17 research outputs found
The Stanjevići Monastery as a Source of Russian Influence in Montenegro
No full textThe connections between Montenegro and Brda and Russia go back to the second half of the 16th century. During the reign of Ivan IV (1533–1584), the monk Theodore and the dukes from Piper, Drobnyak, and Rovac — Vule Bozhidarev, Ivan Perkov and Stanko Radetin — went to Russia for help. The first official ties with Russia were established at the end of the 17th century. They had been especially tense since 1711 when Peter the Great sent a letter to Bishop Danilo. This initial stage of relations between Montenegro and Russia developed in the context of the slow formation of state power and the constant struggle with the Turks. Relations with Russia, the help received from it, the advice and instructions of Russian envoys had a very strong influence on the construction of state power in Montenegro. The connections established at that time determined the historical course of close ties with Russia, fateful and salvific for the entire history of Montenegro. During the time of Metropolitans Savva and Vasilii, these ties deepened and strengthened. Empress Elizabeth accepted bishop Sava as the «master» of Montenegro. Metropolitan Vasilii also knew that the only salvation for Montenegro was its closest ties with Russia, and even persuaded Russia to take Montenegro under its protectorate. Thanks to Metropolitan Vasilii, the Stanjevići monastery became a nursery for Russian patronage. Following the example of their predecessors, Bishops Peter I and Peter II maintained close ties with Russia and their people, and the Stanjevići monastery played an important role in these relations during the 18th and first three decades of the 19th centuries
COMPLEMENTARITY BETWEEN THE MARKET AND THE STATE AS A FACTOR OF MODERN MARKET ECONOMY EFFICACY: LESSONS FOR REPUBLIC OF SERBIA
No full textAbstract: Market economy is explained as a system characterized by private ownership and self-regulating market mechanism which enables the coordination of the activities of the economic actors. A thesis that only private entrepreneurship ensures economic prosperity is developed based on this concept, given that economic growth is directly determined by the degree of freedom of economic agents. With no intention to challenge the role of the market mechanism, private entrepreneurship and economic freedom, the author, rather, aims to bring to attention the existence of objective factors which in terms of the functioning of modern market economies introduce the need to establish cohesion between the market and the state, as well as the relevant coordination and control mechanisms. This view is based on the experience of the most developed market economies which have achieved their development goals largely owing to an appropriate symbiosis and complementarity of the market and the state. Accordingly, the aim of the research is to, based on different theoretical concepts and economic reality of modern market economies, underline the necessity that the Republic of Serbia should face the reality regarding the creation of its economic system that both the market and the state would be more successful once the complementarity is established. Keywords: market, state, coordination of economic activities, economic performance, complementarity between the market and the stat
Behavioral portfolio theory and behavioral asset pricing model as an alternative to standard finance concepts
No full textThe growing gap between standard finance theory and practice has made way for the emergence of
new theories and the development of new asset-pricing models. Behavioral economists have seized
this opportunity to promote their ideas and thus develop behavioral finance theory, as an antithesis to
standard finance theory; behavioral portfolio theory, as an antithesis to modern portfolio theory, and a
behavioral asset-pricing model, as an antithesis to standard financial asset-pricing models. The paper
aims to illustrate these new theoretical frameworks, given the absence of research at the national level
relating to behavioral portfolio theory and the behavioral asset-pricing model. The objective is to explain
the key features of behavioral portfolio theory and the behavioral asset-pricing model by means of
conducting a comparative analysis of the mentioned theory and its model and standard financial concepts
and models. By using a qualitative research methodology, the author concludes that, by incorporating
psychological factors, behavioral portfolio theory and the behavioral asset-pricing model complement
conventional financial concepts and bring finance theory closer to reality. It is, however, still too early
and exaggerated to a certain extent to speak about the superiority of these new theoretical frameworks in
relation to modern portfolio theory and conventional asset-pricing models, which is also the main finding
of the research study.Publishe
Surgical treatment of varicose vein using the tumescent technique of local anesthesia
