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1.
Medicina (Kaunas) ; 57(2)2021 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-33562085

RESUMEN

Background and objective: Serologic testing is a useful additional method for the diagnosis of COVID-19. It is also used for population-based seroepidemiological studies. The objective of the study was to determine SARS-CoV-2 seroprevalence in healthcare workers of Kaunas hospitals and to compare two methods for specific SARS-CoV-2 antibody testing. Materials and Methods: A total of 432 healthcare workers in Kaunas hospitals were enrolled in this study. Each participant filled a questionnaire including questions about their demographics, contact with suspected or confirmed COVID-19, acute respiratory symptoms, and whether they contacted their general practitioner, could not come to work, or had to be hospitalized. Capillary blood was used to test for SARS-CoV-2 specific immunoglobulin G (IgG) and immunoglobulin M (IgM) a lateral flow immunoassay. Serum samples were used to test for specific IgG and IgA class immunoglobulins using semiquantitative enzyme-linked immunosorbent assay (ELISA) method. Results: 24.77% of study participants had direct contact with a suspected or confirmed case of COVID-19. A total of 64.81% of studied individuals had at least one symptom representing acute respiratory infection, compatible with COVID-19. Lateral flow immunoassay detected SARS-CoV-2 specific IgG class immunoglobulins in 1.16% of the tested group. Fever, cough, dyspnea, nausea, diarrhea, headache, conjunctivitis, muscle pain, and loss of smell and taste predominated in the anti-SARS-CoV-2 IgG-positive group. Using ELISA, specific IgG were detected in 1.32% of the tested samples. Diarrhea, loss of appetite, and loss of smell and taste sensations were the most predominant symptoms in anti-SARS-CoV-2 IgG-positive group. The positive percent agreement of the two testing methods was 50%, and negative percent agreement was 99.66%. Conclusions: 1.16% of tested healthcare workers of Kaunas hospitals were anti-SARS-CoV-2 IgG-positive. The negative percent agreement of the lateral flow immunoassay and ELISA exceeded 99%.


Asunto(s)
/epidemiología , Inmunoglobulina G/sangre , Personal de Hospital , /inmunología , Adulto , Anciano , /diagnóstico , Ensayo de Inmunoadsorción Enzimática , Femenino , Humanos , Inmunoensayo/métodos , Inmunoglobulina M/sangre , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Sensibilidad y Especificidad , Estudios Seroepidemiológicos
2.
Gene ; 765: 145107, 2021 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-32889058

RESUMEN

AIM: The Lithuanian population has outstanding rates of alcohol consumption and alcohol related mortality. Alteration of brain dopaminergic system play a role in the risk for addiction disorders. We evaluated the association of one single nucleotide polymorphism rs1800497 in the Ankyrin Repeat and Kinase Domain Containing 1 - Dopamine Receptor D2 complex (ANKK1-DRD2) and a catechol-o-methyltransferase (COMT) rs4680 single nucleotide polymorphism with the risk for alcohol use disorder and impulsiveness in Lithuanian population. Both genetic polymorphisms are known to alter brain dopaminergic activity, thus we also investigated the possible interaction effect of these polymorphisms. METHODS: The study included 329 participants recruited from the local community. Hazardous alcohol use was evaluated using the Alcohol Use Disorder Identification Test (AUDIT). Impulsiveness was measured using the Barratt Impulsiveness Scale - 11 (BIS-11). Between group differences of AUDIT and BIS-11 scores were examined stratified by genetic polymorphisms and their combinations. The independent effect of each polymorphism and their interaction for hazardous alcohol use were evaluated using adjusted logistic regression analyses. RESULTS: The ANKK1-DRD2 rs1800497 polymorphism was associated with total AUDIT score, but not with the hazardous use of alcohol, as indicated by the AUDIT test cut-off of 8. The COMT rs4680 GG genotype was associated with the hazardous use of alcohol (adjusted OR = 2.094, p = 0.029), but this association was not statistically significant after adjustment for multiple comparisons. Presence of both COMT rs4680 and ANKK1-DRD2 rs1800497 GGxCT/TT polymorphisms was associated with significantly increased risk for hazardous use of alcohol (adjusted OR = 5.016, p = 0.005). The COMT rs4680 and ANKK1-DRD2 rs1800497 genetic polymorphisms, and their combination were not associated with impulsiveness. CONCLUSIONS: Our study demonstrated that the interaction of COMT rs4680 and ANKK1-DRD2 rs1800497 genetic polymorphisms is associated with a hazardous use of alcohol.


