Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in rece...Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in recent years, the domestic democratic chaos in the United States has intensified, causing widespread doubts about the American political system and its democratic model.展开更多
The analysis refers to the interwar years in Europe.We distinguish four types of coalitions here:(a)Coalitions with other democratic parties,led by a predominant party and most common in multi-party democratic states....The analysis refers to the interwar years in Europe.We distinguish four types of coalitions here:(a)Coalitions with other democratic parties,led by a predominant party and most common in multi-party democratic states.(b)Bringing in ideological opponents on the parts of overarching highly credible national figures such as King George V did in Britain in 1931 in calling upon the charismatic Labour Party leader MacDonald to form a coalition with the still dominant but ailing Conservative Party.(c)The outbidding of more radical political parties by former center parties towards the right or left.One such outcome comes about when this is having a temporary effect only,until the next election is won within the family of democratic parties.Yet,when outbidding is trump the electorate easily might go for the hardest outbidding contender not to be taken over by even greater extremist parties.This process for the analysis of political terrorism and its intention to instigate fear amongst the“neutral”population explains to a large extent why considerable portions of the population are going to side with the most extreme challengers.This is for two reasons,one is pure fear to be out-mastered,the other one is rational choice just to avoid this.(d)The other outcome as to outbidding occurs when the democratic national consensus formation that is still underlying all these processes in normal times is wiped out in times of crises.Democratic national consensus is being lost vis-à-vis a new anti-democratic national consensus formation.Several other theoretical arguments and historical experiences are touched upon.展开更多
There is a growing recognition of the critical role of security governance in advancing democratic transition in the post-conflict environment.Despite such a recognition,the security sector reform concept has overshad...There is a growing recognition of the critical role of security governance in advancing democratic transition in the post-conflict environment.Despite such a recognition,the security sector reform concept has overshadowed the importance of the overarching strategic role of security governance in transition to democracy,particularly in Africa.This paper assesses the status and challenges facing security governance and how they thwarted the efforts to furthering the democratic transition in South Sudan.The paper shows a deterioration in security,safety and security governance outcomes since the independence of South Sudan in 2011 with such a trend unlikely to be abated in the near future without strategic interventions.Some of the challenges facing security governance in South Sudan include the legacies of some historical events including the“Big Tent Policy”,absence of strategic leadership,lack of overarching policy framework,impractical and tenuous security arrangements in the 2018 peace agreement,persistent postponement of the first elections,and dysfunctional justice sector.The paper provides some strategic and operational recommendations to improve security governance and advance democratic transition in South Sudan.These recommendations include formulation of an inclusive and people-centered national security policy,rigorous judicial reform,and early political agreement on new political infrastructure if conditions for holding the first national elections are not met in 2026.展开更多
Padma was 17 when the democratic reform was introduced in Xizang in 1959.Before the reform,the region had been ruled by feudal serfdom under a theocracy for centuries.Nearly one million serfs were subjected to estate-...Padma was 17 when the democratic reform was introduced in Xizang in 1959.Before the reform,the region had been ruled by feudal serfdom under a theocracy for centuries.Nearly one million serfs were subjected to estate-holders'cruel exploitation and oppression.Padma was one of them.展开更多
Lying in politics has long been seen as both routine and destructive.While some falsehoods appear trivial,others undermine democratic processes,erode trust,and inflict significant harm on society.This essay investigat...Lying in politics has long been seen as both routine and destructive.While some falsehoods appear trivial,others undermine democratic processes,erode trust,and inflict significant harm on society.This essay investigates the moral,legal,and political dimensions of punishing political lies,drawing on Kantian deontological ethics,consequentialist reasoning,and theories of democratic communication.It distinguishes minor misstatements from harmful falsehoods that distort elections,public health responses,and national security.Building on Hannah Arendt’s warning about the collapse of truth and Jürgen Habermas’s emphasis on communicative integrity,the analysis shows how unchecked deception corrodes the foundations of democratic legitimacy.Although legal punishment risks overreach and potential misuse,political and social sanctions remain essential tools of accountability.By examining cases such as misinformation in the Iraq War and the COVID-19 pandemic,the essay argues that meaningful consequences for harmful lies are indispensable to maintaining truth as a shared democratic norm.展开更多
