126 results match your criteria Acta medica Lituanica[Journal]


Challenges in the diagnostics and management of hydrochlorothiazide-induced severe hyponatremia in a habitual beer drinker.

Acta Med Litu 2020 ;27(1):39-44

Centre of Toxicology, Republican Vilnius University Hospital, Faculty of Medicine, Vilnius University, Clinic of Anaesthesiology and Intensive Care, Vilnius, Lithuania.

Introduction: Beer potomania is a syndrome of severe hyponatremia caused by excessive beer consumption. The risk of hyponatremia increases in the case of a combination of beer potomania and the use of thiazide diuretics.

Case Report: A55-year-old male patient with the anamnesis of a long-lasting alcohol use disorder was presented to the emergency department after seizures accompanied by an impaired mental status. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305805PMC
January 2020

Partial nephrectomy can be a successful treatment option for renal epithelioid angiomyolipoma: a case report and literature review.

Acta Med Litu 2020 ;27(1):33-38

Urology Centre, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Background: Renal epithelioid angiomyolipoma is a rare tumour which involves kidneys in most cases. It is known for its aggressive behaviour as a significant number of cases have been associated with metastatic epithelioid angiomyolipoma. Usually, radical treatment with systemic therapy is recommended. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305809PMC
January 2020

Von Hippel-Lindau syndrome and renal tumours: radiological diagnostic and treatment options. A case report and literature review.

Acta Med Litu 2020 ;27(1):25-32

National Cancer Institute, Vilnius, Lithuania.

Background: Von Hippel-Lindau disease (VHL) is a rare autosomal dominant syndrome diagnosed for 1 out of 36000-45000 newborns and 90% of the patients have a clinical manifestation before 65 years of age. Affected individuals have an increased risk of developing tumours in several organs or their systems. The most common tumours are retinal or central nervous system hemangioblastomas (60-80%) and VHL-associated renal lesions. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305806PMC
January 2020

High-grade well-differentiated neuroendocrine tumour of the cecum diagnosed following incisional hernia repair: a case report.

Acta Med Litu 2020 ;27(1):17-24

Centre of Abdominal Surgery, Clinic of Gastroenterology, Nephrourology and Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

High-grade well-differentiated neuroendocrine tumour tumours (NETs) of gastrointestinal tract are rare; they can arise in any part of the digestive system and usually present in advanced stages. Low incidence and wide heterogeneity in the biological behaviour of such lesions pose a diagnostic and therapeutic challenge. Loco-regional NETs should be resected whenever feasible, potentially with a curative intent. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305807PMC
January 2020

Initial experience with Edwards SAPIEN valve transcatheter implantation in native RVOT in Latvia.

Acta Med Litu 2020 ;27(1):10-16

Children's Clinical University Hospital, Department of Paediatric Cardiology and Cardiac Surgery, Riga, Latvia.

Transcatheter pulmonary valve implantation has been a well-known method for more than a decade, but there are still many challenging cases when a personalized solution is needed. We report a case of a 15-year-old female patient with tetralogy of Fallot, who underwent a  surgical correction during infancy. Because of progressive pulmonary regurgitation, stenosis, and right ventricle dilatation, transcatheter pulmonary valve implantation in the native right ventricle outflow tract (RVOT) using Edwards SAPIEN valve was performed. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305804PMC
January 2020

Improvement in childhood cancer survival in Lithuania over three decades.

Acta Med Litu 2020 ;27(1):1-9

National Cancer Institute, Vilnius, Lithuania.

Background: Population-based EUROCARE-5 studies demonstrated that childhood cancer survival rates in Lithuania were 10-20% lower than the European mean. We aimed to analyse the change in the outcome of treatment of paediatric malignancies in Lithuania over 30 years.

Methods: A single-centre retrospective analysis of children below 18 years of age treated for cancer at Vilnius University Hospital Santaros Klinikos between 1982 and 2011 was carried out. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305808PMC
January 2020

Changes in the expression of Notch and Wnt signalling molecules in human endometrial cancer.

