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26 | null |
Привет! Я все еще "в отпуске", решаю всякие штуки связанные со здоровьем и бытом, обучаюсь рисованию в цифре, но скоро вернусь и к ведению канала.
Пока вот хочу сделать объявление для питерских котов и котанесс - приходите на ноготочки. Подруга вкатывается в профессию и нуждается в моделях, оплата только за материалы. Она максимально максимально френдли ко всем и очень старается. Будет очень рада принять подписчиков эфача :3 Вот што пишет:
🍓
привет! Я Дарья
🍓
более двух лет в терапии, стараюсь компенсировать ПРЛ и выйти в ремиссию от других ментальных заболеваний
🍓
недавно начала реализовываться в профессии, поэтому ищу-ищу моделей для отработки навыков на маникюр!
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есть документы о присвоении профессии, закончила базовый курс, регулярно прохожу повышение квалификации
🍓
соблюдаю все нормы стерилизации и дезинфекции, сухожаровой шкаф ферропласт
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разные дизайны: слайдеры, стеаринг, фольга
Плата за материалы 300 рублей! Занятость часа 4-5, маникюр с покрытием, снятие, дизайн
Канал:
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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11178?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,600 | 0 | 1,725,474,634 | 1,730,797,728 | 10,357 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Каждая мама хотя бы раз сталкивалась с ситуацией, когда, приезжая на море, её ребенок подхватывал кишечную инфекцию.
Что делать, а главное, как лечить рассказала
Вайсберг Диана Сергеевна, врач-педиатр
клиники гормонального здоровья доктора Магеря.
Для записи:
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@mageryaclinic
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8(800)500-77-17
Ждем вас: г.Краснодар, ул. Красная, 184
💚 | https://t.me/magerya/11179?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,900 | 0 | 1,725,510,949 | 1,730,797,728 | 10,062 | 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| [{"ner":"Вайсберг Диана Сергеевна","lemma":"вайсберг диана сергеевич","label":"PER","start_pos":162,"end_pos":186},{"ner":"Магеря","lemma":"магеря","label":"PER","start_pos":240,"end_pos":246},{"ner":"Краснодар","lemma":"краснодар","label":"LOC","start_pos":308,"end_pos":317},{"ner":"Красная","lemma":"красный","label":"LOC","start_pos":323,"end_pos":330},{"ner":"00)50","lemma":"00)50","label":"DATE","start_pos":283,"end_pos":288},{"ner":"77-17","lemma":"77-17","label":"DATE","start_pos":290,"end_pos":295},{"ner":"8","lemma":"8","label":"NUM","start_pos":280,"end_pos":281},{"ner":"800","lemma":"800","label":"NUM","start_pos":282,"end_pos":285},{"ner":"500","lemma":"500","label":"NUM","start_pos":286,"end_pos":289},{"ner":"17","lemma":"17","label":"NUM","start_pos":293,"end_pos":295},{"ner":"184","lemma":"184","label":"NUM","start_pos":332,"end_pos":335}] | NEUTRAL | rus | SPAM | 46 | 0 | 0 | 0.986842 | 0.013158 | 0 | 4 | 8 | 2 | 7 | 14 | 1 | 14 | true |
26 | null | Гипотиреоз – это не снижение работы щитовидной железы, а её ИСТОЩЕНИЕ, вследствие высокой нужды организма в её гормонах.
Для вылечивания щитовидной железы нужна команда специалистов! У нас есть такая
😉
Записывайтесь на приём, мы поможем Вам избавиться от гипотиреоза и АИТ
👉🏼
@mageryaclinic
Но, если по какой-то причине, Вы не можете сейчас посетить нашу клинику, то начинайте сберегать свои гормоны пока самостоятельно
⬇️ | https://t.me/magerya/11180?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,600 | 0 | 1,725,527,087 | 1,730,797,728 | 10,062 | 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| [{"ner":"ИСТОЩЕНИЕ","lemma":"истощение","label":"ORG","start_pos":60,"end_pos":69}] | NEUTRAL | rus | NOT SPAM | 63 | 0 | 3 | 0.987805 | 0.012195 | 0 | 4 | 8 | 4 | 0 | 16 | 3 | 11 | true |
26 | null | Для этого:
1️⃣
Высыпайтесь. Мелатонин занимается ежесуточными настройками работы щитовидной железы.
Ночной сон начинайте максимум в 23:00. Перед сном проветрите помещение. Спать лучше голышом, но под одеялом.
Дневной сон приветствуется! Позвольте себе 20 минут сна в обеденное время. Хотя бы 3 раза в неделю.
2️⃣
Психологический комфорт. Гормон кортизол мешает превращению неактивных гормонов щитовидки в активные, поэтому читайте книги, медитируйте, слушайте приятную музыку.
Душевную стабильность быстрее всего приобрести в работе с психологом. Наши специалисты работают дистанционно с любой точки нашей страны
🇷🇺
Записывайтесь
👉🏼
@mageryaclinic
3️⃣
Избегайте переохлаждения, это крадёт энергию, а её при гипотиреозе и так мало.
4️⃣
Ешьте больше жирной пищи – именно жир даёт энергию тепла. Обязательно добавляйте в рацион рыбий жир
👉🏼
wildberries/омега_жидкая
Пейте чаёк с таким набором трав, как «ПРО ГАРМОНИЮ»
👉🏼
wildberries/про_гармонию
5️⃣
Чаще дышите свежим воздухом
🌳
🌲
и проветривайте помещение. Образование гормонов щитовидной железы – это кислородо-зависимый процесс.
6️⃣
Регулярно делайте массаж лица и шеи. Можно самомассаж: сверху вниз из центра в стороны.
7️⃣
Витаминотерапия. Щитовидная железа очень любит витамины группы В и витамин С
👉🏼
wildberries/витаминС
8️⃣
Аминокислоты под язык. Утром – тирозин
👉🏼
wildberries/тирозин,
вечером – глицин.
9️⃣
Селен, литий,
йод
👉🏼
wildberries/йод
железо
👉🏼
wildberries/железо
– лучшие друзья щитовидной железы.
1️⃣
0️⃣
Регулярный прием натриевых ванн. Так как именно натрий является проводником йода в щитовидную железу
👉🏼
wildberries/натриевая_соль
Берегите себя, сберегайте свою щитовидную железу
💙 | https://t.me/magerya/11181?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,900 | 0 | 1,725,527,087 | 1,730,797,728 | 10,062 | 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| 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| NEUTRAL | rus | NOT SPAM | 226 | 0 | 4 | 0.97654 | 0.02346 | 0 | 33 | 26 | 5 | 5 | 87 | 14 | 59 | true |
26 | null | Солнечных дней становится всё меньше, и это не только повод одеваться теплее, но и уделить внимание своему здоровью
🧣
В межсезонье дефицит витамина D — проблема, с которой сталкиваются многие, ведь солнечный свет, главный источник этого витамина, становится редкостью
🌧️
Как понять, что у вас дефицит витамина D
❓
1️⃣
Самое простое - сдать анализ на 25-(ОН)-витамин D. Его оптимальный уровень в крови составляет 80-100 нг/мл.
2️⃣
Прислушайтесь к своему организму: усталость, мышечная слабость, частые простуды, подавленное настроение и даже депрессия — всё это сигналы, что вашему телу не хватает витамина D.
Особенно важно следить за уровнем витамина D у взрослых, так как с возрастом способность организма к его синтезу снижается, а риск остеопороза увеличивается
❗️
Как восполнить дефицит?
С помощью еды!
✅
Жирная рыба
🐟
(лосось, скумбрия, тунец)
✅
Мясо
🥩
(особенно печень)
✅
Сыр
🧀
(лучше выбирать твёрдые сорта)
Но даже если вы добавите в рацион эти продукты, получить достаточное количество витамина D исключительно из пищи довольно сложно
🤷
Оптимальное решение
:
ежедневный приём витамина D — простой и эффективный способ увеличить его уровень в организме. Витамин D можно принимать в виде капсул или жидкой формы, в зависимости от того, какой вариант для вас удобнее.
ПРО Витамин D от компании «Жизнивек» доступен как в капсулах, так и в жидком виде. Капсулы удобны для тех, кто постоянно в движении, а жидкая форма идеально подходит для домашнего применения и особенно для детей
👨👩👧👦
Восполняем уровень витамина D
👉🏼
капсулы
👉🏼
капельки
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11182?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,800 | 0 | 1,725,545,571 | 1,730,797,728 | 10,062 | 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26 | null | Я переел хинкали | https://t.me/sudmednotes/8830?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 60,300 | 0 | 1,724,771,822 | 1,730,797,728 | 10,355 | 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26 | null |
— Расскажите мне, как он умер?
— Я расскажу вам, как он жил…
Случай этот произошел в одном из религиозных реабилитационных общежитий для зависимых при церкви. Это было что-то похожее на православный монастырь, но туда могли прийти и мусульмане, вероисповедание не имело значение. Говорилось, что туда обращаются люди оказавшиеся в трудной ситуации, но основным контингентом были бездомные и зависимые. Такое прибежище обычно функционирует за счет пожертвований и труда самих проживающих.
Подобные центры, завязанные на религии, для алкоголиков и наркоманов предусматривают огромную работу над психологической зависимостью, как вы уже поняли через Бога. Многим это помогает. НО важно отметить, что бывает множество псевдореабилитационных центров, где используют попавших в трудное положение людей.
Так вот, это был довольно крупный центр при церкви, куда могли обратиться за помощью зависимые люди и их родственники. В одно утро там был обнаружен труп пожилого служителя, который львиную долю своей жизни посвятил церкви.
Если вы читали предыдущие посты, то знаете, что не каждая смерть заканчивается исследованием тела. Случаи, когда можно обойтись без вскрытия определены законом. Поэтому учитывая отсутствие видимых признаков смерти, пожилой возраст, перенесенный инфаркт и инсульт в анамнезе, а также наверное большое уважение к покойному, медицинское свидетельство о смерти было выдано без вскрытия врачом поликлиники.
Но я бы не писал эту историю, если все было так просто. Через пару дней в этом же заведение появляется ещё один труп. Женщина, средних лет, повесилась в собственной комнате. Она проживала в центре около месяца. Наверное эти две смерти никто бы и не подумал связать, ну повесилась и ладно, кто будет обращать внимание, если бы не запись в телефоне покойной.
На записи была примерно получасовая история о том, как женщина начала злоупотреблять алкоголем, развелась с мужем, как органы опеки забрали у нее ребенка, как она потеряла работу, дом, стала пьянствовать на улице, вела разгульный образ жизни… О том как к ней пришло отчаяние от жизни, о попытках завязать с алкоголем, о попытках встретиться с дочерью, попытках хоть как-то восстановить свою жизнь… В конце концов «судьба её привела к Богу», она искала ночлег и решила попробовать остаться в этом реабилитационном центре при храме.
Жизнь там не была сказкой и резко контрастировала с привычным распорядком дня. Постоянные замечания от служителей и попытки наставления на путь истинный только раздражали её. Последней каплей стал пожилой служитель, который в один из вечеров стал домогаться, требовать женского внимания и попытался изнасиловать, угрожая, что её выставят на улицу, если не будет полного послушания. Он принуждал её к половому контакту.
Это продолжалось несколько дней, в один момент женщина решила прекратить свои страдания. Она прокралась в комнату служителя ночью, взяла с полки Библию и набросилась на старика сдавливая его шею книгой. Пожилое тело не сопротивлялось и обмякло через несколько минут. Понимание того что она убила человека пришло незамедлительно. Она ночью заметала следы, а потом вернулась к себе в комнату. По её словам она сильно нервничала, что окажешься первой подозреваемой, но на удивление виновных никто искать не стал, все решили, что старик умер от очередного инфаркта. Но легче женщине не становилось, её постоянно одолевали муки совести и приступы паники, в итоге не выдержав она решила повеситься...
В связи с открывшимся обстоятельствами незамедлительно было назначено судебно-медицинское исследование эксгумированного трупа. При вскрытии гроба старика все стало предельно понятно, слова женщины подтверждались одутловатостью и синюшностью лица, множественными кровоизлияниями в кожу, конъюнктиву, в слизистую оболочку рта, следами от давления на область шеи. По результатам внутреннего и гистологических исследований были обнаружены макро и микро признаки асфиксии. Но наказывать в преступлениях уже некого...
Такая история, без какого-либо поучительного конца… | https://t.me/sudmednotes/8831?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 58,300 | 0 | 1,724,859,109 | 1,730,797,728 | 10,062 | 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| [{"ner":"НО","lemma":"но","label":"ORG","start_pos":676,"end_pos":678},{"ner":"Библию","lemma":"библия","label":"LOC","start_pos":2878,"end_pos":2884}] | NEUTRAL | rus | NOT SPAM | 572 | 0 | 6 | 1 | 0 | 0 | 55 | 101 | 44 | 8 | 172 | 34 | 101 | true |
26 | null | Буллы в апикальной части легкого
Буллезная эмфизема легкого
– это локальные изменения легочной ткани, характеризующиеся разрушением альвеолярных перегородок и формированием воздушных кист диаметром более 1 см (булл).
Приобретенные буллы в большинстве случаев развиваются на фоне ХОБЛ и эмфиземы легких. У 90% больных буллезной эмфиземой легких в анамнезе прослеживается длительный стаж курения (10-20 лет при ежедневном выкуривании более 20 сигарет).
При неосложненном течении буллезной эмфиземы легких симптомы могут отсутствовать вплоть до разрыва кист.
Записки судмедэксперта | https://t.me/sudmednotes/8836?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 55,300 | 0 | 1,724,906,155 | 1,730,797,728 | 10,062 | 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| [{"ner":"10-20","lemma":"10-20","label":"DATE","start_pos":395,"end_pos":400},{"ner":"1","lemma":"1","label":"NUM","start_pos":204,"end_pos":205},{"ner":"90","lemma":"90","label":"NUM","start_pos":305,"end_pos":307},{"ner":"20","lemma":"20","label":"NUM","start_pos":398,"end_pos":400},{"ner":"20","lemma":"20","label":"NUM","start_pos":438,"end_pos":440}] | NEUTRAL | rus | NOT SPAM | 74 | 0 | 2 | 1 | 0 | 0 | 15 | 5 | 0 | 6 | 34 | 3 | 10 | true |
26 | null | Представьте, что сигарета сокращает продолжительность жизни на 10 минут. Выкуривая в день по 10 сигарет, за год вы потеряете 24 дня. Дальше умножаем на стаж курения.
И представьте, вы не дожили до свадьбы своего ребенка 24 дня. Или до рождения внука. Или до изобретения препарата «бессмертие V». Или умерли, а я на этом канале смешной мем опубликовал. Есть повод подумать о том, какие радостные моменты человек может упустить из-за привычки. | https://t.me/sudmednotes/8837?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,100 | 0 | 1,724,911,462 | 1,730,797,728 | 10,062 | 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| [{"ner":"10","lemma":"10","label":"NUM","start_pos":63,"end_pos":65},{"ner":"10","lemma":"10","label":"NUM","start_pos":93,"end_pos":95},{"ner":"24","lemma":"24","label":"NUM","start_pos":125,"end_pos":127},{"ner":"24","lemma":"24","label":"NUM","start_pos":220,"end_pos":222}] | NEUTRAL | rus | NOT SPAM | 70 | 0 | 2 | 0.988636 | 0.011364 | 0 | 2 | 13 | 4 | 4 | 24 | 1 | 15 | true |
26 | null | Когда удалось замотивировать
😍
На самом деле все зависит от самого человека, это я вам точно говорю!
И в любом возрасте, при любом доходе можно стать здоровее и энергичнее
💫
Было бы желание
❤️
Всем хорошего дня
💥
Мне подумалось: чего мне в 20 не рожалось, как некоторым подругам? Можно было тоже сказать: улетела, пусть работают
😂
а я только в школу хожу, в 1 класс. Еще 10 лет до улетела..
