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œRoberthig “Še“ú : 2025”N11ŒŽ22“ú<“y>17Žž19•ª

„r„„y„ƒ„{„y „‰„u„|„~„ „B„„y„ƒ„{„y „r „X„u„|„~„p„‡ „„„„€ „t„|„‘ „„„u„‡, „{„„„€ „y„‹„u„„ „~„€„r„„‡ „x„~„p„{„€„}„ƒ„„„r „y „ƒ„„€„~„„„p„~„~„„‡ „„‚„y„{„|„„‰„u„~„y„z. „^„„„€ „r„€„x„}„€„w„~„€„ƒ„„„Ž „€„{„…„~„…„„„Ž„ƒ„‘ „r „p„„„}„€„ƒ„†„u„‚„… „q„u„x„x„p„q„€„„„~„€„ƒ„„„y, „„€„x„~„p„{„€„}„y„„„Ž„ƒ„‘ „ƒ „u„t„y„~„€„}„„Š„|„u„~„~„y„{„p„}„y „y „r„u„ƒ„u„|„€ „„‚„€„r„u„ƒ„„„y „r„‚„u„}„‘. „C„|„p„r„~„€„u „„€„}„~„y„„„Ž „€ „q„u„x„€„„p„ƒ„~„€„ƒ„„„y „y „r„„q„y„‚„p„„„Ž „„‚„€„r„u„‚„u„~„~„„u „}„u„ƒ„„„p „y „{„€„}„„p„~„y„y. „B„„y„ƒ„{„p „„„„€ „~„u „„‚„€„ƒ„„„€ „r„u„‰„u„‚„y„~„{„p, „„„„€ „Š„p„~„ƒ „„€„‰„…„r„ƒ„„„r„€„r„p„„„Ž „ƒ„u„q„‘ „‰„p„ƒ„„„Ž„ „‰„u„s„€-„„„€ „q„€„|„Ž„Š„u„s„€, „~„p„z„„„y „~„€„r„„‡ „t„‚„…„x„u„z „y „„€„|„…„‰„y„„„Ž „x„p„‚„‘„t „„€„x„y„„„y„r„~„„‡ „„}„€„ˆ„y„z.
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Äîìàøíèé âèçèò — ýòî êðàò÷àéøèé ïóòü ê îáëåã÷åíèþ ñèìïòîìîâ, êîãäà íåò ïðèçíàêîâ îñëîæíåíèé. Âðà÷ ïðèåçæàåò íà íåïðèìåòíîì òðàíñïîðòå, ïðîâîäèò î÷íóþ îöåíêó, èçìåðÿåò äàâëåíèå, ïóëüñ, ñàòóðàöèþ, îöåíèâàåò íåâðîëîãè÷åñêèé ñòàòóñ è ïñèõè÷åñêîå ñîñòîÿíèå, ïîñëå ÷åãî íàçíà÷àåò èíôóçèîííóþ òåðàïèþ è ñèìïòîìàòè÷åñêèå ñðåäñòâà ïî ïîêàçàíèÿì. Ìû çàðàíåå äà¸ì ñåìüå ïðîñòûå èíñòðóêöèè íà 24–48 ÷àñîâ, ÷òîáû îáåñïå÷èòü ñïîêîéíûé ðåæèì, êîíòðîëü ïèòüÿ, êîððåêöèþ ñíà è ñâîåâðåìåííóþ ñâÿçü ñ äåæóðíûì âðà÷îì.
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Ãîñïèòàëèçàöèÿ ðàçâîðà÷èâàåòñÿ êàê ïîñëåäîâàòåëüíîñòü øàãîâ: ïðè¸ì è äîïóñê ê òåðàïèè, ñòàðò èíôóçèé, ìîíèòîðèíã 24/7, ðåãóëÿðíàÿ ïåðåîöåíêà è ïîäãîòîâêà ê âûïèñêå. Òàêîé êîíòóð îñîáåííî âàæåí ïàöèåíòàì ñ ñîïóòñòâóþùèìè äèàãíîçàìè (ãèïåðòîíèÿ, ÈÁÑ, ñàõàðíûé äèàáåò, çàáîëåâàíèÿ ÆÊÒ), ãäå òðåáóåòñÿ äåëèêàòíàÿ íàñòðîéêà äîçèðîâîê è òåìïà èíôóçèé.
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Âðåìÿ — êëþ÷åâîé ðåñóðñ ïðè àáñòèíåíöèè è èíòîêñèêàöèè. Íèæå — îðèåíòèðû, êîòîðûå ïîìîãóò ñåìüå ïðèíÿòü ðåøåíèå íå îòêëàäûâàòü îáðàùåíèå. Åñëè ñîâïàäàåò õîòÿ áû îäèí ïóíêò, ëó÷øå ñðàçó îáñóäèòü ñèòóàöèþ ñ äåæóðíûì íàðêîëîãîì è ïîäãîòîâèòü ïðîñòðàíñòâî äëÿ âèçèòà.
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œFreddyObjen “Še“ú : 2025”N11ŒŽ22“ú<“y>16Žž23•ª

