Genç hekimin Soner Yalçın'a mektubu üzerine

medikritik Çar, 27/11/2019 - 10:31

Eren Öztürk’ün “Kara Kutu” ile ilgili Soner Yalçın eleştirisini okuyunca insanın zayıflamış umutları depreşiyor. Bilimsel ve sosyal konularda pek çok akademisyenin ilgi ve bilgi düzeyini gördükçe, bir tıp öğrencisinden böyle nitelikli bir yazı okumak sevindirici bir şey. Yalnızca ilgi, bilgi ve duyarlılık yok, aynı zamanda dili ve kurgusuyla da iyi bir makale. 

Aşılar konusundan başlarsak: Önce son 100-120 yıldır insanın yaşam süresi neden bu kadar devrimsel oranda uzadı sorusunu sormak gerekir. Bunu birçok başka kitap dışında özellikle Dr. Akif Akalın’ın çevirdiği ve yazdığı “toplumcu tıp” kitaplarından öğreniyoruz. İnsan yaşamının uzamasında ilk büyük sıçramayı yaratan şey, tıpla doğrudan bağlı görülmeyecek, ama göbekten bağlı bir gelişmedir. İngiltere ve Batı Avrupa’da geniş yoksul kesimlerin yaşadığı semtlere temiz su ve kanalizasyon götürülmesi! O mahallerin ve o evlerin en temel düzeyde sağlıklı hale getirilmesi… 

İnsanın ortalama yaşamında devrimsel oranda sıçrama yaratan öteki iki şey ise 1- Antibiyotikler, 2- Aşılardır. İşte Soner Yalçın’ın bilerek ya da bilmeden saldırdığı iki şey sosyal tıbbın ya da halk sağlığının en büyük iki silahıdır. 

Soner Yalçın’ın antibiyotikler hakkında söylediği birçok şey gerçi doğru. Son elli yıldır leblebi çekirdek gibi tüketilmesi, gerek vatandaşın, gerekse doktor ve eczacıların aşırı ve kötüye kullanımları ciddi sorunlar yaratmakta. Ancak zaten o konuda, beğenmediğimiz devlet bile ciddi önlemler alıyor. Sayın Soner Yalçın her konuda olduğu gibi bu konuda da bazı temel doğrularla birtakım kulaktan dolma yanlış bilgileri ve şehir efsanelerini harmanlayarak ilgi uyandırmayı seçiyor. Ne var ki bu taktik o bahsettiği doğruları itibarsızlaştırıyor.  Birtakım ilaçların yan etkilerinden dolayı sonradan yasaklanması, ilaç şirketlerinin aşırı kâr hırsıyla insan sağlığını riske atması, yaşanan gerçekler. Fakat tüm bunlar uyanıklığı, sorguyu, sosyalist bir tıp anlayışını doğurmalı. İlaçlara karşı genel bir güvensizliğe, tüm antibiyotiklerin “tu-kaka” ilan edilmesine yol açmamalı. Bilimin sorunları o bilim ne kadar yolundan sapsa da bilim içinde çözülmeli. 

Eren Öztürk’ün “modern tıbbın sorunlarının” “modern tıp dışı yöntemlerle” nasıl çözüldüğüne, daha doğrusu çözülemediğine dair yaklaşımı ve örnekleri gayet yerinde. 

Aşı muhalifliği ise bu çözümsüzlüğün en uç, en sorumsuz noktası. Fakat elbette aşılar da bilimsel anlamda tartışılmalı, onun da aşırı ve kötüye kullanımları önlenmeli. Ne var ki özellikle bizim gibi ülkelerde bu konu kişisel inisiyatiflere asla bırakılmamalı. Çünkü salgın hastalıklar kişisel ve özel karar alanları değildir. Öztürk’ün belirttiği gibi aşıları daha önce yapabildiğimiz gibi kendimiz üretmeliyiz. Sadece aşıları değil mevcut ilaçları ve yeni bulacağımız ilaçları da ülke olarak kendimiz üretebilmeliyiz. Soner Yalçın’ın da uyarısı doğrultusunda ilaç kalitelerini sürekli denetleyebilmeliyiz. Tüm bunlar hem doğrudan ölüm-kalım meselesidir, hem maliyet hesapları, ilaca ulaşılabilirlik ve ülke bağımsızlığı ile ilgili temel sorunlardır. 

İKİ İTİRAZIM VAR

Fakat değerli Öztürk’e iki noktada itirazım var. Biri gebelerde şeker yükleme testi ile ilgili. Epey bir süredir bu konuyu tartışıyoruz, “şeker yüklemeci” doktor arkadaşlar henüz beni ikna edebilmiş, sorularıma tatmin edici bir cevap vermiş değiller. Bilimsel iddiadaki argümanları şu: Gebelerde diyabet ortaya çıkacaksa kritik bir 5-6 haftalık dönemde çıkma olasılığı yüksekmiş. İşte o dönemde yapılan şeker yükleme testi ile erken tanı sağlanabiliyormuş. Gebenin ve ceninin sağlığı bu şekilde korunuyormuş. Peki bu kritik 5-6 haftalık dönemin son gününü nasıl saptayıp o günde test yapıyorlar? Hiç de öyle bir şey yapmıyor, herhangi bir günde yapıyorlar. O halde test yapıldıktan sonraki günlerde, haftalarda diyabet ortaya çıkarsa ne olacak? Üstelik diyabet illa o en yüksek olasılıklı dönemde çıkmayabilir, sonraki haftalarda da çıkabilir. Şeker yüklemesi negatif çıkan gebe bu yöntemle demek ki kendini sağlıklı sayacak ve aylarca diyabetle birlikte yaşayacak. Oysa bunun yerine önerdiğimiz şey son derece ucuz bir seçenek olarak açlık kan şekeri düzeyi ölçümünün gebelik boyunca birkaç haftada bir yinelenmesi. Ayda bir de hemoglobin A-1c ölçümü yapılırsa iş taçlanır. Ancak sadece şeker ölçümü bile yeterli. Uygulanırsa çok daha iyi sonuçlar alınabilir. 

