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This chapter aims to analyze whether European security shapes future American grand strategy or not. For restrainers, the present American grand strategy has to be revisited due to the fact that there is no balance of power logic for further American presence in Europe. Moreover, China is a great power to be balanced in Asia. The chapter problematizes the assumptions provided by restrainers. It will argue that the United States has been acting in Europe as the pacifier, and it has a deep-seated interest in European peace. European security has been built upon the American preponderance of power, and a potential imbalance of power is a threat to the United States. While Russia is a revisionist power in Europe intended to change the status quo in Europe, China is a great power in Asia. However, the United States has both sufficient material power and allies to balance Russia and China simultaneously, and pivoting to Asia requires no American pullback in Europe.

This paper focuses on an analysis of the factors that contribute to differences in political attitudes and political participation of Russian capital owners. Such factors may include different size and type of capital, the degree of past political socialization, the respondents’ age and generational experiences, past/present well-being comparisons and education. The paper begins with a discussion of different theories that make hypotheses about the political behavior of capital owners. These hypotheses were tested in a small, exploratory study of Russian capital owners that I conducted in Russia in the late 1990s. The results of the study are then analyzed within two different but closely interrelated contexts: the wider historical context of social, political and economic changes of the first decade of post-Soviet transformation, and the micro-context of the respondents personal political, economic and social history. In the end, I return to the analyses of the original hypotheses and conclude with a discussion of which theory comes closest to predicting and explaining the results of the study.

A clinical audit is a key component of the clinical governance framework. The rate of audit completion in general surgery has not been investigated. The purpose of this paper is to assess the rates of audit activity and completion and explore the barriers to successful audit completion.

This was a multi-centre study evaluating current surgical audit practice. A standardised audit proforma was designed. All clinical audits in general surgery during a two-year period were identified and retrospectively reviewed. Data held by the audit departments were collated, and individual audit teams were contacted to verify the data accuracy. Audit teams failing to complete the full audit cycle with a re-audit were asked to explain the underlying reasons behind this.

Of the six trusts approached, two refused to participate, and one failed to initiate the project. A total of 39 audits were registered across three surgical directorates. Only 15 out of 39 audits completed at least one audit cycle, with 4 deemed of no value to re-audit. Only seven audits were completed to re-audit. Achieving a publication or a presentation was the most cited reason for not completing the audit loop.

This study demonstrates that the poor rates of audit completion rate found in other areas of clinical medicine pervade general surgery. Improved completion of an audit is essential and strategies to achieve this are urgently needed.

Many analyses point to Trump's behavior on the world stage – bullying and racketeering more reminiscent of a mafioso than a statesman – as a personal character flaw. We argue that, while this behavior was shocking in how unvarnished it was, Trump marks the culmination of a decades-long trend that shifted US foreign policy from a regime of “legitimate protection” in the mid-twentieth century to a “protection racket” by the turn of the twenty-first. While the temperaments of successive presidents have mattered, the problems facing the United States and its role in the world are not attributable to personalities but are fundamentally structural, in large part stemming from the contradictions of US attempts to cling to preeminence in the face of a changing global distribution of power. The inability of successive US administrations – Trump and Biden included – to break out of the mindset of US primacy has resulted in a situation of “domination without hegemony” in which the United States plays an increasingly dysfunctional role in the world. This dynamic has plunged the world into a period of systemic chaos analogous to the first half of the twentieth century.

The tremendous storage capacity of the CD‐ROM has generated the need for sophisticated search software capable of handling large files. Software previously developed for mainframe computers, laser disk applications, information retrieval of textual files on IBM‐PCs, and other functions, is being modified to meet these needs. Other software is being specifically written for CD‐ROM applications. Vendors of significant information retrieval products are identified, and the characteristics of twelve packages are compared.

This article summarizes a study that identified and described federal information inventory/locator systems. Such locator systems provide an important means of accessing a range of government information not previously available to the public or other government officials. Overall, the study's goal was to improve access to and use of U.S. government information. The study produced a final report describing study efforts, identifying issues and conclusions, and recommending the design of an networked‐based government‐wide information inventory/locator system (GIILS) (Volume I), the Federal Locator Database (FLD) — a machine‐readable database of descriptive information on some 250 federal databases, of which fifty‐three met the study's criteria as a locator, and a user's guide to that database (Volume II includes a machine‐readable version of the database and the user guide and codebook). The study recommends that the U.S. Office of Management and Budget develop a policy framework requiring agencies to design and maintain machine‐readable locators, meeting certain requirements and standards and that these be accessible over the Internet/NREN.