DAY: MAY 20 2024
5-20-2024

Why nightmares and ‘daymares’ could be early warning signs of autoimmune disease

An increase in nightmares and hallucinations—or ‘daymares’—could herald the onset of autoimmune diseases such as lupus, say an international team led by researchers at the University of Cambridge and King’s College London. The researchers argue that there must be greater recognition that these types of mental health and neurological symptoms can act as an early warning sign that an individual is approaching a “flare,” where their disease worsens for a period.
5-20-2024 Yoga and meditation-induced altered states of consciousness are common in the general population, study says
Yoga, mindfulness, meditation, breathwork, and other practices are gaining in popularity due to their potential to improve health and well-being. The effects of these practices are mostly positive and occasionally transformational, yet they are known to sometimes be associated with challenging altered states of consciousness. New research by a team including investigators from Massachusetts General Hospital reveals that altered states of consciousness associated with meditation practice are far more common than expected. Although many people reported positive outcomes, that were sometimes even considered transformational, from these experiences, for a substantial
5-20-2024 Examining the benefits of out-of-network care for pediatric moyamoya
Total in-episode expenses and resource use before the index surgery (preop) and including/after the surgery (postop). The comparisons are separated for analysis into (A) single institution cohorts (1 and 2) and (B) multi?institution cohorts (3 and 4). Moyamoya disease is a rare condition that affects the blood vessels in the brain, especially in children. Narrowing and blockage of vessels significantly increases the risk of stroke and requires surgical revascularization for treatment. Although research shows that outcomes of revascularization are better
5-20-2024 Study explores links between social media use, mental health and sleep quality
The more time you spend on social media, the greater the likelihood of having unpleasant social-media related dreams that cause distress, sleep disruption and impact our peace of mind. Flinders University’s Reza Shabahang says that the vast and rapid adoption of social media has the potential to influence various aspects of life, including the realm of dreaming. “As social media becomes increasingly intertwined with our lives, its impact extends beyond waking hours, and may influence our dreams,”
5-20-2024 How are asthma and heart health linked?
Although the heart and lungs are neighbors in your chest, people may think of them as separate entities with unrelated problems. But a growing body of evidence suggests that asthma—one of the most common lung disorders—is a risk factor for cardiovascular disease. Asthma is a serious chronic disease in which airways are inflamed, often in response to specific triggers. It affects about 25 million people in the U.S., including nearly 5 million children, causing millions of annual visits to doctors’ offices and emergency rooms. “We call these major changes
5-20-2024 STUDY EXPLORES PATIENT TRUST IN PHYSICIANS
Trust in one’s physician drives positive health practices. In a scoping review, SUNY Poly Professor of Sociology Dr. Linda R. Weber discovered new developments in the measurement of trust, identified those measures of trust that have known reliability and validity, and compared those instruments’ conceptualizations, dimensions, and indicators. The paper is published in the journal PLOS ONE. Weber explains that 10 dimensions emerged from the study: fidelity, technical competence, communicative competence, interpersonal competence (i.e., caring), honesty, confidentiality, global, behavioral, fairness, and system trust/accountability. In addition, these findings provide the foundation
5-20-2024 TIMESAVING TIPS FOR COOKING HEALTHY MEALS
Living a busy, fast-paced life can make it hard to find the motivation to cook a healthy meal at home. However, learning some shortcuts in the kitchen can keep your healthy eating goals on track and help you avoid grazing on unhealthy snacks, grabbing the first thing you see in the fridge or going out for fast food. Why cook at home? Research shows that maintaining a healthy weight is challenging when you eat out too frequently. Restaurant portions often are super-sized
5-20-2024 UNDERSTANDING PERIMENOPAUSE VS. MENOPAUSE
Menopause marks a significant transition for women, yet understanding its precursor, perimenopause, and its symptoms can be complex. Dr. Stephanie Faubion, director of Mayo Clinic’s Center for Women’s Health and medical director of The Menopause Society, says experiencing perimenopause and menopause can be confusing for some. She says it is not only patients who may find it confusing, but medical providers as well, due to lack of training in menopause management. “Menopause is defined by no menstrual cycle for a year,” says Dr. Faubion.
5-20-2024 LOW-DOSE IRON SUPPLEMENTATION HAS NO BENEFIT FOR BREASTFED INFANTS, SHOWS STUDY
The American Pediatric Association recommends iron supplements to all healthy infants who breastfeed longer than four months, while its European counterpart, Society of Gastroenterology, Hepataology and Nutrition, does not recommend it. These deviating guidelines stimulated researchers to design a new study. Breastfeeding is strongly recommended, and the proportion of children are breastfed during the first half of life is high. The researchers wanted to determine whether breastfeeding babies could benefit from extra iron.
5-20-2024 ALLERGY MEDICATIONS COME WITH HAZARDS: BE AWARE
People with seasonal allergies often turn to over-the-counter and prescription medicines to relieve symptoms like coughing, sneezing, runny nose, congestion and itchy eyes, nose or throat. But they often aren’t aware that these meds—including antihistamines—have as much risk for potential side effects, drug interactions and overdose as other drugs. “All medicines have side effects associated with them even when they are taken appropriately and according to dosing directions on the label,”
5-20-2024 I CAN’T AFFORD OLIVE OIL—WHAT ELSE CAN I USE?
If you buy your olive oil in bulk, you’ve likely been in for a shock in recent weeks. Major supermarkets have been selling olive oil for up to A$65 for a four-liter tin, and up to $26 for a 750 milliliter bottle. We’ve been hearing about the health benefits of olive oil for years. And many of us are adding it to salads, or baking and frying with it. But during a cost-of-living crisis, these high prices can put olive oil out of reach. Let’s take a look at why
5-20-2024 Researchers uncover biological trigger of early puberty
Heather Brenhouse, associate professor of psychology, says disrupting the caretaker relationship can really traumatize a child or a developing rodent. Credit: Ruby Wallau/Northeastern University New research conducted by the Brenhouse Lab reveals how early life adversity triggers early puberty and late-life anxiety, paving the way for potential interventions. The onset of puberty has been creeping downward for decades. In the United States, the average age of girls reaching puberty ranges from 8.8 to 10.3 years old. The early start of puberty, which is associated with many health risks, can be
5-20-2024 Bioluminescence and 3D-printed implants shed light on brain–spinal interactions
Brain-spinal cord duet’s neurodynamic symphony is now accessible to scientists via novel multi-organ implants. Credit: Dmitrijs Celinskis A sensory process such as pain is no ordinary phenomenon—it’s a symphony of neural and vascular interactions orchestrated by the brain and spinal cord. Attempting to dissect this symphony by focusing on a single region is like trying to understand a complex melody by listening to just one instrument. It’s incomplete, potentially misleading, and may result in erroneous conclusions. Enter the Carney Institute’s team of visionaries. Their mission? To develop tools that allow
5-20-2024 New thesis explores cancer treatment that can prevent relapse
. What is the main focus of your thesis? Relapse following initial treatment efficacy remains a major clinical challenge for many cancers. The focus of my thesis has been to explore the therapeutic impact of immune cells in patients with blood cancer (leukemia), by first investigating which cells
5-20-2024 New study reveals health and social benefits of car-free living
Participating in a three-week car-free challenge has enhanced the health and well-being of Oxford residents, according to research conducted by The University of Bath’s Centre for Climate Change and Social Transformations (CAST), in partnership with climate charity Possible and Low Carbon Oxford North (LCON), conducted this research project. After ditching their cars for three weeks, 10 out of the 12 drivers across Oxford who participated said they plan to continue with reduced car use beyond the project. The findings of this research project show that: Day-to-day transport emissions were slashed
