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Daukša, Albertas, Antanas Gulbinas, and Giedrius Barauskas. "Naujas karbapenemas komplikuotoms ir polimikrobinėms infekcijoms gydyti." Lietuvos chirurgija 5, no. 1 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.1.2242.
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Albertas Daukša1, Antanas Gulbinas2, Giedrius Barauskas31 Kauno medicinos universitetas,Mickevičiaus g. 9, LT-44307 Kaunas2 Kauno medicinos universitetoBiomedicininių tyrimų institutas,Eivenių g. 4, LT-50009 Kaunas3 Kauno medicinos universiteto,Chirurgijos klinika,Eivenių g. 2, LT-50009 KaunasEl paštas: a_dauksa@yahoo.com Ertapenemas – ilgo veikimo karbapenemų grupės antibiotikas, pasižymintis plačiu antibakteriniu poveikiu ir skiriamas vieną kartą per parą. Ertapenemas yra aktyvus prieš daugelį gramteigiamų, gramneigiamų ir anaerobinių bakterijų, išskiriamų sergant įvairiomis infekcijomis (pilvo, odos ir poodžio, mažojo dubens ir šlapimo takų), bet ribotai veikia ligoninės infekcijas sukeliančius patogenus: Pseudomonas aeruginosa, Acinetobacter spp., enterokokus ir meticilinui atsparius stafilokokus. Daugiacentriais, kontroliuojamais, dvigubai aklais atsitiktinių imčių tyrimais nustatyta, kad gydant bakterines infekcijas ertapenemo 1 g dozės efektyvumas nesiskyrė nuo lyginamosiose grupėse vartotų antibakterinių preparatų efektyvumo (piperacilino-tazobaktamo ar ceftriaksono ± metronidazolio). Ertapenemas buvo gerai toleruojamas ligonių, sergančių bakterinėmis infekcijomis, o nepageidaujami reiškiniai buvo lengvi ar vidutinio sunkumo. Pagrindiniai žodžiai: ertapenemas, karbapenemai, efektyvumas, saugumas A new carbapenem in the treatment of complicated and polymicrobial infections Albertas Daukša1, Antanas Gulbinas2, Giedrius Barauskas31 Kaunas University of Medicine,Mickevičiaus str. 9, LT-44307 Kaunas, Lithuania2 Kaunas University of Medicine,Insitute for Biomedical Research,Eivenių g. 4, LT-50009 Kaunas, Lithuania3 Kaunas University of Medicine,Department of Surgery,Eivenių g. 2, LT-50009 Kaunas, LithuaniaE-mail: a_dauksa@yahoo.com Ertapenem is a long-acting carbapenem antibiotic which has a broad antibacterial spectrum and once-a-day dosing. Ertapenem is active against both Grampositive and Gramnegative bacteria and most species of anaerobic bacteria isolated from a variety of infections (intra-abdominal, skin/soft-tissue, pelvic and urinary tract). It shows restricted activity against nosocomial pathogens such as Pseudomonas aeruginosa, Acinetobacter spp., enterococci and methicillin-resistant staphylococci. Ertapenem 1 g was as effective as comparator antimicrobial agents (piperacillin/tazobactam or ceftriaxone ± metronidazole) in patients with bacterial infections in randomised, double-blind, multicentre clinical trials. Ertapenem was generally well tolerated by patients with bacterial infections, most adverse events being mild to moderate in severity. Key words: ertapenem, carbapenems, efficacy, safety
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Saladžinsks, Sigits Vlads, and Kristina Vaisvalavičiene. "Latviešu izcelsmes Lietuvas arhitekta un inženiera Kārļa Reisona (1894–1981) darbība (1930–1981) Kauņā, Panevēžā un Adelaidā." Inženierzinātņu un augstskolu vēsture 3 (October 15, 2019): 34–49. http://dx.doi.org/10.7250/iav.2019.003.
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Raksts iepazīstina ar latviešu izcelsmes Lietuvas arhitekta un inženiera Kārļa Reisona (Karolis Reisonas; 1894–1981) profesionālo darbību mūža otrajā pusē – no 1930. gada Kauņā, Panevēžā un Adelaidā – un viņa darbu nozīmi Lietuvas arhitektūras vēsturē. K. Reisons bija viens no spilgtākajiem 20. gadsimta starpkaru perioda Lietuvas modernās arhitektūras radītājiem, kopā ar citiem slaveniem Lietuvas arhitektiem veidoja īpašo starpkaru perioda Kauņas modernās arhitektūras stilu. K. Reisons ir reprezentatīvu celtņu Šauļos, Kauņā un citās Lietuvas pilsētās, kā arī Rīgā un Adelaidā autors vai līdzautors. Arhitekts un inženieris K. Reisons strādāja par Šauļu pilsētas inženieri un pašvaldības Būvniecības nodaļas vadītāju (1922–1930), Šauļu arodskolas direktoru (1926), Lietuvas Lauksaimniecības kameras konsultantu (1927–1928), Kauņas pašvaldības Būvniecības nodaļas vadītāju (1930–1938), Panevēžas inženieri (1940) un birģermeistaru (1941–1944). No 1949. gada Reisonu ģimene dzīvoja Adelaidā, Austrālijā. Pēc viņa projektiem Lietuvā uzcelti trīs neatkarības pieminekļi – Šauļu Neatkarības piemineklis, Kauņas Brīvības pieminekļa postaments un Kauņas Romas katoļu Kristus Augšāmcelšanās baznīca. 14 no viņa projektētām celtnēm Kauņā un Šauļos ir iekļautas Lietuvas nekustamo kultūras vērtību sarakstā. Agrīniem K. Reisona projektiem raksturīgs historisms, eklektisma elementi, «ķieģeļu stils», vēlākie projekti iezīmējas ar modernismam raksturīgu askētisko racionālismu, funkcionālismu, piemērošanos pie pilsētbūvnieciskā un kultūrvēsturiskā konteksta. The article introduces the professional activities of Latvian-born Lithuanian architect and engineer Karolis Reisonas (in Latvian: Kārlis Reisons; 1894–1981) in the second half of his life – from 1930 in Kaunas, Panevėžys and Adelaide cities – and his role in the history of Lithuanian architecture. K. Reisonas was one of the most prominent creators of modern 20th-century interwar Lithuanian architecture and together with other famous Lithuanian architects formed a special style of Kaunas modern architecture in interwar period. K. Reisonas is the author or co-author of representative buildings in Šiauliai, Kaunas and other Lithuanian cities, as well as in Riga and Adelaide cities. Architect and engineer K. Reisonas worked as Šiauliai City Engineer and Head of Municipal Construction Department (1922–1930), Director of Šiauliai Vocational School (1926), Consultant of Lithuanian Chamber of Agriculture (1927–1928), Head of Construction Department of Kaunas Municipality (1930–1938), Panevėžys City Engineer (1940) and Burgomaster (1941–1944). From 1949, the Reisonas family lived in Adelaide city, Australia. To his projects three monuments of independence were built in Lithuania – Monument of Independence in Šiauliai city, Podium of the Freedom Monument of Kaunas city and Roman Catholic Christ’s Resurrection Church in Kaunas city. Fourteen of buildings in Lithuania (in Kaunas and Šiauliai cities) designed by him are included in the list of cultural values of Lithuania. Early K. Reisonas’ projects are characterized by historism, elements of eclecticism and «brick style», later projects are characterized by austere rationalism, functionalism, adaptation to urban construction and cultural and historical context.
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Kucinskas, Aleksandras. "Kaunas (Lithuania)." Psychiatric Bulletin 16, no. 4 (April 1992): 224–26. http://dx.doi.org/10.1192/pb.16.4.224.
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Kinduris, Šarūnas, and Giedrius Vanagas. "Kairiojo skilvelio išstūmimo frakcijos įtakos mirštamumo prognozavimui po miokardo revaskulizacijos operacijų įvertinimas pagal EuroSCORE sistemą." Lietuvos chirurgija 5, no. 3 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2194.
