Initiative of Palanga: Outpatient Rehabilitation in Primary Health Center

Mantė Agnė Jurkevičiūtė, Egidijus Rimkus Abstract The efficiency and scale of outpatient rehabilitation provided by the first stage health care institutions can not outperform those provided by second and third stage health care institutions. However, the outpatient rehabilitation provided by first stage health care center in Palanga can significantly improve the chronic disease treatment, decrease…

Personality Traits of Substance Abusers in Rehabilitation Centers

Mykolas Baltrūnas, Albinas Bagdonas, Antanas Kairys, Audronė Liniauskaitė, Vilmantė Pakalniškienė Abstract The main objective of this study was to research the personality traits of substance abusers in rehabilitation centers and correctional facilities, and their possible connections with well-being. To obtain this objective, four goals were set: 1. to evaluate personality traits of substance abusers and…

Anaesthesia for Patients with Acute Heart Failure

Lina Mockutė, Andrius Macas, Giedrė Bakšytė Abstract Acute heart failure (AHF) is a clinical syndrome, which more often occurs in the anaesthesiologists‘ clinical practice. This syndrome aggravates patient‘s state and it is associated with an increased risk of perioperative morbidity and mortality. Besides, the increasing number of patients with critical states (cardiogenic shock) who require…

Fabry Nefropathy

Marius Miglinas, Pranas Šerpytis, Urtė Gargalskaitė, Justė Danieliūtė, Algirdas Utkus Abstract Anderson-Fabry disease (AFD) is a X-linked lysosomal storage disorder caused by mutations of the GLA gene that encodes α-galactosidase A, what causes intracellular accumulation of globotriaosylceramide. The main manifestations of AFD are pain attacks, acroparasthesias, cutaneous angiokeratomas, hypohydrosis, kidney, heart and cerebrovascular disorders. Late…

Fabry Cardiomyopathy

Pranas Šerpytis, Žaneta Petrulionienė, Jolita Badarienė, Urtė Gargalskaitė, Justė Danieliūtė, Algirdas Utkus Abstract Anderson-Fabry disease (AFD) is a X-linked lysosomal storage disorder caused by mutations of the GLA gene that encodes α-galactosidase A, what causes intracellular accumulation of globotriaosylceramide and due to this – progressive renal, cardiac and cerebrovascular disease. Whereas men experience the most…

Regional Tissue Oxygen Saturation Value in Healthy Individuals

Alina Vilkė, Milda Juškė, Diana Bilskienė, Andrius Macas Abstract Cerebral blood flow quickly adapts to the ever changing hemodynamics, but the disruption of brain imbalance between oxygen supply and demand may result in varying degrees of damage: cognitive dysfunction, organ damage, and worse patients’ outcomes. Therefore, in this case, it is important to examine changes…

Bronchoscopy Applicability of Anaesthesiology and Intensive Care

Dalia Bieliauskaitė, Diana Bilskienė, Milda Juškė, Kamilė Paulauskaitė, Darius Trepenaitis, Andrius Macas Abstract Flexible fiberoptic bronchoscopy (FFB) is a very important and useful tool, which has diagnostic or therapeutic indications. Overall, it is a very safe procedure with low complication rates reported. There are several published guidelines to provide general guidance on the conduct of…

Skin Changes Induced by Amyloidosis

Tatjana Orlovskytė, Irena Marčiukaitienė, Genovaitė Lapinskaitė, Raimundas Meškauskas, Matilda Bylaitė-Bučinskienė Abstract The symptoms of amyloidosis depend directly on the localization of amyloid deposits: it can be accumulated in only one body organ (localized amyloidosis) or in more than one organ system (systemic amyloidosis). The possibility of skin lesions exists in both cases. Cutaneous amyloidosis and…

Common Molecular Mechanisms of Ageing and Cancer

Ričardas Stonys, Birutė Kazbarienė, Janina Didžiapetrienė Abstract According to statistical data, cancer incidence are increasing with age, for this reason, researchers have begun to look at what links these two processes. This article reviews molecular mechanisms, which are usually referred to in the literature reviews, that links cancer and ageing: genome instability, telomeres and shelterin,…

The Expression of Anxiety and Depression Symptoms in Adjustment Disorders

Audronė Miškinytė, Virginija Adomaitienė Abstract Adjustment disorder research has not yet disclosed the relationship of anxiety and depression symptoms with gender and age. It is assumed that emotional reactions are related to individual characteristics of personality and stressors that influence social adjustment. The goal of this study was to determine the expression of anxiety and…

Retrobulbar Pseudotumor Developed after Retained in Cheek Small Metallic Foreign Body. Case Report and Review

Ilona Aleksiūnienė, Viktoras Justickis Abstract Aim: to present a patient’s clinical case; to demonstrate how important is to suspect rertrobulbar pseudotumor timely, why it is necessary to remove even the smallest metal foreign bodies from the jaw area; to show the importance of an integrated simultaneous clinical delivery on the spot during the investigation of…

Perioperative Myocardial Infarction

Andrius Macas, Giedrė Bakšytė, Laura Šilinskytė, Jūratė Petrauskaitė Abstract Perioperative myocardial infarction (PMI) is defined as myocardial infarction (MI) during perioperative period (24-72 hours after non cardiac surgery). Worldwide, over 200 million adults have major non-cardiac surgery each year, and several million experience a major vascular complication (e.g.: nonfatal myocardial infarction). The prevalence of PMI…