A systematic review of economic evaluations for interventions of cardiovascular diseases

Background. Cardiovascular disease (CVD) exhibits the most striking public health significance due to its high prevalence and mortality as well as huge economic burdens all over the world, especially in industrialized countries. Major risk factors of CVDs have been the targets of population-wide prevention in the United States. Economic evaluations provide structured information in regard to the efficiency of resource utilization which can inform decisions of resource allocation. The main purpose of this review is to investigate the pattern of study design of economic evaluations for interventions of CVDs. ^ Methods. Primary journal articles published during 2003-2008 were systematically retrieved via relevant keywords from Medline, NHS Economic Evaluation Database (NHS EED) and EBSCO Academic Search Complete. Only full economic evaluations for narrowly defined CVD interventions were included for this review. The methodological data of interest were extracted from the eligible articles and reorganized in Microsoft Access database. Chi-square tests in SPSS were used to analyze the associations between pairs of categorical data. ^ Results. One hundred and twenty eligible articles were reviewed after two steps of literature selection with explicit inclusion and exclusion criteria. Descriptive statistics were reported regarding the evaluated interventions, outcome measures, unit costing and cost reports. The chi-square test of the association between prevention level of intervention and category of time horizon showed no statistical significance. The chi-square test showed that sponsor type was significantly associated with whether new or standard intervention being concluded as more cost effective. ^ Conclusions. Tertiary prevention and medication interventions are the major interests for economic evaluators. The majority of the evaluations were claimed from either a provider’s or a payer’s perspective. Almost all evaluations adopted gross costing strategy for unit cost data rather than micro costing. EQ-5D is the most commonly used instrument for subjective outcome measurement. More than half of the evaluations used decision analytic modeling techniques. The lack of consistency in study design standards in published evaluations appears in several aspects. Prevention level of intervention is not likely to be a factor for evaluators to decide whether to design an evaluation in a lifetime horizon or not. Published evaluations sponsored by industry are more likely to conclude that new intervention is more cost effective than standard intervention.^

The Open Door Mission: Measuring and predicting outcomes of one community-based substance abuse treatment program

The objectives of this study were to identify and measure the average outcomes of the Open Door Mission's nine-month community-based substance abuse treatment program, identify predictors of successful outcomes, and make recommendations to the Open Door Mission for improving its treatment program.^ The Mission's program is exclusive to adult men who have limited financial resources: most of which were homeless or dependent on parents or other family members for basic living needs. Many, but not all, of these men are either chemically dependent or have a history of substance abuse.^ This study tracked a cohort of the Mission's graduates throughout this one-year study and identified various indicators of success at short-term intervals, which may be predictive of longer-term outcomes. We tracked various levels of 12-step program involvement, as well as other social and spiritual activities, such as church affiliation and recovery support.^ Twenty-four of the 66 subjects, or 36% met the Mission's requirements for success. Specific to this success criteria; Fifty-four, or 82% reported affiliation with a home church; Twenty-six, or 39% reported full-time employment; Sixty-one, or 92% did not report or were not identified as having any post-treatment arrests or incarceration, and; Forty, or 61% reported continuous abstinence from both drugs and alcohol.^ Five research-based hypotheses were developed and tested. The primary analysis tool was the web-based non-parametric dependency modeling tool, B-Course, which revealed some strong associations with certain variables, and helped the researchers generate and test several data-driven hypotheses. Full-time employment is the greatest predictor of abstinence: 95% of those who reported full time employment also reported continuous post-treatment abstinence, while 50% of those working part-time were abstinent and 29% of those with no employment were abstinent. Working with a 12-step sponsor, attending aftercare, and service with others were identified as predictors of abstinence.^ This study demonstrates that associations with abstinence and the ODM success criteria are not simply based on one social or behavioral factor. Rather, these relationships are interdependent, and show that abstinence is achieved and maintained through a combination of several 12-step recovery activities. This study used a simple assessment methodology, which demonstrated strong associations across variables and outcomes, which have practical applicability to the Open Door Mission for improving its treatment program. By leveraging the predictive capability of the various success determination methodologies discussed and developed throughout this study, we can identify accurate outcomes with both validity and reliability. This assessment instrument can also be used as an intervention that, if operationalized to the Mission’s clients during the primary treatment program, may measurably improve the effectiveness and outcomes of the Open Door Mission.^

