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26 | null | 😉
ДОКМЕД ЭТО МАРКЕТИНГ. Как врачи назначают лечение и чего отталкиваться врачу при выборе подхода у конкретного пациента в новом видео с
@Lorcerpsy
👉🏼
https://youtu.be/twU7MKEtoS8
приятного просмотра
Уровень A: данные из мета-анализов, систематических обзоров и крупномасштабных рандомизированных контролируемых исследований (РКИ).
Уровень B: данные из одного РКИ или крупного когортного исследования, но с меньшей степенью надежности по сравнению с уровнем A.
Уровень C: результаты наблюдательных исследований, небольших когортных исследований или серии случаев.
Уровень D: опирается на мнение экспертов, клинический опыт, описания отдельных случаев.
00:00 — начало.
00:32 — о чем этот подкаст.
00:40 — от чего молодому врачу отталкиваться в своей практике.
03:03 — нужно ли искать учителя в профессии.
04:15 — как собирались и систематизировались данные до появления докмеда.
05:50 — большинство людей не созданы, чтобы свою работу работать.
07:45 — докмед — это маркетинг.
10:50 — авторский подход в медицине.
11:06 — празозин и теразозин от ночных кошмаров.
11:30 — новые рекомендации по лечению РАС у детей.
14:24 — все плохо разбираются в исследованиях.
15:18 — кейс о том, что не все "докмед-клиники" докмед.
18:12 — история о том, как Антон начмеду лечение обосновывал.
19:10 — психоанализ эффективен при всех заболеваниях.
19:47 — тактика при повышенном ТТГ на солях лития.
22:00 — про уровни доказательности. | https://t.me/imatrip/2025?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,719,206,259 | 1,730,797,669 | 9,912 | 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| NEUTRAL | rus | SPAM | 206 | 0 | 12 | 0.974359 | 0.025641 | 0 | 20 | 17 | 7 | 16 | 73 | 3 | 55 | true |
26 | null | Каналы специалистов это, конечно, классно, а как давно вы читали личные блоги? Я считаю, что самую интересную информацию о ментальных расстройствах можно найти у тех, кто с ними ежедневно справляется.
У Жанны пограничное расстройство личности и довольно сложный бэкграунд, куда входит детство в окружении алкозависимых людей, несколько суицидальных попыток, два месяца в психиатрическом стационаре, опыт насилия. О таких вещах бывает непросто читать, а честно писать о них точно сможет не каждый. Жанна активно борется за жизнь и ее качество, учится на психолога, посещает психотерапию и делится всем этим
в своем канале
.
Что особенно ценно - в блоге много юмора, надежды и жизнелюбия.
t.me/zhannamental | https://t.me/imatrip/2026?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,719,226,904 | 1,730,797,669 | 9,912 | 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| [{"ner":"Жанны","lemma":"жанна","label":"PER","start_pos":203,"end_pos":208},{"ner":"Жанна","lemma":"жанна","label":"PER","start_pos":497,"end_pos":502}] | NEUTRAL | rus | NOT SPAM | 104 | 0 | 3 | 0.992126 | 0.007874 | 0 | 12 | 13 | 8 | 2 | 26 | 13 | 19 | true |
26 | null | Схема-терапия для пациентов с биполярным расстройством: теоретические основы и применение
Биполярное расстройство (БАР) — это тяжелое расстройство настроения, характеризующееся эпизодами депрессии и гипомании или мании. Несмотря на его преимущественно биологические корни, возникновение и течение расстройства также были связаны с психосоциальными факторами, такими как ранний неблагоприятный опыт и связанные с ним дезадаптивные схемы. Несколько исследователей предложили схема-терапевтический подход для лечения пациентов с БАР.
В этой статье мы продолжаем развивать теоретическую модель и подробно останавливаемся на семи элементах, которые были признаны эффективными в психосоциальных вмешательствах с людьми с БАР:
- мониторинг настроения и ранних симптомов рецидива,
- распознавание стрессовых ситуаций и межличностных конфликтов и управление ими,
- разработка плана профилактики рецидивов,
- стабилизация цикла сна/ бодрствования и ежедневной рутины,
- поощрение приема лекарств,
- снижение самостигматизации,
- снижение употребления психоактивных веществ.
Кроме того, мы описываем элементы работы схема-терапии с пациентами, страдающими БАР.
Теоретические основы сопровождаются иллюстративными клиническими случаями. Исследования схема-терапии у пациентов с тяжелыми психическими заболеваниями начали развиваться только недавно. Представленный документ также направлен на стимулирование дальнейших исследований в этой области и выделение потенциально полезных исследовательских целей. | https://t.me/imatrip/2027?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,719,273,727 | 1,730,797,669 | 9,937 | 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| null | NEUTRAL | rus | NOT SPAM | 175 | 0 | 5 | 1 | 0 | 0 | 27 | 15 | 6 | 2 | 79 | 7 | 27 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11403?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,500 | 0 | 1,728,498,652 | 1,730,797,669 | 9,915 | 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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 | Главное оздоровительное мероприятие этой осени стартует
ровно через 2 недели
с 24 октября по 24 ноября
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В основе чистки – лежит питание.
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к питанию подключаем добавки
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Чистка подходит тем, кто хочет продлить молодость, восстановить и приумножить своё здоровье, улучшить внешний вид, помочь гормонам и иммунитету
❗️ | https://t.me/magerya/11405?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,500 | 0 | 1,728,538,035 | 1,730,797,669 | 9,912 | 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| [{"ner":"24 октября","lemma":"24 октября","label":"DATE","start_pos":79,"end_pos":89},{"ner":"24 ноября","lemma":"24 ноября","label":"DATE","start_pos":93,"end_pos":102},{"ner":"2","lemma":"2","label":"NUM","start_pos":68,"end_pos":69}] | NEUTRAL | rus | NOT SPAM | 66 | 0 | 2 | 1 | 0 | 0 | 6 | 11 | 2 | 1 | 27 | 5 | 12 | true |
26 | null | 🟠
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11407?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,400 | 0 | 1,728,564,313 | 1,730,797,669 | 9,937 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":226,"end_pos":234},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":270,"end_pos":299},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":289,"end_pos":299},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":294,"end_pos":299},{"ner":"3","lemma":"3","label":"NUM","start_pos":151,"end_pos":152}] | NEUTRAL | rus | SPAM | 45 | 0 | 2 | 0.985507 | 0.014493 | 0 | 3 | 7 | 2 | 2 | 13 | 0 | 10 | true |
26 | null | Потрясающая новинка «Магеря косметик» – гель для душа с ароматом инжира и бергамота!
В его состав входит сразу две соли: морская и магниевая, способствующие регенерации клеток кожи
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Гель обладает приятной, обволакивающей текстурой и бережно очищает кожу, не пересушивая её.
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wildberries/гель_для_душа
Реклама. ООО «МаМагеря»
ИНН 2310229436 | https://t.me/magerya/11409?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,400 | 0 | 1,728,572,514 | 1,730,797,669 | 9,937 | 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26 | null |
Сколько калорий в человечине?
В течение сотен тысяч лет люди практиковали такую «милую забаву», как каннибализм. Конечно, это являлось скорее исключением, чем правилом. Но зачем наши предки поедали себе подобных — в гастрономических, ритуальных или даже медицинских целях, чтобы выжить или по причине сильной агрессии?
По словам авторов исследования,
получившего Шнобелевскую премию 2018 года,
большинство современных учёных считают, что всё-таки каннибализм практиковался банально ради плотного ужина, когда с мясом тех же мамонтов или бизонов не везло.
Что же сделали авторы исследования, опубликованного несколько лет назад в Scientific Reports?
А сами они сделали следующее: взяли данные о химическом составе тела четырёх мужчин (которые, кстати, завещали свои тела науке) и выяснили, что среднестатистический взрослый мужского пола содержит 125 800 килокалорий. Самыми некалорийными в человеческом теле оказались зубы (всего 36 ккал). Сердце в среднем «даёт» 650 ккал, кожа — 10 тыс. ккал, лёгкие — 1,6 тыс. ккал, почки — 376 ккал, печень — 2,5 тыс. ккал, селезёнка — 128 ккал, поджелудочная железа — 160 ккал. К сожалению, пишут авторы исследования, данных о женщинах и подростках нет, а собирать их было бы «вне этики и закона». Тем не менее, учёные рассчитали, что в младенце мужского пола примерно 2573 ккал, в мальчике 4—7 лет — 12564 ккал, в мальчике 7—11 лет — 41770 ккал, в подростке мужского пола — 95914. Женщин почему-то так и не «подсчитали».
Специалисты отмечают, что при всём при этом неизвестно, какова была калорийность у наших предков и ближайших родственников. Например, мускулистые неандертальцы явно были более «сочными». Кроме того, учёные уточняют, что предоставили данные о калорийности сырого человеческого мяса, но ведь при жарке она изменится! «Учитывая характер этого исследования, мы не могли провести анализ на приготовленной человеческой плоти», — объясняют «шнобелианты».
Учёные составили список потенциальной добычи, которая обитала в каждом регионе, и вывели её калорийность. Пальму первенства калорийности взял, конечно же, старый добрый мамонт — в среднем он обеспечивал 3 млн ккал — этого хватало бы группе 25 человек примерно на 60 дней. Следующим шёл шерстистый носорог с 1 млн 260 тыс. ккал, потом — дикий бык с 979 200 ккал.
Сравнение показало, что каждый эпизод каннибализма давал столько же или меньше калорий, чем одно-единственное крупное животное (будь то носорог, медведь или олень). Выходило, что охота на больших млекопитающих обеспечила бы древних людей гораздо лучшим питанием, чем каннибализм.
Конечно, не только мамонтами питались древние — и птица, и заяц попадали к ним на стол. Однако чтобы охотиться на другого человека, нужны немалые и физические, и психические усилия — ведь никто не хочет быть съеденным, и потенциальная добыча каннибала задорого отдаст свою жизнь. От человека можно получить сдачи, он умён и отлично бегает. Учёные задаются вопросом: если охота на крупных животных гораздо выгоднее энергетически, зачем же древние люди тратили силы на людоедство?
Недавние исследования показали, что древний каннибализм вызывался более сложными мотивами, чем банальное удовлетворение потребности в пище. Это могли быть и ритуальные практики, связанные с культом черепов, и внутригрупповые конфликты, и сложные погребальные обряды. Конечно, нельзя исключить и такой вариант, как поедание умершего члена группы — жизнь была тяжёлая!
В конце концов, современная этнография учит нас, что Homo sapiens занимался каннибализмом по самым разным причинам. Учитывая то, что мы сейчас знаем о неандертальцах, эти гоминины мало в чём уступали современным людям. Кто знает, насколько изощрёнными были мотивы, толкавшие их поедать друг дружку?
Источник
https://22century.ru/popular-science-publications/cannibalism
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26 | null | Мужчина,69 лет,недиагностированный при жизни рак желудка.
Фото 1.Рак-язва.
Фото 2.Кровь,удалённая из желудка.
Записки судмедэксперта | https://t.me/sudmednotes/9089?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 42,400 | 0 | 1,729,086,073 | 1,730,797,669 | 9,912 | 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26 | null | Так!
Пробую пересказать предыдущий пост своими словами!
«Слушай, попал в больницу, вроде с отравлением- болит живот, тошнит, понос, а мне говорят- это твоя бабушка виновата!»
«в смысле?»
«ну- это, мол, наследственное, типа аллергии».
«А это причем?»
«ну-предрасположенность такая. А я таблетки от гипертонии пью- говорят это и спровоцировало!»
«неужто бывает?! А у меня вот тетя тоже ни с того ни с сего вся отекла, задыхается- еле откачали, тоже сказали- не аллергия, а отек какой-то!»
«Ага! Слышал. Знакомая рассказывала: вдруг волдыри высыпали, веки отеки, думали аллергия, но тесты ничего не показали! В итоге оказалось- обезболивающие виноваты!»
«Так это все что- аллергия?!»
«типа и да и нет. По итогу сначала лечат как аллергию, но потом только гормоны и помогают! И еще там какие-то специальные лекарства есть»
«А как отличить-то?»
«Да толком не понял. Там аллергию анализы не показывают, поэтому что-то еще смотрят. но смысл в том, что эта штука -не совсем аллергия и часто путают! Надо бы самому почитать. Вон Мясников в своем телеграм что-то писал, ничего не понял. Сейчас еще раз прочту!» | https://t.me/drmyasnikov/2518?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 81,700 | 0 | 1,723,390,148 | 1,730,797,670 | 9,998 | 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| [{"ner":"Вон Мясников","lemma":"вон мясников","label":"PER","start_pos":1016,"end_pos":1028}] | NEUTRAL | rus | NOT SPAM | 171 | 0 | 6 | 1 | 0 | 0 | 6 | 30 | 20 | 1 | 42 | 22 | 67 | true |
26 | null | Начал книгу про почки. Вот для затравки:
Про почки мы знаем меньше, чем даже про печень. (Есть и еще более неизвестный орган- селезенка, но о ней как-нибудь позже). Про печень и проблемы с ней я недавно издал небольшую книжку.
Самое время заняться ликвидацией неграмотности в отношении почек.
Тема очень не простая.
Вот вы, читатель, знаете, что у вас весьма возможно есть та или иная степень хронической почечной недостаточности? Ведь по статистике ей страдают 10% населения Земли. Если быть точным в 2017 году таких (только официально зарегистрированных) было 698 миллионов человек.
В США этим страдает 14% населения, в Латинской Америке наивысшая смертность от хронической почечной недостаточности.
В Европе заболеваемость неравномерная- от 3,5% в Норвегии до 17% в Германии. (Если взять возраст 45-75 лет, то цифры другие: 7,5% Норвегия, 25,6% Германия).
Распространенность ХБП среди взрослого населения Азии является самой низкой в материковом Китае (10,8 процента) и самой высокой в Монголии (13,9 процента). Тайвань, Япония и Южная Корея находятся на уровне 11,9, 12,9 и 13,7 процента соответственно.
Африка-16% населения.
Россия? Тут точная статистика отсутствует. Поискав в разных источниках, обратился к ИИ. Вот его ответ:
«Данных о точном проценте людей, страдающих хронической почечной недостаточностью (ХПН) в России, может быть трудно найти, так как они варьируются в зависимости от источников и методологии подсчета. Однако, можно привести общие статистические данные.
По данным Всемирной организации здравоохранения (ВОЗ) и других медицинских исследований, распространенность хронической почечной недостаточности (или хронической болезни почек, ХБП) варьируется от 10 до 14% населения в разных странах мира. В России этот показатель также находится в этом диапазоне, однако из-за отсутствия регулярных скринингов и низкой осведомленности, многие случаи остаются недиагностированными»
Ну вот давайте нашу осведомленность поднимать, может быть и медицине нашей это поможет…. «Ошибаться можно, врать нельзя!» | https://t.me/drmyasnikov/2519?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 80,600 | 0 | 1,723,447,339 | 1,730,797,670 | 9,922 | 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26 | null | Продолжу предыд пост.
В бытность мою, что студентом, что ординатором особенно трудно «заходили» именно болезни почек.
Сложнейшие механизмы патогенеза требуют для понимания устойчивых базовых знаний по биохимии, патофизиологии, гистологии, фармакологии, генетике. Если ты когда-то это не усвоил намертво- с ходу болезни почек не «взять»!
Когда в первый раз я взял в руки 2-х томник академика М.Е. Тареева «болезни почек», то не понял ни слова! Я даже спросил свою заведущую: а она смогла это прочитать? Нина Михайловна только усмехнулась: «ты думаешь я могла бы стать доктором наук, если бы не досконально знала этот фундаментальный труд?!»
С тех пор много воды утекло…. Нефрология тогда и подходы в ней сейчас- трудно осознаваемая дистанция. Но её не преодолеть, если не будешь знать базу и перечитывать классиков.
Я ликвидировал свой пробел в этой области только в 40 лет. То есть мои познания в этой области были как у любого другого среднего врача, то есть никакие (как я понимаю сейчас).
