Biomedical subjects

Algirdas Bogusevicius

Publications and source records attributed to Algirdas Bogusevicius.

4 recordsLinked to original sources

PubMed2004

[Primary peritonitis caused by group A beta-hemolytic streptococcus].

A rare case of primary peritonitis caused by group A beta-hemolytic streptococcus in previously healthy woman is presented. The entry site of infection was tonsillitis. Infection was complicated by soft-tissue infection of abdominal and thoracic wall, associated with toxic shock. Streptococcus growth was obtained in the cultures from the tonsils and blood. The patient underwent surgery: laparoscopy, laparotomy and multiple incisions in the phlegmon site. The lasting administration of penicillin caused recovery.

Adult↗

PubMed2003

[The defect of the breast managed by subaxillary flap after breast cancer removal].

The treatment of early breast cancer by breast conserving therapy should ensure the local control and accebtable cosmetic result. To repair the defect caused by the partial mastectomy in upper inner quadrant various methods of plastic reconstruction should be used. Eight patients underwent breast conserving therapy due to cancer in upper inner quadrant. The subaxillary flap was used for the reconstruction of the defect with good cosmetic effect. The best oncological and cosmetic result is achieved by breast surgeon, competent in oncology and plastic surgery, or by multidisciplinary approach.

Adult↗

PubMed2003

[Motivation to participate in mammography screening program for breast cancer].

The rates of incidence and mortality of breast cancer in Lithuania are increasing. The causal prophylaxis is unknown. The early mammography diagnosis improves results of treatment. The aim of the study is to investigate the motivation to participate in mammography screening program for breast cancer and to evaluate the relationship between these motives and women age, education, family history, personal income. Two hundred three women were interviewed about the motivation to participate in mammography screening program for breast cancer. The strength of motivation was estimated in parametric variable. It was attempted at evaluating the influence of age, education, family history and personal income on the level of motivation. Logistic analysis was used. Asymptotic women participated in mammography screening program for breast cancer. Complaints about their breasts as a motive to participate indicated only 31.8% of all women. After the survey it was observed that women understand the danger of breast cancer (86.1%) and believe that early diagnosis can protect from the poor outcome of the disease. Out of interviewed women, 85.3% (independently from their income, age, education and family history) think that it is essential for every woman to participate in mammography screening program for breast cancer. The majority of all surveyed women were informed about the program by their doctors. This motive became the main one to consult about breast cancer for 63% of women. The mass media made no significant impact to participate in mammography screening program for breast cancer.

Adult↗

PubMed2002

[Analysis of the outcome of the treatment of small bowel obstruction and factors which determine the outcome (10-year experience at the Kaunas Medical University Clinic)].

AIM: To evaluate the results of the treatment of small bowel obstruction in the Surgical clinic of Kaunas University of Medicine in 1990-1999, the changes of the results of the treatment, to evaluate the factors, which determine these changes. PATIENTS AND METHODS: 489 patients with small bowel obstruction (SBO) were treated during 10-year period. Acute SBO was found in 433 (88.5%) cases; 322 (65.8%) patients underwent surgery. The patients were divided into two groups: 1990-1995 year group (A) and 1996-1999 year group (B) according to the newly implemented methods of diagnostics and treatment (computer-aided diagnosis, laparoscopic cutting of adhesions, conservative small bowel decompression with long intestinal tube and etc.). Both groups were statistically similar. By means of statistical methods factors, which determine the results of the treatment of SBO, were found and the differences of distribution of these factors in both groups were evaluated. RESULTS: The mortality rate was 10.3% in group A and 1.8%--in group B. The most significant factors, which determine the outcome of the treatment of SBO, were: the time period of making diagnosis, adjacent illnesses, small bowel necrosis and its length, acute SBO, SBO due to multiple adhesions, surgical methods. In comparing both groups, they differed according to the time of making diagnosis (18.6 h and 9.6 h), the frequency of small bowel necrosis (14.2% and 5.7% cases); the methods of surgery also differed. CONCLUSION: The results of the treatment of SBO improved. The short-cut of the time period to make diagnosis, the more rare cases of bowel necrosis and new surgical methods influenced these changes.

Adolescent↗