Ладно, пойду за работой об этом подумаю..
#отзывыаньшина | https://t.me/DrAnshina/817?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 72,000 | 0 | 1,679,476,864 | 1,730,797,729 | 10,355 | 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| [{"ner":"20","lemma":"20","label":"NUM","start_pos":240,"end_pos":242},{"ner":"1","lemma":"1","label":"NUM","start_pos":358,"end_pos":359},{"ner":"10","lemma":"10","label":"NUM","start_pos":371,"end_pos":373}] | NEUTRAL | rus | NOT SPAM | 79 | 0 | 1 | 1 | 0 | 0 | 4 | 13 | 10 | 4 | 13 | 6 | 17 | true |
26 | null | Кто в инстаграм не может смотреть рилсы, для того на ютубе публикую.
Пост про энтерофурил/экофурил.
Никак тема ротавируса не отпускает.
https://youtube.com/shorts/8DsQ3MAowtE?feature=share
Просто бесит эта наглая реклама из каждого утюга - пей энтерофурил.
Нет, не пей
😂 | https://t.me/DrAnshina/820?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 42,700 | 0 | 1,679,503,109 | 1,730,797,729 | 10,355 | 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| [{"ner":"8","lemma":"8","label":"NUM","start_pos":163,"end_pos":164},{"ner":"3","lemma":"3","label":"NUM","start_pos":167,"end_pos":168}] | NEGATIVE | rus | NOT SPAM | 36 | 0 | 0 | 0.98 | 0.02 | 0 | 2 | 6 | 2 | 0 | 10 | 2 | 8 | true |
26 | null | Мне так радостно получать такие отзывы от пациентов
😍
И понимать: получается помогать на расстоянии
😍
А я погружаюсь в проект по холестерину
😍
Пришлось расставить приоритеты, пока беру на консультации только тех с кем мы списались
❤️
Отправила себя на несколько обучений, чтобы быть в тренде
👌
#отзывыаньшина | https://t.me/DrAnshina/821?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 58,400 | 0 | 1,679,558,807 | 1,730,797,729 | 10,355 | 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| null | POSITIVE | rus | NOT SPAM | 49 | 0 | 2 | 1 | 0 | 0 | 1 | 10 | 5 | 1 | 10 | 1 | 9 | true |
26 | null | Лукла- самая опасная взлетно-посадочная полоса в мире. 224 метра. Вертолет- нормально, но на самолете- это смертельно опасный аттракцион на высоте 3 тыс метров | https://t.me/drmyasnikov/2285?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 54,100 | 0 | 1,713,340,141 | 1,730,797,729 | 10,355 | 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| [{"ner":"224","lemma":"224","label":"NUM","start_pos":55,"end_pos":58},{"ner":"3","lemma":"3","label":"NUM","start_pos":147,"end_pos":148}] | NEUTRAL | rus | NOT SPAM | 23 | 0 | 0 | 1 | 0 | 0 | 8 | 0 | 2 | 2 | 8 | 1 | 3 | true |
26 | null | Родедорны- теперь понимаю почему это национ цветок Непала. | https://t.me/drmyasnikov/2290?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 54,100 | 0 | 1,713,340,298 | 1,730,797,729 | 10,355 | 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| [{"ner":"Непала","lemma":"непал","label":"LOC","start_pos":51,"end_pos":57}] | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 3 | 2 | 1 | true |
26 | null | И еще эти- фиолетовые! | https://t.me/drmyasnikov/2292?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 54,200 | 0 | 1,713,340,320 | 1,730,797,729 | 10,355 | 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| null | POSITIVE | rus | NOT SPAM | 4 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | true |
26 | null | Это уже 5100 | https://t.me/drmyasnikov/2298?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 56,200 | 0 | 1,713,341,221 | 1,730,797,729 | 10,355 | 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| [{"ner":"5100","lemma":"5100","label":"NUM","start_pos":8,"end_pos":12}] | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | true |
26 | null | Выразительный фотопроект про созависимых от "Таких дел":
Одна из главных бед России — химическая (алкогольная и наркотическая) зависимость. По данным Росстата, в 2021 году в стране зарегистрировали почти 50 тысяч смертей из-за употребления алкоголя и более 10 тысяч смертей из-за употребления наркотиков. Специалисты говорят, что реальные цифры в разы больше.
Зависимость появляется из созависимости — и наоборот. Это тесная связка деструктивных ролей и поведенческих паттернов, где участники становятся отражением друг друга. Поэтому я сняла своих героев через отражение в зеркале. И во время съемок каждый раз я видела в этих отражениях себя. | https://t.me/imatrip/1759?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,682,168,403 | 1,730,797,729 | 10,355 | 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| [{"ner":"Таких дел","lemma":"такой дело","label":"ORG","start_pos":45,"end_pos":54},{"ner":"России","lemma":"россия","label":"LOC","start_pos":77,"end_pos":83},{"ner":"химическая","lemma":"химический","label":"LOC","start_pos":86,"end_pos":96},{"ner":"Росстата","lemma":"росстата","label":"ORG","start_pos":150,"end_pos":158},{"ner":"2021","lemma":"2021","label":"NUM","start_pos":162,"end_pos":166},{"ner":"50","lemma":"50","label":"NUM","start_pos":204,"end_pos":206},{"ner":"10","lemma":"10","label":"NUM","start_pos":257,"end_pos":259}] | NEUTRAL | rus | NOT SPAM | 92 | 0 | 1 | 1 | 0 | 0 | 10 | 7 | 6 | 4 | 32 | 5 | 17 | true |
26 | null |
Ребенок быстро устает и с трудом концентрируется на задаче? Только приходит на занятие и уже ложится на парту от усталости?
Всем, кто работает с детьми — педагогам, психологам, дефектологам и нейропсихологам — порой бывает непросто разобраться в причинах истощаемости или слишком импульсивного поведения ребенка и подобрать такие инструменты, которые помогут ребенку включиться в процесс обучения, общения или даже игры.
Большинство детей, имеющих учебные или поведенческие трудности, быстро истощаются на занятиях, с трудом концентрируются на любой задаче, проявляют чрезмерную импульсивность или, наоборот, повышенную медлительность, отвлекаются на незначительные стимулы.
Как помочь ребенку преодолеть эти трудности?
Выстроить работающий коррекционный маршрут и подобрать методики в таких случаях невозможно без понимания глубинных причин истощаемости и неусидчивости. А для этого важно посмотреть на диагностику и коррекцию с позиций междисциплинарного подхода.
Уже 27 апреля на бесплатном онлайн-вебинаре нейропсихолога Екатерины Галяевой «Как работать с детьми с повышенной утомляемостью» вы получите системный взгляд на проблему и новые действенные инструменты коррекционной работы с неусидчивыми детьми.
Екатерина Галяева более 20 лет работает с истощаемыми и невнимательными детьми, а также разрабатывает и проводит курсы для нейропсихологов и специалистов. За это время Екатерина собрала бережные и действенные методики помощи ребенку, которыми готова поделиться на вебинаре.
Поговорим о маркерах вегетативных переходов — внимание к ним позволит избежать большинства эпизодов протестного поведения, истерик, снижения работоспособности. А главное, разберем простые инструменты, которые помогут быстро повысить уровень энергии и эффективность ребенка здесь и сейчас — во время занятия, игры или любой другой совместной деятельности.
Регистрируйтесь на бесплатный вебинар 27 апреля в 19:00 мск.
Сразу после регистрации вы получите подарок — чек-лист «Строим диагностический маршрут для работы с истощаемыми детьми». | https://t.me/imatrip/1760?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,682,350,200 | 1,730,797,729 | 10,355 | 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26 | null | Когда-то считавшееся неизлечимым заболеванием, пограничное расстройство личности (ПРЛ) теперь эффективно лечится с помощью растущего числа психотерапевтических методов, основанных на доказательствах.
25 лет назад Марша Линехан опубликовала первое рандомизированное контролируемое исследование (РКИ) диалектической поведенческой терапии (ДПТ), которое привело к более значительному уменьшению наиболее сложных признаков расстройства — парасуицидального поведения, пребываний в стационаре психиатра и обрывов терапии (по сравнению с обычным лечением). С тех пор было протестировано более 13 мануализированных психотерапевтических методов лечения ПРЛ.
Пять основных методов лечения: ДПТ, терапия, основанная на ментализации (MBT), схема-ориентированная терапия (SFT), психотерапия, фокусированная на переносе (TFP), Системный тренинг по эмоциональной предсказуемости и решению проблем (STEPPS) — были признаны в качестве основанных на доказательствах методов лечения ПРЛ. Напротив, испытания психофармакологического лечения не дали последовательных результатов, поэтому на сегодняшний день ни одно лекарство не имеет официального показания для лечения ПРЛ.
По всем подходам
сообщество TФП
подготовили картинки, где указали основные идеи, частоту встреч и цели терапии. | https://t.me/imatrip/1768?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,682,427,675 | 1,730,797,729 | 10,355 | 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26 | null | ИНСТАГРАМ-ГУРУ
Недавно я увидела пост молодого человека, который приглашал к себе на терапию по очень высокой цене. Я решила посмотреть, откуда такой ценник - но из плюсов были только диплом российского вуза (неплохой, но не более того), а также заявление о международной лицензии, которая оказалась... просто признанием его диплома (то есть о его квалификации мы знаем только то, что все тот же диплом у него есть).
А что ещё у него было? Правильно, пять тысяч подписчиков в Инстаграме с абсолютно стандартными текстами, написанными, скорее всего, копирайтером или другим психологом (начинающие психологи или студенты часто таким подрабатывают).
Неужели это работает? Почему люди платят рядовому специалисту такие деньги?
Ответ прост:
Многим из нас сложно пойти к незнакомому врачу, косметологу или психологу, поэтому часто мы сначала хотим присмотреться к специалисту или получить рекомендации.
Мы (и я тоже) ищем людей в соцсетях, и находим вроде бы нормальные тексты. Ценник высокий - значит, специалист хороший, так?
Как же отличить инстаграм-гуру от пишущего специалиста?
-специалист пишет тексты сам, там будет его позиция (пусть даже порой спорная), у людей, заказывающих тексты копирайтера, они все безличные, если вы поменяете одно фото в блоге на другое (например, мужчину лет тридцати на женщину лет сорока пяти) - никто не заметит;
-банальные темы. Раз за разом там будет "подросток не слушается", "как справиться с тревогой" и "как простить измены" - вся эта пережеванная миллион раз тематика, которую вы легко найдете в любом женском журнале за любой месяц (часто плюс такие же подкасты, где тоже ничего нового с конца девяностых);
-большое количество подписчиков при малом количестве лайков и диалогов в комментариях - обычно это значит, что аудиторию просто "накрутили";
-цитаты из великих психологов без личной позиции автора по отношению к ним;
-широкий спектр тем, с которыми готов работать человек, не имея специализации;
-часто все это сопровождается красивыми фото или историями идеальных отпусков - настоящие специалисты тоже ездят в отпуск, конечно, но обычно снимают цветочки-смешные надписи-селфи, а не идеально сервированный завтрак на яхте из раза в раз.
Ну и, конечно, проверяйте образование - недавняя история Спартака Субботы, который утверждал, что закончил один вуз, хотя закончил другой, не делает этот способ идеальным, но все же, у психолога должно быть:
-теоретическое или практическое психологическое образование (практических - то есть обучения методу - может быть несколько);
-внятные специализации;
-адекватная цена (тут сложно, потому что зависит от страны, но одна консультация с психологом не должна вам обходиться в месячную зарплату, он ничего за эти деньги не сделает такого, чтобы это изменило вашу жизнь - лучше найти специалиста с более приемлемой ценой, но пройти хотя бы минимальный курс - это обычно не менее 10 встреч).
Хочется с грустью отметить, что я куда чаще вижу тенденцию максимально монетизировать минимальные навыки у мужчин (они же по статистике куда чаще нарушают этику), поэтому их я рекомендую проверять чуть пристальнее.
Помните, что если с вас хотят в десятки раз больше , чем по рынку - это ненормально. Скорее всего, вы имеете дело с психологом с характерологическими особенностями, и он вряд ли будет хорошим терапевтом.
Текст: Адриана Лито, специально для проекта "Ресурсная психология" | https://t.me/imatrip/1769?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,682,444,462 | 1,730,797,729 | 10,355 | 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| [{"ner":"ИНСТАГРАМ-ГУРУ","lemma":"инстаграм-гуру","label":"ORG","start_pos":0,"end_pos":14},{"ner":"Инстаграме","lemma":"инстаграм","label":"LOC","start_pos":476,"end_pos":486},{"ner":"Спартака Субботы","lemma":"спартак суббота","label":"PER","start_pos":2241,"end_pos":2257},{"ner":"Адриана Лито","lemma":"адриан лито","label":"PER","start_pos":3301,"end_pos":3313},{"ner":"10","lemma":"10","label":"NUM","start_pos":2863,"end_pos":2865}] | NEUTRAL | rus | NOT SPAM | 500 | 0 | 4 | 1 | 0 | 0 | 50 | 64 | 41 | 11 | 135 | 54 | 118 | true |
26 | null | Идеальный йод от компании "Жизнивек" специально создавался для детей, он без вкуса, без цвета и запаха
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Йодин - это жидкая форма йодида калия, самого важного элемента для производства гормонов щитовидной железы.
Он
основа для соображения, памяти, внимания, роста и развития ребёнка
.
Йод необходим для синтеза гормонов щитовидной железы.
Чтобы создать тироксин(Т4) – нужно 4 молекулы йода, а для трийодтиронина(Т3) – необходимо 3 молекулы йода.
Эти гормоны дают главное — энергию
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Всем школьникам важно ежедневно получать достаточно йода, и вот почему:
✅
Йод способствует улучшению памяти и концентрации, что напрямую влияет на успеваемость в школе. Учебный процесс становится менее напряженным, а ребенок — более внимательным и усидчивым.
✅
Дефицит йода может привести к раздражительности и повышенной утомляемости. С достаточным уровнем йода ребенок будет более жизнерадостным и энергичным.
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Йод необходим для нормального физического развития и роста. Это особенно важно в школьные годы, ведь именно в это время развиваются все системы организма.
Удобнее всего йод принимать в жидком виде, пипетка всегда позволит набрать верную дозировку
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Заказывайте йод для ваших чемпионов
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wildberries/йодин | https://t.me/magerya/11173?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 52,500 | 0 | 1,725,376,746 | 1,730,797,729 | 10,355 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":27,"end_pos":35},{"ner":"Йод","lemma":"йод","label":"PER","start_pos":105,"end_pos":108},{"ner":"Йод","lemma":"йод","label":"PER","start_pos":285,"end_pos":288},{"ner":"4","lemma":"4","label":"NUM","start_pos":363,"end_pos":364},{"ner":"4","lemma":"4","label":"NUM","start_pos":374,"end_pos":375},{"ner":"3","lemma":"3","label":"NUM","start_pos":413,"end_pos":414},{"ner":"3","lemma":"3","label":"NUM","start_pos":429,"end_pos":430}] | NEUTRAL | rus | NOT SPAM | 174 | 0 | 1 | 0.995536 | 0.004464 | 0 | 26 | 14 | 5 | 2 | 62 | 11 | 35 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11174?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,800 | 0 | 1,725,388,223 | 1,730,797,729 | 10,357 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Очень часто в комментариях вы пишите о норме и путаете её с референсным интервалом.
Мы с докторами
@mageryaclinic
решили рассказать о нормах.
Референсный интервал создан в помощь врачам. Но иногда пациенты заигрываются в само-доктора, собственнолично назначают и сдают анализы, меняют тактику лечения исходя именно из референсов.
Выглядит это так: если результат анализа горит красным – плохо, если не горит – хорошо.