Я готовился к Американским сертификационным экзаменам на врача и понимал, что без скурпулезного знания нефрологии я их не сдам. И еще мне стало стыдно. «Если Бога нет, то какой я тогда к черту штабс-капитан?!» Я понял, что у меня это последний шанс исправить ситуацию. Я засел за книги и не вставал по 12 часов в сутки на протяжении нескольких месяцев. Просветление и понимание пришло не сразу. Но когда я понял, что готов- то чувство гордости я помню по сей день! Экзамены я успешно сдал. Но уже в резидентуре Нью Йорского госпиталя мне пришлось пройти через еще одно испытание. Промежуточные экзамены сдавались уже устно. Нефрология считалась одним из сложнейших. Самой большой неудачей считалось попасть на
зав департамента нефрологии, сущего «зверя», который славился тем, что кандидатов от проглатывал живьем! Ну а я как-то ему сильно надерзил! В ответ услышал: «экзамен придешь сдавать лично мне!». Мне все коллеги сочувствовали и уже рассматривали как отчисленного. Я опять засел за книги и статьи. Днем госпиталь, ночью книги. Перед экзаменами я почувствовал, что готов. Утром вошел в предбанник перед аудиторией, где толпились подавленные предстоящим ординаторы. Я картинно распахнул халат, ударил себя в грудь, как боксер перед схваткой и прокричал: «ну что Спиталович (Фамилия заведующего), выходи, я готов!!!»
И правда- выдержал весь «бой». И самое интересное, что последующие годы заведующий относился ко мне с подчеркнутым уважением. | https://t.me/drmyasnikov/2520?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 81,700 | 0 | 1,723,522,377 | 1,730,797,670 | 9,922 | 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26 | null | В предыд постах меня просили истории из жизни. Я покопался в своих заметках и решил рассказать об одной удивительной женщине. Сегодня она уже ушла из жизни, но не из моего сердца. Очень часто её вспоминаю. И сын её сегодня уже не в той должности, но не о нём тут речь. Вот:
«
Мы все- одной крови!
Не так давно судьба свела меня с удивительной женщиной! Мать одного из наших членов Правительства, при этом совершенно не разбалованная, как кто-то может подумать (как же, небожители!), адекватная, умная и с огромным добрым сердцем! Все видела на свете, через многое прошла, может потому и не обольщается своим сегодняшним положением, знает, что "медные трубы" куда как бОльшее испытание, нежели вода и огонь! И что бывает всякое и только чистая совесть и следование своим принципам имеет значение!
Её молодость прошла на Крайнем Севере- жена военного, поехала за ним в прямом смысле на край света. Муж сутками на службе, без работы сидеть не привыкла. Ну а какая там работа? Прииск, рудодобыча, экскаваторы, грузовики, все на открытом воздухе, мороз за 50! А тут миниатюрная девушка с огромными голубыми глазами! Пошла учетчицей.
Ну а народ там специфичный, в основном отсидевшие свой срок и оставшиеся- на Большой земле еще как сложится, а тут гарантированная работа! "Северные" опять же! Женщин почти нет, а тут такая Дюймовочка "в розовых лепесточках"! И еще учетчица- сколько напишет, столько они потом и получат! Можете себе представить, каково ей пришлось! Но у этой Дюймовочки оказался совершенно железный характер! Я-то это успел увидеть, она своим характером уже в наше время и болезнь свою победила!
Представляю лица водителей самосвалов, когда она засчитывала только действительно привезенное и решительно пресекала как фривольные разговоры, так и просьбы и намеки о приписках! Но ведь в тех условиях притвориться не тем, кто ты есть нельзя, фальшь там не приживается, сам мог в этом убедиться, когда-то попав в аналогичную среду. Приставания сменились глубоким уважением к девчушке, добровольно выполняющую тяжелую работу в столь суровых условиях, наравне с битыми мужиками. Она стала всеобщей любимицей за свой веселый, "звонкий" характер и радостное ко всем отношение. Жизнь шла своим чередом, пришла беременность и вот роды. Да, будущий член Правительства родился не в привилегированном Московском роддоме, а в фельдшерском пункте на Крайнем Севере! Условия- сами понимаете: железная кровать и всех медикаментов- йод, аналгин и стрептоцид! Роды оказались неожиданно тяжелыми и сопровождались большой кровопотерей. По руднику покатилось: "нашей Женьке нужна кровь!" Это тогда она была "Женькой", сегодня Евгения Сергеевна рассказывает:
"Представляешь- лежу "никакая", комнатка крохотная, за окном вьюга воет, темно- Полярная Ночь, физически чувствуется как на стекла давит жуткий мороз! И вдруг в темноте появляется всполох, а потом и огни. Один, другой, третий, вот их уже десятки! Это фары, вот они все ближе и скоро за окном стало светло, будто наконец наступил День, хотя до этого еще почти полгода! Это мои водители с рудника на самосвалах приехали кровь сдавать! И не уезжали всю ночь, ревя моторами, пока фельдшер не убедил их, что все в порядке и их Женьке ничего больше не угрожает!"
Вот кровь тех водителей с Крайнего Севера и определяет её характер на всю дальнейшую жизнь: все было- ранняя потеря мужа, ответственность за двоих детей, тяжелая работа на износ- не было только нытья и разочарования! Ну а сын и сейчас вспоминает, как получал шнуром от утюга, когда пытался прогулять урок английского!»
Ну и вслед сейчас опубликую еще один. | https://t.me/drmyasnikov/2521?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,100 | 0 | 1,723,604,588 | 1,730,797,670 | 9,922 | 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сергеевич","label":"PER","start_pos":2619,"end_pos":2636},{"ner":"Женьке","lemma":"женька","label":"PER","start_pos":3173,"end_pos":3179},{"ner":"Крайнего Севера","lemma":"крайний север","label":"LOC","start_pos":3234,"end_pos":3249},{"ner":"50","lemma":"50","label":"NUM","start_pos":1051,"end_pos":1053}] | NEUTRAL | rus | NOT SPAM | 549 | 2 | 9 | 1 | 0 | 0 | 57 | 74 | 38 | 7 | 137 | 54 | 125 | true |
26 | null | Постоянно спрашиваю в связи с моими походами в горы и по тайге: «зачем оно вам?» Вот зачем:
Ещё одна неизлечимая болезнь
"Я видно болен- на душе туман,
Мне скучно все- и люди и рассказы,
Мне снятся королевские алмазы
И весь в крови широкий ятаган!"
Н.С. Гумилев
"Что наша жизнь? Игра!" Герман из "Пиковой дамы" плохо кончил, но ведь он прав: только есть-пить-спать и опорожнятся очень и очень скучно! Сейчас много говорят об "адреналиновой зависимости", сводят любовь к приключениям к разновидности наркомании. Может это и так, наверняка так, но как обидно все сводить в нейромедиаторам и рецепторам!
Недавно во Франции ходил по замку принца Конде. Королевской крови, прославленный полководец, и всё такое. Воистину королевская коллекция живописи (только картин Рафаэля- 3!) и драгоценных камней! А библиотека! Помимо всего прочего содержит поразительный по красоте иллюстраций образец западно- европейского искусства "Часослов герцога Беррийского". И покои! Золото, парча, редкий в Европе малахит, оникс, литая бронза- больше похоже на убранство даже и не королевского, а султанского дворца. Понятно, какие там подавали вина и яства, какие веселились женщины, с какими гончими и на каких конях охотились! Ходил я и мучал меня вопрос: "чего этому Конде не хватало?, почему он такой "шрамами покрытый, только не убитый"? Что заставляло вставать с ложа, оставлять красавицу (при своем некрасивом лице "ходок" был первейший на всю Францию!) и скакать под пули?" Чувство долга? За Царя за Родину, за Веру? Ну Царю (королю) он не раз изменял, с Верой его родственники чуть ранее не очень церемонились, переходя из протестанства в католичество и обратно (подозреваю, что сам он был законченный атеист!), а под Родиной он в основном понимал свои обширные владения (в его Парижском дворце теперь располагается Национальное Собрание Франции). А вот сражался ни себя, ни других не жалея. Победа над никем и никогда ранее несгибаемой Испанской пехотой при Рокруа без его железной воли и отчаянной отваги была бы не возможна!
А потом взглянул на самого себя. Не Конде, конечно, но еда, питьё, машины, квартира, дом, достаток и проч. Но вот через какое-то время пребывания в этом достатке, ноздри начинают раздуваться, пытаясь уловить далекие волнующие запахи, начинаешь перебирать свои походные сапоги, куртки, ножи, ружья... Дальше больше, все раздражают- и дома и на работе, на собраниях в Департаменте Здравоохранения мозг отказывается воспринимать информацию, так как занят прокладыванием маршрута и мыслями, где брать лошадей и как переправить квадроциклы на перевал.... Уверен, что и у Конде было что-то подобное! И никому не обьяснить, почему человек от такой жизни, от тончайших вин и яств едет вести войско через пустыню, где ему возможно придется пить лошадиную мочу?! (Про мочу не преувеличение- вспомните "Антоний и Клеопатра"!).
Приключения- (сражения, переходы, опасности- это все приключения)- снимают с нас все ту шелуху, которой мы обросли в цивилизованном обществе! Она там неуместна, как уместны в тайге штиблеты "Прадо", а купюрами даже костер не развести! Там, в вихре приключений ты тот, какой ты есть! И когда эскадроны кирасиров поскакали за Конде на испанцев, они скакали не за миллионером, а за храбрецом! Почему Наполеон так быстро умер на Святой Елене? Рак, да, вроде рак желудка. А может и нет, точно до сих пор не знают. Кто-то говорит: отравили мышьяком. Не знаю... Знаю только, что он, перевернувший все представления о человеческих возможностях не мог выжить в условиях замкнутого пространства. Судьба не дала ему смерти при Ватерлоо (как и его маршалу Нею, который лез в самое пекло, желая умереть в бою, а был потом расстрелян по приговору Королевского суда).
Вот перечитал написанное и вижу: классическое описание наркологической зависимости! "Ломка", доза, "приход", абстиненция (воздержание), опять ломка и смерть при отсутствии очередной дозы! А получил "дозу"-сел в седло, сжал в руках ружье, весло, штурвал и:
см продолжение
⏬️
⏬️
⏬️ | https://t.me/drmyasnikov/2522?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 74,400 | 0 | 1,723,605,373 | 1,730,797,670 | 9,922 | 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Гумилев","lemma":"н.с. гумилёв","label":"PER","start_pos":249,"end_pos":261},{"ner":"Герман","lemma":"герман","label":"PER","start_pos":286,"end_pos":292},{"ner":"Франции","lemma":"франция","label":"LOC","start_pos":612,"end_pos":619},{"ner":"Конде","lemma":"конде","label":"PER","start_pos":642,"end_pos":647},{"ner":"Европе","lemma":"европа","label":"LOC","start_pos":983,"end_pos":989},{"ner":"Конде","lemma":"конде","label":"PER","start_pos":1247,"end_pos":1252},{"ner":"Францию","lemma":"франция","label":"LOC","start_pos":1428,"end_pos":1435},{"ner":"Родину","lemma":"родина","label":"PER","start_pos":1485,"end_pos":1491},{"ner":"Веру","lemma":"вера","label":"PER","start_pos":1496,"end_pos":1500},{"ner":"Верой","lemma":"вера","label":"PER","start_pos":1540,"end_pos":1545},{"ner":"Родиной","lemma":"родина","label":"LOC","start_pos":1704,"end_pos":1711},{"ner":"Парижском дворце","lemma":"парижский дворец","label":"LOC","start_pos":1764,"end_pos":1780},{"ner":"Национальное Собрание","lemma":"национальный собрание","label":"ORG","start_pos":1802,"end_pos":1823},{"ner":"Франции","lemma":"франция","label":"LOC","start_pos":1824,"end_pos":1831},{"ner":"Испанской пехотой","lemma":"испанский пехота","label":"ORG","start_pos":1923,"end_pos":1940},{"ner":"Рокруа","lemma":"рокруа","label":"PER","start_pos":1945,"end_pos":1951},{"ner":"Конде","lemma":"конде","label":"PER","start_pos":2050,"end_pos":2055},{"ner":"Департаменте Здравоохранения","lemma":"департамент здравоохранение","label":"LOC","start_pos":2380,"end_pos":2408},{"ner":"Конде","lemma":"конде","label":"PER","start_pos":2580,"end_pos":2585},{"ner":"Антоний","lemma":"антоний","label":"ORG","start_pos":2806,"end_pos":2813},{"ner":"Конде","lemma":"конде","label":"PER","start_pos":3154,"end_pos":3159},{"ner":"Наполеон","lemma":"наполеон","label":"PER","start_pos":3227,"end_pos":3235},{"ner":"Святой Елене","lemma":"святой елена","label":"LOC","start_pos":3255,"end_pos":3267},{"ner":"Ватерлоо","lemma":"ватерлоо","label":"LOC","start_pos":3546,"end_pos":3554},{"ner":"Нею","lemma":"нею","label":"PER","start_pos":3574,"end_pos":3577},{"ner":"Королевского суда","lemma":"королевский суд","label":"ORG","start_pos":3663,"end_pos":3680},{"ner":"3","lemma":"3","label":"NUM","start_pos":771,"end_pos":772}] | NEUTRAL | rus | NOT SPAM | 600 | 3 | 11 | 1 | 0 | 0 | 54 | 83 | 43 | 3 | 156 | 48 | 173 | true |
26 | null | Репчатый лук известен своими «полезными» свойствами, он содержит витамины, антиоксиданты (полифенолы), которые оказывают положительный эффект на сердечно-сосудистую системы и функцию центральной нервной системы, содержит растворимые пищевые волокна – инулины, что помогает обеспечивать здоровую микробиоту кишечника.
Но эти инулины, точнее фруктаны инулинового типа, а также другие короткие углеводы в его составе могут приносить массу неприятностей для желудочно-кишечного тракта, особенно пациентам с синдромом раздраженного кишечника.
Уже от 12 грамм лука у некоторых людей могут возникнуть вздутие и боли в кишечнике, тогда как 75 грамм неминуемо приведут к такому исходу.
Термическая обработка лука значимо не изменит ситуацию, тем более, что углеводы никуда не денутся, а лишь выйдут в окружающую жидкость.
Какие же альтернативы можно вам предложить?
- Перья зеленого лука – безопасны!
- Растительное масло с луком – не содержит углеводов, но сохраняет вкус и запах лука.
Если вы хорошо переносите лук, то никаких ограничений не требуется.
#запретограм #фруктаны | https://t.me/ibs_doc/89?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 5,800 | 0 | 1,680,583,257 | 1,730,797,670 | 9,922 | 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| [{"ner":"12","lemma":"12","label":"NUM","start_pos":545,"end_pos":547},{"ner":"75","lemma":"75","label":"NUM","start_pos":632,"end_pos":634}] | NEUTRAL | rus | NOT SPAM | 146 | 0 | 0 | 1 | 0 | 0 | 23 | 22 | 6 | 2 | 48 | 11 | 32 | true |
26 | null | Хочется вкуса и запаха лука, но не хочется газов? В помощь - луковое масло :)
Точно так же можно сделать и чесночное масло
#запретограм #фруктаны | https://t.me/ibs_doc/90?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,100 | 0 | 1,680,583,315 | 1,730,797,670 | 9,922 | 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| null | NEUTRAL | rus | NOT SPAM | 25 | 0 | 1 | 1 | 0 | 0 | 3 | 4 | 0 | 0 | 8 | 3 | 4 | true |
26 | null | «Не ешь СВЕЖИЕ овощи и фрукты» - пациенты с СРК часто получают такие рекомендации. Раньше считалось, что содержащиеся в них пищевые волокна раздражают кишечник. Так ли это на самом деле?
В какой-то степени – возможно, но термическая обработка роли тут не играет.
Пищевые волокна являются обязательной частью ежедневного рациона, норма их потребления составляет 30 грамм в день. Их недостаток в пище повышает риск развития колоректального рака. Поэтому отказываться от них полностью не стоит, но лучше выбирать безопасные для вас варианты.
Волокна различаются по степени растворимости, скорости и степени их ферментации бактериями в кишечнике.
Нерастворимые неферментируемые пищевые волокна (например целлюлоза) не приводят к вздутию. Их богатыми источниками являются стебельки зелени, шкурки фруктов, тыквенные семечки, семена чиа, кунжут и т.д. Целлюлоза увеличивает объем каловых масс и обладает гелеобразующим эффектом, но не настолько эффективна при запорах, как другие волокна.
К источникам нерастворимых умеренно ферментируемых волокон относятся кукуруза, баклажан, стручковая фасоль, некоторые ягоды (клубника, малина, голубика), отруби большинства злаков, цельнозерновой хлеб, семена льна. Благодаря ферментации они помогут разнообразить вашу микробиоту и образовать короткоцепочечные жирные кислоты. Но ржаных и пшеничных отрубей стоит опасаться – они содержат фруктаны.
