<i>Aspergillus niger</i> was most often isolated from 3 various black lea species dust obtained from packer factory. 10 species of black tea packaged in Poland and 28 various species of black tea and one species of green tea packed abroad. Other fungi were seen lees frequently. It seems that <i>A. niger</i> spores alone or with tea dust may induce various respiratory disorders in tea packers. Serum antibodies to antigens of <i>A. niger</i> and tea extracts imply that both may be important etiological factors.
The authors report the case of the mucormycosis of the skin. The diagnosis was made on the presence of <i>Mucoraceae</i> hyphe in the through examination, histology and the positive culture of the material taken from the ulcerations of patients skin. The isolated fungus was identified as <i>Rhizopus cohnii</i>.
The aim of this study was to present the diagnostic problems in pts treated for invasive aspergillosis (IA) in the Illrd Clinic of the Institute of Tuberculosis in the years 1993–2005. The material consisted of clinical documentation of 18 pts. 15 out of 18 pts (83.4%) died. In all those cases autopsy examination was done. In 13 pts IA was the main and in another 2 only the accessory cause of death. AU pts were treated with corticosteroids and/or cytostatic drugs because of lung cancer (13 pts), haematologic disorders (1 pts), Wegener's granulomatosis (3 pts) and idiopathic pulmonary fibrosis (1 pts). In 13 out of 18 pts granulocytopenia was revealed (on an average from 0.008 × 109/L to 0.95 × 109/L) one month before death. In 13 pts IA was limited to the lungs, in 5 others there were also fungal lesions in brain, kidneys, liver, spleen, pleura, pericardium and heart. Pts with disseminated fonn ofIA had significantly lower granulocyte count and were treated with higher doses of corticosteroids than others. Immunosupressive drugs and granulocytopenia can be regarded as predisposing factors. IA was diagnosed before death only in 5 out of 18 pts. This was mainly caused by the lack of the symptoms of infection (4 pts) and negative results ofmycological (6 pts) and serological examination (8 pts). We should underline that mycological examination was only done in 11 pts and serological examination of blood for fungal antigen only in 6 pts. We conclude that mycological infection ought to be searched in all pts treated with high doses of corticosteroids and those with prolonged granulocytopenia, especially if they have the symptoms of infection which does not respond to antibiotic therapy.
Funding Acknowledgements
Type of funding sources: Private company. Main funding source(s): Specjalistyczna praktyka pielęgniarska
Introduction
Lifestyle understood as health behavior is the basic determinant of health along with biological, genetic and social factors, as well as the level of quality of medical care.
Aim
Evaluation of lifestyle factors and the level of health behaviors of patients with circulatory failure
Materials and Methods
The study involved 100 patients of a center for heart diseases with diagnosed heart failure. The research was conducted using a standardized questionnaire, Zygfryd Jurczyński's Inventory of Health Behaviors, and his own design.
Results
Most patients with heart failure (67%) show a low level of health behaviors. The general level of health behaviors is not differentiated by gender and place of residence (p>0.05), but it is differentiated by age (p < 0.05), level of education (p < 0.05), marital status or BMI (p< 0.05).
Conclusion
Lifestyle changes are the cheapest but most difficult step to take. They require discipline and permanent change of habits. Then the daily life of a patient with heart failure can become an effective, natural way to support the work of the heart, which can reduce the number of medications taken or hospitalizations.
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