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26 | null | Эпидемия ожирения, продукты с глютеном, правильный диалог с врачом. Программа "Доктор Мясников" ("Россия 1"). Эфир от 30.03.2024
Почему статистика людей с ожирением в России растет? Какую роль в появлении лишнего веса играет пластиковая посуда? Как правильно рассказать врачу о своей проблеме, чтобы он поставил верный диагноз? Для кого продукты с глютеном действительно опасны? Чем опасен хронический кашель у курильщика? Может ли йога спровоцировать грыжу пищевода? Действительно ли безглютеновая диета помогает похудеть? Почему сидячий образ жизни убивает? Ответы на эти и другие вопросы о здоровье – в новом выпуске программы "Доктор Мясников" на канале "Россия 1".
https://smotrim.ru/video/2783379 | https://t.me/drmyasnikov/2259?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 104,900 | 0 | 1,711,789,501 | 1,730,797,734 | 10,402 | 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26 | null | И правда весна! Просили стихотворение? Вот, Заболоцкий:
Уступи мне, скворец, уголок,
Посели меня в старом скворешнике.
Отдаю тебе душу в залог
За твои голубые подснежники.И свистит и бормочет весна.
По колено затоплены тополи.
Пробуждаются клены от сна,
Чтоб, как бабочки, листья захлопали.И такой на полях кавардак,
И такая ручьев околесица,
Что попробуй, покинув чердак,
Сломя голову в рощу не броситься! Начинай серенаду, скворец!
Сквозь литавры и бубны истории
Ты — наш первый весенний певец
Из березовой консерватории.Открывай представленье, свистун!
Запрокинься головкою розовой,
Разрывая сияние струн
В самом горле у рощи березовой.Я и сам бы стараться горазд,
Да шепнула мне бабочка-странница:
«Кто бывает весною горласт,
Тот без голоса к лету останется».А весна хороша, хороша!
Охватило всю душу сиренями.
Поднимай же скворешню, душа,
Над твоими садами весенними.Поселись на высоком шесте,
Полыхая по небу восторгами,
Прилепись паутинкой к звезде
Вместе с птичьими скороговорками.Повернись к мирозданью лицом,
Голубые подснежники чествуя,
С потерявшим сознанье скворцом
По весенним полям путешествуя. | https://t.me/drmyasnikov/2260?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 97,100 | 0 | 1,711,893,737 | 1,730,797,734 | 10,380 | 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| [{"ner":"Заболоцкий","lemma":"заболоцкий","label":"PER","start_pos":44,"end_pos":54},{"ner":"Поднимай","lemma":"поднимай","label":"PER","start_pos":815,"end_pos":823}] | POSITIVE | rus | NOT SPAM | 154 | 0 | 8 | 1 | 0 | 0 | 19 | 26 | 7 | 0 | 63 | 2 | 45 | true |
26 | null | Люди- будьте бдительны- 1 апреля!
И милосердны- одно дело шутка в стиле: «у вас вся спина белая» и другое: «включай скорее телевизор- там экстренное сообщение!»….
Вот меня всегда было легко развести! А вот на мои шутки обижались почему то…. Ну подумаешь- солонку в суп сокурснику высыпал? Смешно же на него смотреть как сморщился!
Я на первых курсах «бомбил» на Жигулях, денежку добывал. И выехал 1/4 утром, девушка рукой машет. «Давай, говорит, быстро к универмагу Москва, что на Ленинском, там сапоги выбросили!». Ну договорились на три рубля и мы поехали. Уже на подъезде у меня закралось подозрение: «Слушай, а тебя не развели?» она аж в лице переменилась! «Подожди немного, я сбегаю, узнаю». Пришла, ругается… Отвез я её обратно и трешку не взял…
И еще… «Живём мы, зарплату не платят. И нам не до песен... Прощай...» (из песни Кучина). Хорошо знаю по медицине: сдался, поднял лапки- все, прогноз плохой. Любой опытный врач скажет: если тяжелый хронический больной слег- всё, он больше не встанет! Так что не унываем. Тем более мы- выздоравливаем! Будем жить и шутить! | https://t.me/drmyasnikov/2261?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 95,600 | 0 | 1,711,949,562 | 1,730,797,734 | 10,380 | 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| [{"ner":"Жигулях","lemma":"жигулях","label":"LOC","start_pos":362,"end_pos":369},{"ner":"Москва","lemma":"москва","label":"LOC","start_pos":466,"end_pos":472},{"ner":"Ленинском","lemma":"ленинский","label":"LOC","start_pos":481,"end_pos":490},{"ner":"Кучина","lemma":"кучина","label":"PER","start_pos":832,"end_pos":838},{"ner":"1","lemma":"1","label":"NUM","start_pos":24,"end_pos":25},{"ner":"1","lemma":"1","label":"NUM","start_pos":397,"end_pos":398},{"ner":"4","lemma":"4","label":"NUM","start_pos":399,"end_pos":400}] | NEUTRAL | rus | NOT SPAM | 173 | 0 | 6 | 1 | 0 | 0 | 15 | 39 | 18 | 4 | 33 | 14 | 64 | true |
26 | null | Аутоиммунный гепатит
В ряду аутоиммунных заболеваний есть и гепатит. Ошибка в «наведении» наших собственных антител и они, вместо противника, начинают атаковать собственные ткани.
Это расстройство было известно под различными названиями, включая «липоидный гепатит», «плазменно-клеточный гепатит», но вот Международная группа по аутоиммунным гепатитам определила, что «аутоиммунный гепатит» является наиболее подходящим термином для этого заболевания.
Болеют преимущественно женщины любого возраста. Интересно, что больше всего распространенность аутоиммунного гепатита в Кентербери, Новая Зеландия Это, вероятно, связано в сложившихся особенностях генетики живущего там населения. Меньше всего- в Южном Израиле.
Болезнь провоцируется какими-то внешними триггеров у генетически предрасположенного к ней человека. Собственно что выступает в виде этих «триггеров» до конца не ясно: это могут быть инфекции в том числе и гепатит С и тогда это «двойной удар» по печени),травмы, стрессы, лекарства (метилдопа -Допегит- давние гипертоники должны помнить это лекарство, его и сегодня дают при гипертонии беременных). Очень часто причиной аутоиммунного гепатита является системная красная Волчанка.
Спектр проявлений очень широк- от абсолютно бессимптомного течения до картины острого гепатита и острой печеночной недостаточности.
Важна ранняя диагностика, что бы предотвратить переход болезни в цирроз или рак печени. Поэтому разбирая причины беспокоящих больного хронической усталости, снижения аппетита, потерю веса, боли в суставах, хронического зуда необходимо рассматривать и возможность аутоиммунного гепатита. В анализе крови скорее всего обнаружится повышение печеночных ферментов.
Обычно это происходит во время рутинных обследовании перед операцией или сдачи крови.
Для постановки диагноза необходим алгоритм определения специфических антител.
Первые и важнейшие: «антимитохондриальные антитела»
Далее Anti-smooth muscle antibody (ASMA), эти антитела присутствуют почти в 65% случаев аутоименнооо гепатита.
Из остальных (перечень не полный):
анти-нуклеарные антитела,
антитела к двойной ДНК,
анти-актиновые антитела.
Наличие Антимитохондриальных антител также характерно другого аутоиммунного заболевания печени: для первичного биллиарного цирроза. Это нужно учитывать при дифференциальной диагностике.
Сегодня более правильно говорить: первичный билиарный холангит. Так же аутоиммунное поражение печени, когда антитела начинают атаковать клетки желечевыводящих путей. Спектр клинических проявлений: от полностью бессимптомных, до желтухи, сильного зуда, усталости (здесь основное- застой желчи).
Как и в случае с вирусными гепатитами, авто антитела аутоименного гепатита могут поражать органы иные, чем печень.
Это щитовидная железа- аутоиммунный тиреоидит, ревматоидный артрит, диабет 1 типа, волчанка. Часто у таких больных Целиакия: болезнь непереносимости глютена. Среди больных с атоиммунным гепатитом она встречается в 10 раз чаще, чем у других людей.
После установления диагноза врачи будут решать (на основании активности ферментов печени, клиники, структурных изменений печени): какую тактику выбрать- наблюдать или уже активно лечить. Лечение стероидными гормонами (преднизолон) и другими столь же сильными лекарствами, поэтому такой тщательный подход. | https://t.me/drmyasnikov/2262?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 86,900 | 0 | 1,712,119,096 | 1,730,797,734 | 10,380 | 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| [{"ner":"Международная группа по аутоиммунным гепатитам","lemma":"международный группа по аутоиммунный гепатит","label":"ORG","start_pos":305,"end_pos":351},{"ner":"Кентербери","lemma":"кентербери","label":"LOC","start_pos":574,"end_pos":584},{"ner":"Новая Зеландия","lemma":"новый зеландия","label":"LOC","start_pos":586,"end_pos":600},{"ner":"Южном Израиле","lemma":"южный израиль","label":"LOC","start_pos":700,"end_pos":713},{"ner":"Волчанка","lemma":"волчанка","label":"LOC","start_pos":1183,"end_pos":1191},{"ner":"Целиакия","lemma":"целиакия","label":"LOC","start_pos":2834,"end_pos":2842},{"ner":"65","lemma":"65","label":"NUM","start_pos":1978,"end_pos":1980},{"ner":"1","lemma":"1","label":"NUM","start_pos":2794,"end_pos":2795},{"ner":"10","lemma":"10","label":"NUM","start_pos":2933,"end_pos":2935}] | NEUTRAL | rus | NOT SPAM | 402 | 0 | 5 | 0.990584 | 0.009416 | 0 | 78 | 37 | 14 | 5 | 147 | 34 | 94 | true |
26 | null | Дорогие подписчики! Я учусь на клинического психолога и пишу диплом, а тема работы звучит так: "Взаимосвязь коммуникативных навыков и социального функционирования у пациентов с шизофренией".
Я ходила в отделение, но там всего 3 человека смогли пройти тесты, и мне очень нужны респонденты!
😭
Если вы имеете диагноз в диапазоне F20.0 - F20.3 или F20.5-F20.9, то очень прошу вас пройти эти тесты! Нужны именно лица, имеющие шизофрению, диагноз должен быть официальный.
Ссылки на тесты здесь:
https://telegra.ph/Proshu-prinyat-uchastie-v-issledovanii-dlya-diploma-lic-s-shizofreniej-lyuboj-formy-03-20
Результаты отправлять сюда:
https://t.me/MilanaSova | https://t.me/imatrip/1719?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,679,407,205 | 1,730,797,734 | 10,402 | 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26 | null | «Вы хотите чувствовать себя лучше или хотите научиться лучше чувствовать?»
По мнению клинического психолога, специалиста по работе с ПТСР Сэм Акбар, первое стремление зачастую связано с желанием побыстрее утилизировать негативные эмоции или вовсе избавиться от них, что в принципе невозможно в силу устройства нашего мозга (эволюционное значение эмоций — быть сигналами, которые помогут нам выжить, поэтому страх, тревога, гнев и т.д – неотъемлемая часть нашей природы и системы самозащиты), а второе — с возможностью проживать опыт во всей его полноте и управлять собственным состоянием.
В книге «Эмоции: понять, принять и управлять» она коротко и доступно рассказывает об основных принципах работы мозга, механизмах мышления и возникновения эмоций, а также приводит ряд упражнений, которые помогут развить психологическую гибкость, чтобы справляться с напряжением, болезненными чувствами и неприятными воспоминаниями. Одна из главных идей «Терапии принятия и ответственности» (ACT) — метода, в котором работает Акбар, — сводится к тому, что мы не должны избегать негативных мыслей, эмоций и состояний, так как борьба с ними становится дополнительной нагрузкой на психику, но научиться принимать и «обезвреживать» их, находясь в моменте и не отчуждаясь от своего опыта. Например, для работы с когнитивным слиянием она предлагает использовать следующие техники: дистанцироваться от собственных мыслей вместо попыток подавить их (попробуйте заменить негативную мысль, скажем, «я самозванец», на формулировку «у меня есть мысль, что я самозванец» или еще лучше — «я замечаю, что у меня есть мысль, что я самозванец» — техника, которая была известна еще стоикам); спроецировать негативные образы на мысленный экран для наблюдения за ними со стороны; попробовать воспринять мысли не в качестве врагов, а в качестве всего лишь незваных гостей, присутствие которых неприятно, но терпимо, а в чем-то, возможно, и полезно и т.д. С эмоциями и эмпирическим избеганием, то есть попыткой подавить нежелательные внутренние переживания, она предлагает взаимодействовать по тому же принципу: не бороться с ними, а замечать их, признавать, называть и лавировать между ними; наблюдать и исследовать (в какой части тела возникает эмоция, на что она похожа, как она могла бы выглядеть, звучать и т.д.).
Выбрали главу, в которой Сэм Акбар рассказывает, почему избегание негативных эмоций — безнадежная стратегия, в перспективе только ухудшающая состояние, чем отличается «чистая боль» от «грязной боли» и какие вопросы нам стоит задавать себе, чтобы лучше понимать себя и свой внутренний мир.
https://monocler.ru/emoczii-sem-akbar/ | https://t.me/imatrip/1720?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,679,423,326 | 1,730,797,734 | 10,403 | 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| [{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":133,"end_pos":137},{"ner":"Сэм Акбар","lemma":"сэм акбар","label":"PER","start_pos":138,"end_pos":147},{"ner":"Акбар","lemma":"акбар","label":"PER","start_pos":1013,"end_pos":1018},{"ner":"Сэм Акбар","lemma":"сэм акбар","label":"PER","start_pos":2309,"end_pos":2318}] | NEUTRAL | rus | NOT SPAM | 369 | 0 | 4 | 0.995662 | 0.004338 | 0 | 37 | 64 | 39 | 1 | 95 | 18 | 95 | true |
26 | null | Моя новая
статья
о том, почему люди боятся вакцин, и как так получилось, что в мире не существует вакцины от клещевого бореллиоза (болезни Лайма). | https://t.me/imatrip/1721?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,679,490,097 | 1,730,797,734 | 10,380 | 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| [{"ner":"Лайма","lemma":"лайм","label":"PER","start_pos":139,"end_pos":144}] | NEUTRAL | rus | NOT SPAM | 24 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 1 | 0 | 7 | 3 | 6 | true |
26 | null | Более тяжелая форма посттравматического стрессового расстройства кПТСР отличается от известного травматического синдрома пятью наиболее выраженными компонентами:
эмоциональными регрессиями (флешбэками), токсичным чувством вины, пренебрежением своих интересов и потребностей, безжалостной внутренней критикой и социальной тревожностью
.
Эмоциональные регрессии
(флешбэк - "вспышка, кадр из прошлого") являются, возможно, наиболее яркой и характерной чертой кПТСР. Люди, перенесшие психологическую травму из-за игнорирования их личности и потребностей, особенно подвержены болезненному состоянию эмоциональных регрессий, у которых, в отличие от обычного ПТСР, нет никакого визуального сопровождения.
Эмоциональная регрессия - это резкое, внезапное и часто продолжительное погружение в эмоциональное состояние переживания насилия или ощущения покинутости, которые человек испытывал еще ребенком. Эти эмоциональные состояния могут включать в себя всеобъемлющий страх, стыд, отчужденность, ярость, скорбь и депрессию. Эти состояния часто сопровождаются неспровоцированным запуском реакции "бей или беги". Здесь важно заметить, что эти эмоциональные регрессии, как и большинство вещей в жизни, не работают по типу "всё или ничего". Такие регрессии по проявлению варьируются от слабых до ужасающих. Они также могут отличаться по длительности от нескольких секунд до многих недель, в результате все глубже развиваясь в состояние, которое психологи называют регрессией.
Эмоциональные регрессии сопровождаются также интенсивными вспышками инстинкта стресса "бей или беги" наряду с гиперстимуляцией симпатической нервной системы - той части нервной системы, которая контролирует возбуждение и готовность к действию. Когда страх является доминирующей эмоцией в эмоциональной регрессии, человек чувствует экстремально выраженную тревогу, панику или даже думает о самоубийстве. Когда преобладает отчаяние, возникает онемение чувств, ощущение парализованности и отчаянное желание исчезнуть или спрятаться. При эмоциональной регрессии также обычно переживается ощущение себя маленьким, хрупким, бессильным и беспомощным, а все симптомы обычно накладываются на унизительный и сокрушительный токсичный стыд.
