Здравоохранение Маншет

ВОЗ выпустила рекомендации по обеспечению основных услуг здравоохранения в условиях пандемии COVID 19

Пандемия COVID-19 создала огромную нагрузку для систем здравоохранения во всем мире. В условиях стремительно растущей потребности в услугах медицинских учреждений и медицинских работников системы здравоохранения в некоторых странах оказались на грани коллапса, сообщает АЗЕРТАДЖ со ссылкой на Новости ООН.

Опыт прежних вспышек показывает, что резкое увеличение нагрузки на системы здравоохранения способно привести к столь же резкому росту инвалидности и предотвратимой смертности.

«Мы должны сделать все для того, чтобы сохранить преемственность в оказании жизненно важной медицинской помощи и, одновременно с этим, направлять свободные ресурсы на борьбу с COVID-19; для этого нужно обеспечить обучение, перепрофилирование и мобилизацию кадров здравоохранения для выполнения приоритетных задач, – говорит директор Европейского регионального бюро ВОЗ доктор Ханс Клюге. – Люди, которые находятся на карантине или в самоизоляции дома, нуждаются в поддержке, а многим из них при этом требуется специализированный уход. Я понимаю, что это очень непростая задача для любой страны, и потому мы должны решать ее все вместе, не оставляя никого без внимания.»

Технические рекомендации Европейского регионального бюро ВОЗ помогут странам преодолеть эти вызовы, посредством:

принятия гласных и обоснованных фактическими данными решений о том, какие медицинские и социальные услуги следует включить в число основных, а какие можно перенести на более поздние сроки, отложить или предоставлять каким-либо иным образом;

обучения, перепрофилирования и мобилизации работников здравоохранения для удовлетворения растущей потребности в помощи, а также защиты физического и психического здоровья работников здравоохранения и предоставления им психосоциальной поддержки.

В техническом руководстве приводятся 10 стратегических мер, ориентированных на практические решения, которые помогут специалистам, ответственным за планирование услуг здравоохранения и администраторам систем здравоохранения в регионе обеспечить непрерывность услуг в условиях мобилизации работников здравоохранения для борьбы с пандемией, а также надлежащее снабжение ресурсами.

В число основных услуг здравоохранения входят: плановая вакцинация; услуги по охране репродуктивного здоровья, в том числе при беременности и родах; помощь младенцам и людям старшего возраста; ведение психических расстройств, неинфекционных заболеваний и инфекционных болезней, таких как ВИЧ-инфекция, малярия и туберкулез; критически важные вмешательства в условиях стационара; помощь при неотложных состояниях; паллиативная помощь; вспомогательные услуги, такие как базовая диагностическая визуализация, лабораторные услуги и услуги банков крови.

В рамках глобальных ответных мер в связи с COVID-19 ВОЗ также обновила практические рекомендации по планированию, с акцентом на поддержку в реорганизации и сохранении всеобщего доступа к качественным основным услугам здравоохранения. В руководстве особо подчеркивается важность своевременного обеспечения информацией. Такое информирование требует регулярной и открытой коммуникации и активного взаимодействия с общественностью, для поддержки доверия людей к системе, которая способна безопасным образом удовлетворять их основные потребности и обеспечить инфекционный контроль в учреждениях здравоохранения – в этом случае люди будут и далее обращаться за помощью и выполнять рекомендации общественного здравоохранения.

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3 COMMENTS

  1. In truth, some research have proven that steroids may even be extra useful in older folks
    because of their declining hormone ranges. Who you’re
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    of these may be altered whenever you take androgens.

    If somebody says, «Take this,» ask questions.This entire subject of girls and steroids is an enigma.
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    however much more unwanted aspect effects, like visceral fat and stomach distension. It’s
    been almost 30 years since congress passed the Anabolic Steroids Control
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    unlawful.
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    drive your decision-making — not ego. Many users choose to run one or each SERMs depending on their cycle length and compound intensity.
    For 95% of users, particularly beginners and intermediates, the base compound should be testosterone.
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    As long as your diet is deliberate and applied correctly for a slicing phase, Primobolan is an extra compound
    in any cutting cycle with minimal facet effect dangers in contrast with different steroids.

