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Girtuoklystės vieta ar gastronominės kultūros erdvė? Maitinimo įstaigų komunikacija tarpukario Lietuvos žurnale Moteris
No full textIn the late 19th and early 20th centuries, in the creation of the Lithuanian nationalidentity, ethnolinguistic ‘Lithuanianness’ performed a key role, and its core constituents wererelated with the agricultural culture of Lithuanian-speaking peasants/farmers. The roots ofthis identity date back to the Enlightenment and Romanticism movements, when the ideaof the ‘noble savage’ was being promoted, which elevated humans who were not spoiled bycivilization, yet living in the vicinity of nature and leading a lifestyle based on the rhythm of nature. These ideas served as the background for an opposition between Lithuanian identityand the tavern/inn (in all of its manifestations, involving such catering institutions as the caféand the restaurant). Impact on the development of opposition between the Lithuanian andthe inn was also made by the historic reality of the proliferation of inns and the temperance(i.e., sobriety) movement initiated by Bishop Motiejus Valančius.The article explores the communication of the inn, tavern, café, restaurant and teahousein the interwar Lithuanian magazine Moteris (The Woman). It has been established thatnegative narratives were predominant, which related catering institutions with alcoholabuse, immoral lifestyle, prostitution, wasting time and money, horrible manners, lackof education and absence of religious feelings. Attending a catering institution was presentedprimarily as a feature that could be observed in men, which was inappropriatefor a woman, and extremely harmful to young women/girls. In this negative context, thedifference between specific types of catering institutions (a tavern, an inn, a beer house,a café, a restaurant) in terms of their interpretation is minor. Intense modernization ofthe gastronomy culture, which took place in interwar Lithuania, had only a minor impacton changes in the negative image of catering institutions
Nepriklausomybės šventės pradžia Lietuvos miesteliuose: 1919–1923 m.
No full textThe article focuses on national festivities of the First Republic of Lithuania dedicated to the memory of its statehood, with an emphasis on the celebration of February 16 in the smaller Lithuanian towns in 1919–1923. By referring to the mass media of the time as well as archival sources, the sources, spreading and development of this festival are explored. The article investigates its implementation while considering the related social issues registered in the testimonies of the participants. The research has revealed that it was an idea of the Government of Lithuania to start the celebration of February 16, and the ‘first run’ was implemented as early as in 1919. However, in many settlements, the first case of celebrating February 16 actually happened only in 1920. Holding the festival was primarily the duty of the council of the volost. Not only the funds, but also human resources were modest, and therefore numerous volunteers were required. Hence, this festival would turn into a trial of solidarity and the sense of community. It was common that, on the day of the festival, social or ideological disagreements would spring up. The dynamics of this festival largely differed from settlement to settlement, and the five-year anniversary did not evolve into any exceptional festivity. The majority of small-town residents would remain passive observers of the festival, or did not participate at all. Lithuanian society still needed time to make this festival ‘one’s own’, adopt this festival, and develop the sense of citizenly community.Straipsnyje nagrinėjamos Pirmosios Lietuvos Respublikos valstybingumo atminčiai skirtos šventės, koncentruojantis į Vasario 16-osios minėjimą Lietuvos miesteliuose 1919–1923 m. Pasitelkiant tuometinę spaudą ir archyvinius šaltinius, gvildenamos šios šventės ištakos, sklaida ir raida, jos organizavimas, kartu paminint ir dalyvių liudijimuose užfiksuotas susijusias socialines problemas. Tyrimas atskleidė, kad Lietuvos vyriausybės sumanymu Vasario 16-osios iškilmės pradėtos organizuoti jau 1919 m., tačiau daugelyje vietovių pirmą kartą ši data buvo paminėta 1920 m. Daugiausia šventės organizavimu rūpindavosi valsčiaus valdyba. Pasitelkiant kuklias pajėgas ir lėšas rengiamoms šventėms prireikdavo ir gausių savanorių pajėgų, todėl jos tapdavo solidarumo ir bendruomeniškumo išbandymu. Neretai šventės dieną išryškėdavo socialinės arba idėjinės įtampos. Iškilmių dinamika miesteliuose buvo netolygi, o Nepriklausomybės penkerių metų sukaktis netapo išskirtine švente. Daugelis miestelių gyventojų liko pasyviais šventės stebėtojais arba visai joje nedalyvaudavo. Lietuvos visuomenei reikėjo laiko prisijaukinti valstybines šventes ir pilietinę bendrystę
