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akwolfgrl · 1 year ago

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LFT 26

“Shit that was hot. How many more orgasams do you think I wiring out of you tonight?” Zoro asked, watching as Sanji pants through coming down from his orgasm. His own cock was twitching with interest at the sight he had just beheld. “I know how short your refractory period is,” He bent to lick Sanji's nipples sothing the sting he must be feeling. Well that was one reason, the whimper coming from Sanji was another reason.

“Oh! Zoro!” Sanji moaned, his back aching. “Fuckkkkk, I could feel your cock! How many rounds are you planning?”

“Until you can't come anymore,”

“Not unless you can't cum anymore first!” Sanji snapped, wrapping his long powerful legs around Zoro's waist and flipped them so Sanji was on top. His long fingers splayed across his chest, groping and squeezing the muscles, a hungry look in his eyes as he rolled his hips against Zoro's hardening cock, he could feel as Sanji's own dick stirred to life once more. “One day I shuld try and fuck these titts of yours, ohh that would be so fucking hot!” Sanji moaned above him reaching for Zoro's cock.

“Shit Sanji if you want to go for it,” Zoro never thought about it before but it did sound pretty hot, not sure if it would work as well as a women's breasts but as long as blondie got off did it matter?

“Glad I got your permission marimo,” Sanji teased as he guided Zoro's cock to his waiting hole. Zoro grabbed him by the hips as Sanji sank down onto his cock. “Merde, je te jure tu es encore plus gros comme ça!" (Shit, I swear you feel bigger like this, it feels so good!)” Zoro still had no idea what he was saying because it was hot.

“Fuck curly I have no idea what your saying but keep talking,” Zoro bucked his hips upwards deep into to Sanjis heat, messy and wet from Zoros cum.

“Oh ? Tu aimes ça, hein ? Tu veux que je te dise à quel putain de point tu es bien au plus profond de moi ? Ou que tu es la meilleure baise que j'ai jamais eu ?"(Oh? You like this, do you? Want me to tell you how fucking good you feel deep inside of me? Or how about your the best fuck I've ever had?)” Sanji countries speak, putting those glorious thighs of his to work as he bounced and rocked on Zoro's cock. “Gonna make you cum first,” The blond grinned wickedly.

Zoro sat up and began to lick and suck Sanji nipples. There was no way he was losing this round.

“Not if I make you cum first,” Zoro shot back, determined to win.

Sanji grabbed him by the roots and pulled his head back. He licked a strip up Zoro's thought before attacking his Adam's apple, Zoro felt the press of his teeth scraping against his thought and shuddered bucking wildly under Sanji. The blond moaned and chuckled, sending vibrations down Zoro's thought.

“"t'as aimé ça Marimo ? Je devrais peut-être recommencer, mais plus fort, ça te plairait? Je parie que tu serais un chou si sale, n'est-ce pas? (Did you like that, moss? Maybe I should do it again but harder, would you like? I bet you would such a dirty cabbage, aren't you?)” Sanji bites his throat, not hard enough to draw blood but hard enough for Zoro to feel it.

“Oh fuck oh fuck! Shit I'm cuming!” Zoro shouted his hip stuttering as he pumped his load into Sanji again.

#one piece #fanfic #sanji #vinsmoke sanji #black leg sanji #roronoa zoro #zoro x sanji #zoro #smut #lust filled thoughts #french #zosan #sanzo

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postsofbabel · 4 months ago

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#posts of babel #neue posts of babel #screenreader unfriendly #eyestrain

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drmanishkumargupta · 5 months ago

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Autoimmune Hepatitis Diagnosis: Facts, Treatment, and Causes

Autoimmune hepatitis (AIH) is a chronic liver disease that occurs when the body’s immune system mistakenly attacks the liver, causing inflammation and damage. Without timely diagnosis and treatment, this condition can lead to severe complications such as cirrhosis and liver failure. At the Gastro, Liver & Endoscopy Center, under the expert care of Dr. Manish Kumar Gupta, patients receive comprehensive evaluation and tailored treatments for autoimmune hepatitis and other liver disorders. Known as the Best Gastro Specialist in Ghaziabad, Dr. Gupta is committed to helping patients manage their condition effectively and improve their quality of life.

In this blog, we will delve into the facts, causes, and treatment options for autoimmune hepatitis and discuss how early diagnosis can make a significant difference.

What is Autoimmune Hepatitis?:

Autoimmune hepatitis is a condition where the immune system, which is designed to protect the body from infections, mistakenly targets healthy liver cells. This immune response causes chronic liver inflammation and can lead to long-term liver damage if left untreated.

Autoimmune hepatitis can affect people of all ages and genders but is more common in women. It is classified into two main types:

Type 1 Autoimmune Hepatitis: The most common form, often occurring in young women, but it can develop at any age. It is associated with other autoimmune conditions, such as type 1 diabetes or rheumatoid arthritis.

Type 2 Autoimmune Hepatitis: This type is less common and usually affects children and young adults. It may progress more rapidly than Type 1.

Causes of Autoimmune Hepatitis:

The exact cause of autoimmune hepatitis remains unclear, but it is believed to result from a combination of genetic and environmental factors. Potential triggers include:

Genetic Predisposition: Individuals with a family history of autoimmune diseases are at a higher risk.

Environmental Triggers: Certain infections, medications, or toxins may act as triggers in susceptible individuals.

Hormonal Factors: The higher prevalence in women suggests a possible role of hormonal differences.

Other Autoimmune Diseases: Conditions like celiac disease, thyroid disorders, or systemic lupus erythematosus can increase the likelihood of developing autoimmune hepatitis.

