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Tackling Breast Cancer in Kurdistan: Epidemiology, Early Detection, and Intervention Strategies

<h3>Introduction</h3>The Covid-19 pandemic has resulted in significant alterations to healthcare practices, including increased infection prevention measures, changes in diagnostic procedures, and the reallocation of healthcare resources. Subsequently, this pandemic placed an enormous strain on healthcare systems worldwide, resulting in the redirection of resources and attention away from antimicrobial stewardship programs. This article explores the repercussions of COVID-19 on antimicrobial resistance and highlights the importance of addressing this emerging threat.<h3>Discussion&nbsp;</h3>Antimicrobial resistance is the broader term for resistance in different types of microorganisms (eg, bacteria, viruses, parasites, or fungi). It encompasses resistance to antibacterial, antiviral, antiparasitic, and antifungal drugs. Resistant microorganisms emerge either by mutations or the procurement of mobile genetic elements that carry the resistance gene. Therefore this can occur irrespective of the presence of antimicrobials. However, it is the exposure to these drugs that gives rise to the growth and spread of resistant pathogens (Prestinaci, 2015). Inappropriate prescribing (whether caused by obsolete guidelines or pharmaceutical pressures), over-the-counter antibiotic availability, and self-medication reflect a general lack of awareness of the global threat that antibiotic resistance poses to our society. Medical procedures such as surgery could become exceedingly difficult, or even impossible, due to antimicrobial resistance (Ibid). Common infections may become untreatable, which could lead to death.&nbsp;Director-General Margaret Chan stated in the foreword to the Global Action Plan that "Antimicrobial Resistance is a crisis that must be managed with the utmost urgency. As the world enters the ambitious new era of sustainable development, we cannot allow hard-won gains for health to be eroded by the failure of our mainstay medicines" (2015).&nbsp; However, clinical trials worldwide implemented the use of antimicrobial agents for the treatment of Covid-19 infections. A plethora of drugs have been used in prophylaxis and treatment of covid infections including several antivirals (lopinavir/ritonavir combination, remdesivir, and favipiravir); two antimalarials (chloroquine and hydroxychloroquine); ACE2 inhibitor (losartan); immunosuppressive agents (tocilizumab, leronlimab and corticosteroids); TMPRSS2 inhibitor (camostat mesylate); anti-parasitic drugs (ivermectin and nitazoxanide); a gold-containing drug, auranofin, an immunomodulator used in sepsis and leprosy (Sepsivac, mycobacterium w (heat-killed) injections); allogeneic Placental expanded (PLX) cells; and convalescent plasma (Breining, 2019; Evan, 2019; Caly, 2020; Diederich, 2020; Smith, 2020; Barkama, 2020; Patel, 2021; Mirjalili, 2022; Massai, 2022). In addition, during the COVID-19 pandemic, soaps and antimicrobial disinfectants have been increasingly used by hospital staff. If these products are based on chlorhexidine digluconate or quaternary ammonium compounds, this can also lead to antibiotic resistance.&nbsp;The uncertainty surrounding the early stages of the pandemic and the lack of specific antiviral treatments contributed to clinicians prescribing antibiotics empirically to manage suspected bacterial co-infections. In addition, the clinical presentation of Covid-19 can mimic bacterial infections, leading to diagnostic uncertainties. Delayed diagnosis or misdiagnosis of bacterial co-infections may result in suboptimal antibiotic management, potentially fueling antimicrobial resistance (Ha et al, 2017). Therefore the frequent use of antibiotics for the antiviral therapy of covid patients further aggravated the antibiotic resistance crisis. Antiviral drugs like remdesivir, favipiravir, and others have been used frequently to manage COVID-19 patients (Smith, 2020; Eroglu, 2021).&nbsp;A study by Yale Schools of Medicine and Public Health has conveyed a remdesivir-resistance variant of SARS-CoV-2 in an immunocompromised patient who was being treated with remdesivir (Gandhi et al, 2022). Patients with Covid-19 have weakened and compromised immune systems, making them reliant on antiviral therapy to control the virus, and subsequently making them more prone to developing resistance to the treatment they receive. The focus on managing Covid-19 cases may have led to reduced monitoring of antimicrobial prescribing practices, hindering efforts to prevent inappropriate antibiotic use.