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While in London, Senior Research Scholar Rafiq Dossani spent time discussing the reasons behind India's continued rise and his recent book India Arriving: How This Economic Powerhouse is Redefining Global Business with CNBC's Europe Tonight host Guy Johnson.

While in London, Senior Research Scholar Rafiq Dossani spent time discussing the reasons behind India's continued rise and his recent book India Arriving: How This Economic Powerhouse is Redefining Global Business with CNBC's Europe Tonight host Guy Johnson. You can watch the interview here CNBC - Europe Tonight

 

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Background
The optimal intensity of renal-replacement therapy in critically ill patients with acute kidney injury is controversial.

Methods
We randomly assigned critically ill patients with acute kidney injury and failure of at least one nonrenal organ or sepsis to receive intensive or less intensive renal-replacement therapy. The primary end point was death from any cause by day 60. In both study groups, hemodynamically stable patients underwent intermittent hemodialysis, and hemodynamically unstable patients underwent continuous venovenous hemodiafiltration or sustained low-efficiency dialysis. Patients receiving the intensive treatment strategy underwent intermittent hemodialysis and sustained low-efficiency dialysis six times per week and continuous venovenous hemodiafiltration at 35 ml per kilogram of body weight per hour; for patients receiving the less-intensive treatment strategy, the corresponding treatments were provided thrice weekly and at 20 ml per kilogram per hour.

Results
Baseline characteristics of the 1124 patients in the two groups were similar. The rate of death from any cause by day 60 was 53.6% with intensive therapy and 51.5% with less-intensive therapy (odds ratio, 1.09; 95% confidence interval, 0.86 to 1.40; P=0.47). There was no significant difference between the two groups in the duration of renal-replacement therapy or the rate of recovery of kidney function or nonrenal organ failure. Hypotension during intermittent dialysis occurred in more patients randomly assigned to receive intensive therapy, although the frequency of hemodialysis sessions complicated by hypotension was similar in the two groups.

Conclusions
Intensive renal support in critically ill patients with acute kidney injury did not decrease mortality, improve recovery of kidney function, or reduce the rate of nonrenal organ failure as compared with less-intensive therapy involving a defined dose of intermittent hemodialysis three times per week and continuous renal-replacement therapy at 20 ml per kilogram per hour.

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New England Journal of Medicine
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Mark W. Smith
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The Stanford Program on International and Cross-Cultural Education has taken on world religions, Russian leaders and Aztec history. Now it's boiling down the glory and controversy of China's history, culture and politics in time for the Summer Olympics in Beijing.

Helping to make the scholarship and research at Stanford's Freeman Spogli Institute for International Studies accessible to younger learners, the program, known by its acronym "SPICE," has developed a multimedia curriculum for middle and high school students that introduces them to the sights and sounds of China through the prism of the upcoming Olympics.

"The Road to Beijing" includes a documentary featuring cellist Yo-Yo Ma and musicians from the Silk Road Ensemble discussing how they blend traditional Chinese and classical music, and a documentary developed by NBC that showcases Olympians planning to compete in the August games. The package also offers an interactive website and professional development material for teachers.

The curriculum can be tailored for use in a single day or during several classes.

"We want to make Stanford faculty's scholarship accessible to a younger and broader audience," said Gary Mukai, director of SPICE. "We have a number of China specialists on campus, and we want to spread the knowledge of Stanford to other schools."

SPICE has been offering curriculum packages to middle and high school students for the past three decades, covering topics such as Islam, the span of Soviet and Russian leaders from Lenin to Putin and the political geography of Europe.

While "The Road to Beijing" uses the Olympics to hook student interest, it also offers lessons on the political, social and environmental criticism facing China.

"That's one of the richest parts of the curriculum," Mukai said. "It engages students and gets them to think about critical issues."

The teacher guides and documentaries are free on the SPICE website, http://spice.stanford.edu. More written materials, CD-ROM PowerPoints and DVDs of the documentaries cost $34.95.

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This conference on Austria and Central Europe Since 1989: Legacies and Future Prospects is the third in the series of biannual international conferences to study the political and cultural landscape of Austria and Central Europe since 1945. Our previous conferences focused on Central Europe during the period of the post-war up to 1989. This year’s conference gathers leading scholars and public figures to discuss the exciting developments of our contemporary era and to offer comments on future prospects for the region.

