Medicina
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Comparative Study
[Dynamics of diabetic nephropathy and other complications of type I diabetes mellitus in the period of 1996-2002 (data from 2 Kaunas outpatient polyclinics)].
Kidney involvement in diabetes mellitus has negative impact on the outcomes of disease. Strong relationship between progressive diabetic kidney disease and the development of other diabetic complications was found by many investigators. In order to evaluate the dynamics of diabetic nephropathy in type I diabetes mellitus during 6-year period and its relationship with other diabetes mellitus complications and control of glycemia and hypertension, in 2002 we reviewed ambulatory case records of patients, who were followed by endocrinologists and who were investigated by us in 1996. ⋯ Progression of diabetic retinopathy and neuropathy over 6 yrs. were more expressed than in diabetic nephropathy. On average retinopathy developed after 14+/-1.8 yrs. after the diabetes mellitus onset, neuropathy--17.8+/-2.2 yrs., renal failure--21.1+/-2.8 yrs., heart failure--22.9+/-1.9 yrs. and arterial hypertension--12.1+/-1.3 yrs. The prevalence and time of incipient diabetic nephropathy appearance remained unknown because the test for microalbuminuria was not available in the primary health care centres.
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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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Animal models are widely used in preclinical studies in order to explain the mechanisms of action of chemotherapy, radiotherapy and concomitant chemoradiation, to analyze pathophysiology of tumors and to evaluate the treatment of choice for malignant tumors. The choice of murine tumor or human tumor xenograft system is still debated. ⋯ It is still impossible to extrapolate the results obtained in a tumor model in animal to man. These investigations are usefull for interpretation of clinical results and for proposing the less empirical method of chemoradiation for phase II clinical trials.
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Penetrating injury of neck is a complicated pathology, and there is more than one opinion of its treatment tactic in nowadays. Our recomendation is to refuse mandatory surgical exploration. ⋯ In cases with possibilities of full investigation of patients (panendoscopy, X-ray investigations, ultrasound investigations, angiography), we suggest the model of active observation. If there are no possibilities of full investigation, we prefer mandatory surgical exploration.