&nbsp;Antibiotic prescriptions for inpatients and outpatients led to a setback in the combat against antibacterial resistance (Ha et al, 2017; Hodoșan et al, 2023). The prevalence of antibiotic-resistant pathogens among patients with laboratory-confirmed Covid-19 and bacterial infections emphasizes the urgency of antimicrobial stewardship. Research findings show that approximately 72% of COVID-19 patients admitted to hospitals received antimicrobial treatment, despite only 8% of them having bacterial or fungal co-infections (Rawson et al, 2020). Moreover, various antibiotics such as azithromycin have been suggested for COVID-19 treatment. The mass public concern, in addition to the inappropriate use of antibiotics, directly affects antibiotic access without a prescription, especially in developing countries with weak antibiotic control systems. For instance, it was reported that nearly 69% of COVID-19 patients had used antibiotics like ceftriaxone and azithromycin before hospital admission (Zavala-Flores et al, 2020).ConclusionThe indiscriminate use of antibiotics in the management of COVID-19 patients, combined with diagnostic uncertainties and empirical prescribing, has contributed to the rise of antimicrobial-resistant pathogens. This emerging crisis demands urgent action and strengthened antimicrobial stewardship programs. The prevalence of antibiotic-resistant pathogens among COVID-19 patients underscores the need for prudent antibiotic use and careful monitoring of prescribing practices. Efforts should be directed towards promoting awareness about the global threat of antimicrobial resistance and the importance of appropriate antibiotic use. Collaborative efforts between healthcare providers, policymakers, researchers, and the pharmaceutical industry are crucial in addressing this issue and safeguarding the threatened utility of antibiotics for future generations. References&nbsp;“No Time to Wait: Securing the Future from Drug Resistant Infections.” IACG Report to the Secretary General of the United Nations, April 2019. Geneva: The UN Interagency Coordination Group on AMR; 2019.Barkama, R., Mayo, A., Paz, A., Solopov, A., Mann, T., Vadasz, Z., Appel, T., Ofir, R., Shani, L., Sheleg, M., Allen, H., Shaked Nitzan, R., Tsarfaty, N., Gilad, H., Birch, T., Kachel, E., Reinke, P., Volk, H.-D., Zalts, R., &amp;amp; Raz Pasteur, A. (2020, September 15). Placenta-derived cell therapy to treat patients with respiratory failure due to coronavirus disease 2019. Critical care explorations. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498138/" data-mce-href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498138/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498138/</a>&nbsp;Breining P, Frølund AL, Højen JF, et al. Camostat mesylate against SARS-CoV-2 and COVID-19—Rationale, dosing and safety. Basic Clin Pharmacol Toxicol. 2021;128:204–212. <a href="https://doi.org/10.1111/bcpt.13533" data-mce-href="https://doi.org/10.1111/bcpt.13533">https://doi.org/10.1111/bcpt.13533</a>Caly L, Druce JD, Catton MG, Jans DA, Wagstaff KM. The FDA-approved drug Ivermectin inhibits the replication of SARS-CoV-2 in vitro. Antiviral Res. 2020Diederich S. EurekAlert, AAAS; Washington, DC, USA: March 5, 2020. Preventing spread of SARS coronavirus-2 in humans: Göttingen infection researchers identify potential drug.Eroglu, E., &amp; Toprak, C. (2021). Overview of favipiravir and remdesivir treatment for COVID-19. International Journal of Pharmaceutical Sciences and Research, 12(4), 1950-1957.Evan M Bloch and others, Guidance on the Use of Convalescent Plasma to Treat Immunocompromised Patients With Coronavirus Disease 2019, Clinical Infectious Diseases, Volume 76, Issue 11, 1 June 2023, Pages 2018–2024, <a href="https://doi.org/10.1093/cid/ciad066" data-mce-href="https://doi.org/10.1093/cid/ciad066">https://doi.org/10.1093/cid/ciad066</a>Gandhi S, Klein J, Robertson AJ, Peña-Hernández MA, Lin MJ, Roychoudhury P, Lu P, Fournier J, Ferguson D, Mohamed Bakhash SAK, Catherine Muenker M, Srivathsan A, Wunder EA Jr, Kerantzas N, Wang W, Lindenbach B, Pyle A, Wilen CB, Ogbuagu O, Greninger AL, Iwasaki A, Schulz WL, Ko AI. De novo emergence of a remdesivir resistance mutation during treatment of persistent SARS-CoV-2 infection in an immunocompromised patient: a case report. Nat Commun. 2022 Mar 17;13(1):1547. doi: 10.1038/s41467-022-29104-y. PMID: 35301314; PMCID: PMC8930970.Getahun, H.; Smith, I; Trivedi, K.; Paulin, S.; Balkhy, H.H. Tackling antimicrobial resistance in the COVID-19 pandemic. Bull. World Health Organ. 2020, 98, 442.&nbsp;Antimicrobial resistance. Ministry of Health NZ. (n.d.). <a href="https://www.health.govt.nz/our-work/diseases-and-conditions/antimicrobial-resistance" data-mce-href="https://www.health.govt.nz/our-work/diseases-and-conditions/antimicrobial-resistance">https://www.health.govt.nz/our-work/diseases-and-conditions/antimicrobial-resistance</a>&nbsp;Getahun H, Smith I, Trivedi K, et al. Tackling antimicrobial resistance in the COVID-19 pandemic. Bull World Health Organ. 