541 research outputs found
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
Effective strategy of rescue treatment for acute pump thrombosis after left ventricular assist device implantation in patients with high risk of bleeding complications
Postoperative serum lactate levels for In- hospital mortality prediction among heart transplant recipients
Postoperative hyperlactatemia and serum lactate level trends among heart transplant recipients
Safety profile of end-stage heart failure patients implanted with left ventricular assist devices. Krakow two-year observational all-comers study on left ventricular assist device recipients
Secondary mitral regurgitation annuloplasty in patients with congestive cardiomyopathy - own experience
Differences in early outcomes of left ventricular assist device recipients implanted before and during COVID-19 pandemic
Comparison of the course of SARS-CoV-2 infection in left ventricular assist device recipients implanted before and during COVID-19 pandemic
Abscisic Acid Insensitive 4 transcription factor is an important player in the response of Arabidopsis thaliana to two-spotted spider mite (Tetranychus urticae) feeding.
Plants growing in constantly changeable environmental conditions are compelled to evolve regulatory mechanisms to cope with biotic and abiotic stresses. Effective defence to invaders is largely connected with phytohormone regulation, resulting in the production of numerous defensive proteins and specialized metabolites. In our work, we elucidated the role of the Abscisic Acid Insensitive 4 (ABI4) transcription factor in the plant response to the two-spotted spider mite (TSSM). This polyphagous mite is one of the most destructive herbivores, which sucks mesophyll cells of numerous crop and wild plants. Compared to the wild-type (Col-0) Arabidopsis thaliana plants, the abi4 mutant demonstrated increased susceptibility to TSSM, reflected as enhanced female fecundity and greater frequency of mite leaf damage after trypan blue staining. Because ABI4 is regarded as an important player in the plastid-to-nucleus retrograde signalling process, we investigated the plastid envelope membrane dynamics using stroma-associated fluorescent marker. Our results indicated a clear increase in the number of stroma-filled tubular structures deriving from the plastid membrane (stromules) in the close proximity of the site of mite leaf damage, highlighting the importance of chloroplast-derived signals in the response to TSSM feeding activity
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