5-20-2024 Research shows linked biological pathways driving skin inflammation
A certain biological pathway—a set of linked reactions in the body—drives the inflammation seen in the skin disease psoriasis, a new study finds. The work could lead to improved therapies for all inflammatory skin diseases, including atopic and allergic dermatitis and a type of boil called hidradenitis suppurativa, say the study authors. The findings are published in the journal Immunity. Inflammation is the body’s natural response to irritation and infection, but when out of control, it can lead to the reddish, flaky, itchy lesions that
5-20-2024 Prescription co-payments linked to more hospital admissions in New Zealand, study finds
A new study from researchers cautions that bringing back the $5 co-payment for prescription medicines could see a jump in hospital admissions. The study analyzed health data for 71,502 people and found those who didn’t pick up a prescription because they couldn’t afford the $5 fee had a 34% higher rate of being admitted to hospital.
5-20-2024 How a simulation is informing COVID-19 vaccine policy after our ‘return to normal’
As the saying goes “There is no such thing as normal” and this has been especially true after the pandemic. Before the emergence of the omicron COVID-19 variant, countries like the U.K. had high vaccination coverage along with widespread exposure to COVID-19 in the population. This combination of vaccine and infection-derived immunity is termed hybrid immunity and is different to vaccine immunity or infection immunity alone. In contrast, other countries, including Australia, New Zealand and those in the Western Pacific, had a very different pandemic experience.
5-20-2024 Researchers find intriguing connections between Alzheimer’s disease and other common conditions
A study has found that while some medical conditions appear to increase our likelihood of developing Alzheimer’s disease, others appear to decrease the odds. The study, led by Dr. Yijun (Nicholas) Pan and Dr. Liang Jin, analyzed data from 2,443 older Australians living in Melbourne or Perth who are part of the Australian Imaging, Biomarker and Lifestyle (AIBL) study, an internationally recognized cohort for dementia research. “We found anxiety and other neurological disorders are associated with increased likelihood of Alzheimer’s disease,” Dr. Pan said.
5-20-2024 Prepping autistic or sound-sensitive kids for cicada noise
As Chicagoans await the emergence of the cicadas, parents of children on the autism spectrum and/or who have sensitivities to sound can take a few steps to prepare for what is expected to be a loud summer. “Some children on the spectrum can struggle with loud or unexpected noises, such as toilets that automatically flush, fireworks around the Fourth of July or the emergence of a large number of cicadas,”
5-20-2024 Study highlights importance of screening for rare inherited iron metabolism defects
Over 40% of cases curated based on stringent clinical and laboratory criteria from the Indian subcontinent have an inherited iron metabolism defect on comprehensive genomic evaluation, report investigators in The Journal of Molecular Diagnostics. Although iron deficiency anemia is the most prevalent form of anemia globally,
5-20-2024 Study finds tyrosine kinase Csk promotes germinal center B cell survival and affinity maturation
The authors found that Csk (a tyrosine kinase that attenuates B cell receptor signaling) is required for germinal center maintenance and efficient antibody maturation. The immune system strikes a fine balance by identifying and neutralizing disease-causing agents while carefully avoiding destruction of healthy tissues and cells. Now, researchers from Japan have shed new light on one of the processes that helps train immune cells to act only against genuine threats.
5-20-2024 Significant gaps between science of obesity and the care patients receive, say experts
As research continues to produce evidence about the underlying causes of obesity and optimal strategies to treat and manage obesity have evolved, there are disparities in application of the latest scientific advances in the clinical care that people with obesity receive. Widespread adoption of current findings, consistency of care and expertise in obesity care varies by health care professional and institution.
5-20-2024 Improving online depression treatment
Symptom course of depression for individuals who dropped out of treatment and those who completed treatment. In the dropout group, there is an initial decrease in symptoms while the patients were still in treatment, which tapers off as they drop out. For completers, there is close to a linear change over time. This suggests there is a relation between the more that an individual continues to participate in ICBT and their depressive symptom improvement.
5-20-2024 Women face worse chronic kidney disease management in primary care
Women receive worse primary care-based chronic kidney disease (CKD) management than men, according to a research letter adult patients with CKD receiving primary care at 15 practices using electronic health record data to examine sex disparities in guideline-based CKD management
5-20-2024 Bisoprolol does not reduce exacerbations in at-risk COPD patients
For patients with chronic obstructive pulmonary disease (COPD), bisoprolol does not reduce the number of self-reported exacerbations treated with oral corticosteroids, antibiotics, or both, according to a study
5-20-2024 Anticancer potential of CLK kinase inhibitors 1C8 and GPS167 via EMT and antiviral immune response
The diheteroarylamide-based compound 1C8 and the aminothiazole carboxamide-related compound GPS167 inhibit the CLK kinases, and affect the proliferation of a broad range of cancer cell lines. A chemogenomic screen previously performed with GPS167 revealed that the depletion of components associated with mitotic spindle assembly altered
5-20-2024 Study sheds light on bacteria associated with pre-term birth
Researchers from North Carolina State University have found that multiple species of Gardnerella, bacteria sometimes associated with bacterial vaginosis (BV) and pre-term birth, can coexist in the same vaginal microbiome. The findings, published in mSystems, add to the emerging picture of Gardnerella’s effects on human health. Gardnerella is a group of anaerobic bacteria that are commonly found in the vaginal microbiome. Higher levels of the bacteria are a signature of BV and associated with higher risk of pre-term birth, but it is also found in women who have no sign
5-20-2024 New AI model uses federated learning for multi-organ segmentation based on medical image data
Researchers have successfully developed the technology that can accurately segment different body organs by effectively learning medical image data used for different purposes in different hospitals, which is expected to greatly contribute to the development of large-scale medical AI models in the future.
5-20-2024 Second Phase 3 clinical trial again shows dupilumab lessens disease in COPD patients with type 2 inflammation
Chronic obstructive pulmonary disease patients with type 2 inflammation may soon gain access to a new drug—dupilumab—that showed rapid and sustained improvements in patients in a pivotal Phase 3 clinical trial, researchers report in the New England Journal of Medicine. This monoclonal antibody is the first biologic shown to improve clinical outcomes in COPD. The data supporting the use of dupilumab in COPD will be reviewed by the United States Food and Drug Administration in June. The disease improvements—as measured by a significantly lower annualized rate of acute exacerbations
5-20-2024 New AI model uses federated learning for multi-organ segmentation based on medical image data
Researchers have successfully developed the technology that can accurately segment different body organs by effectively learning medical image data used for different purposes in different hospitals, which is expected to greatly contribute to the development of large-scale medical AI models in the future.
5-20-2024 Second Phase 3 clinical trial again shows dupilumab lessens disease in COPD patients with type 2 inflammation
Chronic obstructive pulmonary disease patients with type 2 inflammation may soon gain access to a new drug—dupilumab—that showed rapid and sustained improvements in patients in a pivotal Phase 3 clinical trial, researchers report in the New England Journal of Medicine. This monoclonal antibody is the first biologic shown to improve clinical outcomes in COPD. The data supporting the use of dupilumab in COPD will be reviewed by the United States Food and Drug Administration in June. The disease improvements—as measured by a significantly lower annualized rate of acute exacerbations

