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Comparison of fatty acids in abdominal and subcutaneous duck and goose fats
No full textWork volume: 32 pages. Structure: summary, abbreviations, introduction, literature review, research material and methods, research results, discussion on the results, conclusions, recomendation, list of literature. 40 literature resources were refferred to, 5 tables and 5 pictures were used in this work. The aim of the work: to analyze and compare the fatty acid content of the internal and subcutaneous fat of ducks and geese reared under the same conditions. The place of work: Master‘s final work was produced at the Department of Food Safety and Quality in Veterinary Academy of Lithuanian University of Health Sciences. Research object and methods: randomly selected 5 month old internal and subcutaneous fat from ducks and geese. The amount of fatty acids (FA) in the samples was determined by gas chromatography – mass spectrometric analysis. Results: The highest percentage of all SFA was C16:0 FA (24.57 ± 0.73 of TFAC) from pekin duck (PD) internal fat. Both PD and MD had higher SFA count in internal fat when compared to subcutaneous fat (p 0.05 in all cases). The highest percentage of total PUFA was made up by C18:2n6c in MD subcutaneous fat. The ratio of omega - 6 to omega - 3 in internal and subcutaneous fat was calculated and compared to the WHO recommendations. Based on the results of the research it is recomended that consumers choose geese fat due to their better omega – 6 to omega – 3 ratio and lower content of SFA in both subcutaneous and internal fat when compared to duck fat
Greitosios medicinos pagalbos paslaugos Europoje
No full textStudy about triage and emergency services structure. Disaster stages and classification
Correlation between Cerebral Oxygenation and Mean Arterial Pressure during Shoulder Artroscopic Surgeries in the Beach Chair Position under General Anaesthesia
No full textAim: To determine the relationship between near-infrared spectroscopy (NIRS) and patient’s hemodynamic parameters during shoulder surgery. Objectives: 1. To evaluate the correlation between near-infrared spectroscopy (NIRS) and mean arterial pressure (MAP) at different levels of controlled hypotension. 2. To evaluate the correlation between near-infrared spectroscopy (NIRS) and oxygen saturation (SpO2). 3. To evaluate the correlation between near-infrared spectroscopy (NIRS) and end–tidal carbon dioxide (EtCO2). 4. To evaluate the frequency of cerebral desaturation episodes in the beach chair position. Methods and participants: The study was performed at Hospital of LUHS Kaunas Klinikos Orthopaedics - Traumatology Clinic with the approval of the Bioethics Centre. The study included 40 patients who underwent elective shoulder arthroscopic surgery without concomitant diseases and other exclusion criteria. All patients were divided into 2 groups where the mean arterial pressure (MAP) was maintained between 50 and 60 mmHg (1st group) and 60 to 70 mmHg (2nd group) during surgery. All patients were prepared for surgery according to a standard protocol, and NIRS-detecting sensors in the forehead area were connected. All patients underwent interscalene plexus brachialis blockage and general anaesthesia. MAP, NIRS, EtCO2, and SpO2 were recorded in 12 stages throughout the operation. The statistical package SPSS 21.0 for Windows and non-parametric criteria were used to calculate the data. Results: The study included 40 patients, with 20 patients in each group. It was found that although MAP values were maintained differently, NIRS values did not differ between the two groups, and MAP and NIRS correlated with each other. No strong correlation was observed between SpO2 and NIRS, but NIRS values were also observed to increase with increasing EtCO2. Episodes of cerebral desaturation were corrected by ephedrine in 7 of 40 patients (4 cases (20%) in group 1, 3 cases (15%) in group 2). Conclusions: 1. At different levels of controlled hypotension, the values of NIRS did not differ, although they correlated with each other, so it can be argued that NIRS is a sufficiently sensitive method to reflect regional cerebral blood flow. 2. No statistically significant correlation was observed between SpO2 and cerebral oxygenation, and therefore brain perfusion cannot be assessed by pulse oximetry. 3. A correlation has been observed between EtCO2 and NIRS, so it can be argued that increasing EtCO2 can improve brain perfusion. 4. Some patients have experienced episodes of desaturation during surgery, so intensive follow-up of patients is an unavoidable part of treatment
Naujagimių <29 savaičių gestacinio amžiaus sergamumas.
