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The iPad screen becomes a whiteboard that records your voice as you write and draw anxiety job interview generic duloxetine 30mg with mastercard. Pictures can be added and annotated anxiety 9 year old daughter discount duloxetine 20 mg amex, and you can set up slides and navigate between them anxiety xanax and copd cheap 60mg duloxetine fast delivery. When a video is finished anxiety symptoms night sweats 30 mg duloxetine free shipping, it is available, either publicly or privately, on the showme. I eventually learned to plan on creating each video at least twice because any small mistake means starting from scratch. An example of a tutorial vid52 eo made with this app is "Locating an Image With Ray Tracing. It also records your voice and writing on the iPad and incorporates the use of photos and slides. It also allows you to add video clips and record your annotations as the video clip is playing, or to open a web browser and record as you navigate through a web page. Explain Everything has several additional features, but its main advantage is the ability to perform basic editing. You have the option of backing up and restarting the recording from the location that you select. However, with more options and features comes a steeper learning curve, and, unfortunately, I have noticed several bugs that show up when some of the more advanced features are being used. After several months, I decided that for my uses, the simplicity of ShowMe outweighed the features of Explain Everything. During Class One of the main reasons I love to teach with my iPad is that I can annotate my slides while lecturing. I have not found Volume 39, Number 2 / Winter/Spring 2014 a way to make clear, detailed annotations directly with PowerPoint or Keynote, so the main caveat is that your lecture slides must be saved as a. This takes only seconds to do, but any animations or other interactive material within the presentation will not transfer to the. Depending on the nature of your presentation, this could mean that a few minor changes or sacrifices are made, or it could mean that you are unable to use this method of presenting. For optics, the biggest advantage is that I can work through problems step by step along with the students and quickly sketch diagrams when questions come up. GoodNotes will open many file types, although it essentially converts the file into a. While you have a file open, it is easy to open a thumbnail view and scroll through all of your slides quickly. It is easy to add an image from the iPad into any document, and it is also easy to add a page in the middle of a document, for example, if you need more space to illustrate a concept. You also might find it useful to select an area of annotations and be able to move the selection to a different area on Optometric Education GoodNotes utilizes a zoom window, where it is possible to write quickly and naturally. If you want to zoom in on a portion of your slide, it is easy to do by using the pinch gesture on the iPad. In addition, a shape detector creates perfectly straight lines and geometric shapes when you draw. The toolbar, zoom box, and other elements of the interface will not be visible to the students. This tends to occur frequently in my optics courses, where many of the slides require extensive work to solve a problem. I have found that I can appease these students by offering to email them a copy of the annotated slide. This can be done in just a few seconds with GoodNotes and the other annotation apps. I can mark where the error is, along with any explanations and corrections, and e-mail this to my students or post it to Blackboard. In optics, it can be particularly useful to use GoodNotes to create a key for problem sets, complete with color-coded diagrams and explanations. Or, when a student e-mails me a question, I can quickly create a document that can clearly explain how to solve a problem. For particularly complicated problems that I find myself explaining over and over again, I have used ShowMe or Explain Everything to create a video. At times it is difficult or impossible to Volume 39, Number 2 / Winter/Spring 2014 obtain an electronic copy of a document that I want to distribute. The organization required that the document be on letterhead and signed, but also sent via email.
With greater levels of exertion and longer duration of exercise anxiety symptoms eye pain buy duloxetine with a visa, there is a more substantial increase in blood lactate levels anxiety disorder in children purchase duloxetine, which may require up to 24 hours before returning to baseline anxiety symptoms buy cheap duloxetine 40 mg line. Improved utilization of O2 leads to enhanced energy efficiency and improved economy of movement during physical activity anxiety symptoms mayo clinic proven 20mg duloxetine. Central adaptations to long-term exercise programs contribute minimally to enhanced aerobic capacity because myocardial O2 consumption is similar at rest and with exercise. Individuals with low fitness levels often exhibit the most dramatic improvement because they have the greatest potential for gain. Highly trained individuals do exhibit improvements in cardiorespiratory function, although to a lesser degree. These individuals have a higher threshold for change, and therefore a greater stimulus. Moderate-intensity training for at least 3 months is sufficient to show significant improvements. The amount of blood ejected from the heart with each beat is increased and can reach up to 5 to 6 L/min. In conjunction with a greater number of capillaries from long-term training, O2 delivery to working muscles is improved. This training adaptation increases the ability for cells to produce energy for muscular work because the process of oxidative phosphorylation occurs in the mitochondria. Long-term respiratory changes at rest include larger lung volume and larger diffusion of capillaries. Long-term respiratory changes during exercise include larger diffusion capacity, lower amount of air ventilated at the same O2 consumption, increased maximal minute ventilation, increased ventilatory efficiency, and lowered O2 uptake at submaximal workloads. Long-term metabolic changes at rest include muscle hypertrophy, increased capillary density, increased number of mitochondria, and increased concentration of muscle myoglobin. Regular exercise training at appropriate intensity, duration, and frequency increases the number and size