La arquitectura religiosa en Santiago de Chile 1850-1950: razones de las reminiscencias góticas

Históricamente la estrategia de localización de la infraestructura religiosa católica en Chile ha estado condicionada por intenciones destinadas a la captación y tutela de feligreses, proceso desarrollado a través de intervenciones que han generado externalidades difíciles de anticipar y posibles de visualizar en un marco temporal mayor. En este contexto la producción e instalación de los templos católicos en distintos lugares de la ciudad condicionaron los territorios y marcaron presencia en su afán por colonizar y mantener el dominio, mecanismo propio de la institución religiosa que se adaptó al medio y a las circunstancias político social para cumplir su misión y mantener el poder. En esta investigación se buscó identificar desde las edificaciones destinadas al culto, la relación escalar entre localización, modo de instalación y morfología que incluye la forma y técnica de construcción, reconociendo la manera cómo modifican los entornos, el efecto que provocan y las expectativas que abren a nuevas intervenciones. El escenario escogido para realizar el estudio correspondió a un período de la historia de la ciudad de Santiago de Chile no documentado en que las circunstancias políticas, económicas, sociales y culturales contribuyeron a que el modo de disposición de las edificaciones de culto condicionaron el desarrollo urbano y orientaron el crecimiento de la ciudad. El período en que se desarrolló el estudio correspondió a la época de mayor riqueza material y cultural de la historia del país y estuvo modelada por las intenciones y planes de desarrollo tendientes a consolidar lo que se ha denominado el modelo Republicano. Escenario en que el espacio público cobró interés y se transformó en el motor de los cambios e indicador de la escala de la ciudad, estableciendo las condiciones para que las distintas corrientes europeas se manifestaran en el hacer arquitectónico cambiando la imagen original de la ciudad colonial. Este proceso que ocurrió sobre la estructura existente, densificó la manzana a través de la subdivisión predial, que complementado con los avances tecnológicos permitieron mayores alturas de edificación, situación que dio origen a nuevas concepciones espaciales, posibles de desarrollar con los recursos materiales, intelectuales y técnicos disponibles. El estudio se centró en la centuria 1850-1950 analizando la forma como la infraestructura religiosa Católica se localizó en el tejido urbano adoptando distintas tipologías edilicias, en una época caracterizada por el eclecticismo arquitectónico. Específicamente se estudiaron las edificaciones que utilizaron reminiscencias góticas, identificando los casos más significativos, estableciendo el contexto en que se originaron e indagando en la significación que tuvieron por la función que cumplieron, considerando emplazamiento y conexión con el entorno construido, conformación, dimensiones, destino y patrocinios. El área de estudio se fundamentó por la concentración de construcciones con la tendencia historicista, producciones que en el corto y mediano plazo orientaron las transformaciones de la ciudad y por la presencia que conservan hasta estos días. Se observó la incidencia de la acción de la Iglesia Católica en las políticas de Estado, orientando las decisiones de planificación y ocupación del territorio, condicionando la localización de los templos a fin de conseguir las mayores coberturas de la población y el mayor rendimiento de las inversiones. En el contexto latinoamericano la construcción de iglesias, templos y catedrales con reminiscencias góticas fue una constante que caracterizó al último cuarto del siglo XIX y las tres primeras décadas del siglo XX. El estudio permitió conocer en términos cuantitativos y cualitativos la producción, destacando la morfología y materialidad caracterizada por la adopción de estrategias contemporáneas estructuralmente exigentes. Se observó la utilización de la arquitectura como un medio de acercamiento a la población, capaz de transformar a los edificios en símbolos barriales, que facilitaron la generación de identidad, al convertirse en los referentes materiales que se destacan, que se recuerdan y que asumen la representatividad de barrios, permaneciendo en el tiempo y convirtiéndose en íconos asociados a la cultura local. En síntesis, la instalación de las infraestructuras religiosas en la ciudad de Santiago fue consecuencia de un modo de producción, que entregó lugares de encuentro y símbolos para la ciudad, a través de la localización de los edificios que buscaron ocupar áreas visibles, relevantes y convocantes, lo que consiguieron mediante la instalación geográfica, central y equidistante de conglomerados residenciales consolidados o en vías de desarrollo, como también a través de edificaciones monumentales y siempre destacadas respecto de su entorno, lo que marcó exclusividad y dominio. La elección de tipos arquitectónicos fue coyuntural a los tiempos e inspirada en intelectuales y profesionales mayoritariamente foráneos que aportaron conocimientos y experiencia para auspiciar edificaciones que fueron reconocidas como señeras y precursoras de la época. La intensidad en el uso de los recursos que demandaron las exigentes estructuras obligó a la iglesia católica a establecer estrategias de financiación destinadas a suplir la falta de recursos provenientes del Estado. Para lo cual convocaron a distintos actores los que participaron desde sus fronteras y en función de sus intereses cubriendo desde el altruismo hasta la rentabilización de su patrimonio. La organización iglesia católica se comporta de la misma manera que cualquier otra organización: busca