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Linne & Ringsrud's Clinical Laboratory

Science: Concepts, Procedures, and


Clinical Applications 7th Edition by
Mary Louise Turgeon (eBook PDF)
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Specimen Handling and Shipping Requirements

Prevention of Disease Transmission

Additional Laboratory Hazards

Final Decontamination of Waste Materials

Safety audit

Basic first-aid procedures

Bonus Challenge Questions

3: Quality Assessment and Quality Control in the Clinical


Laboratory

The value of quality

Patient specimens

Clinical laboratory improvement amendments

Voluntary accrediting organizations

ISO 15189 standards in clinical laboratories

Lean and six sigma

Quality assessment

Quality assessment—error analysis

Quality assessment—phases of testing

Proficiency testing (PT)

Alternate assessment

Accuracy in reporting results and documentation


Quality control

Control specimens

Quality assessment descriptors

Quality control statistics

Total analytic error

Monitoring quality control

Other QC rules

Testing outcomes

Case study

Review Questions (Answers in Appendix A)

The Value of Quality

Patient Specimens

Clinical Laboratory Improvement Amendments

Voluntary Accrediting Organizations

ISO 15189 Standards in Clinical Laboratories

Lean and Six Sigma

Quality Assessment

Quality—Error Analysis

Quality Assessment—Phases of Testing

Proficiency Testing

Alternate Assessment
Accuracy in Reporting Results and Documentation

Quality Control

Control Specimens

Quality Assessment Descriptors

Quality Control Statistics

Total Analytical Error

Monitoring Quality Control

Other QC Rules

Testing Outcomes

4: Phlebotomy: Collecting and Processing Patient Blood


Specimens

Quality assessment

Infection control

Specimen collection

Venous blood collection (phlebotomy)

Specimens: general preparation

Capillary or peripheral blood collection by skin puncture

Capillary blood collection

Case studies

Review Questions (Answers in Appendix A)

Quality Assessment
Infection Control

Specimen Collection

Venous Blood Collection (Phlebotomy)

Specimens: General Preparation

Capillary or Peripheral Blood Collection

5: The Microscope

Description

Parts of the microscope

Care and cleaning of the microscope

Use of the microscope

Other types of microscopes (Illumination systems)

Digital microscopy

Review Questions (Answers in Appendix A)

Description

Parts of the Microscope

Care and Cleaning of the Microscope

Use of the Microscope

Other Types of Microscopes (Illumination Systems)

Digital Microscopy and Workflow

6: Systems of Measurement, Laboratory Equipment, and Reagents


Systems of measurement

International System (SI System)

Labware

Laboratory balances

Laboratory centrifuges

Laboratory reagent water

Reagents used in laboratory assays

Review Questions (Answers in Appendix A)

Systems of Measurement

International System (SI System)

Labware

Laboratory Balances

Laboratory Centrifuges

Laboratory Reagent Water

Reagents Used in Laboratory Assays

7: Laboratory Mathematics and Solution Preparation

Significant figures

Exponents

Density and specific gravity

Expressions of solution concentration

Dilutions
Review Questions (Answers in Appendix A)

Significant Figures

Exponents

Density and Specific Gravity

Expressions of Solution Concentration

Dilutions

8: Basic and Contemporary Techniques in the Clinical Laboratory

Photometry

Absorbance spectrophotometry

Reflectance spectrophotometry

Nephelometry

Flow (cell) cytometry

Immunoassays

Alternative labeling technologies

Chemiluminescence

Chromatography and Immunochromatography

Molecular diagnostic techniques

Electrochemical methods

Review Questions (Answers in Appendix A)

Photometry

Absorbance Spectrophotometry
Reflectance Spectrophotometry

Nephelometry

Flow (Cell) Cytometry

Immunoassays

Alternative Labeling Technologies

Chemiluminescence

Chromatography and Immunochromatography

Molecular Diagnostic Techniques

Electrochemical Methods

Chromatography

9: Laboratory Testing: From Point of Care to Total Automation

Point-of-care testing

Non–instrument-based point-of-care testing

Handheld POCT Equipment

Emerging patient-centric technologies

Overview of informatics

Communication and network devices

Computer applications

Overview of automation

Case study

Review Questions (Answers in Appendix A)


Point-of-Care Testing

Non–Instrument-Based Point-of-Care Testing

Handheld POCT Equipment

Emerging Patient-Centric Technologies

Overview of Informatics

Communication and Network Devices

Computer Applications

Overview of Automation

Part II: Basic Clinical Laboratory


Specializations

10: Introduction to the Principles and Practice of Clinical


Chemistry

Glucose and glucose metabolism

Diabetes

Electrolytes

Acid-base balance and blood gases

Renal function

Uric acid

Lipids

Cardiovascular disease

Liver and pancreatic testing


Hormone assays

Tumor markers

Therapeutic drug monitoring

Drugs of abuse

Automation in clinical chemistry

Case studies

Review Questions (Answers in Appendix A)

Glucose and Glucose Metabolism

Diabetes

Electrolytes

Acid-Base Balance and Blood Gases

Renal Function

Uric Acid

Lipids

Cardiovascular Disease

Liver and Pancreatic Testing

Hormone Assays

Tumor Markers

Therapeutic Drug Monitoring

Drugs of Abuse

Automation in Clinical Chemistry


11: An Introduction to the Principles and Practice of Clinical
Hematology

Hematopoiesis: overall blood cell maturation and function

Erythrocytes

Leukocytes

Lymphocyte maturation and function

Thrombocytes

Clinical hematology procedures

Additional hematology procedures

Red blood cell indices

Microscopic examination of the peripheral blood film

Case studies

Review Questions (Answers in Appendix A)

