Harley collision centers decatur reviews

Some of the owner responses for Henderson Mall in Coquitlam are wild!

2023.06.07 20:33 deathfire123 Some of the owner responses for Henderson Mall in Coquitlam are wild!

Some of the owner responses for Henderson Mall in Coquitlam are wild! submitted by deathfire123 to vancouver [link] [comments]

2023.06.07 20:30 surp23 I-130 Standalone Approved!

Hello everyone just letting you guys know my I-130 is finally approved! maybe my timeline will help others
PD - June 23, 2022
Actively Reviewed - June 27, 2022
Case Approved - June 7, 2023
First my case went to Nebraska center but an approval notice came from Potomac center
Last week processing time went from 2 months to "taking longer than expected" then finally approved today!
My wife is from Thailand I don't know if that matters
submitted by surp23 to USCIS [link] [comments]

2023.06.07 20:28 nayuki Animations on cycling safety

I found this series of surprisingly good animated diagrams explaining safe and unsafe cycling practices on the roads in traffic, from an unlikely source "KiDZ Neuroscience Center / WalkSafe / BikeSafe" (the University of Miami, Florida; https://www.youtube.com/@Kidzneurosciencecentevideos ):
I like these videos because they not only state the rules but explain why they exist. They show dangerous situations and collisions that result from not following the rules. They include humor, road rage, and other everyday problematic situations.
Many examples: 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
submitted by nayuki to fuckcars [link] [comments]

2023.06.07 20:10 Terrible_Stuff_9334 Best Nursing Research Topics and Ideas

Best Nursing Research Topics and Ideas

Best Nursing Research Topics and Ideas

Evidence-Based Practice in Nursing

This topic explores the integration of current research evidence into clinical decision-making. It covers the importance of staying updated with the latest research, identifying credible sources, implementing evidence-based interventions, and evaluating outcomes to improve nursing care.
Evidence-based practice (EBP) is an essential nursing approach that combines the best available research evidence, clinical expertise, and patient preferences to guide clinical decision-making and enhance patient outcomes. It focuses on the utilization of current research findings to inform nursing interventions, policies, and procedures.

Key elements of evidence-based nursing practice include:

The implementation of evidence-based nursing practice typically entails the following steps:

  1. Asking Clinical Questions: Formulating well-defined and answerable clinical questions is a crucial starting point. Questions are often framed using the PICO (Patient/Problem, Intervention, Comparison, Outcome) framework to guide the search for relevant evidence.
  2. Literature Search: Conducting a comprehensive search for the best available evidence related to the clinical question. This involves using databases, scholarly journals, and trusted sources to locate research studies, systematic reviews, and clinical practice guidelines.
  3. Appraisal of Evidence: Evaluating the quality, validity, and relevance of the identified research articles. This step involves critically analyzing study designs, sample sizes, data collection methods, statistical analyses, and potential biases.
  4. Integration of Evidence: Combining the findings from multiple studies and assessing their applicability to the specific patient population or clinical setting. This involves synthesizing the evidence to determine the most appropriate and effective nursing interventions.
  5. Application of Evidence: Implementing the evidence-based interventions or recommendations into nursing practice. This includes adapting the evidence to the specific patient's context, considering any potential barriers or facilitators, and collaborating with interdisciplinary healthcare teams.
  6. Evaluation and Continuous Improvement: Assessing the outcomes of the implemented interventions and evaluating their effectiveness. This step involves monitoring patient outcomes, identifying areas for improvement, and adjusting the nursing practice based on the feedback received.
Remember that this is only a concise overview of evidence-based nursing practice. Feel free to inquire for more precise information or if you have any other inquiries!

Evidence Based Practice Nursing Research Topics

Impact of Technology in Nursing Practice

This topic explores how technology advancements have affected nursing care, patient outcomes, and ethical considerations. It could cover areas such as electronic health records, telehealth, wearable devices, and the integration of technology into nursing workflows.
In recent years, technological advancements have had a profound impact on nursing practice, transforming how nurses provide care, communicate, and manage patient data.

Here are a few significant ways in which technology has affected nursing practice:

EHRs have supplanted paper-based documentation systems and are now an integral element of nursing practice. Electronic health records (EHRs) allow nurses to access patient information, monitor medical histories, document care provided, and share information with other healthcare professionals. This improves care coordination, increases accuracy, and facilitates the exchange of patient information between various healthcare settings.
It is essential to recognize that the incorporation of technology into nursing practice raises ethical concerns, such as patient confidentiality, data security, and assuring equitable access to technology.The impact of technology on nursing practice has resulted in numerous positive outcomes, including increased efficiency, enhanced communication, improved access to information, and increased patient engagement. To provide high-quality, patient-centered care, nurses must continue to adjust to technological advances, embrace continuous learning, and effectively leverage technology.Please contact me if you require additional information or have any other queries!

Ethics and professionalism in nursing practice

Ethics and professionalism are fundamental aspects of nursing practice that govern nurses' interactions with patients, coworkers, and the healthcare system as a whole. Professionalism comprises the behaviors, attitudes, and responsibilities that reflect the nursing profession's commitment to providing safe, compassionate, and ethical care.

