World Perspective and Celiac Disease Epidemiology

2015 ◽  
Vol 33 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Carlo Catassi ◽  
Simona Gatti ◽  
Elena Lionetti

In Europe and the USA, the mean frequency of celiac disease (CD) in the general population is approximately 1%, with some regional differences, the reasons for which remain elusive. A similar disease prevalence has been found in other countries mostly populated by individuals of European origin, e.g. Australia and Argentina. In Western countries, a true rise in overall CD prevalence of CD has been documented. CD is a common disorder in North Africa, the Middle East and India; however, the diagnostic rate is low in these countries due to low availability of diagnostic facilities and poor disease awareness. The highest CD prevalence in the world (5.6%) has been described in an African population originally living in Western Sahara, the Saharawi, of Arab-Berber origin. The reasons for this high CD frequency are unclear but could be primarily related to recent dietary changes and genetic factors, given the high level of consanguinity of this population. Further studies are needed to quantify the incidence of the celiac condition in apparently ‘celiac-free' areas such as Sub-Saharan Africa and the Far East. In many developing countries, the frequency of CD is likely to increase in the near future given the diffuse tendency to adopt Western, gluten-rich dietary patterns. As most cases currently escape diagnosis all over the world, an effort should be made to increase the awareness of CD polymorphism. A cost-effective case-finding policy and new strategies of mass CD screening could significantly reduce the morbidity and mortality associated with untreated disease. The current high prevalence of CD is just the last link in a chain of events started about 10,000 years ago after wheat domestication and diffusion from the Middle East. We hypothesize different mechanisms to explain the so-called evolutionary celiac paradox of co-localization of gluten consumption and HLA CD-predisposing genotypes.

Author(s):  
Daniel Deudney

The end of the Cold War left the USA as uncontested hegemon and shaper of the globalization and international order. Yet the international order has been unintentionally but repeatedly shaken by American interventionism and affronts to both allies and rivals. This is particularly the case in the Middle East as the wars in Afghanistan and Iraq as well as the nuclear negotiations with Iran show. Therefore, the once unquestioned authority and power of the USA have been challenged at home as well as abroad. By bringing disorder rather than order to the world, US behavior in these conflicts has also caused domestic exhaustion and division. This, in turn, has led to a more restrained and as of late isolationist foreign policy from the USA, leaving the role as shaper of the international order increasingly to others.


Author(s):  
E. Telegina ◽  
M. Tadzhiev

According to judgemental forecasts, in the next few years the revolutionary changes in the energy complex both in the USA and in the world in general are hardly possible, considering the enormous inertia of the energetic system and high expenses coming from the infrastructure supersession, even in case of cost-effective alternatives to the existing energy commodities. At the same time, the sharpening of energy security problems resulting from the growth of a global demand on energy products leads to perceprion of necessity for a new approach to forming the global energy market, and to development of new stability and reliability strategies maintenance for assured supplies of energy products. In recent years, the USA as the biggest consumer of energy resources in the world worked out a new national strategy of energy security provision. Its main targets are: meeting the requirements of the American economy of its own resources, lowering the import-dependence level, high use of innovation technologies, significant increase of investments in alternative energy sources, as well as of resource-and energy-saving.


2013 ◽  
Vol 4 (1) ◽  
Author(s):  
Ged F. Williams ◽  
Wilson Cañón Montañez

<h5><span>As the global community becomes overwhelmed by conflict, threat and scandal in many countries it is heartening to find that many of us can still find opportunity to give generously to the betterment of humanity.</span></h5><div><h5><span>Recently we have both had our share of fun and excitement working and learning in various regions of the world, Ged in the Middle East and Africa and Wilson in the USA, The Netherlands and Brazil.</span></h5><h5><span>We are often asked “how do you develop an international perspective”? The short answer is that it is an insidious accident sometimes, however like many things a deeper analysis reveals a journey that is often planned and other times blessed by unexpected surprises. However a sense of openness, generosity and adventure is always necessary to maximise every opportunity.</span></h5><h5><span>Among other things, Ged allocated time to travel and to visit hospitals and nurses in other parts of Australia and the world, listening to people’s stories, dreams, and aspirations and providing reciprocal encouragement and fellowship, often through interpreters.</span><span style="font-size: 0.83em;"> </span><span style="font-size: 10px;">(Rev Cuid 2013; 4(1):433-6).</span></h5><div><em><br /></em></div></div>


