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-1532393086913011810-hardneg-32 | Bashar al-Assad | In September 2015, France began an inquiry into Assad for crimes against humanity, with French Foreign Minister Laurent Fabius stating "Faced with these crimes that offend the human conscience, this bureaucracy of horror, faced with this denial of the values of humanity, it is our responsibility to act against the impunity of the killers". | [
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-1532393086913011810-hardneg-33 | Bashar al-Assad | In March 2016, the United States House Committee on Foreign Affairs led by New Jersey Rep. Chris Smith called on the Obama administration to create a war crimes tribunal to investigate and prosecute violations "whether committed by the officials of the Government of Syria or other parties to the civil war". | [
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-1532393086913011810-hardneg-34 | Bashar al-Assad | In April 2017, there was a sarin chemical attack on Khan Sheikhoun that killed more than 80 people. The attack prompted U.S. President Donald Trump to order the U.S. military to launch 59 missiles at a Syrian airbase. Several months later, a joint report from the United Nations and international chemical weapons inspectors found the attack was the work of the Assad regime. | [
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-1532393086913011810-hardneg-35 | Bashar al-Assad | In April 2018, an alleged chemical attack occurred in Douma, prompting the U.S. and its and allies to accuse Assad of violating international laws and initiating the 2018 bombing of Damascus and Homs. Both Syria and Russia denied the involvement of the Syrian government at this time. | [
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-1532393086913011810-hardneg-36 | Bashar al-Assad | In an investigative report about the Tadamon Massacre, Proffesors Uğur Ümit Üngör and Annsar Shahhoud, found witnesses who attested that Assad gave orders for the Syrian Military Intelligence to direct the Shabiha to kill civilians, in what is the first known association between the regime and the militia. | [
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-1532393086913011810-hardneg-37 | Bashar al-Assad | Assad opposed the 2003 invasion of Iraq despite a long-standing animosity between the Syrian and Iraqi governments. Assad used Syria's seat in one of the rotating positions on the United Nations Security Council to try to prevent the invasion of Iraq. | [
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-1532393086913011810-hardneg-38 | Bashar al-Assad | The U.S commander of the coalition forces in Iraq, George W. Casey Jr., accused Assad of providing funding, logistics, and training to insurgents in Iraq to launch attacks against U.S. and allied forces occupying Iraq. Iraqi leaders such as former national security advisor Mowaffak al-Rubaie and former Prime Minister Nouri al-Maliki have accused Assad of harbouring and supporting Iraqi militants. | [
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-1532393086913011810-hardneg-39 | Bashar al-Assad | At the outset of the Arab Spring, Syrian state media focused primarily upon Hosni Mubarak of Egypt, demonising him as pro-U.S. and comparing him unfavourably with Assad. Assad told "The Wall Street Journal" in this same period that he considered himself "anti-Israel" and "anti-West", and that because of these policies he was not in danger of being overthrown. | [
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-1532393086913011810-hardneg-40 | Bashar al-Assad | In late-November 2016, some Arab media outlets reported Egyptian pilots arrived in mid-November to Syria to help the Syrian government in its fight against the Islamic State and Al Nusra front. This came after Sisi publicly stated he supports the Syrian military in the civil war in Syria. However, several days later, Egypt officially denied it has a military presence in Syria. | [
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-1532393086913011810-hardneg-41 | Bashar al-Assad | On 5 March 2005, Assad announced that Syrian forces would begin its withdrawal from Lebanon in his address to the Syrian parliament. Syria completed its full withdrawal from Lebanon on 30 April 2005. | [
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-1532393086913011810-hardneg-42 | Bashar al-Assad | In May 2015, Lebanese politician Michel Samaha was sentenced to four-and-a-half years in jail for his role in a terrorist bomb plot that he claimed Assad was aware of. | [
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-1532393086913011810-hardneg-43 | Bashar al-Assad | The United States, the European Union, the March 14 Alliance, and France accuse Assad of providing support to militant groups active against Israel and opposition political groups. The latter category would include most political parties other than Hezbollah, Hamas, and the Islamic Jihad Movement in Palestine. | [
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-1532393086913011810-hardneg-44 | Bashar al-Assad | In a speech about the 2006 Lebanon War in August 2006, Assad said that Hezbollah had "hoisted the banner of victory", hailing its actions as a "successful resistance." | [
