
Trakya Üniversitesi Sağlık Bilimleri Fakültesi Dekanı Prof. Dr. Sedat Üstündağ, AA muhabirine, diyaliz tedavisi ya da nakil olmazsa hayatını kaybetme riski bulunan hasta sayısının Türkiye'de her geçen gün arttığını ifade etti.
Böbrek yetersizliğinin dünya genelinde en çok artan ülkelerden birinin Türkiye olduğuna dikkat çeken Üstündağ, "1990'lı yılların sonunda Türkiye'de son dönem böbrek hastası, yani diyaliz veya nakil olmazsa yaşamayacak durumda olan hastaların sayısı 1 milyonda yaklaşık 300-350 kişiydi. Günümüzde son rakamalar 1 milyonda 1000 civarında. 20 yıllık dönemde Türkiye'de son dönem böbrek hastalığı, nakil ve diyaliz olmazsa yaşamını sürdüremeyecek hastaların oranı 3 kat artmış oldu." dedi.
Üstündağ, böbrek hastalığının ölüme yol açma konusunda pek çok kanser türünden daha ağır sonuçlar doğurduğunu, böbrek yetersizliğinin birçok sebebinin bulunduğunu belirtti.
Yaşam kalitesini bozan önemli hastalıklar için risk faktörü olan obezitenin böbrek hastalığının gelişiminde önemli bir etken olduğuna değinen Üstündağ, "Kilo fazlalığı tek başına böbreği bozucu bir faktördür. Hareketsiz yaşamın artışı ve işlenmiş hazır gıdalarla beslenmenin artışı obeziteyi beraberinde getiriyor." diye konuştu.
"Ağrı kesiciler böbreği olumsuz etkiliyor"
Prof. Dr. Üstündağ, ağrı kesicilerin birçoğunun da böbreği olumsuz etkilediğini, kadınların daha sık ağrı kesici kullandığına dikkat çekti.
Ağrı kesicilerin bilinçsiz ve kontrolsüz şekilde tüketildiğini ve durumun hastalarda böbrek yetersizliğinin gelişmesine neden olduğunu aktaran Üstündağ, şunları kaydetti:
Ağrı kesicilerin pek çoğu böbreğe dokunuyor. Ağrı kesicilerin fazla kullanılması böbrek yapısını bozuyor. Bir insan hayatı boyunca bir kilogram ağrı kesici tüketirse onun böbrekleri muhakkak belli bir derecede bozulur. Eğer 2-3 kilogram ağrı kesici ilaç tüketirse, bu hastalarda son dönem böbrek hastalığı görmek mümkün olur. Bu hastalar yaşama tutunmak için nakil veya diyaliz tedavisi görmek zorunda kalır. Ortalama bir ağrı kesicinin yarım gram olduğunu düşünürsek, günde bir tane kullanıldığında yılda yaklaşık 200 gram kullanılmış oluyor. Kullanmaya devam edildiğinde 5 sene sonra muhakkak böbreğinizi bozmuş oluyorsunuz. Bizim ülkemizde komşu tavsiyesiyle, arkadaş önerisiyle ağrı kesici kullanımları böbrek hastalığının çok önemli nedeni. Örneğin bir hastanın hipertansiyon nedeniyle enseden başlayıp omuzlara yayılan ağrısı var, bu hastalık tedavi edileceğine ağrı kesici kullanılırsa böbrekler zarar görüyor. Kemik ağrıları olan bir kişi bu hastalığı tedavi etmek yerine ağrı kesici kullanırsa, var olan hastalığın üzerine yeni bir hastalık eklemiş oluyor."
Üstündağ, böbrek nefronlarının gelişiminin anne karnında tamamlandığını, doğumdan sonra böbreklerde yeni bir nefron üremediğini, anne ve çocuk açısından hayati tehlike olmadığı halde zamanından erken yapılan sezaryen doğumların, bebeklerin böbrek gelişimini etkilediğini, bu durumun ileriki yaşlarda böbrek yetersizliğine neden olabildiğini de sözlerine ekledi.
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House-hunting in cities comes with the same problem. When Tim Buntel and Cynthia Graber started looking for homes in Somerville, Massachusetts, they kept finding condos listed for far more than they were worth.
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The number of factory-made homes still pales in comparison to traditional stick-built homes in the United States — just 3% of all single-family homes as of 2024, according to the National Association of Home Builders. The trend is much more popular in Europe; in Sweden, most new homes are built in factories.
“That’s been relatively flat for a number of years,” said Devin Perry, an assistant vice president at the National Association of Home Builders. “But anecdotally, there seems to be momentum behind that method of construction, and people looking for energy efficient options.”
Three New England companies specializing in factory-built and energy efficient homes told CNN they are seeing a rise in interest. Prefabricated homes used to be associated with cheap, poorly made housing, but that has changed.
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Для экономии выбирают сборный груз и сборные грузоперевозки по России, а для срочных задач — фура 20 тонн, бортовая фура или фура грузовая. Доставка по России транспортными компаниями и междугородние грузоперевозки требуют грамотного планирования: рассчитать стоимость доставки поможет калькуляция по тоннажу, километражу и типу транспорта. Многие ищут дешёвые варианты — грузоперевозки по Москве и Московской области дешево или дешевые грузоперевозки по России — но важно не экономить на безопасности при перевозке негабарита.