Токсичный стыд: внешняя оболочка эмоциональной регрессии
Токсичный стыд, детально исследованный John Bradshaw (Джон Брэдшоу) в книге Healing The Shaтe That Binds (Избавление от оков стыда), полностью разрушает чувство собственного достоинства у человека, переживающего кПТСР. Токсичный стыд вызывает в человеке гнетущее ощущение, будто он ужасный, отвратительный, уродливый, тупой, фатально безнадежный. Всеобъемлющее презрение к самому себе, как правило, является эмоциональной регрессией в ощущения, которые он испытывал, сгорая от стыда, под презрительным, уничтожающим взглядом своего травмирующего родителя. Токсичный стыд также может появиться от более пассивно проявленного хронического игнорирования и отвержения родителями.
Токсичный стыд может уничтожить ваше чувство собственного достоинства в мгновение ока. При эмоциональных регрессиях вы можете вернуться в ощущения и мысли о том, что "вы никто и звать вас никак", как это демонстрировала ваша семья. Когда вы застреваете в эмоциональной регрессии, токсичный стыд переходит в чрезвычайно болезненное отчуждение, меланж отверженности - затягивающую трясину страха, стыда и депрессии.
Источник:
Пит Уокер — Комплексное ПТСР, руководство по восстановлению от детской травмы
#травма #кПТСР | https://t.me/imatrip/1722?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,000 | 0 | 1,679,786,363 | 1,730,797,734 | 10,381 | 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| [{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":66,"end_pos":70},{"ner":"John Bradshaw","lemma":"john bradshaw","label":"PER","start_pos":2286,"end_pos":2299},{"ner":"Джон Брэдшоу","lemma":"джон брэдшоу","label":"PER","start_pos":2301,"end_pos":2313},{"ner":"Пит Уокер","lemma":"пит уокер","label":"PER","start_pos":3347,"end_pos":3356},{"ner":"Комплексное ПТСР","lemma":"комплексный птср","label":"ORG","start_pos":3359,"end_pos":3375}] | NEUTRAL | rus | NOT SPAM | 422 | 0 | 2 | 0.986742 | 0.013258 | 0 | 76 | 47 | 20 | 3 | 146 | 25 | 94 | true |
26 | null | Почти 400.000 уже есть!
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2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11144?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 50,200 | 0 | 1,724,917,033 | 1,730,797,734 | 10,402 | 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26 | null | Лётчик, который защищает сейчас Курск!
Всех благодарю за помощь
💪🏼
2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11145?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 55,600 | 0 | 1,724,920,162 | 1,730,797,734 | 10,402 | 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26 | null | Взаимопомощь
💪🏼 | https://t.me/magerya/11146?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 55,900 | 0 | 1,724,930,526 | 1,730,797,734 | 10,380 | 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| null | POSITIVE | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 2 | true |
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2202 2062 8329 7278 (Сбер) | https://t.me/magerya/11147?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 55,000 | 0 | 1,724,936,343 | 1,730,797,734 | 10,380 | 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26 | null | Это поражение атмосферным электричеством. Проще говоря молнией.
Общеизвестно, что молния представляет собой искровой электрический разряд, напряжение в котором достигает нескольких миллионов вольт, а сила тока – сотен тысяч ампер. Поражающими факторами при действии молнии являются:
электрический ток; световое и звуковое воздействие; ударная волна; а также механическое, тепловое и электролитическое действие на одежду и тело человека.
Действие молнии сходно с действием электрического тока очень высокого напряжения и большой мощности. Продолжительность действия ограничивается долями секунды. А изменения на теле человека могут варьироваться в зависимости от преобладания механического, теплового или электролитического эффекта в повреждающем действии атмосферного электричества. Иногда бывает, что внешние признаки и вовсе отсутствуют. Но в случае из загадки мы видим, что даже одежда пострадала.
Теперь поговорим
"фигурах молнии".
Их появление объясняется резким расширением поверхностных сосудов кожи и небольших кровоизлияний по их ходу. Этот факт можно объяснить хорошей электропроводимостью крови по сравнению с выраженным сопротивлением электротоку кожи. Через одни—трое суток «фигуры молнии» исчезают, поэтому их лучше сразу фотографировать. В случае загадки они слабо заметны, но различимы - узоры в виде папоротника.
В кармане обнаружены монетки, которые также были повреждены электрическим током. А на передней поверхности бедра видны ожоги, как раз в области карманов, где лежали монетки.
Что касается причины смерти, то смерть может наступить от первичного паралича сердца или дыхания, а также одновременно от паралича дыхания и сердца. | https://t.me/sudmednotes/8794?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 60,300 | 0 | 1,724,185,261 | 1,730,797,734 | 10,402 | 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| null | NEUTRAL | rus | NOT SPAM | 216 | 0 | 4 | 1 | 0 | 0 | 32 | 24 | 7 | 2 | 87 | 16 | 41 | true |
26 | null | Плоскоклеточная карцинома левой щеки | https://t.me/sudmednotes/8796?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 59,000 | 0 | 1,724,255,194 | 1,730,797,734 | 10,380 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Предновогодние время. Маленький городок. Поступил ночной вызов на труп.
Приехали на вызов, рядом ещё стояла карета скорой помощи и врачи успокаивали женщину в истерике - жену погибшего. Тело мужчины лет сорока было найдено в машине, которая стояла в гараже. При осмотре тела стало ясно, что человек отравился угарным газом. Конечности были ярко розового цвета, трупные пятна с фиолетовым оттенком, резко выраженный цианоз лица и слизистой оболочки губ. Рядом была найдена бутылка от спиртного.
Со слов врачей скорой помощи, мы узнали о случившемся: погибший был любителем выпить и в очередной раз придя пьяным домой, жена разозлилась и не впустила его, она знала, что он всегда может пойти в гараж. Так оно и случилось. Погибший сидел в машине и видимо в какой-то момент ему стало холодно и он включил печку. При этом алкоголь быстро сделал свое дело отправив мужчину в сон. Угарный газ скопившийся в помещении и послужил причиной смерти в данной истории.
Кстати, в крови было обнаружено 5.6 промилле алкоголя, так что возможно если бы не оксид углерода, то мужчина умер бы от отравления алкоголем.
Больше всего было жаль жену погибшего, она винила себя в этом и даже наши слова про смертельную дозу алкоголя в крови не помогли... | https://t.me/sudmednotes/8797?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 55,500 | 0 | 1,724,305,730 | 1,730,797,734 | 10,380 | 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| [{"ner":"5","lemma":"5","label":"NUM","start_pos":989,"end_pos":990},{"ner":"6","lemma":"6","label":"NUM","start_pos":991,"end_pos":992}] | NEGATIVE | rus | NOT SPAM | 197 | 0 | 0 | 1 | 0 | 0 | 18 | 36 | 13 | 2 | 62 | 13 | 29 | true |
26 | null | Да, при железодефиците падает либидо. Факт!!
А еще выпадают волосы, бывают панические атаки, слабость и много чего еще.
Это моя подруга. Друзьям, как и пациентам, я индивидуально каждому подбираю препарат железа с учетом других децифитов.
А еще мы разбираемся в причинах (не делать это и утопно и опасно).
Капаю я только тех кто не усваивает перорально железо или есть выраженные симптомы, когда надо быстро их устранить.
Очень не рекомендую самим подбирать препараты. Без должного образования делаете это неправильно.
Сужу по пациентам, которые потом ко мне на консультации приходят.
#витамины | https://t.me/DrAnshina/781?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 78,500 | 0 | 1,678,354,992 | 1,730,797,735 | 10,391 | 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| null | NEUTRAL | rus | NOT SPAM | 89 | 0 | 2 | 1 | 0 | 0 | 8 | 14 | 11 | 0 | 22 | 10 | 21 | true |
26 | null | Рассказываю еще раз про анемию.
Про сексолога.
Про гинеколога, маммолога, эндоскопию.
Про импланты. | https://t.me/DrAnshina/782?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 82,200 | 0 | 1,678,357,743 | 1,730,797,735 | 10,391 | 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| null | NEUTRAL | rus | NOT SPAM | 13 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 1 | 6 | true |
26 | null | Много мы с вами говорим про холестерин. Одна из любимых тем, обожаемая мной кардиология
😍
Специальность, которой я посвятила большую часть своей жизни.
Кстати: какой у вас общий холестерин, лпнп, лпвп, триглицериды??
Я надеюсь, все уже знают что бесполезно сдавать только общий холестерин!!
Про омегу! Трепетно ее люблю, качественную естественно.
Но это не заменяет употребление рыбы/морепродуктов. Хотя бы 2 раза в неделю!
У тех кто не ест вижу большие провалы по меди.
Рыбу любите?
PS: терапия дислипидемии решается для каждого индивидуально в зависимости от сердечно-сосудистых рисков. | https://t.me/DrAnshina/783?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 81,500 | 0 | 1,678,435,902 | 1,730,797,735 | 10,391 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":407,"end_pos":408}] | NEUTRAL | rus | NOT SPAM | 86 | 0 | 3 | 0.991736 | 0.008264 | 0 | 10 | 12 | 12 | 2 | 23 | 6 | 24 | true |
26 | null | Про рыбу и все что в ней содержится.
Про икру.
Про холестерин. Лпнп, лпвн.
Критерии назначения статинов.
#питание
#холестерин | https://t.me/DrAnshina/784?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 83,900 | 0 | 1,678,445,799 | 1,730,797,735 | 10,391 | 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| [{"ner":"Лпнп","lemma":"лпнп","label":"PER","start_pos":63,"end_pos":67}] | NEUTRAL | rus | NOT SPAM | 19 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 9 | 0 | 8 | true |
26 | null | Я проводила эксперименты. Жертвовала собой и своим кошельком
😂
😂
😂
Нас интересует больше ЛПВП, именно на него действует омега3.
У меня в целом питание ок и ниже 1,3 ЛПВП никогда не опускалась. Но это мало.
Стремимся к 2 и выше.
Добавила снова омегу-3 к рыбе и такой результат
😍
Я принимаю то женскую, то в синей упаковке.
На другой омеге экспериментировать не буду, не уговаривайте
😂
https://t.me/OmegaForWellness
Кстати я к рыбе отношусь ровно. Лучше бы мяска, да пожирнее. Но я знаю чем это чревато. Да и наследственность по холестерину у меня не очень.
Поэтому красное мясо (говядина/ телятина или очень редко ягненок) 1 раз в неделю, в остальное курица, индейка… И рыба.
Моя кровь по дефицитам образцово-показательная. Принимаю только витД, омегу, иногда магний.
Был провал по тиамину, уже устранила, думаю стрессы 2022 г причина.
#анализы
#питание | https://t.me/DrAnshina/785?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 90,000 | 0 | 1,678,449,462 | 1,730,797,735 | 10,391 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":125,"end_pos":126},{"ner":"1","lemma":"1","label":"NUM","start_pos":161,"end_pos":162},{"ner":"3","lemma":"3","label":"NUM","start_pos":163,"end_pos":164},{"ner":"2","lemma":"2","label":"NUM","start_pos":218,"end_pos":219},{"ner":"3","lemma":"3","label":"NUM","start_pos":249,"end_pos":250},{"ner":"1","lemma":"1","label":"NUM","start_pos":622,"end_pos":623},{"ner":"2022","lemma":"2022","label":"NUM","start_pos":819,"end_pos":823}] | NEUTRAL | rus | NOT SPAM | 137 | 0 | 6 | 0.994624 | 0.005376 | 0 | 11 | 16 | 13 | 5 | 30 | 14 | 30 | true |
26 | null | Я решила полностью переделать Руководство «Домашний Доктор» и совсем скоро мы закроем на него продажи, месяца на 3-4.
Кому актуально, успевайте
❤️
Есть выгодные комплекты.
Есть возможность покупки из других стран.
https://anshina.mygaide.ru | https://t.me/DrAnshina/786?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 87,200 | 0 | 1,678,613,002 | 1,730,797,735 | 10,402 | 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| [{"ner":"Домашний Доктор","lemma":"домашний доктор","label":"ORG","start_pos":43,"end_pos":58},{"ner":"3","lemma":"3","label":"NUM","start_pos":113,"end_pos":114},{"ner":"4","lemma":"4","label":"NUM","start_pos":115,"end_pos":116}] | NEUTRAL | rus | NOT SPAM | 32 | 0 | 1 | 0.978723 | 0.021277 | 0 | 4 | 6 | 4 | 3 | 8 | 3 | 9 | true |
26 | null | Я как-то обиделся на один Сочинский спортклуб в котором отсутствовали картонные стаканчики для воды. Ну правда- шикарный спортзал, для сильных людей, 1 занятие- 3 тыс рублей. При этом стаканчиков нет, но на рецепшн тебе за 30 рублей дают пустую бутылочку. (Такую у меня в больнице дают для сбора мочи).. Не в 30 рублях дело, но я например иду в зал без денег вовсе, а за бутылочку просят наличные. Расценил как крахоборство. Но вот знакомые говорят: остынь- это не отменили противоковидные правила до сих пор! Я не уверен так это или нет (кто-то знает?), но если так, то я в недоумении. Ну во-первых стаканчики одноразовые. У нах часто даже форма на конус, что бы ставить нельзы- сразу на выброс. Второе- доколе? Тут на носу ядерная война, пандемия «Х» и глобальные перемены- ну хоть водички дайте спокойно попить, пака не началось!!!
От кого это зависит? Рос здрав потреб надзор? Так что? | https://t.me/drmyasnikov/2251?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 99,800 | 0 | 1,711,275,576 | 1,730,797,735 | 10,391 | 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26 | null | Про то, что организмы у нас разные. И лекарства на нас действуют по-разному.
Множество факторов влияют на возможность и степень повреждения печени лекарствами.
И первое и основное тут генетика.
Вообще удивительный факт: разница в концентрации в плазме крови одного и того же препарата у людей одного пола возраста и веса может быть в 1.000 раз!!! Большинство субстанций метабилизируюстя через так называемые «цитохромы P450s (CYPs) »- семейство оксидативных ферментов, активность которых могут существенно отличаться у разных людей, в зависимости от генетики.
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в кардиологии широко используется лекарство «клопидогрель» («Плавикс»). Его дают до и после установки стентов в сосуды сердца и как альтернативу Аспирину. Но у 0,3% пациентов Клопидогрель может вызвать смертельно опасное кровотечение. Именно из-за генетической особенности работы цитохромных ферментов. Сегодня разработаны и ждут внедрения в клиническую практику тесты, определяющие такую опасную сверхчувствительность к Клопидогрелю (Плавиксу)»
Генетически обусловленных вариантов цитохромных оксидативных ферментов множество десятков, к сожалению в рутинной клинической практике они не учитываются- просто нет доступных достоверных тестов.
Допустим у вас снижена активность одной из систем этих ферментов по сравнению с вашим ровесником.
И вам и ему дают Кодеин- обезболивающее и противокашлевое средство. Это «пролекарство», кодеин не активен сам по себе. Только при прохождении через печень по определенной цепочке цитохромов он превращается в активное вещество - морфин (да-да, а Вы как думали?!) и вот на вашего ровесника Кодеин подействует, а на вас- нет: снижена скорость превращения в активную составляющую. Но вот и ему и вам выписали антидепрессант Нортриптилин. Это наоборот- активное лекарство и цитохромные ферменты печени его дезактивируют. И теперь у вас может быть передозировка, в на вашего ровесника это лекарство может не подействовать вовсе!>>>
Очень важно какие лекарства и БАДы вы еще применяете. Если они метаболизируются по той же цепочке цитохромных ферментов, что и основное, то может произойти «затор» с изменением концентрации того или иного препарата до опасного уровня.
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именно поэтому мы говорим, что лекарства и алкоголь не совместимы. Алкоголь метаболизируется по тем же ферментным цепочкам, что и большинство лекарств. Да что там алкоголь- один из компонентов табачного дыма так же может значимо влиять на активность цитохромов!»