К хорошо растворимым и быстроферментируемым волокнам относят фруктаны (в т.ч. инулин!), галактоолигосахариды, резистентный крахмал и пектин. Это «корм» для нашей микробиоты, но большинство из них относятся к FODMAP и крайне газообразующие. Самые опасные источники таких волокон – чеснок, лук, артишок, рожь, пшеница, зернобобовые.
#запретограм #пищевыеволокна | https://t.me/ibs_doc/94?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,200 | 0 | 1,682,265,738 | 1,730,797,670 | 9,923 | 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| [{"ner":"СВЕЖИЕ","lemma":"свежие","label":"ORG","start_pos":8,"end_pos":14},{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":44,"end_pos":47},{"ner":"Волокна","lemma":"волокно","label":"PER","start_pos":539,"end_pos":546},{"ner":"Целлюлоза","lemma":"целлюлоза","label":"PER","start_pos":846,"end_pos":855},{"ner":"30","lemma":"30","label":"NUM","start_pos":361,"end_pos":363}] | NEUTRAL | rus | NOT SPAM | 227 | 0 | 6 | 0.996564 | 0.003436 | 0 | 31 | 30 | 10 | 1 | 83 | 12 | 61 | true |
26 | null | Лучший выбор пищевых волокон для пациента с СРК – псиллиум и овсяные отруби. Это золотая середина – они неплохо растворяются и немного ферментируются бактериями. Они разнообразят микробиоту кишечника, увеличат объем и размягчат консистенцию стула. Да, к сожалению, некоторое количество газов неминуемо появятся, но их транзит также значительно улучшится.
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#запретограм #пищевыеволокна | https://t.me/ibs_doc/95?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,100 | 0 | 1,682,265,805 | 1,730,797,670 | 9,912 | 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| [{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":44,"end_pos":47},{"ner":"Ешьте","lemma":"есть","label":"LOC","start_pos":355,"end_pos":360}] | NEUTRAL | rus | NOT SPAM | 64 | 0 | 1 | 0.987013 | 0.012987 | 0 | 5 | 9 | 4 | 0 | 22 | 5 | 12 | true |
26 | null | Крупное, относительно новое и нерадостное исследование.
У людей с ипохондрией риск смерти на 80% (!) выше, чем в среднем по популяции. Причины по большей части потециально предотвратимые, большой вклад в статистику делают суициды.
Подумайте, каков парадокс: расстройство, главной характеристикой которого является всеобъемлющий страх перед болезнью и смертью, ровно их и провоцирует.
Отдельно интересно, что в числе предотвратимых причин повышенной смертности помимо завершенных суицидов авторы называют недостаточное внимание врачей к реальным соматическим заболеваниям пациентов с расстройством. Иными словами, у людей с ипохондрией накапливается такая история обращений в больницы и жалоб, что с какого-то момента медицинские работники начинают считать все их симптомы воображаемыми и пропускают что-то критичное.
На сакраментальный вопрос «что делать» авторы говорят о важности evidence-based treatment (как будто мы без них не догадались бы), работе со стигматизацией диагноза среди медработников и доступности комплексной психологической, психиатрической и соматической помощи. Короче, хорошо бы у всех была возможность и психику и тело подлечить доказательными методами у достойных специалистов.
Ну и, серьезно, друзья, не пренебрегайте лечением ипохондрии (да и других расстройств психики). Вы нам нужны живые и здоровые. | https://t.me/imatrip/2018?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,100 | 0 | 1,718,598,983 | 1,730,797,670 | 9,922 | 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| [{"ner":"80","lemma":"80","label":"NUM","start_pos":93,"end_pos":95}] | NEUTRAL | rus | NOT SPAM | 174 | 0 | 1 | 0.986487 | 0.013514 | 0 | 30 | 17 | 12 | 1 | 58 | 7 | 35 | true |
26 | null | 8 факторов, способствующих развитию КПТСР
Интенсивность, длительность и сроки:
излишне говорить, что чем длительнее насилие или травма и чем больше их интенсивность, тем выше вероятность развития К-ПТСР. Также важно учитывать время воздействия травматического стресса. Дети наиболее подвержены воздействию стрессоров во время таких критических периодов роста, как первые три года жизни, когда нервная система чрезвычайно хрупкая, и подростковый возраст, когда они формируют свою идентичность.
Генетика:
исследования показывают, что тревожные расстройства, включая ПТСР, обычно возникают в тех семьях, где от подобных проблем страдали представители старших поколений. Хотя это и не является прямой причиной, наличие родителей с ПТСР связано с более высоким риском развития этого расстройства в результате травмы. Исследования показывают, что у таких детей есть биологическая предрасположенность.
Окружающая среда:
родители с ПТСР по-разному реагируют на своих детей, что приводит к существенным нарушениям в уходе и привязанности. Матери с ПТСР демонстрируют тенденцию к гиперпротекции и чрезмерной реактивности, что может привести у детей к ощущениям как вторжения в личное пространство, так и покинутости. Реагируя страхом или гневом, ребенок может запустить порочный круг жестокого обращения, в котором родитель становится все более жестоким.
Внутриутробное воздействие:
дети, рожденные от матерей, которые были беременны во время травматического события, которое могло привести к диагнозу ПТСР, имели более низкий вес при рождении и повышенный уровень кортизола. Хотя это не обязательно приводит к жестокому обращению или пренебрежению в детстве, таких детей может быть сложнее утешить, они более подвержены коликам и повышенному риску ПТСР.
Семейная динамика:
у родителей развиваются разные отношения с разными детьми. Факторы, которые влияют на связь с ребенком, могут включать степень принятия пола ребенка; готовность к материнству или отцовству; события, связанные с беременностью или родами. Например, незапланированная или нежелательная беременность может привести к негативным чувствам по отношению к ребенку, либо сложная беременность или усложненные роды могут привести к отвержению или обвинению ребенка.
Моделирование:
дети, которые растут в семьях, где принято насилие, как правило, подвержены множеству факторов риска. Например, непоследовательное медицинское обслуживание; недостаточное моделирование гигиенических практик; отсутствие поощрения здорового поведения, такого как физические упражнения или здоровое питание. Возможно также моделирование рискованного поведения, такого как курение или злоупотребление психоактивными веществами.
Трудности с обучением или СДВГ:
существует тесная взаимосвязь между наличием у ребенка трудностей с обучением, включая СДВГ, и жестоким обращением с ним. Эта зависимость взаимна — дети, подвергающиеся жестокому обращению, испытывают большие трудности с обучением вследствие воздействия хронического стресса и травм на их развивающийся мозг. Кроме того, дети, которые имеют трудности с обучением или СДВГ, подвергаются большему риску жестокого обращения вследствие непонимания со стороны родителей, когнитивных различий между ними, отвлекаемости или импульсивности самого ребенка.
Отсутствие факторов устойчивости:
факторами устойчивости являются такие защитные ресурсы, как родители, которые смягчают воздействие детской травмы. Исследования показывают, что даже когда родители вас не поддерживают, привязанность к тому или иному взрослому человеку из непосредственного окружения, который понимает, воспитывает и защищает, может уменьшить воздействие травмирующих событий в детстве. Дополнительные защитные факторы включают участие в мероприятиях вне дома и развитие позитивных отношений со сверстниками. Когда отсутствуют факторы устойчивости, последствия пренебрежения или злоупотребления могут усиливаться ощущением того, что окружающие не смогли вас защитить.
Ариэль Шварц, Терапия комплексного посттравматического стрессового расстройства | https://t.me/imatrip/2019?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,718,601,521 | 1,730,797,670 | 9,922 | 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26 | null | Синестезия, eigengrau, афантазия, отсутствие внутренней речи, цветные или черно-белые сны: профессор психологии Гэри Лупян на страницах Aeon рассказал о фундаментальных различиях в восприятии, которые встречаются среди людей и активно исследуются учеными-когнитивистами, и поразмышлял, как эти различия могут менять наши представления о реальности, истине и человеческих отношениях. Катерина Белан подготовила перевод.
Исследователи зрения среагировали быстро, обратив внимание на оптическую амбивалентность освещения на фотографии. Если визуальная система восприятия определяла фотографию как сделанную в помещении с теплым светом, платье становилось сине-черным, а на открытом воздухе — бело-золотым. Той же весной, на ежегодной конференции Vision Sciences Society была продемонстрирована реальная версия платья (для справки, сине-черного), подсвеченного разными способами, с целью продемонстрировать, насколько по-разному проявлялся облик платья в зависимости от освещения. Но ничего из этого не объясняет, каким образом восприятие разных людей автоматически определяло для себя вид этого освещения (одним из факторов прогноза может быть типичное время пробуждения человека: «совы», к примеру, проживают больше времени в теплом, искусственном свете).
Каким бы ни было объяснение этого феномена, удивителен тот факт, что такое базовое отличие в визуальном восприятии может ускользнуть от нас. Вплоть до момента популярности этого платья (#TheDress) никто, в том числе ученые, изучающие зрение, не догадывались о наличии подобных противоречий в восприятии. Тем удивительнее, насколько легко можно создать это противоречие. В случае с платьем достаточно задать вопрос «А какого оно цвета?» Если мы были так слепы к таким очевидным различиям в визуальном опыте, как много еще открытий в области таких противоречий нам предстоит обнаружить, если знать, куда смотреть и какие вопросы задавать?
https://monocler.ru/razlichiya-v-vospriyatii/ | https://t.me/imatrip/2020?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,718,662,657 | 1,730,797,670 | 9,922 | 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| [{"ner":"eigengrau","lemma":"eigengrau","label":"ORG","start_pos":12,"end_pos":21},{"ner":"Гэри Лупян","lemma":"гэри лупян","label":"PER","start_pos":112,"end_pos":122},{"ner":"Aeon","lemma":"aeon","label":"ORG","start_pos":136,"end_pos":140},{"ner":"Катерина Белан","lemma":"катерина белан","label":"PER","start_pos":383,"end_pos":397},{"ner":"Vision Sciences Society","lemma":"vision sciences society","label":"ORG","start_pos":743,"end_pos":766}] | NEUTRAL | rus | NOT SPAM | 248 | 0 | 2 | 0.977848 | 0.022152 | 0 | 33 | 35 | 10 | 2 | 84 | 16 | 53 | true |
26 | null | Ученые из Стэнфорда выяснили, почему депрессия так тяжело лечится, и почему терапию приходится подбирать - пробовать то одно, то другое.
Потому что это ШЕСТЬ разных заболеваний.
Их можно различить на сканировании fMRI.
Тип коннективности (сочетаемого паттерна интенсивности сигналов) разбирает депрессию га подтипы лучше чем любые опросники.
Один из подтипов отлично отвечает на венлафаксин (Effexor). А другие - нет.
https://www.nature.com/articles/s41591-024-03057-9 | https://t.me/imatrip/2021?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,500 | 0 | 1,718,712,080 | 1,730,797,670 | 9,922 | 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| [{"ner":"Стэнфорда","lemma":"стэнфорда","label":"LOC","start_pos":10,"end_pos":19},{"ner":"24-03","lemma":"24-03","label":"DATE","start_pos":458,"end_pos":463},{"ner":"41591","lemma":"41591","label":"DATE","start_pos":451,"end_pos":456},{"ner":"024","lemma":"024","label":"NUM","start_pos":457,"end_pos":460},{"ner":"03057","lemma":"03057","label":"NUM","start_pos":461,"end_pos":466},{"ner":"9","lemma":"9","label":"NUM","start_pos":467,"end_pos":468}] | NEUTRAL | rus | NOT SPAM | 59 | 0 | 2 | 0.961039 | 0.038961 | 0 | 6 | 9 | 4 | 1 | 14 | 7 | 13 | true |
26 | null | Появился хороший скан моей любимой книги Сухаребского.
В основу книги легли многолетние наблюдения отечественного психиатра над нарушением мимики у психически больных. Автор освещает особенности и динамику этих расстройств при различных психических заболеваниях (острых инфекционных психозах, эпидемическом энцефалите, эпилепсии, маниакально-депрессивном психозе, психогенных реакциях, олигофрениях); делает попытки вскрыть механизм этих расстройств, описать особенности их, имеющие диагностическое и прогностическое значение.
Книга богато иллюстрирована фотографиями и кинокадрами, документирующими мимические расстройства.
За сканирование традиционно благодарю
Тимура Селиванова
.
Сухаребский, Лазарь Маркович. Клиника мимических расстройств : Избр. картины в клинике психич. заболеваний. — Москва : Медицина, 1966. — 356 с. : ил.; 17 см.
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|
Поддержать | https://t.me/imatrip/2022?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,718,849,052 | 1,730,797,670 | 9,912 | 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| [{"ner":"Тимура Селиванова","lemma":"тимур селиванов","label":"PER","start_pos":663,"end_pos":680},{"ner":"Сухаребский","lemma":"сухаребский","label":"PER","start_pos":683,"end_pos":694},{"ner":"Лазарь Маркович","lemma":"лазарь маркович","label":"PER","start_pos":696,"end_pos":711},{"ner":"Избр","lemma":"избр","label":"PER","start_pos":746,"end_pos":750},{"ner":"Москва","lemma":"москва","label":"LOC","start_pos":793,"end_pos":799},{"ner":"Медицина","lemma":"медицина","label":"PER","start_pos":802,"end_pos":810},{"ner":"ОРПК\nПодписаться\n|\nПоддержать","lemma":"орпк\nподписаться\n|\nподдержать","label":"ORG","start_pos":864,"end_pos":893},{"ner":"1966","lemma":"1966","label":"NUM","start_pos":812,"end_pos":816},{"ner":"356","lemma":"356","label":"NUM","start_pos":820,"end_pos":823},{"ner":"17","lemma":"17","label":"NUM","start_pos":834,"end_pos":836}] | NEUTRAL | rus | NOT SPAM | 106 | 0 | 2 | 1 | 0 | 0 | 17 | 13 | 1 | 3 | 40 | 2 | 32 | true |
26 | null | Скраб с тем самым ароматом, полюбившийся многим обрел себе пару!
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Реклама. ООО «МаМагеря»
ИНН 2310229436 | https://t.me/magerya/11398?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,400 | 0 | 1,728,399,691 | 1,730,797,670 | 9,998 | 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| [{"ner":"Скраб","lemma":"скраб","label":"PER","start_pos":0,"end_pos":5},{"ner":"ООО «МаМагеря»\nИНН 2310229436","lemma":"ооо \"мамагеря\"\nинн 2310229436","label":"ORG","start_pos":304,"end_pos":333},{"ner":"29436","lemma":"29436","label":"DATE","start_pos":328,"end_pos":333},{"ner":"23102","lemma":"23102","label":"DATE","start_pos":323,"end_pos":328}] | NEUTRAL | rus | SPAM | 46 | 0 | 3 | 0.96 | 0.04 | 0 | 3 | 6 | 4 | 1 | 12 | 2 | 16 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11399?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 44,700 | 0 | 1,728,412,209 | 1,730,797,670 | 9,924 | 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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 | Яхонтовые, сегодня в телеграм-канале чистки
👉🏼
https://t.me/mageryachistka
говорим о средстве, которое выводит токсины, гельминтов, патогенные бактерии, грибы, а также продукты их жизнедеятельности
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усиливает перистальтику и очищает кишечник
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активирует лимфатическую систему, способствует очищению гайморовых пазух, а также очищению кожи от акне и прыщей
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обладает множеством полезных свойств
😉 | https://t.me/magerya/11400?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,100 | 0 | 1,728,456,046 | 1,730,797,670 | 9,922 | 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| null | NEUTRAL | rus | NOT SPAM | 50 | 0 | 0 | 0.985916 | 0.014085 | 0 | 5 | 8 | 1 | 0 | 25 | 3 | 9 | true |
26 | null | 🔊
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передаю важное сообщение
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активно растет и расширяет свои горизонты и теперь доступен для вас на новой платформе.
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11402?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,400 | 0 | 1,728,485,832 | 1,730,797,670 | 9,922 | 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26 | null | Вы и представить себе не можете, как часто люди умирают от обычных бытовых травм. Поскальзывания в ванной, неосторожное обращение с электроприборами или даже неправильно установленная лестница. Например, у меня в практике был случай, когда молодой парень наряжал комнату к новому году, не удержавшись на табурете упал и ударился об что-то областью поясницы - разрыв почки. Врачи не успели спасти. | https://t.me/sudmednotes/9073?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 49,700 | 0 | 1,728,936,443 | 1,730,797,670 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 59 | 0 | 0 | 1 | 0 | 0 | 5 | 10 | 6 | 0 | 19 | 4 | 9 | true |
26 | null | Разрыв почки. Следствие падения на поясничную область.