Но если бы всё было так просто
🙈
🙉
🙊
Для справки: чтобы создать референсы ученые произвольно взяли людей, которые субъективно считали себя здоровыми. Туда, естественно, могли попасть люди с начинающейся болезнью, скрытой патологией или с девизом «бывало и хуже», от этого результаты могут быть самые разнообразные.
Референсные значения — показатели, которые были получены при массовом обследовании людей. Это усредненный промежуток наиболее часто встречающегося результата среди населения. Поэтому ничего общего с нормой у референса нет.
В медицинском университете прежде, чем допустить к практическим занятиям и расшифровке анализов студентов учат, что референсные значения, норма и желательный результат для конкретной ситуации – это разные вещи!
Какими бы ни были референсные значения анализов, знайте, что норма — это не «от» и «до», а чаще всего середина между «от» и «до», а вот индивидуальную норму уже рассчитывает врач с учётом именно ваших особенностей.
И здесь перед вами, как перед пациентом, появляется 2 пути:
1️⃣
Оценивать гормоны по референсному интервалу самостоятельно, играя в доктора
👎
2️⃣
Делать это правильно совместно с врачом, который увидит именно вашу норму
👍
Кстати, у каждой лаборатории свои референсы… Вот такие дела
🙌
✨
Какие у вас есть вопросы – пишите в комментариях
👇🏼 | https://t.me/magerya/11175?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,000 | 0 | 1,725,426,893 | 1,730,797,729 | 10,355 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":1438,"end_pos":1439},{"ner":"1","lemma":"1","label":"NUM","start_pos":1446,"end_pos":1447},{"ner":"2","lemma":"2","label":"NUM","start_pos":1528,"end_pos":1529}] | NEUTRAL | rus | NOT SPAM | 255 | 0 | 2 | 0.996979 | 0.003021 | 0 | 24 | 37 | 16 | 2 | 63 | 21 | 59 | true |
26 | null | Вы каждый день такое видите? Почему так мало реакций? | https://t.me/sudmednotes/8825?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 56,600 | 0 | 1,724,746,563 | 1,730,797,729 | 10,355 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 3 | 2 | true |
26 | null | Примерно так выглядит то, что люди называют «бытовуха»
Фото 1. Повреждения от молотка
Фото 2. Скальп снят. Перелом костей свода черепа
Записки судмедэксперта | https://t.me/sudmednotes/8827?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 58,700 | 0 | 1,724,746,845 | 1,730,797,729 | 10,355 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":60,"end_pos":61},{"ner":"2","lemma":"2","label":"NUM","start_pos":91,"end_pos":92}] | NEUTRAL | rus | NOT SPAM | 23 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 1 | 2 | 10 | 2 | 6 | true |
26 | null | Обратите внимание, что я рассказала в Летнем Гайде как рассчитать дозу гидрасека детям если есть только капсула (раздел кишечная инфекция)!!
Саше вы сейчас не найдете
❤️ | https://t.me/DrAnshina/812?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 43,000 | 0 | 1,679,327,748 | 1,730,797,730 | 10,368 | 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| [{"ner":"Летнем Гайде","lemma":"летний гайде","label":"LOC","start_pos":38,"end_pos":50}] | NEUTRAL | rus | NOT SPAM | 26 | 0 | 0 | 1 | 0 | 0 | 2 | 5 | 2 | 0 | 8 | 2 | 7 | true |
26 | null | Я понимаю, возможно я надоела всем церукалом, но согласно опросу 60% продолжают не понимать почему нельзя!
Тогда просто: нельзя детям до 2 лет строго, а вообще до 14.
Повторюсь: я рекомендую дома иметь ондасетрон.
В инсте человек 10 сегодня под постом написали : а мы давали и будем давать (я не буду тут обсуждать умственные способности таких мамочек, итак все понятно).
Давайте, может дети лишние.
😰
Таких писем я получила уже десятки. За годы что говорю каждую весну: нельзя метоклопрамид/церукал детям!!!
#домашнийдоктор | https://t.me/DrAnshina/813?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 43,500 | 0 | 1,679,334,456 | 1,730,797,730 | 10,368 | 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| [{"ner":"60","lemma":"60","label":"NUM","start_pos":65,"end_pos":67},{"ner":"2","lemma":"2","label":"NUM","start_pos":137,"end_pos":138},{"ner":"14","lemma":"14","label":"NUM","start_pos":163,"end_pos":165},{"ner":"10","lemma":"10","label":"NUM","start_pos":230,"end_pos":232}] | NEUTRAL | rus | NOT SPAM | 82 | 0 | 2 | 1 | 0 | 0 | 3 | 15 | 7 | 4 | 19 | 13 | 22 | true |
26 | null | На месте! Стартуем! (Фото не грузится…. А жаль!) С Днем Космонавтики! | https://t.me/drmyasnikov/2279?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 70,200 | 0 | 1,712,902,939 | 1,730,797,730 | 10,346 | 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| null | POSITIVE | rus | NOT SPAM | 11 | 0 | 2 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 1 | 8 | true |
26 | null | Видеорубрика "Для души и тела". Доктор Мясников: Пациент глазами врача, или Непостижимая душа российского пациента
- Мнение доктора Мясникова о современных пациентах и врачах.
- Чем российский пациент отличается от других?
- За что ценят российскую медицину?
- Почему многие пациенты изначально не верят врачам, а другие патологически доверяют и медикам, и советам окружающих?
- Критическое мышление по отношению к врачам и медицине.
- Различия в менталитете у пациентов разных стран.
- Зачем нужна диспансеризация?
- Вера в "волшебную таблетку".
- Существует только два "волшебных средства" – физические нагрузки и правильное питание.
- Как пациенту и врачу понять друг друга?
- Здоровье пациента в его собственных руках?
- Несколько слов о вакцинации.
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/iSe6ovDYoUs | https://t.me/drmyasnikov/2281?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 79,900 | 0 | 1,713,032,277 | 1,730,797,730 | 10,367 | 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| [{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":39,"end_pos":47},{"ner":"Непостижимая","lemma":"непостижимый","label":"LOC","start_pos":76,"end_pos":88},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":132,"end_pos":141},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":780,"end_pos":795},{"ner":"6","lemma":"6","label":"NUM","start_pos":817,"end_pos":818}] | NEUTRAL | rus | NOT SPAM | 118 | 0 | 0 | 0.993711 | 0.006289 | 0 | 17 | 7 | 4 | 2 | 48 | 6 | 29 | true |
26 | null | Как правильно бросить курить, тромбоз, сыроедение. Программа "Доктор Мясников" ("Россия 1"). Эфир от 13.04.2024
Что провоцирует появление тромбов? Как от них защититься? Как правильно бросать курить? Кому полезно сыроедение, а кому – только навредит? Ответы на эти и другие вопросы – в программе "Доктор Мясников" на телеканале "Россия".
https://smotrim.ru/video/2790845 | https://t.me/drmyasnikov/2282?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,900 | 0 | 1,713,111,096 | 1,730,797,730 | 10,355 | 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26 | null | 🎹
ИВАН ЧЕПКИН
(фортепиано)
Рахманинов - «Сирень»
В 1903 году Рахманинов написал один из самых гениальных своих романсов – «Сирень». Через десять с лишним лет композитор вспомнил о своей «Сирени», сделав её фортепианную транскрипцию. Быть может, не последнюю роль в том, что Рахманинов вернулся к своему романсу, сыграло одно удивительное обстоятельство – незадолго до того некая таинственная поклонница стала присылать на его концерты ветки душистой белой сирени… Благоухание и свежесть буквально исходят от этой удивительной красоты музыки!
«Русская Фортепианная Школа»
Генеральный продюсер Проекта
Табриз Шахиди | https://t.me/drmyasnikov/2283?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 61,700 | 0 | 1,713,332,987 | 1,730,797,730 | 10,355 | 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| [{"ner":"Рахманинов","lemma":"рахманинов","label":"PER","start_pos":27,"end_pos":37},{"ner":"Рахманинов","lemma":"рахманинов","label":"PER","start_pos":61,"end_pos":71},{"ner":"Русская Фортепианная Школа","lemma":"русский фортепианный школа","label":"ORG","start_pos":543,"end_pos":569},{"ner":"Проекта","lemma":"проект","label":"PER","start_pos":592,"end_pos":599},{"ner":"Табриз Шахиди","lemma":"табриз шахиди","label":"PER","start_pos":600,"end_pos":613},{"ner":"1903","lemma":"1903","label":"NUM","start_pos":51,"end_pos":55}] | NEUTRAL | rus | NOT SPAM | 85 | 0 | 3 | 1 | 0 | 0 | 14 | 10 | 2 | 3 | 20 | 2 | 20 | true |
26 | null | Ну вот и я! И сразу с конца! На штурм не пошел. Да-да…. Тут выявилась техническая проблема: я в горах медленно хожу. Примерно в 2 раза медленнее молодых. 6 дней по 8-14 часов. Прихожу в лагерь затемно, все уже лапшу с чаем едят. Но штурм другое дело- мы все идем в связке. И затягивать из-за меня штурм на 20 и более часов- не правильно и просто опасно. Думаю принял правильное решение. Хотя за 5 с лишним км высоты самочувствие нормальное. | https://t.me/drmyasnikov/2284?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 56,900 | 0 | 1,713,339,874 | 1,730,797,730 | 10,355 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":128,"end_pos":129},{"ner":"6","lemma":"6","label":"NUM","start_pos":154,"end_pos":155},{"ner":"8","lemma":"8","label":"NUM","start_pos":164,"end_pos":165},{"ner":"14","lemma":"14","label":"NUM","start_pos":166,"end_pos":168},{"ner":"20","lemma":"20","label":"NUM","start_pos":306,"end_pos":308},{"ner":"5","lemma":"5","label":"NUM","start_pos":396,"end_pos":397}] | NEUTRAL | rus | NOT SPAM | 80 | 0 | 2 | 1 | 0 | 0 | 9 | 9 | 5 | 7 | 17 | 9 | 15 | true |
26 | null |
Порой даже опытные нейропсихологи оказываются в ситуации, когда не хватает собственного арсенала инструментов коррекции.
Интуиция подсказывает, что решение есть, но хочется подтверждения. Возникает острая потребность в построении системы из огромного пласта своих знаний и опыта.
Как повысить точность диагностики и помочь истощаемому, неусидчивому ребенку справиться с учебными и жизненными трудностями?
Как понятным языком донести до родителей — ваш ребенок не ленивый, ему просто не хватает ресурсов собственного организма?
20 апреля в 19:00 на бесплатном онлайн-вебинаре нейропсихолога Екатерины Галяевой «Неочевидные маркеры в диагностике истощаемых детей» вы посмотрите на проблему истощаемости с позиции междисциплинарного подхода.
Екатерина Галяева более 20 лет работает с истощаемыми детьми, разрабатывает и проводит курсы для нейропсихологов и специалистов. Из собственного опыта знает — невнимательность, неусидчивость, низкая концентрация внимания чаще всего связаны с целым комплексов внутренних и внешних причин.
Именно поэтому в коррекции учебных трудностей таких детей классические методы работают далеко не всегда.
На бесплатном вебинаре 20 апреля вы посмотрите на проблему истощаемости с разных сторон — от биохимии и физиологии до сенсомоторного уровня, рефлексов, ВПФ и взаимодействия с семьей.
Екатерина покажет, как собрать навыки и знания работы с истощаемыми детьми в единую работающую систему.
Вы узнаете, какие маркеры важно учитывать при диагностике истощаемых детей для получения более точной картины нарушения. И сумеете выстроить точный и бережный коррекционный маршрут для ребенка.
Воспользуйтесь возможностью вместе с практиком разобраться в неочевидных процессах, которые влияют на истощаемость и становление высших психических функций.
👉
Регистрируйтесь на бесплатный вебинар 20 апреля в 19:00 мск.
Сразу после регистрации вы получите подарок — чек-лист «Как организовать деятельность истощаемого ребенка для повышения мотивации и продуктивности».
До встречи на вебинаре! | https://t.me/imatrip/1746?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,681,729,203 | 1,730,797,730 | 10,346 | 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| 0 | 0 | 42 | 33 | 7 | 2 | 98 | 11 | 39 | true |
26 | null | Многие люди хотят похудеть. Низкий индекс массы тела, похудение ассоциируется со здоровьем, как с физическим так и с ментальным. Но так ли это?
Для пожилых людей (65-70 лет и старше) это определенно не так.
Среди пожилых мужчин потеря от 5 до 10% массы тела связана увеличением смертности на 33%, а потеря более 10% массы тела увеличивает смертность на целых 289% (включая повышенную смертность от рака, сердечно-сосудистой патологии и нераковых заболеваний).
Напротив, прибавка в весе у мужчин, не была значимо связана со смертностью.
Среди женщин, потеря от 5 до 10% массы тела и потеря более 10% массы тела были связаны с увеличением смертности на 26% и 114% соответственно.
Похудение в пожилом возрасте в значительной степени обусловлена снижением аппетита, что приводит к уменьшению потребления пищи, и что в свою очередь, может рассматриваться как ранний продромальный индикатор наличия заболевания, укорачивающего жизнь.
Источник:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2803643
#индекс_массы_тела | https://t.me/imatrip/1747?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,681,734,465 | 1,730,797,730 | 10,366 | 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13 | 4 | 13 | 49 | 10 | 25 | true |
26 | null | Есть волшебный вопрос для работы с представлениями о себе в терапии: “Откуда вы это узнали?”.
Ни одно наше представление о себе не падает с чистого неба под звуки монтипайтоновского хора ангелов. Все, что мы о себе знаем, рождается во взаимодействии с другими людьми, а также с системами и доминирующими в них идеями.
Почему я - эгоист? Ну так мама с бабушкой все время так говорили. Когда “всегда”? Когда не хотел помогать картошку с рынка таскать, а хотел с друзьями лупить палкой крапиву. Откуда узнали мама с бабушкой, что это называется словом “эгоизм”? Думаю, вы сами сейчас предложите несколько точных ответов на этот вопрос и, в том числе, не забудете про культурный императив - тот самый толковый словарь, который не купить в книжном магазине, но мы все равно наизусть его выучиваем из окружения, а еще - книг, фильмов, примеров в учебниках, из взаимодействия с социальными системами.
Поддерживать в маленьком (да и в большом) человеке позитивный образ себя - идея сравнительно новая. А уметь это делать - навык, который только-только осваивается.
В практике я часто сталкиваюсь со клиентским страхом: вот как узнаю себя получше в этой вашей терапии да как не смогу дальше жить с открывшейся правдой о себе! Как написала одна подписчица в моем инстаграме: “Такое может открыться, что наедине с самой собой будет страшно находиться”.
Еще не открылось, а уже страшно. На сессии я бы сказала в ответ на подобный страх клиента: “Откуда у вас предположение, что внутри закопано от греха подальше что-то настолько жуткое, что нельзя его выпускать на свет божий?”
За восемь лет практики я помогала открывать много похороненного на глубине. Еще ни разу ни я, ни клиенты не выбегали от ужаса из кабинета. Плакали, горевали, радовались, истерически хохотали и стендапили, удивлялись - это да. Иногда не признавали свое. Иногда (часто) с трудом, по кусочками учились принимать: да, это - тоже я. Но всегда речь шла о чем-то совершенно человеческом. Потребностях, чувствах, талантах, чертах личности.
Хотя, конечно, открыть в себе живого человека, который хочет радоваться, хочет любить, хочет развернуться во весь свой объем, хочет защищать себя и давать отпор, когда нужно, хочет злиться и иногда орать, а иногда что-то ломать в сердцах, хочет нежности, страсти, неравнодушия к себе, хочет отдавать свою нежность, страсть и неравнодушие другим, хочет еще всяких прекрасных вещей, которые делают жизнь стоящим опытом - ну да, страшновато. Его же как откроешь, так потом обратно не закроешь, не развидишь и не раззнаешь.