expandirse, concentrar, controlar y administrar. Busca codificar todo su entorno (Raffestin, 2011), busca trascender y materialmente lo logra desde sus construcciones. ABSTRACT Historically the location strategies of the catholic religious infrastructure in Chile has been conditioned by intentions aimed at attracting and guardianship of parishioners, process developed through interventions that have generated externalities difficult to anticipate and possible to visualize in a in a major temporary frame. In this context, the production and installation of the catholic churches in different places in the city determined the territories and marked presence in their quest to colonize and maintain domain, mechanism of the religious institution that was adapted to the environment and in the political and social circumstances to fulfill its mission and maintain power. This research sought to identify from the buildings intended for worship in a multi-scale relationship between location, the placement mode, morphology and shape and construction technique and the effect caused by them, the way how they alter the environments and the expectations that are open to new interventions. The chosen scenario for the study corresponded to a not documented period in the history of the city of Santiago de Chile in which political, economic, social and cultural circumstances contributed to the form of disposition of the buildings of worship that determined the urban development and guided the growth of the city. The study period was the epoch of largest material and cultural wealth of Chile history and it was modeled by the intentions and development plans tending to consolidate what has been named the Republican ideal. Scenario in which public space gained interest and became the engine of change and indicator of the scale of the city, establishing the conditions for the various European trends manifested themselves in transforming the original image of the colonial city. This process that took place on the existing structure, produced a higher density of the original blocks through the predial compartimentation, which supplemented with technological advances enabled greater building heights, a situation that gave rise to new spatial conceptions, possible of developing with the material resources, intellectuals and technicians available at the moment. The study focused on the century 1850-1950 by analyzing how the Catholic religious infrastructure was located in the urban fabric by adopting different typologies locality, in an epoch characterised by architectural eclecticism. Specifica lly, it is studied the buildings that used gothic reminiscences, identifying the most significant cases, establishing the context in which they originated and inquiring about the significance that they had for the role it played, considering location and connection to the built environment, shaping, dimensions, destination, and sponsorships. The study area was established by the concentration of buildings with this historicist trend, productions that in the short and medium term guided the transformation of the city and the presence that keeps up to these days. It was noted the incidence of the of the Catholic Church actions in guiding State policies, planning decisions and occupation of the territory, as well as conditioning the location of the temples in order to achieve greater coverage of the population and the greatest return on investment. In the context of Latin America the construction of churches, temples and cathedrals with reminiscences gothic was a constant that characterized the last quarter of the nineteenth century and the first three decades of the twentieth century. The study allowed to know in quantitative and qualitative terms the production of the period, highlighting the morphology and materiality characterized by contemporary and structurally challenging strategies. It was noted the use of architecture as a means of approaching to the population, able to transform buildings into neighborhood symbols, which facilitated the production of identity, to become the reference materials that stand out, that will be remembered and that assume the representativeness of neighborhoods, remaining in the time and becoming icons associated with the local culture. In synthesis, the installation of religious infrastructure in the city of Santiago was result of a mode of production, that provided meeting places and symbols for the city, through the location of buildings that sought to occupy visible, relevant and summoning areas, what they obtained by means of the geographical, central and equidistant installation of consolidated residential conglomerates cluster or about to development, as also through always outstanding and monumental buildings with respect to its surroundings, which marked uniqueness and domain. The choice of architectural types was related to the time and inspired by intellectuals and professionals mostly outsiders who contributed with expertise and experience to sponsor buildings were recognized as outstanding and precursor of the time. The intensity of use of the resources that requested the demanding structures forced to the Catholic church to establish funding strategies designed to compensate for the lack of funds from the State. For which convened to different actors who participated from their borders and depending on their interests covering from the altruism up to the rentabilización of its patrimony. The Catholic Church organization behaves the same way as any other organization: seeks to expand, focus, control and manage. Looking for coding the entire environment (Raffestin, 2011), seeks to transcend and succeeds materially from its building.

