Relationships Between Clinical Characteristics, Time and Costs of the Treatment in Patients with Post-Stroke Pneumonia and Uro-Infection

Volume 23, Number 3(88) (2013)

Henrikas Kazlauskas, Rima Radžiuvienė, Vinsas Janušonis Abstract The purpose of the study was to identify relationships between clinical characteristics, time and costs of the treatment in patients with post-stroke pneumonia and uro-infection. The retrospective analysis included 256 patients with acute stroke, who were treated in the stroke unit of Klaipėda university hospital in 2010. Medical…

Improvement of Nursing Quality Opportunities at City Hospital

Volume 23, Number 3(88) (2013)

Geriuldas Žiliukas, Danguolė Drungilienė, Rima Užkurėlytė Abstract Health care quality improves as well as patients’ insistence to medics and health care organizations. A constant growth of expenses and limitation of resources force to look for new solution possibilities of those problems. A health care institution’s governing body’s insufficient competence towards matters of health care quality…

Impaired Neurogenesis Following Treatment for CNS Malignancies

Volume 23, Number 3(88) (2013)

Aista Plieskienė, Tomas Daukšas Abstract Radiation therapy is common standard treatment method for treatment of central nervous system (CNS) malignancies. The risk associated with this therapeutic modality is neurotoxicity. The literature reviews the mechanisms of radiation induced failure of neurogenesis. Cranial radiation therapy is associated with a progressive decline in cognitive function, prominently memory, specifically…

Virtopsy in Clinical Practice. Klaipeda University Hostpital Experience

Volume 23, Number 3(88) (2013)

Algimantas Šimkaitis, Loreta Radvinskienė, Vinsas Janušonis, Eugenijus Zalagėnas Abstract Article presents meta-analysis of previous studies; experience at Klaipeda University hospital is outlined. The case of polytrauma with letal outcome is being described. The patient was diagnosed with multiple vertebral and limb fractures, suspected pulmonary contussion, alleged cause of death – hypovolemia due to suspected internal…

Experience of Hipec and Cytoreductive Surgery in Klaipeda University Hospital

Volume 23, Number 3(88) (2013)

Vitalijus Eismontas, Vaidotas Turskis, Alvydas Česas, Algirdas Šlepavičius Abstract The aim of the study is to summarize our first experience in cytoreductive surgery(CRS) combined with intraoperative intraperitoneal chemotherapy (HIPEC) in Klaipeda University hospital. Patients and methods. A retrospective analysis of our first 10 patients who were treated with cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy…

Neurosarcoidosis Complicated with Hydrocephalus

Volume 23, Number 3(88) (2013)

Antanas Romas Gvazdaitis, Kęstutis Jacikevičius, Loreta Radvinskienė, Saulius Taroza Abstract Neurosarcoidosis is rare appearance of sarcoidosis with involvement of neural tissue. Neurosarcoidosis may damage any neural tissue, but the most often involved places are cerebral nerves, meninges and hypothalamus. Hydrecephalus is very rare manifestation of neurosarcoidosis. There is presented the young man case with intense…

Takotsubo Cardiomyopathy Caused By Subarachnoidal Cerebral Hemorrhage: Case Report

Volume 23, Number 3(88) (2013)

Tomas Janušonis, Geda Klimavičiūtė, Renata Paškevičiūtė Abstract Takotsubo (stress) cardiomyopathy is a rare, non-ischemic, acute left ventricle dysfunction which is triggered by an emotional or physical stress. We describe a case of a 30 years old woman with stress cardiomyopathy caused by a subarachnoidal cerebral hemorrhage. doi:10.5200/sm-hs.2013.077 Keyword(s): Takotsubo cardiomyopathy subarachnoidal hemorrhage, left ventricle dysfunction DOI: 10.5200/sm-hs.2013.077…

Analysis of Caesarean Section Deliveries in the Year 2012 at the Delivery Department of Klaipeda University Hospital Using M.Robson Classification

Volume 23, Number 3(88) (2013)

Leonas Janušas, Elena Oleshko Abstract Objective. Analysis of Caesarean section (SC) deliveries using M.Robson classification. Methods. We have analysed 3224 obstetric histories of women, who gave birth in at the 2012 year in the Delivery Department of Klaipeda University Hospital. M. Robson Ten Group Classification system was used in research. Results. In 2012 in the…

A Single Center Experience in the Management Adverse Event in Heavily Pretreated Melanoma Patients in an Ipilimumab Expanded Access Programme at the Klaipeda University Hospital

Volume 23, Number 3(88) (2013)

Alvydas Česas, Asta Poškienė, Jolanta Česienė Abstract The incidence of metastatic melanoma has increased over the past three decades, and the death rate continues to rise faster than the rate with most cancers [1]. The survival rate for patients with metastatic melanoma is low, with an expected 2-year survival rate of 10 to 20%. Ipilimumab-immunotherapeutic,…

Intraoperative Monitoring of Intact PTH in Surgical Treatment of Secondary Hyperparathyroidism

Volume 23, Number 3(88) (2013)

Algirdas Šlepavičius, Laura Keinaitė Abstract Introduction: The utility of intraoperative intact parathormone (hereinafter – iPTH) measurement in surgical treatment of secondary hyperparathyroidism is not precised by scientists. The aim of this study is to demonstrate the efficiency of iPTH monitoring, assessing the success of surgery in patients with secondary hyperparathyroidism. Methods: The retrospective measurement efficacy…

Temporal Bone Dissection

Volume 23, Number 3(88) (2013)

Viktoras Pivrikas Abstract The training literature may be perfectly written and illustrated, however, it will never replace the practical courses of temporal bone dissection. In order to reduce surgery and failure risks, the lessons must be practiced over and over again. There is a wise spanish proverb saying „ if you follow the path called…