Here are a number of essential elements of nursing ethics and professionalism:

Maintaining trust, maintaining promises, and accepting responsibility for one's actions and professional responsibilities constitutes loyalty.Sincerity, candor, and openness in communication with patients, families, and colleagues constitute veracity.Nurses uphold patient confidentiality by recognizing their right to privacy and protecting their personal health information. When managing patient data, they adhere to legal and ethical standards, such as the Health Insurance Portability and Accountability Act (HIPAA), and ensure that information is shared only when necessary.
It is essential for nurses to understand ethical principles, ruminate on ethical dilemmas, and seek guidance when confronted with difficult situations. Codes of ethics, professional organizations, and nursing ethics committees provide nurses with resources and support for upholding ethical standards and maintaining professionalism.Consider this

Nursing Ethics and Professionalism

This topic delves into the ethical issues and dilemmas nurses may encounter, including patient confidentiality, end-of-life care, informed consent, and resource allocation. It focuses on the importance of maintaining professional conduct and upholding ethical principles in nursing practice.
Ethics and professionalism are fundamental aspects of nursing practice that govern nurses' interactions with patients, coworkers, and the healthcare system as a whole. Professionalism comprises the behaviors, attitudes, and responsibilities that reflect the nursing profession's commitment to providing safe, compassionate, and ethical care.Here are a number of essential elements of nursing ethics and professionalism:
Maintaining trust, maintaining promises, and accepting responsibility for one's actions and professional responsibilities constitutes loyalty.Sincerity, candor, and openness in communication with patients, families, and colleagues constitute veracity.Nurses uphold patient confidentiality by recognizing their right to privacy and protecting their personal health information. When managing patient data, they adhere to legal and ethical standards, such as the Health Insurance Portability and Accountability Act (HIPAA), and ensure that information is shared only when necessary.Informed Consent: Nurses play a vital role in obtaining patients' informed consent prior to performing any procedures or treatments. This involves explaining the purpose, risks, benefits, and alternatives of the proposed intervention and ensuring that the patient comprehends the provided information. Nurses advocate for patient autonomy and ensure that assent is voluntary and founded on a comprehensive comprehension of the situation.End-of-Life Care: Ethical considerations frequently arise in situations involving end-of-life care. Nurses participate in discussions regarding advance care planning, resuscitation, palliative care, and family support during the dying process. The promotion of comfort, dignity, and reverence for dying patients is guided by ethical principles.Ethical Difficulties: Nurses are frequently confronted with ethical dilemmas requiring critical reasoning and ethical decision-making. Ethical quandaries may entail conflicts between patient autonomy and beneficence, justice and resource allocation, or conflicts of interest. To navigate these complex situations, nurses rely on ethical frameworks and consult with colleagues and ethics committees.Maintaining professional boundaries is essential in nursing practice to ensure appropriate patient relationships. To safeguard patient autonomy, confidentiality, and trust, nurses must establish distinct boundaries. Dual relationships, conflicts of interest, and personal involvement with patients that could compromise professional judgment or objectivity are avoided.Professional Development: To enhance their knowledge, skills, and ethical decision-making abilities, nurses engage in lifelong learning and continuous professional development. They remain current on evolving ethical guidelines, research, and healthcare policies in order to provide care that is both evidence-based and ethically sound.Interprofessional Collaboration: Nurses collaborate with counterparts from other healthcare disciplines to provide patients with ethical, holistic care. Optimal patient outcomes require effective communication, respect for diverse perspectives, and the promotion of collaboration.It is essential for nurses to understand ethical principles, ruminate on ethical dilemmas, and seek guidance when confronted with difficult situations. Codes of ethics, professional organizations, and nursing ethics committees provide nurses with resources and support for upholding ethical standards and maintaining professionalism.Consider this

Nursing Leadership and Management

Analyze the role of nursing leaders in healthcare organizations, including strategies for effective communication, conflict resolution, delegation, and promoting a positive work environment.

Leadership and management in nursing play essential roles in shaping healthcare organizations, fostering effective collaboration, and promoting positive patient outcomes. Nursing directors provide nursing staff with guidance, support, and mentorship, whereas nurse managers supervise daily operations and ensure the deliverance of high-quality patient care. Here are important aspects of nursing management and leadership:
Leadership and management in nursing are indispensable for optimizing patient outcomes, assuring effective collaboration, and establishing positive work environments. Effective nursing leaders and managers foster a culture of excellence, collaboration, and constant improvement.Remember that this is merely an introduction to nursing leadership and management. Feel free to inquire for more precise information or if you have any other inquiries!

