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26 | null | 🎬
Шизоаффективное расстройство (ШАР), сходства и отличия от БАР и шизофрении (Видео)
Эксперты центра «Эмпатия» - психиатры Антон Елисеенко и Владислав Почиковский в новом видео обсуждают шизоаффективное расстройство (ШАР), общие черты с биполярным расстройством, а также отличия ШАР от других расстройств. Большое внимание врачи уделяют особенностям постановки диагноза и лечения ШАР, БАР и шизофрении, проблеме «залечивания» пациентов, в т.ч. при неверно поставленном диагнозе, а также важности диалога «психиатр - пациент» для достижения положительного эффекта от лечения. Надеемся, информация окажется интересной и полезной! Будем рады вашим комментариям и вопросам по теме видео! #ШАР
https://youtu.be/o3DGRzjpXQ0 | https://t.me/imatrip/1661?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,669,370,572 | 1,730,797,745 | 10,413 | 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26 | null | Нам всем иногда хочется на ручки, и это нормально!
Подтверждает куратор гайдов «Службы поддержки» Тина Гегучадзе
Знакомьтесь, это Тина. Она курирует все гайды «Службы поддержки». А еще Тина — клинический психолог и помогает нашей команде держаться на плаву. Вместе с коллегами-психологами Тина запустила гайд о том, как поддержать себя и близких в трудные времена. В нем собраны советы, техники и упражнения самопомощи для разных случаев. Например, из него можно узнать, как справляться с тревогой и перепадами настроения; что делать, если совсем нет сил; как говорить с детьми о войне и как объяснять родственникам решение о переезде.
Мы надеемся, что гайд будет вам полезен. Читайте его на
русском
или
украинском
, делитесь с близкими и пишите в комментариях, о чем еще вам было бы интересно узнать. А если о наболевшем хочется поговорить, приходите к нам в
чат
— на линии консультируют профессиональные психологи, они выслушают и помогут. | https://t.me/imatrip/1662?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,671,287,653 | 1,730,797,745 | 10,413 | 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| [{"ner":"Службы поддержки","lemma":"служба поддержка","label":"ORG","start_pos":80,"end_pos":96},{"ner":"Тина Гегучадзе","lemma":"тина гегучадзе","label":"PER","start_pos":98,"end_pos":112},{"ner":"Тина","lemma":"тина","label":"PER","start_pos":130,"end_pos":134},{"ner":"Службы поддержки","lemma":"служба поддержка","label":"ORG","start_pos":160,"end_pos":176},{"ner":"Тина","lemma":"тина","label":"PER","start_pos":185,"end_pos":189},{"ner":"Тина","lemma":"тина","label":"PER","start_pos":289,"end_pos":293}] | NEUTRAL | rus | NOT SPAM | 146 | 0 | 3 | 1 | 0 | 0 | 10 | 25 | 17 | 0 | 37 | 11 | 30 | true |
26 | null | Связь между травматическим опытом и нашей острой реакцией на последующие жизненные события не кажется очевидной (возможно, в том числе по этой причине психоанализ подвергается нападкам за бесконечные взгляды в прошлое). Однако у этой связи есть доказанные нейробиологические основания. Публикуем главу из книги «Травма. Невидимая эпидемия» известного психиатра, доктора медицины Пола Конти, в которой он коротко и доступно рассказывает, как травма «захватывает» лимбическую систему и искажает воспоминания и почему прошлое может восприниматься нашим мозгом как настоящее.
P. S. Продолжаем исследовать разные грани травмы. Надо уже сделать подборку материалов.
https://monocler.ru/travma-i-limbicheskaya-sistema/ | https://t.me/imatrip/1663?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,671,358,911 | 1,730,797,745 | 10,414 | 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| [{"ner":"Пола Конти","lemma":"пол конти","label":"PER","start_pos":379,"end_pos":389}] | NEUTRAL | rus | NOT SPAM | 88 | 0 | 2 | 0.971698 | 0.028302 | 0 | 13 | 12 | 2 | 0 | 28 | 8 | 18 | true |
26 | null | Поддерживающий цикл самоэффективности | https://t.me/imatrip/1664?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,671,446,994 | 1,730,797,745 | 10,413 | 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| null | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11091?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,200 | 0 | 1,724,178,853 | 1,730,797,745 | 10,416 | 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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 | Можно ли не заболеть раком?
Чтобы бы вы ответили, если бы вас спросили, есть ли хоть один вид рака, который можно предотвратить на 100% и никогда им не заболеть?
Оказывается, есть. Это рак кишечника.
Сегодня достоверно известно, что почти все опухоли толстого кишечника образуются из полипов. Чтобы уберечь себя от болезни, нужно в 40 лет
сделать колоноскопию и удалить все найденные полипы.
К сожалению, удаление полипов еще не вошло повсеместно в медицинскую практику, и некоторые врачи по старинке предлагают их наблюдать.
Более того, из полипа даже берут биопсию, которая показывает, что полип доброкачественный. Закономерно возникает вопрос, зачем удалять «добро»?
Зачем удалять ДОБРОКАЧЕСТВЕННЫЕ полипы?
Потому что доброкачественный полип толстой кишки является
100% предраком.
И ГЛАВНАЯ цель колоноскопии после 40 лет – это найти полипы в толстой кишке и удалить.
Наблюдение – это прямая дорога в печальную статистику
Заболеваемость раком толстой кишки растет угрожающими темпами. Уже 2021 году он вышел на 1 место по заболеваемости.
Еще 20 лет назад он считался болезнью пожилых, но сейчас очень быстро молодеет. Болезнь так стремительно наступает, что врачи «на местах» не успели еще перестроиться на онконастороженность.
Между тем рак кишечника – единственный на 100% предотвратимый рак. Если в 40 лет начать делать колоноскопию, регулярно повторять ее и удалять все найденные доброкачественные полипы, то риски заболеть снижаются почти до нуля.
Запомните:
КАЖДЫЙ ПОЛИП ДОЛЖЕН БЫТЬ УДАЛЕН
А чтобы полип во время обследования увидели и удалили, кишка должна быть чистой.
Если вы хотите подготовиться к колоноскопии правильно, заберите по ссылке бесплатно инструкцию по подготовке от врача онколога Инны Андреевны Тулиной
@assistent_Tulinabot | https://t.me/sudmednotes/8691?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 63,500 | 0 | 1,723,033,955 | 1,730,797,745 | 10,425 | 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26 | null | Посмотрите какие обширные субконъюнктивальные кровоизлияния. И нет, это не следствие серьезной травмы.
Я не просто так сказал, что коллега из Индии, в данном случаи причиной смерти стала
тяжелая геморрагическая лихорадка денге.
Лихорадка денге
(другие названия - костоломная лихорадка, финиковая лихорадка, суставная лихорадка ) - это природно-очаговая инфекция вызываемая арбовирусами Dengue. Протекает либо с гриппоподобными симптомами, либо с тяжелыми геморрагическими проявлениями. Подробнее про симптомы в следующем посте.
Как передается?
Источниками инфекции являются больной
🧍♂️
, обезьяны
🐒
, летучие мыши
🦇
. Но переносят инфекцию москиты рожа москиты рода Aedes
🦟
. Комары становятся заразными на 8-12 день после кровососания и сохраняют пожизненную способность к передаче вируса. Здоровые люди заражаются лихорадкой денге через укусы инфицированных москитов.
Лихорадка денге распространена в регионах с тропическим и субтропическим климатом: Юго-Восточной Азии, Южной Америке, Австралии и Океании, бассейне Средиземного моря и др. Ежегодно в эндемических очагах регистрируются сотни тысяч случаев лихорадки денге. За пределами ареала распространения инфекции встречаются завозные случаи лихорадки денге, обусловленные как миграцией инфицированных лиц, так и завозом инфицированных москитов. Классическая форма лихорадки денге имеет доброкачественное течение, однако геморрагическая форма характеризуется высокой летальностью. | https://t.me/sudmednotes/8693?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 61,600 | 0 | 1,723,043,277 | 1,730,797,745 | 10,424 | 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| [{"ner":"Индии","lemma":"индия","label":"LOC","start_pos":142,"end_pos":147},{"ner":"Dengue","lemma":"dengue","label":"ORG","start_pos":386,"end_pos":392},{"ner":"🐒","lemma":"🐒","label":"ORG","start_pos":598,"end_pos":599},{"ner":"Юго-Восточной Азии","lemma":"юго-восточный азия","label":"LOC","start_pos":954,"end_pos":972},{"ner":"Южной Америке","lemma":"южный америка","label":"LOC","start_pos":974,"end_pos":987},{"ner":"Австралии","lemma":"австралия","label":"LOC","start_pos":989,"end_pos":998},{"ner":"Океании","lemma":"океания","label":"LOC","start_pos":1001,"end_pos":1008},{"ner":"Средиземного моря","lemma":"средиземный море","label":"LOC","start_pos":1019,"end_pos":1036},{"ner":"8","lemma":"8","label":"NUM","start_pos":708,"end_pos":709},{"ner":"12","lemma":"12","label":"NUM","start_pos":710,"end_pos":712}] | NEUTRAL | rus | NOT SPAM | 180 | 0 | 2 | 0.991228 | 0.008772 | 0 | 37 | 19 | 2 | 3 | 68 | 5 | 35 | true |
26 | null | Оцените по 10 бальной шкале | https://t.me/sudmednotes/8694?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 58,700 | 0 | 1,723,063,833 | 1,730,797,745 | 10,413 | 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| [{"ner":"10","lemma":"10","label":"NUM","start_pos":11,"end_pos":13}] | NEUTRAL | rus | NOT SPAM | 5 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | true |
26 | null | Я чувствую себе Золушкой, которая какой день подряд с утра до ночи работает… Современная Золушка такая. С айпедом и командой
😂
Только на начальном этапе руководства по вакцинации со мной в чате 4 человека. Руководство
🔥
будет. Уже 17 февраля
😍
Но сейчас не об этом.
Что мешает быть здоровыми обсудили.
Давайте исправляться.
Я утром встала, ребенок собран, поцелован и в школу отправлен.
Себе налила графинчик с водой, для вкуса мяту и лимончик туда.
В течение дня выпиваю.
И кофе и чай (зеленый в основном и травяной) я тоже пью.
Бывает даже просеко пью или коньяк.
Но вода - святое
😍
Чуть позже сегодня подкаст про воду запишу. Буду мотивировать.
А пока признавайтесь:
Сколько воды пьете в день , лучше с вашим весом.
Если не пьете. Что мешает? | https://t.me/DrAnshina/712?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 69,500 | 0 | 1,675,778,713 | 1,730,797,746 | 10,427 | 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| [{"ner":"Золушкой","lemma":"золушкой","label":"PER","start_pos":16,"end_pos":24},{"ner":"17 февраля","lemma":"17 февраля","label":"DATE","start_pos":231,"end_pos":241},{"ner":"4","lemma":"4","label":"NUM","start_pos":194,"end_pos":195}] | NEUTRAL | rus | NOT SPAM | 128 | 0 | 6 | 1 | 0 | 0 | 8 | 22 | 10 | 2 | 32 | 10 | 28 | true |
26 | null | Про воду.
Про отеки, давление, вес, повышение мочевой кислоты, креатинина.
Про норму воды.
Кто хочет менять свое питание, устранять дефициты, налаживать сон и внутренний Мир, того жду на Интенсиве.
Вот пост
https://t.me/DrAnshina/704
Если остаются вопросы, то задавайте их под последним постом.
#питание | https://t.me/DrAnshina/715?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 129,600 | 0 | 1,675,846,517 | 1,730,797,746 | 10,424 | 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| [{"ner":"Мир","lemma":"мир","label":"PER","start_pos":170,"end_pos":173},{"ner":"Интенсиве","lemma":"интенсив","label":"LOC","start_pos":187,"end_pos":196},{"ner":"704","lemma":"704","label":"NUM","start_pos":230,"end_pos":233}] | NEUTRAL | rus | NOT SPAM | 42 | 0 | 0 | 0.984127 | 0.015873 | 0 | 3 | 7 | 3 | 0 | 16 | 0 | 14 | true |
26 | null | Видеорубрика "Для души и тела". Эксклюзив от доктора Мясникова: вседозволенность в современном обществе
- Как относиться к вседозволенности?
- Кто на этот раз пришёл в гости к доктору?
- Мнение доктора Мясникова: откровенно о свободе.
- Вспоминаем классику: Лев Толстой и другие.
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/8-9wf0AQZDc | https://t.me/drmyasnikov/2195?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 83,600 | 0 | 1,708,956,713 | 1,730,797,746 | 10,427 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":53,"end_pos":62},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":202,"end_pos":211},{"ner":"Лев Толстой","lemma":"лев толстой","label":"PER","start_pos":258,"end_pos":269},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":306,"end_pos":321},{"ner":"8","lemma":"8","label":"NUM","start_pos":340,"end_pos":341},{"ner":"9","lemma":"9","label":"NUM","start_pos":342,"end_pos":343},{"ner":"0","lemma":"0","label":"NUM","start_pos":345,"end_pos":346}] | NEUTRAL | rus | NOT SPAM | 48 | 0 | 0 | 0.985294 | 0.014706 | 0 | 2 | 5 | 1 | 0 | 20 | 3 | 13 | true |
26 | null | Почему нельзя верить ни одному слову политиков из «недружественных стран»:
Читаю Сунь-дзы «Искусство войны»:
«Война – это путь обмана. Если можешь – делай вид, что не можешь; используешь – делай вид, что не используешь; когда ты близко – делай вид, что ты далеко; когда ты далеко – делай вид, что ты близко. Жадного – искуси; того, чьи дела в беспорядке – захвати; с тем, кто хорошо подготовился – будь начеку; от сильного уклонись; вспыльчивого – выведи из себя; с высокомерным веди себя так, чтоб его гордость ослепила его; отдыхающего – истоми; товарищей – раздели; тех, кто не готов – атакуй, нападай, откуда не ждут». Вообще эту книгу профессионалам надо знать наизусть! | https://t.me/drmyasnikov/2196?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 82,000 | 0 | 1,708,957,058 | 1,730,797,746 | 10,427 | 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| null | NEUTRAL | rus | NOT SPAM | 111 | 0 | 0 | 1 | 0 | 0 | 7 | 19 | 11 | 1 | 23 | 12 | 45 | true |
26 | null | Просили больше про здоровье- хорошо. Недавно на передаче в рубрике «вопросы от доктора» вышла молодая девушка и не смогла ответить на вопрос про гонорею. Она деже и не слышала от таком. Я в перерыве спросил: она «прикалывалась или как?». Нет, говорит, правда не знаю. Я потом попросил поднять руки-кто еще не знает?! И еще 2 девушки подняли руки…..
между тем только в США 1 миллион заболевших в год! И в России ситуация не лучше! Передается исключительно половым путем- гонококк очень неустойчив и погибает через пару часов на воздухе! Про симптомы рассказывать? Они всенародно известны и вкратце сформулированы фольклором так : "у юного молодца каплет с конца!" Добавим: учащенное болезненное мочеиспускание, рези, возможен отек яичка.... У женщин картина схожая ( за исключением отека яичка), могут быть так же боли внизу живота. Но самое главное и печальное, то что в большинстве случаев гонорея протекает БЕССИМПТОМНО! Почему печальное? Да потому, что обычно гонорею излечивает одна инъекция правильного антибиотика (цефтриаксон- Роцефин), но для этого надо как минимум знать, что ты болен. А вот когда симптомов нет- нет и лечения! И вот ты сам становишься источником заражения, если что, и затаившиеся болезнь потихоньку приводит к осложнениям. У мужчин это и простатит и воспаление придатка яичек (эпидидимит)- частая причина мужского бесплодия! У женщин- "воспаления
придатков", воспаление органов малого таза и тоже бесплодие и внематочная беременность! Бывают и проявления гонорейной инфекции вне моче-полового тракта- фарингиты, воспаления прямой кишки..Так же характерны воспалительные заболевания крупных суставов. Если медэкзаменах вам попадется вопрос: поступает молодой парень 17-ти лет с распухшим и горячим коленом- не тратьте время и сразу ищите в ответе диагноз "гонорея"! | https://t.me/drmyasnikov/2197?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,300 | 0 | 1,708,960,692 | 1,730,797,746 | 10,424 | 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26 | null | 2️⃣
Разбираем два расстройства со словом «тревожное» в названии
Тревожное расстройство личности и генерализованное тревожное расстройство – в чем отличие? С точки зрения обычного человека особой разницы нет – что то тревога, что это тревога, однако, с точки зрения психиатрии это разные заболевания и диагнозы. Подробнее о них рассказала врач-психиатр центра «Эмпатия»
Анастасия Шиманова
.
