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Dostoevsky and his works, according to Mikhail Bakhtin, are described. The ideas of Dostoevsky, the thinker engaged on complete equal terms in a great dialogue and its interpretations, are made.

Inasmuch as it has befallen me to play devil's advocate in our discussion, I have to say that, lately, the more I ponder this task, the more I am crushed by the enormity of the problem facing us. It is quite clear that if it is treated seriously-it would be impossible to do otherwise-we are going to be able to point out only a few of its aspects. [ABSTRACT FROM AUTHOR]

One hundred and twenty two patients with mitral regurgitation grade 3-4 underwent surgery for mitral valve repair with annuloplasty ring. Patient age was 65+/-10 and 89 (73%) were male. Eighty-six (70%) were in NYHA class III-IV, 77 (63%) had reduced LV function, and mean MR grade (+/-SD) was 3,8+/-0,4. One hundred and thirteen operative survivors were followed for 33 months in average. Overall MR grade improved and was 1,6+/-1. Twenty-eight patients (25%) remained with MR grade 3-4. Survival was 70% at 5 years. Predictors for late mortality were LV function, NYHA class IV, and older age. Residual MR did not emerge as a predictor for late mortality.