    With Out water retention, the danger of hypertension creating when utilizing Primobolan is considered low until you’ve an present situation. Results on cholesterol are far more of a concern with Primobolan relating to cardiovascular well being.
    This steroid could cause a reduction in levels of good ldl cholesterol (HDL) and raise dangerous cholesterol
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    This can be calculated by taking Dianabol’s most half-life of 6 and multiplying it
    by 5.5. Thus, post-cycle therapy for Dianabol could start 33 hours after the final dose.

    We find that efficient post-cycle remedy may help to alleviate catabolism and speed up testosterone recovery.
    A Dianabol-only cycle is usually run after a person has already taken testosterone or Anavar.
    The latter have been shown to be much less poisonous compounds and better tolerated by novices.
    Nevertheless, these SERMs can also increase progesterone (5), thus increasing nandrolone-induced gynecomastia with this
    stack. Deca Durabolin may cause sexual unwanted aspect effects, together with a
    lower in sexual need and performance, generally leading to erectile dysfunction (Deca dick).

    Typically, it isn’t useful for bodybuilders to block DHT, as it’s a powerful anabolic hormone.
    Anecdotally, we now have seen lowered DHT levels inhibit increases in muscle hypertrophy
    and power. Nonetheless, testosterone suppression can be extreme post-cycle, meaning it could take a number of months for
    pure testosterone ranges to control. Our sufferers often implement post-cycle remedy following trenbolone
    use to revive the hypothalamic-pituitary-testicular (HPT) axis.
    A reasonable decline in testosterone levels is to be expected on Anavar.
    Nonetheless, if a consumer abuses Anavar with excessive dosages,
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    Hormones are very essential part of a human body and day-to-day life,
    although you might not learn about it. Hormones aids
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    time to do it. These unwanted side effects are extra doubtless if users run lengthy cycles
    or skip Post-Cycle Therapy (PCT). Most users who adopted proper cycle guidelines
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    The primary cause for the 20 or 30 lb improve in measurement between the bodybuilders of Arnolds day and the bodybuilders of at present
    is Growth Hormone and Insulin.
    These actions mix to make Deca a robust lean muscle builder – even when not one of the potent bulking steroids available.
    Muscle gains with the slow-acting Nandrolone decanoate
    take time to develop, and customers shouldn’t anticipate notable gains throughout the first weeks of a
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    Facet results to count on with this steroid include testosterone suppression,
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    androgenic results in males like hair loss and zits.

    Making Use Of these ideas proper boosts power and dimension however reduces injury
    risks. Exploring how steroids help muscle tissue grow
    provides important insights. [newline]This makes it simpler for users to see big muscle gains quickly.

    Understanding both the good and bad elements of steroid use is crucial.
    This transformation was from a bodybuilder who was beforehand natural
    (left) and then took Anadrol (right). He stacked Anadrol with Deca Durabolin and, after a quantity of cycles, gained a major amount of measurement and mass.

    6 of the cycles have been outlined in anonymous interviews with
    6 of the men once they have been asked by Tom Platz to element their efficiency enhancing drug use.
    Failure to implement an effective post-cycle remedy can also cause long-term testosterone deficiency,
    negatively affecting a person’s well-being, libido, and fertility.

    Dianabol also can negatively affect users’ psychological well being
    as a end result of vital reductions in dopamine
    and muscle atrophy occurring post-cycle, inflicting strong dependence or addiction in some people.
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    Anabolic steroids are classified as Schedule three managed medication in the US and Class C medicine
    in the UK. Subsequently, it’s illegal to promote or purchase
    them and not using a prescription from a well being care provider.

  2. Dianabol has the capacity to add 25–30 kilos of lean mass from a cycle.
    Throughout testosterone supplementation, the pituitary gland
    alerts the testes to stop producing testosterone, contributing to
    hypogonadism (3). This process occurs as a end result of supraphysiological ranges
    of serum testosterone and the body trying to take care of homeostasis.
    Cypionate and enanthate injections can be much less irritating to the pores and
    skin than other testosterone variations, based on our expertise.
    Whether you’re a natural athlete or an enhanced athlete, if you wish to get one of the best outcomes and construct exhausting dense muscle,
    you should understand a course of often known as aromatization, and tips on how to gain management of it.

