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26 | null | Берегите собачек
Исследование из Университета Конкук в Южной Корее, в ходе которого
изучались
нейробиологические основы контактов между собаками и людьми, показало, что занятия с собаками могут повысить активность мозга в областях, связанных с расслаблением, эмоциональной стабильностью, вниманием и концентрацией. Кроме того, такие взаимодействия могут снижать стресс и стимулировать положительные эмоциональные реакции. Мотивацией для исследователей послужило растущее число доказательств пользы для здоровья при взаимодействии человека с животными, особенно с собаками.
В исследовании приняли участие 30 здоровых взрослых людей — для участия у испытуемых должны были отсутствовать аллергия на собак, кинофобия (боязнь собак), серьезные заболевания и беременность. Перед экспериментом их также попросили воздержаться от употребления кофеина и никотина. Это имело важное значение для минимизации внешних факторов, которые могли повлиять на результаты исследования.
Во время исследования участники контактировали с собаками разными способами, например через игру, кормление, массаж, груминг, объятия или прогулку. Во время занятий измерялась активность в префронтальных, лобных, теменных и затылочных долях, а после каждого занятия фиксировалось эмоциональное состояние испытуемого.
Результаты показали, что игра с собакой положительно влияет как на релаксацию, так и на концентрацию внимания, о чем свидетельствует увеличение альфа- и бета-спектров в мозге. Общение с собаками снизило общий балл расстройства настроения. Участники чувствовали себя комфортно и естественно во время прогулок с собакой и отмечали значительно более низкий уровень стресса при взаимодействии разными способами.
По заявлению ученых, исследование предоставляет ценную информацию для понимания терапевтических эффектов и механизмов, лежащих в основе вмешательств при помощи животных, таких как
канистерапия,
которые широко используются в больницах, школах и других учреждениях для снижения тревожности, снятия стресса и укрепления чувства доверия.
https://www.psypost.org/exploring-the-neurobiological-underpinnings-of-human-dog-interaction-benefits/ | https://t.me/imatrip/1942?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,800 | 0 | 1,715,281,498 | 1,730,797,688 | 9,962 | 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| [{"ner":"Университета Конкук","lemma":"университет конкук","label":"ORG","start_pos":33,"end_pos":52},{"ner":"Южной Корее","lemma":"южный корея","label":"LOC","start_pos":55,"end_pos":66},{"ner":"30","lemma":"30","label":"NUM","start_pos":604,"end_pos":606}] | NEUTRAL | rus | NOT SPAM | 255 | 0 | 1 | 0.996764 | 0.003236 | 0 | 24 | 30 | 8 | 1 | 114 | 10 | 43 | true |
26 | null | Если вы известны тем, что делаете все возможное, чтобы сделать других людей счастливыми, возможно вы пипл-плизер. Быть добрым и отзывчивым по большей части хорошо, однако если вы заходите слишком далеко, угождая другим, вы можете чувствовать себя эмоционально истощенным, напряженным и тревожным.
В
этой статье
перечислены черты, характерные для плизера, причины подобного поведения и его негативное влияние. Также приведены рекомендации, которые помогут перестать ставить других людей выше собственного благополучия и позаботиться о своих потребностях. | https://t.me/imatrip/1943?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,715,338,800 | 1,730,797,688 | 9,962 | 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| null | NEUTRAL | rus | NOT SPAM | 73 | 0 | 1 | 1 | 0 | 0 | 17 | 12 | 8 | 0 | 14 | 7 | 14 | true |
26 | null | #neformat_расстройства #Владимир_Черняев_nfrmt
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Телеграм
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Вконтакте | https://t.me/imatrip/1952?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,715,341,654 | 1,730,797,688 | 9,962 | 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| [{"ner":"#neformat_расстройства","lemma":"#neformat_расстройства","label":"MONEY","start_pos":0,"end_pos":22},{"ner":"#","lemma":"#","label":"CARDINAL","start_pos":23,"end_pos":24}] | NEUTRAL | rus | NOT SPAM | 6 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | true |
26 | null | Если у вас сводит скулы от традиционных каналов о психологии, а узнавать интересные вещи хочется, то у меня для вас подгон -
Психолог с района
. Авторский канал практикующего психолога Евгения Селезнева, где полезные вещи объясняют доходчиво и с юмором.
Что не так с рекомендациями по поднятию самооценки
и почему это бесполезное занятие?
Жалко потраченных усилий?
На понятном примере Евгений рассказывает как работает эта ловушка и как понять, что вы в нее попались.
Почему высокая мотивация не всегда хорошо?
Все это приправлено живой подачей, отсылками, мемами и другими занимательными штуками. Обязательно загляните
💙
t.me/psiholog_seleznev | https://t.me/imatrip/1953?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,715,608,800 | 1,730,797,688 | 9,931 | 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| [{"ner":"Авторский канал","lemma":"авторский канал","label":"ORG","start_pos":145,"end_pos":160},{"ner":"Евгения Селезнева","lemma":"евгений селезнёв","label":"PER","start_pos":185,"end_pos":202},{"ner":"Евгений","lemma":"евгений","label":"PER","start_pos":385,"end_pos":392}] | NEUTRAL | rus | NOT SPAM | 94 | 0 | 0 | 0.991379 | 0.008621 | 0 | 12 | 11 | 8 | 0 | 24 | 9 | 13 | true |
26 | null | 🟠
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Магний оротат — это высокоусвояемая форма магния, которая помогает нервной системе прийти к гармонии и защитить здоровье щитовидной железы
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Магний оротат нормализует выброс гормона стресса, что уменьшает его разрушающее действие на организм.
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Магний оротат способствует снижению общего уровня напряжённости и тревожности, помогая организму быстрее восстанавливаться после эмоциональных перегрузок.
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Уменьшая влияние стресса на организм, магний оротат помогает поддерживать иммунную систему в состоянии равновесия. А если нет избыточного стресса – одного из главных триггеров АИТ, то и вероятность его возникновения меньше.
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wildberries/магний_оротат
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11358?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,800 | 0 | 1,727,786,706 | 1,730,797,688 | 9,964 | 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| [{"ner":"АИТ","lemma":"аит","label":"ORG","start_pos":590,"end_pos":593},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":685,"end_pos":714},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":704,"end_pos":714},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":709,"end_pos":714}] | NEUTRAL | rus | NOT SPAM | 96 | 0 | 4 | 0.992188 | 0.007813 | 0 | 13 | 14 | 2 | 4 | 35 | 1 | 18 | true |
26 | null | Двойной удар по несовершенствам кожи!
Пастообразная текстура скраба позволяет вам самим регулировать степень скрабирования, а ментол в составе, стимулируя обменные процессы, не оставит и шанса неровностям кожи.
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wildberries.ru/скраб_мятно-цитрусовый
Реклама. ООО «МаМагеря»
ИНН 2310229436 | https://t.me/magerya/11360?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 43,600 | 0 | 1,727,794,824 | 1,730,797,688 | 9,962 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11361?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,400 | 0 | 1,727,807,107 | 1,730,797,688 | 9,948 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Помните, известную шутку: я что, отвалил такие деньги, чтобы услышать, что здоров?
Отдавая миллилитры драгоценной крови и тысячи красивых рублей, мы хотим видеть реальную картину, а не слушать «Вы здоровы! Всё в пределах нормы».
Норма или референсы, — это средний диапазон результатов обследований теоретически здоровых людей. Теоретически
☝🏼
Без учета симптомов, хронических заболеваний. Это норма для ЗДОРОВОГО человека, которых в реальности почти нет.
Эти теоретически здоровые люди в реальности могут страдать хроническим заболеванием, а значит, норма не такая уж и норма. И ориентироваться на нее бесполезно.
Если в графе «Результат» вы видите цифру «3», а в графе «Референсные значения» 1 – 6, это ещё не значит, что вы здоровы.
Поэтому куда важнее показатели оптимума, а не референсные значения. Поэтому я не очень люблю, когда анализы интерпретирует Гугл. Страдать и дожидаться, когда станет совсем плохо, только потому, что по референсу всё ок? Совсем нездоровая история. | https://t.me/magerya/11362?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,500 | 0 | 1,727,850,138 | 1,730,797,688 | 9,931 | 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| [{"ner":"Результат","lemma":"результат","label":"ORG","start_pos":628,"end_pos":637},{"ner":"Гугл","lemma":"гугл","label":"PER","start_pos":858,"end_pos":862},{"ner":"3","lemma":"3","label":"NUM","start_pos":656,"end_pos":657},{"ner":"1","lemma":"1","label":"NUM","start_pos":693,"end_pos":694},{"ner":"6","lemma":"6","label":"NUM","start_pos":697,"end_pos":698}] | NEUTRAL | rus | NOT SPAM | 144 | 0 | 2 | 1 | 0 | 0 | 18 | 19 | 13 | 4 | 39 | 12 | 43 | true |
26 | null | Кстати, меня еще спрашивают:
«Безопасно ли целовать труп на прощальной церемонии?»
Ну так то да. Заражение трупной палочкой вам не грозит. Риск вообще что-то подцепить от трупа во время прощания почти нулевой. Не берем в расчет смерть от особо опасных инфекций
Но не забывайте, что труп в морге бальзамируют, гримируют, моют используя далеко не одноразовые материалы. Короче просто не особо приятно о таком думать. Если традиции и культура сильно на вас давят, то можете использовать барьеры - тонкую ткань, салфетку… | https://t.me/sudmednotes/9029?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,300 | 0 | 1,728,110,902 | 1,730,797,688 | 9,962 | 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| null | NEUTRAL | rus | NOT SPAM | 80 | 0 | 0 | 1 | 0 | 0 | 9 | 14 | 8 | 0 | 19 | 10 | 16 | true |
26 | null | иду по темноте, а тут эта херня
вздрогнул и сердечко забилось
Достоин стикера? | https://t.me/sudmednotes/9030?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,000 | 0 | 1,728,142,044 | 1,730,797,688 | 9,962 | 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| null | NEGATIVE | rus | NOT SPAM | 13 | 1 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 4 | 1 | 2 | true |
26 | null | Забавные диалоги с инсты | https://t.me/sudmednotes/9031?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 52,100 | 0 | 1,728,208,118 | 1,730,797,688 | 9,946 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | true |
26 | null | 💡
Промомед зарегистрировал отечественный аналог препарата от ожирения “Вегови (Wegovy)”. Теперь в нашей стране он называется «Велгия»
Ведущая инновационная биофармацевтическая компания «Промомед», один из крупнейших российских фармпроизводителей, выводит на рынок отечественный препарат нового поколения для лечения избыточного веса и ожирения «Велгия
®️
» (МНН семаглутид).
Процедура регистрации препарата, произведенного по полному циклу от субстанции до готовой лекарственной формы, завершена. В ближайшее время ожидается вывод лекарственного средства в гражданский оборот, первые партии поступят в продажу уже в 4 квартале 2024 года.
📌
«Велгия
®️
» продолжает линейку препаратов компании «Промомед», ориентированную на пациентов с метаболическими заболеваниями, такими как избыточная масса тела, ожирение и сахарный диабет 2 типа. Новый препарат разработан именно для терапии ожирения, содержит специально подобранные концентрации и увеличенные дозировки действующего вещества, что повышает ее терапевтическую эффективность.
Препарат значимо снижает вес и способствует коррекции метаболических нарушений, которые лежат в основе формирования целого ряда сердечно-сосудистых и онкологических заболеваний — основных причин смертности в нашей стране. Технология производства препарата позволяет добиться высочайшего качества продукта и гарантирует бесперебойное обеспечение пациентов востребованной терапией.
Семаглутид - основное действующее вещества нового препарата «Велгия
®️
» оказывает положительное влияние на большинство органов и систем. Один препарат, всего один раз в неделю и множество положительных эффектов:
✅
снижение рисков сосудистых нарушений,
✅
инфарктов и других заболеваний сердца,
✅
снижение уровня воспаления,
✅
улучшение когнитивных функций,
✅
улучшение репродуктивной функции,
✅
благоприятное воздействие на эмоциональный фон,
✅
лечение апноэ,
✅
профилактика развития сахарного диабета 2 типа, - деменции,
✅
старения сосудов и др.
Фактически это современная и научно доказанная антиэйджинг терапия, которая продлевает активную жизнь и позволяет сделать «медицину будущего» реальным настоящим.
🔗
https://promomed.ru/news/pokhudet-smozhet-kazhdyy-promomed-vyvodit-na-rynok-preparat-velgiya-dlya-lecheniya-izbytochnogo-vesa | https://t.me/sudmednotes/9032?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 55,200 | 0 | 1,728,228,898 | 1,730,797,688 | 9,931 | 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| [{"ner":"Промомед","lemma":"промомед","label":"PER","start_pos":2,"end_pos":10},{"ner":"Вегови (Wegovy)","lemma":"вегови (wegovy)","label":"ORG","start_pos":71,"end_pos":86},{"ner":"Промомед","lemma":"промомед","label":"ORG","start_pos":187,"end_pos":195},{"ner":"Промомед","lemma":"промомед","label":"ORG","start_pos":694,"end_pos":702},{"ner":"https://promomed.ru/news/pokhudet-smozhet-kazhdyy-promomed-vyvodit-na-rynok-preparat-velgiya-dlya-lecheniya-izbytochnogo-vesa","lemma":"https://promomed.ru/news/pokhudet-smozhet-kazhdyy-promomed-vyvodit-na-rynok-preparat-velgiya-dlya-lecheniya-izbytochnogo-vesa","label":"ORG","start_pos":2121,"end_pos":2246},{"ner":"4","lemma":"4","label":"NUM","start_pos":617,"end_pos":618},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":628,"end_pos":632},{"ner":"2","lemma":"2","label":"NUM","start_pos":828,"end_pos":829},{"ner":"2","lemma":"2","label":"NUM","start_pos":1912,"end_pos":1913}] | NEUTRAL | rus | NOT SPAM | 265 | 0 | 2 | 0.99435 | 0.00565 | 0 | 50 | 26 | 5 | 6 | 108 | 6 | 62 | true |
26 | null | Актуальный подкаст для всех!!
Про избыточное потребление рафинированного сахара. Последствия. Мотивирую вас на нормализацию питания.
Примеры из практики.
Как побороть сахарную зависимость. И многое другое
❤️
За выходные послушайте подкаст, на днях продолжим.
#питание | https://t.me/DrAnshina/1078?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 260,800 | 0 | 1,707,561,469 | 1,730,797,689 | 10,200 | 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| null | NEUTRAL | rus | NOT SPAM | 34 | 0 | 1 | 1 | 0 | 0 | 5 | 5 | 2 | 0 | 13 | 1 | 12 | true |
26 | null | Польза шпината для организма
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Богатый источник витамина К
Шпинат содержит значительное количество витамина К, необходимого для хорошей свертываемости крови и профилактики кровотечений.
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Обладает высоким содержанием витамина С
Витамин C в шпинате обладает антиоксидантными свойствами, помогает поддерживать здоровье иммунной системы и борется с действием свободных радикалов.
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Хороший источник витамина А
Шпинат содержит витамин А, который важен для здоровья зрения, кожи и волос.
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Богат витамином В9 (фолатами)
Этот витамин необходим для правильного развития плода у беременных женщин и играет важную роль в обмене веществ.
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Высокое содержание белка
Шпинат является одним из лучших источников белка среди зеленых овощей, что делает его ценным продуктом для вегетарианцев и веганов.
Как выбрать и использовать
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Избегайте пересоленных и зачерствелых листьев
При выборе шпината предпочтение следует отдавать свежим, сочным листьям без признаков пересола или зачерствения.
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Употребляйте с осторожностью при наличии заболеваний почек
Людям, страдающим от камней в почках или других заболеваний почек, следует употреблять шпинат с осторожностью из-за его содержания щавелевой кислоты.
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Разнообразие методов приготовления
Шпинат можно употреблять как в сыром виде в салатах, так и после термической обработки, добавляя его в супы, омлеты и другие блюда. | https://t.me/dr_Guvarsha/82?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 104,000 | 0 | 1,683,603,418 | 1,730,797,689 | 10,217 | 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| [{"ner":"К\nШпинат","lemma":"к\nшпинат","label":"PER","start_pos":58,"end_pos":66},{"ner":"9","lemma":"9","label":"NUM","start_pos":506,"end_pos":507}] | NEUTRAL | rus | NOT SPAM | 188 | 0 | 7 | 0.995935 | 0.004065 | 0 | 28 | 21 | 4 | 1 | 73 | 3 | 38 | true |
26 | null | Как правильно употреблять шпинат
Выбор и подготовка
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При выборе свежего шпината обращайте внимание на ярко-зеленые листья без желтизны или темных пятен. Листья должны быть упругими и сочными.
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Тщательно промойте шпинат перед употреблением, чтобы очистить его от бактерий.
Противопоказания
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При наличии хронических заболеваний консультируйтесь с врачом о возможности включения шпината в рацион.
Как правильно хранить шпинат
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Храните свежий шпинат в холодильнике в упаковке, согласно инструкции производителя, и употребите до истечения срока годности.
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Если выращиваете шпинат самостоятельно или покупаете его на рынке, поставьте пучок водой в холодильник. Шпинат также можно заморозить после промывки и высушивания.
Как приготовить шпинат
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Сырой вид: Идеально подходит для салатов, смузи, холодных закусок и соусов, а также сочетается с овощами, мясом, яйцами, орехами и сыром.
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Термическая обработка: Можно отварить, потушить или приготовить на пару. Важно помешивать шпинат во время варки, чтобы он равномерно проварился. После варки можно отжать избыточную влагу.
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Для гарниров и блюд: Используйте шпинат для гарнира, супов, запеканок, начинок, лаваша, лепешек, начинки для пирогов или пиццы.
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В кулинарии: Шпинат добавляют в пасту, начинку для мясных рулетов, пиццу и другие блюда. Он также используется как натуральный пищевой краситель.
Следуя этим простым рекомендациям, вы сможете насладиться вкусными и полезными блюдами с шпинатом, обогатив свой рацион разнообразными и питательными ингредиентами. | https://t.me/dr_Guvarsha/83?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 107,400 | 0 | 1,683,616,627 | 1,730,797,689 | 10,217 | 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| [{"ner":"Используйте","lemma":"использовать","label":"LOC","start_pos":1116,"end_pos":1127}] | NEUTRAL | rus | NOT SPAM | 214 | 0 | 1 | 1 | 0 | 0 | 25 | 27 | 5 | 0 | 80 | 14 | 67 | true |
26 | null | Протеиновые коктейли и батончики: чем полезны и как выбрать
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Источник полезных белков:
Протеины играют ключевую роль в нашем организме, участвуя в построении и восстановлении мышц, поддерживая энергию. Источниками белка являются мясо, рыба, молочные продукты, яйца, бобовые, шпинат и другие продукты.
