Overview of elements of national logistics system in the Republic of Serbia

There are various interpretations of the concept of national logistics. According to one of such interpretations, national logistics is a system which is comprised of resources, infrastructure and economy as its elements. This system functions in a general milieu set by the regulatory framework while interconnections of the system elements are established on the basis of mutual conditionality and interaction. Consideration of the elements of national logistics of a particular country renders the given term more concrete and specific features. This paper addresses the elements of the national logistics system of the Republic of Serbia. Thus, a general overview of the system concerned is being presented since an elaborate description is not possible within the given framework. Such a general overview of the elements of the national logistics system provides the basis for assessment of different systems in the country, from economic to security systems

Overview of elements of national logistics system in the Republic of Serbia

There are various interpretations of the concept of national logistics. According to one of such interpretations, national logistics is a system which is comprised of resources, infrastructure and economy as its elements. This system functions in a general milieu set by the regulatory framework while interconnections of the system elements are established on the basis of mutual conditionality and interaction. Consideration of the elements of national logistics of a particular country renders the given term more concrete and specific features. This paper addresses the elements of the national logistics system of the Republic of Serbia. Thus, a general overview of the system concerned is being presented since an elaborate description is not possible within the given framework. Such a general overview of the elements of the national logistics system provides the basis for assessment of different systems in the country, from economic to security systems

Savremeno tumačenje pojma nacionalna logistika

There are many essentially similar interpretations of the concept of logistics in contemporary science. Interpretations are primarily concerned with the economic aspect and purpose of logistics. Definitions differ only according to the number of processes that are included or the way in which they could be managed. The similar situation is with the definitions of military logistics although they encompass greater number of various processes. There are not many definitions of national logistics in literature. Once definitions are found, they are related to national support to economy. In order to bridge the gap between the concept of logistics in the economic aspect and for the purpose of meeting logistical needs of the people, the armed forces, security sector and others involved in crises situations, the necessary coverage and content of the concept of national logistics in the broader sense has been reached on the basis of analysis of literature, relevant factors and their mutual relations. The research of the meaning of the concept has been done for the utmost practical reason - explanation of the importance and coverage of something that has to be managed in practice, that requires development of an appropriate strategy, planning, organising and developing regulatory framework in order to better prepare a country for the inevitable occurrence of crises situations and effective and efficient response in such case.Postoji mnogo, po suštini sličnih tumačenja pojma logistika u savremenoj nauci. Tumačenja prvenstveno tretiraju privredni aspekt i svrhu logistike. Definicije se razlikuju samo prema broju procesa koji su obuhvaćeni ili načinu kako bi se njima moglo upravljati. Slično je i sa definicijama vojne logistike i ako one obuhvataju veći broj različitih procesa. U literaturi se ne može naći veliki broj definicija nacionalne logistike. I kada se nađu, one se odnose na nacionalnu podršku privredi. Zbog premošćavanja jaza između poimanja logistike u privrednom smislu i smislu zadovoljavanja logističkih potreba naroda, vojske, bezbednosnih i drugih angažovanih sastava u kriznim situacijama, a na osnovu analize literature, relevantnih činilaca i međusobnih odnosa došlo se do neophodnog obuhvata i sadržaja pojma nacionalne logistike u širem smislu. Istraživanje značenja pojma rađeno je iz krajnje praktičnog razloga - objašnjavanja značaja i obuhvata nečega čime u praksi treba upravljati, za šta treba koncipirati odgovarajuću strategiju, planirati, organizovati i razviti regulatorni okvir kako bi se zemlja bolje pripremila za neumitni dolazak kriznih situacija i efektivan i efikasan odgovor u tom slučaju