Testte verilen ve o “az” denen şeker miktarı hiç de az değil ve kadın doğum uzmanlarının vermeyi pek sevdiği “bir dilim pasta” örneği yanıltıcı. Miktar hem fazla ve hem de bir dilim pastadan çok farklı bir içerik söz konusu. Üstelik bu test sıkça gördüğümüz gibi bir kez değil, birçok kez de yapılabiliyor. Yüklemeyle diyabeti gösteren miktar neden kendi başına diyabeti tetiklemesin? Modern tıbbın başta radyolojik tetkikler olmak üzere sıklıkla kötüye kullandığı tüm agresif tetkik yöntemleri sorgulanmalı. 

Bazı ülkeler bu yöntemi uygulamıyor. Örneğin toplum sağlığında örnek ülke Küba’da sadece riskli gebelere uygulanıyor ve o bile tartışılıyor. 

İkinci itiraz noktam ise değerli Öztürk’ün şu sözüne: “Emin olun, ilaç endüstrisi en çok sağlık camiasında eleştiriliyor.” Keşke öyle olsaydı. Bizler “Tıp Bu Değil” kitaplarının yazarları olarak bu konuları yıllardır gündeme getirmeye çalıştığımız halde üstünü en çok örten, en çok görmezden gelen, gargaraya getirmeye çalışan doktorlar ve sağlıkçılar oldu. Doğrudur, birtakım siyasi bildirilerde, TTB’nin kimi söylemlerinde yoğun bir anti-kapitalizm var gibi… Ama sadece “gibi”. Biz on yıllardır mücadele ediyoruz, hekimler hem de “muhalif” hekimler arasında ne aşırı tetkike, ne aşırı teşhise, ne aşırı tedaviye hevesi önleyebildik ne de koruyucu hekimliğe, sosyal tıbba bir eğilim yaratabildik. 

Çok ağır ve neredeyse hakarete varan eleştirilerimize karşın hala medikal şirketler sponsorluğunda kongreler dışında “bilimsel kongre” yok gibi… Ve hekimler bireysel olarak ve de örgütsel anlamda uzmanlık dernekleri ve onlardan aidat alan TTB vasıtasıyla bundan nemalanmaya devam ediyorlar. Böyle bir ortamda bilim ve bilimsel tartışma ne derece güçlenebilir? 

Hüsnüniyetin (iyiye yorma ve yorumlamanın) karşılığını gerçekte bulmasını elbette tüm kalbimizle dileriz. Konuya bu yaşta Eren Öztürk gibi nitelikli bakanların sayısı arttıkça belki o günleri göreceğiz. O konuda genç sağlıkçılara, doktorlara büyük iş düşüyor. 

Yine de tıp ve sağlık işleri sadece doktorların konuşacağı bir tabu değildir. Öztürk belirtmiş: Toplum da bilinçlenmeli ve bilinçli hastalar istiyoruz. Akalın’ın sık yinelediği gibi: “Sağlık sadece doktorlara bırakılamayacak kadar ciddi bir konudur.” Toplum, halk bilinçlenmeli, örgütlenmeli, kendi sağlığı için baskı gücü oluşturmalı. Devlete karşı, politikacılara karşı ve tabii doktorlara karşı da bir baskı gücü oluşturmalı. Örneğin güçlü biçimde şu sesi yükseltebilmeli: “Sigaraya karşı büyük kampanyalar ve devamlı bir karşı propaganda yapıyorsunuz. Güzel ve doğru. Ama o konuda gerçekten samimiyseniz fabrikaların baca filtresiz çalışmasına nasıl izin veriyorsunuz?” 

Bunu diyecek kitle Soner Yalçın kitaplarıyla oluşmaz. Aksine oluşacağı varsa da oluşmaz. 

Kaan Arslanoğlu

http://www.medikritik.com/haberler/tip-fakultesi-ogrencisinden-soner-ya…

Yorumlar

JesseRor (doğrulanmamış) Pt, 09/09/2024 - 08:10

<a href=https://t.me/s/vibration_analysis_1a>vibration analysis</a>
The Cruciality of Resonance Regulation Equipment in Machines
Inside industrial environments, devices and turning machinery serve as the foundation of operations. Yet, an of the most widespread problems that might hinder its performance along with durability remains vibration. Oscillation could cause an range of problems, including lowered accuracy and performance to elevated damage, eventually resulting in expensive interruptions as well as fixes. This is why resonance control equipment proves to be vital.

