Anımsanan sağlık emekçileri!

medikritik Sa, 21/04/2020 - 09:07

Neden “anımsanan sağlık emekçileri”? Bunun nedenleri çok fazla ama kimseyi kırmama, üzmeme adına ayrıntıya girmenin yararı yok.
Siyasi erk üzerinde meslek gruplarının kademeli etkilerini yadsıyamayız. Bu meslek içi hiyerarşiden öte bir şeydir. Etkin ve de yetkin konumu yakalayan kimi bireyler kendilerini beğenmişlikten narsizme kadar uzanan davranışlarının olağanlığını ya da olağandışılığını sorgulamayabilirler. Bazen durumu irdelediklerinde yanlışlarını görebilir hatta söz konusu durumdan utanabilirler.
Bu dramatik girişi neden yaptığımı açıklamak isterim. 17 Ağustos depremi sonrasında Bursa Eczacı Odası’nın çağrısı, deprem kriz masasının çağrıya olumlu yanıt vermesi ve Türk Eczacıları Birliği’nin önermesiyle Sağlık Bakanlığı’nın yetkilendirmesi sonucu Yalova Bölgesi İlaç Sorumlusu oldum. Sahra eczanelerinin kurulması, ilaç, tıbbi malzeme, hijyenik ürünler ve bebek bakım ürünlerinin temininde tam yetkili kılındım. 21 günlük geceli gündüzlü çalıştım. Tüm eczacı odalarının desteğiyle her gün yirmiye yakın eczacı ve eczane teknisyeniyle görevi yüz akıyla tamamladık. Aradan bir ay kadar süre geçti, Bursa Yerel Gündem 21 etkinlikleri kapsamında “BURSA’DA DEPREM OLURSA” adlı bir panel düzenlendi. Odam adına panelist olarak ben katıldım. Salonda ayakta yer olmadığı gibi koridorlar da tıklım tıklım doluydu. Ben ikinci konuşmacıydım. Konuşmam ayakta alkışlanınca panel yöneticisi sayın akademisyen yanındaki kendi mesleğinden olan ilk konuşmacıya “bu ortamda şovun gereği yok” dedi. Yani şovmen ben oluyorum. Belli belirsiz mikrofona da yansıdı yöneticinin sözleri ama alkış sesleri arasında izleyenler bunu fark etmedi. Ben kendi mikrofonumu uzaklaştırıp yöneticiye doğru eğilerek dedim ki: “Hocam ben gönüllü çalıştım, sanırım izleyenler gönüllü olmayı alkışlıyor. Çünkü siz de biliyorsunuz ki diğer panelistler ücretli çalıştılar”. Hoca bir daha böyle hata yapmış mıdır bilemem ama önemli olan hata yapıp yapmaması değil narsizmin prangasından kurtulmasıdır.
Bu anımın ana fikri, kendini İDA’da görenlerin aslında miyop olmalarıdır. Zeus’un kulakları çınlasın!
Gelelim COVID-19 çağına. Sağlık bakanımızdan tutun da her kademedeki etkin/yetkin insanlar “sağlık personeli” deyince kulvarda hekim dışında kimse yokmuş gibi davrandılar. Oysa hastalarla neredeyse kucak kucağa uğraşan en ön saftaki hemşire ordusunu anımsamadılar. Yine hastaların ilk uğrak yeri eczaneleri yok saydılar. Aile hekimlerinin çığlıklarını duymadılar. Sıralamaya koysanız en riskli grup hemşirelerimiz, hasta bakıcılarımız, ambulans hizmeti verenler ve temizlik hizmeti verenlerdir. İkinci sırayı sizce kim alır?
Gelelim medya mensuplarına; sorum şu:
“İki saat süreyle eczanemde bana yardım eder misiniz?”
Yo yo beleş değil, kendi ücretinizi kendiniz belirleyin! Varsa babayiğit eczanem sonuna kadar açık. Son günlerin en değerli tıbbi malzemesi maske de benden.
İşte biz böyle hayıflanırken beş eczacı göçtü gitti. TEB anımsadı eczacıyı sonunda, ama gariptir ki TEB’in “maskeyi biz dağıtırız haşmetlim” şeklindeki teklifine karşılık bir teşekkür geldi. Bizim dangalak, teşekkürün angaryaya olduğunu görmedi, eczacıya teşekkür edildiğini sandı!.
Derken bir kısım hocalarımız posta koydular da eczacı anımsanır oldu. Burada Prof. Tayfun Uzbay, Prof. Nurettin Abacıoğlu, Prof. Levent Üstünes hocalarımı saygıyla selamlıyorum. Biz onlar ve onlar gibi olan namuslu, dürüst hocaların öğrencileriyiz.
Biz eczacılar hiçbir sağlık personelini diğerinden üstün görmüyoruz. Kendini üstün görenleri de hoş görmüyoruz. Bu söylediklerimden gerçek bilim insanlarını ayrı tutuyorum. Ne ki şunu da biliyorum: Medya seçimini yaparken genellikle aynı ‘rütbedeki’ şarlatan ve şaklabanları tercih ediyor.
Sağlıkçılara ayrım yapmaksızın şükranlarımı sunuyorum.
‘Sağlık Ordusu’ kavramını bilmeyenlere de öğrettiğiniz için tarih yazdınız.
Ecz. Arif Yayla

