Medicina
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The aim of the study was to compare parents' and nurses' perceptions of parents' needs in the neonatal intensive care unit. ⋯ The comparison of parents' and nurses' perceptions of parents' needs in the neonatal intensive care unit showed that there are statistically significant differences in the assessment of individual statements within all five subscales.
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The transformation from the early to late modernity initiated in the Western societies has touched the medicine and entered Lithuania as well. Changes affect not only human values, but also attitude toward a patient. A patient is seen more as a person with social needs until the end of his/her life. It is especially difficult to retain such attitude to the patient in intensive care units. Studies conducted abroad report the importance of the contacts and support of the relatives to the patients in intensive care units. Attention from the medical personnel, easy understandable information, liberated visiting--all together increases the satisfaction and confidence with medical care provided. In Lithuania, the above-mentioned attitude toward patients is still not common. The objective of this study was to reveal the important aspects of the transformation of attitude to the patient and his/her social environment by analyzing the possibilities of social interactions in an intensive care unit. ⋯ The relationship between the medical personnel and the patients is restricted to instrumental communication, which is a feature of the early modernity. The process of attitude transformation, common in the Western countries, when a patient is treated not only as biological but also as a social person, is only at the initial stage in Lithuania.
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Case Reports
Type III longitudinal deficiency of the tibia and outcome of reconstructive surgery in a female patient.
Type III longitudinal deficiency of tibia according to Kalamchi and Dawe denotes the presence of distal hypoplasia of the tibia with diastasis. We report a case of type III longitudinal deficiency of the tibia in a female patient who later underwent reconstructive surgery. The first reconstruction of the leg was done when child turned 4 months of age. ⋯ The tibia remained lean and hypoplastic while the fibula was incrassated. The function in the area of the knee joint was preserved, while the distal part of the leg served as good stand on. When the child was 18 years old, on check-up, the acetabular angle was 23 degrees while the Wiberg angle was 24 degrees.
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Since the implementation of the cervical cancer screening program in Lithuania in 2004, cervical cancer incidence rates have stabilized during a 4-year period: in 2006 and 2007, 508 and 485 new cases, respectively, were diagnosed. Human papillomavirus (HPV) infection is one of the main risk factors for cervical cancer and development of intraepithelial lesions. However, not only HPV, but also HPV type, is a very important factor for malignant transformation. Cervical intraepithelial lesions with HPV 16 and 18 more frequently progress to cancer. To date, in Lithuania, studies only on HPV prevalence and risk factors have been carried out, and less attention has been paid to the identification of HPV types. The aim of this study was to identify the most common HPV types in women with various cytological lesions. ⋯ The prevalence of HPV infection in women with cytological lesions was 45.5%. The highest prevalence of HPV was detected in women with HSILs (cytologic investigation) and CIN2 (histologic investigation). HPV 16 is the most common type in women with various cervical intraepithelial lesions.