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Протеиновые продукты:
Протеиновые коктейли и батончики содержат концентрат белков, обогащенных аминокислотами, которые быстро всасываются в кровь, помогая в восстановлении и росте мышц. Они представляют собой удобные и вкусные альтернативы для людей с ограниченным временем на приготовление полноценных белковых блюд.
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Количество потребляемого протеина:
Рекомендуемое ежедневное потребление белка зависит от уровня активности. Для здорового взрослого человека оно составляет примерно 0,8 грамма на килограмм веса тела. Однако для спортсменов и людей, ведущих активный образ жизни, это значение может быть выше.
Выбор протеиновых продуктов:
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Обращайте внимание на этикетки:
При выборе продукта обращайте внимание на его состав, включая содержание белка, уровень сахара и насыщенных жиров, а также добавки и источники протеина.
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Полные и неполные протеины:
Полные протеины содержат все необходимые аминокислоты, в то время как неполные протеины имеют ограниченный набор аминокислот. Разнообразие источников протеина помогает обеспечить организм всеми необходимыми аминокислотами.
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Время приема:
Протеиновые продукты можно употреблять в разное время в зависимости от ваших потребностей: после тренировки для ускорения восстановления мышц или между приемами пищи для контроля аппетита.
Важно помнить
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Протеиновые коктейли и батончики могут быть полезным дополнением к сбалансированному рациону питания, особенно для людей с ограниченным временем на приготовление еды или повышенными потребностями в протеине.
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Однако они не должны заменять разнообразное и сбалансированное питание, обогащенное другими питательными веществами, такими как витамины, минералы и пищевые волокна, содержащиеся в цельных продуктах. | https://t.me/dr_Guvarsha/84?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 108,400 | 0 | 1,683,869,312 | 1,730,797,689 | 10,201 | 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| [{"ner":"0","lemma":"0","label":"NUM","start_pos":792,"end_pos":793},{"ner":"8","lemma":"8","label":"NUM","start_pos":794,"end_pos":795}] | NEUTRAL | rus | NOT SPAM | 262 | 0 | 0 | 1 | 0 | 0 | 44 | 27 | 6 | 1 | 109 | 9 | 59 | true |
26 | null | Клетчатка: Значение и продукты, в которых её можно найти
Что такое клетчатка
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Клетчатка представляет собой неперевариваемое соединение, которое играет важную роль в правильном функционировании желудочно-кишечного тракта. Это сложные углеводы, состоящие из молекул глюкозы в длинной цепи, которые не расщепляются ферментами человеческого организма.
Роль клетчатки
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• Питание полезных бактерий в кишечнике и поддержание нормальной микрофлоры.
• Стимуляция моторики кишечника и предотвращение запоров.
• Регуляция уровня сахара и холестерина в крови.
• Создание ощущения сытости и контроль аппетита.
• Снижение риска развития опухолей толстой кишки и улучшение состояния при воспалительных заболеваниях.
Продукты, богатые клетчаткой
❤️
• Растворимая клетчатка: бананы, изюм, брюссельская капуста, свекла, авокадо, бобовые.
• Нерастворимая клетчатка: цельнозерновая мука, пшеничные отруби, орехи, семечки, ячмень, гречка, овес.
Важность количества
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Рекомендуется потреблять ежедневно 25–30 г клетчатки. Основными источниками являются фрукты, овощи и злаки. Дополнительные пищевые волокна можно получить с помощью биодобавок.
Клетчатка играет ключевую роль в здоровье и правильном функционировании организма. Регулярное употребление клетчатки, особенно из натуральных источников, является важным элементом здорового образа жизни. | https://t.me/dr_Guvarsha/85?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 111,400 | 0 | 1,683,978,840 | 1,730,797,689 | 9,964 | 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| [{"ner":"25–30","lemma":"25–30","label":"DATE","start_pos":986,"end_pos":991},{"ner":"30","lemma":"30","label":"NUM","start_pos":989,"end_pos":991}] | NEUTRAL | rus | NOT SPAM | 164 | 0 | 0 | 1 | 0 | 0 | 30 | 11 | 7 | 1 | 81 | 4 | 50 | true |
26 | null | Виды полезных десертов
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Мармелад
• Полезность: Богат пектином и агар-агаром, помогает снизить уровень холестерина, улучшает иммунитет и обмен веществ.
• Энергетическая ценность: Примерно 290 ккал на 100 г.
❤️
Сухофрукты
• Полезность: Богаты пектином, кальцием, магнием, железом, витаминами. Укрепляют волосы, ногти, кости, заботятся о нервной и сердечно-сосудистой системах.
• Энергетическая ценность: Примерно от 270 ккал на 100 г.
❤️
Фруктовые чипсы
• Полезность: Богаты витаминами, в зависимости от вида фруктов. Укрепляют иммунитет, кожу, нервную систему.
• Энергетическая ценность: Примерно 350 ккал на 100 г.
❤️
Желе
• Полезность: В зависимости от сока, содержит витамины и пищевые волокна. Укрепляет иммунитет, кости, суставы.
• Энергетическая ценность: Примерно 87 ккал на 100 г.
❤️
Мюсли
• Полезность: Сбалансированный комплекс белков, жиров и углеводов, богат магнием, железом, калием, кальцием, витаминами C и E. Укрепляет сердце, поддерживает здоровую микрофлору, помогает нервной системе.
• Энергетическая ценность: Примерно 450 ккал на 100 г.
Выбирая десерт, обратите внимание на его состав, предпочтительнее выбирать продукты с минимальным содержанием сахара и обогащенные полезными веществами. | https://t.me/dr_Guvarsha/86?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 112,200 | 0 | 1,684,296,376 | 1,730,797,689 | 9,964 | 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26 | null | В чате спросили- повторяю.
Какие анализы могут указывать на проблемы с печенью и что делать, если у вас нашли отклонения?
Комплекс показателей работы печени- в первую очередь её ферментов- называется «функциональные печеночные тесты».
Хотя этот термин используется широко, он является неточным и потенциально вводящим в заблуждение, поскольку многие тесты, отражающие здоровье печени, не являются прямыми показателями ее функции. Кроме того, широко используемые биохимические тесты печени могут быть за пределами нормы, даже у пациентов со здоровой печенью.
Давайте сначала изучим «материальную часть»- словарь терминов:
1. аланин-аминотрансфераза -АЛТ (ALT)
2.аспартат-аминотрансфераза -АСТ (AST;)
3. Щелочная фосфатаза
4. Гамма-глутамилтранспептидаза-ГГТ (GGT)
5. Лактатдегидрогеназа -ЛДГ
Тесты на печеночную синтетическую функцию включают в себя:
1. альбумин
2. Протромбиновое время/международное нормализованное соотношение- МНО
3. Билирубин
АЛТ, АСТ, щелочная фосфатаза и билирубин являются биохимическими маркерами повреждения печени.
Альбумин, билирубин и протромбиновое время являются маркерами синтетической функции.
Повышение уровня таких ферментов печени как АЛТ и АСТ часто отражает повреждение печени в результате воспаления.
Повышение Щелочной фосфотазы и ГГТ- может свидетельствовать о желчевыдельную непроходимости- холестазе- замедление желчевыводящей функции печени.
Аномальный сывороточный альбумин или протромбинное время можно наблюдать при нарушения печеночной синтетической функции.
Билирубин частично измеряет способность печени к дезинтоксикации метаболитов выделения их в желчь.
В очень большом проценте случаев повышенные ферменты печени встречаются у совершенно бессимптомных людей- случайная находка при рутинных биохимических анализах крови.
По некоторым данным до 10% анализов, проведенных в рамках рутинной диспансеризации показывают превышение хотя бы одного фермента печени.
Все, что вы прочитаете далее- не инструкция к самостоятельной интерпретации анализов, а лишь информация к размышлению. На деле все значительно сложнее и даже опытному врачу не всегда удается сразу правильно разобраться!
Вариант-1.
АЛТ и АСТ повышенны не пропорционально высоко по сравнению с щелочной фосфотазой и ГГТ.
Например АЛТ АСТ повышены в 10 раз, а щелочная фосфотаза- в 2.
Тут картина будет расценена как воспалительное гератоцеллярное повреждение печени (Гепатит любой этиологии или токсическое повреждение печени, например в случае передозировки парацетамола). Билирубин в этом случае будет скорее всего так же повышен.
Вариант-2. Щелочная фосфотаза и ГГТ повышены в большей степени, чем АЛТ и АСТ. Билирубин так же может быть повышен. Здесь скорее всего речь пойдет о нарушении желчновыделительной функции печени- застой желчи в результате желче-каменной болезни, холангита и так далее.
Вариант-3. Обычно при гепатитах и других воспалительных повреждениях печени АЛТ повышено значительно выше, чем АСТ. Если мы видим, что АСТ повышена больше, чем АЛТ (особенно при повышенной ГГТ), то тут скорее всего речь идет об алкогольном повреждении печени. (Соотношение АСТ к АЛТ 2:1 и выше).
Вариант-4. Изолированное повышение ГГТ.
Может наблюдаться при самых разных клинических состояниях, включая заболевание поджелудочной железы, инфаркт миокарда, почечную недостаточность, хроническую обструктивную болезнь легких, сахарный диабет и алкоголизм. Высокие значения ГГТв сыворотке крови также обнаруживаются у пациентов, принимающих такие лекарства, как фенитоин и барбитураты. ГГТ чувствителен нарушении желчевыводящей функции печени, как мы уже говорили.
Повышенный ГГТ с нормальными биохимическими тестами печени (включая нормальную щелочную фосфатазу) обычно не требует углубленного поиска причин- слишком это не специфичный показатель. Но он бывает важен, например, для подтверждения происхождения повышенной щелочной фосфатазы в печени или для подтверждения подозрения на злоупотребление алкоголем у пациента с повышенным АСТ и соотношением AСТ к АЛТ более 2:1).
Вариант-5
Изолированное повышение билирубина.
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⏬️ | https://t.me/drmyasnikov/2475?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 73,800 | 0 | 1,721,053,203 | 1,730,797,689 | 10,216 | 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| NEUTRAL | rus | NOT SPAM | 518 | 0 | 36 | 0.995516 | 0.004484 | 0 | 79 | 50 | 17 | 14 | 175 | 40 | 99 | true |
26 | null | ⏫️
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Билирубин а крови может определяться как непрямой («не связанный») и как прямой («связанный»).
Изолированное повышение непрямого билирубина может быть проявлением синдрома Жильбера, гемолиза крови или реакцией на прием некоторых препаратов.
Синдром Жильбера. является наиболее распространенным наследственным расстройством и метаболизиа билирубина, с распространенностью до 14% среди общей популяции людей. За исключением периодических эпизода желтухи, большинство пациентов с синдромом Гилберта бессимптомны и имеют нормальные результаты физического осмотра. Для пациентов с синдромом Гилберта не требуется специальной терапии. Пациенты с синдромом Гилберта подвергаются повышенному риску возникновения камней в желчном пузыре, хотя величина этого риска неясна. У пациентов с синдромом Гилберта может быть более низкий риск атеросклеротической болезни сердца, рака толстой кишки и легких, а также низкий уровень смертности по сравнению с населением в целом.Сейчас даже рассматривают хроническую умеренную неконьюгированную гипербилирубинемию как существенный антиоксидантный фактор!.
Величина повышения АСТ и АЛТ варьируется в зависимости от причины воспалительных изменений печени (гепатоцеллюлярных повреждений) Хотя значения могут варьироваться у отдельных пациентов, следующие типичные модели АСТ и АЛТ:
●Алкогольный гепатит - АСТ <8 раз выше верхнего предела нормы; АЛТ <5 раз выше верхнего предела нормы.
● Неалкогольная жировая болезнь печени (стептогепатоз) - АСТ и АЛТ <4 раза выше верхнего предела нормы.
● Острый вирусный гепатит или токсическое поражение печени с желтухой - АСТ и АЛТ в 25 раз выше верхнего предела нормы.
● Ишемический гепатит (ишемическая гепатия, шоковая печень, гипоксический гепатит) - АСТ и АЛТ >50 раз выше верхнего предела нормы (кроме того, лактатдегидрогеназа -ЛДГ-часто заметно повышена).
● Хроничесная инфекция вирусом гепатита С - Широкая диапазон изменений показателей, как правило, от нормы до менее чем в два раза выше верхнего предела нормы, редко более чем в 10 раз выше верхнего предела нормы.
Хроническая инфекция вирусом гепатита В - Уровни варьируются; АСТ и АЛТ могут быть нормальными у неактивных носителей, в то время как большинство пациентов с хроническим гепатитом В имеют легкие и умеренные повышения (примерно в два раза выше верхнего предела нормы); с обострениями уровни более чем в 10 раз превышают верхний предел нормы.
Легкое и умеренное повышение ферментов печени в сыворотке крови, могут быть результатом:
● Использование лекарств
●Хронический вирусный гепатит (гепатит B, C, D)
●Алкогольная болезнь печени
●Гемохроматоз
●Неалкогольная жировая болезнь печени
●Аутоиммунный гепатит
● Болезнь Уилсона
● Дефицит альфа-1 антитрипсина
● «Застойная печень» в результате сердечной недостаточности
● Злокачественная инфильтрация (чаще всего рак молочной железы, мелкоклеточный рак легких, лимфома, меланома или миелома)
● Мышечные расстройства (например, субклинические врожденные патологии мышечного метаболизма)
● Расстройства щитовидной железы
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26 | null | Журнал Ланцет июль 2024
Физическая активность не имеет возрастных ограничений
«Регулярные физические упражнения защищают от неинфекционных заболеваний и связаны с улучшением психического здоровья и качества жизни. Тем не менее, несмотря на обширные доказательства преимуществ, уровень физической активности относительно низок во всем мире, при этом примерно один из четырех взрослых не соответствует рекомендуемым уровням. Эти тревожно низкие показатели представляют серьезную угрозу для здоровья; по оценкам ВОЗ, в период с 2020 по 2030 год у 500 миллионов человек заболеют из-за отсутствия физической активности, что приведет к ежегодным расходам на здравоохранение в размере 27 миллиардов долларов США»
По 50 миллионов заболевших в год- никакому ковиду такое и не снилось!
И главное- все в наших руках, то есть головн- встал и пошел!
Сдаться всегда проще, только последствия всегда тяжелы…..
Вот еще:
«Одно исследование рассчитало глобальный риск преждевременной смертности и оценило, что отсутствие физической активности вызвало 9 процентов преждевременных смертей во всем мире в 2008 году.
10-процентное сокращение бездействия может предотвратить 533 000 смертей каждый год. Независимо от уровня физической активности, малоподвижное поведение связано с негативными последствиями для здоровья.»
«Увеличенное время сидения, по-видимому, является независимым фактором риска смертности. В дополнение к общей ежедневной продолжительности сидения, риск смертности может быть выше среди тех, кто сидит в течение длительных, непрерывных периодов, по сравнению с теми, кто сидит в течение более коротких, прерванных периодов Длительное сидение/сидящее время также связано с повышенным риском диабета, сердечно-сосудистых заболеваний и рака.»
«Преимущества даже от низкой физической активности - От низкого до умеренного уровня физической активности также могут принести пользу от смертности. Участие даже в низких и умеренных уровнях активности, измеряемых количеством шагов (т.е. от 3100 до 8000 шагов в день), связано со снижением риска смертности от всех причин Аналогичным образом, лица, которые участвуют всего в одном-двух сеансах упражнений по 75-150 минут в неделю («воины выходного дня»), снизили смертность от всех причин, сердечно-сосудистой системы и рака по сравнению с малоподвижными лицами.»
И если про предотвращение сердечных болезней, ожирения и диабета - потятно, то вот про инфекции:
«Аэробные упражнения, по-видимому, связаны с более низким риском смерти от гриппа и пневмонии. В когортном исследовании, в которых было более 577 000 взрослых в США, аэробные упражнения умеренной интенсивности в течение не менее 150 минут в неделю были связаны с более низким риском смерти от гриппа или пневмонии по сравнению с отсутствием физической активности.»
В заключение про онкологию:
«Физические упражнения могут обеспечить защиту от рака молочной железы, кишечника, мочевого пузыря, почек, легких, желудка, пищевода, простаты, эндометрия и поджелудочной железы. Данные наблюдений свидетельствуют о том, что регулярная физическая активность, по-видимому, связана с защитой как от проксимального, так и от дистального колоректального рака.» | https://t.me/drmyasnikov/2477?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 300,800 | 0 | 1,721,141,007 | 1,730,797,689 | 9,962 | 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26 | null | Как думаете- кто и когда написал?
«Все чувствуют, что началось что-то окончательное, что наступает какой-то конец чего-то прежнего, долгого, длинного прежнего и делается шаг к чему-то совсем уже новому, к чему-то преломляющему прежнее надвое, обновляющему и воскрешающему его уже для новой жизни и... что шаг этот делает Россия! Вот в этом-то и неверие "премудрых" людей. Инстинктивное предчувствие есть, а неверие продолжается: "Россия! Но как же она может, как она смеет? Готова ли она? Готова ли внутренне, нравственно, не только матерьяльно? Там Европа, легко сказать Европа! А Россия, что такое Россия? И на такой шаг?"
Но народ верит, что он готов на новый, обновляющий и великий шаг.
крестьяне в волостях жертвуют по силе своей деньги, подводы, и вдруг эти тысячи людей, как один человек, восклицают: "Да что жертвы, что подводы, мы все пойдем воевать!" Здесь в Петербурге являются жертвователи на раненых и больных воинов, дают суммы по нескольку тысяч, а записываются
неизвестными.
