Obesity is associated with a deficiency or lack of response to ___, which is a hormone that interacts with the hypothalamus to produce the feeling of fullness
Answers
Obesity is associated with a deficiency or lack of response to leptin, which is a hormone that interacts with the hypothalamus to produce the feeling of fullness.
Leptin is produced by fat cells and plays a crucial role in regulating energy intake and expenditure. When functioning properly, leptin signals the brain that the body has stored enough energy, reducing the desire to eat and helping to maintain a healthy body weight. However, in cases of obesity, there can be a leptin deficiency or a resistance to the hormone's effects. Leptin deficiency is relatively rare, but it leads to uncontrolled eating and extreme weight gain. More commonly, obesity is linked to leptin resistance, where the body produces adequate amounts of the hormone, but the brain does not respond effectively to the signal, this lack of response results in an increased appetite and reduced energy expenditure, contributing to weight gain.
Several factors contribute to leptin resistance, including inflammation, genetic factors, and high levels of circulating leptin due to increased fat mass, this resistance makes it difficult for the individual to achieve a feeling of fullness, leading to overeating and further weight gain. Consequently, understanding the role of leptin and its interaction with the hypothalamus is crucial in developing targeted therapies and lifestyle interventions for obesity management. Obesity is associated with a deficiency or lack of response to leptin, which is a hormone that interacts with the hypothalamus to produce the feeling of fullness.
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Related Questions
I pts The DSM-V is also a tool used by insurance companies, particularly in the realm of healthcare, 10 medical and clinical services can be paid for and given to the client or patfent: True False
Answers
False. The DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) is primarily used as a diagnostic tool by mental health professionals to classify and diagnose mental disorders.
While insurance companies may refer to the DSM-V for determining coverage and reimbursement for mental health services, it does not directly dictate or determine which medical and clinical services can be paid for and provided to clients or patients.
Insurance companies typically have their own criteria and policies for coverage of medical and clinical services, which may include mental health services based on the DSM-V diagnosis, but it extends beyond the DSM-V. The decision on coverage and reimbursement for specific services is usually based on the insurance policy and guidelines set by the insurance company.
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How does physical activity prevent heart disease?
Answers
Answer:
It lowers blood pressure, blood sugar levels, and cholesterol, decreasing the chances of a heart attack.
A client who reports frequent and increased urination is diagnosed with diabetes insipidus. The electrolyte report of the client is as follows: sodium, 150 mEq/L; potassium, 4. 5 mEq/L; calcium, 5. 2 mEq/L; and chloride, 96 mEq/L. The health care provider orders diet modification accordingly. What dietary restriction will be recommended for this client?
Answers
Based on the electrolyte report, the client with diabetes insipidus has normal levels of sodium, potassium, and chloride. However, the calcium level is elevated at 5.2 mEq/L. Therefore, the dietary restriction that will be recommended for this client is to limit calcium intake.
High calcium levels can be associated with various health conditions, and in this case, it is important to manage the calcium levels in the client's diet to prevent further complications. The client may be advised to avoid or limit the consumption of foods that are high in calcium, such as dairy products (milk, cheese, yogurt), fortified cereals, certain leafy greens (spinach, kale), and canned fish with bones (sardines, salmon).
It is essential for the client to work closely with a healthcare provider or a registered dietitian to develop an individualized dietary plan based on their specific needs and health condition. The healthcare provider will consider factors such as the client's overall health, medical history, and any other dietary restrictions or considerations when determining the specific dietary restrictions for the client with diabetes insipidus and elevated calcium levels.
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Which professional would be the best to improve your eating habits and help you to maintain a healthy weight?
a) a state certified and licensed registered dietitian
(b) a state certified and licensed soccer coach
(c) a state board certified and licensed doctor
(d) a state certified and licensed science teacher
Answers
How do scientists measure volcanic eruptions?
Answers
Answer:
They use a variety of techniques, including a seismographic
Explanation:
Its a tool they use to measure
Explanation:
Scientists utilize various methods to observe volcanoes, including seismographic detection of earthquakes and tremors that nearly always precede eruptions, measurements of land deformation that often attends to the rise of magma, changes in volcanic gas emissions, and differences in gravity.
The kid next to me is crying
What do I do?