COMUNICAÇAO INTEGRADA DE MARKETING E AÇÕES DE PATROCÍNIO A EVENTOS: O EFEITO SINÉRGICO

Este trabalho enfoca a ação de patrocínio a eventos como ferramenta comunicacional, incorporada ao composto da comunicação de marketing. O principal objetivo é analisar e apresentar como as empresas usam e articulam as ferramentas da comunicação integrada de marketing às ações de patrocínio para se criar um efeito sinérgico de comunicação. A metodologia constitui-se em pesquisa bibliográfica e documental e o estudo de casos envolvendo as empresas Ambev, Petrobras e Bradesco com o patrocínio aos respectivos eventos: Skol Beats; Jogos Pan-americanos 2007 e o Espetáculo Saltimbanco do Cirque du Soleil, verificando como os aspectos teóricos foram apropriados em cada caso. As conclusões apontam, principalmente, que as empresas vêm buscando utilizar o potencial máximo de comunicação dos eventos não só ao promoverem, mas também na condição de patrocinadoras, e que o patrocínio deve ser parte de um plano integrado, no qual as ações estratégicas de comunicação de marketing, através das várias ferramentas que as constituem, podem e devem ser conjugadas para alcançar sinergia e valorizar as ações comunicacionais dos patrocinadores.(AU)

COMUNICAÇAO INTEGRADA DE MARKETING E AÇÕES DE PATROCÍNIO A EVENTOS: O EFEITO SINÉRGICO

Este trabalho enfoca a ação de patrocínio a eventos como ferramenta comunicacional, incorporada ao composto da comunicação de marketing. O principal objetivo é analisar e apresentar como as empresas usam e articulam as ferramentas da comunicação integrada de marketing às ações de patrocínio para se criar um efeito sinérgico de comunicação. A metodologia constitui-se em pesquisa bibliográfica e documental e o estudo de casos envolvendo as empresas Ambev, Petrobras e Bradesco com o patrocínio aos respectivos eventos: Skol Beats; Jogos Pan-americanos 2007 e o Espetáculo Saltimbanco do Cirque du Soleil, verificando como os aspectos teóricos foram apropriados em cada caso. As conclusões apontam, principalmente, que as empresas vêm buscando utilizar o potencial máximo de comunicação dos eventos não só ao promoverem, mas também na condição de patrocinadoras, e que o patrocínio deve ser parte de um plano integrado, no qual as ações estratégicas de comunicação de marketing, através das várias ferramentas que as constituem, podem e devem ser conjugadas para alcançar sinergia e valorizar as ações comunicacionais dos patrocinadores.(AU)