Таких фактов множество, будут десятки тысяч подобных фактов, и никого ими не удивишь. Они означают лишь, что весь народ поднялся за истину, за святое дело, что весь народ поднялся на войну и идет. О, мудрецы и эти факты отрицать будут, как и прошлогодние; мудрецы всё еще, как и недавно, продолжают смеяться над народом, хотя и заметно притихли их голоса. Почему же они смеются, откуда в них столько самоуверенности? А вот именно потому-то и продолжают они смеяться, что всё еще почитают себя силой, той самой силой, без которой ничего не поделаешь. А меж тем сила-то их приходит к концу. Близятся они к страшному краху, и когда разразится над ними крах, пустятся и они говорить другим языком, но все увидят, что они бормочут чужие слова и с чужого голоса, и отвернутся от них……,
Нам нужна эта война и самим; не для одних лишь "братьев-славян", измученных турками, подымаемся мы, а и для собственного спасения: война освежит воздух, которым мы дышим и в котором мы задыхались, сидя в немощи растления и в духовной тесноте» | https://t.me/drmyasnikov/2478?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 71,900 | 0 | 1,721,195,233 | 1,730,797,689 | 9,962 | 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| [{"ner":"Россия","lemma":"россия","label":"LOC","start_pos":321,"end_pos":327},{"ner":"Россия","lemma":"россия","label":"LOC","start_pos":430,"end_pos":436},{"ner":"Европа","lemma":"европа","label":"LOC","start_pos":550,"end_pos":556},{"ner":"Европа","lemma":"европа","label":"LOC","start_pos":572,"end_pos":578},{"ner":"Россия","lemma":"россия","label":"LOC","start_pos":582,"end_pos":588},{"ner":"Россия","lemma":"россия","label":"LOC","start_pos":600,"end_pos":606},{"ner":"Петербурге","lemma":"петербург","label":"LOC","start_pos":869,"end_pos":879}] | NEUTRAL | rus | NOT SPAM | 321 | 0 | 5 | 1 | 0 | 0 | 33 | 50 | 47 | 1 | 64 | 21 | 83 | true |
26 | null | Так откуда всё-таки взялся вирус иммунодефицита человека, приводящий к СПИДу?
Сегодня мы знаем, что хотя СПИД был признан только в 1981 году, молекулярные филогенетические исследования показывают, что ВИЧ присутствовал в Центральной и Западной Африке с начала 1900-х годов, вероятно, среди достаточно изолированных местных племен.
В середине прошлого века многое изменилось, Африка вышла из изоляции, появилась миграция и
нынешняя пандемия, возможно, возникла из этих групп населения.
Молекулярные филогенетические исследования показывают, что ВИЧ эволюционировал из лентивируса, вируса иммунодефицита обезьян (SIV), который был обнаружен у некоторых подвидов обезьян из Биоко (острова у африканского побережья) и некоторых подвидов шимпанзе в Камеруне. Исследователи считают, что все штаммы SIV, заражающие приматов по всей Африке, отделились от общего предка между 32 000 и 78 000 лет назад.
Прямые свидетельства передачи от обезьяны к человеку все еще отсутствуют, но это выводится из известной практики охоты на шимпанзе, особенно в Западной Африке. Тем более, что бушмены едят этих обезьян практически сырыми.
В отличие от других более легко передаваемых зоонозов, для заражения людей вирусам иммунодефицита могли потребоваться важные вирусные адаптации. Цепочка вирусных мутаций привела к тому, что вирус стал передаваться от человека к человеку. (Вот она- пища для конспирологических теорий!)
На самом деле разновидностей вируса сегодня два- ВИЧ-1 и ВИЧ-2.
Если ВИЧ-1 сегодня печально известен, то ВИЧ-2 менее распространен и менее патогенен.
Тем не менее если по оценкам Объединенной программы Организации Объединенных Наций по ВИЧ и Всемирной организации здравоохранения, около 38,4 миллиона человек живут с ВИЧ/СПИДом, то по грубым оценкам, примерно от одного до двух миллионов из этих людей живут с ВИЧ-2, включая некоторых, которые инфицированы обоими вирусами.
В основном это население Западной Африка, хотя конечно инфекция ВИЧ-2 распространена по всему Миру так же как и его куда более «знаменитый» собрат ВИЧ-1. | https://t.me/drmyasnikov/2479?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 98,200 | 0 | 1,721,198,839 | 1,730,797,689 | 9,962 | 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26 | null | У кого СРК - тот поймет xD
#юмор | https://t.me/ibs_doc/11?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,300 | 0 | 1,674,829,031 | 1,730,797,689 | 9,962 | 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| null | NEUTRAL | rus | NOT SPAM | 8 | 0 | 2 | 0.9 | 0.1 | 0 | 0 | 1 | 1 | 0 | 2 | 0 | 1 | true |
26 | null | Можете представить современное #правильноепитание без авокадо?
Не получается?
Авокадо на тосте или хлебце на завтрак, авокадо в салате, авокадо везде! Просто эталон модного и правильно питания, не иначе.
Как же так получилось, что последние лет 7-8 этот фрукт приобрел такую популярность?
Все началось в США в 1997 году, когда президент Клинтон разрешил импорт авокадо из Мексики. При изучении пищевой ценности нового фрукта оказалось, что помимо высокой калорийности в нем очень много «полезных» жиров, витаминов и минералов, поистине высокая «пищевая плотность».
Но авокадное безумие началось не сразу, а в середине 2010-х, и примерно тогда же докатилось и до России.
Только в США потребляется около 2-х млн тонн авокадо в год! В России же в 2021 году импорт авокадо вырос до 52 тысяч тонн в год. С 2015 года ввоз увеличился в целых 4,4 раза!
Откуда такая любовь к авокадо?
А все благодаря тому, что стало популярно вести здоровый образ жизни и это, конечно, хорошо. Фрукт действительно обладает всеми полезными качествами, которые ему приписывают.
Так и хочется сказать «my body is a temple» после очередного тоста с авокадо вместо колбасы.
Но никто не задумывается об обратной стороне авокадо – он очень газообразующий! В нем много сорбитола, который известен вам по яблочкам. Вы избежите проблем с газами, если съедите не больше 30 г за прием пищи, это всего 1/8 от целого фрукта. А вот от половинки среднего авокадо вас точно вздует.
Увы, на этом не все, его высокая популярность приводит к достаточно значимым негативным эффектам на экологию.
Высокий спрос на авокадо в мире приводит к вырубке тропических лесов для увеличения площади плантаций. Авокадо требует огромного количества воды, около 320 литров для того, чтобы получить всего один фрукт. Дегидратация почвы может привести к учащению землетрясений. Основной импорт авокадо осуществляется из Южной Америки, такой длинный путь оставляет за ним огромный углеродный след, что вкупе с вырубкой тропических лесов чести ему не делает.
#фрукты #полиолы #запретограм | https://t.me/ibs_doc/15?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,800 | 0 | 1,674,997,089 | 1,730,797,689 | 9,963 | 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26 | null | У многих врачей в блогах (хороших врачей в хороших блогах) вы наверняка читали посты с негодованием о диетических столах, например, столе №5.
В отечественной медицине такие рекомендации неразрывно связаны с любыми гастроэнтерологическими диагнозами, но эти диеты никогда не будут рекомендовать врачи, придерживающиеся принципов доказательной медицины.
Во-первых, эти диеты противоречат современным представлениям о причинах развития заболеваний, о чем часто пишут коллеги-гастроэнтерологи. А иногда они могут сделать даже хуже: вот съедает человек с больным животом печеное яблоко (стол №5), думает, что принес себе +100 к пользе, а в итоге… страшное вздутие, боли, диарея, несчастье. Лучше бы картофель фри съел, честное слово. Об этом, кстати, есть пост у меня в инстаграме)
Во-вторых, создатель советского лечебного питания - Мануил Исаакович Певзнер (1872 — 1952) - занимался его разработкой в 1920-1930-х годах, с тех пор прошло буквально 100 лет!
А в-третьих, я хотел бы остановиться на том, в каких условиях эти диеты были придуманы.
Давайте начнем с того, что в советской России в 1921-1923 годы царил голод, который унес порядка 6 млн. жизней только по официальным данным. И эти диеты составлялись на основании тех продуктов, которые были доступны людям в то время. Спустя 100 лет наш рацион очень сильно изменился благодаря успехам агрономической и пищевой промышленности, и уже не так актуально возвращаться к тем старым принципам. Когда вы ели в последний раз молочный суп (пример из стола №5)? в детском саду? а в меню современных ресторанов видели что-то подобное?
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продолжение ниже
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#история #мрак #интересное | https://t.me/ibs_doc/6?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,500 | 0 | 1,674,759,040 | 1,730,797,689 | 10,216 | 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| NEUTRAL | rus | NOT SPAM | 241 | 0 | 5 | 1 | 0 | 0 | 35 | 27 | 15 | 8 | 71 | 24 | 55 | true |
26 | null | Чтобы понять, как отразился образ питания того времени на людях, можно обратиться к антропометрическому исследованию 1978 года.
Средний рост мужчин центральной части России, родившихся в 1920-1930 годах, составлял 167 см, а родившихся спустя 30 лет - в 1957 году, например, - уже 172 см.
Наверное, не нужно объяснять, почему недостаточная полноценность и разнообразие питания в детстве приводит к небольшому росту во взрослом возрасте.
(График 1)
Похожие результаты показывает исследование, где сравнивался рост граждан Северной и Южной Кореи. Понятно, что жители Корейского полуострова являются генетически однородной популяцией, но отличия в росте людей, родившихся после разделения страны, составляют 6-7 см. Это произошло потому, что северная половина пошла по пути аскетизма и социализма, а южная - по пути свободного экономического развития и демократии.
(График 2)
Выводы делайте сами.
Посмотрите документальный фильм “Голод” Максима Курникова -
https://www.youtube.com/watch?v=rXi3kBXMWo8
Важно знать не только великие, но и печальные страницы нашей истории.
Ссылки на статьи:
1. Зенкевич П. И., Алмазова Н. Я. Изменение размеров тела взрослого мужского населения Центральной части РСФСР за 100 лет // Куршакова Ю. С. и др. Проблемы размерной антропологической стандартизации для конструирования одежды. М., 1978. С. 71-99; Пурунджан А. Л. Географическая изменчивость антропометрических признаков на территории СССР // Там же. С. 108-116.
2. Pak, S. (2004). The biological standard of living in the two Koreas. Economics & Human Biology, 2(3), 511–521. doi:10.1016/j.ehb.2004.09.001 (
https://doi.org/10.1016/j.ehb.2004.09.001
)
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26 | null | На медузе вышла важная статья про суицид с нашим (Насти) комментарием:
https://meduza.io/feature/2024/04/21/blizkiy-umer-v-rezultate-suitsida-normalno-li-chuvstvovat-styd-zlost-ili-radost-ili-vse-eto-poperemenno?fbclid=PAZXh0bgNhZW0BMQABpk1CZ6gIfuTr3JG3rdN7oqbbsJSSfOp_j6zSJ5I-v3F9YsAc6byvomp3HA_aem_AULyI9CoPJ2jJjLValM4MmAMScanChJGpcpiRRh5DkVMQ7lWndmSKfe57KXOkc8ZVEU
Я помню, как впервые услышала этот нарратив от Кристи больше 3 лет назад. В обсуждении одного из кейсов, она аккуратно поделилась со мной, что в США стараются больше не использовать словосочетания ‘killed him/herself/ committed suicide’.
И как я удивилась тому, что сама никогда не задумывалась раньше, что лингвистически в конструкт ‘
совершил самоубийство/ совершил суицид
’ подразумевает под собой стигматизацию. И как это ещё усложняет и без того очень сложный опыт людей, чьи близкие умерли от суицида.
У меня заняло около года окончательно перестать использовать старые криминализирующие конструкции вокруг суицида. Это не было быстро, но оказалось возможно. Радуюсь, что большие издания теперь тоже пишут об этом.
Когда-то я несколько месяцев фасилитировала группу поддержки людей, чьи близкие выбрали закончить свою жизнь. Многие из них из-за страха осуждения и обвинения по сей день скрывают причину смерти своих близких.
Стигматизация суицида не помогает снизить число суицидов, скорее, наоборот. Потому что, по-прежнему, мало с кем об этом можно поговорить. | https://t.me/imatrip/1938?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,714,475,887 | 1,730,797,689 | 10,216 | 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| NEUTRAL | rus | NOT SPAM | 167 | 0 | 6 | 0.971698 | 0.028302 | 0 | 8 | 26 | 15 | 3 | 37 | 27 | 32 | true |
26 | null | Всем добрый день! Меня зовут Дарья
@qwerty010ytrewq
, я студентка 4 курса МГППУ, учусь по направлению подготовки "Клиническая психология". В рамках курсовой работы занимаюсь изучением последствий и механизмов психотравмирующих переживаний.
Ищу респондентов:
- в возрасте от 18 лет;
- переживших психотравмирующее событие (серию событий) любого характера;
- имеющих или подозревающих у себя диагноз ПТСР (посттравматическое стрессовое расстройство) или К-ПТСР (комплексное посттравматическое стрессовое расстройство).
Персонифицирующие участников сведения не будут запрашиваться. Данные исследования будут храниться в безопасном месте, доступ к которому будут иметь только исследователи. Индивидуальные показатели никогда не будут раскрыты третьим лицам
Я буду очень благодарна каждому участнику исследования. Спасибо! И спасибо за внимание!
Вот ссылка на гугл-форму:
https://docs.google.com/forms/d/1g7SMipS6yI2g_OPxvguE7I2N3Ocyq46r6-tqM3YwyLE/edit | https://t.me/imatrip/1939?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 4,300 | 0 | 1,714,476,298 | 1,730,797,689 | 9,962 | 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| 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| NEUTRAL | rus | NOT SPAM | 108 | 0 | 7 | 0.986207 | 0.013793 | 0 | 13 | 13 | 6 | 2 | 41 | 3 | 25 | true |
26 | null | Мои хорошие, открыт новый telegram-канал
клиники гормонального здоровья
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https://t.me/clinic_magerya | https://t.me/magerya/11348?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 37,400 | 0 | 1,727,679,637 | 1,730,797,689 | 10,216 | 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| [{"ner":"telegram-канал","lemma":"telegram-канал","label":"ORG","start_pos":26,"end_pos":40}] | NEUTRAL | rus | NOT SPAM | 26 | 0 | 0 | 0.953488 | 0.046512 | 0 | 4 | 6 | 0 | 0 | 11 | 0 | 6 | true |
26 | null | 🍂
Осень на пороге — укрепляем иммунитет!
Холод, ветер, вирусы, простуды — осень часто приносит с собой испытания для нашего организма
😷
Как защититься и оставаться в тонусе
❓
Компания «Жизнивек» сделала осеннюю подборку
👇🏼
🌟
Витамин С — первый, кто рядом!
Запускает защитные процессы, помогая иммунитету атаковать вирусы.
Быстро восстанавливает организм после болезней.
Защищает нас от стресса и воспалений.
Бонус: даст заряд бодрости
🔋
⚡️
Цинк — броня для иммунитета.
Защищает клетки от проникновения в них вирусов.
Защищает слизистые — первую линию обороны нашего организма.
Приближает выздоровление.
💥
Лизин — блокатор для вирусов.
Подавляет репликацию герпесвируса.
Повышает производство антител, которые помогают иммунитету распознавать и бороться с инфекциями.
Держит иммунитет в состоянии боевой готовности
🫡
☀️
Витамин D — солнечная энергия иммунитета.
Ограничивает воспалительные реакции и снижает повреждение тканей.
Снижает риск заболеваний дыхательных путей.
Поддерживает силу и выносливость вашего организма.
Бонус: помогает бороться с осенней хандрой.
🍵
Чайный напиток "ПРО Иммунитет" — природный иммуностимулятор.
Он сочетает в себе:
Чагу — адаптоген для борьбы со стрессом и вирусами.
Лимонник — взбодрит и укрепит иммунитет.
Мяту — успокоит и снимет воспаление.
Идеальный способ согреться и поддержать здоровье в холода.
ПРО Витамин С
👉🏼
wildberries/витаминC
ПРО Цинк
👉🏼
wildberries/цинк
ПРО Лизин
👉🏼
wildberries/лизин
ПРО Витамин D
👉🏼
wildberries/витаминD
ПРО Иммунитет
👉🏼
wildberries/про_иммунитет
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
👉🏼
https://t.me/ziznivek
Реклама ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11350?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,600 | 0 | 1,727,710,937 | 1,730,797,689 | 10,202 | 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| [{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":185,"end_pos":193},{"ner":"Витамин С","lemma":"витамин с","label":"PER","start_pos":225,"end_pos":234},{"ner":"Чагу","lemma":"чагу","label":"PER","start_pos":1149,"end_pos":1153},{"ner":"Витамин С","lemma":"витамин с","label":"PER","start_pos":1342,"end_pos":1351},{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":1590,"end_pos":1598},{"ner":"ООО «Жизнивек»","lemma":"ооо \"жизнивек\"","label":"ORG","start_pos":1633,"end_pos":1647},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":1652,"end_pos":1662},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":1657,"end_pos":1662}] | NEUTRAL | rus | NOT SPAM | 228 | 0 | 12 | 0.976744 | 0.023256 | 0 | 14 | 34 | 7 | 3 | 94 | 4 | 66 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11351?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,300 | 0 | 1,727,721,014 | 1,730,797,689 | 9,962 | 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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 | Угадаете, о каком гормоне сегодня пойдет речь?
Подсказка: у героя он зашкаливает
😄
📈 | https://t.me/magerya/11352?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,000 | 0 | 1,727,764,718 | 1,730,797,689 | 9,962 | 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| null | NEUTRAL | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 1 | 0 | 5 | 1 | 3 | true |
26 | null | Гормон стресса кортизол
😡
Давным-давно был нашим союзником. В те незапамятные времена, когда можно было выйти на охоту за завтраком и погибнуть в неравном бою. Тогда кортизол мобилизовал ресурсы организма, чтобы мы могли биться или бежать.
Сейчас прямой угрозы для жизни нет, а стресс есть. И он неотъемлемая часть нашего бытия.
Есть стресс
👉🏼
есть кортизол.
Есть кортизол
🤜🏼
есть угроза молодости.
Как это работает? Смотрите
👀
Представьте, что тело — это оркестр.
Все инструменты играют слаженно и по нотам. Но вдруг ударник — он же кортизол — начинает громко и невпопад стучать по своим барабанам
🥁
Мелодия нарушается. Слушать невозможно.
Так и в организме. Если стресс затягивается, уровень кортизола остаётся повышенным, это становится серьёзной проблемой.
Иммунная система начинает сбоить, и вместо того, чтобы защищать, атакует собственную щитовидную железу.
В то же время, избыточный кортизол:
🤜🏼
подавляет выработку коллагена и эластина;
🤜🏼
провоцирует увядание кожи, появление пигментных пятен;
🤜🏼
блокирует выработку половых гормонов, а значит, и репродуктивную функцию;
🤜🏼
эффективность работы организма снижается. Вплоть до истощения, депрессии, импотенции или беЗплодия.
