Objective : to evaluate the effectiveness of an integrated approach to the treatment of infective endocarditis in patients with valvular heart disease on the basis of 37 years of experience. endocarditis, including prosthetic endocarditis. An important factor here is the continuing presence of existing principles governing the approach to the surgical treatment of infective. This is mainly due both to an increase in the incidence and changes in the clinical picture of this nosology. Despite recent achievements in medicine, many issues in the diagnosis and treatment of infective endocarditis (IE) remain outstanding. A synthesis of Neorealism and Neoliberalism is warranted: a systemic theory using the former to analyze at the level of structure, the latter more often at the level of process. He tempers his argument with Realist considerations of prudence, but fails to clarify Realist-Liberal links in his theory, or to explore fully the connections between power and non-power incentives influencing states' behavior. In the tradition of commercial liberalism, he argues that an open trading system offers states maneuverability through economic growth rather than through military conquest. Focused tightly on the concept of bipolarity, Waltz's theory tends toward stasis the unit (state) level unproductively becomes an analytical “dumping ground.” As a Neoliberal counterpoint, Rosecrance's argument does not go far enough. Keohane and fellow critics argue that Neorealism-articulated definitively in Kenneth Waltz's Theory of International Politics (1979)-elegantly systematizes Realism, but concentrates on international system structure at the expense of system process.
Neither paradigm singularly explains international behavior: Realism is the dominant approach, but liberal theories of transnationalism and interdependence help to illuminate how national interests are learned and changed. Keohane, ed., in Neorealism and Its Critics and Richard Rosecrance The Rise of the Trading State, can be transcended. The classic dialectic between Realist and Liberal theories of international politics, as expressed by Robert O.
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