of myocardial cells, resulting in an increased size of the heart. In these individuals exercise-induced changes can be symptomatic and result in sudden death either at rest or during exercise as a function of reduced myocardial efficiency and increased myocardial demand. Individuals of all ages with sedentary lifestyles have reduced myocardial function. For example, Allor et al31 demonstrated that younger bodysizematched females (mean age = 13. As the body increases in size, the heart changes in size proportionally to meet increasing O2 demands. Developmental changes of the cardiorespiratory system often parallel changes in the musculoskeletal system as the body develops and matures. Therefore some changes during early childhood and throughout adolescence are a function of increased body mass and body size. In turn, these changes affect aerobic metabolic processes that affect the efficiency of movement and functional performance. Throughout adulthood, changes in cardiorespiratory function are mediated by physical activity level, in addition to disease processes. However, endurance increases with age until approximately the second decade of life as a function of improved O2 extraction. In a mature adult, 25% to 30% of O2 is extracted from blood by muscles, organs, and other tissues at rest and increases twofold to threefold during exercise. Infants have a rapid respiratory rate at birth secondary to incomplete lung maturation. As the lungs mature and increase in volume, breathing capacity increases, changing the rate and depth of breathing. Vital capacity and maximal voluntary ventilation are greater in males compared with females. Therefore the greatest difference in respiratory capacities between males and females occurs during puberty and continues throughout adulthood. Reductions in tolerance are associated with increases in fat mass or decreases in fat-free mass.
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Eccentric isotonic training must produce forces two to three times greater than their concentric counterparts to have the proper intensity anxiety 25 mg zoloft order online duloxetine. Force that is generated during an exercise is dependent on the amount of resistance used; the greater the resistance anxiety in spanish order duloxetine with mastercard, the slower the speed mood anxiety symptoms questionnaire order duloxetine 30 mg otc. Because an eccentric action should happen at a greater speed anxiety 0 technique order duloxetine 60mg fast delivery, one may have to only increase the load by 20% to 30% if one is moving the limb twice as fast as the concentric contraction. Athletes must be trained in a specific eccentric manner to get maximum gains from their rehabilitation and performance training. How to do that in a controlled clinical setting isotonically is the first question. What injuries or muscle groups would benefit the most from eccentric strengthening? A number of studies discuss the use of eccentric strengthening in treating patients with Achilles tendinosis, patellar tendinopathy, iliotibial band syndrome in runners, and chronic isolated posterior cruciate ligament injured knees. A study by Mafi et al89 found that more patients with chronic Achilles tendinosis had a better overall satisfaction and decreased pain with eccentric strengthening training than concentric strengthening training. Another study by Young et al93 showed that eccentric training with a decline squat protocol was superior to a traditional eccentric protocol with decreased pain and improved sporting function in elite volleyball players over 12 months who had suffered patellar tendinopathy. Ohberg et al94 showed that with eccentric training in patients with Achilles tendinosis, there was an actual decrease in Achilles tendon width along with decreased pain. These studies indicate that eccentric strengthening should be a definite part of any tendinopathy treatment. Other applications may include using eccentric actions and loading on muscle groups that primarily work concentrically but that have been immobilized. If the knee has been braced and the quadriceps group has been in a shortened position, muscular atrophy will occur along with a decrease in the number of sarcomeres. This adaptation will help to speed up the return of a good quadriceps eccentric action and possibly the concentric contraction as well. With the eccentric loading of the tibia in the open chain position, the tibia will glide posteriorly, which will eliminate any anterior shear force on the anterior cruciate ligament. With a concentric open-chain quadriceps contraction, the force generated will be an anterior shear. Because of this, any time people work isotonically, they are working eccentrically even if they are concentrating on the shortening contraction. This makes it so difficult to discuss the adaptations of concentric-only contractions. What follows is an attempt to discuss concentric strengthening, although the changes associated with concentric strength training are poorly understood. This cycle, as pointed out earlier, happens in most day-to-day activities and occurs without specialized training. One study found that velocity-specific, concentric-only strengthening resulted in increased peak torques above and below the training velocity. Isometric strengthening has been shown to be joint angle specific, and there is not much carryover to other joint angles. Only about a 20-degree carryover exists either way from where the muscle was trained, although one study did show that there is greater carryover throughout the entire range when the muscle is trained isometrically in the lengthened position. A track sprinter may be going through rehabilitation from a hamstring group strain. The same is true with a baseball pitcher, who, by eccentrically training the rotator cuff muscles, may be able to adapt to higher eccentric forces and therefore decrease the chances of suffering from a deceleration injury. But in order to gain these benefits from eccentric training, the athlete would most likely need to be trained specifically by training the same muscle groups with the same intensity as needed by the sport. One study showed a decrease in the occurrence of hamstring strain injuries in elite soccer players after undergoing eccentric overload training. Because the force generated by an eccentric action can be two to three times greater than a concentric contraction, failure may be generated at the repair sight or the sight of tissue injury.