A história do Senhor Bom Jesus da Cana Verde: conflitos e celebrações em torno de uma imagem religiosa (Siqueira Campos PR, 1933)

Essa dissertação abordou os conflitos que ocorreram no espaço geográfico denominado Norte Pioneiro . A imagem do Bom Jesus, de propriedade da família Pinto, foi expropriada pelo vigário da paróquia do Distrito de Salto do Itararé, padre Alfredo Simon, que reuniu cerca de vinte homens aramados para capturar esse santo. Nesse conflito religioso que ocorreu no dia 26/4/1933 duas pessoas foram mortas: o comerciante do Arraial dos Pintos, João Moreira, e o herdeiro do Bom Jesus, José Pinto de Oliveira. Esse último veio a falecer meses depois do conflito. Ao redor dessa imagem foi sendo criada uma história oficial e vigiada pelos donos do poder simbólico, mantenedora da ordem e da tradição. No entanto, a história do Bom Jesus foi compreendida numa concepção mais ampla, pois na esfera religiosa ocorria um fenômeno denominado de romanização. A Igreja Católica seguia o Código de Direito Canônico de 1917, não reconhecendo o Código de Direito Civil do Estado Nacional Brasileiro. Na esfera política, o governo paranaense colocou em prática o sistema de terras devolutas. No setor dos transportes, a estrada de ferro RVPRSC (Rede Viária Paraná Santa Catarina) já se encontrava na região desde 1919. E nesse ínterim, as novas relações sócio-culturais e econômicas foram introduzidas no campo, isto é, o capitalismo agrário.(AU)

A história do Senhor Bom Jesus da Cana Verde: conflitos e celebrações em torno de uma imagem religiosa (Siqueira Campos PR, 1933)

Essa dissertação abordou os conflitos que ocorreram no espaço geográfico denominado Norte Pioneiro . A imagem do Bom Jesus, de propriedade da família Pinto, foi expropriada pelo vigário da paróquia do Distrito de Salto do Itararé, padre Alfredo Simon, que reuniu cerca de vinte homens aramados para capturar esse santo. Nesse conflito religioso que ocorreu no dia 26/4/1933 duas pessoas foram mortas: o comerciante do Arraial dos Pintos, João Moreira, e o herdeiro do Bom Jesus, José Pinto de Oliveira. Esse último veio a falecer meses depois do conflito. Ao redor dessa imagem foi sendo criada uma história oficial e vigiada pelos donos do poder simbólico, mantenedora da ordem e da tradição. No entanto, a história do Bom Jesus foi compreendida numa concepção mais ampla, pois na esfera religiosa ocorria um fenômeno denominado de romanização. A Igreja Católica seguia o Código de Direito Canônico de 1917, não reconhecendo o Código de Direito Civil do Estado Nacional Brasileiro. Na esfera política, o governo paranaense colocou em prática o sistema de terras devolutas. No setor dos transportes, a estrada de ferro RVPRSC (Rede Viária Paraná Santa Catarina) já se encontrava na região desde 1919. E nesse ínterim, as novas relações sócio-culturais e econômicas foram introduzidas no campo, isto é, o capitalismo agrário.(AU)

