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26 | null | СДВГ И СКУКА: гайд по выживанию
1. Весенняя уборка. Нет ничего лучше, чем импульсивно решить навести порядок в своем пространстве, а следующие несколько месяцев жить среди коробок и случайных мешков, полных одежды для пожертвования на благотворительность. Я называю это «эстетикой генеральной уборки».
2. Ставить под сомнение смысл своего существования – это тоже увлекательное занятие. Однако действуйте осторожно!!! Если вы погрузитесь в этот занятие слишком глубоко, это может привести к изменению всей вашей жизни в течение одного дня, импульсивным покупкам, таким как билеты на самолет для кругосветного путешествия и импровизированной смене карьеры.
😄
3. Говоря о смене карьеры – нет ничего более захватывающего, чем открытие нового бизнеса. Стадия исследования восхитительна! Я с радостью стану бизнесменом, у которого 293 предприятия.
4.Скроллить весь день не самая интенсивная нагрузка. Вы и диван можете стать одним целым и это довольно удобно. Однако в конечном итоге это может привести к избыточной стимуляции.
😵💫
5. Обратиться к бывшему партнеру – если вы хотите, чтобы в вашей жизни была какая-то хаотичная драма, это то, что вам нужно. Потенциальные последствия: разбитое сердце, чувствительность к отказу, возвращение на эмоциональные американские горки.
💔
6. Завести новое хобби. Никогда не было более подходящего времени, чем сейчас, чтобы заняться новым делом. Я благословляю вас получить лицензию на прыжки с парашютом или достать пряжу для вашего нового вязального приключения.
7. Провести 3 часа в спортзале – окей, это действительно здорово.
😇
Упражнения помогают СДВГ мозгу стимулировать выработку всех
✨
полезных химических веществ
✨
.
8. Стать профессионалом в новом деле – это то время года, когда можно сделать для всех вазы на Рождество.
🎅
Однако это рискованное занятие: в итоге вы можете получить половину вазы и кучу глины, которые останутся в вашем шкафу на долгие годы.
9. Планировать новую жизнь в мельчайших деталях. Мне это нравится. Создание досок для визуализации желаний мое любимое хобби.
😄
Может быть это позволит вам обрести вдохновение, поставить новые цели и прийти в соответствие со своими ценностями.
10. Вступать в споры. Иногда мы спорим просто потому, что нам нужен заряд дофамина.
😓
Пожалуйста, не делайте этого. Лучше выйдите на пробежку (это как в пещерные времена бежать от тигра – вполне работает).
11. Составлять расписание своего социального календаря – весело, увлекательно, помогает поддерживать связи и дружбу. Недостаток: это может быть утомительно, если вы случайно запланируете слишком много (обычно именно так и происходит). Может быть, установить лимит?
💁♀️
12. Запоем смотреть реалити-шоу. Что порекомендуете?
Оригинал тут:
adhd-couple.com | https://t.me/imatrip/2050?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,720,859,659 | 1,730,797,665 | 10,118 | 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| NEUTRAL | rus | NOT SPAM | 396 | 0 | 7 | 0.998066 | 0.001934 | 0 | 45 | 60 | 33 | 16 | 106 | 28 | 98 | true |
26 | null | Люди с психическими расстройствами — одна из самых стигматизированных групп населения, и в нашей стране она насчитывает почти 4 миллиона человек. При этом существует не так много мест, где они могли бы получить необходимую помощь. Медикаментозная терапия — это лишь часть помощи, необходимой людям, столкнувшимся с болезнью. Не меньшую роль играет психологическая помощь, информационная и обыкновенная человеческая поддержка. Этим занимается благотворительный фонд «Равновесие». Я поговорила с учредителем и сотрудниками «Равновесия», чтобы узнать, как функционирует фонд, какую помощь оказывает подопечным и почему это так важно.
https://knife.media/club/ravnovesie/ | https://t.me/imatrip/2051?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,400 | 0 | 1,720,862,162 | 1,730,797,665 | 10,118 | 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| [{"ner":"Равновесие","lemma":"равновесие","label":"ORG","start_pos":466,"end_pos":476},{"ner":"Равновесия","lemma":"равновесия","label":"ORG","start_pos":522,"end_pos":532},{"ner":"4","lemma":"4","label":"NUM","start_pos":126,"end_pos":127}] | NEUTRAL | rus | NOT SPAM | 85 | 0 | 1 | 0.990385 | 0.009615 | 0 | 13 | 11 | 6 | 2 | 24 | 7 | 20 | true |
26 | null | Ранняя осень — настоящее испытание для метеочувствительных людей
🍂
Утром прохладно и достаточно легкой куртки, днем солнце радует своим теплом, а к вечеру уже хочется надеть зимнюю шубу.
Кстати, москвичи, поздравляем с первым снегом
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Если ваше самочувствие в этот период оставляет желать лучшего, не удивляйтесь. Скачки температуры и давление серьезно влияют на организм, особенно на сосуды. Когда атмосферное давление резко меняется, сосуды сужаются, кислорода поступает меньше, и мозг начинает "страдать" от его недостатка.
Проявления могут быть такими
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Головные боли
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Слабость и утомляемость
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Зябкость рук и ног
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Ухудшение сна
На помощь метеозависимым приходит Коэнзим Q10, ведь он:
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Помогает сосудам оставаться эластичными и гибкими, снижая их избыточный тонус. Это значит, что мозг получает достаточно кислорода, а риск головной боли и слабости уменьшается.
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Обеспечивает приток теплой крови к ногам и рукам, избавляя от ощущения зябкости.
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Помогает легче переносить резкие изменения атмосферного давления и поддерживает бодрость в течение дня.
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Улучшает и углубляет сон — это важно для хорошего самочувствия в любое время года.
Заказать Коэнзим Q10 от компании «Жизнивек»
👉🏼
wildberries/коэнзимQ10
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/11428?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,400 | 0 | 1,728,920,044 | 1,730,797,665 | 10,137 | 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73 | 10 | 50 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11429?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,000 | 0 | 1,728,930,905 | 1,730,797,665 | 10,138 | 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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 | Хотите знать как будем укреплять иммунитет
⁉️
Тогда добро пожаловать
👉🏼
https://t.me/mageryachistka/622
Стартуем все вместе с 24 октября
👏 | https://t.me/magerya/11430?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,400 | 0 | 1,728,970,088 | 1,730,797,665 | 10,118 | 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| [{"ner":"24 октября","lemma":"24 октября","label":"DATE","start_pos":126,"end_pos":136},{"ner":"622","lemma":"622","label":"NUM","start_pos":100,"end_pos":103}] | NEUTRAL | rus | NOT SPAM | 19 | 0 | 0 | 0.961538 | 0.038462 | 0 | 1 | 5 | 0 | 0 | 5 | 2 | 1 | true |
26 | null | 😝
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для участников
осенней чистки
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При сдаче анализов в период
с 14 октября по 1 декабря’24 г.
стоимость комплекса составит
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Это поможет отследить динамику вашего состояния до начала чистки и по её завершению.
Подробности
👉🏼
@mageryaclinic | https://t.me/magerya/11431?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,700 | 0 | 1,728,991,994 | 1,730,797,665 | 10,118 | 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| [{"ner":"14 октября","lemma":"14 октября","label":"DATE","start_pos":82,"end_pos":92},{"ner":"1","lemma":"1","label":"NUM","start_pos":96,"end_pos":97},{"ner":"24","lemma":"24","label":"NUM","start_pos":106,"end_pos":108}] | NEUTRAL | rus | NOT SPAM | 50 | 0 | 0 | 0.987013 | 0.012987 | 0 | 3 | 3 | 1 | 1 | 18 | 0 | 7 | true |
26 | null | Судебная медицина
— это не просто наука о смерти, это тонкое искусство разгадывания последней главы жизни. Порой, один незаметный след на коже может рассказать больше, чем десятки страниц в уголовном деле.
Мы, эксперты, исследуем каждую мелочь — от микроскопических волокон до состояния внутренних органов, чтобы дать ответы на самые сложные вопросы. В этом и заключается наша работа — восстановить правду там, где она, казалось бы, утрачена. | https://t.me/sudmednotes/9124?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 43,100 | 0 | 1,729,320,266 | 1,730,797,665 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 66 | 0 | 1 | 1 | 0 | 0 | 9 | 8 | 4 | 1 | 21 | 4 | 16 | true |
26 | null | Как вам травма? Будь вы судмедэкспертом, как бы описали в заключении?
Мужик кстати выжил | https://t.me/sudmednotes/9126?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 43,800 | 0 | 1,729,330,664 | 1,730,797,665 | 10,137 | 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| null | NEUTRAL | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 2 | 0 | 4 | 2 | 3 | true |
26 | null | Жиза? А вот к нам фарм.представители не заглядывают | https://t.me/sudmednotes/9128?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 45,500 | 0 | 1,729,340,369 | 1,730,797,665 | 10,118 | 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| null | NEUTRAL | rus | NOT SPAM | 8 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 0 | 1 | true |
26 | null | Что такое гидрофильное масло?
Гидрофильное масло - это очищающее средство для кожи, которое стало популярным выбором в уходе за кожей. Оно представляет собой базовую составляющую ежедневного ритуала ухода за лицом. Гидрофильное масло эффективно не только для обладательниц жирной, комбинированной и проблемной кожи, но также подходит для сухой и чувствительной кожи.
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Состав гидрофильного масла для умывания:
Гидрофильное масло имеет простой состав, включающий натуральные растительные масла и эмульгатор. В некоторых формулах также могут присутствовать экстракты растений, антиоксиданты, витамины и пептиды.
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Рекомендации по использованию:
Гидрофильное масло имеет широкий спектр применения:
— Уборка излишков кожного себума:
Идеально подходит для обладательниц жирной кожи.
— Средство демакияжа:
Мягко и эффективно удаляет макияж с лица и зоны вокруг глаз.
— Защита от агрессивного воздействия воды:
Помогает бороться с сухостью и раздражением, вызванными содержанием хлора и кальция в воде.
— Предотвращение стянутости кожи:
Сохраняет липидный слой кожи, предотвращая ее пересушивание.
— Увлажнение и повышение упругости кожи:
После использования кожа выглядит увлажненной, более упругой и сокращается видимость мелких морщин.
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Выбор гидрофильного масла зависит от индивидуальных предпочтений, типа кожи и потребностей. Важно выбирать качественное средство и использовать его правильно в своем ежедневном уходе за кожей лица. | https://t.me/dr_Guvarsha/146?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 158,500 | 0 | 1,686,561,630 | 1,730,797,666 | 10,140 | 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| null | NEUTRAL | rus | NOT SPAM | 189 | 0 | 1 | 1 | 0 | 0 | 30 | 20 | 5 | 0 | 77 | 8 | 39 | true |
26 | null | Способы самостоятельного выполнения массажа
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Ручной массаж: Этот классический вариант выполняется руками без использования специальных приспособлений.
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Вакуумный массаж: Процедура включает применение банок для создания вакуумного эффекта.
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Сухой массаж: Выполняется с использованием специальной щетки, которая помогает стимулировать кровообращение и улучшить тонус кожи.
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Роликовый массаж: Используется массажер-ролик, который скользит по коже лица, улучшая кровообращение и уменьшая отечность.
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Ультразвуковой массаж: Процедура проводится с помощью специального электромассажера, который излучает ультразвуковые волны для стимуляции кожи.
⭐️
Массаж скребком гуаша: Выполняется с помощью специальной пластинки из натурального камня или стали, которая помогает улучшить кровообращение и тонус кожи.
⭐️
Массаж янтарной палочкой: Используется палочка из натурального янтаря для проведения массажа, улучшения кожного тона и стимуляции кровообращения.
Перед проведением процедуры важно подготовить кожу лица, очистив ее от косметики, грязи и жира. Кроме того, следует уделять внимание гигиене рук и ногтей, а также изучить правильные массажные линии и техники выполнения для достижения наилучших результатов. | https://t.me/dr_Guvarsha/147?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 159,600 | 0 | 1,686,561,630 | 1,730,797,666 | 10,141 | 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| null | NEUTRAL | rus | NOT SPAM | 149 | 0 | 0 | 1 | 0 | 0 | 21 | 21 | 6 | 0 | 78 | 1 | 33 | true |
26 | null | Какие существуют методики самомассажа? Разберем в этом посте 4 основных вида.
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Классический массаж: Включает медленные и скользящие движения руками, такие как поглаживание, растирание и вибрации. Этот вид массажа помогает улучшить кровообращение, увеличить эластичность кожи и улучшить ее оттенок.
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Китайский массаж: Основывается на активации биологически активных точек на лице. Это помогает уменьшить количество морщин, подтянуть кожу и стабилизировать эмоциональное состояние.
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Точечный массаж: Направлен на активизацию ключевых зон на лице, стимулируя внутренние процессы и улучшая кровообращение. Это помогает улучшить тонус мышц и разгладить морщинки.
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Щипковый массаж: Включает легкие щипковые движения, которые стимулируют обновление и регенерацию кожи. Этот вид массажа способствует улучшению тонуса кожи и минимизации морщин.
Каждый из этих видов массажа имеет свои особенности и может быть выбран в зависимости от целей и потребностей. Однако перед применением любого вида массажа необходимо учитывать противопоказания и консультироваться с косметологом, особенно если есть сомнения или наличие каких-либо медицинских проблем. | https://t.me/dr_Guvarsha/148?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 162,200 | 0 | 1,686,561,630 | 1,730,797,666 | 10,141 | 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| [{"ner":"Направлен","lemma":"направить","label":"PER","start_pos":501,"end_pos":510},{"ner":"4","lemma":"4","label":"NUM","start_pos":61,"end_pos":62}] | NEUTRAL | rus | NOT SPAM | 148 | 0 | 0 | 1 | 0 | 0 | 14 | 28 | 3 | 1 | 59 | 3 | 25 | true |
26 | null | Поговорим об ультразвуковой чистке. Что это за процедура?
Чистка лица ультразвуком относится к аппаратным процедурам, выполняется с гигиенической и эстетической целью. Ультразвук безопасно воздействует на кожу человека, при этом не вызывая неприятных или болезненных ощущений. Проникает в глубинные слои кожи, убирает оттуда частицы грязи, лишний жир, и слущивает ороговевшие клетки верхних слоев эпидермиса. Как итог: улучшается цвет лица, исчезают черные точки, выравнивается рельеф кожи, регулируется работа сальных желез, повышается эластичность и увлажненность кожи.
Ультразвуковая чистка лица работает по следующим принципам:
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Термическое воздействие: Ультразвуковые волны нагревают участок кожи, что приводит к раскрытию пор. Это позволяет импульсам проникать в поры глубоко, удаляя загрязнения. Кроме того, термическое воздействие стимулирует кровообращение, увеличивает производство коллагена и эластина, улучшает упругость и эластичность кожи.
⭐️
Физико-химическое воздействие: В процессе ультразвуковой чистки лица часто используются специальные кремы, маски и скрабы, обогащающие кожу витаминами, микроэлементами и влагой. Это способствует укреплению защитного барьера кожи, ускоряет регенерацию клеток и обмен веществ.
⭐️
Механическое воздействие: Ультразвуковые волны провоцируют микровибрацию кожи, повышая давление в коже и увеличивая проницательность клеточной мембраны. Это позволяет эффективно очищать кожу, а также способствует подтягиванию овала лица и его контура. Механическое воздействие также стимулирует метаболизм и другие процессы в коже. | https://t.me/dr_Guvarsha/149?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 163,800 | 0 | 1,686,561,631 | 1,730,797,666 | 10,140 | 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| null | NEUTRAL | rus | NOT SPAM | 192 | 0 | 1 | 1 | 0 | 0 | 27 | 35 | 8 | 0 | 87 | 7 | 42 | true |
26 | null | Продолжение:
И роковая женщина-комиссар из «Оптимистической трагедии» («Ну?! Кто ещё хочет попробовать комиссарского тела?!») — в реальной жизни красавица-революционерка Лариса Рейснер, когда-то страстно любившая Поэта, тоже ничего сделать не смогла… Как и другие.
А ведь было
«много их, сильных, злых и весёлых,
Убивавших слонов и людей,
Умиравших от жажды в пустыне,
замерзавших на кромке вечного льда» (Н. Гумилёв)
которые ценили своего Поэта и пытались как-то помочь.
Но зародившийся монстр репрессивной машины — это не слон, его так просто не убьёшь, он сам требовал крови, крови и крови, эти, пока ещё тонкие, ручейки скоро сольются в океан крови!
«В красной рубашке с лицом, как вымя,
Голову срезал палач и мне,
Она лежала вместе с другими
Здесь, в ящике скользком, на самом дне»
Не защитил «конквистадора в панцире железном» этот самый поэтический панцирь от нагановской пули палача!
Мальчик, который когда-то бегал вместе с моим дедом по ступенькам Первой Тифлисской гимназии, написал:
«Та страна, что могла быть раем,
Стала логовищем огня,
Мы четвёртый день наступаем,
Мы не ели четыре дня.
Но не надо яства земного
В этот страшный и светлый час,
Оттого что Господне слово
Лучше хлеба питает нас.
И залитые кровью недели
Ослепительны и легки,
Надо мною рвутся шрапнели,
Птиц быстрей взлетают клинки.
…
И так сладко рядить Победу,
Словно девушку, в жемчуга,
Проходя по дымному следу
Отступающего врага.
И там же пророческое:
Я кричу, и мой голос дикий,
Это медь ударяет в медь,
Я, носитель мысли великой,
Не могу, не могу умереть!»
Он и не умер! Он и сегодня мог бы с полным правом сказать, в настоящем и будущем времени:
«Но когда вокруг свищут пули,
Когда волны ломают борта,
Я учу их, как не бояться,
Не бояться и делать, что надо.
И когда женщина с прекрасным лицом,
Единственно дорогим во вселенной,
Скажет: я не люблю вас —
Я учу их, как улыбнуться,
И уйти, и не возвращаться больше
А когда придёт их последний час,
Ровный красный туман застелет взоры,
Я научу их сразу припомнить
Всю жестокую, милую жизнь,
Всю родную, странную землю
И, представ перед ликом Бога
С простыми и мудрыми словами,
Ждать спокойно его суда. | https://t.me/drmyasnikov/2539?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 72,700 | 0 | 1,724,649,583 | 1,730,797,666 | 9,937 | 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| [{"ner":"Оптимистической трагедии","lemma":"оптимистический трагедия","label":"ORG","start_pos":44,"end_pos":68},{"ner":"Лариса Рейснер","lemma":"лариса рейснер","label":"PER","start_pos":170,"end_pos":184},{"ner":"Поэта","lemma":"поэт","label":"PER","start_pos":213,"end_pos":218},{"ner":"Н. Гумилёв","lemma":"н. гумилёв","label":"PER","start_pos":406,"end_pos":416},{"ner":"Поэта","lemma":"поэт","label":"PER","start_pos":440,"end_pos":445},{"ner":"Голову","lemma":"голова","label":"PER","start_pos":692,"end_pos":698},{"ner":"Ослепительны","lemma":"ослепительный","label":"PER","start_pos":1231,"end_pos":1243},{"ner":"Победу","lemma":"победа","label":"PER","start_pos":1332,"end_pos":1338}] | NEUTRAL | rus | NOT SPAM | 345 | 0 | 18 | 1 | 0 | 0 | 45 | 55 | 26 | 1 | 85 | 34 | 97 | true |
26 | null | Еще про пути передачи Оспы обезьян.