Symptoms of Autoimmune Hepatitis:

The symptoms of autoimmune hepatitis can range from mild to severe and may include:

Fatigue and weakness

Abdominal discomfort or pain (especially in the upper right side)

Jaundice (yellowing of the skin and eyes)

Dark urine and pale stools

Loss of appetite

Unexplained weight loss

Joint pain and muscle aches

Itchy skin

It is important to consult a specialist like Dr. Manish Kumar Gupta, the Top Gastroenterologist in Ghaziabad, if you experience persistent symptoms.

Diagnosis of Autoimmune Hepatitis:

Accurate diagnosis is crucial for managing autoimmune hepatitis effectively. At the Gastro, Liver & Endoscopy Center, Dr. Gupta utilizes advanced diagnostic tools to confirm the condition and assess its severity. Diagnostic steps may include:

Medical History and Physical Examination:

Understanding the patient’s symptoms, family history, and any associated autoimmune conditions.

Blood Tests:

Liver Function Tests (LFTs): To assess liver health and detect inflammation or damage.

Autoantibody Tests: Identifying specific autoantibodies (e.g., ANA, ASMA, or anti-LKM1) that indicate autoimmune hepatitis.

Immunoglobulin G (IgG) Levels: Elevated IgG levels often suggest autoimmune hepatitis.

Imaging Studies:

Ultrasound, CT scan, or MRI to evaluate liver size, shape, and any structural abnormalities.

Liver Biopsy:

A small tissue sample is taken from the liver to confirm the diagnosis and determine the extent of inflammation or fibrosis.

Treatment of Autoimmune Hepatitis:

Treatment for autoimmune hepatitis focuses on reducing liver inflammation, preventing further damage, and achieving long-term remission. The treatment approach at the Gastro, Liver & Endoscopy Center includes:

Medications:

Corticosteroids (e.g., Prednisone): These drugs help suppress the immune response and reduce liver inflammation.

Immunosuppressants (e.g., Azathioprine): Often used in combination with corticosteroids, these medications help maintain remission and reduce the need for high-dose steroids.

Lifestyle Modifications:

A balanced diet rich in nutrients and low in fats and sugars.

Avoiding alcohol and unnecessary medications that may strain the liver.

Regular physical activity to maintain overall health.

Monitoring and Follow-Up:

Regular check-ups to monitor liver function and ensure that the treatment plan is effective.

Liver Transplant (in Severe Cases):

For advanced cases where liver failure occurs, a liver transplant may be the only option. Early diagnosis and treatment can often prevent this outcome.

Why Choose Gastro, Liver & Endoscopy Center?

With Dr. Manish Kumar Gupta, the Best Gastroenterologist in Ghaziabad, at the helm, the Gastro, Liver & Endoscopy Center offers comprehensive care for autoimmune hepatitis and other liver conditions. Dr. Gupta’s extensive expertise, compassionate approach, and commitment to advanced diagnostic techniques ensure accurate assessments and effective treatments. Patients benefit from a personalized care plan tailored to their unique needs.

Conclusion:

Autoimmune hepatitis is a manageable condition when diagnosed early. If you experience any symptoms or have risk factors, consult Dr. Manish Kumar Gupta, the Best Doctor for Gastroenterology in Ghaziabad, at the Gastro, Liver & Endoscopy Center. With expert care and advanced diagnostics, you can achieve better liver health and improve your quality of life.

Schedule your consultation today and take the first step toward effective management of autoimmune hepatitis.

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jouemen · 8 months ago

Video

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O segredo está na fórmula avançada do Lift Detox Black. Com ingredientes especialmente escolhidos para acelerar o metabolismo, reduzir o apetite e promover a queima de gordura localizada, este suplemento é o que você precisa para finalmente conseguir o corpo dos seus sonhos. Não estamos falando de soluções temporárias, mas de um método eficaz que transformará sua vida para sempre. Já imaginou poder usar aquelas roupas que você tanto ama sem se preocupar com a aparência dos outros? Ou você se sente seguro na praia, sem medo de mostrar o corpo?

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redtnjalisco · 2 years ago

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#EconomíaEnRed #Uniformes #Trabajadores #Cobro #CG La Ley Federal del Trabajo (LFT) es la normatividad que regula las condiciones de la actividad laboral en México y expone de manera puntual las obligaciones del patrón y del empleado https://talajalisconoticias.com/es-legal-que-te-cobren-el-uniforme-de-trabajo/?feed_id=8742&_unique_id=64d517fa41e15

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olaboratory · 2 years ago

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Liver Function Test (LFT) Price in Jammu

O-Lab, an accredited lab in Jammu, provides accurate LFT (Liver Function Test) reports at a low price of Rs. 400. The LFT test is important to check for liver inflammation, infection, and diseases or to monitor liver health during treatment or pre-existing disease. If you have unexplained or recurrent nausea and vomiting, jaundice, abdominal pain, or loss of appetite, are on certain medications or have a family history of liver disease, you are eligible for the test. LFT test parameters include A/G ratio, albumin, bilirubin, alkaline phosphatase, proteins, SGOT/AST, SGPT/ALT, ratio SGOT/SGPT, globulin, and GGTP(Gamma GT). Early intervention in liver issues is crucial, and accurate reporting within 24 hours, home collection facility, and empathetic staff are some of the reasons to choose O-Lab for LFT testing.

#jammu #lft tes #liver function test #lft test price in jammu

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madpanda75 · 5 years ago

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“Our First Holiday”

The wonderful @obsessionprofessional requested a fic where the reader celebrates Hanukkah with Rafael. Yes, I know Hanukkah is over...but better late than never, amiright? 🤷🏻‍♀️ ❤️ Also I’m Catholic and Latina, in my book the holidays are in full swing until Three Kings’ Day (I’m milking this, work with me😉).

