Vygintas Aliukonis

Tyrimo tikslas. I vertinti smurto prie s vaikus dinamik a Vilniaus apskrityje 2000–2009 m. ir nustatyti smurto aprai s kas ir skirtumus am ž iaus grup e se. Tyrimo metodai. Tyrimas vykdytas apra s omosios anketin e s studijos forma, analizuotos vaik u ligos istorijos panaudojant anket a  su demogra " nias rodikliais. Rezultatai. 2000–2009 m. bendrasis smurto atvej u skai c ius ma že jo. Berniukai smurt a patiria da ž niau nei mergait e s, da ž niausiai smurto aukos yra 12–15 met u vaikai. Daugiausia smurtauja vaikai. Psichologinio smurto kasmet daug e ja, da ž niau smurtaujama tamsiu paros metu, vie s ose vietose. Did ž i a j a dal i vis u sveikatos sutrikdym u  sudar e ne ž ymus sveikatos sutrikdymas. Hospitalizacijos trukm e tur e jo tendencij a kasmet trump e ti ir patikimai buvo susijusi su diagnoze bei sveikatos sutrikdymo laipsniu. I s vados. 1. Smurto atvej u nustatymas gydymo i staigoje yra ribotas d e l to, kad ne visais atvejais surenkama i s sami informacija apie patirt a smurt a ir smurtautoj a . 2. Daug e jo smurto atvej u  vie s ose vietose, tamsiu paros metu. 3. Nustatyta smurto prie s vaikus ma že jimo tendencija, ta c iau tikslinga i vertinti darbo su smurto aukomis patirt i s eimos gydytoj u praktikoje, nes ligonin e je " ksuojami ne visi smurto atvejai. Reik s miniai ž od ž iai: smurtas prie s vaikus, vaik u smurtas, vaik u smurtautojai.

Tyrimo tikslas. I vertinti smurto prie s vaikus dinamik a Vilniaus apskrityje 2000–2009 m. ir nustatyti smurto aprai s kas ir skirtumus am ž iaus grup e se. Tyrimo metodai. Tyrimas vykdytas apra s omosios anketin e s studijos forma, analizuotos vaik u ligos istorijos panaudojant anket a  su demogra " nias rodikliais. Rezultatai. 2000–2009 m. bendrasis smurto atvej u skai c ius ma že jo. Berniukai smurt a patiria da ž niau nei mergait e s, da ž niausiai smurto aukos yra 12–15 met u vaikai. Daugiausia smurtauja vaikai. Psichologinio smurto kasmet daug e ja, da ž niau smurtaujama tamsiu paros metu, vie s ose vietose. Did ž i a j a dal i vis u sveikatos sutrikdym u  sudar e ne ž ymus sveikatos sutrikdymas. Hospitalizacijos trukm e tur e jo tendencij a kasmet trump e ti ir patikimai buvo susijusi su diagnoze bei sveikatos sutrikdymo laipsniu. I s vados. 1. Smurto atvej u nustatymas gydymo i staigoje yra ribotas d e l to, kad ne visais atvejais surenkama i s sami informacija apie patirt a smurt a ir smurtautoj a . 2. Daug e jo smurto atvej u  vie s ose vietose, tamsiu paros metu. 3. Nustatyta smurto prie s vaikus ma že jimo tendencija, ta c iau tikslinga i vertinti darbo su smurto aukomis patirt i s eimos gydytoj u praktikoje, nes ligonin e je " ksuojami ne visi smurto atvejai. Reik s miniai ž od ž iai: smurtas prie s vaikus, vaik u smurtas, vaik u smurtautojai.

