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26 | null | Объедание трупа лежащего на улице бродячими животными | https://t.me/sudmednotes/9165?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 45,500 | 0 | 1,729,617,664 | 1,730,797,661 | 10,111 | 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| null | NEUTRAL | rus | NOT SPAM | 7 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 4 | 0 | 0 | true |
26 | null | А тут крысы
🐀
Если что, это область щеки | https://t.me/sudmednotes/9166?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 47,600 | 0 | 1,729,617,705 | 1,730,797,661 | 10,101 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | 3 | 1 | 2 | true |
26 | null | Про снижение веса. Что помогает , а что нет.
Про витаминные капельницы. | https://t.me/DrAnshina/1165?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 162,200 | 0 | 1,716,287,469 | 1,730,797,662 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 12 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 2 | 0 | 3 | 0 | 4 | true |
26 | null | Про прием витамина Д летом.
Много наболтала, даже про то как врача себе выбрать и рыбу приготовить.
Убежала работать, а вам хорошего дня
❤️
Тут много постов, видео и подкастов полезных
👇
https://t.me/DrAnshinaOmega | https://t.me/DrAnshina/1166?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 178,100 | 0 | 1,716,454,668 | 1,730,797,662 | 10,174 | 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| [{"ner":"https://t.me/DrAnshinaOmega","lemma":"https://t.me/dranshinaomega","label":"ORG","start_pos":187,"end_pos":214}] | POSITIVE | rus | NOT SPAM | 33 | 0 | 1 | 0.977778 | 0.022222 | 0 | 2 | 5 | 3 | 0 | 9 | 3 | 7 | true |
26 | null | Друзья, опять пошли случаи побочек на литическую смесь. Пожалуйста посмотрите видео до конца!!!
Главные ошибки почему не работают парацетамол и ибупрофен:
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неправильно рассчитали дозу! Дозу рассчитываем по весу ребенка, а не по возрасту!
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не выпаиваете достаточно. Вот как хотите, из шприца, но поите. Тут я плохо понимаю, тк у моей Марии, как и у многих других детей врачей, нет такой функции «не пить». Один раз попыталась, я ей сказала: не вопрос, мама сейчас тебе капельницу поставит. Все, решилось моментом.
Муж на днях болел, вероятно
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, интоксикация тяжелая была. Его без разговора прокапала, а потом снова пил жидкость. 3 дня и на ногах. Ну и конечно стандартная терапия, о ней много раз говорили.
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если дети маленькие, то даете суспензию. Не забывайте ее встряхнуть и чтобы она открытая не хранилась больше полугода!
Если ваш ребенок весит больше 23-25 кг, то смело можно дать ибупрофен /нурофен 200 мг 1 т
Не знаю почему, но на мою дочь таблетки работают лучше.
Крепкого всем здоровья и отличного лета
❤️ | https://t.me/DrAnshina/1169?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 151,100 | 0 | 1,716,974,068 | 1,730,797,662 | 10,174 | 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| [{"ner":"Марии","lemma":"мария","label":"PER","start_pos":337,"end_pos":342},{"ner":"23-25","lemma":"23-25","label":"DATE","start_pos":863,"end_pos":868},{"ner":"3","lemma":"3","label":"NUM","start_pos":633,"end_pos":634},{"ner":"25","lemma":"25","label":"NUM","start_pos":866,"end_pos":868},{"ner":"200","lemma":"200","label":"NUM","start_pos":912,"end_pos":915},{"ner":"1","lemma":"1","label":"NUM","start_pos":919,"end_pos":920}] | NEUTRAL | rus | NOT SPAM | 168 | 0 | 0 | 1 | 0 | 0 | 9 | 27 | 10 | 8 | 45 | 19 | 48 | true |
26 | null | ERROR: type should be string, got "https://www.medscape.com/viewarticle/925896\nЕсли вы загуглите на русском языке «молоко и рак», а ещё если почитаете некоторых псевдоэкспертов в Инстаграм, которые знают все обо всем/обо всех, то вы первым делом наткнётесь на следующие заявления:\n«Риск рака молочной железы увеличивается на 70-80%, если вы пьёте 2-3 стакана молока в день» - заявило новое исследование на основании наблюдения за 53 тысячами женщин.\nНо если вы введёте запрос на английском языке «milk and cancer”, то вы обнаружите вот эту прекрасную статью\n👆🏻\n(и не только ее, кстати) с пояснениями почему это не так, и почему поспешных выводов делать нельзя, потому что у нас нет никаких подтверждающих данных.\nВсе имеющиеся научные данные до сих пор не показали явного увеличения или уменьшения риска рака молочной железы при более высоком потреблении коровьего молока.\nИз-за дизайна исследования (оно было наблюдательным, обсервационным), оно не может доказать, что коровье молоко вызывает рак молочной железы\n‼️\nПрочтите всю статью, кому это актуально.\nНе знаете английский- Гугл переводчик в помощь. Основная мысль будет ясна." | https://t.me/doctor_belokon/12?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 79,600 | 0 | 1,588,418,269 | 1,730,797,662 | 10,174 | 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26 | null | https://reader.elsevier.com/reader/sd/pii/S1701216318308168?token=8D7E540DEEBAB0E751D7B81BACF5AA58B31189DFA1A191B3483092EC747A9F51A0AF5BBABB913FD18C7FB973EAFDA594
Нет ничего полезного в поедании своей плаценты
🤦🏼♀️
Сегодня в Инстаграм опубликую пост по этому поводу, а вы можете пока посмотреть рекомендации сообщества акушеров-гинекологов Канады.
Там и про улучшение лактации, и про пополнение запасов железа, и про послеродовую депрессию, и о других чудодейственных свойствах плаценты, которые ей приписывают и которыми в реальности она не обладает.
Написали весьма беспристрастно, правдиво, четко и по делу, с отсылками на оригинальные научные исследования.
Если вам кто-то «впаривает» эту дичь - будет чем обороняться) | https://t.me/doctor_belokon/13?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 80,300 | 0 | 1,589,093,219 | 1,730,797,662 | 10,174 | 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| NEUTRAL | rus | SPAM | 80 | 0 | 0 | 0.990654 | 0.009346 | 0 | 7 | 8 | 11 | 0 | 22 | 7 | 19 | true |
26 | null | https://www.youtube.com/watch?v=IUr40_gc9g4&t=2185s
Потрясный , очень душевный, очень простой, понятный и такой нужный эфир для всех будущих мам и ПАП!
Смотрим и делимся с подругами!) | https://t.me/doctor_belokon/14?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 87,400 | 0 | 1,589,520,892 | 1,730,797,662 | 10,174 | 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| [{"ner":"очень душевный","lemma":"очень душевный","label":"PER","start_pos":64,"end_pos":78},{"ner":"очень простой","lemma":"очень простой","label":"PER","start_pos":80,"end_pos":93},{"ner":"Смотрим","lemma":"Смотрим","label":"LOC","start_pos":152,"end_pos":159},{"ner":"40","lemma":"40","label":"NUM","start_pos":35,"end_pos":37},{"ner":"9","lemma":"9","label":"NUM","start_pos":40,"end_pos":41},{"ner":"4","lemma":"4","label":"NUM","start_pos":42,"end_pos":43},{"ner":"2185","lemma":"2185","label":"NUM","start_pos":46,"end_pos":50}] | NEUTRAL | rus | NOT SPAM | 23 | 0 | 1 | 0.966667 | 0.033333 | 0 | 6 | 2 | 0 | 0 | 3 | 2 | 6 | true |
26 | null | Эфир с ответами на вопросы.
О лечении ВПЧ, о коммерции в медицине, о психосоматике и о кое-чем ещё | https://t.me/doctor_belokon/15?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 82,100 | 0 | 1,589,737,318 | 1,730,797,662 | 10,174 | 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| null | NEUTRAL | rus | NOT SPAM | 18 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 3 | 0 | 7 | 1 | 3 | true |
26 | null | Как выбрать крем от загара?
1. Уровень защиты:
При выборе крема обратите внимание на SPF (Sun Protection Factor). Он показывает, во сколько раз продлевается время безопасного пребывания на солнце. Например, SPF-15 увеличивает это время в 15 раз. Оптимальный фактор защиты зависит от вашего фототипа.
(В следующем посте расскажу, какие фототипы бывают)
2. Тип кожи:
Ваш фототип кожи определяет необходимый уровень SPF. Например, светлая кожа требует SPF-50, в то время как темная кожа обычно обходится SPF-15.
3. Текстура крема:
Выбирайте текстуру крема в зависимости от типа вашей кожи. Для сухой кожи подойдут кремовые текстуры, а для жирной - гели или спреи.
4. Защита от UVA и UVB:
Обратите внимание не только на SPF, но и на защиту от UVA-лучей, которые способствуют старению кожи. Хороший крем должен защищать от обоих типов ультрафиолета.
5. Нежелательные ингредиенты: Избегайте кремов с вредными ингредиентами, такими как спирт, парабены и феноксиэтанол. Они могут нанести вред коже и здоровью.
6. Цена:
Не всегда дорогой крем оправдывает свою цену. Важно выбирать продукт, который соответствует его качеству и эффективности, независимо от бренда.
Следуйте этим правилам, чтобы выбрать наиболее подходящий крем от загара и наслаждаться солнечными днями безопасно и комфортно! | https://t.me/dr_Guvarsha/166?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 162,900 | 0 | 1,687,746,295 | 1,730,797,662 | 10,175 | 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| [{"ner":"SPF (Sun Protection Factor)","lemma":"spf (sun protection factor)","label":"ORG","start_pos":85,"end_pos":112},{"ner":"UVA","lemma":"uva","label":"ORG","start_pos":674,"end_pos":677},{"ner":"UVB","lemma":"uvb","label":"ORG","start_pos":680,"end_pos":683},{"ner":"SPF","lemma":"spf","label":"ORG","start_pos":716,"end_pos":719},{"ner":"1","lemma":"1","label":"NUM","start_pos":28,"end_pos":29},{"ner":"15","lemma":"15","label":"NUM","start_pos":211,"end_pos":213},{"ner":"15","lemma":"15","label":"NUM","start_pos":238,"end_pos":240},{"ner":"2","lemma":"2","label":"NUM","start_pos":352,"end_pos":353},{"ner":"50","lemma":"50","label":"NUM","start_pos":453,"end_pos":455},{"ner":"15","lemma":"15","label":"NUM","start_pos":505,"end_pos":507},{"ner":"3","lemma":"3","label":"NUM","start_pos":509,"end_pos":510},{"ner":"4","lemma":"4","label":"NUM","start_pos":661,"end_pos":662},{"ner":"5","lemma":"5","label":"NUM","start_pos":845,"end_pos":846},{"ner":"6","lemma":"6","label":"NUM","start_pos":1002,"end_pos":1003}] | NEUTRAL | rus | NOT SPAM | 189 | 0 | 10 | 0.951807 | 0.048193 | 0 | 17 | 27 | 4 | 9 | 64 | 8 | 45 | true |
26 | null | Определяем фототип кожи
Фототип определяет, как кожа реагирует на ультрафиолетовое излучение и зависит от ее природной способности защищаться от него. Под действием солнечных лучей любая кожа начинает производить пигмент меланин, влияющий на ее естественный оттенок. Этот фактор является основным при оценке фототипа кожи.
Выделяют 6 фототипов:
⭐️
1 фототип (кельтский, альбиносы) – очень светлая кожа (молочно-белая, фарфоровая), обладает высокой чувствительностью к ультрафиолету: реагирует на солнце покpacнением, часто пoкрываeтся вeснушками. При таком фототипе используйте средства с SPF-50+.
⭐️
2 фототип (нордический, скандинавский, арийский) – светлая кожа цвета слоновой кости, нередко с веснушками, часто обгорает на солнце. При таком фототипе используйте средства с SPF 30-50.
⭐️
3 фототип (европейский) – слегка смуглая кожа, практически не обгорает, загар проявляется постепенно и равномерно. При таком фототипе используйте средства с SPF 20-15.
⭐️
4 фототип (средиземноморский) – кожа оливкового цвета без веснушек, мало обгорает, загар ложится равномерно и хорошо проявляется. При таком фототипе используйте средства с SPF 15-10.
⭐️
5 фототип (индонезийский) – смуглая кожа, редко обгoрает, загар проявляется насыщенным темным оттeнком. При таком фототипе используйте средства с SPF 10-5.
⭐️
6 фототип (африканский) – очень смуглая кожа, низкая чувствительность к ультрафиoлету: не обгорает, загар очень темный. При таком фoтотипе используйте средства с SPF 5. | https://t.me/dr_Guvarsha/168?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 161,500 | 0 | 1,687,746,295 | 1,730,797,662 | 10,175 | 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| 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| NEUTRAL | rus | NOT SPAM | 200 | 0 | 6 | 0.978723 | 0.021277 | 0 | 30 | 28 | 1 | 20 | 65 | 14 | 62 | true |
26 | null | Как использовать крем от загара?
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Частота нанесения:
Обновляйте крем в зависимости от SPF, чтобы обеспечить надежную защиту кожи.
⭐️
Выбор водостойкого крема:
Если планируете проводить время в воде, выберите водостойкий крем, но не забывайте обновлять его слой после купания.
⭐️
Нанесение за 15-30 минут до выхода на солнце:
Наносите крем за 15-30 минут до выхода на солнце, чтобы он успел впитаться. Не забудьте обрабатывать участки за ушами, на носу, шее.
⭐️
Защита в любое время года:
Солнечные лучи опасны даже зимой, поэтому используйте солнцезащитный крем круглый год, чтобы снизить риск развития рака кожи.
⭐️
Количество крема:
Рекомендуется наносить 2 мг крема на каждый квадратный сантиметр кожи, чтобы обеспечить защиту.
Дорогие, помните, что правильное использование крема от загара поможет вам насладиться солнечными днями безопасно и сохранить здоровье кожи. | https://t.me/dr_Guvarsha/169?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 158,900 | 0 | 1,687,746,295 | 1,730,797,662 | 10,175 | 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| [{"ner":"SPF","lemma":"spf","label":"ORG","start_pos":88,"end_pos":91},{"ner":"15-30","lemma":"15-30","label":"DATE","start_pos":294,"end_pos":299},{"ner":"30","lemma":"30","label":"NUM","start_pos":297,"end_pos":299},{"ner":"15","lemma":"15","label":"NUM","start_pos":344,"end_pos":346},{"ner":"30","lemma":"30","label":"NUM","start_pos":347,"end_pos":349},{"ner":"2","lemma":"2","label":"NUM","start_pos":660,"end_pos":661}] | NEUTRAL | rus | NOT SPAM | 128 | 0 | 1 | 0.99435 | 0.00565 | 0 | 12 | 22 | 2 | 7 | 56 | 2 | 29 | true |
26 | null | 9/11 или 11 сентября 2001 года. Я был тогда на дымящихся остатках Мирового Торгового Центра, в центре Нью Йорка, полностью покрытого густой серой пылью/пеплом с патрулями на каждом углу.
Но я не об этом. Слишком многое изменилось и в Мире и во мне, не сохранились во мне те тогдашние чувства.
Я о том, что Мир разделился на «ДО» и «ПОСЛЕ» именно 11 сентября 2001 года. С этой даты можно прямо отсчитывать новую эпоху. | https://t.me/drmyasnikov/2565?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 90,800 | 0 | 1,726,044,225 | 1,730,797,662 | 10,191 | 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| [{"ner":"Мирового Торгового Центра","lemma":"мировой торговый центр","label":"ORG","start_pos":66,"end_pos":91},{"ner":"Нью Йорка","lemma":"нью йорк","label":"LOC","start_pos":102,"end_pos":111},{"ner":"Мире","lemma":"мир","label":"LOC","start_pos":234,"end_pos":238},{"ner":"Мир","lemma":"мир","label":"PER","start_pos":306,"end_pos":309},{"ner":"ПОСЛЕ","lemma":"после","label":"ORG","start_pos":332,"end_pos":337},{"ner":"11 сентября","lemma":"11 сентября","label":"DATE","start_pos":9,"end_pos":20},{"ner":"9","lemma":"9","label":"NUM","start_pos":0,"end_pos":1},{"ner":"11","lemma":"11","label":"NUM","start_pos":2,"end_pos":4},{"ner":"2001","lemma":"2001","label":"NUM","start_pos":21,"end_pos":25},{"ner":"11","lemma":"11","label":"NUM","start_pos":346,"end_pos":348},{"ner":"2001","lemma":"2001","label":"NUM","start_pos":358,"end_pos":362}] | NEUTRAL | rus | NOT SPAM | 73 | 0 | 5 | 1 | 0 | 0 | 10 | 5 | 7 | 2 | 17 | 5 | 15 | true |
26 | null | Получил звуковое сообщение от друга, вместе работали в больнице, вместе в поход по Абакану ходили. Ушел добровольцем.
