https://buteykoclinic.com/ – Buteyko Clinic International
Arousal Threshold:
Another potentially important factor is the propensity to arouse from sleep (the arousal threshold)
Increasing negative intraesophageal pressure during airway obstruction triggers arousal.
Historically given that most respiratory events are associated with a cortical arousal, arousals were considered crucial to reopen the upper airway following a respiratory event in OSA.
However, 75% of adults with OSA have respiratory events that terminate without an arousal or the arousal occurs following airway reopening at some stage of the night.
Numerous respiratory stimuli can contribute to arousal from sleep during a respiratory event.
Increased respiratory effort due to a narrowed pharyngeal airway increases negative intrathoracic pressure.
Individuals with low arousal thresholds might arouse before the dilator muscles are able to reopen the airway.
Continual unnecessary arousals can worsen OSA and contribute to OSA pathophysiology- can perpetuate blood-gas disturbances and cause sleep fragmentation to promote cyclical breathing and prevent establishment and maintenance of more stable, deeper stages of sleep- increased sleepiness.
Delay of arousal with sedatives might help to treat the condition if the upper airway muscles are sufficiently responsive to respiratory stimuli to stabilize the airway before arousal.
If the upper airway muscles responsiveness is sufficiently poor, then arousal is necessary to initiate airway opening.
Patients with high respiratory arousal thresholds, respiratory events are often prolonged, particularly if these patients also have poor upper airway muscle responsiveness.
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From Base To 15 We lose 340 Durability That’s mean 340 memory
if we dont use Artisn
From 15 to 4 try’s For TET we losed 604 Durability That’s mean 604 memory
Total 944 memory
Memory 944 x 3m = 2,832,000,000
feel free to ask anything ^^
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INTRO | 00:00
Explain the idea | 00:09
The material Needed | 01:31
Enhance From Base To +15 | 02:39
Enhance From +15 To TET | 06:59
Costing | 18:35
Outro | 20:16
#blackdesert #bdo #blackstar Video Rating: / 5
Join Andy and Gandhi for our Digital Primary Care update including discussing the dawn of a GP workload crisis, vaccination passports, PCN DES contract and more….
Is there still a workload crisis?
#GPworkload #workloadcrisis #vaccinationpassports
00:00 Welcome
The last few weeks is it busy?
Andy / Gandhi
The theme in the industry media around workload
Year-end for Practices and PCNs, looking forward to 21-22
Changes to workload pressures QOF restart
We’re looking at some stories and tell you about content coming up in next few weeks…
03:30 GPs working average 11-hour day, major survey reveals
11 Hour WW notes
Results from Pulse workload survey – 1,400 GP respondents
Look at the infographic and discuss
11 hours working day and 37 patient a day (28 thought to be safe)
Longer consultation times
Survey also asked about the impact of the pandemic
See infographic and discuss
Are telephone and online consultations saving time?
More stressful, less information (body language etc.), risk of f2f in a pandemic to manage
What can we do?
Erm….. Difficult
Recognise the impact of technology – pandemic safety and patient convenience yes, helping doctors – no?
Restart some old discussions about funding models, presentation of availability by gov/nhs, managing demand, token charges……?????
18:20 BMA says GPs can refrain from non-essential work despite April restart orders
https://www.pulsetoday.co.uk/news/workload/bma-says-gps-can-refrain-from-non-essential-work-despite-april-restart-orders/
Notes
Ready to restart QOF activity in April, CQC resuming some inspection activity
But joint BMA.RCGP guidance – January –
But ongoing Vaccination clinics, maintaining social distancing… which says ‘most’ GP practices should pause all or a ‘significant proportion of their non-essential work, depending on local Covid rates – ‘remains relevant as we continue in the pandemic situation
Ongoing discussions about pausing QOF again???? – BMA spokesman
? non-story ish?
Workload impact of vaccine passports?