🫵🏼
А это напрямую связано с нашей молодостью.
Полностью убрать стресс из жизни невозможно. Да и кортизол в малых дозах полезен.
Но зная, как вырабатывается кортизол, зная другие способы помощи своему организму, вы сможете лучше управлять уровнем стресса, а, значит, и молодостью.
📌
Запись семинара «Жить до СТАрости» ещё можно приобрести.
Ссылка
👉🏼
https://docmagerya.ru/molodost?utm_source=tg
Сразу после оплaты вам на емэйл придет вся информация. Доступ к записи до 3 ноября. Всё успеете посмотреть!
🗓️
6 октября нас с вами ждет прямой эфир «Вопрос-ответ». Успевайте присоединится и готовьте своим вопросы. Буду отвечать. | https://t.me/magerya/11353?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,400 | 0 | 1,727,773,283 | 1,730,797,689 | 9,962 | 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26 | null | Ахахахаха
Жиза | https://t.me/sudmednotes/9026?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,400 | 0 | 1,728,068,774 | 1,730,797,689 | 9,962 | 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| [{"ner":"Ахахахаха\nЖиза","lemma":"ахахахаха\nжиза","label":"PER","start_pos":0,"end_pos":14}] | POSITIVE | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Я не знаю, как вы находите подобные ролики. А еще больше недоумеваю зачем скидываете мне, с просьбой объяснить. Ну ловите:
Эта байка из разряда:
«А вот мой дядя пьяный уснул, его в морг доставили и чуть не вскрыли».
Нет такой бактерии, как трупная палочка. Истории о том, что какой-то некрофил поцеловался с живым и заразил его неведомой болезнью просто бред.
Вы скажете: «Док, а как же трупный яд?». А трупный яд существует, но не так, как вы себе представляете. Оставьте кусок мяса разлагаться и потом съешьте его. Поздравляю, вы отравились «трупным ядом». А все потому что, ваш организм не способен переваривать продукты распада белка. Но больше вас пронесет не из-за «трупного яда», а из-за бактерий и их токсинов, классическое пищевое отравления. Короче подробнее я уже
писал тут
Буду еще более дотошным и скажу, что в природе нет бактерий, которые обитают исключительно на трупах и могут передаваться человеку. Бактерии и микроорганизмы, участвующие в разложении тела после смерти, в большинстве своём являются обычными сапрофитами. То есть они присутствуют в окружающей среде, в почве, воде и даже в организме живых людей, не причиняя вреда при нормальных условиях. Примеры таких бактерий включают виды
рода Clostridium и Bacillus
, но они не являются специфичными для трупов. | https://t.me/sudmednotes/9027?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 54,300 | 0 | 1,728,110,470 | 1,730,797,689 | 9,962 | 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| null | NEUTRAL | rus | NOT SPAM | 201 | 0 | 5 | 0.992337 | 0.007663 | 0 | 17 | 36 | 18 | 0 | 50 | 17 | 47 | true |
26 | null | На днях в НельзяГрамме обсуждали как не стоит лечить гипертонию. Продолжаем
❤️
Сегодня разбираем мельдоний (он же милдронат…)
😉
Как всегда препарат универсален! Решает все: устал? Инфаркт? Инсульт?Перепил? Хочешь заниматься спортом и не уставать???
С полным списком заболеваний можно ознакомиться в инструкции, сказав "Ок, Google"
😀
Но обязательно после этого думающий пациент должен задать себе вопрос :"А бывают ли такие чудесные пилюли/инъекции, чтобы вылечить все??"
😉
Препарат этот наделал много шума , т.к. был включен в список запретных допингов и некоторых наших спортсменов дисквалифицировали.
Если по-простому: мельдоний добавлен в антидопинговый список , т.к. доказано его использование спортсменами с целью повышения производительности!!!
Но нет доказательств его эффективности!!!!
С 1 января 2016 года Всемирное антидопинговое агентство (WADA) внесло мельдоний в список запрещенных. И тогда сам создатель мельдония сказал, что препарат выносливость не повышает.
Препарат не входит в европейские клинические рекомендации.
Иготавливают в Латвии для России
🤦♂️
то есть в других странах его не используют.
Есть клинические исследования на малом количестве людей, что само по себе несерьезно для современной науки. Тем более результаты очень противоречивые.
Мое скромное мнение: гипертонию, ИБС, инсульт и др. надо лечить препаратами с доказанной эффективностью и не терять драгоценного времени! | https://t.me/DrAnshina/1068?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 168,700 | 0 | 1,706,708,218 | 1,730,797,690 | 10,216 | 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| [{"ner":"НельзяГрамме","lemma":"нельзяграмме","label":"LOC","start_pos":11,"end_pos":23},{"ner":"Google","lemma":"google","label":"ORG","start_pos":324,"end_pos":330},{"ner":"Всемирное антидопинговое агентство (WADA)","lemma":"всемирный антидопинговый агентство (wada)","label":"ORG","start_pos":817,"end_pos":858},{"ner":"Латвии","lemma":"латвия","label":"LOC","start_pos":1053,"end_pos":1059},{"ner":"России","lemma":"россия","label":"LOC","start_pos":1064,"end_pos":1070},{"ner":"ИБС","lemma":"ибс","label":"ORG","start_pos":1305,"end_pos":1308},{"ner":"1","lemma":"1","label":"NUM","start_pos":798,"end_pos":799},{"ner":"2016","lemma":"2016","label":"NUM","start_pos":807,"end_pos":811}] | NEUTRAL | rus | NOT SPAM | 191 | 0 | 6 | 0.992481 | 0.007519 | 0 | 24 | 33 | 10 | 1 | 53 | 13 | 54 | true |
26 | null | Сказка о потерянном времени.
Почему не стоит использовать препараты без доказательной эффективности. Мексидол, милдронат, кавинтон, целебролизин, глицин, тенотен, кортексин, глиатилин, актовегин и др.
Почему врачи назначают?
Про лечение гипертонии (группы препаратов, которыми стоит лечиться и лечить), про запуск речи и др.
Как понять что препарат фуфломицин.
#препараты | https://t.me/DrAnshina/1069?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 136,000 | 0 | 1,706,802,513 | 1,730,797,690 | 10,216 | 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| [{"ner":"Мексидол","lemma":"мексидол","label":"PER","start_pos":101,"end_pos":109},{"ner":"кавинтон","lemma":"кавинтон","label":"LOC","start_pos":122,"end_pos":130},{"ner":"целебролизин","lemma":"целебролизин","label":"LOC","start_pos":132,"end_pos":144},{"ner":"глицин","lemma":"глицин","label":"LOC","start_pos":146,"end_pos":152},{"ner":"кортексин","lemma":"кортексин","label":"PER","start_pos":163,"end_pos":172},{"ner":"глиатилин","lemma":"глиатилин","label":"PER","start_pos":174,"end_pos":183}] | NEUTRAL | rus | NOT SPAM | 47 | 0 | 0 | 1 | 0 | 0 | 2 | 7 | 1 | 0 | 20 | 3 | 19 | true |
26 | null | Разбираем нужен ли перерыв в омеге и витамине Д.
По личному опыту: делаете перерыв в витамине Д и через 1-2 месяца впадаете в дефицит. Проверено многократно моими пациентами-экспериментаторами.
С омегой. Некоторым можно вообще не принимать если едите рыбу не менее 5 раз в неделю.
Почему некоторым?
Если вы пациент с низким ЛПВП («хороший» холестерин, то ваш кардиолог, должен проговорить с вами ежедневное питание с большим содержанием Омега-3 ПНЖК, а также целесообразно назначение дополнительно Омега-3 в добавке или препарате на постоянной основе. Норма ЛПВП минимум 1,6 ммоль/л. Это же касается пациентов с высокими триглицеридами.
Для всех остальных возможен курсовой прием Омега-3.
Возможно делать перерывы в омеге в те дни когда вы употребляете рыбу.
Я и моя семья принимаем Омегу постоянно, тк я выявила закономерность между приемом и качеством кожи и ногтей. В отличие от анализов тут результат «на лицо».
В слайдах ответы на вопрос: можно ли омегу при аллергии на рыбу, нужен ли онкологическим пациентам витамин Д.
Крепкого здоровья
❤️
https://anshina.com/
#холестерин | https://t.me/DrAnshina/1073?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 17,800 | 0 | 1,706,956,782 | 1,730,797,690 | 10,216 | 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| [{"ner":"Д.","lemma":"д.","label":"PER","start_pos":46,"end_pos":48},{"ner":"Омега-3","lemma":"омега-3","label":"PER","start_pos":437,"end_pos":444},{"ner":"Омегу","lemma":"омегу","label":"PER","start_pos":784,"end_pos":789},{"ner":"Д.\nКрепкого здоровья","lemma":"д.\nкрепкий здоровье","label":"ORG","start_pos":1024,"end_pos":1044},{"ner":"1","lemma":"1","label":"NUM","start_pos":104,"end_pos":105},{"ner":"2","lemma":"2","label":"NUM","start_pos":106,"end_pos":107},{"ner":"5","lemma":"5","label":"NUM","start_pos":265,"end_pos":266},{"ner":"3","lemma":"3","label":"NUM","start_pos":443,"end_pos":444},{"ner":"3","lemma":"3","label":"NUM","start_pos":504,"end_pos":505},{"ner":"1","lemma":"1","label":"NUM","start_pos":571,"end_pos":572},{"ner":"6","lemma":"6","label":"NUM","start_pos":573,"end_pos":574},{"ner":"3","lemma":"3","label":"NUM","start_pos":686,"end_pos":687}] | NEUTRAL | rus | NOT SPAM | 161 | 0 | 10 | 0.995146 | 0.004854 | 0 | 17 | 12 | 6 | 5 | 53 | 11 | 28 | true |
26 | null | Инфаркт на статинах…
У меня очень большой опыт в кардиологии, тысячи пациентов, большой опыт в стационарах, в том числе с реанимационными пациентами.
Говорю только за себя: если пациент выполняет все рекомендации, целевых цифр ЛПНП мы достигаем всегда!
Основные ошибки пациентов:
✅
Принимают статины нерегулярно, делают перерывы, выходные от лекарств/каникулы
😅
❗️
Никаких перерывов, только постоянный прием!
✅
Пропили курс и отменили.
❗️
Нет такого понятия курс! Только ежедневный и пожизненный прием!
✅
Не сдают регулярно кровь.
❗️
После первичного назначения через 3 месяца, при достижении целевых цифр ЛПНП 1 раз в год).
✅
Сами меняют оригинальный препарат/хороший дженерик на неработающий препарат, тк он дешевле. И кому-то это стоит жизни.
❗️
Реально купить хороший статин за 600-1000 р в месяц. Дешевле чем пачка подгузников для взрослых. А они пригодятся, если будет инсульт.
У кого есть мое руководство по холестерину, смотрите, там есть названия препаратов!
Основные ошибки врача:
✅
незнание современных статинов, работающих доз и комбинаций. А также норм ЛПНП для каждой группы пациентов.
К сожалению такие кардиологи встречаются.
Основные ошибки системы:
✅
назначение врачом неработающего препарата. То есть виноват по сути не врач, как многие думают. Врач по закону должен писать мнн, а не торговое название.
Будьте здоровы
❤️
Спрашивали по курс «Холестерин». Сейчас нет продаж, 28.02 на 1 неделю откроем. Будет информация тут.
#холестерин | https://t.me/DrAnshina/1074?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 181,600 | 0 | 1,707,296,098 | 1,730,797,690 | 10,216 | 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26 | null | Источники липоевой кислоты для организма
Липоевая кислота, помимо своих полезных свойств, содержится в различных продуктах, которые можно включить в рацион для поддержания здоровья:
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Продукты животного происхождения:
Печень, сердце, почки являются основными источниками липоевой кислоты.
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Бобовые культуры:
Чечевица, горох, фасоль также содержат этот компонент.
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Грибы:
Некоторые виды грибов, такие как шампиньоны, содержат липоевую кислоту.
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Молочные продукты:
Молоко, йогурт, творог содержат небольшие количества этого соединения.
Важно помнить, что в дополнение к питанию липоевая кислота может быть получена через биологически активные добавки и лекарственные препараты.
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Однако прежде чем начать принимать такие препараты, важно проконсультироваться с врачом. | https://t.me/dr_Guvarsha/78?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 98,300 | 0 | 1,683,455,770 | 1,730,797,690 | 10,217 | 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| null | NEUTRAL | rus | NOT SPAM | 98 | 0 | 0 | 1 | 0 | 0 | 16 | 12 | 1 | 0 | 36 | 5 | 34 | true |
26 | null | Польза грецких орехов для здоровья
Грецкие орехи не только вкусные, но и приносят значительную пользу организму.
Вот несколько полезных свойств, подтвержденных исследованиями:
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Сердечно-сосудистое здоровье: Орехи помогают снизить уровень плохого холестерина и артериальное давление, что снижает риск сердечно-сосудистых заболеваний.
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Улучшение когнитивных функций: Благодаря содержанию омега-3 жирных кислот, йода и селена, грецкие орехи улучшают память и концентрацию, а также снижают риск старческого слабоумия.
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Контроль уровня сахара в крови: Орехи имеют низкий гликемический индекс и помогают контролировать уровень сахара в крови, что особенно важно для людей с сахарным диабетом.
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Профилактика ожирения: Умеренное употребление грецких орехов снижает риск метаболического синдрома и ожирения благодаря высокому содержанию клетчатки, белка и жиров.
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Противоопухолевое действие: Регулярное употребление грецких орехов связано с снижением риска развития рака и замедлением роста уже существующих опухолей.
Важно помнить, что употребление грецких орехов должно быть умеренным, так как они калорийны. Однако включение их в рацион может принести значительную пользу для здоровья и благополучия организма. | https://t.me/dr_Guvarsha/79?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 99,000 | 0 | 1,683,455,982 | 1,730,797,690 | 10,217 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":396,"end_pos":397}] | NEUTRAL | rus | NOT SPAM | 155 | 0 | 0 | 1 | 0 | 0 | 34 | 16 | 4 | 1 | 65 | 5 | 34 | true |
26 | null | Побочные эффекты грецких орехов
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Проблемы с пищеварением
Переедание грецких орехов может вызвать неприятные симптомы, такие как тошнота, рвота, вздутие и диарея.
Это связано с высоким содержанием масел и афлатоксинов в загрязненных орехах, поэтому людям с обострениями заболеваний пищеварительной системы следует употреблять орехи с осторожностью.
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Аллергические реакции
Грецкие орехи содержат много растительного белка, что может вызывать аллергию у некоторых людей, особенно у детей. Для детей до трех лет рекомендуется ограничить количество потребляемых орехов до двух ядрышек в неделю.
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Прибавка в весе
Из-за высокой калорийности грецких орехов людям с ожирением или склонностью к лишнему весу следует употреблять их с умеренностью, не превышая 100 грамм в день.
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Реакция на аллерген
Людям с аллергией на орехи следует быть особенно осторожными, так как даже небольшое количество орехов или следы их присутствия в пище могут вызвать аллергическую реакцию, включая сыпь, отеки и анафилактический шок в тяжелых случаях.
❤️
Для получения максимальной пользы от грецких орехов следует правильно хранить их при оптимальной температуре, избегая плесени.
Орехи лучше употреблять в сыром виде, чтобы сохранить все полезные свойства. Их можно добавлять в различные блюда или приготовить полезную пасту с сухофруктами и медом. | https://t.me/dr_Guvarsha/80?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 101,800 | 0 | 1,683,466,848 | 1,730,797,690 | 10,217 | 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| [{"ner":"100","lemma":"100","label":"NUM","start_pos":755,"end_pos":758}] | NEUTRAL | rus | NOT SPAM | 187 | 0 | 0 | 1 | 0 | 0 | 25 | 24 | 5 | 4 | 69 | 8 | 31 | true |
26 | null | Всё про урбеч
Урбеч — это натуральная паста из различных орехов или семян. Больше в ней ничего нет — ни сахара, ни масла, и именно за это ее ценят. Данный продукт называют суперфудом за высокое содержание витаминов, минеральных веществ и белка.
Польза урбеча:
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Укрепление иммунитета и восстановление сил:
Урбеч содержит витамины и минералы, которые помогают поддерживать здоровье и укреплять иммунитет.
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Нормализация уровня глюкозы, холестерина и инсулина:
Благодаря своему составу урбеч помогает поддерживать нормальный уровень глюкозы и холестерина в крови, что важно для предотвращения развития сердечно-сосудистых заболеваний и сахарного диабета.
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Профилактика тромбов и укрепление сердечно-сосудистой системы:
Урбеч содержит вещества, которые помогают предотвращать образование тромбов и улучшают функционирование сердечно-сосудистой системы.
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Улучшение работы пищеварительного тракта: Высокое содержание клетчатки в урбече способствует улучшению работы пищеварительной системы.
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Предотвращение анемии: Богатое содержание железа в урбече помогает предотвращать развитие анемии.
Вред урбеча:
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Нагрузка на пищеварительную систему: Урбеч богат жирами, поэтому людям с заболеваниями пищеварительной системы следует употреблять его с осторожностью, чтобы избежать ухудшения состояния.
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Аллергические реакции: Урбеч может вызывать аллергические реакции у людей, чувствительных к отдельным компонентам пасты, особенно орехам.
Выбор продукта:
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Изучение состава: При выборе урбеча следует внимательно изучить состав, чтобы удостовериться, что продукт не содержит сахара, масла, консервантов и искусственных добавок.
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Предпочтение натуральному продукту: Лучше выбирать натуральный урбеч без добавок и искусственных веществ.
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Внимание к дополнительным ингредиентам: Иногда в урбеч добавляют дополнительные ингредиенты, такие как кокосовое молоко или семена чиа. При необходимости следует учитывать их присутствие. | https://t.me/dr_Guvarsha/81?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 103,400 | 0 | 1,683,602,172 | 1,730,797,690 | 10,216 | 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| null | NEUTRAL | rus | NOT SPAM | 241 | 0 | 0 | 1 | 0 | 0 | 36 | 32 | 9 | 0 | 101 | 5 | 65 | true |
26 | null | Каникулы в эфире. Время вспомнить былое) Один из самых популярных выпусков видеорубрики "Для души и тела" на официальном ютьюб-канале "Доктор Мясников".