Namibia’s democratic and peaceful transition of power since its independence in 1990 has positioned it as a model for political stability in Africa.This article explores the key factors that have contributed to Nami...Namibia’s democratic and peaceful transition of power since its independence in 1990 has positioned it as a model for political stability in Africa.This article explores the key factors that have contributed to Namibia’s transitions,focusing on the institutional,political,and cultural elements that have underpinned democratic processes.By examining historical milestones,such as the successful 1990 independence elections,the 2005,2015 and 2025 presidential transitions,and the country’s consistent adherence to constitutional principles,this research highlights the role of strong democratic institutions,political tolerance,and active participation of civil society.The article also addresses the significance of leadership and the political culture that foster trust in democratic institutions.Furthermore,it assesses the role of regional and international support in reinforcing Namibia’s democratic processes.By comparing Namibia’s experience with other African nations facing transitions of power,the article offers insights into broader implications for governance,democratic consolidation,and stability in the African context.The article analyses Namibia’s experience in light of similar transitions in Africa,identifying key factors that promote a peaceful transfer of power in the aftermath of an expected presidential demise.The findings aim to contribute to the understanding of successful democratic transitions and provide a blueprint for other nations striving for peaceful power of changes.Ultimately,this work offers valuable insights into the dynamics of democratic resilience in Namibia and highlights important lessons for other African nations confronting leadership transitions.展开更多
Old Xizang long practiced theocratic feudal serfdom in whichpolitical and religious authority were merged. In March 1959,under the leadership of the Communist Party of China, acomprehensive democratic reform centered ...Old Xizang long practiced theocratic feudal serfdom in whichpolitical and religious authority were merged. In March 1959,under the leadership of the Communist Party of China, acomprehensive democratic reform centered on abolishing this feudalserfdom was launched throughout Xizang.展开更多
BACKGROUND Thyroid cancer incidence is rising globally,including the Democratic Republic of Congo(DRC).Despite its increasing incidence,limited data exist on physicians’knowledge of thyroid cancer management in the D...BACKGROUND Thyroid cancer incidence is rising globally,including the Democratic Republic of Congo(DRC).Despite its increasing incidence,limited data exist on physicians’knowledge of thyroid cancer management in the DRC.AIM To evaluate the knowledge levels of Congolese physicians regarding the diagnosis and treatment of thyroid nodules and cancers,and to identify existing gaps and areas for improvement.METHODS A descriptive cross-sectional study was conducted from June to August 2024,involving 369 physicians practicing in healthcare facilities across Kinshasa,DRC.Participants were selected using a multi-stage sampling method.Data were collected via a structured questionnaire covering thyroid cancer epidemiology,diagnostic methods,treatment approaches,and prognosis.Data were analyzed using SPSS version 25,employing descriptive and inferential statistics,with a P value≤0.05 being considered as statistically significant.RESULTS Overall response rate was 96.1%.Of all participants,68%were female and 32%were male physicians.General practitioners constituted 84.8%of respondents,with an average age of 34 years.While 53.7%demonstrated adequate knowledge of hypothyroidism management post-thyroidectomy and 61.2%identified the approach for hypoparathyroidism,only 5.1%recognized the need for radiotherapy in metastatic thyroid cancer cases.Awareness of anaplastic thyroid cancer treatment was limited(6.5%),and 90.2%of physicians were unfamiliar with the surgical complications.Moderate understanding was noted in diagnostic protocols,with 44.2%correctly identifying repeat fine-needle aspiration timing in Bethesda I cases.Knowledge of molecular genetics,recurrence risks,and metastasis patterns was remarkably low.CONCLUSION This study highlights significant knowledge gaps among Congolese physicians regarding thyroid cancer management,especially about advanced treatment modalities and molecular genetics.Targeted educational programs and improved access to diagnostic tools are critical to bridging these deficits.Addressing these gaps can enhance the quality of thyroid cancer care and align clinical practices in the DRC with global standards.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 Luapula River has received mining discharges from Lubumbashi and Kipushi Gecamines for several decades and from the CHEMAF company since 2005. It also received mining waste from SODIMICO. The Luapula River has Lak...The Luapula River has received mining discharges from Lubumbashi and Kipushi Gecamines for several decades and from the CHEMAF company since 2005. It also received mining waste from SODIMICO. The Luapula River has Lake Banguelo as its source in Zambia and flows into Lake Moero, which is located on the border between Zambia and the Democratic Republic of Congo. The objective of this study is to assess the health safety of the fish from the Luapula River. Fish samples were collected in August 2015 at the site of the locality of Kasenga located downstream of the mining activities (n = 14) and presumed to be polluted. On the other hand, reference fish samples were taken