You laid on the couch with your feet propped up on Rafael’s lap, your body melting into the cushions. The light emitted from the TV cast a glow across the darkened living room. Half-empty Chinese takeout cartons littered the coffee table. It was the perfect night in, a rarity as of late, due to yours and Rafael’s hectic work schedules.

You flipped through the channels, settling on a cheesy holiday movie. Just when the big city heroine meets the small town hunky mailman, your phone began to buzz. You groaned and covered your head with the pillow. “If that’s the hospital, tell them I’m not here.”

Rafael laughed and picked up your phone from the table. “It’s your mom,” he said, checking the screen.

“That’s even worse,” you whined. “I have to tell her that we can’t make it for Hanukkah. I’ve been stalling, trying to avoid her Jewish guilt trip.”

“Your mom should meet up with my mom. She’s the queen of Catholic guilt. Together they could rule the world.” He pulled the pillow from your face and waved the still buzzing phone at you.” I don’t think you can avoid it anymore, mi amor.”

You sighed in defeat and took the phone from Rafael. After a lengthy conversation, including several not so subtle hints about getting married, (“A spring wedding would be absolutely beautiful.”) and having babies (“I just want to hear the pitter-patter of tiny feet before I die.”), you finally hung up with your mom. Tossing the phone on the coffee table, you flopped back down on the couch.

“How’d it go?” Rafael asked.

You shrugged. “Not as bad as I thought it would be. She understands that I have to be at the hospital. It’s the holidays, a lot of household accidents this time of year,” you said, nudging him with your foot.

You went back to watching the movie while Rafael began to massage the soles of your feet. He glanced your way, noticing a slight change to your demeanor. There was a sadness to your expression that you tried to mask. “Are you ok?”

“I guess I’m kinda bummed about not being with my family for Hanukkah. I mean, they drive me absolutely crazy. Believe me I’ve spent many a Hanukkah hiding in the bathroom, drinking scotch out of a flask.” Rafael snorted a laugh at the image of you hiding out in the tub while nursing a drink. “But this year is different. It’s our first time celebrating the holidays together.” You sat up and took his face in your hands, squishing his cheeks between your palms. “I just wanted to show off my sexy brilliant Cuban lawyer boyfriend to my bubbe.”

“Does your bubbe also smush faces?” He asked through pursed lips.

You giggled and let go of his face. “No, she’s a cheek pincher.”

Rafael pulled you onto his lap, planting a soft kiss to your lips. “I know things at work are crazy right now, but I promise we’ll see your family soon. I’ll even drink in the bathroom with you,” he teased.

“It is a rite of passage,” you replied. “Ok, let’s finish this movie. I have to know if the girl ends up with the hot mailman in the town that perpetually celebrates Christmas or if she’ll go back to her cold meaningless existence back in the city.”

Rafael rolled his eyes. “Oh yeah, I’m on the edge of my seat.”

You playfully elbowed him in the rib cage before resting your head on his shoulder. Wrapping an arm around you, he kissed the crown of your head as you both focused on the TV screen.

*****

Later on that night, Rafael tossed and turned in bed while you were sleeping peacefully beside him. He stared up at the ceiling, listening to the sounds of the city outside when he felt you stir beside him.

“CBC, BMP, and LFTs were negative,” you mumbled in your sleep.

He grinned and gently moved a strand of hair away from your face. Due to being short-staffed at the hospital, you had been bending over backwards, taking double and sometimes even triple shifts. You were wearing yourself ragged. It broke Rafael’s heart to see you like this, but he understood how important your work was. Just like he was dedicated to his cases, you were dedicated to your patients.

Rafael didn’t think he believed in love at first sight, that is until he bumped into you while picking up his mail. You were new to the building, having just moved back to New York from volunteering with Doctors Without Borders.

After your initial encounter, he thought of every excuse in the book to “accidentally” bump into you— the mysterious woman in 27G. Rafael was sure you thought he was borderline diabetic based on how many cups of sugar he borrowed.

After months of flirty banter in the elevator or passing each other in the hallway, he finally worked up the courage to ask you out for a cup of coffee. Coffee quickly morphed into dating and a year later, you and Rafael were living together.

As he watched you sleep, an idea came to him. Grabbing his phone from the nightstand, he quickly and quietly sent two emails, one to Carmen and one to your mother before turning his phone off and settling back into bed. If you couldn’t come home for Hanukkah, then Rafael was going to bring Hanukkah home to you.

*****

You were a zombie dressed in scrubs, trudging towards your apartment. It had been a rough day at the hospital. All you wanted was to strip, have a long hot bath, and collapse into bed. Fate; however, had different plans for you.

The minute you opened the door, you were greeted with the smell of burning oil. You followed the smell into the kitchen and gasped. Pots and pans covered the stove; food scraps and various utensils littered the counter. You could still see smoke dissipating in the air.

The sounds of Rafael muttering curses distracted you from the disaster in the kitchen. You whipped your head around to find him wrestling a bush in the living room as he struggled to wrap blue and white lights around it. In the battle between man and plant, it looked like the plant was winning.

“What the hell is going on here?!” You exclaimed.

Rafael froze, dropping the strand of lights in his hands. “Hi, cariño,” he said with a sheepish expression. “I wasn’t expecting you home until later.”

“Well would you care to explain why you’re fighting a ficus or why it looks like a cyclone has run through our kitchen?” You crossed your arms and arched your brow, giving him a stern look. Rafael suddenly felt like a kid caught with his hand in the cookie jar.

“It’s actually a Hanukkah bush,” he replied, kicking the plant out of the way.

