Tikslas – išanalizuoti naujagimių su kritinėmis širdies ydomis slaugos poreikius pooperaciniu periodu. Uždaviniai 1.Apibūdinti naujagimių įgimtų širdies ydų kontingentą. 2.Išnagrinėti naujagimių su kritinėmis širdies ydomis operacijų ypatumus. 3.Nustatyti naujagimių su kritinėmis širdies ydomis slaugos problemas pooperaciniu periodu. Hipotezė: naujagimių su kritinėmis širdies ydomis slaugos poreikiai pooperaciniu periodu priklauso nuo pacientų išnešiotumo laipsnio, įgimtos infekcijos, lydinčių ligų bei operacijos pobūdžio. Atlikta 84 naujagimių su kritinėmis širdies ydomis, besigydančių po širdies operacijų, retrospektyvi duomenų analizė. Duomenys apdoroti SPSS 8.0 for Windows programa. Išvados 1.Dažniausiai naujagimiams diagnozuojamos obstrukcinės širdies ydos: aortos koarktacija (31%), nutrukęs aortos lankas (4,8%), plaučių arterijos stenozė arba atrezija (13,1%). Rečiau diagnozuojamos stambiųjų kraujagyslių transpozicija (23,8%.), kairiojo skilvelio hipoplazijos sindromas (13,1%). Retai pasitaiko pilnas anomalinis plaučių venų drenažas (3,6%), bendras skilvelis ir triburio vožtuvo atrezija (8,3%). Dauguma naujagimių yra išnešioti (89,3%), be papildomų patologijų (84,5%), beveik pusei nustatyta intrauterinė infekcija (45,2%). Didesnei naujagimių daliai (56%) išsivysto širdies ir kraujagyslių sistemos funkcijos nepakankamumas, pasireiškiantis širdies susitraukimo dažnio sutrikimais, arterinio kraujospūdžio svyravimais, periferinės kūno temperatūros sutrikimais. Trečdaliui... [toliau žr. visą tekstą] / Purpose: review nursing requirements for newborns with the critical heart diseases in post-operation period. Tasks 1.Describe group of newborns with the congenital heart diseases. 2.Consider operational peculiarities for newborns with critical heart diseases. 3.Identify nursing problems for newborns with the critical heart diseases in post-operation period. Assumption: nursing requirements for newborns with the critical heart diseases depend on the fetal maturity degree, congenital infections, associated diseases and operation nature. Study methodology. In course of the study retrospective analysis of 84 newborns with the critical heart diseases undergoing post-operation (heart surgery) treatment. Data was processed by means of programmes SPSS 8.0 for Windows. Conclusions 1.Most frequent obstruction heart diseases found among newborns are: coarctation of aorta (31%), interruption of aortic arch (4,8%), pulmonary artery stenosis or atresia (13,1%). Less often the following heart diseases are met: transposition of great arteries (23,8%.), hypoplastic left hear syndrome (13,1%). Very seldom: total abnormal pulmonary venous drainage (3,6%), tricuspid atresia (8,3%). Majority of newborns are mature (89,3%), without additional pathology (84,5%), nearly half of them have intrauterine infection (45,2%). For a bigger part of newborns with the congenital heart diseases (56%) the failure of blood-vascular system was developed which was represented by disorder of heart contraction... [to full text]

Project management is the application of knowledge, skills, tools and techniques to project activities to meet project requirements. Project Management Information System is tightly connected with organizational structure and particularity of executed projects. However the main objective of this research was to identify project management model that would be universal, helpful and easily used with small and medium projects In analysis phase we reviewed different methodologies, project management processes and methods, that are used to implement these processes. For our model we’ve chosen Adaptive Project Framework and basic process groups, such as time, resource management and some other, that can be effectively used in computer-driven system. During research we compared our project management system prototype with existing solutions to ascertain suggested model for its universality, helpfulness and easy use. The comparison showed that our model fits the requirements, though its not the most useful, but the proportion of functionality and usefulness is the best.