Asunto(s)
Alcoholismo/genética , Catecol O-Metiltransferasa/genética , Proteínas Serina-Treonina Quinasas/genética , Receptores de Dopamina D2/genética , Adulto , Alcoholismo/epidemiología , Alelos , Repetición de Anquirina/genética , Estudios de Casos y Controles , Femenino , Frecuencia de los Genes/genética , Estudios de Asociación Genética , Predisposición Genética a la Enfermedad/genética , Genotipo , Haplotipos , Humanos , Desequilibrio de Ligamiento/genética , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Polimorfismo de Nucleótido Simple/genética , Proteínas Serina-Treonina Quinasas/metabolismo , Receptores de Dopamina D2/metabolismo , Factores de Riesgo
3.
Cent Eur J Public Health ; 28(4): 267-273, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33338372

RESUMEN

OBJECTIVES: The availability of information on healthy products does not ensure the empowerment of people with the knowledge on how to choose or avoid food products or dishes depending on unhealthy factors. Public knowledge and beliefs of unhealthy food effects on health needs to be evaluated so that appropriate measures can be taken to properly inform people and relevant socio-demographic groups. METHODS: The original survey questionnaire containing questions about specific food groups and various health effects was compiled. A total of 1,007 respondents, Lithuanian residents aged 18-75 years, were surveyed in March 2019. Multilevel stratified probability sampling method was used for data representativeness. RESULTS: Almost half of respondents (46.2%) knew that deep-fried food could cause cancer. The majority of respondents (68.4%) were aware that sugar causes obesity and 61.7% were aware that sugar increases the risk of diabetes mellitus; 41.6% (more often those living in non-rural areas) know that grilled meat may cause cancer. More than half of respondents (57.2%) (more likely those living in non-rural areas and those with a university degree) were aware that smoked meat products may cause cancer. Only 46.4% were aware of the fact that salt raises blood pressure and the risk of cardiovascular diseases. CONCLUSION: Only about half of Lithuanian residents aged 18-75 were aware of the scientifically proven harmful effects of unhealthy food groups. Socio-demographic factors influence the knowledge and beliefs of the population.


Asunto(s)
Alimentos , Conocimientos, Actitudes y Práctica en Salud , Adolescente , Adulto , Anciano , Demografía , Humanos , Lituania/epidemiología , Persona de Mediana Edad , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
4.
Stomatologija ; 21(2): 44-48, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33242029

RESUMEN

OBJECTIVE: Studies have shown that dentists are experiencing stress at work and it might have an impact on general health. Dental students have reported negative effect of stress starting in undergraduate studies period. The various predisposing factors have been identified and determined. The aim of our study was to determine and compare stress among dentists of different specializations. MATERIALS AND METHODS: A cross-sectional study was conducted in March-September 2016 among 317 dentists. 151 (48%) form public and 166 (52%) from private clinics. All participants were dental practitioners working in Kaunas, Lithuania. A modified version of Occupational stress questionnaire (Institute of Health, Helsinki, Finland, 1992) was used. Chi-square, Kolmogorov-Smirnov test Mann-Whitney U tests, Student's (t) criterion and logistic regression analysis model served for statistical analysis. RESULTS: Majority of dentists were women (85%) and 61.8% of all participants were general practitioners. More general practitioners and paediatric dentists specialists were working in public clinics. The most stressful factors were: restrictions, work tension, and responsibility, while least stressful were value of work, work and life satisfaction (p<0.05). The intensive stress (>3) was indicated mostly by general practitioners, pediatric dentists and periodontologists. CONCLUSIONS: Stress is more experienced by dentists working in public clinic being as a general practitioner or having specialization of periodontologist or pediatric dentist. Dentists should be encouraged to take stress management course to cope with.


Asunto(s)
Odontólogos , Médicos Generales , Niño , Estudios Transversales , Femenino , Humanos , Lituania , Rol Profesional , Encuestas y Cuestionarios
5.
Nutrients ; 12(10)2020 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-33065991

RESUMEN

The COVID-19 quarantine has caused significant changes in everyday life. This study aimed to evaluate the effect of the quarantine on dietary, physical activity and alcohol consumption habits of Lithuanians and the association between health behaviours and weight changes. An online cross-sectional survey was carried out among individuals older than 18 years in April 2020. The self-administered questionnaire included health behaviour and weight change data. Altogether 2447 subjects participated in the survey. Almost half of the respondents (49.4%) ate more than usual, 45.1% increased snacking, and 62.1% cooked at home more often. Intake of carbonated or sugary drinks, fast food and commercial pastries decreased, while consumption of homemade pastries and fried food increased. A decrease in physical activity was reported by 60.6% of respondents. Every third (31.5%) respondent, more often those already with overweight, gained weight. Multivariate logistic regression analysis showed that the higher odds of weight gain were associated with females, older age, increased consumption of sugary drinks, homemade pastries and fried food, eating more than usual, increased snacking, decreased physical activity and increased alcohol consumption. Our data highlighted the need for dietary and physical activity guidelines to prevent weight gain during the period of self-isolation, especially targeting those with overweight and obesity.