Answers
Answer: figure out why they are crying? ask them questions, if they dont seem to want to answer them, respect the boundary and mind your bussiness
Explanation:
because
Answer:
There are many possible and easy solutions to this. Solutions:
1. Comfort him/her. They might need comforting.
2. Ask if there's anything you can do to help. Some people might need something, so be sure to do it if it's within your power.
3. If they're angry and ignore you, ignore them, though do it politely. They might need some quiet time. But still answer them if they ask you something!
Explanation:
Brainliest, Please!
Lisa complains that she has a slow metabolism, but it's her fault because people can control how quickly their metabolism works.
Answers
Answer:
False
Explanation:
People cannot physically control their own metabolism. The metabolism is influenced by many factors, one of which is genetics.
Answer: False
Explanation: Metabolism capability is mostly influence by genetics, which means that it is not necessarily your fault if you are born with slow metabolism
(300-500 words)
An overview of the topic about which you plan to write your instructions. Identify a specific process that interests you. This process may involve cooking, crafting, or sports, or even setting up a game, app, or online program, etc. The more focused, the better! Let us know who these instructions are designed for, what you hope your reader will accomplish, why you've chosen this topic, and any problems your reader might encounter during the process.
Two sets of instructions that you're using as inspiration for your own. Include these as links or files. Why did you choose them? What makes them good examples of what you're trying to accomplish?
An analysis of the intended audience for your instructions. Who is the audience of your instructions? To get a clear sense of your audience, answer two or more of the questions below:
What do you want your audience to be able to do after reading the instructions or procedures?
What situation led to you creating these instructions for this specific audience? If there are existing instructions, why do the original instructions need revision?
What might your audience already know about the topic of the instructions?
What is the audience's educational background and how might that affect their ability to follow your instructions?
What is the audience's professional background how might that affect their ability to follow your instructions?
What is the audience's personal preferences and characteristics and how might that affect their ability to follow your instructions?
What is your audience's attitude toward the subject of your instructions?
What expectations might your audience have for your instructions? What might they need in terms of level of detail, vocabulary, graphics, and overall design?
In what physical environment and on what digital platforms might your audience read your instructions?
How might you divide your instructions to best suit your audience? How many levels of headings might you use?
Answers
The instructions will focus on setting up a home network specifically designed for gaming purposes. The goal is to guide the reader in configuring their network to optimize gaming performance and minimize latency issues.
The intended audience for these instructions is gamers who want to optimize their home network for gaming purposes. This audience may have some prior knowledge of basic networking concepts but may lack expertise in configuring network settings specifically for gaming. The audience's educational background may vary, but they are likely to have some technical knowledge or interest in computer systems and gaming.
The audience's professional background could include gamers of all levels, from casual players to competitive esports participants. Their personal preferences and characteristics may include a passion for gaming, a desire for an optimal gaming experience, and a willingness to learn and follow technical instructions.
The audience is likely to have a positive attitude toward the subject of the instructions, as they are motivated to enhance their gaming performance. They expect clear and concise instructions that are easy to follow, with a balance between technical details and practical application.
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Fill in the blank.If someone is your brother or sister, they are your
Answers
Answer:
It would be sibling, lol.
Answer:
they are your sibling..
Please help :( Does anyone know the answers to these ???
Can the serving team only serve in pickleball? (True or False)
Name one way that pickleball is different than badminton? (explain)
Name one way that pickleball is different than badminton? (Explain)
Janay is winning 4-3 and serves to Omar. Janay loses the rally. What happens next?
1. Omar serves from the left service court
2. Omar serves from the right service court
3. Omar can choose which side he serves from
4. Janay serves again from the right
Please help me.. and thank you.
Answers
Non-physician services that are not found in the CPT system are found in
, which are different types of
.
Answers
Non-physician services that are not found in the CPT system are found in Healthcare Common Procedure Coding System (HCPCS) codes, as there are different types of codes used for medical billing and reimbursement, so option a is correct.
What is the significance of the CPT codes in medical terminology?The CPT codes are used primarily for physician services, while the HCPCS codes are used for a wider range of non-physician services, such as those provided by hospitals, clinical laboratories, etc.
Hence, non-physician services that are not found in the CPT system are found in Healthcare Common Procedure Coding System (HCPCS) codes, as there are different types of codes used for medical billing and reimbursement, so option a is correct.
