Unscheduled return visits to a pediatric emergency department
Conclusions RVs accounted for only a small proportion of visits to the ED. RVs were more prevalent among younger patients and patients with a GP referral as well as performed more often after discharging from the ED in the evening and at night. (Source: Medicina)
Source: Medicina - January 31, 2017 Category: Journals (General) Source Type: research

Contribution of mitochondria to injury of hepatocytes and liver tissue by hyperthermia
Conclusions In this study the pattern of the adverse changes in mitochondrial functions that are progressing with increase in liver perfusion temperature was established. Results of experiments on isolated mitochondria and isolated hepatocytes indicate that hyperthermic treatment significantly and irreversibly inhibits energy-supplying function of mitochondria under conditions similar to determined in the radiofrequency ablation transition zone and these changes can lead to death of hepatocytes. However, it was not possible to estimate contribution of mitochondrial injury to liver tissue energy status by estimating only hy...
Source: Medicina - January 9, 2017 Category: Journals (General) Source Type: research

How the changes in the system affect trauma care provision: The assessment of and implications for Lithuanian trauma service performance in 2007 –2012
Conclusions Changes in operational procedures in the Lithuanian pre-hospital care provision and management of trauma patients in emergency departments of trauma centers improved the efficiency of trauma care delivery over the 2007–2012 period. (Source: Medicina)
Source: Medicina - January 5, 2017 Category: Journals (General) Source Type: research

Response inhibition, set shifting, and complex executive function in patients with chronic lower back pain
Conclusions We found no statistically significant difference in response inhibition, set shifting, or complex executive function between CLBP patients and healthy older adults. Moreover, a risky decision-making pattern found in the Lithuanian population may underscore the importance of cultural context when examining complex executive function. However, further studies are needed to prove this point. (Source: Medicina)
Source: Medicina - January 1, 2017 Category: Journals (General) Source Type: research

Dobutamine-stress echocardiography speckle-tracking imaging in the assessment of hemodynamic significance of coronary artery stenosis in patients with moderate and high probability of coronary artery disease
Conclusions Left ventricular strain and strain rate analyses during DSE can be used in the assessment of hemodynamic significance of coronary artery stenosis in patients with moderate and high risk for CAD. (Source: Medicina)
Source: Medicina - December 5, 2016 Category: Journals (General) Source Type: research

sFlt-1, PlGF, sFlt-1/PlGF ratio and uterine artery Doppler for preeclampsia diagnostics
Conclusions The sFlt-1/PlGF ratio and PlGF are superior to sFlt-1, UAPI and UARI for preeclampsia diagnosis. For early-onset preeclampsia diagnostics either sFlt-1 or PlGF is sufficient. (Source: Medicina)
Source: Medicina - November 28, 2016 Category: Journals (General) Source Type: research

Associations between NOD2, IRGM and ORMDL3 polymorphisms and pediatric-onset inflammatory bowel disease in the Lithuanian population
Conclusions The results confirmed that polymorphisms in NOD2 (Leu1007insC) and IRGM genes are associated with increased risk of CD; whereas the ORMDL3 variant is associated with susceptibility to UC in the Lithuanian early-onset IBD population. (Source: Medicina)
Source: Medicina - November 24, 2016 Category: Journals (General) Source Type: research

Dobutamine-stress echocardiography speckle tracking imaging in the assessment of hemodynamic significance of coronary artery stenosis in patients with moderate and high probability of coronary artery disease
Conclusions Left ventricular strain and strain rate analyses during DSE can be used in the assessment of hemodynamic significance of coronary artery stenosis in patients with moderate and high risk for CAD. (Source: Medicina)
Source: Medicina - November 24, 2016 Category: Journals (General) Source Type: research

Sex-related differences in attention and memory
Conclusions Current study showed no sex differences in the mean values of cognition, whereas higher intra-individual variability of short-term memory and attention switching was identified in women, indicating that their performance was lower on these cognitive abilities. (Source: Medicina)
Source: Medicina - November 24, 2016 Category: Journals (General) Source Type: research

A mini volume loading test (mVLT) using 2.5-mLkg −1 boluses of crystalloid for indication of perioperative changes in hydration status
Conclusions The mVLT using 2.5-mLkg−1 boluses of crystalloid was able to detect the higher postoperative body hydration level in total knee arthroplasty patients. (Source: Medicina)
Source: Medicina - November 24, 2016 Category: Journals (General) Source Type: research

Associations between built environment and physical activity of 7 –8-year-old children. Cross-sectional results from the Lithuanian COSI study
Conclusions Results from the national survey of 7–8-year-old children of Lithuania reveal that urban living area of families, availability of playgrounds and recreational facilities were associated with higher possibilities of children to be sufficiently physically active. (Source: Medicina)
Source: Medicina - November 21, 2016 Category: Journals (General) Source Type: research

IgA nephropathy clinicopathologic study following the Oxford classification: Progression peculiarities and gender-related differences
Conclusions According to the correlation analysis of the main prognostic risk factors, affecting the progression of IgAN, we can conclude that IgA nephropathy in males progresses more rapidly compared to females. (Source: Medicina)
Source: Medicina - November 21, 2016 Category: Journals (General) Source Type: research

Crucial role of carotid ultrasound for the rapid diagnosis of hyperacute aortic dissection complicated by cerebral infarction: A case report and literature review
Publication date: Available online 19 November 2016 Source:Medicina Author(s): Eglė Sukockienė, Kristina Laučkaitė, Antanas Jankauskas, Dalia Mickevičienė, Giedrė Jurkevičienė, Antanas Vaitkus, Edgaras Stankevičius, Kęstutis Petrikonis, Daiva Rastenytė Aortic dissection is a life-threatening rare condition that may virtually present by any organ system dysfunction, the nervous system included. Acute cerebral infarction among multiple other neurological and non-neurological presentations is part of this acute aortic syndrome. Rapid and correct diagnosis is of extreme importance keeping in mind the pos...
Source: Medicina - November 18, 2016 Category: Journals (General) Source Type: research

Role of serum cytokines in acute appendicitis and acute mesenteric lymphadenitis among children
Conclusions Serum IL-6 with a cut-off value of 4.3pg/mL and WBC with a cut-off value of 10.7×103/μL assessed together will yield more sensitivity for AA. (Source: Medicina)
Source: Medicina - October 23, 2016 Category: Journals (General) Source Type: research

Use of drugs against osteoporosis in the Baltic countries during 2010 –2014
Conclusions The differences in consumption of drugs against osteoporosis in the Baltic countries are not very big. The consumption of antiosteoporotic drugs is not to be regarded as sufficient though. The generally low consumption of osteoporotic medicines in the Baltic countries can be attributed to the overall less than EU average wealth of the countries and less than optimal expenditure on healthcare out of the GDP. (Source: Medicina)
Source: Medicina - October 13, 2016 Category: Journals (General) Source Type: research