Suchergebnisse

Aim of the study: to evaluate Kaunas University of Medicine residents preparation for a practical activity and work in health care institutions. Objectives: 1. the evaluation of description of residential studies programs; 2. the evaluation of structure of medical standards; 3. the evaluation of resident's opinion of their preparation for practical activity. Methods: The object of analysis: KMU programs of residency studies; medical standards; KMU doctors graduated in 2006. Methods of analysis: the analysis of scientific literature; the analysis of documents; questionnaire; the analysis of statistical data using the program SPSS 12. Results: 1. There was 28 residency studies programs evaluated, that had clear and equal for all programs structure. The constitution and content of programs were clearly described. There was no security of common internal residency programs quality politics and procedures. Some inaccuracy was found in sixteen residency programs. 2. Seven professional qualifications did not have certified medical standards. The standards had equal and clear structure. The residency programs were organized according to these standards. 3. 53, 8 % of residents got to know the medical standards, they also better knew their specialty diseases (p=0,029). Medical residents of traditional profile better knew the symptoms of their specialty diseases (Fisher exact test p=0,027). 36, 5 % of residents assumed that they had enough experience in communication with patients. Diagnose and heal tumors could 19, 2 %, do surgery 15 %. Approximately 65 % of respondents evaluated well the knowledge, qualification and preparation for practical activity they got. Only 25 % could forecast heal results independently. 34, 6 % of respondents spared maximum time for their studies and tried hardest, they stated, they could independently make tests, decisions while healing. The same amount of respondents thought that their specialty was considered to be prestigious. Those residents, who spared more time for their studies and tried harder, better evaluated the knowledge, qualification and preparation for practical activity they got. 48, 1 % of respondents were satisfied with their studies. Those residents, who better evaluated lecturers (p<0,001) and environment (p=0,027) were more satisfied. Asked where they would like to work after graduating from the university, 30,8 % said they would choose not healing sphere, 32,6 % would choose the second level of HCI in Lithuanian cities. 63, 5 % of respondents think about leaving to foreign countries. Conclusions: 1. The programs of KMU residential studies were created and prepared for all professional qualifications and conformed to higher education residential programs and their principles. 2. The medical standards were structured, easily written, certified with Health service minister order and were available for all medical professions, but were certified not with all professional qualifications. 3. The residents, who spared more time for studies, statistically could better evaluate their knowledge, qualification, and preparation for practical activity; however the majority (65, 4 %) did not pay much time for their studies. In the residents opinion their theoretical knowledge was good, but there was lack of practical skills.

Aim of the study: to evaluate Kaunas University of Medicine residents preparation for a practical activity and work in health care institutions. Objectives: 1. the evaluation of description of residential studies programs; 2. the evaluation of structure of medical standards; 3. the evaluation of resident's opinion of their preparation for practical activity. Methods: The object of analysis: KMU programs of residency studies; medical standards; KMU doctors graduated in 2006. Methods of analysis: the analysis of scientific literature; the analysis of documents; questionnaire; the analysis of statistical data using the program SPSS 12. Results: 1. There was 28 residency studies programs evaluated, that had clear and equal for all programs structure. The constitution and content of programs were clearly described. There was no security of common internal residency programs quality politics and procedures. Some inaccuracy was found in sixteen residency programs. 2. Seven professional qualifications did not have certified medical standards. The standards had equal and clear structure. The residency programs were organized according to these standards. 3. 53, 8 % of residents got to know the medical standards, they also better knew their specialty diseases (p=0,029). Medical residents of traditional profile better knew the symptoms of their specialty diseases (Fisher exact test p=0,027). 36, 5 % of residents assumed that they had enough experience in communication with patients. Diagnose and heal tumors could 19, 2 %, do surgery 15 %. Approximately 65 % of respondents evaluated well the knowledge, qualification and preparation for practical activity they got. Only 25 % could forecast heal results independently. 34, 6 % of respondents spared maximum time for their studies and tried hardest, they stated, they could independently make tests, decisions while healing. The same amount of respondents thought that their specialty was considered to be prestigious. Those residents, who spared more time for their studies and tried harder, better evaluated the knowledge, qualification and preparation for practical activity they got. 48, 1 % of respondents were satisfied with their studies. Those residents, who better evaluated lecturers (p<0,001) and environment (p=0,027) were more satisfied. Asked where they would like to work after graduating from the university, 30,8 % said they would choose not healing sphere, 32,6 % would choose the second level of HCI in Lithuanian cities. 63, 5 % of respondents think about leaving to foreign countries. Conclusions: 1. The programs of KMU residential studies were created and prepared for all professional qualifications and conformed to higher education residential programs and their principles. 2. The medical standards were structured, easily written, certified with Health service minister order and were available for all medical professions, but were certified not with all professional qualifications. 3. The residents, who spared more time for studies, statistically could better evaluate their knowledge, qualification, and preparation for practical activity; however the majority (65, 4 %) did not pay much time for their studies. In the residents opinion their theoretical knowledge was good, but there was lack of practical skills.