Prikladni alati za procjenu kronične boli u kliničkoj praksi

The aim of the study was to show the role of tools in the evaluation of chronic pain (CP) in general practitioner (GP) everyday clinical practice. The study was done by analyzing electronic database of the first visits of 1090 CP patients referred to the Pain Clinic of the Karlovac General Hospital, Karlovac, Croatia, by their GPs. All patient records were analyzed according to the cause of CP, strongest pain a week before the examination, quality of sleep, and the Patients’ Global Impression of Change scale. All statistical analyses were done using the IBM SPSS Statistics version 19.0.0.1 (www.spss.com). CP predominantly occurs in older age group. Patients with musculoskeletal pain accounted for the highest percentage (n=316; 29%), followed by those with neuropathic pain (n=253; 23.20%) and those with low back pain (n=225; 20.60%). The mean pain intensity rating scale score was 8.3±1.8 a week before the examination and the mean quality of sleep score was 6.8±1.9. Moderate and severe sleep quality disorder was significantly present in patients over 65 years of age (p=0.007), patients with musculoskeletal and neuropathic pain, back pain, and those having rated Patients’ Global Impression of Change scale as worsening (p=0.001). The severity of pain and poor quality of sleep are the leading causes of deterioration of the Patients’ Global Impression of Change scale in patients suffering from musculoskeletal and neuropathic pain. In order to treat CP comprehensively, it is important for GPs to evaluate the outcomes of clinical treatment using tools for CP assessment.Cilj istraživanja bio je pokazati ulogu alata za procjenu kronične boli u svakodnevnoj kliničkoj praksi obiteljskog liječnika. Istraživanje je provedeno analizom elektroničke baze podataka prvog pregleda 1090 bolesnika s kroničnom boli upućenih od obiteljskog liječnika u Ambulantu za bol Opće bolnice Karlovac, Karlovac, Hrvatska. Za sve bolesnike analizirani su uzrok kronične boli, najjača bol tjedan dana prije pregleda, kvaliteta sna i ljestvica općeg dojma bolesnika o promjeni. Statistička analiza je učinjena pomoću programa IBM SPSS Statistics ver. 19.0.0.1 (www.spss.com). Kronična bol se pretežito javlja u starijoj dobnoj skupini. Najzastupljeniji su bili bolesnici s mišićno-koštanom boli (n=316; 29%), potom oni s neuropatskom boli (n=253; 23,20%) i oni s bolnim leđima (n=225; 20,60%). Srednja najjača bol (Pain Intensity Rating Scale, PI-NRS) tjedan dana prije pregleda bila je 8,3±1,8, a kvaliteta sna 6,8±1,9. Srednje jaki i jaki poremećaj kvalitete sna značajnije je prisutan kod bolesnika iznad 65 godina starosti (p=0,007), bolesnika s mišićno-koštanom, neuropatskom boli i bolnim leđima te onih koji su prema ljestvici općeg dojma bolesnika o promjeni ocijenili kao pogoršanje (p=0,001). Jačina boli i loša kvaliteta sna bili su vodeći uzrok pogoršanja prema ljestvici općeg dojma bolesnika o promjeni za bolesnike koji boluju od mišićno-koštane i neuropatske boli. Radi sveobuhvatnog liječenja važno je da obiteljski liječnici procijene ishode kliničkog liječenja alatima za procjenu kronične boli

PAIN AND GUIDELINES FOR PAIN PREVENTION IN CHRONIC WOUND

U ovom preglednom članku opisan je patomehanizam nastanka bolnog osjeta sa posebnim osvrtom na pojavu boli kod kronične rane. Prikazane su smjernice (preporuke) za njeno liječenje. U liječenju je stavljen naglasak na farmakoterapiju (analgetici). Kao temelj racionalne primjene analgetika preporuča se »trostupanjska» ljestvica SZO-e. Istaknuta je potreba kombinacije farmakoterapije s nefarmakološkim postupcima (kirurški, fi zikalni). Posebno je istaknut pozitivni učinak VIP svjetla na ubrzanje zacjeljenja kronične rane.This review article describes the occurrence of painful sensation with special reference to the occurrence of pain in chronic wounds, and presents recommendations for medical treatment of pain. Treatment is focused on pharmacotherapy. The recommended basis for rational use of analgesics is the WHO ‘three-degree’ scale. The need for combining pharmacotherapy with non-pharmacological treatment is also stressed. The positive effect of Visible Incoherent Polarized (VIP) light on the acceleration of chronic wound healing is highlighted

