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Speed reading consists of repeatedly cycling through the following sequence: • Remember what you know: activate your prior knowledge and determine what else you want to know purchase cheap olanzapine 86 treatment ideas practical strategies. In practice olanzapine 5 mg lowest price medications journal, if you use this method cheap olanzapine 2.5mg without prescription medicine valley high school, it will take about the same amount of time to study the materials as if you were reading word by word, but the outcome will be different: you already will have reviewed the 162 C. Remember: Your first task, before you start reading, is to ask yourself: “What do I already know about the topic? As you review what you already know, draw flow charts, create concept maps, make anatomic sketches, and outline the concept. Answer the questions on the back of each card as you encounter or figure out the answer. Look for major headings and subtitles; note diagrams, algorithms or graphic materials, highlighted sections, etc. Organize: Spend about 3 minutes organizing what you have remembered and what you have learned from the quick scan of the section. Guided by the questions you have just identified, spend the remaining 7 minutes repeatedly skimming the materials. Focus only on mater- ial that specifically addresses questions that you identified above. If you already know the materials, skim them once, confirming that you have suffi- cient knowledge of the important information. If you do not know the materials, you will skim the section three times as you read for specific information (e. Then skim the chapter, reading or studying only the material that you do not know and that you need to know. Repeat: Do the process three times for each set of materials: Remember, Scan, Organize, Skim, and Repeat. In general, diagrams, charts, and algorithms contain a great deal of information that supplements or restates the text. Focus on the pictor- ial content or the verbal, whichever is easier for you to absorb quickly; however, make sure that you have skimmed every component of the chapter regardless of whether it is pictorial, textual, or a graphic. Later in the day, take 5 minutes and review the material that you studied previously. Let us consider strategies for applying speed reading to your reading in medical school. Here are some practical tips: • Read in 5 to 45-minute periods, using any down time between cases or whenever you are waiting. Use the study questions with each section to guide your reading and to focus your note taking. Review the chapter headings and focus your reading on the material that is essential for your task: par- ticipating in patient care, presenting at rounds, and performing accept- ably on your final exams. Then, quickly skim all the headings and study the graphics, drawings, and algorithms. Then skim it again, focusing only on the material that you do not know and need to know. Standardized clinical exams are designed to provide all examinees with equivalent clini- cal situations and standardized scoring procedures.

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The most frequently used opioid displaces opioids from these receptors and agonist medication generic olanzapine 5mg otc treatment ringworm. Methadone is a synthet- can precipitate withdrawal discount 2.5 mg olanzapine visa medicine x topol 2015, but it does not ic opioid that binds to mu opiate receptors activate the mu receptors order 10mg olanzapine otc treatment 6th feb, nor does it cause and produces a range of mu agonist effects the euphoria and other effects associated similar to those of short-acting opioids such with opioid drugs. Some pro- Dispensing of methadone at stable dosage grams use naloxone to evaluate an individ- levels for more than 21 days in the super- ualís level of opioid dependence. W ithdrawal comprehensive maintenance services (with symptoms evoked by naloxoneís antagonist medication and counseling in one or several interaction with opioids confirm an individ- mobile units) to more limited care, usually ualís current dependence. Other substances com- drawal from opioids to prevent drug monly used by people addicted to opioids relapse in selected, well-motivated patients. Some drugsóin particular, high-dose barbituratesóused in Glossary 289 -O- opioid agonist. Areas on cell surfaces in that normally are bound by opioid psy- the central nervous system that are activat- choactive substances and that blocks the ed by opioid molecules to produce the activity of opioids at these receptors with- effects associated with opioid use, such as out producing the physiologic activity pro- euphoria and analgesia. Drug that binds to, Mu and kappa opiate receptor groups prin- but incompletely activates, opiate receptors cipally are involved in this activity. Natural derivative of opium or syn- nist but, at increasing doses, does not pro- thetic psychoactive substance that has duce as great an agonist effect as do effects similar to morphine or is capable of increased doses of a full agonist. Opioid trexone, of individuals who are addicted to addiction is characterized by repeated self- opioids. Services may include medically supervised withdrawal and/or maintenance opioid addiction treatm ent. Dispensing treatment, along with various levels of of approved medication to prevent with- medical, psychiatric, psychosocial, and drawal and craving during the elimination other types of supportive care. Method of identify- and rehabilitation services or medication ing evidence of opioid and other psychoac- prescribed when necessary to alleviate the tive substance use and measuring the levels adverse medical, psychological, or physical of substances or medications in the body by effects. This term encompasses medically examining patient saliva for the presence supervised withdrawal, maintenance treat- and concentrations of identifiable drugs ment, comprehensive maintenance treat- and their metabolites. In most States, patient excep- withdrawal but not for ongoing mainte- tions are contingent on the approval of the nance pharmacotherapy. OxyContin is one of several as well as rights and responsibilities of prescription opioids increasingly obtained patients and treatment providers. Term applied to two lev- els of activity in addiction treatment: (1) a patient referral. Alternative to providing all social or political movement working for necessary treatment services and levels of changes in legislation, policy, and funding care at the program site by collaboratively to reflect patient concerns and protect their outsourcing some services to other settings rights (i. W hen a patient must obtain philosophy of substance abuse treatment comprehensive services in multiple settings, practice maintaining that patients should Glossary 291 treatment program staff members should psychotherapy. Treatment service provided arrange the referrals, monitor patient to patients in a comprehensive opioid treat- progress, and coordinate care. Process of and treats patients for diagnosed psychi- individualizing therapeutic resources to atric problems. Readmission usually is preceded by a (1) assessing, (2) selecting the most suitable review of the patientís records to determine treatment modality and site, and (3) identi- whether and how the individualís treatment fying the most appropriate services. Treatment of disease treatment medication continue to eliminate with prescribed medications. Breakdown or setback in a personís attempt to change or modify a particular prevalence. Number of cases of a disease in a behavior; an unfolding process in which the population, either at a point in time (point resumption of compulsive substance use is prevalence) or over a period (period the last event in a series of maladaptive prevalence). Prevalence rate is the fraction responses to internal or external stressors of people in a population who have a or stimuli. State in which a mental or physi- existing cases of the condition at a specified cal disorder has been overcome or a disease time and the denominator is the total process halted.

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Even if you spent every moment of your waking life trying to prevent illness buy olanzapine 5mg cheap medications definition, financial difficul- ties buy olanzapine overnight medicine game, and loss of loved ones buy discount olanzapine 5 mg on-line symptoms ibs, you couldn’t do it. Not only is the task of preventing calamities impossible, you can easily ruin most of your present moments if you try. If you check your car’s engine before leaving for work each day, if you scrimp and save every possible penny for retirement, if you never eat ice cream because of the fat content, if you overprotect your children because you worry that they’ll get into trouble, if you wash your hands every time you touch a doorknob, if you never take a risk, then what will your life be like? Because bad things don’t happen to them on most of those worry days, they feel like their worrying has paid off. But worry by itself has never in the history of humans prevented anything from happen- ing. Find out how to embrace uncertainty, which can make life both interesting and exciting. When you find yourself feeling anxious, ask yourself whether your worry is an attempt to control the unpredictable. They scan the newspaper for financial information that may possibly help them know when to sell at just the right moment. Yet, as the past few years have shown, there are no guarantees in the stock market. Of course, take reasonable precau- tions regarding your health, family, finances, and well-being, but when worry about the future invades the present enjoyment of your life, it has gone too far. When you become anxious, try to be patient and kind with yourself and say to yourself, Chapter 13: Mindful Acceptance 207 ✓ Okay, I’m feeling anxious. In the example of Jeanine that follows, Jeanine’s contrasting reactions, first with impatience and then with patience, provide an illustration of how you, too, can turn your impatience into patience. Frequently, she arrives about five minutes early, but once a month or so, traffic backs up, and she’s a few minutes late. The impatient Jeanine: Traffic is at a standstill, and anxiety churns in Jeanine’s stomach and builds. Sweating and clutching the steering wheel, she begins tracking the ways that she can change lanes and get through a bit faster. She visualizes her boss noticing her tardiness and the others at her office looking up at her. The patient Jeanine: Traffic is at a standstill, and anxiety churns in Jeanine’s stomach. She notices and accepts the anxiety in her body, thinking, “I may be late, but most every morning, I am on time or early. Like building muscles by lifting weights, you can build the patience muscles in your mind a little at a time. Bookstores and libraries display hun- dreds of books about how to pump up your self-esteem. In fact, overly positive self- esteem causes more anxiety, as well as a host of other ills. Similarly, most positive human characteristics and qualities turn into negatives when they reach extreme levels. But excessive courage can make a person reckless, excessive generosity can make a person an easy mark for the dishonest, excessive focus on work can leave insufficient room for pleasure, and exces- sive trust can turn someone into a dupe.

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