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;Paul A. Bukaveckas; ; ; ; ; Estuaries and coastsLagoons act to transport, retain (via sedimentation), and divert (via outgassing) carbon (C) on its route from land to sea. Their role in transporting vs. attenuating C fluxes is important to understanding global C cycles and sources of organic matter supporting food webs. Here, we present a C budget for a large coastal lagoon in the Baltic region that incorporates measurements of river-estuary, estuary-marine, and sediment-water exchanges, along with internal processes (production and respiration) governing transformations among C fractions. Organic C fluxes were dominated by internal cycling (GPP and R), whereas inorganic C fluxes were largely dependent on hydrological transport. Sediment-water exchange of DIC and DOC was of lesser importance, despite the shallowness of the lagoon. On an annual basis, the lagoon was a net source of organic matter (OM) to the Baltic Sea as export of dissolved and particulate fractions exceeded riverine and marine inputs by 37 ± 4%. Export of OM was due to internal production of POC via phytoplankton photosynthesis. We combined the mass balance and metabolism results with a consumer energetics approach to align C sources with C flows through the lagoon food web. We estimate that the annual harvested fish production accounts for nearly 22% of OM inputs from internal and external sources. A comparison with C flux data from the Chesapeake region allowed us to appreciate how ecosystems at the river-estuarine transition differ in their roles as pipes vs. reactors, depending on the sources and timing of OM inputs, and how these differences constrain food web energetics.7Scopus© Citations 1WOS© IF 2.7WOS© AIF 4.8Scopus© SNIP 1.088 Publication Cervical ectopic pregnancy: a case report and review of the literature[Ektopinis nėštumas gimdos kaklelyje: klinikinis atvejis ir literatūros apžvalga]text ;Jukna, PovilasDiržauskas, MariusLietuvos chirurgijaBackground Cervical pregnancy is a rare pathology with unclear etiology. This condition can be life-threatening and in certain situations be treated with total abdominal hysterectomy, although due to improving diagnostics, approach to cervical pregnancy’s management has been changing towards fertility preserving treatment. Case report 38 years old patient with vaginal bleeding and lower abdomen pain was admitted to Klaipėda Seamen‘s hospital. After thorough evaluation, clinical diagnosis of cervical pregnancy was confirmed. Different approaches were considered and total abdominal hysterectomy was determined as most suitable method. Surgery was successful and post-operative period was uneventful. Discussion Ultrasonography is the main diagnostic tool used to observe cervical ectopic pregnancy. Speculum and bimanual examination usually show prominent findings, assisting cervical pregnancy’s diagnose. Prior to improved diagnostic tools, total abdominal hysterectomy was the main approach treating cervical pregnancy. Now conservative management using methotrexate is considered as the first-line treatment and frequency of other fertility preserving procedures as suction curettage and tamponade or uterine artery embolization are increasing. Conclusion Data is limited because of cervical pregnancy’s rarity and every case of this condition has to be assessed separately. Desire to preserve fertility and patient’s condition must be taken to account before making decision on how cervical pregnancy will be managed.3 Publication Etikos kodeksas švietimo įstaigoje: darbuotojų ir studentų požiūris[Code of ethics in the educational institucion: employees and students attitude]Etikos kodeksai sulaukia vis daugiau mokslininkų, visuomenės, darbdavių bei darbuotojų dėmesio. Susidomėjimo tikslas – tikimasi, kad tiek profesinėje, tiek socialinėje sferose bus galima išvengti etikos problemų, skandalų, trikdančių našesne darbinę veiklą, kokybišką socialinį gyvenimą. Į etikos kodeksus dažnai žvelgiama iš teisinės ir filosofinės perspektyvos, taip pat šis dokumentas vis dažniau įtraukiamas ir į vadybinį kontekstą, siekianat suderinti asmens ir darbinės veiklos interesus. Svarbu atsiminti, kad dalykiniame gyvenime, profesinėms normoms susikirtus su asmeniniais įsitikinimais, darbuotojai, priimdami etikos sprendimus, turi remtis savo įstaigų etikos kodeksais. Daugelis etikos kodeksų reikalauja bendradarbiauti su toje pačioje srityje dirbančiais kolegomis, kad tokiu būdu būtų gilinami profesiniai interesai bei sprendžiamos profesinės problemos. Kolegos tarpusavyje turi elgtis pagarbiai, teisingai ir mandagiai. Nepagarba kolegai, pažeidusiam profesinį – garbės – kodeksą, ar to specialisto pasmerkimas yra vienas iš veiksnių, kurie kaip tik paskatina iš tikrųjų įdiegti etikos kodeksus į praktiką. Būtent šiame straipsnyje bus analizuojama kodekso svarba švietimo įstaigoms. Siekiant išsiaiškinti etikos kodekso svarbumą, atliktas tyrimas aukštojo mokslo įstaigoje. Aiškintasi, ar vadovaujamasi etikos kodeksu, su kokiomis problemomis susiduriama, bei kas labiausiai lemia etikos problemas švietimo įstaigoje. Siekta sužinoti, ar etikos kodeksas gali užtikrinti etišką elgesį bei išspręsti kylančius sunkumus. Pabrėžtina, kad geras etikos išmanymas, mokėjimas juos taikyti konkrečioje situacijoje panaikina piktnaudžiavimo pavojų. Kodeksą kurianti organizacija dokumentais įrašais parodo, kad ji iš tikrųjų kontroliuoja savo gretas: pažeidus kodeksą, pritaikomos tam tikros sankcijos (savireguliacijos rodiklis). Akcentuotina, kad aiškūs organizacijos tikslai, vertybės, visų organizacijos narių elgesys, tinkamas informacijos pateikimas, grįžtamojo ryšio užtikrinimas, darbuotojų vertinimas, remiantis darbo rezultatais, rodo, kad organizacijoje pasiektas aukštas etikos lygis.2 - text
;Arja Suikkala ;Koskinen, Sanna; ;Pilar Fuster‐Linares ;Daniela Lehwaldt ;Leino-Kilpi, Helena ;Gabriele Meyer ;Herdís SveinsdóttirJouko KatajistoNursing openAim: The aim of the study was to test the psychometric properties of the Facilitative Student–Patient Relationship (FSPR) Scale in clinical practicum in hospital settings within six European countries. Design: A multi-country, cross-sectional survey design was applied. Methods: A convenience sample of graduating nursing students (N = 1,796) com- pleted the FSPR Scale. Psychometric testing was carried out through explorative fac- tor analysis and confirmatory factor analysis. Internal consistency was assessed using Cronbach's alpha. Results: Both validity and reliability of the scale were confirmed. The explorative factor analysis yielded a two-factor construct explaining 47.7% of the total variance, identifying two sub-scales: caring relationship and learning relationship. Confirmatory factor analysis confirmed the two-factor structure. The Cronbach alpha coefficients (0.8–0.9) indicated acceptable reliability of the scale.9WOS© IF 2.3WOS© AIF 2.6Scopus© SNIP 1.155