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Informatii profesionale din partea psihoterapeutului Sibiu

Jul
19

Informatii profesionale oferite de psihologului Sibiu? Psihoterapia individuala este de un real ajutor intr-o multitudine de situatii, cateva dintre acestea fiind: cand ne confruntam cu probleme de comunicare, gestionarea stresului, probleme de relaționare, tulburări de somn, stimă de sine scăzută, fobii, pierderi și doliu, suicid, abuz, traumă, probleme de natură sexuală, dezvoltare personală etc. Dacă te-ai săturat de suferință, incertitudine, frică sau boală, înseamnă că a venit momentul schimbării! Uneori reușim singuri, alteori simțim nevoia de un sprijin pentru a putea merge mai departe. Citind aceste rânduri, te afli în locul potrivit iar decizia schimbării este aproape. Vedeti mai multe informatii in plus pe site-ul psihoterapie de cuplu Sibiu.

Varianta online presupune efectuarea sedintelor de psihoterapie individuala sau psihoterapie de cuplu de la distanta, in mediul online, prin aplicatii consacrate (cum ar fi Whats App ,Zoom sau Skype). Avantajele acestei forme de terapie sunt multiple: economisiti timpul si efortul destinat deplasarii la cabinet si va bucurati de beneficiile psihoterapiei din confortul locuintei dumneavoastra, spatiu cu care sunteti familiarizat si unde va simtiti in deplina siguranta.

In ceea ce priveste psihoterapia de familie,procesul terapeutic are loc intre psihoterapeut si membrii unei familii, fie ca este vorba despre membrii unei familii nucleare (soț, soție, copii) sau extinse (familie nucleară + alte rude și/sau alte generații). Dintre numeroasele beneficii amintim urmatoarele: familia poate fi ajutată să rezolve conflicte,să comunice eficient,să înlocuiască tipare disfuncționale de interacțiune moștenite cu unele armonioase, să stabilească granițe sănătoase între membrii familiei, dar și între familie și societate, să rezolve problemele intrafamiliale eficient și să facă față anumitor situații deosebite, precum decesul sau îmbolnăvirea gravă a unuia dintre membrii familiei.

Deci, când ar trebui să vizitezi un psiholog? Severitatea, persistența și gradul de interferență cu activitățile zilnice ale simptomelor tale te pot ajuta sa stii. De-a lungul vieții noastre, sau chiar zi de zi, cu toții putem experimenta o gamă largă de emoții și tulburări mentale, dar datorită rezistenței noastre înnăscute, ar trebui să fim capabili să ne adaptăm rapid și să recâștigăm stabilitatea emoțională și funcționalitatea mentală

Ce alte beneficii imi poate aduce psihoterapia individuala? Psihoterapia individuala este deosebit de utila si in depasirea neplacerilor cauzate de: Tulburări anxioase, cum ar fi Comportamentul Obsesiv-Compulsiv, Fobii, Atacuri de Panică sau Tulburări de Stres Post-traumatic; Dependențe, precum Dependența de Alcool, Dependența de droguri sau Dependența de jocuri de noroc; Alterarea dispoziției, când te confrunți cu Depresie sau Tulburare Bipolară; Tulburări alimentare, precum Anorexia sau Bulimia; Tulburări de personalitate, ca de exemplu Tulburare de Personalitate Dependentă; Tulburare de Personalitate Borderline. Vedeti multe informatii suplimentare aici https://psihologinsibiu.ro/.

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High quality Provestra online shopping

Jul
07

Reliable Provestra online store today? Is Provestra Recommended for Post Menopausal Women? Provestra is suitable for menopausal and post-menopausal women who are experiencing other symptoms apart from a decreased sex drive. It helps balance your hormone levels and helps treat some of these inconvenient symptoms. Can a 28 year old female take Provestra? Or is it only for menopausal and post-menopause women? Provestra, an all-natural female libido enhancer, is highly endorsed by doctors to do what it does best, bring your boring sex back to life. This pill is made explicitly for women with a lack of sex activeness. It’s vital to inform your doctor to know if it’s safe enough to use Provestra supplement. See extra information at Provestra.

Here are some of the factors that could diminish the libido for women: hormonal imbalances: the period preceding menopause, can cause hormonal changes that will lead to a marked lack of interest in sexual activity. There may also be discomforts that occur during sexual contact due to decreased ability of vaginal tissues to lubricate the area. Depression and chronic stress: When you feel depressed or stressed, your libido can decrease greatly.

