-------------------------------------------
Mag ik ff vangen afl. 4 - Propedeuse of pro-pe-dui-se - Duration: 1:24.
For more infomation >> Mag ik ff vangen afl. 4 - Propedeuse of pro-pe-dui-se - Duration: 1:24. -------------------------------------------
07 BŠ svira Ribe (ukulele) - Duration: 2:01.
For more infomation >> 07 BŠ svira Ribe (ukulele) - Duration: 2:01. -------------------------------------------
MY BIKE GOT STOLEN | BikersWorld - Short Movie | ENGLISH SUBTITLES - Duration: 13:18.
Oh no, not again!
I can´t believe it.
Everything gone.
F*ck
Hey you, where´s my bike?
Did you see anything?
Why are you wearing a helmet?
Hey hottie, you looking for a good time?
Why are you all wearing helmets?
So your place or mine?
Wait a minute, what is this place?
Hey man relax, you´re ruining the mood.
Leave me alone. I just want to know where I am!
Huh?
What is this weird map and what are these markings?
Ugh just do what you want! You aren`t my type anyway.
Hey wait a second.
Maybe I´ll find my bike here?!
Hello?
Hellooooooo?
Is someone here?
Carsten!
I´ve been expecting you...
Who are you?
How do you know my name?
I am the Ghostrider!
What is going on here man?
Why is everyone wearing a helmet?
And most importantly, where is my bike?
You still have a lot to learn.
Life isn´t all beer and skittles.
I´m going to teach you a lesson.
That´s why you are here!
Just answer my question man, I don´t have much time.
Silence!
Who do you think you´re talking to?
HAHAHAHAHA
With a crazy dude wearing a sheet.
Play-time is over!
These items will help you to find your bike.
What is that supposed to mean?
Where did you go?
Hey! What are you guys doing?
Wouhoo! My bike is still here!
-------------------------------------------
La vie en C #5 : Jailbreak - Duration: 2:51.
** swearing and other filthy language **
What you are about to see isn't exactly legal
So don't be an idiot
That is my job
Hardly any open space left
More and more homeless people
But buildings build with tax-money
stay empty
time to take them back
-------------------------------------------
AUAA… Episode 21 - Bedwetting in Children - Penn State Children's Hospital - Duration: 16:03.
From Penn State Health, welcome to Ask Us Anything About... Bedwetting in Children
I'm Scott Gilbert it's a scenario familiar to many parents, they may walk
into their child's room in the morning and find wet pajamas, sheets and a
mattress. And they may find themselves wondering, why did it happen? Especially
when the child's been toilet trained for a couple years. We'll answer that
question and talk about how parents can support their children in that situation.
As we talk here with Dr. Amy Burns, she's a pediatric urologist. Dr. Burns, thanks
for being here today. Thank you for having me. Also with us Karen Thompson,
she's a nurse practitioner in pediatric urology here at Penn State Children's
Hospital. Karen thanks for your time. You're welcome. Let's start with, normals,
is a subjective word but what is normal with regard to bedwetting? Given that it
seems like, pretty much every child deals with us for at least some period of time.
Yeah, so bedwetting or nocturnal enuresis is very common in children. A lot of
children will outgrow it by the age of five but even around five years of age
for girls and up to seven years of age for boys, about 20% of children will
still have episodes of bedwetting. And then over time, about that number
will decrease each year so that by age fifteen only about 1% of children wet
the bed. 1% okay and this is not a conscious decision by the child right
what we want to emphasize. That is true that is completely out of their
control. And that's important to emphasize
because it should not be a reason for punishment for example. Right, nor
should they be rewarded for a dry night because that too is out of their control.
So when it comes to the risk factors and causes of this, I mean I can think of one
of drinking too much liquid before bed but it really goes beyond that doesn't it?
There are a lot of risk factors. There are quite a few risk factors including
parents that wet the bed as well will have an increased incidence in their
children. So like when the genetic factor when when parents were young, if they
tended to struggle with this as their children may? Correct.