Nearly three years later anxiety symptoms mayo buy cheap duloxetine line, as she approached graduation and the summer bar exam anxiety symptoms treatment and prevention duloxetine 30mg with mastercard, she reflected on how mindfulness practice has changed her life: I began to see a difference after about three weeks anxiety symptoms webmd generic duloxetine 40 mg without a prescription. Instead of getting frustrated anxiety symptoms quitting smoking cheap 30mg duloxetine visa, I was rolling down my windows and enjoying the sunrise. My personal relationships grew and became healthier as I became more patient and less anxious. In class, I became less anxious about getting cold called, and I became more comfortable answering questions posed to the class. Interviewers across the board were impressed with the program and my ability to already know the importance of having healthy tools to manage stress and anxiety now. I had attorneys tell me they wish they had this program when they were in law school because it might have saved relationships or changed career trajectories. Morris, DeKalb County Stresses Specific to Lawyers · Time constrictions · Perfection requirements or is anything ever perfect · Fear of omission · Number and intensity of responsibilities "What Makes Lawyers Happy" George Washington Law Review (2015) Striking patterns appear repeatedly in the data and raise serious questions about the common priorities on law school campuses and among lawyers. Happiness as a lawyer is a question of: · Balance · Flexibility (the opposite of rigidity) · Resilience · Self-awareness · Self-compassion and compassion for others · Openness · Willingness to seek assistance Another Different Point of View the Art of Power Power is typically exercised as a contest for control and command, with a winner and loser mentality that burdens everyone involved. Especially for those whose focus is financial or political power, there never seems to be enough. These powers are unlimited, and they never do any harm to anyone, including oneself. Mindfulness the energy of being aware of what is happening in the present moment, and the capacity to recognize things as they are. Another Different Point of View the Art of Power Concentration To look deeply into reality. Insight the telos (goal/aim) of the first four powers and superpower that provides the breakthrough ability to move toward transformation and healing. This indicates that emotionally intelligent partners will be among your strongest performers. Learn them and watch out for them, particularly in your younger colleagues whom we now know from studies are most at risk. Include the Crisis Text Line (741741) in your Firm Directory and phone list and inform your colleagues and staff of it. The group hosts a confidential forum and weekly online peer-to-peer support group meetings and offers members the option of anonymity. Meetings involve candid explorations of health and mental health experiences; impacts on legal practice in various contexts and seniority levels; tools for effective management and work-life balance; personal dynamics of self-care, life design, family, roles and more. Peer support generally involves people sharing similar experiences with an illness or condition, such as depression, bipolar disorder, other mood disorders, anxiety, stress, addiction to substances or process addictions, grief, physical illness, and work/life balance. The shared experience of practicing law alone provides common experience such that the role of peer volunteer is open to all members of State Bar of Georgia without regard to whether they have experience with any particular condition. Peer support is also geared to Bar members who are not facing issues personally, but have a family member who is. The volunteer is not a therapist and does not provide therapy or counseling services, but can refer a member to CorpCare. This program launched in September 2017 and is referred to as the "Peer Program" or "Lawyers Helping Lawyers. Criteria include age, years in practice, location and other anecdotal information that the volunteer provides. One person at CorpCare will have access to the identifying information and it will be kept in an encrypted database by CorpCare. Except as provided in this Rule and in Rule 4-104 (b), Rule 4-104 (c), Rule 7-203 and Rule 7-305, all proceedings and records of the Committee, its members, staff, consultants (including without limitation its contractor for clinical services) and other designees, including any information provided to any of them, shall be confidential unless the attorney who has provided the information or caused the record to be created otherwise elects, except that any such person may reveal (i) to police or emergency responders, or any person in imminent danger, information needed to avoid or prevent death or substantial bodily harm, and (ii) information a. A request for help is confidential and the Office of the General Counsel is not informed when a lawyer seeks help through the Program. Volunteers must maintain strict confidentiality at all times unless there is an exception (generally harm to self or others). Occupational Intellectual Engaging in continuous learning and the pursuit of creative or intellectually challenging activities that foster ongoing development. Developing the ability to identify and manage our own emotions to support mental health, achieve goals, and inform decision-making. Spiritual Developing a sense of meaningfulness and purpose in all aspects of life. Physical Developing a sense of connection, belonging, and a well-developed support network while also contributing to our groups and communities.