After orgasm, your muscles relax and your blood pressure drops. Your clitoris might feel particularly sensitive or even painful to touch. You might experience a refractory period, during which you won’t be able to orgasm again. Some people experience multiple orgasms, but that’s not necessary for you to have a pleasurable sexual experience. The most important thing is for you to listen to your body and be comfortable. You might struggle to concentrate on anything else — even if you’re not actually having sex! That’s because sexual stimuli activates certain changes in your brain, inducing certain sex-focused brain activity. However, there’s still a lot we don’t know about how the brain works, including how the brain works during sex.

Other female libido enhancers: Vigorelle : According to several studies , many women begin to lose their sexual desire as they get older, even before reaching the menopause. They view sex as more of an obligation than a pleasure and may start coming up with excuses to avoid it. The good news to these women is that there’s hope for a new life full of intimacy. Tiredness and headaches no longer need to be used as excuses, as Vigorelle puts you right in the mood for sex. Vigorelle is an all-natural libido enhancement cream for women by Leading Edge Health. It’s a topical cream that increases sexual arousal and acts as a lubricant for those who experience vaginal dryness. According to Leading Edge Health, Vigorelle is the perfect solution for women who want to bring intimacy back into their lives. It helps by: Acting as a lubricant to address vaginal dryness, Bringing your sexual groove back in an instant, Balancing the hormones, Having no side effects thanks to its all-natural ingredients.

Spanish Fly: Spanish Fly contains cantaridine, ie venomous bee sting! Iami! This piss is supposed to irritate your urinary tract and make you want to have sex. Although it seems like a method of medieval torture, it is one of the most popular aphrodisiacs in the world – and if it excited the people of the Middle Ages who slept in the mud and ate their own children, then it must be good for me too. Now it’s illegal in most countries, but hey babe, take a walk on the wild side. I went to the bar with my friends from work, but I didn’t go crazy and they started firing after the people around me. Disappointing. I would have liked. Spanish Fly was a total disappointment. But the packaging is cool, I have no idea.

What ingredients are in Provestra? Theobromine acts similar to caffeine in the body, a mild stimulant that widens blood vessels. It’s been used for centuries as an aphrodisiac. It’s commonly found in cocoa, chocolate, and tea leaves. Studies show that indole-3-carbinol can reduce the amount of estrogen in the body, which is helpful for those who have excess estrogen. Often, excess estrogen can cause a lower sexual drive. Indole-3-carbinol occurs naturally in many vegetables, such as cauliflower, turnips, and brussels sprouts. Ginseng is a root that has been used in Chinese medicine for centuries. Its properties have been shown to reduce hot flashes and night sweats in menopausal and perimenopausal women. Find even more details on https://provestrapills.com/.

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Affordable counselling Melbourne

Jul
06

Best rated depression counselling Melbourne? The combination of focusing-oriented somatic psychotherapy with talk therapy, our work together helps integrate the emotional landscape, as well as the body’s neurological nervous system. This integration allows for a shift in unhealthy habits, limiting patterns, and unhealthy boundaries, allowing the body’s nervous system to resolve itself back to its natural home – your authentic self. The body has its own internal wisdom. We are so accustomed to using our mind to navigate the word, that when guided correctly, we discover a whole world beneath the surface that is so often ignored. Using somatic based focusing psychotherapy we can tune in and truly listen, perhaps for the first time. This can create something truly profound. Find additional info at https://ronnieadamowicz.com/counselling-geelong/.

Nothing can replace the value of water. The body requires it to function. When you’re dehydrated, you can experience irritability, fatigue and confusion. Some people mistake symptoms of dehydration for symptoms of alcohol withdrawal. Water is important, but individuals should also consume beverages that contain electrolytes. Electrolytes are vital nutrients, including calcium, potassium and sodium. Alcohol intoxication and withdrawal can create electrolyte imbalances, which causes side effects such as muscle spasms, numbness and seizures. A healthy diet includes eating foods that contain the proper balance of carbohydrates, vitamins, minerals, proteins and fats. These nutrients help the brain and other organs function. If a person is malnourished, the body doesn’t have the energy it needs to recover from alcohol dependence.

A study conducted at the University of Utah suggested that “mindfulness may be linked to self-regulation throughout the day, and that this may be an important way that mindfulness contributes to better emotional and physical well-being.” According to Maria Camara, PhD, a psychotherapist who is also a qualified mindfulness teacher, meditation helps us connect with our true qualities. Once we’ve accepted who we are and learn to work with our thoughts directly, we reveal a loving capacity that has always been present within us. It’s no wonder that mindfulness increases happiness, enhances clarity and gives peace of mind.