upstream of any mining activity of the Panda, Kasungwe and Congo Rivers at the sections located near their sources and presumed not to be polluted by mining wastes. (n = 11). Ten Metal Trace Elements (MTE) were assayed at the laboratory of the Congolese Control Office (OCC) of Lubumbashi and at the laboratory of the Catholic University of Leuven in Belgium using ICP-OES and ICP-MS. To assess and evaluate the health safety of fish from the Luapula River, the concentrations of fish samples from the Luapula River were compared with the concentrations of the reference fish samples from the Panda Kasungwe and Congo rivers by the Wilcoxon test. The concentrations of fish samples from the Congo River were also compared with the maximum acceptable metal trace element concentrations established by the FAO, WHO, EU (European Union) and other regulatory bodies. as reported by Akoto et al. The results of this study showed that the fish from the Luapula River is contaminated in Cd, Cu, Ni and Pb, and are not fit for human consumption. The results obtained will be brought to attention of the decision-makers of the Province of Haut-Katanga, so that measures can be taken to ban metallurgical factories to drump their mining wastes into waterways.展开更多
Walt·Whitman was one of the famous poets in American literary field. He is remembered by his masterpiece-Leaves of Grass, which composes a lot of his democratic ideas. His democratic poems and his writing styles ...Walt·Whitman was one of the famous poets in American literary field. He is remembered by his masterpiece-Leaves of Grass, which composes a lot of his democratic ideas. His democratic poems and his writing styles have their historical background which helped form his democratic ideas.展开更多
Since the Cession of Hong Kong for the British since the news of speech terms is strictly limited, long-term Hong Kong residents can not participate in local politics. But to allow discussion of political affairs in C...Since the Cession of Hong Kong for the British since the news of speech terms is strictly limited, long-term Hong Kong residents can not participate in local politics. But to allow discussion of political affairs in China outside Hong Kong. Thus, the various historical periods in the future, the progressive intellectuals to Hong Kong newspaper, publicity revolution, the process of democratic revolution in China, plays a very important role.展开更多
AIM:To determine the frequency and types of retinal diseases and the extend of the related visual loss in adult patients attending two public eye clinics of Kinshasa,Democratic Republic of Congo.METHODS:Review of medi...AIM:To determine the frequency and types of retinal diseases and the extend of the related visual loss in adult patients attending two public eye clinics of Kinshasa,Democratic Republic of Congo.METHODS:Review of medical records of patients with retinal diseases seen in the major eye clinics in Kinshasa,the University Hospital of Kinshasa(UHK)and Saint Joseph Hospital(SJH),from January 2012 to December 2014.Demographics and diagnoses were retrieved and analyzed.Outcome measures were frequency and prevalence of retinal diseases,blindness and low vision.RESULTS:A total of 40965 patients aged 40 y or older were examined during this period in both clinics.Of these,1208 had retinal disease,giving a 3-year and an annual prevalence of 3%and 1%,respectively.Mean age was 61.7±10.7 y,and 55.8%of the patients were males.Arterial hypertension(68.1%)and diabetes(43.3%)were the most common systemic comorbidities.Hypertensive retinopathy(41.8%),diabetic retinopathy(37.9%),age-related macular degeneration(AMD;14.6%),and chorioretinitis and retinal vein occlusion(7.3%each)were the most common retinal diseases,with 3-year prevalence rates of 1.3%,1.0%,0.43%,and 0.21%respectively.Bilateral low vision and blindness were present in 26.8%and 8.4%of the patients at presentation.Major causes of low vision and blindness were diabetic retinopathy(14.8%),AMD(4.9%),retinal detachment(2.8%),and retinal vein occlusion(2.5%).The prevalence was significantly higher among males than females,and at the UHK than SJH.CONCLUSION:Retinal diseases are common among Congolese adult patients attending eye clinics in Kinshasa.They cause a significant proportion of low vision and blindness.展开更多
In the past decade,there has been extensive global surveillance for highly pathogenic avian influenza(HPAI)infection in both animals and humans,however,few studies on epidemiology of avian influenza in Democratic Peo...In the past decade,there has been extensive global surveillance for highly pathogenic avian influenza(HPAI)infection in both animals and humans,however,few studies on epidemiology of avian influenza in Democratic People’s Republic of Korea(DPRK)were published.During the period 2013–2014,HPAI H5N1 viruses were detected with outbreaks in domestic poultry in DPRK.Phylogenetic analysis revealed that the hemagglutinin gene of all samples belonged to clade 2.3.2.1c with high homology.The HPAI H5N1 virus found in ducks at the Tudan Duck Farm in 2013 was might introduced by migratory birds and then led to the outbreaks on neighboring chicken farms in 2014.These data provide direct evidence for the transmission of avian influenza viruses from wild birds to waterfowl to terrestrial birds.Therefore,the monitoring and control of influenza virus in ducks must be given top priority,which are essential components to prevent and control HPAI.展开更多
文摘Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in recent years, the domestic democratic chaos in the United States has intensified, causing widespread doubts about the American political system and its democratic model.