2020; 98:442.Ha, D. R., Haste, N. M., &amp; Gluckstein, D. P. (2017). The Role of Antibiotic Stewardship in Promoting Appropriate Antibiotic Use. American journal of lifestyle medicine, 13(4), 376–383. <a href="https://doi.org/10.1177/1559827617700824" data-mce-href="https://doi.org/10.1177/1559827617700824">https://doi.org/10.1177/1559827617700824</a>Hodoșan, V., Daina, L. G., Zaha, D. C., Cotrău, P., Vladu, A., Dorobanțu, F. R., Negrău, M. O., Babeș, E. E., Babeș, V. V., &amp;amp; Daina, C. M. (2023, May 3). Pattern of antibiotic use among hospitalized patients at A level one multidisciplinary care hospital. MDPI.&nbsp;Prestinaci, F., Pezzotti, P., &amp; Pantosti, A. (2015). Antimicrobial resistance: a global multifaceted phenomenon. Pathogens and global health, 109(7), 309–318.&nbsp;Smith T, Bushek J, Prosser T. Elsevier; Amsterdam, The Netherlands: 2020. COVID-19 Drug Therapy – Potential Options. Clinical Drug Information | Clinical Solutions.Zavala-Flores, E.; Salcedo-Matienzo, J. Medicación prehospitalaria en pacientes hospitalizados por COVID-19 en un hospital público de Lima-Perú. Acta Méd. Peru. 2020, 37,393-395.Khuroo, M. S. (2020, September). Chloroquine and hydroxychloroquine in coronavirus disease 2019 (COVID-19). facts, fiction and The hype: A critical appraisal. International journal of antimicrobial agents. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366996/" data-mce-href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366996/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366996/</a>&nbsp;Mahmoudi H. Bacterial co-infections and antibiotic resistance in patients with COVID-19. GMS Hyg Infect Control. 2020;15:1–6.Massai L, Grifagni D, De Santis A, Geri A, Cantini F, Calderone V, Banci L, Messori L. Gold-Based Metal Drugs as Inhibitors of Coronavirus Proteins: The Inhibition of SARS-CoV-2 Main Protease by Auranofin and Its Analogs. Biomolecules. 2022 Nov 11;12(11):1675. doi: 10.3390/biom12111675. PMID: 36421689; PMCID: PMC9687241.Mirjalili, M., Soodejani, M.T., Raadabadi, M. et al. Does Losartan reduce the severity of COVID-19 in hypertensive patients?. BMC Cardiovasc Disord 22, 116 (2022). <a href="https://doi.org/10.1186/s12872-022-02548-2" data-mce-href="https://doi.org/10.1186/s12872-022-02548-2">https://doi.org/10.1186/s12872-022-02548-2</a>Patel PS, Patel S, Shah V, Aswani V, Narwaria M. Early Experience of High-dose Intravenous Mycobacterium w in Critically Ill Patients of COVID-19. Indian J Crit Care Med 2021;25(9):1066–1068.Prestinaci, F., Pezzotti, P., &amp; Pantosti, A. (2015). Antimicrobial resistance: a global multifaceted phenomenon. Pathogens and global health, 109(7), 309–318.&nbsp;Rawson TM, Moore LSP, Zhu N, Ranganathan N, Skolimowska K, Gilchrist M, et al. Bacterial and fungal co-infection in individuals with coronavirus: A rapid review to support COVID-19 antimicrobial prescribing. Clin Infect Dis. 2020. May 2.Smith T, Bushek J, Prosser T. Elsevier; Amsterdam, The Netherlands: 2020. COVID-19 Drug Therapy – Potential Options. Clinical Drug Information |Clinical Solutions.<a href="https://www.elsevier.com/__data/assets/pdf_file/0007/988648/COVID-19-Drug-Therapy_Mar-2020.pdf" data-mce-href="https://www.elsevier.com/__data/assets/pdf_file/0007/988648/COVID-19-Drug-Therapy_Mar-2020.pdf">https://www.elsevier.com/__data/assets/pdf_file/0007/988648/COVID-19-Drug-Therapy_Mar-2020.pdf</a>

From Pandemic to Resistance: The Unintended Consequences of COVID-19 on Antimicrobial Practices

<blockquote>Film as dream, film as music. No art passes our conscience in the way film does, and goes directly to our feelings, deep down into the dark rooms of our souls.- Ingmar Bergman (1) </blockquote>Cinema, often referred to as The Seventh Art, is one of the more recent arts in terms of emergence. That is in contrast to the large human history with the other forms of art. It has been a part of our world for some 130 years. The most progressive and leading nations in the world, the likes of France and America, have been an integral part of cinema’s invention, progression and evolution. However, each nation has contributed to cinema in a particular way. Several countries have their own distinct cinematic schools or cinematic universes which hold different values and methods in comparison to the other countries. Russia, Italy and Germany are good examples. A nation or a country can produce numerous films and still not be able to call itself “a country that has it’s own cinema”. Because for cinema to exist, it has to either become an independent industry or an independent school of cinema (like a school of thought). Only then can cinema be used as a tool to represent, display and spread a nation’s culture and identity.The leading countries of the world, recognized the importance of cinema early on. They acknowledged the fact that cinema can be a powerful tool for a nation to represent and identify it’s culture and identity. Europe is regarded as the cradle of cinema. However, The United States of America established it’s place in the cinema medium firmly by creating a whole cinematic industry in Hollywood. We have witnessed numerous historical events which were initially influenced by cinema. The French students revolution of 1968 is widely known to have been influenced by the French cinema of that period.