«Вчера меня ранило опять.. так что это…. Осколочное ранение обеих ног…. Ну- нормально, кости не задеты, все зае..сь»
Вот ведь в мирной жизни- скромный, даже стеснительный, хоть и служил в ВДВ.
А я думаю- смог бы я так спокойно и даже с юмором отнестись к ситуации?
Не думаю.
Я вообще стал по другому присматриваться к людям.
В мирной жизни - одно, а потом они делятся на «Шеф, все пропало!» и «кости не задеты, всё зае..сь!»
И, как правило, роли меняются диаметрально противоположно. | https://t.me/drmyasnikov/2566?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 114,100 | 0 | 1,726,156,796 | 1,730,797,662 | 10,174 | 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| [{"ner":"Абакану","lemma":"абакан","label":"LOC","start_pos":83,"end_pos":90},{"ner":"ВДВ","lemma":"вдв","label":"ORG","start_pos":306,"end_pos":309}] | NEUTRAL | rus | NOT SPAM | 99 | 0 | 5 | 1 | 0 | 0 | 8 | 16 | 9 | 2 | 19 | 12 | 34 | true |
26 | null | Смотрите сегодня | https://t.me/drmyasnikov/2567?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 93,900 | 0 | 1,726,209,685 | 1,730,797,662 | 10,174 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | true |
26 | null | Видеорубрика "Для души и тела". Как животные лечат
?
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- Детская мечта доктора Мясникова: что нужно ребенку для счастья? | https://t.me/drmyasnikov/2568?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 101,600 | 0 | 1,726,325,636 | 1,730,797,662 | 10,176 | 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| [{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":65,"end_pos":74},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":326,"end_pos":335},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":422,"end_pos":431}] | NEUTRAL | rus | NOT SPAM | 68 | 0 | 1 | 1 | 0 | 0 | 10 | 8 | 2 | 0 | 26 | 4 | 22 | true |
26 | null | Что вам делать с этой информацией?
Если вы отмечаете симптомы со стороны ЖКТ от употребления молочных продуктов, то можно попробовать заменить A1 молоко на A2 молоко и оценить результаты.
Если есть улучшение, то возможно вы плохо переносите А1 бета-казеин, если улучшение не наступило, то скорее всего дело только в лактозе.
Кстати люди, которые отмечают лучшую переносимость козьего молока, вполне могут реагировать на А1-казеин, поскольку в козьем молоке представлен только А2 казеин.
Его можно купить в РФ
https://vkusvill.ru/goods/moloko-3-2-a2-66236.html
https://a2moloko.ru/
Статьи из предыдущего поста:
Nutrients 2015, 7, 7285-7297; doi:10.3390/nu7095339
Nutrients 2013 Jan 22;5(1):253-66. doi: 10.3390/nu5010253
J Paediatr Child Health 2003 Jul;39(5):329-31. doi: 10.1046/j.1440-1754.2003.00152.x.
N Engl J Med 1998 Oct 15;339(16):1100-4. doi: 10.1056/NEJM199810153391602.
Eur J Clin Nutr 2014 Sep;68(9):994-1000. doi: 10.1038/ejcn.2014.127. Epub 2014 Jul 2.
#лактоза #интересное | https://t.me/ibs_doc/153?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 9,000 | 0 | 1,697,983,737 | 1,730,797,662 | 10,174 | 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26 | null | 🎞
Бот временно не работает. У провайдера сервера ведутся работы
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UPD. Все работает :) | https://t.me/ibs_doc/154?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,400 | 0 | 1,698,518,060 | 1,730,797,662 | 10,174 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 2 | 0.95 | 0.05 | 0 | 2 | 3 | 1 | 0 | 3 | 1 | 3 | true |
26 | null | В последнее время я часто копаюсь в научных статьях из журналов по пищевой промышленности. Одни из последних были по изучению содержания FODMAP веществ до и после обработки/приготовления.
Так вот, некоторые методы обработки пищевых продуктов делают их менее газообразующими.
К ним относятся:
- маринование/консервирование
- вымачивание
- варка
Как это работает?
🤔
Все газообразующие вещества являются водорастворимыми. В процессе обработки они выходят из продуктов в окружающую жидкость, распределяясь по всему объему, процесс диффузии этих водорастворимых веществ происходит быстрее при нагревании, например, при варке.
При варке бобов это происходит с галактоолигосахаридами. При приготовлении супа фруктаны выйдут из луковицы. В компот выйдут сорбитол и фруктоза из сухофруктов.
Аналогичный процесс произойдет и с макаронными изделиями из твердых сортов пшеницы.
🍝
В неприготовленных макаронах/пасте из твердых сортов пшеницы будет содержаться 1,5 г фруктанов на 100 грамм сухой массы.
После варки в приготовленных макаронах/пасте будет содержаться 0,32 г фруктанов на 100 грамм «мокрых» макарон/пасты (0,9 грамм фруктанов на 100 грамм сухой массы).
Получается, что при варке в окружающей жидкости будет потеряно порядка 40% фруктанов, которые вы сольете.
(
https://doi.org/10.1016/j.jcs.2020.102916
)
Именно поэтому макаронные изделия, хоть и сделаны из пшеницы, могут быть даже безопаснее многих хлебо-булочных изделий.
При этом 0,3 грамма фруктанов перенесет каждый из вас
😊
Имейте в виду, что это минимум, наиболее вероятно многие могут перенести более значительные объемы.
#интересное #фруктаны | https://t.me/ibs_doc/156?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 11,800 | 0 | 1,698,592,434 | 1,730,797,662 | 10,174 | 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| 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| NEUTRAL | rus | NOT SPAM | 216 | 0 | 6 | 0.992958 | 0.007042 | 0 | 24 | 27 | 11 | 9 | 75 | 12 | 42 | true |
26 | null | Мы тут в запретограме с аллергологом Александрой Винницкой провели эфир на тему пищевой непереносимости/аллергии :)
Получилось весьма познавательно
Выкладываем запись эфира здесь ;)
На доктора Александру Винницкую вы можете подписаться в телеграме -
https://t.me/allergo_win
"О чем говорили?
- Что такое непереносимость и аллергия и какие продукты чаще всего их вызывают
- Как диагностировать эти состояния
-Есть ли связь кожи с пищей
- Какие анализы вам точно не нужно сдавать
-Где можно ограничить продукт, а где нужно полностью исключить
- Рассказы о киви
…. и еще много полезного, что сэкономит вам время, нервы, деньги и поможет нормально питаться
❤️
"
#эфир | https://t.me/ibs_doc/158?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,400 | 0 | 1,699,530,712 | 1,730,797,662 | 10,174 | 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| [{"ner":"Александрой Винницкой","lemma":"александра винницкий","label":"PER","start_pos":37,"end_pos":58},{"ner":"Александру Винницкую","lemma":"александр винницкую","label":"PER","start_pos":193,"end_pos":213}] | NEUTRAL | rus | NOT SPAM | 100 | 0 | 1 | 0.992063 | 0.007937 | 0 | 4 | 14 | 9 | 0 | 27 | 14 | 16 | true |
26 | null | Мифы об обращении в кризисный центр
Обращение в кризисный центр — это процесс, вокруг которого существует множество мифов:
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Надо ли проходить осмотр?
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Нужно ли доказывать, что в отношении меня было насилие?
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А настолько ли мой случай серьёзный, чтобы обращаться за помощью в кризисный центр?
Этим
видео
мы открываем серию материалов, посвящённых проблеме насилия и разным её сторонам. Сегодня обсудим:
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Что такое кризисный центр для женщин и как он работает
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Какой порядок действий после звонка в кризисный центр
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С какими мифами чаще всего сталкиваются пострадавшие от насилия и как дела обстоят на самом деле
Ведущая:
Елизавета Бизюкова, клиническая психологиня
Гостья:
Елизавета Великодворская, кризисная психологиня и сотрудница ИНГО, кризисного центра для женщин | https://t.me/imatrip/2063?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,721,693,953 | 1,730,797,662 | 10,174 | 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26 | null | Почему настольные игры так популярны среди людей с аутизмом:
7% настольщиков имеют такой диагноз, в сравнении с 1% населения в целом. Настольные игры устраняют необходимость в светских беседах и становятся формой эскапизма, что снижает давление неопределенности, связанное со встречами и взаимодействием с людьми. | https://t.me/imatrip/2064?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,721,731,778 | 1,730,797,662 | 10,174 | 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| [{"ner":"7","lemma":"7","label":"NUM","start_pos":61,"end_pos":62},{"ner":"1","lemma":"1","label":"NUM","start_pos":112,"end_pos":113}] | NEUTRAL | rus | NOT SPAM | 43 | 0 | 0 | 1 | 0 | 0 | 4 | 5 | 1 | 2 | 18 | 2 | 6 | true |
26 | null | Медицинские организации и органы внутренних дел смогут обмениваться информацией о пациентах, страдающих психическими расстройствами и представляющих опасность для окружающих. Соответствующий закон подписал президент России Владимир Путин.
Поправки вносятся в ряд отдельных законов, в том числе «О психиатрической помощи и гарантиях прав граждан при ее оказании». Сотрудники полиции смогут «в пределах своей компетенции» наблюдать за людьми с хроническими и затяжными психическими расстройствами, находящихся на диспансерном наблюдении из-за склонности «к совершению общественно опасных действий».
Закон вступит в силу 1 марта 2025 г.
О подготовке соответствующего законопроекта «Ведомости» писали в ноябре 2023 г. Документ был разработан по просьбе МВД. Медорганизации были не вправе предоставлять органам внутренних дел сведения о пациентах из-за врачебной тайны, но на сотрудников полиции по профильному закону возложена обязанность вместе с медиками следить за этой категорией лиц для предупреждения совершения ими правонарушений.
Тогда психиатр Елизавета Жесткова отмечала, что пациенты, уже совершавшие правонарушения в острых состояниях или находившиеся под следствием, а также проявляющие агрессию, стоят на активном диспансерном наблюдении. Они должны раз в месяц являться в медучреждение. Речь идет о людях с определенными формами шизофрении и особо тяжелыми формами биполярного расстройства с маниакальным психотическим состоянием, которые как раз в момент обострения гипотетически могут становиться опасными.
Источник:
https://www.vedomosti.ru/politics/news/2024/07/22/1051466-putin-podpisal
Почитать сам ФЗ:
http://publication.pravo.gov.ru/document/0001202407220010?index=1 | https://t.me/imatrip/2065?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,200 | 0 | 1,721,814,361 | 1,730,797,662 | 10,174 | 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| NEUTRAL | rus | SPAM | 200 | 0 | 4 | 0.991667 | 0.008333 | 0 | 29 | 25 | 3 | 0 | 75 | 9 | 29 | true |
26 | null | Информационный пузырь
(пузырь фильтров/алгоритмов) — это эффект, когда алгоритмы соцсетей и поисковиков подбирают персонально под вас, какие посты и ссылки вам показывать. Обычно вам становится видна только та информация, которая вам нравится, совпадает с вашим мировоззрением и поддерживает ваши интересы. | https://t.me/imatrip/2066?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,722,167,277 | 1,730,797,662 | 10,174 | 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| null | NEUTRAL | rus | NOT SPAM | 40 | 0 | 0 | 1 | 0 | 0 | 2 | 6 | 5 | 0 | 13 | 2 | 10 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11450?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 38,800 | 0 | 1,729,189,859 | 1,730,797,662 | 10,174 | 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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 | Топ-5 витаминов для осени
🔝
Сохраняем и делимся с друзьями.
Если сил вдруг становится меньше, энергия и жизненный тонус покидают, то это
🚨
сигнал, что организму нужна помощь.
1️⃣
Добавляем радости,
а это Витамин D — витамин бодрости и энергии!
👉🏼
wildberries/витаминD
2️⃣
Витамин С
Мощнейший антиоксидант, без него никуда.
👉🏼
wildberries/витаминС
3️⃣
Омега-3.
В её составе DHA и EPA кислоты, из которых состоят оболочки каждой клетки! И чем их больше, тем забор прочнее от атак вирусов и бактерий.
👉🏼
wildberries/омега3
4️⃣
Аргинин.
Очень хорошо расширяет сосуды, транспортирует кислород, который своими активными формами тоже хорошо атакует чужеродные агенты!
👉🏼
wildberries/аргинин
5️⃣
И конечно же, Q10
💪🏼
👉🏼
wildberries/коэнзимQ10
И помним про правильное питание и очищение организма. Этим мы займёмся с 24 октября на главном оздоровительном мероприятии осени
👉🏼
@magerya_chistka | https://t.me/magerya/11451?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,100 | 0 | 1,729,222,808 | 1,730,797,662 | 10,174 | 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| [{"ner":"Витамин D","lemma":"витамин d","label":"PER","start_pos":204,"end_pos":213},{"ner":"DHA","lemma":"dha","label":"ORG","start_pos":373,"end_pos":376},{"ner":"EPA","lemma":"epa","label":"ORG","start_pos":379,"end_pos":382},{"ner":"24 октября","lemma":"24 октября","label":"DATE","start_pos":808,"end_pos":818},{"ner":"5","lemma":"5","label":"NUM","start_pos":4,"end_pos":5},{"ner":"1","lemma":"1","label":"NUM","start_pos":175,"end_pos":176},{"ner":"2","lemma":"2","label":"NUM","start_pos":268,"end_pos":269},{"ner":"3","lemma":"3","label":"NUM","start_pos":347,"end_pos":348},{"ner":"3","lemma":"3","label":"NUM","start_pos":357,"end_pos":358},{"ner":"3","lemma":"3","label":"NUM","start_pos":518,"end_pos":519},{"ner":"4","lemma":"4","label":"NUM","start_pos":520,"end_pos":521},{"ner":"5","lemma":"5","label":"NUM","start_pos":684,"end_pos":685},{"ner":"10","lemma":"10","label":"NUM","start_pos":703,"end_pos":705},{"ner":"10","lemma":"10","label":"NUM","start_pos":732,"end_pos":734}] | NEUTRAL | rus | NOT SPAM | 129 | 0 | 9 | 0.949749 | 0.050251 | 0 | 13 | 10 | 9 | 6 | 41 | 7 | 34 | true |
26 | null | 🟠
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11452?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 39,400 | 0 | 1,729,256,491 | 1,730,797,662 | 10,174 | 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26 | null | Когда говорят о добавках с железом, сразу появляется стереотип: "А, это для женщин, у которых низкий гемоглобин." Но давайте на минутку забудем о стереотипах и посмотрим на мужчин. Ведь дефицит железа — это проблема, которая касается абсолютно всех
🫵🏼
Мужчины, внимание
❗️
Вот почему железо нужно именно вам
📢
✅
Энергия на весь день.
Железо — главный элемент для производства гемоглобина, который отвечает за доставку кислорода ко всем нашим клеткам. Меньше железа — меньше кислорода. А значит, усталость, вялость и упадок сил не заставят себя долго ждать.
И нет, кофе тут не поможет, как бы вы ни старались
☕️
✅
Сила и выносливость.
Для тех, кто проводит время в зале или их образ жизни очень подвижный — железо просто необходимо. Без него мышцы теряют силу и способность восстанавливаться после нагрузки. А это значит, что без нормального уровня железа ваши тренировки превращаются в марафон на истощение
🪫
✅
Мозг тоже любит железо.
Как насчет креативных идей, нестандартных решений, острого ума и высокой концентрации? Чтобы это получить, нужно чтобы мозг работал на максимальных оборотах, а для этого нужна энергия. Но вот незадача, без железа обменные процессы замедляются, а скорость загрузки внутреннего компьютера падает
🐢
Дефицит — это не только про усталость, но и про рассеянное внимание и проблемы с памятью.
А теперь — о кофакторах
👇🏼
Существует просто железо, а есть железо с кофакторами — это как сравнить обычный велосипед и спортивный: оба вроде едут, но один из них делает это эффективнее и быстрее. Почему?
Потому что
кофакторы
, такие как витамины группы В, витамин Е, L-цистеин, марганец, цинк, медь, селен и пиперин,
помогают железу усваиваться
и выполнять свои функции на все
💯
Компания «Жизнивек» создала Железо хелатный комплекс с кофакторами, он подходит и мужчинам, и представительницам прекрасного пола.
