Every day people are looking for ways to justify why they haven't achieved what they desire. They look at what other people have done with resentment rather than being inspired into action. This article pushes past those old habits and gives practical steps towards achieving your goals and obtaining the freedom that we desire.
If you've ever hit a brick wall when it comes to building confidence, I know the feeling. It feels like everyone has all this self belief about who they are, what they do, what they know - and even though you may know more, you don't have the confidence to back it up.
Regardless of whether you want more dates, more success in your career or business, or confidence with strangers, this guide will show you how to get it.
As a self help junkie, I had compiled years worth of research, and turned it into a single, convenient 30 day program.
30 Days To Confidence covers a broad range of topics, covering everything from self esteem, goal setting, building confidence, achieving success, and related self help and self improvement topics. Download it today.
Every day people are looking for ways to justify why they haven't achieved what they desire. They look at what other people have done with resentment rather than being inspired into action. This article pushes past those old habits and gives practical steps towards achieving your goals and obtaining the freedom that we desire.
If you've ever hit a brick wall when it comes to building confidence, I know the feeling. It feels like everyone has all this self belief about who they are, what they do, what they know - and even though you may know more, you don't have the confidence to back it up.
Regardless of whether you want more dates, more success in your career or business, or confidence with strangers, this guide will show you how to get it.
As a self help junkie, I had compiled years worth of research, and turned it into a single, convenient 30 day program.
30 Days To Confidence covers a broad range of topics, covering everything from self esteem, goal setting, building confidence, achieving success, and related self help and self improvement topics. Download it today.
Run your own race,self directed change program and self confidenceSandy Singh
www.shannontranphd.com gives the inspiration and guidance on how to win at your own pace! Learn how to use visualization effectively to achieve goals, and how to let go of unhealthy comparisons.
Fitness and health
In the midst of a world that seems to be spiralling into madness, it can seem hard to stay active and healthy. We have become so busy with the day-to-day grind of work, school, social life and all other commitments that we forget just how important our health is to us. It feels so easy and doesn’t require much effort. So what are some tips to keeping fit and motivated? Here are five ideas, from my own experiences.
1. Don’t give up because you’re tired after an hour workout. There is no such thing as too much. I am not going to lie to you when I say sometimes your body can feel extremely sore on the second session but what really counts is thinking about tomorrow and the things at hand. If nothing else, then tomorrow will always be there for me. At least I hope that is. The first couple of minutes are actually quite relaxing; they’re nice to get back into a rhythm. Once the pain wears off you will begin to enjoy some form of movement again. This way you get more done in less time. Even if you think you don’t like your routine, give yourself permission to try different things. What if you want to start boxing? Maybe yoga with Adriana or maybe even just running down the street. When you get tired of doing what works for you, it might be time for you to look at what you may be missing out on while working out. Can you run around the block? No problem! Try swimming laps and taking short runs instead of long runs. Get moving, no matter where you are feeling stuck – in the car, looking at the clock in front of you or maybe, just laying on the couch, watching TV. Just being out there makes your mind feel fresh and invigorated. You’ll find it easier to go out and do something fun and make yourself happy. It has been said that “health is wealth” and sometimes that is true. We get better when we exercise. Workout helps keep our bodies in shape and energised. Not only does the stress drain away, it gives us a sense of accomplishment that we did what we could to accomplish this feat. Sometimes, having something to look forward to makes us more motivated to do whatever is needed to achieve whatever goal we’ve set. Life changes and that means change is necessary. As well as putting your daily goals on hold and giving yourself the chance to relax. Exercise for thirty seconds, then take a deep breath. A good old thirty seconds is all that will matter. Take in one minute worth of sleep and let them carry on until you fall asleep.
2. Never underestimate the power of motivation. You have got to get up every morning and look outwards looking at your surroundings and the people within it. Look across and see where they are going, where they are standing, even if they are only a few feet away from yours. Then return their gaze and see where you may be heading next. Do that for ten minutes (at most) then return to staring at a blank page. Whatever it takes do it. They are right here with you and waiting for you to finish. Whether in your bedroom, on
In the course of our life, we have to agree that there is no beauty without struggle. No one likes to hear the story of someone who got everything easily. People want to listen to the stories of men and women who, while born in the valley of struggle, endured pain and turned their battles into a gift.
7 Common Mistakes People Make When They Have A Yearning To Engage In A Creati...Vernon James
We all from time to time have creative impulses. We want to revisit the exciting of times gone by when we were writing or drawing or singing or taking photos of wildlife. When we have this yearning we can often be doubtful of our ability to make it part of our life again.
I have discovered the most common mistakes that people face when they come across urge to create. These mistake prevent them from accessing their true potential and living a fulfilling and meaningful life.