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Šarūnas Kinduris1,2, Giedrius Vanagas1,31 Kauno medicinos universiteto klinikų Širdies, krūtinės ir kraujagyslių chirurgijos klinika,Eivenių g. 2, LT-50009 Kaunas2 Kauno medicinos universiteto Biomedicininių tyrimų institutas,Eivenių g. 4, LT-50009 Kaunas3 Kauno medicinos universiteto Profilaktinės medicinos katedra,Eivenių g. 4, LT-50009 KaunasEl paštas: kinsar@gmail.com Įvadas / tikslas Kardiochirurgijos operacijų rizikos įvertinimo EuroSCORE (European System for Cardiac Operative Risk Evaluation) sistema nuo 1999 metų naudojama Europos šalyse prognozuojant ankstyvąjį pooperacinį mirštamumą. Analizuojant EuroSCORE taikymo galimybes Lietuvoje paaiškėjo, kad ji nepasižymi nei didele prognozine verte, nei tikslumu. Darbo tikslas – įvertinti vieno iš EuroSCORE vertinimo sistemos rizikos veiksnių – kairiojo skilvelio išstūmimo frakcijos (KSIF) įtaką pooperacinio mirštamumo prognozavimui. Ligoniai ir metodai Atlikta retrospektyvioji duomenų analizė 1379 ligonių, sergančių išemine širdies liga. Jiems planine tvarka atlikta pirminė miokardo revaskulizacijos operacija Kauno medicinos universiteto klinikų Širdies, krūtinės ir angiochirurgijos klinikoje 2004 metų sausį – 2006 metų gruodį. Atsižvelgiant KSIF vertinimą pagal EuroSCORE sistemą ligoniai buvo suskirstyti į tris grupes: I grupę sudarė ligoniai, kuriems priešoperaciniu laikotarpiu KSIF nustatyta < 30%, II grupę – ligoniai, kuriems KSIF įvertinta 30–50%, ir III grupę – ligoniai, kurių KSIF buvo > 50%. Rezultatai Ligoniai pagal EuroSCORE sistemos KSIF vertinimą pasiskirstė taip: I grupę sudarė 167 ligoniai, II grupę – 906 ligoniai ir III grupę – 306 ligoniai. Šio tyrimo metu vertinant operacinę riziką pagal EuroSCORE sistemos metodiką išskirtinis dėmesys kreiptas į KSIF įtaką pooperaciniam mirštamumui, lyginant jį su prognozuojamu. Kadangi II grupės ligoniai pagal stebėtą ir prognozuotą mirštamumą pasiskirstė netolygiai, buvo sudaryti du pogrupiai: IIA (n = 218) – ligonių, kurių KSIF 30–39%, o IIB (n = 688) – ligonių, kurių KSIF 40–50%. Šių grupių ligonių mirštamumo skirtumai buvo statistiškai reikšmingi (p < 0,05). Išvados Ligoniai, kuriems yra kairiojo skilvelio disfunkcija (išstūmimo frakcija < 50%), galėtų būti skirstomi į tris grupes (40–50%, 30–39% ir < 30%) pagal operacijos riziką, atitinkamai peržiūrint balų skyrimą pagal EuroSCORE. Be to, apibūdinant kairiojo skilvelio kontrakciją tikslinga naudoti ir kitus jos vertinimo kriterijus (pvz., sienelių kontrakcijos indeksą). Pagrindiniai žodžiai: miokardo revaskulizacija, rizikos vertinimas, kairiojo skilvelio išstūmimo frakcija Evaluation of left ventricle ejection fraction impact on cardiac surgery risk stratification by EuroSCORE system Šarūnas Kinduris1,2, Giedrius Vanagas1,31 Hospital of Kaunas University of Medicine, Department of Cardiothoracic and Vascular Surgery,Eivenių str. 2, LT-50009 Kaunas, Lithuania2 Kaunas University of Medicine, Institute for Biomedical Research,Eivenių str. 4, LT-50009 Kaunas, Lithuania3 Kaunas University of Medicine, Department of Preventive Medicine,Eivenių str. 4, LT-50009 Kaunas, LithuaniaE-mail: kinsar@gmail.com Background / objective EuroSCORE as the cardiac surgery risk stratification system is well known in Europe since 1999. Previous validity and accuracy assessments in Lithuania showed mortality overprediction by the EuroSCORE system in our patients’ population. The aim of the article is to analyze the impact of LVEF on cardiac surgery postoperative mortality prediction by EuroSCORE. Patients and methods It was implemented retrospective analysis of qualitative and quantitative data on 1379 patients that underwent CABG surgery at Kaunas University of Medicine during January 2004 – December 2006. According to LVEF evaluation by EuroSCORE, all patients were grouped to 3 groups: group I with LVEF < 30%, group II LVEF 30–50% and group III LVEF > 50%. Results According to LVEF evaluation by EuroSCORE, group I comprised 167, group II 906 and group III 306 patients. According to mortality evaluation there were significant discrepancies between the observed and the predicted by EuroSCORE mortality among patients in group II. It was decided to divide group II into two subgroups: IIA 30–39% and IIB 40–50% in which mortality differed statistically significantly (p < 0.05). Conclusions Patients with LVEF lower than < 50% could be grouped into three groups (40–50%, 30–39% and < 30%). Also, it is important to review the scoring system according to these groups. It would be reasonable to make further analysis of mortality prediction by other ejection fraction parameters. Key words: coronary artery bypass grafting, risk stratification, mortality, left ventricular ejection fraction, predictive value
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Veikutienė, Audronė, Rimantas Benetis, Edmundas Širvinskas, Pranas Grybauskas, Judita Andrejaitienė, Vincentas Veikutis, and Jonas Šurkus. "Autologinio kraujo, išsiskyrusio po širdies operacijos, išsaugojimo ir ankstyvos reinfuzijos įvertinimas." Lietuvos chirurgija 5, no. 3 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2201.
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Audronė Veikutienė1, Rimantas Benetis1, Edmundas Širvinskas2, Pranas Grybauskas3, Judita Andrejaitienė2, Vincentas Veikutis2, Jonas Šurkus41 Kauno medicinos universiteto klinikų Širdies,krūtinės ir kraujagyslių chirurgijos klinika, Eivenių g. 2, LT-50009 Kaunas2 Kauno medicinos universiteto Biomedicininių tyrimų institutas, Eivenių g. 2, LT-50009 Kaunas3 Kauno medicinos universiteto Kardiologijos institutas, Eivenių g. 2, LT-50009 Kaunas4 Kauno medicinos universiteto klinikų Nefrologijos klinika, Eivenių g. 2, LT-50009 KaunasEl paštas: aveikutiene@gmail.com Įvadas / tikslas Įvairūs metodai yra siūlomi alogeninio kraujo poreikiui po širdies operacijų sumažinti. Šio darbo tikslas – nustatyti, ar tikslinga naudoti reinfuzijai autologinį kraują, ištekėjusį ankstyvuoju pooperaciniu laikotarpiu, atsižvelgiant į reinfuzijos įtaką ligos pooperacinei eigai. Ligoniai ir metodai Ištirta 90 ligonių, kuriems atliktos širdies operacijos naudojant dirbtinę kraujo apytaką. Tiriamieji suskirstyti į dvi grupes. Pirmą grupę (n = 41) sudarė ligoniai, kuriems po operacijos per 4 valandas į kardiotominį rezervuarą išsiskyręs kraujas buvo surenkamas į sterilius plastikinius maišelius, centrifuguojamas, o gauti autologiniai eritrocitai grąžinami ligoniui. Antros grupės (n = 49) ligoniams išsiskyręs autologinis kraujas nebuvo grąžinamas. Palyginome hemoglobino, hematokrito, leukocitų, C reaktyviojo baltymo vertes prieš operaciją, po operacijos praėjus 4 val., 20 val. ir penktą parą. Tyrėme prokalcitonino koncentraciją serume praėjus 4 val. ir 20 val. po operacijos. Įvertinome netekto kraujo kiekį per 20 val. laikotarpį. Rezultatai Grupių demografiniai, intraoperaciniai duomenys, kairiojo skilvelio išstūmimo frakcija, NYHA funkcinė klasė nesiskyrė. Prieš operaciją ir praėjus 4 val. po operacijos hemoglobino, hematokrito, leukocitų, C reaktyviojo baltymo, prokalcitonino vertės grupėse buvo panašios. Hemoglobino, hematokrito vertės, leukocitų skaičius tarp grupių reikšmingai nesiskyrė ir po 20 val. bei penktą parą. Praėjus 20 val. po operacijos, prokalcitonino koncentracijos padidėjimas (> 0,5–2 ng/ml) dažniau pasitaikė II grupės ligoniams (58,3% / 33,3%). Penktą parą C reaktyviojo baltymo vertė buvo mažesnė I grupėje (70,63 ± 34,23), palyginti su II grupe (93,53 ± 45,48; p < 0,05). Pooperacinis kraujo netekimas per pirmąsias 20 val. tarp grupių reikšmingai nesiskyrė. Alogeninio kraujo transfuzijų poreikis buvo reikšmingai mažesnis I grupės ligoniams: 14,6% / 38,8% (p < 0,05). Infekcinės komplikacijos registruotos I grupės 2,4% ligonių ir II grupės 10,2% ligonių (p < 0,05) Pooperacinio hospitalizavimo trukmė 35,19% buvo trumpesnė I grupės tiriamųjų (p < 0,05). Išvada Ankstyva po širdies operacijos ištekėjusio autologinio, centrifuguoto kraujo reinfuzija nedidino kraujavimo bei sisteminio uždegiminio atsako. Autologinių eritrocitų ankstyvos reinfuzijos grupėje mažėjo alogeninio kraujo transfuzijų poreikis, infekcinių komplikacijų rizika, buvo trumpesnė pooperacinio hospitalizavimo trukmė. Pagrindiniai žodžiai: autologinis kraujas, alogeninis kraujas, dirbtinė kraujo apytaka Benefit of early reinfusion of autologous shed mediastinal blood after cardiac surgery Audronė Veikutienė1, Rimantas Benetis1, Edmundas Širvinskas2, Pranas Grybauskas3, Judita Andrejaitienė2, Vincentas Veikutis2, Jonas Šurkus41 Kaunas University of Medicine Hospital, Department of Cardiothoracic and Vascular Surgery,Eivenių str. 2, LT-50009 Kaunas, Lithuania2 Kaunas University of Medicine, Institute for Biomedical Research,Eivenių str. 2, LT-50009 Kaunas, Lithuania3 Kaunas University of Medicine, Institute of Cardiology,Eivenių str. 2, LT-50009 Kaunas, Lithuania4 Kaunas University of Medicine Hospital, Department of Nefrology,Eivenių str. 2, LT-50009 Kaunas, LithuaniaE-mail: aveikutiene@gmail.com Background / objective Various strategies have been proposed to decrease allogeneic transfusion requirements after cardiac surgery. The aim of the study was to evaluate the efficacy of collected and reinfused autologous shed mediastinal blood on the postoperative cource. Patients and methods We investigated 90 patients who underwent cardiac surgery with cardiopulmonary bypass. The patients were divided into two groups: group I (n = 41) received the centrifuged autologous shed mediastinal blood collected from the cardiotomy reservoir following 4 hours after surgery; in group II (n = 49) all shed mediastinal blood was discarded (control group). Haemoglobin, haematocrit, C-reactive protein values, leucocyte count were compared before surgery, 4 h, 20 h after surgery and on the fifth postoperative day. We have measured serum procalcitonin concentration at 4 h and 20 h after cardiopulmonary bypass. We assessed drained blood loss within 20 postoperative hours. Results There were no significant differences in patients’ demographic, operative data, left ventricle ejection fraction, NYHA functional class between the two groups. C-reactive protein, procalcitonin concentration, haemoglobin, haematocrit values, leucocyte count did not differ between the groups before and at 4 hours after surgery. Haemoglobin, haematocrit level, leucocyte count were similar at 20 hours and on the fifth day after surgery. At 20 hours after surgery, an increase of serum procalcitonin concentration (> 0.5–2 ng/ml) was more frequent in group II (58.3% vs 33.3%). On the fifth postoperative day, the C-reactive protein value was lower in group I (70.63 ± 34.23; p < 0.05), compared to group II (93.53 ± 45.48). Postoperative blood loss did not differ between the groups. Requirement for allogeneic transfusion was significantly lower in group I (14.6% vs 38.8%; p < 0.05). Patients in group I developed less infective complications as compared with the group II (2.4% and 10.2%, respectively; p < 0.05). The length of postoperative in-hospital stay was shorter by 35.19% in group I (p < 0.05) as compared with group II. Conclusions Reinfusion of centrifuged autologous shed mediastinal blood did not increase bleeding tendency and systemic inflammatory response. Requirement for allogeneic transfusion, the risk of postoperative infection and the length of postoperative in-hospital stay was lower in autotransfused patients (group I). The estimation of serum procalcitonin concentration is a usable and rather informative test for evaluating inflammatory response activity after cardiac surgery. Key words: autologous blood, allogeneic blood, cardiopulmonary bypass
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Petrulionytė, Justina. "The Chronotope of City of Love: The Image of Kaunas in Lithuanian Culture." Respectus Philologicus 28, no. 33 (October 25, 2015): 41–50. http://dx.doi.org/10.15388/respectus.2015.28.33.4.