Не знаю, плохие ли это новости или хорошие.
Но вот вам еще один кусочек то ли плохо, то ли хорошей новости: если вы боитесь, что на самом деле вы - отвратное чудовище и в ходе терапии оно вырвется на свободу и сломает всю вашу тщательно сдерживаемую жизнь, то чисто статистически велика вероятность, что правда вас разочарует.
А в чем же правда, Елизавета Владимировна? (возможно, спросите вы)
В том, что когда-то кому-то было так невыносимо с вашим вышеперечисленным, что этот кто-то и правда чувствовал, что этими проявлениями своей живости вы этого кого-то разрушаете и убиваете с изощренностью монстра-садиста. А вы этому кому-то очень верили. Вот что по-настоящему страшно. | https://t.me/imatrip/1748?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,681,837,148 | 1,730,797,730 | 10,366 | 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| [{"ner":"Елизавета Владимировна","lemma":"елизавета владимирович","label":"PER","start_pos":2865,"end_pos":2887}] | NEUTRAL | rus | NOT SPAM | 503 | 0 | 5 | 1 | 0 | 0 | 40 | 83 | 67 | 6 | 108 | 55 | 113 | true |
26 | null | Существует несколько мифов, связанных с выгоранием
. Например, миф о том, что выгорание — это личный недостаток человека. Или о том, что это временное явление, которое пройдет само по себе.
На самом деле, выгорание — это сложное состояние, при котором человек нуждается в поддержке, так как оно может иметь серьезные физические и эмоциональные последствия.
Больше информации в карточках!
Источник:
@cbtclinic | https://t.me/imatrip/1756?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,682,011,706 | 1,730,797,730 | 10,366 | 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| null | NEUTRAL | rus | NOT SPAM | 60 | 0 | 0 | 0.987179 | 0.012821 | 0 | 8 | 6 | 7 | 2 | 16 | 2 | 16 | true |
26 | null | Хотим представить вам врача-психиатра, психотерапевта Петрачкову Инну Романовну.
Инна работает (онлайн) в классической когнитивно-поведенческой терапии Бэка, а также активно использует техники из более поздних направлений КПТ: АСТ, РЭПТ, ДБТ, схема-терапия, CFT, которые хорошо интегрируются в классический подход.
Образование Инны даёт ей возможность смотреть на проблему комплексно: и с медицинской, и с психологической точки зрения.
Инна ведет
канал
, где вы можете найти информацию о принципах когнитивно-поведенческой терапии, осознанности, самосострадании, рациональном мышлении, особенностях работы с теми или иными расстройствами в кпт и многое другое. К примеру,
здесь
рассказывается о том, каким образом мы формируем новые когнитивные связи на психотерапевтических сессиях. А
в этом посте
описана разница между двумя основными видами мотивации.
Заходите на канал по ссылке
t.me/healphmyself | https://t.me/imatrip/1757?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,682,074,802 | 1,730,797,730 | 10,355 | 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| [{"ner":"Петрачкову","lemma":"петрачкову","label":"PER","start_pos":54,"end_pos":64},{"ner":"Инну Романовну","lemma":"инна романович","label":"PER","start_pos":65,"end_pos":79},{"ner":"Инна","lemma":"инна","label":"PER","start_pos":81,"end_pos":85},{"ner":"Бэка","lemma":"бэка","label":"PER","start_pos":152,"end_pos":156},{"ner":"КПТ","lemma":"кпт","label":"ORG","start_pos":222,"end_pos":225},{"ner":"РЭПТ","lemma":"рэпт","label":"ORG","start_pos":232,"end_pos":236},{"ner":"ДБТ","lemma":"дбт","label":"ORG","start_pos":238,"end_pos":241},{"ner":"CFT","lemma":"cft","label":"ORG","start_pos":258,"end_pos":261},{"ner":"Инна","lemma":"инна","label":"PER","start_pos":436,"end_pos":440}] | NEUTRAL | rus | NOT SPAM | 116 | 0 | 7 | 0.987421 | 0.012579 | 0 | 18 | 14 | 6 | 1 | 40 | 7 | 25 | true |
26 | null |
Когнитивная концептуализация
Представьте себе, что ваши самые непростые переживания можно изобразить в виде схемы. Эта схема имеет многоуровневый вид. В ней отображены ключевые релевантные данные из вашего детства, которые могли повлиять на возникновение проблемы. Схема включает основные представления о себе, мире или других людях, а также допущения, которые вытекают из этих представлений. Вишенка на торте – то поведение, которое вы используете, чтобы адаптироваться к описанным ранее убеждениям и допущениям.
Когнитивная концептуализация – не просто схематическое отображение тех проблем, с которыми сталкивается клиент. Это полноценный инструмент, который мы используем в работе, чтобы решить сразу несколько задач:
1. Провести историческую валидацию.
Когда мы видим причины формирования тех или иных убеждений, а также, проблемного поведения, нам проще сострадать человеку. Например, дать человеку понять, что столкнувшись в детстве с насилием, вполне закономерно затем бояться других людей – важный терапевтический шаг
2. Показать клиенту, как функционирует его проблема.
Это позволяет не только лучше понять, какие механизмы не дают «выбраться» из ловушки, но и выбрать мишени для когнитивной и поведенческой работы
3. Убедиться в том, что терапевт правильно понимает клиента – и наоборот.
Концептуализация помогает привести информацию в стройную и понятную форму, а также дает возможность убедиться в том, что участники процесса «говорят на одном языке»
Начиная составлять такую схему в начале работы, терапевт продолжает дополнять ее и корректировать на всем пути терапии. Это сильно упрощает процесс структурирования терапевтических заметок, которые, как известно, часто напоминают бессвязные реплики и вырванные из контекста мысли.
Ниже пример когнитивной концептуализации из практики когнитивно-поведенческого терапевта Роберта Лихи. | https://t.me/imatrip/1758?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,682,154,315 | 1,730,797,730 | 10,355 | 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| [{"ner":"Роберта Лихи","lemma":"роберт лихи","label":"PER","start_pos":1837,"end_pos":1849},{"ner":"1","lemma":"1","label":"NUM","start_pos":725,"end_pos":726},{"ner":"2","lemma":"2","label":"NUM","start_pos":1030,"end_pos":1031},{"ner":"3","lemma":"3","label":"NUM","start_pos":1228,"end_pos":1229}] | NEUTRAL | rus | NOT SPAM | 247 | 0 | 1 | 1 | 0 | 0 | 30 | 43 | 19 | 5 | 70 | 15 | 52 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11170?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,900 | 0 | 1,725,300,431 | 1,730,797,730 | 10,357 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Стоит ли бояться эндоскопии
❓
Наш врач-гастроэнтеролог Зубова Ирина Владимировна
рассказала о процедурах, которые используются для обследования внутренних органов.
Для записи:
📲
@mageryaclinic
☎️
8(800)500-77-17
Ждем вас по адресу: г.Краснодар, ул. Красная, 184
💚 | https://t.me/magerya/11171?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,400 | 0 | 1,725,338,046 | 1,730,797,730 | 10,356 | 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| [{"ner":"Зубова","lemma":"зубов","label":"PER","start_pos":55,"end_pos":61},{"ner":"Ирина Владимировна","lemma":"ирина владимирович","label":"PER","start_pos":62,"end_pos":80},{"ner":"Краснодар","lemma":"краснодар","label":"LOC","start_pos":234,"end_pos":243},{"ner":"Красная","lemma":"красный","label":"LOC","start_pos":249,"end_pos":256},{"ner":"00)50","lemma":"00)50","label":"DATE","start_pos":199,"end_pos":204},{"ner":"77-17","lemma":"77-17","label":"DATE","start_pos":206,"end_pos":211},{"ner":"8","lemma":"8","label":"NUM","start_pos":196,"end_pos":197},{"ner":"800","lemma":"800","label":"NUM","start_pos":198,"end_pos":201},{"ner":"500","lemma":"500","label":"NUM","start_pos":202,"end_pos":205},{"ner":"17","lemma":"17","label":"NUM","start_pos":209,"end_pos":211},{"ner":"184","lemma":"184","label":"NUM","start_pos":258,"end_pos":261}] | NEUTRAL | rus | SPAM | 34 | 0 | 0 | 0.982759 | 0.017241 | 0 | 2 | 6 | 2 | 7 | 10 | 0 | 8 | true |
26 | null | Про обновленый Летний Гайд
https://anshina.mygaide.ru/leto
Про лечение кишечных инфекций с препаратами!
Про поллиноз с препаратами!
Варикоз.
Ожоги
Аптечка путешественника и многое другое
❤️
У кого есть руководство, но хотите обновить, пишите пожалуйста в службу поддержки.
#домашнийдоктор
#путешествия | https://t.me/DrAnshina/805?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 37,000 | 0 | 1,679,067,995 | 1,730,797,731 | 10,346 | 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| [{"ner":"Летний Гайд","lemma":"летний гайд","label":"PER","start_pos":15,"end_pos":26}] | NEUTRAL | rus | NOT SPAM | 37 | 0 | 1 | 0.982143 | 0.017857 | 0 | 4 | 4 | 1 | 0 | 14 | 1 | 10 | true |
26 | null | Подкаст только для тех кто хочет понять из чего формируется стоимость моих инфопродуктов.
А также объясняю почему воровать плохо и что за это бывает.
Остальные не тратьте время
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❤️ | https://t.me/DrAnshina/807?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 46,000 | 0 | 1,679,220,542 | 1,730,797,731 | 10,346 | 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| null | NEUTRAL | rus | NOT SPAM | 31 | 0 | 1 | 1 | 0 | 0 | 1 | 8 | 3 | 0 | 3 | 3 | 8 | true |
26 | null | Почему детям нельзя церукал, регидрон, и никому не нужен лоперамид/имодиум.
Правильные препараты для лечения кишечной инфекции с дозами, поллиноз с препаратами, как собрать правильную аптечку на дачу/в отпуск, про ожоги и их лечение и многое другое есть в моем
Летнем гайде.
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Отправьте пост подруге, у которой есть маленькие детки
💕
🔸️
Церукал, он же метоклопрамид.
Противорвотный препарат центрального действия, блокирующий допаминовые рецепторы.
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Официальная инструкция гласит, что строго противопоказан детям до 2 лет, детям с 2 до 14 лет с осторожностью.
К сожалению есть побочный эффект - гиперкинезы. У ребенка возникает состояние похожее на судороги, спазм лицевых мышц, повышение мышечного тонуса. Особенно часто бывает при передозировке.
Поэтому сами ни в коем случае детям не даем. Врачи иногда могут назначать в стационарах (если нет ондасетрона), но идеально при рвоте у ребенка старше 1 месяца - ондансетрон.
🔸️
Регидрон.
Тут все просто:
✅
Осмолярность составляет 282 мосм/л, а нужно 245 мосм/л и ниже.
И официальная инструкция регидрона это не скрывает, цитирую: "У детей следует применять другие растворы с более низким содержания натрия и осмолярностью".
И честно: я очень не рекомендую детям делать глюкозо-солевые растворы в домашних условиях. Просто тогда мы вообще не понимаем какая осмолярность и содержание глюкозы, натрия, калия. Купите препарат, пусть он лежит в аптечке.
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Лоперамид/лопедиум/имодиум/диара
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Если кратно: симптом диареи (поноса) он устраняет, но никак не действует на инфекционный агент (вирус, бактерия, простейшие). Т.е. возбудитель остается в прямой кишке и там продолжает оказывать негативное воздействие на организм.
В конце концов диарея нас не сильно пугает, если адекватно проводится оральная регидратация.Если надо остановить, то безопасным рецекадотрилом.
Обратите внимание, в летнем гайде я пишу как правильно рассчитать дозу детям, если есть только капсула, тк саше сейчас в продаже нет.
https://anshina.mygaide.ru
#домашнийдоктор | https://t.me/DrAnshina/809?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 36,400 | 0 | 1,679,223,773 | 1,730,797,731 | 10,346 | 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| [{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":337,"end_pos":338},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":934,"end_pos":935},{"ner":"2","lemma":"2","label":"NUM","start_pos":525,"end_pos":526},{"ner":"2","lemma":"2","label":"NUM","start_pos":540,"end_pos":541},{"ner":"14","lemma":"14","label":"NUM","start_pos":545,"end_pos":547},{"ner":"1","lemma":"1","label":"NUM","start_pos":909,"end_pos":910},{"ner":"282","lemma":"282","label":"NUM","start_pos":989,"end_pos":992},{"ner":"245","lemma":"245","label":"NUM","start_pos":1009,"end_pos":1012}] | NEUTRAL | rus | NOT SPAM | 283 | 0 | 6 | 0.997468 | 0.002532 | 0 | 29 | 35 | 11 | 6 | 106 | 24 | 74 | true |
26 | null | Не забываем проверять сроки годности препаратов!!!
Мне в прошлом году было не до этого.
Полно просрочки.
Написала себе список что надо докупить.
Я люблю чтобы дома все было под рукой.
Не знаю как у кого, а у нас все сюрпризы начинаются в ночи.
Реанимациинное прошлое сказывается: у меня столько интересных вещей дома. Растворы различные, кислородный концентратор стоит нераспакованный.
#препараты | https://t.me/DrAnshina/810?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 48,900 | 0 | 1,679,248,353 | 1,730,797,731 | 10,346 | 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| null | NEUTRAL | rus | NOT SPAM | 59 | 0 | 1 | 1 | 0 | 0 | 6 | 9 | 8 | 0 | 15 | 4 | 14 | true |
26 | null | Пока не вышел на Гору, продолжаю писать очередную книгу. Вот отрывок:
«
Беременность и печень.
Довольно часто у беременной в конце 2-го - начале 3-го триместра развивается страшный зуд ладоней, стоп, а потом и всего тела. Все наружное средства успокоения не приносят, появляется расчесы, а через неделю- другую может появиться желтуха.
Называется это состояние: «внутрипечёночный холестаз беременности»- ВПХ
По каким-то -не до конца ясным причинам -y части беременных женщин нарушается отток желчи из печени. Желчь застаивается, в крови повышается количество желчных кислот, появляются другие сопутствующие сдвиги в биохимическом анализе крови, как следствие- зуд, повышенная усталость, тошнота и рвота, желтуха….
Такая форма холестаза связанна исключительно с беременностью и проходит после родов.
Но это состояние не вполне доброкачественно- помимо мучений для будущей мамы, такое повышение желчных кислот может быть опасно и для плода (избыток желчных кислот свободно проходит через плаценту). В списке угроз и преждевременные роды и внутриутробная смерть плода.
Заболеваемость варьирует от 0,5 до 28%. В Европе- 0,5-1,5%, причем самая высокая- в Скандинавии. В США- 0,5-6% (последняя цифра- это испаноязычное население Лос-Анжелеса.
Индейцы арауканос в Чили имеют самую высокую заболеваемость в мире - 27,6 процента.
А по россии спросите вы?! А вот нет данных, отвечу я. Их даже искусственный интеллект не нашел….
Вот его ответ: «точные данные о частоте ВПХ беременных в России могут отличаться от Европейских и требуют дополнительных медицинских
исследований».
По неизвестным причинам болезнь чаще встречается в зимние месяцы в некоторых странах (например, в Швеции, Финляндии, Чили)
Этиология ВПХ беременных не до конца понятна, но, вероятно, включает в себя сочетание генетической восприимчивости, гормональных факторов и факторов окружающей среды. Среди последних: множественные беременности (гормональный фактор), исходное состояние печени, «продвинутый» материнский возраст.
ВПХ беременных следует подозревать у любой беременной пациентки в конце второго или третьего триместра с зудом, не связанным с сыпью.
Зуд- обязательное условие диагноза, ВПХ беременных без зуда не бывает!
