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)

Introduction: Nursing as a profession is still changing, developing and seeking a place in the healthcare system. It also defines a new tasks and competencies in response to increasing patients’ needs and changing environment. Nursing tasks include not only strictly clinical tasks, but also non-nursing tasks that are necessary to carry out the treatment process such as logistics processes. The main aim of the study was to assess the level of knowledge of nurses about logistics processes and to assess the perception of the role of a nurse in selected hospital logistics processes. An additional objective was to assess the frequency of application of the 7R principle (the right product, in the right quantity, in the right condition, to the right place, at the right time, for the right customer/patient, at the right cost). Materials and methods: This is a cross-sectional study. In the study, 152 nurses participated. The original questionnaire included a sociodemographic and logistical section, which consisted of questions about the definition of the logistics process and its understanding, respondents’ participation in logistics processes, and the occurrence of logistics processes in the workplace. The nurses’ knowledge was assessed through five questions, and the results could range from 1 to 6 points. Four questions were used to analyze the role of nurses in logistics processes, with possible scores ranging from 2 to 9 points. The frequency of the 7Rs principle usage ranged from 0 to 35 points. Results: The level of respondents’ knowledge was moderate, with an average score of 4.67 points, and more than half of the nurses were characterized by a high level of knowledge about logistics processes (51.32%). The role of the nurse in the logistics process was assessed as moderately important, with a score of 5.91 points. The 7Rs principle was applied ‘sometimes,’ achieving a score of 26.67 points. Conclusions: Although logistics as a science is not widely included in nursing education and practice, respondents reported a moderate level of knowledge and assessed the role of nurses in logistics processes as moderately significant, suggesting that logistics is important in the work of nurses.

Introduction: In clinical diagnosis, electrocardiographic repolarization abnormalities with prolongation of QT and especially TpTe intervals are important for assessing the risk of malignant ventricular arrhythmias. The aim of the study was to compare the electrocardiological values of repolarization parameters in children with and without arrhythmias, according to body weight.Material and methods: Repolarization parameters were compared in a group of children with excessive and normal body weight (BMI, Cole’s index) with ventricular and supraventricular arrhythmias and in another group of children (matched for age and sex, with no arrhythmia and with normal weight) as the control group. The repolarization parameters TpTe, QTp and QT interval corrected Bazett (QTcB) and Fridericia (QTcF) formulas were measured in lead V5 of the 12-lead ECG.Results: The durations of TpTe and QTcF intervals were significantly longer in children with ventricular arrhythmias with abnormal body weight compared to children with supraventricular arrhythmias with abnormal body weight. Comparing children with normal weight between the ventricular and supraventricular groups, significant prolongation of only the TpTe interval was observed. Moreover, there were statistically significant differences (p < 0.0001) in the TpTe interval among the 5 groups: children with ventricular and supraventricular arrhythmia with abnormal and normal weight, as well as the control group depending on BMI and Cole’s index.Conclusions: In children with ventricular arrhythmia, only the TpTe parameter was significantly longer compared to children with supraventricular arrhythmia and children without arrhythmia, regardless of body weight. In children with arrhythmia, regardless of body weight, the TpTe parameter should be measured in addition to routine QT. Further studies on a larger scale are needed to assess the clinical importance of the TpTe interval in children with arrhythmias and excessive body weight.

The purpose of this study is to show in one of Luke’s christophany the symbolism of Christian life, the process – the way on which a man gradually comes to a true knowledge of the Risen Lord, especially through the sacraments and the word of God. At various stages of the way of two disciples, accompanied by the Risen Jesus, the maturation of the true faith of every Christian can be noticed. The culmination of this maturation is the Eucharist in which it is possible to know Jesus fully. Both the Liturgy of the Word and the Liturgy of the Eucharist are essential elements of this knowledge. However, one cannot ignore the other sacraments, in particular the other sacraments of Christian initiation. The life with the sacraments and the word of God is the only way to deepen their faith and lead to an encounter with the Risen Lord, similarly to the way of the two disciples walking to Emmaus.

The parable of the fishnet is one of the many Jesus’ parables which takes the subject of Kingdom of God. Here it is compared to the fishnet which gathers all the fish without distinction of their abilities. As Jesus already initiated Kingdom of God here, on earth, opening it for all with no exception. Staying in the net reflects exactly the earthly phase of Kingdom connected closely with the Church; it is the time when one can convert. As only the net will be brought out on shore, then angels will perform a division for the good and the evil. The selection will be made on the Last Judgment Day before coming the final phase of Kingdom of God. Thus the parable of the fishnet consists of some aspects of Kingdom of God: eschatological, ethical and ecclesial, which pervade themselves and create a holistic image of Kingdom – from the one started by Jesus on earth until the moment of reaching by them the completeness at the end of times.