文摘The analysis refers to the interwar years in Europe.We distinguish four types of coalitions here:(a)Coalitions with other democratic parties,led by a predominant party and most common in multi-party democratic states.(b)Bringing in ideological opponents on the parts of overarching highly credible national figures such as King George V did in Britain in 1931 in calling upon the charismatic Labour Party leader MacDonald to form a coalition with the still dominant but ailing Conservative Party.(c)The outbidding of more radical political parties by former center parties towards the right or left.One such outcome comes about when this is having a temporary effect only,until the next election is won within the family of democratic parties.Yet,when outbidding is trump the electorate easily might go for the hardest outbidding contender not to be taken over by even greater extremist parties.This process for the analysis of political terrorism and its intention to instigate fear amongst the“neutral”population explains to a large extent why considerable portions of the population are going to side with the most extreme challengers.This is for two reasons,one is pure fear to be out-mastered,the other one is rational choice just to avoid this.(d)The other outcome as to outbidding occurs when the democratic national consensus formation that is still underlying all these processes in normal times is wiped out in times of crises.Democratic national consensus is being lost vis-à-vis a new anti-democratic national consensus formation.Several other theoretical arguments and historical experiences are touched upon.
文摘There is a growing recognition of the critical role of security governance in advancing democratic transition in the post-conflict environment.Despite such a recognition,the security sector reform concept has overshadowed the importance of the overarching strategic role of security governance in transition to democracy,particularly in Africa.This paper assesses the status and challenges facing security governance and how they thwarted the efforts to furthering the democratic transition in South Sudan.The paper shows a deterioration in security,safety and security governance outcomes since the independence of South Sudan in 2011 with such a trend unlikely to be abated in the near future without strategic interventions.Some of the challenges facing security governance in South Sudan include the legacies of some historical events including the“Big Tent Policy”,absence of strategic leadership,lack of overarching policy framework,impractical and tenuous security arrangements in the 2018 peace agreement,persistent postponement of the first elections,and dysfunctional justice sector.The paper provides some strategic and operational recommendations to improve security governance and advance democratic transition in South Sudan.These recommendations include formulation of an inclusive and people-centered national security policy,rigorous judicial reform,and early political agreement on new political infrastructure if conditions for holding the first national elections are not met in 2026.
文摘Padma was 17 when the democratic reform was introduced in Xizang in 1959.Before the reform,the region had been ruled by feudal serfdom under a theocracy for centuries.Nearly one million serfs were subjected to estate-holders'cruel exploitation and oppression.Padma was one of them.
文摘Lying in politics has long been seen as both routine and destructive.While some falsehoods appear trivial,others undermine democratic processes,erode trust,and inflict significant harm on society.This essay investigates the moral,legal,and political dimensions of punishing political lies,drawing on Kantian deontological ethics,consequentialist reasoning,and theories of democratic communication.It distinguishes minor misstatements from harmful falsehoods that distort elections,public health responses,and national security.Building on Hannah Arendt’s warning about the collapse of truth and Jürgen Habermas’s emphasis on communicative integrity,the analysis shows how unchecked deception corrodes the foundations of democratic legitimacy.Although legal punishment risks overreach and potential misuse,political and social sanctions remain essential tools of accountability.By examining cases such as misinformation in the Iraq War and the COVID-19 pandemic,the essay argues that meaningful consequences for harmful lies are indispensable to maintaining truth as a shared democratic norm.