Acta Med Litu 2019 ;26(3):181-190

National Cancer Institute, Vilnius, Lithuania.

Background: Endometrial cancer is the  sixth most frequent type of cancer among women worldwide. Type  I adenocarcinomas account for 80-85% of endometrial cancer cases and sometimes require more aggressive treatment than the remaining part of this group. Therefore, molecular markers to stratify adenocarcinomas are needed. Read More

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http://dx.doi.org/10.6001/actamedica.v26i3.4148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992362PMC
January 2019

Lyme disease and heart transplantation: presentation of a clinical case and a literature review.

Acta Med Litu 2019 ;26(3):173-180

Centre of Neurology, Vilnius University Hospital Santaros Klinikos, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Lyme disease, the most common anthropozoonosis, is a transmissible natural focal infection affecting various organs and systems. Also known as Lyme borreliosis, it is caused by Borrelia spirochetes, which are distributed by ticks of the genus Ixodes. Early diagnosis is difficult due to frequent occurrence of atypical symptoms, unnoticed tick bites, the absence of migratory erythematous lesions, and symptoms occurring during the non-tick season. Read More

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http://dx.doi.org/10.6001/actamedica.v26i3.4147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992363PMC
January 2019

Thrombosis of the brachial artery - a rare and devastating complication after a simple closed posterolateral elbow dislocation.

Acta Med Litu 2019 ;26(3):167-172

Centre of Orthopedics and Traumatology, Republican Vilnius University Hospital, Faculty of Medicine, Vilnius University, Clinic of Rheumatology, Orthopaedics-Traumatology, and Reconstructive Surgery, Vilnius, Lithuania.

Dislocation of the elbow joint is the second most common dislocation after the shoulder joint. Although this pathology is relatively common, concomitant vascular injuries are rare. We present a case of a patient who sustained a fall on his arm with an outstretched elbow that resulted in a closed simple posterolateral elbow dislocation and delayed thrombosis of the brachial artery followed by two revascularisation surgeries. Read More

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http://dx.doi.org/10.6001/actamedica.v26i3.4146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992364PMC
January 2019

Electrocardiographic changes during therapeutic hypothermia: observational data from a single centre.

Acta Med Litu 2019 ;26(3):159-166

Clinic of Cardiovascular Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Therapeutic hypothermia is recommended to reduce the risk of hypoxic brain damage and improve short-term survival after cardiac arrest. It also temporarily affects the cardiac conduction system. The aim of this study was to evaluate electrocardiographic changes during therapeutic hypothermia and their impact on the outcome. Read More

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http://dx.doi.org/10.6001/actamedica.v26i3.4145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992365PMC
January 2019

Latvian experience in conservative management of abnormally invasive placenta: two case reports.

Acta Med Litu 2019 ;26(3):153-158

Riga Stradins University, Riga, Latvia.

Background: Abnormally invasive placentation (AIP) is a clinical term that describes situation when placenta does not separate spontaneously after delivery and its manual removal causes excessive bleeding (1). Historically, the treatment of choice for this condition is hysterectomy. Lately, the new treatment option, conservative management of the AIP, has proven itself an effective alternative to hysterectomy in carefully selected patients (2). Read More

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http://dx.doi.org/10.6001/actamedica.v26i3.4144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992366PMC
January 2019

Intraneural ganglion cyst: a case report and a review of the literature.

Acta Med Litu 2019 ;26(2):147-151

Clinic of Rheumatology, Orthopedics, Traumatology, and Reconstructive Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: An intraneural ganglion cyst is a non-neoplastic gelatinous cyst, which can be found within the epineurium of a peripheral nerve and lead to signs and symptoms of peripheral neuropathy. Early diagnosis and appropriate surgical treatment of this condition is a key to a successful outcome.

Materials And Methods: We describe a case of a patient with peroneal nerve neuropathy caused by an intraneural ganglion cyst. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779469PMC
January 2019

Successful laparoscopic living donor nephrectomy: first experience in Lithuania.