2006 ◽  
Vol 40 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Rachel Kaplan

The 2005 UNAIDS/WHO Epidemic Update reports that the number of people living with HIV last year worldwide was 40.3 million (1). In 2005, approximately 3.2 million people became newly infected by HIV in Sub-Saharan Africa, the region of the world that is considered the epicenter of the AIDS epidemic (2).Although the rates of HIV are much less in the Middle East and North Africa (MENA) than in Sub-Saharan Africa, some experts believe that without appropriate implementation of surveillance and prevention services, the epidemic will spread to the general population (3). Reportedly, 67,000 people in MENA became infected with HIV in 2005; there are approximately 510,000 people living with HIV in the region (2). Because of cultural and social taboos surrounding the discussion of the acquisition of HIV around the world in general, and in MENA in particular, it is difficult to develop a clear representation of HIV's presence and risk in countries in the Middle East. Based on the information that is available, the main mode of transmission of HIV is sexual contact, with injecting drug use recognized as the second mode of increasing prevalence (2). Without sufficient implementation of surveillance in the region, however, estimated rates of infection may indeed be lower than the actual number of people infected with HIV (4).


Author(s):  
Е.А. Даценко

Творчество Карла Николаевича Каля занимает особое место в художественной жизни Дальнего Востока 1910 – 1930х годов. С его именем исследователи связывают становление региональной школы пейзажа и проявление импрессионизма. Он один из немногих художников, кто приехал во Владивосток уже сложившимся мастером, с профессиональным художественным образованием (Дюссельдорфская академия художеств, 1892 – 1898) и внушительным перечнем выставок, среди которых выставка в залах Императорской академии художеств и Всемирная выставка в Сент-Луисе (США). Но, несмотря на активную выставочную деятельность художника и произведения, хранящиеся в Музее искусств города Толедо (США) и других государственных и частных собраниях, творчество художника до приезда во Владивосток по сей день остается малоизученным. The Karl Nikolayevich Kahls art work takes a special place in the artistic life of the Far East in the 1910 – 1930 years. The formation of the regional school of landscape and manifestation of impressionism are connected with his name according to the researchers opinions. He is one of the few artists, who came to Vladivostok being a formed artist with the professional artistic education (Dusseldorf Art Academy, 1892 – 1898) and with the impressive list of exhibitions, among which there is the exhibition in the halls of the Imperial Art Academy and the World Exhibition in St. Louis (the USA). To the present day the artists art work before coming to Vladivostok, is still poorly studied despite his active exhibition activities and works, kept in the Museum of Art in Toledo (the USA) and in other state and private collections.


2019 ◽  
pp. 51-64
Author(s):  
Dariusz Brążkiewicz

Abstrakt: Współczesna polityka Federacji Rosyjskiej na Bliskim Wschodzie jest elementem szerokiej strategii ukierunkowanej na cele w środowisku międzynarodowym oraz na cele wewnątrzpaństwowe. Polityka ta jest konfrontacyjna na płaszczyźnie Rosja – Zachód i stanowi koło zamachowe w dążeniu kraju do odzyskania dominującej roli w świecie. Zaangażowanie Federacji Rosyjskiej w konflikt w Syrii jest konsekwencją jej mocarstwowej polityki w zmieniającym się środowisku międzynarodowym. Głównym celem było wyeliminowanie rozwiązań USA i innych państw Zachodu w zakresie interwencji humanitarnej w Syrii. Poza tym utrzymując reżim Baszara al-Asada Federacja Rosyjska podjęła realizację własnego ładu na Bliskim Wschodzie, gdzie chce odgrywać kluczową rolę. Pomagają jej w tym Iran – wieloletni oponent USA oraz Turcja – nowy koalicjant, które mają też swoje partykularne cele w regionie. W przypadku polityki wewnętrznej, rosyjskie elity polityczne chcą utrwalić władzę populistyczną, oferując narodowi drogę dokonań państwa, szczególnie w wymiarze międzynarodowym – wskazując siłę militarną i wyższość polityczną, jako podstawowe elementy odbudowy mocarstwowej roli Federacji Rosyjskiej w świecie. Te kierunki polityki zewnętrznej i wewnętrznej dają obraz konsekwentnych, a jednocześnie zaskakujących działań Federacji Rosyjskiej na Bliskim Wschodzie. Abstract: Contemporary policy of the Russian Federation in the Middle East is an element of a broad strategy focused on international and internal purposes. This policy is confrontational at the level of Russia - the West and constitutes a flywheel in the pursuit of the country to regain its dominant role in the world. The involvement of the Russian Federation in the conflict in Syria is a consequence of its superpower policy in the changing international environment. The main goal was to eliminate the solutions of the USA and other Western countries in the field of humanitarian intervention in Syria. What is more, maintaining the regime of Bashar al-Assad, the Russian Federation has embarked on the implementation of its own order in the Middle East, where it wants to play a key role. Iran, a long-term opponent of the USA, and Turkey, a new coalition partner that also has its particular goals in the region, are the countries which help Russia in this area. In the case of domestic policy, Russia’s power elites want to consolidate populist power by presenting the nation country’s accomplishments, especially in the international dimension, indicating military strength and political superiority as the basic elements of rebuilding the superpower role of the Russian Federation in the world. These external and internal policies give a picture of the consistent and also surprising actions of the Russian Federation in the Middle East


