Those who do not travel only read one page.
Growing up in post-Soviet Russia, photographer Diana Markosian saw the 1980s American soap opera Santa Barbara as a symbol of the West itself. Markosian and her mother later immigrated to Santa Barbara, California, the iconic “American Riveria.” “It was nothing like the soap opera we watched in Russia,” says Markosian.
Emerging from Alaska’s Chugach Mountains, the Knik Glacier attracts visitors eager to explore the lake that has formed at its base, take sightseeing flights above the glacier’s 400-foot wall, or mush dogs to camp on the ice. “Alaska is an iconic American destination to me because it’s a place I’ve been returning to every year for the last 20 years,” says photographer Jody MacDonald. “It holds a very special place in my heart.”
The sun rises over Rarotonga’s Muri Beach. Besides excellent diving, travelers can hike through the island’s lush mountains.
The site of the Mausoleum at Halicarnassus, in the center of present-day Bodrum, still preserves fragments of columns and other materials from the ancient building.
Two campers get ready for a summer evening at the La Parva Ski Resort. At the bottom of Las Águilas Telesilla, the resort offers year-round adventures for visitors, including a campground with water and electricity.
A climber ascends a challenging wall in the Andes Mountains. Alpine, free, and sport climbing are popular in Chile, where there are nearly 2,500 miles of mountain ranges to explore.
American actress and singer Ashleigh Murray shot to fame with her role as Josie in Josie and the Pussycats in the TV show Riverdale. She has since reprised her role in the Riverdale spin-off, Katy Keene. Prior to this, she starred in television shows and films including Girls, and Diedra & Laney Rob a Train.
Despite only being in her twenties (Born Sept. 1, 1996), Zendaya has already had a more successful career than many actresses. She has been working since childhood, with comedic roles on Disney Channel, but has since proven she is a serious actress with her performances on Euphoria, Dune, and The Greatest Showman. In addition, she has had worldwide appeal thanks to her role as MJ in Spider-Man: No Way Home, in which she stars alongside her real-life boyfriend, Tom Holland.
Bohemian style is a relaxed, carefree look characterised by neutral colours and textured pieces. It’s growing in popularity at the moment, again thanks to biophilic design. Boho-style is inspired by artists and is all about self-expression and creating a space that is entirely for your own enjoyment and that reflects the story of your life and your personal values. To do this you can incorporate mementoes and souvenirs from your own travels, flea market finds, and original or handmade artwork.
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Chto delatj, esli u rebyonka lejkoz
Resskazivaem, chto delatj, esli u rebyonka obnaruzhena lejkemiya: kak vistroitj marshrut k vizdorovleniyu, kuda obraschatjsya za pomoschjyu i k kakim tratam gotovitjsya.
Chto takoe lejkozLejkoz, lejkemiya ili belokrovie — eto tri nazvaniya odnogo i togo zhe zlokachestvennogo zabolevaniya krovetvornoj sistemi. Pri etoj bolezni «lomaetsya» process sozrevaniya kletok krovi.U zdorovogo cheloveka kostnij mozg regulyarno obnovlyaet ih: v nyom obrazuyutsya eritrociti, lejkociti i trombociti. Lejkoz zhe provociruet beskontroljnoe delenie nezrelih kletok (blastov), i oni vitesnyayut zdorovie krovyanie kletki, chto i provociruet simptomiSimptomi detskogo lejkoza / Infocentr «Detskij lejkoz»: blednostj, vyalostj, povishennuyu krovotochivostj i podverzhennostj infekciyam.Lejkoz — eto sistemnoe zabolevanie. Nachinayasj so sboya v rabote kostnogo mozga, ono ohvativaet vesj organizm, vizivaet narusheniya v rabote organov i sistem. Poetomu diagnostika vedyotsya