در دنیای امروز که بیماری قلبی و عروقی رواج بسیاری پیدا کرده است، با بروز درد های گوناگونی که مربوط به تپش قلب و یا درد قفسه سینه می شود، قبل از انجام هر کاری مراجعه و مشاوره قلب و عروق بهترین راه ممکن می باشد. با ما همراه شوید تا در مورد مراجعه به دکتر تغذیه و مشاوره قلب و عروق بیشتر با شما صحبت کنیم. در ابتدا با مراجعه به این مشاوره ها شما می توانید از انواع درد قفسه سینه و تپش قلب خود آگاه شوید و سپس بهترین راه حل ممکن را این افراد در اختیار شما قرار دهند.
اما برخی از دردهای قفسه سینه و تپش قلب ارتباط مستقیم با نوع خوردن غذای شما دارد، زمانی که تغذیه خوب و مناسبی نداشته باشید دستگاه گوارش و معده به قلب شما فشار وارد می کند و شما فکر می کنید که قلب شما دچار مشکل شده است که با مراجعه دکتر تغذیه می توانید از درد آن خلاص شوید
دکتز تغذیه و مشاوره قلب و عروق بهترین رژیم غذایی را با توجه به وزن، جنسیت و حتی سن در اختیار شما قرار می دهد و شما با رعایت رژیم مناسب می توانید از این درد و فشارهای ناگهانی رهایی پیدا کنید. شما می توانید از دکتر تغدیه در مورد خوردن غذا و میوه مناسب و زمان خوردن راهنمایی های لازم را بگیرید.
پس می توان گفت که بهترین راه ممکن و درمان درد قفسه سینه و تپش قلب با مشاوره قلب و عروق و دکتر تغذیه انجام می شود. در صورت مراجعه به مشاوره قلب و عروق ابتدا نوع درد شما مورد بررسی قرار می گیرد و پس از بررسی های لازم و نوع خوراک شما تغدیه مناسب در کنار ورزش های لازم به شما داده می شود.
پس از گرفتن مشاوره و تغذیه های مناسب و با رعایت کردن آن در فواصل مشخصی که تعیین می شود باید به پزشکان مربوطه مراجعه کنید تا چکاپ های لازم انجام شود و مشخص شود تا درد شما از بین رفته و یا کم شده تا مجدداً مشاوره و تغذیه های دیگر به شما داده شود. دکتر تغذیه با سوال در مورد سابقه بیماری و یا مصرف داروهایی که دارید، بهترین نوع رژیم غذایی را به شما می دهد تا درد شما کاهش و به مرور زمان از بین برود.
A police officer has been shot dead inside a custody centre in south London.
The Metropolitan Police say a 23-year-old man was detained at the scene at Croydon custody centre, and was taken to hospital with a gunshot wound.
The male officer was shot at 2.15am on Friday by a man who had already been arrested.
In a statement, the Met said the officer was treated at the scene and then taken to hospital by London Ambulance Service, but later died.
No police firearms were discharged, according to the police.
Commissioner Cressida Dick said: “This is a truly shocking incident in which one of our colleagues has lost his life in the most tragic circumstances. My heart goes out to his family, direct colleagues and friends.”
Mark White, Sky’s Home Affairs Correspondent, said: “No police firearms were discharged, during the incident so police firearms officers were not involved in the first instance.
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“The inference being really that the man now being treated in hospital is the main suspect involved in this incident.”
Home Secretary Priti Patel said: “I am deeply shocked and saddened to learn that a Metropolitan Police Officer has been shot and killed in the line of duty.
“My thoughts today are with his family, friends and policing colleagues in London and across the country.”
The Mayor of London, Sadiq Khan, said: “I am devastated by the news a Metropolitan Police officer has lost his life.
“I was informed of this tragic incident by the Commissioner this morning, and my heart goes out to the family of this brave officer, who has paid the ultimate price for helping to keep Londoners safe.