Диагноз подтверждается, когда зуд связан с повышенным общим уровнем желчных кислот в сыворотке крови, повышенными аминотрансферазами или и тем, и другим. Но если есть изменения в анализах, но нет зуда- ищите другой диагноз, тут не ВПХ.
Поскольку зуд может предшествовать повышению желчных кислот в сыворотке крови на несколько недель, необходимо анализы еженедельно повторять, если общий уровень желчных кислот и ферментов печени был изначально нормальный.
При этом врачи часто не дожидаясь, пока увидят в анализах повышение билирубина и трансаминаз, назначают препарат выбора для лечения ВПХ беременных: Урсодеоксихолевую кислоту. На этом фоне, анализы могут оставаться нормальными до самых родов. Обычно лечение Урсодеоксихолевой кислотой прекращают после родов. Грудное вскармливание для мам с ВПХ беременных не запрещено и даже рекомендуется!
<<<Внимание! Пациентки во второй половине беременности, у которых нет зуда и при этом наблюдается тошнота, рвота, боль в животе, недомогание, гипертония, головная боль, должны быть оценены на предмет острой жировой дистрофии печени, тяжелой преэклампсии и гемолиза крови, синдрома низкого количества тромбоцитов (HELLP), а также других расстройств, связанных с этими неспецифическими симптомами (например, гепатитом и другими вирусами, отравление парацетамолом и т д).>>>
Продолжение внизу
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26 | null | ⏫️
Острая жировая дистрофия печени
Это вторая патология печени, связанная исключительно с беременностью.
«Острая жировая печень» во время беременности встречается относительно редко, с приблизительной частотой от 1 из 7000 до 20 000 беременностей.
«Острая жировая печень беременности» обычно возникает между 30-й и 38-й неделей беременности, но может быть уже и на 18 неделе и даже через четыре дня после родов
Первоначальные симптомы часто неспецифичны (например, тошнота, рвота, боль в животе, недомогание, головная боль отсутствие аппетита).
Быстро развиваются признаки и симптомы острой печеночной недостаточности, включая желтуху, асцит, признаки тромбоза. У большинства пациентов развивается острая почечная недостаточность.
Вообщем, острая, грозная, часто реанимационная патология.
Отчего? Точно не ясно. Что-то из области дефектов метаболизма жирных кислот во время беременности.
Свободные жирные кислоты обычно повышаются во время беременности, особенно в конце беременности, чтобы стимулировать рост и развитие плода. Если метаболизм жирных кислот матери и плода становится дефектным, промежуточные продукты их метаболизма могут накапливаться в материнской крови, что оказывает вредное воздействие на материнские гепатоциты
Потенциальные факторы риска для острой жировой печени беременных включают:
1. Множественные беременности
2. Наоборот- первая беременность
3. Мужской пол плода
4. Низкий индекс массы тела мамы (индекс массы тела менее 20)
5. Преэклампсия
6. Врожденный дефицит некой «LCHAD»- фермента, участвующего в оксигенации жирных кислот
Лечение одно- срочное родоразрешение, других приемлемых вариантов нет….. | https://t.me/drmyasnikov/2277?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 95,400 | 0 | 1,712,680,615 | 1,730,797,731 | 10,346 | 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NEUTRAL | rus | SPAM | 210 | 0 | 2 | 0.996429 | 0.003571 | 0 | 43 | 16 | 5 | 13 | 84 | 15 | 49 | true |
26 | null | С Праздником
Ураза-байрам
всех мусульман. Это добрый и светлый Праздник, так что давайте
все
порадуемся! | https://t.me/drmyasnikov/2278?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 93,400 | 0 | 1,712,713,316 | 1,730,797,731 | 10,346 | 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| [{"ner":"Праздником\nУраза-байрам","lemma":"праздник\nураза-байрам","label":"LOC","start_pos":2,"end_pos":25}] | POSITIVE | rus | NOT SPAM | 15 | 0 | 1 | 1 | 0 | 0 | 2 | 2 | 2 | 0 | 5 | 1 | 3 | true |
26 | null | Психотерапия в СССР
Продолжаем серию материалов о психотерапии в разных странах. Сегодня
рассказываем
о психотерапии в СССР. Хотя идеология сильно ограничивала возможность заимствования знаний, а частная практика была фактически под запретом, в СССР существовали и развивались психотерапевтические подходы и собственные психологические школы.
Текст:
Полина Лихошерстова
.
Редактура:
Инна Старикова
.
#статьи | https://t.me/imatrip/1741?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,681,212,939 | 1,730,797,731 | 10,346 | 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| [{"ner":"СССР","lemma":"ссср","label":"LOC","start_pos":15,"end_pos":19},{"ner":"СССР","lemma":"ссср","label":"LOC","start_pos":119,"end_pos":123},{"ner":"СССР","lemma":"ссср","label":"LOC","start_pos":245,"end_pos":249},{"ner":"Полина Лихошерстова","lemma":"полина лихошерстова","label":"PER","start_pos":350,"end_pos":369},{"ner":"Инна Старикова","lemma":"инна стариков","label":"PER","start_pos":383,"end_pos":397}] | NEUTRAL | rus | NOT SPAM | 51 | 0 | 3 | 1 | 0 | 0 | 5 | 5 | 0 | 0 | 17 | 3 | 10 | true |
26 | null | Человек, страдающий болезнью Альцгеймера, может общаться с близкими людьми так же, как прежде, а может вовсе не узнавать их и обращаться с ними совсем иначе. Но если чье-то поведение столь резко меняется, то насколько вообще можно говорить, что это целостная личность, обладающая неким постоянным «я»?
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@knifemedia
https://knf.md/tg/what-is-i/ | https://t.me/imatrip/1742?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,681,310,241 | 1,730,797,731 | 10,346 | 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| [{"ner":"Альцгеймера","lemma":"альцгеймера","label":"PER","start_pos":29,"end_pos":40}] | NEUTRAL | rus | NOT SPAM | 48 | 0 | 0 | 0.96875 | 0.03125 | 0 | 3 | 9 | 4 | 0 | 5 | 10 | 12 | true |
26 | null | При трихотилломании люди испытывают труднопреодолимое побуждение выдерживать собственные волосы по некосметическим причинам. То есть, они не вырывают волосы, чтобы улучшить свой внешний вид. Обычно они вырывают волосы на голове, бровях и/или веках, но могут вырывать их на любых доступных частях тела.
У некоторых людей с трихотилломанией имеются участки полного облысения. Ресницы и/или брови могут отсутствовать или могут быть редкими. С течением времени люди могут менять места, из которых они вырывают волосы.
Некоторые люди вырывают волосы практически автоматически, не задумываясь об этом. Другие осознают этот процесс в большей степени.
Вырывание волос обычно начинается незадолго до или после полового созревания. Расстройством вырывания волос страдают от 1 до 2% населения. Около 90 % взрослых людей с расстройством — женщины.
Люди с данным расстройством могут стыдиться своей внешности, либо своей неспособности контролировать свое поведение. Они могут пытаться различными способами замаскировать потерю волос.
При расстройстве ковыряния кожи люди многократно расковыривают свою кожу, травмируя ее. При чрезмерном ковырянии на коже могут возникнуть рубцы, кровотечение, а также произойти вторичное инфицирование и даже сепсис.
Ковыряние кожи часто начинается в подростковом возрасте, хотя оно может начаться и в другом возрасте. Этим расстройством страдают от 1 до 2% населения. Около 75 % из них — женщины.
Люди с расстройством ковыряния кожи и трихотилломанией зачастую чувствуют напряжение или тревогу незадолго до того, как они начинают выдергивать волосы или ковырять кожу. Выдергивание волос или ковыряние кожи может облегчить это ощущение.
Специалисты диагностируют эти расстройства, когда люди выдергивают волосы или ковыряют кожу настолько интенсивно, что это может причинить им вред, они безуспешно пытаются прекратить это делать и чувствуют себя весьма угнетенными из-за этого.
Терапия этих расстройств затруднительна, однако оказалось что мемантин препарат, обычно используемый для лечения симптомов болезни Альцгеймера значительно уменьшают симптомы как трихотилломании так и ковыряния кожи.
Данные двойного слепого плацебо-контролируемого исследования продемонстрировали, что у 61% участников, получавших мемантин, в дозах 10-20 мг в сутки наблюдалось «значительное или очень сильное улучшение».
Источник:
https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.20220737
#импульсивность | https://t.me/imatrip/1744?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,681,364,152 | 1,730,797,731 | 10,346 | 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312 | 0 | 2 | 0.997403 | 0.002597 | 0 | 25 | 56 | 18 | 10 | 106 | 18 | 51 | true |
26 | null | Энтони Хопкинс в роли Зигмунда Фрейда в новом фильме «Freud’s Last Session». Режиссер Мэтью Браун. Релиз в конце 2023 г. | https://t.me/imatrip/1745?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,681,487,416 | 1,730,797,731 | 10,346 | 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| [{"ner":"Энтони Хопкинс","lemma":"энтони хопкинс","label":"PER","start_pos":0,"end_pos":14},{"ner":"Зигмунда Фрейда","lemma":"зигмунд фрейд","label":"PER","start_pos":22,"end_pos":37},{"ner":"Мэтью Браун","lemma":"мэтью браун","label":"PER","start_pos":86,"end_pos":97},{"ner":"2023","lemma":"2023","label":"NUM","start_pos":113,"end_pos":117}] | NEUTRAL | rus | NOT SPAM | 20 | 0 | 0 | 0.84 | 0.16 | 0 | 2 | 0 | 0 | 0 | 6 | 0 | 4 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11162?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,600 | 0 | 1,725,129,024 | 1,730,797,731 | 10,346 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Школа – это пробник жизни, где все мы впервые зубрили, писали контрольные, прогуливали, влюблялись и краснели у доски
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Именно в школе мы учимся выстраивать связи, общаться, договариваться – в общем, мастерим первые шаги на пути к взрослому миру, где ошибка стоит дороже, чем двойка в дневнике.
Это самое важное время для ребёнка, ведь заходят в школу Незнайки, а выходят из неё созревшее будущее страны.
Ну, или по крайней мере те, кто смогут найти ответы в Google
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Школа, помимо фундаментальных знаний, даёт нам НАВЫКИ:
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Как договариваться со сверстниками;
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Как договариваться со взрослыми;
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Как быть гибким или принципиальным в разных ситуациях;
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Как организовать собственное время;
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Как заявить о себе;
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Как преодолеть и побороть стресс;
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Как создавать команду и существовать в ней;
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Как стать и быть лидером в коллективе;
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Как одновременно быть похожим на всех и выделяться из всех;
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Как решить, что нужно мне, нам и им…
И если по выходу из школы ваш уже взрослый ребёнок ВСЁ ЭТО БУДЕТ УМЕТЬ, то он будет практически ГЕНИЕМ.
Какие ещё навыки, вы бы хотели, чтобы ваш ребенок приобрел в школе.
Продолжите список
👇🏼 | https://t.me/magerya/11163?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 58,000 | 0 | 1,725,167,787 | 1,730,797,731 | 10,346 | 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| [{"ner":"Незнайки","lemma":"незнайка","label":"LOC","start_pos":352,"end_pos":360},{"ner":"Google","lemma":"google","label":"ORG","start_pos":459,"end_pos":465},{"ner":"НАВЫКИ","lemma":"навыки","label":"ORG","start_pos":515,"end_pos":521}] | NEUTRAL | rus | NOT SPAM | 190 | 0 | 7 | 0.996094 | 0.003906 | 0 | 16 | 30 | 14 | 0 | 38 | 19 | 38 | true |
26 | null | Почти 2
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собрали
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Начинаем искать транспорт для парней!
В идеале ещё бы 400-500 тыс
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👇🏼
2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11164?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 51,200 | 0 | 1,725,207,417 | 1,730,797,731 | 10,346 | 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| [{"ner":"00-50","lemma":"00-50","label":"DATE","start_pos":76,"end_pos":81},{"ner":"29 72","lemma":"29 72","label":"DATE","start_pos":119,"end_pos":124},{"ner":"62 83","lemma":"62 83","label":"DATE","start_pos":114,"end_pos":119},{"ner":"02 20","lemma":"02 20","label":"DATE","start_pos":109,"end_pos":114},{"ner":"2","lemma":"2","label":"NUM","start_pos":6,"end_pos":7},{"ner":"400","lemma":"400","label":"NUM","start_pos":75,"end_pos":78},{"ner":"500","lemma":"500","label":"NUM","start_pos":79,"end_pos":82},{"ner":"2202","lemma":"2202","label":"NUM","start_pos":107,"end_pos":111},{"ner":"2062","lemma":"2062","label":"NUM","start_pos":112,"end_pos":116},{"ner":"8329","lemma":"8329","label":"NUM","start_pos":117,"end_pos":121},{"ner":"7278","lemma":"7278","label":"NUM","start_pos":122,"end_pos":126}] | NEUTRAL | rus | SPAM | 24 | 0 | 1 | 1 | 0 | 0 | 0 | 4 | 0 | 8 | 4 | 3 | 6 | true |
26 | null | Союз магния с треоновой кислотой – эта комбинация, позволяющая Mg беспрепятственно проникать в мозг, что делает его незаменимым для людей с высокими умственными нагрузками
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Как же он ускоряет работу мозга
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Магний Треонат укрепляет синапсы — связи между нейронами, превращая мозг в мощный вычислительный центр, способный обрабатывать информацию быстрее и эффективнее. Это укрепление синапсов способствует быстрому обучению и легкости в запоминании новых данных.
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Mg + треоновая кислота поддерживают оптимальный уровень глутамата – возбуждающего нейромедиатора. Ведь если глутамата много, то нейроны могу «перегреться», а скорость работы мозга замедлиться.
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Магний приводит к балансу уровень кальция, что помогает контролировать степень возбуждения нейронов и уровень напряженности. Это поможет в нужный момент остаться собранным и решительным.
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Магний Треонат способствует выработке дофамина, отвечающего за мотивацию и творческое мышление. Счастливый мозг не только генерирует новые идеи, но и находит нестандартные решения.
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Треонат Магния способствует улучшению долговременной памяти, что делает его отличным помощником для тех, кто стремится к более глубокому пониманию и запоминанию информации.
Откройте новые горизонты для своего разума и дайте волю своим идеям с Магнием Треонатом! | https://t.me/magerya/11165?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 54,300 | 0 | 1,725,251,488 | 1,730,797,731 | 10,346 | 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| [{"ner":"Треонат","lemma":"треонат","label":"PER","start_pos":225,"end_pos":232},{"ner":"Магнием Треонатом","lemma":"магний треонатом","label":"PER","start_pos":1291,"end_pos":1308}] | NEUTRAL | rus | NOT SPAM | 177 | 0 | 0 | 0.991071 | 0.008929 | 0 | 22 | 28 | 8 | 0 | 59 | 6 | 37 | true |
26 | null | Магний – пожалуй главный элемент красоты и здоровья
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Наслаждайтесь, насыщайте кожу магнием
😌 | https://t.me/magerya/11166?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 50,200 | 0 | 1,725,268,367 | 1,730,797,731 | 10,346 | 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| [{"ner":"Греция","lemma":"греция","label":"LOC","start_pos":0,"end_pos":6}] | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Про поливитамины.
Про анализ волос на микроэлементы и витамины.
Про грамотность пациентов.
#витамины | https://t.me/DrAnshina/800?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 72,900 | 0 | 1,678,882,292 | 1,730,797,732 | 10,355 | 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| null | NEUTRAL | rus | NOT SPAM | 13 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 8 | 0 | 4 | true |
26 | null | Тему с витамином С предлагаю закрыть
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Кого не убедила, тот может продолжать принимать. На дебаты у меня нет времени, много работы.
100 мг витамина С это : 50 гр киви, 70 гр болгарского перца, 90-100 грамм брокколи, брюссельской какусты. Уже писала в чем содержится. С питанием получаем.