Для души и тела. "Чёрные полосы". Доктор Мясников о смысле жизни
Когда у нас всё валится из рук. Как относиться к периодам, когда у нас всё не получается и не хочется жить? "Чёрные полосы в жизни". Упражнения для всех.
https://youtu.be/Z-PbTq-UP08?si=1np5ADQsYB4PKp7p | https://t.me/drmyasnikov/2470?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 79,900 | 0 | 1,720,872,107 | 1,730,797,690 | 10,216 | 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| [{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":135,"end_pos":150},{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":194,"end_pos":202},{"ner":"08","lemma":"08","label":"NUM","start_pos":398,"end_pos":400},{"ner":"1","lemma":"1","label":"NUM","start_pos":404,"end_pos":405},{"ner":"5","lemma":"5","label":"NUM","start_pos":407,"end_pos":408},{"ner":"4","lemma":"4","label":"NUM","start_pos":414,"end_pos":415},{"ner":"7","lemma":"7","label":"NUM","start_pos":418,"end_pos":419}] | NEUTRAL | rus | NOT SPAM | 61 | 0 | 0 | 0.988095 | 0.011905 | 0 | 6 | 6 | 5 | 1 | 22 | 1 | 18 | true |
26 | null | Просто нет слов! Дикий Запад во всей красе! И они нам что-то там говорят?! П…ц! Ну а Трамп- молодец, сохранил присутствие духа! | https://t.me/drmyasnikov/2471?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 75,200 | 0 | 1,720,937,992 | 1,730,797,690 | 10,216 | 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| [{"ner":"Запад","lemma":"запад","label":"LOC","start_pos":23,"end_pos":28},{"ner":"Трамп-","lemma":"трамп-","label":"PER","start_pos":85,"end_pos":91}] | POSITIVE | rus | NOT SPAM | 22 | 0 | 2 | 1 | 0 | 0 | 1 | 3 | 5 | 0 | 5 | 1 | 8 | true |
26 | null | За всеми этими событиями, чуть не забыл про День Бастилии! А зря- событие знаковое! Не важно, что крепость-тюрьма была пустая, это как наш залп Авроры!
И как же потом все повторилось в нашей стране!
Как все похоже!
Неистовых Дантона и Робеспьера Революция сама и сожрала, примазавшиеся всякие там Баррасы чуть не упустили страну и только Наполеон поднял её на недостигаемую высоту! (И сегодня ирония судьбы- педик премьер министр, нарцисс-Макрон….)
У нас Революция тоже пожрала всех, Троцкий заигрался и бежал и только Сталин (ну давайте, возражайте мне!) «принял страну с сохой и оставил с атомной энергией» (Черчиль) | https://t.me/drmyasnikov/2473?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 77,400 | 0 | 1,720,974,568 | 1,730,797,690 | 10,216 | 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| [{"ner":"Авроры","lemma":"аврора","label":"PER","start_pos":144,"end_pos":150},{"ner":"Робеспьера Революция","lemma":"робеспьер революция","label":"PER","start_pos":235,"end_pos":255},{"ner":"Баррасы","lemma":"баррасы","label":"PER","start_pos":297,"end_pos":304},{"ner":"Наполеон","lemma":"наполеон","label":"PER","start_pos":338,"end_pos":346},{"ner":"Революция","lemma":"революция","label":"PER","start_pos":455,"end_pos":464},{"ner":"Троцкий","lemma":"троцкий","label":"PER","start_pos":484,"end_pos":491},{"ner":"Сталин","lemma":"сталин","label":"PER","start_pos":519,"end_pos":525},{"ner":"Черчиль","lemma":"черчиль","label":"LOC","start_pos":610,"end_pos":617}] | NEGATIVE | rus | NOT SPAM | 96 | 1 | 4 | 1 | 0 | 0 | 9 | 13 | 7 | 0 | 20 | 7 | 24 | true |
26 | null | Верошрирон (Альдактон, спиролактон)- это не мочегонное!
Не то, чтобы совсем не мочегонное, скорее не совсем мочегонное.
По специфике действия он как мочегонное может действовать только у избранной группы больных.
У нас с давних пор Верошпирон рекомендуют как «мягкое мочегонное» и врачи и фармацевты.
И это ошибка. Верошпирон- особенный препарат, но четко направленного действия.
Это антагонист гормона надпочечников- альдостерона. И сам в какой-то мере гормональный препарат (говорю так для упрощения понимания).
Применяют в лечении акне («прыщи), выпадении волос, Гирсутизме (рост волос у женщин на лице).
Препарат выбора при первичном альдестеронизме (как антагонист альдостерона).
Удерживает калий в организме.
Обязателен больным с циррозом печени и сердечной недостаточностью. Хорош при лечении гипертонии, вызванной переизбытком альдостерона.
Но вот рекомендация: у вас небольшие отеки на лице - ну вот вам мягкое мочегонное- не правильная.
И опасная.
У мужчин вызывает набухание молочных желез (их рудиментов), у женщин так же, повышения калия, эректильную дисфункцию, провоцирует подагру. | https://t.me/drmyasnikov/2474?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 79,500 | 0 | 1,721,030,601 | 1,730,797,690 | 10,216 | 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| [{"ner":"Верошрирон (","lemma":"верошрирон (","label":"PER","start_pos":0,"end_pos":12},{"ner":"Альдактон","lemma":"альдактон","label":"PER","start_pos":12,"end_pos":21},{"ner":"Верошпирон","lemma":"верошпирон","label":"PER","start_pos":232,"end_pos":242},{"ner":"Гирсутизме","lemma":"гирсутизм","label":"PER","start_pos":566,"end_pos":576},{"ner":"альдостерона","lemma":"альдостерон","label":"PER","start_pos":670,"end_pos":682}] | NEUTRAL | rus | NOT SPAM | 148 | 0 | 5 | 1 | 0 | 0 | 22 | 10 | 9 | 0 | 56 | 6 | 42 | true |
26 | null | Меня зовут Светлана
@Lana_aki_1911
, я студентка 4 курса специалитета, факультета Консультативной и клинической психологии.
Я пишу курсовую работу, посвященную исследованию близких отношений.
Сейчас я нахожусь в поиске респондентов и очень прошу вас о помощи. Прохождение опроса займет у вас максимум 20 минут.
Мне очень нужны респонденты, разных возрастов и профессий.
Буду очень благодарна за репост! Вы очень поможете, если распространите ссылку на исследование среди своих однокурсников или знакомых, которые не учатся на психологов.
Спасибо!
Исследование особенностей построения близких отношений у молодежи и лиц зрелого возраста
. | https://t.me/imatrip/1932?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,714,153,911 | 1,730,797,690 | 10,216 | 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| [{"ner":"Светлана","lemma":"светлана","label":"PER","start_pos":11,"end_pos":19},{"ner":"Консультативной","lemma":"консультативный","label":"PER","start_pos":82,"end_pos":97},{"ner":"1911","lemma":"1911","label":"NUM","start_pos":30,"end_pos":34},{"ner":"4","lemma":"4","label":"NUM","start_pos":49,"end_pos":50},{"ner":"20","lemma":"20","label":"NUM","start_pos":301,"end_pos":303}] | NEUTRAL | rus | NOT SPAM | 87 | 0 | 1 | 0.990826 | 0.009174 | 0 | 9 | 9 | 9 | 2 | 32 | 5 | 15 | true |
26 | null | Генетические предрасполагающие факторы обусловливают от 45% до 79% рисков формирования зависимости (Kendler et al., 2003). Но, помимо факторов наследственности, можно идентифицировать роль семейной системы в аддикции.
Так например, ряд авторов предлагают рассматривать опиоидную зависимость не как индивидуальную дисфункцию, а как «семейную болезнь».
Наверное, неслучайно, в большинстве случаев, употребление наркотиков начинается в подростковом возрасте.
Некоторые семьи прямо или косвенно поддерживают и санкционируют употребление наркотиков (в этих случаях часто происходила т.н. «передача зависимости» от старшего поколения к младшему), другие напротив, побуждали бросить и наказывали за аддиктивное поведение.
Парадокс заключается в том, что эти противоположные тенденции во многих семьях чередовались или возникали параллельно друг с другом.
Наиболее распространенной семейной моделью была ситуация, когда отец отсутствует (физически или эмоционально) или исключен, а мать фиксирована на отношениях с сыном-наркоманом, образовывая своеобразную диаду (так как будто она, по-прежнему связана с ним пуповиной).
Употребление наркотиков сыном, представляет собой компромисс между желанием независимости и отделения от своей родительской семьи/матери и страхом взросления (и нежеланием брать на себя ответственность за это).
Прием наркотиков давал возможность подростку избежать, замаскировать или отложить принятие решений, касающихся секса, агрессии, сепарации, финансовой независимости, а статус «наркомана» (или «паршивой овцы») позволяет ему избежать многих трудных решений.
Но употребление наркотиков, может быть также связано и с сильным страхом разлуки, которое испытывает семья в ответ на попытки подростка отделиться.
В некоторых случаях семейное окружение настолько дисфункционально, что является фактором риска рецидива зависимости и провала наркологического лечения.
Родственники могут давать деньги (или вещи, которые можно заложить в ломбарде) на наркотики, а также оказывать эмоциональную поддержку, не настаивая на необходимости отказа от употребления.
Многие мужчины с героиновой зависимостью поддерживают тесные [психоаналитики сказали бы «инцестуозные»] отношения со своими матерями и продолжают жить совместно со своими родителями даже в среднем и/или позднем взрослом возрасте.
Источники:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5086440/
https://www.tandfonline.com/doi/abs/10.3109/00952997809027993
https://www.tandfonline.com/doi/abs/10.3109/10826087209026764
#зависимость
#наркотики | https://t.me/imatrip/1933?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,300 | 0 | 1,714,206,141 | 1,730,797,690 | 10,216 | 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| NEUTRAL | rus | SPAM | 289 | 0 | 1 | 0.984496 | 0.015504 | 0 | 30 | 42 | 12 | 5 | 103 | 22 | 73 | true |
26 | null | Пограничное расстройство личности (Borderline personality disorder, BPD) – это серьёзное и сложное заболевание, которое характеризуется существенными трудностями в регуляции эмоций и контроле импульсов, нестабильностью в отношениях и в самооценке (1). Это расстройство – большая проблема здравоохранения, поскольку оно связано с суицидальными попытками и актами самоповреждения пациентов, что, в свою очередь, является фокусом работы для служб охраны психического здоровья. Повторяющееся суицидальное поведение встречается у 69-80% пациентов с BPD, а уровень самоубийств, по оценкам, достигает 10% (2).
BPD – это общее состояние, которое, как считается, встречается в мире с частотой 0.2-1.8% генеральной совокупности (3). В клинических выборках этот показатель выше. Moran с соавторами (4) пишет о показателе 4-6% среди людей, обращающихся за медицинской помощью в первичное (амбулаторное) звено, и предполагает, что пациенты с BPD посещают врача чаще, чем здоровые. Chanen с соавторами (5) сообщает о показателе в 11% среди подростков, обращающихся в амбулаторное звено, и 49% среди пациентов стационара. Наиболее высокий показатель распространенности BPD был зарегистрирован на выборках пациентов, нуждающихся в интенсивной медицинской помощи, вплоть до 60-80% среди пациентов судебно-медицинских служб (6–7).
Высокие показатели распространенности и повышенный риск суицида среди пациентов с BPD приводят нас к неоспоримому аргументу в пользу того, что должно быть разработано эффективное, широко доступное лечение этого расстройства. Несмотря на то, что несколько подходов к терапии BPD были признаны эффективными с помощью рандомизированных контролируемых исследований, необходимость специальных обучающих тренингов для персонала и связанная с этим недоступность лечения для большинства пациентов остаются поводом для беспокойства. Терапия, основанная на ментализации (Mentalization based treatment, MBT) была разработана с учётом этого. Подход требует относительно небольшого дополнительного обучения на базе обычного образования в сфере психического здоровья; в исследованиях метод был реализован обычным персоналом клиник, в основном, медсёстрами, после короткого тренинга и с умеренной экспертной супервизией.
Далее:
sigitova.ru/mentalizaciya-624/
#BPD #ПРЛ | https://t.me/imatrip/1934?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,700 | 0 | 1,714,325,902 | 1,730,797,690 | 10,218 | 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| 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| NEUTRAL | rus | NOT SPAM | 285 | 0 | 11 | 0.951483 | 0.048518 | 0 | 41 | 27 | 10 | 22 | 94 | 6 | 66 | true |
26 | null | Ценности у людей с ментальными расстройствами
Наши ценности определяют то, как мы думаем, реагируем на различные события и принимаем решения. Это центральный компонент нашей системы представлений о себе, который может существенно влиять на наше благополучие.
Ценности обширно исследуются, но их взаимосвязь с психопатологическими переменными почти не изучалась. Ученые из университета Л'Акуилы (Италия) решили узнать, есть ли различия в ценностных ориентациях у людей с психотическими расстройствами, расстройствами настроения и без них. (
Socci et al, 2021
)
🔎
Что сделали
. В исследовании приняли участие 162 человека с клиническими диагнозами (из них 92 — с психотическими расстройствами и 70 — с расстройствами настроения) и 217 человек без диагноза. Они заполнили два опросника:
— Опросник ценностей Шварца (PVQ), который определяет выраженность 10 базовых ценностей (самостоятельность, достижение, гедонизм, власть, безопасность, комформность и другие),
— Шкалу позитивного и негативного аффекта (PANAS), которая служит для экспресс-оценки позитивных и негативных настроений.
📊
Что получили
:
— В
клинической выборке
независимо от диагноза оказались сильнее выражены консервативные ценности — традиционализм, конформность, безопасность. Эти ценности оказались связаны с позитивным аффектом. С ним же были связаны ценности самоутверждения, такие как власть и достижение.
— В
неклинической выборке
позитивный аффект оказался связан только с ценностями самоутверждения.
📝
Итог
. Исследователи предполагают, что бо́льшая выраженность ценностей конформности и безопасности у людей с ментальными расстройствами — отражение социальной тревоги, низкой самооценки и стигматизации, связанных с диагнозом, и стремления «заслужить» социальное принятие и одобрение. При этом связь этих ценностей с положительным аффектом предполагает адаптивный смысл этих ценностей. | https://t.me/imatrip/1935?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,714,381,268 | 1,730,797,690 | 10,218 | 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| [{"ner":"Л'Акуилы","lemma":"л'акуилы","label":"LOC","start_pos":385,"end_pos":393},{"ner":"Италия","lemma":"италия","label":"LOC","start_pos":395,"end_pos":401},{"ner":"Шкалу","lemma":"шкала","label":"LOC","start_pos":962,"end_pos":967},{"ner":"2021","lemma":"2021","label":"NUM","start_pos":553,"end_pos":557},{"ner":"162","lemma":"162","label":"NUM","start_pos":607,"end_pos":610},{"ner":"92","lemma":"92","label":"NUM","start_pos":654,"end_pos":656},{"ner":"70","lemma":"70","label":"NUM","start_pos":693,"end_pos":695},{"ner":"217","lemma":"217","label":"NUM","start_pos":729,"end_pos":732},{"ner":"10","lemma":"10","label":"NUM","start_pos":851,"end_pos":853}] | NEUTRAL | rus | NOT SPAM | 244 | 0 | 6 | 0.984076 | 0.015924 | 0 | 26 | 28 | 14 | 7 | 85 | 6 | 60 | true |
26 | null | Психиатрический уголок
– канал психиатра-нарколога Мариям. Автор увлекательно и доступно рассказывает о мире психиатрии и наркологии, рассматривает клинические случаи, делится полезной информацией и раскрывает реалии нашей медицины. Особое внимание Мариям уделяет проблеме стигматизации.
Контент здесь самый разнообразный, от базовых и необходимых каждому пациенту вещей, до специфических тем, которые будут интересны специалистам.
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Что делать, если вы обнаружили у себя признаки психического расстройства?
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Что делать при передозировке стимуляторами?
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7 скрытых признаков депрессии
В целом канал очень приятно и интересно читать, автор позаботилась даже о визуальном оформлении канала. Так что если вы пациент, специалист или интересуетесь психиатрией/наркологией по другой причине – смело рекомендую. | https://t.me/imatrip/1936?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,400 | 0 | 1,714,405,775 | 1,730,797,690 | 10,216 | 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| [{"ner":"Мариям","lemma":"мария","label":"PER","start_pos":51,"end_pos":57},{"ner":"Мариям","lemma":"мариям","label":"PER","start_pos":249,"end_pos":255},{"ner":"7","lemma":"7","label":"NUM","start_pos":559,"end_pos":560}] | NEUTRAL | rus | NOT SPAM | 103 | 0 | 1 | 1 | 0 | 0 | 16 | 13 | 6 | 1 | 41 | 5 | 22 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11342?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 39,100 | 0 | 1,727,548,221 | 1,730,797,690 | 10,255 | 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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 | Мы начинаем семинар
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Для чего? Для того, чтобы вы как можно дольше оставались активны, молоды и здоровы.
Для того, чтобы передали эти знания своим детям и они могли продлить свое долголетие.
Встречаемся в 11:00 по Мск.
Пароли/явкм у вас на электронной почте. Кто сегодня не может, успокою вас — запись будет
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Запрыгнуть в последний вагон
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https://docmagerya.ru/molodost?utm_source=tg | https://t.me/magerya/11344?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 41,300 | 0 | 1,727,589,289 | 1,730,797,690 | 10,216 | 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| [{"ner":"Мск","lemma":"мск","label":"LOC","start_pos":215,"end_pos":218},{"ner":"11:00","lemma":"11:00","label":"DATE","start_pos":206,"end_pos":211},{"ner":"00","lemma":"00","label":"NUM","start_pos":209,"end_pos":211}] | NEUTRAL | rus | NOT SPAM | 59 | 0 | 0 | 0.987654 | 0.012346 | 0 | 5 | 8 | 9 | 0 | 11 | 4 | 14 | true |
26 | null | Мои хорошие, ссылки на семинар "Жить до СТАрости" всем участникам уже отправлены:
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👉🏼
https://docmagerya.ru/molodost?utm_source=tg | https://t.me/magerya/11345?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,100 | 0 | 1,727,594,405 | 1,730,797,690 | 10,216 | 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| [{"ner":"Магеря","lemma":"магеря","label":"PER","start_pos":152,"end_pos":158},{"ner":"40","lemma":"40","label":"NUM","start_pos":307,"end_pos":309}] | NEUTRAL | other | NOT SPAM | 47 | 1 | 0 | 0.955224 | 0.044776 | 0 | 2 | 7 | 1 | 1 | 16 | 2 | 9 | true |
26 | null | МОЩНО
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Или нет, нет так.