Mental Health Nursing

Explore the challenges and strategies for providing holistic care to patients with mental health disorders, including therapeutic communication techniques, medication management, and promoting recovery.Mental health nursing is a subspecialty of nursing that concentrates on the care and support of people with mental health disorders or difficulties. Here is a more thorough explanation of number 5, particularly as it pertains to mental health nursing:Mental health nurses perform a vital role in the assessment, diagnosis, treatment, and ongoing management of people with mental health disorders. They operate in settings such as psychiatric hospitals, outpatient clinics, community mental health centers, and residential facilities. To provide holistic care for patients, mental health nurses collaborate with other healthcare professionals, such as psychiatrists, psychologists, social workers, and occupational therapists.Assessment and Diagnosis: Mental health nurses conduct comprehensive assessments to collect data on the mental health history, current symptoms, and psychosocial factors of their patients. They use standardized assessment instruments and interview techniques to identify mental health disorders, identify risk factors, and establish a baseline for treatment planning. Alongside psychiatrists and other mental health specialists, mental health nurses may also participate in the diagnostic procedure.The development of therapeutic relationships is a fundamental component of mental health nursing. The establishment of trust, empathy, and rapport between nurses and patients creates a secure and non-judgmental environment in which patients can express their thoughts, emotions, and concerns. Effective communication, collaboration, and the delivery of patient-centered care are facilitated by solid therapeutic relationships.Mental health nurses frequently play a role in the medication management of individuals with mental health disorders. They inform patients about their prescribed medications, including possible adverse effects, dosage instructions, and the significance of medication adherence. Mental health nurses monitor the efficacy of medications, assess for adverse reactions, and collaborate with psychiatrists to make necessary adjustments to medication regimens.Psychoeducation and Health Promotion: Mental health nurses provide psychoeducation about mental health disorders, treatment options, coping strategies, and self-care practices to individuals, families, and communities. They empower patients to actively participate in their own recovery, educate them on relapse warning signs, and offer ongoing support. Additionally, mental health nurses promote mental health and well-being via health promotion initiatives, such as stress management, lifestyle modifications, and community education programs.Mental health nurses are trained in crisis intervention techniques and play a crucial role in the management of psychiatric emergencies. They assess individuals in crisis, provide immediate assistance, and facilitate interventions that ensure safety and stability. Additionally, mental health nurses aid in the development of safety plans, which define strategies and resources for preventing injury and managing crises.Collaborative Care and Interdisciplinary Approach: In order to provide patients with comprehensive care, mental health nursing frequently requires collaboration with a multidisciplinary team. Mental health nurses collaborate with psychiatrists, psychologists, and other healthcare professionals to develop and implement treatment programs, coordinate services, and offer ongoing support. Collaborative care ensures a comprehensive approach that addresses the physical, emotional, social, and psychological requirements of those with mental health disorders.Mental health nurses advocate for the rights and requirements of individuals with mental health disorders. They promote destigmatization, combat discriminatory practices, and work to expand access to mental healthcare services. In addition to providing emotional support and assisting patients in traversing healthcare systems, mental health nurses connect patients to community resources and support networks.To provide care for individuals with mental health disorders, mental health nursing requires specialized knowledge, skills, and a compassionate attitude. Mental health nurses contribute to the recovery and well-being of their patients by addressing their unique requirements and providing support throughout their mental health journey.

Nursing research and evidence-based practice

Nursing research and evidence-based practice are essential components of patient-centered, high-quality care. They involve the systematic collection, analysis, and application of evidence to enhance patient outcomes and inform nursing practice.

Geriatric Nursing

Investigate the specialized care needs of elderly patients, including age-related conditions, medication management, promoting independence, and addressing social and emotional well-being.

Elderly Care Nursing Paper Topics

Pediatric Nursing

Discuss the unique aspects of nursing care for infants, children, and adolescents, including growth and development milestones, immunization schedules, family-centered care, and managing common pediatric conditions.

Pediatric Nursing Research Topics


submitted by Terrible_Stuff_9334 to OnlineNursing [link] [comments]

2023.06.07 20:01 AutoNewspaperAdmin [Op-Ed] - The Southern Poverty Law Center’s Attack on Parental Rights National Review

[Op-Ed] - The Southern Poverty Law Center’s Attack on Parental Rights National Review submitted by AutoNewspaperAdmin to AutoNewspaper [link] [comments]

2023.06.07 19:40 herald_of_stars And so it begins...

And so it begins... submitted by herald_of_stars to VeteransBenefits [link] [comments]

2023.06.07 19:27 agrandslam8 ID Verification

ID Verification
I got this notification after attempting to upload my drivers license and take a selfie, and i called support and they were absolutely useless! Anyone have success stories after receiving this?! I need to make money to provide for family, i cant wait 48hours for someone to look at a photo and say "yup, thats the same person"
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2023.06.07 19:22 throwaway4772927 Incoming junior at T5 CS school, trying to get a SWE internship for Summer 2024

Didn't have much luck applying to internships last year, but also applied super late in the cycle. Revamped my resume and was wondering if y'all had any feedback. I'd appreciate anything!

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2023.06.07 19:13 throwaway4772927 Incoming junior at T5 CS school, trying to get a SWE internship for Summer 2024

Didn't have much luck applying to internships last year, but also applied super late in the cycle. Revamped my resume and was wondering if y'all had any feedback. I'd appreciate anything!
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2023.06.07 18:52 SchlesingerMindy323 [HIRING] 25 Jobs in AL Hiring Now!