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The question is incomplete, the most probably complete question is ,
Non-physician services that are not found in the CPT system are found in which are different types of
a) HCPCS
b) ICD-11
c) procedure codes
d) nomenclature
The phenomenon of transference is a recognized component of which of the following therapeutic treatments?
Select one:
a. Humanistic therapy
b. Family Therapy
c. Psychoanalysis
d. Flooding
e. Systematic desensitization
Answers
The phenomenon of transference is a recognized component of Psychoanalysis. What is Transference? Transference refers to the unconscious redirection of an individual's emotions from one person to another. This typically happens when someone's emotions and feelings are triggered by someone else's behavior.
Transference is often associated with psychotherapy because it frequently arises in a therapeutic setting, but it can also occur in other situations. The term "transference" is used in psychoanalysis to describe the process by which a person's feelings and desires are projected onto a therapist or other authority figure. Freud recognized transference as a powerful force in psychotherapy, and he believed that the phenomenon provided a unique opportunity for understanding and resolving unconscious conflicts.Transference occurs when a person's past experiences, relationships, or unresolved conflicts are unconsciously projected onto another person, such as a therapist. Because of the unique nature of the therapeutic relationship, patients often develop strong feelings of transference towards their therapists, which can range from positive feelings of love and admiration to negative feelings of anger and distrust.Psychoanalysis is a type of talk therapy that focuses on the unconscious mind. Psychoanalytic treatment typically involves exploring the patient's past experiences and relationships to gain insight into their current behavior and emotions. The therapist encourages the patient to freely associate and explore their thoughts and feelings, while also interpreting their behavior and communication patterns. Transference often plays a significant role in the therapeutic process in psychoanalysis, as patients are encouraged to project their unconscious feelings onto the therapist as a way of exploring and resolving past conflicts.
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The phenomenon of transference is a recognized component of (c) psychoanalytic therapeutic treatments. In psychoanalysis, transference occurs when a patient unconsciously projects their feelings and emotions onto the therapist, often relating to past experiences or relationships. This helps the therapist understand the patient's unresolved issues and address them in the therapeutic process.
Transference is a phenomenon that happens when a patient transfers their emotions, attitudes, or desires, especially those from their childhood, onto their therapist. The therapist might assume the role of a parent, friend, or another important person in the patient's life due to transference. It is a critical element of psychoanalytic treatment.
There are different therapeutic treatments available for people that are suffering from different mental health issues. The different therapeutic treatments are cognitive-behavioral therapy, psychoanalytic therapy, psychotherapy, humanistic therapy, family therapy, flooding, systematic desensitization, and much more. Psychoanalytic therapy aims to help patients with mental illnesses or disorders to identify and resolve their unconscious conflicts with the help of the therapist. It also helps them understand their unconscious thoughts and beliefs. Transference is a recognized component of (c) psychoanalytic therapeutic treatments.
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Which is not a principle of fitness?
a.Overload
b.Height
c.Specificity
d.Individuality
Jonny tries to ride his bike a little longer each time. Which principle of fitness is he following?
a.Individuality
b.Reversibility
c.Progression
d.Specificity
Jack cannot run as fast as Paul. He decides to go at his own pace and not run with Paul. Which principle of fitness if he following?
a.Progression
b.Overload
c.Individuality
d.Reversibility
Elizabeth makes her exercises a little harder each time she does them. Which principle fitness is she following?
a.Overload
b.Specificity
c.Individuality
d.Reversibility
What exercise will strengthen your legs?
a.Biking
b.Stretching
c.Lifting a box
d.Playing catch
(will give brainiest if 2 people answer) (100+ points) (P.E)
(Subject : (P.E)
Answers
Answer:
1. Height is not a principle of Fitness
2. Proggression is the prinicple of fitness is he following
3. Individuality is the prinicple of fitness is he following
4. Overload is the prinicple of fitness is she following
5. Biking will strengthen your legs
Explanation:
I hope this helps please mark me Brainliest and sorry if it took to long to answer
Answer:
b. height) (C, progression) (C, indiv) (A, overload) (C, lifting a box)
Explanation:
No spam or leaks
Your back muscles are stronger than your leg muscles.
O A True
D B. False
Answers
Answer:
B) False
Explanation:
Fun fact: The muscles in your thigh are stronger than concrete!
hope this helps!