No full textThis research deals with the incidence and risk factors of major morbidities of extremely premature infants, under 29 weeks of gestation, based on relevant prior researches related to the topic. The main diseases analyzed are infection/sepsis of the newborn, retinopathy of prematurity, bronchopulmonary dysplasia intraventricular haemorrhage, periventricular leukomalacia, respiratory distress syndrome and necrotizing enterocolitis
Changes in the Attitude towards the Seasonal Influenza Vaccine among Unvaccinated Healthcare Workers and Risk Group Persons over Five Years
No full textThe aim of the study: To evaluate the attitude towards the influenza vaccine of 2019-2020 unvaccinated health care workers and risk group patients and to determine the changes in this attitude over five years. Study sbjectives: 1. To evaluate the experience of healthcare workers and risk group persons with the vaccination from influenza. 2. To find out the study participants’ opinion on the effectiveness and safety of the influenza vaccine. 3. To assess the position of healthcare workers and risk group persons towards the influenza vaccine for the next season. 4. To determine the changes in the attitude of healthcare workers and risk group persons towards the influenza vaccine over five years. Research methods: as part of the study, 68 healthcare workers and 74 persons, who are classified as being at risk of influenza caused complications, and who visited the “LSMU Hospital Kauno Klinikos, Family Medicine Clinic” and were not vaccinated with the influenza vaccine for 2019-2020 season, were interviewed. The researcher used an anonymous questionnaire, which was designed specifically for this study, to interview the individuals who satisfied the criteria for the research and agreed to participate. The “IBM SPSS Statistics” software was used to analyse the data. The results were then compared with the results of a study on influenza vaccination conducted in the “LSMU Hospital Kauno Klinikos, Family Medicine Clinic” five years ago (the approval of dr. Gediminas Urbonas was obtained). Study participants: healthcare workers who were not vaccinated with the influenza vaccine for 2019-2020 season (doctors, students, nurses, receptionists, supporting staff) and unvaccinated persons, who are classified as belonging to the group at risk of the influenza caused complications: individuals aged 65 and over, individuals with chronic diseases (cardiovascular and lung diseases, bronchial asthma, kidney diseases, diabetes), individuals with immunodeficiency conditions. Results of the study: one third (33.8%) of the risk group persons and 38.2% of healthcare workers, who were not vaccinated with the influenza vaccine for 2019-2020 season, had experience with the influenza vaccination in the past. Statistically significantly more healthcare workers (80.9%) were informed about the opportunity to have the influenza vaccine for free compared to the risk group persons (64,9%) (p 0.05). Conclusions of the study: 1. It was determined that of those who did not have the influenza vaccine for 2019-2020 season, more than one third had it in the past. 2. The opinions on the effectiveness and safety of the influenza vaccine were different between the two groups of respondents who were not vaccinated for 2019-2020 season: significantly more healthcare workers agreed that the vaccine is both effective and safe compared to the risk group persons (p0,05). 4. There was no significant changes in the attitude towards the influenza vaccination among the unvaccinated healthcare workers and risk group persons over five years (p>0,05)
Influence of premedication on patients‘ satisfaction with anesthesia after cardiac surgery with artificial blood circulation
No full textThe aim of the study: To determine and evaluate the influence of premedication on patients‘ satisfaction with anesthesia after cardiac surgery with artificial blood circulation. Objectives: 1. To determine the satisfaction with anesthesia and influencing factors of premedicated patients after cardiac surgery with artificial blood circulation. 2. To compare different premedication methods for patient satisfaction with anesthesia after cardiac surgery with artificial circulation. 