На себе даже эксперимент проводила в том году и тут делилась.
Во время ангины взяла кровь, в том числе и на витамин С… и он был в норме! Хотя я несколько дней почти не ела, только пила.
Мой принцип предельно прост: обязательно налаживаем питание, дефициты устаняем конечно, которые доказали
💕
PS: комменты закрыла, тк много спама, нет времени его чистить
💫 | https://t.me/DrAnshina/801?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 58,100 | 0 | 1,678,894,668 | 1,730,797,732 | 10,347 | 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| [{"ner":"90-10","lemma":"90-10","label":"DATE","start_pos":193,"end_pos":198},{"ner":"100","lemma":"100","label":"NUM","start_pos":132,"end_pos":135},{"ner":"50","lemma":"50","label":"NUM","start_pos":156,"end_pos":158},{"ner":"70","lemma":"70","label":"NUM","start_pos":168,"end_pos":170},{"ner":"100","lemma":"100","label":"NUM","start_pos":196,"end_pos":199}] | NEUTRAL | rus | NOT SPAM | 109 | 1 | 5 | 0.992958 | 0.007042 | 0 | 4 | 21 | 9 | 7 | 29 | 8 | 23 | true |
26 | null | Не закрыли тему
😂
😂
😂
Поступил вопрос про крема.
В кремах совсем другое дело!
Сама трепетно люблю косметику с витамином С: есть и тоник и крем и пудра для умывания и сыворотка с витамином С. Домашний уход - мое хобби. В ванной комнате можно открыть косметологический кабинет.
Все что выше про прием внутрь.
Все, теперь ушла. К своим пациентам и дописывать главу про поллиноз в «Летний гайд». Люблю работу
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#вопросответ | https://t.me/DrAnshina/802?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 60,000 | 0 | 1,678,896,492 | 1,730,797,732 | 10,347 | 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| [{"ner":"С. Домашний","lemma":"с. домашний","label":"PER","start_pos":188,"end_pos":200}] | NEUTRAL | rus | NOT SPAM | 72 | 0 | 5 | 1 | 0 | 0 | 7 | 9 | 3 | 0 | 25 | 5 | 12 | true |
26 | null | «Самое главное — это дорожить жизнью , не транжирить ее, поскольку она у нас только одна. Нужно заботиться о здоровье. Мои друзья часто говорили: «Ты ходишь в эти экспедиции, потому что у тебя есть здоровье». А я им отвечаю: «А может быть, наоборот — может, у меня есть здоровье, потому что я всегда активен, двигаюсь, не сижу на месте, перед телевизором, живу настоящей жизнью?» Важно быть активным. Тогда можно и осуществить разные вещи»
Это из интервью 74 летнего Александра Добы- человека, который в одиночку трижды пересек Атлантику на байдарке уже в пенсионном возрасте.
И- да- он погиб на восхождении на Килиманджаро 22/02/21- ровно за год до моего восхождения там. Но это лишь подтверждает его слова. Ни минуты зря, погиб и то на ходу! «Так лучше, чем от водки и от простуд!»
Это не пессимизм перед восхождением- наоборот: пример силы духа и жизнелюбия! | https://t.me/drmyasnikov/2269?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 83,300 | 0 | 1,712,467,337 | 1,730,797,732 | 10,366 | 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| [{"ner":"Александра Добы-","lemma":"александр добы-","label":"PER","start_pos":467,"end_pos":483},{"ner":"Атлантику","lemma":"атлантика","label":"LOC","start_pos":528,"end_pos":537},{"ner":"Килиманджаро","lemma":"килиманджаро","label":"LOC","start_pos":611,"end_pos":623},{"ner":"22/02","lemma":"22/02","label":"DATE","start_pos":624,"end_pos":629},{"ner":"74","lemma":"74","label":"NUM","start_pos":456,"end_pos":458},{"ner":"02","lemma":"02","label":"NUM","start_pos":627,"end_pos":629},{"ner":"21","lemma":"21","label":"NUM","start_pos":630,"end_pos":632}] | NEUTRAL | rus | NOT SPAM | 142 | 0 | 3 | 1 | 0 | 0 | 11 | 19 | 15 | 3 | 29 | 16 | 37 | true |
26 | null | Многие помнят мою удивительную тетю Любу Мясникову- блокадницу, в свои молодые 85 лет- работающий профессор-физик, увлекается танцами и по сей день горными лыжами. Я не раз ее приглашал на передачи. Ну вот и очередной перелом. Фрагменты переписки с ней:
«Алик! Два слова. 1. Умудрилась поздно отцепиться от подъемника, влететь в деревянную загородку (!!), а не в положенную по технике безопасности сетку и сломать плечевую кость правой руки со смещением. 10 марта. воскресенье
4 дня в коридоре в Сестрорецке. В четверг операция по новой технике, в пятницу выкинули. Ничего страшного. Я не хотела платить за палату- хотела с экономить денег для Андрея»
(Андрей- участник СВО, попал с ранением в госпиталь - прим от меня)
«Подробности опускаю. Вчера сняла швы. Рука в ортезе. Успела до того съездить с докладом на конференцию в Тверь. И отвезти студента с постером»
Но я выспросил все же про подробности:
«Платная палата 2800
Туалетной бумаги нет. Спрашиваю, почему не берете на операцию?Отвечают- сначала берем тяжелых. Врут. Сначала берут из платных
В результате на 4ый день я заплатила за штырь, за наркоз и за операцию около 120 тыс.рублей. Вечером в четверг прооперировали утром в пятницу выписали.
Но у меня все хорошо. Оно того стоило»
Слушайте- я сам очень долго был главным врачом. Есть 2 самых страшных для главврача греха: держать больного в коридоре при свободной палате (не важно- платная она или нет) и брать деньги по платным услугам с участника ВОВ или человека, пережившего Ленинградскую блокаду!
Московское ДЗ за это меня бы уволило!
В Питере в ГБ 40 на это смотрят иначе?? | https://t.me/drmyasnikov/2270?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 93,200 | 0 | 1,712,472,361 | 1,730,797,732 | 10,346 | 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| [{"ner":"Любу Мясникову-","lemma":"люба мясникову-","label":"PER","start_pos":36,"end_pos":51},{"ner":"Сестрорецке","lemma":"сестрорецк","label":"LOC","start_pos":497,"end_pos":508},{"ner":"СВО","lemma":"сво","label":"ORG","start_pos":673,"end_pos":676},{"ner":"Тверь","lemma":"тверь","label":"LOC","start_pos":829,"end_pos":834},{"ner":"Питере","lemma":"питер","label":"LOC","start_pos":1555,"end_pos":1561},{"ner":"ГБ","lemma":"гб","label":"ORG","start_pos":1564,"end_pos":1566},{"ner":"10 марта","lemma":"10 марта","label":"DATE","start_pos":456,"end_pos":464},{"ner":"85","lemma":"85","label":"NUM","start_pos":79,"end_pos":81},{"ner":"1","lemma":"1","label":"NUM","start_pos":272,"end_pos":273},{"ner":"4","lemma":"4","label":"NUM","start_pos":478,"end_pos":479},{"ner":"2800","lemma":"2800","label":"NUM","start_pos":922,"end_pos":926},{"ner":"4","lemma":"4","label":"NUM","start_pos":1069,"end_pos":1070},{"ner":"120","lemma":"120","label":"NUM","start_pos":1130,"end_pos":1133},{"ner":"2","lemma":"2","label":"NUM","start_pos":1297,"end_pos":1298},{"ner":"40","lemma":"40","label":"NUM","start_pos":1567,"end_pos":1569}] | NEUTRAL | rus | NOT SPAM | 254 | 0 | 10 | 1 | 0 | 0 | 25 | 38 | 18 | 8 | 74 | 8 | 52 | true |
26 | null | Я выехал в Непал на несколько дней раньше основной группы, чтобы акклиматиз перед восхождением. Легкая гимнастика, ходьба по холмам и много времени почитать. Вот поделюсь. Я неоднозначно воспринимаю Шопенгауэра, но вот не мысли, а золото!
• Мы редко думаем о том, что имеем, но всегда беспокоимся о том, чего у нас нет.
• Каждый усматривает в другом лишь то, что содержится в нем самом.
• Самостоятельность суждений — привилегия немногих: остальными руководят авторитет и пример.
• Для каждого человека ближний — зеркало, из которого смотрят на него его собственные пороки; но человек поступает при этом как собака, которая лает на зеркало в том предположении, что видит там не себя, а другую собаку.
•
Здоровье до того перевешивает все остальные блага жизни, что поистине здоровый нищий счастливее больного короля.
• С точки зрения молодости жизнь есть бесконечное будущее, с точки зрения старости — очень короткое прошлое.
• Кто жесток к животным, тот не может быть добрым человеком.
• Есть одна только врожденная ошибка — это убеждение, будто мы рождены для счастья.
• Разумно было бы почаще говорить себе: «Изменить я этого не могу, остается извлекать из этого пользу». | https://t.me/drmyasnikov/2271?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,300 | 0 | 1,712,550,028 | 1,730,797,732 | 10,346 | 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| [{"ner":"Непал","lemma":"непал","label":"LOC","start_pos":11,"end_pos":16},{"ner":"Шопенгауэра","lemma":"шопенгауэра","label":"PER","start_pos":199,"end_pos":210},{"ner":"Разумно","lemma":"разумно","label":"PER","start_pos":1072,"end_pos":1079}] | NEUTRAL | rus | NOT SPAM | 187 | 0 | 3 | 1 | 0 | 0 | 17 | 26 | 22 | 4 | 43 | 8 | 48 | true |
26 | null | Видеорубрика "Для души и тела". Эксклюзив от доктора Мясникова: чему нужно учить ребенка?
- Кем хотят стать современные дети?
- Стоит ли поощрять фантазии ребенка?
- Чем занимался в детстве доктор Мясников?..
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/-nqLgOmN0hE | https://t.me/drmyasnikov/2272?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 69,400 | 0 | 1,712,581,753 | 1,730,797,732 | 10,346 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":53,"end_pos":62},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":197,"end_pos":205},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":235,"end_pos":250},{"ner":"0","lemma":"0","label":"NUM","start_pos":277,"end_pos":278}] | NEUTRAL | rus | NOT SPAM | 38 | 0 | 0 | 0.982143 | 0.017857 | 0 | 2 | 8 | 3 | 0 | 16 | 0 | 11 | true |
26 | null | Просили про Бербирин.
Берберин — это алкалоид, который присутствует в некоторых растениях и веками использовался в Китайской традиционной медицине.
И сегодня Берберин широко популярен для лечения различных заболеваний, пока в качестве вспомогательного препарата. Основные растения, содержащие берберин, включают желтокорень канадский, барбарис, орегонский виноград, коптис китайский, а также другие виды барбариса и магонии (не зря мне мама говорила, что крымский барбарис чрезвычайно полезен! Я вырос на нём!)
Берберин применяется для:
1. лечения сердечно-сосудистыми заболеваний,
2.диабета 2 типа,
3. Снижение веса при
ожирении
4. При аллергии
5. депрессии
Способствует улучшению многих факторов риска сердечных заболеваний, снижает холестерин, триглицериды и сахар в крови, а также обладает антиоксидантными и противовоспалительными свойствами.
Рекомендуемая дозировка
Берберина составляет 1500 мг в сутки, разделённых на три приёма по 500 мг за полчаса до еды. Однако перед началом приёма необходимо проконсультироваться с врачом, особенно если вы уже принимаете какие-либо лекарства, поскольку берберин может взаимодействовать с некоторыми из них. Обычно Берберин хорошо переносится, но может вызвать побочные эффекты, связанные с пищеварением, такие как диарея или наоборот запор.
Еще спрашивали- что выбрать, если живешь за рубежом. Там популярны Double Wood Supplements Berberine,
Enzymedica Berberine, HUM Nutrition Best of Berberine. | https://t.me/drmyasnikov/2273?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,900 | 0 | 1,712,661,213 | 1,730,797,732 | 10,346 | 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berberine","label":"ORG","start_pos":1390,"end_pos":1410},{"ner":"1","lemma":"1","label":"NUM","start_pos":538,"end_pos":539},{"ner":"2","lemma":"2","label":"NUM","start_pos":583,"end_pos":584},{"ner":"2","lemma":"2","label":"NUM","start_pos":593,"end_pos":594},{"ner":"3","lemma":"3","label":"NUM","start_pos":601,"end_pos":602},{"ner":"4","lemma":"4","label":"NUM","start_pos":631,"end_pos":632},{"ner":"5","lemma":"5","label":"NUM","start_pos":647,"end_pos":648},{"ner":"1500","lemma":"1500","label":"NUM","start_pos":894,"end_pos":898},{"ner":"500","lemma":"500","label":"NUM","start_pos":940,"end_pos":943}] | NEUTRAL | rus | NOT SPAM | 188 | 0 | 3 | 0.955645 | 0.044355 | 0 | 23 | 22 | 6 | 10 | 54 | 15 | 42 | true |
26 | null | Психолог отказал мне в помощи. Это нормально
Не всем удаётся с первой попытки найти подходящего психолога. Бывает так, что специалист по каким-то причинам не подходит вам, но бывают и обратные ситуации — когда психолог может сам отказать в приёме. Почему так происходит, и что делать, если вы столкнулись с отказом, читайте в нашем новом
материале
.
Автор: Илья Розов.
Редактура: Екатерина Федотова, Ольга Кравченко.
#статьи | https://t.me/imatrip/1736?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,680,684,469 | 1,730,797,732 | 10,366 | 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| [{"ner":"Илья Розов","lemma":"илья розов","label":"PER","start_pos":357,"end_pos":367},{"ner":"Екатерина Федотова","lemma":"екатерина федотов","label":"PER","start_pos":380,"end_pos":398},{"ner":"Ольга Кравченко","lemma":"ольга кравченко","label":"PER","start_pos":400,"end_pos":415}] | NEUTRAL | rus | NOT SPAM | 65 | 0 | 0 | 1 | 0 | 0 | 5 | 13 | 6 | 0 | 14 | 3 | 16 | true |
26 | null | Любопытный обзор относительно эмпатии у лиц с нарциссическим расстройством личности.
Нарциссическое расстройство личности характеризуются всеобъемлющим паттерном эгоцентризма, грандиозности (в фантазиях или поведении), потребности в восхищении и недостаточной способности к эмпатии начинающийся в юности и проявляющийся в разнообразных контекстах.
Важными признаками считается:
1) Неоправданные ожидания особых привилегий или требование автоматического согласия с его / ее ожиданиями;
2) Агрессивная межличностная эксплуатация и манипуляция т.е. использование других в своих целях;
3) Отсутствие эмпатии, т.е. нежелание распознавать или идентифицироваться с чувствами или потребностями других.
Традиционно считается, что значительная проблем нарциссов объясняется именно дефицитом эмпатии.
Однако, как давно было замечено, для того чтобы быть успешным манипулятором, необходимо "вчувствоваться" в состояние тех кем ты манипулируешь.
Налицо противоречие, которое однако можно разрешить уточнив, а что такое собственно "эмпатия"?
Эмпатия - это способность распознавать чужие мысли и чувства и адекватно реагировать на них соответствующей эмоцией.
Эмпатию условно подразделяют на когнитивную и аффективную эмпатию.
Аффективная эмпатия - это способность реагировать на психические состояния другого человека соответствующей эмоцией.
Когнитивная эмпатия проявляется в способности поставить себя на место другого человека, представить себе его состояние ("залезть в его шкуру") и предсказать его поведение на основе этого знания. Она тесно связана с теорией разума.
Так вот, вероятно у нарциссов есть проблема / дефицит / отсутствие только аффективной, но не когнитивной эмпатии.
Когнитивная эмпатия необходима для прокачки манипулятивных навыков, социального паразитизма и более эффективной эксплуатации других людей.