No full textBackground/Aim. Tumescent local anesthesia (TLA) is a technique for local and regional anesthesia of the skin and the subcutaneous tissue, using infiltration of large amounts of a diluted solution of local anesthetic. This technique is applied in plastic surgery, liposuction as well as in dermatology for the entire series of dermatocosmetic procedures. The purpose of this study was to determine efficiency of surgical treatment of varicose vein using TLA as an alternative method to a conventional treatment for varicose vein. Methods. Seventy-two patients with varicose vein were enrolled in the study. All of them were operated on applying TLA, from April 2008 to November 2009. TLA solution consisted of local anesthetics was used. TLA solutions used were: 1% prilocaine-chloride with adrenaline supplement, and 2% lidocaine-chloride and adrenaline in concentration of 0.1%-0.4%. Results. Out of 72 patients, we stripped great saphenous vein from 60 patient and did varicectomy as well as ligation of insufficiently perforating veins. In 12 patients we did partial varicectomy and ligation of perforating veins. There were not any patients with the need for continued surgery, as well as bringing patient to the general anesthesia due to pain during the surgery. One patient came for postoperative opening wound in the groin, one for infection of the wound and one for the formation of seroma in the groin. There were not any allergic reactions or systemic complications in the operations as well as postoperative period. Postoperatively, all the patients were treated with compressive elastic bandage during the period of 6 weeks as well as anticoagulation prophylaxis in the duration of 5 days. Conclusion. Surgery of varicose veins with implementation of TLA is easy and safe method with very low percentage of complications and unwanted effects. It is a good alternative method to classic surgery of varicose veins. The economic aspect is a very important component because the cost of this method is significantly lower than that of a classical surgical treatment of varicose veins.</jats:p
Subcutaneous paratibial fasciotomy in the treatment of chronic venous ulcer
No full textBackground/Aim. Chronic venous ulcer (CVU), a disease of high incidence, is
one of the most serious chronic venous insufficiency complications. It has
been estimated that there are 1%-2% of adults with CVU deriving a high social
significance. The aim of this study was to, using the clinical experience,
determine the influence of subcutaneous paratibial fasciotomy (SPF) on the
course and the treatment outcome of CVU. Methods. From February 2006 to
September 2009 SPF was applied in a group of 43 patients treated for CVU
along with other standard methods of treatment, and its influence on the
course of ulcus cruris was followed up regarding the control group of another
43 patients treated with standard methods with no paratibial fasciotomy.
Results. In the group of patients treated with SPF there was a significantly
better clinical course of ulcus cruris closing as compared with the group of
patients in which this method was not applied. In the group with paratibial
fasaciotomy there was no Thiersch skin transplant rejection recorded nor
ulcus recurrence within a 6-month after-surgery period, while in the control
group there was Thiersch skeen transplant rejection in 11 patients, and ulcus
recurrence in 9 patients within the same period. Conclusion. SPF is a useful
method with a favorable influence on better clinical course of ulcus cruris
closing, reducing recurrence rate and improving local microcirculation in the
affected region. Operation act itself is safe, requires no specific equipment
nor special training of the team of surgeons, thus being applicable to the
majority of patients with ulcus cruris indicated for surgery.</jats:p
Using vacuum in the treatment of surgical wounds complications
No full textBackground/Aim. Using vacuum in medicine has been known from long ago, however, it has not been used for the treatment of wounds. The first experiments in this field were performed by Wagner Fleischmann, University of Ulm, Ulm, West Germany, in 1993. The aim of this study was to present our clinical experience with the treatment of surgical wounds complications in vascular patients by the use of controled vacuum. Method. In a period October 2006 - December 2009 a total of 18 patients with infection and surgical wound dehiscence were treated by the use of vacuum. Vacuum was applied to wounds by placing a polyurethane sponge on them and by fixing a polyurethane foil and a sponge to the surrounding healthy skin so to completely airtight wounds. Over a foil vacuum of - 150 mmHg was applied for a 5-day period, and on the day 6 a foil and a sponge were removed. Results. In all the 18 wounds treated by the use of vacuum secondary wound closing was achieved with no complications and with a significantly shortened time period treatment. Wound infections were healed using this method and only in 2 patients antibiotics were used at the same time. Conclusion. The use of vacuum in the treatment of operative wounds complications is an easy and reliable method contributing significantly to wounds better healing
Biportal thoracoscopic sympathectomy for palmar hyperhidrosis in adolescents
No full text
Object
Palmar, axillary, and plantar hyperhidrosis is often socially, emotionally, and physically disabling for adolescents. The authors report surgical outcomes in all adolescents treated for palmar hyperhidrosis via bilateral thoracoscopic sympathectomy at the Barrow Neurological Institute by the senior author.
Methods
A prospectively maintained database of all adolescent patients undergoing bilateral thoracoscopic sympathectomy between 1998 and 2006 (inclusive) was reviewed. Additional follow-up was obtained as needed in clinic or by phone or written questionnaire.