Главное, что нужно отметить: при тревожном расстройстве личности тревога как бы вплетается в структуру личности, становясь ее особенностью. При генерализованном тревожном расстройстве ситуация обстоит иначе: тревога является не частью личности, а патологическим «наростом».
При тревожном расстройстве личности человека постоянно беспокоят нехорошие предчувствия, он озабочен тем, как выглядит в глазах окружающих, поэтому пытается избегать социальных контактов, чтобы не получить возможную критику в свой адрес. Для этого недуга характерно ощущение социальной никчемности, нежелание вступать в отношения без гарантий понравиться, повышенная потребность в физической безопасности, чрезмерная чувствительность к чужим оценкам.
Человек с генерализованным тревожным расстройством страдает от стойкой, всеобъемлющей, беспричинной тревоги, которая касается не только социума и взаимодействий в нем, но и остальных сфер жизни (сюда входят опасения за свою жизнь и здоровье, за состояние близких и т.д.). При этом расстройстве также часто наблюдаются вегетативные симптомы: головокружение, сердцебиение, тремор, потливость, боли в груди или животе. Могут возникать дереализация (ощущение, что мир не реален, все воспринимается словно через стекло или дымку) и деперсонализация (ощущение, что «я - не я»).
Лекарственная терапия при генерализованном тревожном расстройстве, как правило, включает в себя антидепрессанты группы СИОЗС (чаще всего эсциталопрам) и транквилизаторы, иногда к ним добавляют нормотимики и нейролептики. Медикаментозную поддержку отлично дополняет психотерапия. В целом ГТР хорошо поддается лечению – минимальный курс составляет полгода.
Полностью избавиться от тревожного расстройства личности, в отличие от ГТР, невозможно, поскольку это расстройство, как уже говорилось, входит в саму структуру личности. Терапия в случае личностного расстройства направлена на коррекцию и ослабление симптомов, пациента учат жить с недугом. Из препаратов назначаются антидепрессанты и транквилизаторы, важная роль отводится психотерапии, которая помогает человеку максимально адаптироваться в социуме.
Если в описаниях этих расстройств вы узнали себя, то не стоит медлить с обращением к специалисту. Поход к врачу станет вашим первым шагом на пути к лучшей, более спокойной жизни.
📌
Врач-психиатр Анастасия Дмитриевна Шиманова ведет очный прием в центре ментального здоровья «Эмпатия» у м. «Электрозаводская», а также консультирует онлайн.
@centerempathy2021
– записаться на прием или задать вопрос
#тревога #ГТР | https://t.me/imatrip/1655?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,900 | 0 | 1,667,038,736 | 1,730,797,746 | 10,428 | 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| [{"ner":"Эмпатия","lemma":"эмпатия","label":"ORG","start_pos":360,"end_pos":367},{"ner":"Анастасия Шиманова","lemma":"анастасия шиманова","label":"PER","start_pos":369,"end_pos":387},{"ner":"наростом","lemma":"нарост","label":"ORG","start_pos":653,"end_pos":661},{"ner":"СИОЗС","lemma":"сиозс","label":"ORG","start_pos":1806,"end_pos":1811},{"ner":"ГТР","lemma":"гтр","label":"ORG","start_pos":1974,"end_pos":1977},{"ner":"ГТР","lemma":"гтр","label":"ORG","start_pos":2113,"end_pos":2116},{"ner":"Анастасия Дмитриевна Шиманова","lemma":"анастасия дмитриевич шиманова","label":"PER","start_pos":2688,"end_pos":2717},{"ner":"Эмпатия","lemma":"эмпатия","label":"ORG","start_pos":2767,"end_pos":2774},{"ner":"Электрозаводская","lemma":"электрозаводский","label":"ORG","start_pos":2782,"end_pos":2798},{"ner":"2","lemma":"2","label":"NUM","start_pos":0,"end_pos":1},{"ner":"2021","lemma":"2021","label":"NUM","start_pos":2845,"end_pos":2849}] | NEUTRAL | rus | NOT SPAM | 377 | 0 | 6 | 0.997912 | 0.002088 | 0 | 45 | 49 | 19 | 2 | 136 | 20 | 89 | true |
26 | null | Помощь рядом: брошюра для людей, переживших самоубийство близкого человека
Брошюра содержит несколько разделов: о чувствах, о том, что может происходить, о шагах для помощи и преодоления травмы. В ней также есть рассказы людей, которые пережили подобный опыт, и часть, посвященная тому, как могут чувствовать себя родные умершего.
Источник: Public Health England; National Suicide Prevention Alliance. Переводчик неизвестен. | https://t.me/imatrip/1656?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,667,326,675 | 1,730,797,746 | 10,429 | 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| [{"ner":"Брошюра","lemma":"брошюра","label":"PER","start_pos":75,"end_pos":82}] | NEUTRAL | rus | NOT SPAM | 57 | 0 | 1 | 0.906667 | 0.093333 | 0 | 3 | 9 | 5 | 1 | 19 | 3 | 16 | true |
26 | null | Ментальный пирог
- это авторский канал гештальт-терапевта, эксперта издательства МИФ и автора журнала «Нож», Ирины Парфеновой. В своём канале Ирина пишет о психотерапии и помогает разобраться в себе. Ориентируется на научный подход и здравый смысл.
Пишет об отношениях с родителями –
«Мама была не права: как понять, что ваша мать эмоционально незрелая
»
О том,
как проработать травму с помощью письма
А сейчас у неё выходит цикл постов
о психологических защитах
. Это бессознательные действия, которые помогают нам адаптироваться и защищают психику от непереносимого. Наверняка, вы найдёте свои защиты или своих знакомых. | https://t.me/imatrip/1657?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,800 | 0 | 1,667,488,380 | 1,730,797,746 | 10,427 | 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| [{"ner":"МИФ","lemma":"миф","label":"ORG","start_pos":81,"end_pos":84},{"ner":"Нож","lemma":"нож","label":"ORG","start_pos":103,"end_pos":106},{"ner":"Ирины Парфеновой","lemma":"ирина парфёнов","label":"PER","start_pos":109,"end_pos":125},{"ner":"Ирина","lemma":"ирина","label":"PER","start_pos":142,"end_pos":147}] | NEUTRAL | rus | NOT SPAM | 92 | 0 | 4 | 1 | 0 | 0 | 9 | 11 | 7 | 0 | 30 | 5 | 19 | true |
26 | null | С тех пор как Эндель Тульвинг выделил два основных вида памяти: эпизодическую и семантическую, значительные усилия были направлены на понимание их сходных и уникальных особенностей. Особый интерес вызывает то, насколько семантическая и эпизодическая память имеют общую зависимость от гиппокампа. В отличие от убедительных доказательств связи между гиппокампом и эпизодической памятью, роль гиппокампа в семантической памяти была предметом значительных дискуссий. Эти споры отчасти связаны с крайне изменчивыми сообщениями о новом семантическом обучении памяти при амнезии, которые варьируются от глубокого нарушения до полного сохранения, а также несут информацию о развитии различных степеней дефицита или, наоборот, полного сохранения функций.
Читать далее:
https://psyandneuro.ru/stati/semantic-memory-and-the-hippocampus/ | https://t.me/imatrip/1658?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,667,795,833 | 1,730,797,746 | 10,428 | 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| [{"ner":"Эндель Тульвинг","lemma":"эндель тульвинг","label":"PER","start_pos":14,"end_pos":29}] | NEUTRAL | rus | NOT SPAM | 99 | 0 | 2 | 0.991228 | 0.008772 | 0 | 21 | 8 | 2 | 1 | 33 | 7 | 13 | true |
26 | null | 💊
Фу, фенибут!
Фенибут - препарат из далекого прошлого, который до сих пор массово назначается в нашей стране врачами самых разных специальностей. Особенно полюбился фенибут неврологам и психиатрам старой закалки. Но ни почтенный «возраст», ни популярность среди некоторых медиков отнюдь не означают, что это лекарственное средство обладает доказанной эффективностью и безопасностью, предупреждает врач-психиатр «Эмпатии»
Анна Мельникова
.
Фенибут был синтезирован в СССР более 50 лет назад и сразу же стал широко использоваться в терапии тревожных расстройств (раньше их называли неврозами), энуреза и аутизма. Однако применение он нашел только в нашей стране - даже после распада Советского Союза фенибут не был зарегистрирован в качестве лекарственного препарата за рубежом.
Никаких сведений о фенибуте не содержится в реестрах американского Управления по санитарному надзору за качеством пищевых продуктов и медикаментов (FDA) и Европейского агентства лекарственных средств (EMA), которые занимаются оценкой лекарственных препаратов и контролем за их качеством. Поэтому фенибут запрещен к продаже в США и странах Европы.
Такое отношение к фенибуту со стороны зарубежной медицины объясняется тем, что он до сих пор не прошел рандомизированные контролируемые испытания, результаты которых позволили бы определить эффективность препарата. Производители позиционируют фенибут как ноотроп, который якобы обладает тормозящим действием и антиоксидантными для мозга свойствами, только вот без обширных исследований нельзя в полной мере судить о фармакологических свойствах этого вещества.
Чем эта, казалось бы, сугубо научная и юридическая информация может помочь пациенту?
Ответ прост - если врач назначил вам фенибут, то стоит как минимум задуматься о его квалификации, а лучше бежать без оглядки от такого «специалиста» и искать грамотного психиатра.
Ведь согласно принципам доказательной медицины, врач должен опираться на список лекарственных средств, которые прошли масштабные клинические испытания и рекомендованы международными стандартами лечения. А как мы уже сказали, фенибут фундаментально не исследовался и поэтому в такие стандарты не включен.
Напоследок хотелось бы назвать фенибут безобидной пустышкой, но это не совсем так, поскольку употребление этого препарата несет свои риски. Фенибут может вызывать зависимость при длительном приеме, он обладает синдромом отмены и перечнем побочных эффектов, среди которых тошнота, сонливость, раздражительность, головокружение, головная боль, кожная сыпь, токсичность для печени.
Врач-психиатр Анна Николаевна Мельникова вернулась к работе после длительного перерыва и снова принимает пациентов в центре ментального здоровья «Эмпатия». Очный прием проходит в клинике по адресу: г. Москва, ул. Малая Семеновская, д. 10 (м. «Электрозаводская»), также специалист консультирует онлайн.
Анна Мельникова работает со взрослыми и подростками с 14 лет.
@centerempathy2021
– записаться на прием или задать вопрос
#фенибут | https://t.me/imatrip/1659?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,200 | 0 | 1,668,088,176 | 1,730,797,746 | 10,424 | 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26 | null | Читать исследование
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PubMed | https://t.me/magerya/11084?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,100 | 0 | 1,724,149,109 | 1,730,797,746 | 10,427 | 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| null | NEUTRAL | other | NOT SPAM | 4 | 0 | 0 | 0.857143 | 0.142857 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | true |
26 | null | Мы сегодня много говорили о том, как влияет Дегликан Р на женское здоровье
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Пришло время рассказать, как Дегликан Р влияет на мужчин
и нужна ли им эта добавка
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Представьте, что тело мужчины — это высокопроизводительный спортивный автомобиль
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Чтобы он всегда был на ходу и демонстрировал максимальную мощность, важно заливать правильное и полезное топливо, проводить техническое обслуживание и производить тюнинг главных узлов
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Дегликан Р — это именно тот тюнинг, который поможет организму работать на пике своих возможностей.
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Розмариновая кислота (РК) помогает восстанавливаться быстрее после тренировок, ускоряя регенерацию тканей. Представьте: вы приходите в зал, выкладываетесь на максимум, а на следующий день ваше тело уже готово к новой тренировке.
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Улучшение кровообращения — ключ к выносливости. Благодаря РК мышцы получают больше кислорода, а это значит, что утомление наступает медленнее, и вы можете дольше сохранять силы.
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Сердце — главный двигатель организма, и о нем нужно заботиться тщательно, особенно мужчинам. Розмариновая кислота укрепляет сосуды и снижает риск развития гипертонии и инфаркта – главных причин смерти у представителей сильного пола.
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Мужской ум, как и тело, нуждается в защите. РК улучшает память, концентрацию и реакцию. Высокоскоростной ум – явное преимущество в конкурентной среде
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Розмариновая кислота, признанная в 2012 году группой французских исследователей за ее дегликирующую активность, стала ключевой молекулой в борьбе со старением организма. РК помогает разорвать патологические связи углеводов с белками и усиливает внутриклеточную защиту от повреждений ДНК.
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Дегликан Р содержит не только розмариновую кислоту, но и СОД — фермент, который нейтрализует свободные радикалы и предотвращает повреждение клеток. Вместе они создают мощный союз против старения.
Дегликан Р — больше, чем просто антиоксидант.
Мужчины, закупаемся
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Дегликан Р
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11087?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,800 | 0 | 1,724,157,185 | 1,730,797,746 | 10,424 | 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26 | null | Что видим?
Записки судмедэксперта | https://t.me/sudmednotes/8680?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 64,099 | 0 | 1,722,879,727 | 1,730,797,746 | 10,427 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 0 | 1 | true |
26 | null | Посмертные повреждения муравьями
Механическое повреждение кожных покровов муравьями представляет собой участки дефекта эпидермиса, как изолированные, так и сливающиеся между собой, с фестончатыми краями, контурами напоминающие географическую карту, быстро подсыхающие, желтого цвета, пергаментной плотности. Естественно, эти повреждения посмертные.
Как правило, труп в этих случаях обнаруживается на открытой местности, в траве, в летние месяцы. При судебно-медицинском исследовании в проекции данных повреждений отсутствуют признаки прижизненного их происхождения.
Повреждения от укусов муравьев обычно имеют оранжево-розовый или жёлтый цвет. Их можно спутать с ссадинами или как результат воздействия кислот.
Механогенез повреждений тела тараканами аналогичен. Своими крепкими челюстями они скусывают наружный поверхностный слой кожи (эпидермис) лица, век, губ, шеи, рук. Помимо механического повреждения покровов кожи происходит токсическое воздействие слюны насекомых. Повреждения от тараканов чаще встречаются в захламленных домах и помещениях. Для нормальной жизнедеятельности тараканам нужна вода, в связи с чем, в первую очередь повреждаются участки с мацерированной влажной и тонкой кожей, например, область носа, рта, век.
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❤️ | https://t.me/sudmednotes/8689?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 62,700 | 0 | 1,722,980,015 | 1,730,797,746 | 10,427 | 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| [{"ner":"дефекта эпидермиса","lemma":"дефект эпидермис","label":"PER","start_pos":112,"end_pos":130}] | NEUTRAL | rus | NOT SPAM | 156 | 0 | 0 | 1 | 0 | 0 | 29 | 15 | 6 | 0 | 69 | 7 | 37 | true |
26 | null | Спасибо за обратную связь
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Кому актуально, запись прямого эфира
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https://t.me/+eefXGIQoYRM3Nzcy | https://t.me/DrAnshina/703?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 68,100 | 0 | 1,675,534,410 | 1,730,797,747 | 10,413 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":97,"end_pos":98}] | NEUTRAL | other | NOT SPAM | 14 | 0 | 0 | 0.954545 | 0.045455 | 0 | 3 | 0 | 1 | 0 | 4 | 0 | 3 | true |
26 | null | Кто молодец? Пациентка конечно
❤️
Результат просто потрясает. Даже меня.