srazu v neskoljkih napravleniyah. V pervuyu ocheredj pered vrachami stoit zadacha opredelitj vid lejkoza, chtobi podobratj protokol lecheniya. Dlya etogo neobhodimo izuchitj obrazec kostnogo mozga pacienta.Provodyatsya issledovaniya na citologiyu, biohimiyu opuholevih kletok, molekulyarnuyu genetiku. Viyavlyayutsya harakternie osobennosti novoobrazovaniya, ih sravnivayut s klinicheskimi osobennostyami kletok pri tom ili inom vide lejkoza.Paralleljno provoditsya obschaya ocenka sostoyaniya vnutrennih organov i sistem — vazhno ponyatj, kakoj vred boleznj uspela nanesti organizmu.Dlya tochnoj diagnostiki neredko prihoditsya obraschatjsya v neskoljko laboratorij, v tom chisle federaljnih. V Rossii deti mogut poluchatj lechenie v svoih subjektah, no za podtverzhdeniem diagnoza regionaljnie boljnici obraschayutsya v laboratorii NMIC DGOI im. Dmitriya Rogachyova, NMIC onkologii im. N. N. Blohina, NII DOGiT im. R. M. Gorbachyovoj, ODKB №1 g. Ekaterinburg i drugie.Sovremennaya nauka ne mozhet predskazatj vozniknovenie etogo zabolevaniya. Ono ne nasledstvennoe, ne virusnoe ili bakterialjnoe, poetomu im neljzya zarazitjsya. Vidov lejkoza mnozhestvo: sredi nih estj kak slozhno poddayuschiesya lecheniyu, tak i te, pri kotorih vizhivayut 9 iz 10 pacientov. Samaya rasprostranyonnaya formaOSTRIJ LIMFOBLASTNIJ LEJKOZ U DETEJ / Childhood Cancer International — ostrij limfoblastnij lejkoz (OLL). On sostavlyaet do 80% ot obschego chisla sluchaev zlokachestvennih zabolevanij krovi u detej. Etot vid horosho poddayotsya lecheniyu.Na vtorom mesteOstrij mieloblastnij lejkoz / Childhood Cancer International po chastote vozniknoveniya — ostrij mieloblastnij lejkoz (OML), no vstrechaetsya on v 5 raz rezhe, chem limfoblastnij. Lechitj ego slozhnee, chasto trebuetsya peresadka kostnogo mozga.Vazhno znatj, chto kazhdij vid lejkoza trebuet specificheskogo lecheniya. Preparati naznachayut toljko posle obsledovaniya i postanovki tochnogo diagnoza.Samodiagnostika i samolechenie v takih sluchayah protivopokazani: estj veroyatnostj «smazatj» klinicheskuyu kartinu zabolevaniya i uslozhnitj postanovku diagnoza.Chto delatj, esli diagnoz podtverdilsyaEsli po rezuljtatam analizov v krovi rebyonka obnaruzhatsya blastnie kletki, ego nemedlenno gospitaliziruyut v detskoe onkogematologicheskoe otdelenie. Tam provedut detaljnoe obsledovanie i postavyat tochnij diagnoz, zatem nachnyotsya lechenie.Obsledovatj i lechitj pacienta budut v regione prozhivaniya — v federaljnie centri napravlyayutGde lechitjsya / Infocentr «Detskij lejkoz» detej s naibolee tyazhyolimi sluchayami ili redkim vidom lejkoza. Segodnya v Rossii takzhe aktivno razvivaetsya telemedicina. Dazhe esli vi prohodite lechenie v regione, stolichnie specialisti budut na svyazi i smogut prokonsuljtirovatj kolleg. Pri ostrom limfoblastnom lejkoze terapiya mozhet podejstvovatj bistro. Odnako, kak uzhe bilo skazano vishe, effektivnostj lecheniya vo mnogom zavisit ot togo, svoevremenno li bilo viyavleno zabolevanie i podobrana terapiya.V RF ispoljzuetsya dva osnovnih protokola lecheniya lejkoza: «Moskva‑Berlin» i «Berlin‑Frankfurt‑Myunster», ili prosto MB i BFM. Oba vhodyat v klinicheskie rekomendaciiFederaljnie klinicheskie rekomendacii po diagnostike i lecheniyu ostrogo limfoblastnogo lejkoza u detej i podrostkov / NODGO, odobrennie Minzdravom Rossii. Rezuljtati lecheniya po protokolam prakticheski odinakovi, vibor togo ili inogo protokola zavisit ot konkretnoj kliniki.K kakim tratam nuzhno bitj gotovimLechenie lejkoza v Rossii vhodit v programmu OMS, znachit, oplachivatj ego ne nuzhnoBesplatnaya medicinskaya pomoschj (OMS i VMP) / NMIC onkologii im. N.N. Blohina. Pri etom objyom programm razlichaetsya v raznih regionah. Tochno uznatj, chto vam obespechat za schyot OMS, mozhno v strahovoj kompanii, vidavshej polis, ili na goryachej