Записки судмедэксперта | https://t.me/sudmednotes/9077?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 46,700 | 0 | 1,729,008,941 | 1,730,797,670 | 9,922 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 7 | 0 | 2 | true |
26 | null | Возможно я уже всех задолбал с готовкой, но она меня успокаивает и дает почувствовать себя живым. Поэтому готовлю быструю еду на завтрашнюю смену.
1) Берем курочку, крошим как попало, обжариваем со специями. Выкидываем в отдельную посуду отдохнуть
2) Любите лук? Если нет, то можете пропустить этот пункт, хуже не станет. Я же обжариваю средне покрошенную луковицу
3) Добавляю грибочков. Минутный факт. Наиболее часто ботулизм развивается в консервированных грибах домашнего приготовления, а все потому, что их трудно полностью очистить от земли, так споры попадают в банку, а уже потом без кислорода прорастают в активную форму и вырабатывают токсин. А пост
про ботулизм тут
4) Жарим пока грибочки не отдадут всю влагу, чтобы было быстрее можно посолить. Закон осмоса, работает и в кулинарии. Возвращаем курочку. Лично я люблю еще добавить чеснока. На этом этапе досаливаем и добавляем специй интуитивно, но базовые это - черный перец, базилик или итальянские травы мамамиа
🤌
. Если вы вас получилось дохера жидкости, то можно ложечку муки добавить
5) У вас уже должен кипеть чайник, чтобы отварить макароны. Я нашел красивые бантики. Забавная информация, в Spotify по названию макарон Barilla можно найти плей-листы, музыка в которых длится ровно столько, сколько необходимо до состояния al dente.
6) Вливаем сливки, ну или жирное молоко. Ищем на полках магазина нечто похожее на пармезан, трем на мелкой терке и отправляем туда же.
7) Помешиваем до загустения и растворения сыра. Обычно можно все объединить, но так как я готовил в большом количестве, решил оставить в разной посуде.
8) Здесь могла бы быть ваша реклама, а пока скажу, что мне зашел вот такой сок манго-апельсин. Неплохой вкус, рекомендую.
9) Мои поздравления, завтра на смене не придется бежать в магазин за перекусом. Есть неплохие сливочно-грибные макароны. Да и ваша дарлинг скажет спасибо, только посуду надо убрать…
А на готовку у меня затрачено 30 минут | https://t.me/sudmednotes/9086?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 48,100 | 0 | 1,729,017,222 | 1,730,797,670 | 9,922 | 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| [{"ner":"Берем","lemma":"берем","label":"PER","start_pos":150,"end_pos":155},{"ner":"Жарим","lemma":"жарить","label":"PER","start_pos":679,"end_pos":684},{"ner":"Spotify","lemma":"spotify","label":"ORG","start_pos":1159,"end_pos":1166},{"ner":"al dente","lemma":"al dente","label":"ORG","start_pos":1290,"end_pos":1298},{"ner":"1","lemma":"1","label":"NUM","start_pos":147,"end_pos":148},{"ner":"2","lemma":"2","label":"NUM","start_pos":248,"end_pos":249},{"ner":"3","lemma":"3","label":"NUM","start_pos":365,"end_pos":366},{"ner":"4","lemma":"4","label":"NUM","start_pos":676,"end_pos":677},{"ner":"5","lemma":"5","label":"NUM","start_pos":1050,"end_pos":1051},{"ner":"6","lemma":"6","label":"NUM","start_pos":1300,"end_pos":1301},{"ner":"7","lemma":"7","label":"NUM","start_pos":1435,"end_pos":1436},{"ner":"8","lemma":"8","label":"NUM","start_pos":1587,"end_pos":1588},{"ner":"9","lemma":"9","label":"NUM","start_pos":1709,"end_pos":1710},{"ner":"30","lemma":"30","label":"NUM","start_pos":1921,"end_pos":1923}] | NEUTRAL | rus | NOT SPAM | 300 | 0 | 5 | 0.989418 | 0.010582 | 0 | 29 | 55 | 19 | 11 | 78 | 31 | 60 | true |
26 | null | Разберем причины и факторы риска синдрома хронической усталости
❤️
Интенсивный ритм современной жизни и постоянное психоэмоциональное напряжение способствуют появлению данного синдрома, выражающегося в ощущении постоянной усталости.
❤️
Женщины более подвержены риску заболевания во всех возрастных категориях, составляя от 60% до 85% всех случаев.
Среди факторов риска выделяются
❤️
• Интенсивный образ жизни и высокая профессиональная нагрузка.
• Нерациональное распределение времени и недостаток отдыха.
• Неполноценное питание, лишенное важных витаминов и микроэлементов.
• Наличие хронических заболеваний и психологических расстройств.
• Неблагоприятная экологическая ситуация и высокий уровень загрязнения окружающей среды.
❤️
Синдром хронической усталости характеризуется сохранением симптомов даже после продолжительного отдыха, что делает его особенно трудным для пациентов. | https://t.me/dr_Guvarsha/119?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 144,600 | 0 | 1,686,066,850 | 1,730,797,671 | 9,998 | 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| [{"ner":"60","lemma":"60","label":"NUM","start_pos":323,"end_pos":325},{"ner":"85","lemma":"85","label":"NUM","start_pos":330,"end_pos":332}] | NEUTRAL | rus | NOT SPAM | 106 | 0 | 0 | 1 | 0 | 0 | 23 | 9 | 2 | 2 | 42 | 2 | 25 | true |
26 | null | С Днем физкультурника всех причастных! (Тут 1000 за раз) | https://t.me/drmyasnikov/2513?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 84,700 | 0 | 1,723,263,622 | 1,730,797,671 | 9,998 | 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| [{"ner":"1000","lemma":"1000","label":"NUM","start_pos":44,"end_pos":48}] | POSITIVE | rus | NOT SPAM | 9 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 2 | 1 | 3 | true |
26 | null | Меня упорно просят написать пост про сковородки. Сейчас же много разных с антипригарным покрытием и всяко-разно. Вероятно вопрос интересует в плане безопасности, микрочастиц пластика…..
Но я в них не понимаю ничего. Вернее мой взгляд на сковородки очень консервативный. У меня в постоянной работе их три.
1. От бабушки осталась чугунная с эмалированным дном. Ну да- облупилось кое где. Тяжелая. Ни на одной современной так вырезку или цыпленка не пожарить.
2. От Лыковой. Да-да от той самой. Огромная, чугунная позапрошлого века. Деревянную ручку сделал новую. Когда-то мой знакомый егерь в Хакассии (светлая память, месяц назад ушел от рака крови) повредил ногу и месяц отлеживался у Агафьи на заимке (он много лет помогал ей продуктами и проч). Починил ей дом и она подарила эту сковородку ему. А я увидел и сказал, что моя жизнь без такой сковородки бессмысленна! И он подарил её мне! Как я её вывозил- отдельная история. Но с ней надо уметь обращаться- жар дает неимоверный и держит долго.
3. Небольшая стальная. Тяжелая. Друг-любитель готовить, уходил на СВО и подарил. А я ему нож. Сейчас друг в госпитале, но рвется обратно на фронт- он из Хакасии родом, но давно живет в Москве. У меня работал. Это сковородка требует ухода- мыть нельзя, только протирать! Но для жарки- картофель, чебуреки и проч- незаменима.
Поэтому при слове тефаль или индукция в меня только брезгливая улыбка…. | https://t.me/drmyasnikov/2514?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 78,400 | 0 | 1,723,284,751 | 1,730,797,671 | 10,001 | 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| [{"ner":"Лыковой","lemma":"лыковой","label":"PER","start_pos":463,"end_pos":470},{"ner":"Хакассии","lemma":"хакассия","label":"LOC","start_pos":591,"end_pos":599},{"ner":"Агафьи","lemma":"агафья","label":"PER","start_pos":685,"end_pos":691},{"ner":"СВО","lemma":"сво","label":"ORG","start_pos":1060,"end_pos":1063},{"ner":"Хакасии","lemma":"хакасия","label":"LOC","start_pos":1147,"end_pos":1154},{"ner":"Москве","lemma":"москва","label":"LOC","start_pos":1179,"end_pos":1185},{"ner":"1","lemma":"1","label":"NUM","start_pos":305,"end_pos":306},{"ner":"2","lemma":"2","label":"NUM","start_pos":457,"end_pos":458},{"ner":"3","lemma":"3","label":"NUM","start_pos":994,"end_pos":995}] | NEUTRAL | rus | NOT SPAM | 222 | 0 | 6 | 1 | 0 | 0 | 24 | 29 | 25 | 5 | 53 | 23 | 47 | true |
26 | null | Недавно был пост о том, что физнагрузки помогают бороться с депрессией.
Насколько проще поучать людей, что делать, чем следовать этому самому. Я довольно устойчив к стрессам. Но, есть один вид беспокойства, с которым бороться очень трудно: беспокойство за близких людей. Тревога, когда заболевает близкий человек или происходят тревожные события в стране - самая устойчивая.
Сегодня как никогда нужны спокойствие и выдержка. И как никогда трудно сохранить как одно, так и другое…
Да - физнагрузки…
Но, они дают облегчение только в момент их интенсивного выполнения. Потом мысли накатывают опять. Значит надо занять мозг. Я, например, начал писать книжку про почки. Хотя и очень трудно переключиться.
Стараюсь как-то структурировать мысли. Самое страшное принять, что время обратного хода не имеет. Бесполезно уже стенать: ну почему Бог, Судьба были так не справедливы, а начальство некомпетентно!
Самое бессмысленное - это плакать на глазах тяжело больного родственника, показывать эмоции. Хотя эмоции - это от бессилия реально помочь: врач часто очень глубоко сочувствует пациенту, но держит себя в руках. И, кстати, именно поэтому врач не может (не должен) лечить своих родственников: эмоции заставят сделать ошибку.
Итак, третье: усилием воли контролировать эмоции. Самое трудное. Применительно к сегодняшней ситуации эмоции можно приглушить, отказавшись от всех СМИ, кроме официальных. как ни парадоксально это звучит. Да, мы все знаем им цену.
Но одно несомненно: они не нагнетают эмоции умышленно и непрофессионально в данной ситуации. Основное узнаем по факту, а читать поминутную информацию от разных людей - у меня например сил нет!
Что еще? Верить в хорошее. Всегда. Каждому воздается по вере его. Даже люди с тяжелой болезнью могут излечиться, если человек верит. В свою веру он, в том числе, черпает и в вере в хороший исход и родственников. Именно поэтому мы не плачем у постели больного, чтобы дать ему силы на борьбу.
Ну, как-то так. Пошел делать берпи. Много. Что бы полчаса ни о чем не думать…
И да, лично у меня в семье все здоровы, слава Богу… | https://t.me/drmyasnikov/2515?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 77,000 | 0 | 1,723,343,710 | 1,730,797,671 | 9,999 | 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26 | null | Что такое ангиоэдема и почему её часто путают с аллергией?
(Будет сложно, кому надо полегче- пропустите этот пост)
Сначала про аллергию.
В развитии аллергических реакций основную роль играет Иммуноглобулин Е (IgE). Это антитело, которое вырабатывается иммунной системой в ответ на контакт с определёнными аллергенами, такими как пыльца, пылевые клещи, шерсть животных, определённые продукты питания и другие вещества.
Когда человек впервые сталкивается с аллергеном, его иммунная система может распознать его как потенциально опасное вещество. В ответ на это, В-лимфоциты начинают производить IgE, который связывается с «тучными клетками» (мастоциты) и базофилами, двумя типами клеток, участвующими в иммунном ответе. Эти клетки содержат гранулы с гистамином и другими веществами, которые вызывают симптомы аллергии.
При ангиоэдеме механизм может быть другим другой.
Те же тучные клетки могут активироваться не только иммуноглобулином Е, но и напрямую. Тогда кожные тесты ничего не покажут.
Аспирин и нестероидные противовоспалительные препараты активируют тучные клетки своим особым путем, часто вызывая «псевдоаллергическую» реакцию.
(Ингибируют фермент циклооксигеназу 1 (COX-1), который опосредует генерацию простагландинов из арахидоновой кислоты в тучных клетках и других лейкоцитах).
Так или иначе, после активации тучные клетки начинают высвобождать воспалительные медиаторы, включая гистамин, гепарин, лейкотриен С4 и простагландин D2. В результате-отек и проч.
. Ангиоедема может возникнуть из-за вазодилатации и повышенной проницаемости сосудов в результате других воспалительных медиаторов, особенно брадикинина. Считается, что тучные клетки не участвуют в этой форме ангионевротического отека, а зуд и крапивница отсутствуют. Опосредованный брадикинином ангиотек, в отличие от опосредованного гистамином ангиотека, часто поражает слизистую оболочку желудочно-кишечного тракта, что приводит к отеку стенки кишечника и сопровождает эпизодами боли в животе, тошноты, рвоты и/или диареи.
Отдельно стоит механизм ангиогевротического отека при приеме препаратов типа капотена, энапа и схожих. Ингибиторы ангиотензинпревращающего фермента (ACE) составляют примерно 30 процентов всех случаев ангионевротического отека. Ингибиторы АПФ ухудшают деградацию нескольких пептидов, включая брадикинин. Ангиоэдема,, связанный с ингибиторами АПФ, чаще всего поражает губы, язык, рот, гортань, глотку и субглоточные ткани. Отсутствуют крапивни и зуд. Ингибиторы АПФ также могут вызывать отек кишечника, и внезапное начало боли в животе, тошноты, рвоты. Привезли пожилого человека с такими симптомами? Спросите- не принимает ли он Энап или другие ингибитора АПФ!
Наследственная ангиоэдема. Это генетическое обусловленное состояние, которое связано с недостаточностью или дисфункцией ингибитора C1-эстеразы. Оно может проявляться без видимой причины или в ответ на стресс, травму или инфекцию. Наследственный ангионевротический отек - это заболевание, характеризующееся рецидивирующими эпизодами ангионевротического отека без крапивы или зуда, которые чаще всего поражают кожу или слизистые ткани верхних дыхательных путей и желудочно-кишечного тракта. Хотя отек проходит самостоятельно, вовлечение гортани может привести к смертельному удушью. До наличия эффективной терапии это расстройство было связано с уровнем смертности примерно в 30 процентов из-за удушья от отека гортани.
Встречается у 1 на 60 тыс человек.
Первые проявления еще в детстве 5-15 лет.
В некоторых случаях причина ангиоэдемы остается неизвестной.
Симптом могут включать внезапное появление отека на лице, губах, глазах, языке, руках, ногах, гениталиях или дыхательных путях. В тяжелых случаях отек дыхательных путей может привести к затруднению дыхания и угрожать жизни.
Лечение зависит от причины ангиоэдемы. Аллергическая ангиоэдема обычно лечится антигистаминными препаратами, кортикостероидами и, при необходимости, адреналином. Наследственная ангиоэдема требует специфического лечения, такого как концентраты ингибитора C1-эстеразы или другие препараты, направленные на предотвращение или уменьшение симптомов. | https://t.me/drmyasnikov/2517?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 85,900 | 0 | 1,723,374,652 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | true |
26 | null | Прислано подписчицей…
Телеграм рекламирует мракобесов у меня на канале
😡
На первый взгляд ничего криминального не наблюдается, но…
Такое запугивание онкологическими заболеваниями - это ужасно
🤬
И все ради того, чтобы привлечь «клиентуру»
А назваться так же как и бестселлер про жкт - это хитро
🙄
А что вам из рекламы попадалось у меня на канале?)
#мрак | https://t.me/ibs_doc/76?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,300 | 0 | 1,679,898,182 | 1,730,797,671 | 9,998 | 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| null | NEGATIVE | rus | NOT SPAM | 57 | 0 | 3 | 1 | 0 | 0 | 4 | 6 | 9 | 0 | 16 | 1 | 10 | true |
26 | null | А у бота новый аватар
🤖
Как вам?
#бот | https://t.me/ibs_doc/77?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,300 | 0 | 1,679,978,003 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 3 | 0 | 2 | true |
26 | null | Вспомним базу ;)
Первое видео из инсты
#fodmap #запретограм | https://t.me/ibs_doc/78?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,000 | 0 | 1,680,357,586 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 0.923077 | 0.076923 | 0 | 1 | 1 | 0 | 0 | 4 | 0 | 1 | true |
26 | null | Пост про вино из инсты :)
Давайте же рассмотрим этот прекрасный напиток в реалиях человека с СРК
😉
(!чрезмерное употребление алкоголя вредит вашему здоровью!)
