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The aim of this article is to analyse selected poems by the French-Lithuanian poet Oscar Milosz (1877–1939), in which the lyrical subject reflects on the question of authentic existence, based on Martin Heidegger’s hermeneutic conception of language and authentic poetic existence. Heidegger sees language not as a means of communication, but as an act of opening up of Being, i.e., authentic existence and its manifestations – truth, goodness, and beauty. According to the German philosopher, Being is inseparable from language; in other words, the very structure of Being is the structure of language; Being is essentially linguistic, it calls human beings into itself. The word decadences (décadences) in the title of Milosz’s poetry collection “The Poem of Decadences” (Le Poème des Décadences, 1899) implies a heavenly/earthly distinction and draws the reader back to the story of the sin of the first humans and their expulsion from Paradise, or authentic existence. The post-decadence existence is inauthentic, and everything here appears as duplicates of Being. However, the word poem (poème) in the title of Milosz’s poetry collection signals to the reader that the decadences unfold on the horizon of the authentic existence, Being, which is conceived as the primordial Paradise, and that poetry is an attempt to restore it. The lyrical subject of the poem “Weariness” (Lassitude) asks the heroine of the poem, Elliné, who represents authentic existence, to take her hands off his heart so as not to awaken in him the desire to respond to the call of Being. However, that authentic existence remains very distant; its call does not awaken the subject of the poem from his lethargy, and thus the subject asks to be allowed to go to sleep, to inauthentic existence. In Milosz’s poetry collection “The Elements” (Les éléments, 1911), the lyrical subject of the poems can hear the call of Being more and more clearly. The lyrical subject feels and understands that there is a connection between the human being and Being, which the lyrical subject has experienced as a reality – sights, sounds, and smells of authentic existence. These manifestations of authentic existence call the lyrical subject into Being. In Milosz’s poetry collection “Symphonies” (Symphonies, 1915), the lyrical subject listens to the call of Being, opens to it, and hears, sees, smells, and experiences the authentic human existence that manifested itself in childhood and remains. The relationship of the lyrical subject to his childhood home and homeland is subjective rather than objective: the author addresses them as beings and speaks to them. They respond in the same way, and there is a bond of love between them. The form of authentic existence for the lyrical subject is love. For Milosz, the realities of his childhood in Lithuania are the real manifestations of Being, i.e., of authentic existence.

Introduction. In the contemporary healthcare system, nurses' motivation is a critical factor in ensuring service quality and staff retention within the profession. According to Frederick Herzberg's Two-Factor Theory, employee satisfaction is determined by hygiene factors and intrinsic motivators. This study analyzes the motivational characteristics of nurses working at LSMU Kaunas hospital in order to determine the influence of different variables on overall job satisfaction (which reached 50.5 points in this study). [...].

Purpose: Regular physical activity (PA) is a key protective factor for health in youths. The WHO recommends that adolescents do at least an average of 60 minutes per day of moderate-to-vigorous physical activity (MVPA) and incorporate vigorous-intensity aerobic activities (VPA) at least three days a week. This study aims to explore and to examine association between physical activity and self-rated health assessment in adolescents in Lithuania for two decades. Methods: Data were collected during the six national Health Behaviour in School-aged Children (HBCS) surveys in Lithuania during 2002–2022 (n = 42,260). Students were from 5th, 7th, 9th grades (11-to-15-years-old). The self-reported paper-pencil questionnaires were used to examine indicators such as self-rated health, MVPA and VPA, gender, grade, and family affluence (FAS). Multivariate logistic regressions were performed, adjusting by gender, grade, and FAS. Data analysis was conducted using univariate and multivariate logistic regression. Fair and poor self-rated health and physical inactivity were the respective reference groups. Results: Analysing the dynamics of MVPA for the period of 2002–2022, a consistently changing situation was observed, VPA among boys remained relatively stable, while rates among girls gradually improved. Boys were consistently more likely to have sufficient daily MVPA and VPA at least four days a week compared to girls; similarly, 5th grade students and adolescents from the higher FAS group were more physically active (p < 0.05). The multivariate analysis showed that during the period of 2002–2022, VPA at least four days a week always was a significant predictor for good and excellent self-rated health assessment (odds ratio (OR) = 1.35–1.72), while daily MVPA was not such a relevant factor (2010 and 2018 became non-significant, p > 0.05). Conclusion: These results highlight the increasing importance of vigorous-intensity aerobic physical activities in assessing adolescent health.