“My thoughts are also with his loved ones, friends and the entire Metropolitan Police family, who I know will be deeply mourning their colleague at this extremely difficult time.
“Tragic incidents like this are terrible reminders of the dangers our police officers face every single day they go into work to keep Londoners safe.
“They are the very best of us, and I remain in close contact with the Commissioner to offer her and the Met my ongoing support.”
Labour leader Keir Starmer is sending his thoughts to the family of the officer.
Horrific to hear of a police officer being shot and killed in Croydon.
Our police put themselves in harm’s way every day to keep us safe.
All my thoughts are with the officer’s family, friends and colleagues.
— Keir Starmer (@Keir_Starmer) September 25, 2020
Ms Patel added: “This morning I spoke to Metropolitan Police Commissioner Cressida Dick to express my condolences and to offer whatever support is needed as this tragic event is investigated.
“This is a sad day for our country and another terrible reminder of how our police officers put themselves in danger each and every day to keep the rest of us safe.”
The Met are working to tell the victim’s family, who are being supported by specialist officers.
Commissioner Dick added: “We are currently supporting his family and also have a dedicated team providing support to the officers and those in the custody centre who witnessed the shooting.
“When a colleague dies in the line of duty the shockwaves and sadness reverberates throughout the Met and our communities. Policing is a family, within London and nationally, and we will all deeply mourn our colleague.
“We are in the early stages of the investigation and are still working to establish the circumstances surrounding the incident and we will provide further updates when we have them.”
The incident has been referred to the Independent Office for Police Conduct who will investigate, although the Met will lead the murder probe.
Harry and Meghan’s tour to southern Africa last year cost the taxpayer nearly £246,000, new accounts show.
The Duke and Duchess of Sussex took their then four-month-old baby son Archie Mountbatten-Windsor to South Africa in September last year on his first royal overseas trip, with the duke also travelling solo to Angola, Malawi and Botswana.
The flights came to nearly a quarter of a million pounds and were the most expensive royal journey of 2019-2020, according to the royal financial records.
The trip became controversial after Meghan launched legal action against a newspaper and Harry delivered a scathing attack on the tabloid press while the tour was still under way.
Harry and Meghan also filmed an ITV documentary while on the trip in which they spoke of their struggles as royals.
A senior royal source insisted the couple are under no obligation to pay money back for the trip after announcing their decision to quit as senior royals just three months later.
The source stressed it was a key visit approved by the Foreign Office and helped to highlight the work of numerous charities.
The figures also revealed that flights for a two-day visit to Oman taken by Prince of Wales cost £210,345.
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The records show that Harry and Meghan have paid rent on Frogmore Cottage for a “number of years” upfront – as well as repaying £2.4m in taxpayers’ money that was spent on renovating the Windsor property.
The Duke and Duchess of Sussex were able to afford the repayment after signing a lucrative deal with Netflix that is rumoured to be worth more than £100m.
Although the couple now live in California, they have kept the Grade II-listed property as their UK base.
News of the upfront rental payments comes after Harry and Meghan fully repaid the renovation costs of Frogmore Cottage earlier this month.
Critics had been calling for them to reimburse the public purse following their decision to step down as working royals for financial and personal freedom.
A senior palace source said that the Sussexes had made a “substantial contribution” to the Sovereign Grant – adding that the figures will only appear in next year’s royal accounts.
Meanwhile, Reuters has reported that the rent paid has been set at a commercial rate.
A source told the news agency: “They have fulfilled their current obligations, their debt obligations in relation to Frogmore Cottage, and they have made a payment that will recognise that they have paid for the rental of that property for a number of years.
“There will be a point in the future when they would be expected to make further payments.”
Graham Smith, the chief executive of Republic, an anti-monarchy organisation, called for a review of Harry and Meghan’s dealings with Frogmore.
He said: “What we have is a family taking advantage of their position (in relation) to public property. They’re working out their own finances, doing their own books and then reporting their own finances – there needs to be independent scrutiny.