Вино является продуктом ферментации виноградного сусла, в котором суммарная концентрация фруктозы и глюкозы составляет 160-300 г/л (примерно поровну). Напомню, что нас больше всего настораживает именно фруктоза.
Из этих двух сахаров винные дрожжи любят ферментировать глюкозу больше, чем фруктозу. Уже с первых дней брожения концентрация фруктозы начинает значительно превышать концентрацию глюкозы, а в самом конце, когда вино можно считать сухим, соотношение достигает 1:4 (глюкоза/фруктоза).
Конечно, это соотношение может смещаться в зависимости от того, какой штамм дрожжей использовался, и использовал ли винодел специальные добавки азота, которые помогают дрожжам более эффективно метаболизировать фруктозу.
Если мы будем рассматривать сухое вино (все же, самый популярный выбор), то итоговая концентрация остаточного сахара, в зависимости от множества условий, будет составлять от 0 до ~4 г/л.
Давайте посчитаем, сколько будет фруктозы в бокале сухого вина с концентрацией сахаров 2 г/л.
Нас здесь интересует именно избыточная фруктоза, поскольку ее часть будет всасываться в ЖКТ в равной пропорции с глюкозой, которая имеется в напитке (об этом тоже есть в посте про яблоки).
Избыточная фруктоза (г/л) = общая фруктоза (г/л) – глюкоза (г/л)
Итак, в 150 мл бокале вина будет содержаться 0,3 грамма сахаров (2 г/л х 150 мл).
С учетом примерного соотношения глюкозы/фруктозы (1:4) – высчитаем, что в 0,3 г сахаров = фруктоза составляет 0,24 г, а глюкоза 0,06 г.
А избыточная фруктоза составит 0,18 г (0,24-0,06 г).
Напомню, что безопасная доза фруктозы, которую может без проблем перенести пациент с синдромом раздраженного кишечника, составляет около 0,15 г в один прием.
Таким образом в 150 мл бокале вина с содержанием сахара в 2 г/л – будет содержаться 0,18 г избыточной фруктозы, что с наибольшей долей вероятности хорошо перенесется пациентом с СРК.
#запретограм | https://t.me/ibs_doc/85?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 5,100 | 0 | 1,680,422,417 | 1,730,797,671 | 9,998 | 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| NEUTRAL | rus | NOT SPAM | 295 | 0 | 5 | 1 | 0 | 0 | 25 | 38 | 11 | 26 | 111 | 12 | 76 | true |
26 | null | Иногда за первичным запросом клиента скрывается совсем не та проблема, которая была озвучена изначально и это может поставить психолога перед сложным выбором. Например, в процессе терапии выясняется, что ваш клиент или его близкие столкнулись с химической зависимостью. В этом случае от вас потребуются не только профессиональные знания, но и глубокое понимание специфики работы с зависимыми. Важно не только распознать проблему, но и определить, какой подход будет наиболее эффективным: продолжать работу с основным запросом или же начать работу с клиентом как с зависимым.
Определиться с дальнейшей стратегией вам поможет тест по диагностике стадии развития зависимости. Он был разработан специально для психологов как инструмент, позволяющий глубже понять ситуацию клиента.
Сейчас тест можно загрузить бесплатно,
Помните, что ваш профессионализм и готовность видеть за поверхностными запросами глубинные проблемы могут кардинально изменить жизнь ваших клиентов к лучшему. | https://t.me/imatrip/2008?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,718,117,940 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 132 | 0 | 1 | 1 | 0 | 0 | 14 | 21 | 6 | 0 | 38 | 11 | 17 | true |
26 | null | В мае 2019 года во время Всемирной ассамблеи здравоохранения была представлена новая — уже 11-я по счету — Международная статистическая классификация болезней и проблем, связанных со здоровьем. В более знакомом варианте это название звучит как Международная классификация болезней (МКБ). Новая версия МКБ вызывала интерес еще на стадии обсуждения, а после ее официальной публикации дискуссия расширилась за счет вовлечения журналистов, пациентов и активистского сообщества.
В этом тексте психиатр Виктор Лебедев рассказывает о том, какие изменения произошли в разделе психических расстройств по сравнению с более ранним вариантом МКБ. | https://t.me/imatrip/2009?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,718,160,059 | 1,730,797,671 | 9,998 | 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| [{"ner":"Всемирной ассамблеи","lemma":"всемирный ассамблея","label":"ORG","start_pos":25,"end_pos":44},{"ner":"Международная статистическая классификация болезней и проблем","lemma":"международный статистический классификация болезнь и проблема","label":"ORG","start_pos":107,"end_pos":168},{"ner":"Международная классификация болезней (МКБ)","lemma":"международный классификация болезнь (мкб)","label":"ORG","start_pos":244,"end_pos":286},{"ner":"МКБ","lemma":"мкб","label":"ORG","start_pos":301,"end_pos":304},{"ner":"Виктор Лебедев","lemma":"виктор лебедев","label":"PER","start_pos":497,"end_pos":511},{"ner":"МКБ","lemma":"мкб","label":"ORG","start_pos":630,"end_pos":633},{"ner":"2019","lemma":"2019","label":"NUM","start_pos":6,"end_pos":10},{"ner":"11","lemma":"11","label":"NUM","start_pos":91,"end_pos":93}] | NEUTRAL | rus | NOT SPAM | 86 | 0 | 6 | 1 | 0 | 0 | 13 | 7 | 1 | 0 | 32 | 4 | 12 | true |
26 | null | Видеоигры и ментальное здоровье
Обычно видеоигры стигматизируют: считают их способом ухода от реальности, стигматизируют из-за насилия, показанного в них.
Но могут ли видеоигры быть полезны? Что наука говорит об этом? Читайте в наших карточках.
В этих карточках мы опирались на следующие материалы:
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Video Games Could Hold Untapped Potential in Treatment of Mental Illness
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Жестокие игры снижают уровень стресса — результаты нового исследования
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Games and Recovery: The Use of Video and Computer Games to Recuperate from Stress
Автор: Илья Розов | https://t.me/imatrip/2015?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,718,302,181 | 1,730,797,671 | 9,998 | 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| [{"ner":"🟣\nVideo Games Could Hold Untapped Potential in Treatment of Mental Illness\n🟣","lemma":"🟣\nvideo games could hold untapped potential in treatment of mental illness\n🟣","label":"ORG","start_pos":299,"end_pos":375},{"ner":"🟣\nGames and Recovery","lemma":"🟣\ngames and recovery","label":"ORG","start_pos":447,"end_pos":467},{"ner":"Илья Розов","lemma":"илья розов","label":"PER","start_pos":538,"end_pos":548}] | NEUTRAL | other | NOT SPAM | 82 | 0 | 1 | 0.759615 | 0.240385 | 0 | 5 | 10 | 4 | 0 | 18 | 1 | 11 | true |
26 | null | Нейробиология танца – это новая область исследований о танце, мозге и их взаимодействии: процессах генерации и координации танцевальных движений, восприятия танца и музыки, сопряженных явлениях. Танец практикуется людьми до 1.8 миллиона лет [Hanna, 1987] и есть во всех человеческих культурах [Brown, 20064; Spencer, 1985]. В том числе ему мы обязаны успехом человека как вида [Cohen and Tarr, 2015; Tarr et al., 2015]: танец способствует укреплению социальных связей и ощущению единения с группой, связан с устойчивыми циклами удовольствия и повышает болевой порог. В танце активно задействуются до 16 областей мозга, и его изучение может быть полезным для понимания нейробиологии искусства, аффективных состояний и социальных проявлений, здоровья, мотивации, удовольствия и нейропластичности.
Тем не менее, мы знаем о танце в контексте нейробиологии немного. Исследования танца и движения (dance and movement studies) стали самостоятельной областью социальных наук в поздних 1960-х, а нейробиология танца развивается лишь около 30 лет. С тех пор было написано более 4000 нейробиологических работ про грув, обучение танцам, танцевальную терапию, слуховые и зрительные переживания, связанные с танцем, танцевальные выступления и даже танцы в воображении (dance imagery). В апреле 2023 года впервые был опубликован их общий анализ.
neuronovosti.ru/chto-izuchaet-nejrobiologiya-tantsa | https://t.me/imatrip/2016?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,718,314,439 | 1,730,797,671 | 9,998 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11391?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 47,300 | 0 | 1,728,325,827 | 1,730,797,671 | 9,998 | 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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, сегодня в телеграм-канале чистки
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https://t.me/mageryachistka
говорим об ЭЛИКСИРе вечной молодости и красоты
😍 | https://t.me/magerya/11392?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,700 | 0 | 1,728,377,324 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 16 | 0 | 0 | 0.958333 | 0.041667 | 0 | 2 | 1 | 0 | 0 | 8 | 1 | 3 | true |
26 | null | 🟠
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Кисты и папилломы прощайте
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wildberries/дегликанР
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11394?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,200 | 0 | 1,728,386,714 | 1,730,797,671 | 9,998 | 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| [{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":71,"end_pos":100},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":90,"end_pos":100},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":95,"end_pos":100}] | NEUTRAL | rus | SPAM | 16 | 0 | 2 | 0.967742 | 0.032258 | 0 | 0 | 1 | 0 | 1 | 6 | 0 | 5 | true |
26 | null | 🟠
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Реклама ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11396?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,200 | 0 | 1,728,393,609 | 1,730,797,671 | 10,000 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":250,"end_pos":258},{"ner":"ООО «Жизнивек»","lemma":"ооо \"жизнивек\"","label":"ORG","start_pos":293,"end_pos":307},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":312,"end_pos":322},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":317,"end_pos":322}] | NEUTRAL | rus | NOT SPAM | 49 | 0 | 4 | 0.958333 | 0.041667 | 0 | 3 | 8 | 1 | 2 | 17 | 0 | 8 | true |
26 | null | Пока говорим о птицах и аномалиях, покажу вам килевидную деформацию грудной клетки (фото #1,2)
Это патология, при которой передняя часть грудной клетки выступает и напоминает по форме киль у птиц, ну или лодочный киль.
Обычно есть наследственная предрасположенность и связь с заболеваниями соединительной ткани, сколиозом, врожденными пороками сердца. Противоположность такой деформации - воронкообразная грудная клетка, при которой грудина как бы вдавлена внутрь (фото #3,4). Но считается, что у них общая связь с вышеперечисленными нарушениями и единый механизм развития.
У мужчин кстати встречается в 5 раз чаще. | https://t.me/sudmednotes/9069?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 51,700 | 0 | 1,728,843,406 | 1,730,797,671 | 9,998 | 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26 | null | Каждый раз смешно | https://t.me/sudmednotes/9070?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 51,900 | 0 | 1,728,900,059 | 1,730,797,671 | 9,998 | 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| null | POSITIVE | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Записки судмедэксперта | https://t.me/sudmednotes/9071?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 47,700 | 0 | 1,728,914,586 | 1,730,797,671 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | Сегодня разберем такую тему, как гипервитаминоз
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Гипервитаминоз - группа симптомов, вызванных избытком витаминов, накопившихся в организме из-за неправильного или неконтролируемого приема.
Витамины делятся на водорастворимые (группы В и витамин С) и жирорастворимые (A, D, E и K).
❤️
Жирорастворимые витамины накапливаются быстрее и оказывают более токсичное воздействие.
Это состояние может возникнуть в любом возрасте и обычно оно связано с:
❤️
длительным приемом больших доз витаминных препаратов;
❤️
неправильным использованием препаратов;
❤️
самостоятельным и неконтролируемым применением пищевых добавок;
❤️
чрезмерным потреблением продуктов, богатых витамином A, таких как печень, почки и рыбий жир (в редких случаях вызывает избыток витамина A).
❤️
при обращении к некомпетентным специалистам, которые не разбираются в дозировках
Не принимайте бесконтрольно препараты в целях профилактики, перед применением обязательно сдайте анализы и выявите дефициты совместно с врачом | https://t.me/dr_Guvarsha/115?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 139,000 | 0 | 1,685,704,451 | 1,730,797,672 | 9,992 | 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| null | NEUTRAL | rus | NOT SPAM | 128 | 0 | 8 | 0.96648 | 0.03352 | 0 | 15 | 17 | 2 | 0 | 48 | 7 | 38 | true |
26 | null | Витамин С (аскорбиновая кислота)
Это водорастворимый витамин, является антиоксидантом и важным коферментом многих биохимических процессов в человеческом организме.
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Норма витамина С в сутки
для женщин — 75 мг
для мужчин — 90 мг
Как проявляется дефицит витамина С
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сухость глаз и кожи
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вялость
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кровоточивость десен
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В чем польза витамина C?
Аскорбиновая кислота помогает в синтезе коллагена.
Благодаря этому улучшается состояние волос, кожи, сосудов.
Также витамин C участвует в образовании серотонина, регулирует обмен веществ, оказывает влияние на процессы кроветворения, восстанавливает функции щитовидной и поджелудочной желез. | https://t.me/dr_Guvarsha/116?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 142,000 | 0 | 1,685,949,462 | 1,730,797,672 | 9,992 | 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| [{"ner":"75","lemma":"75","label":"NUM","start_pos":205,"end_pos":207},{"ner":"90","lemma":"90","label":"NUM","start_pos":224,"end_pos":226}] | NEUTRAL | rus | NOT SPAM | 90 | 0 | 6 | 0.985612 | 0.014388 | 0 | 8 | 8 | 3 | 3 | 41 | 1 | 26 | true |
26 | null | Многие удивляются, узнав, что я не употребляю кофе
Обосновано ли это? Разберем ниже:
Несмотря на широкое распространение и любовь многих к кофе, важно учитывать его потенциальные негативные последствия для здоровья.
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Влияние на сон
Кофеин, действуя как стимулятор центральной нервной системы, может препятствовать засыпанию и нарушать качество сна. Это может привести к повышенной раздражительности, тревоге и депрессии.
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Желудочно-кишечные расстройства
Частое употребление кофе может вызывать изжогу, усиление секреции желудочного сока и диарею, что негативно сказывается на состоянии желудочно-кишечного тракта.
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Зависимость от кофе
Кофеин может вызывать как психологическую, так и физическую зависимость. При отказе от употребления могут возникать головная боль, усталость, раздражительность и апатия.
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Негативное воздействие на сердечно-сосудистую систему
Употребление кофе может привести к временному повышению артериального давления, ускорению сердечного ритма. Это особенно опасно для пациентов с гипертонией или аритмией.
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Делаем вывод, друзья, что этот напиток нужно минимизировать, а лучше исключить из своей жизни.
В следующем посте расскажу на что можно заменить кофе | https://t.me/dr_Guvarsha/117?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 143,900 | 0 | 1,685,967,058 | 1,730,797,672 | 9,991 | 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| [{"ner":"Кофеин","lemma":"кофеин","label":"PER","start_pos":234,"end_pos":240}] | NEUTRAL | rus | NOT SPAM | 155 | 0 | 1 | 1 | 0 | 0 | 29 | 26 | 6 | 0 | 55 | 6 | 36 | true |
26 | null | Меня часто спрашивают: что такое синдром хронической усталости? Существует ли он вообще?
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Разбираем
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При синдроме хронической усталости первыми страдают нервная система и общий мышечный тонус организма, что связано с возникновением невроза регуляторных центров и дефицитом белков, способствующих активности мышечных волокон. В результате накопления молочной кислоты в мышцах появляется слабость с болевым синдромом.
Существует распространенное мнение в обществе, что синдром хронической усталости является выдуманной болезнью, а его симптомы — это лишь проявления обычной утомляемости, преувеличенные пациентом.
Однако многие клинические программы подтверждают, что у 30% испытуемых действительно выявлены серьезные нарушения в психоэмоциональном и физическом состоянии.
Наиболее часто встречаются следующие симптомы
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Нервные расстройства и депрессивные состояния:
Повышенная возбудимость и раздражительность, сопровождающиеся вспышками гнева и агрессии, либо апатия и неспособность человека реагировать на события.
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Снижение работоспособности:
Рассеянное внимание, невозможность выполнить простые задачи и, как следствие, потеря интереса к бытовым и профессиональным обязанностям.
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Снижение иммунитета:
Уязвимость организма к вирусам, что приводит к частым инфекциям и простудным заболеваниям.
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Незначительная потеря памяти:
Объясняется невнимательностью и плохим самочувствием.
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Бессонница и тревожный сон:
Нервная возбудимость мешает расслабиться и уснуть, что приводит к нарушениям сна вплоть до лунатизма, а пробуждение сопровождается состоянием сильной усталости.
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Беспричинные головные боли:
Могут быть точечными, резкими и пульсирующими.