Источник:
https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1074558/full
#эмпатия
#нарциссизм | https://t.me/imatrip/1737?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,680,763,336 | 1,730,797,732 | 10,355 | 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| [{"ner":"23.10","lemma":"23.10","label":"DATE","start_pos":1876,"end_pos":1881},{"ner":"10.33","lemma":"10.33","label":"DATE","start_pos":1860,"end_pos":1865},{"ner":"74558","lemma":"74558","label":"DATE","start_pos":1881,"end_pos":1886},{"ner":"1","lemma":"1","label":"NUM","start_pos":378,"end_pos":379},{"ner":"2","lemma":"2","label":"NUM","start_pos":485,"end_pos":486},{"ner":"3","lemma":"3","label":"NUM","start_pos":582,"end_pos":583},{"ner":"3389","lemma":"3389","label":"NUM","start_pos":1863,"end_pos":1867},{"ner":"2023","lemma":"2023","label":"NUM","start_pos":1874,"end_pos":1878},{"ner":"1074558","lemma":"1074558","label":"NUM","start_pos":1879,"end_pos":1886}] | NEUTRAL | rus | NOT SPAM | 227 | 0 | 0 | 0.996552 | 0.003448 | 0 | 36 | 24 | 9 | 3 | 79 | 13 | 50 | true |
26 | null | Привет!
Мы делаем небольшое исследование о том, как люди с БАР переживают период после 24 февраля. Его результаты обязательно будут опубликованы на этом канале. Мы будем рады, если вы пройдете короткий опросник, особенно если у вас есть диагноз БАР.
https://forms.gle/nSVYwnJiV7GbTUQo8 | https://t.me/imatrip/1738?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,900 | 0 | 1,680,781,454 | 1,730,797,732 | 10,346 | 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| [{"ner":"24 февраля","lemma":"24 февраля","label":"DATE","start_pos":87,"end_pos":97},{"ner":"7","lemma":"7","label":"NUM","start_pos":277,"end_pos":278},{"ner":"8","lemma":"8","label":"NUM","start_pos":284,"end_pos":285}] | NEUTRAL | rus | NOT SPAM | 40 | 0 | 2 | 0.979592 | 0.020408 | 0 | 4 | 5 | 5 | 0 | 9 | 3 | 7 | true |
26 | null | «Идеальное преступление»: как травма «захватывает» нашу лимбическую систему и управляет эмоциями
— психиатр Пол Конти коротко и доступно объясняет, как травма «захватывает» лимбическую систему и искажает воспоминания и почему прошлое может восприниматься нашим мозгом как настоящее.
#травма | https://t.me/imatrip/1739?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,681,104,417 | 1,730,797,732 | 10,346 | 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| [{"ner":"Пол Конти","lemma":"пол конти","label":"PER","start_pos":108,"end_pos":117}] | NEUTRAL | rus | NOT SPAM | 37 | 0 | 0 | 1 | 0 | 0 | 4 | 7 | 0 | 0 | 11 | 4 | 11 | true |
26 | null | Чтобы ваша кожа сияла здоровьем, а морщины и акне стали делом прошлого, нужен
витамин С
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С возрастом наша кожа теряет упругость, так как уменьшается выработка коллагена. Витамин С стимулирует его синтез, возвращая коже плотность и эластичность. Это помогает сгладить морщины, делая лицо моложе и здоровее
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В борьбе с акне и постакне витамин С также незаменим. Он снимает воспаление, устраняет покраснения и ускоряет заживление кожи. Как антиоксидант, витамин С помогает осветлить темные пятна, оставшиеся после прыщей
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Гиперпигментация, вызванная солнцем, часто появляется после 40 лет. Витамин С блокирует фермент тирозиназу, который отвечает за выработку меланина, помогая осветлить пигментные пятна и сделать тон кожи более ровным и сияющим
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Витамин С укрепляет барьерные функции кожи, помогает удерживать влагу и защищает от сухости и шелушения. | https://t.me/magerya/11156?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 52,300 | 0 | 1,725,082,214 | 1,730,797,732 | 10,366 | 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| [{"ner":"40","lemma":"40","label":"NUM","start_pos":584,"end_pos":586}] | NEUTRAL | rus | NOT SPAM | 124 | 0 | 8 | 1 | 0 | 0 | 7 | 30 | 3 | 1 | 44 | 4 | 25 | true |
26 | null | О том,
как правильно снизить вес
, рассказала эндокринолог нашей клиники –
Горбачева Анна Викторовна.
Для записи на консультацию
👉🏼
@mageryaclinic
Ждем вас по адресу:
г.Краснодар, ул. Красная, 184
💚 | https://t.me/magerya/11157?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,800 | 0 | 1,725,095,039 | 1,730,797,732 | 10,356 | 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| [{"ner":"Горбачева","lemma":"горбачёв","label":"PER","start_pos":75,"end_pos":84},{"ner":"Анна Викторовна","lemma":"анна викторович","label":"PER","start_pos":85,"end_pos":100},{"ner":"Краснодар","lemma":"краснодар","label":"LOC","start_pos":169,"end_pos":178},{"ner":"Красная","lemma":"красный","label":"LOC","start_pos":184,"end_pos":191},{"ner":"184","lemma":"184","label":"NUM","start_pos":193,"end_pos":196}] | NEUTRAL | rus | NOT SPAM | 30 | 0 | 1 | 0.978261 | 0.021739 | 0 | 1 | 3 | 2 | 2 | 8 | 2 | 9 | true |
26 | null | С кайфом лег спать во время грозы в Грузии. А вы еще спрашиваете, почему мало постов
Судмед ощущает жизнь | https://t.me/sudmednotes/8807?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 58,100 | 0 | 1,724,450,714 | 1,730,797,732 | 10,366 | 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| [{"ner":"Грузии","lemma":"грузия","label":"LOC","start_pos":36,"end_pos":42},{"ner":"Судмед","lemma":"судмед","label":"PER","start_pos":85,"end_pos":91}] | NEUTRAL | rus | NOT SPAM | 19 | 0 | 2 | 1 | 0 | 0 | 0 | 4 | 1 | 0 | 5 | 3 | 2 | true |
26 | null | Доброго времени суток, держите мем для канала:) | https://t.me/sudmednotes/8808?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 58,500 | 0 | 1,724,487,410 | 1,730,797,732 | 10,366 | 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| null | NEUTRAL | rus | NOT SPAM | 7 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 4 | 0 | 2 | true |
26 | null | Сравнение данных посмертной КТ и результатов вскрытия пострадавшего в ДТП.
3D-реконструкция и вскрытие, показывающее оскольчатые переломы бедренной кости.
Проекционные изображения максимальной интенсивности и вскрытие, показывающее перелом основания черепа.
Записки судмедэксперта | https://t.me/sudmednotes/8810?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 61,600 | 0 | 1,724,522,634 | 1,730,797,732 | 10,346 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":75,"end_pos":76}] | NEUTRAL | rus | NOT SPAM | 30 | 0 | 3 | 0.975 | 0.025 | 0 | 4 | 3 | 0 | 0 | 17 | 0 | 5 | true |
26 | null | Что там с Дуровым?
upd. Пздц, видимо будут глобальные изменения в моей любимой телеге | https://t.me/sudmednotes/8812?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 66,000 | 0 | 1,724,534,580 | 1,730,797,732 | 10,346 | 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| [{"ner":"Дуровым","lemma":"дуров","label":"PER","start_pos":10,"end_pos":17}] | NEGATIVE | rus | NOT SPAM | 14 | 0 | 0 | 0.944444 | 0.055556 | 0 | 2 | 1 | 1 | 0 | 2 | 2 | 3 | true |
26 | null | Всем привет
❤️
сегодня говорим про витамин С.
Принимаете? Если да, то какую дозу.
Пост от меня чуть позже. | https://t.me/DrAnshina/796?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 94,800 | 0 | 1,678,777,621 | 1,730,797,733 | 10,368 | 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| null | NEUTRAL | rus | NOT SPAM | 19 | 0 | 1 | 1 | 0 | 0 | 0 | 3 | 2 | 0 | 3 | 3 | 6 | true |
26 | null | Выложила видео про витамин С
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Меня радует, что многие из вас уже знают: витамин С в добавках не нужен
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#витамины | https://t.me/DrAnshina/797?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 68,900 | 0 | 1,678,819,303 | 1,730,797,733 | 10,368 | 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| [{"ner":"5","lemma":"5","label":"NUM","start_pos":59,"end_pos":60},{"ner":"19","lemma":"19","label":"NUM","start_pos":62,"end_pos":64}] | NEUTRAL | other | NOT SPAM | 28 | 0 | 2 | 0.975 | 0.025 | 0 | 3 | 4 | 2 | 0 | 6 | 1 | 5 | true |
26 | null | Когда иду- думаю- Господи, как же трудно!
На вершине- Господи- как же красиво!
По дороге вниз- ну зачем я в это ввязался?!
Внизу- что бы я еще когда пошел?! Никогда!
Через неделю: мужики, куда след раз идем?!
После завтра -Гималаи!
Аааа! | https://t.me/drmyasnikov/2264?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,400 | 0 | 1,712,173,838 | 1,730,797,733 | 10,366 | 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| [{"ner":"Господи","lemma":"господи","label":"PER","start_pos":18,"end_pos":25}] | NEGATIVE | rus | NOT SPAM | 41 | 0 | 0 | 1 | 0 | 0 | 3 | 3 | 4 | 0 | 10 | 5 | 15 | true |
26 | null | "О самом главном". Самый известный российский альпинист Александр Абрамов в гостях у доктора Мясникова
"Зачем идёте в горы вы?"
Александр Мясников и Александр Абрамов рассуждают о риске, альпинизме и экстремальных увлечениях.
- Зачем доктор Мясников снова собирается в горы?
- Стоит ли преодолевать себя?
- Как справиться с ленью, усталостью и собственными страхами?
Смотрите видео на ютьюб-канале "Доктор Мясников"
https://youtu.be/kNMEdl8Iz4I | https://t.me/drmyasnikov/2265?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 86,200 | 0 | 1,712,320,450 | 1,730,797,733 | 10,367 | 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| [{"ner":"Александр Абрамов","lemma":"александр абрамов","label":"PER","start_pos":56,"end_pos":73},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":93,"end_pos":102},{"ner":"Александр Мясников","lemma":"александр мясников","label":"PER","start_pos":128,"end_pos":146},{"ner":"Александр Абрамов","lemma":"александр абрамов","label":"PER","start_pos":149,"end_pos":166},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":241,"end_pos":249},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":399,"end_pos":414},{"ner":"8","lemma":"8","label":"NUM","start_pos":439,"end_pos":440},{"ner":"4","lemma":"4","label":"NUM","start_pos":442,"end_pos":443}] | NEUTRAL | rus | NOT SPAM | 60 | 0 | 1 | 0.987952 | 0.012048 | 0 | 7 | 6 | 2 | 0 | 19 | 5 | 15 | true |
26 | null | Коклюш, выбор и покупка лекарств, правильный завтрак. Программа "Доктор Мясников" ("Россия 1"). Эфир от 06.04.2024
Почему в России резко выросла заболеваемость коклюшем? Какие симптомы говорят о развитии заболевания? Как, когда и чем правильно завтракать? Какой завтрак улучшит работу мозга? Как правильно покупать лекарства, чтобы не потратить лишних денег? Это и многое другое – в программе "Доктор Мясников" на телеканале "Россия".
https://smotrim.ru/video/2787178 | https://t.me/drmyasnikov/2266?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,200 | 0 | 1,712,385,177 | 1,730,797,733 | 10,366 | 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| [{"ner":"Коклюш","lemma":"коклюш","label":"PER","start_pos":0,"end_pos":6},{"ner":"Россия 1","lemma":"россия 1","label":"ORG","start_pos":84,"end_pos":92},{"ner":"России","lemma":"россия","label":"LOC","start_pos":124,"end_pos":130},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":394,"end_pos":409},{"ner":"Россия","lemma":"россия","label":"ORG","start_pos":426,"end_pos":432},{"ner":"06.04","lemma":"06.04","label":"DATE","start_pos":104,"end_pos":109},{"ner":"27871","lemma":"27871","label":"DATE","start_pos":460,"end_pos":465},{"ner":"1","lemma":"1","label":"NUM","start_pos":91,"end_pos":92},{"ner":"04","lemma":"04","label":"NUM","start_pos":107,"end_pos":109},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":110,"end_pos":114}] | NEUTRAL | rus | NOT SPAM | 61 | 0 | 0 | 0.988235 | 0.011765 | 0 | 3 | 6 | 1 | 2 | 21 | 6 | 23 | true |
26 | null | Не успел прилететь в Гималаи, так стали посещать умные мысли.
Например, что мы все рождаемся с равными возможностями.
Ну да-
ха-ха- и сын миллиардера и внук народного артиста и пастух из села в Хакасии….
Всегда думал: ну этому-то что- он родился с «серебряной ложкой» во рту.
Но потом посмотришь как распорядилась жизнь- и поражаешься! Как какой-то великан подошел и перемешал все шансы огромной ложкой! И вот сын Джа Байдена- наркоман, который не может получить удовольствие уже ни от чего, а дети нищеты и беды поднялись до немыслимых высот (Франсуа Пино, Ян Кум, ли Кашин)…. Хотя все это наивные мысли человека, давно не соприкасавшегося с величием Природы! Мелкий мир- мелкие мысли….. А вот когда попадаешь а место Силы,,,,,Давно было сказано: «
что не проворным достаётся успешный бег, не храбрым — победа, не мудрым — хлеб, и не у разумных — богатство, и не искусным — благорасположение, но время и случай для всех их.» | https://t.me/drmyasnikov/2267?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 75,100 | 0 | 1,712,414,463 | 1,730,797,733 | 10,366 | 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| [{"ner":"Гималаи","lemma":"гималаи","label":"LOC","start_pos":21,"end_pos":28},{"ner":"Хакасии","lemma":"хакасия","label":"LOC","start_pos":194,"end_pos":201},{"ner":"Джа Байдена-","lemma":"джа байдена-","label":"PER","start_pos":414,"end_pos":426},{"ner":"Франсуа Пино","lemma":"франсуа пино","label":"PER","start_pos":544,"end_pos":556},{"ner":"Ян Кум","lemma":"ян кум","label":"PER","start_pos":558,"end_pos":564},{"ner":"Кашин","lemma":"кашин","label":"PER","start_pos":569,"end_pos":574}] | NEUTRAL | rus | NOT SPAM | 152 | 0 | 2 | 1 | 0 | 0 | 15 | 19 | 8 | 0 | 34 | 8 | 37 | true |
26 | null | Привет! Меня зовут Даша и я веду канал о ментальном здоровье. У меня стоят пограничное расстройство личности, биполярное аффективное расстройство и постравматическое расстройство. Сейчас я активно прохожу психотерапию и делюсь результатами и инсайтами. На канале я делюсь полезными книжками, делаю сама прикольные проекты: например, недавно вместе с психологами сделала
гайд
, как поддерживать себя и других! А ещё я рассказывала о себе тинькофф-журналу и огонь медиа! Всё ссылочки в закрепе.
Ещё я содержу 3 котиков и 1 песеля, которые участвуют в постоянной рубрике "антистресс".
Моя главная задача показать, что вы не одни, что другие тоже сталкиваются с проблемами принятия себя, трудностями с общением и многими другими. И показать, что с ними можно справиться.