Вот я не знаю как и приступить к теме. Я давно в медицине и ко многому привык. Но оказывается и меня можно удивить! Я не знаю как комментировать- просто приведу перевод отрывков из статьи о исследовании путей заражения и статистики оспой обезьян и некоторых других болезней.
«проблемы наблюдения распространения mpox (оспа обезьян) мы решили с исследованием содержимого использованием использованных и выброшенных презервативов. Было собрано 20 941 презерватива из 16 стран (Таиланд, Пакистан, Шри-Ланка, Индонезия, Камбоджа, Мьянма, Филиппины, Папуа-Новая Гвинея, Мозамбик, Мадагаскар, Вьетнам, Лаос, Индия, Тимор-Лешти, Непал и Мальдивы) при поддержке мусорщиков (членов общественности) и санитарных работников. Презервативы были собраны в различных местах, от борделей до общественных мест»
Далее результаты:
«Презервативы были собраны в различных местах, от борделей до общественных мест ы обнаружили, что 262 (1·3%) из 20 941 собранных образцов презервативов содержали ДНК вируса оспы обезьян, при этом Индия имела самый высокий уровень положительности - 32 (2·7%) из 1188, за ней следуют Пакистан (30/1302 [2·3%]) и Таиланд (26/1256 [2·1%]). Самые низкие показатели положительного результата наблюдались в Непале (8/1397 [0·6%]), Папуа-Новой Гвинее (11/1429 [0·8%]) и Мальдивах (11/1429 [0·8%]; рисунок B). Концентрации ДНК оспы обезьян в презервативах варьировались пространственно и временно в разных странах, от 58·71 до 374·53 копий/мл
ну и там еще на 10 страниц…
И заключение:
«Насколько нам известно, наши выводы впервые демонстрируют полезность использованных презервативов в качестве инструмента косвенного наблюдения за передачей mpox (оспы обезьян) в группе с другими заболеваниями, передающимися половым путем. Маршруты заражения многочисленны, включая MPXV в сперме, поражения половых органов на пенисе, влагалище или прямой кишке, а также потенциальное загрязнение изо рта или горла во время орального секса»
«Мы благодарим всех волонтеров, персонал развлекательного заведения, которые любезно поддержали сбор образцов»
Вот так делается наука!
Ну- ничего по сути нового.
«Натурал ты или би
Обезьянку не е..
Тормози на кураже
Заразишься оспой же!»
«Community-based mpox and sexually transmitted disease surveillance using discarded condoms in the global south»
Cameron Hurst Charin Modchang John Jefferson V Besa et al. Published:August 21, 2024 | https://t.me/drmyasnikov/2540?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 67,700 | 0 | 1,724,820,231 | 1,730,797,666 | 10,139 | 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26 | null | Мои подписчики! Наконец-то лицом к лицу | https://t.me/drmyasnikov/2541?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,000 | 0 | 1,724,828,446 | 1,730,797,666 | 10,139 | 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| null | POSITIVE | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 3 | 1 | true |
26 | null | Юра Бровко. Горжусь знакомством! Невероятный человек, десантник, начальник полевого госпиталя! Брат, поздравляю с днем военного медика! Никто, кроме Вас!
Всех военных медиков- с профессиональным праздником! | https://t.me/drmyasnikov/2544?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 338,500 | 0 | 1,724,862,406 | 1,730,797,666 | 10,139 | 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| [{"ner":"Юра Бровко","lemma":"юра бровко","label":"PER","start_pos":0,"end_pos":10}] | POSITIVE | rus | NOT SPAM | 25 | 0 | 0 | 1 | 0 | 0 | 4 | 2 | 2 | 0 | 11 | 0 | 10 | true |
26 | null | В комментариях поступил вопрос про сироп топинамбура в качестве заменителя сахара.
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Сам топинамбур содержит большое количество фруктанов и фруктозы. А теперь представим, что мы выжали его газообразующий сок и выпарили. Получилась эссенция газообразования
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Кстати, как и в цикории, в нем содержатся длинные фруктаны - инулины.
#сахзамы #фруктаны | https://t.me/ibs_doc/124?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,000 | 0 | 1,688,625,745 | 1,730,797,666 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 49 | 0 | 2 | 1 | 0 | 0 | 4 | 8 | 2 | 0 | 19 | 2 | 9 | true |
26 | null | И еще много другой полезной информации у коллег на канале -
https://t.me/prostaya_medicina
Блог ведется несколькими докмед врачами разных специальностей, которые с удовольствием ответят на ваши вопросы :) | https://t.me/ibs_doc/125?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,200 | 0 | 1,688,635,216 | 1,730,797,666 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 27 | 0 | 1 | 0.966667 | 0.033333 | 0 | 3 | 2 | 1 | 1 | 9 | 2 | 2 | true |
26 | null | Цикорий вызывает вздутие и пукается.
Пейте чёрный кофе, если нет симптомов. | https://t.me/ibs_doc/126?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,200 | 0 | 1,688,635,217 | 1,730,797,666 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 11 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 4 | 0 | 3 | true |
26 | null | Что у нас по сладостям? Как понять, сколько и чего можно съесть?
Чаще всего мне задают вопросы про шоколад и конфеты. Давайте разбираться.
Чаще всего основной газообразующий ингредиент в продуктах, содержащих шоколад, — это сухое молоко. А сухое молоко – это обычное молоко, которое выпарили. Т.е. в нем ну очень много лактозы – примерно 38-50% от его сухой массы.
Сколько сухого молока в молочном шоколаде?
В ГОСТе молочного шоколада указано, что он должен содержать не меньше 12% сухого молока (а значит, молочный шоколад может быть и более молочным, чем 12%).
Так, в шоколадке «Аленка» содержится 15,5% сухого молока, т.е. в 100 граммах шоколадки будет содержаться аж 15,5 граммов сухого молока. В пересчете на лактозу в этой порции - это порядка 5,89-7,75 грамм лактозы.
Идем дальше.
В шоколадке «Милка» содержится 18% сухого молока! А это значит, что в 100 граммах будет содержаться 18 грамм сухого молока и соответственно 6,84-9 грамм лактозы.
Ну а что насчет батончиков, которые содержат и другие компоненты? Например, батончик «Mars»:
Один батончик «Mars» весит 50 грамм, а молочного шоколада в нем 40% от общей массы, 31% составляет нуга и 28% карамель (их мы по умолчанию считаем безопасными).
По данным из официальных источников, шоколад содержит минимум 14% сухого молока.
Таким образом, в 50 граммах батончика «Mars» содержится 20 грамм молочного шоколада, в котором содержится 2,8 грамм сухого молока, в котором содержится 1,064-1,4 грамм лактозы.
По такому же принципу вы сможете рассчитать безопасные дозы для любой сладости при условии, если единственный опасный ингредиент — это молочный шоколад! (как например в Reese’s, которые прислала подписчица, а там 65% молочного шоколада от общей массы
😉
)
#разбор #сладкое | https://t.me/ibs_doc/127?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,900 | 0 | 1,688,905,760 | 1,730,797,666 | 10,139 | 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| 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| NEUTRAL | rus | NOT SPAM | 267 | 0 | 5 | 0.986111 | 0.013889 | 0 | 32 | 28 | 20 | 33 | 73 | 16 | 64 | true |
26 | null | А сколько лактозы мы можем перенести?
Любой человек, даже с синдромом раздраженного кишечника и непереносимостью лактозы одновременно, может безболезненно съесть 1 грамм сухого молока за прием, что соответствует практически целому 50-граммовому батончику «Mars» или 2,5-3 долькам шоколадки «Аленка».
И это тот минимум, который, скорее всего, перенесет любой! Все люди разные и переносимость лактозы, чувствительность к растяжению кишечника газами тоже очень разные. Ваша индивидуальная «доза» зависит от вашего организма.
А о других опасностях, связанных со сладостями, мы поговорим в других постах.
#сладкое #лактоза | https://t.me/ibs_doc/128?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,700 | 0 | 1,688,905,812 | 1,730,797,666 | 10,139 | 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| [{"ner":"Mars","lemma":"mars","label":"ORG","start_pos":256,"end_pos":260},{"ner":"Аленка","lemma":"алёнка","label":"ORG","start_pos":291,"end_pos":297},{"ner":"1","lemma":"1","label":"NUM","start_pos":162,"end_pos":163},{"ner":"50","lemma":"50","label":"NUM","start_pos":231,"end_pos":233},{"ner":"2","lemma":"2","label":"NUM","start_pos":266,"end_pos":267},{"ner":"5","lemma":"5","label":"NUM","start_pos":268,"end_pos":269},{"ner":"3","lemma":"3","label":"NUM","start_pos":270,"end_pos":271}] | NEUTRAL | rus | NOT SPAM | 82 | 0 | 3 | 0.990991 | 0.009009 | 0 | 10 | 9 | 6 | 5 | 27 | 6 | 23 | true |
26 | null | Ученые
нашли
новый способ диагностики аутизма
Группа исследователей под руководством профессора Ци Су из Китайского университета Гонконга выявила существенные различия между микробами в кишечнике людей с аутизмом, и тех, кто не страдает этим заболеванием. Об этом сообщает The Guardian.
По мнению ученых, открытие поможет создать дешевый и простой тест на расстройства аутического спектра. Результаты исследования показывают, что обычный анализ кала может помочь врачам выявить аутизм на ранней стадии. Исследователи утверждают, что поможет людям узнать диагноз и получить медицинскую помощь гораздо быстрее, чем при использовании нынешних методов диагностики.
«Обычно требуется от трех до четырех лет, чтобы поставить подтвержденный диагноз при подозрении на аутизм, причем большинству детей диагноз ставится в возрасте шести лет. Наша панель биомаркеров микробиома показывает высокую эффективность у детей в возрасте до четырех лет, что может помочь в ранней диагностике», — отмечает Ци Су. | https://t.me/imatrip/2038?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,720,582,880 | 1,730,797,666 | 9,937 | 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| [{"ner":"Ци Су","lemma":"ци су","label":"PER","start_pos":96,"end_pos":101},{"ner":"Китайского университета","lemma":"китайский университет","label":"ORG","start_pos":105,"end_pos":128},{"ner":"Гонконга","lemma":"гонконг","label":"LOC","start_pos":129,"end_pos":137},{"ner":"The Guardian","lemma":"the guardian","label":"ORG","start_pos":273,"end_pos":285},{"ner":"Ци Су","lemma":"ци су","label":"PER","start_pos":986,"end_pos":991}] | NEUTRAL | rus | NOT SPAM | 135 | 0 | 0 | 0.987421 | 0.012579 | 0 | 13 | 21 | 3 | 4 | 52 | 3 | 20 | true |
26 | null | Роман Михайлов — математик и литератор, автор непростой литературы, по которой уже ставят спектакли.
Его романы, больше похожие на эзотерическую прозу, нужно рассматривать вместе с биографией писателя. Корни его прозы можно найти в детстве, как и корни ненависти писателя к силам, уничтожившим Советский Союз. Отсюда и симпатии к нацболам.
«Нож» представляет путеводитель по творчеству и биографии Романа Михайлова, который позволяет понять, почему его произведения считают одним из важнейших событий в русской литературе последнего десятилетия.
https://knife.media/mikhailov-guide/ | https://t.me/imatrip/2040?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,720,642,853 | 1,730,797,666 | 10,139 | 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| [{"ner":"Роман Михайлов","lemma":"роман михайлов","label":"PER","start_pos":0,"end_pos":14},{"ner":"Советский Союз","lemma":"советский союз","label":"LOC","start_pos":294,"end_pos":308},{"ner":"Романа Михайлова","lemma":"роман михайлов","label":"PER","start_pos":398,"end_pos":414},{"ner":"https://knife.media/mikhailov-guide/","lemma":"https://knife.media/mikhailov-guide/","label":"ORG","start_pos":546,"end_pos":582}] | NEUTRAL | rus | NOT SPAM | 75 | 0 | 0 | 0.989247 | 0.010753 | 0 | 8 | 8 | 2 | 1 | 26 | 6 | 16 | true |
26 | null | Схема-терапия - относительно новое направление в психотерапии, разработанное д-ром Джеффри Янгом, на основе психоанализа, гештальт-терапии, когнитивно-поведенческой терапии и пр. В схема-терапии большое внимание уделяется детской травме и замещающему родительству. Этот вид психиатрической помощи дает обнадеживающие результаты при работе с клиентами, которым не помогли методы когнитивно-поведенческой психотерапии.
Схема-терапия приобретает все больше сторонников, поскольку показывает высокую эффективность при терапии таких состояний, как тревожные расстройства (паническое, генерализованное, социальное), обсессивно-компульсивное расстройство, пограничное расстройство личности, нарциссическое расстройство, посттравматическое расстройство, депрессия и пр. Схема-терапия широко применяется как в индивидуальной, так и в семейной терапии.
1.
Схема-терапия. Практическое руководство
- написана для специалистов в области психического здоровья.
В книге Дж. Янга вы найдете подробное описание предмета и метода схема-терапии, разбор понятия "схема", рассмотрение наиболее часто применяемых стратегий, а также стенограммы реальных сеансов, проводимых д-ром Янгом и его коллегами, и анализ клинических случаев. Книга рассчитана в первую очередь на профессиональных психотерапевтов и психологов, но будет интересна и широкому читателю.
2.
Прочь из замкнутого круга
- популярная книга по самопомощи, рассчитанная на широкую аудиторию.
Если вас годами преследуют одни и те же проблемы - в семье, на работе и в отношениях с окружающими - причины стоит искать в себе, а точнее, в своем детстве, и неважно, счастливым оно было или травматичным. Ведущие американские психотерапевты Джеффри Янг и Джанет Клоско, создатели схематерапии, уверены: еще ребенком каждый из нас усваивает определенные паттерны поведения, которые затем воспроизводит с завидным упрямством, даже если они мешают быть успешным и счастливым. Но выход есть! В этой книге вы узнаете, почему мы совершаем одни и те же ошибки и какие действия помогут разорвать порочный круг и изменить жизнь к лучшему.
#литература | https://t.me/imatrip/2041?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,720,669,331 | 1,730,797,666 | 10,143 | 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| [{"ner":"Джеффри Янгом","lemma":"джеффри янг","label":"PER","start_pos":83,"end_pos":96},{"ner":"Дж","lemma":"дж","label":"PER","start_pos":955,"end_pos":957},{"ner":"Янгом","lemma":"янг","label":"PER","start_pos":1157,"end_pos":1162},{"ner":"Джеффри Янг","lemma":"джеффри янг","label":"PER","start_pos":1674,"end_pos":1685},{"ner":"Джанет Клоско","lemma":"джанет клоско","label":"PER","start_pos":1688,"end_pos":1701},{"ner":"1","lemma":"1","label":"NUM","start_pos":843,"end_pos":844},{"ner":"2","lemma":"2","label":"NUM","start_pos":1334,"end_pos":1335}] | NEUTRAL | rus | NOT SPAM | 265 | 0 | 3 | 1 | 0 | 0 | 48 | 28 | 11 | 3 | 104 | 12 | 55 | true |
26 | null | Блогеров с аудиторией более тысячи человек
обяжут
сообщать свои данные
Владельцев каналов в мессенджерах и страниц в соцсетях, на которые подписаны более тысячи человек, могут обязать сообщать свои идентификационные данные в Роскомнадзор, Об этом, как передает ТАСС, сообщили в ведомстве.
Требование о предоставлении властям данных о распространителе информации могут конкретизировать и «распространить его не на всех пользователей социальных сетей, а только на тех, чья ежедневная аудитория превышает тысячу человек».
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Предложить новость | https://t.me/imatrip/2042?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,720,687,440 | 1,730,797,666 | 10,139 | 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| [{"ner":"Роскомнадзор","lemma":"роскомнадзор","label":"ORG","start_pos":225,"end_pos":237},{"ner":"ТАСС","lemma":"тасс","label":"ORG","start_pos":261,"end_pos":265}] | NEUTRAL | rus | NOT SPAM | 75 | 0 | 1 | 1 | 0 | 0 | 3 | 15 | 3 | 0 | 25 | 2 | 13 | true |
26 | null | Как биполярное расстройство раскалывает личность человека
Биполярное расстройство – это не просто болезнь. Это определенные характеристики темперамента, связанные с особенностями внимания, с реакцией на поощрение. И эти характеристики проявляются уже в детстве.
Часто такие дети воспринимаются как более способные и перспективные. И родители хотят верить в успешный подрастающий "проект".
Но такой "биполярный темперамент" у ребенка имеет и отрицательные стороны – проблемы с концентрацией, неусидчивость, нестабильную мотивацию, раздражительность.
И у родителей ребенка есть большой соблазн воспринимать его положительные стороны как "истинные", а отрицательные – как "лень", "слабость" и т.д. Другими словами, окружение подкрепляет только одну часть личности. И ребенок учится любить себя только в моментах, когда у него все получается, когда он может быть умнее, быстрее, энергичнее других. А когда подъем заканчивается, ребенок учится проявлять жестокость по отношению к себе.
Человек начинает воспринимать эмоциональные подъемы как некую данность. Хотя гипомания, разумеется, является не более "истинным" проявлением человека, чем депрессия, это стороны одной медали.
Депрессия воспринимается как нечто, что нужно подавлять, отвергать, ненавидеть. И, естественно, таким образом депрессия, как и мания, подкрепляются и усугубляются.
Поэтому психотерапия людей с биполярным расстройством должна быть направлена на интеграцию, на то, чтобы человек перестал ненавидеть свои слабости. | https://t.me/imatrip/2043?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,720,773,827 | 1,730,797,666 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 191 | 0 | 6 | 1 | 0 | 0 | 22 | 30 | 10 | 2 | 59 | 8 | 56 | true |
26 | null | Если хоть один ответ отрицательный, мои хорошие, у вас определено есть дефициты
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Мы же с вами не в раю с фиговыми листиками бегаем, окружающая среда и неправильное питание накладывает свой отпечаток!
Был клиентский случай
🤓
Девушка 30 лет, послушав лекции чудо-экспертов о вреде бадов, забила на витамины/микроэлементы и через пару лет пришла с тем, что сил жить нет… а там такие дефициты, что мама не горюй…
🙏 | https://t.me/magerya/11423?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 37,200 | 0 | 1,728,905,711 | 1,730,797,666 | 10,139 | 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| [{"ner":"30","lemma":"30","label":"NUM","start_pos":234,"end_pos":236}] | NEUTRAL | rus | NOT SPAM | 68 | 0 | 0 | 1 | 0 | 0 | 5 | 12 | 4 | 2 | 23 | 2 | 14 | true |
26 | null | Поэтому, чтобы восполнить все пробелы, напитать организм, нейтрализовать и вывести себя из минуса, мы устраиваем раз в 3 месяца чистку!
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👉🏼
https://t.me/mageryachistka/622 | https://t.me/magerya/11424?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 39,600 | 0 | 1,728,907,281 | 1,730,797,666 | 10,139 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":119,"end_pos":120},{"ner":"622","lemma":"622","label":"NUM","start_pos":177,"end_pos":180}] | NEUTRAL | rus | NOT SPAM | 23 | 0 | 0 | 0.96875 | 0.03125 | 0 | 0 | 5 | 2 | 1 | 7 | 2 | 6 | true |
26 | null | Зацените что показываю
«Что не так с этим черепом?» - спросите вы. «Посмотри на пирамиду височной кости!» - отвечу я.
Это обширное кровоизлияние в пирамиду височной кости у утонувшего. Один из признаков смерти от утопления между прочим.
