91 research outputs found
Requirements of hospital care and nursing features in patients with intestinal stomas.
No full textSUMMARY Requirements of hospital care and nursing features in patients with intestinal stomas Master Final Work by Nursing Department Student Turba Ž. Research Adviser–Docent Simutis G. Vilnius University, Medical Faculty, General Medicine Practice and Nursing Department Vilnius, June 14, 2006 The problems of patients with intestinal stomas and the requirements of their care after surgery are the major questions in the nursing nowadays. Aim of the investigation: to define the hospital care needs and nursing features for patients who underwent surgery with the formation of intestinal stomas. Tasks of the investigation: 1. To define problems during early postoperative period after stoma formation using the method of survey. 2. To analyze the expectations of patients after stoma formation. 3. To evaluate if the nursing services are efficient for patients after intestinal stoma formation. 4. To define nursing features after intestinal stoma formation. 5. To evaluate the competence of nurses in providing care for patients with intestinal stoma formation. The methods of survey using two questionnaires and statistic analysis of documents were used. 30 patients with intestinal stomas and 64 nurses of surgical departments in Vilnius hospitals were questioned. The analysis of 73 cases was performed. Results and conclusions: 1. The most common problems after intestinal stoma formation are fear and concern with the quality of life (70%), postoperative pain (67%), lack of knowledge of stoma care (50%). The problems of surgical wound and stoma care are more frequent for patients with permanent intestinal stomas than temporary intestinal stomas. 2. Lack of attention to patients psychological rehabilitation (8%). Some patients would prefer more respect (40%), attention and time for socializing (20%) as well as moral support (7%). These problems are more common to people who have university degree or higher education. 3. The lack of postoperative patient teaching (27%). Most patients need more information about stoma care (93%), they would like better teaching (43%). Two thirds of patients do not get enough information on feeding after operation (73%). One third of patients do not know what kind of stoma they have (30%). Most patients lack information about social life having a stoma (57%). 4. Two thirds of patients need further nursing care at home (70%), especially patients with permanent stomas. According to nurses the main nursing features are: skin care around stoma, proper use of stoma care products (89%), the teaching of personal care after operation (66%), Information on daily life (30%). 5. The nursing problems after intestinal stoma formation are: lack of time due to high work intensity, lack of psychological knowledge and stoma nursing features and lack of stoma care products
Individualia tulžies latakų akmenligės rizika pagrįstas priešoperacinis ištyrimas ir tulžies latakų akmenligės gydymas prieš planuojamą laparoskopinę cholecistektomiją.
No full textThis paper reviews the history and management methods of choledocholithiasis, and compares different choledocholithiasis risk scales. The aim of the thesis was to optimise the choledocholithiasis risk prediction system before elective laparoscopic cholecystectomy and to determine which diagnostic tactic - preoperative endoscopic ultrasound or intraoperative cholangiography - is the most effective for patients with gallbladder stones and with intermediate risk of choledocholithiasis. Two clinical trials are presented. The retrospective study evaluates the original prognostic index used at Vilnius University Hospital Santaros Clinics, separate risk predictors and compares the two main tactics for the management of choledocholihiasis. Based on the findings from this study, new thresholds for choledocholithiasis risk are established, categorising patients into low, intermediate and high-risk groups. A prospective study was conducted for patients in the intermediate choledocholithiasis risk group to determine the best diagnostic and treatment strategy for this group. The impact of different risk factors on the diagnosis of choledocholithiasis and the characteristics of the two diagnostic tactics (endosonography and intraoperative cholangiography) were compared. The optimal algorithm and recommendations for the management of patients with possible choledocholithiasis are presented