Nadzor i liječenje sepse prema individualnim potrebama pacijenta – prikaz slučaja

Aim: Treatment and monitoring of the septic patient with individual approach applying Surviving sepsis campaign (SSC) recommendations, extracorporeal blood purification and cerebral oximetry monitoring. Case report: This is a case report of a female patient with clinical signs of septic shock and with multiple organ failure (renal, respiratory failure, hypotension, coagulation disorder, impairment of consciousness) in wich, in addition to standard treatment measures, extracorporeal blood purification (CytoSorb® – CytoSorbents Corporation and CytoSorbents Medical Inc., United States) was applied. After the completion of the hospital treatment, the patient was discharged to home treatment. Conclusion: Control of hyperinflammatory response using extracorporeal blood purification and cerebral oximetry monitoring may be, in special cases – applying Surviving sepsis campaign (SSC) recommendations – option for individual approach in sepsis management and following multiorgan dysfunction management.Cilj: Liječenje i nadzor pacijentice sa sepsom prema individualnom pristupu u kojem je, uz preporuke SSC-a, primijenjena i ekstrakorporalna purifikacija krvi, a u nadzoru cerebralna oksimetrija. Prikaz slučaja: Ovo je prikaz slučaja pacijentice s kliničkim znakovima septičkog šoka i višestrukim zatajenjem organa (bubrezi, zatajenje disanja, poremećaj zgrušavanja, poremećaj svijesti), u kojem je, u dodatku standardnih mjera liječenja, primijenjena izvantjelesna purifikacija krvi (CytoSorb® – CytoSorbents Corporation and CytoSorbents Medical Inc., United States). Nakon završetka bolničkog liječenja pacijentica je otpuštena na kućno liječenje. Zaključak: Kontrola hiperinflamacijskog odgovora primjenom ekstrakorporalne purifikacije krvi i nadzor cerebralnom oksimetrijom mogu u pojedinim slučajevima biti – uz primjenu Međunarodnih smjernica o liječenju sepse – opcija individualnog pristupa nadzora i liječenja sepse i prateće multiorganske disfunkcije

Aplication of preventive in the process of designing business systems and technical items

The special general algorithm for preventive requirements application during business systems design process is created. Quality improvement of business systems and technical items design can be done using the algorithm because of good theory and practice experience application. Efficiency improvement and cost reduction can be done as well. The algorithm can be useful in solving design problems for most of real business systems and technical items

Strategije održavanja tehničkih sistema / Technical system maintenance strategies

U ovom radu dat je pregled novih naučnih saznanja koja su dovela do promena u sadržaju strategija koje se mogu primeniti u sistemu održavanja tehničkih sistema. Analizirana je suština relevantnih strategija održavanja, prednosti nedostatci i efekti koje nosi njihova primena. / This paper gives a survey of recent scientific achievements which has brought changes into the strategies applicable in technical system maintenance systems. The essence of relevant maintenance strategies has been analyzed as well as the advantages disadvantages and effects of their application

Criteria for the evaluation of logistic support organizational variants

The paper presents the way of choosing, defining, formalizing and structuring criteria for the evaluation of complex organizational and technological systems. Choice, definition, formalization and structuring of criteria are impossible to be realized without knowing the very organizational-technological system, problems, evaluation subject and objective, choice of an evaluation model, evaluation method and ranking. The paper gives a general form of possible criteria for the evaluation and ranking of organizational variants of logistic systems. Choice, structuring and presenting evaluating criteria as well as ranking of logistic systems organizations has been performed more for the sake of their review and less for the sake of giving final criteria