57 metų moteriai dėl T1 tiesiosios žarnos vėžio buvo atlikta transanalinė endoskopinė mikrochirurginė (TME) operacija. Galutinio patologinio tyrimo duomenimis, buvo konstatuota T2 invazija (1 pav.). Ligonei buvo pasiūlyta totalinė mezorektinė ekscizija (TME). Operacija buvo pradėta pusiau sulenkto lenktinio peilio padėtyje, atliekant dalį TME per išangę (2, 3 pav.). Mobilizuota tiesioji žarna (4 pav.) ir tiesiosios žarnos bigė (5 pav.) buvo užsiūtos rauktinėmis siūlėmis. TME buvo užbaigta laparoskopiškai, sudarant storosios žarnos J rezervuaro jungtį su analiniu kanalu. Tokiu būdu pavyko suformuoti vientisą tiesiosios žarnos preparatą (6 pav.).

Totalinė mezorektinė ekscizija (TME) yra plačiai pripažintas auksinis tiesiosios žarnos vėžio gydymo standartas. Operuojant ligonius, sergančius žemu tiesiosios žarnos vėžiu, iškyla išangės raukų išsaugojimo, teigiamų rezekcijos kraštų ir daug kitų klausimų. Mes aprašėme 52 metų amžiaus moters, operuotos dėl žemo tiesiosios žarnos vėžio, atvejį. Šiai ligonei buvo atlikta hibridinė laparoskopinė ranka asistuojama TME su distalinės tiesiosios žarnos dalies išpreparavimu per tarpvietę. Ateityje reikalingi tyrimai, kurie padėtų nustatyti robotinės chirurgijos, transanalinės TME (Ta TME) ir hibridinės laparoskopinės TME su distalinės tiesiosios žarnos dalies išpreparavimu per tarpvietę indikacijos žemo tiesiosios žarnos vėžio chirurgijoje.

Based on the laws of Lithuania and all democratic states, human life and health are considered as the most important values as well as a unique condition and basis of all other human values. Protection of human life and health may be ensured by establishing standards of various legal fields as well as determining criminal liability for encroachment on human life and health. The Criminal Code of the Republic of Lithuania (hereinafter referred to as the CC) determines liability for a simple or qualified homicide in Article 129, whereas grievous bodily injury is covered in Article 135. Moreover, the aforementioned criminal acts may be committed when the perpetrator is in the state of diminished responsibility (physiological affect), therefore the legislator considers such acts to be exclusive and establishes liability for homicide and grievous bodily injury in a highly agitated state in different regulations of the Code (Art. 130 and Art. 136 of the CC). The issues of qualification and...

Introduction. Both mesenteric cysts and cystic lymphangiomas are scarce and clinically and radiologically almost identical derivatives, but their histological structure is fundamentally different. Case Presentation. A 52-year-old woman was consulted by a surgeon for a derivative felt in her abdomen. The patient said she felt a growing derivative in the abdomen about a month ago. After consulting and testing, a sigmoid colon mesenteric cyst ( 13   cm × 11   cm × 10   cm ) was found. Complete excision of the cyst within healthy tissues was performed through laparotomy. The surgery had no complications. The initial pathological answer was a simple mesothelial cyst (a rare histological finding). However, immunohistochemical tests were performed that showed that diagnosis was mesenteric cystic lymphangioma (ML). Cystic lymphangiomas that have a link to the mesentery have been described less than 200 times. Conclusions. Final differential diagnosis between different cystic derivatives is ...

Controversies related to the concept and practice of responsible authorship and its misuse have been among the most prominent issues discussed in the recent literature on research integrity. Therefore, this paper aims to address the factors that lead to two major types of unethical authorship, namely, honorary and ghost authorship. It also highlights negative consequences of authorship misuse and provides a critical analysis of different authorship guidelines, including a recent debate on the amendments of the International Committee of Medical Journal Editors (ICMJE) authorship definition. Empirical studies revealed that honorary authorship was the most prevalent deviation from the responsible authorship standards. Three different modalities of honorary authorship were distinguished: gift authorship, guest authorship, and coercive authorship. Prevalence of authorship misuse worldwide and in Europe was alarmingly high, covering approximately one third of all scientific publications....