Life is a journey, and the path is not always clear. Each moment blooms with wonder and possibility – but you need to know where to look. The first thing to remember is that you will not find your way by scanning the distant horizon of the future. You need to start walking. Set out along your way, step by step, and keep your eyes peeled for the opportunities that appear. Try to identify your passions, and try to spend more of your time on things that feel meaningful.
Run your own race,self directed change program and self confidenceSandy Singh
www.shannontranphd.com gives the inspiration and guidance on how to win at your own pace! Learn how to use visualization effectively to achieve goals, and how to let go of unhealthy comparisons.
Fitness and health
In the midst of a world that seems to be spiralling into madness, it can seem hard to stay active and healthy. We have become so busy with the day-to-day grind of work, school, social life and all other commitments that we forget just how important our health is to us. It feels so easy and doesn’t require much effort. So what are some tips to keeping fit and motivated? Here are five ideas, from my own experiences.
1. Don’t give up because you’re tired after an hour workout. There is no such thing as too much. I am not going to lie to you when I say sometimes your body can feel extremely sore on the second session but what really counts is thinking about tomorrow and the things at hand. If nothing else, then tomorrow will always be there for me. At least I hope that is. The first couple of minutes are actually quite relaxing; they’re nice to get back into a rhythm. Once the pain wears off you will begin to enjoy some form of movement again. This way you get more done in less time. Even if you think you don’t like your routine, give yourself permission to try different things. What if you want to start boxing? Maybe yoga with Adriana or maybe even just running down the street. When you get tired of doing what works for you, it might be time for you to look at what you may be missing out on while working out. Can you run around the block? No problem! Try swimming laps and taking short runs instead of long runs. Get moving, no matter where you are feeling stuck – in the car, looking at the clock in front of you or maybe, just laying on the couch, watching TV. Just being out there makes your mind feel fresh and invigorated. You’ll find it easier to go out and do something fun and make yourself happy. It has been said that “health is wealth” and sometimes that is true. We get better when we exercise. Workout helps keep our bodies in shape and energised. Not only does the stress drain away, it gives us a sense of accomplishment that we did what we could to accomplish this feat. Sometimes, having something to look forward to makes us more motivated to do whatever is needed to achieve whatever goal we’ve set. Life changes and that means change is necessary. As well as putting your daily goals on hold and giving yourself the chance to relax. Exercise for thirty seconds, then take a deep breath. A good old thirty seconds is all that will matter. Take in one minute worth of sleep and let them carry on until you fall asleep.
2. Never underestimate the power of motivation. You have got to get up every morning and look outwards looking at your surroundings and the people within it. Look across and see where they are going, where they are standing, even if they are only a few feet away from yours. Then return their gaze and see where you may be heading next. Do that for ten minutes (at most) then return to staring at a blank page. Whatever it takes do it. They are right here with you and waiting for you to finish. Whether in your bedroom, on
In the course of our life, we have to agree that there is no beauty without struggle. No one likes to hear the story of someone who got everything easily. People want to listen to the stories of men and women who, while born in the valley of struggle, endured pain and turned their battles into a gift.
7 Common Mistakes People Make When They Have A Yearning To Engage In A Creati...Vernon James
We all from time to time have creative impulses. We want to revisit the exciting of times gone by when we were writing or drawing or singing or taking photos of wildlife. When we have this yearning we can often be doubtful of our ability to make it part of our life again.
I have discovered the most common mistakes that people face when they come across urge to create. These mistake prevent them from accessing their true potential and living a fulfilling and meaningful life.
Life is a journey, and the path is not always clear. Each moment blooms with wonder and possibility – but you need to know where to look. The first thing to remember is that you will not find your way by scanning the distant horizon of the future. You need to start walking. Set out along your way, step by step, and keep your eyes peeled for the opportunities that appear. Try to identify your passions, and try to spend more of your time on things that feel meaningful.
Life is not always easy, surely when we come to find ourselves at the lowest; it is then that we need self-confidence and self-esteem. Since circumstances, situations or problems in our existence arise, knocking us off balance with a feeling of disarray, sometime in panic, and leaving us wounded, at times to the core.
How to move on after your break up- The right way! Gaurav Tiwari
Reverend Gaurav Tiwari's short write-up on How to move on after a toxic relationship break up and rejuvenate yourself the right way. Please Share if it helped you.
Gratitude can change our lives hugely. But first we need to take a look at where we are right now. In fact we possibly need to do a little navel gazing, and let it all hang out a little. This book will help you to be more grateful in your life for 2013!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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1. Rut Busting
How you got into a rut and how to get out
By Hal Warfield
Introduction
WordNet defines a rut as a groove or furrow (especially in soft earth caused by wheels) or a
monotonous routine that is hard to escape; as in "her job made her feel that she was stuck in a rut".
