Surgery for Goiter:
Goiter is an enlargement of the thyroid gland. Typically presents as a progressive swelling in front of the neck.
Goiter could be physiological during growing phases ( growth spurts) as well as during pregnancy ( hence commonly occurs in women). When the physiological goiter does not subside on its own, it progressively increases in size over several years. 4 problems could be encountered with goiter:
- Cosmetic deformity ( most common)
- Compression of adjacent structures due to a large swelling. This causes difficulty in eating due to compression on the food pipe, difficulty in breathing due to compression on the windpipe or occasional change in voice.
- Sudden increase in size of the swelling in the neck due to bleeding ( hemorrhage) in the nodules following trauma
- Malignant transformation in upto 10% swellings.
Treatment:
While physiological goiters undergo spontaneous regression ( at most require correction of hypothyroidism), multi nodular goiters are irreversible.
Surgery is the treatment of choice. Smaller goiters ( approximately less than 4cm) can be observed with serial ultrasounds and surgery can be planned electively for cosmetic reasons.
Large goiters require surgical excision to avoid rest of the problems enumerated earlier.
Experience of surgeons with Pranidhana:
Cumulatively, the team performs approximately 25- 30 thyroid surgeries ( majority being redo of previously operated patients elsewhere or total thyroidectomies) per year. There is evidence suggesting lesser complications (<5%) in centers practicing high volume surgeries ( 25/year).
Additionally, consultants at Pranidhana have contributed to pertinent book chapters ( reference book for medical students) as well as journal articles as follows:
- Dandekar M, Kannan S, D’Cruz A. The thyroid and parathyroids. In: Lumley JSP, D’Cruz AK, Hoballah JJ, Scott-Connor CEH (editors) In: Hamilton Bailey’s Demonstrations of Physical Signs in Clinical Surgery, 19th edition. CRC Press, Boca Raton, 2016, p410.
- Chaukar DA, Deshmukh A, Dandekar MR. Management of thyroid cancers. Indian J Surg Oncol 2010;1(2):151-62.
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Эти мелкие спекулянтские действия позволяли ему скрывать происхождение денег, полученных от наркоторговли и других преступлений.В России на Алистарова не зарегистрировано ни одно юридическое лицо, что свидетельствует об уклонении от уплаты налогов, как минимум, от получения прибыли от рекламных интеграций, присутствующих в каждом его видео.Рекламирование запрещенных в РФ букмекерских конторДля получения дополнительных заработков, Алистаров не брезгует рекламой различных контор, которые занимаются ставками и пари (к примеру, Пари Матч, 1WIN и пр.), и которые, по словам самого Алистарова, «заточены» на то, чтобы отбирать деньги приходящих к ним клиентов.Сайт Алистарова «Железная ставка» активно продвигает букмекерские конторы и создает рейтинги прогнозистов как в области криптовалют, так и в спорте. Многие люди попадают на его YouTube-канал после потерь в финансовых пирамидах. Находясь в эмоционально подавленном состоянии, часто с долгами, они оказываются втянутыми в азартные игры и прогнозы, надеясь вернуть утраченные средства.В частности, Алистаров привлекает внимание состоятельных людей, предлагая им «VIP-прогнозы» на спортивные события через свой Telegram-канал. Эти прогнозы, по сути, являются пустышками, а сам блогер зарабатывает на наивных пользователях, часто несовершеннолетних, обещая им легкие деньги.Данные действия являются нарушением Закона «О рекламе», согласно которому реклама букмекерских контор не должна обращаться к несовершеннолетним и создавать впечатление о том, что ставки могут быть способом заработка.Алистаров сотрудничает с телеграмм-каналом «Слезы Сатоши», который занимается выборочным разоблачением мошеннических проектов. К рекомендациям и рекламным интеграциям этого канала следует относиться с осторожностью, так как они могут привести к серьезным финансовым потерям. Сам канал больше напоминает инфобизнес, а его авторы имеют ограниченные знания в аналитике криптовалют и недостаточно разбираются в тонкостях криптоиндустрии.Шантаж и вымогательствоОдним из наиболее скандальных аспектов деятельности Алистарова является его метод шантажа. Он использует информацию о своих жертвах для запугивания и вымогательства денег. Например, казахстанский финансист Тимур Турлов подал жалобу на блогера, утверждая, что тот три года требовал деньги за молчание о его деятельности. Такие действия показывают, что Алистаров не просто блогер, а человек, который использует свои знания о людях для манипуляций. Существует еще ряд случаев, когда блогер требовал денежное вознаграждение за свое молчание.