Asunto(s)
Infecciones por Coronavirus , Ingestión de Energía , Conducta Alimentaria , Conductas Relacionadas con la Salud , Pandemias , Neumonía Viral , Aislamiento Social , Aumento de Peso , Adolescente , Adulto , Betacoronavirus , Índice de Masa Corporal , Peso Corporal , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Estudios Transversales , Comida Rápida , Femenino , Humanos , Estilo de Vida , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Obesidad/complicaciones , Obesidad/epidemiología , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , Neumonía Viral/virología , Cuarentena , Bocadillos , Adulto Joven
6.
BMC Infect Dis ; 20(1): 733, 2020 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-33028262

RESUMEN

BACKGROUND: The morbidity and mortality in community-acquired bacterial meningitis (CABM) remain substantial, and the etiology, clinical characteristics, treatment outcomes and predictors of poor prognosis must be assessed regularly. The aim of this study was to identify the distribution of etiological agents and their relationship with clinical characteristics, treatment and outcomes in this cohort of patients with CABM. METHODS: Our retrospective chart review analyzed the causative microorganisms, clinical characteristics, laboratory findings, treatment and outcomes of 159 adults with CABM hospitalized in the Infectious Diseases Centre of Vilnius University Hospital from January 1, 2009 to December 31, 2016. A Glasgow Outcome Scale (GOS) score ≤ 3 was defined as unfavorable outcome. Predictors of an unfavorable outcome were identified through logistic regression analysis. RESULTS: The median patient age was 36 (IQR 24-56), and 51.6% were male. Microbiologically confirmed causative agents were identified in 80 (50.3%) patients: N. meningitidis in 55 (34.6%) patients with serotype B accounting for 85% of cases, S. pneumoniae in 15 (9.4%), L. monocytogenes in 5 (3.1%) and other in 5 (3.1%). The clinical triad of fever, neck stiffness and a change in mental status was present in 59.1% of patients. Coexisting conditions and comorbidities were similar in all groups stratified by etiology. Initial antimicrobial treatment consisted of penicillin in 78 patients (49.1%) and ceftriaxone in 72 patients (45.3%). The median time in which antibiotic treatment was started was 40 min (IQR 30.0-90.0). The outcome was unfavorable in 15.7% of episodes and death occurred in 5.7% of cases and did not differ according to the causative agent. Risk factors for an unfavorable outcome were age > 65 years, coexisting pneumonia and a platelet count <150x10e9/l. CONCLUSIONS: The most common causative agent of CABM was N. meningitidis, with serotype B clearly dominant. Causative agents did not influence the disease outcome. The strongest risk factors for an unfavorable outcome were older age, pneumonia and a low platelet count. Since the introduction of routine vaccination against meningococcus B for infants in Lithuania in 2018, the national vaccination policy may hopefully contribute to a decrease in the incidence of serogroup B meningococcal disease in the Lithuanian population.


Asunto(s)
Listeria monocytogenes/aislamiento & purificación , Meningitis Bacterianas/diagnóstico , Neisseria meningitidis/aislamiento & purificación , Streptococcus pneumoniae/aislamiento & purificación , Adulto , Anciano , Anciano de 80 o más Años , Antiinfecciosos/uso terapéutico , Comorbilidad , Femenino , Humanos , Incidencia , Lituania , Masculino , Meningitis Bacterianas/tratamiento farmacológico , Meningitis Bacterianas/microbiología , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Serogrupo , Resultado del Tratamiento , Adulto Joven
7.
Georgian Med News ; (304-305): 195-199, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32965274