Tarpukario Kražiai pasakotojų atsiminimuose
No full textThe article reveals a picture of Kražiai, a minor town, during the interwar years while covering the range from the stories of homes and their families to the staple food which found its way onto the dinner table and descriptions of the daily worn clothes. The article names the cultures, public institutions and organizations which were active in the town at the time and introduces the mundane as well as more memorable occupations of the residents, including the commonly practiced crafts. The story is built on memories of Kražiai town residents, including those narrators who observed the events in person, and also stories of interwar-time witnesses, as memorized and recounted by their offspring. The memories were collected during an expedition an oral history expedition which took place in Kražiai in 2024, which was organized by Kražiai Žygimantas Liauksminas Gymnasium and Vilnius University Faculty of History, and which involved Vilnius University and Kražiai Gymnasium students. The collected materials were generalized and rendered by a student of Kražiai Gymnasium. Along with the fascinating and valuable material, this article serves as a witness of the interest of the local gymnasium and its students in the history of the land, along with efforts to register and explore this history.Straipsnyje atskleidžiami Kražių miestelio tarpukario metų vaizdai – nuo namų ir juose gyvenusių šeimų istorijų iki ant kasdienio stalo dėto maisto ir dėvėtų rūbų aprašymų. Įvardijamos ir tuo metu miestelyje veikusios kultūros, visuomeninės įstaigos ir organizacijos, pristatomi būdingi ar įsimintinesni kražiškių užsiėmimai – amatai ir kitos veiklos. Pasakojimui pasitelkiami Kražių miestelio gyventojų atsiminimai, tiek dar tos epochos amžininkų, tiek jau amžininkų vaikų įsiminti ir perteikti jų tėvų pasakojimai. Atsiminimai surinkti 2024 m. Kražiuose vykusios sakytinės istorijos ekspedicijos, kurią organizavo Kražių Žygimanto Liauksmino gimnazija ir Vilniaus universiteto Istorijos fakultetas ir kurioje dalyvavo universiteto studentai ir gimnazijos moksleiviai. Medžiaga apibendrinta ir perteikta gimnazijos mokinės. Straipsnis greta pateikiamos įdomios ir vertingos medžiagos liudija apie vietos gimnazijos ir jos auklėtinių domėjimąsi krašto istorija, pastangas ją fiksuoti ir tirti
Krūtinės angos sindromas: literatūros apžvalga ir klinikinis atvejis
No full textThoracic outlet syndrome (TOS) is a clinical entity comprising a constellation of symptoms resulting from compression of the neurovascular bundle in the thoracic outlet. Vascular, neurological, and neurovascular types of TOS are distinguished according to the structures affected. The most common form of TOS is neurological, occurring in up to 95% of cases. TOS is a common neurological disease with a wide range of symptoms. It is still little known to medical professionals and is often undiagnosed or diagnosed late.
This study provides a literature review of the symptomatology and treatment methods for TOS, highlighting certain symptoms not previously documented in the literature and presenting an illustrative clinical case. A 67-year-old female reported left arm pain following a muscle biopsy conducted for suspected polymyositis. The pain radiated to the inner arm, shoulder blade, and distal parts of the arm. The patient had been experiencing chronic facial and head pain, as well as nausea, for 35 years. Examination revealed arm weakness and positive thoracic outlet syndrome (TOS) provocation tests. Brachial plexus decompression were performed, resulting in an excellent treatment outcome.
