Diaphragm Training

Respiratory weakness is a problem ultimately affecting all patients with ALS, reducing their quality of life as well as their ability to breathe independently. At the Beth Israel Deaconess Medical Center we have developed a breath training program we call diaphragm training, which is designed to help individuals breathe more comfortably and effectively.

Diaphragm training is a simple, non-invasive technique that helps subjects to control their pattern of breathing in order to breathe more effectively; ultimately, this may also strengthen the respiratory muscles. This study involves eight visits over a six month period of time. The first three appointments test breathing capacity without the training, lasting. The subsequent visits will include the diaphragm training with a speech therapist and specialized pulmonary tests. (...)

Shortness of breath (dyspnea)

Central causes
Loss of consciousness suggests a central (central nervous system) cause. Central causes may present without loss of consciousness. A lot of information can be deduced from observing the pattern of shortness of breath involved.

A. Cheyne-Stokes breathing pattern

Regularly irregular with progressive increase in depth & sometimes frequency in a crescendo-decrescendo manner ends in apnoea (15-60 secs)

Normal in some persons during sleep. It is abnormal when it occurs while the subject is awake (signifies that the respiratory centers are sluggish in their response to variations CO2. Possible causes include aging, obesity, congestive heart failure, neurologic disorders e.g. meningitis, infarction, pontine hemorrhage). It is really more of a folklore than it is a practical clinical sign.

B. Biot's breathing pattern

A variant of Cheyne-Stokes. There is a succession of hyperpnoea, hyperventil, apnoea; but not regular, no crescendo-decrescendo.

Causes include meningitis, medullary compression. It eventually leads to death.

C. Apneustic breathing breathing pattern

Deep inspiration - breath holding - rapid exhalation

This usually signifies the presence of brainstem lesions usually at the level of the pons.

D. Central hyperventilation breathing pattern

Very rapid, very deep (faster than Kussmaul which is mainly very deep).

Found in midbrain / upper pointine lesions.

«In tempi di guerra e di fame, l’America latina ha aperto le porte agli europei con grande generosità. Senza bisogno di visti. Ma quando un po’ di latinoamericani cercano di migliorare le loro condizioni di vita in Europa si scontrano con la discriminazione, il razzismo, il disprezzo e adesso con l’espulsione e il carcere. Cos’è la cosiddetta direttiva rimpatri? Ho sostenuto molte volte che l’Europa è un alleato strategico nella difesa dei diritti umani, però con questo tipo di provvedimenti perdo un po’ di speranza. È un’aggressione contro la vita e l’umanità. È importante dare battaglia contro questo tipo di direttive. Sembra che la globalizzazione sia valida solo per il commercio, guardando al mercato e ai soldi, non agli esseri umani»

Evo Morales, presidente della Bolivia
(cit da Carlo Molinaro)

È come svegliare uno che dorme su un aereo che precipita. C’è da stupirsi se s’incazza?

Smeriglia c/o Livefast

Qualifications

- Positive energy. Must be highly motivated, mature and eager to be part of the Pixar team.
- Ability to maintain focus on priorities among multiple assigned tasks in a dynamic work environment.
- Highly familiar with Photoshop.
- Ability to problem solve and multitask.
- Strong attention to detail and ability to work independently.
- Ability to communicate and work with others.
- Ability to read a room.
- Able to handle a fast paced and often stressful environment.
- Familiarity with art materials
- Some knowledge of film production preferred.
- General office skills.
- Must have a car, valid California Drivers License, & proof of current automobile
insurance.

"Anjutka,
io amo solo te!
Kostja!"

"Kostja, ma sei fuori?
Anjutka va nel bagno delle donne!"

mirumir

regole

tu devi lasciarmi fare le cose con i miei tempi. e cioè: dopo.

lisagialla

---

Procrastination (video)

Lev Yilmaz

---

Procrastination is...
(video)

Johnny Kelly

She was so beatiful, like someone who you will never meet, but always dream of meeting, like someone who is too good for you.

Everything Is Illuminated, Jonathan Safran Foer


Lei era così bella, bella come una che non incontrerai mai, ma sempre sogni di incontrare, come qualcuna che è troppo per te.

Ogni cosa è illuminata, traduzione di Massimo Bocchiola

---

(guy sits next to perfect stranger)
Guy: Are you dating someone?
Girl: No.
Guy: Can I have your number?
Girl: No.
Guy: Is it because I'm black?
Girl: Of course not.
Guy: Is it because you're a lesbian?

da Overheard in New York


(un tizio si siede accanto a una perfetta sconosciuta)
Tizio: Esci con qualcuno?
Ragazza: No.
Tizio: Posso avere il tuo numero?
Ragazza: No.
Tizio: È perché sono nero?
Ragazza: Certo che no.
Tizio: È perché sei lesbica?