Paauglystė – sudėtingas laikotarpis, pasižymintis rizikingo elgesio apraiškomis, identiteto, gyvensenos ir socialinių ryšių formavimusi. Vaidmens modelio turėjimas paauglių pasirinkimus gali pakreipti tiek į sveikai gyvensenai palankią, tiek į žalingą pusę. Dėl to šiame tyrime Lietuvos moksleivių gyvensenos ir sveikatos tyrimo (HBSC) pagrindu buvo siekiama išsiaiškinti, kokius vaidmens modelius turi paaugliai ir kaip tai gali prognozuoti jų gyvensenos pasirinkimus. Tyrime dalyvavo 6628 5–11 klasių moksleiviai iš 124 Lietuvos mokyklų. Buvo vertinama, kokius vaidmens modelius turi paaugliai (jei turi) ir kaip tai prognozuoja jų miego trukmės, fizinio aktyvumo (kasdienio ir intensyvaus), mitybos, rūkymo, alkoholio vartojimo ir socialinių tinklų naudojimo rodiklius. Nustatyta, kad didžioji dalis (71 proc.) paauglių turi vaidmens modelius, dažniausiai šeimos narius (33 proc.), draugus (24 proc.), socialinių tinklų įžymybes (15 proc.), sportininkus (12 proc.) ir televizijos žvaigždes (11 proc.). Vaidmens modelio turėjimas dažniausiai prognozavo sveikai gyvensenai palankesnius pasirinkimus, labiausiai – šeimos nario (palankesni miego, fizinio aktyvumo ir sveikos mitybos rodikliai) ir sportininko (palankesni fizinio aktyvumo ir mitybos rodikliai) modeliai. Mažiausiai sveikai gyvensenai palankūs vaidmens modeliai buvo draugas (palankesni fizinio aktyvumo ir mitybos rodikliai, prastesni rūkymo ir socialinių tinklų naudojimo rodikliai) ir socialinių tinklų įžymybė (prastesni miego ir socialinių tinklų naudojimo rodikliai).

Background: EGPA is a rare, multi-system, autoimmune disease characterized by vasculitis along with asthma and elevated eosinophils in the blood and tissues, affecting 1 to 3 in 1 million people annually, primarily middle-aged population [1]. It is well known that a large proportion of EGPA patients have had asthma and/or have had or currently have nasal polyps [2]. EGPA is associated with increased mortality compared to the general population. Due to variable clinical presentations, diagnosis is often delayed, leading to various physical deficits and life-threatening conditions. Therefore, it is important to detect and treat the syndrome in a timely manner.

The Case: We present a case of successful diagnosis and treatment Churg-Strauss syndrome, emphasizing the importance of early recognition and intervention. A 56-year-old man with bronchial asthma and a history of sinus surgery presented with rhinitis, cough, low-grade fever, wrist pain and digital paresthesia. Initial imaging revealed sinusitis and right lung infiltrates and treatment for presumed pneumonia was started. During hospitalisation he developed anaemia, respiratory failure, haemoptysis, persistent inflammation and urinary problems. Further evaluation revealed a haemorrhagic rash, eosinophilic leukocytosis, haematuria, proteinuria and positive p-ANCA antibodies. Renal biopsy confirmed focal necrotizing and crescentic glomerulonephritis with eosinophilic infiltration consistent with EGPA. The patient's clinical condition improved rapidly with the introduction of high-dose methylprednisolone pulse therapy.