The conference panels will offer multi-disciplinary views of Central Europe today. Addressing topics from the area stretching from the Baltic to the Balkans, speakers will focus on Austria as well as Hungary, the Czech Republic, Poland, and the counties of former Yugoslavia. Presentations will explore political, economic, social, and cultural facets of the region’s larger dynamic. Among the milestone changes during this period which will be highlighted will be Austria’s (and other Central European countries’) ascendance to the European Union, the disintegration and reconfiguration of Balkan nations, the collapse of the Soviet Bloc, and the great mobility of goods and labor through the region and new forms of social and cultural interaction.

The two-day conference will be held at Stanford University on March 5 and 6, 2009. The conference panels will be conducted in workshop format. Papers will be pre-circulated to facilitate round table discussion among participants. Faculty, students, and the interested public are encouraged to attend.

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Less than a year after dropping nuclear bombs on Hiroshima and Nagasaki in 1945, the United States adopted a statute prohibiting the transfer of its nuclear weapons to any other country. It was not until 23 years later, however, that countries began signing an international treaty that prohibited the transfer of nuclear weapons by a country that had them to any other country, indeed “to any recipient whatsoever.”[1] On July 1, 1968, the United States, the Soviet Union, the United Kingdom, and many other countries signed the nuclear Nonproliferation Treaty (NPT) at ceremonies in Washington, Moscow, and London. Subsequently, nearly 190 countries have signed and ratified the treaty aimed at preventing the spread of nuclear weapons from the few countries that then had them to the many that did not and at reducing and eventually eliminating nuclear weapons from the world.

The 40th anniversary of the NPT provides an opportunity to re-examine the history of the treaty’s negotiation and ask what lessons it offers for today.

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Arms Control Today
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The case of Poland in the 1980s is an example of a successful democratic breakthrough with the endpoint defined, for the purposes of this paper, as the election of Tadeusz Mazowiecki­a Catholic intellectual, longtime member of the political opposition, and advisor to the Solidarno trade union movement­to the office of prime minister on August 24, 1989. Solidarno's victory in 1989 was not complete: elections had not been free and, in a power sharing agreement, half of Mazowiecki's cabinet was filled by members from the previous Communist government: the Polish United Worker's Party (PZPR) and their satellite parties, the Democratic Party (SD) and United Peasants' Party (ZSL). Former party leader General Wojeciech Jaruzelski also retained power in the newly created position of president. Nonetheless, Mazowiecki's election was the first time a non-communist had led a government in Eastern Europe since World War II, and was substantively and symbolically an exit from Poland's Communist authoritarian period. Within a few months the PZPR dissolved and the government rewrote the constitution. After Mazowiecki's election, the key issues for Poland became democratic consolidation and economic restructuring.

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Gregory Domber
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This paper analyzes international influences on the transition to democracy in November 1983.

It is our contention that the Turkish military intervention did not face significant opposition from the United States and the European states and institutions. We support this argument with in-depth interviews of American, European, and Turkish officials, with available memoirs and books written by state officials and Chief of the General Staff Kenan Evren, with foreign newspaper articles published on Turkey between 1980 and 1983, and with official government documents from the US and Europe. These resources show that there were no substantial international sanctions against the Turkish military regime, even though the European Community and some European countries suspended aid to Turkey. Yet, we argue that international actors still played important roles in the democratic transition despite the lack of sanctions against the Turkish military.

During the aftermath of the coup, the US continued to grant aid to the military while the Europeans cautiously expressed concern for the suspension of democracy. The international community did not attempt to empower domestic opposition forces that could have challenged military rule. Thus, it seemed that international actors supported authoritarianism, rather than democracy in Turkey.  However, continuing assistance to the Turkish Armed Forces produced a counterintuitive result, as the American and European actors actually anticipated. The Turkish military was successful in restoring order and repressing opposition forces. This, in turn, gave the military generals confidence that they achieved their initial goals when they first planned the intervention, and therefore, they can lead a transition to democracy. The military’s own persuasion that it should return to its barracks and the fact that the international community believed they would do so were critical factors in determining the continuing support from external actors.

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What was the international impact on the Chilean transition to democracy?  How much influence was there from international aid both from countries themselves as well as from organizations outside Chile?  Where was this aid coming from, how was it manifesting itself, and what was its goal and to whom did it go?  How significant was the organizational power of the opposition groups?  Did they cooperate?  Were they efficient? In the academic literature on the Chilean transition, we find that these questions have not been answered satisfactorily.  The bias toward internal phenomena due to the influential lead roles played by local actors has caused interest to wane in regards to the international impact.  Institutions from European countries, the United States, and Canada concentrated their efforts in conjoining the opposition to combat a regime that no longer had international legitimacy.  Therefore, if we were to venture an explanation on this phenomenon we could see that there was a correlation between the internal and external events that assisted in inducing three elements that today are recognized as having been influential on the Chilean transition:  a) the coordination between two sectors, which prior to the coup, were strongly antagonistic (the Socialist Party and Christian Democrats), b) the creation of a strong and functional organization of private research centers, which acted in parallel to the institutions that the regime interfered with (e.g.: universities), and c) the coordination between those who were exiled and those who were in the country, with the aim of preparing the transition to democracy. 