3. To evaluate the significance of different premedication methods for patient satisfaction after cardiac surgery with artificial blood circulation. Methodology: The research was performed in the Cardiac Surgery Department at Lithuanian University of Health Sciences Hospital Kaunas Clinics. The research was approved by the Bioethics Center of the Lithuanian University of Health Sciences (07/12/2018 No. BEC-ISP (M) -92). The research method was a questionnaire anonymous survey, the study involved 92 patients after elective cardiac surgery with artificial blood circulation. Statistical analysis of research data was performed using SPSS 22.0 program and MC Excel 2016 program. Results: Patients generally were satisfied with pain management and patient-anesthesiologist communication after cardiac surgery with artificial blood circulation. Patient‘s education, age, and gender had influence on satisfaction with anesthesia. The most common side effects during the first three postoperative days were sleeping problems and complicated speaking. The incidence of adverse events was influenced by patients‘ gender and age. Comparing patients‘ satisfaction with anesthesia after cardiovascular surgery by different premedication methods, patients who received midazolam preoperatively, felt calmer before the surgery, compared to patients who did not receive midazolam (p <0.05). No significant differences were found comparing subscale scores by other types of premedication. Conclusions: Additionally, pre-operative midazolam has been shown to have an influence to lower incidence of adverse events during the first three days after surgery and increased patient satisfaction with anesthesia
Evaluation of Most Common Functional Gastrointestinal Symptoms Prevalence among LSMU Students and Possible Association of these Symptoms with Psychoemotional State
No full textAuthor: Emilija Šabatina Title: „Evaluation of most common functional gastrointestinal symptoms prevalence among LSMU students and possible association of these symptoms with psychoemotional state“ The aim of the research: to determine the prevalence of symptoms characteristic of functional gastrointestinal disorders among LSMU students, to evaluate the students' psychoemotional state and the relationship of this state with the occurrence of symptoms of gastrointestinal disorders. Research tasks: 1. To determine and evaluate the prevalence of functional dyspepsia symptoms in the study group. 2. To determine and evaluate the prevalence of irritable bowel syndrome symptoms in the study group. 3. To determine and evaluate the prevalence of functional constipation symptoms in the study group. 4. To determine whether abdominal pain or discomfort in the epigastrium affects the quality of life of LSMU students. 5. To determine to whom LSMU students turn to for help when experiencing abdominal pain or discomfort. 6. To determine and evaluate the prevalence of psycho-emotional state in the study group. 7. To assess the relationship between functional gastrointestinal disorders and prevalence of psycho-emotional disorders. Methodology: A questionnaire was developed based on the analysis of the scientific literature. The study has been conducted since October 2019 to April 2020. During the research, LSMU students filled in an anonymous questionnaire published on the website www.apklausa.lt. 325 LSMU students participated in the study, 313 (96.3%) questionnaire data were used for data analysis, as 12 (3.7%) respondents were diagnosed with gastrointestinal disease. Sociodemographic data were collected, and questions were asked to find out what symptoms of gastrointestinal disorders occur in LSMU students, and the DASS-21 questionnaire was used to assess negative emotional states (depression, anxiety, stress). The analysis of the research data was performed using the software package "SPSS 26.0 for Windows". The significance level p <0.05 was used to evaluate the statistical hypotheses. Research group: LSMU students. Results: Most of the students who participated in the study were from these faculties: 140 (45%) students of LSMU Faculty of Medicine, 49 (16%) students of LSMU Faculty of Veterinary Medicine, 46 (15%) students of LSMU Faculty of Nursing. Most of the respondents study in the 1st year - 100 (32%), in the 3rd year - 78 (25%) and in the 6th year - 45 (14%). The feeling of pain or discomfort in the upper abdomen was the most common symptom characteristic of functional dyspepsia, which appeared in LSMU students. 294 (94%) students experienced abdominal pain or discomfort, and 192 (61%) students had a negative impact on quality of life. 122 (39%) students answered that liquid/ more liquid stools prevailed when abdominal pain or discomfort occurred. Majority students when experiencing abdominal pain or discomfort most often turned to pharmacists - 134 (43%), the least frequent students turn to a specialist doctor - 10 (3%). 188 (60%) students said that more than 25% feces were hard during defecation, 148 (47%) more than 25% felt a feeling of incomplete defecation during defecation. Assessing the psychoemotional state, it was found that in the 1st year depression was much higher than in the 4th and 6th year, the signs of stress were most pronounced in the 4th year, anxiety symptoms were most felt in the 2nd and 3rd year. Conclusions: 1. The study found that 292 (93.3%) respondents experienced symptoms characteristic of functional dyspepsia in the last three months. Symptoms of functional dyspepsia usually occur less than three times a week. 2. The study found that the symptoms characteristic of irritable bowel syndrome occurred in the last three months in 294 (93.9%). 