Hematopoiesis: Overall Blood Cell Maturation and Function

Erythrocytes

Leukocytes

Lymphocyte Maturation and Function

Thrombocytes

Clinical Hematology Procedures

Additional Hematology Procedures

Red Blood Cell Indices

Microscopic Examination of the Peripheral Blood Film


12: Hemostasis and Blood Coagulation

Hemostatic mechanism

Quantitative platelet disorders

Qualitative platelet disorders

Coagulation

Pathways for coagulation cascade

Fibrinolysis

Protective mechanisms against thrombosis

Tests for hemostasis and coagulation

Case studies

Review Questions (Answers in Appendix A)

Hemostatic Mechanism

Quantitative Platelet Disorders

Qualitative Platelet Disorders

Coagulation

Pathways for Coagulation Cascade

Fibrinolysis

Protective Mechanisms Against Thrombosis

Tests for Hemostasis and Coagulation

13: Renal Physiology and Urinalysis

Overview of urinalysis
Renal anatomy and physiology

Composition of urine

Collection and preservation of urine specimens

Physical properties of urine

Chemical tests in routine urinalysis

Microscopic analysis of urine sediment

Constituents of urine sediment

Automation in Urinalysis

Case studies

Review Questions (Answers in Appendix A)

Overview of Urinalysis

Renal Anatomy and Physiology

Composition of Urine

Collection and Preservation of Urine Specimens

Physical Properties of Urine

Chemical Tests in Routine Urinalysis

Microscopic Analysis of Urine Sediment

Constituents of Urine Sediment

Automation in Urinalysis

14: Examination of Body Fluids and Miscellaneous Specimens

Overview of Body Fluids


Cerebrospinal Fluid

Serous Fluids: Pericardial, Pleural, and Peritoneal

Synovial Fluid

Seminal Fluid

Amniotic Fluid

Saliva

Automation in Body Fluid Analysis

Case studies

Review Questions (Answers in Appendix A)

Overview of Body Fluids

Cerebrospinal Fluid

Serous Fluids: Pericardial, Pleural, and Peritoneal

Synovial Fluid

Seminal Fluid

Amniotic Fluid

Saliva

Automation in Body Fluid Analysis

15: Introduction to Medical Microbiology

Introduction to Microorganisms

Classification of Microorganisms: Taxonomy


Protection of Laboratory Personnel and Good Laboratory
Practices

Specimens for Microbiological Examination

Basic Equipment and Techniques Used in Microbiology

Identification of Bacteria

Urine Cultures

Throat Cultures

Genitourinary Cultures

Enteric Disease

Blood Cultures

Wound or Soft Tissue Cultures

Bacterial Disease

Quality Control in the Microbiology Laboratory

Mycobacteria

Tests for Fungi (Mycology)

Tests for Parasites (Parasitology)

Tests for Viruses (Virology)

Automation

Case studies

Review Questions (Answers in Appendix A)

Introduction to Microorganisms

Classification of Microorganisms: Taxonomy


Protection of Laboratory Personnel and Good Laboratory
Practices

Specimens for Microbiological Examination

Basic Equipment and Techniques Used in Microbiology

Identification of Bacteria

Urine Cultures

Throat Cultures

Genitourinary Cultures

Enteric Disease

Blood Cultures

Wound or Soft Tissue Cultures

Bacterial Disease

Quality Control in the Microbiology Laboratory

Mycobacteria

Tests for Fungi (Mycology)

Tests for Parasites (Parasitology)

Tests for Viruses (Virology)

Automation

16: Immunology and Serology

Overview of Immunology and Serology

Antigens and Antibodies


Complement

Body Defenses Against Microbial Disease

Hypersensitivity

Types of Antigens and Reactions

Cells and Cellular Activities of the Immune System

Immunologic Disorders

Principles of Immunologic and Serologic Methods

Specimens for Serology and Immunology

Immunologic and Serologic Testing for Bacterial and Viral


Diseases

Autoimmune Disorders

Case studies

Review Questions (Answers in Appendix A)

Overview of Immunology and Serology

Antigens and Antibodies

Complement

Body Defenses Against Microbial Disease

Hypersensitivity

Types of Antigens and Reactions

Cells and Cellular Activities of the Immune System

Immunologic Disorders

Principles of Immunologic and Serologic Methods


Specimens for Serology and Immunology

Immunologic and Serologic Testing for Bacterial and Viral


Disease

Autoimmune Disorders

17: Immunohematology and Transfusion Medicine

Overview of blood banking

Benefits and reasons for transfusion

Whole blood, blood components, and derivatives for


transfusion

Blood donation: donors, collection, storage, and processing

Other Types of Blood Donations

Antigens and Antibodies in Immunohematology

ABO red blood cell group system

Rh red blood cell group system

Other blood group systems

Antihuman globulin reaction

Compatibility testing and crossmatching

Adverse Effects of Transfusion

Hemolytic Disease of the Fetus and Newborn

Automated Testing Technology and Systems

Case studies

Review Questions (Answers in Appendix A)