• 5-20-2024GALLBLADDER CANCER RISES AMONG BLACK AMERICANS AS CASES DECLINE IN OTHER GROUPS
• 5-20-2024US PEDIATRICIANS REVERSE DECADES-OLD ADVICE AGAINST HIV-POSITIVE MOTHERS BREASTFEEDING
• 5-20-2024UK REPORT FINDS COVER-UP OF DECADES-LONG INFECTED BLOOD SCANDAL
• 5-20-2024ASTRAZENECA TO BUILD $1.5 BLN CANCER DRUG FACILITY IN SINGAPORE
• 5-20-2024CHEMO FOR GLIOBLASTOMA ENHANCED BY TAPPING INTO CELL’S DAILY RHYTHMS
• 5-20-2024RESEARCH SHOWS THAT FERROPTOSIS, A FORM OF CELL DEATH, OCCURS IN SEVERE COVID-19 PATIENT LUNGS
• 5-20-2024BODY’S ‘MESSAGE IN A BOTTLE’ DELIVERS TARGETED CANCER TREATMENT
• 5-20-2024EARLY BLOOD GLUCOSE CONTROL FOR THOSE WITH TYPE 2 DIABETES CRUCIAL FOR REDUCING COMPLICATIONS, PROLONGING LIFE
• 5-20-2024GRID CELL RESPONSES TO THE ILLUSION OF SELF-LOCATION
• 5-20-2024RESEARCHERS DISCOVER TOP-DOWN SIGNALS IN BRAIN CIRCUITS REGULATING DEPRESSION
• 5-20-2024BENIGN NAIL CONDITION LINKED TO RARE SYNDROME THAT GREATLY INCREASES CANCER RISK
• 5-20-2024RESEARCHERS REVEAL PROMISING TREATMENT TARGET FOR RESISTANT BRAIN CANCER
• 5-20-2024NEW MECHANISMS UNDERLYING TUMOR VARIETY IN BRAIN CANCERS DISCOVERED
• 5-20-2024STUDY EXPLORES PATIENT TRUST IN PHYSICIANS
• 5-20-2024MOTIVATED BY LACK OF DIVERSITY IN NEUROLOGICAL STUDIES, SCIENTISTS LOOK TO ENSURE EQUITY IN BRAIN RESEARCH
• 5-20-2024FLUORIDE EXPOSURE DURING PREGNANCY LINKED TO INCREASED RISK OF CHILDHOOD NEUROBEHAVIORAL PROBLEMS, STUDY FINDS
• 5-20-2024STUDY SUGGESTS BOTH STEP AND TIME-BASED EXERCISE TARGETS ARE EQUALLY BENEFICIAL
• 5-20-2024MEDICAID ‘UNWINDING’ DECRIED AS BIASED AGAINST DISABLED PEOPLE
• 5-20-2024TIMESAVING TIPS FOR COOKING HEALTHY MEALS
• 5-20-2024UNDERSTANDING PERIMENOPAUSE VS. MENOPAUSE
• 5-20-2024LOW-DOSE IRON SUPPLEMENTATION HAS NO BENEFIT FOR BREASTFED INFANTS, SHOWS STUDY
• 5-20-2024IS IT BIRD FLU JUST AN ANIMAL THING, OR CAN PEOPLE CATCH IT?
• 5-20-2024SCIENTISTS USE NEW APPROACH TO DISABLE BRAIN CANCER CELLS’ ABILITY TO SURVIVE
• 5-20-2024RESEARCHER FINDS MOTHERS LIVE LONGER AS CHILD MORTALITY DECLINES
• 5-20-2024U-SHAPED LINK DETECTED BETWEEN ADOLESCENT BMI AND MENTAL HEALTH
• 5-20-2024AI CHATBOTS SHOW HIGHER EMPATHY, READABILITY IN RESPONDING TO CANCER QUESTIONS, STUDY FINDS
• 5-20-2024ALLERGY MEDICATIONS COME WITH HAZARDS: BE AWARE
• 5-20-2024GENETICALLY ENGINEERED PIG HEARTS TRANSPLANTED IN TWO BRAIN-DEAD PATIENTS REVEAL MORE ABOUT IMMUNE RESPONSE
• 5-20-2024I CAN’T AFFORD OLIVE OIL—WHAT ELSE CAN I USE?
• 5-20-2024HOW NEWBORN CHICKS ARE HELPING TO SETTLE A CENTURIES-OLD DEBATE ABOUT COGNITION AND OUR SENSES
• 5-20-2024STOMACH PARALYSIS RISK MAY RISE IN PEOPLE TAKING OZEMPIC AND SIMILAR DRUGS
• 5-20-2024WHY AUTISTIC PEOPLE MUST BE AT THE HEART OF AUTISM RESEARCH
• 5-20-2024OUR BODIES DON’T JUST MAKE GALL AND KIDNEY STONES—FROM SALIVA TO TONSILS, THESE ARE OTHER ONES TO LOOK OUT FOR
• 5-20-20241 IN 4 PARENTS SAY THEIR TEEN CONSUMES CAFFEINE DAILY OR NEARLY EVERY DAY
• 5-20-2024EX-CIGARETTE SMOKERS WHO VAPE MAY BE AT HIGHER RISK FOR LUNG CANCER
• 5-20-2024DOING DAILY CHORES AROUND THE HOUSE IS BEST ACTIVITY FOR INDIVIDUALS RECOVERING FROM COVID-19, SAY SCIENTISTS
• 5-20-2024NEW AI ALGORITHM MAY IMPROVE AUTOIMMUNE DISEASE PREDICTION AND THERAPIES
• 5-20-2024ALCOHOL USE DISORDER CAN BE TREATED WITH AN ARRAY OF MEDICATIONS—BUT FEW PEOPLE HAVE HEARD OF THEM
• 5-20-2024VITAMIN D DEFICIENCY TIED TO WORSE OUTCOMES WITH EARLY KIDNEY DISEASE
• 5-20-2024NEGATIVE LINK SEEN FOR OXIDATIVE BALANCE SCORE WITH CHRONIC KIDNEY DISEASE
• 5-20-2024ANDEXANET YIELDS BETTER CONTROL OF HEMATOMA EXPANSION THAN USUAL CARE, FINDS STUDY
• 5-20-2024STUDY FINDS FAT CELLS INFLUENCE HEART HEALTH IN CHAGAS DISEASE
• 5-20-2024PEDIATRICIAN EXPLAINS WHY INFANTS NEED BABY FORMULA INSTEAD OF COW’S MILK
• 5-20-2024HOW TELEHEALTH HAS IMPROVED THE LIVES OF PEOPLE WITH SUBSTANCE DISORDERS
• 5-20-2024RESEARCHERS DEVELOP FIRST HUMAN MINI-BRAIN WITH FULLY FUNCTIONAL BLOOD-BRAIN BARRIER
• 5-20-2024FROM INFECTION TO CHRONIC ILLNESS: LEARNING FROM LONG COVID
• 5-20-2024PLATELET BIOMARKERS SHED LIGHT ON POTENTIAL RISK FACTORS FOR SUDDEN INFANT DEATH SYNDROME
• 5-20-2024DO PATIENTS WITH DEVICE-DETECTED ATRIAL FIBRILLATION AND PRIOR STROKE BENEFIT FROM ANTICOAGULATION?
• 5-20-2024CONTRACEPTION OPTIONS SHOULD BE GIVEN WITH ORAL RETINOIDS TO AVOID SERIOUS HARM TO UNBORN BABIES, SAYS STUDY
• 5-20-2024STUDY REVEALS INEQUITIES IN MENTAL HEALTH SERVICES FOR JUSTICE-INVOLVED YOUTH AS THEY AGE
• 5-20-2024STUDY SHOWS EXERCISE SPURS NEURON GROWTH AND REWIRES THE BRAIN, HELPING MICE FORGET TRAUMATIC AND ADDICTIVE MEMORIES
• 5-20-2024RESEARCHERS DISCOVER BRAIN NETWORK THAT RECOGNIZES EMOTIONS
• 5-20-2024PHILLY HEALTH OFFICIALS DETECT A VETERINARY SEDATIVE MORE POWERFUL THAN XYLAZINE IN DRUG SAMPLES
• 5-20-2024PARC MODEL OF CARE ASSOCIATED WITH FEWER DEATHS AMONG VETERANS POST-ICU
• 5-20-2024CAR-T THERAPY IN PEDIATRIC LEUKEMIA
• 5-20-2024SPIROMETRY CLINICAL TRIAL ELIGIBILITY MAY DIFFER WITH RACE-NEUTRAL EQUATIONS
• 5-20-2024CAN PINK NOISE ENHANCE SLEEP AND MEMORY? EARLY RESEARCH DRIVES A COLOR NOISE BUZZ
• 5-20-2024NEW CRISPR SCREENING METHOD COULD REVEAL WHAT DRIVES BRAIN DISEASES
• 5-20-2024IS A GLOBAL PANDEMIC PREVENTION PACT WITHIN REACH?
• 5-20-2024NEW DEVICE HELPS PARAPLEGICS REGAIN PARTIAL USE OF HANDS
• 5-20-2024RELATIONSHIP STUDY SAYS PARENTAL ACCEPTANCE IN CHILDHOOD PREDICTS ABILITY TO FORGIVE AS ADULTS
• 5-20-2024SIMULATION-BASED TRAINING PROGRAM IMPROVES EVALUATION OF UNDESCENDED TESTICLES
• 5-20-2024UPTAKE OF FLU, WHOOPING COUGH, AND COVID-19 VACCINES REMAINS LOW AMONG PREGNANT WOMEN
• 5-20-2024NEW TOOL FLAGS HIDDEN SEXUAL STRUGGLES IN FEMALE PARTNERS OF PATIENTS WITH PROSTATE CANCER