RESUMEN

The objective of this article is a comprehensive analysis and study of normative and legal acts regulating the reform of financing the health care system, the introduction of the programs of state guarantees for medical care of the population and determining the perspectives for implementing the programs of state guarantees for medical care of the population in Ukraine. The authors of the study have used theoretical (analysis, generalization, systematization, etc.) and empirical (observation, classification, comparison, etc.) methods.; The conducted analysis of international experience has established that countries such as Bulgaria, Georgia, Estonia, Lithuania, Moldova, Poland, Romania, Croatia and others had already gone through the process of introducing guarantees in the health care sector. It has been concluded that the main features of the term of "guaranteed package" should include: a clear definition of the rights to receive medical services; financing from the budget; consideration of the priority of various types of medical services.; The programs of medical guarantees of Ukraine during 2018-2020 have been analyzed. Specific features of their implementation have been determined; the tariff rates and correction factors have been analyzed. The main tariff rates for financing medical services have been distinguished: capitation rate; rate for the treated case or payment for diagnostically related groups; the rate on a medical service, where a separate service is the chargeable unit; global rate; rate on the results of the implementation of medical service contracts.


Asunto(s)
Prestación de Atención de Salud , Bulgaria , Georgia (República) , Lituania , Ucrania
8.
Anthropol Anz ; 77(4): 281-288, 2020 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-32749445

RESUMEN

The aim of this study was to calculate and compare the prevalence of thinness in children born in 1990 and in 1996 in Vilnius, Lithuania. The study was longitudinal as the data used for calculation were obtained by measuring every child's height and weight at least once per year from birth to the age of 17. The measurements were transcribed from the children's personal health records from the same outpatient clinic. The prevalence of overall thinness and grade 1 thinness in children that were born in 1996 was considerably lower compared to the children that were born in 1990. The prevalence of grade 1 thinness comprised the majority of all thinness cases in girls and boys alike. In conjunction with another study (Suchomlinov et al. 2016), which assessed the same children and discovered an increase in the prevalence of overweight and obesity, a clear trend of a decrease in the prevalence of thinness and normal BMI, while an increase in the prevalence of overweight and obesity in children born in 1996 compared to 1990, emerged.


Asunto(s)
Obesidad Pediátrica , Delgadez , Adulto , Índice de Masa Corporal , Niño , Femenino , Humanos , Lituania/epidemiología , Masculino , Sobrepeso/epidemiología , Prevalencia , Delgadez/epidemiología
9.
PLoS One ; 15(8): e0237605, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32804934

RESUMEN

The vertical distribution of radiocarbon (14C) was examined in the bottom sediment core, taken from Lake Druksiai, which has served as a cooling pond since 1983 for the 26 years of the Ignalina Nuclear Power Plant (INPP) operation using two RBMK-1500 reactors (Russian acronym for"Channelized Large Power Reactor"). 14C specific activity was measured in alkali-soluble and -insoluble fractions of the sediment layers. Complementary measurements of the 210Pb and 137Cs activity of the samples provided the possibility to evaluate the date of every layer formation, covering the 1947-2013 period. In addition, 14C distribution was examined in the scales of pelagic fish caught between 1980 and 2012. Our measurements reveal that, during the period 1947-1999, the radiocarbon specific activity in both fractions exhibits a parallel course with a difference of 5 ± 1 pMC (percent of modern carbon) being higher in alkali-soluble fraction, although 14C specific activity in both fractions increased by 11.4-13.6 pMC during the first 15 years of plant operation. However, during the 2000-2009 period, other than previously seen, a dissolved inorganic carbon (DIC) → aquatic primary producers → sediments 14C incorporation pattern occurred, as the radiocarbon specific activity difference between alkali-soluble and -insoluble fractions reached 94, 25, and 20 pMC in 2000, 2006, and 2008, respectively. Measurements in different sediment fractions allowed us to identify the unexpected organic nature of 14C contained in liquid effluences from the INPP in 2000-2009. The discrepancy between 14C specific activity in fish scales samples and DIC after 2000 also confirmed the possibility of organic 14C contamination. Possible reasons for this phenomenon might be industrial processes introduced at the INPP, such as the start of operation of the cementation facility for spent ion exchange resins, decontamination procedures, and various maintenance activities of reactor aging systems and equipment.