This case highlights the complexity of TOS presentations and the importance of considering TOS in differential diagnoses.Krūtinės angos sindromas (KAS) apima visumą simptomų, kylančių dėl neurovaskulinio pluošto kompresijos krūtinės angoje. Išskiriami kraujagyslinio, neurologinio ir neurovaskulinio KAS tipai [1]. Neurologinis KAS (nKAS) laikomas dažniausiu ir, kaip nurodoma kai kuriuose mokslo darbuose, pasireiškia iki 95 proc. atvejų. nKAS gali pasireikšti galvos, viršutinės galūnės, kardiologiniais ar kojų simptomais. Medicinos darbuotojams KAS dar mažai žinoma liga, dažnai neįtariama, diagnozuojama klaidingai arba vėlai.
Šiame darbe sistemingai apžvelgiama ligos simptomatika ir gydymo metodai, pateikiami kai kurie mokslinėje literatūroje neminimi simptomai, aptariamas iliustratyvus klinikinis atvejis. 67 m. moteris skundėsi kairės rankos skausmu, kilusiu atlikus raumens biopsiją dėl įtarto polimiozito. Skausmas plito į žasto vidinę pusę, mentę, žemesnes rankos dalis. Pacientę 35-erius metus kankino veido ir galvos skausmai, pykinimas. Nustatytas rankos silpnumas ir teigiami KAS provokaciniai testai. Pacientei atlikta petinio rezginio dekompresija, pasiekta puikių gydymo rezultatų
Pilvo traumos gydymas taikant laparoskopiją
No full textObjective. To review scientific articles dealing with the use of laparoscopy in the treatment of abdominal trauma. Methods. The PubMed database was searched for scientific articles published between 2015-01-01 and 2024-09-01. The search keywords used were: laparoscopy, therapeutic laparoscopy, blunt abdominal trauma, penetrating abdominal trauma. Results. Four articles were included in the final evaluation. Methods, main findings, conclusions and recommendations are presented. Conclusions. Based on the results and conclusions of the published articles, the minimally invasive surgical technique of laparoscopy is an important and effective tool in the diagnosis and management of abdominal trauma. Laparoscopy has advantages over open surgery, including a lower risk of complications, faster recovery and better cosmetic results. It is important to consider the contraindications to laparoscopy and to select patients appropriately for this treatment. Adequate hospital infrastructure and qualified medical staff are also required to ensure the success of the operation. Laparoscopy is an effective treatment option for abdominal injuries, helping to reduce the risk of complications and the length of hospital stay.ikslas. Apžvelgti mokslinius straipsnius, kuriuose nagrinėjamas laparoskopijos taikymas gydant trauminius pilvo sužalojimus. Metodai. Atlikta mokslinių straipsnių, publikuotų nuo 2015-01-01 iki 2024-09-01, paieška PubMed duomenų bazėje. Paieškai naudoti reikšminiai žodžiai: laparoscopy, therapeutic laparoscopy, blunt abdominal trauma, penetrating abdominal trauma. Rezultatai. Į sisteminę apžvalgą įtraukti keturi straipsniai. Pateikiami atliktų tyrimų metodai, pagrindiniai rezultatai, išvados ir rekomendacijos. Išvados. Remiantis publikuotų straipsnių rezultatais ir išvadomis, galima teigti, kad minimaliai invazinis chirurgijos metodas – laparoskopija – yra svarbi ir efektyvi priemonė trauminiams pilvo sužalojimams diagnozuoti ir gydyti. Laparoskopija, palyginti su laparotomija, pasižymi šiais privalumais: mažesnė komplikacijų tikimybė, pacientas greičiau sveiksta, geresnis kosmetinis rezultatas. Svarbu atsižvelgti į laparoskopijos kontraindikacijas ir tinkamai atrinkti pacientus, kuriems taikytinas šis gydymo būdas. Siekiant užtikrinti operacijos sėkmę, taip pat svarbu tinkama ligoninės infrastruktūra ir kvalifikuoti medicinos specialistai. Laparoskopija efektyvi pilvo sužalojimams gydyti. Ji pasižymi maža komplikacijų rizika ir trumpa hospitalizacija
Traumatic Brain Injury: A Study from the Middle-East