(3) Italy, Sweden, Russia, Japan, The United Kingdom, etc.. have all been involved in contributions to cinema for more than 100 years. The impacts of cinema on each of these countries are recognized in the cultural, political and economical aspects. Naturally, none of these were achieved overnight or without a clear plan and strategy to make cinema a great soft weapon of each of the aforementioned countries.Thus far, we Kurds can not have a real claim to cinema. It is true that we do have films here and there, there have been several attempts at creating a distinct Kurdish cinema, but none have succeeded in doing so. The first Kurdish film to be made was (Zare). Directed in 1926-1927 by Hamo Bag Nazarian. The film can be summarized as such: Immediately prior to the Russian Revolution, a young shepherd Seydo and his girlfriend Zare struggle for their right to a happy love in a Yazidi Kurdish village in Russian Armenia.(2).<blockquote> But just what can be regarded as a Kurdish film? This question is a rather puzzling and multidimensional one. We can not put a finger on one aspect of a film and use it as a defining factor to answer the question.</blockquote> As we are, unlike other nations, still without a sovereign country to protect and identify our culture and identity inside it’s borders. Thus far, we merely have different attempts by different individuals with the aim to create and establish what can be called “Kurdish Cinema”. These attempts at cinema to tell Kurdish tales and represent the Kurdish cause have all been partially impactful. Yilmaz Güney is a great example. He made many films, most of which were made in the Turkish language, by Turkish filmmaking tools and a mostly-Turkish cast and crew. Yet we can not label his films as Turkish for at their core his films have a Kurdish sense and discourse.Of the main properties that can make a film ‘Kurdish’ are: A Kurdish discourse, a Kurdish narrative or an attempt at showcasing the Kurdish history and it’s identity. Apart from Güney, other directors (Bahman Ghobadi, Kazim Oz, Taha Karimi, Shewket Amin, Huner Selim) and many others have contributed to Kurdish cinema.In Southern Kurdistan’s four provinces (Erbil, Suleymaniyeh, Duhok and Halabja), the number of cinema halls are very limited. In Kurdistan, as in everywhere else, cinema now is more of a ‘home display’ medium. Individuals tend to watch films on their private electrical gadgets such as computer, TVs and mobile phones. This is one of the contributing causes that makes cinema less attainable. For without cinema halls, a cinematic culture can not be built. Without a cinematic culture, cinematic awareness can not exist and without cinematic awareness cinema itself can not be created. Although, there are other factors that contribute to the absence of cinema in Kurdistan.Another reason for Kurdish cinema’s lack of progression is the absence of cinematic academies and institutions in which filmmaking students in different aspects of filmmaking can learn. Although Kurdistan has college and university of arts, in which there is a cinema department, but these institutions have not succeeded at providing and developing cinematic movements. The art history of the different nations of the world can be regarded as a shared and universal history, this is evident that we Kurds can be beneficial of the vast and rich history of the other nations and use that to our advantage to establish our own cinema and use it as a tool to build a stronger nation. Another one of the helpful factors that can provide us with assistance in building and establishing our own cinema is the fact that we are an ever-present Mesopotamian nation and that our roots are planted deep in this whole region’s history and the history of civilization. In spite of all the historical and political events, invasions and being divided into several parts, we have managed to protect and distinguish our language and culture from the neighboring nations of the region, like Arabs, Turks and Persians. This long history of dispute and violent events has led to a vast world of interesting stories that can make for interesting cinematic ideas. Aside from this, the many uprisings, revolts and revolutions by the different political movements of the different historical periods of Kurdistan, have brought forth a universe of diverging stories.Building cinema in this technological era seems more attainable and more achievable than ever. In order to start building a Kurdish cinema we need: social cinematic awareness, cultural and intellectual foundation for cinema, educating filmmakers, importing and creating an electronic infrastructure, building an economical infrastructure, a strategy to develop cinema by governmental institutions, building cinema halls, governmental support and facilitation to filmmakers. Individual and social awareness may automatically fall behind all these simple strategies. Because previous attempts have proved to us that like any other place in the world, there is a vast and lively audience, hungry and thirsty for more Kurdish productions.