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git.wisder.net (doğrulanmamış) Per, 01/05/2025 - 00:49

The cause why Anadrol isn’t listed as primary on this listing is as a outcome
of we have ranked steroids so as of execs vs. cons. The Trenbolone steroid was made in 1963 and was
intended for veterinary use. At the point when it was infused
into dairy cattle where it improved complement
ingestion and hunger and energized terrific levels of muscle improvement.
It was affirmed to be used as an animal’s growth advertiser in the mid-70s.
Obviously, it was not lengthy before updates on the steroid’s
capacity arrived on the ears of longing for muscle train heart goers.

Retaining existing muscle while cutting is an ongoing problem for any bodybuilder, and Ostarine offers a substitute for harsh steroids to attain this objective.
Don’t neglect that a combined course of steroids (when combining 2
or more anabolic drug) includes decrease doses of each component.

To determine the optimum proportions can only be skilled by a sports physician.
Therefore, it's desirable that the course has been designed individually by an experienced technician.
SARMs (Selective Androgen Receptor Modulators) solely bind to
the androgen receptors, this implies they don’t bind to the receptors in other parts of
the physique such as the prostate.
Sustanon 250 incorporates a combination of fast- and slow-acting esters, inflicting users to experience fast results that persist into the latter stages of a
cycle. We discover that 1-2 Sustanon 250 injections are needed per week to maintain peak
serum testosterone levels. We have seen a first-time testosterone
cycle add 20–30 kilos of lean muscle to users—even in conservative dosages.

Do not hesitate to convince your self of this and feel free to
contact us with any questions 24/24.
Know the SARMs you’re using and know them well, particularly how
suppressive they’re going to be, and be prepared to
run a PCT cycle simply as you would when using steroids. Pimples is a horrible androgenic facet impact that no one
needs to develop. You may be lucky to have zero tendency
to develop pimples, no matter what steroids you employ.
At the other finish of the spectrum are guys who begin breaking out even at low doses of delicate steroids.

We have discovered this to be one of the poisonous cycles
for the liver, with each of those steroids being orals (and thus C-17 alkylated compounds).
Subsequently, in case your liver isn't in glorious situation, do not carry out this cycle.
In our expertise, that is probably some of the
deleterious cycles for a bodybuilder, considering the professionals and cons.
This is because Winstrol won’t make an incredible distinction when it comes to anabolism, but it's going to exacerbate
the unwanted facet effects of Anadrol.
This is why a SERM like Nolvadex is most frequently used and beneficial for PCT over Aromasin. Aromatase
inhibitors, together with Aromasin, have become a significant device for steroid customers within the battle to combat estrogen-related unwanted side
effects throughout a steroid cycle. One of the most feared estrogenic unwanted
effects from steroids, which aromatize, is gynecomastia
– male breast tissue enlargement. If not adequately managed, then this situation can turn into irreversible through any means apart from invasive surgery.

Anabolic steroids are composed of testosterone merchandise (male sex hormones) they usually generally
enhance muscle mass and improve athletic efficiency. Even although anabolic steroids could be misused and cause side effects, they
provide great medical advantages when used therapeutically.
As Quickly As again, this could be a troublesome question to answer,
however once again there are tips that can assist you to keep safe.
Regardless of the steroid cycles you implement flex wheeler, regardless of how fundamental or advanced, your plan goes to wish to extend
for a good period of time.
As I’ve stated many times, it’s simply the best way to know where you’re at
with testosterone suppression. Complete testosterone can drop fairly substantially after this
stack; whereas it will recover, it might possibly take a few weeks.
A commonplace Nolvadex or Clomid PCT of 20mg/day for four
weeks will pace up testosterone recovery.
Gentle to average testosterone suppression is feasible in men – consider my PCT advice elsewhere in this
guide to decide whether or not or not you need to
do PCT.
Meet the principle players on this field – Primobolan, Masteron, Anavar, and Turinabol.
Research with people have shown that a single dose of as much as 800mg produced
no critical results, and even longer-term every day dosing at 600mg has been tolerated well.
With Aromasin being a suicidal aromatase inhibitor,
we don’t should taper it down like you
often have to with Arimidex as a end result of Aromasin won’t offer you that estrogen rebound.
Once your dosage is dialed in, you can stop taking it before
beginning PCT.
You will in fact feel very down because of the deficit and cardio, however suck
it up. At least the Masteron will enhance your libido like you’re 14 again and you simply discovered Angelina Jolie.
Drostanolone or Masteron is probably one of the best
chopping medication in the marketplace, and one of
the in style – for good purpose actually. It is extraordinarily gentle in its side
effects, the only real one being that it is going to actually accelerate hair loss if you're vulnerable to it
in the first place. It will really complete and polish an already clear and lean physique.
The first of course is going to be testosterone shutdown but you already know this.

https://gogs.m… (doğrulanmamış) Per, 01/05/2025 - 03:27

Bodybuilders use bulking cycles to realize significant will increase in muscle hypertrophy.
Anavar is a C-17 alpha-alkylated oral steroid;
thus, it is processed by the liver upon absorption into the bloodstream.