Acta Med Litu 2019 ;26(2):140-146

Clinic of Gastronenterology, Nephrourology, and Abdominal Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: The aim of this paper is to share the initial results of LLDN in high-volume university centre that is performing laparoscopic nephrectomies for other indications.

Materials And Methods: During 2017, four LLDNs were performed. The transperitoneal approach was used in all cases and the kidney was removed using a suprapubic incision. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779470PMC
January 2019
1 Read

Imaging in pregnancy-associated breast cancer: a case report.

Acta Med Litu 2019 ;26(2):134-139

Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: PABC (pregnancy-associated breast cancer) is a rare condition that appears as a malignancy in 1 per 3000 pregnant women and is one of the most common cancers diagnosed during pregnancy or the postpartum period. If a woman who is pregnant or within a year after delivery has complaints of a palpable breast mass, it could undeniably be a malignant mass of the breast. That is why an ultrasound should be performed for all pregnant or lactating women who detect a palpable breast mass that persists for two or more weeks. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779471PMC
January 2019
2 Reads

Wilms tumour in children: 18 years of experience at Vilnius University Hospital Santaros Klinikos, Lithuania.

Acta Med Litu 2019 ;26(2):125-133

Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Introduction: Wilms tumour (WT) is the most common childhood abdominal malignancy, with an average annual incidence of 1 in 10,000 children. The study published in 2002 reported lower survival rates of WT in Lithuania in comparison to the data of SIOP-9 study and the European Organization for Research and Treatment of Cancer (EORTC). We aimed to assess current diagnostic approach and treatment results of patients with WT treated at our institution and to compare the results with the previously published study. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779473PMC
January 2019

Factors affecting the maternal-foetal relationship.

Acta Med Litu 2019 ;26(2):118-124

Clinic of Obstetrics and Gynaecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius, Lithuania.

Background: Mother's attachment to her unborn child has a strong impact on a pregnant woman's attitude towards her health, postnatal attachment, and the child's physical and emotional growth. The purpose of our study was to identify the factors that impact the maternal-foetal relationship.

Materials And Methods: The study was conducted at the Centre of Obstetrics and Gynaecology of the tertiary-level Vilnius University Hospital Santaros Klinikos in Vilnius, Lithuania. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779474PMC
January 2019

Rotavirus-associated seizures and reversible corpus callosum lesion.

Acta Med Litu 2019 ;26(2):113-117

Children's Hospital of Philadelphia, Philadelphia Department of Public Health Philadelphia, USA.

Rotavirus is a non-enveloped double-stranded RNA virus that causes severe gastroenteritis in children, but complications are rarely reported. Some reports have shown that rotavirus can induce diverse complications of the central nervous system, such as seizures, encephalopathy with a reversible splenial lesion, encephalitis, cerebral white matter abnormalities, and cerebellitis. Here, we present a 2-year-old patient with seizures, who had an isolated splenial lesion in the corpus callosum on neuroimaging, and the rotavirus antigen detected in faeces. Read More

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http://dx.doi.org/10.6001/actamedica.v26i2.4031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779472PMC
January 2019
1 Read

Patient feedback on medical students in tertiary health care: are medical students accepted in clinical practice?

Acta Med Litu 2019 ;26(1):107-112

Department of Anaesthesiology, Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Background: Clinical teaching is central in the training of medical students. Although medical studies without practice are hard to imagine nowadays, for most patients this type of learning is still difficult to understand and not always acceptable.

Materials And Methods: A prospective anonymous survey of 150 participants was carried out. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586377PMC
January 2019

ECCOR as a bridge to a decision in type II respiratory failure.

Acta Med Litu 2019 ;26(1):101-106

Queen's Hospital, Barking, Havering and Redbridge University Hospitals Trust NHS London, United Kingdom.

Introduction: End-of-life decisions are often time consuming and difficult for everyone involved. In some of these cases extracorporeal life support systems could potentially be used not only as a bridge to treatment but as a tool to buy time to allow patient's participation in decision making and to avoid further futile invasive procedures.