У нас это называется п
ризнак Ульриха К. (Ulrich K.)
— обширное кровоизлияние в полость среднего уха, в костный слуховой проход и в кортикальный костный мозг пирамиды височной кости. Наблюдается при смерти от утопления в воде.
Описан Ульрихом в 1932 году в монографии «Ухо и смерть от утопления».
Записки судмедэксперта | https://t.me/sudmednotes/9121?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,100 | 0 | 1,729,275,527 | 1,730,797,666 | 10,142 | 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| [{"ner":"Ульриха К. (Ulrich K.)","lemma":"ульриха к. (ulrich k.)","label":"PER","start_pos":267,"end_pos":289},{"ner":"Описан Ульрихом","lemma":"описать ульрих","label":"PER","start_pos":464,"end_pos":479},{"ner":"1932","lemma":"1932","label":"NUM","start_pos":482,"end_pos":486}] | NEUTRAL | rus | NOT SPAM | 87 | 0 | 3 | 0.982143 | 0.017857 | 0 | 11 | 9 | 7 | 1 | 27 | 1 | 21 | true |
26 | null | Уже традиционно ночная еда
😅
, судмед такими темпами наберет пару лишних килограмм, в добавок уже к имеющимся.
Поздно освободился. День был тяжелый, можно себе позволить | https://t.me/sudmednotes/9123?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 43,900 | 0 | 1,729,279,178 | 1,730,797,666 | 10,139 | 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| null | NEUTRAL | rus | NOT SPAM | 26 | 0 | 0 | 1 | 0 | 0 | 3 | 5 | 1 | 0 | 6 | 5 | 5 | true |
26 | null | Друзья
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спасибо вам огромное за обратную связь и доверие
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Мы очень строго относимся к качеству сырья и производству
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https://t.me/DrAnshinaOmega | https://t.me/DrAnshina/1138?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 176,600 | 0 | 1,711,530,631 | 1,730,797,667 | 9,946 | 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| [{"ner":"https://t.me/DrAnshinaOmega","lemma":"https://t.me/dranshinaomega","label":"ORG","start_pos":122,"end_pos":149}] | NEUTRAL | rus | NOT SPAM | 22 | 0 | 0 | 0.966667 | 0.033333 | 0 | 2 | 1 | 2 | 0 | 7 | 2 | 4 | true |
26 | null | Вашим детям назначали? Отправьте пост подруге, у которой есть маленькие дети. Он может спасти жизнь
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Метоклопрамид (Церукал) - противорвотный препарат центрального действия, блокирующим допаминовые рецепторы. Согласно официальной инструкции, этот препарат строго противопоказан детям до 2 лет и требует особой осторожности при применении у детей от 2 до 14 лет.
Одним из серьезных побочных эффектов являются гиперкинезы, которые могут проявляться в виде судорог, спазма лицевых мышц и повышения мышечного тонуса, особенно при передозировке. При рвоте у детей старше 1 месяца предпочтительнее использовать ондансетрон.
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Регидрон имеет осмолярность 282 мосм/л, в то время как рекомендуемая детям осмолярность 245 мосм/л и ниже. В инструкции к препарату указано, что для детей следует использовать растворы с более низким содержанием натрия и осмолярностью.
Вместо Регидрона рекомендуется приобрести препараты, разработанные специально для детей, такие как Регидрон Био или Адиарин.
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Лоперамид/Лопедиум/Имодиум/Диара эффективны для устранения симптомов диареи, однако они не оказывают воздействия на инфекционный агент. Важно проводить адекватную оральную регидратацию, и если необходимо остановить диарею, безопасным вариантом будет рекадотрил (Гидрасек).
В Летнем гайде я объясняю, как правильно рассчитать дозировку для детей, если в наличии только капсулы, так как саше в аптеках может не быть.
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Домперидон (Мотилиум) может вызвать у детей жизнеугрожающие аритмии и даже смерть. Его применение запрещено у детей младше 12 лет и весом менее 35 кг.
Про но-шпу чуть позже
❤️ | https://t.me/DrAnshina/1140?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 128,699 | 0 | 1,712,161,083 | 1,730,797,667 | 9,946 | 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| NEUTRAL | rus | NOT SPAM | 218 | 0 | 2 | 1 | 0 | 0 | 22 | 32 | 6 | 9 | 70 | 12 | 53 | true |
26 | null | Знаете ли вы, как много функций выполняет наша кожа?
1️⃣
Защита от травм:
Кожа служит барьером, который предотвращает проникновение вредных веществ и микроорганизмов в организм.
2️⃣
Регуляция температуры:
Путем потоотделения и реакции сосудов кожа помогает организму поддерживать оптимальную температуру.
3️⃣
Поддержание водно-электролитного баланса:
Кожа участвует в процессах обмена воды и электролитов, помогая поддерживать баланс внутри организма.
4️⃣
Отклик на раздражители:
Кожа способна реагировать на различные раздражители, воспринимая тепло, холод, боль и т.д.
5️⃣
Участие в синтезе витамина D:
Под воздействием ультрафиолетовых лучей кожа синтезирует витамин D.
Кожа также играет важную роль в поддержании целостности организма и предотвращении проникновения опасных веществ и ультрафиолетового излучения солнца.
Проблемы с кожей могут иметь важные последствия для физического и психического здоровья. При оценке кожных проявлений врачам часто приходится учитывать возможные заболевания внутренних органов, для чего могут потребоваться дополнительные анализы и обследования. | https://t.me/dr_Guvarsha/141?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 150,600 | 0 | 1,686,556,585 | 1,730,797,667 | 9,947 | 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| [{"ner":"Кожа","lemma":"кожа","label":"PER","start_pos":74,"end_pos":78},{"ner":"1","lemma":"1","label":"NUM","start_pos":53,"end_pos":54},{"ner":"2","lemma":"2","label":"NUM","start_pos":178,"end_pos":179},{"ner":"3","lemma":"3","label":"NUM","start_pos":305,"end_pos":306},{"ner":"4","lemma":"4","label":"NUM","start_pos":452,"end_pos":453},{"ner":"5","lemma":"5","label":"NUM","start_pos":571,"end_pos":572}] | NEUTRAL | rus | NOT SPAM | 136 | 0 | 2 | 0.988506 | 0.011494 | 0 | 23 | 19 | 3 | 0 | 63 | 4 | 21 | true |
26 | null | Слои кожи: основные функции и особенности
Кожа состоит из трех основных слоев: эпидермиса, дермы и жирового слоя (или подкожной клетчатки). Каждый из этих слоев выполняет важные функции для нашего организма.
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Эпидермис
Эпидермис - внешний слой кожи, состоящий преимущественно из кератиноцитов. Он защищает нас от вредных воздействий окружающей среды и предотвращает проникновение бактерий и вирусов. Базальный слой эпидермиса содержит меланоциты, производящие меланин - пигмент, который защищает от ультрафиолетового излучения.
Эпидермис (вместе с другими слоями кожи) также защищает внутренние органы, мышцы, нервы и кровеносные сосуды от повреждения
Кроме того, в эпидермисе находятся клетки Лангерганса, часть иммунной системы кожи.
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Дерма
Дерма — это толстый слой кожи, состоящий из коллагена и эластина, который обеспечивает упругость и эластичность. В дерме находятся нервные окончания, потовые и сальные железы, волосяные фолликулы и кровеносные сосуды. Нервные окончания позволяют чувствовать боль, давление и температуру, а потовые железы помогают охлаждать тело. Сальные железы вырабатывают кожное сало, сохраняя кожу увлажненной и мягкой.
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Жировой слой
Под дермой находится жировой слой, который помогает защитить организм от холода и жары, служит запасом энергии и создает защитную подушку. Жировой слой состоит из жировых клеток и фиброзной ткани и может варьироваться по толщине в разных частях тела.
Каждый из этих слоев играет важную роль в поддержании здоровья кожи и всего организма в целом. Понимание их функций помогает лучше ухаживать за кожей и предотвращать различные проблемы. | https://t.me/dr_Guvarsha/143?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 153,000 | 0 | 1,686,557,343 | 1,730,797,667 | 9,947 | 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| [{"ner":"Лангерганса","lemma":"лангерганса","label":"PER","start_pos":695,"end_pos":706}] | NEUTRAL | rus | NOT SPAM | 222 | 0 | 1 | 1 | 0 | 0 | 36 | 32 | 6 | 1 | 87 | 4 | 38 | true |
26 | null | Сегодня поговорим про лечение кожных заболеваний
Препараты местного действия
Препараты местного действия являются ключевым методом лечения кожных заболеваний, поскольку они применяются непосредственно на поверхность кожи.
Препараты системного действия, которые употребляются внутрь или вводятся в организм инъекциями, распределяются по всему телу. Иногда применяют препараты под кожу для создания высокой концентрации в пораженной области.
Выбор препаратов местного действия:
При использовании лекарственных препаратов местного применения эффективность терапии зависит не только от самого препарата, но и от:
➖
Основы препарата (неактивного ингредиента, который доставляет лекарство к коже).
➖
Типа используемой повязки.
Типы препаратов местного действия:
⭐️
Мази:
Очень жирные, содержат небольшое количество воды, предназначены для смазывания или увлажнения кожи. Мази эффективнее кремов в доставке активных веществ и обычно менее раздражают кожу.
Плохо смываются.
⭐️
Кремы:
Эмульсия масла в воде, легко наносятся и впитываются в кожу, почти не вызывают раздражения.
Наиболее часто применяются.
⭐️
Лосьоны:
Это мелкодисперсная суспензия порошкообразного вещества в основе, состоящей из воды или масла и воды.
Их легко наносить на волосистую часть кожи, они эффективны для снятия жара или подсушивания воспаленных или мокнущих поражений.
⭐️
Растворы:
Жидкости с растворенным лекарственным веществом, удобны при заболеваниях волосистой части головы.
⭐️
Порошки:
Это сухая лекарственная форма веществ, которая применяется для защиты участков трения кожи о кожу.
⭐️
Гели:
На водной или спиртовой основе, обычно эффективны для угревой сыпи и псориаза волосистой части головы.
Изучение свойств и особенностей каждого типа препарата помогает обеспечить эффективное лечение. | https://t.me/dr_Guvarsha/144?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 154,500 | 0 | 1,686,557,343 | 1,730,797,667 | 9,947 | 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| [{"ner":"Мази","lemma":"мази","label":"PER","start_pos":759,"end_pos":763}] | NEUTRAL | rus | NOT SPAM | 229 | 0 | 0 | 1 | 0 | 0 | 35 | 25 | 8 | 0 | 98 | 13 | 47 | true |
26 | null | Частая проблема пациентов, особенно в возрасте до 23 лет — угревая сыпь.
Разберем, что это такое, причины и симптомы
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Угревая сыпь — это распространенное кожное заболевание, характеризующееся появлением прыщей и других изменений на лице и верхней части тела.
Обусловлено это закупоркой волосяных фолликулов из-за скопления омертвевших клеток кожи, бактерий и кожного сала.
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Симптомы угревой сыпи:
На коже (чаще на лице, груди, плечах и спине) могут появляться:
• Черные угри (открытые комедоны)
• Белые угри (закрытые комедоны)
• Прыщи (воспаленные закрытые комедоны)
• Папулы (твердые бугорки, возвышающиеся над уровнем кожи)
• Пустулы (поверхностные бугорки, содержащие гной)
• Узелки (содержащие гной плотные бугорки в глубине кожи)
• Кисты (большие карманы, содержащие гной)
• Абсцессы (глубокие карманы с гнойом)
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Причины угревой сыпи:
Угревая сыпь возникает в результате взаимодействия гормонов, кожного сала и бактерий, что приводит к воспалению волосяных фолликулов. Это процесс, при котором кожные поры закупориваются, препятствуя выходу кожного сала и вызывая образование различных видов прыщей.
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Диагностика угревой сыпи:
Для диагностики угревой сыпи врач проводит обследование кожи и оценивает степень ее поражения.
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Конечно угревая сыпь может существенно влиять на качество вашей жизни, но с правильным подходом к лечению и уходу за кожей большинство случаев можно успешно контролировать.
Если у вас возникают проблемы с кожей, важно обратиться к косметологу для профессиональной консультации и назначения подходящего лечения. | https://t.me/dr_Guvarsha/145?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 157,100 | 0 | 1,686,557,344 | 1,730,797,667 | 9,939 | 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| [{"ner":"23","lemma":"23","label":"NUM","start_pos":50,"end_pos":52}] | NEUTRAL | rus | NOT SPAM | 217 | 0 | 0 | 1 | 0 | 0 | 30 | 29 | 6 | 1 | 85 | 6 | 57 | true |
26 | null | Видеорубрика "Для души и тела". Доктор Мясников: как важно оглянуться вокруг
- Зачем человеку общаться с животными?
- Почему люди с возрастом черствеют?
- Как выглядят наши "шоры"?
- "Что есть красота?"
- Доктор Мясников делится воспоминаниями о маме.
Смотрите на канале "Доктор Мясников"
https://youtu.be/RL_VHrN_gOc | https://t.me/drmyasnikov/2534?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 73,300 | 0 | 1,724,496,413 | 1,730,797,667 | 9,946 | 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| [{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":39,"end_pos":47},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":212,"end_pos":220},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":272,"end_pos":287}] | NEUTRAL | rus | NOT SPAM | 45 | 0 | 0 | 0.985075 | 0.014925 | 0 | 1 | 7 | 1 | 1 | 16 | 6 | 16 | true |
26 | null | С Днем Шахтера! Как то и я спустился в шахту- мысль была одна: мне тут просто ходить неимоверно трудно, как же они тут работают?! И женщины тоже! Воистину- героический труд! Не зря в СССР шахтеров окружали таким уважением! | https://t.me/drmyasnikov/2535?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 71,300 | 0 | 1,724,569,461 | 1,730,797,667 | 9,946 | 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| [{"ner":"Шахтера","lemma":"шахтёр","label":"PER","start_pos":7,"end_pos":14},{"ner":"СССР","lemma":"ссср","label":"LOC","start_pos":183,"end_pos":187}] | POSITIVE | rus | NOT SPAM | 38 | 0 | 3 | 1 | 0 | 0 | 3 | 4 | 4 | 0 | 5 | 6 | 8 | true |
26 | null | День память Н.С. Гумилева
Та страна, что могла быть раем,
Стала логовищем огня.
Мы четвертый день наступаем,
Мы не ели четыре дня.
Но не надо яства земного
В этот страшный и светлый час,
Оттого, что Господне слово
Лучше хлеба питает нас.
И залитые кровью недели
Ослепительны и легки.
Надо мною рвутся шрапнели,
Птиц быстрей взлетают клинки.
Я кричу, и мой голос дикий.
Это медь ударяет в медь.
Я, носитель мысли великой,
Не могу, не могу умереть!
А это про него:
И запишут в изменники
Вскорости кого хошь.
И с лихвой современники
Страх узнают и дрожь…
Вроде пулям не кланялись,
Но зато наобум
Распинались и каялись
На голгофах трибун,
И спивались, изверившись,
И не вывез авось,
И стрелялись, и вешались.
А тебе – не пришлось. Царскосельскому Киплингу Подфартило сберечь
Офицерскую выправку
И надменную речь. …
Ни болезни, ни старости,
Ни измены себе
Не изведал… и в августе,
В двадцать первом, к стене
Встал, холодной испарины
Не стирая с чела,
От позора избавленный Петроградской ЧК.
(Корнилов)
Оказывается и это Гумилев:
Жди меня. Я не вернусь -
это выше сил.
Если ранее не смог
значит - не любил.
Но скажи, зачем тогда,
уж который год,
я Всевышнего прошу,
чтоб тебя берёг.
Ждёшь меня? Я не вернусь
не смогу. Прости,
что стояла только грусть
на моём пути.
Может быть,
средь белых скал
и святых могил
я найду,
кого искал, кто меня любил?
Жди меня. Я - не вернусь! | https://t.me/drmyasnikov/2536?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 61,000 | 0 | 1,724,648,730 | 1,730,797,667 | 9,946 | 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26 | null | Еще раз опубликую, написанное мною ранее:
«Я оказался на берегу озера Чад раньше, чем открыл для себя Николая Степановича Гумилёва. Во времена моей юности он был запрещён. Как же — царский офицер, можно сказать — белогвардеец, расстрелянный за участие в заговоре против Советской власти! И вообще — стихами я увлёкся значительно позже. Оказывается, и до поэзии надо «дозреть»…
Озеро Чад — коричневая вода, жара, насекомые, а он:
На таинственном озере Чад Посреди вековых баобабов Вырезные фелуки стремят На заре величавых арабов…
Я долго прожил в Африке и свидетельствую: Н. Гумилёв понял душу этого континента как никто! Только влюблённый в Африку, в женщину и жизнь мог написать такое:
Сегодня, я вижу, особенно грустен твой взгляд И руки особенно тонки, колени обняв. Послушай: далёко, далёко, на озере Чад Изысканный бродит жираф.
Ему грациозная стройность и нега дана, И шкуру его украшает волшебный узор, С которым равняться осмелится только луна, Дробясь и качаясь на влаге широких озёр.
Вдали он подобен цветным парусам корабля, И бег его плавен, как радостный птичий полёт. Я знаю, что много чудесного видит земля, Когда на закате он прячется в мраморный грот…
Действительно, как объяснить, то, что ты видел и чувствовал, что есть другой Мир, где живёшь другими образами, где иное время, иные люди, иные звери, иные озёра, иная жизнь! Как объяснить это другим, когда и самого иной раз быт и бег по кругу вгоняет в депрессию…
«Я знаю весёлые сказки таинственных стран Про чёрную деву, про страсть молодого вождя, Но ты слишком долго вдыхала тяжёлый туман, Ты верить не хочешь во что-нибудь кроме дождя.
И как я тебе расскажу про тропический сад, Про стройные пальмы, про запах немыслимых трав. Ты плачешь? Послушай… далёко, на озере Чад Изысканный бродит жираф.»
Когда я читаю его строки, посвящённые африканским путешествиям, мне кажется, что это я их написал или продиктовал — это же мои мысли и чувства! И даже детали моей африканской биографии!
«Я пробрался вглубь неизвестных стран, Восемьдесят дней шёл мой караван;
Цепи грозных гор, лес, а иногда Странные вдали чьи-то города,
И не раз из них в тишине ночной В лагерь долетал непонятный вой.
Мы рубили лес, мы копали рвы, Вечерами к нам подходили львы,
Но трусливых душ не было меж нас. Мы стреляли в них, целясь между глаз.
Древний я отрыл храм из-под песка, Именем моим названа река,
И в стране озёр пять больших племён Слушались меня, чтили мой закон»
И мы с геологами так по месяцу ходили по неизведанным местам, и львы подходили и ревели, и банды рыскали… А как-то раз на охоте убили леопарда. Случайно, правда, стреляли ночью на отблеск фар в глазах, думали антилопа. Подошли, а там смертельно раненый леопард рычит и скалит жёлтые клыки…
«Колдовством и ворожбою В тишине глухих ночей Леопард, убитый мною, Занят в комнате моей. … Поздно. Мыши засвистели, Глухо крякнул домовой, И мурлычет у постели Леопард, убитый мной. …
— Брат мой, брат мой, рёвы слышишь, Запах чуешь, видишь дым? Для чего ж тогда ты дышишь Этим воздухом сырым?