I am looking for a group or place here in perth dedicated to practising reiki and not as a business. I took my master level in 2012 and i have been practising onand off ever since but now i really want to get back to improving my skills as a healer.

During 2009 i heard about reiki and quickly found a master to take an attunement. By 2010 i took my second attunement. Around 2012 i took a dodgy master level attunement (over the internet) someone who wanted to practice.
So coming to the present. I am really looking to get back at practicing reiki. I did practice on/off during all this years but now i feel like making a real effort in this. I just feel like its a step i need to take.
I practice gasso meditation, some days just taking a crystal beads or pendent and focus on dowsing, somedays just giving reiki to a bottle of water or some plants, some days just body scanning and self healing head to toe. Some days i just do tratak on the symbols and try to visualise the symbols in my mind as long as possible as if i can keep the steady image in my mind i dont need to draw it or speak of it(mainly because that how i was tought by my guru) not the dodgy one. I took my first 2 attunment by a guru in a temple.
Just want to hear from you all what sort of practice do you all do?
I have shifted to perth at the moment and just wondering if there is any group which practices reiki just for improvement and not as a business. Even online ones are okay around the world. would love to be a part.

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Given that we are in a huge wave of baby boomer retiring, where would I best find out about business owners willing to sell their business and pass on some of their knowledge?
I know seek has a sell your business section but all uploaded profiles seem to be via a broker. I’d like to bypass the broker and ideally meet business owners directly.
Some restrictions for me: Location Perth ; Purchase price up to about $1m; Professional services (manufacturing, resales, etc)
Any idea where one might meet or how one might get in touch with interested sellers?
EDIT: To clarify further: I’ve got a pretty well paying job (200k+) but my passion has always been to run my own business. My dad ran his own small business in hospitality which I was never interested in(in another country) and I’ve previously been an early employee in a tech startup and the state GM of another small business. I’m not going into this with a get rich quick idea, I know how hard it can be to build and run a business. However, I feel it’s now my time to follow my passion instead of grinding away at an interesting but not fulfilling job.

I am 56. May 22 will mark 3 months post op. Had my right hip replaced and my leg lengthened. I had a disease when I was 6 years old called Perthes Disease and had it operated on 3 times in about a year, maybe a little more than a year. I lost half the size of my ball joint, so because of that, my right leg was an inch shorter than my left. And over the years, because of that, my spine curved about 10 degrees and I lost all flexibility in my right groin. I was never able to cross my right leg and rest it on my left thigh/knee area. And due to how my ball joint was fused into the socket, my right foot pointed way to the right. My right leg was sort of turned outward.
So, the hope was to rectify those issues when I got my hip replaced finally. I've needed this done since I was 27. But I was told to wait it out until I got older, so I'd only have to do it once. So I dealt with a lot of pain over the years. And also being a rec. hockey player and golfer, I pretty much had to stop playing both. Golf I was able to get back into a little bit, but hockey was over. My back just wouldn't let me skate anymore.
So, here I am 3 months post op. My back is in brutal shape for one. It is super wonky. I had to drive yesterday for 6 hours and the last half hour I was in brutal pain because my right groin just didn't like how I held my leg in one place for that long. It was 3 hours there and 3 hours back, with a rest period of about 4 hours in between drives. My thigh muscle where it attaches at the pelvis is super tight and I limp because of it. And overall strength in both legs is extremely low. If I bend down to pet one of my cats or pick something up, for one, bending over is a mega chore and for two, getting back up is a huge struggle.
The doc says 6-9 months to full recovery. But it seems nothing has changed. My back and groin are in the same state they were in before the surgery. But now I have less strength in my legs and my muscles and tendons, ligaments etc, are all seemingly worse off than before.
Am I just being impatient? Or are my issues all normal and in 6-9 months things will be better?

Good morning and happy Monday. If you're new here, my name is Nick and I've been an active real estate broker in Ottawa for nearly a decade. I have experience in re-sale/pre-construction sales, international relocations, leasing, syndications and everything in between. I am also a past member of the Professional Standards & Ethics Committee for the Ottawa Real Estate Board. This is where I share weekly real estate statistics and local RE news. If you have any questions outside of the information shared here, please message me directly. The average information is still being tracked but will only be under the archived weekly updates for the sake of brevity.
Your resources

• Archived weekly updates here.
• New housing starts here.
• Ottawa Real Estate Board April market report here.
• High-rise developments under way here.
• City of Ottawa construction & infrastructure projects here.
• Worthwhile local real estate news here.
• Archived weekly updates here.

Below you'll find stats for both freehold, condominium and rental properties over the past several days in Ottawa. I have access to this information through MLS as a real estate broker. The average/median list price is for the sold/rented properties and all of these numbers reflect stats within Ottawa proper and do not cover areas such as Perth, Arnprior, Smith Falls, Brockville etc.
What defines an active listing: Properties that have been uploaded to MLS within the last several days or were conditionally sold and are now back on market (these properties are available for purchase).
What defines a conditional sale? Properties that have accepted a conditional offer within the last several days. At this stage, the property will either move to sold or back to active at the end of the conditional period. The conditionally accepted sold price is not yet known.
What defines a sold property? Properties that either accepted an unconditional offer or a conditional sale completed their conditional period in the last several days. The sold price is now a matter of public record.
What is DOM (Days On Market)? This is how long a property has been on the market at its current price.
What is CDOM (Cumulative Days On Market)? This is the total amount of time a property has been on the market and includes listing suspensions and cancelations provided that either does not exceed 45 days.
Freehold

• Number of active listings: 364
• Number of conditional sales: 154
• Number of sold properties: 217
• Median list price: $749,900
• Median sold price: $736,000 (98.15% of list price)
• Median DOM: 14
• Median CDOM: 18

Condos

• Number of active listings: 136
• Number of conditional sales: 89
• Number of sold properties: 88
• Median list price: $427,450
• Median sold price: $421,676 (98.65% of list price)
• Median DOM: 17
• Median CDOM: 19

Rental

• Number of active listings: 126
• Number of rented properties: 97
• Median list price: $2,550/month
• Median rented price: $2,550/month (100% of list price)
• Median DOM: 18
• Median CDOM: 18

If you don't want to miss my updates, please follow my account. Have a wonderful week and remember I'm always available to answer any and all questions you may have privately.