Conclusion: This case demonstrates the complexity of diagnosing EGPA, which can be diverse and similar to more common diseases such as asthma, sinusitis and pneumonia. A multidisciplinary approach, including histological confirmation, was necessary to establish an accurate diagnosis. Early recognition and prompt initiation of corticosteroid treatment led to favourable short-term outcomes. Given the risk of relapse and chronic organ damage, long-term follow-up and consideration of biological therapy are warranted to improve disease control and prognosis.

Charcot-Marie-Tooth (CMT) liga – genetinė nervų sistemos liga, sukelianti periferinių nervų pažeidimus, dėl kurių sutrikdoma raumenų jėga ir jutimo funkcijos [1]. Šiai ligai būdingi galūnių motorikos ir jutimo sutrikimai bei pėdos deformacijos, dažniausia – pes cavus [2]. Sergant CMT liga, dėl amiotrofijos raumenys negeba stabilizuoti sąnarių, todėl vystosi deformacijos, netaisyklinga padėtis sukelia netinkamą apkrovą, greitesnį kremzlės dėvėjimąsi, artrozę bei equinus, cavus, varus, valgus deformacijas [3]. Specifinio CMT ligos gydymo nėra, todėl taikomas simptominis gydymas ir reabilitacija [4]. Esant sunkioms deformacijoms ir sąnarių artrozei, rekomenduojamos chirurginės intervencijos. Chirurgiškai galima atlikti minkštųjų audinių operacijas, koreguojančias osteotomijas, artrodezes arba čiurnos sąnario artroplastiką [7, 9, 10]. Ankstyva chirurginė intervencija gali sustabdyti deformacijų progresavimą [17]. Šiame straipsnyje aptariami dviejų pacienčių, sergančių CMT liga, atvejai. Pirmajai pacientei išsivystė cavovarus deformacija, paskutinių stadijų čiurnos ir subtalarinio sąnario artrozė abiejose kojose. Chirurginiam gydymui pasirinkta tibiotalokalkaninė (TTC) artrodezė intrameduline vinimi. Antrajai, jaunesnei pacientei, išsivystė cavovarus deformacija, kuri ištaisyta atlikus ankstyvas chirurgines intervencijas: abiejų kulnakaulių ašį koreguojančias osteotomijas, subtalarinių sąnarių artrodezes sraigtais, Achilo sausgyslių ilginimą, pirmų padikaulių uždaro kampo kylines osteotomijas ir kairės kojos lateralinių čiurnos sąnario raiščių plastiką dėl čiurnos sąnario nestabilumo.

Kasos solidinė pseudopapilinė karcinoma (SPN) – reta, mažo piktybiškumo potencialo kasos neoplazma, dažniausiai pasireiškianti jauniems pacientams. Nors liga dažniau diagnozuojama suaugusiesiems, SPN sudaro apie 8–12 proc. visų vaikams nustatomų kasos navikų. Diagnostiką apsunkina tai, kad dažniausiai navikai ilgą laiką nesukelia jokių simptomų, todėl aptinkami jau dideli – 5–7 cm. Be to, daliai sergančiųjų gali pasireikšti nespecifiniai simptomai, kurie taip pat gali komplikuoti diagnostinį procesą. Pirmojo pasirinkimo gydymas – kasos rezekcinė operacija, kurios metu radikaliai pašalinamas navikas. Ilgalaikė SPN prognozė įprastai gera, tačiau pooperaciniu laikotarpiu dažnai išsivysto kasos fistulė, kuriai gydyti gali reikėti antibiotikų terapijos ir parapankreatinio skysčio sankaupų drenavimo. Straipsnyje pristatomas klinikinis atvejis, kai 15 m. mergaitei atsitiktinai diagnozuota kasos solidinė pseudopapilinė karcinoma, lokalizuota kasos uodegoje, ir atlikta formali kasos rezekcija. Aptariama atidaus paciento stebėjimo pooperaciniu laikotarpiu svarba, galimos pooperacinių komplikacijų priežastys.