#анализы | https://t.me/DrAnshina/707?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 74,400 | 0 | 1,675,671,456 | 1,730,797,747 | 10,427 | 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| null | POSITIVE | rus | NOT SPAM | 11 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 4 | 1 | 6 | true |
26 | null | Про интенсив
💥 | https://t.me/DrAnshina/708?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 73,500 | 0 | 1,675,671,998 | 1,730,797,747 | 10,427 | 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| null | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Ответьте на один простой вопрос: что мешает быть вам здоровым?
Простой, потому что все на поверхности.
Случай с моей пациенткой еще раз доказывает: что все зависит от самого человека!!
Конечно врач должен быть рядом. Но если пациент не хочет быть здоровым, то мы не достигаем никаких результатов, даже если рядом мега крутые специалисты.
Это я поняла еще 20 лет назад, когда начала свой путь в Кремлевской медицине.
И да, от того что вы едите и пьете многое зависит. И от настроя. И от того как вы можете убрать стрессы из вашей жизни. И от физической нагрузки. И от окружения.
Мне тут прилетело: а я воду не пью и не считаю это важным. Анализы шикарные.
Мой ответ всем сразу:
Или лукавите.
Или просто еще ни разу хорошо не обследовались или же не было специалиста, который показал что не так с обследованиями и анализами.
Всем хорошего дня. Я вернулась с массажа, бассейна. Теперь до 22.00 у меня много работы. | https://t.me/DrAnshina/709?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 73,000 | 0 | 1,675,678,077 | 1,730,797,747 | 10,430 | 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| [{"ner":"Кремлевской медицине","lemma":"кремлёвский медицина","label":"LOC","start_pos":394,"end_pos":414},{"ner":"22.00","lemma":"22.00","label":"DATE","start_pos":885,"end_pos":890},{"ner":"20","lemma":"20","label":"NUM","start_pos":355,"end_pos":357},{"ner":"00","lemma":"00","label":"NUM","start_pos":888,"end_pos":890}] | NEUTRAL | rus | NOT SPAM | 157 | 0 | 6 | 1 | 0 | 0 | 12 | 21 | 20 | 3 | 31 | 14 | 30 | true |
26 | null | Почти плачу над ответами под предыдущим постом…
90% говорят: денег нет, поэтому болеем. Или врач плохой.
Увы, 10% только от уровня медицины зависит. Это официальные данные. Хорошо, пусть 20%. Но не
💯
же
Конечно, если вы богаты, то все гораздо проще.
Но очень сложно стать состоятельным человеком когда у тебя все болит, а в голове каша. Точно вам говорю, я прошла и продолжаю этот путь.
50% - это ваше желание быть здоровым!
Это ваше питание в целом и рацион - не надо есть омаров и закусывать черной икрой. Иногда достаточно мусор пищевой убрать из рациона.
Кто-то пишет: нет денег на фитнес клуб..
это отговорка. Вот у меня есть, тк работаю опять без выходных
😂
Нет времени на него. Сегодня правда в бассейн вырвалась. Обычно дома каждый занимаюсь. Это бесплатно!!
Ходить по улице тоже бесплатно!!
Давайте с малого начнем.
Кто готов выкинуть конфетки, печеньки и сахар?
Кто готов воду достаточное количество пить?
Кто готов хотя бы 5000 шагов в день пройти?
А еще надо выкинуть фуфломицины и никогда их не покупать (я про фероны, иммуномодуляторы, ноотропы) - вот и деньги на анализы найдутся.
Смелые, помашите ручкой
❤️ | https://t.me/DrAnshina/710?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 125,400 | 0 | 1,675,692,900 | 1,730,797,747 | 10,430 | 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| [{"ner":"90","lemma":"90","label":"NUM","start_pos":48,"end_pos":50},{"ner":"10","lemma":"10","label":"NUM","start_pos":110,"end_pos":112},{"ner":"20","lemma":"20","label":"NUM","start_pos":187,"end_pos":189},{"ner":"50","lemma":"50","label":"NUM","start_pos":387,"end_pos":389},{"ner":"5000","lemma":"5000","label":"NUM","start_pos":934,"end_pos":938}] | NEUTRAL | rus | NOT SPAM | 186 | 0 | 1 | 1 | 0 | 0 | 19 | 28 | 20 | 5 | 44 | 20 | 46 | true |
26 | null | Читаю комментарии и удивляюсь такому разнообразию тем и мыслей! От мелатонина в правилам движения, от Христа к кормлению грудью и проч и проч и проч……
Я улетаю в тайгу- как раз «подгадал» под грядущие серьезные морозы- буду не на связи. Так что вот: открываю на 4 дня клуб произвольного обмена мнениями. Воскресенье вечером выйду на связь и почитаю- что вы тут наговорили и начудили. Только за ругань буду блокировать, хоть и задним числом.
Для затравки Северянина. А там и о пользе ананасов и о девушках нервных…..
🤣
«Ананасы в шампанском! Ананасы в шампанском!
Удивительно вкусно, искристо и остро!
Весь я в чем-то норвежском! Весь я в чем-то испанском!
Вдохновляюсь порывно! И берусь за перо!
Стрекот аэропланов! Беги автомобилей!
Ветропросвист экспрессов! Крылолёт буеров!
Кто-то здесь зацелован! Там кого-то побили!
Ананасы в шампанском — это пульс вечеров!
В группе девушек нервных, в остром обществе дамском
Я трагедию жизни претворю в грезофарс…
Ананасы в шампанском! Ананасы в шампанском!
Из Москвы — в Нагасаки! Из Нью-Йорка — на Марс!»
Короче, я полетел. Пока не на Марс, в Абакан | https://t.me/drmyasnikov/2186?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 99,500 | 0 | 1,708,450,439 | 1,730,797,747 | 10,413 | 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| [{"ner":"Северянина","lemma":"северянин","label":"PER","start_pos":454,"end_pos":464},{"ner":"Москвы","lemma":"москва","label":"LOC","start_pos":1001,"end_pos":1007},{"ner":"Нагасаки","lemma":"нагасаки","label":"LOC","start_pos":1012,"end_pos":1020},{"ner":"Нью-Йорка","lemma":"нью-йорк","label":"LOC","start_pos":1025,"end_pos":1034},{"ner":"Марс","lemma":"марс","label":"LOC","start_pos":1040,"end_pos":1044},{"ner":"Марс","lemma":"марс","label":"LOC","start_pos":1077,"end_pos":1081},{"ner":"Абакан","lemma":"абакан","label":"LOC","start_pos":1085,"end_pos":1091},{"ner":"4","lemma":"4","label":"NUM","start_pos":262,"end_pos":263}] | POSITIVE | rus | NOT SPAM | 174 | 0 | 5 | 1 | 0 | 0 | 14 | 15 | 19 | 1 | 52 | 11 | 44 | true |
26 | null | Болезни печени, медицинские термины, магия пищевой промышленности. Программа "Доктор Мясников" ("Россия 1"). Эфир от 24.02.2024
Как медицинские термины влияют на наше здоровье? Что может погубить печень и как уберечь ее от вредных воздействий? По каким признакам можно заподозрить у себя болезнь Паркинсона? Как работает черная магия пищевой промышленности? И в чем вред вседозволенности? На эти и другие вопросы о здоровье отвечает главный теледоктор страны Александр Мясников.
https://smotrim.ru/video/2765417 | https://t.me/drmyasnikov/2187?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 81,000 | 0 | 1,708,766,173 | 1,730,797,747 | 10,427 | 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| null | NEUTRAL | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Хакасия. | https://t.me/drmyasnikov/2194?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 86,400 | 0 | 1,708,850,845 | 1,730,797,747 | 10,427 | 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| [{"ner":"Хакасия","lemma":"хакасия","label":"LOC","start_pos":0,"end_pos":7}] | NEUTRAL | rus | NOT SPAM | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | true |
26 | null | 💊
10 причин полюбить оланзапин
Оланзапин («Заласта», «Зипрекса», «Эголанза») - довольно часто назначаемый в психиатрии нейролептик. В чем причины такой популярности, объясняет врач психиатр-психотерапевт центра «Эмпатия»
Гузель Хуснуллина
.
• При шизофрении оланзапин быстро купирует психоз, в этом плане это один из самых сильных нейролептиков. Также в отличие от нейролептиков первого поколения (галоперидол, клопиксол, аминазин, трифтазин) у оланзапина отсутствует депрессогенное действие.
• При терапии биполярного расстройства оланзапин действует как стабилизатор, при этом побочных эффектов у него меньше, чем у стабилизаторов противоэпилептического ряда и препаратов лития.
• Депрессия. За счет взаимодействия с серотониновыми рецепторами оланзапин усиливает действие антидепрессантов. Например, широко известна такая высокоэффективная схема, как оланзапин + флуоксетин.
• Зафиксирован положительный опыт использования оланзапина при психозах, вызванных приемом психостимуляторов (стимуляторных психозах).
• Не так давно была доказана эффективность малых доз оланзапина в психофармакотерапии анорексии.
• Вне официальной инструкции, но на основании клинического опыта множества психиатров оланзапин используется при лечении соматоформных расстройств, ПТСР, навязчивостей и других тревожных расстройств.
• Оланзапин обладает снотворным действием. И хотя из-за возможных побочек этот препарат не очень подходит только для коррекции сна, но как дополнительный эффект снотворное действие бывает кстати.
• Оланзапин способен купировать агрессию, что очень важно при выведении пациента из острого психоза.
• Стимуляция аппетита при приеме оланзапина для кого-то может быть нежелательной побочкой, однако для пациентов, желающих набрать вес, это очень сильный и эффективный препарат.
• И напоследок отметим такой немаловажный плюс оланзапина, как доступная цена. Оригинальный препарат стоит менее 1000 рублей, а некоторые неплохие дженерики в 2 раза дешевле.
❗️
Напоминаем, что все препараты для лечения ментальных расстройств назначаются только врачом по итогам консультации. Самолечение может нанести непоправимый вред вашему здоровью
Врач психиатр-психотерапевт Гузелия Фаннуровна Хуснуллина принимает очно в центре ментального здоровья «Эмпатия» на м. «Электрозаводская», а также проводит онлайн-консультации.
@centerempathy2021
– записаться на прием или задать вопрос
#оланзапин #нейролептик | https://t.me/imatrip/1650?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,666,390,499 | 1,730,797,747 | 10,413 | 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| [{"ner":"Зипрекса","lemma":"зипрекса","label":"ORG","start_pos":54,"end_pos":62},{"ner":"Эголанза","lemma":"эголанза","label":"ORG","start_pos":66,"end_pos":74},{"ner":"Эмпатия","lemma":"эмпатия","label":"ORG","start_pos":212,"end_pos":219},{"ner":"Гузель Хуснуллина","lemma":"гузель хуснуллина","label":"PER","start_pos":221,"end_pos":238},{"ner":"Депрессия","lemma":"депрессия","label":"PER","start_pos":686,"end_pos":695},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":1264,"end_pos":1268},{"ner":"Оланзапин","lemma":"оланзапин","label":"PER","start_pos":1319,"end_pos":1328},{"ner":"Гузелия Фаннуровна Хуснуллина","lemma":"гузелия фаннуровна хуснуллина","label":"PER","start_pos":2175,"end_pos":2204},{"ner":"Эмпатия","lemma":"эмпатия","label":"ORG","start_pos":2251,"end_pos":2258},{"ner":"Электрозаводская","lemma":"электрозаводский","label":"ORG","start_pos":2267,"end_pos":2283},{"ner":"10","lemma":"10","label":"NUM","start_pos":2,"end_pos":4},{"ner":"1000","lemma":"1000","label":"NUM","start_pos":1907,"end_pos":1911},{"ner":"2","lemma":"2","label":"NUM","start_pos":1953,"end_pos":1954},{"ner":"2021","lemma":"2021","label":"NUM","start_pos":2338,"end_pos":2342}] | NEUTRAL | rus | NOT SPAM | 297 | 0 | 4 | 0.997506 | 0.002494 | 0 | 37 | 28 | 9 | 5 | 118 | 17 | 78 | true |
26 | null | Позитивное мировосприятие помогает людям справляться с трудностями. Но есть ситуации, в которых поиск позитива может быть не лучшим ответом на то, что происходит в реальности: в стрессовых ситуациях важно уметь переживать, злиться и рефлексировать. «Холод» поговорил с психологом Василисой Мурашевой о проявлениях
токсичного позитива,
о предрасположенности к нему, а также о том, чем он вреден. | https://t.me/imatrip/1651?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,666,505,608 | 1,730,797,747 | 10,429 | 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| [{"ner":"Холод","lemma":"холод","label":"ORG","start_pos":250,"end_pos":255},{"ner":"Василисой Мурашевой","lemma":"василиса мурашев","label":"PER","start_pos":280,"end_pos":299}] | NEUTRAL | rus | NOT SPAM | 55 | 0 | 0 | 1 | 0 | 0 | 6 | 10 | 7 | 0 | 14 | 1 | 12 | true |
26 | null | В Україні запрацювала лінія безкоштовної психологічної підтримки.
Вона працює безкоштовно та анонімно з 10:00 до 20:00 без вихідних. Підтримка доступна українською, російською, англійською, арабською та бенгальською мовами.
Звернутися можна за телефоном: 0-800-211-444 | https://t.me/imatrip/1652?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,666,611,259 | 1,730,797,747 | 10,427 | 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| [{"ner":"Україні","lemma":"україні","label":"LOC","start_pos":2,"end_pos":9},{"ner":"Вона","lemma":"вона","label":"PER","start_pos":66,"end_pos":70},{"ner":"10:00","lemma":"10:00","label":"DATE","start_pos":104,"end_pos":109},{"ner":"00-21","lemma":"00-21","label":"DATE","start_pos":258,"end_pos":263},{"ner":"20:00","lemma":"20:00","label":"DATE","start_pos":113,"end_pos":118},{"ner":"00","lemma":"00","label":"NUM","start_pos":107,"end_pos":109},{"ner":"00","lemma":"00","label":"NUM","start_pos":116,"end_pos":118},{"ner":"0","lemma":"0","label":"NUM","start_pos":255,"end_pos":256},{"ner":"800","lemma":"800","label":"NUM","start_pos":257,"end_pos":260},{"ner":"211","lemma":"211","label":"NUM","start_pos":261,"end_pos":264},{"ner":"444","lemma":"444","label":"NUM","start_pos":265,"end_pos":268}] | NEUTRAL | rus | SPAM | 32 | 0 | 1 | 1 | 0 | 0 | 3 | 2 | 0 | 9 | 11 | 1 | 7 | true |
26 | null | Любопытное (и как утверждается крупнейшее (2217 children (mean [SD] age, 9.91 [0.62] years; 1399 [63.1%] female)) исследование по оценке связи между видеоиграми, когнитивными функциями и работой мозга.
Ученые сравнили когнитивные способности детей, которым родители запрещали играть в видеоигры, с детьми, которые напротив, играли в них больше трёх часов в день.
Выяснилось, что дети которые играют в видеоигры по три часа ежедневно, быстрее и лучше справлялись с когнитивными тестами, чем те, кто не играют и демонстрируют большую активность в лобных областях мозга, которые связаны с более сложными когнитивными функциями.
Таким образом игра в видеоигры может ассоциироваться с лучшей производительностью в когнитивных тестах.
Источник:
https://www.nih.gov/news-events/news-releases/video-gaming-may-be-associated-better-cognitive-performance-children
#исследование
#игра | https://t.me/imatrip/1653?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,666,801,007 | 1,730,797,747 | 10,427 | 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26 | null | Особенности восприятия аномального объекта как основа типологии педофильного расстройства.
Васильев Н.Г., Ткаченко А.А. "Социальная и клиническая психиатрия" | Том 32, выпуск 2
Абстракт.
Значение особенностей восприятия объекта при педофилии было констатировано в теоретических положениях, концептуальных схемах, подтверждено в клинических, экспериментальных, инструментальных исследованиях. Им отводится и роль важного дискриминирующего фактора, характеризующегося степенью фиксированности на аномальном сексуальном объекте, его преференции перед нормативным, а также его субъективной ценностью и связанной с ним идеаторной активностью.