— Нет, ты должен, мой убийца, Умереть в стране моей, Чтоб я снова мог родиться В леопардовой семье. —
Неужели до рассвета Мне ловить лукавый зов? Ах, не слушал я совета, Не спалил ему усов! (Н. Гумилёв)
История с леопардом получила мрачное продолжение. Шкуру мы обработали и сушили в хижине, где жили.
Усов, правда, тоже не спалили! А ведь по местному поверью, если убить леопарда и не подпалить ему усы, то его дух придёт за тобой! Примерно так и произошло: случилась трагедия — на лагерь напали бандиты, четверо из наших товарищей были убиты, многие попали в плен. Когда в лагерь наконец прибыли военные, они обнаружили и шкуру того леопарда. И началось: «Ах, шкура, ах, шкура! Ах, леопард, ах, леопард! Ах, Красная книга, ах, Красная книга! Да вы за это ответите!» Заткнулись только тогда, когда им сказали: «А кто ответит за наших ребят, что погибли из-за того, что ваша охрана разбежалась при первых же выстрелах?!» Прошли годы, а моё сердце всё ещё там, во сне постоянно вижу эту красную землю и красные же цветущие акации!
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⏬️ | https://t.me/drmyasnikov/2537?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 56,000 | 0 | 1,724,649,582 | 1,730,797,667 | 9,946 | 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26 | null | Продолжение:
«Я, верно, болен: на сердце туман, Мне скучно всё — и люди, и рассказы, Мне снятся королевские алмазы И весь в крови широкий ятаган! …
Молчу, томлюсь, и отступают стены: Вот океан весь в клочьях белой пены, Закатным солнцем залитый гранит,
И город с голубыми куполами, С цветущими жасминными садами,
Мы дрались там… Ах, да! я был убит»
Я много времени пробыл с местными африканскими крестьянами, много лет лечил именно их. Думаю, что не ошибусь, если скажу, что они меня любили. Во всяком случае, домик, в котором я жил, не обчистили ни разу, тогда как все белые специалисты расставались со всем своим имуществом по много раз!
«Я служил пять лет у богача,
Я стерёг в полях его коней,
И за то мне подарил богач
Пять быков, приученных к ярму.
Одного из них зарезал лев,
Я нашел в траве его следы,
Надо лучше охранять крааль,
Надо на ночь зажигать костер.
А второй взбесился и бежал,
Звонкою ужаленный осой,
Я блуждал по зарослям пять дней,
Но нигде не мог его найти.
Двум другим подсыпал мой сосед
В пойло ядовитой белены,
И они валялись на земле
С высунутым синим языком.
Заколол последнего я сам,
Чтобы было, чем попировать
В час, когда пылал соседский дом
И вопил в нём связанный сосед.
(Н. Гумилёв)
Путешественник, охотник, солдат, поэт и Дон Жуан — как же он мне близок по духу! Мне всегда тяжело на собраниях, Президиумах, приёмах, банкетах! Ненавижу галстуки и костюмы!
«Да, я знаю, я вам не пара,
Я пришёл из другой страны,
И мне нравится не гитара,
А дикарский напев зурны.
Не по залам и по салонам,
Тёмным платьям и пиджакам —
Я читаю стихи драконам,
Водопадам и облакам.
Я люблю — как араб в пустыне
Припадает к воде и пьёт,
А не рыцарем на картине,
Что на звезды смотрит и ждёт.
И умру я не на постели,
При нотариусе и враче,
А в какой-нибудь дикой щели,
Утонувшей в густом плюще…
(Н. Гумилёв)
А как он умел любить! Любовь к женщине пронизывает все его стихи! Женщины были разные, но любил он их всех! И не одну не бросил — они уходили от него сами, поняв, что быть рядом с такой мятущейся душой совсем непросто! И потом всю жизнь об этом жалели. Одна из них — Анна Ахматова — написала:
Не бывать тебе в живых,
Со снегу не встать.
Двадцать восемь штыковых,
Огнестрельных пять.
Горькую обновушку
Другу шила я.
Любит, любит кровушку
Русская земля.
А горечь к женскому непостоянству у Гумилёва вылилась в сонет:
«Мой старый друг, мой верный Дьявол,
Пропел мне песенку одну:
— Всю ночь моряк в пучине плавал,
А на заре пошел ко дну.
Вокруг вставали волны-стены,
Спадали, вспенивались вновь,
Пред ним неслась, белее пены,
Его великая любовь.
Он слышал зов, когда он плавал:
«О, верь мне, я не обману»…
Но помни, — молвил умный Дьявол, —
Он на заре пошёл ко дну»
И всё-таки каждую он вводил в свой Мир:
«Уедем, бросим край докучный И каменные города, Где Вам и холодно, и скучно, И даже страшно иногда. …
В горах, где весело, где ветры Кричат, рубить я стану лес, Смолою пахнущие кедры, Платан, встающий до небес.
Я буду изменять движенье Рек, льющихся по крутизне, Указывая им служенье, Угодное отныне мне.
А Вы, Вы будете с цветами, И я Вам подарю газель С такими нежными глазами, Что кажется, поёт свирель;
Иль птицу райскую, что краше И огненных зарниц, и роз, Порхать над тёмно-русой Вашей Чудесной шапочкой волос.
Когда же Смерть, грустя немного, Скользя по роковой меже, Войдет и станет у порога, — Мы скажем смерти: «Как, уже?»
И, не тоскуя, не мечтая, Пойдём в высокий Божий рай, С улыбкой ясной узнавая Повсюду нам знакомый край»
Насмешница-судьба — перечеркнуть жизнь такого человека на взлёте!
«Кто кончил жизнь трагически — тот истинный Поэт!» — как точно сказал Владимир Высоцкий…
С меня при цифре 37 — в момент слетает хмель,
Вот и сейчас как холодом подуло:
Под эту цифру Пушкин подгадал себе дуэль
и Маяковский лёг виском на дуло!
(В. Высоцкий)
Вот и Гумилёву на время ареста было всего 35… Не помог ему авантюрист и чекист Яков Блюмкин — тот самый:
«Человек, среди толпы народа Застреливший императорского посла…» (Н. Гумилёв)
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⏬️ | https://t.me/drmyasnikov/2538?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 64,300 | 0 | 1,724,649,582 | 1,730,797,667 | 9,937 | 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| [{"ner":"Звонкою","lemma":"звонкою","label":"PER","start_pos":894,"end_pos":901},{"ner":"Н. 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Гумилёв","lemma":"н. гумилёв","label":"PER","start_pos":1805,"end_pos":1815},{"ner":"Анна Ахматова","lemma":"анна ахматов","label":"PER","start_pos":2084,"end_pos":2097},{"ner":"Русская земля","lemma":"русский земля","label":"LOC","start_pos":2254,"end_pos":2267},{"ner":"Гумилёва","lemma":"гумилёва","label":"PER","start_pos":2305,"end_pos":2313},{"ner":"Дьявол","lemma":"дьявол","label":"PER","start_pos":2361,"end_pos":2367},{"ner":"Дьявол","lemma":"дьявол","label":"PER","start_pos":2645,"end_pos":2651},{"ner":"Мир","lemma":"мир","label":"PER","start_pos":2715,"end_pos":2718},{"ner":"Кричат","lemma":"кричать","label":"LOC","start_pos":2853,"end_pos":2859},{"ner":"Смолою","lemma":"смолою","label":"PER","start_pos":2881,"end_pos":2887},{"ner":"Платан","lemma":"платан","label":"LOC","start_pos":2904,"end_pos":2910},{"ner":"Смерть","lemma":"смерть","label":"PER","start_pos":3246,"end_pos":3252},{"ner":"Скользя","lemma":"скользя","label":"PER","start_pos":3270,"end_pos":3277},{"ner":"Войдет","lemma":"войти","label":"PER","start_pos":3295,"end_pos":3301},{"ner":"Пойдём","lemma":"пойдём","label":"PER","start_pos":3378,"end_pos":3384},{"ner":"Божий","lemma":"божий","label":"LOC","start_pos":3395,"end_pos":3400},{"ner":"Повсюду","lemma":"повсюду","label":"PER","start_pos":3430,"end_pos":3437},{"ner":"Владимир Высоцкий","lemma":"владимир высоцкий","label":"PER","start_pos":3593,"end_pos":3610},{"ner":"Пушкин","lemma":"пушкин","label":"PER","start_pos":3705,"end_pos":3711},{"ner":"Гумилёву","lemma":"гумилёву","label":"PER","start_pos":3785,"end_pos":3793},{"ner":"Яков Блюмкин","lemma":"яков блюмкин","label":"PER","start_pos":3858,"end_pos":3870},{"ner":"Н. Гумилёв","lemma":"н. гумилёв","label":"PER","start_pos":3950,"end_pos":3960},{"ner":"37","lemma":"37","label":"NUM","start_pos":3629,"end_pos":3631},{"ner":"35","lemma":"35","label":"NUM","start_pos":3821,"end_pos":3823}] | NEUTRAL | rus | NOT SPAM | 689 | 1 | 46 | 1 | 0 | 0 | 61 | 107 | 67 | 13 | 167 | 33 | 199 | true |
26 | null | Для пациентов с СРК эритритол является лучшим выбором из всех полиолов, потому что он единственный прекрасно всасывается в кишечнике и выводится с мочой в неизменном виде, в связи с чем имеет 0 калорий!
А еще у полиолов есть охлаждающий эффект, когда они растворяются – забирают тепло из окружающей среды. Поэтому при взаимодействии их со слюной вы можете ощутить приятный холодок.
😉
Всегда помните, что если слишком много увлекаться жвачками и леденцами без сахара – может быть диарея и вздутие.
#запретограм #полиолы #сахзамы | https://t.me/ibs_doc/114?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,300 | 0 | 1,688,296,347 | 1,730,797,667 | 9,949 | 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| [{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":16,"end_pos":19},{"ner":"0","lemma":"0","label":"NUM","start_pos":192,"end_pos":193}] | NEUTRAL | rus | NOT SPAM | 82 | 1 | 2 | 1 | 0 | 0 | 4 | 15 | 5 | 1 | 24 | 7 | 13 | true |
26 | null | Начнем первый разбор по заявкам!
Подсластители
Когда речь идет о сахарозаменителях, необходимо запомнить, что опасными для пациентов с СРК являются прежде всего сахарные спирты/полиОЛы (кроме эритритола). Их названия заканчиваются на ОЛ, подробнее можете почитать в предыдущем посте.
Сахарные спирты по сладости в основном уступают обычному сахару. Она варьируется от 20% до 100% столового сахара (сахарозы). Поэтому объемы полиолов могут быть весьма внушительными для достижения необходимо уровня сладости продукта.
Другие же сахарозаменители намного более сладкие, чем сахар, например, цикламат натрия в 30 раз слаще, сахарин в 300-500 раз, аспартам в 180-200 раз, стевиозид в 250 раз слаще.
Поэтому, даже если бы такие сахарозаменители ферментировались бактериями в кишечнике, то их доза все равно была бы ничтожна мала.
В подсластителе на первом фото все составные части безопасны, кроме лактозы, но ее доза в 1 таблетке будет ничтожно мала, поэтому считаем его СРК-френдли.
Во втором подсластителе необходимо обратить внимание на такой компонент, как лактулоза. Это модифицированная лактоза, которая на 99% достигнет толстой кишки, где подвергнется ферментации бактериями.
Те вещества, которые окажутся кормом для бактерий, называются ПРЕбиотиками. Бактериям будет хорошо, а вас вздует. Лактулоза может быть знакома вам в торговом варианте слабительного средства – Дюфалак. Поэтому этот продукт будет вздувать, ему ничего не ставим.
#разбор #сахзамы | https://t.me/ibs_doc/116?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 5,500 | 0 | 1,688,324,569 | 1,730,797,667 | 9,949 | 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| 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| NEUTRAL | rus | NOT SPAM | 201 | 0 | 4 | 1 | 0 | 0 | 28 | 22 | 10 | 12 | 61 | 15 | 44 | true |
26 | null | Гречневая булочка – прекрасный безглютеновый продукт.
Но что в составе нам важно и непонятно? Самыми интересными позициями являются инвертный сироп и изолят горохового белка, что и было в запросе на разбор.
Инвертный сироп вы можете самостоятельно получить в домашних условиях из обычного сахара с добавлением лимонной кислоты. Получается смесь фруктозы с глюкозой (в соотношении 1:1) и остатками сахарозы. Все это будет успешно усвоено в ЖКТ и ничего не достанется бактериям для газообразования.
Любые изоляты белка – это белки высокой очистки, там практически не остается ничего, что могло бы вас вздуть. Белки не являются газообразующими соединениями. То же касается и спортивных добавок – изолят белка самый «чистый» и безопасный.
Остались вопросы? Продолжим разборы в следующих постах.
#разбор | https://t.me/ibs_doc/118?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 5,800 | 0 | 1,688,324,592 | 1,730,797,667 | 9,946 | 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| [{"ner":"ЖКТ","lemma":"жкт","label":"ORG","start_pos":439,"end_pos":442},{"ner":"1","lemma":"1","label":"NUM","start_pos":380,"end_pos":381},{"ner":"1","lemma":"1","label":"NUM","start_pos":382,"end_pos":383}] | NEUTRAL | rus | NOT SPAM | 116 | 0 | 1 | 1 | 0 | 0 | 20 | 16 | 9 | 1 | 32 | 4 | 22 | true |
26 | null | Один из ранних постов в инсте
Затравка к разбору сладостей на завтра
«Шоколад не виноват»
Ох, если бы шоколада можно было съесть столько, сколько захочешь. Согласны со мной?
😉
Но нас ограничивает либо его калорийность, либо страх того, что заболит живот, или кое-что слипнется.
Люди, страдающие синдромом раздраженного кишечника, при этом, могут съесть значительно меньше шоколада, чем обычный человек.
Давайте разберем из чего состоит это материализованное счастье:
- Прежде всего это какао-бобы и тертое какао, от которых в чистом виде проблем возникнуть не должно. Даже если удалить из них все масло какао и оставить только сухую массу в виде какао-порошка, то его можно съесть больше 100 г и не вздуться! (конечно, делать этого не нужно)
- Сухое молоко – чем его больше, тем «молочнее» будет шоколад (логично). В сухом молоке массовая доля лактозы составляет 38%-50% в зависимости от жирности.
От его концентрации и зависят «газообразующие» свойства шоколада, при этом не стоит забывать, что переносимость лактозы у людей может быть разной.
Лактоза вообще противоречивый сахар. В основном взрослые люди переваривают ее либо немного, либо совсем никак. Поскольку у пациентов с СРК кроме всего прочего еще и чувствительность кишечника высокая, лактоза скорее им противопоказана, хотя тут стоит оценивать индивидуальную чувствительность. В карусели указаны только абсолютно опасные и безопасные дозы шоколада, поскольку промежуточные дозы сильно варьируются в зависимости от человека.
Тем не менее, пациентам с синдромом раздраженного кишечника стоит ограничивать употребление молочного шоколада и других кондитерских изделий, содержащих его.
А вот темного шоколада можно съесть достаточно много, и чем выше процент шоколадности, тем больше можно!
Так виноват ли шоколад? Только в том, что связался с молоком.
😉
#запретограм #сладкое | https://t.me/ibs_doc/123?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,900 | 0 | 1,688,562,124 | 1,730,797,667 | 9,937 | 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| [{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":1180,"end_pos":1183},{"ner":"100","lemma":"100","label":"NUM","start_pos":688,"end_pos":691},{"ner":"38","lemma":"38","label":"NUM","start_pos":863,"end_pos":865},{"ner":"50","lemma":"50","label":"NUM","start_pos":867,"end_pos":869}] | NEUTRAL | rus | NOT SPAM | 266 | 0 | 5 | 1 | 0 | 0 | 33 | 35 | 19 | 7 | 72 | 25 | 55 | true |
26 | null | Брюс Перри, Майя Салавиц - Мальчик, которого растили как собаку
Что происходит, когда травмирован молодой мозг? Как психологическая катастрофа влияет на психику ребенка? Как и что можно предпринять, чтобы вернуть детям радость полноценной жизни, восстановить потенциал физического, умственного и эмоционального развития?
Рассказывая реальные истории сквозь призму науки, доктор Перри раскрывает стратегии и меры, учитывающие удивительные возможности детской психики и мозга, для полного преодоления последствий экстремального психологического опыта своих юных пациентов.
#литература | https://t.me/imatrip/2034?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,719,819,642 | 1,730,797,667 | 9,946 | 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| [{"ner":"Брюс Перри","lemma":"брюс перри","label":"PER","start_pos":0,"end_pos":10},{"ner":"Майя Салавиц - Мальчик","lemma":"майя салавиц - мальчик","label":"PER","start_pos":12,"end_pos":34},{"ner":"Перри","lemma":"перри","label":"PER","start_pos":378,"end_pos":383}] | NEUTRAL | rus | NOT SPAM | 71 | 0 | 0 | 1 | 0 | 0 | 13 | 10 | 2 | 0 | 24 | 1 | 14 | true |
26 | null | В настоящее время не существует рандомизированных контролируемых исследований, изучающих эффективность различных методов лечения мизофонии. Описано использование антидепрессантов и анксиолитических препаратов для ослабления симптомов или сопутствующих состояний, связанных с мизофонией. Есть клинические случаи, свидетельствующие об эффективности флуоксетина и метилфенидата у подростков с мозофонией в отношении клинических проявлений расстройства. Вероятно, препараты данных групп эффективны в случаях ассоциации мизофонии с симптомами депрессии или тревоги.
Другое исследование 2022 года продемонстрировало эффективность β-блокатора прорпанолола при мизофонии и мизокинезии в отношении многочисленных слуховых и визуальных симптомов, связанных с приемом пищи с другими людьми. В другой работе 2022 года, ребенок с расстройством аутистического спектра и мизофонией положительно отреагировал на низкую дозировку рисперидона.
Читать далее | https://t.me/imatrip/2035?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,720,154,741 | 1,730,797,667 | 9,946 | 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| [{"ner":"2022","lemma":"2022","label":"NUM","start_pos":581,"end_pos":585},{"ner":"2022","lemma":"2022","label":"NUM","start_pos":796,"end_pos":800}] | NEUTRAL | rus | NOT SPAM | 107 | 0 | 2 | 0.99187 | 0 | 0.00813 | 17 | 12 | 0 | 0 | 53 | 4 | 12 | true |
26 | null | Аддикции проявляется как в импульсивности, так и в компульсивности:
1) старт аддиктивному циклу даёт нарушение контроля – избыточное употребление (например, запой);
2) затем, как результат чрезмерного употребления, возникает абстинентный синдром (синдром отмены), сопровождаемый соматическим симптомами, неприятными физиологическими ощущениям и негативными аффектами;
3) в финале, через некоторое время, нарастает беспокойство по поводу новой возможности употребления (крейвинг), недовольство собой и своим состоянием в трезвости, что приводят к повторению аддиктивного цикла.
Вот тут вышла очередная книжка, представленная профессором кафедры психопатологии Амстердамского университета Reinout W. Wiers.
Эта работа написана по мотивам свежих исследований, в которых ещё раз подчёркивается идея о том, что «зависимости» – это скорее проявление предвзятого человеческого выбора, чем болезнь мозга.
Головной мозг человека действительно меняется в ответ на употребление психоактивных веществ (с этим никто не спорит). В дальнейшем эти изменения могут затруднить выздоровление, однако этого факта недостаточно, чтобы классифицировать «зависимость» как хроническую болезнь мозга.