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Safety Hazards: Excessive resonance can bring substantial safety concerns to both the machinery and the workers. In severe cases, severe cases, these can lead to cataclysmic machinery failure, endangering operators and causing extensive destruction in the facility.

Accuracy as well as Production Quality Challenges: For sectors where rely on high accuracy, such as industrial sectors and aviation, oscillations may result in errors in production, leading to faulty goods along with increased waste.

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Harryabimb (doğrulanmamış) Pt, 09/09/2024 - 08:10

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Duaneanisk (doğrulanmamış) Sa, 10/09/2024 - 06:40

<a href=https://medium.com/@advencher1978/volante-de-equilibrado-con-cesta-de-e… de equilibrado con cesta de embrague</a>

Dicho rotativo de balanceo con canasto de embrague constituye un proceso critico para garantizar el operacion ideal del motor y la transferencia de un camion. El desajuste en dicha pieza tiende a provocar temblores, estruendo, deterioro rapido de los piezas e incluso fallos. Anteriormente, el estabilizacion se llevaba a cabo una vez sacar el volante del propulsor, sin embargo las avances tecnologicos contemporaneas viabilizan ejecutar el mencionado proceso de forma directa en el transporte, lo cual ahorra periodo y costos.

?Que es el Falta de equilibrio?

El falta de equilibrio es una circunstancia en la en la cual la cantidad de un cuerpo rotativo (en el presente supuesto, el volador de estabilizacion con compartimento de embrague) se reparte de forma asimetrica en funcion de su eje de rotacion de revolucion. Esta situacion produce cargas centrifugas las cuales causan vibraciones.

Causas principales del Falta de equilibrio del Rotativo de Balanceo con Compartimento de Embrague:

Irregularidades de manufactura y acoplamiento: Aunque minimas diferencias en la forma de los componentes llegan a generar desequilibrio.
Envejecimiento y averias: El operacion prolongada, el sobrecalentamiento y los desperfectos mecanicos podrian afectar la cantidad y provocar en desajuste.
Instalacion o servicio deficiente: Una montaje deficiente de la recipiente de embrague o reparaciones incorrectos asimismo llegan a provocar desajuste.

RobertLycle (doğrulanmamış) Çar, 11/09/2024 - 23:05

娛樂城推薦與優惠詳解

在現今的娛樂世界中，線上娛樂城已成為眾多玩家的首選。無論是喜歡真人遊戲、老虎機還是體育賽事，每個玩家都能在娛樂城中找到自己的樂趣。以下是一些熱門的娛樂城及其優惠活動，幫助您在選擇娛樂平台時做出明智的決定。

各大熱門娛樂城介紹
1. 富遊娛樂城
富遊娛樂城以其豐富的遊戲選擇和慷慨的優惠活動吸引了大量玩家。新會員只需註冊即可免費獲得體驗金 $168，無需儲值即可輕鬆試玩。此外，富遊娛樂城還提供首存禮金 100% 獎勵，最高可領取 $1000。

2. AT99娛樂城
AT99娛樂城以高品質的遊戲體驗和優秀的客戶服務聞名。該平台提供各種老虎機和真人遊戲，並定期推出新遊戲，讓玩家保持新鮮感。

3. BCR娛樂城
BCR娛樂城是一個新興的平台，專注於提供豐富的體育賽事投注選項。無論是足球、籃球還是其他體育賽事，BCR都能為玩家提供即時的投注體驗。

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最新優惠活動
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結論
選擇合適的娛樂城不僅能為您的遊戲體驗增色不少，還能通過各種優惠活動獲得更多的利益。無論是新會員還是資深玩家，都能在這些推薦的娛樂城中找到適合自己的遊戲和活動。立即註冊並體驗這些優質娛樂平台，享受無限的遊戲樂趣！

WilliamUnume (doğrulanmamış) Ct, 14/09/2024 - 05:16

Long-lost copy of the US Constitution, found in North Carolina filing cabinet, heads to auction
<a href=https://vk12at.com>kra9.cc</a&gt;
Historical document appraiser and collector Seth Kaller spreads a broad sheet of paper across a desk. It’s in good enough condition that he can handle it, carefully, with clean, bare hands. There are just a few creases and tiny discolorations, even though it’s just a few weeks shy of 237 years old and has spent who knows how long inside a filing cabinet in North Carolina.

At the top of the first page are familiar words but in regular type instead of the sweeping Gothic script we’re used to seeing: “WE, the People …”

And the people will get a chance to bid for this copy of the US Constitution — the only of its type thought to be in private hands — at a sale by Brunk Auctions on Sept. 28 in Asheville, North Carolina.
https://kraken3yvbvzmhytnrnuhsy772i6dfobofu652e27f5hx6y5cpj7rgyd-onion…
kra15.cc
The minimum bid for the auction of $1 million has already been made. There is no minimum price that must be reached.

This copy was printed after the Constitutional Convention finished drafting the proposed framework of the nation’s government in 1787 and sent it to the Congress of the ineffective first American government under the Articles of Confederation, requesting they send it to the states to be ratified by the people.

It’s one of about 100 copies printed by the secretary of that Congress, Charles Thomson. Just eight are known to still exist and the other seven are publicly owned.