Целью настоящего исследования
являлось выявление клинических особенностей восприятия объекта при педофилии и формирование на их основе её типологии. Материалы и методы. В исследование были включены 66 испытуемых мужского пола, совершивших сексуальные действия с детьми и проходивших комплексную судебную стационарную сексологопсихолого-психиатрическую и сексолого-психиатрическую экспертизу в период 2017–2020 гг. в ФГБУ «НМИЦ ПН им. В.П.Сербского» МЗ РФ. Возраст испытуемых составил от 21 до 65 лет, средний возраст – 39 лет. Выборка была подобрана соответственно наличию клинически установленного сексуального влечения в отношении педофильного объекта согласно критериям МКБ-10. Оценивались сексуальный онтогенез и актуальное психосексуальное и соматосексуальное состояния, клинические феномены искажений объектного выбора, активности и субъектного искажения. При статистическом анализе результатов применялся непараметрический критерий χ2 Пирсона.
Результаты.
Выделены три относительно однородные группы в соответствии с преобладающим типом восприятия аномального сексуального объекта: идентифицирующийся, аутоэротический и манипулятивный. Первую группу составили 11 человек, вторую – 35 и третью – 20 человек. Даны клинические описания каждого типа. Идентифицирующийся тип характеризовало восприятие аномального объекта через идентификацию с ним, аутоэротический – как стимула для аутоэротической активности, а манипулятивный – как подчиняющегося агента. Выявлено отсутствие значимого морбидного влияния на клиническое своеобразие выделенных типов. Обсуждение и выводы. Дана интерпретация полученных результатов в рамках концепции «Модели психического». Превалирующие аномальные механизмы восприятия могут быть объяснены в рамках онтогенетических нарушений, а именно – актуализации, персистенции архаических паттернов модели психического.
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psychiatr.ru/files/magazines/2022_08_scp_2189.pdf | https://t.me/imatrip/1654?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,800 | 0 | 1,666,875,603 | 1,730,797,747 | 10,428 | 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Обсуждайте любые темы | https://t.me/magerya/11077?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,700 | 0 | 1,724,092,484 | 1,730,797,747 | 10,416 | 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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 | ✅
Биоимпеданс — новый аппарат
в клинике Магеря
🔝
Биоимпеданс — это современный и точный аппарат, позволяющий получить данные о состояния организма. С его помощью можно измерить жировую, мышечную и скелетную массу, а также уровень воды в теле, основываясь на электрическом сопротивлении.
Процедура полностью безопасна, занимает всего 10-15 минут и дает точные результаты.
Кроме того, она позволяет эндокринологам, гастроэнтерологам, кардиологам и другим докторам получить ряд важных параметров и определить резервные возможности организма пациента:
👉
выявить наличие отеков (задержку жидкости) в организме;
👉
проверить наличие висцерального ожирения и риска развития метаболического синдрома;
👉
отслеживать результаты снижения веса;
👉
у лиц старшего возраста можно оценить наличие саркопении — патологического снижения мышечной массы, что влияет на продолжительность и качество жизни;
👉
выявить или заподозрить истощение, ожирение, гипо- и гипертиреоз, анемию и другие эндокринные заболевания.
Узнать больше и записаться на процедуру
👉🏼
@mageryaclinic | https://t.me/magerya/11078?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,300 | 0 | 1,724,127,657 | 1,730,797,747 | 10,413 | 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| [{"ner":"Биоимпеданс","lemma":"биоимпеданс","label":"LOC","start_pos":2,"end_pos":13},{"ner":"Магеря\n🔝\nБиоимпеданс","lemma":"магеря\n🔝\nбиоимпеданс","label":"ORG","start_pos":40,"end_pos":60},{"ner":"10-15","lemma":"10-15","label":"DATE","start_pos":333,"end_pos":338},{"ner":"15","lemma":"15","label":"NUM","start_pos":336,"end_pos":338}] | NEUTRAL | rus | NOT SPAM | 139 | 0 | 1 | 0.994565 | 0.005435 | 0 | 19 | 18 | 3 | 3 | 59 | 5 | 27 | true |
26 | null | Многие задавались вопросом как выглядит глаз изнутри. Ловите
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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 3 | 1 | 2 | true |
26 | null | @sudmednotes
и
@bombora
дарят книги!
Книга
В гармонии с едой,
многим знакомого Александра Бурлакова - доказательного врача-диетолога, номинирована на премию Здравомыслие. Будет круто, если такой труд займет почетное место в премии. Нужна лишь ваша маленькая помощь в виде голоса
1)
Перейти по ссылке,
зарегистрироваться (лучше авторизироваться через ВК) и отдать свой голос за книгу
2) Сделать скриншот, что голос засчитан и скинуть в комментарии. Пример в первом комментарии)
Именно по комментариям рандомайзер выберет 3 победителей, который получат
по две книжки - Разговор с трупом и Место преступления - тело.
От количества комментариев шансы НЕ увеличиваются, поэтому прошу не спамить! | https://t.me/sudmednotes/8677?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 64,900 | 0 | 1,722,765,209 | 1,730,797,747 | 10,427 | 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26 | null | Не хвастаюсь | https://t.me/sudmednotes/8678?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 63,000 | 0 | 1,722,786,992 | 1,730,797,747 | 10,427 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | true |
26 | null | Кто ты из Смешариков?
Я вот пока не знаю, но определенно хочу быть Копатычем. Он достаточно близок к философии эпикурейцев, так как в большинство серий ему все равно на то, что происходит вне его грядок. Да и в принципе на грядки ему тоже все равно, если это не превращается в хаос.
Он простой и спокойный, любит работать в своем саду, наслаждаясь простыми радостями жизни, такими как выращивание урожая, вкусная еда, общение с друзьями. Ему глубоко наплевать на то, что он не может контролировать. Вот куда надо стремиться…
Блять вы же на судмедэксперта подписывались, а я тут философию мультсериала разбираю… | https://t.me/sudmednotes/8679?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 66,700 | 0 | 1,722,794,646 | 1,730,797,747 | 10,427 | 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| [{"ner":"Смешариков","lemma":"смешариков","label":"LOC","start_pos":10,"end_pos":20},{"ner":"Копатычем","lemma":"копатычем","label":"PER","start_pos":67,"end_pos":76}] | NEUTRAL | rus | NOT SPAM | 99 | 0 | 1 | 1 | 0 | 0 | 7 | 14 | 15 | 0 | 19 | 11 | 19 | true |
26 | null | Дубрирую тут, тк не все в инсте!!!
Тяжелая анемия лечится только в стационаре!!!
Никаких капельниц на дому!
Можно так покапаться что следуюший врач - патологоанатом! | https://t.me/DrAnshina/699?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 86,900 | 0 | 1,675,408,155 | 1,730,797,748 | 10,424 | 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| null | NEUTRAL | rus | NOT SPAM | 25 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 1 | 0 | 8 | 3 | 9 | true |
26 | null | Одна из самых грозных инфекционных болезней- малярия. Да: «не в нашем районе», но цифры устрашающие- 246 миллионов случаев в 2023 и 610 тысяч унесенных жизней. Миллиарды (!!!) людей живут в областях, где можно заразиться малярией. Еще не так давно к ним относился и Юг России, (тот же Сочи)и Грузия, Азербайджан и другие южные республики. Санитарная служба СССР в свое время провела огромную работу по искоренению комаров- переносчиков малярии (самки Anopheles).
В Африке детская смертность от малярии- ужасающая. Много лет там проработал- знаю не по книгам.
И вот поворотный момент- наконец закончили все испытания вакцины от малярии! И впервые в истории началась массовая вакцинация в Африке (Камерун). Уже две вакцины разрешены: Mosquirix и Matrix. Тем более своевременно, что комары Anopheles давно стали устойчивы к пестицидам. | https://t.me/drmyasnikov/2181?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,500 | 0 | 1,707,914,492 | 1,730,797,748 | 10,424 | 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| [{"ner":"Юг России","lemma":"юг россия","label":"PER","start_pos":266,"end_pos":275},{"ner":"Грузия","lemma":"грузия","label":"LOC","start_pos":292,"end_pos":298},{"ner":"Азербайджан","lemma":"азербайджан","label":"LOC","start_pos":300,"end_pos":311},{"ner":"СССР","lemma":"ссср","label":"LOC","start_pos":357,"end_pos":361},{"ner":"Африке","lemma":"африка","label":"LOC","start_pos":465,"end_pos":471},{"ner":"Африке","lemma":"африка","label":"LOC","start_pos":687,"end_pos":693},{"ner":"Камерун","lemma":"камерун","label":"LOC","start_pos":695,"end_pos":702},{"ner":"Matrix","lemma":"matrix","label":"ORG","start_pos":745,"end_pos":751},{"ner":"Anopheles","lemma":"anopheles","label":"ORG","start_pos":788,"end_pos":797},{"ner":"246","lemma":"246","label":"NUM","start_pos":101,"end_pos":104},{"ner":"2023","lemma":"2023","label":"NUM","start_pos":125,"end_pos":129},{"ner":"610","lemma":"610","label":"NUM","start_pos":132,"end_pos":135}] | NEUTRAL | rus | NOT SPAM | 124 | 0 | 4 | 0.974359 | 0.025641 | 0 | 13 | 11 | 2 | 5 | 35 | 13 | 30 | true |
26 | null | Наш Президент на днях сказал, что Российские ученые успешно работают над созданием вакцин от рака.
О чем тут речь? Это не про вакцины (уже рутинные) от вирусов, провоцирующих развитие рака: вируса папиломы человека (рак шейки матки), гепатита Б (рак печени) и сходные.
Речь именно про вакцины от собственно рака- подраздел онкоиммунологии. Когда в качестве антигена- цели, против которого вакцины вырабатывают специальные антитела- выбираются компоненты зарождающейся опухоли. От простых единичных пептидов до сложных комбинаций молекул, свойственных именно опухолям. Звучит просто, на деле- колоссальная и дорогостоящая работа. Пока успехи намечаются в областях рака простаты, меланом, рака лёгкого, рака толстого кишечника, рака мочевого пузыря.
В принципе - фантастика, но именно научная фантастика! И все это совсем не за горами. | https://t.me/drmyasnikov/2182?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,400 | 0 | 1,708,011,505 | 1,730,797,748 | 10,425 | 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| null | NEUTRAL | rus | NOT SPAM | 116 | 0 | 4 | 1 | 0 | 0 | 16 | 9 | 4 | 0 | 50 | 5 | 28 | true |
26 | null | Как правильно болеть ОРВИ, продукты для похудения, неожиданные причины гипертонии. Программа "Доктор Мясников" ("Россия 1"). Эфир от 17.02.2024
Как лечить ОРВИ? Откуда берется гипертония? Сколько соли можно гипертоникам? Насколько эффективны ананас, сельдерей и зеленый чай для снижения веса? Какую формулу похудения вывел доктор Мясников? Надо ли пить пробиотики с антибиотиками? Опасны ли полипы в носу? Это и многое другое – в программе "Доктор Мясников" на канале "Россия".
https://smotrim.ru/video/2762170 | https://t.me/drmyasnikov/2183?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 81,600 | 0 | 1,708,158,634 | 1,730,797,748 | 10,424 | 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| [{"ner":"Россия 1","lemma":"россия 1","label":"ORG","start_pos":113,"end_pos":121},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":330,"end_pos":338},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":441,"end_pos":456},{"ner":"Россия","lemma":"россия","label":"ORG","start_pos":469,"end_pos":475},{"ner":"https://smotrim.ru/video/2762170","lemma":"https://smotrim.ru/video/2762170","label":"ORG","start_pos":478,"end_pos":510},{"ner":"27621","lemma":"27621","label":"DATE","start_pos":503,"end_pos":508},{"ner":"17.02","lemma":"17.02","label":"DATE","start_pos":133,"end_pos":138},{"ner":"1","lemma":"1","label":"NUM","start_pos":120,"end_pos":121},{"ner":"02","lemma":"02","label":"NUM","start_pos":136,"end_pos":138},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":139,"end_pos":143}] | NEUTRAL | rus | NOT SPAM | 68 | 0 | 2 | 0.989247 | 0.010753 | 0 | 5 | 5 | 1 | 3 | 28 | 5 | 24 | true |
26 | null | Мы все достаточно хорошо осведомлены о роли Мелатонина в регулировании сна. Продается без рецепта и некоторым хорошо помогает. Менее известно о возможной роли мелатонина в предотвращении онкологических заболеваний. Последние годы идут исследования механизмов воздействия Мелатонина на микробиом и его возможного положительного действия при алкогольном поражении печени и неалкогольном стеатогепатозе.
Ниже автоматизированный перевод статьи на эту тему:
«Мелатонин (МТ) часто использовался для поддержки хорошего качества сна, особенно во время пандемии COVID-19, так как многие страдали от нарушения режима сна, связанного со стрессом. Менее известно, что МТ является антиоксидантом, противовоспалительным соединением и модулятором дисфункции кишечного барьера, который играет значительную роль во многих заболеваниях. Кроме того, МТ вырабатывается в 400-500 раз большей концентрации в клетках энтерохромафинов кишечника, поддерживая роль МТ в поддержании функций кишечника и осей органов кишечника. Учитывая эту информацию, основное внимание в этой статье уделяется обзору функций МТ и молекулярных механизмов, с помощью которых он предотвращает алкогольно-ассоциированные заболевания печени (ALD) и стеатогепатоз. связанные с метаболической дисфункцией (MASLD), включая его метаболизм и взаимодействие с митохондриями для осуществления его антиоксидантной и противовоспалительной активности в оси кишечник-печень. Мы подробно описываем различные механизмы, с помощью которых MT действует как антиоксидант, противовоспалительное соединение и модулятор функции кишечного барьера, чтобы предотвратить прогрессирование ALD и MASLD через ось кишечник-печень, с акцентом на то, как эти состояния моделируются в исследованиях на животных. Используя механизмы профилактики МТ и описанные исследования на животных, мы предлагаем поведенческие изменения и несколько экзогенных источников МТ, включая продукты питания и добавки. Следует провести дальнейшие клинические исследования для развития области МТ в предотвращении прогрессирования заболеваний печени через ось кишечник-печень, поэтому мы упоминаем несколько соображений, касающихся добавок МТ в контексте клинических испытаний, чтобы продвинуть эту область исследований»
Karli R LeFort et al. Antioxidants (Basel). 2023. | https://t.me/drmyasnikov/2184?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 86,000 | 0 | 1,708,242,078 | 1,730,797,748 | 10,413 | 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| NEUTRAL | rus | NOT SPAM | 278 | 0 | 16 | 0.961538 | 0.038462 | 0 | 33 | 26 | 10 | 7 | 112 | 13 | 46 | true |
26 | null | Видеорубрика "Для души и тела". Эксклюзив от доктора Мясникова: всё ли предначертано или мы – творцы своей судьбы?
- Кто на этот раз залез на стол к доктору?
- Что такое судьба?
- Кто управляет жизнью человеческой?
- Бывают ли в жизни случайности?
- Кто такие фаталисты и легко ли им живётся?
- Что общего у Александра Мясникова и Михаила Булгакова?
- Существует ли свобода выбора?
- Как доктору Мясникову удаётся обходить ловушки в эфире?
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/OYEttbNHr5k | https://t.me/drmyasnikov/2185?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 96,100 | 0 | 1,708,257,689 | 1,730,797,748 | 10,413 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":53,"end_pos":62},{"ner":"Александра Мясникова","lemma":"александр мясникова","label":"PER","start_pos":308,"end_pos":328},{"ner":"Михаила Булгакова","lemma":"михаил булгаков","label":"PER","start_pos":331,"end_pos":348},{"ner":"Мясникову","lemma":"мясникову","label":"PER","start_pos":396,"end_pos":405},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":466,"end_pos":481},{"ner":"5","lemma":"5","label":"NUM","start_pos":509,"end_pos":510}] | NEUTRAL | rus | NOT SPAM | 81 | 0 | 0 | 0.990741 | 0.009259 | 0 | 2 | 11 | 7 | 0 | 26 | 2 | 19 | true |
26 | null | Стефани Дональдсон-Прессман, Роберт Прессман «Нарциссическая семья: диагностика и лечение», 1994
«Нарциссическая семья» не вносит новую диагностическую категорию, но предлагает общую нить для людей, которые в зависимости от периода могут получить разные диагнозы – расстройств личности или клинических синдромов и расстройств (диссоциативное расстройство идентичности, дистимия, ПТСР). Книга постулирует более широкую причину знакомой группировки признаков, ранее применяемых лишь в контексте модели взрослых детей алкоголиков. Модель нарциссической семьи объединяет родительские системы с различными формами дисфункционального воспитания на основании общих черт, независимо от наличия/отсутствия жестокого обращения или злоупотреблений. Глубоко травмированные пациенты не обязательно сталкивались с издевательствами или насилием, их истории не всегда драматичны – это характерно для людей из нарциссических семей, где дисфункция охватывает множество сфер, оставаясь скрытой.
