Background: AL remains one of the most threatening complications in colorectal surgery. Significant efforts are put to understand the pathophysiological mechanisms involved in the development of leakage and to create the strategies to prevent it. We aimed to determine whether intraoperative testing of mechanical integrity and perfusion of colorectal anastomosis could reduce the incidence of AL. Methods: A systematic review and meta-analysis of papers published before November 2019 on PubMed, Scopus, Web of Science, and Cochrane Library databases and comparing intraoperative testing of the colorectal anastomosis with standard care were conducted. Odds ratios (ORs) and 95% confidence interval (CIs) were used to assess the association between intraoperative testing and AL. Results: A total of 23 studies totaling 7115 patients were included. Pooled analysis revealed intraoperative tests, for integrity (OR 0.52, 95% CI 0.34–0.82, P < .001) and perfusion (OR 0.40, 95% CI 0.22–0.752, P < .001) of the lower gastrointestinal tract anastomoses are associated with significantly lower AL rate. Conclusions: Intraoperative testing for either integrity or perfusion of anastomoses both reduce the AL rate. Studies looking at the combination of these two testing methods of anastomosis, especially intraoperative endoscopy, and indocyanine green fluorescence angiography may be very promising to further reduction of the AL.
Analysis of the condition of the Agila dune is presented in this Article. The analysis is based on data collected during accurate geodetic measurements using LIDAR technology. The current state of the Agila dune was compared to the data of the previous year's LIDAR points in order to ensure the reliability and value of the research. In the course of the study, eleven cross sections were compared by height differences with previous year‘s measurements. The condition of the Agila dune was found to be the worst in three cross sections. First cross section‘s erosion measured at 13,98 meters, erosion in the fifth cross section – 9.90 meters, and erosion in the eighth cross section - 11.34 meters. The main reasons for the deterioration of the natural values of the Kursiu Nerija National Park are climate, wind, high visitor flows and the persistent failure to carry out comprehensive research. Therefore, in order to preserve these unique natural values, it is important to collect large-scale and high-precision data on the status of these values, to systematize, analyze and take appropriate protective measures.
Land consolidation is an important stage for agriculture and rural development. During the land reform, parcels of irrational size and shape were formed, which became difficult to cultivate efficiently. In essence, land consolidation projects must primarily be developed in areas with large, viable farms, and land parcels forming land holdings are not compact, distant from each other and from centers. Land consolidation projects have been under development for many years, but it is appropriate to pay attention to the expediency of implemented projects. Land consolidation goals and procedures vary from country to country, as the development of this procedure in each country is determined by historical trends, culture, traditions and land consolidation legislation. Many of those who have analyzed this topic emphasize the need for consolidation, but it is very important that landowners understand the importance of this process and make sure of its opportunities and benefits. Land consolidation must be designed so that the benefits of the project are higher than the results of the conversion works before the project. The purpose of this article is to compare land consolidation projects which were prepared in different areas of Lithuania. Two objects of the research in which land consolidation projects had been carried out and implemented in 2013 were selected, where the number of sites in units decreased: 41.8% in one project and 28% in the other. Changes in parcel configuration were also noticeable, when in one of the projects analyzed even 92 percent of land parcels have become regular - close to rectangular - shapes. The average size of land parcels in this project increased from 5.32 ha to 9.14 ha.
Recently, the opinion has been expressed that the phasing of the processes of preparation of territorial planning documents, depending on the institution that administers it, hinders the processes of preparation of territorial planning documents by established procedural actions. The aim of the article is to evaluate the impact of the efficiency of the administration of territorial planning processes on the development of territories. The object of the research is the complex and special territorial planning documents prepared in the territory of Pagėgiai municipality. Pagėgiai municipality was chosen because the preparation of planning documents in the municipality has slowed down recently, therefore it is important to assess the efficiency of administration of the prepared territorial planning document processes, possible impact on further territorial development, and provide recommendations to ensure more efficient and faster territorial development. During the research, it was established that during the period between the years 2010-2020 only 1 state-level territorial planning document was registered in the territory of Pagėgiai municipality (i.e. 0.69% of those registered in the Republic of Lithuania and 14.29% in Tauragė County). 7 (i.e. 0.52% of those registered in the Republic of Lithuania and 18.42% of those registered in Tauragė County) were registered in the municipality at the municipal level. Territorial planning documents were registered at the local level (i.e. 0.22% of those registered in the Republic of Lithuania and 5.4% in Tauragė County). The analysis of the processes of the prepared planning documents and the interviews of experts revealed that the planning procedures performed by the administering authorities are inefficient: not all the administering authorities consistently carry out the assigned procedures, delay or evaluating the planned decisions within the legal deadline. According to experts, the reason for the inefficient performance of procedures is the lack of human resources in the administering institutions or their inadequate competence. As a result, the improperly performed procedures of territorial planning documents have a negative impact on the planned territory, slow down its development, or the most suitable possible development direction of the planned territory has not been assessed. After performing a multi-criteria analysis of the prepared territorial planning documents, it was established that in the period under review, the most effective document of complex territorial planning was prepared in the territory of Pagėgiai municipality - “Adjustment of the detailed plan of the prepared territory in Vilniaus st. 16 A, Pagėgiai”. The rating indicator was 0.0806. The document of complex territorial planning “Adjustment of Pagėgiai city comprehensive plan” stood out with the lowest efficiency, the rating indicator was - 0.0676.
During the period of about 15 years, there were several attempts to regulate land tenure in Lithuania by changing the procedure of land acquisition and imposing some restrictive measures for the acquisition of agricultural land. This research aimed to determine the impact of those restrictive measures on the land market. This article represents the analytical results of the statistical data on agricultural land privatisation and market sales in respect of changes in legal acts. According to the analysis, changes in land acquisition procedure had no negative effect on land privatisation and volumes of land sales nor on land sale prices during the transitional period of limited access for foreign buyers in 2004–2014. The volatility of land sales during the transitional period can be explained by the natural market cyclicality, while the steady growth of prices indicates that the land market has not yet reached its long-run equilibrium. The new regulative provisions adopted in 2014 after the transitional period was over were intended to prevent land concentration and had a positive, yet momentary, effect on the supply of private agricultural land. A significant increase in land prices after introducing those provisions was caused by the ceased supply of state land and some other causes that were not analysed in this paper.
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