Company Name Title City
University of South Alabama - Stokes School of Marine and Environmental Sciences Research Assistant Professor Mobile
Rainbow Technology Sales Account Manager Pelham
Russell Do It Center Outside Contractor Saleperson Prattville
United States Secret Service Criminal Investigator Birmingham
United States Secret Service Criminal Investigator Mobile
United States Secret Service Criminal Investigator Montgomery
Biolife Plasma Services Lab Technician Alabaster
UniFirst Maintenance Technician I - UniFirst Birmingham
Lakeview Estates LPN Alabaster
Lakeview Estates Housekeeper Alabaster
Autumn Cove Resident Care Associate Anniston
Harmon Scrap Metal LLC Roller Operator Athens
Harmon Scrap Metal LLC Heavy Equipment Operator Athens
Heidelberg Materials US, Inc. Ready Mix Driver- Hiring Now Auburn
Heidelberg Materials US, Inc. Ready Mix Driver- $2000 Sign on Bonus Auburn
Encompass Health RN Bessemer
Lakeview Estates Housekeeper Birmingham
Cullman Regional Medical Center REGISTERED NURSE-CRITICAL CARE Birmingham
Cullman Regional Medical Center REGISTERED NURSE-CRITICAL CARE Cullman
Cullman Regional Medical Center PICC LINE RN Cullman
Encompass Health Registered Dietitian Cusseta
Encompass Health Registered Nurse $7500 Sign-on Bonus Full-time Nights and Day** Cusseta
Encompass Health Nurse Supervisor Cusseta
Harmon Scrap Metal LLC Heavy Equipment Operator Decatur
Encompass Health RN Dothan
Hey guys, here are some recent job openings in al. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!
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2023.06.07 18:20 tropicalbudz Body shop / collision center recomendations in Miami ???

Asking for my coworker, she has 2020 hyundai sonata and re ended yesterday on the expressway. The guy that hit her had expired insurance, can somebody recommend a good place, and also somewhere that can help working around the deductible ?
submitted by tropicalbudz to Miami [link] [comments]