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Боль в мышцах и суставах:
Даже незначительное движение вызывает болевые ощущения, а дискомфорт в суставах может переходить от одного к другому. | https://t.me/dr_Guvarsha/118?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 142,100 | 0 | 1,686,066,713 | 1,730,797,672 | 10,012 | 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| [{"ner":"30","lemma":"30","label":"NUM","start_pos":672,"end_pos":674}] | NEUTRAL | rus | NOT SPAM | 224 | 0 | 1 | 1 | 0 | 0 | 41 | 28 | 5 | 2 | 81 | 7 | 58 | true |
26 | null | С Днем Альпиниста! Стальные люди! Некоторые из нашей команды сейчас ТАМ. Мужик- он везде мужик! И женщины у нас особые! С Праздником всех наших! | https://t.me/drmyasnikov/2508?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 76,200 | 0 | 1,723,091,657 | 1,730,797,672 | 9,991 | 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| [{"ner":"ТАМ","lemma":"там","label":"ORG","start_pos":68,"end_pos":71}] | POSITIVE | rus | NOT SPAM | 24 | 0 | 4 | 1 | 0 | 0 | 2 | 0 | 2 | 0 | 4 | 2 | 6 | true |
26 | null | Все последние десятилетия
врачи определяли риски развития сердечных болезней, используя калькуляторы, где учитывались возраст, пол, наличие вредных привычек, артериальной гипертонии, повышенного холестерина (такие как SCORE, QRISK3). Полезный инструмент, так как калькулятор выдавали конкретные цифры степени риска и -внимание- на этом основании врачи определяли стратегию профилактики и лечения! С частности назначать статины и аспирин или нет.
И вот сейчас в США внедряется в практику новый калькулятор - PREVENT (Prediction of Risk and Events with a Novel Tool). Я недавно уже писал о нём.
Это калькулятор довольно сильно отличается от предыдущих. А по силе воздействия на стратегию предупреждения сердечных заболеваний он поистине революционный!
По его оценкам РИСКИ ССБ,РАССЧИТАННЫЕ ДРУГИМИ КАЛЬКУЛЯТОРАМИ, ЗАВЫШЕНЫ ВДВОЕ!!!! ( или наоборот- риски по PREVENT занижены вдвое!!!!)
Это сразу наполовину (!!!) снижает количества людей которые должны принимать статины и аспирин- а это много десятков миллионов человек!
Согласитесь- это тектонический сдвиг в мировой медицине (и фармакологическом бизнесе) и заслуживает внимания!
Чем же этот новый калькулятор так отличается:
Помимо стандартных показателей учитывает почечную функцию, прием статинов, уровень гликозилированного гемоглобина.
Больше не учитывает расу (сейчас это не политкорректно), но требует почтовый индекс (для американцев). Так они оценивают социально-экономический статус (пример по их логике- у живущих на Патриарших он один, в Бирюлево-другой!). Индекс массы тела, наличие физ нагрузок входит в новый калькулятор, а вот семейная история инфарктов почему-то нет.
Хронические воспалительные расстройства, связанные с риском ССБ включают псориаз, ревматоидный артрит, системную красную волчанку и ВИЧ входят в QRISK3 2018, но не в новый PREVENT.
Некоторые измерения липидов (например, липопротеины (а)) и биомаркеры (например, высокочувствительный С-реактивный белок), связанные с повышенным риском ССБ так же не включены.
Там еще много чего, я и сам не до конца разобрался. Например довольно расплывчато: «С использованием современных алгоритмов машинного обучения и больших данных, PREVENT может более точно оценивать риск сердечно-сосудистых заболеваний на основе обширной базы данных и статистических моделей.»
Итак: использование PREVENT вдвое сокращает количество людей, которые по другим системам подсчета относятся к группам повышенного риска. И вдвое сокращает рынок профилактического приема статинов и аспирина.
Насколько это отражает истинное положение вещей? Время покажет.
Меня гложут смутные сомнения…. | https://t.me/drmyasnikov/2509?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,400 | 0 | 1,723,092,925 | 1,730,797,672 | 9,992 | 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26 | null | Вчера же был Всемирный день кошек!!!!! | https://t.me/drmyasnikov/2510?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 70,800 | 0 | 1,723,182,676 | 1,730,797,672 | 9,991 | 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| null | POSITIVE | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 1 | 5 | true |
26 | null | Побежал завтракать, не успев проснуться.
🕊
Подписаться на РОССИЮ СЕЙЧАС | https://t.me/drmyasnikov/2511?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 83,100 | 0 | 1,723,182,676 | 1,730,797,672 | 10,010 | 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| [{"ner":"РОССИЮ","lemma":"россию","label":"ORG","start_pos":58,"end_pos":64},{"ner":"СЕЙЧАС","lemma":"сейчас","label":"ORG","start_pos":65,"end_pos":71}] | NEUTRAL | rus | NOT SPAM | 10 | 0 | 2 | 1 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 3 | true |
26 | null | Вышла моя новая книга. В ней примечательно то, как я её писал. 100% текста- на мобильном телефоне. Писал в пробках, самолетах, в любых перерывах, хоть на 10 мин. Смешил окружающих: например в ресторане (неудачный пример- хожу крайне редко) спрашиваю: вот что я сейчас делаю? Думаете смс? Нет- пишу книгу! | https://t.me/drmyasnikov/2512?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 91,900 | 0 | 1,723,212,185 | 1,730,797,672 | 10,010 | 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| [{"ner":"100","lemma":"100","label":"NUM","start_pos":63,"end_pos":66},{"ner":"10","lemma":"10","label":"NUM","start_pos":154,"end_pos":156}] | NEUTRAL | rus | NOT SPAM | 49 | 0 | 1 | 1 | 0 | 0 | 4 | 9 | 6 | 2 | 12 | 6 | 15 | true |
26 | null | Я, когда объясняю, что "яблоки вас вздувают!!11"
😆 | https://t.me/ibs_doc/68?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,400 | 0 | 1,678,960,325 | 1,730,797,672 | 9,991 | 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| [{"ner":"вздувают!!11","lemma":"вздувают!!11","label":"ORG","start_pos":35,"end_pos":47},{"ner":"11","lemma":"11","label":"NUM","start_pos":45,"end_pos":47}] | NEUTRAL | rus | NOT SPAM | 8 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 2 | 0 | 1 | 0 | 5 | true |
26 | null | А вы знали, что стручковая фасоль, красная фасоль и фасоль пинто – это все представители одного вида (обыкновенной фасоли)? Только стручковая, в отличие своих собратьев, еще совсем незрелая.
Она обладает совершенно иным составом и характеристиками, а также областью применения в кулинарии.
Стручковая фасоль – прекрасный низкокалорийный объемный продукт, который идеально подойдет в качестве «здорового» гарнира, и по своим характеристикам ближе скорее к капусте, чем к бобам. Эта разновидность фасоли является low-FODMAP продуктом. Ее можно съесть более 100 грамм за порцию, в зависимости от индивидуальной переносимости полиолов (маннитола и сорбитола), не опасаясь за боль и вздутие. При этом стручковая фасоль практически не содержит олигосахаридов, которые присутствуют в зрелой фасоли.
Красная фасоль и фасоль пинто - одни из самых популярных разновидностей зрелых бобов, это один из лучших источников растительного белка. Содержание пищевых волокон в них просто космическое – съев 100 граммов вы покроете 1/3 суточной потребности. Из плюсов также в них много витаминов и микроэлементов.
К сожалению, зрелые бобы содержат большое количество галактоолигосахаридов и фруктанов, которые люди не способны усвоить, поскольку у нас нет необходимых ферментов. Газообразование возникнет у любого человека от стандартно приготовленных ~50 грамм фасоли.
Но есть способы уменьшить концентрацию олигосахаридов в них. Они водорастворимые, поэтому длительное вымачивание (например, оставить бобы в воде на ночь) позволит избавиться от части олигосахаридов, ведь они уйдут в окружающую жидкость. Чем больший объем воды использовать, тем больше углеводов можно «вымыть». Во время варки эти вещества тоже будут активно уходить в воду.
Воду после вымачивания и варки нужно обязательно слить, поскольку вместе с олигосахаридами туда выходит и природный токсин фасоли – фитогеммаглютинин. А во время варки он инактивируется (поэтому сырую фасоль не едят).
#овощи #ГОС #запретограм | https://t.me/ibs_doc/72?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,000 | 0 | 1,679,836,528 | 1,730,797,672 | 9,991 | 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| [{"ner":"100","lemma":"100","label":"NUM","start_pos":555,"end_pos":558},{"ner":"100","lemma":"100","label":"NUM","start_pos":988,"end_pos":991},{"ner":"1","lemma":"1","label":"NUM","start_pos":1012,"end_pos":1013},{"ner":"3","lemma":"3","label":"NUM","start_pos":1014,"end_pos":1015},{"ner":"50","lemma":"50","label":"NUM","start_pos":1333,"end_pos":1335}] | NEUTRAL | rus | NOT SPAM | 271 | 0 | 5 | 0.993994 | 0.006006 | 0 | 32 | 29 | 16 | 7 | 90 | 21 | 58 | true |
26 | null | Таким образом, если вы любите фасоль, то чтобы сделать ее максимально безопасной, вымачивайте и варите ее максимально долго, при этом используйте как можно больше воды и обязательно сливайте ее, а бобы промывайте.
А что вы скажете про фасоль?
#овощи #ГОС #запретограм | https://t.me/ibs_doc/73?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 3,900 | 0 | 1,679,836,561 | 1,730,797,672 | 9,991 | 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| null | NEUTRAL | rus | NOT SPAM | 41 | 0 | 2 | 1 | 0 | 0 | 1 | 8 | 7 | 1 | 7 | 6 | 10 | true |
26 | null | 🥲
🍚
#юмор | https://t.me/ibs_doc/74?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 3,900 | 0 | 1,679,892,347 | 1,730,797,672 | 10,010 | 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| null | NEUTRAL | rus | NOT SPAM | 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | true |
26 | null | Вокруг переедания, набора массы и ожирения очень много споров, стыда и мифов. Во-первых, если бы похудение было простым мероприятием, специалисты не бились бы над созданием волшебной таблетки и универсальных рекомендаций, а люди бы не сходили от этой идеи с ума, отдавая кучу сил, времени и денег ради заветной мечты. И даже фармакологические решения не всегда закрывают вопрос с возвращением килограммов. Во-вторых, при РПП к описанным сложностям добавляются психологические, их суть раскрываю в видео. И в-третьих, современному человеку, испытывающему давление диетической культуры, важно честно ответить себе на вопрос, а так ли ему нужно худеть? Скажем, знаете ли вы, что человек с ожирением, который регулярно ходит пешком, будет здоровее худого, ведущего малоподвижный образ жизни?
На примере тем здоровья, физической активности и личной жизни когнитивно-поведенческий психолог Марта объясняет, почему иногда лучше заняться чем-то более полезным, чем диета.
#РПП | https://t.me/imatrip/1994?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,717,765,261 | 1,730,797,672 | 9,991 | 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| [{"ner":"РПП","lemma":"рпп","label":"ORG","start_pos":421,"end_pos":424},{"ner":"Марта","lemma":"март","label":"PER","start_pos":884,"end_pos":889}] | NEUTRAL | rus | NOT SPAM | 135 | 0 | 4 | 1 | 0 | 0 | 21 | 14 | 7 | 0 | 44 | 19 | 29 | true |
26 | null | Диагноз «терапевтически резистентной депрессии», которая встречается примерно у трети всех людей с клинической депрессией, можно поставить, если пациент не реагирует как минимум на два курса лечения различными антидепрессантами в адекватной дозировке (продолжительность одного курса как правило, около шести недель).
Симптомы, которые обычно плохо поддаются терапии могут включать постоянное чувство подавленности, ангедонию (утрата радости), расстройства сна, упадок сил, безнадежность, негативный взгляд в будущее, всеобъемлющий пессимизм, мысли о смерти или самоубийстве и пр.
В новом исследовании опубликованном 15 мая 2024 года были представлены доказательства того, что резистентность к лечению может быть наследственной чертой связанной с метаболическими особенностями и коррелировать с низким индексом массы тела (ИМТ).
ИМТ это величина, позволяющая оценить степень соответствия массы человека и его роста и тем самым косвенно судить о том, является ли масса недостаточной, нормальной или избыточной.
Так пациенты с нервной анорексией, расстройством пищевого поведения (РПП), характеризующиеся чрезвычайно низкой массой тела, с большей вероятностью будут, устойчивы к лечению сопутствующей депрессии.
Источник:
https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.20230247
#депрессия
#рпп | https://t.me/imatrip/1995?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,000 | 0 | 1,717,819,204 | 1,730,797,672 | 9,991 | 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| [{"ner":"10.11","lemma":"10.11","label":"DATE","start_pos":1256,"end_pos":1261},{"ner":"20230","lemma":"20230","label":"DATE","start_pos":1273,"end_pos":1278},{"ner":"15 мая","lemma":"15 мая","label":"DATE","start_pos":616,"end_pos":622},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":623,"end_pos":627},{"ner":"1176","lemma":"1176","label":"NUM","start_pos":1259,"end_pos":1263}] | NEUTRAL | rus | NOT SPAM | 156 | 0 | 4 | 0.995 | 0.005 | 0 | 22 | 18 | 6 | 3 | 63 | 9 | 38 | true |
26 | null | Мы к вам с хорошими новостями. Кот выздоравливает, начал кушать и пить, приходит помурчать. Рвота прошла, в туалет тоже ходит. Еще вялый, но думаю просто требуется время на восстановление.
Хотим сказать огромное спасибо всем, кто помог нам, мы бы действительно сейчас не вывезли этих трат, а состояние было острое. Вы просто лучшие.
Версия ветеринарки - острый гастрит как реакция на смену корма, но я все еще сомневаюсь, что от смены корма можно схлопотать состояние, от которого можно умереть. Тем более, что у нас еще есть кошка, она на этот корм отреагировала совершенно нормально.
В сумме за все приемы, анализы, лекарства и такси с животным до ветеринарки вышло чуть больше 15 тысяч рублей. За покупки в чел. аптеке чеки не сохранились. Плюс нужно будет докупить корм линейки гастроинтестинал, назначили есть его три недели.
Я знаю, что вы мне итак доверяете, но считаю, что отчетность очень важна и что некоторые из вас переживают за кота и хотели бы знать, что он поправляется.
Любим вас. | https://t.me/imatrip/2006?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,800 | 0 | 1,718,031,044 | 1,730,797,672 | 10,010 | 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| [{"ner":"15","lemma":"15","label":"NUM","start_pos":680,"end_pos":682}] | POSITIVE | rus | NOT SPAM | 162 | 0 | 2 | 1 | 0 | 0 | 8 | 33 | 17 | 3 | 38 | 15 | 32 | true |
26 | null | Что важнее: скорость принятия решений или их точность? Каждый человек интуитивно отвечает на этот вопрос по-своему. И этот ответ можно измерить! Рассказывает Екатерина Бурак.
🔪
@knifemedia
https://knf.md/tg/closing-mind/ | https://t.me/imatrip/2007?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,718,053,542 | 1,730,797,672 | 10,010 | 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| [{"ner":"Екатерина Бурак","lemma":"екатерина бурак","label":"PER","start_pos":158,"end_pos":173}] | NEUTRAL | rus | NOT SPAM | 27 | 0 | 1 | 0.945946 | 0.054054 | 0 | 1 | 3 | 1 | 0 | 7 | 5 | 6 | true |
26 | null | 🟠
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Главное оздоровительное мероприятие этой осени стартует
уже через 2,5 недели
с 24 октября по 24 ноября
🗓
В основе чистки – лежит питание
🥗
Подробнее
👉🏼
здесь
Чат-бот чистки
👉🏼
здесь
В дополнение
к питанию подключаем добавки
. Они усилят результат
❗️
По каждой добавке уже снимаю для вас отдельные видеоролики с разъяснениями для чего нужна каждая!
А сейчас заказываем
:
1️⃣
Дегликан Р
👉🏼
wildberries/дегликанР
2️⃣
Очищающий сбор
👉🏼
wildberries/сбор
3️⃣
Липогам R
👉🏼
wildberries/липогамR
4️⃣
Витамин D
👉🏼
wildberries/витаминD
5️⃣
Витамин С
👉🏼
wildberries/витаминС
6️⃣
Аргинин
👉🏼
wildberries/аргинин
7️⃣
Магний оротат
👉🏼
wildberries/магний_оротат
8️⃣
Омега-3
👉🏼
wildberries/омега_жидкая
9️⃣
Про(сим)биотики
👉🏼
wildberries/симбиотики
1️⃣
0️⃣
Пребиотики (лён + псиллиум)
👉🏼
wildberries/пребиотики
Чистка подходит тем, кто хочет продлить молодость, восстановить и приумножить своё здоровье, улучшить внешний вид, помочь гормонам и иммунитету!