With the entrance to European Union , Christians have become rather sensitive to a lot of challenges of modern life. Pragmatic way of thinking tries to replace Christian values. Is that also the situation at the Faculty of theology at Vytautas Magnus university? The article tries to prove how the Faculty of Theology at Vytautas Magnus university is a spiritual centre not only for the intellectuals of Lithuania but also to other European countries, searching for deeper spiritual life. It helps to implement by a brief look into the historiography of the Faculty, its programmes of studies and scientific research; and on the other hand, its acceptability to Bolonian treaty and evaluations of theologians. The material given allows to make such conclusions: 1. On the initiative of the Conference of Lithuanian Bishops and the leaders of Vytautas Magnus university and with the approval of Vatican Congregation of Catholic studies, it has become an academic part of Vytautas Magnus university, where priests, seminarians, monks , nuns and lay people are able to study; 2. Ecumenic contacts are treated with special attention, because it is impossible for some Christians to feel themselves as children of God and others to be like orphans; 3. With the entering to European Union, intellectual perspectives have become much wider, that is why Christian faith needs to have a very firm backround – the teaching of Jesus Christ; 4. University is the fountain of humanism, intelligence and erudition; it may become only the Babel of pride without the knowledge of God and communication with him; 5. Nowadays the world has become very small because of new scientific technologies; together with material and educational progress, spiritual life should also proceed. Polarization of mankind, rejection of Christianity, polytheism – that is the circle, directing to eschtological termination. [.]

With the entrance to European Union , Christians have become rather sensitive to a lot of challenges of modern life. Pragmatic way of thinking tries to replace Christian values. Is that also the situation at the Faculty of theology at Vytautas Magnus university? The article tries to prove how the Faculty of Theology at Vytautas Magnus university is a spiritual centre not only for the intellectuals of Lithuania but also to other European countries, searching for deeper spiritual life. It helps to implement by a brief look into the historiography of the Faculty, its programmes of studies and scientific research; and on the other hand, its acceptability to Bolonian treaty and evaluations of theologians. The material given allows to make such conclusions: 1. On the initiative of the Conference of Lithuanian Bishops and the leaders of Vytautas Magnus university and with the approval of Vatican Congregation of Catholic studies, it has become an academic part of Vytautas Magnus university, where priests, seminarians, monks , nuns and lay people are able to study; 2. Ecumenic contacts are treated with special attention, because it is impossible for some Christians to feel themselves as children of God and others to be like orphans; 3. With the entering to European Union, intellectual perspectives have become much wider, that is why Christian faith needs to have a very firm backround – the teaching of Jesus Christ; 4. University is the fountain of humanism, intelligence and erudition; it may become only the Babel of pride without the knowledge of God and communication with him; 5. Nowadays the world has become very small because of new scientific technologies; together with material and educational progress, spiritual life should also proceed. Polarization of mankind, rejection of Christianity, polytheism – that is the circle, directing to eschtological termination. [.]

With the entrance to European Union , Christians have become rather sensitive to a lot of challenges of modern life. Pragmatic way of thinking tries to replace Christian values. Is that also the situation at the Faculty of theology at Vytautas Magnus university? The article tries to prove how the Faculty of Theology at Vytautas Magnus university is a spiritual centre not only for the intellectuals of Lithuania but also to other European countries, searching for deeper spiritual life. It helps to implement by a brief look into the historiography of the Faculty, its programmes of studies and scientific research; and on the other hand, its acceptability to Bolonian treaty and evaluations of theologians. The material given allows to make such conclusions: 1. On the initiative of the Conference of Lithuanian Bishops and the leaders of Vytautas Magnus university and with the approval of Vatican Congregation of Catholic studies, it has become an academic part of Vytautas Magnus university, where priests, seminarians, monks , nuns and lay people are able to study; 2. Ecumenic contacts are treated with special attention, because it is impossible for some Christians to feel themselves as children of God and others to be like orphans; 3. With the entering to European Union, intellectual perspectives have become much wider, that is why Christian faith needs to have a very firm backround – the teaching of Jesus Christ; 4. University is the fountain of humanism, intelligence and erudition; it may become only the Babel of pride without the knowledge of God and communication with him; 5. Nowadays the world has become very small because of new scientific technologies; together with material and educational progress, spiritual life should also proceed. Polarization of mankind, rejection of Christianity, polytheism – that is the circle, directing to eschtological termination. [.]

