 1, 2015 to December 31, 2022, a period of 8 years. Word processing and tables were entered using the Hp brand computer, with Microsoft Office WORD 2016 software. Data analysis was performed with SPSS version 22.0 software. Results were presented in tables and figures. Results: Prostate was diagnosed in 132 cases, i.e. 1.58% of all CUK laboratory analyses and 8% of cancers diagnosed. The age group most affected was 66-75 years, i.e. 59% of all subjects. Adenocarcinoma was the most frequent histological type, and biopsy dominated in 111 cases (84.1%). Conclusion: Prostate cancer is a real public health problem. Worldwide, and in the Democratic Republic of Congo, it is the most frequently diagnosed cancer in men, and the leading cause of cancer-related death in men. In the DRC, because of the delay in consulting our patients and the weakness of systematic screening, patients are seen at an advanced stage of the disease. Treatment is multidisciplinary, involving surgery, radiotherapy and chemotherapy (including targeted therapies). Patient awareness and screening campaigns will help to considerably reduce the delay in diagnosis and the morbidity and mortality associated with prostate cancer.
文摘Background: In low-income African countries, the demand and use of plastic surgery operations including abdominoplasty, liposuction and Brazilian butt lift (BBL) are increasing. The goal of this work is to present my experience and the challenges of this aesthetic plastic surgery among black African women. Material and Methods: A retrospective study was conducted about the abdominoplasties, liposuctions and Brazilian butt lift (BBL) which I operated in public and private hospitals at Kinshasa (Democratic Republic of Congo) in black African women. It covers a period of 13 years, going from December 1, 2010 to December 1, 2023. For this study, I had at least 6 months period (to Juin 1, 2024) to assess the occurrence of early and late postoperative complications. Results: I performed 84 abdominoplasties, 144 liposuctions and 23 Brazilian butt lifts (BBL). The average age at the time of abdominoplasty was 44 years with extremes ranging from 26 to 55 years and a concentration of cases (60.7%) in the age group of 40 to 49 years. The age group of 20 to 29 years old represented the lowest rate of requests for abdominoplasty (4.7%). Patients with a BMI of 30 to 2 were the majority (61.9%), followed by those between 25 to 2 (29.7%). 67.8% of patients were obese (BMI ≥ 30 kg/m2). The average age at the time of liposuction was 41 years with extremes ranging from 21 years to 69 years;and more than half of cases (68%) in the age group between 30 and 49 years. As for Brazilian butt lift (BBL), the average age was 33 years with extremes ranging from 24 to 42 years and a concentration of patients (91.3%) between 20 and 39 years. The immediate postoperative complications of abdominoplasties observed were: seroma in 7% of cases, hematoma and partial infection of the surgical site in 5% of cases. Pathological scars (hypertrophic, keloid) after abdominoplasties were observed in 9% of cases. The most common complication of liposuction was contour deformity. I observed 16 patients (11.1%) with soft-tissue depressions or elevations, skin panniculus or folds. For Brazalian Butt Lift (BBL), complications like asymmetry for 2 patients (8.9%), contour irregularities for 2 patients (8.9%), and excessive fat removal for 6 patients (26%), had observed. I have not recorded any cases of death or pulmonary embolism. Conclusion: I perform aesthetic plastic surgery procedures in black African women with a high socioeconomic standard of living compared to the average of the general population. The renunciation of planned surgery is motivated by the impossibility of paying the cost of the operation as well as by popular and religious perceptions regarding cosmetic surgery. The results of these aesthetic plastic surgery procedures carried out are very satisfactory for them. The challenges to overcome are mainly threefold: the unforeseeable complications of these cosmetic plastic surgery procedures, popular and religious perceptions of cosmetic surgery as well as the poverty of the population.
文摘The article shows that the situation of agricultural cooperatives in the world in general and agricultural cooperatives in Vietnam in particular are facing certain challenges in the context of globalization in the 21st century.The article points out limitations on:the nature,principles of democratic member control and principles of surplus distribution of the International Cooperative Alliance,as well as Vietnamese law in cooperative management.