No full textBackground. Traumatic head injuries represent one of the major causes of mortality and long-term disability worldwide. This main objective of this study was to explore the patterns, severity, and outcomes of these injuries. Methods. An observational, descriptive, retrospective study was carried out utilizing a validated data collection sheet, after attaining a proper ethical committee approval. Well-defined exclusion and inclusion criteria were applied. Results. There were 185 patients enrolled in the study, including 153 (82.7%) males and 32 (47%) females, with a mean age of 41.5 years. Road traffic accidents were the most frequent cause of injury, followed by falls, machinery-related accidents, and assaults. A conservative strategy was used to treat 101 (54.6%) of the patients, whereas various surgical procedures were performed on 84 (45.4%). Outcomes were related to Glasgow Coma score on presentation and favorable in 135 (73%) patients. Conclusions. Road traffic accidents and falls from heights are the leading causes of traumatic brain injury. As a result, preventive measures including road safety and workplace regulations must be addressed
Experience of Using NPWT Therapy in the Treatment of Combat Injuries of Soft Tissues
No full textAim. NPWT therapy (Negative-Pressure Wound Therapy) or VAC therapy (Vacuum-Assisted Clousure) – a modern method of wound healing, which significantly improves the course of all stages of the wound process and is relevant today due to the large number of wounded during hostilities in eastern Ukraine. Often these injuries are combined and lead to the formation of large soft tissue defects. The aim of the study. Improving the results of treatment of the wounded with extensive defects of the soft tissues of the torso and extremities through the use of NPWT therapy. Materials and methods. Under our supervision in the period from 2017 to 2023 there were 60 wounded who were hospitalized in the surgical departments of the Military Medical Clinical Center of the Southern Region, who received vacuum therapy in the treatment of wounds. 63.3% had gunshot wounds to the extremities, and 36.7% had soft tissue injuries to the torso. The age of the wounded ranged from 19 to 58 years, among them young people under 30 years of age. Before installing the device, it was necessary to perform surgical treatment with excision of necrotic tissue and removal of fibrin layers. Negative pressure was set at –125 mmHg (arterial) in the non-stop mode for soft tissue defects of the extremities and variable pressure in the –40 mmHg (arterial) mode; –70 mmHg (arterial) for wounds of the anterior abdominal wall. The duration of treatment with NPWT therapy was from 5 to 25 days. The systems were replaced at least once every 3–5 days. Criteria for discontinuation of NPWT therapy were: cleansing the wound of necrotized tissues and fibrin, improving clinical performance, filling the wound defect with granulation tissue. Results and discussion. The use of this method of treatment allowed to close wound defects by autodermoplasty in 35% patients, primary-delayed sutures in 18%, secondary sutures in 25% and local tissue plastics in 22%. Complications after NPWT therapy in the form of re-suppuration of the wound, bleeding or perforation of hollow organs and large vessels were not observed. Conclusions. The use of NPWT therapy can significantly increase the effectiveness of comprehensive treatment of the wounded with damage to the soft tissues of the torso and extremities. It allows you to quickly clean the wound surface, fill the wound defect with granulation tissue and prepare the wound for plastic closure
Vaikui diagnozuotos kasos solidinės pseudopapilinės karcinomos chirurginis gydymas ir pooperacinės komplikacijos: atvejo analizė
