Цель Наш подход строится на двух принципах: минимально достаточная фармакотерапия и прозрачные «коридоры безопасности». Это означает — никаких «универсальных капельниц» и полипрагмазии. Каждый компонент в схеме имеет проверенную цель: восполнить жидкость, выровнять электролиты, защитить слизистую, снизить вегетативный «шторм» и вернуть возможность естественного сна. Скорость и объём инфузий мы задаём инфузоматом, контролируя давление, пульс, сатурацию и самочувствие на каждом этапе. В этой статье мы обсудим процесс восстановления после зависимостей, акцентируя внимание на различных методах и подходах к реабилитации. Читатели узнают, как создать план выздоровления и использовать полезные ресурсы для достижения устойчивых изменений. Elusive shipwreck found in Lake Michigan over 100 years after sinking The wooden schooner got caught in a storm in the dead of night and went down in September 1886. In the weeks after, a lighthouse keeper reported the ship’s masts breaking the lake surface, and fishermen caught pieces of the vessel in their nets. Still, wreck hunters were unable to track down the ship’s location — until now. Named the F.J. King, the ship had become a legend within the Wisconsin wreck hunter community for its elusive nature, said maritime historian Brendon Baillod, principal investigator and project lead of the discovery. “We really wanted to solve this mystery, and we didn’t expect to,” Baillod told CNN. “(The ship) seemed to have just vanished into thin air. … I actually couldn’t believe we found it.” The wreck is just one of many that have been found in the Great Lakes in recent years, and there are still hundreds left to be recovered in Lake Michigan alone, according to Baillod. The ‘ghost ship’ The ship had a lucrative 19-year career until that September night when a gale-force wind caused its seams to break apart, according to the announcement. The captain, William Griffin, ordered the crew to evacuate on the ship’s yawl boat, from where they watched the F.J. King sink, bow first. Sears, once America’s largest and most important retailer, could very be going into its last Christmas shopping season. Sears, once America’s largest and most important retailer, could very be going into its last Christmas shopping season. Donna Jean Godchaux-MacKay, a soulful mezzo-soprano who provided backing vocals on such 1960s classics as “Suspicious Minds” and “When a Man Loves a Woman” and was a featured singer with the Grateful Dead for much of the 1970s, has died at 78. В первые часы важно не «залить» пациента растворами, а корректно подобрать темп и состав с учётом возраста, массы тела, артериального давления, лекарственного фона (антигипертензивные, сахароснижающие, антиаритмические препараты) и переносимости. Именно поэтому мы не отдаём лечение на откуп шаблонам — каждая схема конструируется врачом на месте, а эффективность оценивается по понятным метрикам. Для жителей Челябинска организованы два параллельных маршрута: выездная бригада и «тихое окно» амбулаторного приёма. Выездной формат используется, когда пациенту тяжело добраться до отделения, наблюдается выраженная тошнота, шаткость походки, тремор, редкий диурез или страх публичности. Амбулаторный маршрут — выбор, если состояние стабильно, но требуется корректная инфузионная терапия под контролем лабораторных показателей. В обоих случаях коммуникация ведётся аккуратно и нейтрально: без терминов, стигматизирующих пациента, без отметок на конверте, без обсуждения с соседями и коллегами. «Первая ночь» считается критическим интервалом — здесь включаются дыхательные протоколы, мягкая светогигиена, оценка сна и витальных показателей с последующей тонкой настройкой доз. При необходимости подключается психотерапевт короткими сессиями для снижения тревоги и разрыва «петли» панических триггеров.0jzhya
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A “ghost ship” that sank in Lake Michigan nearly 140 years ago and eluded several search efforts over the past five decades has been found, according to researchers with the Wisconsin Underwater Archeology Association.
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Earlier this year, a team of researchers with the Wisconsin Underwater Archeology Association and Wisconsin Historical Society located the shipwreck off the coastal town of Baileys Harbor, Wisconsin, the association announced on Sunday.
Built in 1867, the F.J. King plied the waters of the Great Lakes for the purpose of trans-lake commerce. The ship transported grains during a time when Wisconsin served as the breadbasket of the United States. The 144-foot-long (44-meter) vessel also carried cargo including iron ore, lumber and more.
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The Sears chain had 2,000 stores as recently as 20 years ago and more than 200 stores when it emerged from bankruptcy in 2019. Now it has just five, after three more closings this past year.
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One standalone store in Coral Gables, Florida, could be torn down to build 1,000 housing units. Another four operate in malls – in Braintree, Massachusetts; Concord, California; El Paso, Texas; and Orlando Florida. All those malls are owned by Simon Property Group, the nation’s largest mall operator.
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The company, once the Walmart and Amazon of its day, helped change America, from how people shopped to where they lived and more. Now the once-proud chain is in a precarious position; by next year’s holiday season, it could finally be gone.
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The Sears chain had 2,000 stores as recently as 20 years ago and more than 200 stores when it emerged from bankruptcy in 2019. Now it has just five, after three more closings this past year.
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One standalone store in Coral Gables, Florida, could be torn down to build 1,000 housing units. Another four operate in malls – in Braintree, Massachusetts; Concord, California; El Paso, Texas; and Orlando Florida. All those malls are owned by Simon Property Group, the nation’s largest mall operator.
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The company, once the Walmart and Amazon of its day, helped change America, from how people shopped to where they lived and more. Now the once-proud chain is in a precarious position; by next year’s holiday season, it could finally be gone.
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A spokesperson for Godchaux-MacKay confirmed that she died Sunday at Alive Hospice in Nashville after having cancer. Godchaux-McKay and other Grateful Dead members were inducted into the Rock and Roll Hall of Fame in 1994.
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Born Donna Jean Thatcher in Florence, Alabama, she had yet to turn 20 when she became a session performer in nearby Muscle Shoals, where many soul and rhythm and blues hits were recorded, and also was on hand for numerous sessions at the Memphis-based American Sound Studio. Her credits included Elvis Presley’s “Suspicious Minds,” Percy Sledge’s “When a Man Loves a Woman” and songs with Neil Diamond, Boz Scaggs and Cher.
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In the early 1970s, she and pianist/then-husband Keith Godchaux joined the Grateful Dead and remained with them for several tours and albums, including “Terrapin Station,” “Shakedown Street” and “From the Mars Hotel.” Godchaux appeared on numerous songs, whether joining with Jerry Garcia on “Scarlet Begonias” or writing and taking the lead on “From the Heart of Me.”
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