Почему же нецелесообразно считать «зависимости» прогрессирующими заболеваниями мозга?
Дело в том, что в среднем, около 10% людей с зависимостью получают специализированное лечение, при этом большинство из них, все же берут свои проблемы под контроль и выздоравливают, чего не наблюдается в случае других прогрессирующих заболеваний мозга, таких как деменция или болезнь Паркинсона (где состояние только ухудшается, даже несмотря на лечение).
Получается, что критериям «зависимости как прогрессирующего заболевания мозга» соответствует абсолютное меньшинство (самых тяжёлых) пациентов.
В случае зависимости речь идёт не об отсутствии свободы воли или порабощении веществом, а в том, что выбор человека смещен в сторону упорного повторения ранее рабочих схем (которые в большинстве случаев «здесь и сейчас» уже плохо или совсем неработают).
Источник:
https://www.taylorfrancis.com/books/mono/10.4324/9781032634548/new-approach-addiction-choice-reinout-wiers
#зависимость | https://t.me/imatrip/2036?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,720,184,070 | 1,730,797,667 | 9,946 | 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26 | null | За последние два года тысячи россиян уехали из страны. Вынужденная эмиграция — всегда большое испытание, а люди с ментальными расстройствами особенно уязвимы. Резкий переезд отдаляет их от поддерживающего окружения, лишает доступа к специалистам и лекарствам. «Такие дела»
поговорили с эмигрантами, у которых есть ментальные диагнозы
, а также узнали, как получить необходимую терапию в новой стране. | https://t.me/imatrip/2037?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,720,418,633 | 1,730,797,667 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 56 | 0 | 0 | 1 | 0 | 0 | 9 | 8 | 2 | 1 | 18 | 4 | 12 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11415?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,300 | 0 | 1,728,757,839 | 1,730,797,667 | 9,948 | 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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 | Мои хорошие, помним про ежедневный приём Омега-3:
✔️
по 1 ч.л. (1 капсуле) с каждым приемом пищи.
Жидкий рыбный жир обеспечивает максимальную концентрацию и оптимальное соотношение EPA и DHA
🌍
🌟
EPA — улучшает состояние кожи, волос, ногтей, убирает холестериновые отложения на сосудах, забирает на себя лишний жир, является источником половых гормонов;
💡
DHA — благоприятно влияет на клетки мозга, улучшая память и внимание
🧠
✅
Мужчины
, регулярно употребляющие Омега-3, профилактируют и улучшают мужское здоровье. Исследования показывают связь
качества спермограммы
и наличия в рационе Омега-3.
✅
Для
женщин
Омега-3 — верный
спутник здоровой менструации, зачатия и вынашивания
🤰
✅
Для
детей
рыбный жир – это
прекрасная успеваемост
ь, красота и прочность костей
💪
Особенно он важен в период полового созревания!
Заказать
👉🏼
wildberries/омега-3
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👉🏼
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11417?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 50,300 | 0 | 1,728,796,206 | 1,730,797,667 | 9,947 | 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| NEUTRAL | rus | NOT SPAM | 143 | 0 | 6 | 0.971154 | 0.028846 | 0 | 17 | 14 | 2 | 5 | 52 | 4 | 34 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11418?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,300 | 0 | 1,728,844,238 | 1,730,797,667 | 9,948 | 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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 | Витамины – маркетинговый ход и всего хватает в еде? Или добавки действительно нужны?
Давайте обсудим
👇🏼 | https://t.me/magerya/11419?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,400 | 0 | 1,728,877,806 | 1,730,797,667 | 9,946 | 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| null | NEUTRAL | rus | NOT SPAM | 16 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 0 | 0 | 4 | 2 | 4 | true |
26 | null | Как определить смерть?
Обыватель скажет: "Ну если человек умер, то у него не будет дыхания, сердцебиения, сознания", и будет прав, но только частично.
Отсутствие сознания, дыхания, пульса, реакции зрачков на свет - относительные признаки. Они указывают на клиническую смерть — переходный и обратимый этап между жизнью и биологической смертью, то есть есть шанс реанимировать человека. Поэтому вышеперечисленных признаков недостаточно, чтобы считать человека мертвым. Нам нужны абсолютные признаки биологической смерти, они поинтереснее!
Смотри фотографии
Записки судмедэксперта | https://t.me/sudmednotes/9113?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 46,000 | 0 | 1,729,198,572 | 1,730,797,667 | 9,946 | 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| null | NEUTRAL | rus | NOT SPAM | 75 | 0 | 0 | 1 | 0 | 0 | 14 | 11 | 4 | 0 | 27 | 3 | 21 | true |
26 | null | У всех пятница ебанутая? Извиняюсь за мат, но слово идеально вписывается в мой сегодняшний день.
Мало того, что на работе с трупами завал, так еще и много живых лиц приходило, как они выражаются «снять побои».
Картина маслом. Две соседки подрались из-за того, кто-то из них вытащил много мусора из машины и закинул в мусорку около подъезда. Второй это не понравилась, она пристыдила соседку: «можно было бы до большой мусорки дойти».
Слово за слово, волосы за волосы, зуб за зуб… | https://t.me/sudmednotes/9114?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,400 | 0 | 1,729,245,406 | 1,730,797,667 | 9,946 | 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| null | NEUTRAL | rus | NOT SPAM | 79 | 0 | 1 | 1 | 0 | 0 | 5 | 12 | 10 | 2 | 23 | 7 | 20 | true |
26 | null | Я бы сейчас выпил вкусного чая с пирожками с луком и яйцом. Но увы, мне нужно работать дальше.
Пообедайте там за меня… | https://t.me/sudmednotes/9115?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,100 | 0 | 1,729,245,485 | 1,730,797,667 | 9,946 | 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| null | NEUTRAL | rus | NOT SPAM | 22 | 0 | 1 | 1 | 0 | 0 | 2 | 3 | 3 | 0 | 4 | 4 | 4 | true |
26 | null | Я так канал решил вести | https://t.me/sudmednotes/9116?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,200 | 0 | 1,729,259,164 | 1,730,797,667 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 5 | 0 | 1 | 1 | 0 | 0 | 0 | 2 | 1 | 0 | 1 | 1 | 0 | true |
26 | null | Про новый штамм ковида.
Тактика лечения не изменилась, у кого есть мой «Домашний доктор», читайте. У кого нет
👐🏻
продажи закрыты.
Подкаст был, ничего не изменилось глобального
https://t.me/DrAnshina/986
#домашнийдоктор
#витамины | https://t.me/DrAnshina/1132?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 156,500 | 0 | 1,711,023,032 | 1,730,797,668 | 9,937 | 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| [{"ner":"986","lemma":"986","label":"NUM","start_pos":199,"end_pos":202}] | NEUTRAL | rus | NOT SPAM | 30 | 0 | 1 | 0.979167 | 0.020833 | 0 | 3 | 6 | 3 | 0 | 10 | 0 | 10 | true |
26 | null | Подкаст поддержки
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Что можно сделать для себя чтобы не сойти с ума
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Про «подсаживаться» на антидепрессанты.
Про гипертонические кризы и их купирование.
Про магний. | https://t.me/DrAnshina/1137?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 158,100 | 0 | 1,711,463,817 | 1,730,797,668 | 9,931 | 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| null | NEUTRAL | rus | NOT SPAM | 26 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 3 | 0 | 6 | 1 | 8 | true |
26 | null | Способы удаления родинок: какой выбрать?
Родинки могут быть разного размера и формы, и в некоторых случаях их стоит удалить, если они приносят вам дискомфорт.
Существует несколько методов удаления родинок, каждый из которых имеет свои особенности и преимущества.
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Лазерное удаление родинок:
• Быстро и безболезненно: Процедура занимает всего несколько минут и выполняется под местной анестезией.
• Эффективно: Лазер точно выжигает родинку, не повреждая окружающие ткани.
• Без следов: После процедуры остается лишь небольшая корочка, которая затем отпадает.
❤️
Криодеструкция:
• Использование жидкого азота: Процедура проводится с помощью криодеструктора, который замораживает родинку.
• Безболезненно и быстро: Пациент не ощущает боли, а родинка отмирает и отпадает через некоторое время.
• Недостаточная точность: В некоторых случаях могут затронуться здоровые участки кожи.
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Хирургическое удаление:
• При больших размерах: Применяется, когда размер родинки значительный.
• Предотвращение рецидива: Хирургическое удаление позволяет избежать повторного появления родинки.
• Гистологическое исследование: Удаленная родинка отправляется на анализ для исключения онкологических процессов.
❤️
Электрокоагуляция:
• Высокочастотный ток: Родинка удаляется при помощи коагулятора, что позволяет избежать кровотечения.
• Противопоказания: Не рекомендуется при определенных заболеваниях.
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Выбор метода удаления родинки зависит от ее размера, местоположения, а также индивидуальных особенностей пациента.
Перед проведением процедуры важно проконсультироваться с врачом и выбрать наиболее подходящий способ. | https://t.me/dr_Guvarsha/136?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 150,600 | 0 | 1,686,137,886 | 1,730,797,668 | 9,938 | 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| [{"ner":"Лазер","lemma":"лазер","label":"PER","start_pos":266,"end_pos":271}] | NEUTRAL | rus | NOT SPAM | 200 | 0 | 1 | 1 | 0 | 0 | 23 | 32 | 7 | 2 | 70 | 6 | 64 | true |
26 | null | Какие бывают типы кожи ?
Для определения правильного, работающего домашнего ухода и косметологических процедур нужно определить тип кожи пациента.
Тип кожи — это ваша индивидуальная особенность, которая не меняется со временем и определяется активностью сальных желез. Косметология позволяет скорректировать проявления каждого типа в целях улучшения состояния кожи.
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Какие бывают типы кожи?
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СУХОЙ ТИП КОЖИ
Обусловлен сниженной работой сальных желез.
Сухая кожа ровная, не имеет блеска, обладает узкими, еле заметными порами.
Кожа ощущается сухой и стянутой после умывания. Склонна к обезвоженности, шелушению и чувствительности. Более тонкая, склонна к мелким морщинам.
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ЖИРНЫЙ ТИП КОЖИ
Обусловлен повышенной работой сальных желез. Это приводит к жирному блеску, расширенным порам и частым высыпаниям. Менее склонна к обезвоженности, но может стать обезвоженной при неправильном уходе.
Такой тип кожи меньше всего подвержен образованию морщин, так как от высыхания кожу защищает избыточное образование кожного секрета.
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КОМБИНИРОВАННЫЙ ТИП КОЖИ
Характеризуется сочетанием сухой и жирной кожи. Обычно жирная в T-зоне (участки кожи в области лба, носа и подбородка) и сухая на щеках. Требует индивидуального ухода для каждой зоны.
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НОРМАЛЬНЫЙ ТИП КОЖИ
Нормальный тип кожи имеет равномерную гидро-липидную пленку, нет сильно выраженных пор, покраснений.
Покров кожи - матовый, плотный.
Самый редкий тип кожи.
Грамотный уход поможет раскрыть ее достоинства и сделать кожу здоровой и сияющей! | https://t.me/dr_Guvarsha/137?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 152,700 | 0 | 1,686,138,599 | 1,730,797,668 | 9,938 | 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| [{"ner":"T-зоне","lemma":"t-зона","label":"ORG","start_pos":1117,"end_pos":1123}] | NEUTRAL | rus | NOT SPAM | 208 | 0 | 13 | 0.99635 | 0.00365 | 0 | 43 | 27 | 3 | 1 | 79 | 5 | 42 | true |
26 | null | Что такое демакияж?
Демакияж – это вaжный этап ухода за кожей, который помогает удалить кoсметику и очистить кожу глубoко и эффeктивно.
Почему это важно?
Демакияж необходим для тех, кто ежедневно использует косметику и солнцезащитные средства. Обычные средства для умывания не способны полностью удалить макияж и SPF средства, поэтому специализированные средства для демакияжа становятся незаменимыми.
Виды средств для демакияжа
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Мицеллярная вода:
Легкая текстура, которая эффективно удаляет макияж, не вызывая дискомфорта. Подходит для всех типов кожи, включая сухую и чувствительную.
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Гидрофильное масло:
Прекрасно растворяет косметику и эмульгирует с водой, что облегчает смывание. Подходит для всех типов кожи.
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Гидрофильный бальзам:
Густая текстура, которая эффективно растворяет косметику. Подходит для сухой или зрелой кожи.
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Двухфазные очищающие средства:
Состоят из водной и масляной фазы, что позволяет эффективно снять даже водостойкий макияж. Подходят для чувствительной кожи вокруг глаз и губ.
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Молочко:
Нежная текстура, подходящая для сухой кожи, нуждающейся в увлажнении и питании.
Выбор средства для демакияжа зависит от типа кожи и предпочтений. Главное – правильно очищать кожу, чтобы сохранить ее здоровье и красоту. | https://t.me/dr_Guvarsha/138?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 156,000 | 0 | 1,686,138,600 | 1,730,797,668 | 9,933 | 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| null | NEUTRAL | rus | NOT SPAM | 172 | 0 | 1 | 0.995575 | 0.004425 | 0 | 26 | 26 | 8 | 0 | 53 | 10 | 35 | true |
26 | null | ЭТАПЫ ДЕМАКИЯЖА: ВАЖНЫЙ ШАГ В УХОДЕ ЗА КОЖЕЙ
Для достижения идеальной чистоты и здоровья кожи необходимо следовать двум важным этапам демакияжа.
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Первый этап:
Снятие косметики с помощью специального средства. Выбор между мицеллярной водой или продуктом на масляной основе зависит от особенностей вашей кожи и предпочтений. Главное – эффективно и осторожно удалить макияж.
⭐️
Второй этап:
Умывание с использованием пенки или геля для полного очищения кожи от грязи и остатков средства демакияжа. Это поможет избежать воспалений и раздражений, обеспечивая коже максимальное оздоровление и уход.
Выбирая средства для демакияжа, обращайте внимание на ваш тип кожи и собственные ощущения.
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Инвестируйте в качественные продукты, которые помогут вам достичь идеального состояния кожи и сделать ваш вечерний ритуал красоты еще более приятным и эффективным! | https://t.me/dr_Guvarsha/139?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 154,000 | 0 | 1,686,138,600 | 1,730,797,668 | 9,933 | 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| [{"ner":"УХОДЕ","lemma":"уход","label":"ORG","start_pos":30,"end_pos":35}] | NEUTRAL | rus | NOT SPAM | 120 | 0 | 8 | 1 | 0 | 0 | 17 | 12 | 3 | 1 | 49 | 4 | 17 | true |
26 | null | Все, что нужно знать про домашний уход
Дорогие девушки, обеспечивая правильный и регулярный уход, вы избавите себя от морщинок, высыпаний, пигментации, черных точек, акне, сухости, шелушения.
Простые правила, которые я советую соблюдать:
1️⃣
Очищайте лицо перед сном.
Пыль, грязь, косметика забивают поры, поэтому обязательно уделяйте время, чтобы очистить лицо.
2️⃣
Умывайтесь специальными средствами, которые подходят вашему типу кожи.
Мыло приводит к обезвоживанию кожи, тем самым заставляя сальные железы работать в усиленном режиме.
3️⃣
Защищайте кожу от воздействия ультрафиолетовых лучей.
Косметолог может помочь вам подобрать хороший, работающий SPF. Не забывайте, что в холодное время года наша кожа также нуждается в защите.
4️⃣
Увлажнение кожи
Крем, сыворотка поможет вашей коже оставаться увлажненной и сияющей на протяжении всего дня.
5️⃣
Регулярность
Придерживайтесь ежедневного ухода за кожей и тогда вы обязательно увидите результат. Помните, что это работа вдолгую.
Советую приобретать новые средства для ухода за кожей только после консультации с косметологом. Среди большого количества косметических средств очень легко запутаться и выбрать то, что может нанести вред коже. | https://t.me/dr_Guvarsha/140?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 151,700 | 0 | 1,686,138,600 | 1,730,797,668 | 9,946 | 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26 | null | по сообщениям в СМИ, в Европе растет число случаев заболевания лихорадкой денге, вызванных распространением комаров на фоне изменения климата. Подъем заболеваемости в настоящее время отмечается в странах Панамериканского региона и Юго-Восточной Азии.
На территории РФ, по данным Роспотребнадзора, ежегодно регистрируются завозные случаи лихорадки денге из Таиланда, Вьетнама, Индонезии, Индии, Доминиканской Республики.
Денге- геморрагическая лихорадка, вирусная болезнь, передающаяся комарами на подобие малярии. Очень распространена в жарких странах, 350 млн человек в год ей болеют. Ничего хорошего- сам перенес как-то во время работы в Африке. Действенной вакцины нет, специфического лечения нет (как и при большинстве вирусных
заболеваний). Только профилактика укусов комаров на отдыхе в жарких странах.
Хорошая новость- у нас в России таких комаров, которые этот самый вирус Денге переносят нет.
Плохая- у нас в России есть своя вирусная геморрагическая лихорадка- «Крымская геморрагическая лихорадка», в западной медицине называется «лихорадка Крым-Конго».
Впервые описана в Крыму в 1944 году, потом в Конго в 1956.
Вирус передается клещами и еще через домашних животных и птиц, которых эти клещи укусили. От человеку к человеку при тесном контакте так же может передаваться. Смертность при вспышках 10-40%.
Регистрируется не часто, но тут вопрос настороженности врачей и своевременной диагностики. (Высокая температура, ломота в теле, головная боль, тошнота- какой диагноз вам сразу поставят?!).
Встречается не только в Крыму, но и на Юге России, Кавказе, Грузии, Украине, Казахстане, Турции и еще в 30 странах. Вакцин нет, в Болгарии пытались внедрить одну, но без успеха. Профилактика: избегать укусов клещей, вовремя их удалять с тела (вирусу, чтобы «закрепиться в человеческом организме необходимо много часов), строгая гигиена при разделе птиц и животных, избегать их выделений.
И кстати: сегодня «Всемирный день комара». Таким образом хотят привлечь внимание к самому опасному на земле «животному».
Некоторые из наиболее известных болезней, передающихся через укусы комаров, включают:
1.
Малярия:
- Переносится комарами рода *Anopheles*. Возбудителями являются паразиты рода *Plasmodium*. Это одно из самых распространенных и опасных заболеваний, вызывающих миллионы случаев заражения и сотни тысяч смертей ежегодно.
2.
Лихорадка денге:
- Передается комарами рода *Aedes*, особенно *Aedes aegypti*. Лихорадка денге распространена в тропических и субтропических регионах. Может вызывать сильную лихорадку, боли в суставах и мышцах, а также потенциально смертельный геморрагический синдром.
3.
Зика:
- Вирус Зика передается также комарами рода *Aedes*. Инфекция обычно протекает легко, но при заражении беременных женщин может вызвать серьезные пороки развития плода, такие как микроцефалия.
4.
Желтая лихорадка:
- Вирус передается комарами рода *Aedes* и *Haemagogus*. Это опасное заболевание, вызывающее лихорадку, поражение печени и другие тяжелые симптомы. Распространено в Африке и Южной Америке.
5.
Чикунгунья:
- Вирус передается комарами рода *Aedes*. Заболевание вызывает лихорадку, сильные боли в суставах, которые могут длиться месяцами.
6.
Лихорадка Западного Нила:
- Вирус передается комарами рода *Culex*. У большинства людей заболевание протекает бессимптомно, но может вызывать серьезные неврологические осложнения, такие как менингит или энцефалит.
7.