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The failure of Irish voters to ratify the Lisbon Treaty points to a problem for Europe that goes far beyond that specific referendum, writes Stanford lecturer and FSI advisory board member Richard Morningstar.

The failure of Irish voters to ratify the Lisbon Treaty points to a problem for Europe that goes far beyond that specific referendum. The vote in Ireland, coupled with the rejection by voters in France and the Netherlands in 2005 of the now failed European Constitution, provides indisputable proof that many European citizens are strongly suspicious of the European Union and that European leaders must take strong action to remedy the misperceptions of those citizens. There are a variety of reasons why voters rejected the Constitution and now the Lisbon Treaty that have been commented on extensively. But as an outsider, I would submit that the most significant underlying reasons for rejection were a lack of understanding of the EU as an institution, the perception of its "unaccountability" and a resulting lack of loyalty to the EU as an entity. Speaking as a friend of Europe and as a strong proponent of transatlantic relations, I believe that these are the major issues that European leaders must address. The EU must have a "face" to which Europeans can relate. The chickens have finally come home to roost. If the EU is to move forward and deal with the challenges of the future, it can afford no longer to be viewed by much of the public, albeit unfairly, as a "mindless" bureaucracy running people's lives from Brussels.

European leaders must think about and be able to provide understandable answers to the most basic questions. What is the EU? How many Europeans can answer that question? Is the EU the equivalent of a nation-state with full sovereignty? Clearly not. Is it some kind of supra-national organisation where members have agreed to share sovereignty in agreed upon areas? That is a start but can it be articulated in a simple understandable way? Do Europeans have any idea as to how decisions are made within the EU? How many Europeans understand the "qualified majority" voting system? It would take a mathematics major to understand how votes are calculated, let alone the multiple layers of decision-making. Is there a simple way to explain how the EU is accountable to European citizenry? How does the EU serve the common good? If the EU remains a mystery to many Europeans, there should be little mystery as to why voters are uncomfortable expanding its powers. It is no wonder that when voters think that they are facing a choice between "national sovereignty" and surrendering sovereignty to a little-understood institution that may impinge on their perceived security, they will vote for "national sovereignty".

If the EU is so little understood in Europe, one can only imagine the lack of understanding among Americans. When I was nominated in 1999 by President Clinton to be the United States Ambassador to the European Union, the most common questions that were asked by my friends were: What is the EU? Isn't that the economic organisation in Europe? Or are you our first ambassador to the EU?

One can also understand why American policymakers, whichever party is in power, have often been reluctant to deal with the EU as an entity and retreat to working through member states. Over recent years US administrations have better recognised the need to work with the EU, and the US and EU have accomplished much working together. But still too often policymakers have become befuddled and frustrated in dealing with the EU. So, for example, even with the ups and downs of the US-French relationship, some US policymakers are more comfortable dealing with France than with the EU because there is a history to the relationship. We have been working with France for over 200 years. There is a texture to the relationship that does not exist with the EU. Until that texture begins to develop, policymakers will often tend to look first to the member states.

Ironically, the Lisbon Treaty would begin to put a face on the EU. The EU would have a president with a set term and a single person responsible for the implementation of EU foreign policy. The treaties upon which the EU is based would be incorporated into a single document. More efficient procedures to deal with an enlarged EU would be put in place. From an American standpoint the treaty should enhance US-European co-operation in areas of vital common interest.

But for the Lisbon Treaty to be ultimately ratified in Ireland and to be accepted by citizens in the other member states even though a referendum is not required in those states, Europe needs to get back to the basics and leaders must be able to explain what the EU is, how the EU is accountable to Europe's citizens and why the Treaty is in the interests of all Europeans.

Ambassador Richard L. Morningstar served as Ambassador to the European Union from 1999-2001. He is a Senior Director at Stonebridge International, a global strategy firm, a Lecturer at Stanford Law School, and an Adjunct Lecturer at the Kennedy School at Harvard University.

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A foreign policy firmly grounded in democratic values makes it possible for small states to stand up for their rights in the face of the shifting interests of large states, Estonia’s President Arnold Rüütel said Jan. 20.

“It is precisely action based on values that can provide answers in complicated situations,” Rüütel said. “This also makes it possible to distinguish long-term important issues from short-term changing interests.”

