WSB Merito University in Torun

Wstp: Neuroborelioza jest jedn z najczstszych pozamzgowych manifestacji zakaenia Borrelia burgdorferi i moe prowadzi do uszkodzenia nerwu twarzowego.Poraenie nerwu VII skutkuje asymetri twarzy, ograniczeniem funkcji mini mimicznych, trudnociami w artykulacji, poykaniu i mimice emocjonalnej.Rehabilitacja w przebiegu neuroboreliozy obejmuje zarwno kinezyterapi, jak i metody fizykalne, w tym elektrostymulacj mini twarzy, ktrej celem jest pobudzenie osabionych wkien miniowych,

Introduction: Age-related macular degeneration (AMD) constitutes a significant health concern. AMD is associated with vision impairment. A timely diagnosis and personalized therapeutic strategies are key determinants of a favorable disease course. Diagnosis and monitoring of disease progression are mainly based on imaging modalities. Currently, the interpretation of imaging results is performed by clinicians, which is time-consuming, expensive and often limited due to disparities in access to healthcare. The application of artificial intelligence (AI) for image analysis seems to be an innovative approach. This approach will facilitate the clinical management of patients with AMD, who require frequent follow-up visits to monitor disease progression, evaluate therapeutic efficacy, and determine the necessity of therapeutic escalation. Materials and Methods: This study is a literature review based on recent literature including clinical trials, meta-analyses and randomized controlled trials. The methodology involved a literature search from 2020-2025 across electronic databases, including PubMed, Scopus and Google Scholar, The keywords search terms like “Artificial intelligence and age-related macular degeneration”, “Artificial intelligence and optical coherence tomography”. Results: AI models present high diagnostic accuracy in AMD, achieving sensitivity and specificity above 90%. AI model results are often comparable or better than clinical assessment. AI effectively detects disease and predicts progression, supporting treatment planning, including anti-VEGF scheduling. Performance may decline across devices and heterogeneous cohorts. Recent innovation, specially multimodal systems including various imaging tests, indicate high diagnostic maturity and clear clinical usefulness.

This chapter examines the critical role of structured, ethical, and inclusive governance frameworks in deploying AI in education. It emphasizes that effective integration requires transparency, accountability, and active stakeholder participation across institutional, national, and global levels. The study highlights the necessity of multi-sector collaboration among governments, educators, technology developers, and communities to co-create policies and monitor AI applications. Proactive governance, incorporating foresight, risk assessment, and adaptive policy mechanisms, is essential to ensure AI tools enhance learning outcomes ethically, equitably, and sustainably.

This is a retrospective analysis of 220 patients with chronic lymphocytic leukemia (CLL) and comorbid conditions defined as a presence of cumulative illness rating scale (CIRS) >6 and/or creatinine clearance <70 ml/min/m2, treated with first-line venetoclax combined with obinutuzumab (Ven-Obi) in the real-world setting. The overall response rate of evaluable patients was 97.4% including 32.7% of complete remissions. The 24-month progression-free survival was 88.4% (95% CI: 83.9-93.2), and 24-month overall survival was 92.7% (95% CI: 89.2-96.4). None of the analyzed factors, including TP53 aberrations or CIRS index >6 impacted the probability of response or patients’ survival. The most common adverse events were hematologic toxicity and infections, which frequently led to Ven-Obi dose reduction or withdrawal. Importantly, patients who prematurely discontinued Ven-Obi had poorer outcomes. The combination of Ven-Obi in CLL has proven to be an effective and generally well-tolerated first-line therapy for patients with significant comorbidities in real-world conditions.

ABSTRACT This paper is an attempt to analyse the theoretical and practical aspects of various strategies of supporting spirituality in children suffering from cancer. Providing spiritual care to children with terminal illnesses is a team effort. To date, it has been difficult to find a collective study of this type in scientific literature. The article demonstrates that by using specific methods that support spirituality in children, it is possible to make the time of illness emotionally easier for them, especially through the use of art and music therapy. The discussion of the concept of spirituality in children with cancer is followed by a review of specific methods for spiritual support, including intentional listening; play; art therapy (i.e. painting, literature, spiritual stories) and music therapy; Godly Play, and the Sound Heart Model. The article also presents a case study of a young cancer patient and describes various spiritual methods used in support and care for children to alleviate suffering and pain.

Research on energy expenditure related to life and professional activity allows us to determine a person's energy. This study determined the value of daily energy expenditure related to the implementation of service and training tasks of crews of ships in the Polish Navy and officers of the Maritime Department of the Border Guard. This study included crews of two selected ships of the Polish Navy and officers of the Maritime Branch of the Border Guard. The method of analyzing heart rate changes was used to measure energy expenditure. The value of daily energy expenditure related to the implementation of tasks during a cruise amounted to 3874 kcal/d for the crew of a missile frigate, and it was higher at 4031 kcal/d for the crew of a training sailing ship. Energy expenditure related to the training of ship crews staying in a port was lower, amounting to 3648 kcal/d and 3380 kcal/d, respectively. The energy expenditure of the Maritime Border Guard officers during a 12 h shift ranged from 1830 kcal/12 h to 2762 kcal/12 h. Current nutritional standards for sailors of the Polish Navy and the Border Guard officers provide an excessively high energy intake in daily food rations, which may cause overweight and obesity.

Olive leaves, often regarded as agricultural and industrial waste, hold significant potential for economic and medicinal applications. This study examines the valorization of olive leaves through the extraction of phenolic compounds, notably oleuropein and hydroxytyrosol, using autoclave extraction techniques. It also investigates encapsulation techniques employing maltodextrin and sodium caseinate as wall materials to preserve the stability and bioavailability of these compounds. The results indicate a rich phenolic profile in the nonencapsulated olive leaf extract (OLE), demonstrating high antioxidant and antibacterial activities against various pathogens. The encapsulation process achieved high efficiency with a mixture of maltodextrin and sodium caseinate. Furthermore, FTIR spectroscopy and NMR analyses confirmed the presence of functional groups in the encapsulated extract, providing insight into its molecular structure. Overall, this study underscores the potential of olive leaves as a valuable source of bioactive compounds and highlights the importance of innovative extraction and encapsulation techniques to optimize their use across different applications.

The article deals with health – one of the key factors that influence life in today's society. The broader view that emphasizes the holistic approach to health is followed, using the Eurostat's indicator system on the health status for the 27 countries of the European Union. The main findings of the assessment show that the ranking of countries in 2022 differ for the sub-indicators. In the case of life expectancy, there is a difference between the worse values of former socialist countries and the better values of former non-socialist countries. Opposite findings were obtained in the case of depressive symptoms, with the exception of the best values of several southern European countries. Southern European countries are best positioned also in the aggregate ranking. In contrast, the opposite position is characteristic of the three Baltic countries. The biggest decline in their position between 2014 and 2022 can be observed – in addition to France and Croatia – for three Scandinavian countries.