Answer:
b dude above me got it right
Explanation:
How do positive relationships affect your physical and mental/emotional health?
Answers
Lower rates of anxiety, depression, higher self-esteem and greater empathy. Can also strengthen immune system, shorten disease and possibly even lengthen life.
Your friend doesn't think it necessary to follow the seven important elements of weight training. Prepare arguement that will convince your friends of seven elements importance
Answers
It is important to follow the seven important elements of a weight-training program to achieve a successful program.
Further explanationIt is important to follow the seven important elements of a weight-training program. These seven elements to keep in your mind when creating a weight training program including:
Progression, it means that you need to gradually increase both the intensity and duration of your physical training routine, this way will prevent you from an injury.Overload is to increase muscular strength and endurance training. This element should work with the progression element to avoid injuries.Specificity element means that you should set up a specific goal and your training program and exercises you choose should align with the goal Regularity means maintain a consistent exercise regimen. The training should be done regularly, for example three times a week.Recovery when someone got an injury, they need time to recover. This would prevent worsen conditions and overuse injuries. Balance element means that the activities you choose including exercise for all your body, not just a certain part of your body. A variety element means different activities in your weight training program. It is important to prevent boredom and increase your motivation.A client with severe arthritis of the legs asks the nurse about nonpharmacologic ways to relieve knee pain. Which recommendation(s) will the nurse discuss with the client? Select all that apply.
Acupressure or acupuncture
Animal-assisted therapy
Battlefield acupuncture
Biofeedback
Chiropractic
Creative art therapy
Eye movement desensitization and reprocessing
Massage therapy
Meditation–mindfulness
Answers
A patient with severe leg arthritis asks the doctor about massage therapy, biofeedback, acupuncture, and acupressure as non-drug options for treating knee pain.
What dangers do acupressure poses?Infection and damage to key organs caused by improper needle placement are the main worries while performing acupuncture. The usage of needles to enter the skin results in both of these hazards.
Acupuncture vs. acupressure: what are they?Hair-thin needles are used by acupuncturists to stimulate various channels, or acupoints, in an effort to aid in the body's healing. Acupressure targets and stimulates several meridians, or acupoints, by applying hard pressure to the palms, wrists, and elbows.
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Tracking patients in their rehabilitation stage remotely at home is important to hospitals because: O A. there is a readmission penalty if a patient must return for care at the hospital. B. patient care at home is difficult to monitor OC patients will evaluate the hospital poorly on a survey O Dit is expensive to send out a home call nurse.
Answers
Tracking patients in their rehabilitation stage remotely at home is important to hospitals primarily because: there is a readmission penalty if a patient must return for care at the hospital. The correct option is (A)
Under the Affordable Care Act, hospitals are financially penalized if a patient is readmitted for the same condition within 30 days of being discharged. This penalty has created a financial incentive for hospitals to improve patient outcomes and prevent readmissions.
Remote patient monitoring is a way for hospitals to keep track of patients after they leave the hospital, which can reduce the likelihood of readmission. With remote monitoring, healthcare providers can track a patient's vital signs, medication adherence, and overall progress from a distance.
This can help providers intervene early if there are signs of complications, which can prevent the need for a readmission.
While options B, C, and D are also potential reasons why tracking patients in their rehabilitation stage remotely at home is important, they are not as significant as the readmission penalty.
Patient care at home may be difficult to monitor, but it is not a primary reason why hospitals invest in remote monitoring.
Similarly, while patient satisfaction is important for hospitals, it is not as pressing a concern as the readmission penalty.
Finally, while sending out a home call nurse may be expensive, remote monitoring can be more cost-effective in the long run, especially if it prevents readmissions.
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The staff of a medical unit has agreed to pilot test a new, evidence-based educational initiative that addresses the learning needs of adults who have been recently diagnosed with type 2 diabetes. A pilot test is likely to accomplish which of the following? A) Determine whether the existing research on diabetes education is valid and reliable. B) Reduce the incidence of type 2 diabetes among local adults. C) Gauge whether nurses are qualified to perform patient and family teaching related to diabetes. D) Indicate whether the initiative is feasible to implement and applicable to the population.
Answers
A pilot test is likely to accomplish : D) Indicate whether the initiative is feasible to implement and applicable to the population.