DESENVOLVIMENTO DO TEATRO MUSICAL BRASILEIRO À LUZ DA NOTORIEDADE MIDIÁTICA DAS ADAPTAÇÕES E DOS ARTISTAS

O trabalho tem a proposta de analisar os desdobramentos do teatro musical brasileiro desde a primeira encenação em território nacional de adaptações de espetáculos do Teatro de Revista, gênero originário da França, até as superproduções musicais realizadas nos últimos 16 anos de adaptações de espetáculos americanos. O panorama histórico e analítico será estudado, com ênfase no teatro musical que se utiliza de elementos midiatizados para estar inserido em uma sociedade em que a produção cultural é vista como internacionalizada e mercantilizada. Como forma de marketing, os produtores utilizam-se da notoriedade midiática presente em formatos estrangeiros já consagrados, adaptações renomadas e bem aceitas pelo público, além da fama de celebridades que são escaladas para os musicais. Tudo para a conquista de um patrocinador que, por sua vez, acaba fazendo exigências que interferem de maneira decisiva na montagem dos espetáculos. Em meio a um processo onde são tantos os direcionamentos pré-estabelecidos por patrocinadores, onde se encontra o genuíno teatro musical brasileiro? A pesquisa abrange o ineditismo da presença de temáticas nacionais em formatos estrangeiros e agrega o conjunto de fatores que possibilitam que um roteiro de musical saia do papel e adentre os palcos, tais como as políticas públicas de incentivos fiscais; a ligação de empresas patrocinadoras e suas marcas a musicais; o fato de que, mesmo as produções sendo pagas por dinheiro público, possuírem ingressos que não são a preços populares. Para auxiliar nas conjecturas a serem formadas, será utilizada uma metodologia histórico-descritiva com foco na relação do tema com elementos notórios na mídia, como os artistas e obras a serem adaptadas no palco.

Invisible work, unseen hazards: the health of women immigrant household service workers in Spain

BACKGROUND: Household service work has been largely absent from occupational health studies. We examine the occupational hazards and health effects identified by immigrant women household service workers. METHODS: Exploratory, descriptive study of 46 documented and undocumented immigrant women in household services in Spain, using a phenomenological approach. Data were collected between September 2006 and May 2007 through focus groups and semi-structured individual interviews. Data were separated for analysis by documentation status and sorted using a mixed-generation process. In a second phase of analysis, data on psychosocial hazards were organized using the Copenhagen Psychosocial Questionnaire as a guide. RESULTS: Informants reported a number of environmental, ergonomic and psychosocial hazards and corresponding health effects. Psychosocial hazards were especially strongly present in data. Data on reported hazards were similar by documentation status and varied by several emerging categories: whether participants were primarily cleaners or carers and whether they lived in or outside of the homes of their employers. Documentation status was relevant in terms of empowerment and bargaining, but did not appear to influence work tasks or exposure to hazards directly. CONCLUSIONS: Female immigrant household service workers are exposed to a variety of health hazards that could be acted upon by improved legislation, enforcement, and preventive workplace measures, which are discussed.

Kinetic study of the decompositions involved in the thermal degradation of commercial azodicarbonamide

The transitions and reactions involved in the thermal treatment of several commercial azodicarbonamides (ADC) in an inert atmosphere have been studied by dynamic thermogravimetry analysis (TGA), mass spectrometry and Fourier transform infrared (FTIR) spectroscopy. A pseudo-mechanistic model, involving several competitive and non-competitive reactions, has been suggested and applied to the correlation of the weight loss data. The model applied is capable of accurately representing the different processes involved, and can be of great interest in the understanding and quantification of such phenomena, including the simulation of the instantaneous amount of gases evolved in a foaming process. In addition, a brief discussion on the methodology related to the mathematical modeling of TGA data is presented, taking into account the complex thermal behaviour of the ADC.

DSC study of transitions involved in thermal treatment of foamable mixtures of PE and EVA copolymer with azodicarbonamide

The transitions and reactions involved in the thermal processing of binary mixtures of polyethylene and poly(ethylene-co-vinyl acetate) copolymers with different concentrations of a foaming agent (azodicarbonamide) were studied using differential scanning calorimetry (DSC). The effect of ZnO as a kicker also was discussed. The temperature at the maximum rate and the heat evolved were measured for all the processes—melting, transitions, and reactions—all the mixtures prepared were measured and compared. Azodicarbonamide decomposed differently depending on the polymeric matrix. These data can be very useful for the plastic processing industry.