2023.06.07 18:10 coloradogal1 Detailed 12-Day Luxe Itinerary & Review

Hi all -
Since this sub was so helpful while planning my trip, I wanted to share my detailed 12-day itinerary, pricing and reviews for a luxe Bali trip. I lived there for three months 15 years ago on a student budget, so wanted to go back and experience it a bit differently.
Driver: I worked with Kadek at Pemuteran Menjangan Bali Transport. His prices were higher than a lot of other drivers, but of the drivers I reached out to prior to departure he was most responsive, easy to work with and made a ton of itinerary suggestions. His costs included all entrance fees, hiking guides, fast boat arrangements, as well as some lunches. Even though he was the most expensive driver I talked to, not having to plan out logistics every day and just hop in the car made the premium guide costs absolutely worth it in my mind. You can find him on TripAdvisor with the business name above, or I’m happy to share his whatsapp in a DM.
I had zero interest in riding a motor bike there, and saw at least one accident and someone at the airport who very distinctly looked like he had been part of a motor bike accident. Ironically, when we got home to the US we overheard someone at breakfast also talking about their friend who was involved in a motor bike accident in Bali.
High Level Agenda:
Ubud Bisma Eight, $1,100 USD for 4 nights including airport transit
Hotel impressions: This was a perfect mid-range priced hotel, central to the city center so a great place to walk around from, and probably had our favorite breakfasts during our stay. The vibe was modern, great views from the rooms and infinity pool, wonderful service. Absolutely would stay again.
Day 1 - Arrival / transit day, landed at 7pm, checked in around 9pm Day 2 - Ubud city center We planned this day just to wander around Ubud, lunch at Kafe, window shopping, bought some fruit at the art market. We intentionally avoided making plans this day, since we knew we’d want to acclimate and just enjoy walking around town. Day 3 - East Bali Tour with Kadek - 900k IDR per person including lunch, admissions, snorkeling tour * Snorkeling in Padangbai - Great snorkeling at two different spots * Tirta Gangga - Spent about 30 minutes wandering around the gardens, sitting down, enjoying the scenery. * Tukad Cepung Waterfall - Be prepared for lots of stairs, very cool waterfalls, def a “stand in line to take your photo” kind of experience but overall there weren’t too many people there while we were so didn’t have to wait too long. * Gates of Heaven - We opted NOT to do this, since we weren’t very interested in standing in a long line just for a manufactured photo opportunity. Day 4 - Mt Batur hike 1,050k IDR per person (cost also included hot springs, but we ended up skipping and just going back to Ubud to relax at the pool after the hike). Got socked in with clouds for sunrise, but honestly watching the clouds roll by was almost as enjoyable as a brilliant sunrise would have been. Hike is strenuous but doable, and you definitely want to hire a guide, since we heard at least one person getting harassed for not hiring a guide. Mixed feels on this, but overall it comes down to “respect the local customs and economy” for me. We were done and back to the hotel by 11 or so, and spent the afternoon relaxing by the pool and napping. Day 5 - Sites in and around Ubud, 795k with Kadek covering all admissions * Goa Gajah - Really cool temple that’s worth checking out to enjoy the peaceful atmosphere and old stone temple carvings. Since we did this first thing, we had the place to ourselves. Be sure to check out the caves tucked along the river. * Gunung Kawi Temple - If you only visit one temple, personally, I recommend this one. Lots of stairs but it is STUNNING and you just feel like you’re surrounded by nature and spirituality. Both this trip and when I lived there 15 years ago, it’s one of my favorite spots in all of Bali. * Tegalalang Rice Terrace - Cool to see, but definitely felt like too curated of an experience. Felt like an amusement park located in a rice terrace. * Checked into Mandapa around 2pm so we could enjoy the resort for the full afternoon
Mandapa Ritz Carlton - $1,700 USD for 2 nights
Hotel Impressions: Holy heck, if you have the ability to splurge, do not miss this resort. I have never felt so spoiled or relaxed in my life. The spa was incredible ($400 for 90 minutes couples massage), the free morning yoga overlooked the river, and the service was absolutely unparalleled. The team there would greet you by name, the attention to details with the room - it was absolute perfection and I don’t think I will ever enjoy a resort this much again. It’s a little more removed from city center, but the resort is so beautiful we didn’t really feel like leaving anyway.
Day 6 - Resort day. Yoga, breakfast, massages, pool day - After spending the previous several days doing day trips, we left this as a day to just spend time relaxing, and I’m so glad we did.
Day 7 - Transit from Ubud to Sanur, with shopping stops on the way (650k per person)
Mas (wood carving), Batuan Village (painting gallery), Celuk (gold and silver smith). We wanted to get to Sanur the day before our Nusa Penida trip so we didn’t have to worry about being in a rush to catch the fast boat to Nusa Penida, and I really wanted to do some shopping anyway so it worked out well.
Sanur Klumpu Resort for $158 - Really loved this small villa style resort. Funky architecture, a little less curated feeling than the other resorts we stayed at, and would make for a really great extended stay place close to Sanur beach.
Day 8 - Sanur beach and fast boat to Nusa Penida. Spent the morning walking the path along the beach, stopping for breakfast and coffee, and enjoying the vibes without having an itinerary. Caught one of the last boats to Nusa Penida so we could get there in time for the 3 pm check in at Maua Nusa Penida
Nusa Penida
Maua Nusa Penida - $500 USD for 2 nights. 1,450k IDR for fast boat, nusa penida transit to / from port and beach tour day trips, again all arranged by Kadek.
Hotel Impressions - Newer hotel in Nusa Penida that’s a bit far away from any action, but the hotel was so nice to spend time in we didn’t mind just hanging out there in our private pool and eating at some of their restaurants. They had a special Indonesian Buffet which was actually some of the best food we had there as far as taste and quality went.
Day 9 - Nusa Penida Beach Tour Spent the morning touring Angel Billabong, Broken Beach, Angel Billagong and lounging at Crystal Bay. The sites were absolutely stunning, got some good photos but the iconic beach spots were SO crowded that I’m not sure it was worth it. Crystal Bay was great - very few people at the beach, so this was a nice way to spend a couple hours swimming and enjoying the scenery. Spent the afternoon relaxing at the hotel.
Jimbaran Bay / Uluwatu
Four Seasons Jimbaran Bay, $2,400 USD for 2 nights
Hotel Impressions: We chose to end our visit to Bali here, closer to the airport. There’s a reason this is considered one of the best beach resorts in the world. The villas were older than Mandapa, but the gardens and views were just beautiful. We really enjoyed our time here relaxing, using their beach lounge facility, and wandering around the gardens. The food at Sundara was good - but not memorable. I’d probably stick to just cocktails and snacks there rather than doing a full higher end meal.
Day 10 - Morning transit from Nusa Penida to Four Seasons. The original plan had been to go to Uluwatu for the fire dance, but it was unfortunately sold out. This was a huge bummer since I’d really been looking forward to this part, but we went straight to the hotel and didn’t mind having the day to relax there.
Day 11 - Four seasons resort day
Day 12 - Departure. Spent the morning and afternoon lounging around the resort. Four Seasons were very generous with a 3pm check out, but were happy to let us use the facilities, spa, pools, etc as long as we wanted to since our flight wasn’t until 10pm.
What I loved * Mandapa. We only did two nights and we very strongly considered canceling our Sanur night and staying an extra day. Will absolutely be back for a longer stay. * Sanur - we only had one morning to mosey along the beach, but next time I go back, I would add in three days here with no plans other than just wandering around. It was also great staying at less of a resort and more of a boutique villa that was a great home base. * Gunung Kawi - I explored this temple the first time I was in Bali, and knew I needed to come back.
What I wish I’d done differently * More time just wandering. We did a great job planning out day trips and balancing those with resort days to just relax and decompress, which was a great balance. However, I do wish we’d had more time to just… wander. We had a couple days or mornings like this, and they ended up being some of our favorite days. * Nusa Penida - Maybe I would have liked this more if we actually snorkeled or went diving. I loved the hotel we stayed at, and I suppose I’m glad I’ve been, but the beach tours were just so crowded and spread apart. It was a long day for just a few minutes at each spot. Next time we return, I’m skipping Nusa Penida and would probably stick to Nusa Lembongon or Sanur.
submitted by coloradogal1 to bali [link] [comments]

2023.06.07 18:09 stethoscoups UPLINK Reviewers For Sale

UPLINK Reviewers For Sale
Hi! Selling my reference module and exercise booklet from UPLINK Review Center for 1250, both books na. Need ko lang ng extra fund before Med School starts. May mga notes from review sessions yung reference module and may answers na yung booklet (shaded letters of correct answers) pero wala namang ibang issues like punit. Message me if you have questions. :)
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2023.06.07 18:02 ImagineMe12340 Conflicted between inpatient endoscopy and OR clinical specialist job offers?

