Assessment and Analysis of Health Care Institutions Service Accessibility and Acceptability

Sveikatos priežiūros kokybė, jos valdymas ir pritaikymas tampa vienu iš svarbiausių sveikatos priežiūros prioritetų tiek Lietuvoje, tiek ir kitose Europos bei pasaulio šalyse. Sveikatos priežiūros įstaigos teikia sveikatos priežiūros paslaugas, vykdo užtikrindamos ligų prevenciją, gyventojų sveikatos kokybę, visos visuomenės gerovę. Remiantis teorinės ir metodologinės literatūros apibendrinimais bei autorių atliktos pacientų apklausos rezultatais, teikiamos išvados apie paslaugų kokybės gerinimą paslaugų prieinamumo ir priimtinumo aspektais. Sveikatos teisinio reglamentavimo sistemą sudaro Europos, taip pat Lietuvos standartai, tarptautiniai ir nacionaliniai teisiniai aktai, produktų ar paslaugų kokybės laidavimas ir organizacijos veiklos kokybės sertifikavimas bei visuomenės reikalavimai. Visuomenės nuomonė apie sveikatos priežiūros paslaugų kokybę yra vienas iš daugelio sveikatos priežiūros paslaugų kokybės rodiklių. Paslaugų kokybės kompleksinis ir sisteminis vertinimas turėtų būti atliekamas kokybės vadybos sistemos požiūriu, atsižvelgiant į pacientų suvokiamą kokybę, vidaus kontrolės dokumentus, metinius veiklos planus, darbo reglamentus, kokybės valdymo sistemos procedūrų aprašus. Svarbus veiksnys yra neatitikčių rodikliams registravimas, jų periodinė analizė ir analizės rezultatais pagrįstų pakeitimų sveikatos priežiūros paslaugų kokybės gerinimo procesams įgyvendinimas. Šie veiksniai padeda gydymo įstaigoms kryptingai tobulinti teikiamų paslaugų kokybę.Quality of health care, management and customization is becoming one of the most important health care priorities in Lithuania and in other European countries and worldwide. Objektive. To summarizes the improvement measures of health care service access and acceptability and estimate and analyze the Vilnius patients opinion about health care services. Health care institutions provide health care services, make the prevention of illness to ensure quality and welfare of all population. Based on the theoretical and methodological literature summaries and results of patient satisfaction surveys are providing conclusions about improvement of quality service in the availability and acceptability aspects. Public opinion on health care services is one of the many health care quality indicators. Quality service in an integrated and systematic assessment should be carried out in terms of the quality management system according to the patients perceived quality, documents of internal quality, annual work plans and regulations, quality management system procedures descriptions. An important factor is a registration of incongruity indicators, their periodical analysis and health care quality improvement based on the results of analysis. These factors helps for health care institutions targeted to improve quality of service

Effects of peat and peat-zeolite substrates on quality, growth indices of cucumber seedlings and crop productivity

The objective of this study was to evaluate the peat and zeolite mixtures substrates performance on cucumber seedling quality and crop yield. The research was carried out in a greenhouse covered with double polymeric film at the Institute of Horticulture, Lithuanian Research Centre for Agriculture and Forestry. Cucumber seedlings were grown in different substrates: peat, peat + zeolite 1 : 1, peat + zeolite 2 : 1, peat + zeolite 3 : 1 and peat + zeolite 4 : 1. Cucumber seedlings grown in peat and zeolite substrates are shorter; the leaf area is smaller than that of the seedlings grown in peat alone. The dry mass of the aboveground part of these seedlings is lower (insignificant difference), however, the root mass is higher than those grown in peat alone. The addition of zeolite to peat substrate does not have any positive effect on the photosynthesis pigment content in cucumber seedling leaves. The physiological growth indices of the seedlings grown in peat-zeolite substrates were lower compared to those grown in peat. When zeolite is added to peat substrate, net assimilation rate is higher compared to those grown in peat. Higher yields (significant difference) were demonstrated by cucumbers, the seedlings of which had been grown in peat-zeolite substrates