Repeatability, reproducibility, and accuracy of a novel pushbroom hyperspectral system

This study analyzes the repeatability, reproducibility and accuracy of a new hyperspectral system based on a pushbroom sensor as a means of measuring spectral features and color of materials and objects. The hyperspectral system consisted of a CCD camera, a spectrograph and an objective lens. An additional linear moving system allowed the mechanical scanning of the complete scene. A uniform overhead luminaire with daylight configuration was used to irradiate the scene using d:45 geometry. We followed the guidelines of the ASTM E2214-08 Standard Practice for Specifying and Verifying the Performance of Color-Measuring Instruments that define the standards and latest multidimensional procedures. The results obtained are analyzed in-depth and compared to those recently reported by other authors for spectrophotometers and multispectral systems. It can be concluded that hyperspectral systems are reliable and can be used in the industry to perform spectral and color readings with a high spatial resolution.

Expression and cellular localization of the voltage-gated calcium channel α2δ3 in the rodent retina

High-voltage-activated calcium channels are hetero-oligomeric protein complexes that mediate multiple cellular processes, including the influx of extracellular Ca2+, neurotransmitter release, gene transcription, and synaptic plasticity. These channels consist of a primary α1 pore-forming subunit, which is associated with an extracellular α2δ subunit and an intracellular β auxiliary subunit, which alter the gating properties and trafficking of the calcium channel. The cellular localization of the α2δ3 subunit in the mouse and rat retina is unknown. In this study using RT-PCR, a single band at ∼305 bp corresponding to the predicted size of the α2δ3 subunit fragment was found in mouse and rat retina and brain homogenates. Western blotting of rodent retina and brain homogenates showed a single 123-kDa band. Immunohistochemistry with an affinity-purified antibody to the α2δ3 subunit revealed immunoreactive cell bodies in the ganglion cell layer and inner nuclear layer and immunoreactive processes in the inner plexiform layer and the outer plexiform layer. α2δ3 immunoreactivity was localized to multiple cell types, including ganglion, amacrine, and bipolar cells and photoreceptors, but not horizontal cells. The expression of the α2δ3 calcium channel subunit to multiple cell types suggests that this subunit participates widely in Ca-channel-mediated signaling in the retina.

Preparing for a post-Yanukovich Ukraine. CEPS Commentary, 3 February 2014

Surveying the political and economic problems that plague Ukraine today, Michael Emerson warns in this commentary that unless strong and sound fresh governance structures are immediately put into place, the political dynamics will lead to catastrophic radicalisation, chaos and conflict. He calls upon the EU, elected by the Ukrainian street as honorary sponsor of the EuroMaidan, to prepare for this contingency now, observing that emergency situations require emergency measures.

Georgia- between a dream and reality. OSW Commentary no. 133, 15.04.2014

Following several years of political turmoil triggered by constitutional reform (a shift from a presidential to a semi-presidential system) and electoral reshuffles (parliamentary elections in 2012; presidential elections in 2013), the political situation in Georgia has stabilised: key posts in the country are now in the hands of democratically elected members of the Geor-gian Dream coalition. Despite its mosaic-like structure and internaltensions, Georgian Dream remains strong and enjoys high levels of public support. This puts it in good stead to play a central role in Georgian politics in the foreseeable future, including securing victory in the local government elections scheduled for June. However, local billionaire Bidzina Ivanishvili does not currently hold a political office - despite the fact that he is the founder, sponsor and undisputed leader of the coalition, as well as former prime minister and the most popular public figure in Georgia (besides Patriarch Ilia II). This raises several questions, for example: Who is really at the helm of the Georgian state? What is the lon-g-term vision of the current government? The past achievements of the politically heterogeneo-us Georgian Dream - dominated by Mr Ivanishvili - offer little help in answering these questions. In addition to a series of challenges on the domestic front, the new Georgian leadership is also facing strategic geopolitical challenges, compounded by the current conflict in Ukraine. These include the future of Georgia’s relations with the West (including the process of EU and NATO integration) and with Russia (in response to repeated attempts to re-integrate the post-Soviet republics). The scale and dynamism of the changes in both the geopolitical order in the post-Soviet region and in the relations between Russia and the West are causing further questions to be raised about their impact on the position of the Georgian political elite and about their consequences for the entire country.