МОЩЬ, НО можно больше. Мой принцип во всем, особенно в просвещении. Поэтому обещал вам 3 часа семинара, а выдал почти 5!
Теперь вы знаете:
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почему с ранней сединой надо идти к эндокринологу, а не парикмахеру;
🧬
почему в слове «липопротеины» не надо бояться приставки «липо», наоборот, их стоит любить, ценить и уважать;
🧬
вдоль и поперек изучили молекулу коллагена, обсудили, может ли она быть растительной и нужно ли её пить?
🤔
Или это маркетинговый ход фармкомпаний;
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эпиляция: да или не стоит?
🧬
почему уводить чужого мужа из семьи атата и причем здесь свободные радикалы
😄
О сложном пРОСТо — мой девиз. И я счастлив, что с каждым новым продуктом вы становитесь аудиторией, с которой мы общаемся на одном языке и вместе растем интеллектуально.
Кто был? Помашите рукой. Поделитесь эмоциями, расскажите, как вам? Всё ли понятно? Собрали вопросы к эфиру 6 октября? | https://t.me/magerya/11347?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,400 | 0 | 1,727,674,733 | 1,730,797,690 | 10,216 | 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26 | null | Каждый блогер | https://t.me/sudmednotes/9016?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,300 | 0 | 1,727,971,815 | 1,730,797,690 | 10,216 | 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| null | NEUTRAL | rus | NOT SPAM | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Ответ на загадку
upd. Вы мои глазастые. Справа внизу небольшая доброкачественная опухоль - остеома. Растет медленно, дискомфорта не доставляет. Хотя может это фрагмент кожи прилип
Ставь огонечек
🔥
, если надоели шлюхоботы в комментариях | https://t.me/sudmednotes/9022?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 53,000 | 0 | 1,728,020,093 | 1,730,797,690 | 10,216 | 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| null | NEUTRAL | rus | NOT SPAM | 34 | 0 | 0 | 0.976744 | 0.023256 | 0 | 3 | 4 | 2 | 0 | 12 | 3 | 7 | true |
26 | null | Всем привет
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дублирую важные сторис
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Продолжаю сталкиваться со случаями самолечения. Это очень конечно смело. Зачастую смертельно. | https://t.me/DrAnshina/1060?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 17,600 | 0 | 1,705,644,608 | 1,730,797,691 | 10,257 | 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| null | NEGATIVE | rus | NOT SPAM | 18 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 2 | 0 | 3 | 5 | 7 | true |
26 | null | Много вопросов: можно ли вскрывать капсулы с омегой, если не можете глотать.
Посмотрите видео, Маша старалась
❤️
Ответ: да, можно, свойства при этом не теряются.
Сама капсула делается из говяжего желатина (много вопросов было, поэтому отвечаю). Это относится ко всей нашей омеге и витамину Д.
Можно разжевать и саму капсулу или проглотить или выплюнуть. Как вам нравится.
Можно вообще вскрыть ножом/ножницами и содержимое вылить в ложку и выпить.
И отвечу еще на один вопрос: производство жидкой омега 3 я не планирую. По причине малого спроса не считаю рентабельным. Обсуждала это с заводом и они подтвердили мои догадки.
https://anshina.com/
#витамины | https://t.me/DrAnshina/1061?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 178,400 | 0 | 1,706,016,577 | 1,730,797,691 | 10,255 | 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| [{"ner":"Маша","lemma":"маша","label":"PER","start_pos":95,"end_pos":99},{"ner":"Д.","lemma":"д.","label":"PER","start_pos":290,"end_pos":292},{"ner":"3","lemma":"3","label":"NUM","start_pos":502,"end_pos":503}] | NEUTRAL | rus | NOT SPAM | 99 | 0 | 2 | 0.992366 | 0.007634 | 0 | 6 | 21 | 6 | 2 | 24 | 10 | 23 | true |
26 | null | В последние дни мы обсуждали участившиеся случаи летальных исходов менингитов. В запрещенной соцсети
😎
Там я бываю чаще, почти каждый день. Но тема важная и я должна ее поднять и тут
😘
Сейчас кратко, будет время и наговорю вам подробный подкаст.
Самые частые инфекции, которые приводят к тяжелым менингоэнцефалитам: менингококковая и пневмококковая. Реже гемофильная.
Чаще умирают дети, но случаи когда умирают взрослые я знаю.
От всех есть вакцины:
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от пневмококка в России в основном делают превенар (сейчас реально получить по ОМС). См. слайд с календарем вакцинации. Я считаю, крайне важно начать в 2 месяца. Если по каким-то причинам не сделали - к педиатру и составлять индивидуальный план вакцинации.
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от менингококка:
Менактра, от серогрупп серогрупп А, С, Y и W-135.
По ОМС только в некоторых регионах России, скажем так: с лучшим финансовым обеспечением региона/отдельной клиники.
Остальным рекомендую сделать платно. Вакцина стоит 3-9 т.р. (Зависит от клиники). Да, для большинства это приличная сумма. Но на другой чаше весов жизнь.
Гроб и место на кладбище еще дороже (это черный медицинский юмор, я столько смертей видела, что имею на него право).
Делается детям с 9 месяцев 2х кратно (промежуток 3 месяца).
Детям старше 2 лет и взрослым однократно.
✅
Бексеро, от менингококка серогруппы В.
В России несколько лет как зарегистрирован, поставок нет. Если вы выезжаете в другие страны (Турция, Эмираты, Израиль, страны ЕС), то можно сделать там.
Я ждала эту вакцину, не дождалась и мы с Машей или купим в аптеке или поедем в клинику и сделаем в мае в Турции. Я тоже собираюсь вакцинироваться. Потом поделюсь прайсом.
Детям с 2 месяцев и взрослым: 2х кратная вакцинация с интервалом не менее 1 месяца.
Надо делать и Менактру и Бексеро!! Т.к. они от разных серогрупп!
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гемофильная инфекция. От нее также есть вакцина. Делается детям с 3 месяцев по ОМС (АКТ-ХИБ, Хиберикс, также в составе комплексных вакцин Пентаксим, Инфанрикс Гекса).
У кого есть мое руководство по Вакцинации - читайте, там очень подробно.
#вакцинация | https://t.me/DrAnshina/1065?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 16,200 | 0 | 1,706,280,022 | 1,730,797,691 | 10,257 | 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| 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| 12 | 81 | 28 | 79 | true |
26 | null | Защитные функции глаза
Защиту глаз обеспечивают глазница, ресницы, веки, конъюнктива и слезные железы.
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Костные структуры глазницы защищают глаз, не ограничивая его движение.
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Ресницы — короткие и жесткие волосы, располагаются на краю века и служат физическим барьером, предотвращая попадание инородных частиц в глаза.
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Веки — тонкие складки кожи и мышцы, закрываются над глазом, создавая механический барьер от внешних факторов.
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Конъюнктива, на влажной тыльной поверхности века, покрывает глазное яблоко и защищает его чувствительные ткани.
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Процесс моргания помогает равномерно распределить слезы по поверхности глаза.
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Слезы — состоят из водного, слизистого и масляного слоев. Обеспечивают влажность глаза, защищая его от сухости, травмирования и инфекции.
Слезы также смывают небольшие частицы и содержат антитела, помогающие бороться с инфекциями. | https://t.me/dr_Guvarsha/73?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 101,800 | 0 | 1,683,037,467 | 1,730,797,691 | 10,256 | 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| null | NEUTRAL | rus | NOT SPAM | 118 | 0 | 0 | 1 | 0 | 0 | 18 | 19 | 1 | 0 | 45 | 2 | 38 | true |
26 | null | Возрастные изменения глаз
Со временем хрусталик становится менее эластичным и менее способным фокусироваться на ближайших объектах, что называется пресбиопией.
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Этот процесс можно компенсировать с помощью очков для чтения или бифокальных линз.
Возрастные изменения глаз могут проявляться следующим образом:
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Желтоватый или коричневатый оттенок хрусталика из-за воздействия ультрафиолетового излучения, ветра и пыли.
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Утончение конъюнктивы.
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Увеличение прозрачности склеры, что придает ей голубоватый оттенок.
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Уменьшение количества слизи в конъюнктиве, а также количество вырабатываемых слез, что может привести к сухости глаз.
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Слабость мышц века может привести к различным нарушениям (выворот века, заворот века, опущение верхнего века).
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Уменьшение жира вокруг глазницы может вызвать энофтальм (отступление глазного яблока назад) или отек век.
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С возрастом также ухудшается работа мышц, регулирующих размер зрачка, что может привести к трудностям в адаптации к изменяющемуся освещению и затруднениям в видении в темноте.
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Возрастные изменения глаз могут сопровождаться ухудшением остроты зрения, уменьшением количества света, достигающего сетчатки, и появлением плавающих помутнений в поле зрения. | https://t.me/dr_Guvarsha/74?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 102,100 | 0 | 1,683,038,170 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 159 | 1 | 1 | 1 | 0 | 0 | 15 | 23 | 5 | 0 | 76 | 6 | 45 | true |
26 | null | Физические нагрузки: ключ к здоровой жизни!
Регулярные тренировки не только улучшают физическую форму, но и делают наше тело более стойким к различным заболеваниям.
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Преимущества физических упражнений:
Здоровое сердце:
Тренировки укрепляют сердечную мышцу, повышают ее эффективность и снижают риск сердечно-сосудистых заболеваний.
Легкие полны кислорода:
Благодаря тренировкам, наши легкие становятся более эффективными в поставке кислорода в тело, что повышает нашу выносливость и жизненную энергию.
Здоровая фигура:
Регулярные упражнения помогают поддерживать здоровый вес, улучшают обмен веществ и формируют стройную фигуру.
Борьба с заболеваниями: Физическая активность снижает риск развития рака, диабета и других серьезных заболеваний.
Отличное настроение: Тренировки стимулируют выработку эндорфинов - гормонов счастья, которые делают нас более оптимистичными и уверенными в себе.
Укрепление мышц и суставов: Тренировки не только укрепляют мышцы, но и улучшают гибкость суставов, предотвращая травмы и болевые ощущения.
Поддержание самостоятельности:
Для пожилых людей тренировки помогают сохранить мобильность, уменьшить риск падений и оставаться активными на протяжении всей жизни.
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Не забывайте: Чем активнее мы сегодня, тем здоровее будем завтра. Не упускайте возможность поддерживать свое здоровье с помощью регулярных физических нагрузок. | https://t.me/dr_Guvarsha/75?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 98,900 | 0 | 1,683,396,330 | 1,730,797,691 | 10,256 | 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| null | NEUTRAL | rus | NOT SPAM | 170 | 0 | 0 | 1 | 0 | 0 | 32 | 24 | 5 | 0 | 66 | 6 | 36 | true |
26 | null | Что такое горная болезнь?
Горная болезнь, вызванная недостатком кислорода на большой высоте, представляет собой состояние, которое может возникнуть при быстром подъеме на высоту, где атмосферное давление снижается.
Симптомы высотной болезни варьируются от легких дискомфортных ощущений до серьезных состояний, которые могут быть опасными для жизни.
Среди основных симптомов высотной болезни можно выделить
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головную боль
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усталость
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тошноту или потерю аппетита
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раздражительность
В более тяжелых случаях могут наблюдаться одышка, дезориентация и даже кома.
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Диагностика высотной болезни в первую очередь основывается на клинических симптомах, таких как перечисленные выше.
Для подтверждения диагноза могут использоваться данные об анамнезе, осмотр и измерение уровня кислорода в крови.
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Факторы риска, которые могут повысить вероятность развития высотной болезни, включают наличие высотной болезни в анамнезе, быстрое восхождение на большую высоту, перенапряжение и ночевку на значительной высоте. | https://t.me/dr_Guvarsha/76?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 96,800 | 0 | 1,683,396,354 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 132 | 0 | 1 | 1 | 0 | 0 | 22 | 17 | 5 | 0 | 51 | 4 | 33 | true |
26 | null | Виды мозолей
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Водяная мозоль: Образуется из отделившегося рогового слоя кожи, наполняясь лимфой под воздействием трения или давления. При продолжительном воздействии может превратиться в сухую мозоль.
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Сухая мозоль и натоптыши: Защитная реакция организма на постоянное повреждение кожи. В этом случае роговой слой становится утолщенным, грубым и уплотненным, защищая более глубокие слои кожи.
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Стержневая мозоль: Появляется в ответ на длительное давление или попадание занозы в кожу. Отличается наличием конусоподобного стержня, проникающего вглубь кожи и защищающего окружающие ткани от инфекции.
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Самостоятельно сформированная сухая мозоль: Может возникнуть минуя водяную стадию, обусловленная длительным воздействием трения или давления на кожу.
Понимание видов мозолей поможет выбрать правильные методы их лечения и предотвращения в будущем. | https://t.me/dr_Guvarsha/77?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 96,200 | 0 | 1,683,396,998 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 111 | 0 | 1 | 1 | 0 | 0 | 19 | 19 | 0 | 0 | 45 | 3 | 25 | true |
26 | null | Ланцет 27 июня 2024:
«Снижение систолического артериального давления до менее чем до 120 мм рт.ст. по сравнению с менее чем 140 мм рт.ст. у пациентов с высоким сердечно-сосудистым риском: открытое рандомизированное исследование»
Заключение: «Для пациентов с гипертонией и высоким сердечно-сосудистым риском, независимо от состояния диабета или истории инсульта, стратегия лечения, направленная на снижение систолического артериальное давление менее 120 мм рт. ст. по сравнению с давлением менее 140 мм рт. ст., предотвращает крупные сосудистые катастрофы с незначительным избыточным риском».
Короче- снижать ниже 120!!!!!! Но лично себе я бы этого не делал. Дело в том, что ниже 140 многие стандартные препараты снижают неплохо. Но вот- 130 и встало! Что делать: увеличивать дозу? Вводить новый препарат? Менять комбинацию? Любой из этих подходов чреват побочными явлениями. И вот выбор: идти на эти усилия и взвешивать риски и бенефиты? Или плюнуть и радоваться достигнутому?
Мой совет: лекарства не трогать, дозу не увеличивать, но использовать тот резерв, что есть- отказаться от соли, совсем!, пища богатая Вит Д, магнием, калием и аэробные регулярные нагрузки! | https://t.me/drmyasnikov/2465?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 81,600 | 0 | 1,720,611,969 | 1,730,797,691 | 10,255 | 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26 | null | Безоар – плотное скопление частично переваренных и непереваренных остатков, которое обычно возникает в желудке.
В средние века и до эпохи Возрождения безоары высоко ценились за свои предполагаемые лечебные свойства, в частности как противоядия. Это убеждение берет свое начало в нескольких древних культурах, особенно в Персии и Индии, прежде чем распространиться в Европе.
Безоары считались драгоценными камнями и часто оправлялись в украшения или использовались как амулеты, чтобы носить их с собой или применять в случае необходимости. Их часто погружали в напитки для нейтрализации ядов, и эта практика основывалась на идее, что безоары могут абсорбировать или нейтрализовать токсичные вещества.
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см след пост | https://t.me/drmyasnikov/2466?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 69,200 | 0 | 1,720,719,819 | 1,730,797,691 | 10,258 | 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| [{"ner":"Персии","lemma":"персия","label":"LOC","start_pos":320,"end_pos":326},{"ner":"Индии","lemma":"индия","label":"LOC","start_pos":329,"end_pos":334},{"ner":"Европе","lemma":"европа","label":"LOC","start_pos":366,"end_pos":372}] | NEUTRAL | rus | NOT SPAM | 101 | 0 | 1 | 1 | 0 | 0 | 8 | 15 | 4 | 1 | 27 | 7 | 14 | true |
26 | null | ⏫️
Безоар.
Конкремент каменистой плотности, образующийся в желудке животных их проглоченных волос, несъедобных включений.
В древности считался мощным лечебным и магическим действием. Из-за своей редкости беозаровый камень относился к драгоценностям и очень дорого стоил. До и сегодня попадаются сообщения, как беозаровые камни продают за сотни тысяч долларов.
На самом деле беозар встречается у человека. Раньше думали, что крайне редко. Но с развитием гастроскопии убедились, что это не совсем так. 0,4% всех гастроскопий обнаруживают его у людей, а гастроскопия производиться миллионам и миллионам людей.
Они различаются по составу:
1 Фитобезоары. Неперевариваемые остатки фруктов. И тут на первом месте- ХУРМА! Непростой фрукт, любители хурмы- знайте меру!
2 Трихобезоары. Камень из проглоченных волос. Встречается чаще у женщин 20-30 лет. Могут достигать гигантских размеров вплоть до того, что выходят в полость 12 перстной кишки!
3 Формобезоары- формируются из оболочек таблеток- аспирина, нифедипина, теофиллина, сукральфата.
Факторы риска- сниженная моторика желудка, недостаточное прожевывание пищи, обезвоживание, диабет, прием некоторых лекарств, замедляющих опорожнение желудка.
Как правило бессимптомен годами, но может проявляться плохим запахом изо рта, болями, развитием язвы и даже перфорацией желудка, непроходимостью кишечника
Нашел в интернете, как не так давно один китайский фермер продал безоар свиньи за 600 тыс $! | https://t.me/drmyasnikov/2467?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 72,800 | 0 | 1,720,719,843 | 1,730,797,691 | 10,258 | 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26 | null | Снижение функции щитовидной железы и повышенный холестерин.
Когда-то считалось, что повышение холестерина является симптомом болезни щитовидной железы. (Coronary-artery disease in hypothyroidism.
Bastenie PA, Vanhaelst L, Neve P
Lancet. 1967;2(7528):1221)-1967 год!
Потом решающая (казалось) роль повышения холестерина в развитии инфарктов и инсультов привела к бурному развитию этой темы в борьбе с сердечно-сосудистыми заболеваниями и темы щитовидной железы ушла на совсем задний план.
Но ведь она никуда не ушла!
Повышенный холестерин остается одним из проявлений гипотиреидизма. Аутоиммунный тироидит- очень и очень распространенная болезнь. Более того- масса людей имеют «скрытый» гипотиреоз: когда гормоны щитовидной железы еще годами в норме, но ТТГ (гормон гипофиза, регулирующий работу щитовидной железы) повышен (4-10). И эти люди так же имеют повышенный холестерин как следствие этого скрытого гипотиреидизма.
Конечно только изолированное повышение холестерина скорее всего не приведет к инфаркту, причины его многофакторные (гипертония, повышение сахара, снижение почечной функции, избыточный вес, курение). Но риски болезни это повышение несомненно увеличивают.