Case Report: A previously healthy 53-year-old female patient presented with respiratory failure of unknown cause. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586378PMC
January 2019
1 Read

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery.

Acta Med Litu 2019 ;26(1):93-100

Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

The study was conducted at the Centre of Anaesthesiology, Intensive Care and Pain Management of Vilnius University Hospital Santaros Klinikos.

Background: Due to its implications on postoperative outcomes and patient satisfaction, anxiety evaluation should be incorporated in the preoperative assessment of the patients.

Materials And Methods: A series of consecutive patients undergoing elective surgery were included in the study. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586376PMC
January 2019
1 Read

Long-term quality of life and posttraumatic stress following elective cardiac surgery: preliminary findings of a 5-year follow-up study.

Acta Med Litu 2019 ;26(1):87-92

Clinic of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Heart surgery is a major stressful event that can have a significant negative effect on patients' quality of life (QoL) and may cause long-term posttraumatic stress reactions. The aim of this pilot study was to estimate the longitudinal change and predictors of health-related quality of life (HRQOL) dynamics and identify factors associated with PTS at 5-year follow-up (T2) after elective cardiac surgery and associations with pre-surgery (T1) QoL.

Materials And Methods: Single-centre prospective study was conducted after Regional Bioethics Committee approval. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586388PMC
January 2019
2 Reads

The correlation of post-operative acute kidney injury and perioperative anaemia in patients undergoing cardiac surgery with cardiopulmonary bypass.

Acta Med Litu 2019 ;26(1):79-86

Clinic of Anaesthesiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Background And Objective: Acute kidney injury (AKI) following cardiac surgery with cardiopulmonary bypass (CPB) is polyethiological clinical syndrome. During CPB haemodilution develops, which is useful in reducing the risk of thrombosis; however, haemodilutional anaemia decreases oxygen transfer and provokes tissue hypoxia, which can lead to acute organ damage. The aim of the study was to find out the impact of perioperative anaemia on AKI after cardiac surgery with CPB. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3959DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586387PMC
January 2019
1 Read

Metformin poisoning treated with high dose insulin dextrose therapy: a case series.

Acta Med Litu 2019 ;26(1):72-78

Newham University Hospital, London, United Kingdom.

Purpose: We describe the compassionate use of high dose insulin dextrose (HID) for life threatening metformin associated lactic acidosis (MALA) in four patients admitted to intensive care.

Methods: Patients presenting with refractory lactic acidosis believed to be secondary to metformin poisoning were included.High dose insulin dextrose at 0. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586385PMC
January 2019
2 Reads

Prospective paediatric intensive care registry in Latvia: one year outcomes.

Acta Med Litu 2019 ;26(1):64-71

Intensive Care Unit, Children's Clinical University Hospital, Riga, Latvia.

Background: In Latvia, there is a single eight-bed paediatric intensive care unit (PICU) where all critically ill children are admitted. A recent retrospective audit of the outcomes of paediatric critical care in this unit revealed a high number of unplanned extubations and excess crude mortality. In 2017, our centre joined the UK and Ireland based Paediatric Intensive Care Audit Network (PICANet) as a pilot project to investigate the feasibility of developing a paediatric critical care registry in Latvia and in the Baltic states. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586382PMC
January 2019

Pain management in intensive care unit patients after cardiac surgery with sternotomy approach.

Acta Med Litu 2019 ;26(1):51-63

Department of Cardio-anaesthesiology and Intensive Care, Pauls Stradiņš Clinical University Hospital, Rīga, Latvia.

Background: Postoperative pain is a common problem among intensive care patients. Pain management includes pain assessment and documentation, patient care, and pharmacological treatment.

Materials And Methods: The study used a prospective, cross-sectional design. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586389PMC
January 2019

Effectiveness of high-flow nasal oxygen therapy in management of acute hypoxemic and hypercapnic respiratory failure.