(I know it's not the main focus in the title but I'd also be super keen to talk to people in the UK, either London or somewhere in England or Scotland around like Edinburgh as there's a near 100% chance I'm moving there this year)
Hi everyone!
My name is Jack, I'm 21 and I'm a recent cyber security and forensics and internetworking and network security graduate, but I hope to go on for a few more years and do post grad studies! (this year my goal is to move to Edinburgh for my masters!)
Hobbies!: For the past few years I've been heavily into formula 1, never missing a race (even the 3 am ones and even worse, the 7 am ones!)
I also enjoy doing photography, I mainly do cars but I have recently started thinking about more landscape/urban photography.
Now for games! My main ones are Destiny 2, and rainbow six siege, (for those wondering my highest rank is diamond 3 (when rank actually meant something lol)), but I haven't been playing them much these days. I play heaps more than that but I can't think of them off the top of my head lol. To try and list some id say project zomboid is one I'm very into as of right now, that and hell divers 2. I really enjoyed elden ring so I want to try more souls like games. Red dead redemption 2 is amazing and my favourite game of all time is probably watch dogs 2.
I love JDM cars and unfortunately haven't been to a car meet in over a year now. My introduction to photography was through cars so if you'd like to see some of my photos do let me know! Most of my part time work went towards getting my dream car so I definitely plan on going to more meets!
As for what I look like I'm 5"11' brown hair that touches my shoulders and never acts normally. I am 75 ish kg and I have brown eyes. That's a basic description of me but if you want a picture that's not an issue.
I'm not really too good at writing these advertisements or making titles or finishing them off so I'll just say if I sound appealing to you or you wanna know more, feel free to shoot me a message! For those in WA I'm down in the Mandurah area but travelling up to Perth isn't an issue for me! And hopefully I see all you Scots later this year!
Thanks for reading! Stay safe people!!

Hei all,
I’m planning to hike the overland track next year but definitely not sold on it. Wonder what other tracks have you guys been on that takes the cake.
Being from Perth, Ive done the cape to cape twice, section of the bibbulman from mundaring to kalamunda and the stirling ridge walk 4 times.
Not afraid of a challenge but appreciate the ones where water is not a problem.
I’ve only got permission to be away for a 7 day hike, so larapinta is definitely out.
Im looking for recommendations from folks that have done the overland and other tracks nationally. I know overland is meant to be great, but just exploring my options for now before i need to make the booking.
Cheers

At first thought it's a no brainer considering how I'm allotting like 60% of my income toward rent and hardly saving at the moment, mum has a nice place with a room I could live in and pay minimal board.
I'm currently working two casual jobs with volatile hours, and only have about 6 grand saved up.
But the more I think about it the more I'm realizing that even if I were to move back there and save, I don't know, 20 grand in a year, and land a more stable job, where would that even get me?
I currently live in a small one bedroom place in the heart of the trendiest place in town and my rent whilst high for my earnings is actually very reasonable compared to what most people are paying.
Considering how even the most scummy shithole suburb in my city saw a median house price increase of over 20% in the last year, and the word on the street is that the prices in my city (Perth) will plateau with eastern prices since we're a honey pot for investors, I'm realizing that unless I land an extraordinarily high paying job I might never bloody leave mums place.
My parents had said they would help me out with a deposit, but they've recently had some financial strains themselves and now they're not really able to give me a timeline of when.
The part that annoys me the most is that they still have enough saved in the bank right now to buy an investment property that I and maybe someone else could rent, but they have some idea in their heads that prices are going to fall somewhat in the next year or two.
I guess the idea of living under the same roof as a parent after spending years on my own AND possibly never living by myself again is weighing heavy on my mind. I like having my own space and obviously its much better for dating life (not that I have much of that right now anyway but I like having the option at least)
What would you guys do?

I’ll go first. I’m doing terribly. I’m not okay today. I could barely get out of bed. I’m meant to be looking for jobs but I couldn’t focus on any of my applications, and all I can think about is what last night represented, and how familiar that deep seated feeling of dread is as the best chance we had to witness a premiership in Melbourne - by Melbourne - out of isolation where we can all be together - fades away.
It wasn’t a close loss, or a clutch loss, or that weird Brisbane loss after a (hugely successful) business trip, this was something else. It was darker and messier than that.
The player we tried desperately hard to trade for reduced us to a meme that’ll outlive a lot of our achievements as he made Gawn, Oliver and Trac look like clowns in the space of 5 seconds. Waterman’s display as a key forward, something we’ve sorely missed since Hogan, only twisted the knife further. His dominance against what’s touted as the best defence was a painful reminder of what we lack.
The early concussion of Lever, reminiscent of Brayshaw’s situation last year, disrupted our defence early on, setting the tone for the rest of the game. While it’s easy to fall back on excuses, the truth is we were simply outclassed by a team that, just last year, was at the bottom of the ladder. It’s a tough pill to swallow, acknowledging that last year’s wooden spooners showed more class, but that was the reality. Our historical head-to-head record against the Eagles only adds salt to the wound—they’ve bested us in 38 of 58 encounters, a stark reminder of our long-standing struggles and their long-standing success.
Judd and Reid feel like history repeating, and the Eagles feel like they have all the luck, and if he ever comes back to Victoria after many successes and accolades in Perth, he’ll probably snub Melbourne for the same reasons Judd did. He has ten clubs to choose from, six of them more glamorous than us.
As we look ahead, it’s clear that change is needed—not just in strategy (and cough personnel) but perhaps in spirit too. How do we rebuild not just a team, but our faith in this team? I find myself asking: What makes us loyal to Melbourne/Narrm, through thick and thin? It’s more than just the games; it’s the community and shared passion. Let’s channel our frustrations into hopeful energy for the next game. After all, resilience is forged in the face of adversity, and as fans, our support can be the unwavering force behind the team’s refusal to fade.
Because right now we look like we’re fading, and I’m fading with them, and it’s lonely and it hurts.

Hey guys! I'm a 27-year-old female currently on a student visa, pursuing my master's at a level 1 university. I moved to Perth on February 14th. My partner, a 31-year-old male, applied for a dependent visa on March 5th. We're both originally from Turkey.
It's now been over three months, and his application has been at the "further assessment" stage for a month and a half. We've provided ample evidence of our de facto partnership, including a joint bank account that's been active for over a year and proof that we've been living together for about two years. We've been in a legitimate relationship for at least two years and even have a dog together.
Could anyone share their experiences or provide some insight into when we might expect the visa to be approved? Thank you in advance!

I've been lucky to work with some great tech startups around the world. I moved to Perth from London for my partner and love the lifestyle and weather here. I'm thinking about buying a house and settling down.
But the tech scene in Perth is terrible compared to big cities. I'm in an okay remote job now, but I'm worried that staying in Perth means giving up on bigger career ambitions. My friends in London and the US are still with exciting companies.
For those who moved to Perth, do you regret missing out on FAANG-level jobs? Does the lifestyle here make up for it? How do you handle comparing your career to your friends?

