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The Heart Is Not a Garbage Can

為了解決CE certificate的問題，作者Schecter Lcsw, Miriam Ahuva 這樣論述：

Hi! My name is Miriam Ahuva Schecter, and I live in Baltimore, Maryland, with my five sons. The message I try to impart to myself, my family, and clients is: ＂We need to thrive, not just survive!＂ I strongly believe that the key to thriving is Friendship. Throughout my life, no matter how challengin

g, I have been blessed with friendships that have nurtured and restored me.I began the first four years of my career as a Child Educator and observed firsthand children interacting with their peers. It pained me to watch how many children struggled socially and how this negatively impacted their emo

tional health. After earning my LCSW, I opened my private practice and began to facilitate social skills groups for children. I called my first group the ＂Friendship Hour.＂ Over the next two decades, I developed a comprehensive program that helped many children develop both socially and emotionally.

Parents, teachers, and principals all shared their appreciation for this much needed program.I also realized early on that, for many clients, especially those who have been through abuse and trauma, they did not have the words to unload the ＂garbage from their hearts.＂ Some of my clients, such as a

dult survivors of childhood abuse, didn’t even have the conscious memories of the ＂garbage＂ they had endured. I sought out a form of therapy that would help my clients ＂purge＂ without words. I was very fortunate to attend Stephanie Haggadorn’s Sandtray Certificate program. Sandtray provided all my c

lients, regardless of age, culture, or gender, a powerful avenue to share their feelings in ways that traditional ＂talk therapy＂ could not offer.In addition to the Sandtray therapy, I have always tried to incorporate another passion of mine, Art, into my therapy ＂tool box.＂ From a very young age, I

began discovering the many benefits of Art as a form of healing. I invested in years of training in Art techniques such as Oil, Acrylic, Watercolor, Silk Dyes, Stained Glass, Mosaics, and even Makeup Art. Each one has been a source of tremendous self-growth and self-expression, and I wanted to share

it with my clients, even those who insisted they were not artistic. I incorporated my previous trainings and developed several ＂Intuitive Art Techniques＂ that I have been using successfully with many of my clients.After many years, I returned to my original passion for teaching and became a License

d Clinical Supervisor and Continuing Education Provider. What I discovered is that every person heals in his or her own unique way, and that there are many ＂keys＂ to the heart. Mygoal is to offer mental health professionals some of the powerful ＂keys＂ that I have been using with my clients over the

last twenty years. I offer three CE comprehensive trainings in: Sandtray Therapy, Intuitive Art Techniques, and Social Skills Therapy. I have been very blessed to teach many wonderful therapists over the years, heralding from Texas, New York, New Jersey, Virginia, Maryland, etc. I am very proud of t

heir commitment to invest in their clinical skills as they tenaciously strive to enhance the healing journey for their clients! If you, too, would like to explore some new modalities, please visit my website: www.thrivecenterbaltimore.org

CE certificate進入發燒排行的影片

Clopidogrel使用在三種特定族群以預防中風之比較效益與安全性研究分析

為了解決CE certificate的問題，作者黃馨儀 這樣論述：

研究背景抗血小板藥物在預防栓塞事件上佔有重要的角色。然而，過去的研究對於clopidogrel 使用於預防再次中風是否優於aspirin尚沒有一致性的結果。Clopidogrel用於預防再次中風之療效及安全性至今仍是有待研究的議題。再者，80歲以上的老年人在過去探討clopidogrel用於預防再次中風的療效及安全性研究中僅佔極少數的比例。因此，clopidogrel使用於老年之缺血性腦中風病人之療效及安全性仍需再探討。另外，鮮少有研究探討在過去曾有缺血性腦中風之心肌梗塞病人使用ticagrelor合併aspirin相較於clopidogrel合併aspirin治療之療效及安全性。因此，在過

去曾有缺血性腦中風之心肌梗塞病人使用ticagrelor合併aspirin治療是否優於clopidogrel合併aspirin目前仍是未知的。研究目的這個研究有以下三個主要的研究目的。Aim 1: 比較缺血性腦中風病人使用clopidogrel及aspirin的療效及安全性。Aim 2: 比較80歲以上的缺血性腦中風之病人使用clopidogrel及aspirin的療效及安全性。Aim 3: 比較過去曾有缺血性腦中風之心肌梗塞病人使用ticagrelor合併aspirin及clopidogrel合併aspirin的療效及安全性。研究方法這是一個利用台灣衛生福利資料庫之全人口檔進行之回溯性世代研

究。在Aim 1及Aim 2，研究納入在2009年1月1日至2018年12月31日間曾因缺血性腦中風住院的20歲以上(Aim 1)或80歲以上(Aim 2)的病人。納入研究之病人皆使用clopidogrel或aspirin以預防再次發生缺血性腦中風。在Aim 3，納入分析的病人為在2013年07月01日至2018年12月31日間曾因心肌梗塞住院的病人。這些人在心肌梗塞前皆曾被診斷患有缺血性腦中風的病史。Aim 3的病人在心肌梗塞出院時，需使用ticagrelor或clopidogrel作為預防再次發生心肌梗塞之藥物。此研究使用治療權重倒數機率的方法來平衡兩個分析的族群，並利用Cox比例風險模式

來計算兩個分析族群間發生事件的風險。分析的項目包含重大心血管事件、缺血性腦中風、心肌梗塞、重大出血事件、顱內出血、及腸胃道出血。研究結果Aim 1: 共有71,101之缺血性腦中風病人納入這個研究，其中5,731人使用clopidogrel，65,370人使用aspirin。相較於aspirin，clopidogrel有顯著較低之重大出血事件(HR: 0.87; 95% CI: 0.83-0.92, p < 0.0001)及顱內出血(HR: 0.68; 95% CI: 0.61-0.75, p < 0.0001)的風險。然而，重大心血管事件、缺血性腦中風、心肌梗塞、及腸胃道出血的風險在兩組間則

沒有顯著的差異。Aim 2: 納入此研究的80歲以上之缺血性腦中風病人共有15,045人，其中1,979人使用clopidogrel，13,066人使用aspirin。相較於aspirin，clopidogrel有顯著較低的重大心血管事件(HR:0.88; 95% CI: 0.82-0.95, p < 0.01)、缺血性腦中風(HR: 0.89; 95% CI: 0.83-0.96, p < 0.01)、重大出血事件(HR: 0.89; 95% CI: 0.80-0.99, p < 0.05)、及顱內出血(HR: 0.71; 95% CI: 0.56-0.90, p < 0.01)的風險。然而

，在心肌梗塞及腸胃道出血的風險上，兩組則沒有顯著的差異。Aim 3: 此研究共納入1,691之曾有缺血性腦中風病史之心肌梗塞的病人。其中734人使用ticagrelor合併aspirin治療，而957人使用clopidogrel合併aspirin治療。相較於clopidogrel合併aspirin治療，ticagrelor合併aspirin治療有較低的重大心血管事件的風險(HR: 0.78; 95% CI: 0.62-0.97, p < 0.05)。然而，ticagrelor合併aspirin治療卻有較高的顱內出血的風險(HR: 3.34; 95% CI: 1.27-8.81, p < 0.0

5)。兩組間在心肌梗塞、缺血性腦中風、重大出血事件、及腸胃道出血的風險上皆沒有顯著的差異。研究結論在一般的缺血性腦中風病人，clopidogrel相較於aspirin可以顯著降低重大出血事件及顱內出血的風險。對於80歲以上之缺血性腦中風病人來說，clopidogrel相較於aspirin除了可以顯著降低重大出血事件及顱內出血的風險外，亦可以顯著降低重大心血管事件及缺血性腦中風的風險。故clopidogrel使用於缺血性腦中風病人，特別是80歲以上之缺血性腦中風病人，可被視為安全且有效的藥物。在過去曾有缺血性腦中風病史的心肌梗塞病人中，ticagrelor合併aspirin治療有顯著較低的重大心

血管疾病的風險，然而其造成顱內出血的風險卻較高。因此，ticagrelor合併aspirin使用於這個族群必須密切監測其出血風險以確保其安全性。

Pregnancy Fitness

為了解決CE certificate的問題，作者Di Paolo, Julia/ Montpetit-huynh, Samantha/ Vopni, Kim 這樣論述：

Your journey through a comfortable, safe, and confident pregnancy begins with Pregnancy Fitness. This practical guide answers your questions and delivers the information, exercises, and workouts you need to maintain your personal fitness and enjoy the best possible experience in welcoming your baby

to the world. Written by three experts in prenatal and postpartum fitness, pelvic floor exercise, and core restoration, Pregnancy Fitness covers all physical and physiological aspects of pregnancy, birth, and recovery so you can enjoy peace of mind throughout your pregnancy and long after delivery.

You'll get complete need-to-know information about hormones, body and posture changes, and common pregnancy aches and pains, along with critical information on diastasis recti and pelvic floor health, which aims to support and protect your body from core dysfunction. A full spectrum of stretching

, strengthening, and functional exercises provides the focus, description, safety tips, and variations that allow you to progress safely through your pregnancy and to be physically prepared for birth and optimal recovery. The sample workout programs guide you through each phase of pregnancy, includi

ng postpartum, to help you establish and meet your personal fitness goals with comfort and confidence. CE exam available For certified professionals, a companion continuing education exam can be completed after reading this book. The Pregnancy Fitness Online CE Exam may be purchased separately or a

s part of the Pregnancy Fitness With CE Exam package, which includes both the book and the exam. The authors are three highly qualified women’s health professionals who are passionate about helping women improve their prenatal and postnatal fitness. After years of training individuals and runnin

g successful independent businesses, they started Bellies Inc., a global company dedicated to helping educate and empower women in their pregnancies, births, and recoveries. They bring to this book both their shared interest of helping women understand prenatal and postnatal fitness and their unique

professional experience. Julia Di Paolo, Reg. PT, received her physiotherapy degree from the University of Ottawa in 1997. Her practice is focused on the preconception, prenatal, intrapartum (labor and delivery), and postpartum stages and on all types of pelvic floor dysfunction at any stage of a

woman’s life. Over the years, Di Paolo has established herself as the go-to physiotherapist in Toronto for pelvic health and recovery from diastasis rectus abdominis (DRA). Di Paolo teaches courses on diastasis rectus abdominis for personal trainers, allied health professionals, and pelvic health p

hysiotherapists. She has presented on DRA and the pelvic floor at the conferences of the Association of Ontario Midwives, the Ontario Physiotherapy Association, canfitpro, and the Certified Personal Trainer Network (CPTN, formerly Canadian Personal Trainers Network). Samantha Montpetit-Huynh receive

d her fitness leadership certificate from Seneca College in 2002. She has been a personal trainer for over 15 years, focusing on pregnancy and postpartum fitness. She is also certified as a fitness for fertility specialist. Samantha is known extensively in her field and has appeared on Breakfast Te

levision, CTV News, Canada AM, CHCH, and Rogers Daytime. She was also the resident fitness expert on the Marilyn Denis Show, an award-winning lifestyle show seen across Canada, from 2013 to 2017. Samantha also helped to create the Today’s Parent Healthy Pregnancy Guide. Kim Vopni holds a bachelor’s

degree in psychology from the University of Western Ontario and a postgraduate diploma in health and fitness from Simon Fraser University. She has more than 15 years of skilled experience and is certified as a personal trainer, prenatal and postnatal fitness consultant, and fitness for fertility spe

cialist, and she is a hypopressive method instructor. Kim is a passionate speaker, educator, and promoter of pelvic health and is known as the Vagina Coach.

電磁相容性電磁干擾測試與抑制對策之研究-以水泥攪拌器為例

為了解決CE certificate的問題，作者林俐馨 這樣論述：

電磁相容性包含電磁干擾與電磁耐受性兩種性能，意指在電磁環境中，電子設備不對其他設備產生電磁干擾且即使受到來自其他設備的電磁干擾也能維持原有的功能。電磁干擾分為傳導干擾及輻射干擾，傳導干擾使用X電容、電感或磁環來抑制雜訊的干擾，輻射干擾則是藉由遮蔽及接地方式來抑制，無論是3C產品、家用電器甚至是工業用電子相關產品，在上市前皆須通過電磁相容相關法規的驗證。近年來已邁向高齡化社會，其中在建築工程的行業有高比例的中高齡勞工，若所使用的電動工具沒有相關的電磁干擾規範，可能會在長時間的使用過程中對人體造成傷害，故本論文以可攜式水泥攪拌器為例，針對產品產生的電磁干擾進行測試、分析並設計適當的抑制對策。結果

顯示即使產品有抑制電路，但若抑制元件選用不當，對電磁干擾的抑制能力是有限的。