Cinema and Identity: The Case for Kurdish Cinema

According to a longitudinal study of 135 countries, one fact comes to the surface; the total duration/lifespan of those democratic countries where the GDP per capita is one thousand dollars or less is merely 13 years old; however, the duration/lifespan of those democracies becomes 60 years when the GDP per capita is measured 3,000 or 6,000 dollars. Likewise, no democratic system with 6,000 thousand dollars in GDP per capita has ever collapsed. This study conducted by Adam Przeworski has concentrated on democratic systems but it is possible that the findings apply to non-democratic systems as well, indicating the possibility that - a&nbsp;low-income&nbsp;authoritarian regime is more likely to collapse than a&nbsp;high-income&nbsp;authoritarian regime. Put briefly, one could establish a correlation between political stability and the state of the economy. This implies that to extend the lifespan/duration of a political system, efforts must be made to ensure a robust, stable economic system. Moreover, two other scientifically valid conclusions could be established.&nbsp;Firstly, for political structures to be long-lasting, they must be aided by a robust economy. Secondly, contra, if one is to maintain a robust economy, the political structure must be built in a manner that accommodates and fosters economic development.&nbsp;<blockquote>Simply put, economic growth refers to the strengthening of economic structures in the production of goods, creating job opportunities, and increasing the country's Gross Domestic Product, to build a strong and independent economic system. Economic growth, on the other hand,&nbsp;refers to income inflation; when income does arrive in the country but is not conducive to improving the economic system or changing the economic structure.&nbsp;</blockquote> Economic development is measured by GDP per capita. Reliable data that measures GDP per capita in the KRI is not available, indicating that the extent of economic development in the region remains questionable.&nbsp;What does take place in the Kurdistan Region is economic growth, not economic development. Because, although the number of&nbsp;capitalists has increased, the economic system and structure remain the same as before. The number of wage earners has increased and not decreased, as have unemployment and poverty; the same goes for low levels of domestic production and high levels of imports.&nbsp;Creating a market for foreign products weakens the economy and does not strengthen it. Attracting foreign investment and not encouraging domestic investment does not strengthen the economy either, because in times of crisis, with the slightest threat, foreign investors retract their payments and capital.&nbsp;In discussing the social prerequisites of a democratic system that make a country more receptive to democracy, Seymour Martin Lipzd prescribes four main dimensions: capital, industry, education, and urbanization. For a country with substantial capital, which also has developed industry and a proper, modern education system, as well as a healthy urbanization process, the possibility of democratization is much stronger, compared to a country that does not encompass these four dimensions. These four principles, because they are the four dimensions of civil society in the modern state, make the middle class&nbsp;efficient and impactful.&nbsp;&nbsp;Democracy as a system denotes a two-dimensional relationship between the people and the power-holders. The first dimension is - that those in power must respond to the demands of the people, and secondly, the people can, relatively, influence decision-making. The aforementioned principles serve to bring the people closer to the power holders and the political structure. In that, a form of stability is achieved, wherein neither of the two main constituents (the people and the power-holders) are a threat to one another; neither does the political structure threaten the people's welfare, nor do the people threaten the stability of the political structure.&nbsp;&nbsp;According to IMF and World Bank figures, at least four of the Gulf countries are among the world's richest in terms of GDP Per capita – the lowest being Bahrain at 49,020$ and Amman at 4,3847$ US dollars. According to global statistics on democracy and freedoms, the Gulf countries are all undemocratic and unfree. One could ask why have the Gulf countries not stepped towards democracy and freedom. Does capital really affect changes in the political system? The answer is that the oil-rich Gulf countries are rentier states, which means that most or all of the national income comes from renting domestic assets to foreign customers. (Hussein Mahdavi used this theory for the first time in the 1960s).