Hello, I applied for master course in the university of Perth city, Australia on 23rd Dec, the duration of which is 2 years. (Course start date July 22, 2024; Course end date July 15, 2026), I just paid the 1st semester fee of my course in the 1st week of May 2024, after the offer of that university. After paying the fee I came to know about the new rule of SC 485 graduate visa that, According to the new rule the age limit has been changed from 50 to 35.. Now my age is 35 years.. What should I do? Should I wait for the postive news.. or should I withdraw the admission from the university and claim a refund for the fee.. Will the university refund my full fee due to this rule change?? I am completely confused.. If there is any updated news regarding age limit in SC 485 visa, please tell me.

I'm just getting into Perth night life now I'm 18 and having a blast, but I'm very anxious (and autistic) so I don't order things not on a menu. I like pre mixed stuff but I suspect it's much more expensive than a simple mixer + spirit but what do clubs in Northbridge actually sell?? I'm a bacardi girlie at heart or vodka/tequila, so if they have just lemonade/sprite or something that would be perfect. I'm pretty meh about tonic and soda water but if that's what they have for less than 15$ I'll take it. I went to the Aberdeen and asked if they did cocktails and they said no, but they sold my friend a wet pusy shot (which I love btw) and even though it's a shot id still call it a cocktail in essence which confused me a bit. What should I expect and how much should it cost? I'm sure I look like an idiot but any advice is much appreciated. also, what's the price difference between a shot and a mixed drink? Thank you!!

Charlie. er Charli... started hanging out on our patio in 2022, as we'd put food out for two other ferals (brothers Boston and Chicago)... Not long after, he... SHE soon brought with her two babies - who we then temp named Delta and Echo. Delta (Now Adelaide) was a near spitting image of mom as seen here. We got mom TNR'ed and then trapped the babies (got lucky - got them in the same night). We had them with a foster, and once they got set for indoor-life, we adopted them. Adie and Perth joined Melbourne and Victoria in our home as indoor-only cats. Never thought I'd have 4 cats.... but the wife convinced me. Charli shows up about once a week as we take care some other outdoor cats that have adopted us (she loves wet food) - and we think she has new people as she seems in good health today. Adie and Perth are doing great and are good cats (though Perth will destroy cardboard boxes and packing paper if left alone with it (we call him Perth, Destroy of Worlds - and he likes to chase Tori, the Murder Princess.).
https://preview.redd.it/vstvi4cx691d1.png?width=2768&format=png&auto=webp&s=b5589c9cce5bd8b65fd108a2d8691834ae9e154c

I benefitted a lot from the advice on this subreddit and used a lot of it to guide my approach to M3 year; now that I've had the chance to sit the exam, I wanted to create an exam write-up in the hopes that it will be useful to others. This write-up is lengthy, as I wanted to include advice for any new M3 students about how to maximize 3rd year, as well as some Step 2-specific strategies and advice.
A little about me: I am a non-traditional student (in my 30s) at a mid-tier US MD school. Pre-clinical grades were good (honored 2nd year, 0.5% away from honoring 1st year). Honored every rotation in 3rd year. I am a peer tutor at my medical school and was actively involved in tutoring 1st and 2nd year students throughout my M3 year and dedicated.
I am a big believer in students teaching students and the idea that if we all work together, we all become better students and clinicians. In that spirit, I welcome you to ask me any questions that you have below.

Overview

In general, my advice boils down to:

1. Don't try to use EVERY resource. Choose a few high-quality resources and really know them well.
2. Doing well on Step 2 (and shelf exams, tbh) requires active learning strategies and continually trying to think about what the next step would be. Practice questions are a great way to do this, but challenge yourself to go beyond what each individual question to build a broader knowledge base. That way, you won't only know the answer to that specific question, but also to a whole host of related questions.

General studying tips for 3rd year + dedicated
I am a big believer that the most effective study strategy involves four big components:

1. A question bank (UWorld) - gives you primary exposure to the material and helps to identify where your gaps are.
2. A system for continuously reviewing content - I used Anki (I discuss this more below). You can also use other strategies (note-taking, old school flash cards), but the important thing is that your review strategy needs to be ACTIVE (i.e., not just re-reading your old notes, but actively quizzing yourself and covering up the answers) and it needs to be CONTINUOUS. I did not pause any Anki cards during 3rd year, so by the time I got to dedicated, I had been actively, continuously reviewing content for months.
3. Resource(s) for primary sources - this is where you go when you need to refresh on pathophysiology, look up treatment/diagnostic testing for a disease, or understand the symptoms. I prefer UpToDate for this broadly, and used some additional resources on specific clerkships that I will discuss below.
4. Practice exams - NBME practice shelf exams ("CMS forms") and NBME Step 2 practice exams; do them timed to practice pacing.

A note on AMBOSS vs UWorld
A lot of people I know use AMBOSS and like it. Some people want an additional bank of questions to study from. I didn't personally use AMBOSS at all during 3rd year, and only used it for Ethics and QI during dedicated (and honestly, it was only marginally useful - may have gotten me 1 or 2 extra points on the real step 2 exam, but not more than that).
I think the smartest way to approach Q-banks is to make sure you have enough time to complete and thoroughly review at least one. For me, UWorld was more than enough to prepare well for each shelf exam and step 2 (honored every rotation). I think that a lot of people who try to use both AMBOSS and UWorld never finish either Q-bank in its entirety, or don't really review the Q-bank adequately. I decided it was a better use of my time and money to review only one but really know it well.
A note on Anki
Anki is a powerful tool that can really help with your long term retention, but it is dangerous if used incorrectly. I suspect that many people who don't find Anki helpful simply don't use it effectively.
The purpose of Anki is spaced repetition. In order for this to work, you have to keep up with reviews and you can't pause cards. I also caution students I tutor to be cautious of relying solely on a premade Anki deck; I used the AnKing deck, as well as this deck and a home-brew deck at my medical school.
During M3 year, I would start each rotation with UWorld from day 1, and as I came across each concept in UWorld, I would do a search through my Anki cards and unpause all the cards that related to that topic (so, for instance, when I got a question about diverculitis, I would then unpause all the diverticulitis cards). I found that doing this ensured that the new Anki cards I was adding were reviews of concepts I had just studied (via UWorld), so I was able to both reinforce the new content via Anki and also ensure that the new Anki cards I was adding were concepts that I was actually familiar with. I recommended this approach over the one that I saw many classmates using (just unpausing all the cards tagged for a clerkship at the start of the clerkship and "raw dogging" them, as my friend put it). It's also a good way to keep your daily new cards (and thus, your reviews) at a manageable number. On a typical day in 3rd year, I added between 50-100 new cards and averaged 250-350 reviews daily. I was nearly always able to complete my reviews while I was at the hospital each day, leaving my home study time free for UWorld.
More on how to effectively use Anki
A note on staying sane and prioritizing high-yield content
As others have said, I think that the best way to do extremely well on Step 2 CK is to approach M3 as a yearlong dedicated period. Doing well on Step 2 is not just about your preparation for the Step 2 exam, but also your learning during each rotation and your preparation for your shelf exams. Even if you're not at all interested in a particular specialty, there is a lot to learn from each rotation that will be valuable to you as a future physician. Additionally, each specialty has its own way of approaching medical decision-making, and paying attention to these patterns of thought can help you to reason through questions on exams, as well as be a better communicator with physicians in each specialty when you become a resident and attending.
As you progress through 3rd year, there are also a few things that I think it's wise to keep in mind:

• Remember that you are a person first and a medical student/doctor second. I put this first because it's the most important. It's hard to learn when your basic needs aren't being met or you're so anxious, stressed, or depressed you can't remember anything. Find something that keeps you grounded and whole and sane and make that a priority. For me, it's distance running. I ran nearly every day of 3rd year and dedicated (often at 3 AM, before rounds). I finished 3 marathons during M3 and dedicated, including running the Boston Marathon 2 weeks before I took step 2. Running relieves anxiety, gives me an excuse to step away from studying, and evens out my mood. In total, I ran over 2500 miles during my M3 year. I don't think I would have done anywhere near as well in M3 without it.
• Get really, really good at preventive care. The US Preventive Services Task Force guidelines are highly tested on all shelf exams and on Step 2, and there really aren't that many of them. Before my family med rotation, I made an Anki deck of the A and B recommendations based on the most recent updates and kept those in rotation through Step 2 (about 150 cards total). If you're at the beginning of M3 year, (or really any point in M3) I would suggest doing this right now. Every time you see a patient in clinic, think about "what screening exams should this patient have". If you get in the habit of always doing this, by the time you get to the exam, those screening questions will be free points (and there are usually a bunch of them).
• Try to approach every patient encounter as though you are the sole physician responsible for that patient's care. Formulate your own plan independently of residents or attendings. Ask questions about all these things in your patient interview, and present the answers to your attending. You will learn more if you push yourself to try to think about management from the beginning of 3rd year rather than relying on plans from your residents.
• Pay attention to sensitivity and specificity of tests. This is becoming a bigger and bigger deal on NBMEs and Step 2. Knowing sensitivity and specificity can help you determine whether a given finding in a question stem is significant or not.
• Look up every imaging test and diagnostic procedure you come across, whether in clinic or on a practice exam. A good rule of thumb for whether you understand a test is "Do I know when this test is appropriate, when it is inappropriate, and could I explain it to a patient?". I had a surgery fellow pimp me on when to order an ERCP vs MRCP; this stuff is important because it prevents unnecessary testing and allows you to get the most "bang for your buck", both in terms of diagnostic accuracy and scoring points on the "next step" questions on exams.
• Pay attention to thresholds for follow-up observation vs treatment. If a patient has a AAA that's 3 cm, you do serial ultrasounds and watch it clinically; if it's 7 cm, you operate. Many, many conditions have similar thresholds, and you should look for the differences in how you manage a condition based on the thresholds. Sometimes this stuff is buried in the UWorld explanations, so when you see it, make a flash card or add it to your review.
• Know the USPSTF screening guidelines like the back of your hand. There aren't that many of them, and it's basically free points on every single shelf exam + step 2. Make a flash card deck with the most updated versions on day 1 and review it throughout 3rd year. Especially high yield on FM + IM, but they appear on every shelf.
• Think about what things a specialty "cares about" when you're rotating on that specialty.
  • OBGYN: gestational age, STI history/screening, social/fam Hx of risk factors for gyn cancers (breast, cervical, ovarian, endometrial).
  • Surgery: is the patient safe to take to surgery (comorbidities, heart failure, coagulopathies, meds, etc)? When is surgery indicated (i.e., do they have to go now, or can they wait)? Antibiotic prophylaxis (who needs it, and what antibiotics)? Post-op complications (the "5 W's", leaks, nearby structures that can be injured)? Normal post-op care/patient safety (DVT prophylaxis, catheter removal, infections, etc).
  • Peds: developmental milestones/normal development/growth curves, rashes (pediatricians love rashes), upper respiratory infections, stuff that gets treated differently in kids (ex. febrile UTI), neonatal hyperbilirubinemia (basically guaranteed to get at least one question on this on any peds exam)
  • IM: Preventive care/screening, vaccines, hypertension, diabetes, heart failure, ACS, liver failure/cirrhosis.
  • FM: IM + Peds + OBGYN, with a heavy focus on preventive screenings
  • Psych: Pay attention to timelines; think of every psych disease as a continuum (i.e., <1 mo = brief psychotic disorder, 1-6 mo = schizophreniform, 6+ = schizophrenia, schizophrenia + mood symptoms = schizophreniform). Find something that makes sense to you for the personality disorders (I personally mapped them all onto Harry Potter characters and now I will never have to re-learn them).
  • Neuro: Differentiating causes of stroke, multiple sclerosis, when to get an MRI (answer: always get an MRI in neuro), different types of dementia

Subject Review

This section is intended for those who are starting or still in the midst of M3 year. If you're already in dedicated, this section may be less useful.
For all rotations, my strategy was generally:

1. Complete the UWorld Shelf exam Q-bank with 1-2 weeks to spare
2. Make/unpause Anki cards as I worked through UWorld
3. Take timed NBME practice shelf exams regularly throughout the rotation(I sat down at the start of each rotation and planned these out every 1-2 weeks so they were evenly spaced throughout the rotation). Get through every practice exam by the end of the rotation. Doing them timed is important because it helps you to practice pacing. One 50-question exam at 90 seconds/ question = 75 minutes total. I also wrote down the diagnosis for each question so that when I reviewed the exam, I could see whether any wrong answers were a problem with making the wrong diagnosis vs knowing the next step. Doing the NBME shelf exams also gives you a good sense of what the "pet concepts" that tend to occur over and over are (for instance, SCFE vs Legg-Calve-Perthes comes up shockingly often)