#литература #нарциссизм | https://t.me/imatrip/1641?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,900 | 0 | 1,666,004,824 | 1,730,797,748 | 10,424 | 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| [{"ner":"Стефани Дональдсон-Прессман","lemma":"стефани дональдсон-прессман","label":"PER","start_pos":0,"end_pos":29},{"ner":"Роберт Прессман","lemma":"роберт прессман","label":"PER","start_pos":31,"end_pos":46},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":381,"end_pos":385},{"ner":"1994","lemma":"1994","label":"NUM","start_pos":94,"end_pos":98}] | NEUTRAL | rus | NOT SPAM | 116 | 0 | 1 | 1 | 0 | 0 | 23 | 10 | 1 | 0 | 47 | 7 | 27 | true |
26 | null | #пост_паничка
Созванивался с родителем 1, обусдили мой последний пост. Мама говорит что идентифицировала у себя недавно паническую атаку, после заплыва по новостям. Из логики поста у нее родился вопрос:
нужно ли себя снова тащить в это состояние, чтобы потом не было проблем?
Чтобы ответить, нужно отделить панические атаки как явление, и паническое расстройство как систему включающую в себя панические атаки как компонент.
Сама по себе ПА — очень распространенное явление. Большинство людей в жизни испытают сильно нарастающие симптомы тревоги, которые ощущаются прям запредельно сильно (
чекнуть список симптомов можно тут
). Однако у кого-то это состояние автоматически как-то оправдывается и не ощущается как катастрофа. Например так было с мамой, когда она связала нарастающую тревогу с чтением новостей.
Тут главный вопрос:
казалось ли вам, что с вами вот-вот случится что-то немыслимо страшное?
Если ответ «нет», то можно предсказать, что для закрепления панического расстройства шансов немного.
Паническое расстройство паразитирует на установке, что «панической атаке (или какому-то ее симптому, потому что часто люди могут вовсе не знать что это именно ПА) нельзя дать случиться снова!» — тогда она становится проблемой, которая будет вас навещать, по
принципу навязчивости
:
мне нельзя испытать ПА → отслеживаю сигналы организма, пока не замечу чего-нибудь → катастрофизирую наблюдения «А не признак ли это ПА?» → пугаюсь и напрягаюсь → уверяюсь в своей гипотезе → и по кругу.
Именно такую проблему нужно брать и нести в
экспозицию
, чтобы чары ПА пали и она стала для вас тем, чем является: следствием напряжения организма. Неприятным, нежелательным, но не более.
Как любая другая эмоция, ПА нормальна если ее не запрещать и не избегать.
Тут и терапия не для отмены ПА существует, а для работы с поддерживающими ее факторами и поведением.
Похожий пример описывал с депрессией
.
В случае с мамой, ей нет смысла экспозиционировать паническую атаку, которую она себе не запрещала. ПА прошла, и были сделаны выводы. Выводы кстати актуальные: составить расписание для просмотра новостей и дозировать их количество. Мучать себя тревогой просто ради тревоги — в КПТ не показано.
×××
И вы уточняйте, если что-то не совсем понятно) Я стараюсь отвечать на вопросы по теме постов в комментариях. | https://t.me/imatrip/1642?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,666,173,634 | 1,730,797,748 | 10,424 | 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26 | null | Скука
Скука порою хуже аврала
.
Долгие очереди, скучные лекции, корпоративные встречи, визиты вежливости. Еще вчера, когда вы душевно шашлычили и пьянствовали с друзьями, крутили амуры, залипали во что-то интересное, несшееся стремглав время теперь еле тянется, вязнут в загустевшем воздухе стрелки часов. Неприкаянное томление сменяется сизой тоской, зудящее раздражение - летаргическим оцепенением.
У скуки больше оттенков, чем у серого, а границы зыбкие как туман. Она так хорошо нам знакома, так изведана и привычна, но мало кто задается вопросом, что мы вообще называем этим словом?
Психодинамические теории утверждают, что скука вызвана неспособностью сознательно определить желаемое, поскольку желание опасное или социально неприемлемое, и поэтому подавляется. В результате скучающий индивид обращается к внешнему миру в поисках удовлетворения, но неизбежно чувствует себя обделенным и разочарованным, когда внешний мир не решает его проблему.
Экзистенциальные теории утверждают, что скука вызвана отсутствием смысла жизни или цели; скука наступает, когда человек отказывается от деятельности, соответствующей его ценностям, или не может ее сформулировать и участвовать в ней.
Теории возбуждения (
arousal theories
) определяют скуку как состояние неоптимального возбуждения, возникающее при несоответствии между необходимым возбуждением индивида и доступностью стимуляции окружающей среды. Более конкретно, окружающая среда может представлять слишком много или слишком мало вызовов и, таким образом, не дает возможности удовлетворительной деятельности. Таким образом, согласно теории возбуждения, скука - это неприятное состояние, которое возникает, когда невозможно достичь оптимального уровня возбуждения через взаимодействие с окружающей средой.
Наконец, когнитивные теории предполагают, что скука вызвана сбоем процессов внимания, приводящим к неспособности сфокусировать или привлечь внимание. Таким образом, определение скуки с когнитивной точки зрения подчеркивает как атрибуции (атрибуция - это
термин
, используемый в психологии, который касается того, как люди воспринимают причины повседневного опыта, как внешние или внутренние), связанные с отсутствием в окружающей среде возможностей для удовлетворяющей активности, так и ухудшение способности к концентрации внимания.
В целом, скука часто связана с ощущением ограниченности, а хроническая скука - с ощущением неупорядоченной активности. Авторы статьи утверждают, что в основе таких ощущений скованности и неупорядоченной активности лежит как неудача в направлении внимания (
deployment of attention
), так и субъективное ощущение усилий (
sense of effort
). Если внимание успешно задействовано, то малые усилия и низкая метакогнитивная осведомленность ассоциируются с ощущением “потока” (то самое растворение в процессе, о котором столько пишут и говорят), в то время как большие усилия и высокая метакогнитивная осведомленность связаны с усилением чувства агентности\субъектности (дзенское присутствие в моменте здесь и сейчас). Однако если внимание задействовано не совсем успешно, то малые усилия и низкая метакогнитивная осведомленность ассоциируются с
блужданием ума
(
mind wandering
), в то время как большие умственные усилия и высокая метакогнитивная осведомленность ассоциируются со скукой (бляць, куда себя деть?!).
Таким образом, согласно объединяющей универсальной формулировке авторов статьи,
скука - это неприятное состояние, которое возникает, когда мы
(
a
) не можем успешно привлечь внимание к внутренней (например, мысли или чувства) или внешней (например, стимулы окружающей среды) информации, необходимой для участия в удовлетворяющей или приятной (
satisfying
) деятельности,
(
b
) сосредоточены на том, что мы не можем привлечь внимание и участвовать в удовлетворяющей деятельности, и
(
c
) приписываем причину нашего неприятного состояния окружающей среде.
The Unengaged Mind: Defining Boredom in Terms of Attention
#cognition | https://t.me/imatrip/1643?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,666,237,865 | 1,730,797,748 | 10,424 | 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| [{"ner":"Скука\nСкука","lemma":"скука\nскука","label":"PER","start_pos":0,"end_pos":11}] | NEUTRAL | rus | NOT SPAM | 515 | 0 | 3 | 0.963077 | 0.036923 | 0 | 57 | 78 | 20 | 1 | 160 | 35 | 117 | true |
26 | null | К себе и от себя
– авторский канал клинического психолога, практикующего в психодинамическом направлении. В нем рассказывается о повседневном применении психологических знаний, задаются вопросы, которые могут помочь отыскать собственные смыслы и значения в пестром калейдоскопе мира.
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Почему бывает сложно доводить до конца начатое?
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Перфекционизм как запланированный проигрыш
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Ловушка «всемогущества»
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Бессонница как маска депрессии
В чем особенность психодинамического подхода? Держите пояснение в серии карточек от владелицы канала: | https://t.me/imatrip/1649?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,666,357,204 | 1,730,797,748 | 10,413 | 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| null | NEUTRAL | rus | NOT SPAM | 70 | 0 | 3 | 1 | 0 | 0 | 11 | 9 | 5 | 0 | 28 | 1 | 15 | true |
26 | null | Если вы когда-нибудь принимали железо, то знаете, что найти «своё» железо — это как отыскать иголку в стоге сена. И даже если вам удастся его найти, оно может быть настолько "железным", что свяжет вас унитазом
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Хорошо и быстро усваивается только одно железо — ГЕМОВОЕ
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Оно содержится в мясе и очень биодоступно, так как уже связано с белками, которые помогают ему проникать в кровь.
Тогда как в добавках и препаратах находится неорганическое железо, и это уже – совсем другая история. Такое железо часто вызывает дискомфорт, вздутие, запоры или диарею
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Железо само по себе плохо усваивается, но можно сделать еще хуже.
Достаточно принимать железо вместе с:
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Кофе и чаем — танины и кофеин полностью блокируют всасывание железа в кишечнике.
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Молочными продуктами — кальций в молоке и сырах уменьшает всасывание железа на 50-60%.
А если у вас еще и низкая кислотность в желудке, то про хорошее усвоение обычного железа можно забыть.
Аптеки просто завалены разными видами железа, но есть одна проблема — многие формы содержат только железо, без необходимых витаминов (кофакторов) для лучшего усвоения.
А чтобы усвоить железо, ему нужны
👇🏼
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Витамин С — увеличивает всасываемость железа.
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Витамины группы В — помогают в борьбе с анемией, вызванной именно дефицитом этих витаминов.
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Медь — необходима для созревания транспортных белков железа, улучшает синтез гемоглобина и помогает железу проникать внутрь клетки.
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Марганец, цинк, селен, витамин Е, пиперин и цистеин - вот необходимая команда для помощь в хорошем усвоении железа.
Так что в следующий раз, когда будете выбирать добавки с железом, помните: лучше всего принимать железо вместе с кофакторами, так вы получите максимальную пользу. | https://t.me/magerya/11072?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,900 | 0 | 1,724,042,149 | 1,730,797,748 | 10,424 | 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| [{"ner":"50-60","lemma":"50-60","label":"DATE","start_pos":825,"end_pos":830},{"ner":"60","lemma":"60","label":"NUM","start_pos":828,"end_pos":830}] | NEUTRAL | rus | NOT SPAM | 266 | 0 | 7 | 1 | 0 | 0 | 25 | 36 | 15 | 6 | 75 | 26 | 56 | true |
26 | null | Надеюсь, все уже знают о лучшем железе
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⁉️ | https://t.me/magerya/11073?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,500 | 0 | 1,724,056,773 | 1,730,797,748 | 10,424 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 1 | 0 | 1 | 1 | 1 | true |
26 | null | Железо капать или пить – частая дилемма.
Я и мои коллеги часто стоим перед выбором как устранить дефицит наиважнейшего микроэлемента.
Пациентам конечно же хочется побыстрее устранить диагноз, но скорость, как известно, важна только при поносе
🚽
Железо – основа эритроцитов – клеток, которые переносят на себе кислород. Эритроциты обновляются 3-4 месяца. Значит весь этот срок, вновь образующиеся эритроциты необходимо подкармливать железом!
💉
Капельницы – идеальный вариант для быстрого насыщения железом! Мы часто,
❗️
но с осторожностью, назначаем их в клинике, если это действительно оправдано! Делаем это под присмотром всего персонала! Ведь, организм может не справиться с такой большой дозой и пациент может получить побочки.
В обычной жизни, с лёгкой анемией, этот метод может быть слишком радикальным
🙅♂️
💊
Таблетки — не быстро, но зато без скачков
🎢
Наиболее безопасный метод! В любой момент можно отследить состояние и откорректировать дозировку!
🏥
Мы в
@mageryaclinic
любим ещё и комбинированную схему! Сделать на первых порах капельницу железа, а далее поддерживать его уровень таблетированной формой!
Приоритетом в клинике является железо «Жизнивек», т.к. в нём содержатся все необходимые кофакторы – вещества помогающие железу усвоиться
👉🏼
заказать
Без них, хоть таблетка, хоть капельница, лишь обогатят железом ваш унитаз
😉 | https://t.me/magerya/11074?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,800 | 0 | 1,724,062,399 | 1,730,797,748 | 10,424 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":1155,"end_pos":1163},{"ner":"3","lemma":"3","label":"NUM","start_pos":343,"end_pos":344},{"ner":"4","lemma":"4","label":"NUM","start_pos":345,"end_pos":346}] | NEUTRAL | rus | NOT SPAM | 193 | 0 | 3 | 0.996109 | 0.003891 | 0 | 16 | 31 | 9 | 3 | 59 | 12 | 44 | true |
26 | null | Какой самый главный дефицит почти во всех регионах России
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Правильно, Витамина D
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Депрессия и тревожность часто верные спутники низкого уровня D в организме. Всё потому, что этот витамин влияет на уровень серотонина — гормона счастья. Мало витамина D — мало радости в жизни.
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Просыпаетесь усталым, даже после долгого сна?
Возможно, ваш организм кричит о нехватке витамина D!
Он отвечает за энергию, и без него заряд бодрости становится чем-то недосягаемым.
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Потеете сильнее, чем обычно? Конечно, это нормально после тренировки или в жару. Но если пот льётся ручьём без видимой причины, то это первые звоночки дефицита.
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Постоянные боли в мышцах и костях даже после легкой нагрузки?
Без витамина D нарушается усвоение кальция и фосфора. С одной стороны это приводит к повреждению структуры костей, с другой к мышечным спазмам.
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Часто болеете и долго выздоравливаете?
Тогда восполняйте запасы D!
Ведь он — главный защитник вашей иммунной системы!
🍃
Почему
ПРО Витамин D
от компании Жизнивек — лучший выбор: он
создан на основе масла MCT – источника жирных кислот со средней длиной цепи
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Витамин D является жирорастворимым, поэтому для его эффективного всасывания организмом требуется присутствие жира. Масло МСТ прекрасно подходит для этого.
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Масло МСТ быстро метаболизируется в печени и превращается в энергию, не откладываясь в виде жировых запасов.
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Масло МСТ устойчиво к окислению, благодаря этому свойству оно защищает от разрушения и сам витамин D
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ПРО Витамин D подходит как для взрослых, так и для детей
👨👩👧👦
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в капельках
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в капсулах
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11076?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 48,200 | 0 | 1,724,078,331 | 1,730,797,748 | 10,413 | 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| [{"ner":"России","lemma":"россия","label":"LOC","start_pos":51,"end_pos":57},{"ner":"Витамина","lemma":"витамин","label":"PER","start_pos":71,"end_pos":79},{"ner":"Витамин D","lemma":"витамин d","label":"PER","start_pos":967,"end_pos":976},{"ner":"Жизнивек","lemma":"жизнивек","label":"PER","start_pos":989,"end_pos":997},{"ner":"MCT","lemma":"mct","label":"ORG","start_pos":1040,"end_pos":1043},{"ner":"🔝\n✅\nВитамин","lemma":"🔝\n✅\nвитамин","label":"ORG","start_pos":1093,"end_pos":1104},{"ner":"Витамин D","lemma":"витамин d","label":"PER","start_pos":1472,"end_pos":1481},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":1571,"end_pos":1600},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":1590,"end_pos":1600},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":1595,"end_pos":1600}] | NEUTRAL | rus | NOT SPAM | 254 | 0 | 19 | 0.967552 | 0.032448 | 0 | 22 | 22 | 13 | 4 | 91 | 19 | 43 | true |
26 | null | Пример того, что будет, если человек попадет в турбину самолёта.