linii territorialjnogo podrazdeleniya Fonda obyazateljnogo medicinskogo strahovaniya.No estj statji rashodov, kotorie gosudarstva ne pokrivaet. Vot samie chastie iz nih: Rashodi na aviabileti, taksi, prozhivanie. Aktualjno, esli vi zhivyote v regione, no lechenie budet prohoditj v federaljnom centre. Peresadka kostnogo mozga. Esli eta procedura neobhodima, to poisk donora lozhitsya na plechi roditelej. Podbor donora v mezhdunarodnom registre — platnij, stoit ot 10 tisyach evro. V registre RF imeni Vasi Perevoschikova sdelatj eto mozhno besplatno, no denjgi ponadobyatsya dlya aktivaciya donora — eto process ego podgotovki k peresadke. Obichno s poiskom donorov i ih aktivaciej roditelyam pomogayut blagotvoriteljnie fondi. Dopolniteljnie issledovaniya i analizi. Ih tochnij spisok individualen, vse zavisit ot sluchaya konkretnogo pacienta. Chasto v perechenj takih issledovanij vhodyat geneticheskie analizi, konsuljtacii uzkoprofiljnih specialistov ili U*I. Kakaya eschyo pomoschj mozhet ponadobitjsya i ot kogo eyo poluchitjVo vremya lecheniya pacienti i ih blizkie chasto nuzhdayutsya v konsuljtacii yurista ili socialjnogo rabotnika. Naprimer, v sluchayah, kogda nuzhno oformitj invalidnostj, poluchitj ljgotnoe lekarstvo, besplatno projti lechenie i reabilitaciyu, zapolnitj dokumenti. Vo vseh etih voprosah mozhet ponadobitjsya pomoschj medicinskih yuristov. Poluchitj konsuljtaciyu mozhno cherez blagotvoriteljnie fondi ili sluzhbu «Yasnoe utro». Usluga besplatnaya. Tam zhe pacientu i ego blizkim mogut okazatj psihologicheskuyu pomoschj. Ona ochenj vazhna na vseh etapah lecheniya, vne zavisimosti ot diagnoza, prognozov, vozrasta.Esli neobhodima konsuljtaciya medikov, vtoroe mnenie, a takzhe esli poyavilisj obschie voprosi o bolezni, mozhno vospoljzovatjsya onlajn‑servisom «Prosto sprositj». Eto besplatnaya spravochnaya sluzhba dlya pacientov s onkologicheskimi zabolevaniyami i ih rodnih. Chtobi obratitjsya tuda, zapolnite anketu na sajte, ukazav naibolee polnuyu informaciyu o vashem sluchae.Kogda nuzhno rassmatrivatj lechenie v drugih stranahLejkozi v Rossii lechatsya dostatochno effektivno. No inogda roditeli prinimayut reshenie uehatj na lechenie za granicu. Vibiraya etot variant, nuzhno zaranee znatj neskoljko momentov: Eto dorogo. Lechenie, prozhivanie, perelyot — vsyo lozhitsya na plechi semji. No estj isklyucheniya: esli v Rossii rebyonku ne mogut pomochj, to vidayut oficialjnoe zaklyuchenie ob etom. V takom sluchae posle vozvrascheniya v stranu rashodi na zagranichnoe lechenie chastichno kompensiruyutsya. Odnako vazhno zaranee uznatj vse usloviya polucheniya kompensacii i sobratj neobhodimie dokumenti. Informaciyu mozhno utochnitj v profiljnih fondah, NMIC onkologii im. N. N. Blohina i drugih federaljnih klinikah. Za finansovoj pomoschjyu takzhe mozhno obratitjsya v blagotvoriteljnie fondi. Vozmozhno, pridyotsya poehatj eschyo raz. Protokoli lecheniya v raznih stranah razlichayutsya. Esli posle vozvrascheniya domoj sluchitsya recidiv ili nachnutsya oslozhneniya, lechitjsya v Rossii budet uzhe slozhnee. Ne fakt, chto otechestvennie preparati uspeshno podejstvuyut na rebyonka. A eschyo mogut vozniknutj byurokraticheskie trudnosti s gospitalizaciej. Poetomu estj risk, chto vam snova pridyotsya poehatj v zarubezhnuyu kliniku, gde pacienta lechili v proshlij raz. Net 100‑procentnoj garantii. Pered nachalom lecheniya rebyonka budut vnovj obsledovatj, i, vozmozhno, zarubezhnie specialisti postavyat takoj zhe diagnoz, predlozhat to zhe lechenie, chto i vrachi v Rossii, a polozhiteljnogo effekta ne budet. Togda, k sozhaleniyu, vi potratite vremya i denjgi naprasno. Esli u vas eschyo ostalisj voprosi po gospitalizacii, lecheniyu i lekarstvennomu obespecheniyu, zadatj ih mozhno specialistam fonda «ZhIVI».
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