What about some of the other causes? Well, along with the genetics, which does play
a strong role in many kids, if one parent what the bed there's a 40% chance that
their child will wet the bed and if both parents were bed wetters then there's a
75% chance that the children will have bed wetting. Other things that can
contribute to bedwetting though include certain behaviors like you mentioned
drinking too much water prior to bedtime. Many children who wet the bed don't go
to the bathroom before they go to sleep or won't empty their bladder
completely prior to going to sleep so that's another contributing factor.
Some kids will not drink much water throughout the day at school and so
they'll come home from school very dehydrated and thirsty, get the vast
majority of their fluid and taken the late afternoon and early evening and
then at night they wet. Sometimes, it's related to children just having a
smaller bladder capacity than their peers. That can contribute to it as well.
In some instances there can be an abnormality in a hormone called ADH
that regulates the production of urine overnight. In other instances, children
who have significant bladder and bowel dysfunction during the day can have
problems with bedwetting at night. Symptoms associated that with that would
be constipation, urinary urgency frequency, wetting accidents during the
day, prolonged holding of urine during the day, recurrent urinary tract
infections. Sometimes the if the child has sleep
apnea or snoring, that is also a known risk factor for urinary tract infection.
And then finally, there are various other medical conditions that can that can
contribute to bedwetting but for most of these children, they have primary
enuresis of the kind of the traditional bedwetting that we think of where the
kid has just never become dry at night. You're watching, Ask Us Anything About
Bedwetting in Children. For Penn State health I'm Scott Gilbert,
alongside Dr. Amy Burns, she's a pediatric urologist at Penn State
Children's Hospital. We also have Karen Thompson, she's a nurse practitioner in
pediatric urology. We welcome your questions in your comments and the
comment field below this Facebook post. Whether you're watching this video live
or if you're watching on playback. Feel free to ask some of those questions and
we'll get the answers here from the experts. You know, I think one question
that a lot of parents watching probably have, Karen, is when is it time to
possibly have your child evaluated? When is it time to talk to the pediatrician
about this versus just writing it off as something that he or she will grow out of?
I think the biggest consideration there is whether or not it bothers the child.
If they're not bothered by it, medically, this problem does not hurt them.
It certainly can be a psychological problem and if they're waking up feeling
bad about themselves. I think it's time to consider referral to a urologist
When that referral takes place Dr. Burns, tell me about the steps that you take to
evaluate the child as to whether or not treatment may be necessary. For the
initial evaluation for these children, it involves a good history and physical
exam along with a collection of data about their daytime voiding habits and
their your urologic history and then really just checking a urinalysis so
dipping their urine and checking for protein or signs of infection any other
abnormalities I really reserve any sort of imaging like ultrasounds to look at
the kidneys and bladder or any neurologic imaging like MRI if
there's the significant problems with daytime voiding dysfunction or a
neurologic abnormalities seeing on physical exam then that would prompt
other studies but for the most part the initial evaluation is just history
physical exam in your analysis. You're watching Ask Us
Anything About... Bedwetting in Children from Penn State Health. If you find this
information valuable, we encourage you to share this post on your Facebook feed.
Think of all the parents out there pretty much every parent encounters this
issue at some point so, we're trying to give you some
good information on that and we welcome your questions as we do so here for
Dr. Amy Burns and for Karen Thompson. Karen, can we talk a little bit about some of
the treatments? There's a range of different treatments and I imagine it
could depend on kind of what the cause is but you talked about some of the most
common treatments that are utilized in the clinic setting? In, general we have
three treatments. One, do nothing because again this does not harm the child.
Number two, there are bed alarms. This is a device that is clipped to the
child's underwear and it's senses when there's wetness and sets an alarm off.
The child then wakes up and goes to the bathroom and finishes peeing. There will
be a little bit in the bed and over time, less in the bed more in the toilet.
And this has a very good success rate. It is a lot of work though. A lot of these kids
are very very sound sleepers so that alarm is waking up other kids. Loud alarm?