В 2012 году в Международном аэропорту Техаса Эль-Пасо в двигатель самолета Boeing 737 засосало инженера-механика. Международный рейс № 1515 готовился вылететь в Хьюстон.
На борту самолета Boeing 737-500 во время происшествия находилось 114 пассажиров и пять человек членов экипажа, во время проверки работоспособности двигателей лайнера и произошла трагедия.
Я уже показывал фотографии похожего случая в
аэропорту Шереметьево в 2004 году.
Записки судмедэксперта | https://t.me/sudmednotes/8669?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 75,800 | 0 | 1,722,595,069 | 1,730,797,748 | 10,424 | 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| [{"ner":"Международном аэропорту","lemma":"международный аэропорт","label":"ORG","start_pos":79,"end_pos":102},{"ner":"Техаса","lemma":"техас","label":"LOC","start_pos":103,"end_pos":109},{"ner":"Эль-Пасо","lemma":"эль-пасо","label":"LOC","start_pos":110,"end_pos":118},{"ner":"Хьюстон","lemma":"хьюстон","label":"LOC","start_pos":226,"end_pos":233},{"ner":"Шереметьево","lemma":"шереметьево","label":"LOC","start_pos":479,"end_pos":490},{"ner":"37-50","lemma":"37-50","label":"DATE","start_pos":261,"end_pos":266},{"ner":"2012","lemma":"2012","label":"NUM","start_pos":67,"end_pos":71},{"ner":"737","lemma":"737","label":"NUM","start_pos":147,"end_pos":150},{"ner":"1515","lemma":"1515","label":"NUM","start_pos":200,"end_pos":204},{"ner":"737","lemma":"737","label":"NUM","start_pos":260,"end_pos":263},{"ner":"500","lemma":"500","label":"NUM","start_pos":264,"end_pos":267},{"ner":"114","lemma":"114","label":"NUM","start_pos":301,"end_pos":304},{"ner":"2004","lemma":"2004","label":"NUM","start_pos":493,"end_pos":497}] | NEUTRAL | rus | SPAM | 72 | 1 | 2 | 0.978022 | 0.021978 | 0 | 5 | 8 | 3 | 7 | 32 | 1 | 8 | true |
26 | null | Варю себе белковый обед на завтра. Там короче мексиканская смесь, деревенский кабачок, казахстанские помидоры, почти 1.5кг уже не бегающей курицы. Еще заправил это все сацебели, он тут очень решает.
На гарнир рис. Готовка очень успокаивает нервную систему. Подумываю об открытии лайт канала - врач у плиты | https://t.me/sudmednotes/8672?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 66,500 | 0 | 1,722,624,029 | 1,730,797,748 | 10,413 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":117,"end_pos":118},{"ner":"5","lemma":"5","label":"NUM","start_pos":119,"end_pos":120}] | NEUTRAL | rus | NOT SPAM | 46 | 0 | 0 | 1 | 0 | 0 | 6 | 5 | 3 | 1 | 18 | 7 | 9 | true |
26 | null | Скидываю мемы. День 221 | https://t.me/sudmednotes/8673?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 65,500 | 0 | 1,722,675,869 | 1,730,797,748 | 10,413 | 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| [{"ner":"221","lemma":"221","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 | Объявляю старт продаж моего руководства по вакцинации!
https://anshina.mygaide.ru/vaccine
✔️
Подробный разбор заболеваний от которых спасет вакцинация (краснуха, корь, паротит, столбняк, дифтерия, коклюш, ветряная оспа, менингит, ВПЧ, пневмококковая инфекция, гемофильная инфекция, грипп, гепатиты А,В, клещевой энцефалит, коронавирусная инфекция, полиомиелит, ротавирусная инфекция, туберкулез, герпетическая инфекция)
✔️
Вакцины отечественные и импортные.
✔️
Календарь вакцинации.
✔️
Как подготовиться?
✔️
Побочные действия и как с ними бороться.
До старта продаж цена на 60% дешевле.
Успевайте, пригодится всем родителям. Разберем многие детские инфекции и вакцины.
#вакцинация | https://t.me/DrAnshina/691?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 74,800 | 0 | 1,675,242,358 | 1,730,797,749 | 10,459 | 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| [{"ner":"ВПЧ","lemma":"впч","label":"ORG","start_pos":230,"end_pos":233},{"ner":"60","lemma":"60","label":"NUM","start_pos":574,"end_pos":576}] | NEUTRAL | rus | NOT SPAM | 80 | 0 | 3 | 0.992424 | 0.007576 | 0 | 13 | 10 | 2 | 1 | 36 | 1 | 36 | true |
26 | null | Просто мрак творится. Я не могу не отрепостить.
Дело должно получить отклик властей.
Действительно скоро по ОМС будет работать некому: нечеловеческие условия труда, низкие зарплаты, унижение медработников и нападения.
И это не кино, жизнь.
Я с 2014 года только в коммерческой медицине, но было очень много «приколов». Помню года 2 назад я была у ребенка 6м кардиологом, который пытался объяснить маме: девочка здорова.
Мама под конец приема уже орала на меня и требовала лечить зубцы на ЭКГ, размахивала руками и бегала по кабинету. В какой-то момент я встала, боясь что начнет бить
🤦♂️
Около 50% процентов моих коллег об известии что я приостановила практическую деятельность сказали: ну и правильно, тебе зачем это надо, нервы целее будут. И правда целее. Общаюсь сейчас только с пациентами, которые настроены на лечение, все очень приятные люди
🤣 | https://t.me/DrAnshina/692?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 73,500 | 0 | 1,675,249,173 | 1,730,797,749 | 10,459 | 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| [{"ner":"2014","lemma":"2014","label":"NUM","start_pos":244,"end_pos":248},{"ner":"2","lemma":"2","label":"NUM","start_pos":329,"end_pos":330},{"ner":"6","lemma":"6","label":"NUM","start_pos":354,"end_pos":355},{"ner":"50","lemma":"50","label":"NUM","start_pos":594,"end_pos":596}] | NEGATIVE | rus | NOT SPAM | 133 | 0 | 7 | 1 | 0 | 0 | 13 | 21 | 12 | 2 | 37 | 10 | 30 | true |
26 | null | Болезнь Х
Что такое "болезнь Х", которой пугают весь мир? Стоит ли ждать в ближайшее время новой смертельной пандемии?
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/hW0Qs72fF6I | https://t.me/drmyasnikov/2175?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,900 | 0 | 1,707,725,907 | 1,730,797,749 | 10,460 | 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| [{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":145,"end_pos":160},{"ner":"0","lemma":"0","label":"NUM","start_pos":181,"end_pos":182},{"ner":"72","lemma":"72","label":"NUM","start_pos":184,"end_pos":186},{"ner":"6","lemma":"6","label":"NUM","start_pos":188,"end_pos":189}] | NEUTRAL | rus | NOT SPAM | 25 | 0 | 2 | 0.972973 | 0.027027 | 0 | 3 | 4 | 2 | 0 | 9 | 0 | 7 | true |
26 | null | Помните Жана де Лафонтена в «Виконте да Бражелоне»?
Весельчака и чудака на обеде у Фуке?
«Отдохнул? Вот так отдых! Там у меня было довольно хлопот. – Как так? – Моя жена принялась кокетничать с тем, кому я собирался продать свой участок; этот человек отказался от покупки, и я вызвал его на дуэль. – Превосходно! И вы дрались? – Очевидно, нет. – Вы, стало быть, и этого толком не знаете? – Нет, нет; вмешалась моя жена со своею родней. В течение четверти часа я стоял со шпагой в руке, но между тем не был ранен. – А ваш противник? – Противник тоже. Он не явился на место дуэли. – Замечательно! – закричали со всех сторон. – Вы, должно быть, метали громы и молнии?»
Мы воспитаны на его баснях с детства. «Волк и ягнёнок", "Ворона и лисица", "Петух и жемчужное зерно", "Лиса и виноград", "Лягушка и вол", "Воронёнок", "Пустынник и медведь", "Откупщик и сапожник", "Крестьянин и смерть", "Разборчивая невеста" и многое другое…..
Правда в исполнении Ивана Крылова. Про него ходит то ли анекдот, то ли правда, что он умер от обжорства, переев рябчиков. Глядя на его памятник на Патриарших, можно в это поверить.
Завтра его ДР. (Случайно увидел). И спасибо ему, что он познакомил нас с творчеством де Лафонтена, хотя бы и под своим именем! | https://t.me/drmyasnikov/2176?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 85,600 | 0 | 1,707,759,974 | 1,730,797,749 | 10,424 | 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| [{"ner":"Жана де Лафонтена","lemma":"жан де лафонтена","label":"PER","start_pos":8,"end_pos":25},{"ner":"Виконте да Бражелоне","lemma":"виконт да бражелоне","label":"ORG","start_pos":29,"end_pos":49},{"ner":"Фуке","lemma":"фуке","label":"PER","start_pos":83,"end_pos":87},{"ner":"Воронёнок","lemma":"воронёнок","label":"ORG","start_pos":805,"end_pos":814},{"ner":"Разборчивая невеста","lemma":"разборчивый невеста","label":"ORG","start_pos":888,"end_pos":907},{"ner":"Ивана Крылова","lemma":"иван крылов","label":"PER","start_pos":948,"end_pos":961},{"ner":"Патриарших","lemma":"патриарших","label":"LOC","start_pos":1075,"end_pos":1085},{"ner":"де Лафонтена","lemma":"де лафонтена","label":"PER","start_pos":1194,"end_pos":1206}] | NEUTRAL | rus | NOT SPAM | 213 | 0 | 5 | 1 | 0 | 0 | 6 | 27 | 20 | 0 | 56 | 11 | 91 | true |
26 | null | Доброе утро! | https://t.me/drmyasnikov/2177?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 84,400 | 0 | 1,707,798,740 | 1,730,797,749 | 10,424 | 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26 | null | А кому-то на работу не надо…. | https://t.me/drmyasnikov/2180?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 102,000 | 0 | 1,707,799,907 | 1,730,797,749 | 10,424 | 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| null | NEUTRAL | rus | NOT SPAM | 6 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 3 | 0 | 1 | 1 | 2 | true |
26 | null | Стратегия бездействия
Как получается, что человек даже не пробует сделать что-то полезное для себя? Откуда берётся идея, что другие люди априори компетентнее и умнее?
Расскажите, когда вы сами начали решать, что для вас правильно. | https://t.me/imatrip/1636?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,665,624,332 | 1,730,797,749 | 10,459 | 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| null | NEUTRAL | rus | NOT SPAM | 34 | 0 | 0 | 1 | 0 | 0 | 6 | 7 | 6 | 0 | 5 | 1 | 7 | true |
26 | null | 👨👩👦
Как родителям заподозрить маниакальный эпизод у подростка с БАР
С биполярным аффективным расстройством может столкнуться любой человек, и БАР в юном возрасте, к сожалению, не редкость. Детский психиатр «Эмпатии»
Андрей Копин
рассказывает родителям о признаках того, что у ребенка с БАР начался маниакальный эпизод.
В классической психопатологии эпизод мании при БАР характеризуется триадой: гипертимия (повышенное настроение, не адекватное ситуации), идеаторное ускорение (ускорение течения мыслей) и моторное ускорение (повышенная двигательная активность). В МКБ и DSM-5 также указаны следующие симптомы:
- повышенная продуктивность или повышение активности, но не продуктивное;
- болтливость;
- повышение самооценки;
- снижение потребности в сне;
- невнимательность;
- раздражительность;
- грандиозные планы;
- бредовые идеи величия;
- галлюцинации.
Однако стоит учесть, что дети и подростки не имеют достаточного опыта, чтобы всесторонне оценить свое состояние. Поэтому родителям следует обратить внимание на такие особенности в поведении детей, как:
- значительное улучшение или ухудшение успеваемости;
- непоседливость;
- восторженность;
- опасное для жизни и здоровья поведение;
- поведенческие нарушения в виде раздражительности, конфликтности, употребления алкоголя или наркотиков.
Нужно насторожиться, если данные симптомы появляются эпизодически, они не связаны с приемом лекарств, соматическими заболеваниями, культуральными особенностями или социальным контекстом, а также проявляются в нескольких сферах жизни (семья, школа, отношения с друзьями).
❗️
Если вы наблюдали или наблюдаете подобные явления у своего ребенка, то мы рекомендуем обратиться к психиатру. Он оценит состояние ребенка и при необходимости назначит лечение.
Врач-психиатр, детский психиатр Андрей Васильевич Копин ведет очный прием в центре «Эмпатия» у м. «Электрозаводская» и консультирует онлайн.
@centerempathy2021
– записаться на прием или задать вопрос
#БАР | https://t.me/imatrip/1637?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,665,659,173 | 1,730,797,749 | 10,424 | 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| [{"ner":"Эмпатии","lemma":"эмпатия","label":"ORG","start_pos":209,"end_pos":216},{"ner":"Андрей Копин","lemma":"андрей копин","label":"PER","start_pos":218,"end_pos":230},{"ner":"МКБ","lemma":"мкб","label":"ORG","start_pos":566,"end_pos":569},{"ner":"DSM-5","lemma":"dsm-5","label":"ORG","start_pos":572,"end_pos":577},{"ner":"Андрей Васильевич Копин","lemma":"андрей василиевич копин","label":"PER","start_pos":1778,"end_pos":1801},{"ner":"Эмпатия","lemma":"эмпатия","label":"ORG","start_pos":1830,"end_pos":1837},{"ner":"Электрозаводская","lemma":"электрозаводский","label":"ORG","start_pos":1845,"end_pos":1861},{"ner":"5","lemma":"5","label":"NUM","start_pos":576,"end_pos":577},{"ner":"2021","lemma":"2021","label":"NUM","start_pos":1901,"end_pos":1905}] | NEUTRAL | rus | NOT SPAM | 252 | 0 | 10 | 0.994253 | 0.005747 | 0 | 32 | 30 | 5 | 1 | 102 | 7 | 68 | true |
26 | null | Академик РАН и бывший главный санитарный врач Геннадий Онищенко заявил об эпидемии ментальных болезней в России в эфире радио Sputnik (входит в государственный холдинг «Россия сегодня»). По его словам, причиной этому стала пандемия ковида. Поэтому он посоветовал внимательнее следить за своим психическим здоровьем: пить чай с травами, смотреть добрые фильмы, беречь семейный очаг.
Уж не знаем, действительно ли только ковид стал причиной того, что в России распространяются проблемы с ментальным здоровьем. Но точно знаем, что отрицательно на это влияет дефицит лекарств для психиатрических диагнозов, который возник после 24 февраля. И в этих случаях вряд ли поможет только просмотр добрых фильмов и соранение семейного очага.