Asunto(s)
Radioisótopos de Carbono/análisis , Sedimentos Geológicos/análisis , Lagos/química , Monitoreo de Radiación/métodos , Animales , Radioisótopos de Cesio/análisis , Peces/crecimiento & desarrollo , Radioisótopos de Plomo/análisis , Lituania , Plantas de Energía Nuclear
10.
J Stroke Cerebrovasc Dis ; 29(9): 105040, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32807452

RESUMEN

BACKGROUND: Emotional disturbances, such as anxiety and depression are common after acute ischemic stroke (AIS). Individual variation in emotional outcome is strongly influenced by genetic factors. One of pituitary axis, is the hypothalamic-pituitary-thyroid axis, a critical regulator of post-stroke recovery, suggesting that allelic variants in thyroid hormone (TH) signaling regulation can influence stroke outcome. AIM: To determine associations between AIS emotional outcome and allelic variants of the TH metabolizing enzymes 1-3 type deiodinase (DIO1-3) and the membrane transporting organic anion polypeptide 1C1 (OATP1C1). METHODS: Eligible AIS patients from Lithuania (n=168) were genotyped for ten DIO1-3 and OATP1C1 single nucleotide polymorphisms (SNP): DIO1 rs12095080-A/G, rs11206244-C/T, and rs2235544-A/C; DIO2 rs225014-T/C and rs225015-G/A; DIO3 rs945006-T/G; OATP1C1 rs974453-G/A, rs10444412-T/C, rs10770704-C/T, and rs1515777-A/G. Emotional outcome was evaluated using the Hospital Anxiety and Depression Scale at discharge from the neurology department after experienced index AIS. RESULTS: After adjustment for potential confounders, the major allelic (wild-type) DIO1-rs12095080 genotype (AA) was associated with higher odds ratio of anxiety symptoms (OR = 5.16; 95% CI: 1.04-25.58; p = 0.045), conversely, DIO1-rs11206244 wild-type genotype (CC) and wild-type OATP1C1-rs1515777 allele containing the genotypes (AA + AG) were associated with lower odds ratio of symptoms of anxiety (OR = 0.37; 95% CI: 0.14-0.96; p = 0.041 and OR = 0.30; 95% CI: 0.12-0.76; p = 0.011, respectively). Wild-type OATP1C1-rs974453 genotype (GG) was associated with higher odds ratio of symptoms of depression (OR = 2.73; 95% CI: 1.04-7.12; p = 0.041). CONCLUSION: Allelic variants in thyroid axis genes may predict emotional outcomes of AIS.


Asunto(s)
Afecto , Ansiedad/genética , Proteínas de Unión al ADN/genética , Depresión/genética , Transportadores de Anión Orgánico/genética , Polimorfismo de Nucleótido Simple , Accidente Cerebrovascular/genética , Anciano , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/psicología , Depresión/diagnóstico , Depresión/epidemiología , Depresión/psicología , Femenino , Estudios de Asociación Genética , Predisposición Genética a la Enfermedad , Humanos , Yoduro Peroxidasa/genética , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Fenotipo , Estudios Prospectivos , Medición de Riesgo , Factores de Riesgo , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/epidemiología , Accidente Cerebrovascular/psicología
11.
Arch Virol ; 165(11): 2685-2687, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32797340

RESUMEN

We present here the results of the analysis of the complete genome sequence of a lytic bacteriophage, vB_ButM_GuL6, which is the first virus isolated from Buttiauxella. Electron microscopy revealed that vB_ButM_GuL6 belongs to the family Myoviridae, order Caudovirales. The genome of vB_ButM_GuL6 is a linear, circularly permuted 178,039-bp dsDNA molecule with a GC content of 43.4%. It has been predicted to contain 282 protein-coding genes and two tRNA genes, tRNA-Met and tRNA-Gly. Using bioinformatics approaches, 99 (36%) of the vB_ButM_GuL6 genes were assigned a putative function. Genome-wide comparisons and phylogenetic analysis indicated that vB_ButM_GuL6 represents a new species of the subfamily Tevenvirinae and is most closely related to Escherichia virus RB43. These phages, together with Cronobacter phages Miller, CfP1, and IME-CF2, likely form a new genus within the subfamily Tevenvirinae.


Asunto(s)
Enterobacteriaceae/virología , Genoma Viral , Myoviridae/clasificación , Filogenia , Crataegus/microbiología , ADN Viral/genética , Enterobacteriaceae/aislamiento & purificación , Frutas/microbiología , Lituania , Microscopía Electrónica , Myoviridae/aislamiento & purificación , Sistemas de Lectura Abierta , Análisis de Secuencia de ADN , Ensayo de Placa Viral , Proteínas Virales/análisis , Proteínas Virales/química , Secuenciación Completa del Genoma
12.
J Environ Manage ; 273: 111172, 2020 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-32768765