Cheung, who regularly expresses hostility toward reporters on social media platform X, asserted in a Friday night post that, gsome reporters have been caughth taking pictures of sensitive information and geavesdropping on private, closed-door meetings.h
kra39cc
That claim came as news to White House press corps leaders, who are not aware of colleagues being gcaught.h
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Early in Bill Clintonfs presidency, Clinton aides similarly attempted to bar journalists from the gupper pressh area, causing an outcry. That ban was rescinded.
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Journalists had normal access to the offices during President Trumpfs first term in office. But in his second term, Trump and his aides have taken several steps to stymie news coverage and circumvent traditional media outlets.
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Last winter, the administration blocked the Associated Press from attending some White House events, leading to a First Amendment lawsuit that is still working its way through the courts.
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The administration has also stopped publishing transcripts of Trumpfs remarks; has taken control of daily press pool assignments; and has invited fawning pro-Trump commentators to presidential Q&As.
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Some cabinet secretaries have followed Trumpfs lead. Last month, Defense Secretary Pete Hegseth implemented severe new restrictions for Pentagon press pass credentialing, leading virtually every major media outlet to reject the rules and give up access to the Pentagon complex.

CNNfs Samantha Waldenberg contributed to this report.
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Íàøà ôèëîñîôèÿ — ìèíèìàëüíî äîñòàòî÷íûå âìåøàòåëüñòâà è èçìåðèìûå öåëè. Âìåñòî «óñèëèòü âñ¸ ñðàçó» ìû ìåíÿåì îäèí ïàðàìåòð (ñêîðîñòü/ïîñëåäîâàòåëüíîñòü/îáú¸ì èíôóçèè) è ïðîâåðÿåì îòâåò â ñîãëàñîâàííîå îêíî. Òàêîé «òîíêèé ðåìîíò» ñíèæàåò ðèñê ïîáî÷íûõ ýôôåêòîâ, ñîõðàíÿåò ÿñíîñòü äí¸ì è äåëàåò íî÷ü ïðåäñêàçóåìîé. Ñåìüÿ è ïàöèåíò ïîëó÷àþò êîðîòêóþ ïàìÿòêó íà 72 ÷àñà ñ «çåë¸íûìè çîíàìè» (÷òî ñ÷èòàòü íîðìîé ñåãîäíÿ) è ïîíÿòíûìè ïîâîäîâûìè òðèããåðàìè äëÿ íåìåäëåííîãî êîíòàêòà ñ äåæóðíûì âðà÷îì.
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Â ïåðâûå ÷àñû âàæíî íå «çàëèòü» ïàöèåíòà ðàñòâîðàìè, à êîððåêòíî ïîäîáðàòü òåìï è ñîñòàâ ñ ó÷¸òîì âîçðàñòà, ìàññû òåëà, àðòåðèàëüíîãî äàâëåíèÿ, ëåêàðñòâåííîãî ôîíà (àíòèãèïåðòåíçèâíûå, ñàõàðîñíèæàþùèå, àíòèàðèòìè÷åñêèå ïðåïàðàòû) è ïåðåíîñèìîñòè. Èìåííî ïîýòîìó ìû íå îòäà¸ì ëå÷åíèå íà îòêóï øàáëîíàì — êàæäàÿ ñõåìà êîíñòðóèðóåòñÿ âðà÷îì íà ìåñòå, à ýôôåêòèâíîñòü îöåíèâàåòñÿ ïî ïîíÿòíûì ìåòðèêàì.
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Âñÿ äèíàìèêà ôèêñèðóåòñÿ â åäèíîé êàðòå íàáëþäåíèÿ. Ïðè ïåðåâîäå â àìáóëàòîðíóþ òî÷êó ìû íå «ñáðàñûâàåì» èñòîðèþ: ðåøåíèÿ ïðîäîëæàþòñÿ ñ ó÷¸òîì óæå ñäåëàííîãî è ðåàêöèè ïàöèåíòà íà âìåøàòåëüñòâà.
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