Overview of Blood Banking

Benefits and Reasons for Transfusion

Whole Blood, Blood Components, and Derivatives for


Transfusion

Blood Donation: Donors, Collection, Storage, and Processing

Other Types of Blood Donations

Antigens and Antibodies in Immunohematology

ABO Red Blood Cell Group System

Rh Red Blood Cell Group System

Other Blood Group Systems

Antihuman Globulin Reaction

Compatibility Testing and Crossmatching

Adverse Effects of Transfusion

Hemolytic Disease of the Fetus and Newborn

Automated Testing Technology and Systems

Appendix A: Answers to Review Questions

Chapter 1 Fundamentals of the Clinical Laboratory

Chapter 2 Safety: Patient and Clinical Laboratory Practices

Chapter 3 Quality Assessment and Quality Control in the


Clinical Laboratory

Chapter 4 Phlebotomy: Collecting and Processing Patient


Blood Specimens
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more advanced in civilisation than the former. By this enactment, a
Koblegian or a Varangian was compelled to take an oath where such
a test was required, but a Slavonian was exempted. It would
therefore appear, if the conclusion may be safely ventured upon, that
judicial combats, which formed the final appeal when a defendant in
a cause acquitted himself in the first instance by a solemn oath, were
not adopted amongst the Slavs, who were satisfied with a public
examination of facts, and an adjudication, without the sacred or the
physical test. It is sufficient, however, for the great uses of historical
inquiry, to know that a difference so remarkable between two
branches of the people was recognised and confirmed by law.
One of the most important declarations of the code was that which
divided the population into three classes—the nobles, the freemen,
and the slaves. Of these three, the slaves alone were left
unprotected. The freemen, who were fenced in from the
encroachments of the nobles, were composed of the citizens, the
farmers, the landholders, and hired servants. They were sub-
classified into centuries, each of which elected a head, who filled an
office equivalent to that of a tribune. The civil magistracy, thus
created, had a separate guard of their own, and were placed, in
virtue of their office, on an equality with the boyars. The city of
Novgorod, which maintained, under a nominal princedom, the spirit
of a republic, exhibited these municipal franchises in a more
complete form than any of the Russian cities; all of which, however,
possessed similar privileges, more or less modified according to their
relative importance, or the circumstances under which their charters
were granted. The chief of the Novgorodian republic was a prince of
the blood; the title of his office was that of Namestnick. He took no
share in the deliberations of the people, nor does it appear that he
even possessed a veto upon their decisions. His oath of instalment
bound him as the slave rather than the governor of the city; for it
pledged him to govern agreeably to the constitution as he found it; to
appoint none but Novgorodian magistrates in the provinces, and
even these to be previously approved of by the Posadnick or mayor;
to respect strictly the exclusive rights possessed by the citizens
sitting in judgment on their own order, of imposing their own taxes,
and of carrying on commerce at their own discretion; to interdict his
boyars from acquiring landed property within the villages dependent
on Novgorod, and to oblige them to travel at their private cost; to
discourage immigration; and never to cause a Novgorodian to be
arrested for debt. A princedom, accepted on such restrictive
conditions, was but the shadow of a sceptre, as the municipal union
of the legislative and judicial abundantly proved. The first officer was
the Posadnick, or mayor, chosen by election for a limited time; the
next was the Tisiatski, or tribune, who was a popular check upon the
prince and mayor; and the rest of the functionaries consisted of the
senate, the city assembly, and the boyars, all of whom were elective.
By the electoral system, the people preserved a constant guard over
the fidelity of their representatives in the senate, and their officers of
justice; so that, while the three grades propounded by law were kept
widely apart, and socially distinguished, the prerogatives of each
were rigidly protected against innovation from the other two. All that
this little republic required to render its security perfect, was liberty. It
was based upon a system of slavery, and sustained its dominion
more by fear than righteousness. Nor was it independent of control,
although all its domestic concerns were uninterruptedly transacted
within its own confines. It was an appanage of the grand princedom;
but on account of its fortunate geographical position on the northern
and northwestern frontiers, which were distant from the capital—a
circumstance that delegated to Novgorod the defence of those
remote boundaries—it acquired a degree of political importance that
preserved it for four centuries against the cupidity of the succession
of despots that occupied the throne. The removal of the seat of
empire from Kiev to Vladimir, and finally to Moscow, by drawing the
centre nearer to Novgorod, diminished its power by degrees, and
finally absorbed it altogether.
One of the enactments of the code of Iaroslav will show what
advances had been made towards the segregation of the people into
different orders, and how much the government partook, or was
likely to partake, of a mixed form, in which a monarchical, an
hereditary, and a representative estate were combined. It made the
prince the heir-at-law of every freeman who died without male issue,
with the exception of the boyars and officers of the royal guard. By
this regulation the prerogative of the crown was rendered
paramount, while the hereditary rights of property were preserved
unconditionally to the families of the nobles alone. A class of rich
patricians was thus formed and protected, to represent, by virtue of
birth, the interests of property; while commerce and popular
privileges were fully represented in the assembly of the elected
senators. The checks and balances of this system were pretty equal;
so that, if the constitution of which these outlines were the elements,
had been allowed to accumulate strength and to become
consolidated by time, it would at last have resolved itself into a liberal
and powerful form; the semi-savage usages with which it was
encrusted would have dropped away, and wiser institutions have
grown up in their stead.
So clearly were the popular benefits of the laws defined, that the
code regulated the maximum demand which the proprietor of the soil
might exact from his tenant; and it neither enforced taxation, nor
recognised corporal punishment, nor in the composition of a
pecuniary mulct admitted any distinction between the Varangians
and the Slavs, who formed the aristocracy and the democracy. The
prince neither possessed revenue nor levied taxes. He subsisted on
the fines he imposed for infractions of law, on the tributes he
received from his estates, on the voluntary offerings of the people,
and the produce of such property as had fallen to the private title of
the sovereignty. Even the tribute was not compulsory; it was rather a
right derived from prescription. The only dependence of the lords of
fiefs was in that they were compelled to render military service when
required to the grand prince; and it was expected that they should
come numerously attended, well armed, and provisioned. The tribute
was the mark of conquest, and was not considered to imply taxation.
But while the monarchical principle was thus kept within
proscribed limits, the power of the democracy was not sufficiently
curbed: over both there was a check, but the hands of the prince
were bound too tightly. His dominion was despotic, because he was
surrounded by men devoted to his will; but the dominion of the
people was boundless, because opinion was only in its rickety
infancy, and the resistance to the offending prince lay in the
demonstration of physical superiority instead of moral combination.
They never hesitated to avail themselves of their numerical
advantage. They even carried it to extravagance and licentiousness;
and so much did they exult in their strength, that they regulated the
hours at which the sovereign was permitted to enjoy relaxation,
punished the obnoxious heads of the church by summary ejectment,
and in several instances, taking the charter of law into their own
keeping, deposed their princes. The checks, therefore, established in
Iaroslav’s wise convention between the government and the
constituency were overborne by the rudeness of the times.
That the period had arrived when laws were necessary to the
settlement of the empire, was sufficiently testified by the
circumstances, external and domestic, in which the people were
placed. The adoption of Christianity had partially appeased the old
passion for aggression against Constantinople, which, having now
become the metropolis of their religion, was regarded with some
degree of veneration by the Russians. A war of plundering
Byzantium, therefore, could not be entertained with any prospect of
success. The extension of the empire under Vladimir left little to be
coveted beyond the frontiers, which spread to the east, north and
south as far as even the wild grasp of the lawless tribes of the
forests could embrace. To the west, the Russians had ceased to look
for prey, since Boleslav, by his easy conquest of Kiev, had
demonstrated the strength of Poland. Having acquired as much as
they could, and having next, in the absence of warlike expeditions
abroad, occupied themselves with ruthless feuds at home, they
came at length to consider the necessity of consulting the security of
possessions acquired at so much cost, and so often risked by civil
broils. This was the time for a code of laws. But unfortunately there
still existed too many remains of the barbarian era, to render the
introduction of legal restraints a matter easy of accomplishment. The
jealousy of Greek superiority survived the admission of the Greek
religion. The longing after power still inspired the petty chiefs; and
hopeless dreams of larger dominion wherewith to bribe the
discontented, and provide for the hirelings of the state, still troubled
the repose of the sovereign. The throne stood in a plain surrounded
by forests, from whence issued, as the rage propelled them, hordes
of newly reclaimed savages, pressing extraordinary demands, or
threatening with ferocious violence the dawning institutions of
civilisation. In such a position, it was not only impossible to advance
steadily, but to maintain the ground already gained.