&nbsp;&nbsp;There are four characteristics that qualify a country as a rentier state, as the political scientists Hazim Bablawi and Giacomo Luciani have detailed:&nbsp; First, the country is dominated by foreign rents, second, the the entire economy relies on foreign income, thus the country does not require a strong domestic investment sector. Third, only a small portion of the labor force participates in generating income. Fourthly and most importantly, the government or the state is the main beneficiary of&nbsp;external rents.&nbsp;This also hinders economic development, seeing that economic development requires domestic revenue, the existence of a domestic investment sector, a labor force, and a free market. These four attributes of a rentier state distort the order of the political structure, Why exactly does that occur? Because the natural relationship between the economic system and the political structure is disrupted.&nbsp;Consequently, the 23 countries with the largest oil and gas revenues have&nbsp;stagnant&nbsp;and undemocratic political structures.&nbsp;In a rentier state, there are two factors that hiddenly weaken state institutions: first, that the revenues come from&nbsp;abroad,&nbsp;and second, that the incoming revenue goes directly to the state.&nbsp;&nbsp;Citizens of these countries rely solely on the state and resort to the state's institutions to find employment, secure wages, and improve their living conditions. This puts the official institutions of the state under pressure (the main function of the state is thus reduced to salary distribution). In such circumstances, the survival of the state relies on one thing; buying legitimacy. That takes place through selling oil to foreign buyers. Such a political system is completely weak because to secure&nbsp;public revenues&nbsp;and protect itself, the state relies on external income and power. The source of economic and political stability is not its market, its people, or its legitimacy, but it is another power.&nbsp;<blockquote>Therefore, oil can improve the quality of life, but it leaves the economic structure weak. This is what distinguishes most oil-rich countries; significant economic growth without economic development.</blockquote>There are many factors that hinder economic development, but the most important is the phenomenon of (owner and buyer) or (master and customer). Such a phenomenon is what prevents the existence of a free market because it prevents a fundamentally independent private sector. In the Gulf countries, this unhealthy dynamic prevents the emergence of an independent private sector. (It is also the reason why Gulf countries do not head towards&nbsp;political liberalization).&nbsp;&nbsp;What has happened, both in the Kurdistan Region as a preliminary process and in the Gulf countries as a result of this process has been the transfer of jobs and investment in areas previously monopolized (in the Kurdistan Region, they were monopolized by the government or political parties) to partners, collaborations/assistants of the state or those who administer it.&nbsp; The private sector has certainly become more prosperous in the Kurdistan Region, but because it is not independent, and because it is not self-sufficient, it has not been able to&nbsp;take charge&nbsp;in times of political crisis. What is especially remarked in the Kurdistan region is that, instead of providing aid, the private sector is responsible for some of the economic issues that the region suffers from.&nbsp;&nbsp;If the private sector and the power center become closer with the goal of operating together, contrary to what is understood, both will suffer losses; Neither the government can perform its functions to ensure legitimacy, nor can the private sector strengthen the economic structure, which is again the goal of the private sector.&nbsp;Both will suffer instead.&nbsp;As is clear in the region, the collapse of one will ensure the collapse of the other. The main reason is that the private sector has expanded haphazardly and without restriction, becoming an extension, and even a replacement of the public sector.&nbsp;The private sector has not been independent in the sense that many units of the private sector were either directly or indirectly owned by those in power, meaning those in power did not permit the private sector to be independent. Rather, the private sector has been, more or less under their dominion,&nbsp;and the private sector has been dependent on the rulers.