Филяриоз:
- Паразитарное заболевание, вызываемое нематодами (круглыми червями), передается комарами рода *Culex*, *Anopheles* и *Aedes*. Филяриоз может привести к лимфатическим отекам и слоновости (лимфатический филяриоз). | https://t.me/drmyasnikov/2529?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 83,200 | 0 | 1,724,131,990 | 1,730,797,668 | 9,937 | 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| NEUTRAL | rus | NOT SPAM | 479 | 0 | 4 | 0.980568 | 0.019432 | 0 | 62 | 60 | 11 | 14 | 167 | 27 | 149 | true |
26 | null | В развит темы про живопись. Хотел написать про своё видении «черного квадрата». Но это долго и думать надо. А у меня сохранился рассказ о первом свидании с Мона Лизой. Начнем с него.
«И вот я- который очень любит живопись, но относится к ней "по животному", что ли! Я никогда не смотрю на автора, если не узнал сразу, я смотрю на картину и она мне либо нравится либо нет. Иногда катрина именитого автора ничего во мне не вызывает, а иногда подолгу стоишь перед картиной художника, чьё имя тебе ни о чем не говорит.
Впервые попав в Париж я конечно сразу же устремился в Лувр и конечно же сразу куда? Конечно к Моне Лизе! Столько слышал, столько читал! Сначала она не произвела на меня никакого впечатления- ни красок, ни жизни! Но я стоял и смотрел. Долго, пристально. И вот через минут 20 Мона Лиза стала оживать. По мне лучше бы она этого не делала! Теперь я знаю её тайну и мне от этого не по себе! Происходило следующее: большая часть портрета так и оставалось безжизненна, а глаза и часть лица вокруг них вдруг приобрели другое выражение! Это как фографируют на пляжах или в туристических местах, когда в нарисованной картине, в области лица вырезается овал и желающий может встать с обратной стороны, высунуться и сфотографироваться в виде "качка" или мушкетёра. У Моны Лизы этот оживший овал был немного не симметричен, захватывал глаза, нос и часть верхней губы. На меня в упор смотрели глаза- не женские и не мужские, какие-то чужие с непонятным, скорее злобным выражением. Во всяком случае очень не добрым! На мгновение я увидел того, кто стоял сзади, вставив лицо в вырезанный овал! Сразу вспомнилась репутация ДаВинчи как нечуравшегося колдовства (недаром Франциск первый , пригласив его из Флоренции, не поселил с собой в Амбуазе, а отвел дом неподалеку! И похоронен он был не в часовне Святого Юбера, как говорят путеводители, а в парке в ста метрах от неё). Я по сей день уверен, что не мы рассматриваем эту картину, а тот, кто стоит за ней, рассматривает нас! Зачем? Не знаю, видимо собирает информацию... Не зря Да Винчи обладал даром прозрения: вертолет, парашют, принцип автомобиля, пулемет и прочее- такой умный, да? Или получил дар в обмен на возможность наблюдать за нами через его картину? Не зря же он приехал во Францию только с одной этой картиной, не бросил!
Во всяком случае я больше к Моне Лизе не хожу, когда привожу друзей в Лувр- стою в сторонке. Понимаю, что всё это бред, но- думайте что хотите!- очень хорошо помню тот взгляд и не хочу испытать это опять! И ещё: недавно узнал, что у французов есть суеверие, что наличие изображения
МоныЛизы
где-то на стене в доме приносит неудачу женщинам. Значит не я один чувствую этот взгляд... | https://t.me/drmyasnikov/2530?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 73,900 | 0 | 1,724,216,230 | 1,730,797,668 | 9,937 | 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26 | null | Спрашивали моё мнение про «Черный квадрат» Малевича.
Поделюсь. Но сначала приведу рассказ. И вроде не по теме. Очень мне близкий, как пилоту-новичку.
«Пилот никогда не был в облаках, немножко тренировался летать по приборам в контролируемой обстановке, с остеклением кабины, заботливо забинтованной газетами, и со всезнающим инструктором справа. Тогда не было страшно. Невежество, во истину делает героев!
У Пилота было только сто часов самостоятельного налета. В авиационной жизни – это ничтожно мало. Таким опытом обладает годовалый ребенок, который только что научился ходить.
А сейчас он был в панике. Он летел в густом тумане, смотрел в пустоту, в ничто, а пустота смотрела на него, манила, звала, врала. Он старательно повторял то, чему его учили, сканировал приборы, но приборы нагло врали!
Он почувствовал, что самолет начинает давать левый крен. Пилот дал чуть вправо. Идиотский авиагоризонт тоже врал и говорил, что он летит с отрицательным тангажом и сильным правым креном. Это было ложью!
Пустота смотрела на Пилота с другой стороны стекла и смеялась в голос. Пустота шептала Пилоту – «исправь левый крен, исправь положительный тангаж, верь мне, верь!».
Пустота видела такие упражнения и ни раз, и ни два. Тысячелетия она вводила в заблуждение моряков, выводила их на рифы, на скалы, смотрела как беспомощные человечки борются за свою жизнь, а потом умирают и приходят к ней. В последние сто лет, Пустота нашла вкус в авиации. Начинающие летчики велись на обман даже проще, чем моряки. Все, что надо было сделать – это посмотреть на человека, который смотрит в Пустоту, посмотреть назад и прошептать те волшебные слова: « ты – герой, ты всегда прав. Верь себе!»
Пустота знала, что среднее время выживания нетренированного пилота, который считает себя героем, при полете по приборам, составляет всего 178 секунд. Не больше и не меньше, а ровно 178 секунд. Пустота ждала, она жаждала скорее получить еще один самолет, еще одного теплого живого пилота, забрать еще одну жизнь.
Таймер отсчитывал последние секунды из 178, что отпущены статистикой для несведущих героев. Последние секунды жизни Пилота.»
Классическая живопись: видишь что написано. Импрессионизм: изображения заставляют воображение дорисовывать, дополнять картину. Зачем нам рассматривать женщину на картине, достаточен солнечный силуэт среди цветов и красный зонтик. И каждый увидит свою женщину. Дальше -абстракционизм. Доминирует свободная игра цвета и формы без явных фигур или сюжетов. (Обожаю Кандинского!). И опять же каждый видит что-то своё.
И вот вершина живописи: «Черный квадрат». Зеркало твоей души, с твоими страхами и воображением. («Пустота смотрела с другой стороны стекла и смеялась в голос!»). Другое дело, что если просто смотреть на покрашенную в черное стену, ничего не увидишь. Тут нужно таинство: скандальный автор, флёр тайны, обстановка музея… Это как закрыть глаза: у кого-то просто темнота и мошки перед глазами, у кого-то возникают образы, то чарующие, то пугающие. Вспомните: вы как засыпаете?
Р. S. Когда меня тренировали летать в полном тумане с нулевой видимостью я первый раз «выжил» 70 секунд. Если бы инструктор не взял управление, мы бы опрокинулись. Если долго смотреть на квадрат Малевича, он начинает смотреть на тебя с той стороны и смеяться. Ну а человек без воображения скажет: «мура какая. Я не хуже нарисую!» Нарисовать не проблема. Проблема-увидеть! | https://t.me/drmyasnikov/2531?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 76,000 | 0 | 1,724,226,067 | 1,730,797,668 | 9,931 | 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26 | null | Новая эра в лечении симптомов менопаузы- так расценивают появление препаратов Фезоленетант и Елинзанетант.
Сразу оговорюсь - это только познавательная информация- лекарства только на испытаниях, недоступны и потенциально дорогие.
Многие недалекие люди часто пишут- ну зачем нам эта информация, раз её кушать нельзя?! Так что это не для них.
Но кому интересно-расскажу.
Половина взрослого женского населения земли страдает симптомами менопаузы. (1,3 миллиарда из 2,7 млрд женщин Земли старше 18 лет).
Доступное лечение- гормонально-заместительная терапия (эстроген, прогестерон).
Но более 20 лет назад масштабное исследование- Инициатива по охране здоровья женщин (WHI) показала якобы повышенный риск сердечных заболеваний, инсульта и рака молочной железы среди женщин, принимающих гормоны. В результате с 40% женщин принимающих ГЗТ (гормонально-заместительную терапию) в 90-к годы, их количество упало до 4-6%. Потом с исследованием WHI разобрались, все оказалось далеко не так драматично, ГЗТ на деле безопасна (надо просто просчитывать факторы риска), но- и врачи и женщины относятся теперь к гормонам с большой опаской. Ложечки нашлись, а осадочек остался!
Самое интересное- почему собственно при менопаузе появляются приливы и проч- до 2010 года оставалось тайной. Имею ввиду точный механизм. В 2010 году Миттельман-Смит и коллеги показали, что в условиях дефицита эстрогена возбуждаются гипоталамические нейроны, (известные как нейроны KND).
И вот указанные выше новейшие препараты, воздействуют на эти нейроны, убирая симптоматику.
С 1930 (когда появились первые формы эстрогена в продаже)по 2024 единственно реально работающим средством лечения менопаузы были гормоны. С 2024 возможно начнется новая эра в этой области медицины? | https://t.me/drmyasnikov/2532?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,400 | 0 | 1,724,398,621 | 1,730,797,668 | 9,931 | 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| NEUTRAL | rus | SPAM | 235 | 0 | 10 | 0.990099 | 0.009901 | 0 | 41 | 26 | 7 | 9 | 75 | 20 | 47 | true |
26 | null | 🚧
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у провайдера сервера ведутся технические работы
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Сервер с ботом временно отключен | https://t.me/ibs_doc/104?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,100 | 0 | 1,686,988,599 | 1,730,797,668 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 0 | 0 | 4 | 1 | 2 | true |
26 | null | Бот снова работает!
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👁 | https://t.me/ibs_doc/105?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,900 | 0 | 1,687,085,425 | 1,730,797,668 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 1 | true |
26 | null | Учимся читать состав продуктов и искать в них
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Когда вы покупаете какие-то альтернативные/безопасные продукты, например, безлактозные, все равно стоит смотреть на состав.
На картинках представлены 2 варианта безлактозного мороженого, в одном из них добавлен ИНУЛИН (длинный фруктан), который вас вздует даже сильнее лактозы, а это сводит "безлактозность" мороженого на нет.
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Второе мороженое, судя по составу, полностью безопасно.
В комментарии можете накидать составы продуктов, которые вас интересуют. Часть из них мы разберем в отдельном посте. (скидывайте скрин/фото состава, пожалуйста!)
#разбор | https://t.me/ibs_doc/108?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,800 | 0 | 1,688,025,704 | 1,730,797,668 | 9,931 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":211,"end_pos":212}] | NEUTRAL | rus | NOT SPAM | 87 | 0 | 3 | 1 | 0 | 0 | 9 | 16 | 10 | 3 | 23 | 5 | 35 | true |
26 | null | Выкладываю старый пост из инстаграма в тему состава продуктов :)
В народе бытует мнение, что добавки с кодом «Е» - это какая-то химия, не приносящая ничего, кроме вреда вашему организму.
Но на самом деле, это лишь удобная кодировка пищевых добавок, включая даже такие, как витамин С или вещества, содержащиеся в привычных продуктах питания.
Сегодня хочу обсудить Е-добавки, которые используются как подсластители и могут представлять опасность для пациентов с СРК.
Это полиолы, которых мы касались в предыдущих постах. Они плохо всасываются и могут вызывать повышенное газообразование и диарею.
Полиолы используются прежде всего в качестве сахарозаменителей, поскольку имеют меньшую калорийность чем обычный сахар, а у него калорийность 4 ккал/г.
Помимо сладости они имеют и другие полезные в пищевой промышленности свойства, например, влагоемкость, позволяющая защищать продукты от высыхания, способность влиять на консистенцию продуктов, температурную стабильность, уменьшать липкость глазури и много другое.
Поэтому вы можете встретить их в совершенно неожиданных продуктах. Давайте же разберемся, где могут присутствовать эти вещества и как их распознать.
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Маннитол (E421) – 1,6 ккал/г, 50-70% сладости сахара
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Область применения: леденцы, жвачки.
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Сорбитол (E420) – 2,6 ккал/г, 50-70% сладости сахара
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Область применения: леденцы, жвачки, замороженные десерты, выпечка, другие кондитерские изделия.
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Ксилитол (E967) – 2,4 ккал/г, 100% сладости сахара
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Область применения: выпечка, леденцы, шоколад, жвачки, мороженое.
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Эритритол (E968) – 0 ккал/г
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, 60-80% сладости сахара
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Область применения: выпечка, столовый подсластитель, напитки.
Другие полиолы: лактитол (E966), мальтитол (E965), изомальт (E953).
#запретограм #полиолы #сахзамы | https://t.me/ibs_doc/111?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,200 | 0 | 1,688,296,322 | 1,730,797,668 | 9,931 | 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| 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| NEUTRAL | rus | SPAM | 239 | 0 | 12 | 0.980609 | 0.019391 | 0 | 18 | 30 | 13 | 15 | 92 | 10 | 89 | true |
26 | null | Мы открываем новый набор на группу поддержки для переживших партнерское насилие.
Группы подойдут тем, кто вышли из отношений насилия (не находятся в актуальной ситуации насилия), и пережили его в возрасте 18+ лет.
Запрос, с которым может помочь этот формат: потребность в социальной поддержке, вина, стыд за пережитый опыт, страх.
Группа будет длиться 6 встреч,
Запуск группы планируется в сентябре.
Если вы планируете присоединиться к этому сету групп поддержки,
просим Вас заполнить анкету в формате ворд (скачать анкету можно
тут
)
Заполненную анкету необходимо прислать на почту
[email protected]
(в теме письма указав «группа поддержки") – мы обязательно свяжемся с Вами!
По любым вопросам также остаемся на связи с Вами по почте
[email protected] | https://t.me/imatrip/2028?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,719,382,520 | 1,730,797,668 | 9,937 | 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| [{"ner":"Вами","lemma":"вами","label":"PER","start_pos":690,"end_pos":694},{"ner":"Вами","lemma":"вами","label":"PER","start_pos":740,"end_pos":744},{"ner":"18","lemma":"18","label":"NUM","start_pos":206,"end_pos":208},{"ner":"6","lemma":"6","label":"NUM","start_pos":354,"end_pos":355}] | NEUTRAL | rus | NOT SPAM | 111 | 0 | 0 | 0.987013 | 0.012987 | 0 | 6 | 20 | 9 | 2 | 40 | 4 | 24 | true |
26 | null | Даёшь самодиагностику!
А вы любите проходить тестики? Бьемся об заклад, что большинство из вас при первом подозрении у себя СДВГ пошли гуглить и проходить опросники
😏
Каждый такой тест (если он сделан добросовестно) в конце скажет вам, что его результатов недостаточно для постановки диагноза, для этого нужен специалист.
Есть ли тогда смысл их проходить?
Психиатр Степан Краснощеков считает, что да.
Такое самостоятельное прохождение тестов называется
«скрининг».
Скрининг помогает человеку заподозрить расстройство, оценить симптомы и понять, нужно ли идти к психиатру. А еще тесты в принципе могут быть
полезным инструментом для саморефлексии
, анализа жизни по сферам и периодам.
⚡️
Степан подчеркивает:
если у человека есть симптомы и страдание, но по результатам теста СДВГ нет, стоит все равно обратиться к специалисту.
Он проведёт диагностическое интервью — основной способ диагностики СДВГ — с помощью которого может обнаружить синдром, даже если его не выявил тест. Или обнаружить что-то другое, что объясняет ваши проблемы.
А теперь ловите наш список самых распространённых научно ориентированных скрининговых тестов на СДВГ!
1️⃣
ASRS-5 Скрининговый опросник ВОЗ:
тест на русском
и
файл на английском
Это шкала для диагностики СДВГ у взрослых, разработанная совместно со Всемирной организацией здравоохранения (ВОЗ) и исследователями из Нью-Йорка и Гарварда. Опросник состоит из 18 критериев СДВГ из
диагностического руководства DSM-5.
2️⃣
Вендер Ютская шкала самооценки СДВГ у взрослых (WURS)
:
тест на русском
и
файл на английском
Этот опросик используется, чтобы оценить, были ли у взрослого человека симптомы СДВГ в детстве. Шкала помогает сопоставить детские симптомы со взрослыми, но лишь настолько, насколько хорошо человек помнит свое детство.
3️⃣
Диагностическое интервью
DIVA-5
:
файл на русском
Структурированная диагностическая оценка СДВГ, разработанная специально для оценки СДВГ у взрослых. Чтобы оценить опыт человека по каждому из 18 критериев симптомов СДВГ в детском и взрослом возрасте, в интервью DIVA-5 приводится список конкретных и реалистичных примеров текущего и прошлого поведения.
4️⃣
Шкала Брауна для оценки исполнительных функций и внимания
:
наш перевод на русский
и
оригинал на английском
Шкала помогает оценить более широкий и менее очевидный спектр
исполнительных дисфункций
и определить конкретные проблемные зоны из шести областей: активация, внимание, усилия, эмоциональная регуляция, память и действия.
5️⃣
Шкала для оценки СДВГ у взрослых-IV с подсказками:
файл на русском
Это шкала из 18 пунктов, основанная на критериях DSM-5, помогает оценить тяжесть симптомов СДВГ. Первые 9 пунктов оценивают симптомы невнимательности, другие 9 пунктов оценивают симптомы гиперактивности-импульсивности.
6️⃣
Чек-лист Рассела
Баркли
из его книги «Совладание с СДВГ у взрослых»
:
файл на русском
Это научно обоснованный и достоверный скрининг на симптомы СДВГ у взрослых от одного из ведущих экспертов. Он может помочь выявить СДВГшные дефициты и указать на необходимость проведения полного диагностического интервью с психиатром.
7️⃣
Шкала Коннерса для оценки симптомов СДВГ у взрослых (CAARS–S:L)
:
наш перевод на русский
и
оригинал на английском
Шкала помогает определить наличие и тяжесть симптомов СДВГ у взрослых. Она состоит из восьми областей:
— невнимательность/проблемы с памятью
— гиперактивность/беспокойство
— импульсивность/эмоциональная лабильность
— проблемы с самовосприятием
— симптомы невнимательности по DSM-5
— симптомы гиперактивности и импульсивности по DSM-5
— симптомы СДВГ по DSM-5
— индекс СДВГ
8️⃣
Диагностическое интервью для выявления СДВГ у взрослых ACE+:
файл на русском
ACE+ — это полуструктурированное клиническое интервью, которое помогает медицинским работникам определять СДВГ у взрослых. В процессе интервью психиатр оценивает основные симптомы СДВГ во взрослом возрасте и детстве и степень их негативного влияния на жизнь человека.
💬
Поделитесь, какой у вас опыт с опросниками? Проходили сами или, может, по рекомендации психиатра? Как относитесь к их результатам? | https://t.me/imatrip/2029?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,719,407,624 | 1,730,797,668 | 9,937 | 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| NEUTRAL | rus | NOT SPAM | 565 | 0 | 43 | 0.979675 | 0.020325 | 0 | 69 | 65 | 21 | 9 | 183 | 14 | 99 | true |
26 | null | Пандемия оставила после себя немало изменений в том, как люди стали взаимодействовать между собой. Во время карантинов продовольственный бизнес быстро перестроился на доставку продуктов на дом, а люди стали больше общаться в режиме онлайн, в том числе проходить собеседования и участвовать в митапах. По оценке Global Market Insights, объем мирового рынка видеоконференцсвязи составляет 25 миллиардов долларов и будет расти более чем на 10% каждый год в течение следующих десяти лет.