Acta Med Litu 2019 ;26(1):46-50

Intensive Care Unit, Newham University Hospital, Barts Health NHS Trust, London, United Kingdom.

Background: High-flow nasal oxygen therapy (HFNOT) therapy has been increasingly used in patients with acute hypoxemic (Type I) respiratory failure (RF). Meanwhile indications and clinical effectiveness of HFNOT in patients with hypercapnic (Type II) RF remain controversial. The aim of our study was to evaluate the outcomes of primary HFTNOT in patients with hypoxemic and hypercapnic RF. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3955DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586386PMC
January 2019
3 Reads

Prophylactic anti-coagulation after severe burn injury in critical care settings.

Acta Med Litu 2019 ;26(1):38-45

Department of Anaesthetics and Intensive Care Medicine, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, Birmingham, UK.

Background: Severely burnt patients are at an increased risk of thromboembolic complications, hence sufficient prophylactic anticoagulation is of paramount importance. Local guidelines at the Burns Centre in the Queen Elizabeth Hospital, Birmingham therefore advise increasing the standard dose of low molecular weight heparin in these patients. An audit was carried out to assess the current practice in burns patients to ensure adequate anticoagulation and adherence to guidelines. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586379PMC
January 2019
4 Reads

Comparison of two continuous non-invasive haemodynamic monitoring techniques in the perioperative setting.

Acta Med Litu 2019 ;26(1):31-37

Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania.

Background: The aim of the study was to identify the accuracy of and agreement between two non-invasive haemodynamic monitoring techniques in the perioperative setting - thoracic electrical bioimpedance (TEB) and Edwards Lifesciences ClearSight system (CS).

Materials And Methods: The study included ten patients. Parametric quantitative data were expressed as mean ± SD. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3953DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586383PMC
January 2019
1 Read

Effects of sevoflurane and desflurane on early cognitive changes after thyroid surgery: interim results.

Acta Med Litu 2019 ;26(1):25-30

Centre of Anaesthesiology, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

The study is being conducted at the 1st Department of Anaesthesiology, the Centre of Abdominal Surgery, the Centre of Anaesthesiology, Intensive Care and Pain Management of Vilnius University Hospital Santaros Klinikos.

Background: These are primary results of a randomized double-blinded study comparing postoperative changes in cognitive functions and the effect of desflurane and sevoflurane on these changes.

Materials And Methods: The study includes patients of ≥40 years of age undergoing elective thyroid surgery under general anaesthesia. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586391PMC
January 2019

Values of circulating molecular biomarkers (microRNAs) for the evaluation of renal failure during urgent abdominal sepsis anaesthesia.

Acta Med Litu 2019 ;26(1):17-24

Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Background: Micro-ribonucleic acids (miRNAs) are small non-coding molecules important for gene regulation and management of physiological processes (1). Alterations in the expression of miRNAs are potential novel biomarkers for many diseases (2).

Materials And Methods: Random patients who underwent emergency surgery for abdominal sepsis were enrolled into the study ( = 27). Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586390PMC
January 2019
1 Read

Comparison of preoxygenation efficiency with Intersurgical Economy and Intersurgical QuadraLite anaesthetic face masks.

Acta Med Litu 2019 ;26(1):11-16

Centre of Anaesthesiology, Intensive Care and Pain Treatment, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Background: Sufficient preoxygenation prevents arterial oxygen desaturation prior to intubation. An optimally sealed facemask is necessary for fast preoxygenation. The study was aimed at comparing the efficiency of preoxygenation using two different face masks. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3950DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586384PMC
January 2019

Association between serum biomarkers and postoperative delirium after cardiac surgery.

Acta Med Litu 2019 ;26(1):8-10

Department of Cardiac, Thoracic, and Vascular Surgery, Kauno Klinikos Hospital of the Lithuanian University of Health Sciences, Kaunas, Lithuania.