Врачи назначают этим пациентам статины и очень часто видят побочное явление- мышечную слабость и боли. Дело в том, что и статины и гипотиреоз могут вызывать мышечный дискомфорт, поэтому применение статинов при гипотиреозе многократно увеличивают риски побочных явлений.
Практический вывод: если у вас обнаружили повышенный холестерин- проверьте функцию щитовидной железы (ТТГ).
Если функция снижена- начинайте приём гормонов щитовидной железы- большая вероятность, что это лечение нормализует холестерин безо всяких статинов!
Вот что говорят современные рекомендации:
«Таким образом, все пациенты с гиперхолестеринемией (и гипертриглицеридемией) должны пройти скрининг на гипотиреоз (и другие вторичные причины гиперлипидемии) перед тем, как получить специальную липидно-понижающую лекарственную терапию.
При наличии гипотиреоза пациент должен лечиться Т4 (гормон щитовидной железы) в течение трех-четырех месяцев. Если концентрация липидов в сыворотке крови не вернется к нормальной, может быть показана специальная терапия для понижения липидов. (Статины) | https://t.me/drmyasnikov/2468?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 75,000 | 0 | 1,720,854,224 | 1,730,797,691 | 10,255 | 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| [{"ner":"ТТГ","lemma":"ттг","label":"ORG","start_pos":753,"end_pos":756},{"ner":"гипертриглицеридемией","lemma":"гипертриглицеридемией","label":"LOC","start_pos":1798,"end_pos":1819},{"ner":"1967","lemma":"1967","label":"NUM","start_pos":237,"end_pos":241},{"ner":"2","lemma":"2","label":"NUM","start_pos":242,"end_pos":243},{"ner":"7528","lemma":"7528","label":"NUM","start_pos":244,"end_pos":248},{"ner":"1221","lemma":"1221","label":"NUM","start_pos":250,"end_pos":254},{"ner":"1967","lemma":"1967","label":"NUM","start_pos":256,"end_pos":260},{"ner":"4","lemma":"4","label":"NUM","start_pos":823,"end_pos":824},{"ner":"10","lemma":"10","label":"NUM","start_pos":825,"end_pos":827},{"ner":"4","lemma":"4","label":"NUM","start_pos":2029,"end_pos":2030}] | NEUTRAL | rus | NOT SPAM | 281 | 0 | 7 | 0.967302 | 0.032698 | 0 | 44 | 32 | 7 | 7 | 107 | 18 | 61 | true |
26 | null | Устойчивость не ограничивается вопросами окружающей среды, социального и экономического процветания. Реализация стратегий устойчивого развития, в том числе внутри художественных институций и арт-резиденций, напрямую связана с конкретными людьми, ответственными за принятие решений и воплощение их на практике. Часто их роль растворяется в общей деятельности организации, но и им, в первую очередь, важно сохранять устойчивую способность к выполнению своих обязанностей.
В этом интервью участница Reside/Sustain Адель Ким обсуждает вопросы личной устойчивости в работе арт-резиденций с психологом, специалистом по профессиональному выгоранию и основательницей психологического центра «Вдох» Ольгой Сориной.
Ольга проводит консультации и супервизии для работников НКО и людей из других индустрий, руководит социально-психологическими проектами и является автором книги «Так можно: не выгореть, помогая другим» (БФ «Нужна помощь», 2023).
Если вы в РФ для чтения потребуется VPN. | https://t.me/imatrip/1921?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,600 | 0 | 1,713,602,704 | 1,730,797,691 | 10,255 | 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26 | null | Психосоматический парадокс — понятие, введённое французским психоаналитиком Клодом Смаджой.
Если говорить коротко, то психосоматическим парадоксом является улучшение психического состояния пациента при возникновении у него тяжёлой соматической болезни.
Суть феномена состоит в том, что пациенты, у которых было диагностировано серьёзное, как правило, неизлечимое заболевание, очень часто парадоксальным образом начинают испытывать нарциссический подъём – состояние, близкое к эйфории.
При этом сами пациенты оценивают своё состояние как не совсем нормальное, потому что на сознательном уровне они, естественно, понимают, что радоваться тут нечему, но одновременно с этим они сообщают, что появляются силы, активируется жизненный тонус.
Рассмотрим несколько наиболее признанных объяснений такой необычной динамики.
Первое объяснение связано со снижением у пациента бессознательного чувства вины: наказание в виде тяжёлого заболевания получено, и уже само это приносит огромное облегчение. Второе объяснение связано с тем, что эссенциальная депрессия отступает.
А эссенциальная депрессия характеризуется в первую очередь снижением либидо, жизненного тонуса, «заморозкой» всех влечений и инстинктов. Как только появляется болезнь, эссенциальная депрессия как будто куда-то девается. А когда эссенциальная депрессия отступает, то у человека появляется больше сил, исчезают хроническая усталость, напряжённость и изматывающее состояние постоянного стресса. Естественно, что человек начинает чувствовать себя намного лучше.
Ещё одно объяснение можно найти у Пьера Марти, французского психиатра и психоаналитика, известного главным образом своим вкладом в психосоматику. Марти предположил, что болезнь становится объектом, вокруг которого происходит психическая реорганизация пациента, а медперсонал или лица, осуществляющие уход за больным, выполняют "материнскую функцию" и предоставляют пациенту нарциссическую подпитку.
Из конспекта семинара Л.И. Фусу о французской психосоматической школе.
Текст со страницы Андрея Карпова (с небольшим сокращением).
#психоанализ
#психосоматика | https://t.me/imatrip/1922?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,000 | 0 | 1,713,711,602 | 1,730,797,691 | 10,255 | 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| [{"ner":"Клодом Смаджой","lemma":"клод смаджой","label":"PER","start_pos":76,"end_pos":90},{"ner":"Пьера Марти","lemma":"пьер марти","label":"PER","start_pos":1552,"end_pos":1563},{"ner":"Марти","lemma":"марти","label":"PER","start_pos":1664,"end_pos":1669},{"ner":"Л.И. Фусу","lemma":"л.и. фусу","label":"PER","start_pos":1939,"end_pos":1948},{"ner":"Андрея Карпова","lemma":"андрей карпов","label":"PER","start_pos":2006,"end_pos":2020}] | NEUTRAL | rus | NOT SPAM | 251 | 0 | 3 | 1 | 0 | 0 | 42 | 38 | 11 | 3 | 76 | 16 | 57 | true |
26 | null | Шварц Ариэль - Терапия комплексного посттравматического стрессового расстройства
Книга д-ра Ариэль Шварц представляет собой практическое руководство по терапии комплексного посттравматического стрессового расстройства (К-ПТСР) и рассматривает все аспекты процесса восстановления, от симптоматики до практического применения различных терапевтических подходов. Этапы восстановления проиллюстрированы вдохновляющими историями из практики автора и поддержат читателя при возникновении трудностей. Книга насыщена актуальной информацией, содержит задания и вопросы для самопроверки, рекомендации по выработке навыков и полезных привычек, советы по созданию и поддержанию мотивации, и позволяет терапевту совместно с клиентом разработать и реализовать план восстановления.
Руководство рассчитано на практикующих терапевтов и консультантов, работающих с ПТСР, и на клиентов, проходящих терапию.
#литература #травма | https://t.me/imatrip/1931?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,000 | 0 | 1,714,149,509 | 1,730,797,691 | 10,255 | 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| [{"ner":"Шварц Ариэль - Терапия","lemma":"шварц ариэль - терапия","label":"PER","start_pos":0,"end_pos":22},{"ner":"Ариэль Шварц","lemma":"ариэль шварц","label":"PER","start_pos":92,"end_pos":104},{"ner":"терапевту","lemma":"терапевт","label":"LOC","start_pos":689,"end_pos":698},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":847,"end_pos":851}] | NEUTRAL | rus | NOT SPAM | 102 | 0 | 3 | 1 | 0 | 0 | 13 | 13 | 1 | 0 | 46 | 3 | 16 | true |
26 | null | Семинар уже завтра
❗️ | https://t.me/magerya/11338?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 34,700 | 0 | 1,727,510,707 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | true |
26 | null | Какие вопросы по семинару ещё остались?
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🙌 | https://t.me/magerya/11339?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 34,700 | 0 | 1,727,514,306 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 11 | 0 | 0 | 1 | 0 | 0 | 1 | 3 | 0 | 0 | 2 | 1 | 3 | true |
26 | null | Анализы сдавать не обязательно
❗️ | https://t.me/magerya/11340?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 36,400 | 0 | 1,727,518,209 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 1 | true |
26 | null | Жду вас в это воскресенье 29.09 в 11:00
👉🏼
https://docmagerya.ru/molodost?utm_source=tg | https://t.me/magerya/11341?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 42,400 | 0 | 1,727,521,814 | 1,730,797,691 | 10,255 | 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26 | null | Это автопортрет нидерландского художника
Дика Кета
. Сможете предположить заболевания глядя только на внешний вид художника?
Записки судмедэксперта | https://t.me/sudmednotes/9009?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 55,700 | 0 | 1,727,815,210 | 1,730,797,691 | 10,255 | 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| [{"ner":"Дика Кета","lemma":"дик кета","label":"PER","start_pos":41,"end_pos":50}] | NEUTRAL | rus | NOT SPAM | 18 | 0 | 0 | 1 | 0 | 0 | 2 | 3 | 1 | 0 | 7 | 0 | 2 | true |
26 | null | Ловите простую загадку
Что это?
Что с этим? | https://t.me/sudmednotes/9011?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 55,800 | 0 | 1,727,883,258 | 1,730,797,691 | 10,255 | 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| null | NEUTRAL | rus | NOT SPAM | 8 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 4 | 0 | 1 | 0 | 2 | true |
26 | null | Про грипп, ковид! Тактика лечения с препаратами!!
Напоминаю: пост носит ознакомительный характер, всю терапию вам назначать должен ваш врач!!
Про симптомы гриппа, про тесты.
Про дефициты.
Слушайте на ускоренном
💕
#домашнийдоктор
#препараты | https://t.me/DrAnshina/1050?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 159,500 | 0 | 1,704,956,407 | 1,730,797,692 | 10,267 | 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| null | NEUTRAL | rus | NOT SPAM | 32 | 0 | 0 | 1 | 0 | 0 | 2 | 5 | 1 | 0 | 15 | 0 | 13 | true |
26 | null | Много вопросов поступает про нашу омегу и витамин Д.
Аккаунт с полезными постами и подкастами
Также посты есть на сайте
https://anshina.com | https://t.me/DrAnshina/1054?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 20,300 | 0 | 1,705,048,572 | 1,730,797,692 | 10,267 | 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| [{"ner":"https://anshina.com","lemma":"https://anshina.com","label":"ORG","start_pos":120,"end_pos":139}] | NEUTRAL | rus | NOT SPAM | 21 | 0 | 1 | 0.958333 | 0.041667 | 0 | 1 | 1 | 0 | 0 | 8 | 2 | 0 | true |
26 | null | Применение с целью устранения пятен постакне :
локально на пятно на 20 минут 1 раз в день ( курс лечения 14 дней) , и/или 1 раз в неделю на все лицо на такой же временной промежуток, как масочку для сужения пор .
Лицо немного щиплет, бадяга так работает .
После смыть тёплой водой.
У некоторых кожа может шелушиться,
Поэтому лучше сразу после бодяги увлажнять кожу кремами
👌🏼 | https://t.me/dr_Guvarsha/68?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 97,100 | 0 | 1,680,800,276 | 1,730,797,692 | 10,268 | 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| [{"ner":"20","lemma":"20","label":"NUM","start_pos":68,"end_pos":70},{"ner":"1","lemma":"1","label":"NUM","start_pos":77,"end_pos":78},{"ner":"14","lemma":"14","label":"NUM","start_pos":105,"end_pos":107},{"ner":"1","lemma":"1","label":"NUM","start_pos":122,"end_pos":123}] | NEUTRAL | rus | NOT SPAM | 67 | 0 | 1 | 1 | 0 | 0 | 3 | 6 | 0 | 4 | 26 | 5 | 12 | true |
26 | null | Точеные скулы по-прежнему остаются в топе онлайн-поисков. Контуринг, инстаграмм-фильтры массажные роллеры и корейские присоски — что только мы не готовы купить и освоить, чтобы получить заветный овал, как у моделей. Многие девушки кардинально подходят к решению проблемы и записываются на операцию по удалению комков Биша — к которой у всех до сих пор очень много вопросов.
Что такое комки Биша
Между щечной мышцей и поверхностными мышцами лица (жевательной, большой и малой скуловыми) находятся жировые образования, которые называют комочками, или комками Биша, по фамилии французского анатома и физиолога Мари Франсуа Ксавье Биша. Если их вырезать, то скулы станут более заметными, — по крайней мере, так принято считать
🤷🏻♀️ | https://t.me/dr_Guvarsha/69?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 93,700 | 0 | 1,681,373,327 | 1,730,797,692 | 10,267 | 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| [{"ner":"Биша","lemma":"биша","label":"PER","start_pos":317,"end_pos":321},{"ner":"Биша","lemma":"биша","label":"PER","start_pos":390,"end_pos":394},{"ner":"Биша","lemma":"биша","label":"PER","start_pos":557,"end_pos":561},{"ner":"Мари Франсуа Ксавье Биша","lemma":"марь франсуа ксавье биша","label":"PER","start_pos":607,"end_pos":631}] | NEUTRAL | rus | NOT SPAM | 107 | 0 | 0 | 1 | 0 | 0 | 16 | 13 | 6 | 0 | 32 | 10 | 23 | true |
26 | null | НЕ ВСЕ ТО ЗОЛОТО, ЧТО БЛЕСТИТ
или
НЕ ВСЕ ТО, ЧТО НА ЭТИКЕТКЕ «БЕЗ САХАРА» – ТАКОВЫМ ЯВЛЯЕТСЯ НА САМОМ ДЕЛЕ
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Приветствую, дорогие
😍
Думаю, многие из нас встречали вот эти приятные, успокаивающие глаз и нашу тревожность надпись «без сахара».
А так ли это на самом деле?
Чтобы проверить, переворачиваем продукт на развернутый состав и устраиваем ревизию по компонентам
👆
Ниже выкладываю список того, что по своей химической структуре является тем же сахаром
И не обманывайтесь на громкие этикетки «без сахара» / «ноу эддэд шугар»!
Потому что маркетологи вполне успешно создают иллюзию того, что это более «здоровый» продукт, который в действительности таковым не является.
Доверяйте, но проверяйте
🤥 | https://t.me/dr_Guvarsha/70?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 97,500 | 0 | 1,681,374,066 | 1,730,797,692 | 10,267 | 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| [{"ner":"ЭТИКЕТКЕ «БЕЗ САХАРА»","lemma":"этикетка \"без сахар\"","label":"ORG","start_pos":52,"end_pos":73},{"ner":"эддэд шугар","lemma":"эддэд шугар","label":"PER","start_pos":515,"end_pos":526}] | NEUTRAL | rus | NOT SPAM | 109 | 0 | 21 | 1 | 0 | 0 | 10 | 14 | 6 | 0 | 21 | 6 | 28 | true |
26 | null | Приветствую вас, дорогие
😌
Я тут в очередном процессе похудения
И в этот раз что-то все грустно переносится
Обычно легко худела
Но сейчас какой-то ад
👹
Стала подозревать вполне серьезного у себя РПП
☹️
*РПП- наверное, многие из вас слышали эту аббревиатуру
РПП= расстройство пищевого поведения :
ряд поведенческих синдромов, связанных с нарушениями процесса принятия пищи: нервная анорексия, нервная булимия, атипичная нервная анорексия и атипичная нервная булимия, избирательно ограничительное расстройство (ИОРПП), психогенное переедание, психогенная рвота, психогенное нарушение глотания и другие
Ни одним из перечисленных в открытой форме не страдаю
Но заедать стресс , а затем стрессовать по причине того, что заела -умею, практикую
🤥
Думаю , это можно отнести от части к РПП
Какой-то порочный круг получается
🔄
Давайте разбираться!
👇🏻 | https://t.me/dr_Guvarsha/71?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 97,800 | 0 | 1,682,260,984 | 1,730,797,692 | 10,267 | 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| [{"ner":"РПП\nКакой-то","lemma":"рпп\nкакой-то","label":"ORG","start_pos":778,"end_pos":790}] | NEGATIVE | rus | NOT SPAM | 121 | 0 | 7 | 1 | 0 | 0 | 19 | 19 | 10 | 2 | 29 | 11 | 21 | true |
26 | null | Общие сведения о крови
Кровь – это сложная смесь, включающая в себя плазму (жидкий компонент), эритроциты (ответственные за перенос кислорода), лейкоциты (клетки, защищающие от инфекций) и тромбоциты (участвующие в процессе свертывания).
В организме человека содержится примерно 5 литров крови.
Сердце перекачивает ее по всему телу за 20–30 секунд, обеспечивая полный круг кровообращения.
Кровь выполняет множество важных функций
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Переносит кислород и питательные вещества.
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Удаляет углекислый газ и другие продукты обмена веществ.
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Транспортирует гормоны, обеспечивая коммуникацию между различными частями тела.
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Борется с инфекциями и останавливает кровотечения. | https://t.me/dr_Guvarsha/72?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 100,000 | 0 | 1,683,036,565 | 1,730,797,692 | 10,267 | 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| [{"ner":"20–30","lemma":"20–30","label":"DATE","start_pos":335,"end_pos":340},{"ner":"5","lemma":"5","label":"NUM","start_pos":279,"end_pos":280},{"ner":"30","lemma":"30","label":"NUM","start_pos":338,"end_pos":340}] | NEUTRAL | rus | NOT SPAM | 89 | 0 | 1 | 1 | 0 | 0 | 10 | 13 | 2 | 2 | 39 | 1 | 32 | true |
26 | null | Работаем братья!
Za наших ребят,За ВДВ!
https://rutube.ru/video/a00fe851e9ca6940f30c51c42df8debb/?ysclid=ly7fnwcc1q223260691 | https://t.me/drmyasnikov/2460?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 84,000 | 0 | 1,720,120,730 | 1,730,797,692 | 10,267 | 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26 | null | Повторю давний свой пост:
Болезни, которые проходят сами.
Self-limited.
“Насморк если его лечить проходит через 7 дней, если нет- через неделю».
Это касается почти всех вирусных заболеваний, во всяком случае ОРВИ.
