Suchergebnisse

The article deals with the 2015 territorial reform in France which reduced the number of regions and changed jurisdiction of the center and regions. In the paper the authors try to learn whether and how this reform affected electoral behavior in the regions during the first round of 2012 and 2017 presidential elections, whether there is a difference between them, and what are the voting patterns in French regions. The author used Moran's index of spatial autocorrelation in order to answer the questions and analyze "neighborhood effect". Besides the researcher employed multivariate explanatory data analysis to uncover the electoral patterns. Among the variables underlying the patterns the author selected socio-economic and demographic ones, as well as the number of criminal acts against Muslim-migrants in the context of the 2015 migrant crisis in Europe. The scholar concludes that territorial reform mitigated the neighborhood effect in regional electoral behavior which indicates the process of decentralization. As for electoral patterns, it is in the Eastern regions where the citizens vote for Marin Le Pen given high levels of migration and unemployment there. In the West where migration and unemployment are low people tend to choose a candidate whose agenda is not centered around migrants. The winner usually gets support from the capital region where migration and unemployment are low but many criminal acts against Muslim-migrants were reported. Consequently, the reform itself did not change electoral patterns in the regions which indicates the tendency towards recentralization and leaves the capital region in the center of political process.

This article aims to investigate the factors influencing the perception of high corruption levels in a country and examines the potential existence of spatial dependence in the distribution of these factors. It specifically focuses on exploring the interdependence between the Corruption Perception Index (CPI) and forty four other factors categorized into six distinct categories. The central hypothesis posits that the interdependence between the CPI and these factors is more pronounced at the domestic level compared to its influence on indicators in neighboring countries. To assess the degree of interdependence between the CPI and each of the other indicators, the Pearson's Coefficient of Determination is employed, enabling an evaluation of corruption levels based on domestic state-specific factors. Furthermore, Moran's Bivariate Spatial Autocorrelation Index is utilized to elucidate the extent to which the CPI in one country influences one of the forty-four indicators in neighboring countries. Additionally, the Index of Spatial Interdependence is employed to ascertain the significance of domestic and international factors for each indicator. The research findings provide several noteworthy conclusions. Firstly, the neighborhood effect proves to be particularly significant for indicators that hold universal relevance for all governments, such as demographic and standard of living indicators. Conversely, indicators influenced by institutional, historical, and cultural differences exhibit stronger interrelations within the state. Lastly, the study establishes that the Pearson's Index holds greater significance than the Bivariate Moran's Index of Spatial Autocorrelation and the Index of Spatial Interdependence, thereby confirming the proposed hypothesis.

The article is devoted to the problem of incompleteness in a human life. Incompleteness is considered to be a chronical lack of something within the boundaries of self-identification. The concept of ontological incompleteness as a non-predeterminance of a human being up to the wholeness is introduced. The understanding of incompleteness is explicated with the help of the theory of consciousness. Consciousness is represented as the several levels of psychic processes.

Secular increases in the burden of kidney failure is a major challenge for health systems worldwide, especially in low- and middle-income countries (LMICs) due to growing demand for expensive kidney replacement therapies. In LMICs with limited resources, the priority of providing kidney replacement therapies must be weighed against the prevention and treatment of chronic kidney disease, other kidney disorders such as acute kidney injury, and other noncommunicable diseases, as well as other urgent public health needs. Kidney failure is potentially preventable�not just through primary prevention of risk factors for kidney disease such as hypertension and diabetes, but also by timely management of established chronic kidney disease. Among people with established or incipient kidney failure, there are 3 key treatment strategies�conservative care, kidney transplantation, and dialysis�each of which has its own benefits. Joining up preventive care for people with or at risk for milder forms of chronic kidney disease with all 3 therapies for kidney failure (and developing synergistic links between the different treatment options) is termed �integrated kidney care� and has potential benefits for patients, families, and providers. In addition, because integrated kidney care implicitly considers resource use, it should facilitate a more sustainable approach to managing kidney failure than providing one or more of its components separately. There is currently no agreed framework that LMIC governments can use to establish and/or scale up programs to prevent and treat kidney failure or join up these programs to provide integrated kidney care. This review presents a suggested framework for establishing integrated kidney care programs, focusing on the anticipated needs of policy makers in LMICs. © 2020 International Society of Nephrology

The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle–income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide.