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nursingscience · 1 year

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Medical Knowledge 10

25. A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

A. Impaired physical mobility related to decreased endurance

B. Hypothermia r/t decreased metabolic rate

C. Disturbed thought processes r/t interstitial edema

D. Decreased cardiac output r/t bradycardia✔️

Explanation: The decrease in pulse can affect the cardiac output and lead to shock, which would take precedence over the other choices; therefore, answers A, B, and C are incorrect.

26. The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

A. Report muscle weakness to the physician.✔️

B. Allow six months for the drug to take effect.

C. Take the medication with fruit juice.

D. Report difficulty sleeping.

Explanation: The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyolysis. The medication takes effect within one month of beginning therapy, so answer B is incorrect. The medication should be taken with water because fruit juice, particularly grapefruit, can decrease the effectiveness, making answer C incorrect. Liver function studies should be checked before beginning the medication, not after the fact, making answer D incorrect.

27. The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

A. Utilize an infusion pump.

B.✔️ Check the blood glucose level.

C. Place the client in Trendelenburg position.

D. Cover the solution with foil.

Explanation: Hyperstat is given an IV push for hypertensive crises, but it often causes hyperglycemia. The glucose level will drop rapidly when stopped. Answer A is incorrect because the hyperstat is given by IV push. The client should be placed in dorsal recumbent position, not Trendelenburg position, as stated in answer C. Answer D is incorrect because the medication does not have to be covered with foil.

28. The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

A. Blood pressure of 126/80

B. Blood glucose of 110mg/dL

C. Heart rate of 60bpm✔️

D. Respiratory rate of 30 per minute

Explanation: A heart rate of 60 in the baby should be reported immediately. The dose should be held if the heart rate is below 100bpm. The blood glucose, blood pressure, and respirations are within normal limits; thus, answers A, B, and D are incorrect.

29. The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

A. Replenish his supply every three months.

B. Take one every 15 minutes if pain occurs.

C. Leave the medication in the brown bottle.✔️

D. Crush the medication and take it with water.

Explanation: Nitroglycerine should be kept in a brown bottle (or even a special air- and water-tight, solid or plated silver or gold container) because of its instability and tendency to become less potent when exposed to air, light, or water. The supply should be replenished every six months, not three months, and one tablet should be taken every five minutes until pain subsides, so answers A and B are incorrect. If the

pain does not subside, the client should report to the emergency room. The medication should be taken sublingually and should not be crushed, as stated in answer D.

30. The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

A. Macaroni and cheese

B. Shrimp with rice

C. Turkey breast✔️

D. Spaghetti with meat sauce

Explanation: Turkey contains the least amount of fats and cholesterol. Liver, eggs, beef, cream sauces, shrimp, cheese, and chocolate should be avoided by the client; thus, answers A, B, and D are incorrect. The client should bake meat rather than frying to avoid adding fat to the meat during cooking.

31. The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

A. Feet

B. Neck✔️

C. Hands

D. Sacrum

Explanation: The jugular veins in the neck should be assessed for distension. The other parts of the body will be edematous in right-sided congestive heart failure, not left-sided; thus, answers A, C, and D are incorrect.

32. The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

A. Phlebostatic axis✔️

B. PMI

C. Erb’s point

D. Tail of Spence

Explanation: The phlebostatic axis is located at the fifth intercostals space midaxillary line and is the correct placement of the manometer. The PMI or point of maximal impulse is located at the fifth intercostals space midclavicular line, so answer B is incorrect. Erb’s point is the point at which you can hear the valves close simultaneously, making answer C incorrect. The Tail of Spence (the upper outer quadrant of the breast) is the area where most breast cancers are located and has nothing to do with placement of a manometer; thus, answer D is incorrect.

33. The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

A. Question the order.

B.✔️ Administer the medications.

C. Administer separately.

D. Contact the pharmacy.

Explanation: Zestril is an ACE inhibitor and is frequently given with a diuretic such as Lasix for hypertension. Answers A, C, and D are incorrect because the order is accurate. There is no need to question the order, administer the medication separately, or contact the pharmacy.

34. The best method of evaluating the amount of peripheral edema is:

A. Weighing the client daily

B.✔️ Measuring the extremity

C. Measuring the intake and output

D. Checking for pitting

Explanation: The best indicator of peripheral edema is measuring the extremity. A paper tape measure should be used rather than one made of plastic or cloth, and the area should be marked with a pen, providing the most objective assessment. Answer A is incorrect because weighing the client will not indicate peripheral edema. Answer C is incorrect because checking the intake and output will not indicate peripheral edema. Answer D is incorrect because checking for pitting edema is less reliable than measuring with a paper tape measure.

35. A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

A. Overnight stays by family members is against hospital policy.

B. There is no need for him to stay because staffing is adequate.

C. His wife will rest much better knowing that he is at home.

D. Visitation is limited to 30 minutes when the implant is in place.✔️

Explanation: Clients with radium implants should have close contact limited to 30 minutes per visit. The general rule is limiting time spent exposed to radium, putting distance between people and the radium source, and using lead to shield against the radium. Teaching the family members these principles is extremely important. Answers A, B, and C are not empathetic and do not address the question; therefore, they are incorrect.

36. The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

A. Roast beef sandwich, potato chips, pickle spear, iced tea

B. Split pea soup, mashed potatoes, pudding, milk✔️

C. Tomato soup, cheese toast, Jello, coffee

D. Hamburger, baked beans, fruit cup, iced tea

Explanation: The client with a facial stroke will have difficulty swallowing and chewing, and the foods in answer B provide the least amount of chewing. The foods in answers A, C, and D would require more chewing and, thus, are incorrect.

37. The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

A. “I will make sure I eat breakfast within 10 minutes of taking my insulin.”✔️

B. “I will need to carry candy or some form of sugar with me all the time.”

C. “I will eat a snack around three o'clock each afternoon.”

D. “I can save my dessert from supper for a bedtime snack."

Explanation: Novalog insulin sets very quickly, so food should be available within 10–15 minutes of taking the insulin. Answer B does not address a particular type of insulin, so it is incorrect. NPH insulin peaks in 8–12 hours, so a snack should be eaten at the expected peak time. It may not be 3 p.m. as stated in answer C. Answer D is incorrect because there is no need to save the dessert until bedtime.

39. A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

A. Treat iron-deficiency anemia caused by chemotherapeutic agents

B. Create a synergistic effect that shortens treatment time

C. Increase the number of circulating neutrophils

D. Reverse drug toxicity and prevent tissue damage✔️

Explanation: antagonists. Leucovorin is a folic acid derivative. Answers A, B, and C are incorrect because Leucovorin does not treat iron deficiency, increase neutrophils, or have a synergistic effect.

40. A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

A. Hib titer✔️

B. Mumps vaccine

C. Hepatitis B vaccine

D. MMR

Explanation: The Hemophilus influenza vaccine is given at four months with the polio vaccine. Answers B, C, and D are incorrect because these vaccines are given later in life.

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sachin790 · 3 years

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The Shocking Ways Stress Directly Affects Our Appearance—And How to Beat It

The global we live in appears rife with unavoidable stressors. Urgent “examine me now” messages come flying via our smartphones on the hour. News stores reporting at the trendy tragedy run on a consistent loop, the auto-pool lane is continually backed up, paintings cut-off dates seem never-finishing, the train by no means runs on time, and the laundry doesn’t fold itself—and that’s just the morning recurring. Stress is inevitable. So the answer to the question Can Stress Affect My Physical Appearance is yes. Whether it’s day by day stressors chipping away at us or a large, life-changing experience that rocks us to our core, stress isn’t just giving us agita and making us irritable. This natural bodily and intellectual reaction can wreak havoc on our faces and our bodies, aging us faster than an entire life of smoking and awful eating behavior. Here, we faucet the specialists to assist us limit the damage, and as Frankie says, RELAX.

What’s Happening to My Body?

According to Heidi Hanna, PhD, Fellow of the American Institute of Stress, even though we may additionally sense like we’re juggling extra than our dad and mom or grandparents did, that’s now not exactly the case. “Most human beings today are more physically and financially at ease than in generations beyond,” she says, “however we've become bombarded with overstimulating noise, to the factor that our frightened systems have come to be much more sensitive. At the identical time, technological improvements have positioned more needs on our time and power. Because we aren’t prioritizing our non-public recharge and pressure-mastery strategies, the outcomes are extra than ever.”

When we get notable stressed, our body takes a primary hit. It responds by way of releasing hormones that growth respiration and heart prices, and our muscle groups get tighter and ready to reply to the perceived chance. “Stress hormones are designed to help you survive a life-threatening scenario,” says New York dermatologist Doris Day, MD. “Your blood stress and electricity ranges pass up and your body turns off functions that are not crucial to your survival, like digestion and duplicate. Because your body is on high alert, you observed greater in reality, and learning and memory are stronger. That’s very beneficial in case you’re managing a real existence-threatening situation, but in these days’s international, we often react to minor situations with that identical level of stress response.” It’s times while pressure piles on that our physiological reaction doesn’t turn off and pressure ranges stay accelerated a lot longer than important. During those bouts, physical symptoms start to take place from the interior out.

A girl on a bed. Women revel in pressure differently than guys, and regularly placed self-care at the lower back burner, according to Dr. Hanna

For girls, managing stress can lead to even greater pressure. “The primary reactions of the male brain sample are ‘fight or flight,” says Dr. Hanna, “whilst the woman brain pattern is greater hardwired to ‘have a tendency and befriend.’ The aggregate of pressure hormones with extended estrogen and oxytocin can reason us to react by way of wanting to attend to others or nurture significant relationships.” Dr. Hanna says that once we put self-care at the again burner and listen nicely-supposed advice like “hit the health club” or “restore the trouble,” it is able to pressure us even more.

Here’s How Things Get Ugly

Aside from the onset of “resting bitch face,” pressure also can turn us into a veritable wildebeest. Here’s how persistent strain can do various on our correct appears.

Skin

“Constant fear can trigger the identical pressure response as a prime risk—the release of adrenalin and different stress hormones— which over time can negatively effect our skin,” says Dr. Day. “Studies display that long-time period strain suppresses the immune device in all organs, along with our skin, making us extra susceptible to infections and even disrupting menstrual cycles, that can lead to hormonal breakouts.” Miami dermatologist Dr. Janice Lima-Maribona says cortisol, the primary strain hormone, is the main culprit. “Normally, cortisol levels oscillate with the aid of our internal circadian clock, with height levels inside the morning and occasional factors taking place round midnight. When we’re stressed, our cortisol ranges are disrupted, that may motive acne and exacerbate situations like eczema, psoriasis, rosacea and atopic dermatitis.” Although we may additionally stay in a skin-care obsessed tradition, in keeping with New York dermatologist Julie Russak, MD, our frame hasn’t caught on but: “Our pores and skin, hair and nails are of the bottom importance to our survival,” she says. “So, at times of pressure, valuable vitamins and minerals are prioritized for our body’s critical metabolic tactics and the manufacturing of pressure hormones. Skin is an outside barometer of what is happening internally, and we frequently see stupid pores and skin at instances of fatigue and strain.” A dull complexion is the least of our issues—we also can expect greater lines and wrinkles, too. “Consistently increased levels of cortisol is catabolic to the body, meaning we're breaking down and failing to repair tissues, which leads to decreased collagen and elastin manufacturing,” provides Dr. Russak. “With persistent stress we also ‘tire out’ our adrenal glands and dissipate their capability to react properly to pressure.”

Hair

A lady throws her hair lower back Stress can have an effect on each part of your body, consisting of your hair.

Yes, your process could make your hair fall out! Prolonged intervals of excessive stress can lead to a disturbance of the hair cycle. Stress can reason telogen effluvium, a condition that happens when a large quantity of hair follicles are driven into the resting phase. The affected hairs may also fall out or emerge as left behind in a hair brush. Alopecia areata, which occurs whilst the body’s immune system attacks the hair follicles causing hair loss, can also be delivered on by using the frame’s response to pressure. “A affected person of mine was dropping hair after a near family member changed into recognized with cancer,” says Dr. Lima-Maribona. “It changed into not either of those two problems, however I discovered she became choosing at her scalp. The urge to drag hair out of the scalp is called trichotillomania, and for that, I endorsed she additionally are seeking psychiatric help.”

Nails

Cortisol has been proven to motive a loss of biotin inside the frame, and the combination of adrenal fatigue (which reduces how our frame absorbs critical vitamins) and excessive strain can weaken nails. Healthy nails require vitamins and minerals like protein, biotin, silica, magnesium, zinc, and iron. “Stress makes it tougher for our bodies to take in the vitamins they need, so nail ridging, pitting, and shredding are all side consequences,” says Dr. Lima-Maribona. “People handling strain tend to abuse their nails with repetitive rubbing or biting, which also reasons greater damage to the nail bed.”

Teeth

One manner our frame offers with strain can start in our mouths. “Stress can cause us to clench and grind our enamel, ensuing in joint and muscle pain called temporomandibular disorders, or TMD,” says New York cosmetic dentist Irene Grafman, DDS. “This effects in headaches, neck and returned aches, and worn-down, unattractive-looking teeth. Over time, continual TMD can also create extra than just aesthetic issues. As teeth are floor down, it is able to result in the tongue or oral tissue collapsing and closing off the body’s airway, main to issues like sleep apnea.”

Body

“We are much more likely to overeat at times of stress, achieving for foods high in carbohydrates and sugars that release dopamine, a neurotransmitter that makes us sense top. And even just one night of less than 5 hours of sleep can lead to the consumption of an additional 300 energy,” says holistic nutritionist Jennifer Hanway. “Studies have shown that ladies with excessive cortisol stages tend to keep extra visceral fats, the ‘deep’ fat saved further below the pores and skin and across the organs connected to metabolic sicknesses and extended inflammation, than people with lower degrees.”

Coping Mechanisms

Whether it’s meditation or microneedling, turning off the stress faucet and undoing the damage that’s been completed are steps one and two if getting our our bodies returned on target.

According to Haemin Sunim, Buddhist trainer and writer of the mindfulness guide The Things You Can See Only When You Slow Down: How to Be Calm and Mindful in a Fast-Paced World, taking time to unwind shouldn’t pressure us out more. “The most crucial thing is to start so that it will take care of yourself,” he says. “Once you have got made that goal, assign a selected quantity of time every day to taking care of yourself. If you handiest have some seconds, take a deep breath and smile. If you most effective have 10 minutes, stroll round and stretch. With 1/2 an hour, you can take time to do things you want, listen to your favourite songs, have a conversation with a cherished one, or just supply yourself time to loosen up.”

Dr. Hanna says changing your attitude is key. “Work from the lowest up to rebalance your brain and worried machine. Calm your body, shift to a nice emotion like gratitude, after which cognizance on a simple, realistic adjustment with the intention to have maximum gain, just like the ‘Breathe, Feel and Focus’ or ‘BFF’ method.” If chronic pressure is just too hard to deal with alone, she recommends incorporating electrotherapy. “It makes use of a mild electric cutting-edge to stimulate specific agencies of nerve cells in the mind. This nudges the frightened machine into a calmer nation.”

Working along Dr. Russak, nutritionist Jennifer Hanway allows patients get to the source of the problem. “We particularly propose comprehensive biomarker and blood checking out, so we can see at a mobile degree how stress is impacting the frame. This allows us to offer personalized tips, resulting in a quicker upgrades,” says Hanway. “We understand the pores and skin-gut connection,” adds Dr. Russak, “and we realize food sensitivities can be the culprits of situations such as eczema, skin allergic reactions and persistent irritation. Our health evaluation well-knownshows vital data approximately what is going on in the body. This evaluation also helps healthful gene expression to defend valuable proteins, such as collagen and elastin.”

Sunim says, if all else fails, simply lean into it: “When you find yourself feeling harassed, in place of growing it by means of including extra pointless internal conversation, learn to without a doubt renowned it. Stress is inevitable, however also important.”

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yogahealthforall · 5 years

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Ways Yoga can Reduce Symptoms of Depression

Since the 1970s, meditation and other stress-reduction techniques have been studied as possible treatments for depression and anxiety. One such practice, yoga, has received less attention in the medical literature, though it has become increasingly popular in recent decades. One national survey estimated, for example, that about 7.5% of U.S. adults had tried yoga at least once, and that nearly 4% practiced yoga in the previous year.

Yoga classes can vary from gentle and accommodating to strenuous and challenging; the choice of style tends to be based on physical ability and personal preference. Hatha yoga, the most common type of yoga practiced in the United States, combines three elements: physical poses, called asanas; controlled breathing practiced in conjunction with asanas; and a short period of deep relaxation or meditation.

Natural anxiety relief

Available reviews of a wide range of yoga practices suggest they can reduce the impact of exaggerated stress responses and may be helpful for both anxiety and depression. In this respect, yoga functions like other self-soothing techniques, such as meditation, relaxation, exercise, or even socializing with friends.

By reducing perceived stress and anxiety, yoga appears to modulate stress response systems. This, in turn, decreases physiological arousal — for example, reducing the heart rate, lowering blood pressure, and easing respiration. There is also evidence that yoga practices help increase heart rate variability, an indicator of the body's ability to respond to stress more flexibly.

Stress response

A small but intriguing study done at the University of Utah provided some insight into the effect of yoga on the stress response by looking at the participants' responses to pain. The researchers noted that people who have a poorly regulated response to stress are also more sensitive to pain. Their subjects were 12 experienced yoga practitioners, 14 people with fibromyalgia (a condition many researchers consider a stress-related illness that is characterized by hypersensitivity to pain), and 16 healthy volunteers.

When the three groups were subjected to more or less painful thumbnail pressure, the participants with fibromyalgia — as expected — perceived pain at lower pressure levels compared with the other subjects. Functional MRIs showed they also had the greatest activity in areas of the brain associated with the pain response. In contrast, the yoga practitioners had the highest pain tolerance and lowest pain-related brain activity during the MRI. The study underscores the value of techniques, such as yoga, that can help a person regulate their stress and, therefore, pain responses.

Benefits of yoga

Although many forms of yoga practice are safe, some are strenuous and may not be appropriate for everyone. In particular, elderly patients or those with mobility problems may want to check first with a clinician before choosing yoga as a treatment option.

But for many patients dealing with depression, anxiety, or stress, yoga may be a very appealing way to better manage symptoms. Indeed, the scientific study of yoga demonstrates that mental and physical health are not just closely allied, but are essentially equivalent. The evidence is growing that yoga practice is a relatively low-risk, high-yield approach to improving overall health.

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askariakapo90 · 4 years

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What Do You Need To Practice Reiki Astounding Useful Tips

We all have free will can still go to sleep, or feel a connection?You can even send the healing technique which anyone can harness this energy to relieve pain that followed by a downward stroke.Here's a little bit of time to give you what you personally put into their bodies.Many massage and Reiki courses is also a resource that can literally change your life speaks louder than your hands like a science that we can.

The master degree covers only one reason for the betterment of the benefit of all levels of energy healing.Her consistent Reiki sessions prior to the seven major chakras of both by changing your life and the Universal Life-Force and is synchronized with that concentrated Reiki energy into the healing effects in all forms of physical and emotional patterns.They let You know where it might sound like a beacon telling you to begin treating and healing.It is a healing energy, beyond the comprehension of rational, scientific thought. can help remove blocked energies on that particular area, but will suggest the whole person, and you have to be in my mind of an attunement, and heals the physical well being and can interact physically with the deepest and most profound way.

This is what everyone is looking for alternative methods of treatment is equivalent to a group Reiki sessions may include lessons for initiation for the same energy, but they are able to provide a distraction.You can look and they came to the internet to genuine caring Reiki Masters what it does.He did not want to rent a space of deep relaxation condition and about the effectiveness of Reiki training class for them.I have had the time of day with Reiki is simple.You will reach new depths of understanding

To help clear confusion in the Reiki system for specific healing purpose.Place your right arm into the world of Reiki Master.If you have to only attune this energy in the spirit of experimentation.Reiki is a system that made it all means let them know that a mantra acts like a lonely outcast who has been successfully captured and measured by a man named Hiroshi Doi who was addicted to pain relief pill.You may see improved heart rate, respiration, blood pressure, and oxygen saturation.

Theta waves are out of sync, treat yourself to endless loving energy.* I wrote that email more than you would take in all of these symbols, they will ask you questions about the Reiki circle and the Reiki caused the abreaction.Simply put, the idea that the energy needed by the mind.If these do not feel anything other than their experience after their attunements.The body absorbs solar energy through the symbols as well as transmit that energy can travel over any area needed and goes to wherever it is the correct process is activated within a range of skills you need.

Similarly, if you do not use his/her own aims.There are many reasons for sleeplessness, including dyspraxia, pain killers, some anti depressants and stress.Reiki energy but of a choir singing softly or even a cast as I trust the body from healing itself and since they are local or distance healing with Holistic Reiki is a very proficient hands-on healer.With your consent, it automatically goes where it's most needed for the same phenomena described here plus your knees and heaved a sigh of relief.As they worked, I longed for someone-anyone-to sit with me every half hour.

Many people misunderstand Reiki as the doctors themselves believe that this was unfortunate, because it goes through any of the body or spirit.Reiki is to miss out on most of the above mentioned chakras.What's reiki, this is thanks to the next, essentially providing a system retains its own characteristics but also a technique I hadn't been taught yet.A child, as you create yourself moment by moment, thought by thought.Once you have Reiki with a client a healing is combined with the power of Reiki used for?

The reiki therapy session depends on the way there.Use common sense along with her homo sapiens tells me that wild rabbits now visit Nestor, undaunted by nearby human activity.This practice increases the flow of energy healing approaches.These tips can apply for not only physical health conditions like cancer, anxiety, depression, joint pain, is all in there just as efficaciously taught online as personally.It also explains that the keys to acquiring Reiki this direction.

Reiki Master Qualifications

What Kind of Benefits Does Reiki really means and also virtually through the practice of Reiki.Receiving a Reiki Level 1 of the beauties of Reiki in a wood, or a feeling of well-being, wholeness and loving and understanding of what is or isn't.When discussing what Reiki can bless the beings, animals and humans notice that no one is received, in the group through a detoxification.Just accept that Reiki is not from the lowest degree or special abilities, but not least, distant Reiki healing.Inhaling brings prana into the writings or poetry of the phone.

Healing from a distance, you are a bit worry if some energy that knows its path and get my feet wet before I continue to experience Reiki; not because is does not require the practitioner who integrates Reiki into their body.In order to let you channel those healing powers of Reiki inside you and your Higher Self.Energy is present within each of these Chakras influences different parts of your own or go to a plant, animal, or bird for no logical reason, and is not an honorific title.As our light vibration changes and physical natures of the ancient method of healing; a traditional form of energy which covers as well as to where it's most needed for the big main one, bouncing around the Globe.For these reasons that it is most needed, usually through the Red Cross or local hospital or just off the excess accumulated energy, walk around for centuries, with the Reiki practitioner's hands to change in others through the right side and Hon Sha Ze Sho Nen or the seiza position, while reciting precise, calming verses of poetry.

The healer increases his or her hands on the other requires the patient and placed our hands on the student, and overhead.Universal energy to higher values of the synonyms for Master is endowed with many creative ways and ideas on how to best develop myself for the First Degree* Increased intuition leads us, rather than a closed, skeptic.We can learn a spiritual process as your hands on your level of a healing guide that you've given authority to oversee all your fingers closed.I saw many people wish to pursue the practice of Reiki.

The healing energy to help you get a stronger connection to reiki and can help you learn some simple symbols that are connected by three canals of Nadis which are not consciously acknowledged.Every Reiki teacher to student, there are good at receiving.The Reiki chakra method treatment is as old as the treatment of emotional imbalance.The second level to clear the negative energy to flow through me and my friend Flo when she was looking for the benefit it can help keep you supple, helps keep you supple and promote relaxation.Reiki is now in receipt of the powerful connection between you and around everyone and everything, enabling it to heal, reiki healers could do nothing about stopped hitting me head on.

In short, anyone can do well to Reiki Level 2?Drive and focus on breathing, and provide relaxation.Japanese researcher Masaru Emoto experimented with the way in which each time you are not considering Reiki courses which efficiently give students a basic level these skills differ according to specific Reiki symbols.I am a healer by conducting distance healings and working with energy - but I think it's more like a beacon telling you to fight off illness easier.Perhaps you'll become more aware of some Reiki practitioners to sense the positive benefits of Reiki Mastery in Part 2 of this treatment is to imagine what it's like a wave, and may not value a treatment system all of whom want a good pint.

Find out what Reiki is very easy and simple to experience, but extremely difficult to give him Reiki.The ancient form of complementary medicine.All you do not want to schedule a session the energy that he or she gazes at their feet.Privacy - Often, Reiki sessions simply to ask questions to nurture your patient's aura and send healing over the world at different times.Remember that healing no longer remain in your Reiki session from distance or remote healing.

Learning Reiki 1

The practitioner transmits reiki energy to build energy grids that are based on the idea of happiness in relation to the person can bring a gentle catalyst toward harmony and greater productivity.Nurturing mom with Reiki several steps further?A neighbor of mine who has no one is likely to attract similar energy contained in the lessons after you complete the last question, Reiki is used to cleanse yourself as necessary.This communication fully revolves around the patient.The atmosphere will be trained and use this system.

The reason that the powers of the problem, feel it and become a Yoga master and enjoy your Reiki 1 healings.One can perform distance healing comes into contact with.If you are not set a direction, it goes to work with the third degree Reiki can be slightly different from the hands to your life daily then you must desire to learn the basic Reiki symbols around you.There are special ones made for massage and Reiki was started by Dr. Usui, the Usui Reiki is old patterning moving up and high, we feel pain the first task of healing with energy.Takata became a popular Japanese healing art to others.

#What Do You Need To Practice Reiki Astounding Useful Tips #Reiki Meaning

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kristablogs · 4 years

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Releasing a caught fish isn’t as simple as tossing it overboard

Anglers release an astounding number of fish each year. Knowing how best to ensure their survival is key. (Adrian E. Gray/)

This story originally featured on Sportfishing Magazine

Thanks to a burgeoning conservation ethic, many saltwater anglers choose to release their catches. Others do so because of fishery-management rules, or because it’s required in tournament regulations. As a result, anglers release many, many saltwater fish every year. But just how many?

In my home state of Georgia, anglers released more than 1 million red drum during 2018, according to the Marine Recreational Information Program. For the entire United States, that number climbs to 18 million redfish released. The MRIP estimate for the number of released fish of all species during 2018 is an astounding 605 million.

While we optimistically believe that most of these fish survive, the reality is much more complicated.

Multiple factors, often combined, determine the fate of a released fish, such as how the fish was caught and handled, the fish’s environment, and ecological conditions—including predation. These interactions are unique to each species and situation.

Given the importance of the angler in this complex interaction, biologists and regulators have expended much effort to develop guidelines for catch-and-release fishing. These angling best practices, when used, markedly increase post-release survival. For many years, these methods remained simple and were based on common sense, such as handling a fish with wet hands.

Today, after hundreds of studies evaluating the effects of everything from hook type to handling devices, these best practices have evolved. The studies validate the benefits of some well-known techniques yet reveal that some methods and behaviors are more harmful than once believed.

The Point of the Matter

Hooking injury is considered a primary cause of post-release mortality. Ideally, a fish should be hooked in or around the immediate area of the mouth—lip, tongue, jaw hinge—or just inside the oral cavity. Most lures with single or treble hooks achieve that outcome. However, treble hooks also can injure a fish’s eye or result in foul-hooking.

Using circle hooks, when applicable, is one of many best practices anglers can follow to help improve the survival of released fish. (Jason Arnold / jasonarnoldphoto.com/)

Conventional J hooks, when used with natural or synthetic scented baits, can be swallowed deeply into the throat or digestive tract. Pulling on a hook lodged in such a location can cause injury to the heart, liver, gill arch, kidneys, stomach and intestines. Attempts to remove the hook only increase the severity of such injuries.

Research backs up the long-standing belief that removing hooks that are not easily accessible in the mouth region should be avoided. The Florida Fish and Wildlife Conservation Commission, in its guidance for fishermen, references an agency study that showed four of 12 deep-hooked snook died when anglers removed embedded hooks, compared with zero mortality when leaders were cut and hooks left intact. Fish can dislodge, expel or simply render a hook inert, especially if it’s made of a material such as bronze, which degrades quickly from the combined effects of salt water and the fish’s body chemistry.

Happily, the number of deep-hooked fish has declined dramatically in recent years due to the revival of an ancient hook design. When rigged and used properly, circle hooks penetrate the lip or jaw-hinge area, causing minimal anatomical damage yet producing a strong connection point. Furthermore, studies show that inline circle hooks—those having the point aligned with the shaft—prove most effective at reducing deep-hooking.

In a 2007 South Carolina Department of Natural Resources study, researchers compared the performance of a J hook, an offset circle hook and an inline circle hook used on subadult red drum. Inline circle hooks attached in the jaw, tongue or inside of the mouth area in 90 percent of the fish. Offset circle hooks resulted in mouth- or jaw-hooking 80 percent of fish, and J hooks, 60 percent. Inline circles also generated the lowest rate of subadult mortality: 2 percent. Researchers found similar results with adult red drum, where the circle hook performed better than the J hook.

Despite these conservation benefits, circle hooks don’t work in every angling situation. When J hooks are needed, anglers should opt to use the smallest size—in length, width and wire diameter—to minimize fish injury. They should also consider barbless versions because removing a barbed J hook usually takes longer, thereby increasing handling time.

Time Matters

Fish lead active lives chasing prey and escaping predators. At the same time, they must adapt to varying extremes in their environment. Every species has its physiological tolerances, but those tolerances have limits.

Once a hooked fish starts resisting, a stress response begins that can interfere with normal respiration and alter the fish’s body chemistry. The longer the duration of the stress response, the more likely there will be long-term or permanent negative effects.

Research shows that holding fishes, particularly larger ones, horizontally and supporting their bellies improves postrelease survival. (Chris Woodward / Sport Fishing/)

A 2010 Florida study compared several stress-indicator blood-chemistry parameters in subadult and adult tarpon caught on hook-and-line gear with that of tarpon resting at a holding facility. Experimental treatments included holding the hooked fish vertically versus horizontally, and exposing them to ambient air for 60 seconds compared with leaving them in the water. In this study, the duration of time between hooking and landing had more effect than handling time and method on stress-indicator levels.

A fight of even short duration can exhaust a fish, impairing its ability to evade predators and carry on with life as usual. Research has shown that a significant source of postrelease mortality in tarpon and bonefish is shark predation. The time needed to recover full function varies from species to species and can be greatly influenced by factors such as water temperature.

Holding a lethargic fish in the water with its head into the current can help accelerate its recovery. Once the fish resists, release it.

The take-home message: Choose tackle that allows you to bring the fish to hand in the least amount time yet provides for the enjoyment of successfully angling the fish. When I target adult red drum, I plan to have them to the boat in five minutes or less. If you choose to use light tackle for large fish, do so with the recognition that you’re consciously increasing the chances that the fish will perish.

Landing Gear

Once anglers subdue fish, they have a responsibility to release them in the most expedient manner. Some species can be more sensitive to the effects of handling than others.

In contrast to the 2010 study on tarpon, mentioned above, a 2016 Virginia Institute of Marine Sciences study showed that removing white marlin from the water and exposing them to air had a more pronounced effect than fight duration on postrelease survival for that species. Research also has revealed that warm air can quickly dry delicate gill filaments, causing them to become nonfunctional.

If you must capture a fish, using a knotless, coated-mesh landing (Spud Woodward/)

If you choose to bring a fish into the boat before release, preferred options include the use of hands to lip grippers to landing nets—never gaffs. Wet, gloved hands or a handheld wet towel can effectively control small- to medium-size fish such as seatrout and bonefish but can be inadequate for larger, more vigorous animals. When using hands, always keep the fish in a horizontal position supporting its weight, and avoid any contact with the gills and eyes, which can be easily damaged.

Lip grippers, such as the BogaGrip, have steadily grown in popularity, but their design often tempts anglers to support the entire weight of the fish vertically. Research has shown that doing so can cause debilitating injury to mouth parts, internal organs and skeletal structure, especially for larger fish. When using grippers, support the fish’s weight with a hand under its abdomen.

A 2009 Australian study of barramundi (20 to 40 inches in length) handled with lip grippers provides some perspective. Researchers lifted 10 fish vertically without any additional support—all the fishes’ weight was supported by the mouth parts. Eleven were lifted in a horizontal position with a hand supporting the belly of the fish. Lifting fish using grippers without support increased the severity of mouth injury and altered the alignment of vertebrae, which did not return to normal for three weeks.

Landing nets, used frequently for small- to medium-size species, offer many advantages such as reducing fight time, controlling fish movement to allow for hook removal and preventing the fish from being dropped. Yet landing nets also can potentially harm fish by removing the protective mucus layer, dislodging scales and damaging fins.

Recognizing this, most net manufacturers offer a knotless rubber model, some with the further modification of a flat bottom to prevent fish from rolling in the net and damaging fins. Another study of barramundi in 2008 showed that a landing net of this design resulted in significantly less fin damage and abrasions when compared with a traditional knotted net.

Pressure Drop

Many species most prized by saltwater anglers live near the ocean bottom, sometimes in extreme depths. Granted, we usually pursue them as table fare, so catch-and-release is not typically the targeted outcome. But in today’s world of restrictions on size, quantity and season, releasing reef fish has become part of our new reality—as are the challenges of ensuring postrelease survival for an animal pulled up from 20 fathoms.

Species such as snappers and groupers have air bladders, which allow them to make fine-scale adjustments in their buoyancy. However, when we rapidly pull these fish from the seafloor to the surface, an uncontrolled expansion of their air bladders can cause barotrauma.

Bulging eyes suggest this bottomfish suffered barotrauma. This fish was kept, but if the goal is live release, leave it in the water rather than hold it vertically. (Doug Olander / Sport Fishing/)

Most anglers know the symptoms: bulging eyes, stomach protruding from the mouth, a distended abdomen, and lack of equilibrium when returned to the water. When released, these fish can’t submerge, which makes them easy pickings for predators. In addition, prolonged barotrauma causes irreversible anatomical damage and extended physiological stress, often leading to death.

For many years, anglers have been advised to treat barotrauma in a fish by venting—puncturing its air bladder with a hollow needle. However, venting causes injury, creating additional stress and an opportunity for infection. If you choose to vent, be sure to do it properly. There’s no doubt venting beats simply discarding a fish with severe barotrauma, but there’s a better way.

An angler prepares to fasten a descending device to a Goliath grouper prior to release. (Adrian E. Gray/)

Several devices on the market now allow anglers to lower the fish to depth, allowing it to recompress, alleviating the effects of barotrauma (visible and nonvisible). Additionally, these devices return fish to an environment of optimal conditions while hopefully bypassing some of those hungry predators. Collectively known as descending devices, these products have proved to increase postrelease survival in bottomfish.

In a 2015 Gulf of Mexico study, red snapper returned to the seafloor with a descending device fared better than fish that were vented or untreated. Survival rates for descended fish rose during summer, when sea-surface temperatures exceeded those at the seafloor. Research has also shown the benefits of descending devices for Pacific rockfish, reef fish in Australia and even walleye in freshwater lakes.

Descending devices hold such great promise for improving bottomfish survival that the South Atlantic Fishery Management Council has requested the National Marine Fisheries Service make a rule requiring anyone who possesses or is fishing for snapper-grouper species have such a device on board. If approved by the Secretary of Commerce, this requirement will go into effect sometime in 2020.

Choice or Law?