No full text Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare pancreatic neoplasm with low malignant potential, most commonly occurring in young patients. Although this condition is more frequently diagnosed in adults, it accounts for approximately 8–12% of all pancreatic tumors in children. The diagnosis of SPN is challenging due to its often asymptomatic nature, with tumors typically remaining undetected until they reach a considerable size of 5–7 cm. Furthermore, some patients may present with nonspecific symptoms, which can complicate the diagnosis. The treatment of choice is formal pancreatic resection, during which the tumor is radically removed. Although the long-term prognosis for SPN is generally favorable, postoperative complications such as pancreatic fistulas are common. Treatment of these complications may require antibiotic therapy and drainage of peripancreatic fluid collections. This article presents a clinical case in which a 15-year-old girl was incidentally diagnosed with a solid pseudopapillary carcinoma located in the tail of the pancreas, and underwent formal pancreatic resection. We discussed the importance of close postoperative monitoring and the potential causes of postoperative complications. Kasos solidinė pseudopapilinė karcinoma (SPN) – reta, mažo piktybiškumo potencialo kasos neoplazma, dažniausiai pasireiškianti jauniems pacientams. Nors liga dažniau diagnozuojama suaugusiesiems, SPN sudaro apie 8–12 proc. visų vaikams nustatomų kasos navikų. Diagnostiką apsunkina tai, kad dažniausiai navikai ilgą laiką nesukelia jokių simptomų, todėl aptinkami jau dideli – 5–7 cm. Be to, daliai sergančiųjų gali pasireikšti nespecifiniai simptomai, kurie taip pat gali komplikuoti diagnostinį procesą. Pirmojo pasirinkimo gydymas – kasos rezekcinė operacija, kurios metu radikaliai pašalinamas navikas. Ilgalaikė SPN prognozė įprastai gera, tačiau pooperaciniu laikotarpiu dažnai išsivysto kasos fistulė, kuriai gydyti gali reikėti antibiotikų terapijos ir parapankreatinio skysčio sankaupų drenavimo. Straipsnyje pristatomas klinikinis atvejis, kai 15 m. mergaitei atsitiktinai diagnozuota kasos solidinė pseudopapilinė karcinoma, lokalizuota kasos uodegoje, ir atlikta formali kasos rezekcija. Aptariama atidaus paciento stebėjimo pooperaciniu laikotarpiu svarba, galimos pooperacinių komplikacijų priežastys
Sudužęs laivas ir vainikas. Lydžios tapatybės Rutos Sepetys romane Druska jūrai
No full textThe article presents a reading of Ruta Sepetys’ novel Salt to the Sea in the context of the philosophical proposal of Hans Blumenberg, who tried to capture the dynamics of European cultural and intellectual history through the metaphor of shipwreck. This pessimistic theory of modernity as a cycle of catastrophes is counterbalanced by the new vision of transcultural becoming and the theory of dissolution of cultures proposed by Wolfgang Welsch. The analysis of Sepetys’ literary vision of the end of the Second World War accentuates the element of deconstruction of monolithic identities and their manipulative potential. Instead, individual decisions and responsibility come to the fore. The metaphor of the Saint John’s Night traditional wreath, expressing the idea of the intermingling of minor identifications and the plurality of origins, is suggested as a substitute for the ominous metaphor of shipwreck proposed by Blumenberg as a key for the understanding of a new epoch of European history.Straipsnyje, pasitelkiant Hanso Blumenbergo sudužusio laivo vaizdinį kaip Europos kultūrinės ir intelektinės istorijos filosofinę metaforą, analizuojamas lietuvių kilmės amerikiečių autorės Rutos Sepetys romanas Druska jūrai. Kritinę atsvarą pesimistinei Blumenbergo modernybės, kaip pasikartojančių katastrofų, sampratai teikia Wolfgango Welscho mąstymas apie lydžias tapatybes ir transkultūrinį tapsmą. Sutelkiant dėmesį į literatūrinę Antrojo pasaulinio karo viziją romane Druska jūrai, straipsnyje akcentuojama, kaip pasakojime sureikšminama asmeninė atsakomybė ir dekonstruojamos vienalytės tapatybės bei jų destruktyvus potencialas. Sudužusio laivo metaforą romane keičia tradicinio Joninių vainiko tropas, siūlantis kultūriniu pliuralizmu paremtą žvilgsnį į Europos istoriją