Yes. And the child with the problem may sleep right through the alarm. So,
I've seen behavior modification as a form of treatment. That sounds like it
fits into that category. Right and with any of these
treatments, we recommend kids have nothing to drink two-hours before
bed and make sure they empty their bladder well before bed. There's also a
medication DDAVP. Dr. Burns, tell us a bit about what that medication can do and
when it might be time to go that route. Yeah, DDAVP is very effective. It
doesn't cure bedwetting per se. It basically treats the symptom which is
overproduction of urine in children. It's basically a mimic of the hormone
that your body naturally makes. It's very safe in children. It can be increased or
decreased to have a desired effect. About 30% of children will become completely
dry on DDAVP with another 40% that will have significant improvements. It's also
really nice for kids that are just interested in being dry when they
go to slumber parties or they're going on vacation where they might be in
social situations we're wetting the bed would be embarrassing for the child. But
it doesn't actually cure the bedwetting. And then periodically we'll try to wean
the child off of the medication and see if they've outgrown it. Whereas you know
the urine alarm actually can can cure the bedwetting. You're watching Ask Us
Anything About... Bedwetting in Children from Penn State Health and Penn State
Children's Hospital. We have a comment here from Marie. She says, thank you for
talking about this. I have a seven-year-old who pees the bed almost
every night. So, I imagine again, there are a lot of parents out there kind of
wondering at what point is that something I should be concerned about?
Is it age six? Is at age seven? Is it eight or does it just really depends on the Child
I suppose? Yeah, I think it really depends on the child. I think, you know, age
five for girls, age seven for boys, are kind of the rough cut offs that I use
because more boys tend to wet the bed a little bit later. You know, I tell
families when they asked me about this you know if the child's not bothered,
then neither am I. And I won't intervene and treat but occasionally
sometimes it children are bothered by it and so we try we do our best to reassure
them that this is a normal behavior. We think that there's just an immaturity
between the bladder and brain communication. The child has no control
over it. I think it's always reasonable to you know offer reassurance since the
spontaneous resolution rate is so high, oftentimes people feel better just
knowing that. And then, doing the simple behavioral changes like the fluid
restriction but just making sure that they're drinking enough throughout the day.
Making sure they don't have any daytime issues particularly with
constipatio. A lot of people don't think their children are constipated and yet
when you start asking questions about the children having hard stools,
straining, I'm having a belly pain, having very large stools, you start to see the
the kid actually does have significant problems with constipation even if
they're they're pooping every day . So your talking about fecal issues but those do
have a connection to urinary issues as well? Yeah, absolutely, and I
describe it to people as being a real-estate issue the rectum sits right
behind the bladder and if it's filled with stool then at nighttime, the bladder
just can't expand to fill with urine instead and oftentimes kids that are
have constipation also have urinary problems during the day. And I really
think for any parent that's going to commit to the urine our alarm
or use DDAVP, it's very very important to make sure that any daytime voiding
issues like constipation or lower urinary bladder symptoms are treated
because any intervention for nighttime weighing is bound to be much more
successful after constipation and daytime voiding dysfunction are remedied.
We see that probably in twenty to thirty percent of our children. And Karen, on
rare occasion bedwetting may be a sign, not in all cases, but in some it may be a
sign of more serious underlying medical issue. Can you talk about what some of
those issues might be? I can throw that to Dr. Burns? Yeah, I mean, it's such a wide range of it.
If it's a spinal anomaly, you know, we would send them off to neurosurgery
and be a big workup. I would say the vast majority of these kids do not have an
underlying issue. It can be associated with, you know, most of the kids they
don't, so just to reassure the parents and our audience but if we do detect
something abnormal and physical exam or they have significant daytime voiding
issues or they have secondary enuresis where they might have been dry
for a period of six months and then started to wet the bed again that's also
a little bit more concerning for the child may be developing something like
diabetes or have some sort of chronic kidney disease and so, for the
most part, these kids are healthy children and it's a very common
behavior and children. Good to know and for that reason I know we talked a bit
of earlier about praising and things you should and even should not praise a
child for. So, if a child who typically wets the bed has a dry night, that's
actually not a good reason to praise them. Right Karen? Correct. Because you know
then they're going to feel even bad. May feel even worse when they have a wet night.
The dry night is out of their control as well. They do have control
about limiting fluids in the evening and always emptying their bladder well.