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This article discusses the image of Kaunas as a city of love, which is noticeable in different narratives: novels The Novel of Kaunas (1973) by Alfonsas Bieliauskas and Tūla (1993) by Jurgis Kunčinas, the social advertisement “Wherever I Am: Kaunas Is My Hometown” by Monika Vilčinskienė (2008) and the representative Kaunas video “Kaunas Is Sharing Love” by the Studio of Kaunas Cinema (2013). The concept of “narrative as a socially symbolic act” (Fredric Jameson) and the concept of “chronotope” (Mikhail Bakhtin) help to analyse emerging images of the city. The investigation reveals that all the narratives represent: 1) love for Kaunas, 2) a city where people are (happily or unhappily) in love, 3) personified city, which is in love. This shows the mark of love which is significant in the whole narrative of Kaunas. However, different modes of art production propose different mirages of this city. The chronotope of unhappy love is noticeable in the novels representing soviet Kaunas, while the chronotope of idyllic city is very bright in non-literary narratives representing current Kaunas.
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Inčiūra, Donatas, Rimantas Benetis, and Šarūnas Kinduris. "Vienmomenčių kaklo ir širdies kraujagyslių operacijų ankstyvieji ir vėlyvieji rezultatai." Lietuvos chirurgija 5, no. 3 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2199.
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Donatas Inčiūra1, Rimantas Benetis1,2, Šarūnas Kinduris1,31 Kauno medicinos universiteto klinikų Širdies, krūtinės ir kraujagyslių chirurgijos klinika,Eivenių g. 2, LT-50009 Kaunas2 Kardiologijos institutas, Sukilėlių g. 17, LT-50009 Kaunas3 Kauno medicinos universiteto Biomedicininių tyrimų institutas,Eivenių g. 4, LT-50009 KaunasEl paštas: inciura@takas.lt Įvadas / tikslas Nustatyti vienmomenčių vainikinių jungčių suformavimo ir miego arterijų endarterektomijų operacijų įtaką bendriems pooperaciniams rezultatams, ligonių išgyvenamumui ir vėlyvam insultui lyginant su izoliuotomis miokardo revaskulizacijos operacijomis. Ligoniai ir metodai KMUK Širdies, krūtinės ir kraujagyslių klinikoje per pastaruosius penkerius metus atliktos 49 vienmomentės miokardo revaskulizacijos ir miego arterijų endarterektomijų operacijos. Rezultatai Palyginti su izoliuotų miokardo revaskulizacijos operacijų grupe, kompleksinės miego arterijų pažeidimo grupės ligoniai buvo vyresni (atitinkamai 69,9 m. (6,54) ir 65,46 m. (9,60), p < 0,01), daugiau jų sirgo cukriniu diabetu (16 (32,7%) ir 14 (16,7%), p < 0,05) ir periferinių kraujagyslių ateroskleroze (16 (32,7%) ir 8 (9,5%), p < 0,01). Vienmomenčių operacijų trukmė (254,39 (76,21) min. ir 217,50 min. (65,66), p < 0,01) ir kompleksiškai operuotų ligonių hospitalizacijos laikas (34,98 paros (14,78) ir 26,79 paros (15,37), p < 0,01) buvo ilgesni. Nors kompleksiškai operuotiems ligoniams nustatyti reikšmingi operacinės rizikos veiksniai, kompleksinės miego arterijų pažeidimo grupės ligonių pooperacinių komplikacijų dažnis ir mirštamumas reikšmingai nesiskyrė nuo kontrolinės miokardo revaskulizacijos operacijų grupės. Vienmomentiškai operuotų ligonių išgyvenamumo ir vėlyvo insulto tikimybė nesiskiria nuo izoliuotų miokardo revaskulizacijos operacijų stebėjimo laikotarpiu iki 62 mėnesių. Išvados Kompleksinės išeminės širdies ligos ir kaklo kraujagyslių vienmomentės operacijos rezultatai nesiskiria nuo izoliuotos miokardo revaskulizacijos operacijų rezultatų, todėl atlikti jas vienmomentiškai yra saugu. Pagrindiniai žodžiai: išeminė širdies liga, miego arterijų pažeidimas, kompleksinės operacijos Early and late clinical outcomes of simultaneous coronary and carotid artery operations Donatas Inčiūra1, Rimantas Benetis1,2, Šarūnas Kinduris1,31 Kaunas University of Medicine Hospital, Department of Cardiothoracic and Vascular Surgery,Eivenių str. 2, LT-50009 Kaunas, Lithuania2 Institute of Cardiology, Sukilėlių str. 17, LT-50009 Kaunas, Lithuania3 Institute for Biomedical Research, Eivenių str. 4, LT-50009 Kaunas, LithuaniaE-mail: inciura@takas.lt Background / objective The optimal management of patients with significant carotid and coronary artery disease remains controversial. The aim of the study was to compare the early and late clinical outcomes of simultaneous coronary and carotid artery operations versus isolated coronary artery bypass grafting operations. Patients and methods From 2000 through 2005, 45 patients underwent simultaneous carotid endarterectomy following coronary artery bypass grafting. Results Patients that underwent simultaneous operations were older (69.9 y. (6.54) vs. 65.46 y. (9.60), p < 0.01), had more diabetes mellitus (16 (32.7%) vs. 14 (16.7%.), p < 0.05) and peripheral artery disease (16 (32.7%) vs. 8 (9.5%), p < 0.01). Duration of combined operations (254.39 (76.21) min vs. 217.50 min (65.66), p < 0.01) and hospitalization (34.98 days (14.78) vs. 26.79 days (15.37), p < 0.01) was longer in the simultaneous group. The frequency of postoperative complications and mortality in the carotid artery group did not reliably differ as compared with the control group. In the combined carotid artery group, the survival and late stroke probability did not differ as compared with the control isolated coronary artery bypass grafting group in the follow-up period (62 months). Conclusions Simultaneous carotid endarterectomy and coronary artery bypass grafting operations resulted in a low perioperative mortality and morbidity rates in high-risk patients and are safe to be performed on patients with concomitant carotid artery disease. Key words: ischemic heart disease, carotid artery stenosis, simultaneous operation
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Jia, Xu. "Kaunas Biennial Textile 2011." TEXTILE 11, no. 3 (November 2013): 342–49. http://dx.doi.org/10.2752/175183513x13793321037773.
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Škėmienė, Lina, Rūta Ustinavičienė, Ričardas Radišauskas, Jolita Kirvaitienė, Robertas Lažauskas, and Sandra Sabonaitytė. "Nutritional habits of middle-aged schoolchildren from Kaunas town and Raseiniai district." Medicina 45, no. 4 (April 8, 2009): 302. http://dx.doi.org/10.3390/medicina45040039.
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Objective. To evaluate nutritional habits of middle-aged schoolchildren living in a town and district of Lithuania. Material and methods. The 8th–9th-grade schoolchildren were questioned by an anonymous questionnaire. A total of 329 students, 169 from Kaunas and 160 from Raseiniai district, participated in the study. Results. Only half of students reported that they had breakfast (61.3% of schoolboys and 47.6% of schoolgirls). More students from the district had dinner in the school canteen as compared to Kaunas students. Only 14.0% of schoolchildren followed nutrition regimen (14.8% of students from Kaunas and 13.1% of students from Raseiniai always had their meal at the same time). Every second schoolboy and schoolgirl consumed vegetables and fruits every day. Whole grain bread was consumed every day similarly frequently by students from Kaunas and Raseiniai, 25.4% and 18.8%, respectively; the students from Kaunas consumed skim milk more frequently, 26.0% and 11.9%, respectively (P<0.05). Confectionery was consumed more frequently by schoolchildren from Kaunas as compared to schoolchildren from Raseiniai district (63.9% vs. 55.0%); however, it was consumed more frequently by boys than girls. Less than one-fourth of Kaunas students (20.7%) consumed potato chips every day, whereas the percentage of the students from Raseiniai district was only 10.0% (P<0.05). Pizzas, kebabs, and hamburgers were consumed more frequently by schoolboys than schoolgirls. Knowledge of healthy nutrition was obtained mainly from media by 48.6% of students; every eighth student got this information from parents, every tenth from physicians, and 7.0% from teachers. Conclusions. Middle-aged students from both Kaunas town and Raseiniai district did not follow nutrition regimen; half of them did not have their breakfast before going to school. Fruits and vegetables as recommended foods were consumed by half of the participants; every fourth student consumed skim milk, and every fifth student consumed whole grain bread. The students more frequently consumed such foods as confectionery and smoked meat, which are not recommended (every second student); every fourth had an intake of carbonized drinks (the students from Kaunas more frequently) and potato chips (the students from Kaunas more frequently), and every tenth consumed pizzas and fried potatoes. More than half of students obtained knowledge of healthy nutrition from media, and every tenth – from the physicians.
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Zaleckis, Kęstutis, and Nijolė Steponaitytė. "KAUNO TVIRTOVĖS GYNYBINIŲ STATINIŲ URBANISTINIS POTENCIALAS." JOURNAL OF ARCHITECTURE AND URBANISM 33, no. 2 (June 30, 2009): 100–113. http://dx.doi.org/10.3846/13921630.2009.33.100-113.
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The remains of the fortifications of Kaunas Fortress represent nonutilized urban and architectural potential at various levels of Kaunas cityscape. Single fortifications and the whole Kaunas Fortress as a system are analysed in the paper within the context of Kaunas cityscape. Analysis is made from the following points of view: urban frame, natural frame, mental city image and four types of cultural symbols of the cityscape-text. Principal suggestions for utilization of the system of former fortifications in Kaunas are presented. The work could serve as a methodological example for similar investigations in other fortresses within urban areas. Santrauka Straipsnyje kompleksiškai analizuojamas architektūrinis-urbanistinis Kauno tvirtovės išlikusių gynybinių objektų ir jų sistemos potencialas. Pavieniai Kauno tvirtovės objektai ir išlikusi jų sistema tiriami kaip gamtinio karkaso, urbanistinio karkaso ir mentalinio miesto vaizdo dalys bei analizuojami kaip potencialūs keturių tipų kultūriniai miestovaizdžio-teksto simboliai. Pateikiami principiniai siūlymai, kaip panaudoti šį potencialą miesto reikmėms. Straipsnyje formuojami principiniai metodologiniai pagrindai kompleksiškam urbanistiniam panašių objektų vertinimui.
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Gailiusis, Brunonas, Jurate Kriauciuniene, and Erika Rimaviciute. "Modelling the Effect of the Hydroelectric Pumped Storage Plant on Hydrodynamic Regime of the Kaunas Reservoir In Lithuania." Hydrology Research 34, no. 5 (October 1, 2003): 507–18. http://dx.doi.org/10.2166/nh.2003.0021.