Posting or having steroids delivered by a
courier can additionally be unlawful. Many of the individuals
he spoke to for his analysis were not "cycling"
either, a process whereby customers cease taking the
drugs for a protracted interval so as to allow their physique to recuperate.
However regardless of these stark warnings, there are
nonetheless more than one million, predominantly male,
steroid users in the UK, according to the UK Anti-Doping agency (UKAD).
I get men who’ve by no means carried out one steroid, and
I beg them not to do it. And for many males who don’t have physique dysmorphia, they
hug me.
They then normally bind to Androgen receptors,
and pressure a change onto the body that's useful for efficiency.
This is precisely the same means SARMs work,
but SARMs solely bind the receptors in muscle and bone tissue.
Steroids have a nasty affinity to bind to all the Androgen receptors in the body.
This just isn't a fantastic thing as it causes side effects we want to keep away from, corresponding
to Prostate progress. Schwarzenegger does understand, although, that many won’t take heed to his exhortations to avoid steroids.
After all, on some level, they contributed to his rise through bodybuilding and into Hollywood.

Nevertheless, when these athletes self-administered anabolic steroids,
a higher percentage of wave type abnormalities had been exhibited.
Further proof suggestive of left ventricular dysfunction has been reported in rodent fashions.
A research on rats has proven that eight weeks of testosterone administration increased left ventricle stiffness and caused a reduction in stroke quantity and cardiac performance (LeGros et al., 2000).
It was hypothesized that the elevated stiffness could have
been related to formation of crosslinks between adjoining collagen molecules inside the coronary heart.

Others have suggested that anabolic steroid use may suppress the
increases usually proven in myocardial capillary density
following extended endurance coaching (Tagarakis et al.,
2000).
Thus, the best steroid for first-time customers is one that produces substantial muscle mass whereas exhibiting minimal antagonistic results.

Moreover, novices typically chorus from stacking steroids in tandem as a result of
extra severe side effects. A user’s first steroid cycle is usually the
simplest. This is as a outcome of their our bodies haven't previously skilled such levels of anabolism or protein synthesis.

Mr Bridgman started weight training 10 years in the past and claimed that
greater than 90% of his peers were taking steroids.

None of this has dissuaded professional bodybuilder Josh Bridgman from taking the medicine.
The College of Bristol PhD pupil mentioned that male body dysmorphia and steroid use had been being fuelled by actuality TV and social media.

Nonetheless, trenbolone produces harsh unwanted effects and thus
is often prevented by beginners. We typically document testosterone
suppression being extreme, as nicely as LDL levels of
cholesterol rising notably. Dianabol is a steroid that can add up to
50 kilos of mass to customers when cycled multiple occasions and
stacked with other bulking steroids. Weight scales
could not fluctuate much due to simultaneous fat-burning and mass-building effects from Anavar.
Nonetheless, a woman’s body composition will considerably improve, with a leaner, fuller,
and extra outlined look. Flex Wheeler, one of many world’s most spectacular
bodybuilders, has admitted using steroids for efficiency enhancement.

It is more androgenic than Deca, leading to average lean muscle features and a few fats loss.
Bodybuilders have referred to testosterone because the "safest steroid."
However, no anabolic steroids are safe when taken in supraphysiological doses
and with out medical steerage. Different than Winstrol being an oral steroid and not
being as anabolic as trenbolone, the primary different difference is that Winstrol doesn’t fill out the muscular tissues as a
lot.
Pure ingredients and low threat of unwanted effects
are among many causes for its reputation amongst novices and professionals within the bodybuilding area.
D-Bal Max boosts testosterone production and improves metabolism, both of these enhancements speed
up the muscle-building course of. Decrease ranges of testosterone are often associated to lethargy,
weight gain, and even despair in certain circumstances.
SSA use and the harm it does to males has been more copiously researched.
Researcher and psychiatrist Ingrid Amalia Havnes has interviewed feminine bodybuilders
and seemed into how their use of certain doping substances
has impacted them bodily, psychologically and socially.
Simeon Panda is heavier than Arnie when he competed on the olympia.
The world of natural bodybuilding beckons us to
have fun the champions who show that, within the pursuit
of greatness, authenticity will at all times stand tall.
The chosen bodybuilders embody a harmonious mix of competitive success, sustained dedication, and a optimistic influence extending past
the confines of bodybuilding stages.
Selecting the proper oral steroid isn’t nearly objectives — your training expertise degree performs a important function in how properly your physique will respond to those supplements.
If you examine any of these bins, strength-based oral steroids can help you break barriers and elevate your
performance. When building a performance-enhancing complement
plan, step one is to establish your true health aim.

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