Somatic Therapy around the world such as Somatic Experiencing in Australia, or Sensorimotor Psychotherapy in Australia is reshaping the therapy world. As a Somatic Therapy Melbourne Therapist, I will work with you through depression, anxiety, trauma, relationship struggles, using this modality. Somatic Therapy is truly a profound and integrative way in working with challenges. If you’ve tried traditional talk therapy, or looking for something which takes a more holistic approach, my somatic therapy Melbourne practice may be of interest.

Sometimes when we take on lots of projects, we can feel invincible. Yet, as the days and months creep up on us, juggling all these extra tasks, can take its toll. Adding a pandemic to the mix, and juggling looking after kids, homeschooling, and everything else that comes along with it, can be all consuming. Thankfully, there are some great tools to manage stress, such as eating healthy and exercise. Also, there’s learning time management skills, delegating, and meditating can also help. But sometimes, no matter how hard we try, these are all nice ideas, but seemingly impossible to do. Something deeper may be at play. If you’ve found yourself in this running rat cycle for a bit too long, it might be time to get a fresh look at what’s going on. See additional information at https://ronnieadamowicz.com/.

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Reconstructive transplantation research studies from Karim Sarhane 2022

Jul
04

Peripheral nerve regeneration studies with Karim Sarhane today? We performed a study with rodents and primates that showed this new delivery method provided steady release of IGF-1 at the target nerve for up to 6 weeks,” Dr. Karim Sarhane reported. Compared to animals without this hormone treatment, IGF-1 treated animals (rodents and primates) that were injected every 6 weeks showed a 30% increase in nerve recovery. This has the potential to be a very meaningful therapy for patients with nerve injuries. Not only do these results show increased nerve recovery but receiving a treatment every 6 weeks is much easier on a patient’s lifestyle than current available regiments that require daily treatment.

Dr. Sarhane is published in top-ranked bioengineering, neuroscience, and surgery journals. He holds a patent for a novel Nanofiber Nerve Wrap that he developed with his colleagues at the Johns Hopkins Institute for NanoBioTechnology and the Johns Hopkins Department of Neuroscience (US Patent # 10500305, December 2019). He is the recipient of many research grants and research awards, including the Best Basic Science Paper at the Johns Hopkins Residents Research Symposium, the Basic Science Research Grant Prize from the American Foundation for Surgery of the Hand, the Research Pilot Grant Prize from the Plastic Surgery Foundation, and a Scholarship Award from the American College of Surgeons. He has authored to date 46 peer-reviewed articles, 11 book chapters, 45 peer-reviewed abstracts, and has 28 national presentations. He is an elected member of the Plastic Surgery Research Council, the American Society for Reconstructive Microsurgery, the American Society for Reconstructive Transplantation, and the American Society for Peripheral Nerves.

Heparin is another upregulator of endogenous IGF-1 that was shown to be effective in promoting nerve and muscle recovery following PNI, as demonstrated by Madaschi et al. (2003) with intraperitoneal injection of a dosage of 1 mg/kg (Madaschi et al., 2003). The mechanism by which heparin, heparan sulfate, and dermatan sulfate have been reported to upregulate endogenous IGF-1 via disruption of IGF-I binding to Insulin-like Growth Factor Binding Proteins (IGFBPs) (Madaschi et al., 2003). Heparin is also thought to inhibit the binding of IGFBP-3 to extracellular matrix heparan sulfate proteoglycans, thereby reducing the affinity of IGFBPs for IGF-I administration and resulting in the release of IGFBP-3 from the cell surface (Gorio et al., 2001). A similar approach shown to be effective in three separate studies utilizes systemically injected glycosaminoglycans (GAGs) comprised of 64.4% heparin, 28.8% dermatan sulfate, and 6.7% chondroitin sulfate. The effectiveness of GAGs in enhancing the recovery process following PNI was evidenced by a marked increase in IGF-1 levels in denervated muscle, leading to enhanced recovery as measured by nerve-evoked muscle force testing and the extent of muscle reinnervation (Gorio et al., 1998, 2001; Losa et al., 1999).

Recovery by sustained IGF-1 delivery (Karim Sarhane research) : To realize the therapeutic potential of IGF-1 treatment for PNIs, we designed, optimized, and characterized a novel local delivery system for small proteins using a new FNP-based encapsulation method that offers favorable encapsulation efficiency with retained bioactivity and a sustained release profile for over 3 weeks. The IGF-1 NPs demonstrated favorable in vivo release kinetics with high local loading levels of IGF-1 within target muscle and nerve tissue.