Iaroslav Dies (1054 A.D.)

Could the character of Iaroslav, the legislator,


[1054 a.d.] have been transmitted through his successors,
the good of which he laid the seeds, might have
been finally cultivated to maturity. But his wisdom and his virtues
died with him. Nor, elevated as he was in moral dignity above the
spirit of his countrymen, can it be said that he was free from
weaknesses that marred much of the utility of his best measures.
One of his earliest errors was the resignation of Novgorod to his son
Vladimir, who had no sooner ascended the throne of the republican
city, than, under the pretext of seeking satisfaction for the death of a
Russian who had been killed in Greece, he carried arms into the
Byzantine empire. The folly of this wild attempt was abundantly
punished in the sequel; fifteen thousand men were sacrificed on the
Grecian plains, and their chief hunted back disgracefully to his own
territories. Yet this issue of one family grant did not awaken Iaroslav
to the danger of partitioning the empire. Before his death he divided
the whole of Russia amongst his sons, making, however, the
younger sons subordinate to the eldest, as grand prince of Kiev, and
empowering the latter to reduce the others to obedience by force of
arms whenever they exhibited a disposition to dispute his authority.
This settlement, enforced with parting admonitions on his death-
bed, was considered by Iaroslav to present a sufficient security
against civil commotion and disputes about the succession. But he
did not calculate upon the ungovernable lust for power, the jealousy
of younger brothers, and the passion for aggrandisement. His
injunctions were uttered in the amiable confidence of Christianity;
they were violated with the indecent impetuosity of the barbarian
nature.
With the death of Iaroslav, and the division of the empire, a new
period of darkness and misrule began. The character of the
legislator, which influenced his own time, was speedily absorbed in
the general confusion. Iaroslav’s name was held in reverence, but
the memory of his excellence did not awe the multitudes that, upon
his decease, sprang from their retirement to revive the disastrous
glories of domestic warfare. Much as he had done for the extension
of Christianity, he had failed in establishing it in the hearts of the
people. He was an able theologian, and well acquainted with the
church ordinances, agenda, and other books of the Greek religion,
many of which he caused to be translated into the Russian
language, and distributed in copies over the country. So strong an
interest did he take in the cultivation of the doctrines of the church,
that he established a metropolitan at Kiev, in order to relieve the
Russian people and their priests from the inconveniences of
attending the residence of the ecclesiastical head at Constantinople,
and also with a desire to provide for the more prompt and certain
dissemination of the principles of faith. But the value of all these
exertions expired with their author. He did much to raise the fame
and consolidate the resources of the empire; but the last act of his
political career, by which he cut away the cord that bound the rods,
had the effect of neutralising all the benefits he meditated to
accomplish, as well as those that he actually effected, for his country.
His reign was followed by a period of savage anarchy that might be
said to have resolved the half-civilised world into its original
elements.k

