Trekk fra handelsforbindelser mellom Nord Norgeog havner ved Østersjøen i 2. del av 1800-tallet

The contacts between the Prussian Baltic ports with Norway have a centuries old tradition. The Northern Scandinavia was a vital source of fish products, such as; salted and desiccated cod, codliver oil or hard roe. They, in turn, were considered to be the most significant ingredients of the diet of the people inhabiting the middle-east Europe. Moreover, ports such as Gdańsk and Szczecin constituted the essential links on the trade routes between Norway and Europe. In the middle of the 19th century, due to the Industrial Revolution and, most of all, the invention of the telegraph and steam ships, the trade ties between geographically remoted contracting parties were tightened. Consequently, the trade centers such as Bergen and Copenhagen ceased to mediate. What is more, the credit system and keeping the market analyzes were modernized. The marriage of Margrete von Niemirsky from Gdańsk with the well-off merchant from Tromsø may be the example of such close contacts of the Prussian ports with the Far North. As another example may serve the history of the staemer which was the private initiative of the merchant Zahl, Kjærringøy, aiming to bring closer the Northern Norway and the Baltic sea

Transcatheter aortic valve implantation: The new option for high-risk patients with aortic stenosis

Calcific aortic valve stenosis is the most common valvular heart disease in developed countries. Without surgery, the prognosis is extremely dismal. Therefore there is general agreement that surgical aortic valve replacement should be offered to patients with symptomatic severe aortic valve stenosis. However, surgery is denied to approx. 30–40% of elderly patients with severe, symptomatic aortic stenosis due to high perioperative risk. Transcatheter aortic valve implantation (TAVI) is a novel and effective procedure which provides a promising treatment option for some of these patients. This review focuses on TAVI systems, the patients who would benefit from TAVI, and the advantages and disadvantages of the procedure. (Cardiol J 2011; 18, 4: 461–468

Przezcewnikowa implantacja zastawki aortalnej. Nowa szansa dla pacjentów wysokiego ryzyka ze stenozą aortalną

Stenoza aortalna jest najczęstszą wadą zastawkową występującą w krajach rozwiniętych. Bez leczenia chirurgicznego rokowanie jest bardzo niekorzystne. W związku z tym w świetle obowiązujących wytycznych u pacjentów z objawową ciężką stenozą aortalną zaleca się chirurgiczną wymianę zastawki aortalnej. Jednak około 30–40% starszych chorych z ciężką objawową wadą aortalną jest dyskwalifikowanych z leczenia operacyjnego ze względu na jego wysokie ryzyko. Przezcewnikowa implantacja zastawki aortalnej (TAVI) jest nową i skuteczną metodą leczenia, która może stanowić obiecującą alternatywę dla takich osób. W niniejszej pracy przeglądowej skupiono się na systemach stosowanych do TAVI, pacjentach, którzy w największym stopniu skorzystają z TAVI, oraz na wadach i zaletach tej metody leczenia. (Folia Cardiologica Excerpta 2011; 6, 4: 227–235

Diagnosis of myelodysplastic syndromes in Poland: Polish Adult Leukemia Group (PALG) 2021 recommendations

Myelodysplastic syndromes (MDS) are a heterogeneous group of neoplastic diseases of the hematopoietic cells manifested by ineffective hematopoiesis and a tendency to transform into acute myeloid leukemia. MDS should be considered in the differential diagnosis of cytopenia, especially in the elderly. This article presents the recommendations of MDS experts of the Polish Adult Leukemia Group (PALG) for the diagnosis of myelodysplastic syndromes. We present current classifications and prognostic indices, as well as diagnostic examinations recommended for MDS: cytological, histopathological, immunophenotypic, cytogenetic and molecular tests. The aim of the study is to implement up-to-date knowledge about myelodysplastic syndromes into routine clinical practice, from the diagnosis of cytopenia to the specific diagnosis and prognosis in MDS patients.  Myelodysplastic syndromes (MDS) are a heterogeneous group of neoplastic diseases of the hematopoietic cells manifested by ineffective hematopoiesis and a tendency to transform into acute myeloid leukemia. MDS should be considered in the differential diagnosis of cytopenia, especially in the elderly. This article presents the recommendations of MDS experts of the Polish Adult Leukemia Group (PALG) for the diagnosis of myelodysplastic syndromes. We present current classifications and prognostic indices, as well as diagnostic examinations recommended for MDS: cytological, histopathological, immunophenotypic, cytogenetic and molecular tests. The aim of the study is to implement up-to-date knowledge about myelodysplastic syndromes into routine clinical practice, from the diagnosis of cytopenia to the specific diagnosis and prognosis in MDS patients.