Peripheral nerve injuries (PNIs) affect approximately 67 800 people annually in the United States alone (Wujek and Lasek, 1983; Noble et al., 1998; Taylor et al., 2008). Despite optimal management, many patients experience lasting motor and sensory deficits, the majority of whom are unable to return to work within 1 year of the injury (Wujek and Lasek, 1983). The lack of clinically available therapeutic options to enhance nerve regeneration and functional recovery remains a major challenge.

Peripheral nerve injuries (PNIs) affect approximately 67 800 people annually in the United States alone (Wujek and Lasek, 1983; Noble et al., 1998; Taylor et al., 2008). Despite optimal management, many patients experience lasting motor and sensory deficits, the majority of whom are unable to return to work within 1 year of the injury (Wujek and Lasek, 1983). The lack of clinically available therapeutic options to enhance nerve regeneration and functional recovery remains a major challenge.

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Top rated ICU nurse duties advices from Tene Kishan Los Angeles

Jun
22

High quality ICU nurse skills recommendations by Tene Kishan? Tene Kishan Los Angeles has a background in health care and public administration. She earned 3 college degrees and has a Bachelor’s of Arts Degree in political science, a Bachelor’s of Science in nursing and a Master’s Degree in public administration. Tene Kishan is Registered Nurse with a background in ICU/Critical Care and owns a non-profit organization that’s provides services and puts on community events for youth in need of housing services in the area of Los Angeles County.

Choosing the right major is always an important step when researching how to become a registered nurse in the icu. When we researched the most common majors for a registered nurse in the icu, we found that they most commonly earn bachelor’s degree degrees or associate degree degrees. Other degrees that we often see on registered nurse in the icu resumes include master’s degree degrees or diploma degrees. You may find that experience in other jobs will help you become a registered nurse in the icu. In fact, many registered nurse in the icu jobs require experience in a role such as registered nurse. Meanwhile, many registered nurse in the icus also have previous career experience in roles such as staff nurse or licensed practical nurse.

Tene Kishan about ICU nurse careers: Where do ICU nurses work? As the name suggests, critical care nurses primarily work at the ICU departments of health care facilities. ICUs are well sanitized and properly lit medical centers with strict adherence to health and safety. ICU nurses often move about between the intensive care unit, emergency department, operating theatre, and other hospital specialty wards. ICU nurses typically follow a standard shifting schedule that features morning, afternoon, and night timetables. There are also other shifting schedules, depending on the hospital and region.

Critical care nurses need technical skill and knowledge to effectively use and interpret bedside monitors. A further common technical resource is the clinical information system (CIS), which can record and process large amounts of data, such as: Patient physiological observations; Care or interventions delivered; Medication plans. The FICM (2019) highlights how a CIS can not only improve efficiency, but also reduce errors and improve compliance with standards or guidelines. Holistic patient-centred care – as outlined by Jasemi et al (2017) – is vital in critical care, with effective psychosocial care, and cultural, spiritual and family care being of particular significance. Immediately on admission to a critical care setting, patients are subjected to an onslaught of physical and psychosocial stressors.

Critical care nurses or ICU nurses must be physically, mentally, and emotionally strong to work with seriously ill patients and their loved ones. Most patients in a critical care unit are physically and mentally unstable and they require respiratory and heart monitoring as well as treatment adjustments. ICU staff RNs are responsible for managing medication doses, anesthesia, and ventilator support. Critical care nurses or ICU nurses must be proficient in a wide variety of high-level nursing skills. ICU nurses need to be a specialist in evaluating intensive care patients, recognizing complications, administering care, and coordinating with other members of the critical care team. Successful critical care nurses also excel at interpersonal communication, leadership, strategic planning, critical thinking, and decision-making. Discover more info at Tene Kishan.

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Latest peripheral nerve regeneration research studies from Karim Sarhane

Jun
18

Reconstructive microsurgery studies from Karim Sarhane in 2022? Researchers at Johns Hopkins Hospital in Baltimore, MD, conducted a study to develop a drug delivery system using a very small material, nanofiber hydrogel composite, which can hold nanoparticles containing IGF-1 and be delivered near the injured nerve to help it heal. Dr. Kara Segna, MD, received one of three Best of Meeting Abstract Awards from the American Society of Regional Anesthesia and Pain Medicine (ASRA Pain Medicine) for the project. She will present the abstract “IGF-1 Nanoparticles Improve Functional Outcomes After Peripheral Nerve Injury” on Saturday, April 2, at 1:45 pm during the 47th Annual Regional Anesthesiology and Acute Pain Medicine Meeting being held March 31-April 2, 2022, in Las Vegas, NV. Coauthors include Drs. Sami Tuffaha, Thomas Harris, Chenhu Qui, Karim Sarhane, Ahmet Hoke, Hai-Quan Mao.

