Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Lithuania”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,099 records · Page 61Linked to original sources
PubMed2002

[Myocardial infarct morbidity and mortality trends in the Kaunas population 25-64 years of age during 1983-1998].

The aim of the present study was to evaluate the trends in attack rate, incidence, recurrence and 28-day case-fatality of myocardial infarction (MI) in Kaunas population aged 25-64 during 1983-1998, according to ischemic heart disease register data. The source of data--Kaunas population-based ischemic heart disease register. Trends were analyzed using method of linear regression on logarithms of the age-standardized annual morbidity and lethality rates. The regression coefficient multiplied by 100 is given as an average yearly change. The age-standardized rates were calculated by the direct method and the world standard population was used as the standard. During the study period attack rates of MI remained stable in men. Among Kaunas men aged 25-64 years incidence rates of MI decreased statistically significantly, while MI recurrence rates had a tendency to increase during the study period. Among Kaunas women, both attack rates of MI and recurrence rates of MI were increasing statistically significantly, although MI incidence rates remained stable during 1983-1998. The MI 28-day case-fatality rates tended to decrease among both men and women. Further efforts of the primary prevention of the ischemic heart disease are required in order to achieve stable decreasing trends in both attack rate and incidence of MI in the middle-aged Kaunas population.

Adult↗
PubMed2002

[Accessibility of health care: evaluation of the performance of the city of Vilnius Seskines outpatient clinic].

INTRODUCTION: The purpose of this study was to determine the reasons of the queues, which patients meet in clinic and to determine the spent time of patients in different places of clinic. We wanted to figure out the opinion of patients about the work of the personnel, to find the ways of reducing the queues in the clinic. METHODS: Study was done in November 2000-January 2001. Total or 1000 questionnaires were given to every third visitor over the age of 16. After return of 67.8% of questionnaires, 222 new questionnaires were sent to people, who didn't answer the first time. The overall response rate was 77.8%; 40 questionnaires were inapplicable for study, therefore a sample of 738 respondents was studied. Statistic data analysis was made using SPSS for Windows. The differences between respective indexes were assumed as statistically significant, then the mistake probability was p < or = 0.05. RESULTS: The aim of our study--to determine the time spent in different places of clinic, and to figure out patient's opinion about work of the personnel. In registry office every patient spent on average 16 minutes. Every patient spends on average 30 minutes waiting to doctor. Consultations via telephone different groups of respondents evaluated differently: the older the patient, the worse his attitude towards consultation. Besides the fact, that 40% of elderly respondents are benevolent to consultations by the telephone, they assume, that they wouldn't use such kind of service. Waiting time for procedures, is on average 17 minutes. In all cases we can say, that the more patients face the queues, the more they think, that those queues should not exist. But the majority of respondents meet the queues very rarely, and most of them think, that the queues are imperative, or at least short waiting is inevitable.

Adolescent↗
PubMed2002

[Depression and suicidal risk of the adolescents (comparative analysis in the cities of Klaipeda, Kaunas and Siauliai)].

The aim of this research is to explain frequency of depressivity and suicidal risk among the adolescents and the ratio between depressivity and suicidal risk, to compare the level of depressivity and suicidal risk of the adolescents between the cities of Kaunas, Klaipeda and Siauliai, to compare the level of depressivity and suicidal risk of adolescents of schools and gymnasiums. 2573 adolescents aged 12-18 participated in research in Klaipeda (794 in gymnasiums and 1779 in schools), 1525 in Kaunas (822 in gymnasiums, 703 in schools) and 1072 in Siauliai (in schools). Depressivity of adolescents was found in Siauliai 47.9%, in Kaunas 58.8%, in Klaipeda 51.5%, suicidal risk among the adolescents in all investigated cities was: 13.2% in Kaunas, 14.2% in Siauliai, 15.4% in Klaipeda. The suicidal risk is higher among girls. The attempts of suicides was more frequent among adolescents in Klaipeda (7.1%), suicidal attempts of girls were more frequent than those of boys (2:1) in all investigated cities. The ratio of depressivity and suicidal attempters was 8.4:1 in Siauliai, 10.3:1 in Kaunas and 7.2:1 in Klaipeda. The research demonstrated that depressivity is the factor for suicidal risk. The data of these researches were used to improve the suicidal prevention, involving the teachers and the parents.