文摘The US’s Middle Eastern democratization strategy is based on realist considerations of anti-terrorism and national security,while in contrast the Islamic-Arab world’s anti-Americanism originates from negative effects of modernization and globalization along with perceptions of an inherent unfairness in the US’s Middle East policy.Consequently,the advancement of the Middle Eastern democratization processes within this context are bound to face obstacles and distortion.Anti-Americanism not only leads to the absence of a stable environment for democratization in the Middle East,but also constrains the US’s possible avenues to pursue its Middle Eastern democratization strategy when some Arab authoritarian governments use it as a check and balance to resist the US’s democratization pressure.
文摘A key requirement of today’s fast changing business outcome and innovation environment is the ability of organizations to adapt dynamically in an effective and efficient manner. Becoming a data-driven decision-making organization plays a crucially important role in addressing such adaptation requirements. The notion of “data democratization” has emerged as a mechanism with which organizations can address data-driven decision-making process issues and cross-pollinate data in ways that uncover actionable insights. We define data democratization as an attitude focused on curiosity, learning, and experimentation for delivering trusted data for trusted insights to a broad range of authorized stakeholders. In this paper, we propose a general indicator framework for data democratization by highlighting success factors that should not be overlooked in today’s data driven economy. In this practice-based research, these enablers are grouped into six broad building blocks: 1) “ethical guidelines, business context and value”, 2) “data leadership and data culture”, 3) “data literacy and business knowledge”, 4) “data wrangling, trustworthy & standardization”, 5) “sustainable data platform, access, & analytical tool”, 6) “intelligent data governance and privacy”. As an attitude, once it is planned and built, data democratization will need to be maintained. The utility of the approach is demonstrated through a case study for a Cameroon based start-up company that has ongoing data analytics projects. Our findings advance the concepts of data democratization and contribute to data free flow with trust.
基金Youth Fund for Humanities and Social Sciences Research of the Ministry of Education“Research on the Translation,Sharing,and Evolution of Marxist Terminology in the Early Translation of the Communist Manifesto between China and Japan”(《共产党宣言》在中日两国早期译介过程中马克思主义术语的译出、共享与演变研究20YJC740035).
文摘Anti-hegemonic movements in Japan had occurred frequently since the early 20th century,and democratic revolution debate in the 1920s was the first significant domestic debate on future development strategy.Various discussions on it from Japanese academia involved state power,absolutism,agrarian revolution,and revolutionary strategy,etc.An analysis of early Japanese scholars’perspectives on the democratic revolution helps to know about the social milieu in Japan at that time,and is of positive significance to comprehend the development process of the current Japanese democratic revolution.
文摘BACKGROUND Cancer diagnosis is increasing around the world and in the Democratic Republic of the Congo(DRC).The proportion of thyroid cancer has increased over the past three decades.There are very few studies on cancer epidemiology,and in particular on thyroid cancer in the DRC.AIM To establish the most recent proportion of thyroid cancer in the DRC compared to other cancers.METHODS This is a retrospective and descriptive study of 6106 consecutive cancer cases listed in the pathological registers of 4 Laboratories in the city of Kinshasa.This study included all cancer cases recorded in the registers between 2005 and 2019.RESULTS From a sample of 6106 patients,including all cancer types,68.3%cases were female and 31.7%were male.Breast and cervical cancer were the most common types of cancer in women and,prostate and skin cancer were the most common types in men.Thyroid cancer was sixth in proportion in women and eleventh in men compared to all cancers.Papillary carcinoma was the most common of thyroid cancers.Rare cancers such as anaplastic and medullary thyroid carcinomas had a proportion of 7%and 2%,respectively.CONCLUSION Newer diagnostic tools led to a surge in cancer diagnoses in the DRC.Thyroid cancer has more than doubled its proportion over the last several decades in the country.