Активность (или не активность) очень многих лекарств зависит он особенностей генетики человека или групп людей. Расовые и национальные различия, группы крови- это все суть генетические варианты. Например лекарство для выведения мочевой кислоты при подагре- Аллопуринол- может быть опасно для азиатов (Тайцев, Корейцев). Тоже относится к противосудорожному препарату Карбамазепину , противовирусному Ацикловиру и много многим другим.
Кстати- в этом списке крайне популярное кроверазжижающее средство Варфарин. Сейчас собираются тестировать кандидатов на постоянный прием этого лекарства, что бы выявить тех, кто особо к нему чувствителен и кому лечение надо назначать в сниженных изначально дозах.
РS. Как обычно, при публикации подобных постов повторяю: это обзорная статья для общего развития. Не надо мне писать- о чем вы, тут вообще к врачу не попасть и проч. Я не для того это пишу, что бы слушать «плач Ярославны». Про плач я все знаю. Но это то, куда мы должны двигаться | https://t.me/drmyasnikov/2252?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 93,700 | 0 | 1,711,347,385 | 1,730,797,735 | 10,391 | 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| NEUTRAL | rus | NOT SPAM | 481 | 0 | 6 | 0.996667 | 0.003333 | 0 | 49 | 54 | 40 | 8 | 139 | 35 | 99 | true |
26 | null | Видерубрика "Для души и тела". Эксклюзив от доктора Мясникова: доктор и писатель – поговорим о Булгакове
- Цитаты из Булгакова, которые не стоит забывать.
- Как доктор Мясников попал на телевидение?
- О тяжко больных и тех, кто втайне ненавидит окружающих.
- Старайтесь полагаться только на себя.
- Ничего не стоит откладывать на завтра.
- "Разруха не в клозетах, а в головах".
- Почему нужно читать книги?
- Философия доктора Мясникова.
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/XqC58Mmgs9Q | https://t.me/drmyasnikov/2253?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 105,700 | 0 | 1,711,368,319 | 1,730,797,735 | 10,391 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":52,"end_pos":61},{"ner":"Булгакове\n- Цитаты","lemma":"булгаков\n- цитата","label":"PER","start_pos":95,"end_pos":113},{"ner":"Булгакова","lemma":"булгаков","label":"LOC","start_pos":117,"end_pos":126},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":168,"end_pos":176},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":427,"end_pos":436},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":464,"end_pos":479},{"ner":"58","lemma":"58","label":"NUM","start_pos":501,"end_pos":503},{"ner":"9","lemma":"9","label":"NUM","start_pos":507,"end_pos":508}] | NEUTRAL | rus | NOT SPAM | 77 | 0 | 1 | 0.990741 | 0.009259 | 0 | 1 | 13 | 4 | 0 | 25 | 3 | 24 | true |
26 | null | Смотрю ТВ, где обсуждают за и против смертной казни.
Я всегда был «За»! Око до око, зуб за зуб!
Ну да, процентов 10 ошибок. Из 100 казненных от 1 до 10 казненных зря. Зато негодяи получили по заслугам.
Сейчас смотрю- среди моих личных друзей несколько были бы расстреляны, если бы не действовал мораторий.
С одним- другая история: приговорили за убийство к расстрелу за год до отмены смертной казни. И год он ждал расстрела. И вдруг поймали настоящего убийцу. Случайно. Но друг до сих пор вспоминает то год в камере смертников.
И тем не менее я- за. Существование принципа «око за око» будет тормозить отморозков. И арифметика- безвинно казненные или невинные, уцелевшие из-за страха убийц умереть, будет абсолютно в пользу последних. Неизбежные ошибки правосудия, медицины, налета -всегда есть. Вспомните Эдмона Дантеса и далее везде. А пожизненные сроки- все виновные чалятся?!
Ну а в медицине ошибки врачей уносят сотни тысяч жизни. Да- плохо. Но медицину не отменяют. Страх наказания должен быть. В принципе. Этот страх для подонков - спасет тысячи жизней невинных жизней. ( и- да- унесет несколько зазря). Что думаете? | https://t.me/drmyasnikov/2254?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 107,700 | 0 | 1,711,382,848 | 1,730,797,735 | 10,391 | 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| [{"ner":"Эдмона Дантеса","lemma":"эдмона дантес","label":"PER","start_pos":807,"end_pos":821},{"ner":"10","lemma":"10","label":"NUM","start_pos":113,"end_pos":115},{"ner":"100","lemma":"100","label":"NUM","start_pos":127,"end_pos":130},{"ner":"1","lemma":"1","label":"NUM","start_pos":144,"end_pos":145},{"ner":"10","lemma":"10","label":"NUM","start_pos":149,"end_pos":151}] | NEUTRAL | rus | NOT SPAM | 179 | 0 | 9 | 1 | 0 | 0 | 15 | 22 | 5 | 6 | 58 | 14 | 44 | true |
26 | null | Влияние гаджетов, жиры, болезни, передающиеся от животных. Программа "Доктор Мясников"
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Эфир от 23.03.2024
Как использование гаджетов может сказаться на нашем здоровье? Какие жиры вредные, а какие – нет? Есть ли польза от кетогенной диеты? Переносчиками каких болезней могут стать домашние животные? Об этом и многом другом вы узнаете в новом выпуске программы "Доктор Мясников" на телеканале "Россия".
https://smotrim.ru/video/2779569 | https://t.me/drmyasnikov/2255?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 118,100 | 0 | 1,711,387,460 | 1,730,797,735 | 10,391 | 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26 | null | В РЭПТ отмечается, что людям в нестабильном состоянии свойственно мыслить нелогично.
Учитывая это, РЭПТ соглашается с мнением когнитивных терапевтов (Beck, Rush, Shaw, & Emery, 1979; Burns, 1980) о том, что подобные когнитивные искажения являются чертой психологических расстройств.
Однако теория РЭПТ придерживается того взгляда, что такие искажения практически всегда идут от «должен». Вот наиболее часто встречающиеся из них.
1. Мышление по типу «все или ничего». «Если я провалю хоть какое-нибудь важное дело — а я должен не провалить — я полный неудачник и совершенно недостойный любви человек!»
2. Перескакивание к выводам и негативные нелогичные заключения. «Поскольку они видели мой жуткий провал, а я всегда должен быть на высоте - они будут считать меня тупым червем».
3. Предсказывание будущего. «Так как они смеются над моей неудачей - а я всегда должен быть на высоте - они всегда будут меня презирать».
4. Зацикливание на негативе. «Я не могу вынести того, что все идет не так, как должно идти, и я не вижу в своей жизни ничего хорошего».
5. Непонимание позитива. «Когда они хвалят меня, они просто меня жалеют и забывают все те глупости, которые я абсолютно не должен был совершать».
6. Всегда и никогда. «Условия жизни должны быть хорошими, а они на самом деле ужасны и невыносимы, и это всегда будет так, а я никогда не буду счастлив».
7. Преуменьшение. «Хорошие выстрелы в этой игре были случайными и не имели значения. Но плохие - которые я не имел никакого права делать были просто ужасны и совершенно непростительны».
8. Эмоциональное рассуждение. «Из-за того что я выступил просто погано, так, как абсолютно не должен был, я чувствую себя полным болваном, и это доказывает, что я действительно ни к черту не годен!»
9. Навешивание ярлыков и сверхобобщение. «Я не имею права заваливать важную работу, а поскольку я сделал это, я полный неудачник и пропащий человек!»
10. Принятие на свой счет. «Поскольку я веду себя гораздо хуже, чем должен, а они смеются, я уверен, что они смеются только надо мной, и это ужасно!»
11. Ложное «Я». «Когда я не настолько хорош, насколько должен бы а они продолжают меня принимать и хвалить, я чувствую, что я притворщик и скоро потеряю свою маску и покажу свое жуткое лицо».
12. Перфекционизм. «Я понимаю, что хорошо выполнил это задание, но такую работу я обязан делать на "отлично", и поэтому Я никудышный человек».
Хотя клиницисты, практикующие РЭПТ, иногда обнаруживают все вышеперечисленные нереалистические и нелогичные верования - и множество других, реже встречающихся у клиентов, - они особо выделяют безусловные «должен» и «обязан», которые составляют философскую сердцевину иррациональных убеждений, ведущих к эмоциональному дисбалансу. Они считают, что если они не проникнут в эти центральные убеждения, или базовые схемы, клиента и не помогут ему от них отступить, то клиент, вероятнее всего, будет продолжать их придерживаться и порождать их новые иррациональные производные.
Эллис А., Драйден У. Практика рационально-эмоциональной поведенческой терапии
#рэпт | https://t.me/imatrip/1713?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,678,456,024 | 1,730,797,735 | 10,391 | 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26 | null | Анастасия Жичкина
, кандидат психологических наук, автор книги «
кПТСР: восстанавливая связи
», ведет
телеграм-канал о комплексной травме:
💼
«КПТСР: чемодан с текстами»
«Люди с комплексной травмой и их близкие часто ощущают бессилие, безнадежность, чувство, что помочь невозможно, и что ни предпринимай – ничего не работает. Поскольку подход «оставь надежду, всяк сюда входящий» мне не близок и, по моему опыту, работает довольно много вещей, я хочу рассказать, как я вижу процесс исцеления при комплексной травме и что, как я убедилась, помогало»
👉
Больше информации о кПТСР:
https://t.me/cptsd_suitecase | https://t.me/imatrip/1714?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,678,712,461 | 1,730,797,735 | 10,391 | 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| [{"ner":"Анастасия Жичкина","lemma":"анастасия жичкина","label":"PER","start_pos":0,"end_pos":17}] | NEUTRAL | rus | NOT SPAM | 87 | 0 | 1 | 0.99187 | 0.00813 | 0 | 7 | 12 | 8 | 1 | 31 | 5 | 28 | true |
26 | null | Исследование одной строкой.
Статья про связь стиля юмора и DSM-V: враждебный самопораженческий стиль юмора связан с высоким уровнем психотизма и импульсивности.
Источник:
https://www.ncbi.nlm.nih.gov/m/pubmed/27547254/?i=2&from=humor
#исследование
#наука | https://t.me/imatrip/1717?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,678,812,277 | 1,730,797,735 | 10,391 | 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| [{"ner":"27547","lemma":"27547","label":"DATE","start_pos":209,"end_pos":214},{"ner":"2","lemma":"2","label":"NUM","start_pos":221,"end_pos":222}] | NEUTRAL | rus | NOT SPAM | 25 | 0 | 2 | 0.921053 | 0.078947 | 0 | 3 | 1 | 0 | 1 | 14 | 0 | 6 | true |
26 | null | Приступообразное переедание (binge eating disorder) характеризуется регулярными эпизодами переедания с поглощением сравнительно большого количества пищи в течение некоторого дискретного периода времени (например, раз в неделю или чаще в течение нескольких месяцев), потерей контроля над своим пищевым поведением и отсутствием компенсаторного поведения. Эпизод переедания – это отдельный период времени, в течение которого человек испытывает субъективную потерю контроля над приемом пищи, ест заметно больше или иначе, чем обычно, и чувствует себя неспособным прекратить прием пищи или ограничить тип или количество съеденного. Переедание вызывает сильные переживания и часто сопровождается негативными эмоциями, такими как чувство вины или отвращения. Однако, в отличие от нервной булимии, эпизоды переедания не сопровождаются регулярными компенсаторными действиями, направленными на предотвращение набора веса.
Читать далее | https://t.me/imatrip/1718?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,679,081,420 | 1,730,797,735 | 10,403 | 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| null | NEUTRAL | rus | NOT SPAM | 114 | 0 | 0 | 0.977444 | 0.022556 | 0 | 14 | 12 | 2 | 2 | 46 | 9 | 19 | true |
26 | null | ❗️
Мои ясные, давайте вновь поддержим наших ребят на передовой
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Мы поможем! | https://t.me/magerya/11138?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 50,400 | 0 | 1,724,861,002 | 1,730,797,735 | 10,391 | 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26 | null | Топовый Гуру медицины Великой страны
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способствует нашему развитию в лечении болезни под названием "терроризм" и периодически заглядывает в гости к нашей команде для поддержания собственной боевой готовности
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Эндокринолог Магеря
АГРЕССОРЫ
♠️ | https://t.me/magerya/11140?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 51,400 | 0 | 1,724,876,485 | 1,730,797,735 | 10,391 | 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| [{"ner":"Эндокринолог Магеря","lemma":"эндокринолог магеря","label":"PER","start_pos":215,"end_pos":234}] | NEUTRAL | rus | NOT SPAM | 33 | 0 | 1 | 1 | 0 | 0 | 4 | 2 | 0 | 0 | 12 | 1 | 7 | true |
26 | null | Собрали 250.000
Молодцы
👏🏼
Нужно ещё 1,3
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Поднажмём, родные! | https://t.me/magerya/11141?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,200 | 0 | 1,724,905,037 | 1,730,797,735 | 10,391 | 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26 | null | В магниевую неделю обязательно нужно сказать, что магний – основной макроэлемент молодости!
Поясняю
🙌🏼
В своей практике выделяю три основные механизма старения:
1️⃣
Свободнорадикальное – когда злые частицы с неспаренными электронами сжирают клетку изнутри.
2️⃣
Нарушение процессов метилирования – защиты ДНК
🧬
от «грязных» генов.
3️⃣
Гликация – слипание белков углеводами.
Так вот, любой из этих
👆🏼
механизмов будет работать интенсивней, ускоряя старение, в случае дефицита магния. Иногда недостаточность магния будет напрямую влиять на нарушение, а иногда косвенно. Но влиять будет обязательно.
Тот же самый инфаркт – основная причина смерти, не на пустом месте взялся. А из-за поражения сердечной мышцы гликацией, и радикалами, и нарушением метилирования, когда реализуется семейный анамнез
❤️🩹
Если в роду были проблемы с сердечно-сосудистой системой, то магния оротат – это ваш выбор
🙌🏼
Оротовая кислота сама по себе очень благоприятно влияет на сердце и плюсом усиливает магний!
Бонусом
❗️
📌
Оротовая кислота принимает участие в превращениях фолиевой и витамина B12, основные стражи метилирования!
📌
Оказывает стимулирующее влияние на белковый обмен, благотворно влияет на функциональное состояние печени, ускоряет регенерацию печеночных клеток, снижает риск гликации и ожирения органов.
❗️
Т.е. напрямую влияет на механизмы старения, продляя молодость
👍🏼
Магния оротат – два в одном в борьбе со старением
🔝 | https://t.me/magerya/11143?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 57,500 | 0 | 1,724,910,344 | 1,730,797,735 | 10,391 | 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| [{"ner":"🔝","lemma":"🔝","label":"ORG","start_pos":1412,"end_pos":1413},{"ner":"1","lemma":"1","label":"NUM","start_pos":161,"end_pos":162},{"ner":"2","lemma":"2","label":"NUM","start_pos":257,"end_pos":258},{"ner":"3","lemma":"3","label":"NUM","start_pos":330,"end_pos":331},{"ner":"12","lemma":"12","label":"NUM","start_pos":1069,"end_pos":1071}] | NEUTRAL | rus | NOT SPAM | 201 | 0 | 5 | 0.996324 | 0.003676 | 0 | 30 | 20 | 1 | 4 | 72 | 10 | 51 | true |
26 | null |
Как стать судмедэкспертом
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Особенностями профессии, которые нужно учитывать при желании выучиться на судмедэксперта, являются: работа в специфической атмосфере. Ежедневно приходится сталкиваться с трупами, телесными повреждениями и преступлениями разного характера. Тесный контакт с правоохранительными органами.
Судебная экспертиза занимается вопросами оценки тяжести причиненного человеку вреда и выяснением причин смерти конкретного индивида. При этом происходит изучение изменений в каждом органе.
Существуют отдельные подвиды судебной медицины, которые позволяют специализироваться в узких направлениях: гистология, токсикология, генетика, медико-криминалистический отдел и так далее. Проще говоря, должность судмедэксперта не предусматривает только работу с трупами. Разумеется, на плечи специалиста ложится большая ответственность за правильность окончательных выводов, которые могут существенно повлиять на судьбу подозреваемых/потерпевших в преступлениях.
