Introduction. Liver transplantation (LT) is at high-risk for cardiovascular events. Therefore, candidates have pre-operative cardiological diagnostics to lower the risk of post-surgical complications. The purpose of this study was to analyse a cohort of liver recipients from one transplant centre in Poland, to evaluate the accuracy of pre-transplant cardiac assessment in the prediction of short-and long-term outcomes, and to investigate any correlation between cardiovascular events and patient characteristics. Material and methods. This retrospective study was conducted among 141 consecutive patients evaluated for LT in 2017-2018. Recipients under the age of 40 were excluded. All candidates had electrocardiography, echocardiography and their functional capacity was assessed. Patients with metabolic equivalent < 4 or clinical indications were subjected to stress echocardiography. Patients underwent at least one year post-transplant follow-up to detect late cardiovascular complications. Results. 141 patients were evaluated, and 116 patients were finally enlisted. Four recipients were disqualificated for cardiological reasons, and the remaining 21 were rejected for non-cardiological reasons. There were no early cardiovascular complications in a 30-day follow-up. Late cardiovascular complications were observed in four transplanted patients. Diabetes increases cardiovascular complications (p = 0.001). Conclusion. The applied cardiological diagnostics allowed early cardiovascular events to be avoided. Very careful post-transplant monitoring is indicated, particularly in diabetes patients, due to the greater risk of long-term complications. Post-transplant immunosuppression and liver function recovery may contribute to this.
SummaryStudy aim: The aim of the study was to evaluate the effectiveness of Shantala massage during the classes conducted using the Developmental Movement method in improving the “with” relationship in healthy children aged 3 to 4 years.Material and methods: The study involved 12 healthy children aged 3 to 4 years participating in SDM classes with their parents. The participants were divided into two groups. In the experimental group, Shantala massage was used during play based on the “with” relationship, whereas the massage proposed by Veronica Sherborne was performed in the control group. The Child Behaviour Observation Scale (SOZ-D) was employed to assess the improvements of psychomotor development. The study was a two-stage study, before the Sherborne Developmental Movement Method programme (initial observation) and after six months of classes (post-observation). The duration of the programme was 6 months. Classes were conducted once a week for 40 minutes.Results: It was found based on the analysis of the results that the introduction of Shantala massage led to a significant increase in the assessment of child development on the subscale of emotional development.Conclusions: The use of Shantala massage during SDM classes has a positive effect on emotional development of healthy children aged 3 to 4 years.
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