Introduction. Hand-assisted laparoscopic surgery (HALS) was introduced into clinical practice in the mid-1990s. Although this technique was established as a bridge to total laparoscopic colorectal surgery there are still those who oppose it. In this study we report our 10 year experience of practicing HALS. Methods. This study is a retrospective analysis of prospectively collected data of 426 patients undergoing hand-assisted laparoscopic colorectal surgery for left-sided colon and rectal cancer in a single tertiary care institution, the National Cancer Institute, from January, 2006, to July, 2016. All consenting patients with left sided colon and rectal cancer were included in the analysis. Results. Patient population showed a similar female and male ratio 212 (49.76%) vs. 214 (50.24%). Average age was 64.13 ? 9.92 years (from 26 to 91). Operation time was 108 minutes ? 44.1 min (30 - 320 min). The mean length of the postoperative hospital stay was 6.88, ranging from 2 to 34 days. ...

Controversies related to the concept and practice of responsible authorship and its misuse have been among the most prominent issues discussed in the recent literature on research integrity. Therefore, this paper aims to address the factors that lead to two major types of unethical authorship, namely, honorary and ghost authorship. It also highlights negative consequences of authorship misuse and provides a critical analysis of different authorship guidelines, including a recent debate on the amendments of the International Committee of Medical Journal Editors (ICMJE) authorship definition. Empirical studies revealed that honorary authorship was the most prevalent deviation from the responsible authorship standards. Three different modalities of honorary authorship were distinguished: gift authorship, guest authorship, and coercive authorship. Prevalence of authorship misuse worldwide and in Europe was alarmingly high, covering approximately one third of all scientific publications....

Controversies related to the concept and practice of responsible authorship and its misuse have been among the most prominent issues discussed in the recent literature on research integrity. Therefore, this paper aims to address the factors that lead to two major types of unethical authorship, namely, honorary and ghost authorship. It also highlights negative consequences of authorship misuse and provides a critical analysis of different authorship guidelines, including a recent debate on the amendments of the International Committee of Medical Journal Editors (ICMJE) authorship definition. Empirical studies revealed that honorary authorship was the most prevalent deviation from the responsible authorship standards. Three different modalities of honorary authorship were distinguished: gift authorship, guest authorship, and coercive authorship. Prevalence of authorship misuse worldwide and in Europe was alarmingly high, covering approximately one third of all scientific publications....

Introduction. Hand-assisted laparoscopic surgery (HALS) was introduced into clinical practice in the mid-1990s. Although this technique was established as a bridge to total laparoscopic colorectal surgery there are still those who oppose it. In this study we report our 10 year experience of practicing HALS. Methods. This study is a retrospective analysis of prospectively collected data of 426 patients undergoing hand-assisted laparoscopic colorectal surgery for left-sided colon and rectal cancer in a single tertiary care institution, the National Cancer Institute, from January, 2006, to July, 2016. All consenting patients with left sided colon and rectal cancer were included in the analysis. Results. Patient population showed a similar female and male ratio 212 (49.76%) vs. 214 (50.24%). Average age was 64.13 ? 9.92 years (from 26 to 91). Operation time was 108 minutes ? 44.1 min (30 - 320 min). The mean length of the postoperative hospital stay was 6.88, ranging from 2 to 34 days. ...

Controversies related to the concept and practice of responsible authorship and its misuse have been among the most prominent issues discussed in the recent literature on research integrity. Therefore, this paper aims to address the factors that lead to two major types of unethical authorship, namely, honorary and ghost authorship. It also highlights negative consequences of authorship misuse and provides a critical analysis of different authorship guidelines, including a recent debate on the amendments of the International Committee of Medical Journal Editors (ICMJE) authorship definition. Empirical studies revealed that honorary authorship was the most prevalent deviation from the responsible authorship standards. Three different modalities of honorary authorship were distinguished: gift authorship, guest authorship, and coercive authorship. Prevalence of authorship misuse worldwide and in Europe was alarmingly high, covering approximately one third of all scientific publications....