Gintaras Beresnevičius "Dausos" - in Italy
No full text2022 metais Italijoje Viterbo mieste esanti leidykla Vocifuoriscena išleido Gintaro Beresnevičiaus knygos Dausos: pomirtinio gyvenimo samprata senojoje lietuvių pasaulėžiūroje (1990) vertimą į italų kalbą. Vertėja - Italijos lietuvė Goda Bulybenko. Knygą lydi įžanginis ir baigiamasis straipsniai, pristatantys G. Beresnevičių ir jo kūrybą (pirmojo autorius - Pietro Umberto Dini, antrojo - Nijolė Laurinkienė). Kiti knygos priedai - Chrestomatija, kurią sudaro G. Beresnevičiaus panaudotų istorinių šaltinių bei tautosakos fragmentai arba anotacijos ir Žodynas, aiškinantis pagrindines lietuvių mitologijos ir, apskritai, kai kurias su mūsų etniniu paveldu susijusias sąvokas. Raktiniai žodžiai: Gintaras Beresnevičius, pomirtinis gyvenimas, dausos, senoji lietuvių pasaulėžiūra, baltų mitologija, italų kalba.The Lithuanian religion researcher Gintaras Beresnevičius; (1961-2006) book Dausos: pomirtinio gyvenimo samprata senojoje lietuviu pasaule˛iuroje [Dausos: Concept of Afterlife in Ancient Lithuanian Worldview] (1990, Klaipėda: Taura), was published in Italy in 2022, translated into Italian (Dausos: Concezione del mondo postmortale nell’antica mitologia litu- ana. Traduzione di Goda Bulybenko. Cura, note e appendici di Goda Bulybenko e Dario Giasanti. Prefazione di Pietro Dini. Postfazione di Nijole Laurinkiene. Revisione scientifica generale di Pietro Dini. Viterbo: Vocifuoriscena, 2022, pp. 437.) The translator was Goda Bulybenko, a Lithuanian living in Italy who translates from Italian and French. In the foreword, Professor Pietro Umberto Dini of the University of Pisa presented the author of the book and his work. The afterword, which is a general discussion of Lithuanian mythology and analyses the issues Dausos, was written by the author of this article. Several annexes were prepared for this edition of the book: a chrestomacy of the fragments of historical sources used by the author, annotations of the content of Lithuanian fairy tales and legends mentioned in the book, lyrics of folk songs (original language and translations), as well as a dictionary of mythology and theonyms (prepared according to Beresnevičius’ book Trumpas lietuvių ir prūsų religijos žodynas [Short Dictionary of Lithuanian and Prussian Religion]). Dausos was published by Vocifuoriscena (which translates as “offstage voices,” “voices without a tribune”), founded in Viterbo (a city in central Italy) by Dario Giansanti and Claudia Maschio in 2014. The publishing house publishes the written and spoken heritage of lesser-known cultures, something which does not always attract the attention of other publishers. It focuses primarily on academic literature and pays great attention to Lithuania and its culture
Audronė Bliujienė. Lietuvos priešistorės gintaras :
No full textPublikacijoje yra recenzuojama Audronės Bliujienės monografija "Lietuvos priešistorės gintaras". Gintaro tematikai skirtų darbų Lietuvos istoriografijoje nėra daug. Audronės Bliujienės knyga - tai pirmas reikšmingas, aktualus ir didelės apimties darbas, skirtas gintaro problematikai Lietuvos archeologijoje. Autorė kėlė sau uždavinį, t.y. "nemitologizuojant parodyti gintaro reikšmę baltų priešistorėje". Knygoje neapsiribojama tik lokalia temos analize, išžvalgomi kur kas platesni horizontai apie europinį gintaro tyrimų kontekstą. Bene stipriausias monografijoje yra trečiasis skyrius, kuriame autorė pademonstruoja turinti detektyvinę gyslelę analizuodama atskirų gintaro dirbinių atsiradimo istorijas ir su jomis susijusias įvairias peripetijas. Ne visi knygos skyriai pasižymi nuoseklumu. Pastebimas autorės kartais per didelis gintaro gamtos telkinių sureikšminimas, sudarant įspūdį, jog gintaras yra kasamas vos ne visoje Europoje. Vieni iš knygos perliukų - tai Juodkrantės neolito dirbinių rinkinio ir jo istorijos bei gintaro