RESUMEN

Wildlife mortality caused by vehicles is a serious conservation and economic problem as collisions with large mammals are global, pervasive and increasing. We analysed 14,989 reports of ungulate-vehicle collisions (UVC) that occurred in Lithuania from 2002 to 2017. We analysed UVC data for four major ungulate species (roe deer, red deer, moose and wild boar) and checked for potential seasonal or daily trends. The temporal distribution of collisions was species-dependent. UVC analysis showed strong monthly and hourly pattern. Most occurrences took place before or during sunrise (dawn) and after or during sunset (dusk) during the year. In spring, the highest UVC peaks occurred early in the morning and late in the evening, while in winter these peaks occurred in late mornings and early evenings. With most UVC occurring on Fridays, daily variations were weak. We conclude that temporal variations of UVC distributions are result of a complex interaction of phenological factors and animal behaviour. The information provided in this study reinforces the knowledge on the dynamics and patterns of UVC and represents an important element for the identification of mitigation measures. Our findings suggest that efforts to reduce UVC should also focus on driver attitudes considering the seasonal and daily variations in UVC.


Asunto(s)
Accidentes de Tránsito , Ciervos , Animales , Animales Salvajes , Lituania , Estaciones del Año , Porcinos
13.
Mar Pollut Bull ; 159: 111500, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32736200

RESUMEN

Toxic cyanobacterial blooms, their prevalence in freshwaters, and their impact on water quality are well documented. In contrast, the impact on the recreational value of bathing sites of the cyanotoxin-contaminated inland waters, transported to estuarine and coastal marine waters, has been less frequently studied. The aim of this work was to assess water quality at bathing sites located in the southern Baltic Sea and the Curonian Lagoon, using cyanotoxins concentrations as an indicator. Our results showed that higher diversity and concentrations of cyanotoxins in some areas of the coastal zone are related to the transport of waters from the Curonian Lagoon. The studied bathing sites had a relatively low probability of adverse health effects, with a potential higher risk in the southern part of the Curonian Lagoon (Lithuania). Due to the observed changes in the cyanobacteria community, the determination of cyanotoxins concentrations, irrespective of the analysis of cyanobacteria, is recommended.


Asunto(s)
Cianobacterias , Monitoreo del Ambiente , Países Bálticos , Agua Dulce , Lituania
14.
Health Qual Life Outcomes ; 18(1): 276, 2020 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-32787865

RESUMEN

BACKGROUND: Personality traits are related with risk of hazardous alcohol use and alcohol dependence. The Substance Use Risk Profile Scale (SURPS) measures personality traits associated with addictive substance abuse. We examined psychometric properties of the SURPS in Lithuanian population. MATERIALS AND METHODS: Two hundred forty-seven participants (mean age 37.22 ± 0.78 years), were recruited from the local community and from an inpatient addiction treatment centre. Internal consistency, stability, factor structure, content validity, and external validity of the SURPS were examined. Hazardous alcohol use was evaluated by Alcohol Use Disorder Identification Test (AUDIT). Alcohol dependence diagnosis was established by International Classification of Diseases - 10 (ICD - 10). We also performed gender analyses for associations of personality traits with alcohol dependence and hazardous use of alcohol. RESULTS: The SURPS scale demonstrated appropriate internal validity, good temporal stability, and adequate criterion validity and construct validity. The SURPS scores of hopelessness, anxiety sensitivity and impulsivity were higher in the alcohol dependence group than in the control group for both males and females. Impulsivity and sensation seeking were associated with hazardous alcohol use and these associations were more prevalent in females. CONCLUSIONS: Lithuanian translation of the SURPS scale was appropriate. The SURPS demonstrated good sensitivity for discriminating on alcohol dependence and was more sensitive for discriminating on hazardous alcohol use for females.


Asunto(s)
Alcoholismo/diagnóstico , Medición de Riesgo/normas , Adulto , Alcoholismo/psicología , Estudios de Casos y Controles , Femenino , Humanos , Lituania , Masculino , Persona de Mediana Edad , Psicometría , Calidad de Vida , Reproducibilidad de los Resultados , Factores Sexuales , Encuestas y Cuestionarios , Traducciones , Adulto Joven
15.
Int J Dent Hyg ; 18(4): 432-438, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32654356