“I think the Crown Estate has questions to answer about allowing the royals to use the property in this way, and why they are not more open about the financial transactions that go on in relation to the houses they let the royals have.”
As part of their Netflix deal, Harry and Meghan will be producing films and series for the streaming platform, including scripted series, docuseries, documentaries, features and children’s programming.
The royal accounts for 2019-20 were released, with a warning that there could be a shortfall of £35m because of the coronavirus pandemic.
The first night of a 10pm curfew on pubs and restaurants has passed largely without incident in England – but some venues are warning that the absence of late-night drinkers could put their future into jeopardy.
In London, there was a small police presence on the streets of Soho last night, but no problems were reported.
Metropolitan Police Commissioner Cressida Dick joined a patrol in Shoreditch, a fashionable area in the capital’s east, to remind the public of the measures they need to follow to stop coronavirus from spreading.
Scotland Yard is planning to step up its enforcement of COVID regulations in the coming days and weeks as infection rates in London continue to rise.
The big test for premises and the police will likely come on Fridays and Saturdays, where greater numbers of people head to pubs and bars.
The Met said enforcement – which could include on-the-spot fines – will only take place as a last resort, but warned officers “will not hesitate to use their powers to deal with flagrant breaches of the regulations”.
Deputy Assistant Commissioner Matt Twist said: “The vast majority of Londoners have stuck to the rules and responded positively to the unprecedented situation we are in. We thank them for that.
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“Throughout the last few months we have continued to step in where necessary to protect the public, even as the rules relaxed, with officers working hard to tackle challenging incidents such as unlicensed music events throughout the summer – sometimes facing extreme hostility and even violence.
“However, it is clear that there is a renewed need for everyone to do everything they can to minimise the risk of transmission of what is a potentially deadly disease – that means everyone following the rules.”
Wolverhampton Police posted a video on Twitter thanking the public for complying with the new regulations, and said all venues had shut at 10pm.
However, the measures in Wales are slightly different, as pub-goers will be given an extra 20 minutes to finish their drinks following last orders at 10pm.
The curfew comes as the UK reported 6,634 new coronavirus cases in the 24 hours to 9am on Thursday – the highest daily total ever recorded.
A further 40 people are reported to have died within 28 days of testing positive for COVID-19, official figures show. The last time the daily death toll was higher than 40 was on 14 July, when 44 deaths were recorded.
Sky News correspondents in London and Birmingham were in the city centre as 10pm approached to see how the curfew was handled.
LONDON: “Overall, people were compliant” By Ashna Hurynag, news correspondent
If anyone was anticipating anger on the first night of the nationwide curfew, they’d be pleasantly surprised. Overall, people were compliant – and after initially flooding the streets when the clock hit 10pm, they dispersed into the night.
In Soho – the party district that promises a feast of fun and festivity – the fluorescent vests and jackets of enforcement officials stood out among the revellers lapping up the last few hours of social freedom at their favourite dining hotspots.
But barely seconds after they’d taken their final sip of their drink, just minutes before 10pm, venues were wiping down tables, stacking chairs and ushering people out the doors.
Bars and restaurants who have clawed their way through a difficult summer were eager to abide by every letter of the new restrictions and do everything in their power to sidestep a hefty fine.
Licencing inspectors, community wardens and even the commissioner of the Metropolitan Police were out enforcing the new curfew.
Some Met officers marched door to door in the early evening reminding premises of the new kick-out time.
But they hardly needed checking up on, the venues were broadly prepared for the early shutdown despite the few days’ notice.
Yet many feel frustration knowing how many millions of pounds will be lost during this six-month ban on late night frivolity.
BIRMINGHAM: “By 10pm, it felt more like 4am” By Becky Johnson, Midlands correspondent
By 10pm. Birmingham city centre was eerily quiet.
The pubs and bars on Hurst Street had called last orders at 9.30pm. By the official closing time, everyone had trickled away.
On a street that usually has some of busiest bars in the city, it felt more like 4am.