Koha: narzędzie open source do obsługi biblioteki naukowej

Praca recenzowana / peer-reviewed pape

Dietetician means of domestic nutrition care for patients after surgery

Praca powstała, by przedstawić związek pomiędzy dobrą opieką dietetyczną u pacjentów po zabiegu chirurgicznym, a czasem powracania do zdrowia i sprawności. W pracy przytoczono wiele badań, potwierdzających, że odpowiednie odżywianie, znacząco wpływa na czas rekonwalescencji pacjentów po operacjach i jest bardzo ważnym elementem opieki pooperacyjnej. Celem pracy było także ukazanie znaczenia dietetyka w pracy całego zespołu opiekującego się pacjentem, a także znaczenia odpowiedniej diety w zapobieganiu i leczeniu wielu jednostek chorobowych. W pracy omówiono różne rodzaje diet, a także scharakteryzowano wartość leczenia żywieniowego, zarówno w warunkach szpitalnych, jak i domowych. Praca udowadnia, że wczesne doustne żywienie pooperacyjne, skraca czas rekonwalescencji oraz zwiększa szanse na powrót pacjentów do zdrowia oraz pełne odzyskanie sprawności.This text shows a relationship between well nutrition care for patients after surgery and time which they need for full recovery. The author presents a number of studies, which point out that proper nutrition has a significant influence on convalescence time after surgery and it is a vital part of postoperative care. The main purpose of this analysis is to show how essential dietitians are in a group which is taking care of patients. Another purpose is to draw attention to how a suitable diet can help in preventing and treating a lot of illnesses. The thesis describes various kinds of diets and nutrition support, in hospitals and in homes. In addition, it proves, that early oral nutrition after surgery, results in shorter convalescence time and increases chances for full recovery

The Role of Light Kappa and Lambda Chains in Heart Function Assessment in Patients with AL Amyloidosis

There are reports indicating that myocardial dysfunction in systemic immunoglobulin light chain amyloidosis (AL amyloidosis) stems not only from the amyloid deposit in the organ but also the cardiotoxicity of the amyloid precursor free light chains (FLCs) circulating in the blood. The aim of the study is to analyze the role of sFLC κ and λ in the assessment of heart involvement and the degree of myocardial damage in AL amyloidosis. The study involved 71 patients diagnosed with primary AL amyloidosis. The relationship between sFLC concentrations and cardiac biochemical and echocardiographic parameters was assessed. The median concentrations of N-terminal pro b-type natriuretic peptide(NT-proBNP) and troponin I (TnI) were significantly higher in patients with amyloids formed from monoclonal λ chains compared to patients with monoclonal κ proliferation. In patients with heart involvement by amyloids formed from monoclonal FLC, the study demonstrated a statistically significant positive correlation between the concentration of monoclonal antibody λ chain and TnI (R = 0.688; p < 0.05), NT-proBNP (R = 0.449; p < 0.05), and the value of diastolic dimension of the interventricular septum (IVS; R = 0.496, p < 0.05). The above data indicate that the presence of monoclonal λ chains in patients with AL amyloidosis may be associated with more severe damage to cardiomyocytes and dysfunction of the myocardium