Die verskillende gesigte van pyn in rumatologie: fibromialgie en rumatoïede artritis

Rumatiese siektes bied baie kontroversiële pynprosesse, soos die geval is met  fibromialgie  . Wat hierdie siekte betref, was die posisie van rumatoloë tradisioneel ver, in die algemeen, maar hulle moet leer om dit te bestuur. Net so, in  beide inflammatoriese en degeneratiewe rumatiese siektes  , kan die gevolge van pyn ‘n vertraagde effek hê buite die besering.

Om lig te werp, het die  XLVII Nasionale Kongres van die Spaanse Vereniging van Rumatologie (  SER  )  ‘n tafel aangebied oor “Die gesigte van pyn in rumatologie”, waarin twee siektes met verskillende perspektiewe (fibromialgie en rumatoïede artritis) blootgestel is, maar met die kompleksiteit van pyn as ‘n algemene skakel.

Evolusie van die konsep van fibromialgie

Javier Rivera  , van die Rumatologiediens van die Hospitaal-generaal Universitario Gregorio Marañón (Madrid), het die nuwighede in die diagnose en konseptualisering van fibromialgie oor die jare aangespreek.

Om die evolusie van hierdie siekte te verduidelik, het ons teruggegaan na  die 70’s, toe fibromialgie ‘n “psigogeniese rumatiek”  was, dit wil sê, dit het ‘n sielkundige oorsprong gehad. “Dit het in die 1980’s begin verander, toe dit begin beskou word as ‘n siekte van  wydverspreide chroniese pyn  ,” het Rivera gesê.

In 1990 het die navorser  Frederick Wolfe  die eerste klassifikasiekriteria vir fibromialgie daargestel: wydverspreide pyn, wat langer as 3 maande duur en met die teenwoordigheid van 11 van 18 pynlike punte. Hierdie kriteria het gedien om “fibromialgie te noem en plek te maak vir rumatiese patologie.”

In 2010 ontwikkel Wolf nuwe kriteria waarin  pynpunte verdwyn as gevolg van ‘n gebrek aan sensitiwiteit  . Die nuwe kriteria is: algemene pyn, ‘n indeks van pyn en simptome (moegheid, slaap en assesseer die teenwoordigheid van ander somatiese simptome).

Later het Wolfe daardie kriteria weer gewysig om dit te verbeter en nuwe konsepte bekend te stel. Onder die nuwighede word die simptome tot drie fundamentele simptome verminder: hoofpyn, pyn in die onderbuik en depressie. “Hier word ‘n indeks geskep, die fibromialgie-simptoomskaal (simptomskaal van fibromialgie), wat vir epidemiologiese studies gebruik word”, het die dokter gesê.

In 2016 maak Frederic Wolfe ‘n nuwe resensie en stel ‘n ander pynskaal vas. Die interessantste feit wat hy byvoeg, is dat daar  die teenwoordigheid van ander comorbiditeite kan wees  , dit wil sê dat fibromialgie met ander siektes geassosieer kan word.

Na aanleiding van hierdie kriteria het ander verskyn, soos  die AAPT-kriteria  , wat “dieselfde is met geringe wysigings” en waar die areas van pyn verskillend gedefinieer word.

Pyn in fibromialgie

Alhoewel fibromialgie as ‘n chroniese pynsiekte beskou word, onderskei dit  verskeie tipes chroniese pyn  : gesigspynprobleme, soos hoofpyn, viscerale pyn, prikkelbare derm-sindroom, primêre buikpyn, bekkenbodempyn, ens. “Hierdie chroniese pyne meng eintlik met fibromialgie in. . Baie pasiënte met fibromialgie het baie van hierdie ander simptome,” verduidelik Rivera.  

En dit is dat die siekte baie  meer kompleks is as net chroniese pyn  . “Dit is waar dat dit ‘n chroniese pynsiekte is, maar daar is ander simptome wat ‘n meer komplekse proses toon as bloot ‘n chroniese pynproses,” het hy gesê. Trouens, daar is ‘n lys van die  41 mees algemene simptome  , maar ander kan voorkom.