&nbsp;&nbsp;Therefore, it became apparent that when the government faced an income crisis, it had an immediate impact on all units of the private sector in the region. Most projects in development were stopped and an increasing number of contractors declared bankruptcy. So, to protect the region, we must look at the economic system and the political structure, and more importantly, how they relate and interact,&nbsp;by reorganizing&nbsp;the functions of the public sector and the services and investments delivered by the private sector.&nbsp;The most important point is to draw a line between the private and public sectors. Neither should cross the boundaries of the other. Currently, the private sector has crossed the boundaries of the public sector, which must be amended. The second point is to limit foreign investment, Taking into account the political situation in the region, it is a guaranteed loss to bring foreign investment into the country at the expense of domestic investments. It was seen that most foreign investors fled at the sight of emerging threats.&nbsp;&nbsp;The fundamental solution is to support and encourage domestic investment, and for the government to fulfill its main function, which is monitoring the work of domestic investors. Because the government can take a number of measures against domestic investors, but it cannot do so with foreign investors. The economic system of the region needs a fundamental overhaul, but any kind of reform must take two things into account; first, the social structure, and second, the political structure. Without a proper reading and understanding of these two issues, it is unlikely that any economic reform will have remarkable results.&nbsp; Works CitedBeblawi, Hazem. “The Rentier State in the Arab World.” Source: Arab Studies Quarterly, vol. 9, no. 4, 1987, pp. 383–398,&nbsp;Hazem Beblawi, and Giacomo Luciani. The Rentier State. Routledge, 16 July 2015.“IMF ELibrary.” Imfsg, <a href="http://www.elibrary.imf.org/" data-mce-href="http://www.elibrary.imf.org/">www.elibrary.imf.org</a>.Lipset, Seymour Martin. “Some Social Requisites of Democracy: Economic Development and Political Legitimacy.” The American Political Science Review, vol. 53, no. 1, 1959, pp. 69–105.Mahdavy, H. The Patterns and Problems of Economic Development in Rentier States: The Case of Iran. 1963.“Open Knowledge Repository.” Worldbank.org, 2019, openknowledge.worldbank.org.Przeworski, Adam. Democracy and Economic Development*. 2000.&nbsp;

An analysis of the Economic System of the Kurdistan Region of Iraq

We’re currently living in the information age and digital devices have taken over our lives, hence the need for safety and confidentiality on the internet is at an all time high. According to Cybersecurity Ventures[1], it was predicted that the cost of damages inflicted by cybercrimes would be $10.5 trillion by 2025.&nbsp; Stuxnet was a cyberweapon created jointly by the US government and Israel, and it targeted an Iranian nuclear power plant which eventually infected 200000 computers and caused around 1000 machines to malfunction[2]. Another cyberattack that targeted the global shipping company FedEx resulted in a $300 million worth of financial damage and its stocks dropping by 79 cents per share[3]. The internet service company Yahoo! also faced what was known as the largest data breach in history in 2016 and had 500 million user accounts and their personal data stolen[4][5].&nbsp;Countries and large corporations have invested large sums of capital on both their technological infrastructure and on acquiring experts and specialists in the field of cybersecurity. It is said that Microsoft intends to spend $20 billion to ensure its services are safe and protected from cyber attacks[6]. As of 2023, the US Government’s budget for the country’s cybersecurity is $15.6 billion[7], and we also have a country like the United Arab Emirates with a budget of $79 billion for the next five years (2022-2026). As the Kurdistan Regional Government is seeking technological progress and the digitalization of the government, what would be the repercussions of the leap towards the digital world? And what actions would the government take to protect and secure its facilities and its citizens on the internet?&nbsp;The KRG should plan to assign a budget for strengthening and empowering the security of its technological infrastructure. An effortless yet very crucial step the KRG can take towards this goal could be through providing training courses to the employees in its public sector to spread awareness, for human error is said to be the most prevalent cause of cyberattacks[9]. Perhaps the KRG also ought to bridge the gap between the lack of talents and the high demand of cybersecurity specialists for both the public and private sector whether through collaborating with academic institutions or international cybersecurity firms so as to train students and graduates with the required skills in order for them to ensure the safety of their workplaces.