“A Hanukkah bush?” You repeated.

He nodded, rubbing the back of his neck. “I also tried to make latkes. I asked your mom for the recipe, but then Liv called me and I got distracted. Next thing I know the kitchen is up in flames and I have burnt potato pancakes.” He took a step towards you, nearly tripping on the strand of lights. “It was supposed to be a surprise. I know you were upset about not spending Hanukkah with your family.”

Your face softened, noticing several dreidels, chocolate gelt, and a shiny gold menorah on the coffee table. You collapsed onto the sofa, overwhelmed by what Rafael had done. A lump formed in your throat as you took one of the dreidels in your hand. Memories came flooding back of being at your grandparents’ house during Hanukkah; lighting the menorah, stuffing your face full of sufganiyot and latkes

“Carmen picked those up for me during her lunch break,” he said, watching you spin a dreidel on the coffee table.

“You mean you did all this for me?”

“Of course.” He sat down next to you and took your hand in his. “Like you said last night, it’s our first time spending the holidays together. I want this to be special. Te quiero mucho.”

“I love you too.” You kissed Rafael and pressed your forehead against his.

“So what do you say, wanna celebrate Hanukkah with your Gentile boyfriend?” He asked with a smirk.

A giggle escaped your lips. “Absolutely. Let me shower and change, then we can tackle those latkes together.” You wrapped your arms around him. “Thank you for everything,” you whispered, kissing his cheek before heading down the hall to your bedroom.

Rafael stood up, staring down the Hanukkah bush, more determined than ever to decorate the God-forsaken ficus.

*****

You and Rafael may have been busy with work, but that didn’t stop you from finding your own ways to celebrate Hanukkah over the next several days. Not having the time to go out and buy gifts, you both would find other thoughtful ways to show that you cared for each other. Whether it was coming home to find he had ordered takeout from your favorite Chinese restaurant or leaving little love notes for Rafael in his suit pocket before he left for the office. You created your own traditions.

On one of your rare days off, you even fried up some sufganiyot and brought them to the precinct for Rafael and the rest of the SVU squad. “Feel free to make these all year-round,” Fin joked as he took a bite into his second jelly-filled donut.

Every night, no matter the time, you both would sit in the living room and light the menorah. It was Rafael’s favorite part of Hanukkah. He was mesmerized, watching the flames from the candles illuminate your face as you repeated the Hanukkah blessings spoken by generations before.

Rafael grew up Catholic and would occasionally attend church with his mother on Easter and Christmas, but he was not a religious man. And yet, witnessing the reverence you had for your faith and for your history, made him fall in love with you even more. It made him think more about the future; in particular, a future with you.

*****

On the eighth and final day of Hanukkah, you had hoped to get home early. Unfortunately, there was an emergency and you had to stay later at the hospital than usual. Between checking on patients, you snuck into the break room to call Rafael. You fidgeted with the hair band on your wrist while the phone rang, eventually the call went straight to voicemail.

“Hello, you’ve reached the voicemail of Rafael Barba. Please leave a detailed message and I’ll get back to you as soon as possible.”

“Hi, babe. Looks like I’m gonna be here a few more hours. You better start dinner without me. There’s leftovers in the—”

Before you could finish your message, your name was called over the PA system. “Dr. Y/L/N, please report to the nurses’ station. Dr. Y/L/N, please report to the nurses’ station.”

You huffed out a sigh, running your fingers through your hair. “They’re paging me. I gotta go. I’ll be home as soon as I can. Love you.”

You hung up your cell and headed straight for the nurses’ station. Turning the corner, you stopped in your tracks, your sneakers squeaking against the linoleum floor. To your surprise there was Rafael with a big bouquet of red roses in his arms; with him were your mom, his mom, and the rest of your family, even your Great-Aunt Edna. All of them stood there with big smiles plastered on their faces.

“Hi, mi amor.” Rafael awkwardly waved. His hands were shaking slightly and his cheeks were bright pink. You could tell he was nervous.

You were at a loss for words, glancing around at everyone. The nurse who had been paging you caught your eye and gave you a sly wink. “Raf...what’s going on?” You finally managed to squeak out.

He laid the flowers on the counter and took a step towards you. “Remember when I told you I asked your mom for her latke recipe?”

“Uh-huh.”

“Well, I may have left out the minor detail where I also asked her and your family to come for a visit, so they could watch me do this.” He audibly gulped and slowly got down on one knee, taking out of his pocket a small velvet box.

“Oh my God,” you breathed.

“Y/N, I’ll be honest. I never thought this would happen for me. I never thought I would find someone or fall in love, but then I met you. You transformed my life. You’re the first person I want to see in the morning and the last person I want to be with before I fall asleep. You’re the light of my life. The love of my life and I promise to cherish every day that I have with you.”

A tiny whimper escaped your lips, tears streaming down your face as he continued, his own eyes glossy with tears. “When I talked to your family and asked for their blessing, they told me there was a name for what we are— basherts. Y/N, you’re my soulmate. There’s no one else I want by my side. No one else I want to spend my life with. I want to spend forever with you and I want our forever to start now.” Rafael opened the box to reveal an antique white gold engagement ring. His grandmother’s engagement ring. “Y/N Y/L/N, would you make me the happiest man on Earth and marry me?”

“Yes!” You exclaimed and wrapped your arms around him, crying into the crook of his neck.

Rafael barely had time to place the ring on your finger and kiss you before your family bombarded you both with hugs and well-wishes. You managed to escape and stepped off to the side while everyone else talked amongst themselves.

“I wasn’t lying about my bubbe,” you giggled and wiped her lipstick smudge off of Rafael.