Услуги транспортной компании включают заказ грузовой машины для переезда, аренду трала и услуги трала по перевозке негабаритных грузов, доставку крупногабаритного товара и перемещение оборудования. Транспортные компании по перевозке грузов по России, такие как ООО ТЛК или ТЛК Трига, предлагают комплексные решения: от оформления разрешений на негабарит до доставки «от двери до двери». Заказать грузоперевозку по Москве и области, заказать трал Москва или арендовать трал для перевозки спецтехники — просто, если выбирать проверенную грузовую компанию и заранее согласовывать условия перевозки.
What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
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• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
What we're covering
• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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What we're covering •…
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• Zelensky in Washington: European leaders will join Ukrainian President Volodymyr Zelensky at the White House, as he meets with US President Donald Trump this afternoon. Trump said Zelensky must agree to some of Russia’s conditions — including that Ukraine cede Crimea and agree never to join NATO — for the war to end.
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• Potential security guarantees: At last week’s summit with Trump, Russian President Vladimir Putin agreed to allow security guarantees for Ukraine and made concessions on “land swaps” as part of a potential peace deal, US envoy Steve Witkoff told CNN. Zelensky suggested that such guarantees would need to be stronger than those that “didn’t work” in the past. Russia has yet to mention such agreements.
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• On the ground: Zelensky condemned Russia’s latest strikes across Ukraine, which killed at least 10 people, saying the Kremlin intends to “humiliate diplomatic efforts” and underscores “why reliable security guarantees are required.”
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It’s no secret how President…
It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.
But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.
The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.
The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.
The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.
“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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Lying down and vomiting between courses: This is how Ancient Romans would feast
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Imagine, if you will, the most glorious festive feast, with an oversize turkey, stuffing two ways, holiday ham, the requisite fixings and at least half a dozen pies and cakes. That may all sound grand — that is, until you consider the extravagant displays of the ancient Roman banquet.
Members of the Roman upper classes regularly indulged in lavish, hours-long feasts that served to broadcast their wealth and status in ways that eclipse our notions of a resplendent meal. “Eating was the supreme act of civilization and celebration of life,” said Alberto Jori, professor of ancient philosophy at the University of Ferrara in Italy.
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Ancient Romans enjoyed sweet and salty concoctions. Lagane, a rustic short pasta usually served with chickpeas, was also used to make a honey cake with fresh ricotta cheese. The Romans used garum, a pungent, salty fermented fish sauce for umami flavor in all dishes, even as a dessert topping. (For context, garum has a similar flavor profile and composition to current-day Asian fish sauces such as Vietnam’s nuoc mam and Thailand’s nam pla.) The prized condiment was made by leaving fish meat, blood and guts to ferment inside containers under the Mediterranean sun.
Game meat such as venison, wild boar, rabbit and pheasant along with seafood like raw oysters, shellfish and lobster were just some of the pricey foods that made regular appearances at the Roman banquet.
What’s more, hosts played a game of one-upmanship by serving over-the-top, exotic dishes like parrot tongue stew and stuffed dormouse. “Dormouse was a delicacy that farmers fattened up for months inside pots and then sold at markets,” Jori said. “While huge quantities of parrots were killed to have enough tongues to make fricassee.”
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Giorgio Franchetti, a food historian and scholar of ancient Roman history, recovered lost recipes from these repasts, which he shares in “Dining With the Ancient Romans,” written with “archaeo-cook” Cristina Conte. Together, the duo organize dining experiences at archaeological sites in Italy that give guests a taste of what eating like a Roman noble was all about. These cultural tours also delve into the eyebrow-raising rituals that accompanied these meals.
It’s no secret how President…
It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.
But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.
The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.
The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.
The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.
“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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It’s no secret how President…
It’s no secret how President Donald Trump feels about sports teams turning away from Native American mascots. He’s repeatedly called for the return of the Washington Redskins and Cleveland Indians, claiming their recent rebrands were part of a “woke” agenda designed to erase history.
But one surprising team has really gotten the president’s attention: the Massapequa Chiefs.
The Long Island school district has refused to change its logo and name under a mandate from New York state banning schools from using team mascots appropriating Indigenous culture. Schools were given two years to rebrand, but Massapequa is the lone holdout, having missed the June 30 deadline to debut a new logo.
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The district lost an initial lawsuit it filed against the state but now has the federal government on its side. In May, Trump’s Department of Education intervened on the district’s behalf, claiming the state’s mascot ban is itself discriminatory.
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The district is now a key “battleground,” said Oliver Roberts, a Massapequa alum and the lawyer representing the school board in its fresh lawsuit against New York claiming that the ban is unconstitutional and discriminatory.
The Trump administration claims New York’s mascot ban violates Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal funds from engaging in discriminatory behavior based on race, color or national origin — teeing up a potentially precedent-setting fight.
The intervention on behalf of Massapequa follows a pattern for a White House that has aggressively applied civil rights protections to police “reverse discrimination” and coerced schools and universities into policy concessions by withholding federal funds.
“Our goal is to assist nationally,” Roberts said. “It’s us putting forward our time and effort to try and assist with this national movement and push back against the woke bureaucrats trying to cancel our country’s history and tradition.”
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