“This is when people are usually just arriving,” one bar owner said. “The students don’t usually come out until 10pm or 11pm. People must have just decided it’s not worth coming out at all.”
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It wasn’t any busier in other parts of the city centre.
“We usually do 40% of our trade after 10pm,” the marketing manager of Aluna, a cocktail bar in the Mailbox said. “That’s all gone.”
A group of students were scathing about the new rule and whether it will reduce coronavirus transmission.
“People will just risk the rules. The night won’t end here. They’ll be having parties,” they said.
A “normal” Thursday night is a vague memory here, pre-pandemic, when people crowded into pubs and clubs.
“We did okay” tonight, one bar owner said. “But by okay, I mean we did 25% of the business we did on a normal Thursday.”
Many are openly questioning whether their business will survive six months of this.
The travel costs for Harry and Meghan’s high-profile tour of southern Africa came to £246,000 – and flights for a two-day visit to Oman taken by Prince of Wales cost £210,345.
The standout figures from the royal finances for 2019-20 come as officials warn that the royal accounts are set to take a £35m hit as a result of the coronavirus pandemic.
Prince Charles had flown to Oman to pay his condolences following the death of Sultan Qaboos bin Said – and private charter flights needed to be used because the visit was at very short notice.
Both trips were on behalf of the UK government and the Foreign Office.
Other trips that stand out include Prince Andrew taking a private plane to Northern Ireland to attend the Royal Portrush Golf Club’s Open championship at a cost of £15,848.
Princess Anne also used a charter flight costing £16,440 so she could fly to Rome to watch Scotland play rugby as their patron.
During the annual briefing on the royal finances, it emerged that a loss of £15m is expected over the next three years as a result of a drop in income from the Royal Collection Trust, which has seen a substantial drop in visitors to properties such as Buckingham Palace and Windsor Castle.
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Meanwhile, a £369m programme to update electrical cabling, plumbing and heating at Buckingham Palace over 10 years is expected to be £20m short.
Sir Michael Stevens, Keeper of the Privy Purse said: “In responding to both these financial challenges we have no intention of asking for extra funding and will look to manage the impact through our own efforts and efficiencies.”
A pay freeze for royal staff was implemented in April and there is also a halt on recruitment, with only business-critical posts being filled.
Accounts for the Sovereign Grant show the monarchy cost the taxpayer £69.4m in 2019-20, an increase of £2.4m on the previous financial year.
Funding the “core” part of the Sovereign Grant for official duties – excluding funds for the long-term Buckingham Palace works – costs 74p per person.
David McClure, author of The Queen’s True Worth, said: “At the moment, people are feeling a bit sorry for the palace because they’ve got a big black hole in their pocket due to COVID.
“But one should equally remember that in the last nine years, the Sovereign Grant has really gone up and up and up.
“It’s actually gone up by two-thirds in the last nine years and if you look at inflation, inflation has only gone up 20%, so they really have had a rise income in the last decade or so.
“Now it’s sort of flattening out and plateauing so yes, they have a problem but they’ve really had good times for the last nine years or so.”
Meanwhile it was confirmed that the Duke and Duchess of Sussex have paid an undisclosed sum upfront for renting Frogmore Cottage.
Last month, it was announced that the couple had paid for the £2.4m refurbishment but a senior palace source said: “The Duke and Duchess of Sussex have made a substantial contribution to the Sovereign Grant that covers refurbishment and rental obligations for Frogmore Cottage.
“The reporting method for this contribution has yet to be determined and will have to be agreed by the National Audit Office before appearing in next year’s accounts.”
An NHS coronavirus contact-tracing app has launched across England and Wales.
As of Thursday evening, it had been downloaded more than one million times by Android users, according to the Google Play Store.
The total figure is likely to be higher when iPhone downloads are included, but Apple does not provide similar figures for app downloads.
Health Secretary Matt Hancock has called the new mobile phone app an “important step forward” in the UK’s fight against COVID-19.