“Nope, you weren’t. I think I’m finally getting the feeling back in my face.” He massaged his cheeks, glancing over to where your moms were having a lively discussion about your wedding. “Looks like our mothers are getting along.”

You followed Rafael’s gaze, overhearing their conversation. “A spring wedding would be beautiful. Maybe in May?” Your mom suggested.

“Oh I agree,” Lucia chimed in. “I bet if we call now, we can see if Father Alvarez and Rabbi Goldman are available. I’m sure they won’t mind doing the ceremony together.”

“Kindred spirits.” You snorted a laugh before looking down at your engagement ring with a sad smile.”

The expression on your face was not lost on Rafael. “Is something wrong?”

You shook your head. “Nothing. It’s silly.”

He gently grabbed your chin, tilting your head up to meet his gaze. “Try me.”

“You’ve done so much for me. Surprising me with Hanukkah bushes and latkes and engagement rings. I feel as if I haven’t done anything for you.” You groaned and pinched the bridge of your nose. “I even forgot to get you a Christmas gift.”

“Hey,” he cooed and cupped your face, stroking your cheek with his thumb. “You gave me the greatest gift I’ve ever gotten.”

You furrowed your brow in confusion, staring into his green eyes. “What gift was that?”

“You said, yes.” He smiled and pulled you into his embrace, kissing you with such fierce passion that the staff and even some of your family whooped and cheered.

For years to come, you and Rafael would celebrate Christmas and Hanukkah, passing down the traditions to your own children. But both of you would agree that the first holiday you celebrated as a couple was by far the best one.

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#rafael barba #rafael barba fanfic #rafael barba fic #rafael barba imagine #barba #barba imagine #barba fic #barba fanfic #law and order svu imagine #law and order svu fic #rafael barba x reader #barba x reader

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abogado11 · 5 years ago

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Pregúntame cualquier cosa: 10 respuestas a tus preguntas sobre estudio juridico solucion legal

¿Qué Debe Saber Para Calcular Adecuadamente Su Liquidación?

La IPD se computa usando el valor del jornal base de cálculo para la indemnización por despido. Dicho jornal se integra con el promedio que se obtiene dividiendo el total ganado en el último año de trabajo, por los días ciertamente trabajados en dicho año. Los trabajadores tienen derecho a obtener un despido si el empleador decide acabar la relación laboral. Este monto debe pagarse en los 10 días hábiles luego de comunicada la resolución. La prima de antigüedad, que consiste en el pago de doce días de sueldo por de año en año de servicio prestado, tomando como base para el pago de esta prestación el doble del sueldo mínimo, en caso que el trabajador perciba un salario superior a este.

Existen empresas que debido a la modalidad de su actividad emplean personal por temporada. La ley 20.744 regula el modo de conceder las vacaciones a estos trabajadores estableciendo que disfrutarán del descanso anual al terminar cada ciclo, a razón de un día por cada veinte trabajados, si no hubieran conseguido trabajar la mitad de los días laborables del año. Los trabajadores contratados por tiempo determinado no están en su derecho a los 20 días de indemnización por año laborado, sino la fracción I del artículo 50 de la LFT les da un tratamiento especial, conforme la vigencia de su contrato. Para acceder a esta indemnización, deberías intimar al empleador a través de telegrama para que te haga entrega de los certificados del artículo 80 LCT en el plazo máximo de dos días. Si ello no sucede, la ley establece que el trabajador está en su derecho a una indemnización de 3 sueldos.

Si la empresa no lo readmite dentro de los 15 días siguientes a su presentación, tendrá derecho a una indemnización por despido equivalente abogados solucion legal al triple de lo establecido por las leyes laborales actuales. En caso que el trabajador fuera mandado al Seguro de Desempleo por el término de 6 meses, si al acabar este periodo no lo restituyen al trabajo, se cree que se ha producido el despido ficto, y podrá demandar la indemnización que le correspondiere (art. nueve, Decreto Ley N.° quince.180, de veinte de agosto de 1981). Conforme el Tribunal Constitucional (TC), el trabajador que demanda a la empresa para solicitar la reposición en su puesto de trabajo, por estimar que su despido fue injusto, no podrá, al tiempo, pedir que se le pague la indemnización o liquidación. De hacer esto último estaría aceptando el término de la relación laboral. b) Por el empleador, de un mes cuando el trabajador tuviera una antigüedad en el uso que no sobrepase de 5 años y de un par de meses cuando fuere superior".

No obstante, existen casos en los que los empleados no reciben esta bonificación. Aquí le contamos qué puede hacer y a qué tiene derecho cuando se registra esta situación.

Se calcula solo cuando la relación laboral se extingue por despido (directo o bien indirecto), y el empleador suprimió el preaviso al trabajador (es decir, lo despidió sin darle 1 mes o bien 2 -según el caso-, de preaviso a fin de que vaya buscando otro trabajo). La indemnización, será igual a UN mes de sueldo bárbaro por de año en año de servicio o fracción mayor de TRES meses, tomando como base la mejor remuneración mensual, normal y frecuente devengada a lo largo del último año o a lo largo del tiempo de prestación de servicios si este fuera menor. Para calcular la indemnización en la Argentina, hay que incluir la antigüedad y la inclusión o no del SAC sobre antigüedad en la tabla.