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The Kaunas Reservoir was formed during construction of the Kaunas Hydroelectric Plant (Kaunas HP) on the Nemunas River in 1960. Since 1992 it has also been serving as a lower reservoir for the Kruonis Hydroelectric Pumped-Storage Plant (Kruonis HPP), which currently has four generating units with 200 MW of installed capacity each. There are plans to increase the capacity of this power plant by constructing additional four generating units. Operation of the Kruonis HPP is already changing the hydrophysical regime (water levels and flow velocities) of the Kaunas Reservoir and new units can seriously aggravate the situation by inducing bottom erosion. The objective of this study is to determine the optimal number of generating units so that the impact of the Kruonis HPP on the hydrophysical regime of the reservoir would be acceptable. The hydrodynamic model MIKE 21 was used to calculate the flow velocity and water level fluctuation in the Kaunas reservoir for different number of the Kruonis HPP generating units. The Kaunas HP was considered as operating with minimal load or under conditions equivalent to a big flood (2,000 m3/s). The modelling results indicate that the impact of four units is acceptable while simultaneous operation of the eight units at Kruonis HPP would not be desirable.
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Saladžinskas, Sigitas Vladas, and Kristina Vaisvalavičienė. "Professional Activities (1930–1981) of Latvian-Born Lithuanian Architect and Engineer Karolis Reisonas (1894–1981) in Kaunas, Panevėžys and Adelaide Cities." History of Engineering Sciences and Institutions of Higher Education 3 (October 15, 2019): 35–51. http://dx.doi.org/10.7250/hesihe.2019.003.
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The article introduces the professional activities of Latvian-born Lithuanian architect and engineer Karolis Reisonas (in Latvian: Kārlis Reisons; 1894–1981) in the second half of his life – from 1930 in Kaunas, Panevėžys and Adelaide cities – and his role in the history of Lithuanian architecture. K. Reisonas was one of the most prominent creators of modern 20th-century interwar Lithuanian architecture and together with other famous Lithuanian architects formed a special style of Kaunas modern architecture in interwar period. K. Reisonas is the author or co-author of representative buildings in Šiauliai, Kaunas and other Lithuanian cities, as well as in Riga and Adelaide cities. Architect and engineer K. Reisonas worked as Šiauliai City Engineer and Head of Municipal Construction Department (1922–1930), Director of Šiauliai Vocational School (1926), Consultant of Lithuanian Chamber of Agriculture (1927–1928), Head of Construction Department of Kaunas Municipality (1930– 1938), Panevėžys City Engineer (1940) and Burgomaster (1941–1944). From 1949, the Reisonas family lived in Adelaide city, Australia. To his projects three monuments of independence were built in Lithuania – Monument of Independence in Šiauliai city, Podium of the Freedom Monument of Kaunas city and Roman Catholic Christ’s Resurrection Church in Kaunas city. Fourteen of buildings in Lithuania (in Kaunas and Šiauliai cities) designed by him are included in the list of cultural values of Lithuania. Early K. Reisonas’ projects are characterized by historism, elements of eclecticism and «brick style», later projects are characterized by austere rationalism, functionalism, adaptation to urban construction and cultural and historical context.
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Balkus, Mindaugas. "The Cards of Internal Passports of the Population of Kaunas City of the 1920–1940s as a Source of Genealogy and Local History." Bibliotheca Lituana 6 (December 20, 2019): 45–68. http://dx.doi.org/10.15388/bibllita.2018.vi.4.
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This article analyzes the cards of internal passports issued in Kaunas city in 1920–1940 and the sociodemographic data of the population (nationality, confession, place of birth, work activity, etc.) provided in them. Their significance for the researches of genealogy and local history is discussed. It was found that in 1920–1940, 89 620 people received internal passports in Kaunas, including 58.76% Lithuanians, 30.27% Jews, 3.16% Poles, 3.12% Germans, 2.74% Russians, 0.33% Belarusians; 59.13% of the persons who received internal passports in Kaunas were Catholics, 28.9% – Jews, 5.44% – Evangelical Lutherans and Evangelical Reformats, 3.14% – Orthodox, 0.96% – Old Believers. These results are in many cases close to the data of the 1923 general census of the Lithuanian population; 35.22% of the residents of Kaunas were born in this city, 11.4% – in Kaunas County, 6.86% – in then-Soviet Union’s territory, while the rest – in the different regions of Lithuania and abroad. According to the character of the working activity (occupation), Lithuanians were significantly dominant among the officials (90.94%), being farmers (88.05%), servants (82.84%), or workers (75.85%), while Jews were predominant among traders (83.2%).
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Leganovic, Julijana. "Vilnius Question and Kaunas Jewish Community in the Interwar Years." Tirosh. Jewish, Slavic & Oriental Studies 18 (2018): 138–45. http://dx.doi.org/10.31168/2658-3380.2018.18.3.4.
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One of the most prominent and at the same time the most complicated storylines of Lithuanian history between two world wars — the conflict between Lithuania and Poland for Vilnius. It is important to note that dramatic events occurred in Vilnius and around it, which essentially determined the democratic relations between Lithuania and Poland in the interwar period, influenced not only Lithuanians and Poles, but also national minorities living there for many centuries, first of all — the most numerous and influential Jewish communities. Geopolitical changes, the loss of historical capital and proclamation of Provisional capital affect the new search of coexistence of Vilnius and Kaunas Jewish communities with the dominant nation and directly affects cultural, political development. This paper attempts to present how the Vilnius question influenced the positions and choices of the Kaunas Jewish community in interwar years. Kaunas Jews have survived the crisis of identity in a provisional capital. In this period, Kaunas Jews began to create a new system — the alternative “Jerusalem of Lithuania”. Furthermore, Kaunas Jews joined the Vilnius liberation campaign in 1930s together with Lithuanians.
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Mačys, Antanas, Ilona Kulakienė, and Šarūnas Kinduris. "Miokardo perfuzijos normalizavimosi po miokardo revaskulizacijos prognozavimas atliekant širdies radionuklidinius tyrimus su nitratais." Lietuvos chirurgija 5, no. 3 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2197.
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Antanas Mačys1, Ilona Kulakienė2, Šarūnas Kinduris31 Kauno medicinos universiteto klinikų Širdies, krūtinės ir kraujagyslių chirurgijos klinika,Eivenių g. 2, LT-50009 Kaunas2 Kauno medicinos universiteto klinikų Radiologijos klinika, Kaunas3 Kauno medicinos universiteto Biomedicininių tyrimų institutas,Eivenių g. 4, LT-50009 KaunasEl paštas: antanasmacys@gmail.com Įvadas / tikslas Miokardo gyvybingumo vertinimas atliekant širdies radionuklidinius tyrimus su nitratais išlieka nevienareikšmis. Šio darbo tikslas buvo įvertinti priešoperacinį gyvybingą miokardą ir prognozuoti miokardo perfuzijos normalizavimąsi po chirurginės revaskulizacijos radionuklidinės kompiuterinės tomografijos (RKT) su nitratais metodu ligoniams, sergantiems pažengusia išemine širdies liga (IŠL). Ligoniai ir metodai Dvidešimt dviem ligoniams (19 vyrų, 3 moterys; amžiaus vidurkis 63,5 ± 8,8 metai), sergantiems stabiliąja IŠL su sutrikusia kairiojo skilvelio funkcija (vidutinė kairiojo skilvelio išstūmimo frakcija (KS IF) 32,7 ± 11,6%, vidutinis sienelių judėjimo indeksas 1,80 ± 0,54), buvo atliktas širdies RKT tyrimas su 99mTc-MIBI ramybėje ir ramybėje su nitratais (0,5 mg nitroglicerino tabletė po liežuviu) prieš vainikinių jungčių suformavimo operaciją (VJSO) bei ramybėje praėjus 3 ir 6 mėnesiams po jos. Rezultatai VJSO metu 20 ligonių (90,9%) atlikta visiškoji miokardo revaskulizacija. Operacijuojant vienam ligoniui suformuotos vidutiniškai 2,8 ± 0,9 distalinės jungtys. Prieš operaciją suminis ramybės rodmuo (SRR) buvo 20,0 ± 11,3, o suminis ramybės su nitratais rodmuo (SRnR) – 16,81 ± 1,1, raumens sustorėjimas (RS) – 16,1 ± 8,6, sienelės judesys (SJ) – 16 ± 9,1 bei KS IF – 32,7 ± 11,6%. Prognozavome, kad po operacijos SRR bus toks pat, kaip ir prieš operaciją nustatytas SRnR, tačiau pooperacinis SRR po 3 mėnesių buvo 14,6 ± 10,8, o po 6 mėnesių – 13,9 ± 11,0. Taigi, ###Delta(gr)SRR po 3 mėnesių pagerėjo 1,69 karto (###Delta(gr)SRR 5,4 ± 7,8), o po 6 mėnesių – 1,91 karto (###Delta(gr)SRR 6,1 ± 6,9) labiau, negu prognozavome. Norėdami tiksliau prognozuoti pooperacinį miokardo perfuzijos normalizavimąsi, naudojome tiesinės regresijos metodą ir sudarėme tiesinės regresijos lygtį: priešop. SRR = 24,197 – 0,345 × amžius + 0,689 × SRnR (determinacijos koeficientas R2 = 0,707). Pooperaciniu laikotarpiu RS ir SJ statistiškai reikšmingai sumažėjo, t. y. kontrakcija pagerėjo, tiek po 3, tiek po 6 mėnesių (RS – 13,4 ± 8,3 ir 13,7 ± 9,1; SJ – 13,4 ± 8,1 ir 13 ± 8,7), tačiau KS IF padidėjimas nebuvo statistiškai reikšmingas (nuo 32,7 ± 11,6% iki 34,2 ± 14,1% ir 35,4 ± 15,4%). Išvados Miokardo radionuklidinė kompiuterinė tomografija su nitratais naudojant tiesinės regresijos metodą leidžia tiksliai prognozuoti miokardo perfuzijos normalizavimąsi po chirurginės revaskulizacijos. Pagrindiniai žodžiai: išeminė širdies liga, vainikinių jungčių suformavimo operacija, radionuklidinė kompiuterinė tomografija Evaluation of left ventricle ejection fraction impact on cardiac surgery risk stratification by EuroSCORE system Antanas Mačys1, Ilona Kulakienė2, Šarūnas Kinduris31 Kaunas University of Medicine Hospital, Department of Cardiothoracic and Vascular Surgery,Eivenių str. 2, LT-50009 Kaunas, Lithuania2 Kaunas Medical University Hospital, Clinic of Radiology, Kaunas, Lithuania3 Kaunas University of Medicine, Institute for Biomedical Research,Eivenių str. 4, LT-50009 Kaunas, LithuaniaE-mail: antanasmacys@gmail.com Background / objective Nitrate-augmented imaging in the evaluation of myocardial viability still remains controversial. The aim of this study was to predict postoperative myocardial perfusion recovery after coronary artery bypass grafting (CABG) using nitrate-enhanced myocardial perfusion SPET in patients with coronary artery disease and severe left ventricular dysfunction. Patients and methods Twenty-two patients (19 male, 3 female; mean age 63.5 ± 8.8 years) with ischaemic cardiomyopathy (left ventricular ejection fraction (LVEF) 32.7 ± 11.6%; wall motion index 1.80 ± 0.54) were referred to baseline-nitrate Sestamibi gated-SPET both before CABG and at 3 and 6-month follow-up. Acquisitions were recorded at baseline after rest-injection of 450–550 MBq of Sestamibi and repeated under nitrates (0.5 mg of nitroglycerin sublingually). Results Twenty patients (90.9%) had complete myocardial revascularization. The mean number of distal anastomoses was 2.8 ± 0.9. Preoperative perfusion summed rest score (SRS) was 20.0 ± 11.3 and summed nitrate enhanced rest score (SRnS) was 16.8 ± 11.1, wall thickening (WT) 16.1 ± 8.6, wall motion (WM) 16 ± 9.1 and LVEF 32.7 ± 11.6%. Post surgery SRS was expected to be of the same value as SRnS and postoperative perfusion improvement score (###Delta(gr)SRS) to be 3.2 ± 3.7. But postoperative SRS proved to be 14.6 ± 10.8 at a 3-month follow-up and 13.9 ± 11.0 at 6-month follow-up. ###Delta(gr)SRS was 1.69 times (###Delta(gr)SRS 5.4 ± 7.8) at 3-month and 1.91 times (###Delta(gr)SRS 6.1 ± 6.9) at 6-month follow up higher than predicted. In order to predict postoperative myocardial perfusion recovery more precisely, the method of linear regression was used with the following regression equation: postop. SRS = 24.197 – 0.345 × age + 0.689 × SRnS (coefficient of determination R2 = 0.707). A significant improvement of regional wall thickening and wall motion were detected at 3 and 6-month follow up (WT = 13.4 ± 8.3 and 13.7 ± 9.1; WM = 13.4 ± 8.1 and 13 ± 8.7). But LVEF improvement was not statistically significant (from 32.7 ± 11.6% to 34.2 ± 14.1% and 35.4 ± 15.4%). Conclusions Nitrate-augmented gated-SPET data combined with a linear regression equation allow a precise prediction of myocardial perfusion recovery after myocardial revascularization. Key words: coronary artery disease, coronary artery bypass grafting, single-photon emission tomography
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Kuizinaitė, Aurelija, and Martynas Radzevičius. "Cultural Tourism and Cities: Kaunas Case." Informacijos mokslai 89 (June 5, 2020): 83–97. http://dx.doi.org/10.15388/im.2020.89.42.