Adolescent↗
PubMed2002

[Prevalence of excessive body mass and its relation to mortality from cardiovascular and main chronic noninfectious diseases among urban male population of geographical different regions in Russia].

The paper contains data on prevalence of low, normal, excessive body mass and obesity among urban male populations aged 20-54 years in different regions. Relative risk of death associated with body mass was estimated on the basis of a twenty years prospective study of sample populations in Moskva and St-Peterburg and level of attributed risk was used for assessment of contribution of body mass to cardiovascular mortality and mortality from other chronic diseases. Levels of main risk factors, smoking intensity and alcohol consumption were studied in deciles of body mass index distribution.

Adult↗
PubMed2002

[Prevalence of ischemic heart disease and mortality among kaunas population aged 35-64 years in the prospective study].

MONICA (MONItoring trends and determinants of CArdiovascular diseases) study was carried out in Kaunas in 1983-1993 in three random samples of population aged 35-64 (overall 2694 men and 2801 women). The prevalence of previous MI among men was higher than among women in the first and in the third surveys (2,2 and 1,1%, p <0,05 and 4,4 and 1,2%, p <0,001, respectively). The prevalence of angina pectoris among men and among women did not reveal statistically significant difference in all three surveys. The prevalence of silent myocardial ischemia was higher among women than among men in the two surveys. The prevalence of all forms of IHD was higher among women than among men in the first and in the second surveys (16,2 and 10,2%, p <0,001 and 16,4 and 10,9%, p <0,001, respectively). Total mortality, mortality from CVD and from IHD among men with IHD was higher than among men without IHD. Total mortality and mortality from CVD among women with silent myocardial ischemia and IHD was higher than in control group. The differences in mortality among women with different forms of IHD were not significant from those without IHD.

Adult↗
PubMed2002

[Effect of blood and valve cultures on complication rate and outcome of infective endocarditis (analysis of data of patients treated at Kaunas district hospitals, 1999-2001)].

The objective of the study was to determine the current epidemiology of infective endocarditis (IE) and to evaluate correlation of blood and valve cultures with complication rates of the disease. During 1999-2001 138 patients, 91 (65.9%) males and 47 (34.1%) females with mean age of 50 +/- 16, were observed. The incidence of IE makes 0.0042% per year in Kaunas district, in-hospital mortality rate was 24.6%. Forty five patients had positive blood culture, 54.8%--negative blood cultures, 16.9% of valve tissue cultures were positive. Patients with positive blood culture had higher incidence of acute IE, vascular phenomena, peripheral abscess and toxic encephalopathy. Culture negative endocarditis presented itself with worse left ventricular function, more frequent immunologic phenomena, myocarditis, glomerulonephritis, cardiac operation and perivalvular leak. Positive valve culture was associated with more frequent perivalvular leak. Mortality rate did not differ in groups.

Adult↗
PubMed2002

[Survival after myocardial infarction among the middle-aged Kaunas men and women].

UNLABELLED: The aim of the present study was to determine and compare the short-term and long-term survival after myocardial infarction (MI) in the Kaunas men and women aged 25-64 during 1983 to 1998, according to ischemic heart disease register data. The source of the data--Kaunas population-based ischemic heart disease register. The diagnosis of MI was based on the criteria defined by the WHO MONICA Project. All myocardial infarction events that occurred among Kaunas population aged 25-64 years during 1983-1998 were recorded. Myocardial infarction survival was evaluated using Kaplan-Meier method and using z test for comparing the survival curves. RESULTS: The data of 3,613 persons with a first myocardial infarction and 528 with a recurrent myocardial infarction were analyzed. Detected, that among men and women a short-term (28 days) survival probability was significant different. In the men aged 25-64 short-term survival after a first myocardial infarction was better comparing with the women survival (z = 4.63, p = 0.03). The short-term survival among men aged 25-64 with a recurrent myocardial infarction comparing with woman did not differ. The long-term survival probability in patients, who survived the first 28 days, among men and women with a first and recurrent myocardial infarction aged 25-64 was without statistically significant differences.