    Proviron (mesterolone) is an anabolic steroid that was generally utilized in bodybuilding’s Golden Era of the ’70s, typically being stacked with Dianabol.
    We consider Dianabol the higher steroid for constructing pure mass; however, aesthetically,
    trenbolone produces «higher quality» muscle features with no water retention.
    Gym-goers and bodybuilders seeking even bigger muscle gains generally take larger doses,
    starting from 30 to 50 mg per day.
    Many famous fitness figures might not clearly say if their positive aspects are pure or helped by drugs.
    This sends combined messages to young fans, making them assume steroids are wanted for the
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    It Is worrying that almost 77.8% of aggressive bodybuilders admit
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    Winstrol is considered one of the finest steroids to take
    to keep lean muscle and improve power and performance.
    It is a synthetic hormone that has the qualities of androgen and anabolic steroids (AAS).

    It might help you attain your target weight and achieve goals fast (24, 25).
    But, the danger of harmful unwanted aspect effects will make you think twice if Dianabol is worth the danger.

    It’s a blueprint for constructing sensible, individualized steroid cycles — designed that will help you develop muscle, reduce fats, or do each with out compromising your long-term health.
    In our expertise, bodybuilders have an increased threat of nephrotoxicity, with a number of of our
    sufferers displaying high creatinine levels.
    Leal Herlitz, MD, examined the kidney operate of 10 bodybuilders who had utilized steroids
    long-term. She recognized 90% of them with focal segmental glomerulosclerosis
    (5).
    This can result in water retention, causing a bloated or smooth look to the muscle tissue.
    Consequently, injectable steroids can be taken for
    longer periods of time (up to 12 weeks).
    Orals, however, are solely taken in short cycles because of raised ALT (alanine
    aminotransferase) and AST (aspartate transaminase) liver enzymes,
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    bodybuilders have the choice of taking orals or injectables.
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    Winstrol, when stacked with extra oral steroids, increases the risk of jaundice or liver cholestasis.
    Deca Durabolin is a bulking steroid additionally capable of adding notable quantities of muscle
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    Deca Durabolin additionally will increase muscle fullness by rising
    intracellular fluid volume. Anavar and testosterone are among the
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    In our expertise, the cardiovascular strain of Anavar is marginally higher than that of testosterone.
    This can be attributed to Anavar being an oral drug,
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    The bodybuilding community refers to Anavar as a slicing steroid generally cycled throughout competitors
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    From sinus infections and hypertension to preventive screening, we’re
    right here for you. Nonetheless, demise through liver
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    We find TUDCA to be effective in minimizing hepatic stress and irritation during a cycle.
    Alcohol also needs to be averted to forestall AST and ALT enzymes from rising to excessively high ranges.
    We have had sufferers who beforehand used Anadrol endure from peliosis hepatis, a
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  3. Similarly, whenever you take anabolic steroids purchase, you have to
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    «In some parts of the UK there are proper centres offering support and treatment for steroid users however they’re few and much between,» stated Professor Iversen. Professor Iversen stated there are no
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    However it is worth contemplating that to purchase steroids in the
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    Since in most nations, steroids on the market are thought-about sports doping
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    T3-Max-100 is a sought-after substance for chubby customers
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    libido and males who want to preserve fertility all through the usage of steroids.
    Steroid cycles involving oral steroids are usually the shortest
    cycles, between 4 and 8 weeks.
    Winsol is a legal steroid designed to provide the identical effects as Winstrol.
    We have seen Anavar add 10–15 lbs of muscle whereas
    considerably stripping fats (6). Nonetheless, this quantity will be
    decrease for experienced steroid customers. Anavar’s reputation stems from it being
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    Women use it as a result of it hardly ever causes virilization unwanted
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    With a lot faux news on the market, getting the proper advice is essential.
    When moving into steroids, some are protected for everybody, and others usually are not.
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