EdwardThoke (doğrulanmamış) Ct, 14/09/2024 - 05:16

Actress Gemma Arterton says director tried to pressure her to do sex scene
<a href=https://kra7.cfd>kra9.cc</a&gt;

British actress Gemma Arterton has revealed that a director once tried to put pressure on her to film a sex scene, despite the fact that it wasn’t included in the script.

In an interview with British publication the Radio Times, released Tuesday, Arterton said that, whilst on set, the director - who hasn’t been named - instructed her and her co-star to film a sex scene on a bed.

“I said, ‘No, this scene was written for us to be off screen, so you just hear the noises,’” Arterton told the Radio Times. “I’d never have accepted the role if it was going to be filmed.”

https://kra6-gl.cc
kra6.gl

The actress said that she was pressured by the director to film the scene, but that she “flat out” refused to take part in it.

Had she been younger at the time, Arterton suggested that she might have been more concerned about being fired for refusing to film it.

“I only felt like I could say that because I was older,” she said.
“When I started acting, there was a lot of nudity – you were just expected to do it. When I was younger I played sexy characters, the girlfriend. As I’ve got older, that’s changed because I’m more successful and can choose the parts I want to play,” she said.

She praised the use of intimacy coordinators in film and television since the #MeToo movement, telling the magazine that “it’s a totally different landscape” now.

“Anything you’re not comfortable with is not going to happen. I’ve heard other actors that are like, ‘I loved it when there was no intimacy coordinator,’ but I definitely think it’s better,” she said.

VictorBoila (doğrulanmamış) Ct, 14/09/2024 - 05:44

Remember when Lady Gaga ‘bled’ onstage during her shocking performance at the 2009 VMAs?
<a href=https://properm.ru/news/2022-08-22/agoniya-piramidalnogo-proekta-pod-lo… жесткий анал</a>

Singing about the perils of fame, being dragged out from beneath a fallen chandelier then bleeding to death in front of a roomful of celebrities: Lady Gaga was not shy about making her debut at the MTV Video Music Awards.

The year was 2009 — many will remember it as the year rapper Ye (formerly Kanye West) stage-crashed 19-year-old Taylor Swift and suggested her award for Best Female Video should have gone to Beyonce instead. But never one to be overshadowed, Lady Gaga, then 23, made some pop culture history of her own that night.

Her rendition of “Paparazzi” — lamenting both unrequited love and the sinister effects of hounding tabloids — has gone down in the mists of Gaga legend; not least because a lack of high-quality footage means fans must resort to watching grainy screen-recorded versions circulated on social media.
Over the limited number of pixels, Gaga can be seen at the start of the performance in an all-white ensemble: a bejeweled, asymmetric lace bodysuit and matching cape, thigh-high boots, a feathered Keko Hainswheeler headpiece and strings of glinting pearls. As she staggered back from her piano at the song’s crescendo, however, an audible gasp swept the room as thick blood suddenly appeared to be pouring from her abdomen.

“I’m your biggest fan, I’ll follow you until you love me,” Gaga wailed desperately, her once-pristine outfit now daubed in scarlet. She ended the number suspended above the stage, ‘dead,’ as more blood dripped from her eyes.

“(It) gives me chills every time I watch it,” Olivia Rodrigo told MTV in 2021. “I think Lady Gaga is the best performer of our generation.” The “Drivers License” singer appeared to take notes. At this year’s Grammy Awards, she began to ‘bleed’ from clenched fists while performing her hit “vampire,” spreading fake blood across her arms and neck as the song progressed.

RobertLycle (doğrulanmamış) Ct, 14/09/2024 - 06:35

<a href=https://betboy.tw/>娛樂城推薦</a&gt;
娛樂城推薦與優惠詳解

在現今的娛樂世界中，線上娛樂城已成為眾多玩家的首選。無論是喜歡真人遊戲、老虎機還是體育賽事，每個玩家都能在娛樂城中找到自己的樂趣。以下是一些熱門的娛樂城及其優惠活動，幫助您在選擇娛樂平台時做出明智的決定。

各大熱門娛樂城介紹
1. 富遊娛樂城
富遊娛樂城以其豐富的遊戲選擇和慷慨的優惠活動吸引了大量玩家。新會員只需註冊即可免費獲得體驗金 $168，無需儲值即可輕鬆試玩。此外，富遊娛樂城還提供首存禮金 100% 獎勵，最高可領取 $1000。

2. AT99娛樂城
AT99娛樂城以高品質的遊戲體驗和優秀的客戶服務聞名。該平台提供各種老虎機和真人遊戲，並定期推出新遊戲，讓玩家保持新鮮感。

3. BCR娛樂城
BCR娛樂城是一個新興的平台，專注於提供豐富的體育賽事投注選項。無論是足球、籃球還是其他體育賽事，BCR都能為玩家提供即時的投注體驗。

熱門遊戲推薦
WM真人視訊百家樂
WM真人視訊百家樂是許多玩家的首選，該遊戲提供了真實的賭場體驗，並且玩法簡單，容易上手。

戰神賽特老虎機
戰神賽特老虎機以其獨特的主題和豐富的獎勵機制，成為老虎機愛好者的最愛。該遊戲結合了古代戰神的故事背景，讓玩家在遊戲過程中感受到無窮的樂趣。

最新優惠活動
富遊娛樂城註冊送體驗金
富遊娛樂城新會員獨享 $168 體驗金，無需儲值即可享受全場遊戲，讓您無壓力地體驗不同遊戲的魅力。

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結論
選擇合適的娛樂城不僅能為您的遊戲體驗增色不少，還能通過各種優惠活動獲得更多的利益。無論是新會員還是資深玩家，都能在這些推薦的娛樂城中找到適合自己的遊戲和活動。立即註冊並體驗這些優質娛樂平台，享受無限的遊戲樂趣！

Johnnieexcap (doğrulanmamış) Ct, 14/09/2024 - 06:39

Study shows how the pandemic may have affected teens’ brains
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The pandemic’s effects on teenagers were profound — numerous studies have documented reports of issues with their mental health, social lives and more.

