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Ismail Lutta
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Ismail Lutta
@AtakoIsmail
Outgoing. I love reading and travelling.
Katılım Ağustos 2022
2K Takip Edilen2.2K Takipçiler

@JoelJirane Cold exposure is generally considered a predisposing factor rather than a direct cause of pneumonia.
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[KENYA-RUSSIA]
Joseph Kabugi, a Kenyan mercenary fighting for the Russian army, was captured by the Ukrainian 425th Assault Regiment.
He explains that he was recruited by an agency in Kenya for a civilian job in Russia but was ultimately forced to sign a military contract in Russian that he did not understand.
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Two virgins who marry each other can’t fight over sexual compatibility. They learn everyday till they master how to satisfy each other. You only talk about sexual compatibility when your spouse has had multiple sex partners before marriage.
HOT LEGS BIBI🙄@ButterBibi
Sexual Compatibility is valid like mad. As a Christian, how do you know you’re sexually compatible with your partner before marriage?
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🚩 IF #SHA WANTS TO PRACTICE MEDICINE, SHA MUST GET A VALID PRACTICING LICENCE.
The unilateral action by SHA to cap daily outpatient limits points to policy failure, which puts tension on the assertion that the transition from NHIF aimed at reducing out-of-pocket payments.
How does capping outpatient costs at 1200–4000 reduce out-of-pocket payments?
On the contrary, the effects undermine the principle of universal health coverage.
1. Compromise on the standard of care: The figures chosen are reckless and arbitrary. They force doctors to cut corners to fit their management plan within the SHA's financial limits. Essentially, it would be correct to say that SHA is practicing medicine without a license.
2. The cost-shifting fallacy: SHA was purportedly designed to reduce out-of-pocket expenditures. This policy does the exact opposite—by shifting the cost of care from a multi-billion-dollar fund to poor patients' pockets at their most vulnerable moment.
3. Professional autonomy and violation of ethics: If a doctor knows a patient needs a battery of investigations, especially in specialist clinics, but only has 4k at their disposal, the result will, without doubt, be substandard medical treatment.
SHA must revert to the comprehensive model that puts limits on general outpatient lump sum and not per-visit caps.
To better understand what we are telling them, SHA should urgently audit how many patients walk away from the lab or pharmacy because their coverage only allows consultations.
This change of contractual terms is unilateral and may amount to a breach of contract.
A good healthcare financing system should not operate like a game of musical chairs, shifting goalposts and changing critical policy rules in an arbitrary trial-and-error manner.

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Youth SDGs Week 2026 is here — a whole week dedicated to bold ideas, real solutions, and young people stepping up to accelerate change.
📅 20th–24th April
📍 @KSGKenya
This is more than an event — it’s a movement. A space where passion meets purpose and ideas turn into impacts

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Silhouette sign....
Dr Benjamin Felson coined the term silhouette sign after reasoning that, “An intrathoracic lesion touching a border of the heart, aorta, or diaphragm will obliterate that border. An intrathoracic lesion not anatomically contiguous with a border of one of these structures will not obliterate that border.”
Bottom line...
The silhouette sign results from the juxtaposition of structures of similar radiographic density.
The sign is used not only to identify normal chest structures but also to localise lung diseases.
casereports.bmj.com/content/13/9/e…

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