Железо можно найти тут
👉🏼
wildberries/железо
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
👉🏼
https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11453?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,500 | 0 | 1,729,263,727 | 1,730,797,662 | 10,174 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":1711,"end_pos":1719},{"ner":"Железо","lemma":"железо","label":"PER","start_pos":1729,"end_pos":1735},{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":1950,"end_pos":1958},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":1994,"end_pos":2023},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":2013,"end_pos":2023},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":2018,"end_pos":2023}] | NEUTRAL | rus | NOT SPAM | 312 | 0 | 10 | 0.992771 | 0.007229 | 0 | 22 | 34 | 16 | 7 | 96 | 17 | 73 | true |
26 | null | Смотрели фильм "Костяной томагавк"?
Там герои сталкиваются с ужасающими проявлениями жестокости, где основным символом становится томагавк - боевой топор североамериканских индейцев.
Показываю рубленные раны, которые были нанесены самодельным томагавком. И непосредственно само оружие.
В судебно-медицинской практике рубленные раны, как на фото выше, могут быть нанесены топором или чем-то похожем. Такие раны - результат ударов с большой силой, оставляющих характерные широкие и глубокие повреждения, что и классифицирует их как "рубленные раны".
Варварская жестокость. Были случаи в практике, где жертвами такой жестокости были дети. Вспоминать не хочу | https://t.me/sudmednotes/9148?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 46,800 | 0 | 1,729,520,165 | 1,730,797,662 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 85 | 0 | 2 | 1 | 0 | 0 | 20 | 14 | 6 | 0 | 28 | 4 | 19 | true |
26 | null | Посмертные повреждения домашними животными: неочевидная реальность
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Ваш домашний питомец —
верный друг
, компаньон и член семьи. Мы с любовью заботимся о них, они дарят нам тепло и радость. Но что происходит, когда жизнь хозяина внезапно обрывается, а рядом нет никого, кто бы мог позаботиться о животном? Это вопрос, который редко приходит на ум, но для меня, как судмедэксперта, он стал частью повседневной реальности. Продолжение в слайдах… | https://t.me/sudmednotes/9160?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 47,000 | 0 | 1,729,595,990 | 1,730,797,662 | 10,176 | 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| null | NEUTRAL | rus | NOT SPAM | 68 | 1 | 0 | 1 | 0 | 0 | 7 | 9 | 11 | 0 | 21 | 3 | 16 | true |
26 | null | Много вопросов про хранение! Смотрите видео до конца, все подробно объясняю
❤️
Показываю что такое омега этиловые эфиры и омега с низкой степенью очистки.
Очень важен индекс TOTOX (индекс окисления жиров и масел). Чем он выше, тем хуже.
У всей нашей омеги индекс 4,6-7 (зависит от партии). Максимум 23 (рекомендации Евросоюза), идеально до 10.
Также для профилактики окисления в Омегу добавляется витамин Е (смесь токоферолов).
И обязательно следить за условиями хранения.
Мы следим за условиями хранения у нас на складах и при транспортировке. Поверьте, этим мало кто может похвастаться.
Много полезных постов
👇
https://t.me/DrAnshinaOmega | https://t.me/DrAnshina/1160?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 159,000 | 0 | 1,713,955,324 | 1,730,797,663 | 10,196 | 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| [{"ner":"Евросоюза","lemma":"евросоюз","label":"LOC","start_pos":316,"end_pos":325},{"ner":"Омегу","lemma":"омегу","label":"LOC","start_pos":379,"end_pos":384},{"ner":"https://t.me/DrAnshinaOmega","lemma":"https://t.me/dranshinaomega","label":"ORG","start_pos":613,"end_pos":640},{"ner":"4","lemma":"4","label":"NUM","start_pos":263,"end_pos":264},{"ner":"6","lemma":"6","label":"NUM","start_pos":265,"end_pos":266},{"ner":"7","lemma":"7","label":"NUM","start_pos":267,"end_pos":268},{"ner":"23","lemma":"23","label":"NUM","start_pos":299,"end_pos":301},{"ner":"10","lemma":"10","label":"NUM","start_pos":340,"end_pos":342}] | NEUTRAL | rus | NOT SPAM | 94 | 0 | 4 | 0.984496 | 0.015504 | 0 | 6 | 10 | 8 | 5 | 31 | 8 | 24 | true |
26 | null | И снова про холестерин, триглицериды, диабет.
Про питание, препараты.
Разбираем вопросы и клинические случаи.
И даже про деньги. Все обсудила
😂
Лишний шашлык с пивасиком в горло не полезут
😀
Пост про атеросклероз и витамин Д есть тут
https://t.me/DrAnshinaOmega/79 | https://t.me/DrAnshina/1161?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 170,500 | 0 | 1,714,671,828 | 1,730,797,663 | 10,191 | 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| [{"ner":"79","lemma":"79","label":"NUM","start_pos":262,"end_pos":264}] | NEUTRAL | rus | NOT SPAM | 39 | 0 | 3 | 0.981482 | 0.018519 | 0 | 2 | 4 | 1 | 0 | 15 | 2 | 7 | true |
26 | null | Про витамин С. Нужно ли принимать в добавках?
Про витамин Е в омеге.
Про профилактику ОРВИ. Про дефициты витамина Д и ферритина.
Видео про витамин С уже было
https://t.me/DrAnshina/797
#витамины
PS: в видео оговорилась, не 8 мг, а 8 гр. | https://t.me/DrAnshina/1162?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 173,500 | 0 | 1,715,668,776 | 1,730,797,663 | 10,191 | 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| [{"ner":"PS","lemma":"ps","label":"ORG","start_pos":195,"end_pos":197},{"ner":"797","lemma":"797","label":"NUM","start_pos":181,"end_pos":184},{"ner":"8","lemma":"8","label":"NUM","start_pos":223,"end_pos":224},{"ner":"8","lemma":"8","label":"NUM","start_pos":231,"end_pos":232}] | NEUTRAL | rus | NOT SPAM | 40 | 0 | 6 | 0.963636 | 0.036364 | 0 | 1 | 2 | 0 | 2 | 15 | 1 | 9 | true |
26 | null | https://www.mariakardakova.com/post/2017/06/26/%D0%BC%D0%BE%D0%BB%D0%BE%D1%87%D0%BD%D1%8B%D0%B5-%D0%BF%D1%80%D0%BE%D0%B4%D1%83%D0%BA%D1%82%D1%8B
О молочных продуктах от Маши Кардаковой: кому, сколько, в каком количестве и где содержится кальций.
Я очень доверяю ей как нутрициологу, все рекомендации выверены и подкреплены научными исследованиями, это не просто чье-то ИМХО | https://t.me/doctor_belokon/10?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 93,800 | 0 | 1,588,145,092 | 1,730,797,663 | 10,191 | 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26 | null | ERROR: type should be string, got "https://www.ign.org/cm_data/Global_Scorecard_MAP_2019_SAC.pdf\nПосмотрите какая проблема дефицита йода среди населения в СНГ.\nВо многих странах есть закон об обязательном обогащении продуктов питания йодом. Вы покупаете хлеб, он приготовлен с добавкой йода. Вы приходите в ресторан или кафе поужинать, пища в нем приготовлена с использованием йодированной соли. Вы покупаете готовые продукты или требующие приготовления: во многих есть йод, благодаря действующему в стране закону. Таким образом устраняется дефицит йода среди населения.\nВ СНГ до сих пор с этим туго и , как видно по карте, более 80% населения получает йод в недостаточном количестве.\nЙод нужен для выработки гормонов щитовидной железы (Т4, Т3). Йода недостаточно- гормоны не вырабатываются в достаточном количестве.\nПоэтому всем беременным и кормящим женщинам обязательно нужно принимать йод в дозе 220-290 мкг/сутки. Исключение только женщины с тиреотоксикозом. Понять , есть ли он, может простой анализ крови на ТТГ.\nВечный вопрос: надо ли беременным женщинам принимать йод дополнительно, если она принимает Эутирокс/Л-Тироксин, а если есть АИТ?\nНадо, если опять-таки вы проживаете в СНГ, где есть проблема йодного дефицита среди населения. Йод нужен плоду для выработки своих собственных гормонов щитовидной железы, начиная с 11-12 недель беременности." | https://t.me/doctor_belokon/11?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 77,100 | 0 | 1,588,145,967 | 1,730,797,663 | 10,191 | 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26 | null | Эфир с сексологом Ольгой Василенко на тему «женская мастурбация» | https://t.me/doctor_belokon/8?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 83,700 | 0 | 1,587,910,349 | 1,730,797,663 | 10,191 | 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| [{"ner":"Ольгой Василенко","lemma":"ольгой василенко","label":"PER","start_pos":18,"end_pos":34}] | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 4 | 0 | 2 | true |
26 | null | Что такое плазмолифтинг?
Плазмолифтинг - это инновационная процедура, в ходе которой с использованием собственной крови пациента достигается улучшение состояния кожи лица.
📎
Путем введения обогащенной тромбоцитами плазмы в проблемные зоны кожи, происходит стимуляция естественных процессов регенерации и омоложения.
Ключевые преимущества плазмолифтинга:
⭐️
улучшается рельеф и цвет кожи, вoccтанавливает упругость и уменьшает глyбину мopщин.
⭐️
вводимый препарат – ваша плазма без других химических примесей.
⭐️
процедура занимает меньше 1 часа на волосистую часть головы и 1,5 часа на лицо.
⭐️
результат виден уже после первого сеанса
⭐️
достаточно быстрый период восстановления после процедуры – 1-2 дня.
⭐️
Стимуляция синтеза коллагена
⭐️
Улучшение кровотока в тканях
Положительные изменения наблюдаются как на биохимическом, так и на визуальном уровнях, включая ревитализацию кожи, уменьшение морщин и пигментации. | https://t.me/dr_Guvarsha/161?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 163,200 | 0 | 1,687,424,364 | 1,730,797,663 | 10,191 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":538,"end_pos":539},{"ner":"1","lemma":"1","label":"NUM","start_pos":574,"end_pos":575},{"ner":"5","lemma":"5","label":"NUM","start_pos":576,"end_pos":577},{"ner":"1","lemma":"1","label":"NUM","start_pos":698,"end_pos":699},{"ner":"2","lemma":"2","label":"NUM","start_pos":700,"end_pos":701}] | NEUTRAL | rus | NOT SPAM | 122 | 0 | 0 | 1 | 0 | 0 | 13 | 10 | 2 | 5 | 62 | 5 | 25 | true |
26 | null | Москве -877 лет! С Днем Рождения, любимый город!
(Я помню как в мою молодость он был серым и безликим. И не только на мой взгляд уроженца Ленинграда). И сейчас- реально сегодня самый лучший, хорошо- точно самый удобный город Мира. (Кто хочет поспорить, тот наверно давно нигде не был!) | https://t.me/drmyasnikov/2560?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 88,200 | 0 | 1,725,691,224 | 1,730,797,663 | 10,191 | 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| [{"ner":"Москве","lemma":"москва","label":"LOC","start_pos":0,"end_pos":6},{"ner":"Ленинграда","lemma":"ленинград","label":"LOC","start_pos":138,"end_pos":148},{"ner":"Мира","lemma":"мира","label":"LOC","start_pos":225,"end_pos":229},{"ner":"877","lemma":"877","label":"NUM","start_pos":8,"end_pos":11}] | POSITIVE | rus | NOT SPAM | 48 | 0 | 4 | 1 | 0 | 0 | 9 | 3 | 3 | 0 | 8 | 5 | 14 | true |
26 | null | Видеорубрика "Для души и тела". К доктору Мясникову пришли!..
- Закалка: доктор Мясников покажет всё.
- Как закалить тело и душу?
- Бултых и в воду: доктор Мясников не ищет лёгких путей.
- Зачем "утопили" видеокамеру?
- Дача доктора Мясникова: как живут "телезвезды"?)
- Можно ли побороть лень (спойлер: сложно!)?
- Как должен жить самурай: доктор Мясников о кодексе Бусидо.
- Как рыба в воде: личная речка доктора Мясникова. | https://t.me/drmyasnikov/2561?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 98,700 | 0 | 1,725,711,610 | 1,730,797,663 | 10,191 | 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26 | null | Александр Масляков….. Еще одна эпоха ушла… | https://t.me/drmyasnikov/2562?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 78,600 | 0 | 1,725,825,762 | 1,730,797,663 | 10,191 | 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| [{"ner":"Александр Масляков","lemma":"александр масляков","label":"PER","start_pos":0,"end_pos":18}] | NEUTRAL | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 3 | true |
26 | null | День рождения русского гения: Льва Николаевича Толстого. Очень не простой персонаж русской истории и литературы, но без него Мировая культура была бы ущербна.
«И вот он вдруг вошёл своей легкой молодой походкой в мягких беззвучных сапогах в серой блузе тонким ремешком пояса со своей большой бородой и не передаваемым резко-неправильным, совершенно незабываемым лицом, поразительно острыми, умными глазами. И глаза эти сразу (и уже всю жизнь) показались мне жёсткими, недобрыми- такими как определил их мой отец : «волчьи глаза». Потом уже всегда, когда он вдруг входил, мне делалась не по себе и жутко: будто в яркий солнечный день открыли дверь в тёмный погреб. Меня представили просто: «дочка» и назвали моего отца. Он сказал: «знаю» и пожал мне руку, а я не верила себе, что вижу его,- того кто мог написать небо над Аустерлицом и Бородино, и мать в «Детстве» и свидание Анны сыном…,
А.И.Бунин.
А вот моё любимое из «Казанский университет»
«Юными надменными глазами
глядя на билет, как на пустой,
держит по истории экзамен
граф Лев Николаевич Толстой.
Знаменит он – едок и задирист –
только тем, что граф и вертопрах,
тем, что у него орловский выезд,
тем, что у него шинель в бобрах.
Граф молчит, угрюмый, диковатый,
как волчонок, худ, большеголов,
ну а перед ним дундуковатый
враг его – профессор Иванов.
Зависть к титулованным запрятав,
он от желчи собственной прокис.
Мерзок дундукизм аристократов,
но страшней плебейский дундукизм.
А от графа запахом дворянским
хлещет раздражающе, остро:
чуть одеколоном, чуть шампанским,
лошадьми, пожалуй, даже "trop".
Иванов бы сам хотел так пахнуть
и, за это тайно разъярен,
"Нуте-с, что же вам подскажет память?" –
графа сладко спрашивает он.
На лице плебействует сиянье –
ни полслова граф не произнес.
"Изложить великие деянья
Николая Первого" – вопрос.
Скучно повторять за трепачами.
Скучно говорить наоборот.
Пожимает граф Толстой плечами
и другой билет себе берет.
Но билеты – словно осмеянье.
Как их можно принимать всерьез?
"Изложить великие деянья
Анны Иоанновны" – вопрос.
Кто вы, составители билетов,
если, пряча столькое в тени,
о деяньях просите ответов,
а о злодеяниях – ни-ни?…………………
Шмыгает профессор мокроносо.
"Нуте-с, не пора ли, граф, начать?"
Граф Толстой выходит. На вопросы
граф Толстой не хочет отвечать.
И профессор нуль ему как выдаст!
Долго ждал счастливой той поры:
на тебе за твой орловский выезд,
на тебе за все твои бобры.
Нуль Толстому! Выискался гений!
Нуль Толстому! Жирный! Вуаля!
Тем, кто выше всяких измерений,
нуль поставить – праздник для нуля.
А Толстой по улицам гуляет,
отпустив орловский выезд свой,
а Толстой штиблетами гоняет
тополиный пух на мостовой.
И пьянчужка в драной бабьей кофте
вслед ему грозится кулаком:
"Мы еще тебя, графьеныш, к ногтю".
Эх, дурила, знал бы ты – о ком!»
Будут еще слава и доносы,
будут и от церкви отлучать.
Но настанет время – на вопросы
граф Толстой захочет отвечать! | https://t.me/drmyasnikov/2563?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 110,100 | 0 | 1,725,856,899 | 1,730,797,663 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | true |
26 | null | 🗞
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Дорогие подписчики,
Пока нет времени и сил на написание постов, но хочу сообщить вам хорошие новости!
Мы возобновили работу над ботом
🪖
и скоро выкатим обновление:
- удобный inline поиск (пример на картинке)
- постоянное обновление данных, которые не будут отставать от официального источника monash
Stay tuned ;)
#бот | https://t.me/ibs_doc/145?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,200 | 0 | 1,697,010,359 | 1,730,797,663 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 52 | 0 | 0 | 0.943662 | 0.056338 | 0 | 7 | 6 | 3 | 0 | 16 | 2 | 13 | true |
26 | null | Вы когда-нибудь задумывались, почему киви так щиплет ротовую полость?