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-1532393086913011810-hardneg-45 | Bashar al-Assad | In April 2008, Assad told a Qatari newspaper that Syria and Israel had been discussing a peace treaty for a year. This was confirmed in May 2008, by a spokesman for Israeli Prime Minister Ehud Olmert. As well as the treaty, the future of the Golan Heights was being discussed. Assad was quoted in "The Guardian" as telling the Qatari paper: | [
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-1532393086913011810-hardneg-46 | Bashar al-Assad | ... there would be no direct negotiations with Israel until a new U.S. president takes office. The U.S. was the only party qualified to sponsor any direct talks, [Assad] told the paper, but added that the Bush administration "does not have the vision or will for the peace process. It does not have anything." | [
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-1532393086913011810-hardneg-47 | Bashar al-Assad | According to leaked American cables, Assad called Hamas an "uninvited guest" and said "If you want me to be effective and active, I have to have a relationship with all parties. Hamas is Muslim Brotherhood, but we have to deal with the reality of their presence," comparing Hamas to the Syrian Muslim Brotherhood which was crushed by his father, Hafez al-Assad. He also said Hamas would disappear if peace was brought to the Middle East. | [
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-1532393086913011810-hardneg-48 | Bashar al-Assad | In February 2011, Assad backed an initiative to restore ten synagogues in Syria, which had a Jewish community numbering 30,000 in 1947, but only 200 Jews by 2011. | [
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-1532393086913011810-hardneg-49 | Bashar al-Assad | Assad met with U.S. scientists and policy leaders during a science diplomacy visit in 2009, and he expressed interest in building research universities and using science and technology to promote innovation and economic growth. | [
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-1532393086913011810-hardneg-50 | Bashar al-Assad | While hosting an 8 March 2015 delegation from North Korea led by North Korean Vice Minister of Foreign Affairs Sin Hong Chol, Assad stated that Syria and North Korea were being "targeted" because they are "among those few countries which enjoy real independence". | [
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-1532393086913011810-hardneg-51 | Bashar al-Assad | According to Syrian opposition sources, North Korea has sent army units to fight on behalf of Assad in the Syrian civil war. | [
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-1532393086913011810-hardneg-52 | Bashar al-Assad | In 2001, Assad condemned the September 11 attacks. In 2003, Assad said in an interview with a Kuwaiti newspaper that he doubted the organization of al-Qaeda even existed. He was quoted as saying, "Is there really an entity called al-Qaeda? Was it in Afghanistan? Does it exist now?" He remarked about Osama bin Laden, commenting: "[he] cannot talk on the phone or use the Internet, but he can direct communications to the four corners of the world? This is illogical." | [
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-1532393086913011810-hardneg-53 | Bashar al-Assad | In October 2014, U.S. Vice President Joe Biden stated that Turkey, Saudi Arabia and the United Arab Emirates had "poured hundreds of millions of dollars and tens of thousands of tons of weapons into anyone who would fight against Al-Assad, except that the people who were being supplied were al-Nusra, and al Qaeda, and the extremist elements of jihadis coming from other parts of the world." | [
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-1532393086913011810-hardneg-54 | Bashar al-Assad | During the interview with Jeremy Bowen in February 2015, Assad noted that the sources of the extreme ideology of Islamic State (ISIS) and other al-Qaeda affiliate groups are the Wahabbism that has been supported by kingdom of Saudi Arabia. | [
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-1532393086913011810-hardneg-55 | Bashar al-Assad | Assad condemned the November 2015 Paris attacks, but added that France's support for Syrian rebel groups had contributed to the spread of terrorism, and rejected sharing intelligence on terrorist threats with French authorities unless France altered its foreign policy on Syria. | [
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-1532393086913011810-hardneg-56 | Bashar al-Assad | During the civil war, the Druze in Syria have primarily sought to remain neutral, "seeking to stay out of the conflict", while according to others over half support the Assad government despite its relative weakness in Druze areas. The "Sheikhs of Dignity" movement, which had sought to remain neutral and to defend Druze areas, blamed the government after its leader Sheikh Wahid al-Balous was assassinated and led to large scale protests which left six government security personnel dead. | [
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-1532393086913011810-hardneg-57 | Bashar al-Assad | In 2014, the Christian Syriac Military Council, the largest Christian organization in Syria, allied with the Free Syrian Army opposed to Assad, joining other Syrian Christian militias such as the Sutoro who had joined the Syrian opposition against the Assad government. | [
