Medicina
-
Comparative Study
[Prognostication of acute intraoperative bleeding in children with burn wounds undergoing tangential necrectomy and auto-dermatoplasty].
The aim of this study was to estimate the blood loss of children undergoing tangential necrectomies and skin grafting by using gravimetric methods. Also we had to estimate the influence of age upon the quantity of blood loss. We examined 50 cases. ⋯ The age of children does not influence the intensiveness of bleeding per square measure site of the necrectomy and harvesting area. The blood loss is a constant quantity and is equal to 0.47 +/- 0.1 ml/cm2. The blood loss that takes place from one percent of the necrectomy and harvesting areas is approximately equal to 2.05% of the circulating blood volume.
-
To examine the incidence of stroke during the first three years after a first-ever myocardial infarction. ⋯ The risk of stroke is identified as the highest one early after the myocardial infarction.
-
Review Comparative Study
[Rehabilitation possibilities of the post-resection defects of facial bones and surrounding soft tissues in cancer patients (review of the literature)].
The review of the scientific literature, concerning contemporary treatment methods and materials of the post-resection defects of facial bones and surrounding soft tissues in cancer patients is presented in this article. The aloplastic endoprostheses, removable post-resection intraoral prostheses, fixed on implants and ectoprostheses, which are reconstructing the defects of soft facial tissues, are analysed more broadly. The advantages and leaks of these treatment methods are discussed, taking into account the problems, which are faced by the patients after the surgical and radiological treatment of malignant tumours of face and jaws. According to the data of Institute of Oncology, Vilnius University and Kaunas Medical University Clinics, from the beginning of the 1999 till the end of the 2000, 63 patients needed the rehabilitation after the treatment of the malignant tumours of face and jaws.
-
The aim of the article is to review Lithuanian cardiac surgery development, as well as authors and timing of the first operations performed. Historical review involves two periods: initial (1900-1964) and contemporal (1964-2002). Benevolent rivalry between Vilnius and Kaunas heart surgeons is given to show their contribution into Lithuanian surgery. Chronological development and amelioration of the main heart surgery fields are described: heart injuries, ischemic heart disease, congenital and acquired defects, heart rhythm disturbances, heart transplantation.
-
The aim of the study was to analyze the tendencies of public and private health care expenditure in Lithuania during 1994-1999. Crude examination of statistical data show, that the growth rate of health care spending per capital is largely determined by growth of national gross domestic product (GDP). We have estimated that health care spending in Lithuania have risen twice faster than GDP during 1994-1999. (Percentage of rise in health care spending, divided by percentage rise of GDP, is +2.26). ⋯ The tendency of increasing private spending shows, the evidence, that households are facing more financial risk of purchasing health care. This should be an implication for health care policy makers. Further decisions to increase private payments have to be based on evidence after detailed analysis of impact of consequences on health care access for various social economic groups of population.