Order of rotations:
I did my rotations in the order listed below and I really liked this order. I know many people advocate for finishing on Internal Medicine, but I was very glad I started with it, because I think it laid a strong foundation for everything else. As long as you have a solid strategy for reviewing the IM content continuously throughout the year, I think it's a smart choice for the first rotation, especially because basically every other shelf exam will have 5-10 IM questions on it.
Medicine
Resources: UWorld (IM shelf bank + 1/2 of Ambulatory), Case Files Internal Medicine (did ~50% of it), USPSTF A & B guidelines, NBME practice shelf exams ("CMS forms"), Emma Holliday review
Advice: If you have free time 1-2 weeks before starting IM, get through as much of Case Files as you can. It lays a good base and helps you get into the mindset of IM. Once you start the rotation, crank through UWorld. I'd suggest trying to finish the UWorld Q's with 1-2 weeks to spare at the end of the clerkship in which you can review incorrects and/or shore up any weak areas.
Raw Score: 85
Neurology
Resources: UWorld, Case Files: Neurology, NBME practice shelf exams ("CMS forms")
Advice: Case Files Neuro is a little in the weeds, but it will help a lot with some of the more off-the-wall pathologies that aren't really seen in the UWorld bank.
Raw Score: 90
Psychiatry
Resources: UWorld, Case Files: Psych, NBME practice shelf exams ("CMS forms"). A lot of people swear by First Aid for the Psychiatry Clerkship; I didn't use it (but I think Case Files accomplished much the same purpose)
Advice: Pay attention to timelines + enjoy the psychation! This is the lightest rotation for most people. Take it in the summer if at all possible and enjoy the nice weather and free time. If you can, get it somewhere in the middle of 3rd year so you can have a little break.
Raw Score: 94
Family Medicine
Resources: UWorld (FM bank + 1/2 of ambulatory bank), Case Files: Family Med, NBME practice shelf exams ("CMS forms"), USPSTF A & B guidelines, CDC vaccination schedules
Advice: Try to take FM after IM, if at all possible. DO NOT underestimate the family medicine shelf exam. It is the broadest shelf exam, and it's heavily weighted towards prevention, so plan your studying accordingly. Know the USPSTF guidelines and vaccine schedules like the back of your hand (this is at least 25-30% of the shelf exam).
Raw Score: 85
Surgery
Resources: UWorld (Surgery bank + EM bank), de Virgilio's Surgery, NBME practice shelf exams ("CMS forms") for EM and Surgery, American College of Surgeons TEAM (Trauma Evaluation and Management) course book, Emma Holliday review
Advice: The surgery shelf exam focuses heavily on the pre- and post-surgical management of surgical patients, trauma assessment (hence the EM questions/CMS forms above), and knowing the indications for surgery. You will not be asked how to do a surgery on the shelf exam, but you will be expected to know when a surgery is indicated vs when medical management should be used instead (and also what that medical management is). De Virgilio's is a great and under-utilized resource that has a fantastic question bank at the end of each chapter. I would recommend reading at least the GI, vascular, breast, endocrine, and trauma sections (and honestly, as much of it as you have time for).
Raw Score: 85
Obstetrics and Gynecology
Resources: UWorld, Case Files: OBGYN, NBME practice shelf exams ("CMS forms"), ACOG guidelines, UWise questions
Advice: OBGYN is all about timelines (at least, the OB part is). Pay attention to gestational age requirements for diagnosis of various conditions. Know the various labs that are used to diagnose Pre-eclampsia with severe features, and really pay attention to risk factors for the various obstetric complications. As one nurse midwife I worked with put it, "The biggest risk factor anything in L & D is usually a history of the same complication". I didn't really find the UWise Q-bank that useful, but if you have extra time, it's a nice source of extra practice questions, or a good way to reinforce any trouble spots.
Raw Score: 87
Pediatrics
Resources: UWorld, Case Files: Pediatrics, NBME practice shelf exams ("CMS forms"), CDC vaccination schedule, Emma Holliday review
Advice: Know the general trends of pediatric vital signs (what's normal for an adult is abnormal for most pediatric patients and vice versa), pay attention to rashes and dermatology, and review these as often as possible. It's well worth your time to do a good review of all the glycogen storage diseases, inborn errors of metabolism, lysosomal storage diseases, etc that you forgot after Step 1. For this reason, if you can do Peds as your last rotation before Step 2 it's kind of nice...then you only have to re-learn all this stuff once. This stuff is fair game for Step 2 (and I did personally get questions on it on my exam).
Raw Score: 91

Dedicated Study

I completed my first pass of UWorld during my M3 core rotations with an average of 74%. I did reset UWorld and begin a 2nd pass during dedicated, but I found that the questions repeated a lot of content that I knew well, and ultimately decided it wasn't a good use of my time. I only completed about 20% of my 2nd pass of UWorld with an average of 92%.
My main resources during dedicated were NBME practice exams (I did 8-14 timed), UWSAs, and the Free 120. I also listened to some Divine Intervention episodes on my runs and reviewed the Emma Holliday shelf exam reviews (I had previously listened to these during my M3 rotations). Of the podcasts, I found the Divine Intervention Free 120 review the most helpful, and would strongly recommend listening to those episodes after you take the Free 120. It did a lot to help me with some test taking strategies that I used on exam day.
General advice for dedicated:

• Keep on a regular sleep schedule, even on your days off. I went to bed at 10 and got up at 6 every day, because I wanted my schedule to be close to what I would need to do on test day.
• Take days off. I took at least 1/2 a day off every week. I also ran a major marathon 2 weeks before my test day, so that was a very light weekend in terms of studying.
• Keep exercising and doing things you enjoy. For me, this meant running a marathon (something I do regularly). You don't have to go as crazy as I did, but do something to get outside and stay active. It will help you keep the anxiety under control and see the sunlight every so often.
• Take practice exams regularly and spend plenty of time reviewing them. I made a google doc to keep track of incorrects and assigned each one to a category of "why I got it wrong" (i.e., "overthinking", "knowledge gap", "guessed wrong of 2", etc). This helps to identify trends. I found that I have a tendency to overthink questions, so identifying this helped me to address this weakness and gave me confidence to go with my gut instinct on the exam.
• Don't be afraid to adjust your study plan during dedicated. I started a 2nd pass of UWorld, but after about 2 weeks of dedicated, I felt like I wasn't really getting anything additional out of it and I was remembering too many of the questions from my 1st pass, so I just stopped using it. I spent that time on other resources instead (more practice exams). Take the time to really analyze which activities are actually helping your learning. Don't just do something because that's what everyone else is doing during their dedicated.
• Keep up with your review strategy. For me, this was Anki. I spent 2-4 hours every morning during dedicated doing Anki. At times, I worried that this was too much time on Anki, but part of what makes Step 2 (and all USMLE exams) challenging is the sheer breadth of content. The best way to prep for this is to keep consistent with your review strategy.
• If there's a concept you dread seeing in a question stem, STOP, do not pass Go, do not collect $20. Take a second to go to a primary source (UpToDate, a textbook) and review that content. Make some flash cards and review it regularly.
• Practice your timing. I came up with my exam day break strategy at the start of my dedicated, and every time I took a practice exam, I practiced my break strategy (at least, the first 5 blocks of my break strategy). This made it very easy for me to execute on test day because I was already used to doing 5 blocks in a row exactly this way. I took my lunch break after block 5 instead of block 4 (because I liked the psychological factor of knowing the exam was more than halfway done). Coming back for 3 more was no problem on test day.

My practice exam scores:
CCSE: 254 (my school requires this, and it was given a few days after the final shelf exam, right at the start of my dedicated period)
NBME 9 (30 days out) 269
NBME 10 (21 days out) 268
NBME 11 (18 days out) 262
NBME 12 (15 days out) 251
NBME 13 (7 days out) 264
NBME 14 (2 days out) 264
UWSA 1 (25 days out) 254
UWSA 2 (9 days out) 268
UWSA 3 (5 days out) 266
New Free 120 (3 days out) 85%
Predicted score: 265

The Day Before

Just take a break, for the love of all that is good. I went for a run, watched some old TV, read for fun, had a nice pasta dinner, and tried to go to bed early. Laid out everything I needed (lucky t-shirt, snacks, testing permit, ID, keys, etc).
Of course, I ended up tossing and turning most of the night and slept very poorly. When I woke up, I considered trying to postpone my test, but ultimately I decided I just wanted it over and done with and I wasn't willing to wait any longer. My point here is that even if you have anxiety and/or a single bad night of sleep before the exam, you can still do very well if you've done the work. As we say in the marathon world, trust your training.

The Test

Got to the testing center 45 minutes early. Made sure the last thing I did before going through security was to take a bathroom break. Brought plenty of snacks, headache medication, chocolate, and a healthy and delicious lunch (I think there's some psychological power in knowing you have a delicious lunch awaiting you).
During the exam, I took a break of at least 5 min after every block. Personally, I found the mental break was extremely helpful. On the whole, I found the exam to be quite reasonable.
Step 2 CK: 277
My last piece of advice will be that I think doing well throughout third year is the best thing you can do. If you've had a break after 3rd year or you are an IMG or someone coming from a non-traditional program, doing a thorough content review with the CMS forms before starting Step 2 specific practice exams is a good idea.
Ultimately, I think the most important things are:
1.) Choosing a FEW, QUALITY resources to review
2.) Continuing your ACTIVE, CONTINUOUS review strategy
3.) Keeping a consistent schedule with time for sleep, healthy eating, exercise, and something you find fun (ideally something other than TV).
4.) Staying off Reddit. Really, I mean it. Especially during dedicated, it's just a black hole of anxiety and angst and you should avoid it at all costs. Come back after you get your amazing scores and pay it forward to others.