I know this are two different positions to choose from, but I’ve been conflicted for 2 days on which job offer to accept. I must accept one today.
I’ve been an OR nurse for one year then went into utilization review. I decided to go back into the clinical world and this what I have left to choose. I always had an interest in Endo, but this position requires on-call every week and possibly 2 year contract with hefty sign on bonus.
The OR clinical specialists is just a mon-fri job that centers on education and onboarding and training new grad nurses for the periop program.
I do want to go back and get my graduate degree, and I’m not sure if the or clinical specialist would be a good stepping stone to further my career to a more managerial position.
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2023.06.07 18:01 magic-theater Neuroinflammation within the Basal Ganglia in Long COVID

Neuroinflammation within the basal ganglia in long COVID is reflective of this brain region's selective vulnerability following infection. This is similar to what has been observed in Parkinson's disease. While the source of the inflammation in long COVID is unclear, these findings should provide a greater impetus for investigating whether long COVID is a synucleinopathy and a possible harbinger of progressive neurodegeneration. At the same time, note that if progression to Parkinson's and related disease was a certainty that information likely would've already been born out in prior research. Nevertheless, understanding whether long COVID is a synucleinopathy should be treated as priority #1 in long COVID research. It's disheartening to witness the reluctance on the part of scientists to deal with this subject directly in open forums. In private discussions and literature publications these concerns have been raised repeatedly. It is critical to develop a contingency plan in the event that this theory holds true and that this should be done transparently.

Neuroinflammation After COVID-19 With Persistent Depressive and Cognitive Symptoms
Gliosis may be consequent to inflammation, injury, or both, particularly in the ventral striatum and dorsal putamen, which may explain some persistent depressive and cognitive symptoms, including slowed motor speed, low motivation or energy, and anhedonia, after initially mild to moderate COVID-19 illness.

The following consists of GPT4 generated text checked for accuracy and supplementary information taken from Wikipedia.
Function of the Basal Ganglia:
The basal ganglia are a group of nuclei deep within the cerebral hemispheres, consisting of the caudate nucleus, the putamen, the globus pallidus, the substantia nigra, and the subthalamic nucleus. They are interconnected with the cerebral cortex, thalamus, and brainstem.
The basal ganglia play a critical role in voluntary motor control, procedural learning, habit formation, and reward systems. They participate in a complex network of pathways and circuits within the brain that facilitate both movement initiation and inhibition of unnecessary or competing movements. The basal ganglia's functions are not limited to motor control but also extend to roles in cognition and emotion.
The paper found a correlation between neuroinflammation, specifically within the putamen and ventral striatum (includes the nucleus accumbens and olfactory tubercle), and long COVID symptoms.

Function of brain regions (text from Wikipedia)
Through various pathways, the putamen is connected to the substantia nigra, the globus pallidus, the claustrum, and the thalamus, in addition to many regions of the cerebral cortex. A primary function of the putamen is to regulate movements at various stages (e.g. preparation and execution) and influence various types of learning. It employs GABA, acetylcholine, and enkephalin to perform its functions. The putamen also plays a role in degenerative neurological disorders, such as Parkinson's disease.
Nucleus Accumbens
As a whole, the nucleus accumbens has a significant role in the cognitive processing of motivation, aversion, reward (i.e., incentive salience, pleasure, and positive reinforcement), and reinforcement learning (e.g., Pavlovian-instrumental transfer);[4][7][8][9][10] hence, it has a significant role in addiction.[4][8] In addition, part of the nucleus accumbens core is centrally involved in the induction of slow-wave sleep.[11][12][13][14] The nucleus accumbens plays a lesser role in processing fear (a form of aversion), impulsivity, and the placebo effect.[15][16][17] It is involved in the encoding of new motor programs as well.[4]
Olfactory Tubercle
The OT [Olfactory Tubercle] has also been shown to play a role in locomotor and attentional behaviors, particularly in relation to social and sensory responsiveness,[1] and it may be necessary for behavioral flexibility.[2] The OT is interconnected with numerous brain regions, especially the sensory, arousal, and reward centers, thus making it a potentially critical interface between processing of sensory information and the subsequent behavioral responses.[3]

Gliosis in the Basal Ganglia:
Gliosis is a process of scarring in the central nervous system that involves the production of dense fibrous network of glial cells (astrocytes and microglia) in response to damage. This is generally a protective response intended to limit injury, but it can also interfere with normal functioning.
In the context of the basal ganglia, gliosis can disrupt the delicate balance of neurotransmitters, leading to dysregulation of the motor, cognitive, and emotional functions that these nuclei control. The specific impacts of gliosis would depend on the extent and location of the scarring.
Parkinson's Disease and the Basal Ganglia:
Parkinson's disease (PD) is a neurodegenerative disorder primarily affecting the motor system. It is characteristically associated with degeneration of the substantia nigra pars compacta (SNpc), one of the major components of the basal ganglia. The SNpc normally produces dopamine, a neurotransmitter that is critical for regulating the function of the basal ganglia.
In Parkinson's disease, the loss of dopaminergic neurons leads to decreased dopamine availability, disrupting the balance of neurotransmitter activity in the basal ganglia and leading to the characteristic motor symptoms of PD, including bradykinesia (slowness of movement), resting tremor, rigidity, and postural instability.
Neuroinflammation, including gliosis, has been observed in Parkinson's disease. Reactive gliosis in the basal ganglia could be a response to the ongoing neuronal degeneration. The activation of glial cells could potentially contribute to the pathogenesis of PD through increased oxidative stress and neuroinflammation. It's worth noting that while gliosis may be a reaction to the disease process, it may also contribute to the progression of the disease through these mechanisms.
In conclusion, the basal ganglia play a significant role in voluntary motor control, and gliosis within this region, especially in the context of Parkinson's disease, can significantly disrupt this function. The relationship between gliosis and Parkinson's disease is complex, with ongoing research to fully understand the implications of this process in neurodegenerative disorders.
submitted by magic-theater to CholinergicHypothesis [link] [comments]

2023.06.07 17:55 Odd_Choice_6597 Thinking about a Fulbright for Creative Writing?