So those are things you can praise the child for. Yeah, absolutely. So if the
child has a daytime peeing and pooping problems, if they're peeing on a schedule,
relaxing when they pee, taking their time, drinking fluid throughout the day,
eating their fiber gummy bears or whatever treatment is being used for constipation,
then you can praise the child for that. And that and of itself is
effective for treating a good number of kids with a bedwetting. But you got to
be careful about praising the child when they just wake up dry because just like
waking up wet and they don't have control over either situation and like
Karen said, you do run into a trouble if you know you're praising the child and
cheering them for a dry night and then the next morning they're wet again,
they're going to feel bad. And really, like I know we've said
this already, but they really have no control over whether or not they
wet the bed and it's a normal thing for kids to do so we really wanted to emphasize that today.
It's an important takeaway here as we wrap up.
So, thank you both for your time and thanks for all the great information today.
We did get a comment from Megan she commented to thank Dr. Burns for caring
for her son. I'm sure that's always great to hear. Thank you, that
makes me happy! Thank you for your comment Megan.
Thanks to the others who commented and we appreciate you watching this edition of
Ask Us Anything About... Bedwetting in Children. If you want more information
about pediatric urology at Penn State Children's Hospital, you can go online to
Childrens.PennStateHealth.org that's Childrens.PennStateHealth.org
Children's, plural Penn State Health dot org. Just a reminder,
If you find this information helpful make sure you subscribe to this Facebook page so that
we can provide you with more updates and you can follow everything going on here
and the good information from Penn State Health Milton S. Hershey Medical Center
One other question that just popped in... What if your child is aged 12 and still wets the bed?
[Sorry - Lost connection - See Facebook comments for answer]
-------------------------------------------
[ENG CC] [RECIPE] how to make Basic Baking Castella Sponge Cake Recipe /EJ recipe - Duration: 3:23.
Put sugar and honey in the egg yolk and whip it till it becomes cream color
Put sugar in the egg white and whip till stiff peak Put sugar into two- three times
Carefully put the egg white into the egg yolk and ligthly fold it in
Put flour through the sieve and fold it in with a spatular
Make sure to mix all the flour at the bottom of the bowl
mix the melted butter and milk and put a little bit of the batter and mix them
put the milk and oil mixture into the batter back again
This prevents oils and water from separating
pour the batter into the lined tray from high up
and release the air bubbles with a toothpick
Bake it for 35 mins at 170℃/338℉. Check the temperature before you bake
Flip the cake and let it cool
Take off the baking sheet when it cools down and make sure to wrap it with plastic wrap to put it in the fridge
You can enjoy it with fluffy texture when it's just baked and it becomes a bit moist and gooey,when it's been in the fridge for a few days
The cake at the final cut has been in the fridge for two days. Just so that you guys know:)
I followed basic nagasaki kasutera recipe
and it's the best paired with milk!!
See you guys in my next video! Bye:)
-------------------------------------------
"A.V.N CYPHER" - AVN TEAM ( Prod. by Masew ) - Duration: 3:44.
For more infomation >> "A.V.N CYPHER" - AVN TEAM ( Prod. by Masew ) - Duration: 3:44. -------------------------------------------
Control the mood to make children more obedient - Duration: 10:32.
For more infomation >> Control the mood to make children more obedient - Duration: 10:32. -------------------------------------------
Kia cee'd 1.6 GDi 5drs Businessline met 17 inch velgen en 7jr. Garantie!!! - Duration: 0:42.
For more infomation >> Kia cee'd 1.6 GDi 5drs Businessline met 17 inch velgen en 7jr. Garantie!!! - Duration: 0:42. -------------------------------------------
David Guetta Feat. Justin Bieber - 2U (Ukulele Cover) (With Chords) - Duration: 4:26.
No limit in the sky That I won't fly for ya
No amount of tears in my eyes That I won't cry for ya, oh no
With every breath that I take I want you to share that air with me
There's no promise that I won't keep I'll climb a mountain, there's none too steep
When it comes to you There's no crime
Let's take both of our souls And intertwine
When it comes to you Don't be blind
Watch me speak from my heart When it comes to you
Comes to you
Want you to share that (When it comes
to you)
Cupid in a line Arrow got your name on it, oh yeah
Don't miss out on a love And regret yourself on it, oh
Open up your mind, clear your head Ain't gotta wake up to an empty bed
Share my life, it's yours to keep Now that I give to you all of me, oh
When it comes to
you There's no crime
Let's take both of our souls And intertwine
When it comes to you Don't be blind
Watch me speak from my heart When it comes to you
Comes to you
Want you to share that (Share) When it comes to you
Want you to share that
When it comes to you There's no crime
Let's take both of our souls And intertwine
When it comes to you Don't be blind
Watch me speak from my heart When it comes to you
Comes to you
-------------------------------------------
Skyforge PS4 - The Mechanoid War Announcement Trailer - Duration: 0:57.