🥝
Дело не в витамине С, которого в 100 граммах киви целые 150% суточной нормы.
😮
В киви есть микроскопические кристаллы оксалатов в виде иголок (рафиды). Они и наносят нам микротравмы.
🔪
Через отверстия, сделанные в поедателе киви, проникает фермент – актинидин (протеаза, расщепляющая белки), призванный продолжить повреждение тканей.
Этого достаточно, чтобы обезвредить вредителей-насекомых.
🐛
К счастью, людям эти защитные факторы не способны нанести значимого вреда, зато пользы будет от киви очень много.
Как оказалось, эти иголочки могут частично добраться до толстой кишки человека и стимулировать выработку муцина (слизи) эпителием кишечника. Фермент актинидин также добирается до толстой кишки, где оказывает положительное воздействие на кишечник, особенно при запорах.
🚽
Предполагаемые эффекты рафидов (микроиголок):
🔹
Стимулируют выработку муцина слизистой оболочкой, что улучшает транзит по толстому кишечнику
🔹
Являются источником энергии для лактобацилл и бифидобактерий
Предполагаемые эффекты актинидина (растительная протеаза):
🔹
Активируя PAR2 и PAR4 рецепторы, модулирует воспаление и болевую чувствительность
🔹
Активируя PAR1 рецепторы, усиливает секрецию ионов хлора и воды
🔹
Улучшает моторику, расщепляя пристеночный брадикинин
Разумеется, не стоит забывать про особенные пищевые волокна, которых приблизительно 3 г на 1 шт киви.
Пищевые волокна киви увеличиваются в 6 раз больше, чем волокна яблок и в 1,5 раза, чем псиллиум. Еще они эффективнее удерживают жидкость в себе. Эти факторы в сочетании с тем, что киви - low-FODMAP, безболезненно помогает нормализовать моторику кишечника.
Недавнее исследование показало, что у людей с запорами увеличивается частота походов в туалет в 1,5 раза, если они съедают 2 зеленых киви в день, а еще уменьшается дискомфорт в животе при СРК с запорами.
Так что, запомните: two kiwis a day keep the doctor away
https://pubmed.ncbi.nlm.nih.gov/36537785
#фрукты #интересное | https://t.me/ibs_doc/148?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 12,700 | 0 | 1,697,394,022 | 1,730,797,663 | 10,191 | 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| 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| NEUTRAL | rus | NOT SPAM | 276 | 0 | 8 | 0.961749 | 0.038251 | 0 | 25 | 39 | 11 | 9 | 96 | 17 | 62 | true |
26 | null | А вот так эти иголки выглядят под микроскопом
😱
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Кстати ананас имеет такие же защитные факторы ;))
Видео взяты из инстаграма tardibabe
https://instagram.com/tardibabe?igshid=MzRlODBiNWFlZA==
#фрукты #интересное | https://t.me/ibs_doc/150?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,100 | 0 | 1,697,394,249 | 1,730,797,663 | 10,191 | 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| [{"ner":";)","lemma":";)","label":"LOC","start_pos":98,"end_pos":100}] | NEUTRAL | other | NOT SPAM | 27 | 0 | 1 | 0.945946 | 0.054054 | 0 | 2 | 3 | 0 | 0 | 7 | 2 | 3 | true |
26 | null | «Не лактозой единой»
А вы знали, что плохая переносимость молочных продуктов может быть обусловлена не только лактазной недостаточностью, а еще и особым подтипом бета-казеина?
В 1 литре молока содержится приблизительно 34 грамм белка. Из него 20% составляет сывороточный белок (который мы пьем в протеиновых коктейлях), 80% составляют казеины, 30% которых является бета-казеин, а остальные 50% другие казеины.
Нас интересует именно бета-казеин, который в свою очередь можно разделить на А1 и А2 бета-казеин.
В чем их разница? Лишь в одной точечной мутации (см на картинке), которая произошла 5-10 тыс лет назад в популяции европейских коров (у азиатских и африканских все окей – у них только А2 бета казеин).
Из-за этой точечной мутации в А1 бета-казеине аминокислотная последовательность намного проще разрезается ферментами в определенной точке и образуется намного больше бета-казоморфина-7 (BCM-7), который воздействует на опиоидные рецепторы в кишечнике.
Его эффекты:
- замедляет моторику кишечника
- провоспалительный эффект на стенки кишечника
Большинство исследований проводились на животных, поэтому до сих пор не получено убедительных данных, которые бы указывали на однозначный эффект А1 бета-казеина у человека.
Но есть несколько исследований на маленьких выборках с участием детей и взрослых, которые показали, что ВОЗМОЖНО существует связь употребления молочных продуктов, содержащих А1 бета-казеин, с запорами и воспалением в кишечнике (что отражалось в повышении кальпротектина в кале).
Разумеется, не во всех случаях отмечаются только запоры, могут быть и другие симптомы, как повышенное газообразование, затруднение их транзита, жидкий стул (да, при замедлении моторики), возможно, за счет удержания жидкости в просвете кишечника лактозой и нарушения всасывания воды из-за воспаления.
#лактоза #интересное | https://t.me/ibs_doc/152?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,600 | 0 | 1,697,983,676 | 1,730,797,663 | 10,191 | 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| NEUTRAL | rus | NOT SPAM | 250 | 0 | 11 | 0.997033 | 0.002967 | 0 | 26 | 27 | 15 | 12 | 103 | 12 | 50 | true |
26 | null | Какая часть головного мозга побуждает нас помогать окружающим?
Новое исследование, проведенное группой ученых их университетов Бармингема и Оксфорда, подтвердило данные о том, что вентромедиальная префронатльная кора (вмПФК) играет одну из ведущих ролей в просоциальном поведении. В своей работе авторы описывают эксперимент с участием людей с повреждением вмПФК и контрольной группы. Испытуемые должны были выполнять задания, награда за которые доставалась им самим либо другому человеку. Люди с повреждением этого участка коры прилагали гораздо меньше усилий, если знали, что награда не достанется им. Статья опубликована в Nature Human Behaviour.
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https://neuronovosti.ru/kakaya-chast-golovnogo-mozga-pobuzhdaet-nas-pomogat-okruzhayushhim/ | https://t.me/imatrip/2057?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,721,147,814 | 1,730,797,663 | 10,196 | 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| [{"ner":"Бармингема","lemma":"бармингема","label":"LOC","start_pos":127,"end_pos":137},{"ner":"Оксфорда","lemma":"оксфорд","label":"LOC","start_pos":140,"end_pos":148},{"ner":"Nature Human Behaviour","lemma":"nature human behaviour","label":"ORG","start_pos":626,"end_pos":648}] | NEUTRAL | rus | NOT SPAM | 90 | 0 | 1 | 0.962617 | 0.037383 | 0 | 10 | 13 | 4 | 2 | 30 | 2 | 14 | true |
26 | null | Часто на консультациях задают вопросы про психотерапию и что делать, если посещать её нет возможности. В связи с такими запросами размещаю ссылку на материалы по самопомощи, которые смог найти на просторах сети. В дальнейшем эти материалы будут пополняться, если буду находить что-то полезное.
https://disk.yandex.ru/d/CJNda8yQUvliNw | https://t.me/imatrip/2058?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,721,156,980 | 1,730,797,663 | 10,191 | 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| [{"ner":"8","lemma":"8","label":"NUM","start_pos":324,"end_pos":325}] | NEUTRAL | rus | NOT SPAM | 44 | 0 | 2 | 0.981132 | 0.018868 | 0 | 2 | 9 | 6 | 0 | 12 | 1 | 6 | true |
26 | null | Какие есть особенности диагностики и проявлений синдрома дефицита внимания и гиперактивности у девочек и женщин
?
- Невнимательный тип СДВГ и его симптомы
- Связь с депрессией и тревожными расстройствами
- Гендерные стереотипы о женщинах и маскинг СДВГ
- Чувствительность к отторжению и социальные контакты
- Коморбидные расстройства психики: РПП (расстройства пищевого поведения) и РЛ (расстройства личности)
- Симптомы СДВГ и гормональный фон: самочувствие в разные фазы цикла
#СДВГ #ADHD | https://t.me/imatrip/2059?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,721,205,693 | 1,730,797,663 | 10,191 | 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| [{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":135,"end_pos":139},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":248,"end_pos":252},{"ner":"РЛ","lemma":"рл","label":"ORG","start_pos":383,"end_pos":385},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":421,"end_pos":425}] | NEUTRAL | rus | NOT SPAM | 70 | 0 | 7 | 0.988372 | 0.011628 | 0 | 11 | 1 | 0 | 0 | 30 | 0 | 10 | true |
26 | null | Религиозные деятели
считают
законопроект о психологической помощи слишком светским | https://t.me/imatrip/2060?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,721,215,037 | 1,730,797,663 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 3 | 1 | 0 | 0 | 3 | 1 | 0 | true |
26 | null | Третье измерение суицидальной динамики – фаза брошенного объекта, как ее назвал Кинд (Kind, 1992): обращение к объекту ни к чему не привело, желание слиться с объектом ушло впустую. В этом состоянии полного опустошения и избавления от внутренних объектов (Kind, 1992, p.109), путем ли их уничтожения или из-за их недоступности, несмотря на весь суицидальный ужас, возникает «регрессия к гармоничному первичному состоянию» (Helseler, 1974, p.84), которое помогает избежать «нарциссической катастрофы» (там же). Борьба за хороший или кажущийся хорошим объект заброшена, и наступает фаза покоя (Henseler, 1974, p.91), облегчения, поскольку фантазии, лежащие в основе такого поведения, обязательно содержат в себе представления о покое, избавлении, слиянии, тепле, защищенности, торжестве, блаженстве и тому подобном».
...Покой также достигается за счет «иллюзии самостоятельности решения» (Henseler 1974, с. 89 и далее): «Очень многие люди, совершившие попытку самоубийства, говорят о том, что решение покончить с собой принесло им облегчение и успокоение… Очевидно, так проявилось чувство обретения суверенитета» (там же, p.91). Гензелер также цитирует Зильборга (Zilboorg, 1936), который уже «обратил внимание на важность активного опережения… Активно предваряя естественную смерть, человек в своей фантазии обретает бессмертие» (там же, p.91). Фантазия о слиянии с тем, что можно назвать утопическим объектом, которое представляется как регрессия в матку (околоплодные воды) или как лучшая жизнь после смерти, создает у самоубийцы чувство облегчения и псевдо-автаркии: человек наконец может сам принимать решение, не завися от объекта, и, как при самоповреждении, сам создает для себя объект.
Так, говорят даже о «самоубийстве как преодолении смерти» (Stengel, 1964); Гериш (Gerisch 1993), со ссылкой на Винникотта (Winnicott, 1960), который, с некоторыми оговорками, понимает самоубийство как «тотальное уничтожение «Я» с целью избежать уничтожения истинного «Я». В этом случае «Я» целиком воспринимается как объект, приносимый в жертву; «спасение», в отличие от самоповреждения, здесь возможно лишь в фантазии. Не только бесперспективность борьбы за хороший объект, борьбы за его сохранность и изменение (Kind 1992) приводит к суицидальности, но и безнадежность борьбы с интроецированным плохим объектом. Отказ от этой борьбы приводит к самоубийству как последнему средству для того, чтобы победить интернализованное зло, когда все остальные способы потерпели неудачу. Я говорю об очень сильно травмированных самоубийцах, которые пережили пытки и концлагерь и несут это в себе как интроект, то есть несут в себе смерть, хотя и выжили. Однако Хорхе Семпрун (Semprun, 1994, p.292) задается вопросом: «А действительно ли мы полностью выжили?» Примо Леви, Жан Амери, Пауль Целан и Бруно Беттельгейм всю свою жизнь писали тексты, чтобы извести в себе внутренний ужас, вытеснить травматический интроект; но все они покончили жизнь самоубийством.
Семпрун (Semprun, 1994, p.287) видит смерть внутри жертв экстремальной жестокости, оставшихся в живых: «Смертельный сон внутри сна жизни. Или даже: «Мечта о смерти как единственная реальность жизни». В этом случае самоубийство кажется последней возможностью самостоятельно противостоять внутренней смерти, сохранить истинное «я» от завоевания интроектом, против которого человек устает бороться. «Как бы то ни было, 11 апреля смерть настигла Примо Леви» (Semprun, 1994).
Хирш М. | https://t.me/imatrip/2061?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,721,363,907 | 1,730,797,663 | 10,191 | 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| NEUTRAL | rus | NOT SPAM | 467 | 0 | 9 | 0.968652 | 0.031348 | 0 | 38 | 61 | 28 | 14 | 138 | 26 | 164 | true |
26 | null | Вы когда-нибудь задумывались, как было бы здорово укрепить свою иммунную систему, чтобы она работала на все
💯
❓
С современными вызовами — вирусами, стрессами и повседневной нагрузкой — иммунитету иногда недостаточно имеющихся ресурсов. Именно поэтому компания «Жизнивек» создала чайный напиток
ПРО Иммунитет
— натуральный способ поддержать защитные силы организма с помощью трёх компонентов
🧣
1️⃣
Чага — природный антиоксидант, богатый бета-глюканами и полифенолами. Она защищает клетки от окислительных повреждений и стимулирует иммунную систему. Благодаря своим противовоспалительным свойствам, чага помогает организму быстрее реагировать на инфекции, поддерживая иммунитет в состоянии боевой готовности.
2️⃣
Лимонник — адаптоген, который помогает организму лучше справляться со стрессом. Стресс ослабляет иммунную систему, а лимонник снимает эту нагрузку, помогая иммунитету сосредоточиться на защите от вирусов и инфекций. Лимонник также повышает выносливость и тонизирует организм, что особенно важно в осенне-зимний период.
3️⃣
Мята — улучшает пищеварение и способствует расслаблению. Для крепкого иммунитета важно, чтобы пищеварительная система хорошо работала, ведь от её состояния зависит способность организма усваивать питательные вещества и бороться с патогенами. Мята помогает снизить воспаление и улучшает общее самочувствие.
Каждый ингредиент — это звено, поддерживающее друг друга
🛡️
Чага укрепляет и защищает, лимонник снижает стресс и поддерживает энергию, а мята успокаивает и нормализует пищеварение, помогая организму лучше усваивать полезные вещества. Вместе эти три компонента образуют мощную команду, которая поддерживает ваш иммунитет и помогает ему крепко стоять на страже вашего здоровья этой осенью
🍁
Приятного чаепития
👉🏼
wildberries/про_иммунитет
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
👉🏼
https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11441?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,500 | 0 | 1,729,087,938 | 1,730,797,663 | 10,196 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11442?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 38,900 | 0 | 1,729,103,425 | 1,730,797,663 | 10,191 | 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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 | Давайте начистоту! Кто идёт со мной на ГЛАВНОЕ событие этой осени
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https://t.me/mageryachistka/582
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👋 | https://t.me/magerya/11443?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,900 | 0 | 1,729,136,408 | 1,730,797,663 | 10,191 | 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| [{"ner":"ГЛАВНОЕ","lemma":"главное","label":"ORG","start_pos":39,"end_pos":46},{"ner":"582","lemma":"582","label":"NUM","start_pos":97,"end_pos":100}] | NEUTRAL | rus | NOT SPAM | 19 | 0 | 1 | 0.961538 | 0.038462 | 0 | 0 | 4 | 2 | 0 | 6 | 0 | 2 | true |
26 | null | Через неделю
⬇️
Осенняя чистка пройдет с 24 октября по 24 ноября !
Она подходит для тех, кто хочет сохранить, продлить молодость, восстановить и приумножить свое здоровье.
В основе чистки стоит именно питание
👉🏼
здесь
🥗
В дополнение
к питанию подключаем добавки
. Они усилят результат
❗️
1️⃣
Дегликан Р
👉🏼
wildberries/дегликанР
2️⃣
Очищающий сбор
👉🏼
wildberries/сбор
3️⃣
Липогам R
👉🏼
wildberries/липогамR
4️⃣
Витамин D
👉🏼
wildberries/витаминD
5️⃣
Витамин С
👉🏼
wildberries/витаминС
6️⃣
Аргинин
👉🏼
wildberries/аргинин
7️⃣
Магний оротат
👉🏼
wildberries/магний_оротат
8️⃣
Омега-3
👉🏼
wildberries/омега_жидкая
9️⃣
Про(сим)биотики
👉🏼
wildberries/симбиотики
1️⃣
0️⃣
Пребиотики (лён + псиллиум)
👉🏼
wildberries/пребиотики
Также будем заботиться о красоте кожи, напитывать её и насыщать магниевой косметикой: принимать магниевые и натриевые ванны!