Получение образования разберем на примере России, в других странах СНГ путь к судебной медицине может незначительно отличаться. Чтобы получить соответствующее образование, нужно закончить медицинский вуз. Обучение обычно длится 6 лет.
Студенты во время обучения осваивают теоретические и местами практические основы медицины. Будущим судмедэкспертам необходимо знать большинство областей медицины, так как в ходе практики эксперту будет необходим широкий спектр знаний. На первых курсах следует уделить особое внимание патологической физиологии и анатомии, гистологии, микробиологии
Для поступления в медицинский вуз абитуриентам после окончания школы нужно сдавать следующие ЕГЭ: русский, базовая математика, биология и химия. Перед тем как решать, куда поступить, нужно помнить, что в медицинских университетах большой конкурс. После 6 лет обучения, для освоения специальности «Судебно-медицинская экспертиза» и получения соответствующей профессии после института нужно окончить резидентуру. Длительность курса – 2 года.
В это время врачей учат работать на месте преступления, оформлять документацию, сотрудничать с представителями правоохранительных органов и все остальные моменты и тонкости СМЭ. | https://t.me/sudmednotes/8784?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 56,200 | 0 | 1,724,157,411 | 1,730,797,735 | 10,391 | 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| [{"ner":"России","lemma":"россия","label":"LOC","start_pos":1010,"end_pos":1016},{"ner":"СНГ","lemma":"снг","label":"LOC","start_pos":1035,"end_pos":1038},{"ner":"СМЭ","lemma":"смэ","label":"ORG","start_pos":2165,"end_pos":2168},{"ner":"6","lemma":"6","label":"NUM","start_pos":1196,"end_pos":1197},{"ner":"6","lemma":"6","label":"NUM","start_pos":1805,"end_pos":1806},{"ner":"2","lemma":"2","label":"NUM","start_pos":1984,"end_pos":1985}] | NEUTRAL | rus | NOT SPAM | 259 | 0 | 4 | 1 | 0 | 0 | 45 | 35 | 5 | 3 | 109 | 11 | 50 | true |
26 | null | Дорогие мои
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🌸 | https://t.me/DrAnshina/777?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 62,100 | 0 | 1,678,281,999 | 1,730,797,736 | 10,333 | 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| null | POSITIVE | rus | NOT SPAM | 19 | 0 | 1 | 1 | 0 | 0 | 2 | 0 | 2 | 1 | 4 | 0 | 9 | true |
26 | null | Дорогие мои пациенты! Спасибо большое что делитесь своими успехами
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Вы молодцы
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к таким результатам приводит наша с вами совместная работа
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От вас тоже очень много зависит! | https://t.me/DrAnshina/778?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 82,600 | 0 | 1,678,284,343 | 1,730,797,736 | 10,333 | 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| null | POSITIVE | rus | NOT SPAM | 31 | 0 | 0 | 1 | 0 | 0 | 3 | 4 | 3 | 0 | 6 | 3 | 2 | true |
26 | null | Еще раз повторюсь про парацетамол. (Появился печальный новостной повод, увы!)
Первые место среди токсичного поражения печени по Миру занимает ПАРАЦЕТАМОЛ.
Самое популярное жаропонижающее и обезболивающее средство в Мире. И САМОЕ БЕЗОПАСНОЕ!!! Да-да, с одним уточнением: в терапевтической дозе!!!! Максимально допустимая доза парацетамола для взрослых: 4 грамма в день. Если есть факторы риска: употребление алкоголя, сочетание с приемом других гепатотоксичных лекарств (например Метотрексат при ревматоидном артрите), другие заболевания печени (тот же неалкогольный стеатогепатоз), то безопасная доза снижается до 3-х грамм в сутки (то есть три таблетки по 1грамму).
У детей максимально допустимая доза расчитывается по весу: Младенцы, дети и подростки: от 10 до 15 мг/кг каждые 4-6 часов по мере необходимости (не превышать 5 доз в течение 24 часов; максимальная суточная доза: 75 мг/кг/день не должна превышать 4000 мг/день). Вот только прошло по новостям, как в Башкирии мама без контрольно давала 2-х летнему малышу парацетамол и того еле успели привезти в больницу с острым токсическим поражением печени. Теперь он ждет пересадки печени. Сухая статистика говорит, что смертность к таких случаях 30% ! И 50% спасенных должны ждать пересадки печени- это их единственный шанс выжить и далее.
На самом деле, описанный случай- не трагическая случайность, а скорее правило!
Отравления парацетамолом происходят с удручающей частотой!
Казалось бы- ну что сложного: посмотрел дозировку на упаковке- 500 или 1000 миллиграмм и принимаешь максимально либо 8, либо 4 таблетки в день?!
Да, так бы и было, но!!! Парацетамол входит как основное действующее вещество в СОТЕН комбинированных препаратов: таблеток, сиропов и порошков….
Пенталгин, терафлю, максиколд, ибуклин, Антигриппин, фервекс, триган, цитрамон, эффералган и проч и проч и проч. Конца этому перечислению нет.
Например в США в 2010 году было выписано более 130 миллионов рецептов на препараты, содержащие парацетамол. И- внимание!!!!-, не менее 6 процентов таких рецептов превысили максимальную суточную дозу ацетаминофена (парацетамола) в 4000 мг.
(Population prevalence of high dose paracetamol in dispensed paracetamol/opioid prescription combinations: an observational study.
Clark R, Fisher JE, Sketris IS, Johnston GMBMC Clin Pharmacol. 2012;12:11. Epub 2012 Jun 18)
То есть жизнь 78 тысяч человек была поставлена Американскими врачами под прямую угрозу!!!
Но это «цветочки»- все эти препараты во всем Мире покупают в аптеках (а где-то и в супермаркетах) свободно, без рецепта!
Вы сами скажите: вы знали, что в перечисленных мною препаратах (мизерной названной мною части подобных препаратов) содержится парацетамол?!!
Вот вот…… И те не знали, которые ждут пересадки печени….
Они принимали парацетамол как и положенно- не более 4 таблеток- и плюс порошок со вкусом лимона или малины, плюс знакомый с детства Цитрамон и еще таблеточку от боли в горле…. Итого суммарная доза Парацетамола, принятого по сути «вслепую» может быть просто чудовищная!
Практический вывод: всегда (ВСЕГДА!) читайте состав жаропонижающего или обезболивающего препарата- там почти наверняка будет парацетамол! Чтобы избежать беды- подсчитывайте суммарную дозу. | https://t.me/drmyasnikov/2246?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 114,900 | 0 | 1,711,040,247 | 1,730,797,736 | 10,334 | 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26 | null | 2 статистики за один и тот же период времени:
Число голодающих в мире достигло в прошлом году четверти миллиарда человек, и это самый высокий показатель за последнее время. Об этом, заявила Координатор ООН по предотвращению голода и реагированию на него Рина Гелани.
Согласно новому отчету о недостаточном весе и ожирении, более 1 миллиарда человек во всем мире живут с ожирением. С 1990 по 2022 год уровень ожирения среди взрослых более чем удвоился; для детей и подростков он вырос более чем в четыре раза. Анализ основывался на данных индекса массы тела из 3663 популяционных исследований с 222 миллионами участников.
JAMA.
Published online March 15, 2024. doi:10.1001/jama.2024.2073
В каком «интересном» мире мы живем! И это мина! Жирных больше, голодные злее! | https://t.me/drmyasnikov/2247?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 99,200 | 0 | 1,711,045,014 | 1,730,797,736 | 10,331 | 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гелани","label":"PER","start_pos":254,"end_pos":265},{"ner":"10.10","lemma":"10.10","label":"DATE","start_pos":664,"end_pos":669},{"ner":"24.20","lemma":"24.20","label":"DATE","start_pos":679,"end_pos":684},{"ner":"2","lemma":"2","label":"NUM","start_pos":0,"end_pos":1},{"ner":"1","lemma":"1","label":"NUM","start_pos":329,"end_pos":330},{"ner":"1990","lemma":"1990","label":"NUM","start_pos":383,"end_pos":387},{"ner":"2022","lemma":"2022","label":"NUM","start_pos":391,"end_pos":395},{"ner":"3663","lemma":"3663","label":"NUM","start_pos":560,"end_pos":564},{"ner":"222","lemma":"222","label":"NUM","start_pos":594,"end_pos":597},{"ner":"15","lemma":"15","label":"NUM","start_pos":650,"end_pos":652},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":654,"end_pos":658},{"ner":"1001","lemma":"1001","label":"NUM","start_pos":667,"end_pos":671},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":677,"end_pos":681},{"ner":"2073","lemma":"2073","label":"NUM","start_pos":682,"end_pos":686}] | NEUTRAL | rus | SPAM | 118 | 0 | 5 | 0.958333 | 0.041667 | 0 | 12 | 8 | 6 | 10 | 38 | 4 | 19 | true |
26 | null | Мне мама в когда говорила: лечение пожилых пациентов сродни лечению детей: и те и те очень чувствительны к побочному действию лекарств. Про детей мы еще помним, а пожилым как назначит по 10 таблеток в день, так и даем пожизненно. Я как-то уже то ли писал, то ли делал сюжет, про то, что мы умеем назначать препараты, но не умеем их отменять! В то же время есть четкие критерии отмены препаратов у пожилых и правила их назначения . В качестве примера-
некоторые изменения в обновлении рекомендаций для пожилых пациентов 2023 года
● Избегайте использования ривароксабана (Ксарелто) для долгосрочного лечения фибрилляции предсердий или венозной тромбоэмболии из-за более высокого риска кровотечения у пожилых людей, чем другие пероральные антикоагулянты прямого действия (Продакса, Эликвис)
● Избегайте варфарина в качестве начальной терапии венозной тромбоэмболии или фибрилляции предсердий, если только другие препараты не противопоказаны
● Избегайте использовать при лечении диабета препараты сульфонилмочевины (Глибурид, Глипизид, Амарил)качестве монотерапии первой или второй линии из-за более высокого риска сердечно-сосудистых событий, смертности от всех причин ирезкого снижения уровня глюкозы в крови. Если необходимо использовать сульфонилмочевину, то предпочтительнее агент короткого действия (glipizide, gliclazide например)
● Избегайте назначений перорального или трансдермального эстрогена у пожилых женщин. Вагинальный крем с эстрогеном остается приемлемым для лечения симптоматической вагинальной атрофии или профилактики инфекции мочевыводящих путей. Остальные формы эстрогена следует у пожилых женщин
● Избегайте назначения Аспирина для первичной профилактики сердечно-сосудистых заболеваний. Рассмотрите возможность отмены аспирина у пожилых пациентов, которые уже принимают его для первичной профилактики. | https://t.me/drmyasnikov/2248?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 119,900 | 0 | 1,711,124,403 | 1,730,797,736 | 10,331 | 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| [{"ner":"Продакса","lemma":"продакса","label":"PER","start_pos":770,"end_pos":778},{"ner":"Эликвис","lemma":"эликвис","label":"PER","start_pos":780,"end_pos":787},{"ner":"Глибурид","lemma":"глибурид","label":"PER","start_pos":1013,"end_pos":1021},{"ner":"Глипизид","lemma":"глипизид","label":"LOC","start_pos":1024,"end_pos":1032},{"ner":"Аспирина","lemma":"аспирин","label":"PER","start_pos":1641,"end_pos":1649},{"ner":"10","lemma":"10","label":"NUM","start_pos":187,"end_pos":189},{"ner":"2023","lemma":"2023","label":"NUM","start_pos":520,"end_pos":524}] | NEUTRAL | rus | NOT SPAM | 237 | 0 | 3 | 0.993031 | 0.006969 | 0 | 43 | 24 | 10 | 1 | 80 | 14 | 33 | true |
26 | null | Как же больно! По иронии судьбы в это время был в крупном торговом центре не так далеко. Видел снующих радостных людей, с детьми, просто парочки, гуляли, делали селфи, покупали, перекусывали. Как быстро такая же картинка в Крокусе превратилась в ад! Скорбь и боль…. | https://t.me/drmyasnikov/2249?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 113,500 | 0 | 1,711,168,313 | 1,730,797,736 | 10,331 | 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| [{"ner":"Крокусе","lemma":"крокус","label":"LOC","start_pos":223,"end_pos":230}] | NEGATIVE | rus | NOT SPAM | 43 | 0 | 0 | 1 | 0 | 0 | 5 | 6 | 0 | 0 | 12 | 4 | 12 | true |
26 | null | Много уже писал про статины.
Теперь тема: статины и печень.
Изначально предполагалось, что статины могут быть токсичны для печени. Неудивительно, ведь статины именно в ней и работают. Повышение ферментов печени- хорошо известный по всем руководствам и аннотациям сигнал тревоги при приеме статинов! (Оно встречается у 0,5-3% людей, принимающих статины, особенно в первые месяцы приема). В жизни оказывается все не совсем так. Во-первых какое повышение? Умеренно повышенные ферменты не являются основанием для отмены препарата. Во внимание должно принимается 3-х кратное превышение нормы. ( некоторые говорят о 10-ти кратном повышении!). Другое дело, что очень мало врачей осмелится продолжить давать статины больному даже с умеренным повышением ферментов печени, для этого надо быть уверенным в себе профессионалом! И знать, что с 2012 года даже проверять уровень печёночных ферментов при лечении статинами больше не надо, если нет никаких симптомов. Риск у таких пациентов практически такой же как и общей популяции.
Многие спрашивают: так что же, давать статины людям с больной печенью ( например с инфекционным гепатитом) или нет? На самом деле давать и можно и нужно. Не тем, конечно, у которых ферменты изначально, исходно значительно повышены, а тем, кто достаточно компенсирован. При условии, что у него есть достаточные основания для назначения статинов. Например перенесенный инфаркт. Препаратов выбора здесь будет Правостатин ( "Правокол"). Есть свежие работы, говорящие, что у больных
гепатитом «С» статины возможно уменьшают риск развития рака печени! Вот так! У больных другими заболеваниями печени применение статинов так же возможно, если ферменты печени даже и незначительно повышены.Врач тут вам нужен хороший, что бы взвесил риски, не падал в обморок при словах: "у меня больная печень, но я хочу принимать статины!", и грамотно за вами наблюдал и направлял.
Еще немного про статины:
Статины имеют лечебный эффект и вне сердечно-сосудистой тематики. И опять-таки не очень известно почему. Их влияние обнаружено при статистической обработке большого клинического материала многочисленных исследований. Вот принимала эта группа больных статины: и смотрите: у них и рак встречается реже, чем в контрольной группе, и кости крепче.... Прежде, чем искать объяснения этим явлениям, начинают " шерстить" полученные данные: биостатистика- сложная наука, сначала надо удостовериться в их безошибочности. Были ( и есть) обнадеживающие данные о роли статинов в предотвращении рака: лёгких, кишечника и других. Теперь кто-то ищет этому рациональное объяснение, кто-то говорит о той самой ошибке в биостатистике. В любом случае работы в этом направлении продолжаются.
У пациентов, принимающих статины достоверно ниже риск и степень остеопороза- ослабления структуры кости, наблюдающееся в основном у женщин после менопаузы. Такая прибавка в арсенале укрепляющих кости препаратов особенно важна сегодня, когда до их пор неясна роль гормональной замещающей терапии- что в ней больше, вреда или пользы.
Исследования говорят о самостоятельном благотворном влиянии статинов на гипертонию и на функцию почек, улучшают течение сердечной недостаточности, предотвращают образование камней желчного пузыря.
Теперь внимание мужчинам: статины помогают бороться с эректильной дисфункцией и во всяком случае увеличивают чувствительность к Виагре и Сиалесу! | https://t.me/drmyasnikov/2250?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 115,800 | 0 | 1,711,269,032 | 1,730,797,736 | 10,318 | 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26 | null | "Diagram of a Drug Abuser", TV Guide antidrug PSA, 1972 | https://t.me/imatrip/1708?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,678,264,777 | 1,730,797,736 | 10,331 | 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26 | null | Диссоциация — это комплексный феномен, который включает в себя широкий спектр симптомов и сопутствует различным психиатрическим диагнозам.