RESUMEN

OBJECTIVES: To evaluate the employment possibilities of Lithuanian dental hygienists. METHODS: The questionnaire asked about the demographics of dental hygienists, characteristics of practice, patient load, career intentions, opinion about dental hygienists workforce and the need of governmental workforce regulation. The study consisted of all licensed dental hygienists in Lithuania in 2018 (N = 1109). RESULTS: The final response rate was 52.1% (n = 578), 64% (n = 370) of respondents lived in the country's five main cities, and 73.5% (n = 425) worked in these population centres, with 94.3% (n = 545) worked in private sector. Over two-thirds of respondents said there was an excess of dental hygienists in Lithuania. Nearly 80% "always" or "sometimes" reported that they had insufficient patients, which may account for the prevalence of supplementary work (48.4%, n = 280), that is work as a dental assistant (67.9%, n = 190). Data obtained show that dental hygienists with less than ten years' experience were likely to work as a dental assistant (P < .05). Notwithstanding, 73.9% (n = 428) of the dental hygienists reported that they only want to practice their profession. Most (83.4%, n = 483) struggled to find dental hygienist work, and 70.5% (n = 408) wanted regulation of number of dental hygienists at a national level. CONCLUSIONS: The respondents suggested there is (a) a lack of dental hygiene patients, (b) available workload for additional preventive dental hygiene services, (c) pressure to search for additional work, usually as a dental assistant. Governmental support to optimally regulate oral health human resources is, according to most dental hygienists, an emphatic wish as a possible solution at national level.


Asunto(s)
Higienistas Dentales , Empleo , Humanos , Lituania , Encuestas y Cuestionarios , Carga de Trabajo
16.
Artículo en Inglés | MEDLINE | ID: mdl-32707791

RESUMEN

Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Italy, and Lithuania, within the Joint Action CHRODIS-PLUS. The effect of these pilot interventions was assessed pre- and post-implementation by 17 healthcare managers, using the Assessment of Chronic Illness Care (ACIC) measure, and by 226 patients with the Patient Assessment of Care for Chronic Conditions (PACIC+) survey. The ACIC total score significantly increased (5.23 to 6.71, p = 0.022) after the intervention, with differences across sites. A significant increase in the PACIC+ summary score was found ranging from 3.25 at baseline to 4.03 after the intervention (p < 0.001), and 58% of the sample perceived an improvement in care. Higher PACIC+ scores after the intervention were associated to lower baseline values in the respective PACIC+ dimension and to greater changes in ACIC Part 1 (delivery system organization). The IMCM implementation can help improve the quality of care for patients with multimorbidity.


Asunto(s)
Multimorbilidad , Enfermedad Crónica , Femenino , Humanos , Italia/epidemiología , Lituania , Masculino , España
17.
Anthropol Anz ; 77(4): 299-312, 2020 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-32706016

RESUMEN

Coastal residents are quite often expected to consume a significant amount of aquatic resources, though historical evidence often reveals a rather complex diet. To better understand the actual consumption and the distribution of various foods, stable isotope (δ13C and δ15N) analyses were employed to skeletal remains from three coastal communities, Palanga, Kretinga and Smelte, ranging in date from the medieval period to the early modern ages (14th-early 20th c.) near the Curonian Lagoon and the Baltic Sea in Lithuania. Animal bones from the region, covering the same time periods, were also analysed. Stable isotope results were compared with historical records. According to historical sources different types of diet were prevalent during that period of time: Medieval Prussian-Lithuanian peasant, Lithuanian fisherman, German urban, and religious-based. Elevated δ15N values for Smelte samples suggest a diet consisting of considerable amounts of freshwater fish protein, which is in contrast to historical sources. There were no significant differences in stable isotope values between males and females, while subadult δ15N values were significantly higher than adult ones, indicating that those children were breastfed for an extended period. Meanwhile, Palanga and Kretinga samples had isotope values suggesting a high reliance on terrestrial resources and a peasant type of diet.


Asunto(s)
Huesos , Dieta , Adulto , Animales , Restos Mortales , Huesos/química , Isótopos de Carbono/análisis , Niño , Femenino , Humanos , Lituania , Masculino , Isótopos de Nitrógeno/análisis , Investigación
18.
Artículo en Inglés | MEDLINE | ID: mdl-32521600