Tómese el caso de alguien cuyo contrato fue terminado por el empleador en el trascurso del segundo año en el lugar. Los ocho días de vacaciones que corresponden al trabajador se multiplica por el salario diario, para después multiplicar el resultado por el veinticinco por cien de la prima vacacional y luego dividir la cantidad obtenida entre 356 días del año. A la hora de calcular la indemnización por despido y por renuncia en Argentina como vieron existen varias consideraciones a tomar en cuenta para no perder el pago que por derecho les pertenece a cada trabajador. NO. La indemnización por despido sin causa aquí comentada, se halla exenta del pago de impuesto a las ganancias según lo previsto por la propia legislación fiscal Argentina (Art. 20, inc. i, Ley veinte.628), por lo que no corresponde inferir suma alguna sobre este rubro, debiéndose abonar exactamente el mismo en forma íntegra al trabajador.

El monto de la indemnización no va a poder ser inferior a un mes de salario. Siendo que, para esos casos, los trece sueldos (incluye un año completo de salarios más el aguinaldo) por la indemnización supondría que sean 26 sueldos. Con lo que múltiples especialistas señalan dudas, incoherencias, falta de aclaración y hasta malísima redacción del decreto como el incluir multas, como apunta el artículo quince de la (por empleo en negro), y los artículos 1 y 2 de la ley (sanciona a empresas forzando a sus empleados a comenzar juicio para cobrar sus acreencias). Los trabajadores que no tienen derecho a la indemnización por despido son los trabajadores zafrales, los contratados para tareas transitorias y los contratados a término. Los jornaleros, por su parte, van a tener derecho a un despido si trabajaron cien días en el año.

Es un importe acordado en la negociación igualiaria que no se incorpora al salario básico, pero que está sujeto a deducciones y se toma como base de cálculo de aguinaldo, vacaciones e indemnizaciones. Por norma general, se establece por el lapso que dure el convenio (un año, dieciocho meses o el plazo previsto en el acuerdo) y es una suma fija, que puede ir incrementando a lo largo de este tiempo. En el recibo de salario se enumeran una serie de ítems que son liquidados, ciertos mensualmente, otros de manera ocasional.

Más llá de eso, existen algunos datos que son obligatorios y no pueden faltar en el recibo de salario de cualquier empleado que trabaja en relación de dependencia. El encabezado del recibo debe contener datos sobre el empleador (razón social, domicilio y CUIT), el trabajador (nombre, calificación profesional, CUIL), la relación laboral (fecha de ingreso, categoría) y el periodo de pago (lugar, data, período liquidado, cuenta bancaria).

En los contratos a término indefinido, los trabajadores que devenguen salarios inferiores a diez salarios mínimos mensuales legales tendrán derecho a treinta días de salario, siempre y cuando el trabajador tuviera un tiempo de servicio no mayor de 1 año. Si el trabajador tuviere más de un año de servicio progresivo se le pagarán veinte días auxiliares de salario sobre los treinta básicos.

El empleador tiene la obligación de pagar en base a los plazos de de aviso previo la indemnización va a ser el monto que le hubiera correspondido cobrar al empleado en mes o bien los meses de aviso previo. Paracalcular la indemnización por años de servicio por despido sin causa, se deben tomar elsueldo brutoy que integran las retribuciones sujetas a retención y las exentas, excluyendo las retenciones.

Por otro lado, si el salario es mayor a diez sueldos mínimos legales mensuales, este va a tener derecho a percibir veinte días de salario ya antes de un año y 15 días sobre el salario de los 20 días precedente citado por cada año de servicio continuo. Toda empresa debe pagar a sus empleados como prima de servicios un salario mensual por cada año laborado, o si la vinculación es inferior a un año el pago corresponderá mientras que el trabajador lleve vinculado.

Si al trabajador le faltaba dos meses para salir de vacaciones, se divide el sueldo entre doce y se multiplica por los un par de meses truncos. Ese monto es parte de la liquidación. Ante la falta de pago de la liquidación final o de la indemnización por despido, el trabajador debería reclamar el pago mediante telegrama laboral, a través de el cual se exija el pago adeudado en un máximo de un par de días. La liquidación laboral es un reconocimiento económico que los empleadores hacen a sus trabajadores por finalización del tiempo del contrato a término fijo, retiro por jubilación, terminación unilateral por cualquiera de las partes o finalización del contrato por mutuo acuerdo.

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corporativobc · 3 years ago

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¿Trabajaste hoy? El artículo 75 de la LFT establece que los trabajadores que presten sus servicios en algún feriado oficial deberán recibir «independientemente del salario que les corresponda por el descanso obligatorio, un salario doble por el servicio prestado». Nosotros te asesoramos en materia laboral. Somos especialistas. #BcCorporativo #abogadoscancun #legalcancun — view on Instagram https://ift.tt/D7jsyXL

#Instagram #IFTTT

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bloghealthcom · 4 years ago

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Cơ chế sinh lý học đáng tin cậy của Covid-19 gây tổn thương tế bào gan và bệnh gan Update 06/2021

Bài viết Cơ chế sinh lý học đáng tin cậy của Covid-19 gây tổn thương tế bào gan và bệnh gan Update 06/2021 được chia sẻ bởi website Blog-Health #bloghealth #suckhoe #lamdep #sinhly

Bài viết của Thạc sĩ, Bác sĩ Mai Viễn Phương - Trưởng đơn nguyên Nội soi tiêu hóa - Khoa Khám bệnh & Nội khoa - Bệnh viện Đa khoa Quốc tế Vinmec Central Park

Không chỉ tác động trực tiếp đến phổi, virus corona còn gây ảnh hưởng đến các cơ quan nội tạng khác trong cơ thể người bệnh, trong đó có gan. Vậy cơ chế sinh lý học đáng tin cậy của Covid-19 gây tổn thương tế bào gan và bệnh gan được hiểu như thế nào?