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A feature of the modern society is the city which tries to express itself by means of social and physical environment. One of the means of expression are events whose activities engage local residents, visitors, guests, tourists, and, of course, distant spectators by means of smart global technologies. Cultural activities manifest by implementing cultural projects of various areas, starting from one-time local events, and ending with large-scale international projects. Cultural tourism is a great opportunity of urban and regional tourism development. Implementation of cultural events in cities can have impact on cultural tourism development and its planning, and can be one of the very important economic as well as sociocultural impact of tourism that manifests by created infrastructure, increasing supply of services and entertainment, and lively cultural life in cities. The work is relevant because it reveals for the first time how mega cultural events in cities are or can be an effect for cultural tourism development in cities.
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Rastenyte, Daiva, Zygimantas Cepaitis, Cinzia Sarti, Juozas Bluzhas, and Jaakko Tuomilehto. "Epidemiology of Stroke in Kaunas, Lithuania." Stroke 26, no. 2 (February 1995): 240–44. http://dx.doi.org/10.1161/01.str.26.2.240.
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Skokauskas, Norbertas, and Regina Satkeviciute. "Adolescent pathological gambling in Kaunas, Lithuania." Nordic Journal of Psychiatry 61, no. 2 (January 2007): 86–91. http://dx.doi.org/10.1080/08039480701226054.
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Valiukeviciene, S., and A. Lignugariene. "Zur Geschichte der Universitäts-Hautklinik Kaunas." Aktuelle Dermatologie 40, no. 10 (October 2, 2014): 397–400. http://dx.doi.org/10.1055/s-0034-1377877.
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Mačianskaitė, Loreta. "Kaunas Antano Škėmos kūryboje: žvilgsnių sankirtoje." Kauno istorijos metraštis 18 (2020): 75–89. http://dx.doi.org/10.7220/2335-8734.18.5.
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Masing, M., K. Baranauskas, Y. Siivonen, and T. Wermundsen. "Bats hibernating in Kaunas Fortress, Lithuania." Estonian Journal of Ecology 58, no. 3 (2009): 192. http://dx.doi.org/10.3176/eco.2009.3.04.
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Norkus, Zenonas, Aelita Ambrulevičiūtė, and Jurgita Markevičiūtė. "Real Wages of Lithuanian Construction Workers from 1913 to 1939 (Measured in Subsistence and Welfare Ratios) in a Cross-National Comparison." Lithuanian Historical Studies 23, no. 1 (December 28, 2019): 25–57. http://dx.doi.org/10.30965/25386565-02301002.
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This article provides two comparisons: (1) a cross-time comparison of real wages of skilled and unskilled workers in Kaunas before the First World War and during the interwar period; and (2) a cross-national quantitative comparison of the wages of unskilled workers in Kaunas and the capital cities of most European countries during the same period. For the second comparison, we use the findings of researchers who applied Robert C. Allen’s methodology of real wage estimation. In this methodology, the wages of unskilled construction workers (known in interwar Lithuania as zimagoras) are used as proxies for the wages of unskilled urban workers, and those of construction site carpenters provide a sample for skilled workers’ wages. Real wages are measured in subsistence and welfare ratios, indicating the distances separating the purchasing power of wages from the subsistence level of a single worker (subsistence ratio = 1 meaning absolute poverty) or his family (welfare ratio = 1 meaning absolute poverty). Subsistence or absolute poverty levels are defined by regionally adjusted (to variations in survival needs) minimum consumption baskets. The main findings are: (1) although during the first decade of independence (in the 1920s) the real wages of unskilled construction workers in Kaunas were lower than in 1913, by 1938 they had markedly surpassed the pre-First World War level; (2) in no year with available data did the real wages of unskilled construction workers in Kaunas fall below the absolute poverty level; (3) the real wages of skilled construction workers in Kaunas had markedly surpassed the pre-First World War level even before the Great Depression in the early 1930s, and remained above this level even in the worst years of the depression; (4) the real wages of skilled and unskilled construction workers in Kaunas in 1913 were no lower than in metropolitan centres of the Russian Empire; (5) in the period 1927 to 1929, the wages of unskilled construction workers in Kaunas were lower than in Moscow, but largely surpassed Russian wages in the 1930s, when Stalin’s policy of industrialisation forced them below the subsistence level; (6) the real wages of unskilled construction workers in Kaunas in the 1930s surpassed those in Riga and Tallinn. While this finding is surprising, it concurs with earlier (2007) findings by Gediminas Vaskela, who compared the mean wages of workers and employees in the Baltic countries in the period 1938 to 1940.
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Steponaitytė, Nijolė. "LANDSCAPE ADAPTATION AND RECONSTRUCTION DURING KAUNAS FORTRESS CONSTRUCTION." JOURNAL OF ARCHITECTURE AND URBANISM 30, no. 4 (December 31, 2006): 204–18. http://dx.doi.org/10.3846/13921630.2006.10697081.
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In spring of 2005 Kaunas city became a partner in the project “Baltic Fort Route“ of the program INTERREG IIIB BSR financed by the European Union. The aim of the project is preservation and effective adaptation of fortress territories for tourism. On the other hand, it should be observed that free land areas in Kaunas and around it are being intensively assimilated what may do damage to the defence objects of Kaunas Fortress and thus deteriorate their visual significance. The limits of landscape modifications should be clearly determined. During the construction process of the Fortress the peculiarities of the geomorphological system and hydrographic net of Kaunas environs were well explored and considered. The whole landscape of Kaunas environs was reconstructed according to the needs of the Fortress. The defence objects of the Fortress still have a great effect on the landscape of the city and its surrounding territories. Major part of the territories of the Fortress objects were turned into the areas of green plantation. According to the visual influence of the forts and fortifications on the environment, the mentioned objects may be divided into groups. The author presents proposals on the management of the defence objects and areas of green plantation of the Fortress that could provide for maximal possibilities in respecting their authentic view.
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Venskutonis, Donatas, and Linas Urbanavičius. "Dvylikapirštės žarnos traumos." Lietuvos chirurgija 3, no. 2 (January 1, 2005): 0. http://dx.doi.org/10.15388/lietchirur.2005.2.2316.