Results
Fifty-four patients (40 females) undergoing bilateral procedures were identified. Their mean age was 15.4 years (range 10–17 years). Average follow-up was 42 weeks (range 0.2–143 weeks). Hyperhidrosis involved the palms alone in 10 patients; the palms and axilla in 6 patients; the palms and plantar surfaces in 17 patients; and the palms, axilla, and plantar surfaces in 21 patients. Palmar hyperhidrosis resolved completely in 98.1% of the patients. Resolution or improvement of symptoms was seen in 96.3% of patients with axillary and 71.1% of those with plantar hyperhidrosis. Hospital stay averaged 0.37 days with 68.5% of patients discharged the day of surgery. One patient experienced brief intraoperative asystole that resolved with medications and had no long-term sequelae. Otherwise, no serious intraoperative complications occurred. No patient required chest tube drainage. The percentage of patients who reported satisfaction and willingness to undergo the procedure again was 98.1%.
Conclusions
Biportal, bilateral thoracoscopic sympathectomy is an effective and low-morbidity treatment for severe palmar, axillary, and plantar hyperhidrosis.</jats:sec
Bone dowels in anterior lumbar interbody fusion.
No full textSince the Food and Drug Administration approved the Babgy-Kuslich BAK cage for anterior lumbar interbody fusion (ALIF), various threaded interbody fusion devices have been introduced. Bone dowels offer several theoretical advantages over cages with regard to stress shielding; the purpose of this study was to assess the efficacy of bone dowels in interbody fusion. All patients undergoing ALIF performed by the senior author between 1998 and 2001 were retrospectively reviewed. Patients\u27 preoperative and postoperative neurologic status, functional status, and both back and radicular pain were assessed according to a previously published outcome measure. Between 1998 and 2000, 23 patients underwent ALIF with cortical femoral allograft bone dowels. One patient underwent simultaneous bone dowel and titanium cage placements and was therefore excluded from further analysis. The 22 remaining patients underwent a total of 33 fused segments; of these, 21 patients were available for follow-up. Mean clinical follow-up was 30.6 months. Mean imaging follow-up was 21 months. There were 5 instances of radiographic nonunion (3 symptomatic and 2 asymptomatic). The incidence of technical failures and complications related to the bone dowels was 17%. Bone dowels failed and caused symptoms only in patients with a stand-alone ALIF. There were no clinical failures in patients treated with supplemental anterior or posterior spinal fixation. These data demonstrate that marginal fusion rates and functional success rates can be achieved using stand-alone bone dowels for ALIF. The clinical success and fusion rates are significantly higher if ALIF dowels are shielded from stress with rigid spinal instrumentation
Biportal thoracoscopic sympathectomy for palmar hyperhidrosis in adolescents.
No full textOBJECT: Palmar, axillary, and plantar hyperhidrosis is often socially, emotionally, and physically disabling for adolescents. The authors report surgical outcomes in all adolescents treated for palmar hyperhidrosis via bilateral thoracoscopic sympathectomy at the Barrow Neurological Institute by the senior author.
METHODS: A prospectively maintained database of all adolescent patients undergoing bilateral thoracoscopic sympathectomy between 1998 and 2006 (inclusive) was reviewed. Additional follow-up was obtained as needed in clinic or by phone or written questionnaire.
RESULTS: Fifty-four patients (40 females) undergoing bilateral procedures were identified. Their mean age was 15.4 years (range 10-17 years). Average follow-up was 42 weeks (range 0.2-143 weeks). Hyperhidrosis involved the palms alone in 10 patients; the palms and axilla in 6 patients; the palms and plantar surfaces in 17 patients; and the palms, axilla, and plantar surfaces in 21 patients. Palmar hyperhidrosis resolved completely in 98.1% of the patients. Resolution or improvement of symptoms was seen in 96.3% of patients with axillary and 71.1% of those with plantar hyperhidrosis. Hospital stay averaged 0.37 days with 68.5% of patients discharged the day of surgery. One patient experienced brief intraoperative asystole that resolved with medications and had no long-term sequelae. Otherwise, no serious intraoperative complications occurred. No patient required chest tube drainage. The percentage of patients who reported satisfaction and willingness to undergo the procedure again was 98.1%.
CONCLUSIONS: Biportal, bilateral thoracoscopic sympathectomy is an effective and low-morbidity treatment for severe palmar, axillary, and plantar hyperhidrosis
