Generational Differences in Russian Attitudes towards Democracy and the Economy

The purpose of this article is to explore whether there is evidence of generational differences in Russian attitudes towards democracy. Are the attitudes, values and beliefs of those who came of age politically after the fall of the Soviet Union significantly different from those who did so in the Soviet period? The main finding is that the post-Soviet generation of Russians is generally more supportive of democratic values and institutions and a free market economy than the generations which came of age politically during the Soviet years. Such a result is not surprising. However, while support was found to be the case generally, the differences appear much more strongly for economic reforms than for political ones. In trying to explain why this should be, the authors argue that instrumentalist rather than culturalist considerations are paramount. Put another way, the current generation appears to be less interested in politics than in getting ahead in the world. If these differences are generational and not simply a function of aging, in the future this generation may be less interested in the public good than in their own.     

Electronic commerce and user-based design of a web site: Targeting the technology transfer audience

Web sites have the potential of playing a major role in the exchange of technology related information between federal laboratories and commercializers in the private sector. Most, if not all, Web site designs are developed based on the organization's perception of what the target audience wants from a Web site. This contribution addresses the issue of successful Web site design from the user's perspective in the context of technology transfer. The orientation takes into account important concepts and principles such as cost, marketing, diffusion, information retrieval, and strategic networking. The results of a survey of private sector technology transfer professionals offer insights to meet the target audience's needs, thus making a Web site a timely and cost-effective electronic linkage for interaction, information-seeking, and networking functions that enable technology transfer. This work was funded by United States Air Force contract number F30602-95-C-0240.     

EVAR FOR ABDOMINAL AORTIC ANEURYSM IN ELDERLY PATIENTS,AND THE BIOETHICAL ISSUES THAT COULD GENERATE

Open repair is likely to be more cost-effective than EVAR on average in patients considered fit for open surgery. EVAR is likely to be more cost- effective than open repair for a subgroup of patients at higher risk of operative mortality. These results are based on extrapolation of mid-term results of clinical trials. But how does that affect on patients who are older than 80 years. Late survival depends very much on the patient＇s age at the time of surgery. The life expectancy in this group of patients who undergo successful Abdominal Aortic Aneurysm （AAA） open repair or EVAR is not as good as that of the age-matched general population. At this age, life expectancy is six years or more over patients who are older than 85 years, life expectancy is just five years. On the other hand, annual/one year risk of rupture in patients with AAA diameter six to seven cm is 10%-20%. At the same time, total cost of endograft implantation is at least 10,000 euro per patient, which is still extremely expensive for many countries in transition. Regarding all these facts, some countries （in transition） are forced to reassess ethical point of endovascular treatment. Simplified they haven＇t enough endografs for all patients. Vascular surgeon in this situation has need to decide how, when and who needs by priority this expensive graft. Of course, this is not medical question, but for sure question that encumbers vascular surgeons from countries in transition. Should we consider octogenarians as the first group of patient who will endure this problem？ How to decide who needs endograft as priority and who does not？ Finally, who is better candidate for endovascular, open surgical or medicament treatment from financial point of view？ These are just some of the questions, which are still open and encumber many vascular surgeons from countries with poorer healthcare system.