Успевайте закупиться
🙌🏼 | https://t.me/magerya/11387?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 52,900 | 0 | 1,728,280,468 | 1,730,797,672 | 9,991 | 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| [{"ner":"Дегликан Р","lemma":"дегликан р","label":"PER","start_pos":384,"end_pos":394},{"ner":"24 октября","lemma":"24 октября","label":"DATE","start_pos":89,"end_pos":99},{"ner":"24 ноября","lemma":"24 ноября","label":"DATE","start_pos":103,"end_pos":112},{"ner":"2","lemma":"2","label":"NUM","start_pos":76,"end_pos":77},{"ner":"5","lemma":"5","label":"NUM","start_pos":78,"end_pos":79},{"ner":"1","lemma":"1","label":"NUM","start_pos":380,"end_pos":381},{"ner":"2","lemma":"2","label":"NUM","start_pos":420,"end_pos":421},{"ner":"3","lemma":"3","label":"NUM","start_pos":459,"end_pos":460},{"ner":"4","lemma":"4","label":"NUM","start_pos":497,"end_pos":498},{"ner":"5","lemma":"5","label":"NUM","start_pos":535,"end_pos":536},{"ner":"6","lemma":"6","label":"NUM","start_pos":573,"end_pos":574},{"ner":"7","lemma":"7","label":"NUM","start_pos":608,"end_pos":609},{"ner":"8","lemma":"8","label":"NUM","start_pos":655,"end_pos":656},{"ner":"3","lemma":"3","label":"NUM","start_pos":665,"end_pos":666},{"ner":"9","lemma":"9","label":"NUM","start_pos":695,"end_pos":696},{"ner":"1","lemma":"1","label":"NUM","start_pos":741,"end_pos":742},{"ner":"0","lemma":"0","label":"NUM","start_pos":745,"end_pos":746}] | NEUTRAL | rus | SPAM | 138 | 0 | 7 | 0.951807 | 0.048193 | 0 | 13 | 16 | 4 | 8 | 48 | 5 | 36 | true |
26 | null | Также будем заботиться о красоте кожи, напитывать её и насыщать магниевой косметикой:
📍
Магниевая соль для ванн и магниевый скраб
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wildberries/магниевая_соль
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wildberries/скраб_мята_цитрус
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Натриевая соль для ванн
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wildberries.ru/натриевая_соль
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Магниевые маски (в лист ожидания)
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wildberries/маска_лифтинг
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wildberries/маска_молодость
➕
Будем баловать себя
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wildberries/шоколад_из_кэроба
Жду всех на нашу ежеквартальную уже 23 по счёту чистку, а пока успевайте подготовиться к ней
😉 | https://t.me/magerya/11388?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,500 | 0 | 1,728,280,868 | 1,730,797,672 | 9,991 | 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| [{"ner":"23","lemma":"23","label":"NUM","start_pos":439,"end_pos":441}] | NEUTRAL | rus | NOT SPAM | 64 | 0 | 0 | 0.953271 | 0.046729 | 0 | 6 | 7 | 4 | 4 | 20 | 3 | 16 | true |
26 | null | Осенняя погода – лучшее время для начала вирусных заболеваний
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Как понять, что болезнь связана именно вирусной инфекцией?
Утром вы просыпаетесь, чувствуете себя вполне нормально, занимаетесь обычными делами, и вдруг… Резкий упадок сил, озноб, температура быстро поднимается до высоких цифр, и вы уже вынуждены оставаться дома.
Когда вирус проникает в организм, начинается настоящая битва
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Лимфоциты — наши защитники, тут же вступают в бой. И витамин С становится для них топливом, усиливающим иммунную реакцию. Он стимулирует выработку интерферонов – защитных белков, которые сигнализируют клеткам о вторжении и поднимают иммунитет в атаку.
Кроме того, витамин С усиливает активность макрофагов, которые захватывают и переваривают поврежденные вирусом клетки и другие патогены, очищая организм от последствий инфекции
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Всё это сопровождается мощным выбросом свободных радикалов, провоцируя окислительный стресс. Витамин С блокирует эти радикалы, предотвращая чрезмерное повреждение клеток и тканей
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Если ОРВИ затягивается, воспаление может выйти из-под контроля, и организм начинает разрушать сам себя. Витамин С нужен и здесь: он снижает уровень провоспалительных цитокинов – молекул, которые усиливают воспалительные процессы. Это помогает смягчить и утихомирить разбушевавшийся ни на шутку иммунитет
🧘🏼♀️
Поэтому так важно принимать витамин С как для профилактики, так и в период болезни — он поможет вашему организму быстрее справиться с инфекцией и снизить риск осложнений.
Заказать ПРО витамин С от компании «Жизнивек»
👉🏼
wildberries/витаминС
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
👉🏼
https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11390?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,800 | 0 | 1,728,314,598 | 1,730,797,672 | 10,011 | 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26 | null | ⚡️
На II Международном конгрессе «Ожирение и метаболические нарушения: осознанная перезагрузка» было объявлено о регистрации инновационного препарата «Велгия
®
» от компании "Промомед", созданного для борьбы с ожирением.
Конгресс, организованный ГНЦ НМИЦ эндокринологии и Российской ассоциацией эндокринологов, собрал специалистов для обсуждения методов управления весом и профилактики ожирения. В первый день прошла секция «Метаболическое здоровье в 3D-формате».
👤
Татьяна Маркова, зав. отделением эндокринологии ГКБ N52:
«Для успешного лечения ожирения необходима медикаментозная терапия. Я рада что компания «Промомед» выпустила препарат «Велгия»», содержащий семаглутид 2,4 мг, разработанный специально для пациентов с ожирением. Препарат безопасен и эффективен при правильной титрации».
→ Напомним, что прототипом "Велгии" стал недоступный для пациентов ряда стран - Wegowy. При этом "Велгия" является не его аналогом, а улучшенным вариантом за счет разработанной собственной технологии производства препарата. Препарат компании "Промомед" разработан именно для терапии ожирения. Он значимо снижает вес и способствует коррекции метаболических нарушений, а также снижает риски сердечно-сосудистых и онкологических заболеваний. | https://t.me/sudmednotes/9062?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 52,000 | 0 | 1,728,829,810 | 1,730,797,672 | 9,991 | 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26 | null | Всем интересно откуда этот динозавр
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Это домашний бройлер. Родители выращивают, берут каждый год в начале лета и растят до осени. Вырастает большим, потому что первый месяц-полтора получает яйца, творог. А потом уже переходят на корма. | https://t.me/sudmednotes/9063?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 49,200 | 0 | 1,728,842,218 | 1,730,797,672 | 10,010 | 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| null | NEUTRAL | rus | NOT SPAM | 36 | 0 | 1 | 1 | 0 | 0 | 4 | 6 | 1 | 1 | 13 | 4 | 7 | true |
26 | null | А вот вам пример аномально длинного мечевидного отростка грудины.
Очень интересно находить различные аномалии в организме человека. Возможно определенная аномалия приживется и в будущем станет нормой | https://t.me/sudmednotes/9065?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 49,500 | 0 | 1,728,842,467 | 1,730,797,672 | 10,010 | 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| null | NEUTRAL | rus | NOT SPAM | 26 | 0 | 1 | 1 | 0 | 0 | 5 | 3 | 1 | 0 | 9 | 3 | 2 | true |
26 | null | Чтобы вы не путались в блоге, сделала для вас теги
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Рубрики:
#Холестерин - про холестерин, статины
#Вакцинация - герпес, коклюш, менингит, грипп, ковид и др.
#Витамины - дефициты, ферритин, витамин д, омега, выпадение волос, анемия, усталость и тд
#Анализы - разбор анализов пациентов, клинические случаи, дефициты
#Домашнийдоктор - грипп, орви, кишечные инфекции, симптомы заболеваний
#вопросответ - ответы на вопросы подписчиков
#питание - про правильное питание, похудение и вредные продукты
#аньшина_препараты - разборы препаратов
#отзывыаньшина - ваши отзывы
❤️ | https://t.me/DrAnshina/1109?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 161,600 | 0 | 1,709,555,814 | 1,730,797,673 | 9,991 | 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| [{"ner":"Вакцинация - герпес","lemma":"вакцинация - герпес","label":"LOC","start_pos":102,"end_pos":121}] | NEUTRAL | rus | NOT SPAM | 79 | 0 | 0 | 1 | 0 | 0 | 4 | 2 | 2 | 0 | 50 | 0 | 31 | true |
26 | null | Ароматерапия: польза природных ароматов
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Ароматерапия – это древняя практика, которая нашла свое применение в различных культурах по всему миру.
Ее истоки уходят в древний Египет, где ароматы использовались для религиозных обрядов, бальзамирования и лечения.
С течением времени ароматерапия стала широко распространенной практикой в различных культурах, таких как Китай, Индия и Рим, где ароматические растения считались ценным источником лечебных свойств.
Основой ароматерапии являются эфирные масла – сильно концентрированные жидкости, получаемые из цветов, листьев, стеблей, коры и корней растений.
Эти масла обладают уникальными химическими свойствами, которые оказывают терапевтическое воздействие на организм. Они применяются в виде ингаляций, массажных средств, добавок в ванну или через диффузоры, чтобы распространить аромат в помещении.
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Современные исследования продолжают подтверждать терапевтические преимущества ароматерапии.
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Они показывают, что определенные эфирные масла обладают противомикробными свойствами, помогают улучшить качество сна, снизить уровень стресса и даже смягчить симптомы хронических болевых синдромов.
Ароматерапия – это не только способ создать приятный аромат, но и мощный инструмент поддержания здоровья и благополучия. | https://t.me/dr_Guvarsha/110?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 138,600 | 0 | 1,685,366,695 | 1,730,797,673 | 9,974 | 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| [{"ner":"Египет","lemma":"египет","label":"LOC","start_pos":174,"end_pos":180},{"ner":"Китай","lemma":"китай","label":"LOC","start_pos":366,"end_pos":371},{"ner":"Индия","lemma":"индия","label":"LOC","start_pos":373,"end_pos":378},{"ner":"Рим","lemma":"рим","label":"LOC","start_pos":381,"end_pos":384}] | NEUTRAL | rus | NOT SPAM | 157 | 0 | 1 | 1 | 0 | 0 | 25 | 20 | 4 | 0 | 58 | 4 | 37 | true |
26 | null | ❤️
Показания для ароматерапии
❤️
Ароматерапия – это эффективный метод, способствующий улучшению эмоционального состояния, физического здоровья и общего самочувствия. Она может применяться при различных заболеваниях и состояниях, таких как:
• Боли:
Эфирные масла могут помочь при мышечных, головных и суставных болях.
• Кожные заболевания:
Некоторые эфирные масла обладают противовоспалительными и заживляющими свойствами, что может помочь при различных кожных проблемах.
• Хронический стресс:
Ароматерапия может помочь снять напряжение, улучшить настроение и снизить уровень стресса.
• Расстройства сна:
Эфирные масла способствуют расслаблению и улучшению качества сна.
• Астения и повышенная усталость:
Ароматерапия может помочь восстановить энергию и снять чувство усталости.
• Эндокринологические патологии:
Некоторые эфирные масла могут помочь стабилизировать гормональный баланс и улучшить работу эндокринной системы.
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Эти показания позволяют использовать ароматерапию как дополнительное средство поддержки здоровья и благополучия. | https://t.me/dr_Guvarsha/111?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 134,500 | 0 | 1,685,372,802 | 1,730,797,673 | 9,999 | 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| null | NEUTRAL | rus | NOT SPAM | 127 | 0 | 0 | 1 | 0 | 0 | 22 | 25 | 2 | 0 | 42 | 0 | 34 | true |
26 | null | Основные причины потери слуха
Потеря слуха может быть вызвана различными причинами, начиная от инфекций и заканчивая опухолями.
Некоторые из основных причин включают:
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Инфекции: ОРВИ, менингит, грипп и даже герпес могут вызвать нарушение слуха.
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Сосудистые заболевания: Транзиторные ишемические атаки, а также инсульт, особенно часто у людей с сердечными проблемами, могут привести к глухоте.
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Травмы: Тяжелые травмы головы, переломы черепа или повреждение черепно-мозговых нервов могут вызвать частичную или полную потерю слуха.
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Воспалительные процессы: Ветряная оспа, отит и свинка могут вызвать отеки, которые мешают нормальной работе слухового аппарата.
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Опухоли: Новообразования могут сжимать нервы, вызывая нарушения в работе лица и вызывая глухоту.
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Интоксикация: Химическое отравление ртутью, свинцом или окисью углерода может привести к интоксикации и потере слуха.
Кроме того, нарушение слуха может быть как приобретенным, так и врожденным, включая аномалии развития плода, гипоксию, инфекции у беременных женщин, преждевременные роды и родовые травмы. | https://t.me/dr_Guvarsha/112?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 136,700 | 0 | 1,685,372,950 | 1,730,797,673 | 9,991 | 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| null | NEUTRAL | rus | NOT SPAM | 144 | 0 | 1 | 1 | 0 | 0 | 23 | 22 | 2 | 0 | 63 | 5 | 44 | true |
26 | null | Непереносимость фруктозы: как справиться с симптомами?
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Лечение непереносимости фруктозы включает в себя коррекцию рациона.
Важно вести дневник питания и ограничить потребление продуктов, богатых фруктозой.
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Рекомендуемый уровень потребления фруктозы составляет 10-15 грамм в день.
Избегайте фруктозо-содержащих продуктов, таких как груши, сливы, курага, яблоки, персики, манго и бананы. Также ограничьте употребление бобовых, лука, меда, алкоголя, газированных напитков, джемов, конфет и шоколада.
Предпочитайте безопасные продукты, такие как мясные продукты, рыба, зелень, овощи (за исключением определенных видов), растительные и животные жиры, а также цитрусовые в ограниченном количестве.
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Соблюдение диеты и избегание продуктов с высоким содержанием фруктозы играют ключевую роль в управлении заболеванием. | https://t.me/dr_Guvarsha/113?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 139,500 | 0 | 1,685,520,502 | 1,730,797,673 | 9,992 | 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| [{"ner":"10-15","lemma":"10-15","label":"DATE","start_pos":266,"end_pos":271},{"ner":"15","lemma":"15","label":"NUM","start_pos":269,"end_pos":271}] | NEUTRAL | rus | NOT SPAM | 101 | 0 | 0 | 1 | 0 | 0 | 12 | 12 | 1 | 3 | 54 | 3 | 36 | true |
26 | null | Выбор бандажа на коленный состав
Выбор правильного бандажа на коленный сустав важен для обеспечения правильной поддержки и стабилизации сустава.
Вот некоторые рекомендации по выбору:
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Тип бандажа: Существуют разные типы бандажей в зависимости от степени поддержки и жесткости.
Например, эластичные бандажи обеспечивают мягкую поддержку, тогда как жесткие бандажи обеспечивают более сильную фиксацию. Выбор зависит от вашей индивидуальной потребности и рекомендации врача.
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Размер: Важно выбрать правильный размер бандажа для вашего коленного сустава. Обычно размеры указаны на упаковке или в инструкции к изделию. Определение размера может быть основано на обхвате колена или длине ноги.
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Совместимость с активностью: Если вы планируете использовать бандаж во время занятий спортом или интенсивных физических упражнений, убедитесь, что выбранный бандаж обеспечивает необходимую поддержку и свободу движений.
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Комфорт: Бандаж должен быть комфортным для ношения на протяжении длительного времени. Убедитесь, что он не вызывает дискомфорта или раздражения кожи.
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Консультация с врачом: Важно обсудить выбор бандажа с вашим врачом или специалистом по ортопедии. Они могут дать рекомендации и подсказки, учитывая ваше состояние здоровья и потребности.
Помните, что правильный бандаж может значительно улучшить ваше состояние и помочь в восстановлении после травмы или операции. | https://t.me/dr_Guvarsha/114?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 138,600 | 0 | 1,685,542,346 | 1,730,797,673 | 9,991 | 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| null | NEUTRAL | rus | NOT SPAM | 185 | 0 | 0 | 1 | 0 | 0 | 22 | 23 | 3 | 0 | 76 | 5 | 36 | true |
26 | null | Уже много лет врачи, опираясь на многочисленные исследования говорят о бесполезности (или даже вреде) профилактического приема синтетических (аптечных) витаминов для предотвращения болезней у ЗДОРОВЫХ людей. (Алкоголики, ослабленные, пониженного питания, с хроническими болезнями, беременные- это другая категория пациентов).