文摘Namibia’s democratic and peaceful transition of power since its independence in 1990 has positioned it as a model for political stability in Africa.This article explores the key factors that have contributed to Namibia’s transitions,focusing on the institutional,political,and cultural elements that have underpinned democratic processes.By examining historical milestones,such as the successful 1990 independence elections,the 2005,2015 and 2025 presidential transitions,and the country’s consistent adherence to constitutional principles,this research highlights the role of strong democratic institutions,political tolerance,and active participation of civil society.The article also addresses the significance of leadership and the political culture that foster trust in democratic institutions.Furthermore,it assesses the role of regional and international support in reinforcing Namibia’s democratic processes.By comparing Namibia’s experience with other African nations facing transitions of power,the article offers insights into broader implications for governance,democratic consolidation,and stability in the African context.The article analyses Namibia’s experience in light of similar transitions in Africa,identifying key factors that promote a peaceful transfer of power in the aftermath of an expected presidential demise.The findings aim to contribute to the understanding of successful democratic transitions and provide a blueprint for other nations striving for peaceful power of changes.Ultimately,this work offers valuable insights into the dynamics of democratic resilience in Namibia and highlights important lessons for other African nations confronting leadership transitions.
文摘Old Xizang long practiced theocratic feudal serfdom in whichpolitical and religious authority were merged. In March 1959,under the leadership of the Communist Party of China, acomprehensive democratic reform centered on abolishing this feudalserfdom was launched throughout Xizang.
文摘BACKGROUND Thyroid cancer incidence is rising globally,including the Democratic Republic of Congo(DRC).Despite its increasing incidence,limited data exist on physicians’knowledge of thyroid cancer management in the DRC.AIM To evaluate the knowledge levels of Congolese physicians regarding the diagnosis and treatment of thyroid nodules and cancers,and to identify existing gaps and areas for improvement.METHODS A descriptive cross-sectional study was conducted from June to August 2024,involving 369 physicians practicing in healthcare facilities across Kinshasa,DRC.Participants were selected using a multi-stage sampling method.Data were collected via a structured questionnaire covering thyroid cancer epidemiology,diagnostic methods,treatment approaches,and prognosis.Data were analyzed using SPSS version 25,employing descriptive and inferential statistics,with a P value≤0.05 being considered as statistically significant.RESULTS Overall response rate was 96.1%.Of all participants,68%were female and 32%were male physicians.General practitioners constituted 84.8%of respondents,with an average age of 34 years.While 53.7%demonstrated adequate knowledge of hypothyroidism management post-thyroidectomy and 61.2%identified the approach for hypoparathyroidism,only 5.1%recognized the need for radiotherapy in metastatic thyroid cancer cases.Awareness of anaplastic thyroid cancer treatment was limited(6.5%),and 90.2%of physicians were unfamiliar with the surgical complications.Moderate understanding was noted in diagnostic protocols,with 44.2%correctly identifying repeat fine-needle aspiration timing in Bethesda I cases.Knowledge of molecular genetics,recurrence risks,and metastasis patterns was remarkably low.CONCLUSION This study highlights significant knowledge gaps among Congolese physicians regarding thyroid cancer management,especially about advanced treatment modalities and molecular genetics.Targeted educational programs and improved access to diagnostic tools are critical to bridging these deficits.Addressing these gaps can enhance the quality of thyroid cancer care and align clinical practices in the DRC with global standards.
