Pasozyty muflonow, jeleni i sarn z terenu Dolnego Slaska

The study concerning internal and external parasites in deer was conducted in selected Lower Silesia forest inspectorates from May 1988 till June 1992. Coproscopic method and section were applied. Only in roe-deer the highly extensive invasion of gastrointestinal nematodes was observed (from 50% to 81%, depending on inspectorate). Most frequent were the Ostertagia (60%) and Nematodirus (30%) types. Another problem, mainly in mouflons, were lung nematodes of Protostrongylidae family, of which the Muellerius capillaris was dominating. Of the external parasites, an infection of Lipoptena cervi was discovered in roe-deer and stag, and Ixodes ricinus appeared most frequently; in Lower Silesia appeared the lung nematodes which could be the reason for disease, particularly in mouflon. Source of the infection were probably sheep brought to that region from Podhale for pasturage

Evaluation of a paediatric diabetes specialist nurse post

The specialist nurse caring for children with diabetes is widely recognized as a valued member of the paediatric diabetes team. However, there has been minimal exploration or examination of the clinical role of the paediatric diabetes specialist nurse (PDSN). This in-depth evaluation critically examines the impact of a PDSN post, comparing data from the first 2 years of the post against corresponding data from the previous 2 years. Results are encouraging, showing that much has been achieved. Home management was successfully introduced, length of stay was halved for newly diagnosed children initially hospitalized, suggested guidelines for length of stay for readmissions were met, age-banded education sessions were implemented and clinic non-attendance was substantially reduced. The readmission rate for children with established diabetes was increased, and reasons for this are discussed outlining intervention being introduced to proactively address this problem. The findings from this evaluation support the belief that PDSNs, as members of a multidisciplinary team, make a substantial and valuable contribution to paediatric diabetes care