2015 ◽  
Vol 103 ◽  
pp. 5-16 ◽  
Author(s):  
Nancy Flowers

An overview of the global movement for human rights education (HRE), its impetus, challenges, and contrasting developments in different regions of the world, focusing especially on Latin America, the Philippines, South Africa, the Middle East, and Europe. Seeks to put HRE in the USA into an international perspective, as well as to show the variety of goals that inspire HRE and how methodologies have evolved to meet specific regional and political cultures and needs.


Author(s):  
Iryna Tkachenko ◽  
Tetyana Lytvynenko ◽  
Dmitry Prusov ◽  
Lina Hasenko

The work is devoted to placement of streets and urban roads greening elements. The statistics of the road traffic fatalities rate as a result of ride on obstruction, in particular a tree in Ukraine, Poland, the USA, Denmark, have been analyzed. An unsatisfactory situation in Ukraine was confirmed, where the accident rate on roads with a fatal outcome is almost 10 times higher than in the safest countries of the world. The main functions of the streets and urban roads greening elements are generalized. There are: environmental protection (noise absorption, air purification from exhaust gases and pollination); decorating (creation of space for satisfaction of esthetic requirements of a person); accentuating; barrier etc. The greening elements of Ukraine streets and urban roads are classified and compared with the classifications of Queensland (Australia) and Poland. Current placement of greening elements in Poltava (Ukraine) streets was analyzed and the main disadvantages of placing greening elements were revealed. The normative requirements for the street and urban road greening elements placement in Ukraine, Queensland (Australia), Poland, Sweden, Denmark have been analyzed. Existing placement of the street and urban road greening elements in countries with high level of traffic safety were researched and the ways of improvement of existing street greening in Ukraine was found.


2020 ◽  
Vol 16 (11) ◽  
pp. 2180-2198
Author(s):  
A.M. Chernysheva

Subject. As the world becomes more multipolar, global leaders change their approaches to capture the areas they dominate. Currently, advocates of the Western and Eastern models clash, with the latter demonstrating a greater efficiency. Objectives. I examine the foreign trade of the countries in Sub-Saharan Africa, including South Africa, assuming that the region's countries are teetering on the edge of the Western and Eastern approaches to determining the domination area of the leading country. Methods. The study is based on the systems approach, comparative and statistical methods for reviewing exports and imports of Sub-Saharan Africa, illustrating the case of South Africa. Results. As the global economy currently develops, the multipolar world and its emergence are showed to gain momentum, with Sub-Saharan Africa actively diversifying their foreign trade. I mention the way the USA, EU, China, India and Russia influence the region and evaluate development trends in south Africa's exports and imports, setting their further development trend. Notwithstanding the noticeable impact of the USA, Sub-Saharan Africa establish regional alliances and tend to follow the course of other States, with China becoming increasingly important. Conclusions and Relevance. Transforming the world order into the multipolar format, the third-world countries should diversify their foreign trade, following multiple vectors in their economic policy, thus ensuring their own economic security and an opportunity to raise their significance regionally and internationally.


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