Zespół Millera-Fishera po przeszczepieniu wątroby u pacjenta przewlekle leczonego immunosupresyjnie

Zespół Millera-Fishera (MFS, Miller-Fisher syndrome) stanowi rzadką postać zespołu Guillaina-Barrégo. Charakteryzuje się oftalmoplegią, ataksją i arefleksją. Objawy oczne mogą się ma­nifestować jako oftalmoplegia całkowita ze zniesieniem reakcji źrenic oraz niedowładem mięśni gałkoruchowych, czasami bez opadania powiek. Istnieje korelacja między występowaniem MFS a obecnością przeciwciał anty-GQ1b przeciwko gangliozydom. Ich największe nagromadzenie stwierdza się przy przewężeniach Ranviera włókien nerwów gałkoruchowych, co może tłumaczyć występowanie oftalmoplegii. W artykule opisano MFS u 43-letnie­go mężczyzny leczonego immunosupresyjnie po przeszczepieniu wątroby w okresie jej postępującej niewydolności

The Jews in Ciechanowiec 1918-1942

500 lat osadnictwa żydowskiego na Podlasiu. Materiały z konferencji międzynarodowej, Białystok, 14 - 17 września 1987 r.500 Years of the Jewish Settlement in Podlasie. Popers From the International Conference, Białystok, September 14 - 17, 1987.This paper is based on the material collected by students - members of History Circle at Białystok Branch of Warsaw University. Significant part of thesources comes from oral reports of inhabitants of Ciechanowiec, collected in June 1986. In 1921 about 2 600 Jews (53% of all inhabitants) lived in the town. In 1937 their number grew up to 3 300, while the percentage decreased to 46,3%. Almost all trade in the town was concentrated in Jewish hands. Also among craftsmen 73% were Jews. Tailors were the largest professional group. Altogether Jewish pairticipation in the town's trade and craft amounted to over 77%. The strongest political and cultural influence upon the Jews of Ciechanowiec was exerted by syonist organizations headed by the New Zionist Organization. The Jews of surrounding rural area were mostly influenced by the sicialist party Poalej Syjon. There were two private reliigious schools in the town as well as one private general school With Polish ant Hebrew as languages of instruction. Only one family in the town displayed tendency of assimilation. There were also three temples and two cementaries. Anti-semitic feelings aggravated since the beginning of the activity in Ciechanowiec of the Nationalist Party (Stronictwo Narodowe) in the second half of the thirties. Anti-semitic events were directed primarily against merchants. There were no pickets enforcing boycott in front of workshops or bothering the homes of Jewish intelligentsia. All this indicates economic background of anti-semitism. The majority of participants in storming parties and pickets in front of Jewish shops were peasants from the surrounding area. Much less frequently tbey were inhabitants of the town and never Christians neighbouring Jews on the same street. For them the Jew was not an alien, he was a good neighbour at whose place one shopped or ordered a service. In November 1941 Germans organized a ghetto in the town. The number of persons who went through it is estimated to be 3 000 to 4 000. In November 1942 the ghetto ceased to exist. According to incomplete data, during the Second World War, 16 Jews were hiding in the vicinity of the town.287-29

Prevalence nutritional disorders among patients hospitalised for stroke and discopathy in the neurology department

Introduction: Nutritional disorders pose a huge health problem worldwide. In Poland, symptoms of malnutrition are found on admission to hospital in approximately 30% of patients. Among neurological disorders that predispose to malnutrition, brain injuries are the most frequent. The disease leads to difficulties with self-care, disorientation, reduced intellectual capacity, and dysphagia. Acute spinal pain syndromes affect weight loss because of persistent severe pain, and frequent dizziness and headaches accompanying cervical discopathy. Aim of the research: To assess the degree of malnutrition in patients with stroke and discopathy hospitalised in the neurology ward. Material and methods : The study group consisted of 141 patients, including 90 with stroke and 51 with discopathy, hospitalised in the neurology ward. Research material was collected based on medical records and a proprietary questionnaire. Body mass index (BMI) was calculated and assessed for each patient on admission and after hospitalisation. Results and conclusions: The study sample consisted of a similar group of women (49%) and men (51%) aged from 30 to over 70 years. Ischaemic stroke was diagnosed more often in women (66.2%), whereas discopathy was more common in men (43.4%). The differences in BMI present on admission and after hospitalisation in men and women indicated a falling tendency. A slightly greater drop in BMI was found in women after hospital stay (from 24.1 to 23.3 kg/m 2 ). The lowest BMI on admission was observed in students and pensioners. Long-term hospitalisation significantly affected weight reduction – the longer the patients were hospitalised, the lower their BMI was. Preliminary assessment of the nutrition status on admission to a hospital ward and customising individual diets may help reduce the effects of malnutrition

Prevalence nutritional disorders among patients hospitalised for stroke and discopathy in the neurology department

Introduction: Nutritional disorders pose a huge health problem worldwide. In Poland, symptoms of malnutrition are found on admission to hospital in approximately 30% of patients. Among neurological disorders that predispose to malnutrition, brain injuries are the most frequent. The disease leads to difficulties with self-care, disorientation, reduced intellectual capacity, and dysphagia. Acute spinal pain syndromes affect weight loss because of persistent severe pain, and frequent dizziness and headaches accompanying cervical discopathy. Aim of the research: To assess the degree of malnutrition in patients with stroke and discopathy hospitalised in the neurology ward. Material and methods : The study group consisted of 141 patients, including 90 with stroke and 51 with discopathy, hospitalised in the neurology ward. Research material was collected based on medical records and a proprietary questionnaire. Body mass index (BMI) was calculated and assessed for each patient on admission and after hospitalisation. Results and conclusions: The study sample consisted of a similar group of women (49%) and men (51%) aged from 30 to over 70 years. Ischaemic stroke was diagnosed more often in women (66.2%), whereas discopathy was more common in men (43.4%). The differences in BMI present on admission and after hospitalisation in men and women indicated a falling tendency. A slightly greater drop in BMI was found in women after hospital stay (from 24.1 to 23.3 kg/m 2 ). The lowest BMI on admission was observed in students and pensioners. Long-term hospitalisation significantly affected weight reduction – the longer the patients were hospitalised, the lower their BMI was. Preliminary assessment of the nutrition status on admission to a hospital ward and customising individual diets may help reduce the effects of malnutrition