3. The study found that symptoms characteristic of functional constipation occur in 276 (88.2%) respondents. Overall, the incidence of symptoms did not differ between groups of women and men, faculties, and courses 1-6, except that symptoms characteristic of functional constipation occurred more frequently in medical students than in nursing students. 4. Abdominal pain or discomfort had a negative impact on the quality of life of 192 (61%) respondents. 5. Majority students when experiencing abdominal pain or discomfort most often turned to pharmacists - 134 (43%). 6. Depression, anxiety and stress symptoms prevalence did not differ among women and men. Signs of depression are much higher in a first year students than among fourth and sixth year students. Signs of stress are most pronounced in fourth year students, and are least pronounced in sixth year students. Anxiety symptoms are most pronounced in second and third year students, and are lowest in sixth year students. 7. It was found that there was no strong association between the symptoms of functional gastrointestinal disorders and psychoemotional states (depression, anxiety, stress) between women and men, faculties, 1-6 year students
Dynamics of microbiological contamination of local food trade during the working day.
No full textto find out the jobs of food trade during the day of microbiological contamination
Osteoradionekrozės gydymas naudojant pentoksifiliną, tokoferolį ir klodronatą: sisteminė apžvalga
No full textABSTRACT Objective: The purpose of this study was to perform a systematic literature review to evaluate the reported outcomes with the use of pentoxifylline, tocopherol, and clodronate in management of ORN. Methods: The data research was performed on PubMed and ScienceDirect for Text Word and Mesh termer, and English studies from 2009 until 2019 were chosen. The database search was done using the following keywords; pentoxifylline, tocopherol, and clodronate, and resulted in 113 studies. Screening of titles, abstracts, and full-texts was done. Five reviews that met the inclusion criteria were evaluated and submitted for data extraction. Results: A total of 5 articles, with a total of 227 participants were included in this systematic review. The majority of the materials had an agreement on their results. The combination of pentoxifylline plus tocopherol with or without clodronate was found to be useful for the treatment of osteoradionecrosis. Conclusion: Treatment with pentoxifylline and tocopherol and clodronate has a useful role in the management of early and moderate stages of ORN. The combination of these drugs appears to be safe and well-tolerated as it showed minimal side effects. However, the results need to be confirmed with further randomized clinical trials. Keywords: osteoradionecrosis, pentoxifylline, tocopherol, clodronat
The impact on quality of life in patients during different stages of orthodontic treatment with braces
No full textRelevance of the problem and aim of the work. Dental and occlusal anomalies are quite common problems in today's society, one of the main solutions of which is orthodontic treatment. Quite often, the treatment of these disorders is treatment with a brace system consisting of three different stages. Fixed orthodontic appliances (braces), due to the awkward construction, constant presence in the oral cavity, can affect the physical, social and psychological condition of the patient. This is why the aim of this study was to evaluate the quality of life of patients treated with braces during different stages of orthodontic treatment. Material and methods. The study included 321 individuals who met the selection criteria. Subjects were divided into male and female groups. Respondents answered the questions of the anonymous questionnaire, which assessed the patient's quality of life in different stages of the orthodontic treatment with braces system, choosing one of the three possible answer options. Results. The study found that the vast majority (83%) of patients experienced toothache during different treatment stages, which affected their quality of life. Throughout periods of orthodontic treatment, patients experienced psychological or physical discomfort, particularly when chewing food and saying certain words. In most cases, a statistically significant association was found between traits assessing quality of life at different treatment stages and the patient's gender (e.g., in the third period, women had more difficulty chewing than men (p=0,003), in the second period, women were more likely to experience sleep disorders than men (p=0,002), etc.). Conclusions. It was found that patients' quality of life varied during treatment stages, with the first period of orthodontic treatment generally having a poorer quality of life than the completion phase, and women experiencing greater difficulties and limitations during the treatment with braces system