Общение по видеосвязи больше всего имитирует живое общение, но между ними есть существенное различие: из-за расположения камеры и экрана не получается установить двусторонний зрительный контакт. Это означает, что когда вы смотрите в камеру, то не видите взгляда собеседника, а если смотрите на экран, то собеседник не увидит вашего взгляда. Зрительный контакт сам по себе, без вербальных сигналов, вызывает эмоциональные реакции, а лица, смотрящие в глаза, оцениваются испытуемыми как более привлекательные и заслуживающие доверия.
Новый эксперимент, симулирующий собеседование при приеме на работу, установил несколько интересных связей. Во-первых, проходящие собеседование получали более положительные оценки, когда смотрели в камеру, и негативные — когда на экран. Во-вторых, данная связь была сильнее, когда интервью оценивали женщины. В-третьих, собеседования, проведенные в аудио-формате, оценивались так же положительно, как и собеседования, в которых испытуемые смотрели в камеру.
Практические выводы: если вас собеседуют по видеосвязи, особенно женщина, смотрите в камеру. Если есть возможность пройти собеседование в аудио-формате, пользуйтесь ею. А для бизнеса появился новый стимул создать инструменты, позволяющие синхронизировать взгляды между собеседниками.
https://www.nature.com/articles/s41598-024-60371-5 | https://t.me/imatrip/2030?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,719,502,047 | 1,730,797,668 | 9,931 | 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26 | null | Бестселлер Мелоди Битти 1986 года «Спасать или спасаться? Как избавиться от желания постоянно опекать других и начать думать о себе», проданный тиражом более семи миллионов копий, считается классикой самопомощи и продолжает хорошо продаваться в новом издании 2022 года.
Книга популяризировала идею о том, что партнеры и родители людей с аддикцией имеют свою собственную болезнь: созависимость, которая заставляет их действовать как «посредников», подкрепляя дальнейшее употребление психоактивных веществ их близкими. Подобно наркотику, отношения и драма в них помогают созависимым отвлечься от собственных проблем, поэтому они сопротивляются переменам.
Эта концепция проникла в американскую культуру. Само слово часто появляется в средствах массовой информации и поп-культуре. Видео TikTok о созависимых отношениях имеют сотни миллионов просмотров. Терапевты и реабилитологи рассказывают об этом так, будто это настоящий психологический феномен.
Но
влияние, которое концепция созависимости оказала на принципы и лечение аддикции, было токсичным
— и ее положения не подтверждаются данными. | https://t.me/imatrip/2031?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,500 | 0 | 1,719,630,851 | 1,730,797,668 | 9,931 | 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| [{"ner":"Бестселлер Мелоди Битти","lemma":"бестселлер мелоди битти","label":"PER","start_pos":0,"end_pos":23},{"ner":"TikTok","lemma":"tiktok","label":"ORG","start_pos":783,"end_pos":789},{"ner":"1986","lemma":"1986","label":"NUM","start_pos":24,"end_pos":28},{"ner":"2022","lemma":"2022","label":"NUM","start_pos":259,"end_pos":263}] | NEUTRAL | rus | NOT SPAM | 142 | 0 | 0 | 0.99422 | 0.00578 | 0 | 15 | 25 | 10 | 1 | 50 | 7 | 25 | true |
26 | null | FDA одобрило EndeavorOTCⓇ - безрецептурное средство для взрослых с расстройством дефицита внимания/гиперактивности (РДВГ).
EndeavorOTC - это
терапевтическое приложение
, доступное для скачивания на платформах Android и Apple, которое использует сенсорные и моторные стимулы для воздействия на префронтальную кору головного мозга и активации ее с помощью видеоигры.
Данное приложение может использоваться как часть комплексной терапевтической программы РДВГ.
https://www.empr.com/home/news/fda-clears-over-the-counter-video-game-based-adhd-therapy-for-adults/ | https://t.me/imatrip/2033?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,719,757,358 | 1,730,797,668 | 9,946 | 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| [{"ner":"FDA","lemma":"FDA","label":"ORG","start_pos":0,"end_pos":3},{"ner":"гиперактивности","lemma":"гиперактивности","label":"PER","start_pos":99,"end_pos":114},{"ner":"приложение","lemma":"приложение","label":"ORDINAL","start_pos":157,"end_pos":167},{"ner":"Android","lemma":"Android","label":"PRODUCT","start_pos":209,"end_pos":216},{"ner":"Apple","lemma":"Apple","label":"ORG","start_pos":219,"end_pos":224},{"ner":"Данное приложение","lemma":"данное приложение","label":"PER","start_pos":365,"end_pos":382},{"ner":"использоваться как","lemma":"использоваться как","label":"ORG","start_pos":389,"end_pos":407}] | NEUTRAL | rus | NOT SPAM | 57 | 0 | 4 | 0.915493 | 0.084507 | 0 | 11 | 4 | 2 | 0 | 19 | 0 | 8 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11410?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,400 | 0 | 1,728,585,030 | 1,730,797,668 | 9,937 | 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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 | Мои хорошие, продолжаю говорить о каждой добавке для осенней чистки
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здесь | https://t.me/magerya/11411?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,400 | 0 | 1,728,632,231 | 1,730,797,668 | 9,937 | 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| [{"ner":"24 октября","lemma":"24 октября","label":"DATE","start_pos":88,"end_pos":98}] | NEUTRAL | rus | NOT SPAM | 25 | 0 | 0 | 1 | 0 | 0 | 3 | 4 | 0 | 0 | 10 | 3 | 5 | true |
26 | null | Кедровое масло — это больше, чем просто полезный продукт. Это кладезь полезных веществ для здоровья, подаренный нам природой.
Масло кедровых орешков уникальное: оно имеет насыщенный ореховый вкус и аромат, помогает в укреплении здоровья
🌰
Масло – самый настоящий эко-продукт, который содержит витамины группы B и йод. Именно поэтому его хорошо добавлять в рацион при анемиях и заболеваниях щитовидной железы. Кедровое масло помогает щитовидке создавать гормоны, а они уже поддерживают высокий метаболизм в нашем теле
⚡️
В сегодняшнем ритме жизни, когда стресс преследует на каждом шагу, кедровое масло оказывается отличным «антидотом». Магний, содержащийся в нём, мягко расслабляет нервную систему, помогая снять напряжение и вернуть душевное равновесие. Усталость и раздражение отступают, оставляя место спокойствию и ясности ума
🧘♀️
Более того, синдром раздраженного кишечника часто является верным спутником стресса. Магний помогает снять избыточный мышечный тонус в кишечнике, что существенно облегчает симптомы СРК
✨
Наше сердце особенно нуждается в омега-жирных кислотах, которых в кедровом масле содержится предостаточно
🔝
Жирные кислоты способствуют снижению уровня «плохого» холестерина (ЛПНП) и защищают сосуды от появления на их стенке бляшек
🛡️
Уменьшая риск развития атеросклероза, мы снижаем вероятность сердечно-сосудистых заболеваний и сосудистой деменции
🧠
Жить долго — это важно, но куда более важно сохранить ясность ума и память!
Добавляйте кедровое масло в свой ежедневный рацион
👉🏼
ozon/кедровое_масло
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11412?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,300 | 0 | 1,728,655,984 | 1,730,797,668 | 9,932 | 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| [{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":1534,"end_pos":1563},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":1553,"end_pos":1563},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":1558,"end_pos":1563}] | NEUTRAL | rus | NOT SPAM | 213 | 0 | 6 | 0.992883 | 0.007117 | 0 | 34 | 30 | 11 | 2 | 79 | 12 | 46 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11413?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,000 | 0 | 1,728,671,419 | 1,730,797,668 | 9,931 | 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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 | Сезон чаёв открыт
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Самое время укреплять свой иммунитет целебными чаями
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Чай «ПРО иммунитет» — это чага с лимонником и мятой
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Вкусный и бодрящий чайный напиток, который помогает настроить работу иммунитета, головного мозга и лёгких.
Основной компонент напитка — это березовый гриб (чага), является натуральным усилителем иммунитета
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Чага обладает рядом свойств:
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противоопухолевое средство;
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улучшает качество и глубину сна, этот чудо-гриб активизирует мелатонин на вещие сны
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;
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нормализует артериальное давление;
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активизирует выработку гемоглобина;
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замедляет процесс старения;
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нормализует уровень холестерина, глюкозы и гормонов щитовидной железы;
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нормализует работу нервной системы и энергетический обмен;
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лечит и нормализует работу желудочно-кишечного тракта, особенно полезно при гастритах.
❗️
Большинство трав, которые продаются в массмаркетах и аптеках — это травы, прошедшие процесс выжимки эфирных масел. А в "ПРО Иммунитет" применяются цельные травы, в них сохранены натуральные эфирные масла, что делает его высокоэффективным
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Заказать
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wildberries/чай_иммунитет
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11414?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,200 | 0 | 1,728,716,940 | 1,730,797,668 | 9,946 | 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26 | null | Немного инсты | https://t.me/sudmednotes/9103?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 44,800 | 0 | 1,729,164,451 | 1,730,797,668 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | true |
26 | null | Прекратите давать поливитамины детям и сами не пейте! Это колоссальный вред для здоровья.
https://t.me/DrAnshinaOmega
#витамины | https://t.me/DrAnshina/1131?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 115,100 | 0 | 1,710,828,448 | 1,730,797,669 | 9,937 | 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| [{"ner":"https://t.me/DrAnshinaOmega","lemma":"https://t.me/dranshinaomega","label":"ORG","start_pos":90,"end_pos":117}] | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 0.95 | 0.05 | 0 | 2 | 3 | 1 | 0 | 5 | 0 | 3 | true |
26 | null | Почти каждый день мне задают один и тот же вопрос: как ты избавляешься от мешков под глазами?
Думаю, что тема будет актуальна для многих, разбираем
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Мешки под глазами - это частое явление, сопровождающееся скоплением лимфы под кожей и вызывающее не только косметические неудобства, но и физический дискомфорт.
Хотя причины их возникновения могут быть разнообразными, понимание основных факторов и способов борьбы с ними играет важную роль в улучшении состояния кожи в области глаз.
Что вызывает мешки под глазами?
Мешки под глазами могут быть результатом различных факторов, таких как:
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Хронические заболевания, такие как нарушения функции почек или щитовидной железы;
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Неправильное питание, характеризующееся избытком соли, что способствует задержке жидкости в организме;
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Воспалительные процессы в области глаз, включая конъюнктивит и аллергические реакции;
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Физическое и эмоциональное напряжение, а также недостаток сна;
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Естественное старение кожи, сопровождающееся потерей упругости и замедлением лимфатического дренажа. | https://t.me/dr_Guvarsha/131?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 144,300 | 0 | 1,686,137,672 | 1,730,797,669 | 9,916 | 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| null | NEUTRAL | rus | NOT SPAM | 142 | 0 | 0 | 1 | 0 | 0 | 17 | 13 | 5 | 0 | 57 | 4 | 36 | true |
26 | null | Чтобы эффективного устранить мешки под глазами я рекомендую:
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Вести здоровый образ жизни, включающий регулярный сон, умеренное физическое упражнение и здоровое питание;
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Ограничить потребление соли и контролировать режим питья;
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Применять холодные компрессы или специальные косметические средства для снятия отека и улучшения кровообращения;
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Проводить процедуры ухода за кожей, включая массаж и нанесение увлажняющих средств;
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При наличии аллергических реакций избегать контакта с аллергенами и принимать рекомендуемые препараты;
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Обратиться к специалисту в случае сохранения проблемы или наличия дополнительных симптомов.
Забота о коже в области глаз требует внимания и регулярности, соблюдайте эти правила и вы обязательно придете к результату | https://t.me/dr_Guvarsha/133?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 143,700 | 0 | 1,686,137,885 | 1,730,797,669 | 9,916 | 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| null | NEUTRAL | rus | NOT SPAM | 100 | 0 | 0 | 1 | 0 | 0 | 10 | 16 | 2 | 0 | 42 | 2 | 23 | true |
26 | null | Сегодня хочу затронуть такую важную тему, как родинки.
Будем разбираться вместе
🤍
Родинки и невусы представляют собой типичные образования кожи, которые могут возникать как при рождении, так и в течение жизни. Они обусловлены избыточным скоплением пигментных клеток между эпидермисом и дермой.
Причины появления
❤️
• Генетика:
Врожденные родинки часто являются результатом наследственности.
• Воздействие солнечных лучей и гормональные изменения:
Солнечное излучение и изменения гормонального фона, такие как подростковый период или беременность, могут способствовать образованию родинок.
• Возрастные изменения и факторы окружающей среды:
Под воздействием ультрафиолетовых лучей или изменениями в гормональном балансе могут появляться новые невусы.
Виды и характеристики
❤️
• Разнообразие размеров и оттенков:
От бежевых до черных, родинки могут иметь разные цвета и размеры.
• Разнообразие форм:
Они могут быть плоскими или объемными, пигментными или сосудистыми.
Обратите внимание на родинки и невусы, особенно если они меняют цвет, форму или размер. Регулярно проверяйте их на предмет изменений и консультируйтесь со специалистом при необходимости. | https://t.me/dr_Guvarsha/134?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 146,300 | 0 | 1,686,137,885 | 1,730,797,669 | 9,939 | 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| null | NEUTRAL | rus | NOT SPAM | 153 | 0 | 0 | 1 | 0 | 0 | 21 | 20 | 6 | 0 | 54 | 6 | 33 | true |
26 | null | Когда обратиться к врачу
Определенные признаки могут указывать на возможное злокачественное изменение, требующее внимания специалиста.
• Увеличение в размере: Если родинка растет в размере, особенно с неровными краями.
• Изменение формы и структуры: Необычные контуры, неровности или изменения в текстуре и структуре родинки.
• Изменение цвета: Более светлый или темный оттенок, особенно если цвет неоднороден.
• Симптомы дискомфорта: Болезненность, зуд, жжение или отечность в области родинки.
• Кровотечение: Нерегулярное или необъяснимое кровотечение из родинки.
❤️
Помните, что регулярное обследование родинок и консультации с врачом помогут своевременно выявить и предотвратить серьезные проблемы.
Не стесняйтесь обращаться за медицинской помощью при любых подозрительных изменениях. | https://t.me/dr_Guvarsha/135?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 149,400 | 0 | 1,686,137,885 | 1,730,797,669 | 9,938 | 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| null | NEUTRAL | rus | NOT SPAM | 101 | 0 | 0 | 1 | 0 | 0 | 12 | 13 | 0 | 0 | 41 | 4 | 27 | true |
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«И струится, и поет по венам
Радостно бушующая кровь;
Нет конца обетам и изменам,
Нет конца веселым переменам,
И отсталых подгоняют вновь
Плетью боли Голод и Любовь"
Николай Степанович Гумилев понимал толк в приключениях! Сам отчаянный храбрец, воин, путешественник, охотник, любимец женщин и Фортуны (и как первые, так и вторая Поэту в итоге изменили...) был знаменем для всех собратьев по "зависимости от приключений"!
"«Много их, сильных, злых и веселых,
Убивавших слонов и людей,
Умиравших от жажды в пустыне,
Замерзавших на кромке вечного льда,
Верных нашей планете,
Сильной, весёлой и злой,
Возят мои книги в седельной сумке,
Читают их в пальмовой роще,
Забывают на тонущем корабле.»
И его знаменитое: " и умру я не на постели, при нотариусе и враче"- как светлое пожелание всем искателям приключений! Как мне жаль Императора (Наполеон -мой кумир), что он испил такую чашу, он, который сотни раз мог пасть со славой, не доступной никакому до него смертному! Но кто знает, на каких весах Там отмеривается возмездие за наши поступки и может быть и правда "весь Мир не стоит слезы ребёнка...". Мы можем мечтать, но мы не можем роптать....
Скажу от лица всех любителей приключений: если любовь к приключениям и правда болезнь- не лечите нас! Не кастрируйте наши души! Для нас это смерть!
«Наплывала тень... Догорал камин,
Руки на груди, он стоял один,
Неподвижный взор устремляя вдаль,
Горько говоря про свою печаль:
"Я пробрался в глубь неизвестных стран,
Восемьдесят дней шел мой караван;
Цепи грозных гор, лес, а иногда
Странные вдали чьи-то города,
И не раз из них в тишине ночной
В лагерь долетал непонятный вой.
Мы рубили лес, мы копали рвы,
Вечерами к нам подходили львы.
Но трусливых душ не было меж нас,
Мы стреляли в них, целясь между глаз.
Древний я отрыл храм из-под песка,
Именем моим названа река.
И в стране озер пять больших племен
Слушались меня, чтили мой закон.
Но теперь я слаб, как во власти сна,
И больна душа, тягостно больна;
Я узнал, узнал, что такое страх,
Погребенный здесь, в четырех стенах;
«Даже блеск ружья, даже плеск волны
Эту цепь порвать ныне не вольны..."
И, тая в глазах злое торжество,
Женщина в углу слушала его.»
В этих 2-х последних строчках Николая Степановича заключено самое страшное, что может ожидать в жизни любитель приключений- прочитать в глазах домашних- ну наконец-то выздоровел, наконец-то стал нормальным! | https://t.me/drmyasnikov/2523?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 87,400 | 0 | 1,723,605,373 | 1,730,797,669 | 9,912 | 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| [{"ner":"Голод","lemma":"голод","label":"PER","start_pos":159,"end_pos":164},{"ner":"Любовь","lemma":"любовь","label":"PER","start_pos":167,"end_pos":173},{"ner":"Николай Степанович Гумилев","lemma":"николай степанович гумилёв","label":"PER","start_pos":175,"end_pos":201},{"ner":"Фортуны","lemma":"фортуна","label":"PER","start_pos":302,"end_pos":309},{"ner":"Поэту","lemma":"поэту","label":"PER","start_pos":338,"end_pos":343},{"ner":"Сильной","lemma":"сильный","label":"PER","start_pos":581,"end_pos":588},{"ner":"Императора (Наполеон","lemma":"император (наполеон","label":"PER","start_pos":830,"end_pos":850},{"ner":"Там","lemma":"там","label":"PER","start_pos":1002,"end_pos":1005},{"ner":"Мир","lemma":"мир","label":"PER","start_pos":1074,"end_pos":1077},{"ner":"Горько","lemma":"горько","label":"PER","start_pos":1397,"end_pos":1403},{"ner":"Николая Степановича","lemma":"николай степанович","label":"PER","start_pos":2194,"end_pos":2213},{"ner":"2","lemma":"2","label":"NUM","start_pos":2171,"end_pos":2172}] | NEUTRAL | rus | NOT SPAM | 383 | 1 | 11 | 1 | 0 | 0 | 41 | 58 | 30 | 2 | 111 | 20 | 103 | true |
26 | null | Сегодня ДР Наполеона.
Личность настолько невероятная, что до сих пор не ясно, что тут легенда, что правда.
Только не затрудняйтесь писать: «он же с Россией воевал, он Москву взял, а вы про его ДР». Тогда все страны перманентно воевали друг с другом, и в различных комбинациях. Мы тоже милыми и пушистыми никогда не были, вспомните хотя бы походы Суворова- кстати с целью уничтожить французскую армию, еще до того как Наполеон стал Первым Консулом.
Из всей биографии Наполеона меня поражает пророческая запись в его юношеском дневнике, который заканчивается словами : «Святая Елена- маленький остров»…
Фантастическая судьба, фантастическая жизнь, но задолго выставленные часы тикали: при Ватерлоо не Груши виноват (он кстати и не был виноват, у него «приказа не было»)- это отпущенное время вышло.