Wpływ poziomu rozwoju rozsady pomidora na późniejszy wzrost i formowanie plonu

Transplant quality of tomato depend on such factors as microclimate parameter, substrate, plant nutrition and other. The growth stage is very important indices of their quality. The objective of research was to determine the effect of the growth stage of tomato transplants on their quality and yield. Research was carried out in a greenhouse of the Institute of Horticulture, Lithuanian Research Centre for Agriculture and Forestry in the period of 2008–2010. The investigated transplant growth stage of tomato cv. Cunero F1 5–6 leaves, 7–8 leaves and 9–10 leaves. Tomato transplants with 9–10 leaves were elongated and their leaves area were the highest. Plants with 7–8 leaves according to stem and leaves ratio were qualitative, accumulated in leaves the highest content of photosynthetic pigments and had the highest SLA. Tomato transplanted with older transplant started to flower the fastest compared to 5–6 leaves transplant. Higher total yield was produced by 7–8 leaves transplants. The least early yield was produced by 5–6 leaves transplant. The growth stage of tomato transplants had no effect on the average tomato fruit weight.Celem badań było określenie wpływu fazy wrostu rozsady pomidorów na jej jakość i plon. Badania prowadzono w latach 2008–2010, w szklarni Instytu Ogrodnictwa Litewskiego Centrum Badań Rolniczych i Leśnych. Badano rozsadę pomidora odmiany ‘Cunero F1’ w fazie 5–6, 7–8 i 9–10 liści. Rozsada pomidora sadzona w fazie 9–10 liści posiadała wysokie pędy i największą powierzchnię liści. Rozsada z 7–8 liśćmi na pędzie, oceniając stosunek masy pędu z liśćmi do masy korzeni oraz masy liści do masy pędu, miała lepszą jakość, zawierała w liściach najwięcej barwników fotosyntetycznych i posiadała największą specyficzną powierzchnię liści. Pomidory sadzone z 9–10 liśćmi zakwitały najszybciej. Większy plon ogółem formowały rośliny z rozsady z 7–8 liśćmi niż z 5–6 liśćmi. Najmniejszy plon wczesny wytworzyła rozsada sadzona w fazie 5–6 liści. Faza wrostu rozsady pomidora nie miała wpływu na średnią masę owocu

Beneficial effects of Auxin-like compounds on pea plants irradiated with UV-C /

The biochemical responses of garden pea plants to pretreatment with the auxin physiological analogues 1-[2-chloroethoxycarbonylmethyl]-4-naphthalenesulfonic acid calcium salt (TA-12) and 1-[2-dimethylaminoethoxicarbonylmethyl]naphthalene chlormethylate (TA-14) and subsequent irradiation with UV-C were studied. The aim of the present investigation was to assess if foliar application of these auxin-like compounds was able to decrease the negative effects caused by UV-C irradiation. UV-C treatment increased the content of malondialdehyde, free proline, total soluble phenolics and low-molecular thiol as well as the superoxide dismutase, catalase and guaiacol peroxidase activities but decreased hydrogen peroxide (H2 O2 ) and total soluble protein levels. The pretreatment with TA compounds decreased the oxidative stress provoked by UV-C radiation, recovered total soluble protein and H2 O2 content, increased UV-absorbing compounds and low-molecular thiols earlier than in irradiated plants and had a favourable effect on enzymatic activities. Exogenous application of auxin-like compounds on pea plantlets could be interpreted in relation to their ability to counteract UV-C induced oxidative stress by increasing the content of non-enzymatic antioxidants and stabilising the antioxidant enzyme activities required for detoxification of reactive oxygen species (ROS)