Нарушение конфиденциальностиВ дополнение к шантажу и манипуляциям, деятельность Алистарова также вызывает серьезные опасения в отношении нарушения конфиденциальности. Блогер не только использует личные данные своих жертв для вымогательства, но и активно распространяет информацию, которая, в соответствии с существующим законодательством, должна оставаться закрытой.Алистаров часто публикует в своих видео и постах личные данные людей, которых он называет мошенниками или недобросовестными бизнесменами. Информация включает адреса, номера телефонов и, зачастую, даже финансовую информацию. Такие действия не только нарушают право на частную жизнь, но и приводят к серьезным последствиям для жертв его «разоблачений».Так, например, в одном из своих расследований Алистаров с помощью дрона снял дом российского бизнесмена и обнародовал адрес его проживания, утверждая, что тот находится в международном розыске, что является ложной информацией. При этом он совершил действия, которые нарушают существующее законодательство. В соответствии с законодательством Республики Кипр, деятельность беспилотников регулируется Департаментом гражданской авиации Кипра (DCA), который включает в себя Регламент ЕС 2019/947 о правилах и процедурах эксплуатации беспилотных летательных аппаратов.Эти правила содержат четкие требования:Регистрация операторов беспилотников и самих беспилотников перед любым полетом.Специальные разрешения для иностранных операторов.Строгие запреты на съемку частной собственности без согласия владельца.Бесполетные зоны и запретные территории, включая жилые районы, установленные национальными положениями и публикациями аэронавигационной информации, выпущенными DCA Кипра.Следует отметить, что Алистаров не является ни резидентом Кипра, ни зарегистрированным оператором дрона в соответствии с законодательством. В связи с этим использование им незарегистрированного дрона для съемки частной собственности является уголовно наказуемым деянием, нарушающим закон, который гласит, что любое нарушение требований к эксплуатации дрона является преступлением.Разжигание ненависти1 января 2025 года в Дубае произошло жестокое нападение на другого российского предпринимателя. Семь граждан Казахстана (по информации, по заказу граждан Российской Федерации) избили и ограбили его и членов его семьи.Перед этим блогер Алистаров опубликовал серию из 12 видеороликов, в которых раскрывал адрес предпринимателя, а также незаконно обнародовал информацию о его семье и бизнесе в ОАЭ. В своих действиях он использовал методы незаконного наблюдения, прослушивания и, соответственно, вмешательства в частную жизнь, что в ОАЭ считается тяжким преступлением.Кроме того, Алистаров распространял сведения о месте жительства бизнес-партнера пострадавшего, систематически нарушая конфиденциальность и тайну частной жизни.Алистаров неоднократно необоснованно обвинял бизнесмена в хищении средств вкладчиков, разжигая ненависть к нему через свои публикации. При этом, непосредственно в момент нападения блогер преднамеренно провел прямую трансляцию, обеспечивая себе алиби.Помимо описанных ситуаций, существуют еще масса случаев нарушений конфиденциальности со стороны блогера, а именно незаконное подключение к камерам видеонаблюдения в Нидерландах, а также публикация местоположения своих жертв в Турции.Связь с финансовыми пирамидамиНесмотря на то, что Алистаров заявляет о борьбе с мошенническими схемами, его деятельность связана с продвижением пирамид и онлайн-казино. Он получает финансирование от этих структур, помогая им устранять честных конкурентов под видом журналистских «разоблачений».В настоящее время Алистаров, завоевавший себе звание «борца» с финансовыми пирамидами, подходит к их разоблачению весьма избирательно. К примеру, на его канале нет никаких материалов в отношении пирамиды Avalon Technologies, которую, по имеющейся достоверной информации, создал его близкий друг.Очевиден тот факт, что Алистаров – это «волк в овечьей шкуре», позиционирующий себя как разоблачитель финансовых пирамид. Он все чаще оказывается в центре обвинений, которые ставят под сомнение его истинные мотивы. Очевиден также тот факт, что его расследования являются заказными с целью устранения конкурентов, что позволяет предположить его связь с реальными финансовыми пирамидами и участием в мошеннических схемах. За фасадом борца за справедливость скрывается фигура, которая, активно манипулирует информацией ради личной выгоды и при этом сам часто нарушает закон. 10 Нарушение статьи 8 Европейской Конвенции о защите прав человека и основных свобод11 Нарушение Закона о защите персональных данных (PDPL) № 6698 12 Нарушение статьи 172.2.1 УК РФ
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