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-1532393086913011810-hardneg-58 | Bashar al-Assad | President of Belarus Alexander Lukashenko has expressed confidence that Syria will eliminate the current crisis and continue under the leadership of President al-Assad "the fight against terrorism and foreign interference in its internal affairs". | [
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-1532393086913011810-hardneg-59 | Bashar al-Assad | In order to promote their image and media-portrayal overseas, Bashar al-Assad and his wife Asma al-Assad hired United States- and United Kingdom-based PR firms and consultants. In particular, these secured photoshoots for Asma al-Assad with fashion and celebrity magazines, including "Vogue"s March 2011 "A Rose in the Desert". These firms included Bell Pottinger and Brown Lloyd James, with the latter being paid $5,000 a month for their services. | [
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-1532393086913011810-hardneg-60 | Bashar al-Assad | In October 2014, 27,000 photographs depicting torture committed by the Assad government were put on display at the United States Holocaust Memorial Museum. Lawyers were hired to write a report on the images by the British law firm Carter-Ruck, which in turn was funded by the Government of Qatar. | [
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-1532393086913011810-hardneg-61 | Bashar al-Assad | In November 2014, the Quilliam Foundation reported that a propaganda campaign, which they claimed had the "full backing of Assad", spread false reports about the deaths of Western-born jihadists in order to deflect attention from the government's alleged war crimes. Using a picture of a Chechen fighter from the Second Chechen War, pro-Assad media reports disseminated to Western media outlets, leading them to publish a false story regarding the death of a non-existent British jihadist. | [
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-1532393086913011810-hardneg-62 | Bashar al-Assad | In 2015, Russia intervened in the Syrian civil war in support of Assad, and on 21 October 2015, Assad flew to Moscow and met with Russian president Vladimir Putin, who said regarding the civil war: "this decision can be made only by the Syrian people. Syria is a friendly country. And we are ready to support it not only militarily but politically as well." | [
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-1532393086913011810-hardneg-63 | Bashar al-Assad | Assad speaks fluent English and basic conversational French, having studied at the Franco-Arab al-Hurriyah school in Damascus. | [
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-1532393086913011810-hardneg-64 | Bashar al-Assad | In December 2000, Assad married Asma Akhras, a British citizen of Syrian origin from Acton, London. In 2001, Asma gave birth to their first child, a son named Hafez after the child's grandfather Hafez al-Assad. Their daughter Zein was born in 2003, followed by their second son Karim in 2004. In January 2013, Assad stated in an interview that his wife was pregnant; however, there were no later reports of them having a fourth child. | [
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-1532393086913011810-hardneg-65 | Bashar al-Assad | Assad's sister, Bushra al-Assad, and mother, Anisa Makhlouf, left Syria in 2012 and 2013, respectively, to live in the United Arab Emirates. Makhlouf died in Damascus in 2016. | [
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-1532393086913011810-hardneg-66 | Bashar al-Assad | On 8 March 2021, during the COVID-19 pandemic, Assad and his wife both tested positive for COVID-19 according to the presidential office. They were reported to be in good health with "minor symptoms". On 30 March, it was announced that both had recovered and tested negative for the disease. | [
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-4315387396250757445-hardneg-0 | Demographics of Estonia | The demographics of Estonia in the 21st century result from historical trends over more than a thousand years, as with most European countries, but have been disproportionately influenced by events in the second half of the 20th century. The Soviet occupation (1944–1991), extensive immigration from Russia and other parts of the former USSR, and the eventual restoration of independence of Estonia, have all had a major effect on Estonia's current ethnic makeup. | [
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-4315387396250757445-hardneg-1 | Demographics of Estonia | Languages spoken in Estonia largely reflect the composition of the indigenous and immigrant ethnic groups residing in Estonia, and thus have changed with historical trends affecting the ethnic makeup of the country. Similarly to other northern European peoples, religion plays a rather small part in the lives of most Estonians. | [
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-4315387396250757445-hardneg-2 | Demographics of Estonia | Overall, the quality-of-life indices for Estonia indicate a modern industrial state. The population declined annually from 1991 until 2016, except for a brief pause in 2010. Since 2016 immigration has exceeded emigration, making the overall population grow. | [