(Кстати полная фраза юного Наполеона когда он учился в военной школе в Бриенне-ле-Шато
"Святая Елена, маленький остров... Но какая судьба ожидает меня?")
А мне кажется он знал. Потому ничего не боялся и делал невероятные вещи. Спешил.
И не только он знал. Тикание этих часов слышали и другие.
Молодым офицером Наполеона друзья затащили к гадалке. Она посмотрела на них и с трудом поднялась на больные ноги…. «Сидите, мадам, зачем Вы встаете?» «я встаю перед будущим Императором французов!»Потом помолчала и сказала: « но жизнь твоя закончится в изгнании на очень далёком острове» | https://t.me/drmyasnikov/2524?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 90,300 | 0 | 1,723,696,052 | 1,730,797,669 | 9,912 | 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| [{"ner":"ДР Наполеона","lemma":"др наполеон","label":"PER","start_pos":8,"end_pos":20},{"ner":"Россией","lemma":"россия","label":"LOC","start_pos":148,"end_pos":155},{"ner":"Москву","lemma":"москва","label":"LOC","start_pos":167,"end_pos":173},{"ner":"Суворова-","lemma":"суворова-","label":"LOC","start_pos":347,"end_pos":356},{"ner":"Наполеон","lemma":"наполеон","label":"PER","start_pos":418,"end_pos":426},{"ner":"Первым Консулом","lemma":"первый консул","label":"PER","start_pos":432,"end_pos":447},{"ner":"Наполеона","lemma":"наполеон","label":"PER","start_pos":467,"end_pos":476},{"ner":"Ватерлоо","lemma":"ватерлоо","label":"PER","start_pos":688,"end_pos":696},{"ner":"Груши","lemma":"груши","label":"PER","start_pos":700,"end_pos":705},{"ner":"Наполеона","lemma":"наполеон","label":"PER","start_pos":825,"end_pos":834},{"ner":"Бриенне-ле-Шато","lemma":"бриенне-ле-шато","label":"LOC","start_pos":869,"end_pos":884},{"ner":"Елена","lemma":"елена","label":"PER","start_pos":893,"end_pos":898},{"ner":"Наполеона","lemma":"наполеон","label":"PER","start_pos":1108,"end_pos":1117},{"ner":"Императором французов!»Потом","lemma":"император французов!»потом","label":"PER","start_pos":1264,"end_pos":1292}] | NEUTRAL | rus | NOT SPAM | 212 | 0 | 4 | 1 | 0 | 0 | 28 | 31 | 21 | 0 | 36 | 16 | 52 | true |
26 | null | Хочу предупредить. Мой светлый образ
😂
появился в виде дипфейка. Никогда и никому не звоню по видеосвязи. Увидите меня на видиовызове : смело посылайте на- ну Вы поняли…
Ни телеграм, ни WA, ни что там еще есть.
Это раз.
Два: я никогда и никому не пишу в личку в соцсетях. ( и-увы-сам не читаю). Если от моего имени что-то вам пришло- см пункт первый. Адрес тот же.
Вообще от мошенников житья не стало. Предсказываю, что вернемся в старым, добрым кнопочным телефонам. Всем советую включить блокировку на входящие незнакомые звонки. Кому реально надо- вначале напишут смс и представляться, а Вы уж потом решите- перезванивать Вам или нет. Помните одно- никто, ни одна соцслужба, ни банк, ни аппарат Президента не позвонят вам, что бы предложить деньги или какое-то благо. Пора перестать верить в сказки. Перезванивать надо только на официальные, опубликованные публично номера. «Полиция» и «следователи»? Настоящие и так Вас найдут, если что. | https://t.me/drmyasnikov/2525?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 90,800 | 0 | 1,723,714,448 | 1,730,797,669 | 9,912 | 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| null | NEUTRAL | rus | NOT SPAM | 150 | 0 | 1 | 0.995025 | 0.004975 | 0 | 14 | 27 | 19 | 3 | 31 | 12 | 38 | true |
26 | null | ВОЗ объявил оспу обезьян (mpox) ЧС в области медицины.
«Никогда не было и вот опять!»
В 2022 году подобное уже было.
Как болезнь у человека, обезьянья оспа известна с 1970, вспышки только в Африке, в Европе и США - единичные, исключительно завозные, случаи.
Перед 2022 годом последние 5 лет в Европе и США было зарегистрировано всего 8 случаев, все с четко прослеживающемся следом из Африки (Нигерия).
В 2022 действительно было вспышка, 80 тыс человек переболело более, чем в 100 странах, в основном гомосексуалисты, 200 человек умерло.
Вирусная болезнь, две разновидности вируса, смертность вирус Центрально-африканский Clade-1: 10%, западноафриканский-Clade2-1%
Резервуар вирусов в природе- Африка грызуны. Обезьяна и человек- «случайные» переносчики вируса.
От животного к человеку (крысы, белки, обезьяны) вирус попадает через не прожаренное мясо (едят, еще как едят!), контакт с кровью и выделениями животного. (Как тут не вспомнить Шнурова: «натурал ты или би- обезьянку не …»)
От человека к человеку примерно тем же путем- контакт с кровью и выделениями. Особенно опасны пузырьки на коже больного человека. В первую вспышку основной заболевший контингент- гомосексуалисты и кто там еще есть (раньше проще было женщина/мужчина, мужчина/мужчина, женщина/женщина…. Теперь голову сломаешь!)
То есть важен именно тесный, плотный контакт. С дыханием не передается, но с каплями через кашель и чихание- возможно. Но это надо быть лицом к лицу.
Отмечены случаи заражение через бытовые вещи больных- одежда, постельное белье и т.д.
И вот сегодня. С начала этого года только в Конго было зарегистрировано 15 600 случаев заболевания mpox и 537 смертей.
Конголезский вирус мутировал и смертность от него увеличилась с 0,2-1% до 3%.
И самое главное- стал передаваться половым путем уже не только у гомосексуалистов, но и «натуралов».
Ну как «натуралов»- проституток, людей с беспорядочными половыми связями, с множеством половых партнеров. Поэтому и основной контингент заболевших в Конго- молодежь. И дети. Ослабленные голодом и инфекционными болезнями (Африка!) дети с их нарушенным иммунитетом легко подхватывают вирус через зараженные вирусом постельное белье и домашнюю утварь.
Пока мутировший вирус не покинул Африканский континент. Но и от предыдущего варианта вируса в 16 странах в 2024 зарегистрировано 17 тыс случаев mpox.
Кстати есть вакцина. Не та, что было от оспы у людей старшего поколения (она защищает и от оспы обезьян, но в СССР ее прекратили делать в 1980), а новая. Снабжение ей Африканских стран- первоочередная задача для ВОЗ.
Ну вообщем, как вы наверно поняли- не наша «тема»….
У нас и так есть о чем переживать…. | https://t.me/drmyasnikov/2526?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 100,200 | 0 | 1,723,810,777 | 1,730,797,669 | 9,912 | 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26 | null | На Камчатке землетрясение. А я как раз туда собирался. Я пережил землетрясение один раз в жизни много лет назад. Поделюсь: я вез тяжело больного человека из Москвы в Калифорнию. Через Нью Йорк. Тяжелый полет, человек на носилках (для этого предусматривают закрытие 3 рядов- 6 мест, шторки и все такое. На капильницах. Летели почти сутки в общей сложности, сдал я больного сам в не намного лучшем, чем он состоянии. Забился в какой-то ближайший дешевей мотель (командировочные экономил- на них в то время в Москве месяц жить можно было). Выпил с устатку виски, особо не сдерживаясь, и завалился на по-американски необъятную кровать. Ночью мне показалось странным, что я нахожусь то с одной стороны этой кровати, то с другой. Вроде как перекатываюсь. С первыми лучами солнца проснулся. А в номере все не полу, полки из шкафа выпали, настольная лампа вдребезги. Подхожу к окну (был 2-й этаж), смотрю- внизу люди, кто лежит, кто сидит. Ничего не понимая, спускаюсь и выхожу к ним. Те на меня вылупились: «ты откуда?» «Оттуда», показываю на здание. Они мне и говорят: землетрясение было, всех постояльцев вывели, ты что не слышал, во все двери стучали, по громкоговорителю объявляли?!
Так что одно из главных приключений своей жизни я банально проспал! | https://t.me/drmyasnikov/2527?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 86,800 | 0 | 1,723,955,575 | 1,730,797,669 | 9,937 | 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26 | null | Мы все знаем, сколько времени уходит у врачей на написание историй болезни, отчеты и рапорты. Знаем на своей шкуре. Причем медики видят, как вал отчетов, таблиц («сегодня до 15 часов!»), показателей, видиоконференций нарастает с прогрессирующей скоростью. Все злятся, ворчат, но куда деваться?!
А вот просматривая поступающие научные статьи, натолкнулся на публикацию, в которой встретил новый для себя термин: «административный ущерб».
Что у Американцев не отнять- считать они умеют. У них всегда можно найти во сколько миллиардов им обходиться диспансеризация на то или иное заболевание, сколько тратиться на боль в шее, и проч.
По опыту скажу, что врачи там отчетностью занимаются меньше наших- там есть специальные администраторы, во многом помогающие врачам. (У нас они тоже есть, без них все встало бы! Вопрос в количестве).
Так вот, они сделали первый шаг- они сформулировали понятие «административного ущерба» -избыточное обучение и ненужные административные совещания, кадровые проблемы, а также проблемы с электронными медицинскими записями и коммуникациями и многое другое.
Пока лишь обозначен масштаб проблемы: как показало новое качественное исследование, опубликованное в JAMA Internal Medicine, 85% опрошенных врачей сообщили, что административный ущерб способствует неблагоприятным исходам для пациентов.
Теперь будьте уверены- они посчитают все это в цифрах! И выводы будут.
Я считаю, что ключевая фраза- «административный ущерб способствует неблагоприятным исходам для пациентов». Раз там за бугром задумались, значит и мы должны. Или думать- это не самая сильная наша сторона? | https://t.me/drmyasnikov/2528?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 88,000 | 0 | 1,724,037,777 | 1,730,797,669 | 9,937 | 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| [{"ner":"Американцев","lemma":"американец","label":"PER","start_pos":443,"end_pos":454},{"ner":"JAMA Internal Medicine","lemma":"jama internal medicine","label":"ORG","start_pos":1187,"end_pos":1209},{"ner":"15","lemma":"15","label":"NUM","start_pos":174,"end_pos":176},{"ner":"85","lemma":"85","label":"NUM","start_pos":1211,"end_pos":1213}] | NEUTRAL | rus | NOT SPAM | 222 | 0 | 6 | 0.989547 | 0.010453 | 0 | 25 | 40 | 18 | 6 | 58 | 14 | 57 | true |
26 | null | Лето – пора фруктов и ягод.
Одна из причин, почему мы их так любим – сладость.
Сладкими их делают сахароза (дисахарид - глюкоза+фруктоза), глюкоза и фруктоза. Первые два прекрасно нами усваиваются, а вот фруктоза хорошо всасывается только в присутствии глюкозы. Избыточная фруктоза отдельно плохо всасывается у большинства людей. Хотя есть счастливчики, которые способны ее усвоить.
Избыточную фруктозу можно рассчитать, если вычесть дозу глюкозы из общей фруктозы.
Помимо сахаров, на сладость фруктов влияет хорошо известный нам сорбитол.
Если фруктоза приблизительно в 1,5-1,7 раз слаще обычного сахара, то сорбитол, наоборот, в 2 раза менее сладкий.
Таким образом, чем фрукт слаще – тем, вероятнее всего, более газообразующий. Для овощей, кстати, это правило тоже работает.
Дозы сорбитола и избыточной фруктозы, которые вы точно НЕ заметите:
- избыточная фруктоза <0,15 г за порцию (возможно, значительно больше, если у вас хорошая переносимость)
- сорбитол <0,20 за порцию
Яблоко:
❗️
изб. фруктоза 4-8 г/100г
❗️
сорбитол 0,6-2,6 г/100г
Абрикос:
✅
изб. фруктоза -
❗️
сорбитол 1-4 г/100 г
Ежевика:
✅
изб. фруктоза -
❗️
сорбитол 0,5-1 г/100 г
Вишня/черешня:
❗️
изб. фруктоза 1 г/100г
❗️
сорбитол 0,5-1 г/100г
Грейпфрут:
❗️
изб. фруктоза 0,5 г/100г
❗️
сорбитол 0,1-0,3 г/100г
Манго:
❗️
изб. фруктоза 4-6 г/100г
✅
сорбитол –
Нектарин:
✅
изб. фруктоза -
❗️
сорбитол 0,5-1 г/100г
Персик:
✅
изб. фруктоза -
❗️
сорбитол 0,5-1,5 г/100г
Груша:
❗️
изб. фруктоза 4-5 г/100г
❗️
сорбитол 0,5-2 г/100г
Хурма:
❗️
изб. фруктоза 1,5-3 г/100г
✅
сорбитол –
Слива:
✅
изб. фруктоза -
❗️
сорбитол 0,5-2 г/100г
Арбуз:
❗️
изб. фруктоза 1,5-3 г/100г
❗️
сорбитол 0,1-0,3 г/100г
+
❗️
фруктаны 0,1-0,5 г/100 г
Теперь у вас есть примерная информация о содержании избыточной фруктозы и сорбитола во фруктах, если вы читали другие мои посты, то вы прекрасно понимаете, что нет единых абсолютных цифр для всех. Основа low-FODMAP диеты – это пробы и ошибки.
На графиках наглядно видно, какие фрукты будут более опасны, а какие менее.
#запретограм #полиолы #фруктоза #фрукты | https://t.me/ibs_doc/100?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,700 | 0 | 1,683,829,623 | 1,730,797,669 | 9,912 | 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| NEUTRAL | rus | SPAM | 317 | 0 | 2 | 0.996255 | 0.003745 | 0 | 21 | 18 | 15 | 59 | 109 | 25 | 96 | true |
26 | null | Хотя, несмотря на небольшие дозы фруктозы и сорбитола, арбуз дополнительно содержит еще и фруктаны. Будьте осторожны и проверяйте фрукты в боте, ссылка в профиле
😉
#запретограм #полиолы #фруктоза #фрукты | https://t.me/ibs_doc/101?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,900 | 0 | 1,683,829,634 | 1,730,797,669 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 29 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 0 | 0 | 12 | 3 | 8 | true |
26 | null | Решил выложить пару слайдов из презентации с нашей первой конференции для пациентов в Клинике Фомина на Мичуринском.
Как понять, от чего вас вздувает?
Кишечные газы образуются прежде всего в толстой кишке, а значит, для начала, нужно добраться до нее.
На это уходит примерно от 5 до 11 часов, в зависимости от того, что вы съели. Жирная пища будет добираться долго, "легкая" - быстро.
Поэтому, если вас вздуло - отсчитывайте 5-11 часов назад и анализируйте, что же вы съели.
#СРК | https://t.me/ibs_doc/103?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,900 | 0 | 1,686,925,393 | 1,730,797,669 | 9,937 | 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| [{"ner":"Клинике","lemma":"клиника","label":"LOC","start_pos":86,"end_pos":93},{"ner":"Мичуринском","lemma":"мичуринский","label":"PER","start_pos":104,"end_pos":115},{"ner":"5","lemma":"5","label":"NUM","start_pos":278,"end_pos":279},{"ner":"11","lemma":"11","label":"NUM","start_pos":283,"end_pos":285},{"ner":"5","lemma":"5","label":"NUM","start_pos":425,"end_pos":426},{"ner":"11","lemma":"11","label":"NUM","start_pos":427,"end_pos":429}] | NEUTRAL | rus | NOT SPAM | 79 | 0 | 1 | 1 | 0 | 0 | 7 | 14 | 10 | 5 | 13 | 8 | 19 | true |
26 | null | Год назад умерла Екатерина Сигитова, психотерапевт, психиатр-нарколог, супервизор и автор книг. Также она вела хороший блог на жж, там я ее и нашла 8 лет назад. Этот блог, как мне кажется, был солидным вкладом в русскоязычный психпросвет.
Краткая памятка при тревоге на двенадцати языках:
sigitova.ru/trevoga-2660
Ссылка на жж:
f3.livejournal.com
Ссылка на тг:
t.me/psygitova | https://t.me/imatrip/2023?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,719,046,800 | 1,730,797,669 | 9,912 | 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| [{"ner":"Екатерина Сигитова","lemma":"екатерина сигитова","label":"PER","start_pos":17,"end_pos":35},{"ner":"жж","lemma":"жж","label":"ORG","start_pos":127,"end_pos":129},{"ner":"8","lemma":"8","label":"NUM","start_pos":148,"end_pos":149},{"ner":"2660","lemma":"2660","label":"NUM","start_pos":309,"end_pos":313},{"ner":"3","lemma":"3","label":"NUM","start_pos":329,"end_pos":330}] | NEUTRAL | rus | NOT SPAM | 53 | 0 | 0 | 0.958904 | 0.041096 | 0 | 4 | 4 | 4 | 2 | 19 | 5 | 12 | true |
26 | null | Минздрав РФ еще не принял решение о сроках и условиях перехода на новую Международную классификацию болезней (МКБ-11), сообщили “Ъ” в ведомстве,— рассмотрение этого вопроса отложено до 2025 года. Ранее РПЦ и ряд депутатов призвали «выйти» из МКБ-11, а министр здравоохранения Михаил Мурашко заявил, что Россия не обязана применять классификацию «в полном формате». Основным камнем преткновения стали изменения МКБ, связанные с медицинским подходом к транссексуализму (теперь это не болезнь, а состояние) и педофилии (которую предложено считать «педофильным расстройством»).
Опрошенные “Ъ” медики называют критику МКБ-11 «чистой воды популизмом и дезинформацией» либо «некомпетентностью». | https://t.me/imatrip/2024?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,719,133,310 | 1,730,797,669 | 9,912 | 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| [{"ner":"Минздрав","lemma":"минздрав","label":"ORG","start_pos":0,"end_pos":8},{"ner":"РФ","lemma":"рф","label":"LOC","start_pos":9,"end_pos":11},{"ner":"Международную классификацию болезней (МКБ-11)","lemma":"международный классификация болезнь (мкб-11)","label":"ORG","start_pos":72,"end_pos":117},{"ner":"РПЦ","lemma":"рпц","label":"ORG","start_pos":202,"end_pos":205},{"ner":"МКБ-11","lemma":"мкб-11","label":"ORG","start_pos":242,"end_pos":248},{"ner":"Михаил Мурашко","lemma":"михаил мурашко","label":"PER","start_pos":276,"end_pos":290},{"ner":"Россия","lemma":"россия","label":"LOC","start_pos":303,"end_pos":309},{"ner":"МКБ","lemma":"мкб","label":"ORG","start_pos":410,"end_pos":413},{"ner":"11","lemma":"11","label":"NUM","start_pos":114,"end_pos":116},{"ner":"2025","lemma":"2025","label":"NUM","start_pos":185,"end_pos":189},{"ner":"11","lemma":"11","label":"NUM","start_pos":246,"end_pos":248},{"ner":"11","lemma":"11","label":"NUM","start_pos":617,"end_pos":619}] | NEUTRAL | rus | NOT SPAM | 90 | 0 | 8 | 1 | 0 | 0 | 8 | 14 | 2 | 0 | 31 | 3 | 31 | true |
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