JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org.. Council on Foreign Relations is collaborating with JSTOR to digitize, preserve and extend access to Foreign Affairs. WILL THE WEST ENGAGE?AFTER DISAPPOINTING itself for decades, India is now on the verge of becoming a great power. The world started to take notice of India's rise when New Delhi signed a nuclear pact with President George W. Bush in July 2005, but that breakthrough is only one dimension of the dramatic transformation of Indian foreign policy that has taken place since the end of the Cold War. After more than a half century of false starts and unrealized potential, India is now emerging as the swing state in the global balance of power. In the coming years, it will have an opportunity to shape outcomes on the most critical issues of the twenty-first century: the construction of Asian stability, the political modernization of the greater Middle East, and the management of globalization.Although India's economic growth has been widely discussed, its new foreign policy has been less noted. Unlike their U. S. counterparts, Indian leaders do not announce new foreign policy doctrines. Nonethe less, in recent years, they have worked relentlessly to elevate India's regional and international standing and to increase its power. New Delhi has made concerted efforts to reshape its immediate neighbor hood, find a modus vivendi with China and Pakistan (its two regional rivals), and reclaim its standing in the "near abroad": parts of Africa, the Persian Gulf, Central and Southeast Asia, and the Indian Ocean C. RAJA MOHAN is Strategic Affairs Editor at The Indian Express and a member of India's National Security Advisory Board. His most recent book is ImpossibleAllies: NuclearIndia, United States, and the Global Order.[17]C. Raja Mohan region. At the same time, it has expanded relations with the existing great powers-especially the United States.India is arriving on the world stage as the first large, economically powerful, culturally vibrant, multiethnic, multireligious democracy outside of the geographic West. As it rises, India has the potential to become a leading member of the "political West" and to play a key role in the great political struggles of the next decades. Whether it will, and how soon, depends above all on the readiness of the Western powers to engage India on its own terms. THREE STRATEGIC CIRCLES[ 24] FO0R E IGN AF FAI RS *Vo/ume 85 No. 4

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Background Dengue fever is a major public health problem with an increased incidence in recent years. Gall bladder wall thickening has been reported as one of the most common findings in dengue fever. There is a paucity of literature regarding the various patterns of gall bladder wall thickening in dengue fever and their significance in predicting the severity of disease. Methodology and Significant Findings Out of 93 seropositive patients included in the study, 54 patients with dengue fever had gall bladder wall thickening. 4 patterns of gall bladder wall thickening are demonstrated in this study. A uniform echogenic pattern in 20 patients, striated or tram track pattern in 11 patients, an asymmetric pattern in 2 patients and a honeycombing pattern in 21 patients. The range of patterns of wall thickening included normal wall thickening or uniform echogenic wall thickening in DF without warning signs, a striated or tram track pattern, and a honeycomb pattern in severe DF. Serial ultrasound done on consecutive alternate days revealed a change in the pattern of gall bladder wall thickening according to the severity of disease. Conclusion The present study revealed 4 distinct patterns of gall bladder wall thickening. The uniform echogenic pattern was found to be more prevalent in dengue fever without warning signs, while the honeycomb pattern was found to be more prevalent in severe dengue fever. A change in the pattern of gall bladder wall thickening on subsequent serial ultrasound can predict the severity of the disease.

In the white matter, the calcification was noted at the corticomedullary junction with no evidence of any adjacent atrophy. In addition, midline irregular calcification was noted in the pons (Figure 1). Based on the clinico-radiological and biochemical findings, the provisional diagnosis of Fahr's syndrome due to idiopathic striopallidodentate calcinosis or Fahr's disease was strongly suggested. As there was no known cause, the patient was advised anti-convulsants and regular follow-up. The latter was unremarkable for nine months.