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Mucormycosis, a rapidly invasive form of fungal infection caused by Mucorales fungi, has high morbidity and mortality rates. Rhino-orbital-cerebral mucormycosis is the most common form of mucormycosis. With the coronavirus disease 2019 (COVID-19) outbreak, a causal correlation between mucormycosis and COVID-19 has been suspected, contributing to the abrupt increase in opportunistic fungal infection cases. We present a case of a Southeast Asian woman in her 60s with complaints of pus discharge in the palatal region with maxillary teeth mobility for 3 months. Physical examination revealed multiple nonvital upper teeth with severe mobility. Incisional biopsy of the maxilla and multidetector computed tomography of the head and neck confirmed the diagnosis of osteomyelitis of the maxilla secondary to mucormycosis. Surgical treatment was performed, and amphotericin B and posaconazole were administered. No operative complications or further bone destruction were observed at 8 months postoperatively.
Si la intención del concepto es la de fomentar en la región la conciencia de la necesidad de componer un equilibrio al poder de China, entonces puede argumentarse que la propuesta, excesivamente centrada en Australia, omite por completo la dimensión terrestre china, y la conveniencia de incorporar a ese balance a otras potencias medias regionales que, aunque no se cuenten entre las marítimas, comparten con ellas el temor al creciente poder de China. De forma similar, y aunque pueda pensarse que las naciones ribereñas de África y América forman parte integral de la entidad definida por las cuencas indo-pacíficas, éstas están conspicuamente ausentes del diseño geopolítico, a excepción de Estados Unidos y Rusia. Las referencias a África son muy escasas; América Central y del Sur están, simplemente, innombradas.
Among other things, the Convention proposed a total ban on cluster munitions, the promotion of the destruction of stocks in a period of 8 years, the cleaning of contaminated areas in 10 years, and assistance to the victims of these weapons.
Articles 3 and 4 of the Convention are of great importance. Article 3 refers to the stockpile, storage, and destruction of cluster bombs. Here all Parties haves the obligation of making sure to destroy their stored cluster bombs no later than 8 years. Article 4, on the cleaning and destroying of cluster munition remnants and education on risk reduction, is intended to protect possible victims from the danger of bombs that have not exploded. Article 5 reinforces the obligation of the signatory parties to assist the victims of cluster bombs.
After the convention there is a double deal on cluster bombs. Since the destruction of the entire arsenal of these ammunitions and submunitions was approved, the affected companies and the countries involved will have a new challenge in hiring companies that carry out the extinction of these reserves.
Because of this, parties forming international contracts for the purchase and financing of cluster bombs are forced to change the object of the cluster bomb business. As mentioned earlier, the new business will be the destruction of these weapons, rather than their production. Especially munitions with high submunition failure rates. For this reason, countries such as Argentina, Canada, France, UK, Denmark, Norway, Spain and more have promoted a new business on the destruction of the storage of cluster bombs. As a result, cluster munitions move away from their useful life and have more chances of being destroyed than of being sold for profit.
Advances in technology can certainly reduce some of the humanitarian problems generated by the less advanced types of cluster bombs but a good number of military operations are currently peace operations, where the risk generated by these products also becomes a military concern, not just humanitarian. For example, to address the issue of unexploded ordnance, weapons are being developed that have self-destruction or, at least, self-neutralization mechanisms[6]. 2ff7e9595c
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