Zapalny ból kręgosłupa — co możemy zrobić przed wypisaniem wniosku rentowego?

Inflammatory-mediated back pain (IBP) is the main criterion to work up in the direction of the disease from a spectrum of spondyloarthropathies. In Europe, the delay in establishing chronic inflammatory-mediated axial spondyloarthropathy as the cause of back pain takes an average of 6–7 years. In P oland, upon national health insurance company statistics, diagnoses related to back pain are the main reason for work disability. The disproportion between the frequency of diagnosis the spondyloarthropathy and back pain as a cause of sick leave assumes to summarize the algorithm and management available at the general practitioners level based upon the current Assessment of SpondyloArthritis International Society (ASAS) recommendation.Ból pleców wywołany zapaleniem jest głównym kryterium dla rozpoznania choroby z kręgu spondyloartropatii (SpA). W Europie opóźnienie w rozpoznaniu pr zewlekłego zapalenia szkieletu osiowego jako przyczyny bólu pleców wynosi średnio 6–7 lat. W Polsce, na podstawie statystyk Zakładu Ubezpieczeń Społecznych (ZUS), rozpoznania powiązane z dolegliwościami bólowymi pleców są najczęstszą przyczyną absencji chorobowych. Mając na względzie nieproporcjonalnie niski odsetek pacjentów z diagnozą osiowej SpA do liczby rozpoznań z kręgu „bólu pleców”, w artykule przedstawiono algorytm diagnostyczny oraz możliwości postępowania. Uwzględniono działania dostępne w ramach podstawowej opieki zdrowotnej (POZ) w sytuacji podejrzenia zapalnego bólu kręgosłupa zgodne z aktualnymi wytycznymi Międzynarodowego Towarzystwa Oceny Spondyloartropatii (ASAS, Assessment in Ankylosing Spondylitis)

Hyperspace Retractions for Curves

We study retractions from the hyperspace of all nonempty closed subsets of a given continuum onto the continuum (which is naturally embedded in the hyperspace). Some necessary and some sufficient conditions for the existence of such a retraction are found if the continuum is a curve. It is shown that the existence of such a retraction for a curve implies that the curve is a uniformly arcwise connected dendroid, and that a universal smooth dendroid admits such a retraction. The existence of this retraction for a given dendroid implies that the dendroid admits a mean. An example of a (nonplanable) smooth dendroid that admits no mean is constructed. Some related results are obtained and open problems are stated. The results answer several questions asked in the literature

On Plane Arc-smooth Structures

Arc-structures on subspaces of the plane are studied in the paper. It is shown that each plane arc-smooth continuum admits an embedding in the plane such that its arc-smooth structure can be nicely extended to an arc-smooth structure on the whole plane. Using this it is proved that each plane arc-smooth continuum is a retract of the hyperspace of its closed subsets. Among several applications it is pointed out that each planar smooth dendroid admits a mean

Chorzy trudni nietypowi Gruczołowy rak oskrzelikowy naśladujący ostrą zatorowość płucną

A case of a 31-year-old male with medical history, clinical symptoms and additional diagnostic tests strongly suggesting diagnosis of acute pulmonary embolism is presented. However, pulmonary emboli were not seen during pulmonary angiography. At autopsy bronchial carcinoma was found and this definitive diagnosis was confirmed by the results of histopathological study