FOOTNOTES

[2] According to recent computations the Russian Empire


covers an area of 8,660,000 square miles—about one sixth of the
land surface of the globe.
[3] [This treaty was not so favourable to the Russians as the
one concluded with Oleg—a result, evidently, of the former defeat.
Another point of importance is that it makes mention of Russian
Christians, to whom there is no allusion in the treaty of 911. From
this we may conclude that Christianity had spread largely during
this interval.g]
[4] [According to another Ms., Constantine, son of Lev.]
[5] Ex. XXI, 17.
[6] [In the original Nestor always calls thus the sister of the
emperors.]
[7] [An antiquarian inquiry instituted by Catherine in 1794
resulted in proving that Tmoutarakan was situated on the isle of
Taman, forming a key to the confluence of the sea of Azov with
the Black Sea.k]
[8] A copper coin, of the value, as near as we can ascertain, of
about 4½d. of English money.
CHAPTER II. THE PERIOD OF THE
PRINCIPALITIES
THE CHARACTER OF THE PRINCIPALITIES

The period extending from the year of


[1054-1224 a.d.] Iaroslav’s death (1054) to the year of the
appearance of the Tatars (1224) is one of the
most troublous and confused epochs in the history of Russia. As the
Scandinavian custom of partition continued to prevail over the
Byzantine idea of political unity, the national territory was constantly
divided.
The princely anarchy of oriental Europe finds a parallel in the
feudal anarchy of the Occident. Pogodine enumerates for this period
sixty-four principalities which enjoyed a more or less protracted
existence; two hundred and ninety-three princes who during these
two centuries contended over Kiev and other Russian domains;
eighty-three civil wars in which the entire country was concerned.
Foreign wars helped to augment the enormous mass of historical
facts. The chronicles mention against the Polovtsi alone eighteen
campaigns, while these barbarians invaded Christian territory forty-
six times.
The ancient names of the Slav tribes have entirely disappeared, or
are preserved only in the names of towns—as, for instance, that of
the Polotchanes in Polotsk; that of the Severians in Novgorod-
Seversk. The elements in the composition of Russia were thus rather
principalities than peoples. No more is said of the Krivitchi or of the
Drevlians; we hear only of Smolensk or of Volhinia. These little
states were dismembered at each new division among the children
of a prince; they were then reconstituted, to be again divided into
appanages. In spite of all these vicissitudes, however, some among
them had an uninterrupted existence due to certain topographical
and ethnographical conditions. Setting aside the distant principality
of Tmoutorakan, established almost at the foot of the Caucasus in
the midst of Turkish and Circassian tribes and counting eight
different princes, the following are, from the eleventh to the thirteenth
centuries, the principal divisions of Russia:
(1) The principality of Smolensk, which occupied the important
territory which is in a manner the central point of the orographic
system of Russia; it comprises the old forest of Okov, where the
three greatest rivers of Russia, the Volga, the Dnieper, and the
Dvina, have their rise. Hence the political importance of Smolensk,
which is attested by the many wars undertaken against her; hence
also her commercial prosperity. It is noticeable that all her towns
were built on some one of the three rivers; all the commerce of
ancient Russia thus passed through her bounds. Besides Smolensk
it is necessary to cite Mozhaisk, Viasma, and Toropets, the capital of
a secondary principality, the domain of two famous princes—Mstislav
the Brave and Mstislav the Bold.
(2) The principality of Kiev, which was Rus—Russia in the strict
sense of the term. Its situation on the Dnieper, the proximity of
Greece, the fertility of its Black Lands, long assured to this state the
supremacy over all other Russian principalities. To the south it was
bordered by the Nomad tribes of the steppe. Against the inroads of
these tribes the princes of Kiev were obliged to construct frontier
fortresses; though frequently they ceded them lands and took them
into their pay, constituting them into veritable military colonies. The
principality of Pereiaslavl was a dependency of Kiev; Vishgorod,
Bielgorod, Tripoli, and Torlshok were at different times constituted
into appanages for princes of the same family.
(3) The two principalities of
Tcheringov with Starodub and
Lubetz and of Novgorod-
Seversk with Putivl, Kursk and
Briansk, which extended along
the tributaries flowing into the
Dnieper from the left—the Soj
and the Desna swelled by the
Seim. Tcheringov, extending
towards the upper Oka, had thus
one foot in the basin of the
Volga; its princes, the Olgovitchi,
were the most redoubtable rivals
of those of Kiev. As for the
princes of Seversk, they were
ceaselessly occupied with wars
against their dangerous rivals on
the south, the Polovtsi. It is the
exploits of a prince of Seversk
against these barbarians which
form the subject of a chanson de
geste—The Song of Igor.
Laplander
(4) The duplex principality of
Riazan and Murom, another
state whose existence was
maintained at the expense of ceaseless war against the nomads.
The principal towns were Riazan, Murom, Pereiaslavl-Riazanski, on
the Oka; Kolomna, at the junction of the Moskva with the Oka; and
Pronsk, on the Pronia. The upper Don bounded it on the west. This
principality was established in the midst of Finnish tribes—the
Muromians and the Meshtseraks. The warlike character and the rude
and coarse habits attributed to the people of the principality
doubtless resulted not less from the assimilation of the aborigines by
the Russian race than from the continuous brutal strife of the
inhabitants with the nomads.
(5) The principalities of Suzdal—with their metropolitan towns of
Tver, Suzdal, Rostov, Iuriev-Polski, and Vladimir on the Kliasma; of
Iaroslavl and Pereiaslavl-Zaliesski—which were established on the
Volga and the Oka, in the densest of the northern forests,
surrounded by Finnish tribes—Mouromians, Merians, Vesses, and
Tcherimisses. Though situated at the extreme limit of the Russian
world, these principalities nevertheless exercised great influence
over it. We shall see their princes now reducing Novgorod and the
Russia of the lakes to a certain political dependence, the
consequence of a double economical dependence; then victoriously
intervening in the quarrels of the Russia of the Dnieper. The
Suzdalians were of the same character as the Riazanians—rude and
warlike. The characteristics of a new nationality were already
noticeable among these two peoples. That which differentiated them
from the Kievans and the Novgorod-Severskans, who, like
themselves, were occupied in the great struggle against the
barbarians, was that the Russians of the Dnieper, sometimes
mingling their blood with that of their enemies, became fused with
Turkish tribes, nomadic and essentially mobile, while the Russians of
the Oka and the Volga united with Finnish tribes, agricultural and
essentially sedentary. This difference between the two foreign
elements which entered into the blood of the Slavs, without doubt
contributed to that marked difference in character between the two
branches of the Russian race. During the period from the eleventh to
the thirteenth centuries, as colonization advanced, from the basin of
the Dnieper to the basin of the Volga, the divisions of Little Russia
and Great Russia were formed.
(6) The principalities of Kiev, Tchernigov, Novgorod-Seversk,
Riazan, Murom, and Suzdal, which formed the marches of Russia on
the borders of the steppe with its devastating hordes—constituting its
frontier states. On the confines of the northwest, opposite the
Lithuanians, the Letts and the Tchuds, the same rôle devolved on the
principality of Polotsk, occupying the basin of the Dvina, and on the
republican principalities of Novgorod and Pskov on the lakes of
Ilmen and Petpus. The principality of Minsk was attached to that of
Polotsk. It was situated in the basin of the Dnieper and, owing to that
circumstance, its possession was frequently disputed by the grand
princes of Kiev. The towns of Torzhok, Volok-Lamski, Izborsk, and
Veliki Luki belonged to Novgorod; at times they were the capitals of
individual states.
Southwestern Russia comprehended (1) in the fan-shaped
territory formed by the Pripet and its tributaries—Volhinia, with
Vladimir in Volhinia, Lutsk, Turov, Brest, and even Lublin, which is
unquestionably Polish; (2) in the basins of the San, the Dniester, and
the Pripet—Galicia proper, or Red Russia, whose ancient
inhabitants, the white Croats, seem to have originated in the
Danubian Slavs. Its principal towns were Galitch, founded by
Vladimirko about 1444; Peremishl; Terebovlia, and Svenigorodka.
The near neighbourhood of Hungary and Poland contributed to these
two principalities distinctive characteristics, as well as a more
advanced civilisation. In the epic songs Galicia, the land of the hero
Dvorik Stepanovitch, is a country of fabulous wealth. The Narrative
of the Expedition of Igor gives an exalted idea of the power of its
princes: “Iaroslav Osmomysl of Galicia,” cries the poet addressing
one of them, “high art thou seated upon thy golden throne! With thy
iron regiments thou guardest the Carpathian mountains, thou
shuttest the gates of the Danube, thou barrest the way to the king of
Hungary; at will thou openest the gates of Kiev, and thine arrows
reach far into the distance.”