Диссоциация, в общем, означает, что произошел разрыв в обычно цельных функциях, таких как сознание, восприятие, внимание, память и идентичность. К симптомам диссоциации относятся деперсонализация (субъективное чувство отчуждения от себя) и дереализация (субъективное чувство отчуждения от окружения, которое может восприниматься как нереальное, размытое, похожее на фильм или несущественное). Нарушения памяти могут варьироваться от снижения способности получать доступ к информации до диссоциативной амнезии. Соматоформные симптомы включают измененное восприятие боли (анальгезию) и потерю произвольного двигательного контроля.
Диссоциативный опыт различается по своей интенсивности и встречается также у условно здоровых людей. Диссоциация может быть основным симптомом различных расстройств, включая диссоциативные расстройства (в т.ч., диссоциативное расстройство идентичности, ДРИ), посттравматическое стрессовое расстройство (ПТСР) и комплексное посттравматическое стрессовое расстройство (кПТСР), пограничное расстройство личности (ПРЛ). Диссоциативные симптомы могут также встречаться при шизофрении, большом депрессивном расстройстве, биполярном расстройстве и обсессивно-компульсивном расстройстве.
Различить диссоциативные и психотические симптомы может быть непросто. Многие пациенты с патологической диссоциацией неоднократно получают неверные диагнозы и госпитализации перед тем, как найти адекватное лечение.
#диссоциация #ПРЛ #BPD | https://t.me/imatrip/1709?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,678,280,413 | 1,730,797,736 | 10,332 | 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| null | NEUTRAL | rus | NOT SPAM | 176 | 0 | 6 | 0.995595 | 0.004405 | 0 | 43 | 20 | 5 | 0 | 61 | 6 | 46 | true |
26 | null | Различия мании и гипомании
Я часто работаю с людьми с биполярным аффективным расстройством. Многие из пациентов, хотя давно знают или подозревают о своем диагнозе, спрашивают про различия между манией и гипоманией.
Знать различия между этими двумя состояниями важно, поскольку наличие хотя бы одной полноценной мании влечет за собой диагноз БАР I типа, наличие только гипомании - диагноз БАР II типа. А правильная диагностика важна для назначения правильных препаратов, набор которых может несколько различаться в зависимости от типа биполярного расстройства.
Маниакальные и гипоманиакальные эпизоды обязательно характеризуются:
- эйфорией, раздражительностью или расторможенностью
- увеличенной активностью или чувством повышенной энергии
Кроме того, должно присутствовать что-то из следующего:
ускоренная речь, "полет идей" (быстро сменяющиеся мысли, за которыми трудно угнаться), повышенная самооценка, низкая потребность во сне (например, сон по 3 часа в сутки без чувства сонливости), отвлекаемость и колебания внимания, рискованное поведение (например, набрать кредитов на только что придуманный бизнес, употреблять наркотики, вовлекаться в небезопасные сексуальные связи), повышенное сексуальное влечение, потребность в общении или повышенно активная деятельность по достижению целей.
Слова "повышенный" или "увеличенный" в данном контексте означают, что люди, которые вас знают, могли бы охарактеризовать, например, вашу активность, как не характерную для вас или не адекватную ситуации. Нужно понимать, что как мания, так и гипомания - это психопатологические синдромы, а не просто эпизоды активности и хорошего настроения.
Если в хорошей форме человек может продуктивно работать весь день до вечера - то "повышенной" активностью для него может быть упорная работа без сна и чувства усталости.
Эпизод не должен быть вызван употреблением веществ или другой болезнью. Однако, в последнем международном справочнике болезней допускается диагностика маниакального или гипоманиакального эпизода, если он был вызван приемом антидепрессантов и не прекратился после их отмены.
Основные различия между манией и гипоманией:
1) Мания диагностируется при наличии симптомов каждый день в течение недели, гипомания - каждый день в течение четырех дней.
2) Мания может требовать госпитализации, гипомания, обычно, ее не требует.
3) Мания часто сопровождается психотическими симптомами (бредом и галлюцинациями), и чем более выраженной является мания, тем выше их вероятность.
Бред и галлюцинации при биполярном расстройстве обычно соответствуют настроению (например, человек чувствует эйфорию и большую энергию, считает себя гением, уверен, что у него хотят украсть его бесценные идеи, и слышит голос бога в голове, который говорит, что идеи человека нужны человечеству)
4) Гипомания не разрушает жизнь человека так стремительно, как мания. Человек может быть даже более продуктивным и успешным на ограниченном промежутке времени. Например, если в гипомании человек сможет написать курсовую работу за несколько дней, то в мании он возьмется за несколько дел одновременно, курсовая будет содержать бессвязный текст и не будет закончена.
5) Гипомания чаще, чем мания, характеризуется раздражительностью.
В целом, со стороны человек в гипомании, на первый взгляд, выглядит уверенным, веселым, увлеченным, открытым, настойчивым, деятельным и активным. Но тот, кто общается с человеком достаточно часто, поймет, что что-то не так.
Человек в мании со стороны выглядит неадекватно. Его речь и мышление понять сложно, настроение чрезмерно повышено, а действия - дезорганизованы и не адекватны ситуации. | https://t.me/imatrip/1710?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,678,314,227 | 1,730,797,736 | 10,331 | 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| [{"ner":"Мания","lemma":"мания","label":"LOC","start_pos":2125,"end_pos":2130},{"ner":"3","lemma":"3","label":"NUM","start_pos":950,"end_pos":951},{"ner":"1","lemma":"1","label":"NUM","start_pos":2122,"end_pos":2123},{"ner":"2","lemma":"2","label":"NUM","start_pos":2247,"end_pos":2248},{"ner":"3","lemma":"3","label":"NUM","start_pos":2322,"end_pos":2323},{"ner":"4","lemma":"4","label":"NUM","start_pos":2764,"end_pos":2765},{"ner":"5","lemma":"5","label":"NUM","start_pos":3129,"end_pos":3130}] | NEUTRAL | rus | NOT SPAM | 484 | 0 | 7 | 0.996759 | 0.003241 | 0 | 68 | 59 | 23 | 11 | 156 | 28 | 111 | true |
26 | null | «
Синдром Мюнхгаузена
— расстройство, при котором родители намеренно вызывают у ребенка болезни или выдумывают их. Это расстройство зачастую приводит к жестокому обращению с детьми: смертность от него в опубликованных отчетах составляет 6–9%».
В
интервью
«Альпине» психиатр, преподаватель школы «Чистых Когниций»
Степан Краснощеков
и кандидат медицинских наук
Алексей Павличенко
рассказывают о том, что такое синдром Мюнхгаузена, почему им чаще всего страдают матери и зачем они причиняют смертельный вред своим детям. | https://t.me/imatrip/1711?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,678,346,234 | 1,730,797,736 | 10,332 | 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| [{"ner":"Синдром Мюнхгаузена","lemma":"синдром мюнхгаузена","label":"PER","start_pos":2,"end_pos":21},{"ner":"Альпине","lemma":"альпина","label":"ORG","start_pos":256,"end_pos":263},{"ner":"Чистых Когниций","lemma":"чистый когниций","label":"ORG","start_pos":296,"end_pos":311},{"ner":"Степан Краснощеков","lemma":"степан краснощеков","label":"PER","start_pos":313,"end_pos":331},{"ner":"Алексей Павличенко","lemma":"алексей павличенко","label":"PER","start_pos":360,"end_pos":378},{"ner":"Мюнхгаузена","lemma":"мюнхгаузена","label":"PER","start_pos":417,"end_pos":428},{"ner":"6","lemma":"6","label":"NUM","start_pos":237,"end_pos":238},{"ner":"9","lemma":"9","label":"NUM","start_pos":239,"end_pos":240}] | NEUTRAL | rus | NOT SPAM | 70 | 0 | 1 | 1 | 0 | 0 | 4 | 8 | 7 | 1 | 20 | 5 | 15 | true |
26 | null | Способность обдумывать собственные мысли — одна из отличительных черт человеческого сознания. Именно это умение придает импульс всей нашей культуре — от наскальной живописи до философии. Нейробиолог Стивен М. Флеминг рассказывает, как современная наука позволяет развить метакогнитивные способности.
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@knifemedia
https://knf.md/tg/self-awareness/ | https://t.me/imatrip/1712?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,678,453,241 | 1,730,797,736 | 10,402 | 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| [{"ner":"Стивен М. Флеминг","lemma":"стивен м. флеминг","label":"PER","start_pos":199,"end_pos":216}] | NEUTRAL | rus | NOT SPAM | 40 | 0 | 1 | 0.957447 | 0.042553 | 0 | 6 | 5 | 0 | 1 | 12 | 0 | 7 | true |
26 | null | Работа детского эндокринолога подобна точной настройке для идеальной работы организма в детстве и будущем
📋
Если эндокринная система выходит из равновесия, это влияет на всю жизнь.
Детский эндокринолог специализируется на:
✔
Диагностике и лечении заболеваний щитовидной железы у детей: гипотиреоз, тиреотоксикоз, тиреоидит (аутоиммунный, подострый), зоб (узловой, диффузный);
✔
Заболеваниях, связанных с нарушением обмена кальция и фосфора: гипопаратиреоз, гиперпаратиреоз;
✔
Нарушениях углеводного обмена: предиабет, сахарный диабет 1-го и 2-го типов, LADA-диабет, MODY-диабет;
✔
Заболеваниях гипофиза: гормонально-неактивная аденома, гипопитуитаризм, гиперпролактинемия, акромегалия, болезнь Кушинга, несахарный диабет;
✔
Нарушении веса;
✔
Недостаточности и дефиците витаминов и микроэлементов;
✔
Заболеваниях надпочечников;
✔
Иные нарушения.
Помните, что забота о здоровье вашего ребенка – это одно из самых ценных вложений в будущее.
Записывайте ребёнка к детскому эндокринологу
👉🏼
@mageryaclinic
ООО МЦ "Телемедицина"
ИНН 2310223226 | https://t.me/magerya/11135?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,500 | 0 | 1,724,848,106 | 1,730,797,736 | 10,321 | 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| [{"ner":"Кушинга","lemma":"кушинга","label":"PER","start_pos":694,"end_pos":701},{"ner":"ООО МЦ \"Телемедицина\"","lemma":"ооо мц \"телемедицина\"","label":"ORG","start_pos":1001,"end_pos":1022},{"ner":"23226","lemma":"23226","label":"DATE","start_pos":1032,"end_pos":1037},{"ner":"23102","lemma":"23102","label":"DATE","start_pos":1027,"end_pos":1032},{"ner":"1","lemma":"1","label":"NUM","start_pos":534,"end_pos":535},{"ner":"2","lemma":"2","label":"NUM","start_pos":541,"end_pos":542}] | NEUTRAL | rus | NOT SPAM | 127 | 0 | 5 | 0.984772 | 0.015228 | 0 | 23 | 6 | 2 | 2 | 56 | 6 | 40 | true |
26 | null | Занятия спортом полезны всегда! Особенно если заниматься спортом на отдыхе, на свежем морском вохдухе
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Реклама. ООО Парсек
ИНН: 7810817393
erid: 2VSb5wptb7v | https://t.me/magerya/11137?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 50,300 | 0 | 1,724,853,816 | 1,730,797,736 | 10,402 | 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26 | null |
Вопрос от подписчика. В течении какого времени труп разложится до состояния скелета?
Скелетирование
— заключительная фаза разложения, при которой мягкие ткани трупа разлагаются или высыхают до такой степени, что обнажается скелет.
Сложно говорить о сроках скелетирования, так как слишком много факторов окружающей среды влияют на скорость разложения:
— время года
— климат
— температура окружающей среды
— место нахождения тела (вода, земля, на открытом воздухе...)
— влажность
— тип почвы (песок, чернозем, глина...)
— физико-химические свойства почвы (влажность, кислотность, температура...)
— глубина захоронения
— способ и вид захоронения (в гробу, без гроба, в одежде...)
— животные и грызуны
— насекомые
И это только самые очевидные и поверхностные факторы
Но давайте рассмотрим обычное захоронение тела на глубине около 1,5 метров. При умеренном климате и относительно благоприятных условиях для распада тканей полное скелетирование произойдет в течении ~2-4 лет и то хрящи и связки могут сохраняться дольше. В менее благоприятных условиях, при отсутствии факторов разрушения этот срок может значительно удлиняться, а процесс скелетирования будет идти очень медленно. Как писал ранее тело вовсе может подвергнуться консервирующим процессам, например, во влажных почвах полного скелетирования может и не быть, его заменят
жировоск или торфяное дубление
(информацию про эти процессы можно найти в первых постах)
На открытом воздухе (на поверхности земли) поздней весной или летом, при доступе влаги, ветра, солнечных лучей, действия мух, муравьев, мелких грызунов и хищников разрушение и уничтожение мягких тканей происходит в короткие сроки, так тело взрослого человека вполне может разложиться до состояния скелета за несколько недель. А вот с наступлением холодов процессы разложения замедляются.
Какие задачи у судмедэксперта при обнаружении неизвестных костных останков?
— определить действительно ли это костные останки человека
— определить пол, возраст, рост по костным останкам
— определить сроки скелетирования (не всегда возможно)
— изучить повреждения на костных останках. Это могут быть переломы, следы огнестрельных повреждений, следы воздействия тупых предметов или острых орудий, следы расчленения и т.д. Их наличие позволяет в предположительной форме судить о причине смерти.
Далее в покажу несколько фотографий
Записки судмедэксперта | https://t.me/sudmednotes/8776?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,700 | 0 | 1,724,000,197 | 1,730,797,736 | 10,331 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Подтверждаю
Он был у нас на экспертизе | https://t.me/sudmednotes/8782?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,600 | 0 | 1,724,008,344 | 1,730,797,736 | 10,318 | 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| null | NEUTRAL | rus | NOT SPAM | 7 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 1 | 0 | 0 | true |
26 | null | Если не знаете, что посмотреть в свободное время, ловите годное аниме
Анимешники поставят реакций? | https://t.me/sudmednotes/8783?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 59,200 | 0 | 1,724,008,425 | 1,730,797,736 | 10,402 | 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| null | NEUTRAL | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 2 | 4 | 0 | 0 | 4 | 0 | 3 | true |
26 | null | Мои пациенты: кому нужна в марте, не оттягивайте, пишите в вотсап. С 1 апреля я в отпуске!
https://t.me/+eefXGIQoYRM3Nzcy
Все акции и скидки по моим инфопродуктам теперь только тут будут.
PS: сюда вернусь с полезной информацией чуть позже, как чуть разберусь со своей занятостью! | https://t.me/DrAnshina/772?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 113,000 | 0 | 1,677,930,259 | 1,730,797,737 | 10,331 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":69,"end_pos":70},{"ner":"3","lemma":"3","label":"NUM","start_pos":116,"end_pos":117}] | NEUTRAL | rus | NOT SPAM | 43 | 0 | 2 | 0.963636 | 0.036364 | 0 | 3 | 4 | 2 | 0 | 10 | 6 | 9 | true |
26 | null | Про герпес дополнение: сначала нормализуем питание, устраняем дефициты, курс хороших препаратов на герпес и потом только вакцинация.
Вот так должно быть! И тогда вакцина будет в разы эффективнее!!
https://anshina.mygaide.ru
#домашнийдоктор
#вакцинация | https://t.me/DrAnshina/773?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 55,000 | 0 | 1,678,087,920 | 1,730,797,737 | 10,331 | 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| null | NEUTRAL | rus | NOT SPAM | 31 | 0 | 1 | 0.977273 | 0.022727 | 0 | 3 | 3 | 0 | 0 | 12 | 4 | 9 | true |
26 | null | Всех поздравляю с правильным выбором! Все пришли и сделали всё как надо! И это правильно! | https://t.me/drmyasnikov/2241?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 102,500 | 0 | 1,710,749,578 | 1,730,797,737 | 10,382 | 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| null | POSITIVE | rus | NOT SPAM | 15 | 0 | 1 | 1 | 0 | 0 | 2 | 3 | 4 | 0 | 1 | 1 | 3 | true |
26 | null | Знаете какие лекарства наиболее опасны для печени?