Но вера в витамины неизбывна, как и вера в то, что кофе вреден, о голодание очищает организм!
Принимаем поливитамины и будем принимать!
Но вот объединенные результаты исследований на 400 000 участников (средний возраст, 62 года), за которыми следили в течение 27 лет (в среднем 20 лет).
У группе тех, кто постоянно принимал поливитамины смертность от всех причин (ССЗ, онко и так далее) была на 4% выше, чем у тех, кто их не принимал. (
Does a Daily Multivitamin Provide a Mortality Benefit?
Thomas L. Schwenk, MD
,
reviewing Loftfield E et al. JAMA Netw Open 2024).
Мне лично это не ясно и вот почему: если они (поливитамины) не работают, то откуда разница в смертности, причем она прослеживается абсолютно во всех исследованиях. Должна тогда быть одинакова.
Всё-таки тут наверно разница в группах пациентов. Да- их стандартизируют, сравнивают не курящих с некурящими, одинакового пола и возраста и проч, это так.
Но кто принимает поливитамины? По моему опыту это люди, которым проще принять драже, чем сидеть на диете и заниматься физкультурой. И еще фанатики от ЗОЖ.
Первая многочисленная группа формально здорова, но «что-то за собой чувствуют» и как видно не зря! Только выбор делают не правильный.
Ну а вторые вероятно просто раньше времени расходуют свой резерв | https://t.me/drmyasnikov/2503?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 94,400 | 0 | 1,722,828,140 | 1,730,797,673 | 9,976 | 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| [{"ner":"ЗДОРОВЫХ","lemma":"здоровых","label":"ORG","start_pos":192,"end_pos":200},{"ner":"MD","lemma":"md","label":"ORG","start_pos":837,"end_pos":839},{"ner":"00 00","lemma":"00 00","label":"DATE","start_pos":510,"end_pos":515},{"ner":"400","lemma":"400","label":"NUM","start_pos":509,"end_pos":512},{"ner":"000","lemma":"000","label":"NUM","start_pos":513,"end_pos":516},{"ner":"62","lemma":"62","label":"NUM","start_pos":546,"end_pos":548},{"ner":"27","lemma":"27","label":"NUM","start_pos":586,"end_pos":588},{"ner":"20","lemma":"20","label":"NUM","start_pos":604,"end_pos":606},{"ner":"4","lemma":"4","label":"NUM","start_pos":721,"end_pos":722},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":886,"end_pos":890}] | NEUTRAL | rus | NOT SPAM | 240 | 0 | 9 | 0.936909 | 0.063091 | 0 | 23 | 22 | 20 | 8 | 56 | 20 | 61 | true |
26 | null | В Мире финансовый шторм. Причем такой, какой был только в КОВИД. Японская биржа- «худший день в истории». Корейская- отменила торги. Австралийская- рухнула. Американская- рухнула до КОВИДных показателей.
Это и для нас ничего хорошего. Пока мы живем в мире «сообщающихся финансовых сосудов». Это значит подорожает абсолютно всё!
😈 | https://t.me/drmyasnikov/2504?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 92,500 | 0 | 1,722,828,568 | 1,730,797,673 | 9,962 | 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| [{"ner":"Мире","lemma":"мир","label":"LOC","start_pos":2,"end_pos":6}] | NEGATIVE | rus | NOT SPAM | 47 | 0 | 2 | 1 | 0 | 0 | 6 | 7 | 6 | 0 | 9 | 1 | 15 | true |
26 | null | Упражнения лечат депрессию не хуже антидепрессантов?!?
Недавний мета-анализ 218 рандомизированных испытаний показывает, что даже легкая и умеренная физическая активность может улучшить состояние пациентов с депрессией.
Ходьба или бег трусцой, танцы, йога, силовые тренировки и тай-чи значительно уменьшили депрессивные симптомы по сравнению с активным контролем, и величина эффектов была аналогична тем, которые были при стандартных методах лечения (т.е. когнитивно-поведенческой терапии или антидепрессантах).
Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials.
Noetel M, Sanders T, Gallardo-Gómez D, Taylor P,
BMJ. 2024;384:e075847. Epub 2024 Feb 14 | https://t.me/drmyasnikov/2505?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 97,300 | 0 | 1,722,913,357 | 1,730,797,673 | 9,999 | 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26 | null | Недоброе утро… Я все ждал: где и когда грянет то, что положит конец нашей, не всегда понятной многим, сдержанности. Думал про Крымский мост, про повреждение АЭС и так далее…. Оказалось все еще наглей и хуже! Верю, что события принимают тот оборот, когда мы наконец реально скоро увидим нашу Победу! | https://t.me/drmyasnikov/2506?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 85,700 | 0 | 1,723,000,894 | 1,730,797,673 | 9,991 | 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| null | NEGATIVE | rus | NOT SPAM | 49 | 0 | 2 | 1 | 0 | 0 | 4 | 8 | 5 | 0 | 9 | 9 | 13 | true |
26 | null | ❗️
СРОЧНО
Сбор "Защитникам Курской области".
В Курской области танки, бронетехника, ДРГ и спецподразделения войск Украины, которые напали на российскую территорию.
Народный фронт сейчас занимается организацией помощи жителям районов области. Обязательно расскажем сегодня об этом.
А пока,
РОССИЯНЕ, ДАВАЙТЕ ПОДДЕРЖИМ РЕБЯТ-ВОЕННЫХ, КОТОРЫЕ СЕЙЧАС СТОЯТ ЗА КУРСК! | https://t.me/drmyasnikov/2507?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 70,000 | 0 | 1,723,080,425 | 1,730,797,673 | 9,991 | 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26 | null | Ну штош
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https://t.me/ibs_doc_bot
#СРК #FODMAP #бот | https://t.me/ibs_doc/59?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,300 | 0 | 1,677,687,163 | 1,730,797,673 | 9,974 | 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| null | NEUTRAL | other | NOT SPAM | 10 | 0 | 2 | 0.875 | 0.125 | 0 | 0 | 1 | 1 | 0 | 4 | 0 | 2 | true |
26 | null | Пока у меня творческий кризис, за меня креативит нейросеть Midjourney
По запросу: “Человек путешествует по миру микробиоты и пробиотиков“
Планировал пост про пробиотики (возможно скоро сделаю), но пока только сгенерированы картинки
😂 | https://t.me/ibs_doc/64?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,800 | 0 | 1,678,892,447 | 1,730,797,673 | 10,001 | 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| [{"ner":"Midjourney","lemma":"midjourney","label":"ORG","start_pos":59,"end_pos":69}] | NEUTRAL | rus | NOT SPAM | 32 | 0 | 0 | 0.97619 | 0.02381 | 0 | 1 | 5 | 2 | 0 | 11 | 4 | 7 | true |
26 | null | Навеяно коллегой инфекционистом - доктором Калининым, который показывал, как бы выглядели вирусные гепатиты, будучи людьми
https://instagram.com/dr_kalinin21?igshid=YmMyMTA2M2Y=
Как нейросеть видит СРК, если бы он был монстром или человеком
запросы:
irritable bowel syndrome if it was a monster
irritable bowel syndrome if it was a human, realistic human face | https://t.me/ibs_doc/67?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 4,300 | 0 | 1,678,943,364 | 1,730,797,673 | 9,991 | 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| [{"ner":"Калининым","lemma":"калинин","label":"PER","start_pos":43,"end_pos":52},{"ner":"21","lemma":"21","label":"NUM","start_pos":155,"end_pos":157},{"ner":"2","lemma":"2","label":"NUM","start_pos":172,"end_pos":173},{"ner":"2","lemma":"2","label":"NUM","start_pos":174,"end_pos":175}] | NEUTRAL | other | NOT SPAM | 47 | 0 | 1 | 0.655172 | 0.344828 | 0 | 1 | 3 | 2 | 0 | 7 | 3 | 6 | true |
26 | null | Сенсорная перегрузка
— состояние, когда мозг получает слишком много ощущений от внешних раздражителей. Например, от света, звуков, прикосновений и других стимулов. Общение, эмоции и новая информация — тоже раздражители, от их переизбытка становится сложнее «фильтровать» информацию, справляться с задачами и коммуникацией.
Когда я описываю на что похожа перегрузка, я предлагаю человеку представить, что он не спал несколько суток. В таком состоянии тоже становится сложнее «фильтровать» окружающие раздражители.
В конечном итоге, когда аутичный человек достигает критической точки, мозг выдаёт реакцию на перегрузку. Такие реакции принято подразделять на мелтдауны («срывы») и шатдауны («отключения»). | https://t.me/imatrip/1986?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,717,600,496 | 1,730,797,673 | 9,975 | 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| null | NEUTRAL | rus | NOT SPAM | 91 | 0 | 2 | 1 | 0 | 0 | 10 | 16 | 4 | 2 | 32 | 4 | 32 | true |
26 | null | Ребята, нужны деньги срочно. Продам рекламу, нарисую вам портрет или еще что, недорого. Пишите
@vnootree
в личку, если что-то нужно.
Кот заболел, два дня назад блевал кровью, в ветке уже были, на основании узи поставили острый гастрит. Минус почти 5 тыщ, а лечение по итогу не помогает, кот два дня не может пожрать, так что надо ехать повторно и до зп не терпит ситуация.
Если вам не нужна реклама или арт, но хочется чучут помочь, то можно сюда 2200152917602057 альфа Роман С.
На пик собственно кот, выписка из ветеринарки и примеры артов. | https://t.me/imatrip/1992?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,500 | 0 | 1,717,637,284 | 1,730,797,673 | 9,998 | 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| [{"ner":"Роман С.","lemma":"роман с.","label":"PER","start_pos":470,"end_pos":478},{"ner":"22001","lemma":"22001","label":"DATE","start_pos":447,"end_pos":452},{"ner":"52917","lemma":"52917","label":"DATE","start_pos":452,"end_pos":457},{"ner":"60205","lemma":"60205","label":"DATE","start_pos":457,"end_pos":462},{"ner":"5","lemma":"5","label":"NUM","start_pos":248,"end_pos":249}] | NEUTRAL | rus | NOT SPAM | 92 | 0 | 1 | 0.991525 | 0.008475 | 0 | 4 | 13 | 6 | 4 | 29 | 12 | 19 | true |
26 | null | Французскую поэзию ХІХ ст.
невозможно представить без двух ключевых фигур
— Поля Верлена (1844–1896) и Артюра Рембó (1854–1891). Своими новаторскими стихами они реформировали традиционную лирику, открыли неожиданные средства художественного изображения и вышли на новый уровень самовыражения. При этом Рембо отошел от творчества уже в возрасте 19 лет! Но прежде чем познать литературную славу, поэты шокировали современников своим бурным двухлетним романом. Оба психически неуравновешенные, с психологическими травмами, они демонстрировали эпатажное поведение, осложненное дромоманией, алкоголизмом, наркоманией, проявлениями садизма и мазохизма. И на фоне всего этого писали гениальные стихи.
#литература | https://t.me/imatrip/1993?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,717,673,085 | 1,730,797,673 | 9,991 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11381?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,400 | 0 | 1,728,153,065 | 1,730,797,673 | 9,977 | 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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 яхонтовые!
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Сегодня в 11:00 по Москве проведу для вас эфир «Вопрос/ответ» в рамках семинара «Жить до СТАрости». Готовьтесь!
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Запись семинара, включая эфир, будет доступна до 3 ноября. | https://t.me/magerya/11382?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,000 | 0 | 1,728,196,460 | 1,730,797,673 | 9,962 | 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| [{"ner":"Москве","lemma":"москва","label":"LOC","start_pos":36,"end_pos":42},{"ner":"11:00","lemma":"11:00","label":"DATE","start_pos":27,"end_pos":32},{"ner":"00","lemma":"00","label":"NUM","start_pos":30,"end_pos":32},{"ner":"3","lemma":"3","label":"NUM","start_pos":497,"end_pos":498}] | NEUTRAL | rus | NOT SPAM | 70 | 0 | 0 | 0.990741 | 0.009259 | 0 | 5 | 9 | 6 | 0 | 27 | 5 | 28 | true |
26 | null | Когда на горизонте появляется мечта о пополнении в семье, важно уделить внимание поддержке организма с помощью правильных добавок.
Одной из ключевых здесь является Коэнзим Q10 — мощный союзник на пути к долгожданному счастью родительства
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1️⃣
Мужское репродуктивное здоровье
требует особого внимания. Коэнзим Q10 значительно увеличивает шансы на успешное зачатие благодаря
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✅
Увеличению концентрации сперматозоидов — чем их больше, тем выше вероятность зачатия.
✅
Улучшению подвижности — активные и подвижные сперматозоиды легче достигают цели, повышая шанс на оплодотворение.
✅
Защите морфологии — Q10, будучи мощным антиоксидантом, защищает сперматозоиды от окислительного стресса, сохраняя их структуру и здоровье.
2️⃣
Запас яйцеклеток у женщин
ограничен, в отличие от мужчин, у которых сперматозоиды вырабатываются постоянно. Поэтому коэнзим Q10 помогает представительницам прекрасного пола благодаря
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✅
Поддержке репродуктивных органов — Q10 способствует нормальной работе яичников, обеспечивая развитие здоровых яйцеклеток.
✅
Улучшению работы митохондрий — Q10 помогает яйцеклеткам производить больше энергии, необходимой для успешного оплодотворения.
✅
Борьбе с окислительным стрессом — Q10 нейтрализует свободные радикалы, защищая яйцеклетки и поддерживая их качество.
Позаботьтесь о своем репродуктивном здоровье уже сегодня
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Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11383?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 49,300 | 0 | 1,728,212,494 | 1,730,797,673 | 10,000 | 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22 | 2 | 5 | 76 | 7 | 34 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11384?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 46,100 | 0 | 1,728,239,467 | 1,730,797,673 | 9,991 | 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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 | Самого мудрого лидера и патриота своего Отечества, с Днём явления
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🎉 | https://t.me/magerya/11385?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 45,200 | 0 | 1,728,275,642 | 1,730,797,673 | 9,991 | 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| [{"ner":"Днём","lemma":"день","label":"PER","start_pos":53,"end_pos":57}] | POSITIVE | rus | NOT SPAM | 13 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 3 | 0 | 1 | true |
26 | null | Доброе утро. Кто куда, а я работать. Если будет интересное, расскажу | https://t.me/sudmednotes/9056?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,000 | 0 | 1,728,703,774 | 1,730,797,673 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 11 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 2 | 0 | 1 | 1 | 4 | true |
26 | null | Ишемический инсульт — это острое нарушение кровообращения мозга, чаще из-за закупорки сосуда тромбом или атеросклеротической бляшкой. Это приводит к тому, что участок мозга перестаёт получать кислород и питательные вещества, что вызывает гибель нервных клеток в этой зоне.
А кто-то сможет по фото сказать давность инсульта? | https://t.me/sudmednotes/9057?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,700 | 0 | 1,728,705,196 | 1,730,797,673 | 9,998 | 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| null | NEUTRAL | rus | NOT SPAM | 45 | 0 | 1 | 1 | 0 | 0 | 5 | 5 | 6 | 0 | 19 | 1 | 7 | true |
26 | null | Господа, мы продолжаем постоянную рубрику - интервью со специалистами.
Под этим постом можно задать вопросы дерматовенерологу, косметологу Александру Быканову. Он знает все о коже!
Любой вопрос который вы боялись или стеснялись задать можете оставить тут. Интервью выйдет через неделю-полторы.
А у меня зима пришла | https://t.me/sudmednotes/9058?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 52,700 | 0 | 1,728,741,191 | 1,730,797,673 | 9,991 | 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| [{"ner":"Александру Быканову","lemma":"александр быканов","label":"PER","start_pos":139,"end_pos":158}] | NEUTRAL | rus | NOT SPAM | 44 | 0 | 1 | 1 | 0 | 0 | 1 | 10 | 6 | 0 | 15 | 2 | 7 | true |
26 | null | Сдал кровь, чуть не свалился, хотя я частый донор, но в этот раз было плохо после сдачи. | https://t.me/sudmednotes/9059?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 50,800 | 0 | 1,728,809,618 | 1,730,797,673 | 9,991 | 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| null | NEGATIVE | rus | NOT SPAM | 17 | 0 | 0 | 1 | 0 | 0 | 2 | 2 | 1 | 0 | 4 | 1 | 4 | true |
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