Now, a new study suggests those phenomena caused some adolescents’ brains to age much faster than they normally would — 4.2 years faster in girls and 1.4 years faster in boys on average, according to the study published Monday in the journal Proceedings of the National Academy of Sciences.

By being the first to contribute details on aging differences by sex, the study adds to the existing body of knowledge provided by two previous studies on the Covid-19 pandemic and accelerated brain aging among adolescents.
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“The findings are an important wake-up call about the fragility of the teenage brain,” said senior study author Dr. Patricia K. Kuhl, the Bezos Family Foundation Endowed Chair in Early Childhood Learning and codirector of the Institute for Learning and Brain Sciences at the University of Washington in Seattle, via email. “Teens need our support now more than ever.”

Significant socioemotional development occurs during adolescence, along with substantial changes to brain structure and function. The thickness of the cerebral cortex naturally peaks during childhood, steadily decreases throughout adolescence and continues to decrease through one’s lifespan, the authors wrote.

The researchers originally intended to track ordinary adolescent brain development over time, starting with MRIs the authors conducted on participants’ brains in 2018. They planned to follow up with them for another scan in 2020.

The pandemic delayed the second MRI by three to four years — when the 130 participants based in Washington state were between ages 12 and 20. The authors excluded adolescents who had been diagnosed with a developmental or psychiatric disorder or who were taking psychotropic medications.

WilliamTaism (doğrulanmamış) Ct, 14/09/2024 - 06:51

Meet the artist transforming tennis balls into furniture
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In the last two years, tennis has taken over our closets (court-appropriate garb can be found everywhere from Skims to Miu Miu), our screens (who could forget Zendaya’s turn as the tennis protoge-turned-elite-coach Tashi Duncan in “Challengers”) and now — our living rooms.

At least that is the hope of Belgian eco-designer Mathilde Wittock, who fashions bespoke furniture from discarded tennis balls. Wittock’s sleek, modernist chaise longues are entirely cushionless — save for the padding of 500 precisely arranged tennis balls. Her one meter-long benches are similarly sparse, with some 270 balls being both stylish and structurally substantial.

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“It takes around 24 different manufacturing steps to (make) a tennis ball, which is around five days. Then it has such a short lifespan,” Wittock told CNN in a video call from Brussels. “I was looking into tennis balls because I played tennis myself, so I know there is a lot of waste.”
Around 300 million tennis balls are produced each year — and almost all of them end up in landfills, taking over 400 years to decompose. The US Open, which ended at the weekend, goes through around 70,000 each year, with Wimbledon not far behind at 55,000. Wittock estimates the lifecycle of a ball stands at just nine games, depending on the level of tennis being played. “Even if they are contained in their box, if the box has been opened the gas inside the tennis balls will be released over time,” she said. “(Eventually) they will get flat and you’ll have to throw them away.”