Wanted to plug a webinar from my host university for the upcoming Fulbright cycle they'll be offering an opening for, specifically looking for applications centered around an MA in Creative Writing. Informally, attending this meeting will certainly make your names familiar come the university's end of the application review, as many of those involved will be there.
submitted by Odd_Choice_6597 to fulbright [link] [comments]

2023.06.07 17:11 Ok_Jicama9580 60% after 20 years...all thanks to this group!

60% after 20 years...all thanks to this group!
60% with MH / PTSD deferred
Filed Nov 21st, 2022: Partially completed June 7th, 2023.
Biggest takeaway: The VA gave massive attention to the examiners' reports. I had uploaded personal statements after most of my exams were done. My ratings were lower than my symptoms account for on all but one issue (bladder issues). That's the one exam that came after I uploaded my personal statements with specific dates and private medical records file names. I also uploaded my statement to VES online before my bladder exam. My examiner had pulled it and reviewed it before I arrived to that exam and it's my highest rating. I learned about the personal statements here in the group after my original exams.
NOTE: Write and submit your personal statements for every contention and upload them BEFORE your exams if possible. Search the group here to learn about what to include. I included a timeline in bulletin form, of events from my medical records and private medicalnrecords since separating. I also included a personal statement with each that lined up with what the rating schedules/ DBQs listed for the rating I felt matched my symptoms.
My brain fog, memory issues and anxiety attacks were at their worst during my exam for headaches, dizziness, and gynecological issues but I had notes with exact dates and symptoms with me. I had read the rating schedules and DBQs. But the VA did not include my personal statements in the list of evidence used. And my examiner didn't see the personal statements because I submitted them after the exam.
I plan to appeal for higher ratings on dizziness, headaches, and endometriosis. Not sure if I should file HLR since my personal statements with symptoms and civilian medical files are in my account but they didn't use them as evidence.
Or should I file supplemental amd submit those statements again?
I am committed to sticking around to share how my claim continues to unfold and to help other veterans when I can.
THANK YOU thank you!!!
Because of this group I am prepared to keep at it and don't feel so alone and hopeless anymore. I am a bit overwhelned and taking some time to breathe, but absolutely plan to keep going.
I have enrolled in VA Healthcare and requested a primary care appt. I'm hoping to get a referral for dental care since I am now rated for TMJ.
Note: I didn't file PTSD/MST but my examiner diagnosed me with severe PTSD due to MST and combat. A VERA rep says they have requested a medical opinion from my examiner so they can fully develop the MST and complete that deferral. She also told me there had been some back and forth on conceding PTSD as a drone crew member and they ultimately had a supervisor who finalized it and said yes. I had uploaded an article from the institute of psychiatry journal that a vet posted here in the group. The VA listed it in evidence on my decision letter. I also have combat pay and medals listed on my DD 214 that identify combat.
Please ask any questions about my claim that might help you!
Thank you again to the creators of this group and knowledge base and to all my fellow vets for your support and insight! What a surreal couple of days. Relieved but also feeling guilty / shame and having a hard time trusting it is real.
I am starting treatment with my local Vet Center soon and look forward to getting my life on track.
submitted by Ok_Jicama9580 to VeteransBenefits [link] [comments]

2023.06.07 16:52 Substantial-Law-910 Rejected by OpenSea, but we shall overcome!

Rejected by OpenSea, but we shall overcome! submitted by Substantial-Law-910 to Artisma [link] [comments]

2023.06.07 16:36 AmaraMason [Complete] [10k] [Mystery] Things We Lost in the Fire

Hi all!
After 4 years of resting on it I’ve finally decided to publish a novelette, and would appreciate any beta readers interested in providing feedback.
Set in December of 1993, the story revolves around Samantha Sayers, whose life was shattered when a devastating cabin fire claimed the lives of her beloved husband and three children during a serene vacation in Lake Tahoe, California. Now, after 15 years, Samantha, aged 58 and confined to Breedlove's Hospice Center, is battling cancer, knowing that her time is running out. However, her impending end is not the only burden she carries.
Hidden within the depths of Samantha's memories lies a sinister secret, casting doubt on the widely accepted belief that the fire was a tragic accident. As her life draws to a close, Samantha embarks on a haunting reflection, determined to uncover the truth that has remained veiled for so long. From cherished moments with her husband to the darkest secrets she alone holds, she navigates the labyrinthine depths of her past.
Amidst the shadows, Samantha clings to the truth, aware that the final chapter of her life will reveal a sinister twist known only to her.
If you're interested in being a beta reader to review please let me know.
Thank you!
submitted by AmaraMason to BetaReaders [link] [comments]