klodų ieškotojo ir kolekcininko grafo Felikso Vikentijaus Tiškevičiaus veiklos tyrimai, pasižymintys kruopščia analize, medžiagos naujumu. Monografijoje pateikti priedai yra labai informatyvūs, tačiau pateikti skirtinga forma, o Kaliningrado srities vietovardžiai vartojami dabartine rusų iškraipyta forma (tai pastebima ir knygos tekste). Sveikintinas monografijos autorės žingsnis per gintarą ne mažai dėmesio skirti senosios pasaulėžiūros rekonstrukcijai, o tai leidžia pažinti dvasinės kultūros apraiškas, parodo socialinės visuomenės sąrangos vaizdą. Reikšminiai žodžiai: Lietuvos priešistorė; GintarasThe publication provides a review of Audronė Bliujienė’s monograph "Lietuvos Priešistorės Gintaras". There are not many studies in the Lithuanian historiography, dedicated to the subject of amber. Audronė Bliujienė’s book is the first significant, relevant and large study, dedicated to the problems of amber in Lithuanian archeology. The author raised herself the task “to show the significance of amber in the Baltic prehistory without mythologizing”. The book is not limited to solely local analysis of the subject, much broader horizons in the European context of studies of amber are sensed. The third chapter in the monograph is the most interesting, the author demonstrates her sleuthing abilities by analyzing the stories of emerging of individual amber articles and the related peripeteia. Not all the chapters in the book characterize with consistency. One can note the excessive prominence, given by the author to the natural sources of amber and get the impression that amber can be found throughout the entire Europe. Among the gems of the book are the examinations of the collection of Neolithic articles, found in Juodkrantė and its story and the activities of amber seeker and collector count Felix Tyszkiewicz, characterizing with a thorough analysis and freshness of the material. The annexes to the monograph are very informative however provided in different forms and the place names of the Kaliningrad area are used in the present-day Russian forms (the said aspect can also be noted in the text of the book). One cannot help but rejoice with the author’s decision to dedicate significant attention to the reconstruction of the old worldview, which helps to learn the manifestations of the spiritual culture and shows the view of the social structure of the society
The image of café in the poetry of Gintaras Patackas.
No full textThe article analyses the images of the café and coffee from three books of Gintaras Patackas Kapitono Homero vaikai, Jauni patrakėliai petrarkos and Dviveidis Janas. The conception of modernism (surrealism), the reader, and the play are based on the articles of Rolan Barthes, Jurij Lotman, and Johan Huizinga. Surrealistic images of café and coffee in Gintaras Patackas poetry express homeless, carnival space, poetic mask of surrealism, the parody of the romantic writing. In the Kavamanija the comic surrealistic laud of coffee is the mask of surrealism, which means the death of the author as the hero of romantism. In the Meditacija prie lango su cigarete, kava is the parody of the romantic writing, of the poetical inspiration and meditation. In the Šventė two intertexts are played with: quotations from The Fateful Adventures of the Good Soldier Švejk During the World War of Jaroslav Hašek, and A Moveable Feast of Ernest Hemingway. The cycle of poems Kauno senamiesčio kavinių bliuzai ir rapsodijos express improvisation, which the poet marked the terms of jazz. The composition of the poem Duonos valgymas. “Skliautas”, 96 10 24 is focuses on the principles of the blues and the rhapsody. The improvisation is based on the variation – transformation of two different topics of the eaters of bread: on the Bible and on Romualdas Granauskas’ story Duonos valgytojai. The surrealistic vision of the cafe Skliautas expresses the conception of the naturalism of the writing. “In the blues” of... [to full text]
Gintaras Beresnevičius: the investigator of the phenomena of the sacred and the searcher for authentic religious experience