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 Luapula River has received mining discharges from Lubumbashi and Kipushi Gecamines for several decades and from the CHEMAF company since 2005. It also received mining waste from SODIMICO. The Luapula River has Lake Banguelo as its source in Zambia and flows into Lake Moero, which is located on the border between Zambia and the Democratic Republic of Congo. The objective of this study is to assess the health safety of the fish from the Luapula River. Fish samples were collected in August 2015 at the site of the locality of Kasenga located downstream of the mining activities (n = 14) and presumed to be polluted. On the other hand, reference fish samples were taken upstream of any mining activity of the Panda, Kasungwe and Congo Rivers at the sections located near their sources and presumed not to be polluted by mining wastes. (n = 11). Ten Metal Trace Elements (MTE) were assayed at the laboratory of the Congolese Control Office (OCC) of Lubumbashi and at the laboratory of the Catholic University of Leuven in Belgium using ICP-OES and ICP-MS. To assess and evaluate the health safety of fish from the Luapula River, the concentrations of fish samples from the Luapula River were compared with the concentrations of the reference fish samples from the Panda Kasungwe and Congo rivers by the Wilcoxon test. The concentrations of fish samples from the Congo River were also compared with the maximum acceptable metal trace element concentrations established by the FAO, WHO, EU (European Union) and other regulatory bodies. as reported by Akoto et al. The results of this study showed that the fish from the Luapula River is contaminated in Cd, Cu, Ni and Pb, and are not fit for human consumption. The results obtained will be brought to attention of the decision-makers of the Province of Haut-Katanga, so that measures can be taken to ban metallurgical factories to drump their mining wastes into waterways.
文摘Walt·Whitman was one of the famous poets in American literary field. He is remembered by his masterpiece-Leaves of Grass, which composes a lot of his democratic ideas. His democratic poems and his writing styles have their historical background which helped form his democratic ideas.
文摘Since the Cession of Hong Kong for the British since the news of speech terms is strictly limited, long-term Hong Kong residents can not participate in local politics. But to allow discussion of political affairs in China outside Hong Kong. Thus, the various historical periods in the future, the progressive intellectuals to Hong Kong newspaper, publicity revolution, the process of democratic revolution in China, plays a very important role.
文摘AIM:To determine the frequency and types of retinal diseases and the extend of the related visual loss in adult patients attending two public eye clinics of Kinshasa,Democratic Republic of Congo.METHODS:Review of medical records of patients with retinal diseases seen in the major eye clinics in Kinshasa,the University Hospital of Kinshasa(UHK)and Saint Joseph Hospital(SJH),from January 2012 to December 2014.Demographics and diagnoses were retrieved and analyzed.Outcome measures were frequency and prevalence of retinal diseases,blindness and low vision.RESULTS:A total of 40965 patients aged 40 y or older were examined during this period in both clinics.Of these,1208 had retinal disease,giving a 3-year and an annual prevalence of 3%and 1%,respectively.Mean age was 61.7±10.7 y,and 55.8%of the patients were males.Arterial hypertension(68.1%)and diabetes(43.3%)were the most common systemic comorbidities.Hypertensive retinopathy(41.8%),diabetic retinopathy(37.9%),age-related macular degeneration(AMD;14.6%),and chorioretinitis and retinal vein occlusion(7.3%each)were the most common retinal diseases,with 3-year prevalence rates of 1.3%,1.0%,0.43%,and 0.21%respectively.Bilateral low vision and blindness were present in 26.8%and 8.4%of the patients at presentation.Major causes of low vision and blindness were diabetic retinopathy(14.8%),AMD(4.9%),retinal detachment(2.8%),and retinal vein occlusion(2.5%).The prevalence was significantly higher among males than females,and at the UHK than SJH.CONCLUSION:Retinal diseases are common among Congolese adult patients attending eye clinics in Kinshasa.They cause a significant proportion of low vision and blindness.
基金supported by the China Agriculture Research System of MOF and MARA(CARS-41)。
文摘In the past decade,there has been extensive global surveillance for highly pathogenic avian influenza(HPAI)infection in both animals and humans,however,few studies on epidemiology of avian influenza in Democratic People’s Republic of Korea(DPRK)were published.During the period 2013–2014,HPAI H5N1 viruses were detected with outbreaks in domestic poultry in DPRK.Phylogenetic analysis revealed that the hemagglutinin gene of all samples belonged to clade 2.3.2.1c with high homology.The HPAI H5N1 virus found in ducks at the Tudan Duck Farm in 2013 was might introduced by migratory birds and then led to the outbreaks on neighboring chicken farms in 2014.These data provide direct evidence for the transmission of avian influenza viruses from wild birds to waterfowl to terrestrial birds.Therefore,the monitoring and control of influenza virus in ducks must be given top priority,which are essential components to prevent and control HPAI.