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-4315387396250757445-hardneg-3 | Demographics of Estonia | The population increased from 1,351,640 in January 1970 to 1,570,599 in January 1990. After 1990, Estonia lost about 15% of its population (230,000 people). The population decreased to 1,294,455 by December 2011, a figure lower than that recorded in 1970. | [
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-4315387396250757445-hardneg-4 | Demographics of Estonia | Decreasing population pressures are explained by a higher death than birth rate and periods of an excess of emigrants over immigrants. | [
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-4315387396250757445-hardneg-5 | Demographics of Estonia | Since 2015 the country has experienced population growth. The population mainly increased as a result of net immigration of European Union citizens. Citizens of Russia and Ukraine made up the bulk of non-EU immigration. The increase was detected through methodological changes in data collection. Initially a population decrease had been reported. | [
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-4315387396250757445-hardneg-6 | Demographics of Estonia | Between 1970 and 1990 the age structure of Estonia was rather stable with around 22% of the population in the age group 0–14 years, 66% between 15 and 65, while 12% were 65 years or older. Due to the low birth rates after 1990, the proportion of the population 0–14 years of age dropped to 15% in 2009, while the proportion of 65 years or older gradually increased to 17% in 2009. The proportion of the age group 15–64 also slightly increased to 68% in 2009. | [
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-4315387396250757445-hardneg-7 | Demographics of Estonia | From 1947 to 1989 the number of births was higher than the number of deaths, but from 1990 onwards the number of deaths outnumbered the number of births. The crude birth rate of 2011 was 10.96 (14,679 births) and the crude death rate of 2011 was 11.38 (15,244 deaths), making the rate of natural increase −0.42 (−565). For more detailed historic data, see the table of birth and death rates below. | [
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-4315387396250757445-hardneg-8 | Demographics of Estonia | Between 1970 and 1990, the total fertility rate (TFR) was little over 2 children born per woman. A fast decrease of the TFR occurred after independence. In 1998 the lowest rate was recorded: 1.28 children born per woman. The TFR slightly recovered in the subsequent years. The TFR was 1.66 in 2008 and 1.52 in 2011. | [
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-4315387396250757445-hardneg-9 | Demographics of Estonia | The infant mortality rate in Estonia has decreased considerably during the past decades. In 1970 the rate was 17.7 per 1,000 live births. The rate decreased to 17.1 in 1980, 12.3 in 1990 and 8.4 in 2000. The lowest infant mortality rate was recorded in 2011: 2.6. | [
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-4315387396250757445-hardneg-10 | Demographics of Estonia | Life expectancy in Estonia is lower than in most Western European countries. During the Soviet era life expectancy in males was between 64 and 66 years and in females between 73 and 75 years. After the independence, life expectancy decreased for a number of years. In 1994, the lowest life expectancy was recorded: 60.5 years in males and 72.8 in females. After 1994, life expectancy gradually increased to reach 68.3 years in males and 79.2 in females in 2012. | [
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-4315387396250757445-hardneg-11 | Demographics of Estonia | By data from Statistics Estonia life expectancy at birth in both 2019 and 2020 was 74.4 years for males and 82.8 years for females, on average for all 78,8 years. | [
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-4315387396250757445-hardneg-12 | Demographics of Estonia | Life expectancy has increased during last years for both sexes, men are expected to live disability-free for 54.1 years and women for 57.6 years. Males live 72.7 percent of their life in good health and females 70 percent. | [
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-4315387396250757445-hardneg-14 | Demographics of Estonia | There were a total of 201,253 foreign-born people in Estonia at 1 January 2022, representing 15% of the population. 55% of them were born in Russia, and a total of 82% in a ex-Soviet countries. | [
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-4315387396250757445-hardneg-15 | Demographics of Estonia | After gaining independence following World War I a population census was held in 1922 and 1934. At that time Estonians were still the predominant ethnic group, while all others constituted 12% of the population of Estonia. | [
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-4315387396250757445-hardneg-16 | Demographics of Estonia | Major Jewish communities were present in Estonia between 1918 and 1940 in Tallinn, Pärnu, Kilingi-Nõmme, Narva, Tartu, Valga, and Võru. | [