Background: In cardiac surgery, patients face an increased risk of developing postoperative delirium (POD) that is associated with poor outcomes. Neuron-specific enolase (NSE) and glial fibrillary acidic protein (GFAP) have shown some promising results as potential tools for POD risk stratification, diagnosis, monitoring, and prognosis.

Materials And Methods: Prospective single-centre study enrolled 44 patients undergoing elective coronary artery bypass grafting (CABG) and/or valve procedures using cardiopulmonary bypass (CPB). Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3949DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586381PMC
January 2019
4 Reads

Can the inferior vena cava collapsibility index be useful in predicting hypotension during spinal anaesthesia in a spontaneously breathing patient? A mini fluid challenge.

Acta Med Litu 2019 ;26(1):1-7

Department of Anaesthesiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

The study was performed at the Department of Orthopaedics and Traumatology of the Kauno Klinikos Hospital of Lithuanian University of Health Sciences.

Background: Intravascular fluids are empirically administered to prevent hypotension induced by spinal anaesthesia. Ultrasound measurements of the inferior vena cava (IVC) and the IVC collapsibility index (IVC-CI) is a non-invasive method to evaluate the intravascular volume status. Read More

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http://dx.doi.org/10.6001/actamedica.v26i1.3948DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586380PMC
January 2019

Giant prostatic hyperplasia and its causes.

Acta Med Litu 2019 ;26(4):237-243

Clinic of Gastroenterology, Nephro-urology, and Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

We present a  case of a  59-year-old male who was admitted to the emergency department with urinary retention, with a history of lower urinary tract symptoms, with the value of serum prostate specific antigen level of 100 ng/mL and an estimated prostate size of 800 mL, according to magnetic resonance imaging. A prostate  biopsy showed benign prostatic hyperplasia. Transvesical prostatectomy was performed, following additional procedure of transurethral resection of the prostate. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180407PMC
January 2019

Mexican pregnant women show higher depression and anxiety with rising age and in the case of being single.

Acta Med Litu 2019 ;26(4):227-236

Psychology Department, "Mónica Pretelini Sáenz" Maternal-Perinatal Hospital.

Background: Pregnancy is an important predisposition period to develop anxiety and depression, with a direct impact on the woman's offspring. The aim of this study was to report the correlation between depression and anxiety in pregnant women and its association with the marital status and age.

Materials: A  descriptive, retrospective and cross-sectional study was conducted in the outpatient care of the Psychology Service at the "Mónica Pretelini Sáenz" Maternal Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2012 to March 2019. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180409PMC
January 2019

Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report.

Acta Med Litu 2019 ;26(4):217-226

Clinic of Rheumatology, Orthopaedics Traumatology and Reconstructive Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Mature cystic teratomas (dermoid cysts) are the most common germ cell tumours with 10-25% incidence of adult and 50% of paediatric ovarian tumours. The aetiology of dermoid cysts is still unclear, although currently the parthenogenic theory is most widely accepted. The tumour is slow-growing and in the majority of cases it is an accidental finding. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4207DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180406PMC
January 2019

A comparative analysis of mathematical methods for homogeneity estimation of the Lithuanian population.

Acta Med Litu 2019 ;26(4):211-216

Department of Human and Medical Genetics, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Population genetic structure is one of the most important population genetic parameters revealing its demographic features. The aim of this study was to evaluate the homogeneity of the  Lithuanian population on the  basis of the  genome-wide genotyping data. The comparative analysis of three methods - multidimensional scaling, principal components, and principal coordinates analysis - to visualize multidimensional genetics data was performed. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180405PMC
January 2019

Successful extracorporeal membrane oxygenation assisted revascularisation in a high-risk elderly patient refused surgical treatment.

Acta Med Litu 2019 ;26(4):205-210

Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Management of high-risk elderly patients requiring revascularisation remains a clinical challenge. We report a case of extracorporeal membrane oxygenation (ECMO) assisted complex percutaneous coronary intervention in a  high-risk octogenarian. An 83-year-old female with signs of worsening heart failure was admitted to the emergency department of a tertiary care facility. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180410PMC
January 2019

Overview of caustic ingestion cases at the Children's Hospital of Vilnius University Hospital Santaros klinikos between 2011 and 2018.