21:30 GPs should have no role in administering any vaccine passport scheme, RCGP warns
Notes
Government is likely to make some activities dependant on vaccination status – pubs, holidays abroads….
RCGP getting ahead of this and stating scheme should have zero impact on GP workload
Episode coming up about Vaccine passports when we know more in the coming weeks
Just use the NHS App as the basis for “passports”? Tab on their confirming vaccine status with authenticating QRcode?….Just call it allowing people to demonstrate vaccination status… legislate for misuse/discrimination and let industries decide.
What is new?
26:28 New DES Guidance published: https://www.england.nhs.uk/gp/investment/gp-contract/
GP appointment data standardisation work
Investment and impact fund
Cancer early diagnosis
Structured Medication reviews
Enhanced health in care homes
New ARRS roles
– Mental health worker
– Paramedic
– Advanced practitioner
info and Content coming up about this from eGPLearning in the next few weeks to help you digest it
32:05 Work as normal?
Exhaustion
Vaccination phase 2
QoF restart
PCN work
ICS work
GPs could be asked to review hospital waiting lists ‘on an ongoing basis’
120m to General practice in first 6m
https://www.pulsetoday.co.uk/news/breaking-news/gp-practices-to-be-supported-with-new-120m-covid-fund-until-september/
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This video is about online dating,tinder,bumble,hinge,dating apps,nakeyjakey,tinder date,did dating apps kill the vibe,hinge dating app,bumble app,tinder app,what do i put here lmao how do i trick people into watching my video,arpi park,introvertedmadness,casually explained,hinge review,dating in 2022,dating app,hilarious video,super funny video,best video ever,hey guys,if youre reading this,i believe in u,dont be afraid,follow ur heart,nathan zed,relationship advice Video Rating: / 5
In this video, Jordan Peterson discusses the dark side of online dating, and how the platform manipulates men in attempt to increase profitability.
Jordan Peterson also shares his opinion on how this would
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Listen to new episodes of ZOE Science & Nutrition each week on Apple Podcasts, Spotify, or wherever you get your podcasts: https://bit.ly/ZOE_POD_YT
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1 in 5 people suffer from food intolerances. A figure that is growing each year. As a result, people are eating evermore restrictive diets. Unfortunately, as they remove some foods, they add highly processed foods in their places, damaging their gut microbiome and leading to long term health problems.
Jonathan speaks to Will Bulsiewicz, board-certified gastroenterologist, New York Times best-selling author and Zoe’s science board member whose latest book is all about food intolerance.
If you want to uncover the right foods for your body, head to joinzoe.com/podcast and get 10% off your personalized nutrition program.
Timecodes:
00:00 – Intro
00:09 – Jonathan’s introduction
01:27 – Quick-fire questions
03:55 – What are food allergies and intolerances?
10:57 – The rise of food allergies and intolerances
15:21 – Training your microbes
18:03 – How do I know if I have a food intolerance
20:42 – The difficulty of managing your diet and reintroducing foods
22:46 – Can you fix these food intolerances?
24:36 – The counter-intuitive approach to improving allergies and intolerances
26:40 – What can parents do to prevent allergies in their children?
27:31 – How do FODMAPs relate to the step by step exposure concept?
28:24 – What is a FODMAP?
29:38 – FODMAP examples
30:05 – FODMAP intolerance considerations
31:56 – Celiac disease tests
32:54 – Can FODMAPs tolerance be increased?
34:01 – What is histamine intolerance and what can you do about it?
43:01 – Summary
47:33 – Goodbyes
47:27 – Outro
Buy Will Bulsiewicz’s cookbook, “Fiber Fueled: The Plant-Based Gut Health Program for Losing Weight, Restoring Your Health, and Optimizing Your Microbiome” in all major bookstores.
For transcripts of the episodes, visit: https://joinzoe.com/learn/category/nutrition/podcast
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This podcast was produced by Fascinate Productions. Video Rating: / 5