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-4315387396250757445-hardneg-17 | Demographics of Estonia | As of 2008, the largest ethnic groups in Estonia are Estonians (68.7%), Russians (25.6%), Ukrainians (2.1%), Belarusians (1.2%), and Finns (0.8%). These five groups made up 98.4% of Estonia's population. | [
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-4315387396250757445-hardneg-18 | Demographics of Estonia | Estonian and Finnish are closely related, belonging to the same Finnic branch of the Uralic language family. The two languages are only partially mutually intelligible, although learning to comprehend and speak each other's languages is fairly easy for native speakers. Estonian and Finnish are only distantly related to the Hungarian language. | [
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-4315387396250757445-hardneg-19 | Demographics of Estonia | Written with the Latin script, Estonian is the language of the Estonian people and the official language of the country. One-third of the standard vocabulary is derived from adding suffixes to root words. The oldest known examples of written Estonian originate in 13th century chronicles. During the Soviet era, the Russian language was imposed in parallel to, and often instead of, Estonian in official use. | [
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-4315387396250757445-hardneg-21 | Demographics of Estonia | In 2011, according to the census, 29.31% of the population considered themselves to be related to any religion: | [
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-4315387396250757445-hardneg-22 | Demographics of Estonia | There are also a number of smaller Jewish, and Buddhist groups. The organisation Maavalla Koda (Taaraism) unites adherents of animist traditional religions. The Russian neopagan organisation "Vene Rahvausu Kogudus Eestis" is registered in Tartu. | [
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-4315387396250757445-hardneg-23 | Demographics of Estonia | The irrereligiousity of Estonians is a relic of Soviet occupation time, but culturally Estonia still belongs to the Lutheran culture sphere, like most of Northern Europe. | [
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-4315387396250757445-hardneg-24 | Demographics of Estonia | The Governorate of Estonia comprised the northern part of present-day Estonia. The southern part was part of the Governorate of Livonia. | [
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-4315387396250757445-hardneg-25 | Demographics of Estonia | 1 Population figures from 2000 on were revised based on the 2011 Estonian census and various registers. | [
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-6611682200526378191-hardneg-0 | Deep vein thrombosis | At times, DVT can cause symptoms in both arms or both legs, as with bilateral DVT. Rarely, a clot in the inferior vena cava can cause both legs to swell. Superficial vein thrombosis, also known as superficial thrombophlebitis, is the formation of a blood clot (thrombus) in a vein close to the skin. It can co-occur with DVT and can be felt as a "palpable cord". Migratory thrombophlebitis (Trousseau's syndrome) is a noted finding in those with pancreatic cancer and is associated with DVT. | [
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-6611682200526378191-hardneg-1 | Deep vein thrombosis | A rare and massive DVT that causes significant obstruction and discoloration (including cyanosis) is phlegmasia cerulea dolens. It is life-threatening, limb-threatening, and carries a risk of venous gangrene. Phlegmasia cerulea dolens can occur in the arm but more commonly affects the leg. If found in the setting of acute compartment syndrome, an urgent fasciotomy is warranted to protect the limb. Superior vena cava syndrome is a rare complication of arm DVT. | [
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-6611682200526378191-hardneg-2 | Deep vein thrombosis | DVT is thought to be able to cause a stroke in the presence of a heart defect. This is called a paradoxical embolism because the clot abnormally travels from the pulmonary circuit to the systemic circuit while inside the heart. The defect of a patent foramen ovale is thought to allow clots to travel through the interatrial septum from the right atrium into the left atrium. | [
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-6611682200526378191-hardneg-3 | Deep vein thrombosis | In most suspected cases, DVT is ruled out after evaluation. Cellulitis is a frequent mimic of DVT, with its triad of pain, swelling, and redness. Symptoms concerning for DVT are more often due to other causes, including cellulitis, ruptured Baker's cyst, hematoma, lymphedema, and chronic venous insufficiency. Other differential diagnoses include tumors, venous or arterial aneurysms, connective tissue disorders, superficial vein thrombosis, muscle vein thrombosis, and varicose veins. | [
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-6611682200526378191-hardneg-4 | Deep vein thrombosis | DVT and PE are the two manifestations of the cardiovascular disease venous thromboembolism (VTE). VTE can occur as DVT only, DVT with PE, or PE only. About two-thirds of VTE manifests as DVT only, with one-third manifesting as PE with or without DVT. VTE, along with superficial vein thrombosis, are common types of venous thrombosis. | [