The first section of the paper discusses the market situation of veterinary medicines, examines related laws and the principle of medicines selection in veterinary. The second chapter describes the collected data on human medicines and which medicines are mostly used by veterinarian in Lithuania. A survey was conducted on veterinarians about the human medicines usage in their practice. An overview of the use of human medicines for animals was also carried out at the private veterinary clinic "X" in Kaunas. It was identified what medicines are used for these diseases most commonly in the clinic "X".

The first section of the paper discusses the market situation of veterinary medicines, examines related laws and the principle of medicines selection in veterinary. The second chapter describes the collected data on human medicines and which medicines are mostly used by veterinarian in Lithuania. A survey was conducted on veterinarians about the human medicines usage in their practice. An overview of the use of human medicines for animals was also carried out at the private veterinary clinic "X" in Kaunas. It was identified what medicines are used for these diseases most commonly in the clinic "X".

During the reign of Stanilaw August unprecedented reforms were undertaken in different domains: political institutions, military, economy, education and science. Some French citizens, with pen or personal commitment took part to these reforms. In the last decades of the 18th century, some French who established in the Republic left a lastable trace in economic and cultural domains. Their commitment had not yet been fully analized. This dissertation presents the first synthesis of the recommendations given by French thinkers as well as the achievements of those who lived in the Republic, using new materials found in different archives, giving the possibility to reassess relationship between France and the Republic in the 18th century. The main novelties of the thesis are: 1) study for the first time in the most exhaustive way the French influence in the Republic in the second half of the 18th century; 2) Present the proposals made by Mably, Rousseau, the physiocrats and other French thinkers to reform the Republic of the two Nations; 3) analyze in what extent extent their advice was put into practice and in which fields French citizens commitment was the most influential in the Republic; 4) highlight the links between France and Republic citizens in the 18th century; 5) use of new material from the archive.

During the reign of Stanilaw August unprecedented reforms were undertaken in different domains: political institutions, military, economy, education and science. Some French citizens, with pen or personal commitment took part to these reforms. In the last decades of the 18th century, some French who established in the Republic left a lastable trace in economic and cultural domains. Their commitment had not yet been fully analized. This dissertation presents the first synthesis of the recommendations given by French thinkers as well as the achievements of those who lived in the Republic, using new materials found in different archives, giving the possibility to reassess relationship between France and the Republic in the 18th century. The main novelties of the thesis are: 1) study for the first time in the most exhaustive way the French influence in the Republic in the second half of the 18th century; 2) Present the proposals made by Mably, Rousseau, the physiocrats and other French thinkers to reform the Republic of the two Nations; 3) analyze in what extent extent their advice was put into practice and in which fields French citizens commitment was the most influential in the Republic; 4) highlight the links between France and Republic citizens in the 18th century; 5) use of new material from the archive.

During the reign of Stanilaw August unprecedented reforms were undertaken in different domains: political institutions, military, economy, education and science. Some French citizens, with pen or personal commitment took part to these reforms. In the last decades of the 18th century, some French who established in the Republic left a lastable trace in economic and cultural domains. Their commitment had not yet been fully analized. This dissertation presents the first synthesis of the recommendations given by French thinkers as well as the achievements of those who lived in the Republic, using new materials found in different archives, giving the possibility to reassess relationship between France and the Republic in the 18th century. The main novelties of the thesis are: 1) study for the first time in the most exhaustive way the French influence in the Republic in the second half of the 18th century; 2) Present the proposals made by Mably, Rousseau, the physiocrats and other French thinkers to reform the Republic of the two Nations; 3) analyze in what extent extent their advice was put into practice and in which fields French citizens commitment was the most influential in the Republic; 4) highlight the links between France and Republic citizens in the 18th century; 5) use of new material from the archive.

