Background: The changes in the period of ventricular repolarization, i.e., QT interval, QTp (Q-Tpeak) and TpTe interval (Tpeak–Tend), make it possible to assess the electrical instability of the heart muscle, which may lead to the development of life-threatening ventricular arrhythmia. The aim of the study was to determine and evaluate the use of differences in T-wave morphology and durations of repolarization period parameters (QT, TpTe) in resting ECGs for children with ventricular arrhythmias. Methods: The retrospective analysis was made of the disease histories of 80 examined children with resting ECGs, which were admitted to the Children’s Cardiology Department. The study group consisted of 46 children aged 4 to 18 with ventricular arrhythmias and the control group consisted of 34 healthy children between 4 and 18 years of age, with no arrhythmias. Results: The duration of the TpTe interval was significantly (p < 0.001) longer in the group of children with ventricular arrhythmia with abnormal T-wave (bactrian/bifid, humid/biphasic) compared to the TpTe interval in children with ventricular arrhythmia with the normal repolarization period. The duration of the TpTe (p < 0.001), QTcB (p < 0.001) and QTcF (p < 0.001) intervals were significantly longer in the group of children with ventricular arrhythmias and with abnormal T-wave compared to the values of the TpTe, QTcB, and QTcF intervals of the control group with normal morphology of the repolarization period. Only the duration of the TpTe interval was significantly (p = 0.020) longer in the group of children with ventricular arrhythmia without clinical symptoms. Conclusions: Children with benign ventricular arrhythmias recorded on a standard ECG with prolonged TpTe and QT intervals and abnormal T-wave morphology require systematic and frequent cardiac check up with long term ECG recordings due to the possibility of future more severe ventricular arrhythmias. Further follow-up studies in even larger groups of patients are necessary to confirm the values of these repolarization parameters in clinical practice.
Introduction. One of the most common causes of death, permanent disability in people aged over 40 is a stroke. The effective rehabilitation of stroke patients is affected by proper nursing care, as well as by assistance, presence and support for families of patients. Aim. The aim of this study was to obtain nurses' opinion about the problems in the nursing care of patients after stroke. Material and Methods. The study was conducted with the participation of 60 respondents aged 23-58 years (average age: 38.1) including 4 men and 56 women. The respondents were of practitioners nurses at surgical and conservative wards in a healthcare facility in Silesia. The research tool was a questionnaire completed voluntarily by respondents, ensuring anonymity. Results. According to 85% of the respondents the most common problems that emerged during the nursing care of patients after stroke consisted of mental disorders occurring in patients. Then, performance of the toilet of the whole body of the patient (21.6%), education of the patients and their families (21.6%) and taking actions against anti-bedsore (18.3%). The fewest problems in nursing care accounted for oral feeding of patients (6.6%) and the situation in which the patient experienced pain (3.3%). Whereas feeding the patient through the tube and participation in pharmacotherapy was not the reason for problems that arise in the care of patients after stroke. Conclusions. 1) Working conditions of nurses at profile conservative and surgical wards, where hospitalized patients are of III and IV category of care contribute to the formation of significant physical and psychological burdens of this professional group, which reduces efficiency and thus reduces job satisfaction. 2) For the study group, the greatest problems of nursing are patients with mental disorders, education of the patients and their families and the performance of the patient's whole body toilet. They hinder the care of the patient after a stroke.3) The occurrence of adverse events did not constitute, according to the study group, a problem in patient care, so this perception of the study group points to the emerging syndrome of 'burnout'. This may entail negative consequences in patient's care, who need appropriate and comprehensive care after stroke. (JNNN 2017;6(2):73-80)
The aim of the paper is to characterize hippotherapy as an effective method supporting rehabilitation of disabled people in the biopsycho-social area. The analysis is based on a review of the literature and previous studies of this form of therapy.
Królestwo Boże jako dar i zadanie w przypowieści o skarbie ukrytym w roli (Mt 13, 44). Studium teologiczne Jezus w swojej pedagogii posługiwał się często przypowieściami, aby w jak najprzystępniejszy sposób przekazać kwestie, które dla niektórych mogły być nie do końca zrozumiałe i niezbyt łatwe do przyjęcia, a do takich należała m.in. nauka o królestwie Bożym. Już Jan Chrzciciel wzywał do nawrócenia z uwagi na zbliżające się królestwo niebieskie (zob. Mt 3, 2). Jezus u progu swej publicznej działalności uroczyście potwierdził tę Janową zapowiedź (zob. Mt 4, 17), czyniąc jednocześnie temat królestwa Bożego jednym z głównych aspektów swego nauczania. Wykorzystywał więc obrazy znane Jego odbiorcom z życia codziennego, by przybliżać im prawdy nadprzyrodzone. Jednym z takich obrazów jest właśnie znaleziony na cudzym polu skarb.Ὁμοία ἐστὶν ἡ βασιλεία τῶν oὐρανῶν θησαυρῷ κεκρυμμένω ἐν τῷ ἀγρῷ, ὃν εὑρὼν ἄνθρωπος ἔκρυψεν, καὶ ἀπὸ τῆς χαρᾶς αὐτοῦ ὑπάγει καὶ πωλεῖ πάντα ὅσα ἔχει καὶ ἀγοράζει τὸν ἀγρὸν ἐκεῖνον1.
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