Abstract This is a global financial and economic crisis, which can be considered the largest since the World War II. It has become a frequently discussed topic by various analysts, numerous governments, and in particular, a favourite topic of the media. We can rightly say that this is a crisis of the neoliberal system, which has greatly increased the wealth of the rich and impoverished the poor. Such crisis can be overcome by changing the system. Therefore, the directions and guidelines are necessary in order to determine the goals for resolving the crisis. The defined key objectives must be accompanied by specific sub-objectives, followed by establishing certain policies, which will contribute to the realization of these goals. We need to advocate and implement policies that will assist in accomplishing the defined goals. Some of those policies include the following: industrial policy, fiscal policy, monetary policy, regional development policy, public administration policy, and social policy. Rezime Ovaj rad se bavi globalnom finansijskom i ekonomskom krizom koja se može smatrati najvecom krizom nakon Drugog svetskog rata. To pitanje je cest predmet rasprave među brojnim analiticarima, predstavnicima vlasti, a narocito je omiljena tema medija. S pravom možemo reci da je rec o krizi neoliberalnog sistema, koja je u velikoj meri uticala na porast imovine bogatih a koja je još više osiromašila siromašne.Takva kriza može se prevazici promenom samog sistema. Stoga je neophodno da postoje uputstva i smernice kako bi se definisali ciljevi za prevazilaženje krize. Pored tih kljucnih ciljeva, neophodno je definisati podciljeve, koji ce doprineti realizaciji primarnih ciljeva. Neophodno je zagovarati i primenjivati politike koje ce olakšati realizaciju jasno definisanih ciljeva i podciljeva. Neke od tih politika su sledece: industrijska politika, fiskalna politika, monetarna politika, politika regionalnog razvoja, politika javne administracije i socijalna politika.
The most often complication of breast surgery with dissection of axilla is decrease in the range of shoulder joint of the ipsilateral arm motion, the feeling of heavy arm, secondary lymphedema of the arm, and very rarely pain and weakness of the arm’s muscles. Persistence of these symptoms leads to permanent dysfunction of the arm . Decrease in the range of motion is a consequence of surgery and scarring of the healed wound, which decreases the amount of movement at each joint on the operated side 4, . A reduced range of shoulder joint motion is diagnosed in 2%–51% patients who underwent surgery for breast carcinoma 2, . Secondary lymphedema of the arm is a consequence of mechanical insufficiency of the lymphatic system caused by the surgery and later, by post-irradiation fibrotic changes, and is manifested by abnormal accumulation of interstitial fluid, rich in proteins . In the majority of studies, secondary lymphedema of the arm occurs in 10%–30% of patients following the breast carcinoma therapy . For postoperative complications reduction, numerous rehabilitation programs and instructions were developed with the aim of damage prevention, maximizing the occurred damage (range of motion, muscle power) and minimizing the risk for development of secondary lymphedema of the arm 1–4, . In breast carcinoma patients, rehabilitation has become more significant due to quality of life awareness of the oncological patients . It arises dilemma when to start with the rehabilitation program: most of the authors agree in that the program should start in the first several days after the surgery 1–4, , while the other authors consider that early beginning of rehabilitation in patients with axilla dissection is associated with an increased risk from postoperative complications: longer drainage period, seroma formation, postoperative infection and consequential longer hospitalization 1, 2, . In a controlled, randomized study, a hypothesis that exercises do not increase the risk of occurrence of secondary lymphedema of the arm has been confirmed . Exercises are efficient, safe and preferred interventions in a postoperative period . Early rehabilitation and later home-based exercises program, education 14, , as well as a continuous follow-up of patients 7, 9 were identified as interventions for the improvement of life in women with breast carcinoma in all 4 dimensions: physical, emotional, social and cognitive . Type, duration, frequency and intensity of exercises vary in the studies . Education and follow-up of patients with breast carcinoma enable prevention, detection of early and late occurrences of postoperative damages . A lack of rehabilitation interventions in patients operated for breast cancer is a consequence of no standardized exercises program avalable, so it is necessary to homogenize a reproducible regime .
Z. Burzić, Military Technical Institute, Belgrade, Serbia. Dž. Gačo, F. Islamović, E. Bajramović, Technical faculty, University of Bihac,Bihac, Bosnia and Herzegovina. M. Burzić, University of Belgrade, I.C. Faculty of Mechanical Engineering, Belgrade, Serbia. In present paper, experimental investigations have included the eff ect of exploitation conditions (exploitation time and temperature) on properties of high-cycle fatigue and parameters of fatigue-crack growth of a welded joint of steel X20 CrM oV 12-1 ( X20). The eff ect of exploitation c onditions was analy sed by testing new pipe and the pipe having been exploited for 116 000 hours. The results obtained by testing and their analysis provide a practical contribution to assessment of quality of a welded joint of steel X20, the aim of which is r evitalisation and extension of exploitation life of vital c omponents of thermal po wer plants manufactured from high-alloy steel for operation at elevated temperatures.
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