文摘Environmental change is characterized as an alteration in the environment caused primarily by human activities and ecological processes that are natural. Given the fact that the southern part of the province of Haut-Katanga in the Democratic Republic of the Congo (DRC) is part of the African Copperbelt and has been a region of intense mining for decades, humans have affected the physical environment in various ways: such as overpopulation, suburbanization, wastage, deforestation. It is therefore important to track and control the changes in the area’s mining activities. This study aimed to analyze these changes using remote sensing techniques. Landsat satellite images from 2002 and 2022 were processed and classified to quantify changes in built-up area, agricultural land, and vegetation cover over the 20-year period. The classification results revealed sizable differences between the two time points, indicating considerable expansion of built-up land and declines in agricultural land and vegetation cover from 2002 to 2022 in Likasi. These findings provide evidence that urban growth has transformed the landscape in Likasi, likely at the expense of farmland and ecosystems. Further analysis of the remote sensing data could quantify the changes and model future trends to support sustainable land use planning. The land cover and land use analysis were performed with the assistance of the ERDAS 16.6.13 software by mapping LANDSAT data from two different years 2002 and 2022.
文摘Background: In accordance with its measles elimination strategic plan 2012-2020, the Democratic Republic of the Congo (DRC) organized a follow-up vaccination campaign against measles from October to December 2019 in 26 provinces. This study aims to establish the contribution of this supplementary vaccination campaign to protecting children against measles. Methods: The survey was carried out in November 2020 among households of the DRC, according to the 2018 revised version of the World Health Organization’s stratified cluster sampling method, using multiple stage sampling. It targeted 280 children aged 6 - 59 months per stratum or province, with 10 children in each of the 28 selected clusters. Data collection using tablets with centralized and real-time data processing was preceded by enumeration to refine the household sampling frame. Clusters and households were selected by random draw. Data collected with CS Pro 7 software were analyzed with SPSS, Epi info 7 and Excel software to determine indicators and make before-after comparisons using the McNemar test, at a precision threshold of 5%. Results: Of the 8535 surveyed children, 89.5% were vaccinatedduring the follow-up campaign and 81.6% were vaccinated before. Only 3.7% had correctly completed campaign vaccination cards. Estimated vaccination coverage increased from 80.8% before the campaign to 92.6% after the campaign (p 0.001). Vaccination coverage after campaign against measles improved in all provinces (p < 0.001) except Bas-Uele and Maniema. Thirteen provinces reached the national coverage target of 95%, compared to five before the campaign. The proportion of zero-dose children dropped significantly after this campaign from 19.2% to 7.4% (p 0.001), and even fell below 1% in six provinces. Conclusion: This measles vaccination campaign improved overall vaccination coverage by 10% and reached more unvaccinated children. Efforts must continue to improve the retention of vaccination card, the adherence of unvaccinated children and the effectiveness of routine vaccination.
文摘Background: The Democratic Republic of the Congo (DRC) faces severe malaria, postpartum haemorrhage, malnutrition and sickle cell disease that require transfusion. The latter poses immunological, infectious, metabolic and hemodynamic risks to recipients. Objective: To present transfusion safety in the DRC through data from the literature. Methods: This review consists of listing the various articles and abstracts published online and presented in scientific conferences having as a subject of interest transfusion safety in the DRC. Results: The review is dominated by articles from eastern DRC and blood mobilization is around 0.5% of the general population. All screening tests are serological with a proven residual risk. The prevalence of HIV, HBV, HCV and syphilis infections is documented at more than 80% and represents respectively 1.9%, 2.96%, 1.89% and 1.21%. The prevalence of other pathogens, the immunological and haemodynamic risk are very poorly documented (12.5% to 25%). The prevalence of Parvovirus B19 infection is 5.3% and that of bacterial contamination at 1.4%, that of malaria infestations between 0.3% and 28.3%, that of trypanosomiasis at 1.3%, that of babebiosis at 0.17% in blood donors. Allo-immunization represents 47.8%, adverse reactions 3.4%, iron deficiency 63.2, iron deficiency anemia 25.9% and anemia 36.5%. Pediatrics is the biggest user of this blood. Conclusion: The prevalence of HIV, HBV, HCV and Syphilis infections is within the range of sub-Saharan African countries. The serological test is systematic and involves the residual risk, it is necessary to introduce the molecular tests. The prevalence of other pathogens (emerging viruses, bacteria and hemoparasites), the immunological and metabolic risk is poorly documented. The search for these pathogens, irregular antibodies and the determination of ferritin in blood donations is not systematic.