For more infomation >> Skyforge PS4 - The Mechanoid War Announcement Trailer - Duration: 0:57. -------------------------------------------
Most Necessary Fasteners Restagraf : the essential to repair bodywork elements - Duration: 1:44.
For more infomation >> Most Necessary Fasteners Restagraf : the essential to repair bodywork elements - Duration: 1:44. -------------------------------------------
La vie en C #5 : Jailbreak - Duration: 2:51.** swearing and other filthy language **
What you are about to see isn't exactly legal
So don't be an idiot
That is my job
Hardly any open space left
More and more homeless people
But buildings build with tax-money
stay empty
time to take them back
-------------------------------------------
[ENG CC] [RECIPE] how to make Basic Baking Castella Sponge Cake Recipe /EJ recipe - Duration: 3:23.Put sugar and honey in the egg yolk and whip it till it becomes cream color
Put sugar in the egg white and whip till stiff peak Put sugar into two- three times
Carefully put the egg white into the egg yolk and ligthly fold it in
Put flour through the sieve and fold it in with a spatular
Make sure to mix all the flour at the bottom of the bowl
mix the melted butter and milk and put a little bit of the batter and mix them
put the milk and oil mixture into the batter back again
This prevents oils and water from separating
pour the batter into the lined tray from high up
and release the air bubbles with a toothpick
Bake it for 35 mins at 170℃/338℉. Check the temperature before you bake
Flip the cake and let it cool
Take off the baking sheet when it cools down and make sure to wrap it with plastic wrap to put it in the fridge
You can enjoy it with fluffy texture when it's just baked and it becomes a bit moist and gooey,when it's been in the fridge for a few days
The cake at the final cut has been in the fridge for two days. Just so that you guys know:)
I followed basic nagasaki kasutera recipe
and it's the best paired with milk!!
See you guys in my next video! Bye:)
-------------------------------------------
Pz.Kpfw. S35 739 (f). 14 frags - Medal of heroes Razeynaya. - WHAT WAS IT ??? 🔝 world of tanks - Duration: 10:51.
20fps wot-tv
Pz.Kpfw. S35 739 (f)
14 фрагов - Медаль героев Расейняя.
ЧТО ЭТО БЫЛО ???
world of tanks
wot
мир танков
-------------------------------------------
How to Talk to Girls (For Shy Guys) ► The 4 Rules of Verbal Game (ft. RSDMax) - Duration: 5:27.
- How do you maintain conversation with a girl?
Not just open it, but actually maintain it
and keep the conversation flowing
especially if you don't have a particularly
interesting life or you believe that you don't
have a particularly interesting life?
- Easy, I call this the Four Rules of Verbal Game.
Number one is it's not about what you say,
it's about how you say it.
And that first rule is kind of divided
into three sub parts.
Paint pictures in their head,
write songs in their head,
and talk about your feelings.
Like you just said, oh I don't have an interesting life.
Like okay, describe her how you woke up in the morning
and you walked, you got to work.
Shitting on a five job.
Now you can say, okay, I woke up, got into my car,
and I guess I drove to my job.
That's not rule number one, so what I would say is,
I woke up in the morning because there was this like
little sun ray coming through the window
and it was kind of tickling my nose.
I woke up, I had a healthy breakfast,
I chugged down some hot, freshly brewed coffee
and I rolled down the windows in my car
and I breathed the spring air.
It felt good and on the radio, got my favourite song
and I felt pumped because hell yeah,
I'm on my way to work, it feels good.
Later on, I'm gonna hit the gym.
I felt like I arrived, you know,
I felt like I'm doing things I'm supposed to do
and I'm contributing to something bigger.
Or if you hate your job, you can be like,
I feel like I'm in this prison and I need to get out.
I wanna be free, I wanna fly like a butterfly.
That way sounds a lot better because I'm painting pictures.