Vertraging in diagnose

“Ondanks alle bestaande kriteria is  daar steeds ‘n vertraging in  diagnose,” het Rivera betreur. Hiervoor, het hy verduidelik, is ‘n reeks vraelyste geskep, veral in Primêre Sorg (PC), om ‘n voldoende sifting te maak van wat fibromialgie is. “Die probleem is dat alle primêre sorg dokters nie al die vraelyste, al die kriteria en al die siektes van al die pasiënte kan beheer nie, so hulle is uiteindelik ook nie nuttig nie.”

Rivera het ‘n studie oor doktersvertroue in fibromialgie genoem wat na ‘n aantal veranderlikes gekyk het: die herkenning van fibromialgie-simptome, die onderskeid van fibromialgie-simptome van ander siektes en die ontwikkeling van ‘n behandelingsplan. “Die studie toon dat  rumatoloë die mees gespesialiseerde in hierdie gebiede  is,” het hy beweer.

Rivera wou egter beklemtoon dat die rol van PC-dokters in fibromialgie “taamlik klein” is, en dat psigiaters dit nog nooit as ‘n psigiatriese siekte beskou het nie en “hulle nie as bekwaam beskou om hierdie pasiënte te behandel nie”. Om hierdie rede het hy daarop aangedring dat  die diagnose steeds moeilik is, veral in PC  , die eerste lyn waarheen ‘n pasiënt met fibromialgie kom. Dit, het hy uitgewys, lei tot twee probleme: onderdiagnose en ook oordiagnose. “In laasgenoemde geval gebeur dit omdat daar pyne is wat nie fibromialgie is nie en soms word ‘n behoorlike diagnose nie gemaak nie.”

Net so het hy sommige van die siektes gelys wat die meeste  as fibromialgie gediagnoseer is en nie is nie  : degeneratiewe meganiese astralgie, tendinitisprobleme, kontrakture, astralgie wat verband hou met menopousale situasies en dié wat met metaboliese sindroom verband hou. “Dit alles is nie fibromialgie nie en  ons moet weet hoe om dit te onderskei  , beide rekenaardokters en rumatoloë self,” het hy verklaar.

Rumatoïede artritis, die mees algemene oorsaak van chroniese pyn

Op sy beurt het  Enrique J. Cobos del Moral  , van die Departement Farmakologie aan die Fakulteit Geneeskunde van die Universiteit van Granada, gefokus op  rumatoïede artritis  , ‘n outo-immuun, sistemiese en progressiewe siekte wat uit ‘n chroniese inflammatoriese versteuring bestaan.

Dit is ‘n baie algemene siekte. “In Spanje is daar ongeveer ‘n kwartmiljoen mense en 20 000 nuwe gevalle word elke jaar gediagnoseer. En die persentasie neem toe soos die bevolking verouder. Boonop is  dit een van die mees algemene oorsake van chroniese pyn onder die wêreldbevolking  ,” het die kenner gesê.

Dit het ook aan die lig gebring dat, in rumatoïede artritis,  pyn die mees “voorkomende en invaliderende” simptoom  vanuit die pasiënt se perspektief is. En pyn is nou verwant aan sitokiene.

Die rol van sitokiene

“Een van die  redes waarom inflammasie seer  is, is bloot weens ’n fisiese probleem. Binne-in die gewrigte is daar baie senuwee-eindpunte en sommige van hulle produseer meganiese stimuli, wat bydra tot pyn”, het Enrique J. Cobos verduidelik.

Daarbenewens is daar  sitokiene  , klein proteïene wat deurslaggewend is om die groei en aktiwiteit van ander selle van die immuunstelsel en bloedselle te beheer. Sitokiene het aan die een kant ‘n indirekte effek, dit wil sê hulle “kan die produksie van sekere inflammatoriese rooiheid bevorder.” Maar hulle het ook ‘n direkte effek op perifere  nociceptors  (terminasies wat pyn opspoor en dit na ander areas van die sentrale senuweestelsel oordra).

“Perifere sensoriese neurone is sensors van inflammasie en het sekere molekulêre masjinerie, reseptore vir baie van die sitokiene wat baie  belangrik is in chroniese inflammatoriese pynversteurings  ,” het hy afgesluit.