Об этой проблеме мы недавно делали большой материал —
почитайте его
. Россияне, столкнувшиеся с отсутствием препаратов, рассказывают, как сильно упало их качество жизни, какие пути решения проблемы они ищут. Там же есть важная информация о том, почему заказ таких препаратов через интернет может привести к уловному делу. | https://t.me/imatrip/1638?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,665,664,514 | 1,730,797,749 | 10,424 | 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| [{"ner":"РАН","lemma":"ран","label":"ORG","start_pos":9,"end_pos":12},{"ner":"Геннадий Онищенко","lemma":"геннадий онищенко","label":"PER","start_pos":46,"end_pos":63},{"ner":"России","lemma":"россия","label":"LOC","start_pos":105,"end_pos":111},{"ner":"Sputnik","lemma":"sputnik","label":"ORG","start_pos":126,"end_pos":133},{"ner":"Россия сегодня","lemma":"россия сегодня","label":"ORG","start_pos":169,"end_pos":183},{"ner":"ковид","lemma":"ковид","label":"PER","start_pos":232,"end_pos":237},{"ner":"России","lemma":"россия","label":"LOC","start_pos":451,"end_pos":457},{"ner":"24 февраля","lemma":"24 февраля","label":"DATE","start_pos":624,"end_pos":634}] | NEUTRAL | rus | NOT SPAM | 152 | 0 | 2 | 0.994475 | 0.005525 | 0 | 16 | 24 | 9 | 0 | 44 | 12 | 27 | true |
26 | null | Дофаминовые болезни | https://t.me/imatrip/1639?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,665,883,748 | 1,730,797,749 | 10,424 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11071?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,400 | 0 | 1,724,005,890 | 1,730,797,749 | 10,424 | 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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 | Ууу
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26 | null | “Вскрытие показало: пациент был абсолютно здоров, кроме того факта, что он умер.” | https://t.me/sudmednotes/8660?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 63,700 | 0 | 1,722,539,590 | 1,730,797,749 | 10,424 | 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| null | NEUTRAL | rus | NOT SPAM | 12 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 1 | 0 | 3 | 1 | 6 | true |
26 | null | Я походу устал
😩
Пздц состояние апатии
Можно тут чуть-чуть
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поныть? | https://t.me/sudmednotes/8661?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 63,600 | 0 | 1,722,539,949 | 1,730,797,749 | 10,424 | 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| null | NEGATIVE | rus | NOT SPAM | 12 | 0 | 1 | 1 | 0 | 0 | 0 | 4 | 1 | 0 | 2 | 3 | 1 | true |
26 | null | Гребенная человеческая жестокость… как можно убить своего родного ребенка и быть настолько безразличным
Редко когда испытываю такие эмоции… | https://t.me/sudmednotes/8662?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 65,400 | 0 | 1,722,541,742 | 1,730,797,749 | 10,424 | 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| null | NEGATIVE | rus | NOT SPAM | 18 | 0 | 0 | 1 | 0 | 0 | 4 | 2 | 0 | 0 | 3 | 4 | 2 | true |
26 | null | Последние места на ведение на февраль и запись на март.
Получить анкету
https://wa.me/79772981780 | https://t.me/DrAnshina/680?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 78,000 | 0 | 1,674,978,701 | 1,730,797,750 | 10,459 | 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| [{"ner":"98178","lemma":"98178","label":"DATE","start_pos":91,"end_pos":96},{"ner":"7977298178","lemma":"7977298178","label":"DATE","start_pos":86,"end_pos":96}] | NEUTRAL | rus | SPAM | 13 | 0 | 0 | 0.9375 | 0.0625 | 0 | 1 | 1 | 0 | 0 | 6 | 0 | 1 | true |
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#витамины | https://t.me/DrAnshina/687?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 82,300 | 0 | 1,675,064,443 | 1,730,797,750 | 10,465 | 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| [{"ner":"Д.","lemma":"д.","label":"PER","start_pos":49,"end_pos":51},{"ner":"Витаминомании\n💥","lemma":"витаминомании\n💥","label":"ORG","start_pos":183,"end_pos":198}] | NEUTRAL | rus | NOT SPAM | 33 | 0 | 2 | 1 | 0 | 0 | 1 | 5 | 0 | 1 | 10 | 4 | 5 | true |
26 | null | Подробно для чего нужен витамин Д.
Про дозы.
Про Д и К.
Про камни в почках.
Про то как выживали раньше.
Вопросы под последним постом.
Про другие дефициты.
Витамин Д для беременных и кормящих.
#витамины | https://t.me/DrAnshina/688?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 97,600 | 0 | 1,675,076,187 | 1,730,797,750 | 10,465 | 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| null | NEUTRAL | rus | NOT SPAM | 35 | 0 | 4 | 1 | 0 | 0 | 4 | 2 | 2 | 0 | 8 | 2 | 7 | true |
26 | null | Друзья. Мы с командой решили отказаться от рассылок на почту.
Анонсирую тут.
У меня есть канал со
спецпредложениями
.
На днях там будет:
✔️
прямой эфир с возможностью задавать вопросы
✔️
старт руководства по вакцинации уже завтра. Такого нет ни у кого. И про сами заболевания и календари прививок и названия вакцин. Только для участников канала спеццена - скидка 60%
Для остальных ни скидок ни промокодов не будет. Без обид. Заранее предупредила.
✔️
старт продаж моего большого проекта для женщин
😍
Анонсирую на днях в канале. О нем уже знают участники моего вебинара, у них преимущества по выбору мест на тариф со мной. Обещала в блоге рассказать чуть позже.
https://t.me/+eefXGIQoYRM3Nzcy | https://t.me/DrAnshina/689?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 93,100 | 0 | 1,675,083,598 | 1,730,797,750 | 10,459 | 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| [{"ner":"60","lemma":"60","label":"NUM","start_pos":363,"end_pos":365},{"ner":"3","lemma":"3","label":"NUM","start_pos":685,"end_pos":686}] | NEUTRAL | rus | SPAM | 110 | 0 | 3 | 0.993007 | 0.006993 | 0 | 5 | 11 | 6 | 1 | 40 | 8 | 19 | true |
26 | null | Сегодня годовщина гибели АС Пушкина. При таком характере- закономерный конец. Поэты ходят пятками по лезвию ножа и режут в кровь свои босые души!
Вот пистолеты уж блеснули, Гремит о шомпол молоток. В граненый ствол уходят пули, И щелкнул в первый раз курок. Вот порох струйкой сероватой На полку сыплется. Зубчатый, Надежно ввинченный кремень Взведен еще. За ближний пень Становится Гильо смущенный. Плащи бросают два врага. Зарецкий тридцать два шага Отмерил с точностью отменной, Друзей развел по крайний след, И каждый взял свой пистолет.
«Теперь сходитесь». Хладнокровно, Еще не целя, два врага Походкой твердой, тихо, ровно Четыре перешли шага, Четыре смертные ступени. Свой пистолет тогда Евгений, Не преставая наступать, Стал первый тихо подымать. Вот пять шагов еще ступили, И Ленский, жмуря левый глаз, Стал также целить – но как раз Онегин выстрелил… Пробили Часы урочные: поэт Роняет молча пистолет. | https://t.me/drmyasnikov/2170?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 78,100 | 0 | 1,707,554,109 | 1,730,797,750 | 10,459 | 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| [{"ner":"АС Пушкина","lemma":"ас пушкин","label":"PER","start_pos":25,"end_pos":35},{"ner":"Гремит","lemma":"гремит","label":"PER","start_pos":173,"end_pos":179},{"ner":"Взведен","lemma":"взведен","label":"PER","start_pos":343,"end_pos":350},{"ner":"Гильо","lemma":"гильо","label":"PER","start_pos":383,"end_pos":388},{"ner":"Отмерил","lemma":"отмерить","label":"PER","start_pos":452,"end_pos":459},{"ner":"Друзей","lemma":"друзей","label":"PER","start_pos":482,"end_pos":488},{"ner":"Походкой твердой","lemma":"походкой твердой","label":"ORG","start_pos":599,"end_pos":615},{"ner":"Четыре","lemma":"четыре","label":"PER","start_pos":629,"end_pos":635},{"ner":"Евгений","lemma":"евгений","label":"PER","start_pos":695,"end_pos":702},{"ner":"Стал","lemma":"стать","label":"PER","start_pos":728,"end_pos":732},{"ner":"И Ленский","lemma":"и ленский","label":"PER","start_pos":783,"end_pos":792},{"ner":"Стал","lemma":"стать","label":"PER","start_pos":812,"end_pos":816},{"ner":"Онегин","lemma":"онегин","label":"PER","start_pos":843,"end_pos":849},{"ner":"Роняет","lemma":"ронять","label":"PER","start_pos":888,"end_pos":894}] | NEUTRAL | rus | NOT SPAM | 138 | 0 | 5 | 1 | 0 | 0 | 15 | 25 | 0 | 7 | 41 | 14 | 34 | true |
26 | null | Польза какао, опасность "болезни Х", причины шума в ушах. Новый выпуск программы "Доктор Мясников". Эфир от 10.02.2024
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Что такое "болезнь Х", которой пугают весь мир? Стоит ли ждать в ближайшее время новой смертельной пандемии? Как понять, из-за чего появился шум в ушах? Какой напиток замедлит старение и защитит от сердечного приступа? Почему возникают судороги в ногах? Какие симптомы гриппа должны настораживать? Какие средства от влажного кашля помогают быстро? Как научиться радоваться жизни? Ответы – в новом выпуске программы "Доктор Мясников" на канале "Россия".
https://smotrim.ru/video/2758254 | https://t.me/drmyasnikov/2171?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 78,100 | 0 | 1,707,561,965 | 1,730,797,750 | 10,460 | 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26 | null | Видеорубрика "Для души и тела". Эксклюзив от доктора Мясникова: как научиться радоваться жизни?
В выпуске:
- Что за зверь проник в кабинет доктора?
- Почему мы перестали лазать в окна к любимым женщинам?
- Нападки в соцсетях: доктор Мясников откровенничает.
- Самое важное – сохранить желание жить.
- Мнение доктора Мясникова: нужно относиться к каждому дню жизни так, как будто он последний.
- Чем доктор Мясников похож на барона Мюнхгаузена?)
- Почему важно ценить каждую минуту жизни?
- Секреты американских госпиталей.
- Кто помогал доктору вести телевизионный выпуск на этот раз?
- Прокол прямо в эфире)
Смотрите на ютьюб-канале "Доктор Мясников"
https://youtu.be/7SeepBcoqaI | https://t.me/drmyasnikov/2172?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,900 | 0 | 1,707,568,582 | 1,730,797,750 | 10,459 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":53,"end_pos":62},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":233,"end_pos":241},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":316,"end_pos":325},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":406,"end_pos":414},{"ner":"Мюнхгаузена","lemma":"мюнхгаузена","label":"PER","start_pos":431,"end_pos":442},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":635,"end_pos":650},{"ner":"7","lemma":"7","label":"NUM","start_pos":669,"end_pos":670}] | NEUTRAL | rus | NOT SPAM | 102 | 0 | 1 | 0.992806 | 0.007194 | 0 | 9 | 14 | 5 | 0 | 39 | 7 | 26 | true |
26 | null | Я один не могу выбрасывать банки из под зернового кофе с закручив крышками, удобные банки, коробки с плотными коышкоми и т д? Покупаешь что-то, использовал, а тара-то лучше чем содержимое!? Так что- в мусор?! У меня на даче уже 2 ящика в ней…… | https://t.me/drmyasnikov/2173?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,000 | 0 | 1,707,582,158 | 1,730,797,750 | 10,459 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":228,"end_pos":229}] | NEUTRAL | rus | NOT SPAM | 43 | 0 | 2 | 1 | 0 | 0 | 3 | 5 | 7 | 1 | 14 | 4 | 10 | true |
26 | null | Место лекарств и БАДов в лечении простуды (ОРВИ).
1. Аналгетики: парацетамол и НПВС. Снимают головную боль, ломоту в теле, дискомфорт. Но не уменьшает продолжительности симптомов. Если принимать с целью снижения температуры, то только если она выше 38. Аспирин как жаропонижающее-противопоказан детям, беременным и вообще чреват кровотечениями
2. Антигистаминные: облегчают насморк, чихание, но вызывают, сухость во рту, головокружение и либо павышенную сонливость либо бессонницу.
3. Кромолин в ингаляциях или интраназально: облегчает кашель и насморк, сокращает длительность симптомов
4. Противовирусные препараты: практически неприменимы из-за слишком большого количества вирусов, вызывающих ОРЗ. Универсальный интраназально Интерферон альфа 2В снижает частоту симптомов в 33-73% по сравнению с контрольной группой (по данным Gwaltney JM Jr, Winther B, Patrie JT)
5. Цинк: снижает выраженность и продолжительность симптомов. Zinc lozenges may shorten the duration of colds: a systematic review. HemiläH, Open Respir Med J. 2011. Но может вести к потере обоняния, тошноте, неприятному вкусу во рту
6. Антибиотики. Им нет места при вирусной инфекции. Тем не менее часто назначаются. Особенно у пожилых. В одном исследовании показано, что из 180 тыс пациентов за 60 лет с ОРЗ- 46% получали антибиотики (Antibiotic Prescribing for Nonbacterial Acute Upper Respiratory Infections in Elderly Persons. Silverman M, Povitz M, Sontrop JM, Ann Intern Med. 2017). Причины: боязнь присоединения уже бактериальной инфекции у ослабленных болезнью пожилых людей. Я за индивидуальный подход.
7. Витамин С: часто рекламируют как естественное средство от простуды. Мета-анализ 29 испытаний (n = 11 306) показал 8% сокращение продолжительности симптомов простуды у взрослых, на регулярной основе принимающих добавки витамина С (то есть еще до болезни). Мета-анализ также показал, что витамин С, принимаемый терапевтически после появления симптомов, не уменьшает продолжительность или тяжесть симптомов.
8. Травы. - Травяные препараты, в том числе полученные из корней Пеларгонии и экстракта бузины, эхинацея были испытанны клинически для лечения симптомов ОРЗ. Вывод: необходимы дальнейшие исследования, прежде чем эти ботанические продукты могут быть рекомендованы.
9. Мёд: да! Помогает бороться с симптомами. (Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis Abuelgasim H, Albury C, Lee BMJ Evid Based Med. 2021) | https://t.me/drmyasnikov/2174?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 106,600 | 0 | 1,707,663,790 | 1,730,797,750 | 10,459 | 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26 | null | Лекция
врача-психиатра, психотерапевта, DBT-терапевта Дмитрия Пушкарёва о пограничном расстройстве личности.
#BPD #ПРЛ
Украдела
тут
. | https://t.me/imatrip/1624?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,800 | 0 | 1,664,974,803 | 1,730,797,750 | 10,459 | 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| [{"ner":"Дмитрия Пушкарёва","lemma":"дмитрий пушкарёв","label":"PER","start_pos":54,"end_pos":71}] | NEUTRAL | rus | NOT SPAM | 15 | 0 | 3 | 0.931035 | 0.068966 | 0 | 1 | 0 | 0 | 0 | 7 | 1 | 5 | true |
26 | null | Концепция меланхолии существенно отличалась от современного понимании депрессии. История изучения меланхолии в 1780-1880 гг. прошла три фазы. В разные периоды давались разные ответы на принципиально важный вопрос – у пациентов с расстройством интеллекта и настроения a) два независимых расстройства или b) первичное расстройство интеллекта с вторичным расстройством настроения или c) первичное расстройство настроения с вторичным расстройством интеллекта?
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https://psyandneuro.ru/stati/the-origin-of-our-modern-concept-of-depression/ | https://t.me/imatrip/1625?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,665,050,424 | 1,730,797,750 | 10,464 | 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| [{"ner":"80-18","lemma":"80-18","label":"DATE","start_pos":113,"end_pos":118},{"ner":"1780","lemma":"1780","label":"NUM","start_pos":111,"end_pos":115},{"ner":"1880","lemma":"1880","label":"NUM","start_pos":116,"end_pos":120}] | NEUTRAL | rus | NOT SPAM | 60 | 0 | 1 | 0.943662 | 0.056338 | 0 | 12 | 4 | 0 | 2 | 26 | 3 | 8 | true |
26 | null | Одной из причин, по которой люди откладывают поход к психотерапевту, является сложность оценки эффективности терапии. Выделяют объективную и субъективную оценку. К объективной можно отнести улучшение качества жизни клиента, то есть снижение выраженности симптомов или приобретение полезных навыков. Например, умение справляться с тревогой или агрессией. Субъективная оценка не менее важна, поскольку поддерживает мотивацию к дальнейшим изменениям, которые требуют усилий.
В некоторых направлениях психотерапии существуют специальные опросники, дневники или иные способы отслеживания изменений в ходе терапии. Есть и общие признаки, которые позволят понять, помогает ли терапия лично вам. Небольшой чек-лист подскажет, как разобраться в этом вопросе. Важно будет прислушаться к своим ощущениям. | https://t.me/imatrip/1626?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,665,147,603 | 1,730,797,750 | 10,459 | 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| null | NEUTRAL | rus | NOT SPAM | 100 | 0 | 2 | 1 | 0 | 0 | 12 | 16 | 4 | 1 | 41 | 5 | 19 | true |
26 | null | Диагноз диссоциативного расстройства личности (ДРЛ; в DSM-III – расстройство множественной личности), несмотря на редкую встречаемость, благодаря киноиндустрии стал довольно известен в обществе. За счет его «необычности» и популярности в массовой культуре часть людей склонна приписывать себе соответствующие симптомы. В МКБ-10 и DSM-V нет четких рекомендаций по диагностике ДРЛ, из-за чего дифференциальная диагностика истинного, имитированного и ложноположительного случаев ДРЛ представляется затруднительной. Pietkiewicz I.J. et al. исследовали состояние 85 человек с повышенным уровнем проявлений симптомов ДРЛ и выявили 6 ложноположительных случаев расстройства. Авторы определили основные критерии отличия имитированного ДРЛ от истинного.