StevenRop (doğrulanmamış) Ct, 14/09/2024 - 08:09

<p><i>Журнал Esquire с гордостью представляет свою первую линию мужских ароматов, которая обещает стать настоящим хитом. Ароматы разработаны с учетом потребностей современных мужчин и будут активно носиться журналистами и корреспондентами. Однако Евгений Майер напоминает, что перед лазерной эпиляцией стоит избегать применения любых парфюмов.</i></p><center><img alt="#ПарфюмерныеАроматы #ЕвгенийМайер #лазернаяэпиляция #МужскаяЭстетика #КачествоУслуг" src="https://pr-img.ru/2024/618/lazer-dlja-epilyacii-mayer-sapphire-4.jpg&qu…; style="display: block; margin-left: auto; margin-right: auto;max-width:100%;"></center><p>Ожидается, что новые ароматы станут популярны среди представителей медийной сферы и писателей.</p><blockquote>Главный редактор Esquire, Майкл Себастьян, поделился: "Наши читатели всегда проявляли большой интерес к мужской парфюмерии и самоуходу. Разработка собственной линии парфюмов стала логичным продолжением нашего диалога с аудиторией, особенно после успеха нашей ювелирной коллекции."</blockquote><p>Линейка ароматов Esquire включает в себя следующие ароматы:</p><ul><li><strong>American Novelist</strong>: свежий и гармоничный аромат с нотами бергамота, можжевельника, дикой мяты, мускатного шалфея, базилика и кожи, дополненный аккордами кедра, мха и сосны.</li><li><strong>Editor in Chief</strong>: насыщенный теплый аромат с оттенками гвоздики, корицы, яблока, ириса, лабданума, кашмерана, пачули и ветивера, завершающийся базой из сандала, кедра, ванили, березы и тонка бобов.</li><li><strong>Modern Poet</strong>: игривый аромат с цитрусовым началом из лимона, грейпфрута и цитрона, дополненный нотами джина и ладана, матчи, кардамона, герани, ветивера, мха, пачули, сандала, бальзама и амбры.</li><li><strong>New Journalist</strong>: повседневный аромат с цитрусовым началом из лимона и мандарина, нюансами листа яблока, голубой лаванды, лотоса и герани, заканчивающийся аккордами ветивера, сандала и амбры.</li></ul><p>Каждый из ароматов выпущен в концентрации Eau de Parfum во флаконах по 100 мл, стоимостью около 10 000 рублей. Однако, на российском рынке эти парфюмы недоступны официально.</p><center><img alt="Евгений Майер - создатель лазера для эпиляции MAYER iDiod SAPPHIRE" src="https://pr-img.ru/2024/618/evgenij-mayer-sozdatel-lazera-dlja-epilyacii…; style="display: block; margin-left: auto; margin-right: auto;max-width:100%;"></center><p>Комментируя запуск, Евгений Майер, создатель <a href="https://laser-mayer.ru">диодных лазеров для эпиляции волос MAYER САПФИР</a>, отметил: "Я сам пользуюсь парфюмом и рад, что Esquire предложил что-то специально для мужчин из сферы СМИ и писателей. Однако, перед процедурами лазерной эпиляции рекомендуется избегать использование духов, так как сильные запахи могут мешать и уменьшать эффективность процедуры, а также вызывать раздражение."</p>
<a href=https://www.mamanya.ru/content/4819-lazernaya-epilyaciya-ne-pahnite-per… Майер - купить лазерную эпиляцию</a>

JeffreySheva (doğrulanmamış) Ct, 14/09/2024 - 10:10

Scientists who discovered mammals can breathe through their anuses receive Ig Nobel prize kraken3yvbvzmhytnrnuhsy772i6dfobofu652e27f5hx6y5cpj7rgyd onion The world still holds many unanswered questions. But thanks to the efforts of the research teams awarded the IG Nobel Prize on Thursday some of these questions – which you might not even have thought existed – now have answers. We now know that many mammals can breathe through their anuses that there isn’t an equal probability that a coin will land on head or tails that some real plants somehow imitate the shapes of neighboring fake plastic plants that fake medicine which causes painful side-effects can be more effective than fake medicine without side-effects and that many of the people famous for reaching lofty old ages lived in places that had bad record-keeping. https://kraken3yvbvzmhytnrnuhsy772i6dfobofu652e27f5hx6y5cpj7rgyd.cc kra5 gl The awards – which have no affiliation to the Nobel Prizes – aim to “celebrate the unusual honor the imaginative – and spur people’s interest in science medicine and technology” by making “people laugh then think.” In a two-hour ceremony as quirky as the scientific achievements it was celebrating audience members were welcomed to their seats by accordion music before a safety briefing warned them not to “sit on anyone unless you are a child” not to “feed chase or eat ducks” and to throw their paper airplane safely. There were two “paper airplane deluges” during the ceremony in which the audience attempted to throw their creations – safely – at a target in the middle of the stage. Among those collecting their prizes was a Japanese research team led by Ryo Okabe and Takanori Takebe who discovered that mammals can breathe through their anuses. They say in their paper that this potentially offers an alternative way of getting oxygen into critically ill patients if ventilator and artificial lung supplies run low like they did during the Covid-19 pandemic. American psychologist B.F Skinner was posthumously awarded the peace prize for his work attempting to use pigeons to guide the flight path of missiles while a European-wide research team was awarded the probability prize for conducting 350757 experiments to demonstrate that a coin tends to land on the same side it started when it is flipped.

RobertLycle (doğrulanmamış) Ct, 14/09/2024 - 10:12

<a href=https://betboy.tw/>娛樂城排行</a&gt;
娛樂城推薦與優惠詳解

在現今的娛樂世界中，線上娛樂城已成為眾多玩家的首選。無論是喜歡真人遊戲、老虎機還是體育賽事，每個玩家都能在娛樂城中找到自己的樂趣。以下是一些熱門的娛樂城及其優惠活動，幫助您在選擇娛樂平台時做出明智的決定。

各大熱門娛樂城介紹
1. 富遊娛樂城
富遊娛樂城以其豐富的遊戲選擇和慷慨的優惠活動吸引了大量玩家。新會員只需註冊即可免費獲得體驗金 $168，無需儲值即可輕鬆試玩。此外，富遊娛樂城還提供首存禮金 100% 獎勵，最高可領取 $1000。