Dr. Karim Sarhane is an MD MSc graduate from the American University of Beirut. Following graduation, he completed a 1-year internship in the Department of Surgery at AUB. He then joined the Reconstructive Transplantation Program of the Department of Plastic and Reconstructive Surgery at Johns Hopkins University for a 2-year research fellowship. He then completed a residency in the Department of Surgery at the University of Toledo (2021). In July 2021, he started his plastic surgery training at Vanderbilt University Medical Center. He is a Diplomate of the American Board of Surgery (2021).

Despite the well-documented positive effects of IGF-1 in the setting of PNI, the major obstacle for clinical translation remains the lack of a practical delivery system that offers tunable and sustained release of bioactive IGF-1 targeted to nerve and muscle tissue downstream of the nerve injury. Such a delivery system would avoid the potential risks and side effects associated with systemic IGF-1 administration and provide a practical means of applying this treatment for both patients and clinicians (Contreras et al., 1995). The ideal IGF-1 delivery system should also demonstrate biocompatibility without inducing inflammation or encapsulation over time. In addition to the pre-soaked IGF-1 eluting hydrogels detailed in Table 6, several bioengineering approaches to local IGF-1 delivery have recently been reported in animal models. Notable amongst these studies are a delivery system which makes use of biodegradable poly(lactic-co-glycolic acid) (PLGA)/graphene oxide (GO) nanofibers embedded with immobilized IGF-1 for spinal cord repair, as well as a system of IGF-1 loaded polymeric PLGA microspheres for use in bilateral cavernous nerve injury (Santos et al., 2016; Haney et al., 2019; Pan et al., 2019).

Recovery by sustained IGF-1 delivery (Karim Sarhane research) : To realize the therapeutic potential of IGF-1 treatment for PNIs, we designed, optimized, and characterized a novel local delivery system for small proteins using a new FNP-based encapsulation method that offers favorable encapsulation efficiency with retained bioactivity and a sustained release profile for over 3 weeks. The IGF-1 NPs demonstrated favorable in vivo release kinetics with high local loading levels of IGF-1 within target muscle and nerve tissue.

Following surgical repair, axons often must regenerate over long distances at a relatively slow rate of 1–3 mm/day to reach and reinnervate distal motor endplates. Throughout this process, denervated muscle undergoes irreversible loss of myofibrils and loss of neuromuscular junctions (NMJs), thereby resulting in progressive and permanent muscle atrophy. It is well known that the degree of muscle atrophy increases with the duration of denervation (Ishii et al., 1994). Chronically denervated SCs within the distal nerve are also subject to time-dependent senescence. Following injury, proliferating SCs initially maintain the basal lamina tubes through which regenerating axons travel. SCs also secrete numerous neurotrophic factors that stimulate and guide axonal regeneration. However, as time elapses without axonal interaction, SCs gradually lose the capacity to perform these important functions, and the distal regenerative pathway becomes inhospitable to recovering axons (Ishii et al., 1993; Glazner and Ishii, 1995; Grinsell and Keating, 2014).

We comprehensively reviewed the literature for original studies examining the efficacy of IGF-1 in treating PNI. We queried the PubMed and Embase databases for terms including “Insulin-Like Growth Factor I,” “IGF1,” “IGF-1,” “somatomedin C,” “PNIs,” “peripheral nerves,” “nerve injury,” “nerve damage,” “nerve trauma,” “nerve crush,” “nerve regeneration,” and “nerve repair.” Following title review, our search yielded 218 results. Inclusion criteria included original basic science studies utilizing IGF-1 as a means of addressing PNI. Following abstract review, 56 studies were sorted by study type and mechanism of delivery into the following categories: (1) in vitro, (2) in vivo endogenous upregulation of IGF-1, or (3) in vivo delivery of exogenous IGF-1. Studies included in the in vivo exogenous IGF-1 group were further sub-stratified into systemic or local delivery, and the local IGF-1 delivery methods were further sub-divided into free IGF-1 injection, hydrogel, or mini-pump studies. Following categorization by mechanism of IGF-1 delivery, the optimal dosage range for each group was calculated by converting all reported IGF-1 dosages to nM for ease of comparison using the standard molecular weight of IGF-1 of 7649 Daltons. After standardization of dosages to nM, the IGF-1 concentration reported as optimal from each study was used to calculate the overall mean, median, and range of optimal IGF-1 dosage for each group.

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