Подписывайтесь на канал по ссылочке
https://t.me/pbdandcats | https://t.me/imatrip/1723?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,679,922,003 | 1,730,797,733 | 10,366 | 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26 | null | ФЕНОМЕНОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ПСИХОТИЧЕСКИХ РАССТРОЙСТВ У ПОТРЕБИТЕЛЕЙ СИНТЕТИЧЕСКИХ КАТИНОНОВ
Частота встречаемости психотических расстройств, вызванная приемом ПАВ и приводящая к госпитализации в стационар, по данным Европейской сети по чрезвычайным ситуациям с наркотиками (Euro-DEN), составляет 6,3%. Из группы синтетических катинонов были отмечены: метилендиоксипировалерон (МДПВ) (27,3% наблюдений), мефедрон (5,7%) и метедрон (3,3%). Таким образом, способность наркотических веществ вызывать психотические расстройства заметно различается не только у веществ разных групп, но и в одной из них, в частности - в группе синтетических катинонов.
Одними из первых, кто обратил внимание на то, что прием катинонов (в исследовании это были «природные катиноны») может привести к развитию галлюцинаторно-бредовой симптоматики, были J.Giannini и S.Castellani.
Наиболее часто встречающимися, по данным литературы, острыми психопатологическими нарушениями после приема СК являются: тревога, страх, симптомы деперсонализации и дереализации, дисфория, панические атаки, депрессивные расстройства, острая паранойяльная реакция, нарушения сна, галлюцинаторные и иллюзорные расстройства, кататоническая симптоматика, суицидальные мысли и действия, а также судорожные припадки. Отмечается, что данные острые психотические расстройства развиваются, как правило, через 0,5-2 часа после курения или ингаляции синтетических катинонов через нос и(или) сразу после внутривенного введения.
Далее:
https://cyberleninka.ru/article/n/fenomenologicheskie-osobennosti-psihoticheskih-rasstroystv-u-potrebiteley-sinteticheskih-katinonov/viewer
#ПАВ | https://t.me/imatrip/1724?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,679,990,551 | 1,730,797,733 | 10,366 | 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26 | null | 🔔
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Если у вас есть знакомые / чаты / паблики связанные с психиатрической тематикой, пожалуйста, поделитесь этой публикацией! | https://t.me/imatrip/1725?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,680,099,528 | 1,730,797,733 | 10,366 | 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| [{"ner":"Общественную наблюдательную комиссию","lemma":"общественный наблюдательный комиссия","label":"ORG","start_pos":256,"end_pos":292}] | NEUTRAL | rus | NOT SPAM | 123 | 0 | 0 | 1 | 0 | 0 | 15 | 15 | 7 | 1 | 48 | 4 | 24 | true |
26 | null | К вопросу об "эпидемии психических расстройств".
Усилия по повышению осведомленности о проблемах психического здоровья, непреднамеренно приводят к увеличению числа зарегистрированных проблем с психическим здоровьем.
Первый механизм объясняющий подобный рост заключается в том, что из-за просвещения люди стали лучше распознавать свои проблемы с психическим здоровьем и сообщать о них.
Второй механизм заключается в том, что повышение осведомленности побуждает некоторых людей ошибочно интерпретировать свой текущий социальный дистресс и / или рядовые психологические переживания как психопатологию.
В некоторых случаях это становится самоисполняющимся пророчеством: интерпретация трудностей как ментального заболевания действительно может привести к негативным изменениям в самооценке и поведении, которые в конечном итоге только усугубляют дистресс.
Источник:
https://www.sciencedirect.com/science/article/pii/S0732118X2300003X
#психопатология | https://t.me/imatrip/1726?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,680,297,898 | 1,730,797,733 | 10,366 | 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26 | null | Иногда мы сталкиваемся с мощными и неуправляемыми внешними стресс факторами. Которые меняют жизнь, разделяя ее на «до и после». А еще со стыдом и чувством вины. С самокритикой и самообесцениванием. С ощущением собственной неуместности.
Именно в такие моменты важно стать собственным союзником, а не врагом. Отнестись к себе так, как отнеслись бы к близкому человеку в этой сложной ситуации — с заботой, поддержкой и готовностью помочь. Потому что испытывать то, что вы испытываете - нормально.
У всех бывают сомнения, провалы, ошибки, тяжелые мысли.
И сострадание к боли и проблемам — неотъемлемое право каждого человека. Мы несовершенны. Мы совершаем ошибки. Мы постоянно меняемся. А еще:
* Мы не выбираем какие эмоции испытывать
* Мы никогда не одиноки в наших чувствах и мыслях
* Наши страдания никому не сделают лучше
* Мы можем найти способ поддержать себя. И именно это даст нам возможность помогать другим.
Море волнуется, а ты — нет
x
selfreflexia | https://t.me/imatrip/1735?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,680,502,303 | 1,730,797,733 | 10,366 | 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| null | NEUTRAL | rus | NOT SPAM | 151 | 0 | 7 | 0.989362 | 0.010638 | 0 | 12 | 24 | 19 | 0 | 35 | 12 | 34 | true |
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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 2 | 0 | 2 | true |
26 | null | 700.000
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| [{"ner":"00.00","lemma":"00.00","label":"DATE","start_pos":1,"end_pos":6},{"ner":"700","lemma":"700","label":"NUM","start_pos":0,"end_pos":3},{"ner":"000","lemma":"000","label":"NUM","start_pos":4,"end_pos":7}] | NEUTRAL | other | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | true |
26 | null | Горжусь нами
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Осталось 800тыс всего
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Пожертвование на нужды Великой Отечественной Спецоперации:
2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11151?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 53,600 | 0 | 1,724,997,039 | 1,730,797,733 | 10,369 | 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26 | null | Кислотный магний
👨🏼🔬
🧪 | https://t.me/magerya/11152?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 55,700 | 0 | 1,725,000,425 | 1,730,797,733 | 10,366 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 2 | true |
26 | null | Работайте, братья
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Мы поможем:
2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11154?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 56,400 | 0 | 1,725,007,422 | 1,730,797,733 | 10,369 | 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26 | null | Не отписывайтесь пожалуйста
🙏
. Мозги тут будут публиковаться без звезд.
Это скопление гноя у основания мозга и вокруг мозжечка при гнойном менингите
🧠
Гнойный менингит
— воспалительный процесс, возникающий в оболочках головного мозга при проникновении в нее гноеродных микроорганизмов (пневмококков, менингококков, стрептококков и пр.). Заболевание характеризуется развитием тяжелых осложнений и высокой летальностью.
Заболеванию подвержены все возрастные категории, но наиболее часто гнойный менингит развивается у детей до 5 лет.
На сегодняшний день наиболее эффективным способом, позволяющим предупредить гнойный менингит,
является вакцинация.
Прививки проводится против основных возбудителей гнойного менингита. В СНГ эти вакцины не считаются обязательными и вводятся по показаниям или по желанию пациентов.
Записки судмедэксперта | https://t.me/sudmednotes/8800?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 66,100 | 0 | 1,724,307,171 | 1,730,797,733 | 10,366 | 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| [{"ner":"СНГ","lemma":"снг","label":"ORG","start_pos":720,"end_pos":723},{"ner":"5","lemma":"5","label":"NUM","start_pos":526,"end_pos":527}] | NEUTRAL | rus | NOT SPAM | 105 | 0 | 2 | 1 | 0 | 0 | 17 | 11 | 1 | 1 | 38 | 5 | 19 | true |
26 | null | Ссадина
— это поверхностное механическое повреждение верхних слоев кожи.
Ссадина возникает, когда
поверхностный слой кожи (эпидермис)
соскабливается из-за трения о поверхность или предмет.
На фотографиях показаны ссадины из-за трения между кожей и поверхностью дорожного покрытия, образовавшиеся во время ДТП.
Записки судмедэксперта | https://t.me/sudmednotes/8804?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 61,200 | 0 | 1,724,354,271 | 1,730,797,733 | 10,366 | 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| [{"ner":"Ссадина","lemma":"ссадина","label":"PER","start_pos":0,"end_pos":7},{"ner":"Ссадина","lemma":"ссадина","label":"PER","start_pos":73,"end_pos":80}] | NEUTRAL | rus | NOT SPAM | 41 | 0 | 1 | 1 | 0 | 0 | 5 | 4 | 0 | 0 | 18 | 0 | 8 | true |
26 | null | Ну кайф же? | https://t.me/sudmednotes/8806?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 56,800 | 0 | 1,724,432,587 | 1,730,797,733 | 10,366 | 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| null | POSITIVE | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | true |
26 | null | Витамины для взрослых.
А какие витамины принимаете вы? | https://t.me/DrAnshina/787?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 87,000 | 0 | 1,678,686,724 | 1,730,797,734 | 10,402 | 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| null | NEUTRAL | rus | NOT SPAM | 8 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 3 | 0 | 2 | true |
26 | null | Друзья. Еще раз. Без обид: я под постами не лечу, анализы не смотрю!!
Посты являются информационными, не призыв к самолечению!
Даже если было бы время (а его нет). Это утопно! С железом: надо понимать куда девается, какие еще дефициты, что с питанием… тоже самое с холестерином и всем остальным.
Это просто надо принять как факт
❤️
Для моих пациентов: кто на март оставил заявку, все попадут.
Кто нет, уже после 10 апреля. Май я работаю с пациентами с 10 по 30.
Июнь, июль на других проектах и в отпуске. | https://t.me/DrAnshina/788?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 107,500 | 0 | 1,678,709,161 | 1,730,797,734 | 10,402 | 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| [{"ner":"10 апреля","lemma":"10 апреля","label":"DATE","start_pos":412,"end_pos":421},{"ner":"10","lemma":"10","label":"NUM","start_pos":452,"end_pos":454},{"ner":"30","lemma":"30","label":"NUM","start_pos":458,"end_pos":460}] | NEUTRAL | rus | NOT SPAM | 89 | 0 | 1 | 1 | 0 | 0 | 6 | 12 | 8 | 2 | 23 | 7 | 27 | true |
26 | null | Вирусы гепатита поражают не только печень. Внепеченочные проявления хронических вирусных гепатита С довольно разнообразны. Это и поражение почек, суставов, кожи, щитовидной железы и проч. Вот эти болезни:
Во-первых криоглобулинемия.
Криоглобулины — это белки, которые осаждаются из сыворотки крови при низкой температуре и растворяются при повторном нагревании. Наличие криоглобулинов в крови может указывать на криоглобулинемию — состояние, которое может быть связано с различными заболеваниями, включая инфекционные, аутоиммунные и другие.
Криоглобулины, оседая на стенках сосудов, вызывают их воспаление-васкулит- и снижение артериального кровотока. Это ведет к поражению почек, суставов, кожи, опять же печени. И в подавляющем большинстве случаев причина криоглобулинемии- вирус гепатита С.
Хорошо известна связь между гепатитом С и онкологическим заболеванием крови- лимфомой. Причем при лечении гепатита С противовирусными препаратами, риски лимфомы так же снижаются.
Кожная порфирия-Porphyria cutanea tarda - это заболевание, вызывающее накопление порфиринов в печени, а также в крови. Порфирины- химические соединения, которые участвуют в строении гемоглобина.. накопление порфиринов вне их функции характеризуется хроническими волдырями, светочувствительностью кожи; воздействие солнца и незначительные травмы могут привести к эритеме кожи и пузырчатке.
Бессимптомные аутоантитела - антитела, которые путают сигнал «свой-чужой» и перенацеливаются на ткани собственного организма. Аутоантитела распространены у пациентов с хронической инфекцией гепатитом С. Антинуклеарные антитела, антитела ревматоидного фактора, антикардиолипиновых антител, антител к гладким мышцам или антитела к щитовидной железе, обнаруживаются у 40-65 процентов пациентов с гепатитом С. Хотя антитела часто присутствуют в низких титрах, аутоиммунный гепатит и заболевания щитовидной железы (в первую очередь гипотиреоз) тесно связаны с гепатитом С.
Инфекция вирусом гепатита С повышает риски с
сахарного диабета. Мета-анализ 34 исследований показал, что риск был увеличен почти на 70 процентов у пациентов, инфицированных вирусом гепатита С, по сравнению с неинфицированными контрольными группами. Риск также был повышен по сравнению с пациентами с хронической вирусной инфекцией гепатита В.
- инфекция вируса гепатита С может быть связана с целым рядом различных офтальмологическими расстройствами, включая сухость глаз, язвы роговицы, увеит, склерит кровоизлияния в сетчатке.
Заболевание почек - гломерулонефрит- может возникнуть у пациентов с хронической инфекцией гепатита С, Патогенез, по-видимому, связан с отложением иммунных комплексов, содержащих антитела к вирусу гепатита С.
Клинические рекомендации рекомендуют скрининг на заболевание почек сразу при диагностике гепатита С, а затем ежегодно.
Пациенты с гепатитом С также чаще подвержены переломам (снижение минеральной плотностью костей- «печеночная остеодистрофия»- вероятно в результате хронического воспаления). И артриты. Они отмечаются у 2-20% пациентов с гепатитом С.
Заболевание щитовидной железы- гипотиреоз- часто встречается пациентов с гепатитом С. Настолько, что при диагнозе гепатита С надо проверять функцию щитовидной железы» | https://t.me/drmyasnikov/2257?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 83,200 | 0 | 1,711,686,807 | 1,730,797,734 | 10,402 | 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26 | null | Новые подходы в лечении стенокардии.
Далеко не все пациенты со стенокардии могут быть кандидатами для установки стендов в коронарные артерии.
Для них единственным выходом остается медикаментозная терапия.и тут появилось много новых подходов.
Ранолазин (Ранекса). «ингибитор позднего тока ионов натрия в клетки миокарда». Этими умными словами объясняется снижение напряжения миокарда и как следствие- снижение потребления им кислорода.
Уменьшает число приступов и помогает предотвратит инфаркт. Снижает и сахар крови. Иногда применяют и для лечения аритмий. Но-внимание- как и любой антиаритмик, может сам провоцировать аритмию!
Может заменять бета-блокаторы (конкор, метапролол), когда они неэффективны или противопоказаны.
Триметазидин (Антистен). Средство, нормализующее энергетический метаболизм клеток при их гипоксии. В отличие от Ранолазина, эффект сомнителен и в США, например, его не применяют.
Никоралдин. Активатор калиевых каналов, сосудорасширяющее. Снижает риски инфарктов. Применяют в Европе, но не в США
Аллопуринол. Да-да- лекарство для лечения подагры! Улучшает защитную функцию сосудистой стенки, уменьшает оксидативный стресс. Может применяться как дополнение к стандартной терапии.
Ивабрадин. Лекарство для лечения аритмии, в том числе синусовой тахикардии (то есть обычного но постоянного учащения пульса), экстрасистолий. Для лечения стенокардии его применение пока не ясно: с одной стороны приступы становятся реже, с другой- инфаркты он точно не предотвращает. В одном исследовании их даже было больше в группе принимающих этот препарат.
Тестостерон. Еще в бытность мою ординатором в Институте кардиологии, мы пробовали его применять при тяжелой стенокардии.
Сегодня считается, что он улучшает защитную функцию сосудистой стенки. Пока не ясно- будет ли его второе рождение в качестве препарата от стенокардии. Слишком много побочных явлений при недостаточных доказательствах эффективности.
Стволовые клетки. Пока экспериментальный метод. Но многообещающий.
Я тут специально не описываю стандартные методы медикаментозного лечения стенокардии (бета блокаторы, препараты типа Эналоприла, нитраты, статины, аспирин или клопидогрель, ингибиторы кальциевых каналов (изоптин, амлодипин).
Статья информационная, все препараты назначает только врач! | https://t.me/drmyasnikov/2258?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 98,600 | 0 | 1,711,782,445 | 1,730,797,734 | 10,402 | 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кардиология","label":"ORG","start_pos":1608,"end_pos":1629},{"ner":"Эналоприла","lemma":"эналоприла","label":"PER","start_pos":2098,"end_pos":2108}] | NEUTRAL | rus | NOT SPAM | 287 | 0 | 5 | 1 | 0 | 0 | 34 | 35 | 10 | 2 | 109 | 20 | 71 | true |
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