Первые место по Миру занимает популярнешее жаропонижающее ПАРАЦЕТАМОЛ, второе- не менее популярный антибиотик АМОКСИКЛАВ (АУГМЕНТИН).
Вообще антибиотики и противосудорожные препараты вызывают вместе более 60% всех лекарственных токсичных поражений печени
. | https://t.me/drmyasnikov/2242?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 100,000 | 0 | 1,710,844,136 | 1,730,797,737 | 10,334 | 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| [{"ner":"Миру","lemma":"мир","label":"PER","start_pos":67,"end_pos":71},{"ner":"ПАРАЦЕТАМОЛ","lemma":"парацетамол","label":"ORG","start_pos":109,"end_pos":120},{"ner":"АМОКСИКЛАВ (АУГМЕНТИН)","lemma":"амоксиклав (аугментин)","label":"ORG","start_pos":161,"end_pos":183},{"ner":"60","lemma":"60","label":"NUM","start_pos":256,"end_pos":258}] | NEUTRAL | rus | NOT SPAM | 37 | 0 | 3 | 1 | 0 | 0 | 6 | 5 | 0 | 1 | 9 | 5 | 6 | true |
26 | null | Прислали вот. Очередь у посольства России во Франции на голосование! Никогда такого не было! Знакомые посольские рассказали- спросили: чего такая активность? Ответ: надоело тут быть говном второго сорта. Это все члены совместных с французами семей, диаспора русских в Париже большая. И голосовали за кого надо! | https://t.me/drmyasnikov/2243?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 108,600 | 0 | 1,710,864,248 | 1,730,797,737 | 10,331 | 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| [{"ner":"России","lemma":"россия","label":"LOC","start_pos":35,"end_pos":41},{"ner":"Франции","lemma":"франция","label":"LOC","start_pos":45,"end_pos":52},{"ner":"Париже","lemma":"париж","label":"LOC","start_pos":268,"end_pos":274}] | NEGATIVE | rus | NOT SPAM | 45 | 1 | 1 | 1 | 0 | 0 | 5 | 5 | 3 | 0 | 13 | 3 | 10 | true |
26 | null | И что это было? Согнал собаку! | https://t.me/drmyasnikov/2244?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 89,300 | 0 | 1,710,866,629 | 1,730,797,737 | 10,331 | 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| null | NEUTRAL | rus | NOT SPAM | 6 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 1 | 0 | 2 | true |
26 | null | Вы иногда ставите меня в тупик!
Или я потерял способность доносить людям информацию в доступной им форме. Или многие читают только первую строчку и их обуревает такой зуд в пальцах, что они бросаются писать комментарии, как собака за проезжающим велосипедом.
Написал про то, что парацетамол чаще других вызывает поражение печени (и аугментин). Ох: «да вы сами рекомендовали, а чем теперь лечиться»? И так далее…
Этим самым и лечиться. Но с умом. Антибиотики вы в 90% случаев принимаете зря, только нагружаете печень. Все горло и кашель лечите, вирусные инфекции.
А парацетамол безопасен, но опасно превысить дозу. А это легко сделать вслепую, так как он входит в бесчисленное количество порошков от температуры - всякие там Фервексы, а также в состав многих таблеток для снятия боли.
Я много раз вынужден отвечать: перечитайте текст! «Уходишь из ванной - закрой, блин, тюбик!» | https://t.me/drmyasnikov/2245?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 97,500 | 0 | 1,710,906,749 | 1,730,797,737 | 10,331 | 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| [{"ner":"Фервексы","lemma":"фервексы","label":"PER","start_pos":724,"end_pos":732},{"ner":"90","lemma":"90","label":"NUM","start_pos":463,"end_pos":465}] | NEUTRAL | rus | NOT SPAM | 137 | 0 | 4 | 1 | 0 | 0 | 11 | 22 | 14 | 2 | 40 | 11 | 33 | true |
26 | null | То, что жестокое отношение родителей к детям аукается во взрослом возрасте, понятно всем. Однако не очевидно, что оно проявляется даже в следующем поколении — у внуков агрессоров.
Ученые
проанализировали
данные двух опросников, которые женщины заполняли в рамках исследовательской программы США о влиянии внешних факторов на развитие детей. Опросники охватывали все виды жестокого обращения с детьми. Всего в анализ включили 3954 пар мать-ребенок с 1999 по 2016 год.
Почти половина женщин в исследовании (1742 женщин, 44 процента) сообщила о фактах жестокого обращения в детстве. Женщины, подвергавшиеся жестокому обращению в детстве, с большей долей вероятности были чернокожими, рожали в более молодом возрасте, имели более низкий уровень образования и годовой уровень дохода по сравнению с женщинами, которые не подвергались насилию в детстве.
Первичный анализ показал, что матери, которые подвергались жестокому обращению в детстве, чаще имели детей с проблемами интериоризации, РАС, СДВГ и астмой. При учете дополнительных параметров ученые обнаружили, что у девочек, чьи матери в детстве подвергались жестокому обращению, риск развития детского ожирения был выше.
Разные статистические модели с поправками на различные факторы демонстрировали аналогичные результаты с разной силой ассоциации, которая оставалась статистически значимой. | https://t.me/imatrip/1703?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,677,953,320 | 1,730,797,737 | 10,331 | 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| [{"ner":"США","lemma":"сша","label":"LOC","start_pos":291,"end_pos":294},{"ner":"РАС","lemma":"рас","label":"ORG","start_pos":983,"end_pos":986},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":988,"end_pos":992},{"ner":"3954","lemma":"3954","label":"NUM","start_pos":425,"end_pos":429},{"ner":"1999","lemma":"1999","label":"NUM","start_pos":449,"end_pos":453},{"ner":"2016","lemma":"2016","label":"NUM","start_pos":457,"end_pos":461},{"ner":"1742","lemma":"1742","label":"NUM","start_pos":505,"end_pos":509},{"ner":"44","lemma":"44","label":"NUM","start_pos":518,"end_pos":520}] | NEUTRAL | rus | NOT SPAM | 181 | 0 | 3 | 1 | 0 | 0 | 29 | 18 | 7 | 4 | 73 | 7 | 32 | true |
26 | null | Импульсивность и компульсивность наблюдаются при множестве различных психических расстройств.
Импульсивность можно определить как неспособность остановить инициирование действий. Она связана с нейронным контуром, который расположен в вентральной части полосатого тела и связана с таламусом (T), вентромедиальной префронтальной корой (ВМПФК), а также с передней поясной корой (ППК).
Под компульсивностью понимают неспособность остановить уже начавшиеся действия.
Считается, что компульсивность связана с работой другого нейронного контура, расположенного в дорсальной части полосатого тела и связанного с таламусом (T) и орбитофронтальной корой (ОФК).
Импульсивные действия, такие как употребление психоактивных веществ, азартные игры и переедание, со временем могут стать компульсивными.
Данное явление связано с нейропластическими изменениями в дорсально расположенной системе привычек. Предполагается, что в результате этих изменений импульсы вентральной петли мигрируют в дорсальную петлю.
#импульсивность | https://t.me/imatrip/1704?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,677,998,689 | 1,730,797,737 | 10,332 | 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| null | NEUTRAL | rus | NOT SPAM | 118 | 0 | 5 | 0.986842 | 0.013158 | 0 | 23 | 17 | 2 | 0 | 41 | 4 | 28 | true |
26 | null | Пит Уокер - Комплексное ПТСР. Руководство по восстановлению от детской травмы
В книге рассматривается к-ПТСР (комплексное посттравматическое стрессовое расстройство), возникшее в результате детской травмы, которая развивается у детей с самого разного возраста, если родители не проявляют достаточно любви и терпения, слишком требовательны, чрезмерно заняты собой, используют телесные наказания, унижают детей вербально, физически или психологически или прибегают к разного рода насилию. Растущие в таких семьях дети с младенчества вырабатывают защитные реакции, которые позже, во взрослой жизни, мешают им любить других, доверять им и устанавливать полноценные человеческие взаимоотношения, что выливается в развитие к-ПТСР. Автор предлагает свою методику исцеления на основе методов когнитивно-поведенческой терапии. Книга рассчитана на практикующих психотерапевтов и их клиентов с к-ПТСР и может использоваться как пособие по самопомощи для всех жертв детской травмы.
#литература #кПТСР #травма | https://t.me/imatrip/1705?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 4,000 | 0 | 1,678,021,208 | 1,730,797,737 | 10,331 | 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| [{"ner":"Пит Уокер - Комплексное ПТСР","lemma":"пит уокер - комплексный птср","label":"PER","start_pos":0,"end_pos":28}] | NEUTRAL | rus | NOT SPAM | 126 | 0 | 5 | 1 | 0 | 0 | 20 | 20 | 7 | 0 | 40 | 13 | 22 | true |
26 | null | Педофилия определяется в DSM-5 как стойкое сексуальное влечение к детям препубертатного возраста, приводящее к дистрессу или негативным последствиям. Педофилия – одно из нескольких парафильных расстройств, перечисленных в DSM-5; все они характеризуются нетипичными сексуальными интересами, вызывающими дистресс или ухудшение самочувствия или влекущими риск причинения вреда другим людям.
Читать далее | https://t.me/imatrip/1706?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,678,093,367 | 1,730,797,737 | 10,332 | 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| [{"ner":"DSM-5","lemma":"dsm-5","label":"ORG","start_pos":25,"end_pos":30},{"ner":"DSM-5","lemma":"dsm-5","label":"ORG","start_pos":222,"end_pos":227},{"ner":"5","lemma":"5","label":"NUM","start_pos":29,"end_pos":30},{"ner":"5","lemma":"5","label":"NUM","start_pos":226,"end_pos":227}] | NEUTRAL | rus | NOT SPAM | 48 | 0 | 2 | 0.963636 | 0.036364 | 0 | 8 | 7 | 1 | 2 | 15 | 1 | 7 | true |
26 | null | Как вам видосик про опасный магний
❓ | https://t.me/magerya/11126?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,500 | 0 | 1,724,748,044 | 1,730,797,737 | 10,383 | 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| null | NEUTRAL | rus | NOT SPAM | 7 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | true |
26 | null | У всех проблемы с памятью начинаются по-разному. Кто-то начинает забывать свой номер телефона и пин код карты, а кто-то день рождение родителей и имена знакомых.
Не спешите ставить себе болезнь Альцгеймера, возможно вы просто перенасыщены лишней информацией.
Здесь совет простой! Ограничьте скроллинг ленты
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начните читать художественные книги и попробуйте сочинять стихи.
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Мне очень нравится упражнение, когда я перед сном прокручиваю весь день задом наперед. От момента как я сейчас лежу уже засыпаю, до пробуждения сегодняшним утром
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Чтобы центр памяти работал на полную мощность, ему нужен магний, но не простой, а золотой!
Mg + аминокислота треонин = Магния треонат
👩🏼🏫
Он укрепляет память, за счет улучшения нейропластичности — способности мозга адаптироваться и формировать новые нейронные связи. Чем больше активных связей между нейронами, тем лучше работает наш внутренний компьютер.
Благодаря треонату магния, память становится более чёткой, подвижной и устойчивой к возрастным изменениям. | https://t.me/magerya/11128?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 53,400 | 0 | 1,724,761,727 | 1,730,797,737 | 10,331 | 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| [{"ner":"Альцгеймера","lemma":"альцгеймера","label":"PER","start_pos":194,"end_pos":205},{"ner":"Магния","lemma":"магний","label":"PER","start_pos":662,"end_pos":668}] | NEUTRAL | rus | NOT SPAM | 143 | 0 | 1 | 0.994652 | 0.005348 | 0 | 16 | 21 | 13 | 1 | 48 | 11 | 26 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11129?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,900 | 0 | 1,724,783,418 | 1,730,797,737 | 10,331 | 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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 | Магний от «Жизнивек»:
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Магния треонат – острота ума
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👉🏼
wildberries/магний_треонат
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Магния глицинат – спокойствие мозга
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🧘🏼
👉🏼
wildberries/магний_глицинат
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Магния оротат – защита сердца
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wildberries/магний_оротат
На этой неделе на треонат и оротат снижена цена
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Успевайте заказать на Wildberries или OZON
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11130?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 52,400 | 0 | 1,724,819,757 | 1,730,797,737 | 10,331 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":11,"end_pos":19},{"ner":"Wildberries","lemma":"wildberries","label":"ORG","start_pos":294,"end_pos":305},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":324,"end_pos":353},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":343,"end_pos":353},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":348,"end_pos":353}] | NEUTRAL | rus | SPAM | 52 | 0 | 3 | 0.94382 | 0.05618 | 0 | 0 | 3 | 0 | 1 | 20 | 0 | 17 | true |
26 | null | Вас как судмедэксперта вызывают на место обнаружения трупа. Вот общий вид тела. Тело найдено на пустой парковке на окраине города. Уже есть предположения о причине смерти?
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Записки судмедэксперта | https://t.me/sudmednotes/8769?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,400 | 0 | 1,723,914,747 | 1,730,797,737 | 10,335 | 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| null | NEUTRAL | rus | NOT SPAM | 36 | 0 | 0 | 1 | 0 | 0 | 3 | 4 | 2 | 0 | 17 | 2 | 5 | true |
26 | null | При осмотре тела в глаза бросаются вот такие повреждения. Следователь спрашивает: «Что думаете, док?»
Если вы ничего не можете надумать, давайте реакций. Дам последнюю подсказку
Записки судмедэксперта | https://t.me/sudmednotes/8771?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 54,400 | 0 | 1,723,916,411 | 1,730,797,737 | 10,335 | 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| null | NEUTRAL | rus | NOT SPAM | 27 | 0 | 0 | 1 | 0 | 0 | 1 | 6 | 3 | 0 | 11 | 0 | 8 | true |
26 | null | В кармане обнаружены монетки | https://t.me/sudmednotes/8772?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 56,300 | 0 | 1,723,918,777 | 1,730,797,737 | 10,331 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Скидываю мемы. 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| [{"ner":"238","lemma":"238","label":"NUM","start_pos":20,"end_pos":23}] | NEUTRAL | rus | SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 2 | 0 | 1 | true |
26 | null | Подъехало интервью, где дерматоонколог Дмитрий Бейнусов отвечает на ваши злободневные вопросы.
Мы поговорили о родинках, spf кремах, меланоме и базалиоме. Приятного чтения:
https://teletype.in/@dr.sudmed/beinusov
https://teletype.in/@dr.sudmed/beinusov
https://teletype.in/@dr.sudmed/beinusov
Вы можете тут задать свой вопрос, который не вошел в интервью | https://t.me/sudmednotes/8774?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,300 | 0 | 1,723,990,307 | 1,730,797,737 | 10,331 | 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| [{"ner":"Дмитрий Бейнусов","lemma":"дмитрий бейнусов","label":"PER","start_pos":39,"end_pos":55}] | NEUTRAL | other | NOT SPAM | 36 | 0 | 0 | 0.916667 | 0.083333 | 0 | 2 | 6 | 3 | 0 | 10 | 2 | 7 | true |
26 | null | Про жертвенность!
Девочки, слушаем все!
Пожалуйста не забывайте про себя. А то абсурд получается: детей обследовали, родителей тоже, мужей… А про себя забыли
😰 | https://t.me/DrAnshina/759?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 62,400 | 0 | 1,677,231,839 | 1,730,797,738 | 10,391 | 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| null | NEGATIVE | rus | NOT SPAM | 24 | 0 | 2 | 1 | 0 | 0 | 0 | 5 | 3 | 0 | 7 | 2 | 8 | true |
26 | null | Весеннего Кисловодска вам в ленту
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❤️ | https://t.me/DrAnshina/765?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 65,000 | 0 | 1,677,348,598 | 1,730,797,738 | 10,380 | 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| [{"ner":"Кисловодска","lemma":"кисловодск","label":"LOC","start_pos":10,"end_pos":21}] | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 6 | true |
26 | null | Мы с Машей прилетели в Москву.
Ловите пост как с комфортом и безопасно путешествовать на самолете.
