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Northeast Asian Regional Integration and the East Asian Community Making Process
Serafettin Yilmaz,Lyu Mengdi 경남대학교 극동문제연구소 2020 ASIAN PERSPECTIVE Vol.44 No.3
This study offers a geopolitical case analysis on regional integration in Northeast Asia (NEA) within the context of the larger community-making process in East Asia. It argues that overcoming reluctant regionalism in East Asia is contingent on the formation of a viable region in NEA to complement the ongoing ASEAN-led regional dialogue. It observes that the frustrating region-making experience in East Asia is, in part, an outcome of the reluctance on part of the three core states of China, Japan, and South Korea toward forming a sub-region in NEA, due mostly, to extraneous factors that have resulted in political inaction and lack of sustainable institutionalization. This article, in this respect, identifies a number of contemporary geopolitical developments which may weaken the externally imposed impediments on regional integration and encourage deeper reconciliation among the three Northeast Asian states, thereby helping overcome reluctant regionalism in East Asia.
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The Evolving Geopolitical Landscape in the Post‐Arbitration South China Sea
Serafettin Yilmaz,Fu‐Kuo Liu 인하대학교 국제관계연구소 2019 Pacific Focus Vol.34 No.3
This research offers a policy analysis of the post-Arbitration geopolitics in the South China Sea (SCS). It aims, first, to lay out the particular internal and external factors that have led to noticeable changes in the Philippines and Vietnam’s SCS policies, and, second, to explore the implications of the ongoing shift in the regional politics for the East Asian strategic landscape. In this regard, two distinct tendencies with respect to geopolitical transformations are highlighted: while some actors are observed to put more emphasis on security and seek strategic diversification, others appear to put more emphasis on development and seek economic diversification.
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Atrial Septal Defect Closure: Comparison of Vertical Axillary Minithoracotomy and Median Sternotomy
Huseyin Hakan Poyrazoglu,Mustafa Kemal Avsar,Şerafettin Demir,Zeynep Karakaya,Tayfun Güler,Funda Tor 대한흉부외과학회 2013 Journal of Chest Surgery (J Chest Surg) Vol.46 No.5
Background: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses its cosmetic results. Methods: Thirty-three patients (7 males, 26 females) with atrial septal defect were admitted to the Cardiovascular Surgery Clinic of Cukurova University from December 2005 until January 2010. The patients’ ages ranged from 3 to 22. Patients who underwent vertical axillary minithracotomy were assigned to group I, and those undergoing conventional sternotomy, to group II. Group I and group II were compared with regard to the preoperative, perioperative and postoperative variables. Group I included 12 females and 4 males with an average age of 16.5±9.7. Group II comprised 14 female and 3 male patients with an average age of 18.5±9.8 showing similar features and pathologies. The cases were in Class I–II according to the New York Heart Association (NYHA) Classification, and patients with other cardiac and systemic problems were not included in the study. The ratio of the systemic blood flow to the pulmonary blood flow (Qp/Qs) was 1.8±0.2. The average pulmonary artery pressure was 35±10 mmHg. Following the diagnosis, performing elective surgery was planned. Results: No significant difference was detected in the average time of the patients’ extraportal circulation, cross-clamp and surgery (p>0.05). In the early postoperative period of the cases, the duration of mechanical ventilator support, the drainage volume in the first 24 hours, and the hospitalization time in the intensive care unit were similar (p>0.05). Postoperative pains were evaluated together with narcotic analgesics taken intravenously or orally. While 7 cases (43.7%) in group I needed postoperative analgesics, 12 cases (70.6%) in group II needed them. No mortality or major morbidity has occurred in the patients. The incision style and sizes in all of the patients undergoing RVAM were preserved as they were at the beginning. Furthermore, the patients of group I were mobilized more quickly than the patients of group II. The patients of group I were quite pleased with the psychological and cosmetic results. No residual defects have been found in the early postoperative period and after the end of the follow-up periods. All of the patients achieved functional capacity per NYHA. No deformation of breast growth has been detected during 18 months of follow-up for the group I patients, who underwent RVAM. Conclusion: To conclude, the repair of atrial septal defect by RVAM, apart from the limited working zone for the surgeon in these pathologies as compared to sternotomymay be considered in terms of the outcomes, and early and late complications. And this has accounted for less need of analgesics and better cosmetic results in recent years.
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