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-6611682200526378191-hardneg-5 | Deep vein thrombosis | DVT is classified as acute when the clots are developing or have recently developed, whereas chronic DVT persists more than 28 days. Differences between these two types of DVT can be seen with ultrasound. An episode of VTE after an initial one is classified as recurrent. Bilateral DVT refers to clots in both limbs while unilateral means only a single limb is affected. | [
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-6611682200526378191-hardneg-6 | Deep vein thrombosis | DVT in the legs is proximal when above the knee and distal (or calf) when below the knee. DVT below the popliteal vein, a proximal vein behind the knee, is classified as distal and has limited clinical significance compared to proximal DVT. Calf DVT makes up about half of DVTs. Iliofemoral DVT has been described as involving either the iliac or common femoral vein; elsewhere, it has been defined as involving at a minimum the common iliac vein, which is near the top of the pelvis. | [
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-6611682200526378191-hardneg-7 | Deep vein thrombosis | DVT can be classified into provoked and unprovoked categories. For example, DVT that occurs in association with cancer or surgery can be classified as provoked. However, the European Society of Cardiology in 2019 urged for this dichotomy to be abandoned to encourage more personalized risk assessments for recurrent VTE. The distinction between these categories is not always clear. | [
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-6611682200526378191-hardneg-8 | Deep vein thrombosis | Infections, including sepsis, COVID-19, HIV, and active tuberculosis, increase risk. Chronic inflammatory diseases and some autoimmune diseases, such as inflammatory bowel disease, systemic sclerosis, Behçet's syndrome, primary antiphospholipid syndrome, and systemic lupus erythematosus (SLE) increase risk. SLE itself is frequently associated with secondary antiphospholipid syndrome. | [
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-6611682200526378191-hardneg-9 | Deep vein thrombosis | Some risk factors influence the location of DVT within the body. In isolated distal DVT, the profile of risk factors appears distinct from proximal DVT. Transient factors, such as surgery and immobilization, appear to dominate, whereas thrombophilias and age do not seem to increase risk. Common risk factors for having an upper extremity DVT include having an existing foreign body (such as a central venous catheter, a pacemaker, or a triple-lumen PICC line), cancer, and recent surgery. | [
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-6611682200526378191-hardneg-10 | Deep vein thrombosis | Blood has a natural tendency to clot when blood vessels are damaged (hemostasis) to minimize blood loss. Clotting is activated by the coagulation cascade and the clearing of clots that are no longer needed is accomplished by the process of fibrinolysis. Reductions in fibrinolysis or increases in coagulation can increase the risk of DVT. | [
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-6611682200526378191-hardneg-11 | Deep vein thrombosis | DVT often develops in the calf veins and "grows" in the direction of venous flow, towards the heart. DVT most frequently affects veins in the leg or pelvis including the popliteal vein (behind the knee), femoral vein (of the thigh), and iliac veins of the pelvis. Extensive lower-extremity DVT can even reach into the inferior vena cava (in the abdomen). Upper extremity DVT most commonly affects the subclavian, axillary, and jugular veins. | [
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-6611682200526378191-hardneg-12 | Deep vein thrombosis | D-dimers are a fibrin degradation product, a natural byproduct of fibrinolysis that is typically found in the blood. An elevated level can result from plasmin dissolving a clot—or other conditions. Hospitalized patients often have elevated levels for multiple reasons. Anticoagulation, the standard treatment for DVT, prevents further clot growth and PE, but does not act directly on existing clots. | [
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-6611682200526378191-hardneg-13 | Deep vein thrombosis | CT scan venography, MRI venography, or a non-contrast MRI are also diagnostic possibilities. The gold standard for judging imaging methods is contrast venography, which involves injecting a peripheral vein of the affected limb with a contrast agent and taking X-rays, to reveal whether the venous supply has been obstructed. Because of its cost, invasiveness, availability, and other limitations, this test is rarely performed. | [
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-6611682200526378191-hardneg-14 | Deep vein thrombosis | If someone decides to stop anticoagulation after an unprovoked VTE instead of being on lifelong anticoagulation, aspirin can be used to reduce the risk of recurrence, but it is only about 33% as effective as anticoagulation in preventing recurrent VTE. Statins have also been investigated for their potential to reduce recurrent VTE rates, with some studies suggesting effectiveness. | [