Кстати, вы часто летаете? Делитесь лайфхаками своими
💥
Маша убеждена: главное - пачти под глаза.
Мнение кардиолога чуть глубже:
нужно профилактировать тромбозы!
Полеты на самолетах (в большей степени) и долгие автопутешествия + наличие варикоза и\или наследственная тромбофилия способствуют тромбозам.
Это могут:
✔️
тромбозы глубоких вен голеней
✔️
ТЭЛА (тромбоэмболия легочной артерии – жизнеугрожающее состояние с высокой степенью летальности).
Профилактика тромбоза в путешествиях:
✔️
Компрессионный трикотаж (колготы/чулки/гольфы).
Эффективная защита от тромбоза (данные Американской ассоциации кардиологов: снижают вероятность образования тромбов почти в 20 раз).
Степень компрессии 1 (при начальных проявлениях варикоза) или 2 (при более поздних стадиях).
✔️
Не кладите, сидя в кресле самолета/автомобиля, ногу на ногу.
✔️
Выбрать удобную, не узкую обувь для полета. А лучше снять обувь.
✔️
Для полета лучше свободная одежда без ремня.
✔️
Пить воду (воду, а не алкоголь!) и до полета и во время.
✔️
Самомассаж ног во время полета, гимнастика ног, раз в 2 часа. Или, если позволяет самолет и место: закинуть ноги как я.
✔️
Пройтись по салону самолета (если на машине — выйти погулять).
✔️
Для пациентов с высоким риском тромбозов низкомолекулярный гепарин (например, клексан или фраксипарин) за 2–4 ч до длительного перелета значительно уменьшает частоту венозного тромбоза.
Нет смысла в аспирине и клопидогреле!
#путешествия | https://t.me/DrAnshina/768?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 92,200 | 0 | 1,677,510,015 | 1,730,797,738 | 10,380 | 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| [{"ner":"Машей","lemma":"маша","label":"PER","start_pos":5,"end_pos":10},{"ner":"Москву","lemma":"москва","label":"LOC","start_pos":23,"end_pos":29},{"ner":"Маша","lemma":"маша","label":"PER","start_pos":155,"end_pos":159},{"ner":"Американской ассоциации кардиологов","lemma":"американский ассоциация кардиолог","label":"ORG","start_pos":675,"end_pos":710},{"ner":"20","lemma":"20","label":"NUM","start_pos":760,"end_pos":762},{"ner":"1","lemma":"1","label":"NUM","start_pos":788,"end_pos":789},{"ner":"2","lemma":"2","label":"NUM","start_pos":832,"end_pos":833},{"ner":"2","lemma":"2","label":"NUM","start_pos":1160,"end_pos":1161},{"ner":"2","lemma":"2","label":"NUM","start_pos":1401,"end_pos":1402},{"ner":"4","lemma":"4","label":"NUM","start_pos":1403,"end_pos":1404}] | NEUTRAL | rus | NOT SPAM | 218 | 0 | 2 | 1 | 0 | 0 | 25 | 21 | 4 | 6 | 89 | 10 | 71 | true |
26 | null | Всем привет. Я пока в цейтноте: начался мой интенсив, съемки, пациенты на ведении, бизнес, семья, визиты к моим врачам.
Поэтому соцсети до нормализации графика вести не буду.
Не теряйте
❤️
Много вопросов по дистанционному ведению у меня:
Есть несколько мест на даты 20-30 марта, открыта запись на апрель (даты 11-27). На другие месяцы нет.
Летом минимум работы будет.
Для записи:
https://wa.me/79772981780
Дети с 5 лет и только по анализам и дефицитами.
Взрослые: анализы, дефициты, питание, мое экспертное мнение по кардиологии.
PS: и я не оказываю экстренную помощь!! Это 112.
Не высказываю прогноз по родственникам, которые сейчас в реанимации (простите, это абсурдно и непрофессионально).
Не смотрю отдельно анализы, экг, холтера, узи потому что запись в поликлинике только через месяц и надо узнать что я там вижу.
Приема в клинике по кардиологии в ближайшие 6-12 месяцев не будет!
Комментирование пока закрыла, тк много спама. | https://t.me/DrAnshina/769?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 115,300 | 0 | 1,677,595,158 | 1,730,797,738 | 10,380 | 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26 | null | Все на выборы! И не надо говорить, что все решено и без меня! Проголосовав, мы тем самым даем свою оценку происходящему. И Страна очень нуждается во всеобщей поддержке!#выбираюПрезидента | https://t.me/drmyasnikov/2235?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,800 | 0 | 1,710,568,818 | 1,730,797,738 | 10,382 | 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| [{"ner":"Страна","lemma":"страна","label":"PER","start_pos":123,"end_pos":129}] | NEUTRAL | rus | NOT SPAM | 28 | 0 | 2 | 1 | 0 | 0 | 1 | 7 | 5 | 0 | 3 | 2 | 5 | true |
26 | null | Правильное похудение, польза клетчатки, антифосфолипидный синдром. Программа "Доктор Мясников". Эфир от 16.03.2024
По каким признакам можно распознать малоизвестную болезнь, которая может стать причиной инфаркта или инсульта? Как правильно и эффективно худеть к лету? Серый кардинал организма: какой продукт управляет нашим здоровьем? Как избавиться от хронического кашля? Почему вейпы особенно опасны для подростков? И как влияет на иммунитет частый прием антибиотиков? Ответы на эти и другие важные вопросы о здоровье – в новом выпуске программы.
https://smotrim.ru/video/2775800 | https://t.me/drmyasnikov/2236?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 95,200 | 0 | 1,710,578,526 | 1,730,797,738 | 10,380 | 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26 | null | Контрасты Севера! В течение дня и солнце и злющая пурга! | https://t.me/drmyasnikov/2239?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 88,700 | 0 | 1,710,685,720 | 1,730,797,738 | 10,380 | 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| null | POSITIVE | rus | NOT SPAM | 10 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 5 | 0 | 2 | true |
26 | null | Видеорубрика "Для души и тела". Эксклюзив от доктора Мясникова: может ли вера вылечить?
- Есть ли у веры медицинская составляющая?
- Эффект плацебо: с чем это едят?
- Секреты молодого ординатора.
- Когда медицина свернула с "истинного" пути и есть ли надежда на возвращение?
- Можно ли активировать иммунитет?
- Как управлять защитными средствами организма?
- Будут ли в будущем таблетки?
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/4yQtPO1taNU | https://t.me/drmyasnikov/2240?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 112,100 | 0 | 1,710,697,386 | 1,730,797,738 | 10,380 | 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26 | null | ПОСЛЕ НАРЦИССИЗМА
Изнутри
..Точно так же, как нарциссическая личность перемещается от переживания себя ничтожной к переживанию себя грандиозной (с полным ощущением подлинности актуального переживания) точно также сфера интеллектуальных представлений о мире организована у таких людей по дуальному принципу. Воспоминания зачастую расщеплены на трагические или героические, мечты о будущем могут иметь грандиозный либо катастрофический характер. «Я никогда не был», «Он всегда был», «Мы никогда - мы всегда». Конечно, картина, которую я описываю, выглядит карикатурно, поэтому в такой степени выраженности она встречается редко.
В некоторых случаях когнитивная поляризация может служить причиной импульсивного или реактивного, а иногда - и некритичного поведения, особенно в психологически сложной ситуации. Все плохо - надо немедленно сделать хорошо, причем навсегда. Ошибку надо немедленно исправить. Упал? Немедленно стать. Заболел? Немедленно вылечить. Умер? Непременно воскресить. В крайнем случае - родить нового или отыскать похожего. Маятник продолжает раскачиваться, проскакивая середину.
Снаружи
Работа с нарциссическим расстройством в психотерапии длительна, сложна и никогда не заканчивается. Предыдущее предложение может прозвучать угнетающе, зато это правда. А правда - и есть основной дефицит, который испытывает нарциссическое бытие. Одно из основных стратегических направлений работы терапевта с нарциссической динамикой - способствовать встрече клиента с текущей правдой его жизни. В особенности это касается гештальт-терапии, поскольку в ней, по традиции, всегда уделялось большое внимание клиент-терапевтическому процессу в реальном времени, актуальному переживанию и феноменологии клиента. Тактически работа с такими людьми может выглядеть очень по-разному в разные моменты, однако, ее основной мишенью обычно остается целостность актуального переживания человека и усиление способности клиента выдерживать и само актуальное переживание и - контакт с другим человеком (терапевтом) в реальном времени и в потоке этого переживания. Под актуальным переживанием я понимаю максимально понятую полноту человеческой жизни в каждый конкретный момент времени: осознавание реальных чувств, переживаний, импульсов и сопровождающего все это телесного процесса клиента в контакте с терапевтом. Последнее крайне важно, так как одной из основных черт нарциссической личности является слабая способность находиться в контакте (диалоге) с Другим, и доверять ему свой актуальный психический процесс. Я немного опасаюсь затягивать теоретическую прелюдию. Может оказаться, что длинная подводка окажется несоразмерной той простой мысли, которая показалась мне забавной пару дней назад, и ради которой я все это пишу. Поэтому перейду к делу.
Сверху
Давайте оторвем глаз от душевного эндоскопа и сменим масштаб. Если взглянуть на нарциссическую эпидемию с точки зрения истории и географии, выйдет примерно следующее. Условной(!) временной вехой оплодотворения нарциссической яйцеклетки можно считать вышедшую в 1931 г.книгу Джеймса Адамса «Американская мечта». Несмотря на простоту, красоту и привлекательность декларируемых в ней идеалов (свобода, счастье и поголовная самореализация), через полвека выяснилось, что, будучи принятой всерьез, американская мечта сильно уродует душу мечтателей. Несмотря на необъятность Америки и нескончаемость в ней всего самого хорошего, выяснилось, что социальный лифт везет доверху не всех. Что Макдональдс изобретут только двое. А девять десятых населения обречены всю жизнь собирать котлету, салат и булку в Биг-мак. Самореализации на всех не хватило.
В общем, мне кажется, Америка должна чувствовать столь же сильную, сколь бессознательную вину за возникновение эпидемии нарциссизма, сколь Германия - за нацистские преступления. Ясно, что советская психическая реальность в этом смысле ничем не лучше, но, будучи отброшены войной далеко назад, мы только сейчас начинаем догадываться о чем-то, о чем в Америке давно сказали вслух: маятник летит обратно.
Целиком тут:
http://gaverdovskaya.ru/public/old/story1732.htm
#нарциссизм | https://t.me/imatrip/1698?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,677,502,815 | 1,730,797,738 | 10,380 | 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| [{"ner":"Другим","lemma":"другим","label":"PER","start_pos":2441,"end_pos":2447},{"ner":"Джеймса Адамса","lemma":"джеймс адамс","label":"PER","start_pos":3020,"end_pos":3034},{"ner":"Америки","lemma":"америка","label":"LOC","start_pos":3315,"end_pos":3322},{"ner":"Макдональдс","lemma":"макдональдс","label":"PER","start_pos":3428,"end_pos":3439},{"ner":"Биг-мак","lemma":"биг-мак","label":"LOC","start_pos":3543,"end_pos":3550},{"ner":"Америка","lemma":"америка","label":"LOC","start_pos":3609,"end_pos":3616},{"ner":"Германия","lemma":"германия","label":"LOC","start_pos":3726,"end_pos":3734},{"ner":"Америке","lemma":"америка","label":"LOC","start_pos":3937,"end_pos":3944},{"ner":"1931","lemma":"1931","label":"NUM","start_pos":3007,"end_pos":3011},{"ner":"1732","lemma":"1732","label":"NUM","start_pos":4042,"end_pos":4046}] | NEUTRAL | rus | NOT SPAM | 524 | 0 | 10 | 0.998466 | 0.001534 | 0 | 83 | 71 | 36 | 4 | 141 | 67 | 109 | true |
26 | null | у нас есть старый и в меру добрый чатик. не обещаем что будет интересно или конструктивно, но вы все равно приходите. | https://t.me/imatrip/1699?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,677,633,365 | 1,730,797,738 | 10,380 | 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| null | NEUTRAL | rus | NOT SPAM | 21 | 0 | 0 | 1 | 0 | 0 | 4 | 3 | 2 | 0 | 2 | 2 | 3 | true |
26 | null | Гордыня, жадность, похоть, зависть, чревоугодие, гнев и уныние — современные психиатры лечат то, что раньше считалось грехом.
🔪
@knifemedia
https://knf.md/tg/seven-psychic-sins/ | https://t.me/imatrip/1700?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,677,663,086 | 1,730,797,738 | 10,380 | 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| null | NEUTRAL | other | NOT SPAM | 20 | 0 | 0 | 0.933333 | 0.066667 | 0 | 1 | 3 | 1 | 0 | 8 | 1 | 9 | true |
26 | null | Подборка, имя которой нельзя произносить:
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Учебник по военной психиатрии | https://t.me/imatrip/1701?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,677,675,732 | 1,730,797,738 | 10,380 | 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| [{"ner":"СИОЗС","lemma":"сиозс","label":"ORG","start_pos":83,"end_pos":88},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":103,"end_pos":107},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":129,"end_pos":133},{"ner":"Советской России","lemma":"советский россия","label":"LOC","start_pos":251,"end_pos":267},{"ner":"Украине","lemma":"украина","label":"LOC","start_pos":270,"end_pos":277},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":561,"end_pos":565},{"ner":"10","lemma":"10","label":"NUM","start_pos":568,"end_pos":570}] | NEUTRAL | rus | NOT SPAM | 89 | 0 | 4 | 1 | 0 | 0 | 24 | 4 | 1 | 4 | 33 | 1 | 3 | true |
26 | null |
FOMO (fear of missing out)
— синдром упущенной выгоды, вызывающий тревогу и беспокойство. Понятие FOMO ввели в 2004 году для описания чувств человека, который видит (чаще всего в соцсетях) что-то, что он пропускает, и сожалеет об этом. В 2013 году британские психологи определили его как «всепроникающее опасение, что другие могут получать полезный опыт в ваше отсутствие».
КАК СПРАВИТЬСЯ
1. Напоминать себе, что вы сравниваете свою обычную жизнь с самыми яркими событиями других людей
Большинство людей не выкладывают в блог каждый свой шаг, вы видите отретушированную картинку и чаще всего не представляете, как выглядит их повседневная жизнь.
2. Задавать себе вопросы
Что в этом событии, которое я пропускаю, для меня важно? Почему я чувствую тревогу в связи с ним? Ответы могут многое сказать о ваших ценностях, которые вы и имеете в виду, тревожась об упущенных возможностях. В этих возможностях есть что-то важное для вас. Ваша задача — понять, что именно.
3. Проводить цифровой детокс
Попробуйте полностью отключиться от социальных сетей на день-два. Удалите приложения с телефона и прислушайтесь к своим мыслям, когда они не заняты анализом контента в сети. Можно практиковать в этот период телесные практики: массаж или йогу. Вам могут прийти в голову совершенно новые, неожиданные идеи, связанные не с тем, что вы что-то упустили во внешнем мире, а с вашей собственной жизнью.
4. Выстраивайте внутреннюю опору вместе с психологом
Если вы в терапии, то можно уделить время отстройке от внешнего мира и углублению в свой внутренний. Полезно задать себе вопросы о том, что вам нравилось делать в детстве, о каких темах вы любите размышлять и с чем работать. Попробуйте найти те дела, которые вам интересны вне зависимости от того, делают ли это другие.
5. Обратитесь к значимым для вас отношениям
Поддержка семьи и друзей может помочь осознать, что вы достойны любви и принятия — и неважно, сколько интересного и полезного вы сделали или что делают в это время другие люди.
6. Попробуйте медитировать хотя бы пару минут в день
Практики осознанности помогают справиться с беспокойством и суетой. Сосредоточившись на дыхании, вы не только вернетесь в настоящее вместо будущего, но и, возможно, осознаете, что пропущенные вами события не так-то и нужны вам. Даже простая прогулка и созерцание природы помогут вернуть внимание внутрь себя вместо внешнего.
Любой человек может ощутить FOMO в разные моменты жизни. Однако бывают ситуации, когда это состояние приносит дискомфорт, появляются симптомы тревоги или даже депрессии.
