Medicina
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Comparative Study
[Clinical information system and its significance in intensive care].
The increasing number of the patients requiring admission to the intensive care unit and growing demand for the outcome analysis was noted over the last decade. The goal of this study was to evaluate the characteristics of the patients, to compare the outcome of surgical and medical patients, and to demonstrate the importance of the clinical information system in the intensive care. During 12-month period 1031 patients were enrolled for the study. ⋯ The underprediction of actual mortality by the SAPS II system was predetermined by this value of the neurological patients. The outcome of the surgical patients was good compared to the results of the studies from other countries. Clinical information system is necessary for comprehensive and objective evaluation of the intensive care unit data and quality of therapy.
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Comparative Study
[Analysis of burns' causes of children admitted to the National Burns Center in 1995-2000].
A retrospective multifactorial epidemiological study of pediatric patients admitted to the National Burns Center was undertaken, since January 1995 to December 2000. Nine hundred sixty-nine patients were admitted. The objective of this study was to describe the burns characteristics of different pediatric age groups. ⋯ The home was the most common site of injury - 93.4%. The mean patient age was 3.43+/-0.12 (range from 6 months to 16 years). The mean percentage body surface area burned was 8.87+/-0.28 percent.
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Comparative Study
[Myocardial revascularization combined with mitral valve surgery in case of ischemic mitral valve insufficiency].
The aim of the study was to evaluate the possibility of mitral valve surgery in patients with mitral valve insufficiency and short time outcomes following mitral valve correction combined with coronary artery bypass grafting. ⋯ In cases of coronary artery bypass grafting for patients with moderate and significant mitral insufficiency after myocardial infarction, mitral valve correction must be performed.
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Comparative Study
[Myocardial infarct morbidity and mortality trends in the Kaunas population 25-64 years of age during 1983-1998].
The aim of the present study was to evaluate the trends in attack rate, incidence, recurrence and 28-day case-fatality of myocardial infarction (MI) in Kaunas population aged 25-64 during 1983-1998, according to ischemic heart disease register data. The source of data--Kaunas population-based ischemic heart disease register. Trends were analyzed using method of linear regression on logarithms of the age-standardized annual morbidity and lethality rates. ⋯ Among Kaunas women, both attack rates of MI and recurrence rates of MI were increasing statistically significantly, although MI incidence rates remained stable during 1983-1998. The MI 28-day case-fatality rates tended to decrease among both men and women. Further efforts of the primary prevention of the ischemic heart disease are required in order to achieve stable decreasing trends in both attack rate and incidence of MI in the middle-aged Kaunas population.
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Review Comparative Study
[Some aspects of diagnosis and treatment of cervical intraepithelial neoplasia (review of the literature)].
Cervical cancer has remained close to the forefront of oncologic studies even in our days. The incidence of the disease has changed little, except in those countries with effective screening programs. The morbidity in Lithuania reached 23.9/100,000 in the 2000's, while in comparison the morbidity in the 1994's was 20.4/100,000. ⋯ Since 1978 it is known that Human Papillomavirus is closely related to genital neoplasia--cervical, vulva, vagina, penis, anus intraepithelial neoplasia and invasive carcinoma. It is also known that cytologic smear is one of the most important way to diagnose cervical intraepithelial neoplasia and cancer as well, because we can not evaluate cervical lesion visually. Cytologic smear remains the main principle of cancer screening because of its simplicity and accessibility, while colposcopy remains the method of examination in choice, when pathologic cytologic findings are determined.