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  264. در این مقاله قصد داریم درباره تست هالند؛ استعدادیابی و هدایت
    شغلی توضیح دهیم. تست هالند یکی از تست هایی است که به منظور استعدادیابی
    و سنجش رغبت های شغلی افراد استفاده می شود.
    اما خوب است که پیش از مطالعه این مطلب درباره اینکه
    چرا استعدادیابی مهم است مطالعه کنید.

    تست استعداد یابی هالند چیست؟
    تست استعدادیابی هالند یک تست روان سنجی است که توسط جان هالند، جامعه شناس آمریکایی برای ارزیابی
    علایق و استعدادهای شغلی افراد
    طراحی شده است.

    پیشینه
    جان لوئیس هالند روانشناس آمریکایی و استاد برجسته جامعه شناسی در دانشگاه جان هاپکینز بود.
    وی در سال ۱۹۵۹ با انتشار
    مقاله “تئوری انتخاب” اولین قدم در ایجاد نظریه “تیپ‌های شخصیتی شغلی و محیط‌های کاری” خود را برداشت.

    هالند معتقد بود مردم بهترین عملکرد را در محیط کاری
    ای نشان می دهند که با علایق و تیپ شخصیتی آنها سازگاز است
    و فرد از انجام آنها لذت می برد.

    تست هالند برای چه کسانی مناسب است؟
    تست هالند برای استعدادیابی و سنجش رغبت های
    شغلی کلیه افراد بالای 12 سال مناسب است و طیف وسیعی از افراد
    شامل دانش آموزان متوسطه دوم، دانشجویان و افراد جویای
    کار را می تواند ارزیابی کند. البته در
    استعدادیابی های تخصصی تحصیلی و شغلی، با توجه به
    سن افراد از نسخه ویژه نوجوانان تست هالند برای استعدادیابی تحصیلی و انتخاب رشته کنکور و از نسخه بزرگسالان برای استعدادیابی های شعلی
    استفاده می شود.

    تست استعدادیابی هالند چه ویژگی هایی دارد؟
    تست استعدادیابی هالند از 180 سوال
    سه گزینه ای تشکیل شده است که زمان حدودی برای پاسخ دهی به آن 30
    دقیقه می باشد. البته در بیشتر موارد از نسخه های کوتاهتر آن که تعداد
    سوالات کمتری دارد استفاده می شود.

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  266. شاید شما هم مثل بسیاری دیگر واژه استعدادیابی را جایی
    شنیده یا دیده و از خود پرسیده باشید استعدادیابی چیست؟ ما در این مقاله قصد داریم شما را
    با مفهوم استعدادیابی بیشتر آشنا کنیم.
    پس تا انتها با ما همراه باشید.

    استعداد چیست؟
    استعداد ها توانایی های بالقوه و ذاتی
    افراد هستندکه موجب می شوند شما چیزی را سریعتر و با صرف هزینه کمتر یاد بگیرید.
    در واقع پیشرفت افراد در فعالیتی خاص
    نشان دهنده مفهوم استعداد است.

    ما چون پیش از این در مطالب قبلی به طور کامل درباره استعداد توضیح داده ایم
    به همین تعریف کوتاه بسنده می کنیم .
    اگر مایلید درباره استعداد و انواع آن
    بیشتر بدانید مقاله استعداد
    چیست؟ را مطالعه فرمایید

    استعدادیابی یعنی چه؟
    برای آنکه بفهمیم استعدادیابی چیست بهتر است ابتدا تعریفی از آن ارائه دهیم.
    برخی استعدادیابی را این گونه تعریف می کنند:

    استعداد یابی یعنی تلاش برای پیش بینی ظرفیت آینده عملکرد
    یک فرد. و روندی که طی آن، آنچه که به
    عنوان استعداد درونی از زمان تولد در وجود شخص نهادینه شده، کشف شده
    و به یک استعداد درخشان تبدیل
    می شود.

    به بیانی دیگر، در هر فرد توانایی های بالقوه ای
    وجود دارد که ذاتی هستند.
    استعدادیابی یعنی ما این توانایی ها را کشف کنیم، آن را وارد زمینه ای که آن توانایی
    در آن کارآمد است کنیم و اجازه دهیم فرد در همان زمینه رشد
    کند و شکوفا شود و سر انجام منجر به توسعه فردی در شخص شود.

