Madame Celeste Amarilla,
Vous êtes une femme méprisable et indigne de sa fonction.
Vous ne représentez pas le Paraguay, ce pays qui a transpiré la passion et l’honneur tout au long de la compétition. Par votre inconscience et votre racisme décomplexé, le monde entier a déjà oublié le parcours et l’effort historique que vos joueurs ont réalisés durant cette coupe du monde pour laisser place à une dame incompétente donnant la pire image possible de son pays.
Je ne laisserai jamais aux gens comme elle, la liberté de laisser propager leur haine et leur racisme à travers le monde.
Step 1:
✅ Age <55 years
➡️ Start an ACE inhibitor (or an ARB if ACE inhibitor isn’t tolerated)
✅ Age ≥55 years (or Black African/Caribbean family origin)
➡️ Start a Calcium Channel Blocker (CCB)
⬇️ BP still above target?
Step 2:
➡️ ACE inhibitor/ARB + CCB
(If a CCB isn’t suitable, use a thiazide-like diuretic.)
⬇️ Still uncontrolled?
Step 3:
➡️ ACE inhibitor/ARB + CCB + Thiazide-like diuretic
⬇️ BP still not controlled on all three?
Resistant Hypertension:
• K⁺ ≤4.5 mmol/L → Add Spironolactone
• K⁺ >4.5 mmol/L → Increase the dose of the thiazide-like diuretic or consider another suitable agent.
One line memory trick:
A → C → A+C → A+C+D → +S
Keep this algorithm in your mind, and you’ll have a structured approach to treating hypertension in the OPD.
If hypertension treatment still confuses you during OPD, memorize this one algorithm. It takes less than a minute.
There’s a simple NICE guideline you can follow every time you see a patient.
Any man who attempts incest is guilty of an offence of attempted incest and is liable upon conviction to a term of imprisonment of not less than ten years.
KESI YA MWANAUME KUMLAWITI MWENZAKE KISA KAMFUMA NA MKEWE, NA MWINGINE KUMLAZIMISHA KUMNYONYA UUME NA KUANDIKISHANA AMPE 1M INACHANGANYA SANA -FUMNIZI 2022 , MKE ANAUMA ILA MH
Dar es Salaam. Mahakama ya Wilaya ya Ilala imemhukumu kifungo cha maisha jela, Erick Kasila (39) baada ya kupatikana na hatia katika mashtaka matatu likiwamo la kumlawiti mwanamume kwa madai kuwa alimfumania gesti na akiwa na mke wake.
Kasila anadaiwa kumlawiti Idd Kambi katika nyumba ya kulala Wageni ya Maembe, Yombo Kiwalani, Wilaya ya Ilala na kumpiga picha za utupu na kutisha kunitumia katika mitandao ya kijamiina kumnyang’anya nguo alizovaa, fedha, laptop na viatu.
Mshtakiwa wa pili katika kesi hiyo, Juma Richard (31) alihukumiwa kifungo cha miaka 14 jela baada ya kupatikana na hatia ya kumlazimisha mlalamikaji kumnyonya uume wake na kumtaka kusaini karatasi ya ahadi ya Sh1 milioni ili asisambaze picha walizompiga wakati wakimlawiti, ambazo hata hivyo, walizisambaza katika mitandao ya kijamii.
Akisoma hukumu hiyo jana, Hakimu Mkazi Mfawidhi wa Mahakama hiyo, Said Mkasiwa alisema ameridhishwa na ushahidi wa mashahidi watano dhidi ya washtakiwa na vielelezo vya picha zinazoonyesha mlalamikaji alikuwa analawitiwa, nyingine zikionyesha mshtakiwa akimlazimisha mlalamikaji amnyonye sehemu zake za siri.
Akipitia baadhi ya ushahidi uliotolewa mahakamani hapo, Hakimu Mkasiwa alisema kulawitiwa kwa mwanamume huyo ni baada ya kukutwa na Sanifa Bakari ambaye ni mke wa Kasila.
Kabla ya hukumu hiyo, upande wa mashtaka ukiongozwa na Wakili wa Serikali, Silvia Mitanto uliiomba Mahakama kutoa adhabu kali dhidi ya washtakiwa hao kwa kitendo walichokifanya ambacho kimemuathiri mlalamikaji kisaikolojia.
Washtakiwa walipopewa nafasi ya kujitetea kwa nini wasipewe adhabu kali, walishindwa na badala yake waliomba nakala ya hukumu.