mindsetshift

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mindsetshift_highlights.mp4

Suddenly, I felt my power return,

not from outside, but from deep

within. I realized I'd allowed others

to drain my energy, dim my light,

and shrink who I was.

That realization

changed everything.

Each one peeled back another

layer, bringing me closer

to who I really am.

That moment changed how I saw

the world and how I saw myself.

But it's a journey, a path filled with

lessons and tests that some of us

must walk through to finally come

home to ourselves.

Untitled

Untitled.mp4

Spina Bifida_Being your Own Advocate

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SpinaBifidaBeingyour.mp4

When you were younger, someone else made decisions for you. As you become an adult, you are in charge of your health care. In this presentation, we will review how to manage your own medical appointment, transferring to adult care, general health care to keep track of and how to manage your health insurance.

You can take charge of your health care by speaking directly with your providers and asking them to talk directly to you. It is important for you to understand the information you get during your visit, so ask for written instructions, brochures or audiotapes with instructions. You can work with your case manager, social worker or guardian to help you when you need it. Keeping a record will also help you manage your health care. The record or log can be used to write down your appointments, keep track of your test results and the contact information for your health care provider. Check your calendar monthly for scheduled health care appointments. If you need to cancel an appointment, reschedule the appointment at the time of cancellation. Making your annual appointments during the month of your birthday can help you remember. Enter the new appointment on your calendar. If you have questions when you leave your provider’s office, call. If your symptoms get worse, or if you have problems with your medicines, call. 
If you had test results and did not hear from your provider, call to get your test results. If your provider tells you to schedule certain tests or see a certain specialist, make the appointments for the tests or specialists.

Transition to adult health care is a big step in your life. Your current spina bifida team will help you learn the self-care skills you need to be ready. Your spina bifida team will give you recommendations on adult specialists. You can also talk with your friends and other adults with spina bifida or visit the spina bifida association to look up the chapter and adult clinics closest to you. Before your transfer to adult providers, you should meet the new adult providers. Your current team will see you again before your final transfer. Make sure you take your medical and surgical history and recent medical records with you to your new adult providers.

Young adults with spina bifida should follow general health guidelines in addition to your yearly kidney and bladder ultrasound and kidney labs. You should see your primary care provider at least once a year around your birthday. The primary care provider should check your blood pressure, height, weight, and cholesterol routinely. Dental exams should be completed every 6 months and eye exams should be completed every year. 
Women should have routine papsmears starting at age 21. Men should have routine testicular and prostate exams beginning at age 18. 
Your primary care provider will let you know when you should have a mammogram or colonoscopy.

As a person with a disability, you have the right to equal access to health services. Health insurance benefits vary based on insurance type and from state to state. You may have private health insurance or public health insurance, like Medicaid or medicare. Through your insurance, you can request a case manager to help you understand what services are covered by your plan and help you get the care you need. 
If your disability limits or stops you from working, you may be able to apply for disability insurance or supplemental security income, a program that provides monthly income to cover basic needs like food, clothing and shelter. You can apply for disability benefits by contacting the social security administration or by visiting www.ssa.gov/applyfordisability. 
You can also call your local social security office for more information.

If you have any questions about advocating for yourself, transferring to adult care, insurance or social security benefits, please reach out to your spina bifida team.

Elevate to Basic Messaging

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Food Safety - Use By and Best Before dates

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That_realization_changed.mp4

Food Safety - Collecting Handling Sharing

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d0abbe2e-90b2-4a34-accf-57cee788bf23.mp4

d0abbe2e-90b2-4a34-accf-57cee788bf23

ener-g26

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Ora puoi Diventare Enorme e far Esplodere i Tuoi Muscoli

liberati dalle limitazioni del gene GDF8 e sperimenta una crescita muscolare mai vista.

Senza dover fare allenamenti estenuanti o diete rigide.

Con Enerblast, tutto ciò che devi fare è assumere 1 pillola al giorno per avere il fisico che hai sempre voluto

Ciao, sono Diego Gibertini, il medico sportivo che ha sviluppato Enerblast.

In questo video, spiegherò come la nostra formula rivoluzionaria può aiutarti a raggiungere il fisico muscoloso e definito che hai sempre desiderato.

Utilizzando la nostra tecnologia brevettata, chiunque, indipendentemente dalla genetica o dall'età, può raggiungere una rapida crescita muscolare

Poiché Enerblast colpisce la causa principale della stagnazione muscolare legandosi alla proteina GDF8,

puoi ottenere lo stesso effetto anabolico di tre allenamenti in uno.

Secondo i nostri studi innovativi alla John Hopkins University

Enerblast promuove una crescita muscolare tre volte superiore al normale sopprimendo gli effetti limitanti della proteina GDF8

Lascia che ti mostri come questa formula rivoluzionaria fa la sua magia...

Bene, ecco come Enerblast si lega alla proteina GDF8,

impedendole di raggiungere i muscoli e consentendo loro di crescere senza ostacoli.

Noterai che Enerblast è formulato con un raro derivato di alghe marine che è stato scientificamente dimostrato di legarsi alla proteina GDF8,

rendendolo la chiave per sbloccare il tuo potenziale di sviluppo muscolare.

Come puoi vedere, Enerblast è progettato per funzionare per chiunque

Non solo è efficace, ma abbiamo anche assicurato che Enerblast sia realizzato con ingredienti naturali e sicuri

Inoltre, puoi assumere Enerblast senza interrompere la tua routine quotidiana o apportare cambiamenti significativi allo stile di vita

Come puoi vedere, Enerblast è un investimento incredibile per il tuo fisico e il tuo benessere generale

fornendo una soluzione sicura ed efficace per costruire muscoli e perdere grasso.

Clicca Ora su Scopri di più, e preparati a sbloccare un nuovo livello di crescita muscolare!

energ26.mp4

Welcome to our explo

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Welcometoourexplo.mp4

Welcome to the module on Artificial Intelligence use in Evidence based practice. Today we will explore how AI can be used as a pivotal tool to transform evidence based practice.

The objectives for this module include exploring AI's potential in supporting evidence-based practice, evaluating its performance in generating PeeCo questions, comparing AI-generated searches with human approaches, and discussing ethical considerations.

Machine learning and natural language processing can provide techniques capable of processing and analyzing large volumes of data. Innovative tools driven by AI will transform research. It is important to become familiar in the use of AI. To begin, let's delve into some key terms and definitions related to AI. Understanding these concepts is crucial as we navigate the complexities of AI applications in healthcare.  AI is the overarching machine. A system that mimics intelligent behavior by learning patterns from data.  Machine learning is the overarching technology that enables AI to learn from the data.  Deep learning is a subset of machine learning that uses neural networks to learn from complex data in other words, the brains of AI, trained on data until they behave the way we want. Training is the process of teaching the model using data to help it learn patterns and make predictions.   Generative AI is a specific kind of large language model that generates new content.   Large language models are a type of model trained on massive amounts of data.  Retrieval-augmented generation or RAG enhances large language models by combining a generative model with a retrieval system to improve accuracy of responses.

Generative AI is reshaping all aspects of our lives. Here are seven things you should know. AI creates content that resembles something produced by humans. It is integrated into products and services. It is not real. It lacks awareness and cannot perceive or understand.   The outputs or responses are based on data. AIs work revolves around complex structures inspired by neural networks like the brain, with interconnected artificial neurons, for processing information and learning from data. It reviews large amounts of data to generate new content.   It has grown exponentially and rapidly. At least 77% of all global companies are using AI or exploring its use.  It is used in a wide range of applications and can stand alone or be integrated with other systems. It is transformative and has the potential to alter future jobs.  Unfortunately there has been a mismatch in the pace of the technological development and our social, ethical, and legal readiness. Many questions have been raised about the responsible use. Robust guidelines, policies and ethical considerations are needed to ensure that the technology is used for the greater good while minimizing potential risks.   It is expected to enhance educators abilities and reduce their workload.   The future use of AI is expected to only increase. It is important to become actively engaged in it's use, explore its benefits and challenges.

Ohio State is leading the charge with its AI Fluency initiative, aiming to redefine learning and innovation. This bold step is crucial for preparing students for a future influenced by AI. 

A well formulated PeeCO question is crucial for effectively identifying key terms for literature searches.  AI can refine and identify Pee Co questions, improving clinical question structures and generating search strings. This can enhance clinical workflows but the quality of the output depends on model capabilities. Many expected to improve in the future. The example provided first shows the creation and refinement of a PeeCo question. The next example shows the suggested key words,  MeSH subject headings and synonyms in addition to the use of Boolean operators. Both examples were created using ChatGPT. Be cautions when using the outputs as testing so far has identified made up MeSH terms, a lack of an understanding of the syntax and wrong database guidance.

Braunaum 2023 looked at the reliability and accuracy of ChatGPT in providing answers to a complex clinical question. Vague references were provided that included a journal title and year of publication. However, they noted the models sometimes fabricated information that looked plausible and appeared legitimate but were factually incorrect. Gosak and colleagues in 2025 evaluated and compared several AI models with human based formulations in generating clinical queries. They identified insights into the abilities of large language models to formulate PeeCo questions and found significant potential. These examples show promise that large language models such as ChatGPT can answer PeeCO questions, but there are limitations. It demonstrates potential for improving clinical workflows, yet requires further refinement and human oversight.

AI has limitations. Accuracy and relevance in formulating PeeCO questions and search strings may vary. AI lacks the ability to identify its errors when it produces false information.  AI has limited grasp of nuance clinical thinking. It may provide a feeling that time will be saved but may end up wasting time validating the outputs. However, there are opportunities to save time on administrative tasks and help on brainstorming key concepts and search terms.  The best practice is an integrated approach - using AI with human expertise and oversight to add contextual understanding, ensure clinical relevance and prevent bias in searches.

As noted in the previous slide, AI tools can help to formulate search strings and create clinical queries which can augment literature reviews. AI can  automate screening by prioritizing articles with the highest relevance probability so the focus is now on critical analysis of the most promising studies. This can help reduce the amount of time spent on initial sorting and filtering. Several AI tools noted here in the table can map the vast collection of scientific literature to then outline gaps and new frontiers for future research.

There are few AI tools noted in the table that can automatically extract relevant data such as study design, sample size and results. Elicit in particular allows you to customize the data you extract. Once extracted, the data can be synthesized to identify key themes and summarize findings. This is a huge time saving which can enhance efficiency and contribute to better evidence-based practice.

This slides shows examples of using two different AI tools for extraction and synthesis. Elicit can identify papers and additional papers can be added from your library. Once the body of evidence has been identified, Elicit works to grade the papers based on the data you selected to extract. You can over ride the decision if you want. The tool will also show you where it pulls the data from. Elicit will only pull data from the abstract or open access sources.  Notebook LM allows you to upload up to 50 PDFs. In addition to research studies, websites or blogs can also be uploaded as long as they are in PDF format. Once the sources are uploaded you can proceed to enter prompts to obtain responses to address your questions. Additionally, it will show the location in the study and the references to improve transparency. These tools allow limited free access to perform these EBP steps. To gain more access, most often a monthly fee is required.

Clark and colleagues in 2025 sought to determine whether generative AI could assist with evidence synthesis by assessing performance using its accuracy, error rates and time savings compared to traditional expert-driven approaches. There were significant differences and the researchers concluded that while the tools showed promise, the technology was not yet reliable and human oversight should still be the standard when synthesizing evidence. 

With regards to critical appraisal multiple limitations were identified. Challenges such as performance gaps, lower accuracy and difficulty evaluating trial design have been identified. It is clear large language models can not stand alone due to these limitations and data integrity issues. Human expertise is essential for contextual understanding and ensuring information quality.

Implementation science has contributed much toward bridging the gap of bringing evidence based practice into widespread use. Leveraging AI's use in advancing implementation science methods may provide opportunities to advance implementation science by enhancing speed, sustainability,  generalizability, sustainability, equity and assessing causality and context. However, there is a need to adopt a network to focus on the clinical effectiveness of AI models in real world clinical settings. 

In the context of AI, a prompt is the command given to an AI model to generate output or perform its tasks.  Its the instructions or query that tells AI what to do or what information to generate. Prompts should be clear,  concise and specific. The more detailed and specific, the better the quality of AI output. Refinement and iteration is often required. A prompt should include the response you want, why you need the information, which sources should be used and what response you expect.

Multiple prompt acronyms have been suggested to aid in creating effective prompts. These examples can aid in creating effective AI interactions, enhancing communication and task execution in various settings.

Implementing evidence into practice  faces numerous challenges. There is an overwhelming volume and an exponential growth of knowledge that a provider must sort through for answers to clinical inquires. This requires a lot of time and skills to interpret the data into meaningful use. AI tools can help overcome many of these obstacles by facilitating the steps of EBP to improve decision-making and efficiency.

While there may be many benefits, with any transformative technology there are positives and negatives especially when it comes to using AI in healthcare. Some of the issues and concerns focus AI's lack of transparency also referred to as the "Black Box". AI cannot explain or cite is sources which erodes the user's trust. Often incorrect, misleading, or fabricated results appear, often referred to as hallucinations. In considering AI, correct output may be a coincidence rather than the exception. There may be misplaced confidence in the output which can create an opportunity for propagation and amplification of misinformation or propaganda. Since AI gathers vast amounts of data there is a risk of sensitive or non-anonymized health data being captured which poses privacy risks especially if health details are shared without consent. An over dependence and reliance on the use of AI may result in the loss of critical thinking skills. Fair access to AI powered healthcare may result in disparities in tech access which may exacerbate existing inequalities. AI bias may lead to discriminatory algorithmic decision making that affects diagnosis and treatment recommendations.  Addressing these concerns is vital for ensuring fairness and accountability in AI applications.

AI in evidence based practice raises several significant ethical considerations primarily centered around issues of bias, transparency, and accountability.  AI can transform evidence implementation but it is a tool to enhance not substitute or replace professional judgment. It is likely that future developments will improve and further enhance AI's capabilities. It is important to remember, AI offers solutions to numerous EBP challenges but it does not replace human expertise. Ethical considerations must guide implementation, ensuring AI enhances rather than substitutes professional judgment.

Sam Altman has expressed concern over the amount of fakery that AI tools have enabled. In his latest venture along with Alex Blania, a German physics researcher, they have updated the World app to include a new eye scanning orb. It will scan irises and create a unique user ID to be used as a form of identity verification. The hope is it will be adopted worldwide in the hopes to possibly thwart scammers. 

In summary, AI is rapidly transforming healthcare, but human oversight remains essential. Establishing responsible governance and guidelines are crucial for ensuring AI contributes positively to patient well-being. You must evaluate, verify, engage, and revise every time for you are responsible for everything you create with AI. Always be transparent about how you use these tools. The use of AI must be done responsibly, balancing innovation with ethical  considerations. 

These slides are the property of the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare. Unauthorized use is prohibited.

Surge in late-stage breast cancer rates especially among younger women

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Surgeinlatestagebrea.mp4

Behavioral Health Revenue - Smarter RCM. Powered by AI. Built for Behavioral Health.

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Does your revenue cycle feel like this? 

BehavioralHealthReve.mp4

Is your revenue cycle tied up in knots you can't unravel?

Revenue Cycle Management can feel overwhelming for behavioral health providers.

Piles of paperwork, endless denials, and tedious manual billing tasks leave agencies frustrated and losing money.

But there's a better way.&nbsp;

Introducing Behavioral Health Revenue.

We're built for behavioral health providers&nbsp;--&nbsp;by behavioral health providers.

Behavioral Health Revenue combines AI-powered automation with human expertise to make billing faster, reduce denials, and increase revenue.

Whether you need full RCM services&nbsp;or targeted support, Behavioral Health Revenue&nbsp;adapts to your agency's needs.

With Behavioral Health Revenue, you'll finally have clarity, compliance, and confidence in your revenue cycle.

Ready to ditch the stress and denials? Behavioral Health Revenue takes your billing from overwhelming to effortless.&nbsp;

Let one of our billing experts show you how we can help by booking your demo today -- smarter billing starts here... 

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But_its_a_journey_a_path.mp4

Lovergy-vsl1-15

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Ho superato i 50… e la mia vita intima è finalmente rifiorita.

Se stai pensando di assumere farmaci ormonali per la secchezza vaginale…

Gli ormoni non risolvono il vero problema. 

Durante la menopausa, il tuo corpo cambia.

Ha bisogno di nutrienti specifici, non di una “bomba ormonale” che può portare a effetti collaterali sgradevoli come acne, sbalzi d’umore e gonfiore.

Sono la dottoressa Sara Ferri, ginecologa specializzata in menopausa.

E dopo aver aiutato migliaia di donne, ti dico con chiarezza:

La secchezza vaginale è causata da uno squilibrio nutrizionale.

pan-right

Ecco perché ho scelto di collaborare con Lovergy.

A differenza di creme o terapie ormonali rischiose, Lovergy aiuta il tuo corpo a ritrovare l’equilibrio in modo naturale.

La sua formula unica contiene nutrienti fondamentali per ripristinare l’idratazione vaginale, migliorare il benessere ormonale e riaccendere il desiderio.

È semplice da usare: una compressa una volta al giorno, senza creme fastidiose o applicazioni dolorose.

Inizia a sentire la differenza in pochi giorni.

Non lasciare che la secchezza ti faccia rinunciare alla tua intimità.

Clicca ora su Scopri di più per provare Lovergy, il sollievo naturale che il tuo corpo stava aspettando.

Lovergyvsl115.mp4

Fermati.

Anzi, peggiorano la situazione.

I risultati? 

Hair-Dermatologo-1

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Ciao, sono un dermatologo con oltre 10 anni di esperienza…e oggi voglio rivelarti le 3 “cure” contro la caduta dei capelli

che in realtà ti rendono solo un cliente a vita.

Minoxidil, Finasteride, Trapianto.

La cosiddetta “santa trinità” per far ricrescere i capelli…

ma sai qual è la verità?

Non sono vere soluzioni.

Minoxidil nasce come farmaco per la pressione.

La ricrescita dei capelli è un effetto collaterale scoperto per caso.

Ma appena smetti di usarlo? Perdi tutti i risultati, e anche più capelli di prima.

Questo si chiama “rebound hair loss”, e ti tiene Schiavo per sempre.

Ti dicono che è sicura.

Ma migliaia di uomini soffrono di effetti collaterali gravi: disfunzioni sessuali e depressione.

Effetti che continuano anche dopo aver smesso.

Le case farmaceutiche lo sanno, ma i soldi sono troppo grossi per rinunciarci.

E il trapianto di capelli?

Costa anche 20.000 euro… ma non blocca il vero responsabile della caduta:

Quindi anche se ti operi, il DHT continua a distruggere i follicoli che ti restano.

Dopo 2 anni sei punto e a capo… con qualche cicatrice in più.

La verità è che nessuno di questi metodi blocca davvero la causa alla radice.

Il nemico si chiama DHT, un ormone che secca i follicoli finché smettono di produrre capelli.

Se non blocchi il DHT, niente funziona!

E qui entra in gioco Hairtivator, un siero avanzato a base di Cellule Staminali e Peptidi.

Questi ingredienti agiscono direttamente sul cuoio capelluto, aiutando a neutralizzare il DHT e riattivare i follicoli dormienti.

I primi risultati si vedono dopo 2-4 settimane, ma la vera trasformazione arriva dopo 2 mesi, quando i follicoli completano un intero ciclo.

Con l’uso costante, Hairtivator nutre il cuoio capelluto, migliora la circolazione,

riequilibra la produzione di sebo e crea un ambiente ideale per la ricrescita.

È questo lavoro profondo e graduale che permette una crescita visibile e duratura.

Studi Clinici mostrano che chi ha usato Hairtivator per almeno 2 mesi ha visto fino a 3 volte più ricrescita

rispetto a chi l’ha usato per solo 1 mese.

Ecco perché oggi ti consiglio approfittare dell'offerta 2X1 che ti garantisce i risultati migliori.

In più, hai 60 giorni di garanzia soddisfatti o rimborsati:

se non vedi risultati, ti restituiamo l’intero importo, anche se hai usato tutti i flaconi.

le scorte stanno finendo velocemente.

Clicca ora su "Scopri di più" qui sotto e inizia il tuo percorso verso una chioma più forte, più folta e più sana.

Hairtivator È la scelta per chi vuole risultati veri, senza effetti collaterali e senza compromessi.

HairDermatologo1.mp4

Sono business.

Finasteride?

il DHT.

Risultato?

Ma non è magia.

Ma attenzione:

🎬 Roteiro Completo 

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🎬 Roteiro Completo – Projeto Integrador CEJK

🎵 (Música de fundo tecnológica e leve)

Cena 1 – Introdução

“Projeto Integrador CEJK – Rede Escolar Profissional”

"Este projeto apresenta uma proposta completa para modernizar a rede escolar, garantindo segurança, eficiência e acessibilidade."

📷 Imagens de cabos bagunçados, computadores antigos, alertas de vírus

"O diagnóstico identificou problemas sérios na rede: cabos desencapados e desorganizados, risco de choque elétrico, falta de antivírus, quedas constantes de internet e ausência de um servidor centralizado."

Cena 3 – Proposta de Solução

📊 Animação de cronograma dividido em três fases

"A solução foi planejada em fases estratégicas, aproveitando os períodos de férias escolares para minimizar impactos."

Fase 1: organização física dos cabos, racks e endereçamento IP.

Fase 2: configuração de VLANs, switches, Wi-Fi e firewall.

Fase 3: contas individuais, portal de login, controle de impressão e rede de convidados.

Cena 4 – Segurança e Gestão

🔒 Ícones de antivírus, login e firewall

"Todos os usuários terão login obrigatório com permissões diferenciadas.

O sistema contará com antivírus corporativo, firewall e políticas de segurança alinhadas à LGPD."

Cena 5 – Complementos Importantes

📂 Imagens de mapas de rede e CPD organizado

"O projeto inclui ainda um mapeamento completo da rede, a criação de um CPD com servidor dedicado, padronização do cabeamento em Cat6, organização dos switches e ampliação da cobertura Wi-Fi em toda a escola."

Cena 6 – Benefícios para Todos

👩‍💼 Ícones representando direção, professores, alunos e TI

"A direção e secretaria terão mais segurança e prioridade de tráfego.