Acta Med Litu 2019 ;26(4):199-204

Children's Hospital of Vilnius University Hospital Santaros klinikos, Vilnius, Lithuania.

Background: Although not common, caustic ingestion can cause serious injury and sequelae. Clinical symptoms do not always represent the depth of lesions of the intestinal tract, which makes management of these patients difficult.

Materials And Methods: Between 2011 and 2018, we performed a retrospective one-centre study on ingestion of corrosive agents by children. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4204DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180408PMC
January 2019

Prognostic value of Mastora obstruction score in acute pulmonary embolism.

Acta Med Litu 2019 ;26(4):191-198

Clinic of Chest Diseases, Immunology and Allergology, Vilnius University, Vilnius, Lithuania.

Background: To evaluate the clinical significance of Mastora obstruction score in hemodynamically stable patients with acute pulmonary embolism (aPE).

Materials And Methods: One-hundred-and-six patients with newly diagnosed aPE, confirmed by computed tomography pulmonary angiography (CTPA), were included in the study and prospectively examined. aPE severity was assessed by using Mastora obstruction score. Read More

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http://dx.doi.org/10.6001/actamedica.v26i4.4203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180411PMC
January 2019

The impact of anti-cyclic citrullinated peptide antibody status on the management of patients with early rheumatoid arthritis: observational study results from Lithuania.

Acta Med Litu 2018 ;25(2):112-123

AbbVie Baltic States, Vilnius, Lithuania.

Background: To provide data on the use of anti-cyclic citrullinated peptide antibody (anti-CCP) and other routinely used clinical parameters and to assess the impact of anti-CCP status on therapeutic decisions, an observational study was conducted in patients with rheumatoid arthritis (RA).

Methods: Sixty-seven adult patients with a recent diagnosis of RA were recruited from four rheumatology centres in Lithuania and were prospectively observed for 12 months. Data collection was based on the review of medical records and routine examination of patients. Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3765DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130926PMC
January 2018
35 Reads

A survey of some aspects of birthday celebration.

Acta Med Litu 2018 ;25(2):107-111

Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: The tradition of celebrating the day of birth of an individual is thought to have existed since the ancient times. Depending on the culture, religious beliefs, and the geographic location, occasions for ritual performance differ greatly. The aim of this pilot study was to investigate how students in Lithuania evaluate the importance of their birthday. Read More

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http://lmaleidykla.lt/ojs/index.php/actamedicalituanica/arti
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http://dx.doi.org/10.6001/actamedica.v25i2.3764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130922PMC
January 2018
6 Reads

The impact of music on the bioelectrical oscillations of the brain.

Acta Med Litu 2018 ;25(2):101-106

Department of Children's Neurology, Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

In this article we conclude the main scientific studies into the changes in the bioelectrical brainwave activity that occur while listening to music. A brainwave spectral analysis, derived from findings of electroencephalograms, is a powerful tool to obtain deep and objective insights into the effects of music on the brain. This capacity is being investigated in various contexts. Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130927PMC
January 2018
59 Reads

Congenital cystic adenomatous malformation: a case report and a literature review.

Acta Med Litu 2018 ;25(2):95-100

Clinic of Obstetrics and Gynaecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: A congenital cystic adenomatoid malformation (CCAM) is a foetal pulmonary development abnormality caused by airway dysgenesis that is characterized by cystic or adenomatous lesions in the terminal bronchioles. The size of the mass, the degree of the mediastinal shift, and the presence of hydrops and polyhydramnios can all affect the severity of a case. Treatment can be initiated at early stages by applying prenatal and postnatal methods. Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130925PMC
January 2018
10 Reads

Evaluation of the presence of MMP-2, TIMP-2, BMP2/4, and TGFβ3 in the facial tissue of children with cleft lip and palate.