Cybersecurity Risks and KRG’s Technology Infrastructure

<blockquote>Yerevan Xeber dide! (Yerevan is speaking) </blockquote>Those were the first Kurdish words aired on the Public Radio of Armenia in 1955. Beyond Soviet-Armenia’s borders, it was known as Radio Yerevan, and it set the stage for facilitated and strengthened unofficial connections between all parts of Kurdistan in the Cold War era.&nbsp;<h3>Intra-Kurdish communication across borders</h3>There has always been some degree of connection and communication between the different parts of Kurdistan, no matter the regional geopolitical circumstances. Iran and Turkey, and to some extent Syria and Iraq, were strongly centralized and had heavily controlled and securitized borders in the Cold War era. Ultimately, the geopolitical divide did weaken cross-border, intra-Kurdish communication. However, that never made Kurds completely disconnected from one another. Ofra Bengio puts it succinctly when she says:&nbsp;<blockquote>"Even though Kurdish communities were politically separated from each other by the post-first World War redrawing of boundaries and subsequently evolved along different paths in light of their varying experiences within the new states, the borders between the states were never hermetically sealed, and Kurdish communities remained in contact with one another and were mutually influenced by developments beyond state lines."&nbsp;</blockquote>Radio Yerevan is one example of lasting contact, as it became a unifying medium that transcended borders. In the second half of the 20th century, when the Kurdish language and cultural expressions were banned in the assimilationist or denialist efforts of Turkish, Arab, and Iranian nation-states, Kurds could still be heard singing, reading, and conversing on Radio Yerevan. The radio, especially at the time, was a perfectly fitted means for the expression of Kurdish culture, which has traditionally been shaped by orality.&nbsp;<h3>The Genesis of Radio Yerevan&nbsp;</h3>Kurdish programs were allowed under the administration of the Soviet Union to spread communist political agendas to Kurds elsewhere. Radio Yerevan's success is beholden to one Yazidi Kurd, Casime Celil, who was the broadcast editor. Celil, with the help of his family and collaboration projects with Armenians and Kurds, used the station to revive and disseminate Kurdish music and language. &nbsp; What started as a Soviet initiative, became a powerful means for Kurds to connect while preserving their culture.&nbsp;<h3>Casime Celil&nbsp;</h3>A poet, translator, and educator, Casime Celil was born in 1908 to a family of Yazidi Kurds. He was about 10 years old when he fled the Armenian genocide with his family then spent his teenage years in orphanages.&nbsp; As a young adult, Casime Celil moved to Yerevan to work and study after the Bolsheviks had successfully transformed the Russian Empire into the Soviet Union. Upon his arrival, Yerevan was the capital of Soviet Armenia. In 1954, Casime Celil became head of Radio Yerevan's Kurdish department.&nbsp;At a time when the Kurdish language and culture were heavily banned in Middle Eastern states, Radio Yerevan became a sanctuary for cultural expression and preservation. As Hassanpour writes (1996:330) <blockquote>''Listening to Kurdish broadcasts was considered an act against the Turkish state'' However, despite the state's linguicide policies, ''the airways from Yerevan, Baghdad and Kermanshah carried music into private homes''.&nbsp;&nbsp;</blockquote>By broadcasting theatrical plays and Kurdish folk songs three times per week during a time of Kurdish persecution, Radio Yerevan connected a nation to its culture and became a staple in the lives of the Kurds who gathered weekly to hear the broadcast.&nbsp; Additionally, Radio Yerevan revolutionized certain cultural practices and made them more accessible. The station transformed songs of dengbej, which were traditionally acapella, by adding Kurdish instruments like def, zurna, and ney to the old songs. Yerevan's archival capacity also runs deep; Artur Ispiryan, the head of the archival department, states there are over 10,000 recordings of Kurdish folk songs and theatrical plays in the radio archives. Radio Yerevan also functioned as a language-learning medium. An example of that is Osman Baydemir, who was the mayor of Diyarbakir from 2004 to 2014. Upon visiting the staff of the Kurdish programs in Yerevan, he said that he had two mothers; one was his biological mother, and the second was Radio Yerevan, as that's where he learned his mother tongue and was able to listen to Kurdish music while it was prohibited in turkey.&nbsp;<h3>Concluding Thoughts&nbsp;</h3>Radio Yerevan was a tool for Kurds to connect and maintain their identity and culture at a time when it was most endangered. The existence of the broadcast was vital. Yerevan not only contributed to the preservation of the Kurdish language and arts. The broadcast also stands as a reminder of the lasting nature of cross-border Kurdish communication, which defies geopolitical boundaries and repressive policies.

Radio Yerevan and Cross-border Kurdish Communication

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