Adult↗
PubMed2002

[Opinion of Lithuanian population about accessibility and quality of primary health care services].

OBJECTIVE OF THE STUDY: To assess the opinion of Lithuanian adult population about accessibility and quality of primary health care services. MATERIAL AND METHODS: The study was conducted in 2001. A national random sample of 5000 Lithuanians aged 18 years and older has been taken out of the National Population Register. The questionnaires were filled in by 3514 persons (response rate--71.6%). RESULTS: Sixty-six percent of respondents reported that they have received health care at an outpatient health facility in the last 12 months. Women visited a doctor more frequently than men did; older inhabitants more frequently than younger ones. Fifty-eight percent of respondents reported they had no problem to get a health care provider they were happy with, 16.5% had a mild problem and 10.1%--severe or extreme problem. Fifty-four percent of respondents noted that they had no problem to use other health services than they usually went to, while 15.6% reported--it was a severe or extreme problem. The majority of respondents (59.5%) answered that they always got care as soon as they wanted. Patient opinion about quality of primary health care services depended on how well doctors, nurses or other health care providers communicated with them, i.e. whether patients were treated with respect and dignity, whether they were listened carefully, whether they were explained things understandably etc. Seventy-three percent of respondents reported that health care providers communicated with them well or very well. Older respondents assessed the communication with doctors better than younger did. CONCLUSION: The data of regular questioning of population could be used for the successful health care reform implementation.

Adolescent↗
PubMed2002

[Analysis of burns' causes of children admitted to the National Burns Center in 1995-2000].

A retrospective multifactorial epidemiological study of pediatric patients admitted to the National Burns Center was undertaken, since January 1995 to December 2000. Nine hundred sixty-nine patients were admitted. The objective of this study was to describe the burns characteristics of different pediatric age groups. Scalds were the main cause of burns in the youngest group - less than 7-year age, vs. flame, which was one of the mains causes of burn in the elder group. The home was the most common site of injury - 93.4%. The mean patient age was 3.43+/-0.12 (range from 6 months to 16 years). The mean percentage body surface area burned was 8.87+/-0.28 percent.

Accidents, Home↗
PubMed2002

[Influence of lifestyle, biological and other factors on subjective evaluation of physical functioning].

OBJECTIVE: To assess the strength of relationship between various lifestyle, biological, psychosocial factors, chronic conditions, pain and subjective physical performance, evaluated by "Physical functioning" scale from "Rand-36 Health Survey" questionnaire. MATERIAL AND METHODS: We used a standardized generic health related quality of life questionnaire. The study population was based on the original sample, formerly explored during the study, carried out by the Department of Propedeutics to Internal Medicine. It enroled 575 primary care patients from seven small towns located in Kaunas region. The effect exerted by various factors on ratings of subjective physical performance was evaluated by means of multiple logistic regression. Ratings of the "Pain" scale, as well as subjective rating of change in health during preceding year were included in the analysis. RESULTS: The biggest influence on rating of physical functioning was exerted by reported deterioration in health during preceding year and severity of pain. Among biological factors, age, diastolic blood pressure (>80 mmHg), body mass index (> or =35) and FEV1 (%) were adversely related to subjective ratings of physical health. Smoking status, chronic respiratory conditions, disablement group, perceived lack of social support, reported shortage of food expenditures and being pensioned off, all remained significant predictors of worsened physical functioning. CONCLUSIONS: Perceived physical health is affected by both objective biological and subjective factors related to the history of disease as well as psychosocial factors. These should be taken into account when planning clinical trials where health-related quality of life is intended to be analyzed among outcomes of interest.