👉🏼
wildberries/магниевая_соль
👉🏼
wildberries.ru/натриевая_соль
👉🏼
wildberries/скраб_мята_цитрус
➕
Будем баловать себя
👉🏼
wildberries/шоколад_из_кэроба
Жду всех за здоровьем
😉
Делитесь? Какая это чистка у вас по счету?
Реклама. ООО «Жизнивек»
ИНН 2311312648
Реклама. ООО «МаМагеря»
ИНН 2310229436 | https://t.me/magerya/11444?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 36,700 | 0 | 1,729,155,986 | 1,730,797,663 | 10,191 | 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| NEUTRAL | rus | SPAM | 149 | 0 | 10 | 0.946237 | 0.053763 | 0 | 12 | 18 | 8 | 9 | 51 | 2 | 48 | true |
26 | null | 🟠
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11449?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,200 | 0 | 1,729,177,512 | 1,730,797,663 | 10,191 | 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26 | null | Морг МСЧ-126 в г.Припять. Завораживающие фото... | https://t.me/sudmednotes/9142?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 50,100 | 0 | 1,729,426,386 | 1,730,797,663 | 10,191 | 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26 | null | СММщики Авиасейлс гении | https://t.me/sudmednotes/9143?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 49,500 | 0 | 1,729,453,583 | 1,730,797,663 | 10,191 | 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| [{"ner":"СММщики","lemma":"сммщики","label":"ORG","start_pos":0,"end_pos":7},{"ner":"Авиасейлс","lemma":"авиасейлс","label":"PER","start_pos":8,"end_pos":17}] | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Эти пигоди с местного магазинчика так заманчиво выглядят. Но ощущение, что я отравлюсь если их съем. Что думаете? | https://t.me/sudmednotes/9144?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 46,500 | 0 | 1,729,495,405 | 1,730,797,663 | 10,191 | 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| null | NEUTRAL | rus | NOT SPAM | 18 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 3 | 0 | 3 | 2 | 4 | true |
26 | null | Давайте попробуем определить патологию?
А может кто-то опишет первые и последние симптомы пациента?
2000 пантер и ответ полетел
Записки судмедэксперта | https://t.me/sudmednotes/9146?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 45,200 | 0 | 1,729,517,692 | 1,730,797,663 | 10,191 | 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| [{"ner":"2000","lemma":"2000","label":"NUM","start_pos":100,"end_pos":104}] | NEUTRAL | rus | NOT SPAM | 20 | 0 | 1 | 1 | 0 | 0 | 2 | 6 | 3 | 1 | 7 | 0 | 2 | true |
26 | null | Про авитаминоз и что условно можно принимать без сдачи анализов
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Про профилактические дозы витамина Д
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Про витамины для беременных и кормящих | https://t.me/DrAnshina/1156?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 145,900 | 0 | 1,713,165,900 | 1,730,797,664 | 10,110 | 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| null | NEUTRAL | rus | NOT SPAM | 28 | 0 | 1 | 1 | 0 | 0 | 4 | 2 | 1 | 0 | 8 | 2 | 2 | true |
26 | null | Омега-3 для детей старше 7 лет, планирующих беременность женщин и мужчин, для беременных и кормящих женщин.
Подробное видео смотрите
https://t.me/DrAnshinaOmega/134
ИП Аньшина Елена Павловна
https://anshina.com/?erid=2SDnje6smof | https://t.me/DrAnshina/1157?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 126,800 | 0 | 1,713,445,382 | 1,730,797,664 | 10,110 | 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26 | null | Видео очень важное! Досмотрите до конца и отправьте старшим родственникам и беременным!!
Обращаюсь к коллегам: в 2024 году надо перестать назначать пациентам дипиридамол/курантил ! Особенно к гинекологам обращаюсь: если надо назначить беременной дезагрегант, то это аспирин!!
Назначение дипиридамола в кардиологии: это вне всякой критики (см видео). А такое увы встречается.
#аньшина_препараты
#вопросответ | https://t.me/DrAnshina/1158?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 176,200 | 0 | 1,713,767,078 | 1,730,797,664 | 10,110 | 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| [{"ner":"2024","lemma":"2024","label":"NUM","start_pos":113,"end_pos":117}] | NEUTRAL | rus | NOT SPAM | 52 | 0 | 1 | 1 | 0 | 0 | 5 | 10 | 2 | 0 | 15 | 5 | 17 | true |
26 | null | Причины старения кожи: как сохранить молодость и свежий вид
Старение - естественный процесс, который невозможно полностью избежать. Однако существуют способы задержать появление первых признаков старения и уменьшить их выраженность.
После 25 лет начинаются процессы увядания: метаболизм замедляется, клетки кожи теряют эластичность, и мимические морщинки становятся заметными.
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Причины преждевременного старения:
• Генетическая предрасположенность.
• Ультрафиолетовое излучение, загрязнение воздуха и другие негативные факторы окружающей среды.
• Неправильный уход за кожей и недостаточная защита от солнечных лучей.
• Нарушения в гормональном фоне.
⭐️
Уход за кожей: Важно начать поддерживать состояние кожи с момента достижения 25 лет, используя качественные косметические средства и проводя салонные процедуры, рекомендованные специалистами.
⭐️
Поддержание здоровья кожи: С возрастом кожа теряет способность удерживать влагу и полезные вещества, поэтому важно обеспечивать ее питанием и гидратацией.
Предотвратить или замедлить процессы старения кожи всегда легче, чем позже бороться с их последствиями. Соблюдайте правила здорового образа жизни и не забывайте вовремя обращаться к косметологу. | https://t.me/dr_Guvarsha/156?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 163,600 | 0 | 1,687,424,363 | 1,730,797,664 | 10,118 | 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| [{"ner":"25","lemma":"25","label":"NUM","start_pos":239,"end_pos":241},{"ner":"25","lemma":"25","label":"NUM","start_pos":732,"end_pos":734}] | NEUTRAL | rus | NOT SPAM | 151 | 0 | 1 | 1 | 0 | 0 | 25 | 24 | 2 | 2 | 64 | 7 | 31 | true |
26 | null | Какие есть виды аппаратной мезотерапии?
1. Электропорация: Этот метод использует импульсы высокой частоты, которые проникают в разные слои кожи, открывая аквапориновые каналы. Это позволяет доставить питательные вещества на максимальную глубину.
2. Криомезотерапия: В этом случае кожа обрабатывается холодом и электричеством, что обеспечивает проникновение активных компонентов в глубокие слои кожи и стойкий эффект омоложения.
3. Оксигенотерапия (ОХУ): Плотные потоки воздуха с молекулами омолаживающих компонентов обеспечивают проникновение полезных веществ в поверхностные слои кожи, придавая лицу здоровый вид и улучшая его цвет.
4. Магнитофорез: Магнитные волны помогают активным компонентам проникнуть в глубокие слои кожи.
5. Ультрафонофорез: Этот метод стимулирует кровообращение, активизирует обмен веществ и укрепляет стенки сосудов с помощью ультразвуковых волн.
Хотя аппаратная мезотерапия обеспечивает множество преимуществ, включая безболезненность и эффективность, ручное инъекционное введение препаратов все еще считается более эффективным методом, так как позволяет доставить питательные вещества на более глубокие уровни кожи. | https://t.me/dr_Guvarsha/157?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 162,500 | 0 | 1,687,424,363 | 1,730,797,664 | 10,110 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":40,"end_pos":41},{"ner":"2","lemma":"2","label":"NUM","start_pos":246,"end_pos":247},{"ner":"3","lemma":"3","label":"NUM","start_pos":428,"end_pos":429},{"ner":"4","lemma":"4","label":"NUM","start_pos":634,"end_pos":635},{"ner":"5","lemma":"5","label":"NUM","start_pos":730,"end_pos":731}] | NEUTRAL | rus | NOT SPAM | 139 | 0 | 2 | 1 | 0 | 0 | 23 | 21 | 3 | 5 | 59 | 5 | 27 | true |
26 | null | Эффекты Мезотерапии
Улучшение Тонуса Кожи: Мелкие мимические морщинки и заломы становятся менее заметными, придавая лицу более молодой вид.
Подтяжка Овала Лица: Очертания становятся более ясными, а участки провисания тканей, особенно в области глаз и подбородка, уменьшаются.
Нормализация Выработки Кожного Сала: Исчезает жирный блеск и неприятная стянутость, кожа становится более матовой и здоровой.
Уменьшение Высыпаний и Сужение Пор: Высыпания становятся менее заметными, а поры сужаются, улучшая текстуру кожи.
Заживление Рубцов и Пигментации: Небольшие рубцы, растяжки и пигментные пятна становятся менее выраженными, а кожа приобретает равномерный тон.
Восстановление Цвета Лица: Кожа приобретает здоровый и свежий вид без признаков усталости.
Мезотерапия также оказывает благоприятное воздействие на состояние волос, улучшая их структуру, уменьшая выпадение и стимулируя рост новых волос.
Количество Сеансов:
Мезотерапия эффективна в курсах, проводимых раз в 1–2 недели. Обычно требуется от 4 до 10 сеансов в зависимости от проблемы и зоны воздействия. Курс может повторяться 2–3 раза в год. | https://t.me/dr_Guvarsha/158?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 161,300 | 0 | 1,687,424,364 | 1,730,797,664 | 10,110 | 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| [{"ner":"Мезотерапии","lemma":"мезотерапии","label":"PER","start_pos":8,"end_pos":19},{"ner":"Тонуса Кожи","lemma":"тонус кожа","label":"PER","start_pos":30,"end_pos":41},{"ner":"Овала Лица","lemma":"овала лица","label":"PER","start_pos":149,"end_pos":159},{"ner":"Выработки Кожного Сала","lemma":"выработка кожный сала","label":"LOC","start_pos":289,"end_pos":311},{"ner":"Сужение Пор","lemma":"сужение пор","label":"PER","start_pos":425,"end_pos":436},{"ner":"Рубцов","lemma":"рубец","label":"PER","start_pos":527,"end_pos":533},{"ner":"Цвета Лица","lemma":"цвет лицо","label":"PER","start_pos":675,"end_pos":685},{"ner":"Кожа","lemma":"кожа","label":"PER","start_pos":687,"end_pos":691},{"ner":"1","lemma":"1","label":"NUM","start_pos":967,"end_pos":968},{"ner":"2","lemma":"2","label":"NUM","start_pos":969,"end_pos":970},{"ner":"4","lemma":"4","label":"NUM","start_pos":999,"end_pos":1000},{"ner":"10","lemma":"10","label":"NUM","start_pos":1004,"end_pos":1006},{"ner":"2","lemma":"2","label":"NUM","start_pos":1084,"end_pos":1085},{"ner":"3","lemma":"3","label":"NUM","start_pos":1086,"end_pos":1087}] | NEUTRAL | rus | NOT SPAM | 147 | 0 | 0 | 1 | 0 | 0 | 20 | 20 | 0 | 4 | 54 | 9 | 29 | true |
26 | null | Думаю, что каждая из вас сталкивалась с шелушением кожи
📎
Хочу раскрыть эту тему подробнее, поэтому сохраняйте
Ксероз (шелушение) – это состояние, проявляющееся сильной сухостью кожных покровов.
Часто оно обусловлено гипосекрецией сальных желез, как следствие появляется зуд и другие неприятные симптомы. Из-за развития ксероза кожа становится шероховатой и сухой на ощупь, снижается ее эластичность, в тяжелых случаях появляются трещины или другие поражения.
⭐️
Внешние причины включают:
— Воздействие окружающей среды: мороз, ветер, солнце, сухой воздух и загрязнения.
— Неправильный уход за кожей, включая недостаток увлажнения и использование неподходящих косметических средств.
⭐️
Внутренние причины включают:
— Недостаток влаги и питательных веществ.
— Генетическую предрасположенность.
— Заболевания кожи.
— Аллергические реакции.
— Дисбаланс гормонов и обменных процессов.
➕
Для решения проблемы шелушения кожи необходимо выявить конкретную причину и подходить к уходу за кожей комплексно, учитывая как внешние, так и внутренние факторы. | https://t.me/dr_Guvarsha/159?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 159,500 | 0 | 1,687,424,364 | 1,730,797,664 | 10,110 | 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| [{"ner":"Генетическую предрасположенность","lemma":"генетический предрасположенность","label":"LOC","start_pos":759,"end_pos":791}] | NEUTRAL | rus | NOT SPAM | 139 | 0 | 0 | 1 | 0 | 0 | 24 | 17 | 2 | 0 | 52 | 5 | 38 | true |
26 | null | Всё про SMAS лифтинг.
Ежедневно ко мне обращаются пациенты, которые хотят сделать подтяжку лица и увидеть желаемый результат как можно быстрее. SMAS лифтинг отличная процедура, про которую сегодня вам расскажу
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SMAS лифтинг – это безоперационная подтяжка на уровне подкожного фибромышечного слоя, соединяющего мышцы и дерму.
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Свое название аппаратная методика получила по точке приложения – Superficial Muscular Aponeurotic System.
Лифтинг восстановливает структуру в мышечно-апоневротическом слое, моделирует красивый овал лица, замедляет процессы старения. Пpоцедура дает выражeнный и пролoнгированный эффект.
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Процесс процедуры:
Воздействие осуществляется на особый слой кожи - SMAS, где происходит синтез эластина и коллагена. Специальные аппараты, такие как Ultherapy, Doublo и Ultraformer, генерируют мощные, но безопасные ультразвуковые волны, активизируя естественные биохимические процессы в коже.
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Какие преимущества?
• Продолжительный и выраженный эффект;
• Минимальное количество противопоказаний и доказанная клиническая безопасность;
• Короткий период реабилитации без сильных отеков и гематом;
• Отсутствие болевых ощущений в 95% случаев;
• Долговременный результат, который можно поддерживать повторными сеансами через полтора года.
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Превосходство ультразвукового лифтинга:
SMAS лифтинг отличается от традиционных методик лифтинга благодаря отсутствию болезненных ощущений, легкости в обработке даже самых деликатных зон, и безопасности процедуры. Ультразвук проникает глубоко в кожу, делая процедуру более эффективной, чем другие методы, такие как PF или лазерные процедуры. | https://t.me/dr_Guvarsha/160?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 162,100 | 0 | 1,687,424,364 | 1,730,797,664 | 10,196 | 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| [{"ner":"SMAS","lemma":"smas","label":"ORG","start_pos":8,"end_pos":12},{"ner":"Лифтинг","lemma":"лифтинг","label":"PER","start_pos":437,"end_pos":444},{"ner":"Ultraformer","lemma":"ultraformer","label":"ORG","start_pos":790,"end_pos":801},{"ner":"95","lemma":"95","label":"NUM","start_pos":1150,"end_pos":1152}] | NEUTRAL | rus | NOT SPAM | 202 | 0 | 6 | 0.950758 | 0.049242 | 0 | 35 | 22 | 6 | 2 | 74 | 9 | 46 | true |
26 | null | ТЕНЗАКТИВ. Я никогда не рекламировал этот препарат, никогда не давал о нём никаких отзывов! Что это- я не знаю. Но думаю: раз для его продвижения пользуются откровенной ложью- значит и остальное всё в таком же духе.
Почему написал: вчера звонили с очень поднебесного Верха и спрашивали: так значит хороший препарат, раз вы про него статью написали?!
Мне было очень неудобно объяснять, что это не я, но жулики…. Осталось ощущение, что в чём то виноват. Хорошо, если ТАМ так не подумали.
Вопрос: за такими вещами кто-то следит? Кто-то фильтрует информацию? Ведь масса людей ведутся на жуликов, зачастую бросают нужное лечение и переходят на всякую жульническую лабуду. Это же прямое вредительство! | https://t.me/drmyasnikov/2554?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 99,500 | 0 | 1,725,261,645 | 1,730,797,664 | 10,118 | 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| [{"ner":"ТЕНЗАКТИВ","lemma":"тензактив","label":"ORG","start_pos":0,"end_pos":9},{"ner":"Верха","lemma":"верх","label":"PER","start_pos":268,"end_pos":273},{"ner":"ТАМ","lemma":"там","label":"ORG","start_pos":466,"end_pos":469}] | NEGATIVE | rus | NOT SPAM | 109 | 0 | 3 | 1 | 0 | 0 | 10 | 19 | 17 | 0 | 23 | 9 | 25 | true |
26 | null | Осень.
Скоро начнем прививаться от сезонного гриппа.
Рекомендовано вакцинировать всех, начиная с детей от 6 месяцев и далее везде.
Какой результат?