No full textGintaro Beresnevičiaus gyvenimo ir mirties istorija atitinka pasakymą, jog, ką myli dievai - tas miršta jaunas. Straipsnyje aptariamas iškilaus rašytojo ir mokslininko gyvenimas, mokslinė veikla bei grožinė kūryba. Gintaras Beresnevičius buvo itin vientisa asmenybė, jo veikla buvo nuosekli ir kryptinga, užmojai ir interesai sudarė nedalomą visumą. Baigęs istorijos studijas, jis pasirinko religijų istorijos barus, tačiau tuo neapsiribojo. Bene didžiausias Gintaro Beresnevičiaus mokslinis nuopelnas yra akademinė teorinės religijotyros, visų pirma religijos fenomenologijos, orientuotos į plačią tipologinę empirinių reiškinių analizę, steigtis Lietuvoje. Nereikia pamiršti ir jo atliktų labai reikšmingų baltų mitologijos, religijos ir kultūros tyrimų. Šventybė ir dieviškumas Gintarui Beresnevičiui turėjo svarbią egzistencinę prasmę. Jis tvirtai pasisakė už radikalaus šventybės fenomenų skirtingumo išsaugojimą. Mokslininko požiūriu, religija yra išreikšta išgyventu asmens santykiu su šventybe, kuomet šis santykis iš esmės pakeičia asmens gyvenimą ir priverčia asmenį tam tikru būdu pareikšti atsaką į šį santykį. Savo gyvenimo pabaigoje Gintaras Beresnevičius pradėjo ieškoti pačios šventybės ir paties Dievo, paliko originalų religijos filosofijos projektą, kurio mokslininko ankstyva mirtis neleido išgryninti ir punktyriniam pavidalui suteikti konkretesnių formų. Labai didelę įtaką lietuvių tautos sąmonėjimui padarė mokslininko kūryba ir visuomeninė veikla. Reikšminiai žodžiai: Baltų mitologija; Gintaras Beresnevičius; Baltic mythology; Ginatars BeresneviciusThe article discusses some aspects of scholarly and literary legacy of the prominent Lithuanian intellectual Gintaras Beresnevičius as well as the relation of that legacy to the scholar's personality. The author emphasizes the importance of Beresnevičius as the first professional Lithuanian scholar who worked in the field of the phenomenology of religion, also highlighting some of his achievements in the field of Baltic mythology, the history of ideas, and the philosophy of religion. It is argued that the works of Beresnevičius investigating the general theoretical aspects of religion as such are, contrary to the present opinion, more important than his works on Baltic mythology. The author notices some signs of evolution in the works of Beresnevičius from the empirical investigation of the phenomena of the sacred towards the original philosophy of religion which tries to reveal the nature and essence of the sacred and divine as such, bypassing the level of phenomena. The article also focuses on the literary activity of Beresnevičius, his extraordinary creative potential, radical political views, and the relation of his ideas to some tenets of postmodernism. The facts of rich and sometimes turbulent personal life of the scholar are interpreted as his search for authentic religious experience. This search is viewed as complementary to his theoretical investigations. The conclusion is made that the importance of scholarly and political activity of Beresnevičius to academic and cultural life of Lithuania is extraordinary and worthy of a deep analysis in the future
Tulžies latakų akmenligė: ligos įtarimas, diagnozė, gydymas
No full textBile duct stones are a quite common (10–18%) complication of gallstone disease or an autonomous condition. New noninvasive diagnostic methods established in the last decades allow to confirm suspected choledocholithiasis with minimal risk of iatrogenic complications.In this literature review we discuss various scores for choledocholithiasis risk degree, different diagnostic investigations and management approaches including timing for invasive procedures.Tulžies latakų akmenys – gana dažna (10–18 %) tulžies pūslės akmenligės komplikacija ar savarankiška patologija. Pastaraisiais dešimtmečiais atsiradę nauji neinvaziniai diagnostikos metodai leidžia patikslinti įtariamą tulžies latakų akmenligės diagnozę minimalizavus jatrogeninių komplikacijų riziką.Šioje literatūros apžvalgoje aptariamos rizikos vertinimo sistemos, leidžiančios apsispręsti dėl papildomų tyrimų tikslingumo, pristatomi įvairūs diagnostiniai metodai, skirtingos gydymo ir tyrimo taktikos, aptariamas gydymo laiko pasirinkimas
The Originality of Gintaras Grajauskas Playwriting.