THE UNITY OF THE PRINCIPALITIES

The disposition of these fifteen or sixteen principalities confirms


what has been previously stated concerning the essential unity of the
configuration of the Russian soil. None of the river-basins forms a
closed or isolated region; no line of heights establishes between
them barriers or political frontiers. The greater number of the
Russian principalities belonged to the basin of the Dnieper, but
pushed their limits everywhere beyond. Kiev, with Pereiaslavl, is the
only one strictly confined within it; but Volhinia puts the basin of the
Dnieper in communication with those of the Bug in the south and of
the Vistula; Polotsk connects it with the basins of the Niemen and
the Dvina, Novgorod-Seversk with that of the Don, Tchernigov and
Smolensk with that of the Volga. Between these principalities, water-
courses everywhere establish communications. Russia, though
divided into appanages, was already making toward a great united
empire. The lack of cohesion among nearly all the states and their
frequent dismemberments prevented their becoming actual
nationalities. The principalities of Smolensk, of Tchernigov, of Riazan
never possessed that definite historical existence so characteristic of
the duchy of Brittany or the county of Toulouse in France, the
duchies of Saxony, Swabia, or Bavaria in Germany.
The interests of the princes and their ambition to provide an
appanage for each of their children, necessitated at the death of
every sovereign a fresh distribution of Russian territory. Yet a certain
cohesion was evident in the midst of these vicissitudes. There was
visible a unity of race and language, the more marked,
notwithstanding differences of dialect, in that the Russian Slavs,
excepting in the southwest, were surrounded everywhere by entirely
dissimilar peoples—Lithuanians, Tchuds, Finns, Turks, and Magyars.
There was also unity of religion; the Russians were differentiated
from nearly all their neighbours in that, in contradistinction to the
Slavs of the west, the Poles, Czechs, and Moravians, they
represented a distinct form of Christianity, acknowledging no tie with
Rome and rejecting Latin as the church language.
There was also a unity of historical development, since hitherto the
Russian Slavs had all followed the same destiny, had equally
accepted Greek civilisation, submitted to Varangian conquest, and
pursued in common certain great enterprises, such as the
expeditions against Byzantium and the wars with the nomads. There
was finally political unity, as among all—in Galicia as in Novgorod, by
the Dnieper as in the forests of Suzdal—the same family sat upon all
the thrones. All the Russian princes were descended from Rurik,
from St. Vladimir, and from Iaroslav the Great. The civil wars which
desolated the country affirmed anew this unity. No state in Russia
could regard the rest as outsiders, when the princes of Tchernigov
and Suzdal were seen to take up arms solely to decide which among
them was the eldest—which held the right to the title of grand prince
and to the throne of Kiev. There were descendants of Rurik who
governed successively the most distant states in Russia, and who,
having reigned at Tmoutarakan on the straits of Ienikale, at
Novgorod the Great, at Toropetz in the country of Smolensk, finished
by obtaining recognition of their right to reign over Kiev.b