There is insufficient dissemination of easily accessible reliable information for patients with juvenile idiopathic arthritis (JIA) in their native language on the Internet. Although there are various medical articles and scientific publications about JIA, many of them are presented in complex language, medical terminology and are intended for specialists. Aim: to design and develop an informational website for children with juvenile idiopathic arthritis and their families. The software used to realise this work: Visual Studio Code, HTML, CSS, JavaScript, Figma.com, wireframe.cc. Results and conclusion. The informative website was developed from January to May 2025 during the IT student’s bachelor thesis in close collaboration with pediatric rheumatologists and resident doctors of the Pediatric Department of Lithuanian University of Health Sciences, who took care of the quality of literacy on the website. As the result of this multidisciplinary work, a website called imunovaikai. lt was created. Congnitive value: the evidence-based but easy-to-understand informational material in native language, as provided on the website imunovaikai.lt, should create a health literacy environment that promotes understanding and engagement, which can lead to better adherence to treatment regimens and reduced emotional distress.

In the wake of the global pandemic that disrupted all aspects of life—including education—significant changes have reshaped teaching and learning practices. The crisis acted as a catalyst for rapid digital adaptation among instructors, administrators, and learners; consequently, many adopted Information and communication technologies

(ICT) tools out of necessity, even those who were previously hesitant due to traditional pedagogical norms or skepticism about technology’s value. This shift was especially notable in higher and vocational education, and it has led to changes that now appear largely irreversible.

ICT tools have proven effective for knowledge- and fact-based learning; however, a critical challenge has emerged: the increasing reliance on digital technologies risks limiting the development of interpersonal and emotional intelligence (EI) competencies. These soft skills are indispensable in law enforcement, where professionals must navigate high-pressure and emotionally charged contexts, yet they remain underrepresented in existing curricula.

The aim of this study is to examine how gamified ICT tools can be integrated into vocational education and training (VET) to enhance the emotional intelligence and communication skills of law enforcement students. To achieve this aim, the research pursued the following objectives: (1) to analyse theoretical foundations of EI and its relevance to law enforcement; (2) to explore gamification as a pedagogical strategy for EI development; (3) to assess VET students’ perceptions and experiences with gamified ICT environments; and (4) to provide recommendations for incorporating gamification into training curricula. The KA220-VET Pol-Com project was launched to address this gap by designing a digital platform with gamified tools aimed at fostering EI and communication competencies. The project unfolded in several phases: identification of EI as an underexplored domain (Q1 2024), trainer feedback confirming its importance (Q2 2024), and student feedback from higher education (Q4 2024) and VET cohorts (Q1–Q2 2025). This paper presents the findings from VET students, offering insights into how ICT-based gamified tools can support the development of emotional and social skills in law enforcement education.

This chapter builds the theoretical foundation of differential learning (DL) by integrating principles from systems theory, cybernetics, and neurophysiology. It outlines the conceptual shift from linear, prescriptive models of movement learning toward a dynamic understanding of movement as a self-organized behavior shaped by variability and context. Traditional motor learning models based on repetition, error correction, and ideal movement patterns are reevaluated through the lens of first- and second-order cybernetics, which emphasize observer dependence, feedback loops, and emergence. Systems theory provides the language to describe movement and movement learning as processes evolving through the interaction between an organism and its environment, while topological transformations complement static metrics to better represent motor learning. Neuroscientific insights—from the role of sensorimotor systems to the reafference principle and plasticity—further substantiate the DL approach. These insights reinforce the DL paradigm, suggesting that effective learning is not achieved through the correction of errors but through purposeful variability tailored to the learner’s context, goals, and sensorimotor experience.