Acta Med Litu 2018 ;25(2):86-94

Institute of Anatomy and Anthropology, Department of Morphology, Riga Stradiņš University, Riga, Latvia.

Cleft lip and palate (CLP) is the most common defect affecting the face. The treatment consists of surgical reconstruction of the anatomical structures of the cleft. Part of the surgical treatment is reconstruction of the alveolar bone by means of autogenic bone grafting (osteoplasty). Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3761DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130923PMC
January 2018
15 Reads

Hospitalisation of late preterm infants due to lower respiratory tract infections in Lithuania, Latvia, and Estonia: incidence, disease severity, and risk factors.

Acta Med Litu 2018 ;25(2):76-85

AbbVie Baltic States, Vilnius, Lithuania.

Background: By two years of age, almost all children experience at least one episode of respiratory syncytial virus (RSV) infection, the most common viral cause of hospitalisation due to lower respiratory tract infection (LRTI). We present data on LRTI hospitalisations (with a special focus on RSV), the course of illness, and LRTI hospitalisation risk factors in Lithuania, Latvia, and Estonia.

Materials And Methods: The analysed data were part of a large multinational study conducted in 23 countries (PONI). Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130930PMC
January 2018
11 Reads

Diagnosis, treatment, and outcomes of encapsulated papillary carcinoma: a single institution experience.

Acta Med Litu 2018 ;25(2):66-75

National Centre of Pathology, Vilnius, Lithuania.

Background: Encapsulated papillary carcinoma (EPC) is a rare entity of breast cancer accounting for approximately 1-2% of all breast tumours. There are no evidence-based guidelines for the treatment of EPC.

Materials And Methods: From the database of the National Centre of Pathology (NCP), we obtained pathology reports of 19 patients with histologically confirmed EPC, who were treated at the National Cancer Institute (NCI) in Vilnius, Lithuania, between July 2009 and July 2015. Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3759DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130924PMC
January 2018
2 Reads

Placenta percreta complicated by uterine rupture and thrombotic microangiopathy.

Acta Med Litu 2018 ;25(2):61-65

Department of Obstetrics and Gynaecology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Background: Uterine rupture at the site of a previous caesarean scar with abnormal placental penetration through the uterus wall with bladder invasion is a rare and serious pregnancy complication. Our aim was to report a case of uterine rupture with placenta percreta complicated by thrombotic microangiopathy.

Materials And Methods: We did a literature review and analysed medical documentation retrospectively. Read More

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http://dx.doi.org/10.6001/actamedica.v25i2.3758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130928PMC
January 2018
12 Reads

Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients.

Acta Med Litu 2018 ;25(2):53-60

Department of Neurosurgery, State Vilnius University Hospital, Vilnius, Lithuania.

Background: There is a great deal of tools for treatment of occipital neuralgia but currently we are lacking a complete consensus among practitioners regarding the optimal approach to this debilitating condition. Occipital nerve block (ONB) is known as one of the management options but there is lack of scientific literature exploring its effectiveness.

Materials And Methods: The prospective study was undertaken between March 2014 and February 2018 at the State Vilnius University Hospital. Read More

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http://lmaleidykla.lt/ojs/index.php/actamedicalituanica/arti
Publisher Site
http://dx.doi.org/10.6001/actamedica.v25i2.3757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130929PMC
January 2018
7 Reads

Risk factors of developing the hungry bone syndrome after parathyroidectomy for primary hyperparathyroidism.

Acta Med Litu 2018 ;25(1):45-51

Faculty of Medicine Vilnius University, Vilnius, Lithuania.

Background: Around 13% of patients undergoing parathyroidectomy for primary hyperparathyroidism (PHPT) postoperatively develop a condition known as the hungry bone syndrome (HBS). Although the condition is quite prevalent, the research in this field is very limited. The aim of our study was to determine possible risk factors of developing HBS after parathyroidectomy for PHPT. Read More

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http://dx.doi.org/10.6001/actamedica.v25i1.3703DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6008000PMC
January 2018
8 Reads