THE THEORY OF SUCCESSION

If the question be asked why


the Russian state continued
undivided throughout the two
hundred years of the Varangian
period, our answer is that it was
due solely to the fact that during
the greater part of this period the
grand princes left one son and
heir. Whenever the case was
otherwise, as after the death of
Sviatoslav and Vladimir, the
brothers straightway entered
upon a struggle for mastery that
did not terminate until all but one
were destroyed. That one then
became undisputed master, for
no one dared dispute the
possession of power with the
descendants of Rurik.
The theory of succession in
the Rurik family was as follows:
the grand prince of Kiev was
lord paramount of Russia. He
disposed of all vacant
A Koriak principalities, and was supreme
judge and general; but each of
his brothers had, according to his seniority, the right of succession to
the throne. The death of every elder brother brought the younger
ones a step nearer to that goal. The order of advance was from
Smolensk to Pereiaslavl, from Pereiaslavl to Tchernigov, from
Tchernigov to Kiev. But none could attain to the highest dignity, save
him whose father had held it before him. Sons of a father who had
died before reaching the goal were excluded from Kiev and were
confined to the possessions in their hands at the time of their father’s
death. The technical Russian term for those members of the Rurik
family who were excluded from the highest dignity was Isgoi, and the
attempts of the Isgoi to break through the law of exclusion have had
no small share in the bloody and desolate history of Russia during
the period upon which we now enter. But another factor contributed
to the same end. The power of the grand prince was not so
predominant as to enable him to enforce his will and put down
disobedience. His position was based on the idea of patriarchal
power, and was respected by the princes only when it was to their
advantage. To maintain himself he had to resort to the expedient of
making coalitions with some of the princes against the others, and
the sword was the final arbiter between the grand prince and his
nominal vassals.c Accordingly the whole of Russia was always
divided in its support of the claims of this or that candidate. The civil
wars which ensued were after all but family quarrels.a