Pilot testing a new educational initiative for adults recently diagnosed with type 2 diabetes serves the purpose of evaluating its feasibility and applicability. This involves implementing the initiative on a small scale to assess its effectiveness, acceptability, and practicality before full-scale implementation.
The pilot test allows the staff to gather feedback and data regarding the initiative's implementation process, identify potential challenges or barriers, and make necessary adjustments or refinements. It helps determine whether the initiative can be successfully implemented within the medical unit and if it is suitable for the targeted population of adults with type 2 diabetes.
The other options listed are not the primary objectives of a pilot test. Validating and assessing the existing research on diabetes education (option A), reducing the incidence of type 2 diabetes (option B), and evaluating nurse qualifications for patient teaching (option C) are important considerations but are not the specific goals of a pilot test for an educational initiative.
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QUESTION 2 A 28-year-old female, has been diagnosed with Hepatitis B. She had a fever for more than three days and a more specific symptom she had is jaundice (yellowing of the eyes and skin). 2.1 Define the meaning of hepatitis. (4 marks) 2.2 Briefly differentiate FIVE (5) types of hepatitis. (16 marks)
Answers
Hepatitis is defined as a medical condition which refers to inflammation or swelling of the liver. The inflammation can damage the liver and as a result, liver function can be affected.
Hepatitis can be caused by a viral infection, or it can be caused by non-viral agents such as alcohol or toxins. In the given case, the female has been diagnosed with Hepatitis B, which is a viral infection.Type 1: Hepatitis A (HAV)HAV is caused by the Hepatitis A virus and can be transmitted through contaminated food and water.
The symptoms of this type of hepatitis are usually mild, and the condition typically resolves itself over a few weeks.Type 2: Hepatitis B (HBV)HBV is caused by the Hepatitis B virus and can be transmitted through blood and bodily fluids. The symptoms of this type of hepatitis can range from mild to severe, and it can lead to chronic liver disease.
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The most important thing of a team leader can communicate is? A. His or her commitment to the team B.The team's overall goal C.Individual team roles D.Conflict resolution
Answers
Answer:
The correct answer is - option B. The team's overall goal
Explanation:
After a effective and good leadership the most important thing of a team is the over all goal the team which is acts as the guiding compass for the team and its member.
All other ingredients including roles of individual role in team, commitment and efforts of leader and resolutions of conflicts are for achieving the goal of the team.
Thus, the correct answer is - option B.
Answer:
the answer is b
Explanation:
The legacy of_________ is that it influences or forms the foundation of most theories of personality today.
Answers
The legacy of psychodynamic and humanistic approaches is that it influences or forms the foundation of most theories of personality today.
Which theories have an impact on personality?The four primary theories of personality are:
PsychoanalyticHumanisticTrait perspectiveBehaviorist theory.The behaviorist theory of personality asserts that conditioning influences behavior and holds that a person's personality is a compilation of their environmental experiences.
Therefore, Psychodynamic and humanistic therapies do have certain similarities. Both of them think that each person's ideas and feelings are crucial to personality development and that dysfunctions are caused by competing emotions brought on by having one's desires denied.
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Select three topics, concepts, or theories that you consider most important. Consider selecting topics, concepts, or theories from the recommended topics list. Be sure to choose topics, concepts, or theories from three different lessons. Write at least one paragraph per topic, concept, or theory. Each paragraph should include the following: Explain each topic, concept, or theory in your own words. Be sure to define any related vocabulary you use in your explanation. Include a detailed example that supports your explanation of the topic, concept, or theory. Explain why you think each topic is good to know and/or how each topic can be applied to your own life.
Answers
Answer:
Please, add some info about topics and recommended topics list
Explain what is meant by the sentence "Communication is a two-way street."
Answers
Answer:
Effective communication means the receiver has understood the message conveyed by the sender – otherwise there is no point in communicating at all. ... Whether or not the desired outcome is achieved is a reflection of how effectively the information was passed on.
Explanation:
ik im not right i just asked my mom
Answer:
Explanation:
Effective communication means the receiver has understood the message conveyed by the sender – otherwise there is no point in communicating at all. ... Whether or not the desired outcome is achieved is a reflection of how effectively the information was passed on.
A nurse is caring for a client on bed rest. How can the nurse help prevent a pulmonary embolus?
a) Limit the client's fluid intake.
b) Teach the client how to exercise the legs.
c) Encourage use of the incentive spirometer.
d) Maintain the knee gatch position at an angle.