2. AT99娛樂城
AT99娛樂城以高品質的遊戲體驗和優秀的客戶服務聞名。該平台提供各種老虎機和真人遊戲，並定期推出新遊戲，讓玩家保持新鮮感。

3. BCR娛樂城
BCR娛樂城是一個新興的平台，專注於提供豐富的體育賽事投注選項。無論是足球、籃球還是其他體育賽事，BCR都能為玩家提供即時的投注體驗。

熱門遊戲推薦
WM真人視訊百家樂
WM真人視訊百家樂是許多玩家的首選，該遊戲提供了真實的賭場體驗，並且玩法簡單，容易上手。

戰神賽特老虎機
戰神賽特老虎機以其獨特的主題和豐富的獎勵機制，成為老虎機愛好者的最愛。該遊戲結合了古代戰神的故事背景，讓玩家在遊戲過程中感受到無窮的樂趣。

最新優惠活動
富遊娛樂城註冊送體驗金
富遊娛樂城新會員獨享 $168 體驗金，無需儲值即可享受全場遊戲，讓您無壓力地體驗不同遊戲的魅力。

VIP 日日返水無上限
富遊娛樂城為 VIP 會員提供無上限的返水優惠，最高可達 0.7%。此活動讓玩家在遊戲的同時，還能享受額外的回饋。

結論
選擇合適的娛樂城不僅能為您的遊戲體驗增色不少，還能通過各種優惠活動獲得更多的利益。無論是新會員還是資深玩家，都能在這些推薦的娛樂城中找到適合自己的遊戲和活動。立即註冊並體驗這些優質娛樂平台，享受無限的遊戲樂趣！

Eddieeminy (doğrulanmamış) Ct, 14/09/2024 - 21:33

Summary Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election kra9.gl After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks Harris said people leave Trump rallies early out of exhaustion and boredom - he said people dont go to hers in the first place kra9.cc https://kra7gl.cc Trump criticised Harriss record on immigration and the border and also her shifting policy positions - Harris blamed him for Trump abortion bans and for the 6 January attacks on the US Capitol Snap polls suggest Harris won the debate but Trump says afterwards that she lost very badly With the election taking place on 5 November Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states Shortly after the debate Taylor Swift endorsed Harris on Instagram calling her a gifted leader

DwayneJoigh (doğrulanmamış) Ct, 14/09/2024 - 21:43

Summary Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election kra8.cc After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks Harris said people leave Trump rallies early out of exhaustion and boredom - he said people dont go to hers in the first place kra8.cc https://kra8-gl.cc Trump criticised Harriss record on immigration and the border and also her shifting policy positions - Harris blamed him for Trump abortion bans and for the 6 January attacks on the US Capitol Snap polls suggest Harris won the debate but Trump says afterwards that she lost very badly With the election taking place on 5 November Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states Shortly after the debate Taylor Swift endorsed Harris on Instagram calling her a gifted leader

DonaldBor (doğrulanmamış) Ct, 14/09/2024 - 22:04

Summary Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election kra7.gl After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks Harris said people leave Trump rallies early out of exhaustion and boredom - he said people dont go to hers in the first place kra8.gl https://krak7.net Trump criticised Harriss record on immigration and the border and also her shifting policy positions - Harris blamed him for Trump abortion bans and for the 6 January attacks on the US Capitol Snap polls suggest Harris won the debate but Trump says afterwards that she lost very badly With the election taking place on 5 November Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states Shortly after the debate Taylor Swift endorsed Harris on Instagram calling her a gifted leader

RichardRon (doğrulanmamış) Pa, 15/09/2024 - 00:32

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PhilipRer (doğrulanmamış) Pa, 15/09/2024 - 00:53

The world’s best pizza for 2024 isn’t in Naples – or even in Italy. Here’s where it is … kraken6gf6o4rxewycqwjgfchzgxyfeoj5xafqbfm4vgvyaig2vmxvyd Many New Yorkers will gladly tell anyone who’ll listen – and even those who won’t – about how they have the best pizza. And now they’ve got some mouth-watering new back-up for their long-standing culinary claims. This week the Italy-based 50 Top Pizza Awards came out with its 2024 worldwide list and a Lower East Side restaurant came out on top. Una Pizza Napoletana opened by pizza maestro Anthony Mangieri in March 2022 not only beat out US competitors but also global ones. That includes pizzerias in Naples Italy the holy land for pizza aficionados and foodies in general. “It’s inspiring to be recognized for this 30 years into my career especially in Naples where pizza originated” Mangieri said in an email to CNN Travel on Thursday. https://kraken2trfqodidvlh4aa337cpzfrhdlfldhve5nf7njhumwr7insta.cc kraken6gf6o4rxewycqwjgfchzgxyfeoj5xafqbfm4vgvyaig2vmxvyd Adding to their bragging rights New Yorkers saw three other pizzerias make the 2024 list which included 101 restaurants in total despite the “50” in the name of the awards. The rankings for the other New York pizzerias were Ribalta at No. 19 Don Antonio at No. 30 and L’industrie Pizzeria at No. 80. Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria. Showing how truly global the awards are nations not exactly known for their pizza scenes –South Korea Bolivia and India to name three ­– were represented on the list.