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-6611682200526378191-hardneg-15 | Deep vein thrombosis | In DVT in the arm, the first (topmost) rib can be surgically removed as part of the typical treatment when the DVT is due to thoracic outlet syndrome or Paget–Schroetter syndrome. This treatment involves initial anticoagulation followed by thrombolysis of the subclavian vein and staged first rib resection to relieve the thoracic outlet compression and prevent recurrent DVT. | [
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-6611682200526378191-hardneg-16 | Deep vein thrombosis | Patients with a history of DVT might be managed by primary care, general internal medicine, hematology, cardiology, vascular surgery, or vascular medicine. Patients suspected of having an acute DVT are often referred to the emergency department for evaluation. Interventional radiology is the specialty that typically places and retrieves IVC filters, and vascular surgery might do catheter directed thrombosis for some severe DVTs. | [
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-6611682200526378191-hardneg-17 | Deep vein thrombosis | Acutely ill hospitalized patients are suggested to receive a parenteral anticoagulant, although the potential net benefit is uncertain. Critically ill hospitalized patients are recommended to either receive unfractionated heparin or low-molecular weight heparin instead of foregoing these medicines. | [
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-6611682200526378191-hardneg-18 | Deep vein thrombosis | Major orthopedic surgery—total hip replacement, total knee replacement, or hip fracture surgery—has a high risk of causing VTE. If prophylaxis is not used after these surgeries, symptomatic VTE has about a 4% chance of developing within 35 days. Following major orthopedic surgery, a blood thinner or aspirin is typically paired with intermittent pneumatic compression, which is the preferred mechanical prophylaxis over graduated compression stockings. | [
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-6611682200526378191-hardneg-19 | Deep vein thrombosis | Options for VTE prevention in people following non-orthopedic surgery include early walking, mechanical prophylaxis, and blood thinners (low-molecular-weight heparin and low-dose-unfractionated heparin) depending upon the risk of VTE, risk of major bleeding, and person's preferences. After low-risk surgeries, early and frequent walking is the best preventive measure. | [
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-6611682200526378191-hardneg-20 | Deep vein thrombosis | The risk of VTE is increased in pregnancy by about four to five times because of a more hypercoagulable state that protects against fatal postpartum hemorrhage. Preventive measures for pregnancy-related VTE were suggested by the American Society of Hematology in 2018. Warfarin, a common vitamin K antagonist, can cause birth defects and is not used for prevention during pregnancy. | [
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-6611682200526378191-hardneg-21 | Deep vein thrombosis | DVT occurs in the upper extremities in about 4–10% of cases, with an incidence of 0.4–1.0 people out of 10,000 a year. A minority of upper extremity DVTs are due to Paget–Schroetter syndrome, also called effort thrombosis, which occurs in 1–2 people out of 100,000 a year, usually in athletic males around 30 years of age or in those who do significant amounts of overhead manual labor. | [
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-6611682200526378191-hardneg-22 | Deep vein thrombosis | The book "Sushruta Samhita", an Ayurvedic text published around 600–900 BC, contains what has been cited as the first description of DVT. In 1271, DVT symptoms in the leg of a 20-year-old male were described in a French manuscript, which has been cited as the first case or the first Western reference to DVT. | [
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-6611682200526378191-hardneg-23 | Deep vein thrombosis | Methods to observe DVT by ultrasound were established in the 1960s. Diagnoses were commonly performed by impedance plethysmography in the 1970s and 1980s, but ultrasound, particularly after utility of probe compression was demonstrated in 1986, became the preferred diagnostic method. Yet, in the mid-1990s, contrast venography and impedance plethysmography were still described as common. | [
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-6611682200526378191-hardneg-24 | Deep vein thrombosis | VTE costs the US healthcare system about $7 to 10 billion dollars annually. Initial and average DVT costs for a hospitalized US patient is about $10,000 (2015 estimate). In Europe, the costs for an initial VTE hospitalization are significantly less, costing about €2000 to 4000 (2011 estimate). Post-thrombotic syndrome is a significant contributor to DVT follow-up costs. Outpatient treatment significantly reduces costs, and treatment costs for PE exceed those of DVT. | [
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] |