Познакомлю с обширными исследованиями, посвященными исследованиям эффективности сезонной вакцинации.
Риски заболеть гриппом снижаются у вакцинированных до 0,9% от 2,3% среди невакцинированных.
У людей 65+ до 2,4% с 6% среди невакцинированных. Общая эффективность в предотвращении гриппа -40%
Смертность снижается на 32%
Риски попасть в реанимацию- на 26%
Среди больных заболеваниями сердца риски инфарктов снижаются на 34%
Смертность от сердечного приступа-18%
Какую вакцину делать? Любую доступную. Обычно они содержат антигены к предполагаемым в данном сезоне вариантам вирусов гриппа. В 2023-2024 некоторые вакцины содержали 4 антигена (квадривалентные), обеспечивающих развитие иммунитета от наиболее вероятных и опасных генотипов вируса гриппа. Она содержала два подтипа типа A (A/H1N1 и A/H3N2) и две линии типа B (B/Victoria и B/Yamagata) Наравне с ними использовались и тривалентные, там на одну разновидность генотипа меньше. Вирусы линии B/Ямагата не были выявлены во всем мире с марта 2020 года, и ВОЗ и другие органы общественного здравоохранения рекомендовали удалить их из сезонной вакцины.
Соответственно, в сезоне 2024-25 годов все вакцины против гриппа, будут трехвалентными, штамм линии A/H1N1, A/H3N2 и B/Victoria.
Да, вакцины от гриппа содержат тиомерсал. Доза ртути там столько же, сколько в одном стейке из тунца. Некоторые новые зарубежные вакцины сегодня идут без тиомерсала.
Так же появились рекомбинантные вакцины, антигены продуцируются путем молекулярной биологии, в отличие от культивированных на клетках млекопитающих. Не содержит яичного белка. Сегодня аллергия на яичный белок не является противопоказанием к вакцинации от гриппа. Даже применяя вакцины, культивированные на яичном белке, частота побочных аллергических реакций: 1,2 на миллион введенных доз. В Мире существуют вакцины «повышенной мощности», содержащие существенно бОльшие дозы антигена для некоторых категорий больных, вакцины «умножающие» иммунный ответ, целая отдельная история про «живые» противогриппозные вакцины.. | https://t.me/drmyasnikov/2556?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 94,500 | 0 | 1,725,520,252 | 1,730,797,664 | 10,110 | 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26 | null | Смотрите завтра передачу «Доктор Мясников». Она необычная- снята на природе, у меня на даче. Будем жарить бараньи ребрышки, «ходить» по рукоходу, расскажу как закалять тело и душу. | https://t.me/drmyasnikov/2558?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,100 | 0 | 1,725,602,605 | 1,730,797,664 | 10,110 | 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| [{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":26,"end_pos":41}] | NEUTRAL | rus | NOT SPAM | 27 | 0 | 0 | 1 | 0 | 0 | 0 | 6 | 2 | 0 | 9 | 2 | 10 | true |
26 | null | Смотрите, что сегодня нашел в «перекрестке»
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Такого шоколада можно съесть тонны и не вздуться
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#рекомендую #сладкое | https://t.me/ibs_doc/139?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,900 | 0 | 1,692,296,346 | 1,730,797,664 | 10,118 | 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26 | null | Диарея на нервной почве – это нормально?
Все знают, что на фоне стресса может быть диарея – явление, известное в народе как «медвежья болезнь».
Подробнее о ней попросили рассказать
Егора Язева
– гастроэнтеролога «Клиники Фомина» (
https://t.me/ibs_doc
).
👨⚕️
По своей сути, это функциональное расстройство кишечника, когда он физически здоров, но функция в нашем понимании нормы нарушена.
Почему это всегда происходит перед важными событиями,
такими как экзамен или собеседование
❓️
Такая реакция развилась в ходе эволюции и является вполне логичной и в какой-то мере полезной для выживания в дикой природе. Однако, в созданном человеком мире только мешает.
🏃♂️
Диарея возникает как следствие реакции «бей или беги» при возникновении угрозы. При этом выбрасываются медиаторы стресса, которые, активируя симпатическую нервную систему, вызывают позыв к дефекации. Напротив, парасимпатическая нервная система, активность которой преобладает во время сна, не дает кишечнику опорожняться.
Так зачем кишечнику опорожняться во время стресса?
В чем здесь смысл?
Есть несколько эволюционных теорий, объясняющих это:
1️⃣
При побеге от хищника нашим предкам было необходимо перенаправить все возможные ресурсы от ЖКТ к мышцам, сердцу и головному мозгу. Осуществлялось это путем быстрого опорожнения кишечника и тем самым уменьшения нагрузки на ЖКТ.
2️⃣
Вторая теория заключается в том, что с опорожненным кишечником будет легче бежать на пределе физических возможностей (с этим сложно поспорить).
У современного человека потребность бежать от хищников практически не возникает, разве что в редких случаях. Зато приходится представать лицом к лицу к объектами своего ужаса: задачами на работе, экзаменаторами в университете или будущим работодателям на собеседованиях. Вероятнее всего, эти встречи не грозят нам быть съеденными или убитыми, но наши инстинкты так не считают.
Если склонность к подобным проблемам носит постоянный характер и снижает качество жизни, вероятно, стоит рассмотреть возможности коррекции образа жизни, обращение к психиатру или же к психологу-психотерапевту. Весьма эффективной может быть, например, когнитивно-поведенческая терапия.
Как избежать неприятных инцидентов?
🔸️
Поддаться позыву и все-таки опорожнить кишечник в специально отведенном для этого месте.
🔸️
Избегать диареегенных и газообразующих продуктов накануне (с помощью low-FODMAP диеты).
🔸️
Также можно применить безрецептурный препарат – лоперамид – накануне мероприятия. | https://t.me/ibs_doc/140?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,100 | 0 | 1,692,475,497 | 1,730,797,664 | 10,110 | 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| [{"ner":"Егора Язева","lemma":"егор язев","label":"PER","start_pos":181,"end_pos":192},{"ner":"ЖКТ","lemma":"жкт","label":"ORG","start_pos":1204,"end_pos":1207},{"ner":"ЖКТ","lemma":"жкт","label":"ORG","start_pos":1335,"end_pos":1338},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":2186,"end_pos":2187},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":2278,"end_pos":2279},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":2369,"end_pos":2370},{"ner":"1","lemma":"1","label":"NUM","start_pos":1109,"end_pos":1110},{"ner":"2","lemma":"2","label":"NUM","start_pos":1340,"end_pos":1341}] | NEUTRAL | rus | NOT SPAM | 334 | 0 | 5 | 0.993243 | 0.006757 | 0 | 41 | 46 | 16 | 1 | 103 | 21 | 75 | true |
26 | null | ⬆️
написал пост для блога клиники ;)
Картинка сгенерирована в midjourney | https://t.me/ibs_doc/141?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,400 | 0 | 1,692,475,586 | 1,730,797,664 | 10,110 | 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| null | NEUTRAL | rus | NOT SPAM | 11 | 0 | 0 | 0.928571 | 0.071429 | 0 | 0 | 2 | 0 | 0 | 4 | 0 | 1 | true |
26 | null | Я часто на приеме слышу фразу «Доктор, я как утка - поел(а) и сразу в туалет».
Разумеется, в унитазе не окажется то, что вы только что съели, было бы весьма обидно, согласны? От вашего желудка до выхода съеденное разделяет 3-5 м тонкой кишки и примерно 1,5 м толстой, а по времени это минимум часов 12, за исключением случаев, когда человек страдает от кишечных инфекций.
В основе явления похода в туалет после еды лежит нормальный гастроколический рефлекс.
Он и обуславливает появление сразу после еды таких неприятных симптомов, как ощущение вздутия, боли и «спазмы», бурление, которые локализуются в любых частях живота, где расположены разные отделы толстой кишки.
Работает это следующим образом – еда или жидкость поступает в желудок, давит на его стенки, в ответ на это растяжение «внутренняя нервная система ЖКТ» посылает сигнал кишечнику, чья моторика значительно усиливается.
Зачем нам нужен этот рефлекс? Все очень логично – «освободить место» для поступающей пищи. Его активация происходит в первые минуты после начала приема пищи.
См. продолжение ниже
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#СРК #запретограм | https://t.me/ibs_doc/142?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,400 | 0 | 1,694,366,059 | 1,730,797,664 | 10,110 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":223,"end_pos":224},{"ner":"5","lemma":"5","label":"NUM","start_pos":225,"end_pos":226},{"ner":"1","lemma":"1","label":"NUM","start_pos":253,"end_pos":254},{"ner":"5","lemma":"5","label":"NUM","start_pos":255,"end_pos":256},{"ner":"12","lemma":"12","label":"NUM","start_pos":299,"end_pos":301}] | NEUTRAL | rus | NOT SPAM | 166 | 0 | 4 | 1 | 0 | 0 | 19 | 16 | 9 | 5 | 57 | 10 | 39 | true |
26 | null | Ярче всего этот рефлекс выражен в сигмовидной кишке, после приема пищи она активно проталкивает содержимое в прямую кишку, от растяжения которой возникает позыв в туалет.
Кроме сигмовидной, рефлекс достаточно сильно проявляется в поперечно-ободочном и нисходящем отделах толстой кишки, и здесь от такой активности могут возникать боли, как показано на картинке.
У пациентов с СРК ввиду раздражимости кишечника этот рефлекс может проявляться значительно ярче, из-за чего возникает «экстренный» позыв к дефекации, ощущение вздутия, боль, отхождение газов и ложные позывы.
Поэтому если боль в животе, диарея и другие симптомы появляются сразу после еды – это не значит, что проблема в желудке, он лишь сделал свое дело – «запустил» вашу толстую кишку. Это совершенно нормальная реакция, хотя она может приносить выраженный дискомфорт.
Взять под контроль этот рефлекс можно при помощи уменьшения объема газов и жидкости в просвете кишечника, о чем вы можете прочитать в других публикациях моего блога, а также с применением медикаментов, уменьшающих чувствительность и моторику кишечника, но это уже сделает ваш лечащий врач.
😉
#СРК #запретограм | https://t.me/ibs_doc/144?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 9,800 | 0 | 1,694,366,101 | 1,730,797,664 | 10,110 | 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| [{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":376,"end_pos":379}] | NEUTRAL | rus | NOT SPAM | 165 | 0 | 3 | 1 | 0 | 0 | 16 | 22 | 11 | 0 | 57 | 11 | 30 | true |
26 | null | Ремиссия и/или восстановление.
Множество факторов влияет на эффективность лечения заболеваний. Особенность психических расстройств (и вообще состояний, надолго «выбивающих» человека из привычной жизни) в том, что просто удаления симптомов часто недостаточно для возвращения на уровень, который был до начала болезни.
В чем разница этих терминов?
Ремиссия – это состояние, при котором нет симптомов расстройства в течение длительного времени.
Восстановление – это отсутствие симптомов расстройства, возобновление социального взаимодействия и возвращение к работе/учебе/домашним делам. Но это академическое определение и оно не всегда может совпадать с точкой зрения самих людей, переживших эпизод психического расстройства.
В последние годы специалисты в области психического здоровья стали уделять больше внимания тому, как на восстановление смотрят непосредственно люди, которым лечение предназначено. В некоторых случаях взгляд может отличаться по очень важным аспектам. Например, качественное
исследование, опубликованное в Международном журнале социальной психиатрии
, показало, что пациенты с шизофренией считают критериями восстановления следующие индикаторы: отсутствие симптомов, восстановление функционирования, возможность работать (по своему состоянию), наличие адекватной эмоциональной стабильности и уход от приема медикаментов.
К сожалению, мы до сих пор очень мало знаем о том, как можно достичь восстановления после эпизода тяжелых психических расстройств, таких как психотические эпизоды.
Зонтичный обзор
возможных предикторов ответа, ремиссии, восстановления и обострения при психических расстройствах показал, что чаще всего авторы исследований выбирают ремиссию как точку оценки исходов расстройства (или лечения) – 37% от исследований, проанализированных авторами обзора. Восстановлению же было посвящено только 2,5% исследований.
К похожему выводу приходят и авторы статьи
«Определение восстановления при шизофрении: обзор исследований исходов расстройства»
: «Несмотря на существование принципиальных работ и критериев восстановления у пациентов с шизофренией, лишь небольшое количество исследователей пользуется ими».
В то же время, можно предположить, что раз мы с помощью лечения можем полноценно убрать симптомы расстройств, то восстановление лежит уже за пределами фармакологии. И тут, на мой взгляд, на первое место выходят уже иные причины.
Побочные эффекты препаратов – то, на что часто врачи или медицинский персонал не обращают внимания, а это значимо влияет на качество жизни, возможности восстановления и приверженность терапии.
Социальные – это, в первую очередь, стигма, которая преследует людей, перенесших или живущих с психическим расстройством. При этом стигма может воплощаться в законодательно закрепленную дискриминацию, когда лишь по факту наличия диагноза человеку становится запрещено занимать ряд должностей и становятся закрытыми многие профессии. В части случаев это усиливается внутренней стигмой, когда человек после перенесенного заболевания сам начинает считать себя неспособным, слабым и т.д.
Что с этим можно делать и как повысить вероятность полного восстановления? На это попытались ответить в исследовании, где т
ри года отслеживали состояние после психоза
. Общий уровень ремиссии составил 80% среди тех, кого удалось отследить все три года, но вот полное восстановление было лишь у 40%.
Значимыми предикторами восстановления были: малое время нелеченого психоза (то есть быстрое начало лечения), близкие семейные отношения по мнению пациентов, и физическая активность.
Конечно, факторов, связанных с восстановлением, может быть гораздо больше, но, чтобы их выявить и на них опираться, нужно вообще знать, что такая цель в лечении может существовать. Хотелось бы, чтобы на эту цель и ориентировались коллеги при работе с пациентами.
#Лечение #Шизофрения #Психиатрия #Эффективность #Ремиссия #Восстановление | https://t.me/imatrip/2053?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,720,947,721 | 1,730,797,664 | 10,112 | 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26 | null | Элинор Гринберг о значения термина «Личностная адаптация»:
За тридцать с лишним лет, что я изучала эту область, она прошла путь от «расстройств характера» до «расстройств личности» и «расстройств селф». Теперь я добавляю в эту смесь термин «адаптация личности», чтобы подчеркнуть часто упускаемые из виду адаптивные качества того, что на первый взгляд может показаться полностью патологическим. Хотя я очень предпочитаю термин «адаптация личности», я намеренно использую здесь все эти термины как взаимозаменяемые, потому что считаю, что читатель должен осознавать, что все они в основном относятся к одной и той же группе клиентов.
Общие трудности клиентов с личностными адаптациями:
(1) Их проблемы затрагивают всю личность.(мое прим: привет критерии Ганнушкина- Кебрикова)
(2) Их проблемы серьезнее, чем у среднестатистического клиента.
Этим клиентам трудно вести себя последовательным и надлежащим образом во многих сферах своей повседневной жизни. В крайних случаях эти проблемы иногда мешают им сохранять работу, или формировать удовлетворительные отношения, или заботиться об их основных потребностях, таких как: достаточный сон, обращение за соответствующей медицинской помощью и обладание крыши над головой.
(3) Их проблемы в основном эго-синтонные.
Под эго-синтонным я подразумеваю, что клиент считает, что определенный образ мышления или поведения, независимо от того, насколько он дисфункциональный или странный, является неотъемлемой частью его личности. Это ощущается, как норма.
(4) Их сложности уходят корнями в раннее детство.
(5) У них часто бывает детская амнезия.
Многие из клиентов очень мало помнят о своем детстве, и то, что у них есть, состоит из фрагментов без целостности.
(6) Нарушена их способность видеть себя и других реалистично.
Люди либо полностью хорошие, либо полностью плохие, и это восприятие иногда может быстро измениться на обратное.
(7) Описание их проблем часто очень расплывчаты.
"знаю, что я не счатлив(а) Раньше я проходил(а) терапию, но перестал(а). Я не помню почему".
(8) Стимулы, вызывающие стресс - характеристика давней проблемы.
Например, клиенты, у которых есть пограничные проблемы, часто приходят на терапию после разрыва романтических отношений. Они чувствуют себя брошенными, злыми, обиженными, отвергнутыми и безутешными. Эти чувства им очень знакомы. Каждая потеря или разлука может вызвать глубокое чувство покинутости, даже если они были инициаторами разлуки.
(9) У них проблемы с самоактивацией.