CIVIL WARS

Iaroslav left five sons. To Iziaslav, the oldest,


[1055-1069 a.d.] he gave Kiev; to Sviatoslav, Tchernigov; to
Vsevolod, Pereiaslavl; to Viatcheslav,
Smolensk; and to Igor, Vladimir in Volhinia. The order in which they
are given here represents the order of their respective dignities and
their position in the line of succession. Two of the brothers did not
long survive their father. In 1056 Viatcheslav died, and Igor, in
accordance with the law of succession, moved to Smolensk, where
he too died in 1060.
About this time a new wave of migration set in from Asia towards
the south-Russian steppe—the Turkish tribe of the Polovtsi. In 1055
Vsevolod of Pereiaslavl concluded peace with them by bribing them
to retire into the steppe. In 1061 he suffered a defeat at their hands,
but they did not follow up their success and again retired into the
steppe. The civil wars, however, which soon broke out, were to bring
them back as an ever-menacing plague to the Russian population.
Among the minor princes, who
were excluded from the
succession, was Vseslav of
Polotsk, a descendant of St.
Vladimir. He had helped his
uncles in a war against the
Torks, a tribe kindred to the
Polovtsi, and expected a reward
in an accession of territory.
Being disappointed, he
determined to help himself. First
he ravaged the territory of
Pskov, but being unable to take
that city, he invaded the territory
of Novgorod, and it seems that Sviatoslav
for a while he was master of the
city. His bold procedure
compelled his uncles Iziaslav, Sviatoslav, and Vsevolod to unite
against him; but, though beaten by their superior forces, he could not
be expelled from the north. The uncles thereupon resorted to
treachery. They proposed to him a friendly meeting under a
guarantee of his personal security and liberty, which they confirmed
by an oath upon the cross. But when he had reached the vicinity of
Smolensk, beyond the Dnieper, he was surprised, captured, and
brought to Kiev, where he was imprisoned. At this juncture the
Polovtsi made another of their raids and defeated the united forces
of the brothers, so that Sviatoslav was obliged to take refuge at
Tchernigov, while Iziaslav and Vsevolod fled to Kiev. There they
intended to await the nomad hordes behind the walls of the cities,
sacrificing the open country to the invaders. But the citizens of Kiev
thought differently. At a stormy meeting of the vetché it was decided
to take up arms, and when Iziaslav refused to lead them against the
enemy they liberated Vseslav from his confinement and made him
their prince (1068). Iziaslav was obliged to flee to Poland, where he
found a champion in Boleslav the Bold. Menaced in front by the
Poles, and suspicious of his uncles in his rear, Vseslav thought
himself obliged to flee to Polotsk, leaving the Kievans to the
vengeance of Iziaslav (1069). The events of two generations
previous, when Boleslav the Brave captured Kiev for Sviatopolk,
were now to be repeated. The Poles demeaned themselves as
masters and committed many excesses. The Kievans bore it for a
year; then exasperated, fell upon the Poles, who were scattered in
their various quarters, and compelled Boleslav to evacuate the city.
After protracted fighting and negotiations, Polotsk was finally
restored to Vseslav, and the old order seemed re-established, when
the two brothers of Iziaslav became suspicious of his designs and
suddenly appeared before Kiev. Iziaslav now fled for the second
time, Sviatoslav became grand prince, while Vsevolod advanced to
the principality of Tchernigov.
Iziaslav left nothing unattempted to regain his
[1075-1078 a.d.] position. He had escaped with his treasure into
Poland, but Boleslav was unwilling to renew his
former adventure. The German king Henry IV, whom Iziaslav met at
Mainz in January, 1075, was more favourably disposed and sent an
embassy to Sviatoslav; but it accomplished nothing. Iziaslav also
entered into negotiations with pope Gregory VII, to whom he sent his
son Iaropolk. The pope hoped to be able to annex Russia to the
western church, and even went so far as to grant it to Iaropolk as a
fief from the holy see.
But meanwhile Sviatoslav died (1076) and Vsevolod, a man
whose mild character did not exclude the possibility of a peaceful
settlement, became grand prince. Boleslav now lent troops to
Iziaslav (1077), and though Vsevolod marched against him with an
army of his own, yet they soon came to terms. Iziaslav was to be
reinstated grand prince for the third time, while Vsevolod was to
retire to Tchernigov, in return for which he was secured in the
succession. Thus Iaropolk’s plans came to naught, and with them
the hope of a reunited church.
However, Vseslav of Polotsk did not yet give up his ambitious
designs. Foiled in his attempt on the throne of Kiev, he tried to create
an empire for himself in the Russian north, and it required three
campaigns of the south-Russian princes to annul his plans. It was
during these wars that Vladimir Monomakh, son of Vsevolod and
son-in-law of King Harold of England, first distinguished himself,
though not in a glorious manner. He was the first Russian prince to
engage in a domestic quarrel the Polovtsi, with whose aid he
ravaged the city and principality of Polotsk. Vseslav died in 1101 as
prince of Polotsk, and his memory lived long after him in the
traditions of the people, by whom he was regarded as a sorcerer.
The Song of Igor tells how he accomplished in one night a march
from Kiev to Tmoutorakan, and how he could hear at Kiev the ringing
of the church bells at Polotsk.
Russian dynastic conditions had now been restored to the legal
order, and there seemed nothing left to disturb the tranquillity. But
the cupidity of the grand prince soon brought on new dissensions
among the members of the house of Rurik. Viatcheslav and Igor died
at an early age, leaving minor sons whom their uncle refused to
provide with appanages. They therefore tried to gain their right by
force. Boris, a son of Viatcheslav, temporarily got hold of Tchernigov,
but being unable to maintain himself in that city he fled to
Tmoutorakan, the last refuge of all the discontented. There he was
soon joined by his brother Gleb, who was expelled by Iziaslav from
Novgorod, and by another brother from Volhinian Vladimir, both of
whose appanages were divided among the sons of Iziaslav and
Vsevolod. In the civil war which followed, the nephews at first had
the advantage and captured Tchernigov; but they were defeated in a
decisive battle fought near that city on the third of October, 1078.
Both the grand prince Iziaslav and Boris fell, and Oleg was obliged to
flee once more to Tmoutorakan.

Vsevolod
Iziaslav was succeeded by Vsevolod, whose
[1078-1093 a.d.] reign (1078-1093) was even more unfortunate
than his brother’s had been. He too favoured his
own sons and those of Iziaslav at the expense of his other nephews
and in consequence the sons of Sviatoslav and Igor and of his
nephew Rostislav waged against him unremitting warfare with the
aid of the Polovtsi and Chazars, who wasted the country. Vsevolod’s
attempt in 1084 to conquer Tmoutorakan, the breeding-place of
revolts, failed miserably. Finally even Iaropolk, the son of Iziaslav,
who had received so many favours from his uncle, revolted against
him and was assassinated during the war. In those days of turmoil
and confusion, even old Vseslav ventured forth once more from
Polotsk and plundered Smolensk. The grand prince was ill most of
the time at Kiev and the conduct of his affairs lay in the hands of his
son Vladimir Monomakh.

Sviatopolk

Vsevolod died April 13th, 1093, leaving two sons, Vladimir


Monomakh, who held Tchernigov, and Rostislav, who held
Pereiaslavl. He was succeeded by Sviatopolk, the second son of
Iziaslav, who was the rightful successor after the death of his brother
Iaropolk, who, it will be remembered, was assassinated. Monomakh
could easily have made himself grand prince, for he was the most
popular of the princes and gained great fame in his campaigns
against the Polovtsi, whom he defeated twelve times during the reign
of his father; but he was anxious to avoid violating the law of
succession and thus inviting civil war.
Sviatopolk’s reign began with a violation of the law of nations by
imprisoning ambassadors of the Polovtsi, who had come to negotiate
a treaty with him. In retaliation the nomads invaded the country, and
with so great a force that Vladimir and Rostislav, who had come to
the aid of the grand prince, advised him to purchase peace from the
enemy. He paid no heed to them, but the event soon justified the
prudence of their counsel. In the battle of Tripole, fought on May
23rd, 1093, the Russians sustained a disastrous defeat. Rostislav

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