I'm describing what it looks like.
The sun ray tickling my nose.
I'm rolling down the window, right.
I hear the wind coming in.
I talk about my feelings.
I felt free, I felt awesome, I felt energetic.
That way you can make something very boring,
sound very, very interesting.
That's just rule number one though.
Rule number two is talk about your passions.
Here's the thing, girls don't care what your passion is.
If it's extreme sports, if it's chess or anime.
It doesn't matter if it's something cool or not.
For girls it's just important that the guy has
this glaring fire in his chest.
That's what's important for her.
She just wants to know is the guy passionate
about something 'cause if he's completely passionless,
he's not gonna fuck you up.
A guy talking about his passion is like a preview
of what it looks like when she has sex with him.
If he's just like yeah, I kinda,
I'm a freestyle snowboarder, I guess,
it's pretty cool, I fly through the air.
Doesn't sound very interesting, but if a guy talks
about mathematics in a passionate way.
Listen to mathematics, he explains the entire universe.
Sometimes I'm just sitting down on a empty sheet
of paper and I'm starting to make calculations
and the whole world starts making sense to me.
It makes you feel like I have the inside,
like I have control, mathematics.
And the girl's like, oh my god,
mathematics sounds so cool.
Rule number three is no filters.
Here's the thing, you always run out of things to say
with girls, right.
Funny, you never run out of things
when you hang out with your loser friends.
Or your fucking family because you don't have
an agenda there.
You're like this is my family, they can't run away,
they can't reject me, right, so you just talk.
But with girls, you're like,
you wanna say something and you're like (gasps)
you're running through the filter.
Is it cool, is it interesting, will I trigger attraction?
No, fuck that.
Just talk, just say whatever the fuck you want.
Girls feel that.
This guy has nothing to lose.
Girls feel like holy shit,
this guy can talk about anything.
Rule number four is the free associations.
I call it exchangeable associations.
Whatever the girl says, pick one word
and say the first thing that comes up to your mind.
She's like oh, yeah, you ask her,
do you come here often, yeah, I come here often.
You can pick yes, come, here, often.
Let's say we pick often and I'm like,
yeah, know where I go often?
I go to the gym often, it's quite interesting
because there's a lot of weights there.
Now you think weights, gym, a lot.
You know what else is a lot?
The pizza store right next to the gym actually
has a lot of pizza.
Every time I'm going out there, I smell the good pizza
and I have to resist.
The resistance is a bitch.
Actually I just watched Rogue One
where they talk about the Resistance rise, cool.
So Resistance Movement about the atom pay roll forces
and it kind of blends into Episode IV: A New Hope,
I don't know, I'm a nerd.
I know you girl probably haven't seen any of those movies,
but I'm a nerd.
You know who else is a nerd?
Elon Musk, right now he's doing this tunnel system
that connects Los Angeles and San Francisco,
isn't that crazy?
Just drive through a tunnel
and not through shit fucking traffic.
Traffic here is actually pretty all right.
I was thinking about getting a helicopter,
but then I was like, no, I don't know how
to fly a helicopter.
I wish it would be like in the Matrix
where you just download the programme
to steal a helicopter (dialogue drowned out by laughing).
Boom, right now I talked about 50 different things.
Here's the thing, if you as a guy,
like but that makes no logical sense,
there's no coherence.
Yeah, have you ever listened to a girl talk
(dialogue drowned out by laughing and clapping)
- So fucking right.
(laughing)
Thanks for watching, guys.
That was a snippet from the podcast
with RSD Max, an executive dating coach
for Real Social Dynamics.
The full podcast will be released in July,
so get pumped.
I cannot wait to start the podcast for you guys.
We've got some seriously amazing guests.
I'm just so fucking pumped for it,
you're gonna love it.
Also check out my new website, BrandonNankivell.com
where you'll find my top 40 book recommendations,
my consulting services, and an opportunity
to sign up for my newsletter.
I'll send you three golden nuggets
from the books I'm reading directly to your inbox each week.
Have a good one, guys.
-------------------------------------------
Toy Box 🎁 Box of Toys 💥 Toy Collection 🐓 Kids Toys 🎈 Learn Animals 🦀 Nursery Rhymes - Duration: 13:27.
Learning Animals
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