Самоактивация - это способность идентифицировать свои истинные потребности и желания и действовать в соответствии с ними, а также способность поддерживать себя в достаточной степени, чтобы оставаться мотивированным, пока вы их не достигнете. Самоподдержка - это топливо, которое делает возможной самоактивацию..
(10) У них проблемы с близостью и отношениями.
Клиенты с личностными адаптациями, как правило, очень нереалистичны в отношении того, чего они могут ожидать от своих товарищей, друзей и членов семьи. Когда другие не оправдывают их ожиданий, они, как правило, чувствуют разочарование, обиду и гнев. Кроме того, некоторые из этих клиентов давно боятся близости с другими людьми.
(11) Нарушена их способность управлять своей самооценкой, настроением и успокаивать себя без посторонней помощи.
(12) Им трудно сформировать настоящий терапевтический альянс.
Под «терапевтическим альянсом» я подразумеваю, что и клиент, и терапевт искренне и обоюдно понимают, что они работают вместе с целью помочь клиенту. Когда существует прочный терапевтический альянс, клиент не только чувствует себя комфортно с терапевтом и целями терапии, но также выполняет свою долю терапевтической работы. По этой причине его иногда называют «Рабочий альянс». Может показаться, что у клиентов с личностными адаптациями есть терапевтический альянс, когда все, что у них есть на самом деле, - это временный позитивный перенос, в котором они видят своего терапевта, как полностью хорошего. | https://t.me/imatrip/2054?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,721,034,652 | 1,730,797,664 | 10,110 | 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| [{"ner":"Элинор Гринберг","lemma":"элинор гринберг","label":"PER","start_pos":0,"end_pos":15},{"ner":"Нарушена","lemma":"нарушить","label":"PER","start_pos":1703,"end_pos":1711},{"ner":"Стимулы","lemma":"стимулы","label":"PER","start_pos":2020,"end_pos":2027},{"ner":"Нарушена","lemma":"нарушить","label":"PER","start_pos":3151,"end_pos":3159},{"ner":"Рабочий альянс","lemma":"рабочий альянс","label":"ORG","start_pos":3682,"end_pos":3696},{"ner":"1","lemma":"1","label":"NUM","start_pos":686,"end_pos":687},{"ner":"2","lemma":"2","label":"NUM","start_pos":777,"end_pos":778},{"ner":"3","lemma":"3","label":"NUM","start_pos":1218,"end_pos":1219},{"ner":"4","lemma":"4","label":"NUM","start_pos":1495,"end_pos":1496},{"ner":"5","lemma":"5","label":"NUM","start_pos":1545,"end_pos":1546},{"ner":"6","lemma":"6","label":"NUM","start_pos":1700,"end_pos":1701},{"ner":"7","lemma":"7","label":"NUM","start_pos":1875,"end_pos":1876},{"ner":"8","lemma":"8","label":"NUM","start_pos":2017,"end_pos":2018},{"ner":"9","lemma":"9","label":"NUM","start_pos":2422,"end_pos":2423},{"ner":"10","lemma":"10","label":"NUM","start_pos":2771,"end_pos":2773},{"ner":"11","lemma":"11","label":"NUM","start_pos":3147,"end_pos":3149},{"ner":"12","lemma":"12","label":"NUM","start_pos":3260,"end_pos":3262}] | NEUTRAL | rus | NOT SPAM | 545 | 1 | 5 | 1 | 0 | 0 | 71 | 69 | 50 | 15 | 148 | 36 | 145 | true |
26 | null | В отличие от настоящего терапевтического альянса, эти положительные чувства могут внезапно исчезнуть, как только терапевт их разочарует (Masterson, 1976, 1981).
(13) У них очень сильные реакции переноса.
К сожалению, нередки негативные терапевтические реакции. Когда клиенты проецируют на терапевта
(14) Терапевт должен быть готов к сильным контрпереносным реакциям.
(15) Они выбирают друзей и любовников, которые повторяют их ранние семейные отношения.
Текст со страницы
Оксаны Корнеевой | https://t.me/imatrip/2055?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,721,034,653 | 1,730,797,664 | 10,112 | 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26 | null | Собственно говоря, идея Лэнса Додеса, психоаналитика и психиатра, который много лет посвятил проблеме «зависимости», заключается в том, что любые аддиктивные действия – это способы справиться с ощущением беспомощности или чувством того «что меня загнали в угол» («я в ловушке», «выхода нет»).
Аддиктивные действия следует понимать как попытки вернуть себе ощущение контроля и перестать чувствовать себя настолько беспомощным.
Тут ещё важно заменить, что самые разнообразные аддикции – не связаны с поисками удовольствий (хотя такая мотивация действительно важна и даже превалирует в начале употребления).
Первоначально, идея о том, что «зависимости» – это не истории про поиск наслаждения, а скорее про попытки избежать эмоциональной боли, была высказана ещё Отто Фенихелем в его фундаментальном труде «Психоаналитическая теория неврозов» (1945).
Химические аддикции возможны потому, что в мире существуют наркотики, однако возникают они по психическим (личностным, индивидуальным) причинам (ибо несмотря на доступность веществ и/или опыт их употребления, зависимость как клиническое расстройство возникает у значимого меньшинства людей).
Додес даже заявляет: «Если Вы пьете только потому, что Вам это нравится, то Вы не алкоголик».
«Если бы алкоголики пили ради удовольствия, то они бы прекратили это делать как только выпивка стала доставлять им неприятности».
Согласно «гипотезе самолечения» предполагается, что злоупотребление, будь то психоактивными веществами, будь то азартными играм, возникает, когда индивид пытается самостоятельно и доступным ему способом лечить уже имеющиеся у него эмоциональное расстройство.
И делает он это с целью изменить и облегчить свое исходное, субъективно невыносимое психологическое состояние.
Леон Вёрмсер (1974) полагал, что эффекты, достигаемые за счет использования подобных средств, лучше всего могут быть объяснены как искусственная или суррогатная защита от непреодолимых аффектов.
Исходя из «концепции самолечения», аддикция формируется у тех индивидуумов, которые переживают глубокое разочарование в своей жизни, не выносят фрустрацию, страдают от тревоги, одиночества, скуки, депрессии, неудовлетворенности собой и объектами своей любви и имеют нереалистичные ожидания.
©
Автономов Денис, 2024
#аддикция
#зависимость
#беспомощность | https://t.me/imatrip/2056?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,721,128,070 | 1,730,797,664 | 10,112 | 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| [{"ner":"Лэнса Додеса","lemma":"лэнса додеса","label":"PER","start_pos":24,"end_pos":36},{"ner":"Отто Фенихелем","lemma":"отто фенихелем","label":"PER","start_pos":759,"end_pos":773},{"ner":"Додес","lemma":"додес","label":"PER","start_pos":1139,"end_pos":1144},{"ner":"Леон Вёрмсер","lemma":"леон вёрмсер","label":"PER","start_pos":1733,"end_pos":1745},{"ner":"©","lemma":"©","label":"ORG","start_pos":2219,"end_pos":2220},{"ner":"Автономов Денис","lemma":"автономов денис","label":"PER","start_pos":2221,"end_pos":2236},{"ner":"1945","lemma":"1945","label":"NUM","start_pos":840,"end_pos":844},{"ner":"1974","lemma":"1974","label":"NUM","start_pos":1747,"end_pos":1751},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":2238,"end_pos":2242}] | NEUTRAL | rus | NOT SPAM | 297 | 0 | 1 | 1 | 0 | 0 | 32 | 46 | 25 | 0 | 86 | 17 | 87 | true |
26 | null | 🟠
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Кедровое масло имеет антисептические свойства, способствует облегчению дыхания при заболеваниях верхних дыхательных путей.
Можно просто пить по 1 ч.л., а можно добавлять в салаты и блюда.
Наслаждайтесь
👉🏼
ozon/кедровое_масло
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
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https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11433?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,000 | 0 | 1,729,010,106 | 1,730,797,664 | 10,119 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":306,"end_pos":314},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":350,"end_pos":379},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":369,"end_pos":379},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":374,"end_pos":379},{"ner":"1","lemma":"1","label":"NUM","start_pos":152,"end_pos":153}] | NEUTRAL | rus | SPAM | 52 | 0 | 2 | 0.974684 | 0.025316 | 0 | 5 | 6 | 0 | 3 | 18 | 2 | 13 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11434?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 39,100 | 0 | 1,729,017,024 | 1,730,797,664 | 10,110 | 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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 | Какая привычка губит ваше здоровье
⬇️
Пишите, потом будем анализировать
🤓 | https://t.me/magerya/11435?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,900 | 0 | 1,729,054,782 | 1,730,797,664 | 10,110 | 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| [{"ner":"🤓","lemma":"🤓","label":"ORG","start_pos":72,"end_pos":73}] | NEUTRAL | rus | NOT SPAM | 11 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 1 | 3 | true |
26 | null | Они здоровье гробят, а одна ещё и грабит
🤑
С этой пагубной привычки и начнём наш хит парад:
1️⃣
место – ПЕРЕЕДАНИЕ.
Причины: эволюционно заложенные программы голода. Наши предки (от бабушек до пещерных людей) регулярно ощущали это чувство. Дефицит пищи заставлял делать запасы впрок как в погребах, так и в животах. В современном мире больше умирают от ожирения и диабета, чем от голода, но рудимент в виде «наесться про запас» остался.
Причина номер 2 – Homo sapiens умудрился из пищи получать серотонин и дофамин, решая свои эмоциональные проблемы. На какое-то время способ рабочий, только потом появляются ожирение и инфаркты.
Причина 3 – есть хотите не вы, а организмы, живущие внутри вас
🐛
🪱
2️⃣
место – ДЕФИЦИТ СНА.
Привет вечерним гаджетам, сериалам, ночным работягам и тревожным мозгам
🤯
Когда мелатонин уходит из чата, уходит и молодость со здоровьем!
❗️
Нормализовав сон, пройдут 60% болячек. Доказано научно!
3️⃣
место – СТРЕСС.
Постоянное напряжение и тревога ослабляют иммунную систему, повышают риск развития сердечно-сосудистых заболеваний, диабета, а также могут привести к депрессии.
4️⃣
место – САХАР и МУЧНОЕ.
Тут часами можно разглагольствовать о вреде, но основная проблема – гликация – патологический процесс склеивания белков углеводами. Белки – делают жизнь возможной. На них держится ферментативная, иммунная, транспортная и гормональная системы. Склеенные белки – проблемы с полноценной жизнью
➕
болезнь Альцгеймера.
5️⃣
привычка – АЛКОГОЛЬ.
Зависимость так зависимость. Хорошая новость, что возможно не ваша! Микрофлора кишечника синтезирует спирт для нужд организма. Если есть дисбактериоз, то бытовое пьянство неизбежно. Насытив себя пробиотиками, можно легко избавиться от этой привычки!
У вас есть что-нибудь из этих привычек
❓
Хотите избавиться
⁉️
Хорошая новость, будем перестраивать привычки и менять жизнь к лучше на
главном оздоровительном мероприятии осени
24 октября.
Марафон безоплатный, проходит в телеграм канале
👉🏼
https://t.me/mageryachistka/582 | https://t.me/magerya/11440?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,900 | 0 | 1,729,072,816 | 1,730,797,664 | 10,110 | 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| 10 | 0.992268 | 0.007732 | 0 | 33 | 37 | 10 | 6 | 100 | 14 | 68 | true |
26 | null | Что у них там происходит? | https://t.me/sudmednotes/9130?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,800 | 0 | 1,729,399,429 | 1,730,797,664 | 10,110 | 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| null | NEUTRAL | rus | NOT SPAM | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 1 | 1 | true |
26 | null | Ко мне часто приходят пациенты с розацеа. Сегодня разберем, что это такое, симптомы, диагностику и лечение
Розацеа (розовые угри) — это хроническое кожное заболевание, сопровождающееся стойким расширением кожных капилляров, образованием папул и пустул (узелков и пузырьков), отёком и покраснением кожи.
⚪️
Симптомы:
Розацеа проявляется краснотой кожи, образованием мелких прыщиков и видимыми расширенными кровеносными сосудами, обычно на центральной части лица. Симптомы могут включать покраснение, появление видимых сосудов и мелких прыщиков на щеках и носу.
⚪️
Причины, вызывающие розацеа:
— генетический фактор;
— нарушение регуляции сосудистого тонуса — склонность к покраснению
— нарушение лимфообращения, застой лимфы
— гормональные изменения
— изменения в работе сальных желёз (себорея)
— проблемы с пищеварением
— стрессы и другие психоэмоциональные напряжения
— вредные привычки
— неподходящая уходовая и декоративная косметика, в составе которой есть химические раздражители
⚪️
Диагностика:
Подразделяют на две группы:
Основные диагностические критерии:
— нестойкая эритема;
— стойкая эритема;
— телеангиэктазии;
— папулы и/или пустулы.
Дополнительные диагностические критерии:
— ощущение жжения и покалывания, отёчность лица;
— сухость кожных покровов;
— образование воспалительных бляшек;
— признаки поражения глаз;
— фиматозные разрастания.
⚪️
Лечение:
— Избегание провоцирующих факторов, таких как острая пища, алкоголь, горячие напитки, солнечный свет, резкие температурные колебания и эмоциональный стресс.
— Наружное применение антибиотиков и внутренний прием антибиотиков в некоторых случаях.
— Избегание лекарственных препаратов, которые могут усугубить розацеа, таких как амиодарон, кортикостероиды и некоторые витамины в высоких дозах.
📎
Розацеа часто поражает людей среднего возраста и чаще встречается у людей с светлым цветом кожи. Приверженность к предупредительным мерам и лечение под наблюдением врача могут помочь снизить обострения и улучшить состояние кожи. | https://t.me/dr_Guvarsha/153?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 163,300 | 0 | 1,687,424,169 | 1,730,797,665 | 10,137 | 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| [{"ner":"Розацеа","lemma":"розацеа","label":"PER","start_pos":107,"end_pos":114}] | NEUTRAL | rus | NOT SPAM | 258 | 0 | 0 | 1 | 0 | 0 | 45 | 19 | 4 | 1 | 112 | 7 | 80 | true |
26 | null | Броссаж лица: эффективная методика очищения кожи
Броссаж лица (брашинг) представляет собой механический пилинг, который осуществляется с использованием специальных насадок. Этот процесс практически лишен травматичности и почти не имеет противопоказаний.
Специальный аппарат с щеточкой удаляет слой отмерших клеток эпидермиса, тем самым очищая кожу и придавая ей сияние.
Броссаж идеально подходит для сухой кожи, склонной к появлению высыпаний, а также для чувствительной кожи. Этот процесс очищает кожу бережно, полирует верхний слой клеток и улучшает кровоснабжение тканей.
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Для достижения оптимальных результатов я рекомендую сочетать броссаж с массажами, пилингами и масками.
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Показания к проведению процедуры включают:
расширенные поры, склонность к появлению высыпаний, черные точки, плохой тургор кожи, начальную стадию возрастных изменений, чрезмерную сухость или сальность, а также мелкие морщинки.
Однако в периоды обострений угревой сыпи рекомендуется воздержаться от проведения броссажа.
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Каких результатов можно достичь:
• Увлажнение и регенерация кожи
• Очищение пор
• Улучшение кровообращения
• Оксигенация тканей
• Омолаживающий эффект
• Повышение упругости кожи
Брашинг дает хороший эффект после 6-7 процедур, с интервалом в 2 недели. | https://t.me/dr_Guvarsha/154?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 160,500 | 0 | 1,687,424,169 | 1,730,797,665 | 10,120 | 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| [{"ner":"Броссаж","lemma":"броссаж","label":"PER","start_pos":0,"end_pos":7},{"ner":"Броссаж","lemma":"броссаж","label":"PER","start_pos":49,"end_pos":56},{"ner":"Броссаж","lemma":"броссаж","label":"PER","start_pos":370,"end_pos":377},{"ner":"6","lemma":"6","label":"NUM","start_pos":1218,"end_pos":1219},{"ner":"7","lemma":"7","label":"NUM","start_pos":1220,"end_pos":1221},{"ner":"2","lemma":"2","label":"NUM","start_pos":1247,"end_pos":1248}] | NEUTRAL | rus | NOT SPAM | 166 | 0 | 0 | 1 | 0 | 0 | 17 | 22 | 5 | 4 | 75 | 8 | 34 | true |
26 | null | Что такое ионофорез кожи?
Ионофорез для лица — аппаратная процедура, суть метода в проведении гальванического тока низкого напряжения, который воздействует на верхние и средние слои кожи.
Этот метод позволяет активным компонентам средств проникать в более глубокие слои кожи, стимулируя выработку коллагена и эластина, улучшая обмен веществ и обеспечивая клеткам кислородом.