HowardJal (doğrulanmamış) Pa, 15/09/2024 - 01:46

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Bradleykilky (doğrulanmamış) Pa, 15/09/2024 - 03:18

National Park calls out ‘world changing’ impact of dropped Cheetos bag kra13.cc Plain water is the only thing visitors are allowed to consume inside the huge cavern at Carlsbad Caverns National Park in New Mexico. Cheetos are a no-go and the recent park visitor who dropped a bag full of them created a “huge impact” on the cave’s ecosystem the park said Friday in a Facebook post. “At the scale of human perspective a spilled snack bag may seem trivial but to the life of the cave it can be world changing” the park said in its post about the garbage found off-trail in the Big Room. https://kra8gl.net kra12.cc “The processed corn softened by the humidity of the cave formed the perfect environment to host microbial life and fungi. Cave crickets mites spiders and flies soon organize into a temporary food web dispersing the nutrients to the surrounding cave and formations. Molds spread higher up the nearby surfaces fruit die and stink. And the cycle continues.” The park said rangers spent 20 minutes carefully removing molds and foreign debris from surfaces inside the cave noting that while some members of the ecosystem that rose from the snacks were cave-dwellers “many of the microbial life and molds are not.” The post called that particular impact on the cave “completely avoidable” contrasting it with the hard-to-prevent fine trails of lint left by each visitor. “Great or small we all leave an impact wherever we go. Let us all leave the world a better place than we found it” the post urged park goers. The park’s website says that eating and drinking anything other than plain water attracts animals into the cavern. Carlsbad Caverns followed up its post about the Cheetos bag with a post about the “leave no trace” principle of disposing of waste properly. “Contrary to popular belief the cave is NOT a big trash can” the post said yet rangers pick up waste left behind every day. “Sometimes this can be a gum wrapper or a tissue other times it can unfortunately mean human waste spit or chewing tobacco.” Visitors are asked to make sure they don’t leave trash in the cavern and to use designated restrooms.

KennethAberb (doğrulanmamış) Pa, 15/09/2024 - 04:51

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Thomaslog (doğrulanmamış) Pa, 15/09/2024 - 06:39

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections. blacksprut com At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment. блэкспрут даркнет https://blackspruty4w3j4bzyhlk24jr32wbpnfo3oyywn4ckwylo4hkcyy4y.com Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year. Even though 200000 vaccines donated by the European Commission were flown into the capital Kinshasa last week they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu. “Weve learned from social media that the vaccine is already available” Emmanuel Fikiri a nurse working at the clinic that has been turned into a specialist centre to tackle the virus told the BBC. He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven five and one. “You saw how I touched the patients because thats my job as a nurse. So were asking the government to help us by first giving us the vaccines.” The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency plus they need to be sent to rural areas of South Kivu like Kamituga Kavumu and Lwiro where the outbreak is rife. The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines which will further drive up costs in a country that is already struggling financially. At the community clinic Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning. Although he wore a face shield I could see the sweat running down his face. He said he was saddened to see patients sharing beds. “You will even see that the patients are sleeping on the floor” he told me clearly exasperated. “The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned theres still no staff motivation.” блекспрут

AlfredBor (doğrulanmamış) Pa, 15/09/2024 - 06:40

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections. СЃРїСЂСѓС‚ зеркало At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment. блэкспрут даркнет https://bsl2web3.shop Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year. Even though 200000 vaccines donated by the European Commission were flown into the capital Kinshasa last week they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu. “Weve learned from social media that the vaccine is already available” Emmanuel Fikiri a nurse working at the clinic that has been turned into a specialist centre to tackle the virus told the BBC. He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven five and one. “You saw how I touched the patients because thats my job as a nurse. So were asking the government to help us by first giving us the vaccines.” The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency plus they need to be sent to rural areas of South Kivu like Kamituga Kavumu and Lwiro where the outbreak is rife. The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines which will further drive up costs in a country that is already struggling financially. At the community clinic Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning. Although he wore a face shield I could see the sweat running down his face. He said he was saddened to see patients sharing beds. “You will even see that the patients are sleeping on the floor” he told me clearly exasperated. “The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned theres still no staff motivation.” СЃРїСЂСѓС‚

HowardJal (doğrulanmamış) Pa, 15/09/2024 - 07:25

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ThomasBeply (doğrulanmamış) Pa, 15/09/2024 - 07:54

Scientists have solved the mystery of a 650-foot mega-tsunami that made the Earth vibrate for 9 days kraken4qzqnoi7ogpzpzwrxk7mw53n5i56loydwiyonu4owxsh4g67yd onion It started with a melting glacier that set off a huge landslide which triggered a 650-foot high mega-tsunami in Greenland last September. Then came something inexplicable: a mysterious vibration that shook the planet for nine days. Over the past year dozens of scientists across the world have been trying to figure out what this signal was. Now they have an answer according to a new study in the journal Science and it provides yet another warning that the Arctic is entering “uncharted waters” as humans push global temperatures ever upwards. https://kraken2trfqodidvlh4aa337cpzfrhdlfldhve5nf7njhumwr7insta.cc kraken6gf6o4rxewycqwjgfchzgxyfeoj5xafqbfm4vgvyaig2vmxvyd Some seismologists thought their instruments were broken when they started picking up vibrations through the ground back in September said Stephen Hicks a study co-author and a seismologist at University College London. It wasn’t the rich orchestra of high pitches and rumbles you might expect with an earthquake but more of a monotonous hum he told CNN. Earthquake signals tend to last for minutes; this one lasted for nine days. He was baffled it was “completely unprecedented” he said. Seismologists traced the signal to eastern Greenland but couldn’t pin down a specific location. So they contacted colleagues in Denmark who had received reports of a landslide-triggered tsunami in a remote part of the region called Dickson Fjord. The result was a nearly year-long collaboration between 68 scientists across 15 countries who combed through seismic satellite and on-the-ground data as well as simulations of tsunami waves to solve the puzzle.

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