Answers
The question of how a nurse can help prevent a pulmonary embolus in a client on bed rest is by encouraging the use of an incentive spirometer.
Using an incentive spirometer helps the client take deep breaths and prevents fluid and mucus from building up in the lungs, reducing the risk of a pulmonary embolus.
Additionally, maintaining the knee gatch position at an angle can also help prevent a pulmonary embolus by promoting blood flow and preventing blood clots from forming in the legs.
However, limiting the client's fluid intake is not a recommended intervention as it can lead to dehydration and increase the risk of blood clots.
Teaching the client how to exercise the legs is also important but it is not the main answer to the question. In conclusion, the nurse can help prevent a pulmonary embolus in a client on bed rest by encouraging the use of an incentive spirometer and maintaining the knee gatch position at an angle.
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The tendency of IQ tests to reflect, in language, dialect, andcontent, the culture of the test designer(s).
Answers
Cognitive therapists believe that problematic feelings and
behaviors are typically due to
unconscious desires.
the repression of strong feelings.
lack of motivation.
distorted beliefs and thought processes.
Answers
Answer:
Its either B or D
Explanation:
Cognitive therapists believe that it's dysfunctional thinking that leads to dysfunctional emotions or behaviors. By changing their thoughts, people can change how they feel and what they do.
Cognitive therapists believe that problematic feelings and behaviors are typically due to distorted beliefs and thought processes. The correct option is D.
What is the cognitive behavior theory?The cognitive theory states that our feelings, emotions, thoughts, and actions all are related to each other. What we think and what we believe reflect on our actions and what we do.
The theory is tested in a good deal of research, and it is also helpful in treating insomnia, anxiety, and depression. The cognitive therapist notices the behavior and talks to the patient and finds out why the problems are occurring.
Distorted beliefs and thought process confuses our mind, and it leads to issues like anxiety.
Thus, the correct option is D. distorted beliefs and thought processes.
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Effects of homelessness on health care outcomes can be devastating and may include which of the following? (Select all that apply.)
a. Higher incidence of acute and chronic disease
b. Higher risk of physical trauma
c. Crisis-oriented health care, usually in emergency departments
d. Reduced eligibility for entitlement/assistance programs
e. Lack of awareness of care options
Answers
The effects of homelessness on health care outcomes can be devastating and can include several factors.
Individuals who are homeless have a higher incidence of acute and chronic diseases, as well as a higher risk of physical trauma. They often receive crisis-oriented health care, usually in emergency departments, due to a lack of regular medical care. Homelessness can also lead to reduced eligibility for entitlement/assistance programs, which may result in inadequate medical care. Additionally, due to their living situation and lack of resources, homeless individuals may not be aware of the care options available to them. These factors contribute to a negative cycle where the effects of homelessness on health care outcomes worsen over time. Therefore, addressing the root causes of homelessness is crucial to improving the overall health and well-being of these vulnerable populations.
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the early psychogenic treatment that was advocated by josef breuer and sigmund freud was:
Answers
The early psychogenic treatment advocated by Josef Breuer and Sigmund Freud was called 'The Talking Cure.'
This was a form of therapeutic method in which an individual was encouraged to discuss and talk their problems openly and honestly with a trained professional - usually a psychologist or psychiatrist. Through a frank and open discussion of their issues and experiences, the individual was able to uncover and explore the underlying causes of their psychological distress.
The 'talking cure' provided patients with the opportunity to express and gain insight into their emotional issues and difficulties, and resulted in a greater understanding of the psychological processes and structures that underpinned their emotions. Therefore, this early psychogenic treatment advocated by Breuer and Freud was a highly effective remedy for those plagued by psychological and emotional problems.
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please help. I'm confused
Answers
The different bands of the muscle are distributed as shown in the image attached.
What bands and zones are there in the muscle?The main elements and bands in the muscle are the following:
Z disc: This is an area to the extremes of the sarcomereM line: This is the line in the middle of the sarcomere through which fibers move during the contraction.H zone: This zone is located in the center and it includes only the tick filament.Band A: This includes the overlap between the thick and thin filament.Band I: This includes the thin filaments.Learn more about muscles in https://brainly.com/question/9883108
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