Uprawa rozsady papryki słodkiej pod światłem lamp HPS i LED

In greenhouses, artificial lighting is applied in winter and early spring as sup-plementary light source to increase photosynthesis and plant growth. The objective of this study was to evaluate the cultivation of sweet pepper transplants under LED lamps that were developed to supplement HPS lamps used in greenhouses. The experiments were carried out in the greenhouses at the Lithuanian Research Centre for Agriculture and For-estry Institute of Horticulture. Sweet peppers (Capsicum annuum) L. cultivar ‘Reda’ and the hybrid ‘Figaro’ F1 were used for investigation. Four types of solid-state lamps were used with light-emitting diodes (LEDs) with peak emissions at blue 455 nm and 470 nm, cyan 505 nm, and green 530 nm. PPFD of each type of LED lamp was 15 μmol m-2 s-1, and the PPFD of HPS lamps was 90 μmol m-2 s-1. The reference transplants were grown under the illumination of HPS lamps (110 μmol m-2 s-1). The photoperiod of artificial lighting was maintained at 18 hours. Our experiments revealed different responses to sup-plemental LED lightings between the cultivar and the hybrid. The supplemental 470 nm illumination with HPS lamps mostly resulted in increases in the following areas: leaf area, fresh and dry weight, and the photosynthetic pigment content of the sweet pepper ‘Reda’ transplants. A similar positive effect was determined using supplemental 455 and 505 nm LED lights. However, the supplemental green 530 nm LED lights had no effect on growth, and they inhibited the development of the sweet pepper ‘Reda’ transplants. The HPS light had a positive effect on the growth parameters of the ‘Figaro’ F1 transplants, but all of the supplemental LED lights suppressed their growth and developmentW szklarniach sztuczne oświetlenie stosowane jest zimą i wczesną wiosną jako dodatkowe źródło światła, aby zwiększyć fotosyntezę i wzrost roślin. Celem pracy była ocena możliwości uprawy rozsady papryki słodkiej w szklarni pod lampami HPS z dodatkiem LED. Badania przeprowadzono w Instytucie Ogrodnictwa Litewskiego Centrum Nauk Rolniczych i Leśnych. Przebadano dwie odmiany papryki słodkiej (Capsicum annuum L.): ‘Reda’ i ‘Figaro F1’. Jako dodatkowe światło, oprócz lamp HPS, zastosowano cztery rodzaje lamp LED o długościach fal: niebieskie 455 i 470 nm, zielono-niebieskie 505 nm oraz zielone 530 nm. PPFD LED wynosiło 15 μmol m-2 s-1, a lamp HPS – 90 μmol m-2 s-1. Długość dnia – 18 godzin. Na podstawie wyników stwierdzono, że dodatkowe światło LED miało różny wpływ na wzrost odmian papryki. Po dodaniu do światła lamp HPS LED-470 w rozsadzie papryki słodkiej odmiany ‘Reda’ stwierdzono największą powierzchnię liści, najwięcej świeżej i suchej masy roślin oraz największą zawartość barwników foto syntetycznych. Podobny wpływ wywierało dodatkowe światło LED 455 i 505 nm. Natomiast dodatkowe zielone światło LED-530 nie miało wpływu na wzrost, a hamowało rozwój rozsady odmiany ‘Reda’. Światło HPS miało korzystny wpływ na parametry wzrostu siewek ‘Figaro F1’, zaś dodatek światła LED hamował ich wzrost i rozwój

Effect of flashing amber light on the nutritional quality of green sprouts

We report on the application of flashing amber (596 nm) light-emitting diodes (LEDs), supplemental to high pressure sodium lamps, for the cultivation of green sprouts, such as wheatgrass, barley grass, and leafy radish. The flashing light was found to significantly affect metabolism, thus conditioning the nutritional quality of the sprouts. In particular, it causes stressful conditions for the plants and within a short growth period can promote the synthesis of antioxidative compounds, such as vitamin C, phenolic compounds and carotenoids. However, the flashing amber light effect is dependent on the plant speciesVytauto Didžiojo universitetasŽemės ūkio akademij