Самое важное в этот момент — не бежать куда-то снова, а наоборот, остановиться и прислушаться к себе и своим потребностям, которые пытаются сказать о себе через FOMO. Может оказаться, что ваши желания — вовсе не о веселье на вечеринке или стремлении иметь детей, а о том, чтобы быть принятым, или о страхе быть забытым.
Источник | https://t.me/imatrip/1702?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,677,848,411 | 1,730,797,738 | 10,381 | 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26 | null | ✅
Всегда ли лишний вес – результат дисбаланса гормонов
⁉️
Доктор-эндокринолог – Сологуб Алиса Юрьевна рассказала
о методике лечения лишнего веса в клинике гормонального здоровья.
Записаться на консультацию
👉🏼
@mageryaclinic | https://t.me/magerya/11120?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 51,000 | 0 | 1,724,645,736 | 1,730,797,738 | 10,391 | 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| [{"ner":"Сологуб Алиса Юрьевна","lemma":"сологуб алиса юриевич","label":"PER","start_pos":80,"end_pos":101}] | NEUTRAL | rus | NOT SPAM | 30 | 0 | 0 | 0.97561 | 0.02439 | 0 | 3 | 2 | 0 | 0 | 14 | 1 | 4 | true |
26 | null | Симбиотик – это уникальный комплекс, который объединяет в себе все необходимые элементы
для поддержания здоровья и управления весом
.
Вот что делает его особенным:
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Инулин — пребиотик, поддерживающий здоровье кишечника и дарящий длительное чувство сытости.
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Полезные бактерии — в одной капсуле содержится 10 млрд бактерий, среди них — Стрептококк термофильный, который помогает бороться с вредными микроорганизмами кишечника и улучшает переработку лактозы.
🔘
L-аскорбиновая кислота — витамин C, укрепляет иммунитет и придаёт бодрость.
Как Симбиотик помогает в управлении весом
❓
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Пробиотические бактерии ускоряют метаболизм, что помогает организму лучше усваивать питательные вещества и предотвращает накопление лишнего жира.
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Инулин замедляет процесс переваривания пищи, продлевая чувство сытости и помогая избежать ненужных перекусов. Ваш аппетит будет под контролем, а вам не придется страдать от постоянного чувства голода.
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Бактерии кишечника могут неожиданно влиять на пищевые привычки, особенно на тягу к сладкому. При нарушении баланса микробиоты некоторые бактерии начинают доминировать, буквально «подталкивая» нас к сладкой и нездоровой пище. Симбиотик восстанавливает баланс микробиоты, уменьшая влияние этих бактерий. Со временем тяга к сладкому снижается, а предпочтение отдается более здоровым продуктам.
Если вы ищете надежного помощника в управлении весом, Симбиотик — это ваш идеальный выбор
👉🏼
wildberries/симбиотик
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11121?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,700 | 0 | 1,724,663,278 | 1,730,797,738 | 10,380 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11124?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,900 | 0 | 1,724,697,014 | 1,730,797,738 | 10,380 | 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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 | Проверьте свой магний
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Какая форма написана
❓ | https://t.me/magerya/11125?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,300 | 0 | 1,724,733,357 | 1,730,797,738 | 10,383 | 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| null | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 0 | 2 | true |
26 | null | «Завтра результаты подведу» — сказал он и пропал на 3 дня… Встречайте победителей и радуйтесь, но не от всей души:
1) Юлия. Ссылки на аккаунт нет, но обезьянка на аватарке топовая
2)
@la_la_m_p
(ваша собака на фото? милаха
🐶
)
3)
@wtw16
- тут я могу сказать .
Вы получаете по две книжке. Написал вам в личку.
NB! Если вдруг вам кто-то пишет от имени канала, просит деньги за доставку приза или что-то подобное, то блокируйте. Все доверенные аккаунты указаны в описании. | https://t.me/sudmednotes/8751?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 57,200 | 0 | 1,723,750,503 | 1,730,797,738 | 10,380 | 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| [{"ner":"Юлия","lemma":"юлия","label":"PER","start_pos":118,"end_pos":122},{"ner":"3","lemma":"3","label":"NUM","start_pos":52,"end_pos":53},{"ner":"1","lemma":"1","label":"NUM","start_pos":115,"end_pos":116},{"ner":"2","lemma":"2","label":"NUM","start_pos":180,"end_pos":181},{"ner":"3","lemma":"3","label":"NUM","start_pos":227,"end_pos":228},{"ner":"16","lemma":"16","label":"NUM","start_pos":234,"end_pos":236}] | NEUTRAL | rus | NOT SPAM | 82 | 0 | 1 | 0.974138 | 0.025862 | 0 | 3 | 14 | 11 | 5 | 21 | 3 | 23 | true |
26 | null | Случай от подписчика
Пациент под действием голосов в голове, во время проведения арт-терапии в реабилитационном центре «выдавил» себе пальцами один глаз, а во второй воткнул карандаш.
Попав в стационар, попытался оторвать себе половой орган, но вовремя подоспели сотрудники больницы с трудом остановили его.
Записки судмедэксперта | https://t.me/sudmednotes/8757?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 56,800 | 0 | 1,723,807,245 | 1,730,797,738 | 10,380 | 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| null | NEUTRAL | rus | NOT SPAM | 45 | 0 | 0 | 1 | 0 | 0 | 3 | 7 | 3 | 1 | 22 | 1 | 8 | true |
26 | null | Множественные повреждения острием и обухом топора.
Больше всего удивила, переживаемость травмы составила почти сутки, из них 19 часов в больнице.
Записки судмедэксперта | https://t.me/sudmednotes/8760?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,200 | 0 | 1,723,896,766 | 1,730,797,738 | 10,380 | 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| [{"ner":"19","lemma":"19","label":"NUM","start_pos":125,"end_pos":127}] | NEUTRAL | rus | NOT SPAM | 22 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 2 | 2 | 11 | 1 | 4 | true |
26 | null | Ответ на загадку
1000 реакций и скину вам новую загадку. Точно новую!
Записки судмедэксперта | https://t.me/sudmednotes/8767?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 52,800 | 0 | 1,723,906,058 | 1,730,797,738 | 10,380 | 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| [{"ner":"1000","lemma":"1000","label":"NUM","start_pos":17,"end_pos":21}] | NEUTRAL | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 1 | 7 | 1 | 2 | true |
26 | null | Вчера залила в инстаграм видео про ветрянку и удивилась: сколько людей в 2023 году не знают что от ветряной оспы и менингита есть вакцины. Давайте посмотрим правде в глаза: если ветрянку можно вылечить безболезненно если сразу начать это делать, то с менингитом и в этом случае шанс умереть больше, чем вылечиться, можно выжить и остаться инвалидом.
Про ветрянку: я специально сделала раздел с лечением в руководстве!
Заболели, начинайте лечить правильно!
Руководство по вакцинации
https://anshina.mygaide.ru/vaccine
Выгодные комплекты
https://anshina.mygaide.ru
#вакцинация | https://t.me/DrAnshina/754?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 89,700 | 0 | 1,677,054,896 | 1,730,797,739 | 10,305 | 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| [{"ner":"2023","lemma":"2023","label":"NUM","start_pos":73,"end_pos":77}] | NEUTRAL | rus | NOT SPAM | 78 | 0 | 0 | 0.979381 | 0.020619 | 0 | 3 | 17 | 2 | 1 | 23 | 8 | 12 | true |
26 | null | Про питание взрослых и детей!
Про мотивацию!
Про отговорки!
Про «нет денег» на здоровую еду.
#питание | https://t.me/DrAnshina/755?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 85,800 | 0 | 1,677,063,687 | 1,730,797,739 | 10,391 | 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| null | NEUTRAL | rus | NOT SPAM | 16 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 8 | 0 | 7 | true |
26 | null | В отпуск я ушла с одной пациенткой, остальных успела довести.
Кстати, девушка с очень скромной зп, еще и 2х детей одна воспитывает. Молодец
😍 | https://t.me/DrAnshina/756?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 86,800 | 0 | 1,677,066,422 | 1,730,797,739 | 10,391 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":105,"end_pos":106}] | POSITIVE | rus | NOT SPAM | 24 | 0 | 1 | 1 | 0 | 0 | 2 | 4 | 1 | 2 | 6 | 3 | 6 | true |
26 | null | ⏫️
А тут еще многие популярные среди вегетарианцев виды пищи замедляют и без того низкое усвоение железа растительного происхождения. Причем это часто продукты сами по себе содержащие немало железа. Но там же содержится много так называемых "фитатов"- биологически-активных веществ замедляющие всасывания железа растительного происхождения. К ним относятся соя, овсянка, отруби, каши из цельных зерен, орехи, а так же чай и кофе (тут действуют танины и полифенолы). Выход один- принимать препараты железа дополнительно вместе с аскорбиновой кислотой или продуктами с высоким ее содержанием. Впрочем сейчас стали доступны продукты, промышленно обогащенные железом: хлеб, хлопья, макароны.
4. Цинк. Уже говорили в предыдущих главах. Та же история, что и с железом. Есть в мясе, рыбе, молоке, есть и в овощах и фруктах, орехах. Тот, что в мясе всасывается хорошо, растительного происхождения- плохо. Мешают те же "фитаты" и клетчатка (да-да, та самая полезная во всех отношениях клетчатка). Особенно это важно учитывать родителям детей-вегетарианцев, у них потребности в цинке повышены. Без него они и растут хуже и инфекции развиваются чаще.
5. Кальций. Около 70% кальция наш организм получает из молочных продуктов. Организм вегетарианцев этого лишен. Им остается соя, броколли, апельсиновый сок, репа, орехи. Но исследования показывают, что подростки-вегетарианцы этих продуктов едят недостаточно и запаздывают с набором пика костной массы, что может сказаться впоследствии. Остается надеяться на промышленно обогащенные продукты, такие как хлопья, макароны, соки. И при необходимости добавлять препараты кальция. Только не принимайте их одновременно с препаратами железа и цинка- и то и то часто вегетарианцам принимать приходиться!
6. Витамин D. Да, в основном он воспроизводиться нашим организмом под воздействием солнца ( - для поддержания нормального уровня витамина D требует ежедневного солнечного облучения на кожу рук и лица в течении 10-15 мин в день). Но важны и поступления витамина D с диетой. Основной источник- обогащенное витамином D молоко. Далее- жирные сорта рыба и морепродукты. (И особенно печень трески! Помните самый любимый салат на скорую руку Советских времен? Во время всеобщего дефицита печень трески тем не менее лежала на всех полках. Вареное яйцо, мелко порезанный зеленый лук, печень трески, все перемешать- ммм!). Все это неприемлемо большинству вегетарианцев и они- и особенно дети- могут развить симптомы рахита.
7. Витамин В-12. Очень часто вегетарианцев пугают недостатком именно этого витамина- как-то это общеизвестно. Действительно, он содержится только в продуктах животного происхождения- мясо, молоко, рыба, яйца... Строгие веганы ничего этого не едят и их запасы витамина В-12 быстро заканчиваются. Для предупреждения этого некоторые продукты искусственно обогащаются витамином В-12: соевое молоко, каши. Определенное количество витамина В-12 содержится в морских водорослях. Последнее время и у нас в России появились таблетки с витамином В-12, ранее он был доступен только в инъекциях» | https://t.me/drmyasnikov/2227?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 82,100 | 0 | 1,710,238,597 | 1,730,797,739 | 10,305 | 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| [{"ner":"России","lemma":"россия","label":"LOC","start_pos":2947,"end_pos":2953},{"ner":"10-15","lemma":"10-15","label":"DATE","start_pos":1945,"end_pos":1950},{"ner":"4","lemma":"4","label":"NUM","start_pos":688,"end_pos":689},{"ner":"5","lemma":"5","label":"NUM","start_pos":1140,"end_pos":1141},{"ner":"70","lemma":"70","label":"NUM","start_pos":1158,"end_pos":1160},{"ner":"6","lemma":"6","label":"NUM","start_pos":1734,"end_pos":1735},{"ner":"15","lemma":"15","label":"NUM","start_pos":1948,"end_pos":1950},{"ner":"7","lemma":"7","label":"NUM","start_pos":2449,"end_pos":2450},{"ner":"12","lemma":"12","label":"NUM","start_pos":2462,"end_pos":2464},{"ner":"12","lemma":"12","label":"NUM","start_pos":2719,"end_pos":2721},{"ner":"12","lemma":"12","label":"NUM","start_pos":2825,"end_pos":2827},{"ner":"12","lemma":"12","label":"NUM","start_pos":2885,"end_pos":2887},{"ner":"12","lemma":"12","label":"NUM","start_pos":2987,"end_pos":2989}] | NEUTRAL | rus | NOT SPAM | 427 | 0 | 13 | 0.992565 | 0.007435 | 0 | 45 | 50 | 27 | 10 | 153 | 41 | 93 | true |
26 | null | Геликобактер, геликобактер, геликобактер пилори! И еще раз Геликобактер!!!!
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. Ну- поправляйте меня! Всех сразу в бан! Уже и так «рука бойца колоть устала!». Но еще вылазят…..
Это Хлодвиг (или Глодвик??- посмотрите кто это, если не знаете), так вот Хлодвик последовательно уничтожал всех своих родственников, дабы не было претендентов на его корону. Вроде все зачистил. Потом загрустил и послал гонцов по Франции: кто сможет доказать хоть дальнее родство- приезжайте в Париж, я старый, устал («я устал, я ухожу»), передам полцарства и бразды. Ну и нашлось пара-тройка племянничков….. Что думаете? Забанил! В подвале замка топором. И сверху написал: спам!
Так что Геликобактер!!!!!!
P.S. Это меня достало, как любители грамматики мне вчера пеняли, что Геликобактер пишется с Х. Ну я их на эту букву вчера и……. А сегодня опять последыши полезли. | https://t.me/drmyasnikov/2228?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 84,800 | 0 | 1,710,249,876 | 1,730,797,739 | 10,305 | 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| [{"ner":"Хлодвиг","lemma":"хлодвиг","label":"PER","start_pos":187,"end_pos":194},{"ner":"Хлодвик","lemma":"хлодвик","label":"PER","start_pos":256,"end_pos":263},{"ner":"Франции","lemma":"франция","label":"LOC","start_pos":412,"end_pos":419},{"ner":"Париж","lemma":"париж","label":"LOC","start_pos":476,"end_pos":481},{"ner":"Геликобактер","lemma":"геликобактер","label":"PER","start_pos":670,"end_pos":682},{"ner":"Х. Ну","lemma":"х. ну","label":"PER","start_pos":781,"end_pos":786}] | NEGATIVE | rus | NOT SPAM | 132 | 1 | 6 | 0.994792 | 0.005208 | 0 | 2 | 25 | 16 | 0 | 25 | 16 | 52 | true |
26 | null | Утренний диалог меня и тела:
⁃ Может сегодня пропустим? Вчера же много тренировались?!
⁃ Ох, но ведь надо!
⁃ Кому надо? Давай кофе попьем, посидим, почитаем….
⁃ Ну давай 10 мин подождем и решим..,
⁃ Да чего решать?! Все болит! Давай завтра! Вот завтра- точно!
⁃ Да, давай! Хотя это - слабость!
⁃ Плюнь!
⁃ Давай так: начну и там посмотрим….
⁃ Хозяин, ты чего так круто начал, мне дышать нечем!!!!!
⁃ Заткнись! Встал и пошел!!!!!! | https://t.me/drmyasnikov/2234?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 108,400 | 0 | 1,710,254,220 | 1,730,797,739 | 10,391 | 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| [{"ner":"Ох","lemma":"ох","label":"PER","start_pos":89,"end_pos":91},{"ner":"Кому надо","lemma":"кто надо","label":"ORG","start_pos":109,"end_pos":118},{"ner":"10","lemma":"10","label":"NUM","start_pos":170,"end_pos":172}] | NEUTRAL | rus | NOT SPAM | 76 | 0 | 0 | 1 | 0 | 0 | 2 | 22 | 8 | 1 | 9 | 11 | 49 | true |
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