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Definitive job descriptions are key to ADA compliance
In: Employment relations today, Volume 18, Issue 3, p. 285-289
ISSN: 1520-6459
Wien - Herausforderung für das NATO-Bündnis
In: Aussenpolitik: German foreign affairs review. Deutsche Ausgabe, Volume 38, Issue 2, p. 155-169
ISSN: 0004-8194
Die am 4.11.1989 in Wien begonnene 3. KSZE-Folgekonferenz hat zur Aufgabe: (1) Überprüfung der Umsetzung bisheriger Übereinkommen, (2) Einleitung von Schritten zur Verbesserung von Sicherheit und Zusammenarbeit in Europa. Der zunächst von der Sowjetunion lancierte KSZE-Prozeß verursacht auch Spannungen innerhalb der NATO, insbesondere zwischen den USA auf der einen Seite und den westeuropäischen Verbündeten auf der anderen Seite. Diesen Differenzen wird nachgegangen, zugleich werden Vorstellungen über ein mögliches Ergebnis der Wiener Folgekonferenz entwickelt. (AuD-Hng)
World Affairs Online
The Economic Constraints on Soviet Military Power
In: The Washington quarterly, Volume 10, Issue 3, p. 117-132
ISSN: 1530-9177
The economic constraints on Soviet military power
In: The Washington quarterly, Volume 10, Issue 3, p. 117-132
ISSN: 0163-660X, 0147-1465
World Affairs Online
The economic constraints on Soviet military power
In: The Washington quarterly, Volume 10, p. 117-132
ISSN: 0163-660X, 0147-1465
Whether economic problems will force the Soviet Union to opt for cooperation rather than confrontation. Contents: The Soviet economy: future prospects; Military expenses: can economic performance meet the demand? Manpower; Procurement; Research and development.
Beyond the Wall: Germany's Road to Unification
In: Foreign affairs: an American quarterly review, Volume 72, Issue 5, p. 167
ISSN: 2327-7793
The Western stake in the future of the Soviet economy
In: Economic and Security Series + Occasional Paper
World Affairs Online
Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study
Background: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods: This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index 60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov, NCT04384926. Findings: Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16-30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77-0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50-0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80-0·88; p<0·001), and full lockdowns (0·57, 0·54-0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation: Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include protected elective surgical pathways and long-term investment in surge capacity for acute care during public health emergencies to protect elective staff and services.
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