Мы не можем гарантировано воздействовать на сам вирус, лечим только осложнения и облегчаем симптоматику.
ОРЗ, грипп, КОВИД, вирусные гаймориты, ангины, бронхиты…..
Сюда же относятся неосложненные грыжи межпозвонковых дисков, фибромиалгия, синдром раздраженного кишечника, позиционное головокружение, и многое, многое другое.
Добавим сюда внушительный список заболеваний, которые сами не проходят, но которые мы так же можем пытаться лечить только систематически: шум в ушах, остеоартрит, неинфекционные циститы, простатиты, головная боль напряжения и проч.
И вот тут вопрос: что с этим делать? Доказательная западная медицина говорит: объяснять пациентам реальное положение вещей и избегать ненужных лекарств и обследований. Именно поэтому все наши соотечественники за рубежом считают Западную медицину убогой и неэффективной.
Мы идем другим путем: успокаиваем, даем препараты недоказанной эффективности, витамины и проч «голубую воду». Используем ненужные изначально исследования как психотерапевтическое средство.
Заботимся, одним словом.
У меня врачебный стаж уже 40 лет. Я давно понял, что Западный подход у нас точно не работает: мы не на станции техобслуживания, людям реально плохо и просто сказать им:«пройдёт» или «мы это не лечим» -не профессионально. Если пациент уйдёт от тебя разочарованным, он пойдет лечиться сам- антибиотиками, кроверазжижающими или просто мочой. А это уже совсем другие риски!
Но так же непрофессионально вешать лапшу на уши и заставлять их покупать неэффективные лекарства.
И вот тут нужен правильный контакт с пациентом. Что в условиях нашего ограниченного времени на визит и немыслимую писанину очень трудно.
Совет…… Ну какой тут может быть совет…… Он один- найдите своего врача, которому вы сможете доверять. Где и как- не скажу. Не знаю. Но когда такой контакт есть- от таких врачей уже не уходят. Как раз понятие- семейный врач. У нас бытует поговорка: «со временем твои пациенты становятся твоими друзьями, а твои друзья- твоими пациентами». А вы какой подход предпочитаете?
PS. Вопрос спорный и не совсем корректный в условиях мягко говоря несовершенной нашей медицинской помощи, но мы же просто общаемся, не так ли? | https://t.me/drmyasnikov/2461?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 105,100 | 0 | 1,720,164,123 | 1,730,797,692 | 10,268 | 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| [{"ner":"Насморк","lemma":"насморк","label":"PER","start_pos":73,"end_pos":80},{"ner":"Западную медицину убогой и неэффективной","lemma":"западный медицина убогой и неэффективный","label":"ORG","start_pos":1000,"end_pos":1040},{"ner":"Западный подход","lemma":"западный подход","label":"LOC","start_pos":1309,"end_pos":1324},{"ner":"7","lemma":"7","label":"NUM","start_pos":112,"end_pos":113},{"ner":"40","lemma":"40","label":"NUM","start_pos":1282,"end_pos":1284}] | NEUTRAL | rus | NOT SPAM | 336 | 1 | 11 | 0.993103 | 0.006897 | 0 | 44 | 49 | 27 | 3 | 93 | 29 | 81 | true |
26 | null | Видеорубрика "Для души и тела". Доктор Мясников: человек и мушкетёр?)
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Смотрите на официальном ютьюб-канале "Доктор Мясников"
https://youtu.be/zkum6mgAU3E | https://t.me/drmyasnikov/2462?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 89,900 | 0 | 1,720,267,262 | 1,730,797,692 | 10,267 | 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| [{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":39,"end_pos":47},{"ner":"Мясникову","lemma":"мясникову","label":"PER","start_pos":130,"end_pos":139},{"ner":"Доктор Мясников","lemma":"доктор мясников","label":"ORG","start_pos":249,"end_pos":264},{"ner":"6","lemma":"6","label":"NUM","start_pos":287,"end_pos":288},{"ner":"3","lemma":"3","label":"NUM","start_pos":292,"end_pos":293}] | NEUTRAL | rus | NOT SPAM | 39 | 0 | 0 | 0.983333 | 0.016667 | 0 | 3 | 6 | 0 | 0 | 15 | 7 | 13 | true |
26 | null | Монтень «о воображении»
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Для затравки отрывок:
«Не без основания отмечают своенравие этого органа, так некстати оповещающего нас порой о своей готовности, когда нам нечего с нею делать, и столь же некстати утрачивающего ее, когда мы больше всего нуждаемся в ней; так своенравно сопротивляющегося владычеству нашей воли и с такою надменностью и упорством отвергающего те увещания, с которыми к нему обращается наша мысль. .» | https://t.me/drmyasnikov/2463?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 77,000 | 0 | 1,720,462,242 | 1,730,797,692 | 10,267 | 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| null | NEUTRAL | rus | NOT SPAM | 64 | 0 | 0 | 1 | 0 | 0 | 0 | 10 | 9 | 1 | 17 | 5 | 14 | true |
26 | null | У многих рано или поздно начинают дрожать руки. И чаще всего именно «поздно»- у 6% у лиц в возрасте 65 лет и у 90 этот процент увеличивается до 20%).
И первый вопрос- неужели Паркинсон?! Совершенно не обязательно! Подавляющее большинство людей с тремором (дрожанием рук)- это Эссенциальный Тремор. То есть первичный, рез явной подлежащей причины. Мы понимаем, что большую роль тут играет генетическая предрасположенность.
На самом деле физиологический тремор есть у каждого и в норме.
Здоровые люди имеют симметричный, очень низкоамплитудный, высокочастотный (от 8 до 12 Гц) физиологический тремор рук Физиологический тремор не виден при обычных обстоятельствах, но многие факторы могут усилить физиологический тремор до точки обнаружения: стресс, тревога, возбуждение, мышечная усталость, лихорадка, гипогликемия, абстиненция от алкоголя а также различные лекарства и вещества. Заметный глазу тремор- это уже не норма и самое частое состояние: первичный, эссенциальный тремор
Итак первичный тремор и какие его характеристики?
1 Он как правило симметричный. Может начаться на одной руке, но через какое-то время к ней присоединиться и другая.
2 Может существовать и в покое, когда руки например просто лежат на столе или коленях. Но это при эссенц треморе можно подавить ментальной активностью: например обратный отсчет от 15 до нуля.
3 Усиливается про движении, выполнении задач- поднести кружку ко рту, написать, указать на что-то, например при пробе «указательный палец к носу»
4 Может распространяться на шею и голову (движения но типу «да-да» или «нет-нет» встречаются одинаково часто.
5 Кофеин не усиливает тремор (в отличие от физиологического), а алкоголь и вовсе его убирает.
Людям с Эссенц тремором часто ошибочно ставят диагноз болезни Паркинсона. Это в учебниках все ясно, в жизни не так. Тем более, что и Эссенц тремор и Паркинсон- чисто клинические диагнозы, без нужды в анализах крови и доже МРТ не для диагноза, а что бы исключить опухоль.
Вот как описывает ситуацию один пациент (довольно известный в Америке художник):
«Я впервые проконсультировался с неврологом 15 лет назад по поводу нескольких небольших проблем, которые меня беспокоили. Когда я печатал, я иногда нажимал на клавиатуру по несколько раз, а не только один раз. Моя левая рука начала дрожать много лет назад, но интенсивность ухудшилась до такой степени, что это повлияло на мою способность рисовать и есть. Моя правая рука была в порядке. Я также начал время от времени пошатываться при ходьбе, и я боялся быстро повернуться, опасаясь упасть.
У невролога сложилось впечатление, что у меня была ранняя болезнь Паркинсона, и он прописал небольшую дозу Леводопы, чтобы узнать, поможет ли это сгладить симптомы. Этого не произошло, и я перестал принимать препарат. Я продолжал обращаться к неврологу каждые шесть месяцев в течение следующих пяти лет, и мое состояние оставалось примерно таким же. В конечном итоге врач пришел к выводу, что мои симптомы больше соответствовали Эссенц тремор и что болезнь Паркинсона была менее вероятной. Он предложил лечение моего тремора, (Пропранолол но я отказался, сказав, что как художнику мне понравился стиль с небольшим тремором рук- это сделало мои рисунки немного более интересными!»
Симптомы Паркинсона:
• Дрожание рук (в покое, с одной стороны, часто вовлекается нога, без отчетливого усиления при выполнении задач)
• Ставший мелким почерк
• Ослабший голос
• Потеря запахов
• Ухудшение памяти
• При ходьбе человек больше не размахивает руками
• Скованность в плечах
• Затрудненное сглатывание
• Замедленные движения, сниженная мимика
• Частые позывы к мочеиспусканию, без чувства облегчения после него. | https://t.me/drmyasnikov/2464?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 84,100 | 0 | 1,720,518,154 | 1,730,797,692 | 10,255 | 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| NEUTRAL | rus | NOT SPAM | 541 | 0 | 9 | 1 | 0 | 0 | 54 | 69 | 34 | 22 | 151 | 38 | 112 | true |
26 | null | Мозг младенца по-разному ведет себя в ситуациях, когда родитель отвечает на лепет и жесты и когда отворачивается. Это влияет на речевое развитие ребенка в будущем, выяснили исследователи из США.
https://naked-science.ru/article/psy/reaktsiya-roditelej-na-le | https://t.me/imatrip/1916?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,200 | 0 | 1,712,768,953 | 1,730,797,692 | 10,267 | 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| [{"ner":"США","lemma":"сша","label":"LOC","start_pos":190,"end_pos":193}] | NEUTRAL | rus | NOT SPAM | 30 | 0 | 1 | 0.972973 | 0.027027 | 0 | 1 | 5 | 2 | 0 | 10 | 3 | 4 | true |
26 | null | Вы наверняка знаете людей, которые всегда за все извиняются, а когда вы указываете им на это, они извиняются за то, что извинились. Да, это про меня. Я была такой «тряпкой» более-менее всю жизнь, но чем старше я становилась, тем тяжелее мне было это выносить. Наконец, я решила что-то с этим сделать.
Я не уверена, когда это началось, но помню, когда я поняла, что терпеть больше невозможно. Мой жених и я наконец выбрали дом. Я годами копила на первый взнос, он тоже вложил небольшие сбережения, и мы были счастливы, что дело пошло. Но я кое-что заметила в процессе: все крутилось вокруг моего жениха. Когда я внесла первый платеж, компания по продаже недвижимости поблагодарила его. Ипотечная компания звонила только ему. Он отвечал на все звонки. Я же как будто не имела к этому отношения. Сначала мы просто шутили по этому поводу, но потом настала кульминация. Я подала документы на займ, их одобрили, и мы официально стали собственниками недвижимости. Я отправила письмо с благодарностями ипотечной компании, и на него пришел ответ: «Наши поздравления, Брайан!».
Это было глупо и смешно. Но мне не хотелось смеяться. Я разозлилась. Как бы мелочно это не звучало, но мне хотелось иметь отношение к цели, ради которой я так много работала. Вместо этого я чувствовала себя беспомощной и невидимой. Я разразилась ругательствами, и моя подруга, которая сидела рядом, сказала, что никогда раньше не видела, что бы я злилась. Я извинилась. Я почувствовала вину за то, что не чувствую себя благодарной. В конце концов, я купила дом, и должна быть счастлива. «Тебе не нужно извиняться, – сказала моя подруга. – Ты можешь быть благодарной и все равно хотеть признания».
Сейчас я знаю, что я мягкий человек. Я тихая. Я могу быть «тряпкой». Поэтому я знаю, как это произошло. Но не только этот случай переполнил чашу моего терпения. Годами друзья манипулировали мной, начальники заваливали меня работой, коллеги просили об одолжениях. Я чувствовала себя беспомощной. Я поняла, что могу продолжать жаловаться на это, а могу попытаться понять, почему так происходит. Поэтому я села, подумала над этим, и сформулировала
несколько правил, которые помогают мне не поддаваться другим и стать сильнее
. Я не собиралась менять свой характер, но хотела изменить некоторые социальные привычки, которые мне мешали. | https://t.me/imatrip/1917?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 2,900 | 0 | 1,712,829,090 | 1,730,797,692 | 10,267 | 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| [{"ner":"Брайан","lemma":"брайан","label":"PER","start_pos":1058,"end_pos":1064}] | NEGATIVE | rus | NOT SPAM | 363 | 0 | 16 | 1 | 0 | 0 | 27 | 80 | 79 | 1 | 51 | 31 | 93 | true |
26 | null | Манифестация шизофрении в детском возрасте — большая редкость. Однако в некоторых случаях это заболевание может проявиться и на третьем году жизни ребенка.
НЭН поговорил с женщинами, чьим детям в раннем возрасте поставили диагноз «нарастающая шизофрения», и узнал, как проявлялась и прогрессировала эта болезнь. | https://t.me/imatrip/1918?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,200 | 0 | 1,712,928,600 | 1,730,797,692 | 10,267 | 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| [{"ner":"НЭН","lemma":"нэн","label":"ORG","start_pos":156,"end_pos":159}] | NEUTRAL | rus | NOT SPAM | 43 | 0 | 1 | 1 | 0 | 0 | 4 | 8 | 0 | 0 | 16 | 2 | 9 | true |
26 | null | извините | https://t.me/imatrip/1919?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,400 | 0 | 1,713,004,163 | 1,730,797,692 | 10,267 | 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| null | NEUTRAL | rus | NOT SPAM | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | true |
26 | null | В реальной клинической практике различить биполярное аффективное расстройство (БАР) и рекуррентное депрессивное расстройство (РДР) порой является сложной клинической задачей. Это связано с тем, что пациенты чаще всего обращаются на консультацию в состоянии депрессии, когда ретроспективная оценка гипоманий и маний затруднена. Поздняя диагностика БАР может привести к некорректному использованию антидепрессантов в монотерапии и последующему ухудшению состояния. Несмотря на накопленные данные о клиническом течении и структуре депрессивных эпизодов в рамках БАР и РДР, полученные находки остаются несистематизированными и пока мало применяются в рутинной практике.
Результаты нового исследования, проведённого в НМИЦ ПН им. В. М. Бехтерева, продемонстрировали, что существуют определённые клинические маркеры, позволяющие заподозрить БАР уже в процессе оценки депрессивных симптомов. Выявленные особенности могут помочь в определении лиц из группы высокого риска развития БАР для дальнейшего более тщательного наблюдения.
Читать далее | https://t.me/imatrip/1920?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 3,100 | 0 | 1,713,100,283 | 1,730,797,692 | 10,267 | 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В. М. Бехтерева","lemma":"нмиц пн им. в. м. бехтерев","label":"ORG","start_pos":713,"end_pos":740}] | NEUTRAL | rus | NOT SPAM | 128 | 0 | 12 | 1 | 0 | 0 | 23 | 20 | 3 | 0 | 38 | 8 | 17 | true |
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ИНН: 7810817393
erid: 2VSb5xAB7Rz | https://t.me/magerya/11332?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 36,300 | 0 | 1,727,438,437 | 1,730,797,692 | 10,267 | 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| [{"ner":"ОСЕННЯЯ","lemma":"осенняя","label":"ORG","start_pos":22,"end_pos":29},{"ner":"FitStars","lemma":"fitstars","label":"ORG","start_pos":82,"end_pos":90},{"ner":"FitStars","lemma":"fitstars","label":"ORG","start_pos":416,"end_pos":424},{"ner":"ПРОМОКОД МАГЕРЯ70\n❗\n☝️","lemma":"промокод магеря70\n❗\n☝️","label":"ORG","start_pos":652,"end_pos":674},{"ner":"fitstars.shop","lemma":"fitstars.shop","label":"ORG","start_pos":837,"end_pos":850},{"ner":"ООО Парсек\nИНН","lemma":"ооо парсек\nинн","label":"ORG","start_pos":888,"end_pos":902},{"ner":"7810817393","lemma":"7810817393","label":"DATE","start_pos":904,"end_pos":914},{"ner":"17393","lemma":"17393","label":"DATE","start_pos":909,"end_pos":914},{"ner":"70","lemma":"70","label":"NUM","start_pos":667,"end_pos":669},{"ner":"4","lemma":"4","label":"NUM","start_pos":773,"end_pos":774},{"ner":"599","lemma":"599","label":"NUM","start_pos":775,"end_pos":778},{"ner":"2","lemma":"2","label":"NUM","start_pos":921,"end_pos":922},{"ner":"5","lemma":"5","label":"NUM","start_pos":925,"end_pos":926},{"ner":"7","lemma":"7","label":"NUM","start_pos":929,"end_pos":930}] | NEUTRAL | rus | SPAM | 139 | 0 | 6 | 0.957219 | 0.042781 | 0 | 7 | 18 | 7 | 3 | 37 | 15 | 24 | true |
26 | null | Уже совсем скоро темнеть будет раньше, закапает дождь за окном, вечер станет прохладным, а вам так захочется чего-то уютного и теплого
🧣
Что может быть лучше, чем провести такие вечера с чашечкой горячего чая и кусочком полезного шоколада? И не просто шоколада, а особенного — из кэроба на кокосовом молоке от компании «Жизнивек»
🥥
Этот шоколад создан для тех, кто ценит натуральные продукты и заботится о своем здоровье. Шоколад из кэроба — это 100% натуральный состав, без сахара, кофеина, глютена, лактозы, красителей и ароматизаторов. В нем нет ничего лишнего, только полезные жиры и чистое наслаждение.
И знаете, что особенно приятно? Такой шоколад могут себе позволить даже беременные и дети, ведь он не содержит кофеина и фенилаланина, который часто вызывает мигрени. А сладость кэроба — это натуральная польза!
Вместо добавленного сахара, в нем содержится витамин В8 или инозитол. Этот витамин не только придает шоколаду сладость, но и заряжает вас энергией, так необходимой в осенние дни
🍂
Когда инозитол попадает в организм, он устремляется прямо в головной мозг, помогая нервной системе справляться со стрессом и восстанавливать баланс. С каждым кусочком шоколада из кэроба вы ощущаете, как проходит усталость, а настроение поднимается.
А чтобы наслаждение длилось дольше, «Жизнивек» предлагает целый набор из пяти шоколадок на кокосовом молоке. Позвольте себе немного счастья в эти осенние вечера
☕️
Заказать
👉🏼
wildberries/кэроб_на_кокосовом*5
Реклама ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11333?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 40,300 | 0 | 1,727,452,854 | 1,730,797,692 | 10,267 | 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26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11334?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 35,500 | 0 | 1,727,462,111 | 1,730,797,692 | 10,267 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
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