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Donatas Venskutonis1, Linas Urbanavičius21 Kauno medicinos universiteto Bendrosios chirurgijos klinika,VšĮ Kauno II klinikinė ligoninė,Josvainių g. 2, LT-47133 Kaunas2 Kauno medicinos universitetasEl paštas: donas@medi.lt Dvylikapirštės žarnos sužalojimai nedažni, tačiau pavojingi dėl sunkios diagnostikos ir komplikacijų. Uždaros pilvo traumos atveju dvylikapirštės žarnos sužalojimai paprastai diagnozuojami pavėluotai, o tai yra didesnio komplikacijų skaičiaus ir mirštamumo priežastis. Sunkiausia dvylikapirštės žarnos traumos gydymo komplikacija – dvylikapirštės žarnos siūlių nelaikymas ir dvylikapirštės žarnos fistulės susidarymas. Dvylikapirštės žarnos fistulė – sunki komplikacija, kelianti grėsmę gyvybei. Ne mažiau svarbūs ir dvylikapirštės žarnos jatrogeniniai sužalojimai. Dauguma dvylikapirštės žarnos traumų gali būti sėkmingai gydomos paprastu užsiuvimu. Sunkūs sužalojimai, apimantys ir gretimus organus (kasos ir tulžies latakus, pilvo kraujagysles), turi būti gydomi labai apgalvotai, atsižvelgiant į organizmo fiziologinių funkcijų stabilumą ir lokalaus pažeidimo dydį. Straipsnyje apžvelgiama periodiniuose leidiniuose ir internete anglų ir lietuvių kalbomis paskelbta medicinos literatūra apie dvylikapirštės žarnos sužalojimus. Didžiąją cituojamos literatūros dalį sudaro ne senesnės nei 5 metų publikacijos. Aptariamos sužalojimų priežastys, šiuolaikinė diagnostika, klasifikacija, gydymas ir komplikacijos, taip pat endoskopinės retrogradinės cholangiopankreatografijos metu įvykę dvylikapirštės žarnos sužalojimai, jų diagnostika, klasifikacija ir gydymo metodai. Reikšminiai žodžiai: dvylikapirštės žarnos sužalojimai, chirurginis gydymas Duodenal injuries Donatas Venskutonis1, Linas Urbanavičius21 Kaunas University of Medicine Clinicof General surgery, Kaunas 2nd Clinical Hospital,Josvainių str. 2, LT-47133 Kaunas2 Kaunas University of MedicineE-mail: donas@medi.lt Duodenal injuries are infrequent but dangerous due to their difficult diagnosis and complications. The diagnosis of blunt duodenal injuries is usually delayed, resulting in a significant morbidity and mortality. The most severe, potentially mortal complication following the treatment of duodenal injury is the development of a duodenal fistula from suture line dehiscence. Iatrogenic injuries of the duodenum are equally important. Most of duodenal injuries can be successfully treated by simple repair. Severe duodenal injuries and those associated with a major damage of the adjacent structures (the pancreatobiliary complex or abdominal vessels) require a more elaborate strategy incorporating a careful consideration of the physiological stability of the patient and the extent of local destruction. Herein medical literature in the English and Lithuanian languages as well as the Internet publications concerning the causes, current concepts of diagnosis, classification, management and complications of duodenal injuries is reviewed. The major part of the cited literature consists of the publications from the last five years. ERCP-related duodenal injuries and their diagnosis, classification and management are also discussed. Keywords: duodenal injuries, surgery
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Kinduris, Šarūnas, Algimantas Budrikis, Juozas Sakalauskas, Algimantas Sasnauskas, and Saulius Giedraitis. "Ligonių kontingento pokyčiai atliekant pakartotines miokardo revaskulizacijos operacijas." Lietuvos chirurgija 5, no. 3 (January 1, 2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2193.
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Šarūnas Kinduris1,2, Algimantas Budrikis1, Juozas Sakalauskas1, Algimantas Sasnauskas1, Saulius Giedraitis11 Kauno medicinos universiteto klinikų Širdies, krūtinės ir kraujagyslių chirurgijos klinika,Eivenių g. 2, LT-50009 Kaunas2 Kauno medicinos universiteto Biomedicininių tyrimų institutas,Eivenių g. 4, LT-50009 KaunasEl paštas: kinsar@gmail.com Įvadas / tikslas Per pastaruosius kelis dešimtmečius pakartotinės operacijos (PO), nepaisant didelių pirminių skaičiaus svyravimų, sudaro nuo 2% iki 6% visų miokardo revaskulizacijos (MR) atvejų. Darbo tikslas – įvertinti ligonių, kuriems atliktos pakartotinės miokardo revaskulizacijos operacijos, kontingento pokyčius. Ligoniai ir metodai Atlikta retrospektyvioji duomenų analizė 80 ligonių, kuriems nuo 2001 m. sausio iki 2006 m. gruodžio Kauno medicinos universiteto Širdies, krūtinės ir kraujagyslių chirurgijos klinikoje atlikta pakartotinė MR operacija dirbtinės kraujo apytakos sąlygomis. Rezultatai Norėdami įvertinti operuojamo kontingento pokyčius, tiriamuosius ligonius suskirstėmė į keturias grupes: pakartotinė ir pirminė operacijos atliktos 2001–2004 metais – atitinkamai A (53 ligoniai) ir B (1775 ligoniai) grupės; pakartotinė ir pirminė operacijos atliktos 2005–2006 metais – atitinkamai C (27 ligoniai) ir D (1053 ligoniai) grupės. Tyrimo rezultatai parodė, kad pooperacinis A grupės ligonių mirštamumas 7,5% (4 ligoniai), B grupės – 3,2% (57 ligoniai), C grupės – 7,4% ir D grupės – 2,2%. Operacijų rizikai vertinti naudota kardiochirurgijoje priimta EuroSCORE sistema. Analizuojamaisiais laikotarpiais B ir D grupių ligonių tiek rizikos vertinimas balais (atitinkamai 6,3 ± 3,3 ir 6,6 ± 3,2), tiek prognozuojamu mirštamumu (9,0% ir 9,5%) nesiskyrė, o pakartotinių operacijų grupėse analogiški rodikliai sumažėjo (atitinkamai 9,98 ± 4,4 ir 8,3 ± 2,2 bei 23,9% ir 13,0%). Išvados Remiantis šio tyrimo rezultatais galima teigti, kad pakartotinė miokardo revaskulizacijos operacija per pastaruosius dvejus metus atliekama jaunesniems ligoniams, laikotarpis tarp operacijų ilgesnis. Tam, kad dažnesnė operacijos indikacija buvo jungčių nepratekamumas nei aterosklerozinio proceso progresavimas natyvinėse arterijose, galėjo turėti įtakos pastaruoju dešimtmečiu gerokai patobulėję konservatyvūs ir intervenciniai gydymo metodai kardiologijoje ir mažas kardiochirurgų atliekamų operacijų skaičius. Pagrindiniai žodžiai: pakartotinė operacija, miokardo revaskulizacija, jungčių pratekamumas Changing profile of patients undergoing redo coronary artery bypass operation Šarūnas Kinduris1,2, Algimantas Budrikis1, Juozas Sakalauskas1, Algimantas Sasnauskas1, Saulius Giedraitis11 Hospital of Kaunas University of Medicine, Department of Cardiothoracic and Vascular Surgery,Eivenių str. 2, LT-50009 Kaunas, Lithuania2 Kaunas University of Medicine, Institute for Biomedical Research,Eivenių str. 4, LT-50009 Kaunas, LithuaniaE-mail: kinsar@gmail.com Background / objective Redo coronary artery bypass surgery (RECABG) operations represent about 2–6% of CABG operations. The aim of the study was to evaluate the profile of patients undergoing redo coronary artery bypass operations. Patients and methods Retrospective analysis of 80 patients operated on for RECABG in the Clinic of Cardiothoracic and Vascular Surgery of Kaunas University of Medicine was performed. Results To evaluate the profile of the patients, they were divided into four groups: redo and primary operations performed during 2001–2004 – groups A (53 patients) and B (1775) respectively; redo and primary operations performed in 2005–2006 – groups C (27 patients) and D (1053 patients) respectively. There was a 7.5% (4 patients) postoperative mortality in group A and 3.2% (57 patients) in group B. During 2005–2006, postoperative mortality was 7.4% and 2.2% respectively. The EuroSCORE system, well known in cardiac surgery, was used for operative risk assessment. Operative risk and predictive mortality in B and D groups during both evaluation periods was not significantly different (6.3 ± 3.3 and 6.6 ± 3.2 respectively and 9.0% and 9.5% respectively). On the other hand, evaluation of redo operations showed a decrease of these values with time (9.98 ± 4.4 and 8.3 ± 2.2; 23.9% and 13.0%, respectively). Conclusions Results of the study have shown that RECABG operations over the last two years have been performed for younger patients. Time interval between operations is longer and is associated with changes in the treatment of ischemic heart disease, but not with changes in the demographical situation in the country. Advanced conservative and invasive methods in cardiology during the last decade could influence the fact that an indication for RECABG became graft obstruction but not the progress of atherosclerosis in native coronary arteries. Key words: reoperation, coronary artery bypass, graft patency
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Bružas, Almantas. "THE ARCHITECTURAL FEATURES AND PREVALENCE OF CONTEMPORARY LANDMARKS IN KAUNAS CITY." Mokslas - Lietuvos ateitis 2, no. 3 (June 30, 2010): 46–51. http://dx.doi.org/10.3846/mla.2010.052.
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The article focuses on contemporary architectural accents and their architectural features in Kaunas city. The paper also analyses the prevalence of contemporary architectural accents in the city. Some tendencies towards creating Kaunas landmarks, relationship between them and the built environment and aesthetic measures are discussed on the basis of analyzing the most important and characteristic sacral, commercial, industrial and residential architecture patterns. It can be concluded that contemporary materials as well as a lightweight construction and the courage of architects helped with producing the image of modern architectural landmark, though the spread of Kaunas contemporary landmarks has a chaotic character and the cityscape has not been enriched by the powerful dominants of space structure.
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Jakušovaitė, Irayda, and Aurelija Blaževičienė. "The approach of medical students towards studies of the humanities and social sciences." Medicina 43, no. 7 (February 6, 2007): 580. http://dx.doi.org/10.3390/medicina43070074.
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Objective. To analyze the attitudes of the medical students from Kaunas University of Medicine, Krakow Jagiellonian University, and St. Petersburg State University towards the studies of the humanities and social sciences. Materials and methods. The survey was carried out in three universities (Kaunas University of Medicine, Krakow Jagiellonian University, and St. Petersburg State University) during 2004– 2005. The questionnaire for the investigation was developed based on R. D. Stenberg’s works on the ways of knowledge-, practice-, and personality-oriented thinking. Results. After the analysis of students’ attitudes towards the importance of the disciplines of ethics, philosophy, sociology, and psychology at the universities of Kaunas, Krakow, and St. Petersburg, important differences have been found among them. Students gave the highest priority to ethics in their profession. Answering the question, “Are philosophical studies important in medical studies,” statistically significant differences appeared among Krakow, Kaunas, and St. Petersburg universities. Students of all the universities agreed that sociology and psychology studies were important for their future profession. Conclusions. Having estimated the opinions of medical students’ attitudes towards the importance of the humanities and social sciences, we may state that the students of Krakow and St. Petersburg universities more often agreed that ethics and philosophy were important for their studies. The importance of psychology science was emphasized by the students of all universities, and the students of Kaunas University of Medicine and St. Petersburg State University agreed more often that the discipline of sociology was important for the future studies.
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Maumevičienė, Dainora, and Jūratė Maksvytytė. "MODERN SOCIETY BUILDING THROUGH HIGHER EDUCATION IN LITHUANIAN AFTER 1918." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 2 (May 20, 2020): 97. http://dx.doi.org/10.17770/sie2020vol2.4828.
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The development of the modern state of Lithuania after the declaration of independence on February 16th, 1918 triggered many changes both in the development of the state and processes related to modern society building. Education and the opening of modern university in Lithuania was closely related to historical, social and political changes. The occupation of Vilnius and the transfer of the most important state governing and state developing institutions to Kaunas as the temporary capital of Lithuania was closely related to the establishment of Lithuanian University in Kaunas in 1922. The society was also impacted by the socio-historical context since some members of the society took an active part processes of the emergence of the Lithuanian University as the establishment of modern system of higher education in Lithuania. Taking into consideration not only the historical context and the approaching celebration of one hundred years of the opening of modern Lithuanian University in Kaunas in 2022, this article aims to discuss processes, factors and context that made prerequisites for the development of modern university in Lithuania in Kaunas in 1922 that, in turn, influenced the development of modern society and nation with a specific focus on its identity.