-6611682200526378191-hardneg-25 | Deep vein thrombosis | A 2019 study published in "Nature Genetics" reported more than doubling the known genetic loci associated with VTE. In their updated 2018 clinical practice guidelines, the American Society of Hematology identified 29 separate research priorities, most of which related to patients who are acutely or critically ill. Inhibition of factor XI, P-selectin, E-selectin, and a reduction in formation of neutrophil extracellular traps are potential therapies that might treat VTE without increasing bleeding risk. | [
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-5099355793001509405-hardneg-0 | Al-Farabi | Abu Nasr Al-Farabi () known in the West as Alpharabius; (c. 872 – between 14 December, 950 and 12 January, 951) was a renowned early Islamic philosopher and jurist who wrote in the fields of political philosophy, metaphysics, ethics and logic. He was also a scientist, cosmologist, mathematician and music theorist. | [
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-5099355793001509405-hardneg-1 | Al-Farabi | In Islamic philosophical tradition he was often called "the Second Teacher", following Aristotle who was known as "the First Teacher". He is credited with preserving the original Greek texts during the Middle Ages via his commentaries and treatises, and influencing many prominent philosophers, such as Avicenna and Maimonides. Through his works, he became well-known in the West as well as the East. | [
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-5099355793001509405-hardneg-2 | Al-Farabi | His name was Abū Naṣr Muḥammad b. Muḥammad Farabi, sometimes with the family surname al-Ṭarḵānī, i.e., the element Ṭarḵān appears in a nisba. His grandfather was not known among his contemporaries, but a name, Awzalaḡ, suddenly appears later in the writings of Ibn Abī Uṣaibiʿa, and of his great-grandfather in those of Ibn Khallikan. | [
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-5099355793001509405-hardneg-3 | Al-Farabi | Al-Farabi's religious affiliation within Islam is disputed. While some historians identify him as Sunni, some others assert he was Shia or influenced by Shia. | [
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-5099355793001509405-hardneg-4 | Al-Farabi | Najjar Fauzi argues that al-Farabi's political philosophy was influenced by Shiite sects. Giving a positive account, Nadia Maftouni describes shi'ite aspects of Farabi's writings. As she put it, Farabi in his Al-Millah, Al-Sīyāsah al-Madanīyah, and Tahsil al-Sa’adah believes in a utopia governed by prophet and his successors: the Imams. | [
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-5099355793001509405-hardneg-5 | Al-Farabi | Farabi made contributions to the fields of logic, mathematics, music, philosophy, psychology, and education. | [
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-5099355793001509405-hardneg-6 | Al-Farabi | Though he was mainly an Aristotelian logician, he included a number of non-Aristotelian elements in his works. He discussed the topics of future contingents, the number and relation of the categories, the relation between logic and grammar, and non-Aristotelian forms of inference. He is also credited with categorizing logic into two separate groups, the first being "idea" and the second being "proof". | [
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-5099355793001509405-hardneg-7 | Al-Farabi | Al-Farabi also considered the theories of conditional syllogisms and analogical inference, which were part of the Stoic tradition of logic rather than the Aristotelian. Another addition al-Farabi made to the Aristotelian tradition was his introduction of the concept of poetic syllogism in a commentary on Aristotle's "Poetics". | [
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-5099355793001509405-hardneg-8 | Al-Farabi | Al-Farabi wrote a book on music titled "Kitab al-Musiqa" (The Book of Music). In it, he presents philosophical principles about music, its cosmic qualities, and its influences. | [
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-5099355793001509405-hardneg-9 | Al-Farabi | He also wrote a treatise on the "Meanings of the Intellect", which dealt with music therapy and discussed the therapeutic effects of music on the soul. | [
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-5099355793001509405-hardneg-10 | Al-Farabi | Al-Farabi had great influence on science and philosophy for several centuries, and was widely considered second only to Aristotle in knowledge (alluded to by his title of "the Second Teacher") in his time. His work, aimed at synthesis of philosophy and Sufism, paved the way for the work of Ibn Sina (Avicenna). | [
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-5099355793001509405-hardneg-11 | Al-Farabi | Al-Farabi wrote a short treatise "On Vacuum", where he thought about the nature of the existence of void.His final conclusion was that air's volume can expand to fill available space, and he suggested that the concept of perfect vacuum was incoherent. | [
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-5099355793001509405-hardneg-12 | Al-Farabi | In his treatise "On the Cause of Dreams", which appeared as chapter 24 of his "Principles of the Opinions of the Citizens of the Ideal City", he distinguished between dream interpretation and the nature and causes of dreams. | [
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