Wellspring
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Wellspring provides a broad spectrum of mental health services to children, adolescents, and adults in the community. These include residential programs for children, adolescents, and adults, as well as a therapeutic school and outpatient services. Services address issues such as anxiety, depression, relationships, school problems, trauma, and loss. Testimonials praise the positive impact of Wellspring's programs.
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About Wellspring
Wellspring is a psychotherapeutic and educational center dedicated to healing through relational approaches. Learn more about us at www.wellspring.org
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About Wellspring
Wellspring is a psychotherapeutic and educational center dedicated to healing through relational approaches. Learn more about us at www.wellspring.org
December 10th Newsletter
The principal's bulletin discusses upcoming Christmas activities at the school and provides updates on H1N1 cases. It notes that 5 students have confirmed cases of H1N1 but they did not contract it at school. Christmas activities will include a small concert on December 17th and a pancake breakfast with Santa on December 21st. The bulletin reminds parents of procedures to follow if their child has flu symptoms and wishes everyone a great holiday break.
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Kristen Dreese is a 20-year-old nursing student at Penn College who is currently working as a CNA at a nursing home to gain healthcare experience and knowledge. She has been a CNA since 2013 and is motivated, responsible, and hardworking in pursuing her nursing degree and career goals in healthcare.
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The document provides an agenda for the WSU Field-Based Superintendents' Certification Program East Side Spring Regional Seminar being held on March 12, 2010 at Selah Intermediate School Library in Selah, Washington. The agenda includes welcome remarks, presentations on annual reports, budget reduction talks, leadership during challenging times, and creating the Selah system. It also lists times for arrival, refreshments, lunch, breaks, evaluation, and adjournment. Attendees are asked to bring $10 to cover the cost of the taco bar lunch.
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El documento describe la evolución de las diferentes generaciones de la web. La Web 1.0 consistía en páginas estáticas que no se actualizaban. La Web 2.0 es colaborativa y permite a los usuarios contribuir contenido, ahorrando tiempo y facilitando las interacciones en la web. La Web 3.0, también llamada Web Semántica, dará a los usuarios una identidad en Internet y permitirá consultar contenidos educativos de forma rápida de manera multimedial a través de diferentes dispositivos.
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Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
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Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.Ageing, the Elderly, Gerontology and Public Health
Challenges associated with ageing from a public health perspective
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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Wellspring
- 2. Wellspring’s thirty year commitment to mental health includes providing a broad spectrum of services to the surrounding community through services for children, adolescents, and adults who are struggling with emotional issues.
- 3. Therapies provided at Wellspring address emotional and psychological issues such as: anxiety, depression and mood disorders, stress and adjustment issues, interpersonal relationships, school problems of adjustment and performance, attachment difficulties, eating disorders and working through trauma and loss.
- 4. Children’s Residential Program A seven bed coed residential program for children ages 6-12
- 5. Children’s Group Home A five bed coed residential program for children ages 5-9
- 6. Adolescent Girls Residential Program An 18 bed residential program for adolescent girls ages 13-18
- 7. Adult Residential Program (Angelus House) A ten bed coed residential program for adults (18+)
- 8. Arch Bridge School A therapeutic special education facility serving residential and day students from the surrounding community in grades 1-12
- 9. Outpatient Services Two convenient locations providing outpatient services for children, adolescents, and adults
- 10. Wellspring saved my life. Thanks Wellspring, you rock! Testimonial of a Wellspring Adolescent Girls Program Resident
- 11. Thank you for all you do. Arch Bridge School is an amazing gift to our son and our entire family. Testimonial of an Arch Bridge School at Wellspring Parent
- 12. Even though I don’t want to be here, I know that I’m learning a lot about myself. I think I’ll be able to make it when I get home… Testimonial of a resident of the Wellspring Adolescent Girls Program
- 13. It’s nice to have real partners in this very difficult journey. Testimonial of a Wellspring Outpatient Services Family
- 14. We love the new Chapel Barn – the animals have a safe place to call home, and the baby lambs are so cool! Testimonial of students of the Arch Bridge School at Wellspring
- 15. Thanks to Angelus House I’m getting back to life, back to work, and getting on with independent living... Testimonial of a resident of Wellspring’s Adult Program