It asks users to self-isolate for 14 days if it detects they were in close proximity to someone with coronavirus.
Is it private?
Yes. All the contacts stay on your phone, so they’re not sent to anyone. Even if someone did get into your phone the data is all anonymous, so all they’d see would be strings of random numbers. As apps go, this is about as private as it gets.
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How can I be sure?
The code is open source, so if you’re a developer you can take a look at it. If you’re not you’ll have to take it on trust – but rest assured that the best privacy researchers in the world have pored over it, so this has had some high quality scrutiny.
That’s why countries from Switzerland to Scotland have validated it for use.
Does it work?
It depends what you mean by work. The technology comes from Google and Apple so it’s unlikely that it’s going to break (although even Twitter and Instagram go down from time to time). The developers are assured us it won’t drain your battery either.
That’s good. But is it actually going to stop the virus?
Wouldn’t it be great if it did! Sadly we don’t have the technology for that – but in the meantime the app could definitely help.
Think of it this way: if you got a notification telling you the friend you met for coffee has tested positive and then you don’t visit your grandfather as a result, that could literally save his life.
Lots of moments like that could make a very real difference to the spread of the virus.
If I do get a notification, do I have to self-isolate?
You don’t have to in the sense that you won’t be punished if you don’t, but you should all the same.
What if it’s not accurate? At work I put my phone in a locker – I don’t want to be told to isolate just because the guy with the locker next door has a positive test
If you’re in this situation, there’s a switch on the app to turn it off. Of course there are always times where it won’t work perfectly.
If you leave your phone in your jacket and someone else sits next to it, that might trigger the app. This is technology, not magic – but as most of us are pretty attached to our phones it should be okay.
I don’t know. I read somewhere there are lots of false positives
I read that too and I think it’s confusing a few different things.
Sometimes the app will make mistakes about distance: it might think someone was two metres away when actually they were 2.5 metres away.
But you’ll never get a notification if you haven’t been close to someone who’s had a positive test for at least 15 minutes. That’s a good reason to take the alerts seriously.
:: Okay. But what if no-one else downloads it?
As a journalist I can confidently predict the media will obsess over total download figures, but on an individual level we shouldn’t worry about it. If everyone you know has the app, that’s all that matters.
Maybe the best way to think of the app is as the digital version of a mask. If everyone wore one, they’d really work, but just because they don’t in one city doesn’t mean you should stop wearing yours on the bus.
Great! I’ll get my dad to get it. But he’s got an older phone
Oh sorry, he doesn’t get to access it. Yeah. Bit of a downer I know.
Oh. But for me – is it an issue if I work in Scotland?
You’ve hit on another snag. The apps for Scotland and Northern Ireland don’t talk to the app that launched on Thursday in England and Wales. That might change, but until then your best bet is download all the apps separately.
What about the QR code check-ins? Are they private too?
Yes. In fact, this is a good example of just how private the whole system is: it’s so private that if there’s an outbreak then test and trace won’t know who you are.
They can send you a warning – which won’t have the venue’s name in it – but they literally don’t have a clue who you are.
That doesn’t sound great for contact tracing
What can I say? You wanted privacy, you got privacy.
One last question: why didn’t I know all this? It would have been really helpful
To me, this is the biggest worry about the app. On Thursday I went to a mosque in Newham, east London, one of areas of the country that has been worst hit by COVID-19. It has had the app for several weeks as part of the trial.
But the president of the mosque said that at best one in 10 people were using it and he didn’t believe the local community had been properly involved. I’ve heard similar reports from other people in the area. It’s not a great sign.
But then again it’s important to keep these things in perspective.
After the pandemic hit, the mosque set up a food bank. Today it’s still feeding 300 people a week.
When it comes to getting the virus under control, the stakes could hardly be higher. Even if the communication hasn’t been that effective, it makes sense to download the app if you can.
Morrisons has become the first supermarket chain to reinstate rationing on essential goods after evidence that some customers were stockpiling.