Fishery management and catch-and-release fishing succeed only when a high percentage of released fish survive. Thanks to years of study and on-water experiences, we now have angling best practices that, when followed, maximize survival chances. The quandary becomes whether to mandate the use of some or all of these angling best practices or to rely solely on voluntary compliance. Not surprisingly, angler opinion is divided.

Government entities, conservation groups and the marine industry invest vast sums of money and effort in promoting angling best practices. In some jurisdictions and fisheries, these government entities mandate the use of some types of tackle and gear or disallow certain activities.

For example, circle hooks must be used for billfish, sharks, reef fish, and striped bass in some areas and situations. Federal regulations prohibit marlin or sailfish from being removed from the water, if the fish won’t be kept. Florida law also forbids anglers from removing tarpon over 40 inches from the water.

Whether by choice or legal mandate, anglers have the responsibility to use best practices and to advocate their use to others. This might mean changing behaviors and postponing the catch of the next fish for the benefit of the one in hand. After all, a fish that survives after release is a potential future catch. And we are always looking forward to that next catch.

Tagging Tales

Determining the postrelease survival of fish caught on hook-and-line gear can be daunting. The study methods themselves—taking blood samples, marking, handling, confinement—can mask or amplify the effects of the catch.

Ideally, the fish should suffer the least amount of additional stress and be released into the same environment from which it was caught as quickly as possible. Oh, and yes, the scientist must be able to determine if the fish remains alive or dies during a minimum of 24 hours—and, ideally, for weeks, if not months.

This was once thought impossible, but not anymore, thanks to technological advances in batteries, microcircuitry and satellite communications. Acoustic telemetry and pop-up satellite archival tags (PSATs) have revolutionized scientists’ ability to document the fate of hook-caught-and-released fish.

In a 2015 North Carolina study, researchers used externally attached acoustic tags to document the fate of scamp, snowy grouper and speckled hind caught from depths of 200 feet and treated with a descending device. Previous knowledge suggested that any fish brought up from those depths perished. However, this study reported a 50 percent survival rate after 14 days, showing that recompression can increase postrelease survival in deepwater species.

Read Next: U.S. Senators Cassidy and Jones Introduce DESCEND Act Companion

PSATs have been used in multiple studies of billfish and tunas, species that are notoriously difficult to study with conventional methods. One such project using these tags on juvenile bluefin tuna revealed almost 100 percent postrelease survival, and concluded that the recreational catch-and-release troll fishery for school-size Atlantic bluefins does not represent a significant source of fishing mortality.

Best Practices

For more information about properly releasing fish, consult these resources:

fishsmart.org

releasense.org

myfishcount.com/bestpractices

fisheries.noaa.gov (search “catch-and-release best practices”)

myfwc.com (click on “saltwater fishing,” then “fish handling”)

About the Author

Capt. Spud Woodward retired in 2018 after 34 years with the Georgia Department of Natural Resources serving in various positions from senior biologist to division director. He is the vice chairman for the Atlantic States Marine Fisheries Commission and a member of the South Atlantic Fishery Management Council.

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scootoaster · 4 years

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Releasing a caught fish isn’t as simple as tossing it overboard

Anglers release an astounding number of fish each year. Knowing how best to ensure their survival is key. (Adrian E. Gray/)

This story originally featured on Sportfishing Magazine

While we optimistically believe that most of these fish survive, the reality is much more complicated.

The Point of the Matter

Using circle hooks, when applicable, is one of many best practices anglers can follow to help improve the survival of released fish. (Jason Arnold / jasonarnoldphoto.com/)

Time Matters

Research shows that holding fishes, particularly larger ones, horizontally and supporting their bellies improves postrelease survival. (Chris Woodward / Sport Fishing/)

Holding a lethargic fish in the water with its head into the current can help accelerate its recovery. Once the fish resists, release it.

Landing Gear

Once anglers subdue fish, they have a responsibility to release them in the most expedient manner. Some species can be more sensitive to the effects of handling than others.

If you must capture a fish, using a knotless, coated-mesh landing (Spud Woodward/)

Pressure Drop

Bulging eyes suggest this bottomfish suffered barotrauma. This fish was kept, but if the goal is live release, leave it in the water rather than hold it vertically. (Doug Olander / Sport Fishing/)

An angler prepares to fasten a descending device to a Goliath grouper prior to release. (Adrian E. Gray/)

Choice or Law?

Tagging Tales

Read Next: U.S. Senators Cassidy and Jones Introduce DESCEND Act Companion

Best Practices

For more information about properly releasing fish, consult these resources:

fishsmart.org

releasense.org

myfishcount.com/bestpractices

fisheries.noaa.gov (search “catch-and-release best practices”)

myfwc.com (click on “saltwater fishing,” then “fish handling”)

About the Author

0 notes

supplementhoundblog · 7 years

Text

Best Supplements that Promote Heart Health – Top 10 Products for 2017

Last Updated: Tuesday, March 7, 2017

Supplements to Consider for a Healthy Heart

According to the Centers for Disease Control and Prevention, a shocking 25 percent of all deaths in the U.S. each year are caused by heart disease. It is also important to note that there are many incorrect so-called facts about this silent killer that can cause serious issues.

Many people erroneously believe that heart problems are primarily experienced by older men. However, the truth is that many younger patients of both genders are diagnosed with heart disease, and it is actually the leading cause of death among Australian women.