During the reign of Stanilaw August unprecedented reforms were undertaken in different domains: political institutions, military, economy, education and science. Some French citizens, with pen or personal commitment took part to these reforms. In the last decades of the 18th century, some French who established in the Republic left a lastable trace in economic and cultural domains. Their commitment had not yet been fully analized. This dissertation presents the first synthesis of the recommendations given by French thinkers as well as the achievements of those who lived in the Republic, using new materials found in different archives, giving the possibility to reassess relationship between France and the Republic in the 18th century. The main novelties of the thesis are: 1) study for the first time in the most exhaustive way the French influence in the Republic in the second half of the 18th century; 2) Present the proposals made by Mably, Rousseau, the physiocrats and other French thinkers to reform the Republic of the two Nations; 3) analyze in what extent extent their advice was put into practice and in which fields French citizens commitment was the most influential in the Republic; 4) highlight the links between France and Republic citizens in the 18th century; 5) use of new material from the archive.

During the reign of Stanilaw August unprecedented reforms were undertaken in different domains: political institutions, military, economy, education and science. Some French citizens, with pen or personal commitment took part to these reforms. In the last decades of the 18th century, some French who established in the Republic left a lastable trace in economic and cultural domains. Their commitment had not yet been fully analized. This dissertation presents the first synthesis of the recommendations given by French thinkers as well as the achievements of those who lived in the Republic, using new materials found in different archives, giving the possibility to reassess relationship between France and the Republic in the 18th century. The main novelties of the thesis are: 1) study for the first time in the most exhaustive way the French influence in the Republic in the second half of the 18th century; 2) Present the proposals made by Mably, Rousseau, the physiocrats and other French thinkers to reform the Republic of the two Nations; 3) analyze in what extent extent their advice was put into practice and in which fields French citizens commitment was the most influential in the Republic; 4) highlight the links between France and Republic citizens in the 18th century; 5) use of new material from the archive.

This paper analyzes the scientific discourse of governance and university governance within the framework of the existing concepts, it also deals with alternation of university governance in the context of European higher education regulations and directives, presents analysis of the traditional and entrepreneurial university governance models of the content aspect. It also presents the results of "International Comparative Research on University Governance Models" carried out by the paper authors emphasizing the context of Finland's higher education and university governance and the case of Lapland University. Although traditional higher education values dominate in many missions and visions of Finnish universities, internal institutional governance of the University of Lapland has recently become entrepreneurial. Good governance of the university is associated not only with distinction of administrative and academic functions, reduction of bureaucratic processes, but also with the openness of the university, good communication and understanding of the academic culture.

Objective: During the interwar period, the healthcare system in Europe experienced a dramatic transformation. It was perceived that preventive medicine was no less important than curative medicine. Moreover, without proper prevention of the so-called social diseases, all later therapeutic measures were expensive and ineffective. The former battle against the consequences was replaced by measures targeting the causes. The fight against social diseases involved a state-owned strategy and a broad arsenal of measures. The University's scholars also took part in this process. Our study revealed that the significance of the disease prevention in the Faculty of Medicine at the University of Stephen Bathory was well understood. Moreover, the treatment was not segregated from hygiene as strictly as it is today. Many hygienists as well as clinicians contributed to the development of preventive mechanisms. The broad specialization of doctors enabled them to see not only biomedical, but also social and economic aspects of a disease. Hygienists and doctors encouraged cooperation and coordination of their activities with the central and local authorities as well as education of the local population. The progress of medical science in Europe and the World, as well as the Soviet ideology in Eastern Europe distracted doctors from the search for the etiology of social illness. Biomedical treatment had become much more effective, and the development of social hygiene research in Eastern Europe had experienced stagnation. For ideological reasons the disease etiology in the Soviet bloc could not be associated with social factors. Social hygiene in the Soviet Union was highly politicized; it could only be interpreted in a frame of Soviet models. The healthcare system that had been created in the Soviet Union was named as the best in the world. The actual medical statistics were concealed from the public, since their logical interpretation could reveal the social causes of illnesses and the disadvantages of the soviet system. Sometimes we must return to basic ideas to improve current public health mechanisms. It is worth reconsidering fundamental questions, i.e. what public health is and how to achieve it. The breadth of the approach of the interwar Vilnius hygienists and doctors, the sensitivity to the social origins of diseases and persistence in combating them by all possible means could serve as an example for today's doctors. At that time, hygienists approached the idea that the highest goal of prevention was to create a healthy environment, healthy living and working conditions. Although today we live in a much safer environment than those individuals did, new threats are emerging because of changing technology and lifestyle. The broad approach of physicians remains equally important in order not only to combat individual precedents, but also to overcome the preconditions for emerging precedents. Therefore, the purpose of this paper is to reveal the theoretical patterns of hygiene and public health established by the hygienists of the Vilnius Hygiene Department as well as the attempts to apply them in practice. Methods: The study was conducted by analyzing the primary and secondary historical sources using the comparative method. A lot of data from the Lietuvos Centrinis Valstybės Archyvas (Lithuanian Central State Archives) that had been used in this research were published for the first time. According to the original archival data, an analysis of the scientific publications of the Faculty of Medicine of the University of Stephen Bathory was made to find out the priorities of the research carried out at that time. Conclusions: The complicated economic conditions, the lack of support from the local and central government as well as the imperfections in health legislation of that time hindered the full implementation of the hygienist strategies of the University of Stephen Bathory. However, the activities of the Department of Hygiene of Stephen Bathory University had a significant impact on the development of hygiene science as well as medical practice in the Vilnius region during the Interwar period (1919–1939).