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Ustinavičienė, Rūta, and Loreta Piešinė. "Morbidity of textile industry workers in Kaunas." Medicina 43, no. 6 (May 2, 2007): 495. http://dx.doi.org/10.3390/medicina43060062.
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Objective. According to the Department of Statistics at the beginning of 2003, 551 textile industry and garment enterprises operated in Lithuania. The purpose of the study was to evaluate morbidity among workers in textile industry enterprises in Kaunas and analyze the data obtained in relation to sex, age, profession, and occupational health hazards. Material and methods. A sick-leave-based case-control study was conducted in the units of four textile enterprises where 1842 workers were employed. Data were categorized in relation to sex, profession, and kind of sickness. Age was grouped in the following way: under 29 years, 30–39 years, 40–49 years, and over 50 years. Results. In the period of survey, 1482 cases of sick leave were reported in the enterprises where 1842 workers were employed. The main cause of absence because of sickness was respiratory diseases – 37.3% (30.27 cases per 100 workers), nursing took the second place –17.0% (13.76 cases per 100 workers). Accidents and injuries made up 9.3% (7.5 cases per 100 workers), musculoskeletal and connective tissue disorders – 7.9% (6.4 cases per 100 workers). Data were analyzed using statistical programs SPSS 97, Epi-Info 6.0. Conclusions. Main morbidities reported included respiratory diseases (37.3%), nursing (17.0%), accidents and injuries (9.3%), musculoskeletal and connective tissue disorders (7.9%). The incidence of morbidity among workers engaged in workplace where occupational risk factors exceeded hygienic standards was higher. The rate of morbidity also increased with age and sex; morbidity among women was 1.5 higher than among men.
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Endziniene, Milda, Valius Pauza, and Irena Miseviciene. "Prevalence of childhood epilepsy in Kaunas, Lithuania." Brain and Development 19, no. 6 (September 1997): 379–87. http://dx.doi.org/10.1016/s0387-7604(97)00035-1.
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Senn, Alfred Erich. "Lithuania's representative in Soviet basketball: Žalgiris-Kaunas." Journal of Baltic Studies 16, no. 2 (June 1985): 138–44. http://dx.doi.org/10.1080/01629778500000051.
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Kuodys, Modestas. "Kaunas 1940-ųjų birželio viduryje lietuvių memuaristikoje." Kauno istorijos metraštis 16 (2016): 51–70. http://dx.doi.org/10.7220/2335-8734.16.3.
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Saladžinsks, Sigits Vlads, and Kristina Vaisvalavičiene. "Latviešu izcelsmes Lietuvas arhitekts un inženieris Kārlis Reisons (1894–1981) un viņa profesionālā darbība Šauļos." Inženierzinātņu un augstskolu vēsture 2 (November 1, 2018): 97–113. http://dx.doi.org/10.7250/iav.2018.008.
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Raksts iepazīstina ar Latvijā mazzināma latviešu izcelsmes Lietuvas arhitekta un inženiera Kārļa Reisona (Karolis Reisonas; 1894–1981) dzīvi un profesionālo darbību Šauļos, kā arī aktualizē svarīgākās arhitekta daiļrades mantojuma iezīmes un viņa darbu nozīmi Lietuvas arhitektūras vēsturē. K. Reisons bija viens no spilgtākajiem 20. gadsimta starp-karu perioda Lietuvas modernās arhitektūras radītājiem. K. Reisons ir reprezentatīvu celtņu Lietuvas pilsētās, kā arī Rīgā un Adelaidā (Austrālija) autors vai līdzautors. Rīgas reālskolas (1913) un Sanktpēterburgas civilinženieru institūta (1920) absolvents K. Reisons strādāja par Šauļu pilsētas inženieri un pašvaldības Būvniecības nodaļas vadītāju (1922–1930), Šauļu būvniecības desmitnieku1 kursu (1925), vēlāk arī Šauļu arodskolas direktoru (1926), Lietuvas Lauksaimniecības kameras konsultantu (1927–1928). 14 no viņa projektētām celtnēm Kauņā un Šauļos ir iekļautas Lietuvas Kultūras vērtību reģistrā. Agrīniem K. Reisona projektiem raksturīgs historisms ar eklektisma elementiem un tā sauktais «ķieģeļu stils». Vēlākie projekti iezīmējas ar modernajai arhitektūrai raksturīgu askētisko racionālismu, funkcionālismu un piemērošanos pilsētbūvniecības un kultūrvēsturiskajam kontekstam. Pēc Otrā pasaules kara viņš ar ģimeni emigrēja uz Vāciju, vēlāk – uz Adelaidu, piedalījies Adelaidas lietuviešu kopienas dzīvē. The article introduces the professional activities of Latvian-born Lithuanian architect and engineer Karolis Reisonas (in Latvian: Kārlis Reisons; 1894–1981) in the second half of his life – from 1930 in Kaunas, Panevėžys and Adelaide cities – and his role in the history of Lithuanian architecture. K. Reisonas was one of the most prominent creators of modern 20th-century interwar Lithuanian architecture and together with other famous Lithuanian architects formed a special style of Kaunas modern architecture in interwar period. K. Reisonas is the author or co-author of representative buildings in Šiauliai, Kaunas and other Lithuanian cities, as well as in Riga and Adelaide cities. Architect and engineer K. Reisonas worked as Šiauliai City Engineer and Head of Municipal Construction Department (1922–1930), Director of Šiauliai Vocational School (1926), Consultant of Lithuanian Chamber of Agriculture (1927–1928), Head of Construction Department of Kaunas Municipality (1930–1938), Panevėžys City Engineer (1940) and Burgomaster (1941–1944). From 1949, the Reisonas family lived in Adelaide city, Australia. To his projects three monuments of independence were built in Lithuania – Monument of Independence in Šiauliai city, Podium of the Freedom Monument of Kaunas city and Roman Catholic Christ’s Resurrection Church in Kaunas city. Fourteen of buildings in Lithuania (in Kaunas and Šiauliai cities) designed by him are included in the list of cultural values of Lithuania. Early K. Reisonas’ projects are characterized by historism, elements of eclecticism and «brick style», later projects are characterized by austere rationalism, functionalism, adaptation to urban construction and cultural and historical context.
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Gobikas, Mindaugas, Alexandru Radu, and Jonas Miklovas. "Home Court Advantage in Basketball – A Case Study of Žalgiris Kaunas Basketball Team." ATHENS JOURNAL OF SPORTS 7, no. 4 (November 30, 2020): 235–50. http://dx.doi.org/10.30958/ajspo.7-4-3.
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The actual venue where a basketball game is played needs to be considered (Volossovitch 2017) when looking at the effectiveness of a team’s performance playing in front of home crowd. Clarke (2005), Gomez and Pollard (2011) and Bray and Widmeyer (2008) explored the home court advantage topic and argued that this exists and is influenced by various factors (such as familiarity with environment, crowd support and loud arena, shooting percentages, absence of travel, etc.). A top division professional basketball team from Lithuania (Žalgiris Kaunas) was selected for this study using a convenience sample method (Veal and Darcy 2014). A case study approach (which incorporated comparisons between and an analysis of certain statistical categories such as: points scored per game; points allowed per game; free throws – made and attempted per game; 3 points shots – made and attempted; assists and turnovers) were used as part of this investigation into Žalgiris Kaunas basketball team and the games they played at home during 2017–2018 and 2018–2019 seasons. From a methodological point of view, a three stage approach was employed. First stage was an exploratory analysis of relevant data available in the public domain for the selected team /club. Second stage comprised of an initial analysis that consisted of statistical calculations (averages per game and per season) and comparisons between Žalgiris Kaunas and their opponents while a discussion and concluding analysis – as a third stage – was drawn by interpretation of data. Similar to findings from literature, playing at home in front of full capacity crowd was beneficial for Žalgiris Kaunas as their performances improved for the statistical categories previously mentioned, alongside with being victorious in 11 out of the 19 home games that were scrutinised for the purpose of the research. Keywords: home court advantage, basketball performance indicators, basketball analytics, attendance, Žalgiris Kaunas
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Labanauskas, Gintautas, and Ramūnas Palšaitis. "STUDY OF POSSIBILITIES TO ESTABLISH REGIONAL TRANSPORT TERMINAL IN KAUNAS." TRANSPORT 22, no. 2 (June 30, 2007): 118–21. http://dx.doi.org/10.3846/16484142.2007.9638109.
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The article describes the creation of regional transport terminals and their usage as a tool to control material flows in the distribution channels. In the first part of the article the authors analyze the role of intermodal transport terminal within international business system, legal aspects of Lithuanian and EU regulations as well as the laws of Lithuanian transport regional transport terminal establishment in Kaunas. The evaluation of alternative locations for establishment of terminal in Kaunas region is presented.
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Kraniauskas, Liutauras. "Kita Anthony Giddenso Sociologijos pusė." Sociologija. Mintis ir veiksmas 17 (June 20, 2006): 143–57. http://dx.doi.org/10.15388/socmintvei.2006.1.6013.
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Valantiejus, Vaidotas. "Kultūra kaip ekonominė galia." Sociologija. Mintis ir veiksmas 26 (November 8, 2010): 147–53. http://dx.doi.org/10.15388/socmintvei.2010.1.6100.
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Jonaitis, Jonas, and Jonas Butkevičius. "ANALYSIS OF THE POSSIBILITIES OF BUILDING THE RAILWAY RAIL BALTICA IN LITHUANIA." TRANSPORT 20, no. 5 (October 20, 2005): 204–13. http://dx.doi.org/10.3846/16484142.2005.9638021.
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The article deals with the objectives and possibilities of building the railway Rail Baltica through the Lithuanian territory, covers the alternatives of the choice of routes. In Lithuania's national transport policy the connection with Central and Western Europe by a direct, efficient and high‐quality railway link has high priority. A significant chain of building a new chain is a bypass of Kaunas, therefore the alternatives of a bypass around Kaunas are being analysed. The article also presents the choice of location and types of stations, an alternative version of the route. The location of the stations was studied together with all other aspects of the new line (alignment parameters, travelling time, environmental impact and investment cost). It is recommended to considerably analyse possibilities to build the Rail Baltica route through Vilnius with a possible branch‐line to Kaunas. Building of the route Rail Baltica is a technically complicated project, thus a focus is laid upon technical decisions.