What is this thing that we call a rut? Is one man's rut another man's rapture?
I. What is a rut?
In nature, weight and repetition form a rut. A wagon wheel travels the same path over and over and
over again until the ground retains the impression. If you've ever driven a rutted road you know that
once in the rut it becomes difficult to get out. On the other hand a rut may serve a useful purpose;
before a road gets paved and straightened out, it often begins as a series of ruts. So a rut may lead you
to a useful place; it may just need paving.
The elements of a physical rut on a road can be compared to our ruts in life. Our lives are full of
repetitious activities from eating to sleeping to brushing our teeth. Our jobs require that we take the
same road or train or bus. We take the same elevator, we encounter the same people, we do the same
work, we go home, sleep and start all over again.
Some repetition is useful and necessary - too much seems to lead to the formation of a rut. Let's look at
the emotions that being stuck in a physical rut cause. If you can't get your bike or car out of a rut, you
quickly begin to feel trapped, frustrated and stressed. Sometimes you bow to the inevitable and simply
continue to move forward until the rut runs out. You may not be carrying the equipment needed to bust
out of the rut. You might need someone else to help you pull out of the rut.
II. How did you get there?
When you were a toddler you learned to walk often by falling down a lot. Sooner or later repetition had
its effect and walking became second nature. You might remember the first time you successfully
dressed yourself or tied your shoes and now these activities are second nature.
Our human selves are gifted with this ability to learn a task so well we don't have to think about it at
all. This makes us more productive; consider how long it would take you to dress and get out of the
house if you had to think consciously about each step of the process.
This learning process will eventually affect any behavior that we do consistently. And this can lead to
ruts. If you get home at 6 p.m. every evening and lay on the sofa for an hour, you'll eventually find
you've fallen into a rut. I guess you could say that a rut is a habit that we don't like anymore.
Look at the areas of your life you consider ruts – what activity did you do repetitively that got you into
the rut? Why was it a good thing at first and not good now?
2. III. Do you want to get out?
But if we say we don't like the rut - are we sure we really want it to go away? We must sometimes
examine the reasons for our ruts. It may be there to protect us from some pain we perceive that the
effort to change would cause.
Most of us don't change (behaviors, attitudes, relationships) until the pain gets great enough. This
doesn't need to be physical pain - psychological and emotional pain can cause us to change as well. The
desire to get out of a rut - in our relationships, our jobs, our free time - will only motivate us when the
alternatives become unattractive enough.
So your first task in rut busting is to honestly ask yourself if the pain you feel is sufficient to move you
in some other direction. If the answer is "no" then the next task is to begin to add reasons to change.
Start a list - write down as many reasons as you can to change and a second list of reasons to let the
status be "quo".
IV. How to get out of the rut.
Move in a direction perpendicular to the rut. In daily behavioral terms, this means applying direct
pressure in the direction away from the rut. It means going out and walking instead of sitting in front of
the TV. It means confronting the jerk at work instead of knuckling under. Ever notice how loud an
engine gets when it’s trying to power out of a rut? This is hard to make ourselves do but probably the
quickest way to get results.
Get a plank or some other tool to increase your traction. In life terms this means taking a class or
joining a support group or reading a book. It may mean asking for help which, if you’ve ever been
stuck in a rut, can be embarrassing.
Call a tow truck. Hire a coach or get some counseling. In this day and age it is not a negative stigma to
establish a relationship with a professional who can guide you and provide you with the life tools you
need to change. Email me at the address below for information on a free coaching session.
Get a more powerful vehicle. Go back to school. Strengthen yourself physically. Eat better, sleep more.
One of the things I learned after I’d taken Time Management and Stress Management classes was that I
was able to handle more “things” in my life which kept me out of a rut.
V. How to stay out.
Map out the road ahead to avoid the ruts. If you have no life goals or plans you’ll tend to get back into
ruts easily. Read Barbara Sher’s book “I Could Do Anything in Life, If I Just Knew What it Was”.
Get a guide who can show you how to stay out of trouble. Ole Steve Irwin, the Croc Hunter, never
seems to need a guide – but most of the rest of us do. Again, the key here is a relationship with a coach
or counselor or support group who can help you stay honest.
Conclusion: if you still don’t know how to get out of a rut after reading this, then write me with your
circumstances. I’ll try my best to give you an objective evaluation of your situation – though you may
not like the answers!
3. Hal Warfield is a speaker, teacher and coach. Write him at warfieldh@gmail.com. Or read additional
self-development and business articles at www.introvert.cc and www.halwarfield.com. Hal is also VP
of Business Development at www.marketstrategy.cc where he specializes in business development
strategies for small businesses.