SARS-CoV-2 có thể gây tổn thương gan theo một số cách bao gồm tác động trực tiếp lên tế bào của vi rút trên tế bào đường mật / tế bào gan, tổn thương qua trung gian miễn dịch, thiếu oxy và nhiễm trùng huyết. Thật vậy, tác dụng gây tế bào ngay lập tức của SARS-CoV-2 thông qua giả mục tiêu tiềm năng của nó, thụ thể enzym chuyển đổi angiotensin-2, được biểu hiện nhiều trong tế bào gan và tế bào mật, khiến gan như một cơ quan ngoài hô hấp, tăng tính nhạy cảm với các kết quả bệnh lý. Tuy nhiên, cơ bản về cơ chế bệnh sinh của bệnh gan liên quan đến COVID-19 với các xét nghiệm chức năng gan bất thường (LFTs) vẫn chưa được hiểu đầy đủ. Do đó, các tác giả đã đối chiếu các tổn thương gan liên quan đến COVID-19 với sự gia tăng LFTs ở mối liên hệ giữa các bệnh gan và COVID-19 đã có từ trước, và xác định bộ ba sinh lý bệnh hợp lý của COVID-19, tổn thương tế bào gan và bệnh gan. Tổng quan này tóm tắt những phát hiện gần đây về vai trò làm trầm trọng thêm của COVID-19 trong bệnh gan từ trước và ngược lại cũng như các hướng dẫn quốc tế về chăm sóc, quản lý và khuyến cáo điều trị cho bệnh nhân COVID-19 bị bệnh gan.

1. Cơ chế sinh lý học đáng tin cậy của Covid-19 gây tổn thương tế bào gan và bệnh gan

Các nghiên cứu dịch tễ học đã mô tả rối loạn chức năng gan và ảnh hưởng của nhiễm trùng SARS-CoV-2 lên tế bào gan ở bệnh nhân COVID-19 bằng mức độ tăng cao của các dấu hiệu tổn thương gan như ALT, AST và bilirubin. Trước đây đã có tuyên bố rằng virus SARS-CoV và MERS-CoV chủ yếu ảnh hưởng đến đường hô hấp trên nhưng cũng ảnh hưởng đến gan. Mặc dù hành động tức thì và trực tiếp của SARS-CoV-2 qua các mục tiêu tiềm ẩn trên các tế bào biểu mô của phế nang phổi cũng như đường hô hấp, bằng chứng mới nổi cho thấy rằng sự biểu hiện cao của các thụ thể ACE2 trong gan khiến nó dễ bị nhiễm SARS-CoV-2. Kiểm tra bệnh lý của bệnh nhân COVID-19 đã xác nhận tổn thương tế bào ở phổi và gần đây đã xác nhận nhiễm SARS-CoV-2 là căn nguyên của bệnh gan. Các cơ chế được đề xuất liên quan đến tổn thương gan do COVID-19 bao gồm sự biến dạng gan trực tiếp liên quan đến sự xúc phạm của virus, tổn thương gan do bão cytokine và thiếu máu cục bộ liên quan đến tình trạng thiếu oxy do COVID-19 gây ra

Cơ chế sinh lý học đáng tin cậy của Covid-19 gây tổn thương tế bào gan và bệnh gan

2. Cơ chế bệnh sinh liên quan đến hội chứng hô hấp cấp tính-coronavirus loại 2 và đáp ứng miễn dịch ở gan

ACE2: Men chuyển 2; HBV: Virus viêm gan B; HCC: Ung thư biểu mô tế bào gan; HCV: Vi rút viêm gan C; IFN: Interferon; IL: Interleukin; MAFLD: Bệnh gan nhiễm mỡ liên quan đến chuyển hóa; NAFLD: Bệnh gan nhiễm mỡ không do rượu; NASH: Viêm gan nhiễm mỡ không do rượu; SARS-CoV-2: Hội chứng hô hấp cấp tính nặng-coronavirus loại 2; TNF: Yếu tố hoại tử khối u.

Suy gan do COVID-19 có thể tương quan trực tiếp với tình trạng nhiễm SARS-CoV-2 của tế bào gan. Khoảng 2% -10% bệnh nhân COVID-19 bị tiêu chảy đã xác nhận SARS-CoV-2 RNA trong mẫu phân và máu, điều này ngụ ý khả năng tiếp xúc với virus trong gan. Ái lực của SARS-CoV-2 và SARS-CoV đối với thụ thể ACE2 chỉ ra các vị trí đích tương ứng, chủ yếu là đường hô hấp trên, mô phổi và tế bào mật của gan, nơi virus nhân lên và biểu hiện các triệu chứng liên quan đến COVID-19. Trong bối cảnh đó, Zhao và cộng sự đã nghiên cứu một mô hình lây nhiễm SARS-CoV-2 ở các tế bào sinh ống gan người. Họ đã báo cáo bằng chứng bộ gen cho thấy nhiễm vi rút SARS-CoV-2 dẫn đến rối loạn điều hòa hàng rào và chức năng vận chuyển axit mật của tế bào mật. Nghiên cứu cho thấy rằng các chức năng của tế bào mật bị thay đổi có thể là kết quả của tác động trực tiếp gây bệnh tế bào SARS-CoV-2 trên tế bào đích biểu hiện ACE2 và TMPRSS2 . Bão Cytokine là một trong những dấu hiệu nhận biết của các bệnh truyền nhiễm và không lây nhiễm có khả năng gây ra các tổn thương đa cơ quan nghiêm trọng