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Šeina, Viktorija. "Pernicious City: Mythologization of Kaunas in the Lithuanian Literature of the Interwar Period." Przegląd Humanistyczny 62, no. 4 (463) (May 24, 2019): 31–47. http://dx.doi.org/10.5604/01.3001.0013.2633.
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The article analyzes the mythologization of Kaunas, the temporary capital of Lithuania, in the Lithuanian literature of the interwar period. The methodological approach of the research is based on the research methods of urban mythopoetics by Vladimir Toporov and that of topological semiotics by Algirdas Julien Greimas. Due to objective historical and social circumstances, the formation of the Lithuanian urban literature started only at the beginning of the 20th century. The intensive period in the urbanization of the Lithuanian literature was that of the interwar period when literary reflections on Kaunas started gaining certain dominant symbolic images of the city, repeating plots and characters typical of Kaunas. The literary myth of the temporary capital as a pernicious city which becomes a moral trial for an individual is revealed in the article through the analysis of Part III of the novel Altorių šešėly [In the shadows of altars] by Vincas Mykolaitis-Putinas, the most prominent Lithuanian novelist of the interwar period.
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Čepaitienė, Agnė. "Socio-cultural network of Western Aukštaitians of Kaunas and Eastern Aukštaitians of Panevėžys." Taikomoji kalbotyra, no. 8 (September 19, 2016): 136–59. http://dx.doi.org/10.15388/tk.2016.17509.
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The article is based on a universal social network theory. It also offers a socio-cultural network of two subdialect areas: Western Aukštaitians of Kaunas and Eastern Aukštaitians of Panevėžys. The paper attempts to investigate migration directions of residents of the inhabited areas included into the Atlas of Lithuanian Language (ALL points). They are used to identify hypothetical zones of ALL points demonstrating a high degree of subdialect vitality.The research material consists of statistical data of 176 ALL points (121 of Western Aukštaitians of Kaunas and 86 of Eastern Aukštaitians of Panevėžys) collected in 2011–2015. The data issummarized in a table. The paper also includes a socio-cultural network completed with the help of the software Paint referring to 6 criteria: movement directions (to schools, hospitals, libraries,churches, post offices and supermarkets) of the communities’ members residing in the ALL points and covering dialectal areas of Western Aukštaitians of Kaunas and Eastern Aukštaitians ofPanevėžys. The paper evaluates the viability, social structure, communicative networks of situations and possible directions of dialectal changes of ALL points.The results show that both subdialects are linguistically similar in strength; both demonstrate high vitality. Dialectal features seem to be best maintained in and around Ariogala, Jurbarkas, Šakiai,Kazlų Rūda, Vilkaviškis, Kalvarija and Biržai, Pasvalys, Radviliškis, Ramygala.Subdialect changes have been mainly determined by a high degree of mobility within the dialectal areas rather than the impact of other dialects. Internal migration is stimulated by attractivesupermarkets and medical institutions in the nearest ALL points, while migration to other areas of subdialects is motivated by attractive supermarkets (in case of Western Aukštaitians of Kaunas) or a lack of educational institutions in the original places of residence (in case of Eastern Aukštaitians of Panevėžys).A possible direction of changing dialectal features is the south in case of Western Aukštaitians of Kaunas and the west in case of Eastern Aukštaitians of Panevėžys. However, the oppositedirection is not excluded: dialectal features of Western Aukštaitians of Kaunas are actively penetrating the dialectal area of Southern Aukštaitians and dialectal features of Eastern Aukštaitians of Panevėžys tend to spread in the dialectal area of Western Aukštaitians of Šiauliai.Presumably, the above indicators show that despite similarities and differences between both subdialects and the standard language, the subdialects have similar conditions to survive and become stronger.
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Kinčius, Marius, and Aivaras Matjošaitis. "Obstrukcinės uropatijos gydymas perkutanine nefrostomija." Lietuvos chirurgija 3, no. 4 (January 1, 2005): 0. http://dx.doi.org/10.15388/lietchirur.2005.4.2293.
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Marius Kinčius, Aivaras MatjošaitisKauno medicinos universiteto Urologijos klinika,Eivenių g. 2, LT-50009 KaunasEl paštas: aivaras.mat@gmail.com Tikslas Perkutaninė nefrostomija šiuo metu yra alternatyva atvirajai nefrostomijai ir pirmo pasirinkimo operacija drenuojant viršutinius šlapimo takus dėl jų obstrukcijos. Šiuo darbu siekta apžvelgti dažniausias priežastis, sukeliančias obstrukcinę uropatiją, ir įvertinti perkutaninės nefrostomijos veiksmingumą ir saugumą. Ligoniai ir metodai Retrospektyviai ištirti 126 ligoniai, kuriems Kauno medicinos universiteto klinikų Urologijos klinikoje per trejus metus buvo atliktos perkutaninės nefrostomijos. Išsiaiškintos dažniausios ligos, kurios komplikavosi vieno ar abiejų inkstų blokada, o šlapimo nutekėjimui atkurti buvo atliktos perkutaninės nefrostomijos, taip pat nustatytos dažniausios komplikacijos po šių operacijų. Rezultatai Nuo 2002 m. rugsėjo iki 2005 m. rugsėjo Kauno medicinos universiteto klinikų Urologijos klinikoje iš viso buvo atliktos 156 perkutaninės nefrostomijos. Šlapimo nutekėjimas 47 ligoniams (37,3%) sutriko dėl nenavikinės šlapimo takų obstrukcijos, kitiems 79 (62,7%) – dėl piktybinių navikų. Dažniausios nenavikinės obstrukcijos priežastys buvo inkstų akmenligė, pieloureterinio segmento striktūra ir prostatos nepiktybinė hiperplazija. Pažengusios šlapimo pūslės, prostatos ir gimdos kaklelio karcinomos buvo dažniausios navikinės kilmės obstrukcinės uropatijos priežastys. Bendras komplikacijų skaičius siekė 19 (12,2%). Išvada Perkutaninė nefrostomija yra mažai traumuojanti ir visiškai saugi operacija, kurią atlikti turėtų mokėti kiekvienas urologas. Reikšminiai žodžiai: perkutaninė nefrostomija, obstrukcinė uropatija Percutaneous nephrostomy in the treatment of obstructive uropathies at Urology Department of Kaunas University of Medicine Hospital Marius Kinčius, Aivaras MatjošaitisClinic of Urology, Kaunas University of Medicine,Eivenių g. 2, LT-50009 Kaunas, LithuaniaE-mail: aivaras.mat@gmail.com Background Percutaneous nephrostomy is an alternative for open surgery and nowadays is the first choice operation for draining the upper urinary tract complicated with obstruction. Patients and methods Between September 2002 – September 2005 at Urology Department of Kaunas University of Medicine Hospital 126 patients underwent percutaneous nephrostomy. Percutaneous nephrostomy was used as a preparatory step towards radical elimination of obstruction and as a palliative treatment for draining the upper urinary tract complicated with obstruction. Results Percutaneous nephrostomy was done to 75 men and 51 women. The reasons for urine flow disorders were removable obstruction of the urinary tract in 47 patients (37.3%) and malignant tumors in 79 patients (62.7%). Bilateral percutaneous nephrostomies were performed for 14 patients. Haematuria appeared in almost all the patients in the early postoperative period. Four patients developed medium or great intensity bleeding (2.6%). In one case segmental renal artery obstruction was performed. The overall complication rate didn’t exceed 13%. Conclusion Percutaneous nephrostomy is a low traumatizing and safe operation which all urologists should be able to perform. Keywords: percutaneous nephrostomy, obstructive uropathy
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LIETUVNINKAITĖ, NIJOLĖ. "KVIETIMAS Į KNYGOTYROS STUDIJAS." Knygotyra 49 (January 1, 2015): 269–71. http://dx.doi.org/10.15388/kn.v49i0.8028.
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Brazaitienė, Laura. "Subdialects of the Kaunas environs in manuscript sources." Lietuvių kalba, no. 14 (June 10, 2020): 1–21. http://dx.doi.org/10.15388/lk.2020.22457.
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The goal of the article is to discuss the change of the subdialects of the surrounding area of Kaunas belonging to the territory of Kaunas district. The manuscripts of the second half of the 20th century and the printed texts of these subdialects and audio recordings served as research material. The situation of subdialects in the Kaunas area is revealed by the analysis in different periods by the differentiating (the pronunciation of the consonant l, accented long and accented short vowels, stress retraction) and their characteristic (the pronunciation of unaccented inflexional vowels ė and o) dialectal features recorded in the manuscripts.It was found that the western part of the dialect area was more homogeneous in all classifications: the consonant lwas usually not hardened, cases of stress retraction were few, and the unaccented long vowels were seldom shortened. In the eastern part, the inhabitants of both speakers of the traditional Lithuanian subdialect and the local Polish language tended to retract the stress, shorten the unaccented long vowels, and prolong the accented short vowels. The influence of the local Polish language is thought to be explained by some other cases recorded in this part of the subdialect area.
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SURBLYS, ALVYDAS. "SENOSIOS KAUNO KNYGOS KELIAIS." Knygotyra 49 (January 1, 2015): 278–84. http://dx.doi.org/10.15388/kn.v49i0.8030.
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LIETUVNINKAITĖ, NIJOLĖ. "AKISTATA SU XX AMŽIAUS SPAUDOS PASLAPTIMIS." Knygotyra 59 (January 1, 2012): 264–67. http://dx.doi.org/10.15388/kn.v59i0.1119.
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Savoniakaitė, Vida. "Lietuviškojo identiteto trajektorijos." Sociologija. Mintis ir veiksmas 26 (November 8, 2010): 154–57. http://dx.doi.org/10.15388/socmintvei.2010.1.6101.
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Navickienė, Aušra. "In Commemoration of Professor Domas Kaunas 70th Anniversary." Knygotyra 72 (June 25, 2019): 12–16. http://dx.doi.org/10.15388/knygotyra.2019.72.18.
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Pažėraitė, Aušra, and Mindaugas Krakauskas. "Towards liberalized district heating market : Kaunas city case." Management of Organizations: Systematic Research 67, no. 67 (September 2013): 53–67. http://dx.doi.org/10.7220/mosr.1392.1142.2013.67.4.
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Feiferytė – Skirien, A., G. Čepeliauskaitė, and Ž. Stasiškienė. "Urban metabolism: measuring the Kaunas city sustainable development." IOP Conference Series: Earth and Environmental Science 588 (November 21, 2020): 042040. http://dx.doi.org/10.1088/1755-1315/588/4/042040.
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Čičinskaitė, Regina. "Bielinis, L., 2011. The President as a “Political Cliché,” or the Polemical Marginalia of a Philologist." Respectus Philologicus 21, no. 26 (April 25, 2012): 259–62. http://dx.doi.org/10.15388/respectus.2012.26.15498.
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