Medicina
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Doctors prescribing some medications together are often using unreasonable drug combinations. The rationality of prescribing the medications by means of case-records and computerized data base of the state sicknes fund was investigated. The article addresses the most common cases of unreasonable use of medications, which could be divided into five subgroups: 1) Prescribing drug combinations, that increase the possibility of side-effects; 2) Prescribing some medications, that may suppress the effects of each other together; 3) Using medications, that belong to the same group together; 4) Prescribing the medications either without indication or out of indication; 5) Other cases of the unreasonable medication use. This article discusses the risk of using most common drug combinations and provides recommendations that could help to prevent unreasonable medication use.
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This article introduces a new concept of a social worker role in rehabilitation team in Lithuania and presents a methodological approach for investigation of this role as well. THE GOAL of this study is to establish a standardized method for evaluation of social worker roles', significance for disabled people in a home-based rehabilitation setting, and to evaluate the most useful roles of social worker according to the needs of disabled people. The research method of this study was designed, based on a review of Lithuanian and foreign literature. ⋯ The results of the study show that the most important roles of a social worker in home-based rehabilitation are those of a broker, an enabler and a teacher. CONCLUSION. It was discovered that there is a need for follow-up qualification program of social workers in a rehabilitation team in order to develop additional skills that correspond to the roles of a teacher, an enabler and a broker, with application of this method for home-based rehabilitation of disabled people.
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Comparative Study
[The problems of rehabilitation of patients with musculoskeletal and connective tissue diseases].
According to the data of the State Committee for Social-Medical Examination we analyzed general disability during 5-year period (1997-2001). Primary disability due to musculoskeletal and connective tissue diseases in Lithuania is in the second disease place in structure of disability. This article describes the possibilities of rehabilitation of patiens with musculoskeletal and connective tissue diseases.
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Although albumin (A) may be considered an ideal natural colloid, the clinical importance efficacy of A administration in the treatment of critical illness have changed considerably of late years. This article reviews data about the use of A at present. ⋯ There are at the present time no clear indications for A administration. Albumin can be used only as a second-choice infusion solution when other products are not indicated, are contraindicated or have been used up their maximum dose.
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From January 1974 trough August 2002 184 neonates with congenital heart disease underwent surgical repair in Heart Surgery Clinic of Vilnius University. It came to 3.8% of all 4813 procedures of congenital heart diseases performed. Number of neonates operations considerably increased in the latter's years, because special Department with proper technique was established. ⋯ Unsatisfactory results of neonates operations with cardiopulmonary bypass, especially such as left heart hypoplasia syndrome is the main problems. The group of specialists performing repair of congenital heart diseases is working actively in the heart Surgery Clinic of Vilnius University. Improvement of surgery methods and results, following the best Heart Surgery Clinics of the world, is the main purpose of this group.