Читать далее:
https://psyandneuro.ru/stati/revisiting-false-positive-and-imitated-dissociative-identity-disorder/ | https://t.me/imatrip/1627?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,665,309,650 | 1,730,797,750 | 10,464 | 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| [{"ner":"10","lemma":"10","label":"NUM","start_pos":325,"end_pos":327},{"ner":"85","lemma":"85","label":"NUM","start_pos":558,"end_pos":560},{"ner":"6","lemma":"6","label":"NUM","start_pos":625,"end_pos":626}] | NEUTRAL | rus | NOT SPAM | 92 | 0 | 12 | 0.922414 | 0.077586 | 0 | 18 | 9 | 2 | 2 | 29 | 3 | 17 | true |
26 | null | Привет, хочу пригласить в свой канал
Sweet but Psycho
тех, кто видит в психологии потенциал для познания не только себя и окружающих, но и нашей социальной реальности.
Я учусь на психолога-консультанта и осваиваю когнитивно-поведенческую терапию. Тема моей магистерской связана с женщинами, имеющими опыт тюремного заключения. В канале я пишу про
войну
и
ПТСР
,
эволюцию взглядов на женщин-заключенных
в науке и, например, об исследовании данной проблемы с позиций
концептов Фуко
. О
завышенных стандартах
и особенностях
переживших травлю
, о
книгах
, которые читаю в процессе обучения и многом другом.
Если вам интересны социальные науки, особенности нашей психики, способы справляться с жизнью и то, какого это вообще, становиться психологом, я буду рада вашему мнению и присутствию
❤️🔥 | https://t.me/imatrip/1628?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,665,467,218 | 1,730,797,750 | 10,459 | 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| [{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":355,"end_pos":359},{"ner":"Фуко","lemma":"фуко","label":"PER","start_pos":475,"end_pos":479}] | NEUTRAL | rus | NOT SPAM | 117 | 0 | 4 | 0.981132 | 0.018868 | 0 | 10 | 13 | 9 | 0 | 43 | 2 | 22 | true |
26 | null | Представляем Вашему вниманию перевод первой главы руководства по психофармакологии Насира Гаэми от наших коллег из “All about DSM-V“ (
t.me/all_about_DSM
).
Даже самый «инновационный» учебник по психофармакологии будет обречен на неудачу, если в нем, как и много лет назад, по-прежнему будет использоваться неверная и устаревшая классификация классов лекарственных препаратов. Ведь уже давно известно, что антидепрессанты не являются «антидепрессантами» по сути; антипсихотики применяются не только для лечения психозов; анксиолитики используются не только для лечения тревоги; психостимуляторы «не стимулируют»; стабилизаторы настроения не имеют научной доказательной базы. Все эти термины появились в 1960-х годах прошлого столетия, для обозначения возможных клинических эффектов, новых (на то время) перспективных лекарственных препаратов, механизмы действия которых, в большинстве случаев, были неизвестны.
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https://psyandneuro.ru/stati/clinical-psychopharmacology-principles-and-practice/ | https://t.me/imatrip/1629?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,665,550,732 | 1,730,797,750 | 10,459 | 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| [{"ner":"Насира Гаэми","lemma":"насир гаэми","label":"PER","start_pos":83,"end_pos":95},{"ner":"1960","lemma":"1960","label":"NUM","start_pos":703,"end_pos":707}] | NEUTRAL | rus | NOT SPAM | 116 | 0 | 2 | 0.960784 | 0.039216 | 0 | 16 | 11 | 2 | 0 | 37 | 8 | 30 | true |
26 | null | Гормоны и финансовый поток
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💭 | https://t.me/magerya/11061?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,000 | 0 | 1,723,870,909 | 1,730,797,750 | 10,459 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 1 | true |
26 | null | 🔔
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Наш
акушер-гинеколог Михеева Мария Дмитриевна рассказывает
про
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льную гормональную терапию!
С возрастом в организме женщины происходят изменения, связанные с угасанием репродуктивной функции. Эти процессы могут сопровождаться ухудшением самочувствия, приливами, повышением артериального давления, а также увеличением эмоциональной чувствительности и раздражительности.
Менопаузальная гормональная терапия направлена на предотвращение возможных проблем со здоровьем, ухудшающих качество жизни.
Для записи:
📲
@mageryaclinic
☎️
8(800)500-77-17
Адрес: г.Краснодар, ул. Красная, 184. | https://t.me/magerya/11063?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,200 | 0 | 1,723,888,846 | 1,730,797,750 | 10,463 | 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| [{"ner":"Михеева","lemma":"михеев","label":"PER","start_pos":31,"end_pos":38},{"ner":"Мария Дмитриевна","lemma":"мария дмитриевич","label":"PER","start_pos":39,"end_pos":55},{"ner":"Краснодар","lemma":"краснодар","label":"LOC","start_pos":586,"end_pos":595},{"ner":"Красная","lemma":"красный","label":"LOC","start_pos":601,"end_pos":608},{"ner":"00)50","lemma":"00)50","label":"DATE","start_pos":564,"end_pos":569},{"ner":"77-17","lemma":"77-17","label":"DATE","start_pos":571,"end_pos":576},{"ner":"8","lemma":"8","label":"NUM","start_pos":561,"end_pos":562},{"ner":"800","lemma":"800","label":"NUM","start_pos":563,"end_pos":566},{"ner":"500","lemma":"500","label":"NUM","start_pos":567,"end_pos":570},{"ner":"17","lemma":"17","label":"NUM","start_pos":574,"end_pos":576},{"ner":"184","lemma":"184","label":"NUM","start_pos":610,"end_pos":613}] | NEUTRAL | rus | SPAM | 77 | 0 | 1 | 0.992481 | 0.007519 | 0 | 9 | 8 | 0 | 6 | 28 | 1 | 38 | true |
26 | null | Менопауза – это танец на маскараде, где каждый шаг наполнен яркими красками и неожиданными поворотами судьбы.
В это время женщина сталкивается с бурной смесью перемен: от физических метаморфоз до капризов эмоций, вызывающих восторг или уныние. Однако, несмотря на сложности, не всё в этом танце должно быть трудным!
Правильное питание и умелый прием витаминов могут превратить даже самые сложные пируэты менопаузы в легкие и грациозные движения.
🌾
Инозитол.
Помогает улучшить чувствительность к инсулину, что важно для предотвращения развития сахарного диабета, часто возникающего во время
🐟
Омега-3.
Снижение эстрогенов во время менопаузы увеличивает риск сердечно-сосудистых заболеваний. Омега-3 поможет защитить сосуды, уменьшить воспаление и снизить уровень холестерина. Благодаря этому сосуды будут хорошо доставлять питательные вещества в каждый орган.
☀️
Витамин D.
Снижение уровня эстрогенов ведет к остеопорозу. Солнечный витамин помогает укрепить кости и поддержать их плотность, что предотвращает переломы.
💖
Коэнзим Q10 и Таурин.
Q10 – мощный антиоксидант, который вместе с Таурином уменьшают риск сердечно-сосудистых заболеваний благодаря поддержанию сосудистого эндотелия и снижению уровня холестерина.
🌸
Коллаген.
Уровень коллагена в организме может снижаться во время менопаузы, что ведет к утрате упругости кожи и появлению морщин. Добавление коллагена извне поможет сохранить кожу упругой и молодой.
🌿
Дегликан Р.
Борется с патологическим склеиванием белков углеводами из пищи, устраняя процесс гликации – главной причины старения.
😴
Магний глицинат.
Помогает снизить уровень стресса и тревожности, улучшая качество и глубину сна.
🍊
Витамин C.
Стимулирует иммунитет и помогает бороться с инфекциями.
💃
Менопауза – это не конец, а новое начало. С правильным подходом и заботой о себе каждая женщина может превратить этот период в яркое и гармоничное время своей жизни! | https://t.me/magerya/11064?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,300 | 0 | 1,723,896,070 | 1,730,797,750 | 10,463 | 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26 | null | На фотографии метастазы меланомы в мочевой пузырь. А мы продолжаем интервью с разными специалистами. Так как сейчас лето, жара, время солнечных ожогов и spf кремов.
Позвал в гости врача дерматоонколога Бейнусова Дмитрия Сергеевича. Он кандидат медицинских наук, 17 лет занимается диагностикой опухолей кожи. Главный онколог клиники Меланома Юнит Санкт-Петербург.
Задавайте ваши вопросы, а интервью с ответами выйдет через неделю-полторы | https://t.me/sudmednotes/8637?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 62,200 | 0 | 1,722,428,946 | 1,730,797,750 | 10,459 | 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26 | null | Ну привет
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| null | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Инструментарий для вскрытия тела
Часть 1
Записки судмедэксперта | https://t.me/sudmednotes/8648?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 60,700 | 0 | 1,722,500,777 | 1,730,797,750 | 10,462 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":39,"end_pos":40}] | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 5 | 0 | 0 | true |
26 | null | Инструментарий для вскрытия тела
Часть 2
Записки судмедэксперта | https://t.me/sudmednotes/8657?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 60,300 | 0 | 1,722,516,825 | 1,730,797,750 | 10,462 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":39,"end_pos":40}] | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 4 | 0 | 0 | true |
26 | null | Цветотерапия
😍
Решила одеваться максимально ярко и мы с Машей пустились в безудержный шоппинг. Шубу уже у меня практически забрала дочь.
Проверено: настроение повышает
👍
Всем рекомендую
❤️
А вы любите яркую одежду? | https://t.me/DrAnshina/675?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 116,600 | 0 | 1,674,627,628 | 1,730,797,751 | 10,467 | 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| [{"ner":"Машей","lemma":"маша","label":"PER","start_pos":56,"end_pos":61}] | POSITIVE | rus | NOT SPAM | 33 | 0 | 1 | 1 | 0 | 0 | 2 | 8 | 4 | 0 | 5 | 4 | 7 | true |
26 | null | Шум в ушах.
Очень распространенная проблема, особенно у лиц в возрасте. Примерно 20% взрослого населения испытывают постоянный шум в ушах, и у половины из них этот шум настолько интенсивный, что мешает людям жить. Это миллионы и миллионы людей!
И эти миллионы пациентов сталкиваются с крайне неэффективным лечением их проблемы
И тут надо переварить горькую правду: в подавляющем большинстве случаев медицина бессильна в разрешении этой проблемы.
Но кое-что сделать мы всё-таки можем. Постараться из всей этой массы пациентов вычленить тех, у которых шум может симптомом каких-либо заболеваний или тот шум, который может быть обратим.
Отчего что берется? Шум может быть «объективным»- например врач, приложив стетоскоп к височной кости пациента может слышать шум тока крови по сосудам или шум исходящий от мышц и связок. «Субъективный» шум слышит только сам пациент. У большинства пациентов с возрастом слуховые рецепторы внутреннего уха «волосики»атрофируются, склерозируются. Слуховые импульсы становиться хуже и слуховые нейроны перенастраиваются, стараясь включить «звук на полную громкость»! Как и в случае с ТВ, подобное приводит к шипению и шуму.
По другой теории шум у некоторых во всяком случае, шум- что-то типа фантомной боль. Теряется способность подавлять активность воспринимающей нервной системы и она начинает жить своей жизнью.
Шум бывает результатом нарушения нормального тока крови по артериям и венам, развитии опухоли слухового нерва, отосклероза, диабета, инфекций и-важно- результатом приема различных медикаментов. Например прием аспирине может закончится пожизненным шумом в ушах. Даже если вы давно перестали этот аспирин принимать. В списки и препараты от гипертонии (эналаприл) и многие антибиотики, антидепрессанты, мочегонные, противосудорожные, противоязвенные (омез, висмут)препараты.
Когда обращаться к врачу, особо не откладывая?
Если шум пульсирующий или односторонний.
Сопровождается внезапной потерей слуха или болью в ухе/голове,
Головокружением.
Какое обследование необходимо пройти: аудиограмма,
Анализ принимаемых медикаментов
Отоскопия для исключения инфекций, оценка функциональной способности Евстахиевой трубы, убедится в отсутствии серных пробок, иногда МРТ для исключения опухолей, сжимающих слуховой нерв.
По итогу мы или устанавливаем объективную причину шума или нет. Если находим- тогда пытаемся её лечить: отменяем виновные медикаменты, лечим депрессию, снижаем давление и проч, если не находим…… Ну вот если не находим, мы должны с пациентом долго и подробно поговорить. Объяснить ему, что теперь- это его реальность.
Если пациент будет очень настаивать можно попробовать замаскировать его шум. Он должен носить наушники месяцами, из которых будет идти звук уже другой частоты. Через какое-то время ты к нему привыкаешь и перестанешь слушать свой шум в ушах….. | https://t.me/drmyasnikov/2164?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 90,300 | 0 | 1,707,304,302 | 1,730,797,751 | 10,467 | 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| [{"ner":"ТВ","lemma":"тв","label":"ORG","start_pos":1113,"end_pos":1115},{"ner":"Евстахиевой","lemma":"евстахиев","label":"PER","start_pos":2136,"end_pos":2147},{"ner":"20","lemma":"20","label":"NUM","start_pos":81,"end_pos":83}] | NEUTRAL | rus | NOT SPAM | 384 | 0 | 6 | 1 | 0 | 0 | 41 | 62 | 24 | 1 | 140 | 20 | 76 | true |
26 | null | https://youtube.com/shorts/9TTuVZ60xRg?si=wlmV7TxFmYvBIdor
Вот ведь гады! И не отличишь! Искусственный интеллект в руках мошенников! Теперь и не отмоешься!
Будьте бдительны! | https://t.me/drmyasnikov/2165?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 79,000 | 0 | 1,707,399,163 | 1,730,797,751 | 10,469 | 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| [{"ner":"Будьте","lemma":"Будьте","label":"ORG","start_pos":156,"end_pos":162},{"ner":"9","lemma":"9","label":"NUM","start_pos":27,"end_pos":28},{"ner":"60","lemma":"60","label":"NUM","start_pos":33,"end_pos":35},{"ner":"7","lemma":"7","label":"NUM","start_pos":46,"end_pos":47}] | NEGATIVE | other | NOT SPAM | 18 | 0 | 1 | 0.96 | 0.04 | 0 | 3 | 2 | 0 | 0 | 3 | 1 | 5 | true |
26 | null | 🤣
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«Француз бывает самоуверен потому, что он почитает себя лично, как умом, так и телом, непреодолимо-обворожительным как для мужчин, так и для женщин.
Англичанин самоуверен на том основании, что он есть гражданин благоустроеннейшего в мире государства, и потому, как англичанин, знает всегда, что ему делать нужно, и знает, что все, что он делает как англичанин, несомненно хорошо.
Итальянец самоуверен потому, что он взволнован и забывает легко и себя и других.
Русский самоуверен именно потому, что он ничего не знает и знать не хочет, потому что не верит, чтобы можно было вполне знать что-нибудь.
Немец самоуверен хуже всех, и тверже всех, и противнее всех, потому что он воображает, что знает истину, науку, которую он сам выдумал, но которая для него есть абсолютная истина»
Л. Толстой.
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🤣 | https://t.me/drmyasnikov/2167?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 73,200 | 0 | 1,707,483,014 | 1,730,797,751 | 10,467 | 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| [{"ner":"Л. Толстой","lemma":"л. толстой","label":"PER","start_pos":785,"end_pos":795}] | NEUTRAL | rus | NOT SPAM | 129 | 0 | 1 | 1 | 0 | 0 | 14 | 19 | 22 | 0 | 18 | 15 | 38 | true |
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