Во время ионофореза в качестве биологических компонентов могут использоваться различные
сыворотки, эссенции и другие косметические составы с полезными веществами.
Выбор подходящих средств определяется полярностью электрода - положительным или отрицательным зарядом.
➕
При положительном заряде электрода можно использовать растительные экстракты, витамины группы В и Е, гиалуронодазу, кофеин, сульфаты меди и цинка, а также физрастворы.
➖
Для отрицательно заряженных электродов подходят средства с витамином С, салициловой и никотиновой кислотами, гиалуроновой кислотой, гидрокортизоном и кофеином.
Преимущества ионофореза:
включают минимальные побочные эффекты благодаря введению веществ в организм в чистом виде, не затрагивая внутренние органы.
Показания к проведению:
• различные виды акне (угри);
• расширенные поры, постакне;
• нарушение цвета кожи (пигментация);
• отеки и темные круги под глазами;
• тоны лица и зрелая кожа;
• различные воспалительные процессы на коже. | https://t.me/dr_Guvarsha/155?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 162,300 | 0 | 1,687,424,169 | 1,730,797,665 | 10,120 | 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| null | NEUTRAL | rus | NOT SPAM | 176 | 0 | 3 | 1 | 0 | 0 | 30 | 16 | 2 | 0 | 78 | 5 | 42 | true |
26 | null | Кто читал «Фауста»? Не слышал о нём, а читал?
Сегодня повод начать: ДР Гете.
«Что дашь ты, жалкий бес, какие наслажденья?
Дух человеческий и гордые стремленья
Таким, как ты, возможно ли понять?
Ты пищу дашь, не дав мне насыщенья;
Дашь золото, которое опять,
Как ртуть, из рук проворно убегает;
Игру, где выигрыш вовеки не бывает;
Дашь женщину, чтоб на груди моей
Она к другому взоры обращала;
Дашь славу, чтоб чрез десять дней,
Как метеор, она пропала, –
Плоды, гниющие в тот миг, когда их рвут,
И дерево в цвету на несколько минут!» | https://t.me/drmyasnikov/2545?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 72,500 | 0 | 1,724,915,315 | 1,730,797,665 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 92 | 0 | 2 | 1 | 0 | 0 | 5 | 17 | 10 | 2 | 25 | 4 | 34 | true |
26 | null | Теперь и в Rutube.
https://rutube.ru/channel/43136913 | https://t.me/drmyasnikov/2546?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 69,500 | 0 | 1,724,990,701 | 1,730,797,665 | 10,137 | 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| [{"ner":"Rutube","lemma":"rutube","label":"ORG","start_pos":11,"end_pos":17},{"ner":"43136","lemma":"43136","label":"DATE","start_pos":45,"end_pos":50}] | NEUTRAL | eng | SPAM | 5 | 0 | 0 | 0.714286 | 0.285714 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | true |
26 | null | Мураками: «во время тренировок главное правило – никогда не отдыхать два дня подряд. Мускулы – они ко всему привыкают быстро, как рабочий скот»
«Но если несколько дней подряд на мускулы нет никакой нагрузки, то они тотчас приходят к выводу, что можно расслабиться, и быстро теряют сноровку. Они действительно похожи в этом смысле на животных – ищут максимально легкий путь. Если их не напрягать, они, естественно, расслабляются и, так сказать, «забывают» нагрузку. Чтобы освежить их память, надо проделать весь путь с самого начала»
Причин, побуждающих меня бегать, – раз-два и обчелся, а вот причин покончить с этим занятием – вагон и маленькая тележка. Единственное, что мне остается в такой ситуации, – это продолжать холить и лелеять те, которых «раз-два и обчелся». | https://t.me/drmyasnikov/2547?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 85,200 | 0 | 1,725,038,427 | 1,730,797,665 | 10,137 | 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| null | NEUTRAL | rus | NOT SPAM | 120 | 0 | 0 | 1 | 0 | 0 | 7 | 22 | 10 | 2 | 31 | 12 | 37 | true |
26 | null | На выходные на Белом море. Умба. 2:05 лететь + 3 часа на машине. И- другой Мир! Да Северное сияние нынче можно и в Москве увидеть…. Но это как на белого медведя в зоопарке смотреть. Его (сияние) надо видеть здесь, по месту прописки! (Грибов-увы!-нет…) | https://t.me/drmyasnikov/2553?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 101,000 | 0 | 1,725,112,346 | 1,730,797,665 | 10,118 | 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| [{"ner":"Белом море","lemma":"белый море","label":"LOC","start_pos":15,"end_pos":25},{"ner":"Мир","lemma":"мир","label":"PER","start_pos":75,"end_pos":78},{"ner":"Северное","lemma":"северный","label":"PER","start_pos":83,"end_pos":91},{"ner":"Москве","lemma":"москва","label":"LOC","start_pos":115,"end_pos":121},{"ner":"2","lemma":"2","label":"NUM","start_pos":33,"end_pos":34},{"ner":"05","lemma":"05","label":"NUM","start_pos":35,"end_pos":37},{"ner":"3","lemma":"3","label":"NUM","start_pos":47,"end_pos":48}] | NEUTRAL | rus | NOT SPAM | 43 | 0 | 1 | 1 | 0 | 0 | 4 | 4 | 2 | 2 | 12 | 4 | 15 | true |
26 | null | Мы часто ищем альтернативы продуктам, которые принято считать нездоровыми.
В частности, конфеты и шоколад мы стараемся заменять полезными сладостями.
Речь в посте пойдет о продуктах, основанных на яблоках, которые мы воспринимаем как «полезные альтернативы».
Начнем с яблочных чипсов: в их состав входят… только яблоки. Это обычные высушенные яблоки. Т.е. если мы съедаем 50 г яблочных чипсов, то это будет эквивалентно большому яблоку весом 220 г. Учитывая, что доза яблока, от которого точно не будет никакой реакции в виде боли или вздутия, всего 20 г, то безопасная доза яблочных чипсов для тех, кто не хочет страдать животом – всего 5 г.
Согласно ГОСТу о пастильных изделиях: в пастиле яблок должно быть не менее 20%, в зефире не менее 11%. А вот в традиционной пастиле доля яблок составляет более 90%.
Пастила и зефир, которые выглядят как белая сахарная масса, содержат минимальное количество яблок, но кучу сахара и других ингредиентов, такие сладости вряд ли можно назвать «полезными». Однако с точки зрения вздутия, можно считать их относительно «безопасными» для людей с СРК. Из-за сильного разброса в рецептуре сложно посчитать «опасную» и «безопасную» дозу, но можно быть уверенными, что 1-2 зефирки не доставят боли в животе.
#фрукты #полиолы #фруктоза #запретограм #сладкое | https://t.me/ibs_doc/132?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,200 | 0 | 1,690,742,991 | 1,730,797,665 | 10,137 | 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| [{"ner":"Учитывая","lemma":"учитывать","label":"LOC","start_pos":449,"end_pos":457},{"ner":"СРК","lemma":"срк","label":"ORG","start_pos":1082,"end_pos":1085},{"ner":"50","lemma":"50","label":"NUM","start_pos":372,"end_pos":374},{"ner":"220","lemma":"220","label":"NUM","start_pos":442,"end_pos":445},{"ner":"20","lemma":"20","label":"NUM","start_pos":550,"end_pos":552},{"ner":"5","lemma":"5","label":"NUM","start_pos":638,"end_pos":639},{"ner":"20","lemma":"20","label":"NUM","start_pos":718,"end_pos":720},{"ner":"11","lemma":"11","label":"NUM","start_pos":741,"end_pos":743},{"ner":"90","lemma":"90","label":"NUM","start_pos":803,"end_pos":805},{"ner":"1","lemma":"1","label":"NUM","start_pos":1201,"end_pos":1202},{"ner":"2","lemma":"2","label":"NUM","start_pos":1203,"end_pos":1204}] | NEUTRAL | rus | NOT SPAM | 196 | 0 | 3 | 1 | 0 | 0 | 27 | 22 | 12 | 10 | 61 | 10 | 48 | true |
26 | null | Зато Белевская пастила, которая является максимально натуральной, содержит только яблоки, немного яичного белка и иногда дополнительный сахар. Ее возрождение началось с 2010-х годов, и сейчас она обрела огромную популярность. Это прекрасный русский традиционный продукт, исконно созданный для того, чтобы переработать яблочный урожай в сладость, которая будет храниться всю зиму.
Такая пастила практически приравнивается к сушеным яблокам по концентрации газообразующих веществ, поэтому ее безопасную дозу можно условно определить всего ~5-7 г.
Анализируя питание с моими пациентами, мы часто с ними выявляем пастилу и сушеные яблоки, как триггеры их симптомов.
Это похвально, что люди ищут «полезные альтернативы», стараются питаться здоровой едой. Но увлекаясь ПП, важно помнить, что некоторые продукты могут принести страдания людям с чувствительным кишечником. Данная информация поможет тем, кто хочет этих страданий избежать.
#фрукты #полиолы #фруктоза #запретограм #сладкое | https://t.me/ibs_doc/133?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,800 | 0 | 1,690,743,002 | 1,730,797,665 | 10,137 | 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| [{"ner":"Белевская","lemma":"белёвский","label":"PER","start_pos":5,"end_pos":14},{"ner":"ПП","lemma":"пп","label":"ORG","start_pos":763,"end_pos":765},{"ner":"2010","lemma":"2010","label":"NUM","start_pos":169,"end_pos":173},{"ner":"5","lemma":"5","label":"NUM","start_pos":538,"end_pos":539},{"ner":"7","lemma":"7","label":"NUM","start_pos":540,"end_pos":541}] | NEUTRAL | rus | NOT SPAM | 128 | 0 | 1 | 1 | 0 | 0 | 20 | 24 | 10 | 2 | 34 | 10 | 30 | true |
26 | null | Любите леденцы?
Сегодня предлагаю взглянуть на них с точки зрения здоровья ротовой полости. Здесь свойства жвачек и леденцов оказываются примерно одинаковыми.
Леденцы стимулируют выделение слюны, которая помогает смывать фрагменты пищи после еды, зубной налет, бактерий и их продукты жизнедеятельности, что благотворно сказывается на здоровье во рту.
Любимые с детства чупа-чупсы и барбариски состоят из обычного сахара и мальтодекстрина (патоки). В них много простых калорий, а еще они служат кормом для бактерий в ротовой полости, из-за этого рН в зубном налете снижается, становится более кислым, что способствует повреждению эмали и развитию кариеса. Зато эти сахара не приводят к избыточному газообразованию в кишечнике.
Люди, заботящиеся о своей фигуре и зубах, скорее всего выберут леденцы без сахара. Их основой, как у популярных леденцов Sula, служит чаще всего сорбитол, который знаком вам по косточковым фруктам и авокадо. Также могут использоваться и другие полиолы, например, мальтитол или ксилитол (спойлер: они все вызывают газообразование, кроме эритритола).
Ксилитол оказывает подавляющее воздействие на кариесогенных бактерий. Микробиота ротовой полости не может им питаться, поэтому ее масса не увеличивается. Он также препятствует адгезии, то есть «прилипанию», бактерий к зубам. Все эти факторы способствуют уменьшению образования зубного налета и кариеса.
Сорбитол можно считать чем-то промежуточным между сорбитолом и сахаром по своим свойствам. Бактерии ротовой полости способны его ферментировать, но в меньшей степени, чем обычный сахар. Как и любые другие леденцы, продукты с сорбитолом будут стимулировать слюноотделение, но не смогут подавить размножение бактерий (но и способствовать особо не будут).
Таким образом, леденцы с ксилитолом являются наиболее удачным выбором для профилактики кариеса.
В вашем кишечнике, в отличии от ротовой полости, бактерии активно ферментируют оба этих сахарных спирта с образованием газов. В посте про «Сладкие Ешки» я уже писал об этом раньше.
#сахзамы #полиолы #запретограм | https://t.me/ibs_doc/136?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,000 | 0 | 1,691,329,742 | 1,730,797,665 | 10,137 | 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| [{"ner":"Sula","lemma":"sula","label":"ORG","start_pos":847,"end_pos":851},{"ner":"Ксилитол","lemma":"ксилитол","label":"PER","start_pos":1075,"end_pos":1083},{"ner":"сорбитолом","lemma":"сорбитолом","label":"LOC","start_pos":1428,"end_pos":1438},{"ner":"сорбитолом","lemma":"сорбитолом","label":"LOC","start_pos":1603,"end_pos":1613}] | NEUTRAL | rus | NOT SPAM | 281 | 0 | 3 | 0.997191 | 0.002809 | 0 | 27 | 37 | 19 | 1 | 99 | 20 | 60 | true |
26 | null | Поэтому среди леденцов (и жевательных резинок) стоит делать выбор в пользу ксилитола, если не боитесь газообразования.
https://t.me/ibs_doc/109
#сахзамы #полиолы #запретограм | https://t.me/ibs_doc/137?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,800 | 0 | 1,691,329,751 | 1,730,797,665 | 10,118 | 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| [{"ner":"109","lemma":"109","label":"NUM","start_pos":140,"end_pos":143}] | NEUTRAL | rus | NOT SPAM | 20 | 0 | 0 | 0.965517 | 0.034483 | 0 | 1 | 3 | 0 | 0 | 9 | 1 | 7 | true |
26 | null | Опыт длительных деструктивных отношений может иметь долгосрочные последствия и накладывать серьезный отпечаток на вашу сегодняшнюю жизнь. Если абьюзера уже давно нет в вашей жизни, а вам по-прежнему плохо, обратите внимание на этот пост. Психологическое насилие может оставить невидимые глазу, но очень серьезные травмы. Об этих травмах - травмах отношений, пишет в своем
блоге
кризисный психолог Наталья Рачковская.
Вы часто чувствуете раздражительность, тревогу, апатию или злость? Все валится из рук и ничего не хочется делать? Не складываются отношения с людьми, а может быть вовсе не хочется их складывать?
Возможно, вы уже обращались к психологу, работали с самооценкой, границами и прочими популярными вопросами, но ничего не изменилось. Возможно, вы посещали психиатра и скорее всего вам диагностировали депрессию, однако препараты тоже не дали стойкого улучшения, спустя некоторое время симптомы вернулись. Может быть у вас посттравматическое стрессовое расстройство?
Как вылечить ПТСР после абьюза?
А еще у Натальи есть
канал
с психологическими мемами и черным юмором. | https://t.me/imatrip/2044?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,720,792,928 | 1,730,797,665 | 10,139 | 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| [{"ner":"Наталья Рачковская","lemma":"наталья рачковская","label":"PER","start_pos":397,"end_pos":415},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":990,"end_pos":994},{"ner":"Натальи","lemma":"наталья","label":"PER","start_pos":1017,"end_pos":1024}] | NEUTRAL | rus | NOT SPAM | 151 | 0 | 2 | 1 | 0 | 0 | 17 | 26 | 11 | 0 | 40 | 16 | 26 | true |
26 | null | По статистике ВОЗ от 2016 года каждая пятая девочка и каждый тринадцатый мальчик переживают сексуализированное насилие в детстве. А значит, эта проблема может коснуться всех, у кого есть дети.
Подкаст о том, как можно изменить эту страшную ситуацию и уберечь детей от насилия.
- Почему тема насилия над детьми настолько табуированная?
- Авторы насилия - чаще всего родственники или друзья семьи: какой процент таких случаев и какой процент получает наказание?
- Главные причины, почему дети боятся об этом рассказывать
- Правила безопасности для детей. 3 принципа правильной реакции на интимные предложения от незнакомцев. Правило купальника
- Интимный ликбез: как говорить с детьми о сексе и проблеме насилия
- Сексуальное образование и книги о сексе для детей | https://t.me/imatrip/2045?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,720,852,859 | 1,730,797,665 | 10,137 | 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| [{"ner":"ВОЗ","lemma":"воз","label":"ORG","start_pos":14,"end_pos":17},{"ner":"2016","lemma":"2016","label":"NUM","start_pos":21,"end_pos":25},{"ner":"3","lemma":"3","label":"NUM","start_pos":553,"end_pos":554}] | NEUTRAL | rus | NOT SPAM | 116 | 0 | 2 | 1 | 0 | 0 | 14 | 12 | 5 | 1 | 45 | 9 | 13 | true |
26 | null | СДВГ И СКУКА: гайд по выживанию | https://t.me/imatrip/2049?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,720,859,652 | 1,730,797,665 | 10,137 | 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| [{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":0,"end_pos":4}] | NEUTRAL | rus | NOT SPAM | 6 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 1 | true |
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