Aged↗
PubMed2002

[Incidence of varicocele measured by echoscopy].

UNLABELLED: Varicocele should be diagnosed and treatment should be started in boys under 10-14, because at an older age it will interfere with the development of the testicle. The objective of the study is to establish the rate of varicocele. The study material and methods. One hundret of patients aged from 20 to 87 (SD=17) have been studied: the thickness of veins of plexus pampiniformis was measured by echoscopy, funiculus spermaticus was palpated. RESULTS: Varicocele was diagnosed in 24 (24%) of patients. CONCLUSION: The incidence rate of this disease is high.

Adult↗
PubMed2002

[History of Lithuanian heart surgery].

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.

Angioplasty, Balloon, Coronary↗
PubMed2002

[Retrospective evaluation with Euroscore of postoperative mortality after coronary artery bypass grafting].

OBJECTIVE: This retrospective study was undertaken to evaluate the accuracy of risk-adjusted EuroSCORE models in predicting mortality in individual patients who are undergoing coronary artery bypass grafting. MATERIAL AND METHODS: The study population is a consecutive series of 1698 isolated primary and repeat coronary artery bypass grafting patients, inclusive patients in cardiogenic shock or resuscitation, operated in Kaunas Heart Center from January 1997 to December 2001. The pre-operative risk of death was calculated with EuroSCORE models and then compared with the actual outcome. The accuracy score was used to evaluate the reliability of each score to predict the individual outcome. The studied event was in-hospital death, defined as mortality during hospital stay, which was unlimited in time and included a stay in a secondary hospital without discharge home. RESULTS: Eighty deaths (4.7%) were observed. The age of this patients was 66.0+/-9.5 years, 73.7% were male and 3.7% were repeat procedures. In most patients who died the mean predictive scores were high. The EuroSCORE average was 11.0+/-4.3, with a range from 3 to 21. CONCLUSIONS: The EuroSCORE presurgical predictive models were highly accurate to predict overall mortality, but were inaccurate to predict mortality in individual patients.

Aged↗
PubMed2002

[Interventional paediatric cardiology in Vilnius].

UNLABELLED: During last twenty years dramatic changes took place in methods of paediatric catheterisation. Improvement of non-invasive diagnostic techniques resulted in decrease of indications of diagnostic cardiac catheterisation. On the other hand, cardiac catheterisation nowadays is frequently used as a method for treatment. During the period since 1976 till 2002 254 pediatric therapeutic cardiac catheterisation were performed at Vilnius University Heart Surgery Clinic: 142 Rashkind septostomies, 74 pulmonary artery balloon angioplasties (BA), 5 BA of recoarctation of aorta, 8 BA of pulmonary artery branch stenosis, 2 BA of conduits after Ross repair, 2 BA of conduits after Fontan procedure, 2 BA of Waterston-Cooley anastomoses and 2 BA for congenital aortic valve stenosis. During the period since 1999 till 2002 27 patients underwent successful transcatheter closure of PA, since 2002.10 coil occlusions of aortopulmonary collaterals, arteriovenous fistulae, venous-venous connections were performed. In 2001 2 transcatheter closures of ASD were performed. While comparing our data and data presented by European Registry of Cardiology, one can see that in 2000 the amount of ASD closures and PA valvuloplasties per million population was after than the amount of those procedures per million of population in Portugal, Greece, Austria, Croatia. CONCLUSION: The greater part of therapeutic paediatric catheterisation procedures is significantly cheaper than surgical repair. Complications are seldom.

Adolescent↗
PubMed2002

[Congenital heart surgery in neonates].

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. One hundred and seven neonates were operated without cardiopulmonary bypass with 36.4% postoperative mortality rate. Seventy seven neonates underwent surgery repair with cardiopulmonary bypass. Postoperative mortality rate was 67.5% in this group. Mean age of patients was 11.96+/-0.28 days. 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.

Age Factors↗