Britain’s fourth-biggest grocer said it was limiting consumers buying products such as toilet roll, disinfectants and bleach to a maximum of three items.
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It comes as the government introduces new measures in an effort to hold back the rising number of coronavirus cases.
Earlier this week, the chief executive of Tesco urged consumers to avoid a “return to unnecessary panic buying”, in an interview with Sky News.
All the major supermarkets had introduced temporary restrictions in March after shelves were stripped bare of essentials such as toilet rolls in the weeks leading up to the COVID-19 lockdown.
The restrictions were slowly lifted as stocks recovered.
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But Morrisons revealed on Thursday that it was reintroducing limits after customers began stockpiling soup, pasta and cleaning products.
It revealed the move in response to a Twitter post from a member of the public urging supermarkets to “start putting a stop to bulk buying items”.
Hi Martin. We have seen stocking up on certain products like soup, pasta, cleaning items, etc. Due to this we’re now introducing some max caps into store so we can ensure good availability for all our customers. We’ve already applied some to online orders also 🙂 – Rochelle
— Morrisons (@Morrisons) September 24, 2020
The supermarket said in a tweet that it would introduce caps on in-store purchases to ensure “good availability for all our customers” – and that some caps had already been applied to online orders.
A Morrisons spokesman later told Reuters: “We’ve got decent stock levels but we want to be sure that they are available for everyone.”
Tesco, Sainsbury’s and Asda have not imposed any new restrictions.
Dave Lewis, the chief executive of Tesco, sought to reassure customers on Wednesday after the prime minister told people to work from home where possible and ordered restaurants and bars to close early to tackle a spike in the pandemic.
Mr Lewis told Sky News: “I think the UK saw how well the food industry managed last time, so there’s very good supplies of food.
“We just don’t want to see a return to unnecessary panic buying because that creates a tension in the supply chain that’s not necessary.
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“And therefore we would just encourage customers to continue to buy as normal.”
Giles Hurley, chief executive of Aldi UK, said in an email to customers this week: “Our stores remain fully stocked and ask that you continue to shop considerately.
“There is no need to buy more than you usually would.”
Meanwhile, Asda said on Wednesday that it was introducing 1,000 safety marshals at its stores to reinforce guidance on wearing face masks and social distancing for shoppers.
European Union health officials are urging member nations to move quickly to slow the latest wave of COVID-19 infections to avoid a repeat of the broad lockdowns that paralysed the continent’s economy in the spring.
EU health commissioner Stella Kyriakides said the most recent risk assessment showed that some countries are reporting more cases now than they did during the earlier pandemic’s peak.
She said now “might be our last chance to prevent a repeat of last spring”.
More than three million cases have been reported in Europe since the beginning of the year, including 187,509 deaths, according to figures from the European Center for Disease Prevention and Control.
These maps and graphs show how the picture is changing across Europe.
This map shows that Montenegro has become a coronavirus hotspot within Europe, with 305.4 cases per 100,000 people in the week of 14-20 September.
Spain is next with 165.6 per 100,000, and then the Czech Republic with 122.6 cases.
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When we look at this second map you can see that Montenegro has seen a 64% week-on-week increase from 7-13 September.
Iceland had the highest weekly increase, 654.2%, with a rise from 6.7 per 100,000 to 50.7 per 100,000.
Another island which saw a big rise was Cyprus which had a 335.3% increase from 1.9 per 100,000 to 8.4.
Spain is still seeing the most significant rise in infections after rates started rising steadily again from the start of July.
France is also on a similar trajectory and the UK is following the same pattern, though a few weeks behind.
Germany’s rate is still largely flat with a small rise since the beginning of September.
The UK has an infection rate of 38.6 cases per 100,000 people, while Ireland’s rate is just above that on 39.7.
When a country is above 20, the home nations of the UK consider imposing two-week quarantine restrictions on people travelling to the UK from there. Such countries currently include France and Spain.