Opieka nad pacjentem z niewydolnością serca i nerek kwalifikowanym do jednoczasowego przeszczepienia nerki i serca przy zastosowaniu wszczepienia mechanicznego wspomagania krążenia — opis przypadku

Renal impairment associated with heart failure is a common clinical problem that worsens prognosis in major illness. Severe renal failure is contraindicated for heart transplantation. An effective treatment is combined renal and cardiac transplantation provided the patient benefits are analyzed. Therapeutic option for this group of patients may also be the use of mechanical cardiovascular support. The aim of the study was to present nursing problems and proposals for nursing interventions in patients with severe heart and renal insufficiency referred for combinedheart-renal transplantation/mechanical cardiac support. The case of a 32-year-old patient with dilated cardiomyopathy, toxic etiology, chronic renal disease at stage V, treated with dialysis was analyzed. The study used the case study method using the following research techniques: observation, analysis of medical records of nurses and doctors.Zaburzenia czynności nerek towarzyszące niewydolności serca są częstym problemem klinicznym pogarszającym rokowanie w zasadniczej chorobie. Ciężka niewydolność nerek stanowi przeciwwskazanie do przeszczepienia serca. Skuteczną metodą leczenia jest jednoczasowe przeszczepienie nerki i serca. Opcją terapeutyczną dla tej grupy pacjentów może być również zastosowanie mechanicznego wspomagania krążenia. Celem pracy było przedstawienie problemów pielęgnacyjnych i propozycji interwencji pielęgniarskich u pacjenta z ciężką niewydolnością serca i nerek kwalifikowanego do jednoczasowego przeszczepienia serca i nerki/mechanicznego wspomagania krążenia. Analizie poddano przypadek 32-letniego pacjenta z kardiomiopatią rozstrzeniową o etiologii toksycznej, z przewlekłą chorobą nerek w stadium V leczoną dializoterapią. W pracy wykorzystano metodę case study z użyciem następujących technik badawczych: obserwacja, analiza dokumentacji medycznej pielęgniarskiej i lekarskiej

Defense Responses in the Interactions between Medicinal Plants from Lamiaceae Family and the Two-Spotted Spider Mite Tetranychus urticae Koch (Acari: Tetranychidae)

This study aimed to determine the effects of plant species on the biological parameters of Tetranychus urticae Koch and the time of mite infestation on plant physiology in Ocimum basilicum L., Melissa officinalis L. and Salvia officinalis L. Mite infestation induced various levels of oxidative stress depending on plant species and the duration of infestation. Host plants affected T. urticae life table parameters. The low level of susceptibility was characteristic of S. officinalis, which appeared to be the least infected plant species and reduced mites demographic parameters. Infested leaves of S. officinalis contained elevated levels of hydrogen peroxide (H2O2) and malondialdehyde (MDA) compared to control. In addition, higher membrane lipid peroxidation and higher activity of guaiacol peroxidase (GPX) and lower activity of catalase (CAT) were recorded with a longer mite infestation. In contrast, O. basilicum appeared to be a suitable host on which T. urticae could develop and increase in number. In basil leaves, increasing levels of hydrogen peroxide and MDA with elevated GPX activity and strongly decreased catalase activity were recorded. Knowledge of the differences in mite susceptibility of the tested medicinal plants described in this study has the potential to be applied in breeding strategies and integrated T. urticae pest management in medicinal plant cultivations

Physico-geographical mesoregions of Poland : verification and adjustment of boundaries on the basis of contemporary spatial data

The programme of identification, cataloguing and evaluation of Polish landscapes, part of the implementation of the European Landscape Convention, has caused an increase in interest in physico-geographical regionalisation over recent years. The commonly accepted regionalisation of Poland developed by J. Kondracki (Kondracki & Richling 1994) is sufficient for work at an overview scale (e.g. 1:500,000), whereas its spatial accuracy is too low to make use of it for the purpose of Polish landscape cataloguing. The aim of this article is to present a more up-to-date and detailed division of Poland into mesoregions, adjusted to the 1:50,000 scale. In comparison with older work, the number of mesoregions has increased from 316 to 344. In many cases, some far-reaching changes in meso- and macroregions were made. Nevertheless, in most cases the previous system of units was maintained, with more detailed adjustment of boundaries based on the latest geological and geomorphological data and the use of GIS tools for the DEM analysis. The division presented here is a creatively developing new work aligning the proposals of the majority of Polish researchers. At the same time, it is a regionalisation maintaining the idea of the work developed by J. Kondracki as well as his theoretical assumptions and the criteria used to distinguish units, which makes it a logical continuation of his regional division

Multidifferential study of identified charged hadron distributions in ZZ-tagged jets in proton-proton collisions at s=\sqrt{s}=13 TeV

Jet fragmentation functions are measured for the first time in proton-proton collisions for charged pions, kaons, and protons within jets recoiling against a $Z$ boson. The charged-hadron distributions are studied longitudinally and transversely to the jet direction for jets with transverse momentum 20 $< p_{\textrm{T}} < 100$ GeV and in the pseudorapidity range $2.5 < \eta < 4$. The data sample was collected with the LHCb experiment at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 1.64 fb$^{-1}$. Triple differential distributions as a function of the hadron longitudinal momentum fraction, hadron transverse momentum, and jet transverse momentum are also measured for the first time. This helps constrain transverse-momentum-dependent fragmentation functions. Differences in the shapes and magnitudes of the measured distributions for the different hadron species provide insights into the hadronization process for jets predominantly initiated by light quarks.Comment: All figures and tables, along with machine-readable versions and any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-013.html (LHCb public pages