Anaesthesia management and postoperative treatment of myotonia congenita (Thomsen‘s myotonia): a case report

Andrius Macas Abstract Summary Myotonia is an abnormal delay in the relaxation of muscles after contraction. It is a key symptom in a number of muscle diseases called myotonic disorders [1, 19, 20, 24, 26]. Myotoniacongenita is an inherited disorder of skeletal muscle excitability. It is caused by mutations in the muscle chloride channel gene.…

MORPHOLOGICAL PECULIARITIES OF NERVES STRUCTURES IN THE HYPERSENSITIVE TEETH WITH SEVERE CHRONIC PERIODONTITIS

Inga Vaitkevičienė Abstract Summary Teeth hypersensitivity is a common problem in patients with chronic periodontitis. The reasons why teeth hypersensitivity occurs in some periodontally diseased teeth are still unknown. It is possible that teeth hypersensitivity may related to changes of intradental nerve fibres. Although, the changes in the regional sensitivity of the affected teeth might…

THE AIM OF THE ARTICLE IS TO PRESENT TWO CASES OF CANCER OF THE CARDIA OF THE STOMACH WITH PROXIMAL MEDIASTINAL SPREAD AND TO REVIEW THE TREATMENT OF THE CANCER OF THE CARDIA

Tomas Poškus Abstract Summary There has been an increase in adenocarcinoma of the gastroesophageal junction and gastric cardia recently. These types of cancer might be difficult to stage preoperatively because of their specific location and involvement of various lymph nodes. The preoperative staging of gastric cancer has to be very precise because it influences the…

How fast is the help provided to the patient suffering from acute myocardial infarction and does it corresponds to the “golden hour” rule

Pranas Šerpytis Abstract Summary The work aims to investigate the time needed to provide help to STEMI patients and does the time spent correspond to the “Golden Hour” rule. Material and methods:357 cases of acute myocardial infarction were selected from the VU hospital SK sickness archive to perform the retrospective analysis in order to confirm…

THE USE OF INTRA-AORTIC COUNTERPULSATION BALLOON PUMP IN THE CARDIOLOGIC INTENSIVE CARE DEPARTMENT

Pranas Šerpytis Abstract Summary A retrospective analysis of last 300 inputs of IABP was done. The study included 99 women (33.0%) and 201 men (67.0%). Average age – 69.5±10.4 years, the survivors – 68.3 year, survivors are 4.2 years younger (p = 0.002). The average hospitalization stay was 17.3±14.9 days, while the average IABP insertion…

THE TREATMENT OF ACUTE DECOMPENSATED HEART FAILURE, RESISTANT TO DIURETICS WITH NESIRITIDE: A CLINICAL CASE

Pranas Šerpytis Abstract Summary Despite modern treatment and diagnostics methods, patients suffering from acute decompensated heart failure 60 day mortality rate remains at 9,6%, furthermore, the hospitalization of patients with such diagnosis remains one of the most expensive. Nesiritide (recombinant human B-type natriuretic peptide) is a comparatively new drug for intravenous infusions, indicated for patients…

THE IMPORTANCE OF CLINICAL SYMPTOMS, NON-SPECIFIC LABORATORY AND INSTRUMENTAL RESEARCH IN DIAGNOSING AND PROGNOSING MYOCARDITIS

Pranas Šerpytis Abstract Summary Myocarditis is inflammation of heart muscle that manifests itself and progresses in different ways. The diagnosis of this disease is one of the hardest to give in cardiology. The clinical symptoms vary from non-specific (fever, muscle aches, dyspnoea) to immediate haemodynamic violation – cardiogenic shock and sudden death. Most often used…

SURGICALLY TREATED INFECTIVE ENDOCARDITIS: ETIOLOGICAL, EPIDEMIOLOGICAL, CLINICAL, MICROBIOLOGICAL FACTORS, INFLUENCING MORTALITY

Pranas Šerpytis Abstract Summary Summary: Data about patients diagnosed with IE, surgically treated in Vilnius University Hospital Santariškių clinics during the period of 2007 – 2009 years is analised in this article. A diagnosis of IE was based on Duke criterias in all the cases [1]. Epidemiological, etiological, clinical, microbiological, laboratory data are discussed in…

REFLECTIONS ON POSSIBLE ISSUES FOR PEOPLE WITH AIDS / HIV (PLHIV) IN EDUCATIONAL SECTOR: FEARS, DEMANDS, NEEDS AND FACTORS

Vilma Žydžiūnaitė Abstract Summary The article is focused on possible fears, demands, needs and factors that are reflected by PLHIV concerning educational sector in Lithuanian context. For research chosen qualitative research strategy, which is based on two knowledge positions such as socially constructed knowledge and participant knowledge. For data collection was applied in – depth…

CONTAMINATION OF THE LITHUANIAN COASTAL WATERS OF THE BALTIC SEA WITH 137Cs, 90Sr AND 40K AND DOSES DUE TO THIS CONTAMINATION

Asta Daunaravičienė Abstract Summary The variations of volumetric activity of artificial radionuclides 137Cs, 90Sr and natural radionuclide 40K in the near-shore waters of the Baltic Sea in 2004–2009 are analyzed. The dose rate from 137Cs, 90Sr and 40K for person beeing in water immersion on  the basis of real measurements were made. The level of…