Current Contents / Clinical Medicine

This article focuses on the importance of the right to effective participation of children in conflict with the law in criminal (youth justice) proceedings. In particular, it explores two procedural aspects which are closely related to the right to child-friendly legal aid and the role of individual assessment. The authors claim that qualitatively identifying the needs of the child (through the instrument of individual assessment) and establishing a relationship of trust with a specifically trained legal aid lawyer is critical in raising the child’s status to that of an active participant in the proceedings and ensuring that the best interests of the child are observed. The authors also suggest that such an initial encounter within the justice system forms an attitude (of either confidence or rejection) of the child towards public institutions and, accordingly, directly affects the effectiveness of further interventions. To support their position, the authors of the paper bring several examples from the comparative research carried out in two European projects, noting, regretfully, that the initial interventions often suffer from formal implementation and lack a systemic approach.

This article contributes to the growing research on the validity of the recently developed, Inventory of Problems - 29 (IOP-29) in the discrimination of feigned from bona fide mental or cognitive disorders. Specifically, we first developed a Lithuanian version of the IOP-29 and tested its validity on a sample of 50 depressed patients and 50 healthy volunteers instructed to feign depression. Next, we reviewed all previously published IOP-29 studies reporting on depression-related presentations (k=5), and compared our results against previously reported findings. Statistical analyses showed that the Lithuanian IOP-29 discriminated almost perfectly between genuine and experimentally feigned major depression, with Area Under the Curve (AUC) = .98 (SE = .01) and Cohen's d=3.31. When compared to previously published IOP-29 literature on this same topic, these findings may be characterized as similar or perhaps slightly more encouraging. Indeed, across all international, empirical studies considered in this article, Cohen's d ranged from 1.80 to 4.30, and AUC ranged from .89 to .99. Taken together, these findings contribute to supporting the strong validity and cross-cultural applicability of the IOP-29. They also provide additional support for its use in forensic evaluations.

Adolescents today face the negative outcomes of climate change, and their pro-environmental behavior is crucial to mitigate these negative outcomes. Yet, we know little about what influences adolescents’ pro-environmental behavior. Research shows that people’s biospheric values and environmental self-identity, elicit personal norms to act environmentally friendly, which can induce a wide range of pro-environmental actions. Yet there is no evidence that these factors can influence pro-environmental behavior of adolescents, because this has only been studied for adults. Given that in adolescence, values, identities and moral structures undergo intense development, the question is whether these factors can motivate adolescents to act pro-environmentally. To address this question, we have conducted three studies with adolescents in Lithuania (Study 1: N = 256; Study 2: N = 349; Study 3: N = 905). We found support that adolescents’ biospheric values and environmental self-identity were associated, via personal norms, with a wide range of pro-environmental behaviors, including recycling, environmentally friendly traveling, purchasing environmentally friendly goods and drinking tap water. Based on theory and the current findings, we suggest directions for policies aimed at promoting pro-environmental behavior of adolescents.

Given the need for global action on climate change, it is crucial to comprehend which factors motivate people in different countries to act more pro-environmentally. Lithuania is a post-socialist country that has recently increased commitment to foster pro-environmental behavior of individuals, by implementing interventions that target mainly the personal costs and benefits of relevant behaviors. Yet, research suggests that people’s general environmental considerations, namely biospheric values and environmental self-identity, can drive people’ pro-environmental behavior and may be important targets for interventions. These studies, however, have been mostly conducted in Western Europe and the United States, with limited evidence of relationship between people’s biospheric values, environmental self-identity and proenvironmental behaviors across different countries and cultures. We performed a correlational study with a convenience sample in Lithuania (n = 334). Consistent with previous studies and the theory, our study revealed that people’s general environmental considerations were positively related with recycling and environmental activism, but not with fuel-efficient driving and the use of sustainable transportation in Lithuania. We conclude that general environmental considerations are related to pro-environmental behaviors beyond Western Europe and the United States. Yet, future studies need to examine the boundary conditions of this relationship and test whether interventions targeting environmental consideration can be effective to promote pro-environmental behavior.

Purpose This study aims to determine the utility of the Bethesda category and its association with BRAF mutation in prediction of the papillary thyroid cancer (PTC) stage. Methods A prospective study analyzed patients who had ultrasound-suspicious thyroid nodules, underwent FNA and cytological examination, and were classified according to the Bethesda system. Patients from Undetermined Significance Or Follicular Lesion Of Undetermined Significance (AUS/ FLUS), Follicular Neoplasm or Suspicious for a Follicular Neoplasm (FN/SFN), Suspicious for Malignant Cells (SMC), and Positive for Malignant Cells (PMC) groups were examined for the BRAF mutation and had a thyroid surgery. Demographical and histological features and stage of the disease were evaluated for PTC patients in accordance with the Bethesda category and its association with BRAF mutation. Results Three hundred eight of all patients underwent operation. One hundred forty-three (46.4%) of them were diagnosed with PTC. In 14 (9.8%) PTC cases, FNA biopsies were classified as AUS/FLUS, 23 (16.1%) as FN/SFN, 41 (28.7%) as SMC, and 65 (45.5%) as PMC. I–II stages of PTC were diagnosed for 88 (61.5%) patients and III–IVA for 55 (38.5%). Patients from the SMC and PMC groups had larger tumors, higher incidence of lymph node metastases, classical PTC type, B-type Raf (BRAF) positive, and III–IVA stage cancer, than patients from the AUS/FLUS and FN/SFN groups. When comparing 27 (18.9%) BRAF-negative patients from the AUS/FLUS and FN/SFN groups with 116 (81.1%) BRAFnegative patients from the SMC and PMC groups and all BRAF-positive patients, the prediction of more aggressive histological features and stage was slightly improved. Conclusions Higher Bethesda categories are associated with higher stages of PTC. Association of the Bethesda category with BRAF mutation can slightly improve the value of stage prediction.