RESUMEN

There is a lack of evidence of the moderating effects of caries lesions and malocclusions on oral health-related quality of life (OHRQoL) among older adolescents. This study aimed to evaluate the relationship of dental caries and malocclusion with OHRQoL among Lithuanian adolescents aged 15 to 18 years. A survey in a representative sample of adolescents included a clinical examination to assess dental health status using the DMFT (Decayed, Missing, and Filled Permanent Teeth) index, and malocclusion using the Index of Complexity, Outcome, and Need (ICON). The Child Perceptions Questionnaire (CPQ) was used to evaluate respondents' OHRQoL. Negative binomial regression was fitted to associate the clinical variables with the CPQ scores. A total of 600 adolescents were examined. The overall mean DMFT score was 2.7. A need for orthodontic treatment was detected among 27.7% of adolescents. Subjects with caries lesions (DMFT > 3) had higher CPQ scores in the domains of functional limitations and social wellbeing (relative risks were 1.35 (95% confidence interval: 1.09-1.67) and 1.30 (1.03-1.64), respectively), while subjects with a need for orthodontic treatment (ICON > 43) had higher CPQ scores in the domains of emotional wellbeing and social wellbeing (relative risks were 1.81 (1.40-2.22), and 1.69 (1.34-2.14), respectively). It was concluded that both dental caries and malocclusion have negative relationships with OHRQoL in adolescents above 15 years, but their effects occur differently in each OHRQoL domain.


Asunto(s)
Caries Dental , Maloclusión , Salud Bucal , Calidad de Vida , Adolescente , Niño , Estudios Transversales , Femenino , Humanos , Lituania , Masculino , Encuestas y Cuestionarios
19.
J Headache Pain ; 21(1): 73, 2020 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-32522143

RESUMEN

BACKGROUND: While the Global Burden of Disease (GBD) study reports headache disorders as the second-highest cause of disability worldwide, the headache data in GBD come very largely from adults. This national study in Lithuania was part of a global schools-based programme within the Global Campaign against Headache contributing data from children (7-11 years) and adolescents (12-17 years). METHODS: The methods followed the generic protocol for the global study. The basic study design was a cross-sectional survey. Self-completed structured questionnaires were administered, within classes, in 24 schools selected from seven regions of Lithuania to be nationally representative. Headache diagnostic questions were based on ICHD-3 beta criteria but for the inclusion of undifferentiated headache (UdH). RESULTS: Of 3714 potential participants, 2505 (children 1382 [55.2%], adolescents 1123 [44.8%]; males 1169 [46.7%], females 1336 [53.3%]) completed the questionnaire. Adolescents and males were therefore relatively under-represented, with non-participation (32.6%) due in most cases to lack of parental consent. Observed lifetime prevalence of headache was 92.2%. Gender- and age-adjusted 1-year prevalence was 76.6% (migraine: 21.4%; tension-type headache [TTH]: 25.6%; UdH: 24.0%; all headache on ≥15 days/month: 3.9%; probable medication-overuse headache: 0.8%). All headache types except UdH were more prevalent among females than males, and among adolescents than children. UdH showed a complex relationship with age, but represented 38.0% of all reported headache in children, 27.4% in adolescents. Headache yesterday (HY) was reported by 17.5%, almost double the 9.8% predicted from prevalence and headache frequency to have headache on any day. The reason was unclear. CONCLUSIONS: Findings were not very different from those reported in Turkey and Austria, but with more TTH. Headache has, therefore, again been shown to be common in children and adolescents, and UdH confirmed as a headache type that must be recognised and included in accounts of headache in these age groups.


Asunto(s)
Trastornos de Cefalalgia/epidemiología , Adolescente , Adulto , Niño , Estudios Transversales , Femenino , Carga Global de Enfermedades , Cefalea/epidemiología , Cefaleas Secundarias/epidemiología , Humanos , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Trastornos Migrañosos/epidemiología , Prevalencia , Instituciones Académicas , Encuestas y Cuestionarios , Cefalea de Tipo Tensional/epidemiología
20.
Mar Pollut Bull ; 156: 111248, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32510390

RESUMEN

OSPAR, Rake and Flood accumulation zone methods were applied at 29 beaches of the German and Lithuanian Baltic Sea coast (2011-2018) to monitor cigarette butt pollution. Also, butt pollution prevention measure - ballot bin, was tested. The number of cigarette butts was significantly higher in Germany than in Lithuania, but the percent of butts from total litter items was similar. Rake method turned out to be suitable for cigarette butt assessment, while the OSPAR method underestimates the butt pollution. The visitor number on the beach had a significant effect on the cigarette butt number: in remote beaches, without visitors, usually, no butts were observed, while the highest number and the percent of butts were observed in beaches with the highest number of visitors. The ballot bin campaign may have increased the public awareness about pollution, but turned out to be in-efficient in reducing it.


Asunto(s)
Playas , Residuos/análisis , Monitoreo del Ambiente , Alemania , Lituania , Plásticos
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