Thành lập môi trường cytokine là một mạng lưới đa yếu tố liên quan đến phản ứng miễn dịch đối với kháng nguyên xâm nhập cùng với sự tác động lẫn nhau của các tế bào miễn dịch và viêm của vật chủ đã hoạt hóa. Phù hợp với khái niệm về cơn bão cytokine ở bệnh nhân COVID-19, Han và cộng sự [ 65] đã thực hiện một nghiên cứu thuần tập tiền cứu tại một bệnh viện địa phương ở Vũ Hán, Trung Quốc thu nhận 102 bệnh nhân đã được xác nhận COVID-19 và 45 tình nguyện viên đối chứng khỏe mạnh. Họ đã phân tích hồ sơ huyết thanh của các cytokine gây viêm, bao gồm yếu tố hoại tử khối u-, interferon-, interleukin (IL) -2, IL-4, IL-6, IL-10 và protein phản ứng C (CRP) bằng xét nghiệm miễn dịch. Mức độ tăng đáng kể của các dấu hiệu viêm và CRP đã được thấy ở bệnh nhân COVID-19 so với những người tình nguyện khỏe mạnh. Hơn nữa, nồng độ IL-6 và IL-10 ở những bệnh nhân nguy kịch cao hơn đáng kể so với những bệnh nhân COVID-19 nặng hoặc trung bình, cho thấy IL-6 và IL-10 tăng lên có thể cho phép chẩn đoán nhanh những bệnh nhân bị tăng nguy cơ mắc bệnh chết người. Hơn nữa, Wang và cộng sự đã báo cáo bệnh tế bào dễ thấy liên quan đến COVID-19. Mức độ nghiêm trọng của nhiễm trùng SARS-CoV-2 có liên quan đến nồng độ men gan bị rối loạn, tăng gradient oxy phế nang và mức GGT, giảm albumin và tế bào T CD4 + và tế bào lympho B lưu hành. Các đặc điểm mô học chủ yếu của nhiễm trùng gan COVID-19 là quá trình chết theo chương trình và tế bào gan kép.

Rối loạn chức năng gan trong COVID-19 nghiêm trọng đi kèm với sự kích hoạt bất thường của các con đường đông máu và tiêu sợi huyết. Rối loạn chức năng gan trong COVID-19 nghiêm trọng đi kèm với sự kích hoạt bất thường của các con đường đông máu và tiêu sợi huyết, số lượng tiểu cầu giảm vừa phải, tăng số lượng bạch cầu trung tính và tỷ lệ bạch cầu trung tính trên tế bào lympho, và mức ferritin cao. Những phát hiện trong phòng thí nghiệm như vậy được coi là dấu hiệu viêm không đặc hiệu, nhưng mức độ thay đổi có thể trùng hợp với sự thất bại của điều hòa miễn dịch bẩm sinh trong quá trình tiến triển của COVID-19 nghiêm trọng. Thật vậy, sự thay đổi cân bằng miễn dịch sẽ kích hoạt quá trình đông máu và NETosis, và sau đó ảnh hưởng đến chuyển hóa sắt hệ thống thứ phát sau quá trình hoạt hóa đại thực bào

Tình trang suy gan do COVID-19 có thể tương quan trực tiếp với tình trạng nhiễm SARS-CoV-2

3. Các khuyến nghị để quản lý bệnh nhân covid-19 mắc các bệnh gan trước đó

WHO đã phê duyệt các hướng dẫn toàn diện nhằm tăng cường chăm sóc và quản lý bệnh nhân COVID-19 và cung cấp hướng dẫn cập nhật cho các bác sĩ và bác sĩ. Báo cáo đó đề cập đến các thực hành tốt nhất để quản lý nhiễm trùng đường hô hấp cấp tính nặng (SARI), bao gồm các biện pháp phòng ngừa và kiểm soát nhiễm trùng và chăm sóc hỗ trợ cho bệnh nhân COVID-19. Hơn nữa, những cân nhắc chính tập trung vào việc nhận biết và điều trị bệnh nhân SARI thông qua chẩn đoán thích hợp, điều trị hỗ trợ sớm, xử trí suy hô hấp cấp và sốc nhiễm trùng, phòng ngừa biến chứng và sử dụng phương pháp điều trị COVID-19 cụ thể.

Thật vậy, bệnh nhân bệnh gan mãn tính dường như không đại diện quá mức trong nhóm bệnh nhân mắc COVID-19, nơi họ chiếm ít hơn 1% các trường hợp được báo cáo. Những quan sát này cho thấy rằng bệnh nhân bệnh gan mãn tính có thể giảm nguy cơ mắc SARS-CoV-2 nặng. Tuy nhiên, nguy cơ nhiễm trùng và / hoặc nguy cơ một đợt COVID-19 nghiêm trọng có thể khác nhau tùy thuộc vào bản chất của bệnh gan mãn tính và sự hiện diện hoặc không có xơ hóa hoặc xơ gan tiến triển. Trong bối cảnh đó, Hiệp hội Châu Âu về Nghiên cứu Gan, Hiệp hội Vi sinh Lâm sàng và Các bệnh Truyền nhiễm Châu Âu và AASLD đã cung cấp hướng dẫn toàn diện cho các bác sĩ và bác sỹ lâm sàng về việc chăm sóc bệnh nhân bệnh gan mãn tính trong giai đoạn đầu của đại dịch COVID-19.

Để được tư vấn trực tiếp, Quý Khách vui lòng bấm số HOTLINE hoặc đăng ký trực tuyến TẠI ĐÂY. Ngoài ra, Quý khách có thể Đăng ký tư vấn từ xa TẠI ĐÂY

source https://blog-health.com/co-che-sinh-ly-hoc-dang-tin-cay-cua-covid-19-gay-ton-thuong-te-bao-gan-va-benh-gan/

#bloghealth #suckhoe #lamdep #sinhly

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postsofbabel · 2 years ago

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