Objective: During the interwar period, the healthcare system in Europe experienced a dramatic transformation. It was perceived that preventive medicine was no less important than curative medicine. Moreover, without proper prevention of the so-called social diseases, all later therapeutic measures were expensive and ineffective. The former battle against the consequences was replaced by measures targeting the causes. The fight against social diseases involved a state-owned strategy and a broad arsenal of measures. The University's scholars also took part in this process. Our study revealed that the significance of the disease prevention in the Faculty of Medicine at the University of Stephen Bathory was well understood. Moreover, the treatment was not segregated from hygiene as strictly as it is today. Many hygienists as well as clinicians contributed to the development of preventive mechanisms. The broad specialization of doctors enabled them to see not only biomedical, but also social and economic aspects of a disease. Hygienists and doctors encouraged cooperation and coordination of their activities with the central and local authorities as well as education of the local population. The progress of medical science in Europe and the World, as well as the Soviet ideology in Eastern Europe distracted doctors from the search for the etiology of social illness. Biomedical treatment had become much more effective, and the development of social hygiene research in Eastern Europe had experienced stagnation. For ideological reasons the disease etiology in the Soviet bloc could not be associated with social factors. Social hygiene in the Soviet Union was highly politicized; it could only be interpreted in a frame of Soviet models. The healthcare system that had been created in the Soviet Union was named as the best in the world. The actual medical statistics were concealed from the public, since their logical interpretation could reveal the social causes of illnesses and the disadvantages of the soviet system. Sometimes we must return to basic ideas to improve current public health mechanisms. It is worth reconsidering fundamental questions, i.e. what public health is and how to achieve it. The breadth of the approach of the interwar Vilnius hygienists and doctors, the sensitivity to the social origins of diseases and persistence in combating them by all possible means could serve as an example for today's doctors. At that time, hygienists approached the idea that the highest goal of prevention was to create a healthy environment, healthy living and working conditions. Although today we live in a much safer environment than those individuals did, new threats are emerging because of changing technology and lifestyle. The broad approach of physicians remains equally important in order not only to combat individual precedents, but also to overcome the preconditions for emerging precedents. Therefore, the purpose of this paper is to reveal the theoretical patterns of hygiene and public health established by the hygienists of the Vilnius Hygiene Department as well as the attempts to apply them in practice. Methods: The study was conducted by analyzing the primary and secondary historical sources using the comparative method. A lot of data from the Lietuvos Centrinis Valstybės Archyvas (Lithuanian Central State Archives) that had been used in this research were published for the first time. According to the original archival data, an analysis of the scientific publications of the Faculty of Medicine of the University of Stephen Bathory was made to find out the priorities of the research carried out at that time. Conclusions: The complicated economic conditions, the lack of support from the local and central government as well as the imperfections in health legislation of that time hindered the full implementation of the hygienist strategies of the University of Stephen Bathory. However, the activities of the Department of Hygiene of Stephen Bathory University had a significant impact on the development of hygiene science as well as medical practice in the Vilnius region during the Interwar period (1919–1939).