During a lunchtime speech at the Freeman Spogli Institute for International Studies, Rüütel thanked the United States for maintaining its policy of nonrecognition of the Soviet occupation of Estonia, Latvia, and Lithuania from World War II until 1991, when Baltic independence was restored in a bloodless revolution. “For us, this represents a powerful confirmation of a values-based foreign policy that remains crucial also today,” he said.

Rüütel, a onetime Communist who helped orchestrate Estonia’s transition to independence, spoke to about 100 students, faculty, and donors at an event hosted by management science and engineering Professor William J. Perry, who also is the Michael and Barbara Berberian Professor, a former U.S. Secretary of Defense, and co-director of the Stanford-Harvard Preventive Defense Project. Accompanied by an Estonian delegation, Rüütel also met with Institute Director Coit D. Blacker and visited the Hoover Institution, where archival specialist David Jacobs had prepared an exhibit of Baltic-related material.

The display included a series of informal photographs from the personal album of Nazi Foreign Minister Joachim von Ribbentrop taken during his visit to Moscow to sign the 1939 Molotov-Ribbentrop Pact, which was concluded just a few days before the beginning of World War II. The pact, which included a secret protocol dividing Eastern Europe into Soviet and Nazi spheres of influence, sealed the fate of the Baltic states for a halfcentury. Soviet officials denied the protocol’s existence until 1989. The unpublished photographs, obtained by U.S. forces after World War II, include a rare image of an enthusiastically grinning Stalin taken just after the pact was signed. “That’s a smile from the heart,” Rüütel remarked in Estonian.

Rüütel’s speech, which was translated into English, discussed Estonia’s two-year-old membership in the European Union and NATO. While the union gives opportunities for economic and social development in a globalizing world, Rüütel said, membership also offers Estonia a chance to contribute to international stability. And while NATO offers unprecedented protection, he continued, Estonia also is obliged to contribute to international security.

“NATO is not only a toolbox from which different tools can be taken,” Rüütel said. “It is an important mechanism for political and military cooperation among 26 states. We need it.” Public support for the organization remains at a steady 65 to 70 percent, he explained. “The NATO airspace control operation in the Baltic states certainly plays a role in this context,” he said. “Last year, U.S. planes contributed to it. We are grateful to the U.S. government.”

As a member of NATO, Estonia plans to increase its defense expenditure to 2 percent of gross domestic product by 2010, Rüütel said. The country also has participated in the “coalition of the willing.” Estonian soldiers fighting in Iraq alongside U.S. forces “have proved to be worthy combatants,” Rüütel said. “Responsible tasks lie ahead of us in Afghanistan. The Estonian parliament has decided to send up to 150 soldiers at a time there this year. Allow me to recall that there are 1.4 million inhabitants in Estonia.”

The president said that military operations can help to restore stability in conflict areas by providing security but that long-term success can be achieved only through the establishment of a free society based on democratic principles and the rule of law.

“The more successful the reconstruction and the strengthening of good governance are, the faster our peace forces can be [brought] home.” Arnold Rüütel, President of EstoniaWe need considerably higher capabilities for the strengthening of the civilian component in crisis management and [ensuing] reconstruction than we have today, both at the level of states and international organizations,” he said. “The more successful the reconstruction and the strengthening of good governance are, the faster our peace forces can be [brought] home.”

Rüütel also discussed his country’s role in combating international terrorism. “Estonia is determined to be a credible partner,” he said. “Among other things, this means making sure that our territory [is] not used by terrorists to prepare operations, to move money or for any other purpose.”

After the speech, Blacker asked about Estonia's relationship with neighboring Russia. A border agreement between the two countries remains unsigned. In response, Rüütel offered a history lesson about the consequences of the Molotov-Ribbentrop Pact after the Soviet Union forcibly annexed Estonia. Many of the country’s leaders were arrested, murdered or sent to death camps in Siberia, he said. Following the Nazi occupation of Estonia during the war, Soviet repression continued after 1945. In a country of 1.2 million inhabitants, about 70,000 people were deported to Siberia and more than 100,000 escaped to the West. As a result of World War II and its aftermath, he said, Estonia lost one out of every five citizens. “Practically, every Estonian family was somehow touched by these events,” he said. “This is something really difficult to forget.” Russia has failed to deal with its history in an honest way, he said.

Although Estonia cannot forget the past, Rüütel said his country is ready to cooperate with Russia and he expressed hope that a border treaty would soon be completed. “I would like to hope that Russia, one day, will understand that we are good neighbors living side by side with each other,” he said.

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