Thermoregulation and its disorders in the children’s perioperative period

Disorders of termoregulation is a phenomeon that can occur as a result of any kind of anaesthesia. In the perioperative period, infants and small children are most exposed to significant and dangerous changes in body temperature, especially hypothermia. When the body cools to values under 36˚C during simple surgery, it is called uncontrolled hypothermia and can be dangerous to the health or even lifethreating to a small patient. Preventive measures of intraoperative accidential hypothermia are according room temperature. Hypothermia as an intended phenomenon artificially produced is used in such medical fields as: • cardiosurgery in cases of cardiotomy surgery in infants • neurosurgery in lowering intracranial pressure • analgesia through cooling as an effective pain - relieving method Disorders of termoregulation mechanism leading to rising body temperature is called hyperthermia. It can occur as a sudden reaction to an anaesthetic agent (halothane, enufluran, izofluran, sewofluran, desfluran, suksametonium) revealed during anaesthesia – a genetically determined disease called Fulminant Hyperthermia. The essence of hyperthermia treatment is early diagnosis and fast treatment relying on the removal of causes and symptoms and, above all, needs to be preventative. Regular measurement of both surface and central temperature can allow for quick action against hypothermia or hyperthermia in children

The quality of life of patients with damage to knee joint cartilage

Czykieta Izabela, Maj Agnieszka, Juzwiszyn Jan Maciej, Czopor Barbara. The quality of life of patients with damage to knee joint cartilage. Journal of Education, Health and Sport. 2019;9(2):199-211. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2561558 http://ojs.ukw.edu.pl/index.php/johs/article/view/6578 https://pbn.nauka.gov.pl/sedno-webapp/works/903592 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 30.01.2019. Revised: 30.01.2019. Accepted: 11.02.2019. The quality of life of patients with damage to knee joint cartilage Izabela Czykieta4, Agnieszka Maj1, Jan Maciej Juzwiszyn3, Barbara Czopor2 SKN Pielęgniarstwa Internistycznego Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu Zakład Pielęgniarstwa Internistycznego Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu Zakład Specjalności Zabiegowych Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu Klinka Chorób Wewnętrznych, Zawodowych I Nadciśnienia Tętniczego Uniwersytecki Szpital Kliniczny im. Jana Mikulicza- Radeckiego we Wrocławiu Academic supervisor: Dr Jan Maciej Juzwiszyn Agnieszka Maj: [email protected] Summary Introduction. For many years, osteoarthritis (OA) had been considered a natural consequence of aging. According to statistics, it should be assumed that several million people affected by osteoarthritis live in Poland. The aim of the paper was to study the quality of life and the acceptance of the disease in patients with damage to knee joint cartilage. Material and methods. The study was conducted from January to December 2017 in the group of 100 people who were treated in the Clinical Department of Orthopedic and Traumatology of Locomotor System of Wroclaw Medical University. The research was conducted anonymously using the standard questionnaires WHOQoL-BREF. The inclusion criterium was a diagnosed injury to knee joint. Results. The mean evaluation of the quality of life carried out by the patients is 3.56 point (SD=0.9), which means that they assess their quality of life between good and average (not good, nor bad). The mean evaluation of the health status carried out by the patients equals 2.8 point (SD=1.1), which means that they assess their health status between unsatisfying and average (not satisfying, nor unsatisfying). Conclusions. The decreased perception of the quality of life in psychological and social domains was observed in relation to patients’ decision to undergo surgical treatment. These correlations are negative which means that the higher the pain intensity, the lower the quality of live in the above domains. Key words: chondromalacia, cartilage, the quality of life