2023.06.07 16:21 Earlybake333 Cheap Vaneers in dubai

I’m currently looking for cheap vaneers as I’m a broke student, yes Ik all the drawbacks but I need them at this point in my life, so please just give me some recommendations, idm going Sharjah to get it, initially I was going to go damas medical center but the reviews haven’t been the best as. Budget 2-4K AED
submitted by Earlybake333 to dubai [link] [comments]

2023.06.07 16:03 LargePepsiBottle Just got laid off from a multi billion $ company with terrible security practices as a l1 help desk

Just got laid off from a multi billion $ company with terrible security practices as a l1 help desk
Hmmm I wonder what this does
submitted by LargePepsiBottle to iiiiiiitttttttttttt [link] [comments]

2023.06.07 15:59 CogentNext Emerging Horizons: Exploring the Ascendance of Mixed Reality

Emerging Horizons: Exploring the Ascendance of Mixed Reality

With significant investments being made by corporations and investors in mixed reality technologies, the future holds exciting prospects. However, this emerging space also sparks controversy regarding its potential uses and ethical implications. In this article, we will delve into the terminology, possible applications, and more to shed light on this intriguing technology.

Understanding Mixed Reality

According to Microsoft, "Mixed reality is the next wave in computing, following mainframes, PCs, and smartphones." The tech world has high expectations for this new revolution in the way we interact with technology.
Mixed reality has two close relatives: Virtual Reality (VR) and Augmented Reality (AR). Let's explore the differences between them.
Visualize them as points along a spectrum between the real world and a completely digital one.
For instance, imagine you're going grocery shopping. With augmented reality, as you enter the store, you might receive visual notifications of your shopping list and have the ability to check off items as you put them in your cart. On the other hand, mixed reality could enhance your experience by highlighting the products on your list with brighter colors or indicators to help you locate them more quickly. In contrast, virtual reality would allow you to navigate through the store from the comfort of your home, but you would still rely on someone else to bring you the chosen groceries.

How Does Mixed Reality Work?

A mixed-reality experience begins with a device, such as smart glasses, gloves, suits, or even your smartphone. These devices are equipped with advanced sensors and processors to process three-dimensional data. By capturing your surroundings, the device utilizes artificial intelligence to align digital content with your environment. Working in conjunction with your personal computer or a cloud-based service, either via cable or Wi-Fi, the system enables you to interact with both virtual and physical objects, blurring the line between reality and holographic elements.

Potential Applications of Mixed Reality

1. Construction: Mixed reality could enable supervisors to remotely direct construction teams by marking virtual pins on areas requiring attention. Schematic diagrams would be readily available for instant review, guiding the teams. Site maps could be virtually traversed, and building concepts can be visualized in place before actual construction begins.
2. Manufacturing: Efficient plant inspections could be conducted using mixed reality, providing inspectors with real-time information that updates as they shift their gaze to different components. It could also alert machine operators to production issues in real-time, highlighting the affected parts.
3. Training: Mixed reality systems already offer enhanced learning experiences. For instance, Japan Airlines is utilizing Microsoft HoloLens to train flight crews. Mechanics can also benefit from fully interactive virtual engines, allowing them to disassemble and understand the names and functions of various parts.
4. B2B Communication: With mixed reality, meeting participants can virtually "sit" at the same table, regardless of their physical location. A product under analysis or discussion can be placed before each attendee, fostering interaction and providing contextual understanding. Furthermore, the integration of translation capabilities facilitates collaboration among diverse teams that do not speak the same language.
5. Supply Chain Management: A supply chain manager, by simply viewing a pallet, could verbally request more information on the shipment and instantly receive shipping history details on their display.
These are just a few examples, and the possibilities for mixed reality applications are vast. However, how do we pave the way for mixed reality to become commonplace?

The Road Ahead for Mixed Reality

While the advancements in mixed reality technology are promising, there are several challenges to overcome:
1. Cost: Since the technology is relatively new, everything is being built from scratch. Besides the hardware expenses, creating software development kits to serve as the foundation for future applications and hiring skilled developers to make rich experiences come at a considerable cost.
2. Spatial Mapping: Present techniques for overlaying content in space have a certain margin of error. Achieving accurate placement of 3D objects in real time within the user's surroundings will require more sophisticated mapping techniques.
3. Complexity: Developing mixed reality requires software engineers, data scientists, designers, and other skilled professionals to fulfill the diverse project requirements.
4. Long-Term Investment: Startups typically strive to develop a minimum viable product (MVP) and rely on initial sales and enthusiasm to fund further development. However, with mixed reality, there is no short-term product to sell, necessitating early and substantial investments with potential returns several years down the line, if at all.
5. User Experience: Current personal hardware for mixed reality can be bulky, and users may be reluctant to wear the devices for extended periods or throughout the day.
Nevertheless, these challenges are not insurmountable. Recent advancements in computer vision, image recognition technologies, big data, cloud computing, and AI have made mixed reality an attainable goal.
Expert predictions indicate that mixed reality will grow into a billion-dollar industry within the next year. While gaming may initially drive innovation, enterprise applications of mixed reality are likely to take center stage as large corporations leverage the technology to optimize their operations.
One thing is certain: mixed reality is here to stay. With industry giants such as Meta, Apple, Microsoft, and others vying for a share in this new field, the coming years will reveal the extent to which we can digitally extend our world.
Contact CogentNext today, and let us assist you in determining the right path for your organization's digital transformation.
submitted by CogentNext to u/CogentNext [link] [comments]