No full textGintaras Grajauskas – the playwriter who has been composing his playwriting since the very beginning of the XXI century. Few of his dramaturgic efforts came from the years of his studies, but the corpus named A girl which God was afraid of (2007) – is the first mature writing of Grajauskas as a playwriter. However, it has been analysed just a little. „A diary of the observer who writes about life“ is most accurately fitting line in describing Grajauskas‘ playwriting. The writer stands out with his ability to reveal the most relevant human conditions by using the contemporary means: his language is daily and casual, but there is a vivid sensation of the modern-day human traits and his/her respective lifestyle. Though the backbone of playwriting is considered to be script, which unveils the logo-centric position of an author, the screenwriter‘s authentic style corresponds well with the features intrinsic to post-modern era. The era, which is rapidly changing the theater as such in the contemporary. This research analyses separate elements of the play‘s structure, investigates its relationship with theater. The most distinct features of Grajauskas‘ plays are revealed by Jonas Vaitkus in his spectacle of A girl which God was afraid of, written by the author. Some discussions based on other plays written by Grajauskas serve the study as an opportunity to observe the trending characteristics of the national theater in the contemporary, and to reflect on the reasons of why those characteristics and processes determine a short lifespan of a play, directors’ and theater principals’ unwillingness to let the Lithuanian playwriting professionals into the biggest Lithuanian stages. Though each of the playwriters’ plays has been staged so far, Grajauskas is still yet to find his way in the theater
Analysis of Dogs Dental and Periodontal Disease in Kaunas “X” Veterinary Clinic 2015 - 2016
No full textLithuanian University of Health Sciences, Veterinary Academy, Veterinary faculty. Topic title: „Analysis of Dogs Dental and Periodontal Disease in Kaunas “X” Veterinary Clinic 2015 – 2016”. Author: 6th year Veterinary Medicine student Kristina Petrauskiene. Supervisor: Doc. Dr. Gintaras Zamokas. The ambit of the work is 40 pages. In the final work the number of pictures are: 26 pictures. A list of used literature: 27 references. The aim is to analyze the incidence of canine teeth and periodontal diseases, their diagnosis, treatment and prevention methods. Work tasks: 1. analyze data on dogs suffering from dental and periodontal diseases; 2. determine what dental and periodontal diseases dogs suffering mostly; 3. to analyze if the incidence of canine teeth and periodontal diseases depend on age; 4. to analyze if the incidence of canine teeth and periodontal diseases depend on breed; 5. to analyze if the incidence of canine teeth and periodontal diseases depend on gender; 6. set of dog teeth and periodontal diseases treatment opportunities; 7. identify the most commonly used preventive measures to protect the teeth from damage. Working methods: survey carried out in 2015 - 2016 \"X\" Veterinary clinic in Kaunas. During this period were collected and analyzed data of dogs whom were diagnosed dental and periodontal diseases. In total 130 dogs. 89 suffered from periodontal disease, 32 provides polydontia, 6 had dental injuries and 3 gingival hyperplasia. The study included anamnesis and data collection, clinical research and data analysis. Results of work: It was found that most dogs are diagnosed with dental diseases periodontitis and polydontia. These diseases often diagnosed for very small (60 percent.) and small (29 percent.) breeds dogs. Periodontitis is diagnosed more often from 7 to 10 years old dogs, polydontia - 7-month-old puppies. Gender had no effect on dental diseases
Endoscopic Retroperitoneal Adrenalectomy for Adrenal Metastases
No full textObjectives. To evaluate whether retroperitoneal approach for adrenalectomy is a safe and effective treatment for adrenal metastases (AM). Methods. From June 2004 to January 2014, nine consecutive patients with AM were treated with endoscopic retroperitoneal adrenalectomy (ERA). A retrospective study was conducted, and clinical data, tumor characteristics, and oncologic outcomes were acquired and analyzed. Results. Renal cancer was the primary site of malignancy in 44.4% of cases. The mean operative time was 132 ± 10.4 min. There were 5 synchronous and 4 metachronous AM. One patient required conversion to transperitoneal laparoscopic procedure. No mortality or perioperative complications were observed. The median overall survival was 11 months (range: 2–42 months). Survival rates of 50% and 25% were identified at 1 and 3 years, respectively. At the end of the study, 4 patients were alive with a mean observed follow-up of 20 months. No patients presented with local tumor relapse or port-site metastases. Conclusions. This study shows that ERA is a safe and effective procedure for resection of AM and advances the surgical treatment of adrenal disease. The use of the retroperitoneal approach for adrenal tumors less than 6 cm can provide very favorable surgical outcomes
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