Medicina
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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.
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During 1987-2000, in Clinic of Thoracic Surgery, Kaunas Medical University Hospital 30 patients with cardiac injuries and foreign bodies in the heart were treated. Average age of patients--37 years. ⋯ Two patients had foreign bodies in the heart (one--needles, one--bullet). We present two rare cases of foreign bodies in the heart.
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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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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.
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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.