    تاریخچه استعدادیابی
    سالها پیش جانسون اوکانر از فارغ التحصیلان دانشگاه هاروارد در شرکت جنرال موتورز آمریکا متوجه شد که برخی
    کارمندان از کار خود راضی نیستند.
    آنها کار خود را دوست ندارند، افسرده اند و
    راندمان کاری پایینی دارند.

    او معتقد بود اگر کارمندان در بخش هایی که در آن استعداد و به ان علاقه دارند کار کنند مشکل فوق رفع خواهد شد.
    در نتیجه از آنها خواست در بخش هایی که فکر می کنند استعداد بیشتری دارند و موثرتر هستند کار کنند.
    نتیجه این کار بسیار رضایت بخش بود.

    در نتیجه او به فکر طراحی آزمون هایی افتاد که بتوانند استعدادها و علایق افراد را بسنجند
    و موقع استخدام آنها را در جای درستی به کار بگیرند.
    به این منظور آزمونی طراحی کرد که ما امروزه آن را با نام آزمون جانسون اوکانر
    می شناسیم و هنوز هم برای استعدادیابی
    و هدایت شغلی و تحصیلی کاربرد دارد.

    سالها بعد هوارد گرادنر طی تحقیقات
    فراوان خود به این نتیجه رسید که
    افرادی که جانسون اوکانر در سنین میانسالی استعدادیابی کرده در کودکی نیز همان استعدادها را داشتند و این از بچگی در آن ها وجود داشته است.

    به همین دلیل هوارد گاردنر اعتقاد داشت برای اینکه وقت
    افراد در زندگی تلف نشود،
    استعدادیابی را باید از سنین کم آغاز کرد.
    او استعدادیابی اشخاص را از سنین کودکی ۳ تا ۶ سال شروع کرد و نتیجه های شگفت آوری از این استعدادیابی‌ها گرفت.

    استعدادیابی چیست
    ضرورت استعدادیابی
    حالا که با مفهوم استعدادیابی آشنا شدید و متوجه شدید استعدادیابی چیست
    شاید از خود بپرسید که اصولا استعدادیابی چه ضرورتی دارد؟ برای این
    منظور ما فواید استعدادیابی را
    مختصرا برای شما برمی شماریم:

    فواید استعدادیابی
    جلوگیری از اتلاف وقت
    استعدادیابی باعث می‌شود افراد وقت خود را در زندگی تلف نکنند و
    از همان ابتدا سراغ کاری بروند که در
    آن بهتر هستند. عدم شناخت صحیح استعدادها و علایق باعث می شود فرد در زندگی مسیرهایی پیش بگیرد که در آن راضی
    و خوشحال نیست. این امر در همه انتخاب های مهم زندگی از جمله انتخاب رشته دبیرستان و دانشگاه و
    انتخاب شغل نمود زیادی دارد.

    افراد زیادی را دیده ایم که پس سالها درس خواندن در
    رشته ی دانشگاهی و یا حتی سالها کار کردن به ناگهان رشته با شغل خود را
    تغییر داده اند. در حالیکه سالهای زیادی از عمر خود را هدر داده اند.

  267. چرا استعدادیابی و آشنایی با تست استعدادیابی اوکانر مهم است؟
    تست استعدادیابی اوکانر یکی از ابزار استعدادیابی خصوصا استعدادیابی شغلی است.
    ما در این مطلب قصد داریم شما را با این تست استعدادیابی آشنا کنیم.
    تا انتهای مطلب با ما همراه باشید.

    آرزوی همه ما این است که بتوانیم در زندگی موفق
    شویم. برای موفق شدن در یک زمینه آیتم های مختلفی وجود دارد که یکی از
    آنها استعداد است. استعدادها
    توانایی های بالقوه ما برای انجام امور هستند.

    وقتی شما در یک کاری استعداد دارید سریعتر از دیگران آن را یاد گرفته و
    راحت تر انجامش می دهید. هنگام انجام دادن آن حس خوبی دارید و پیشرفت سریعی در آن احساس می کنید

    طبیعی است که موفقیت در مسیری که شما در آن
    استعداد دارید بسیار محتمل تر و راحت
    تر از مسیری است که در آن استعداد ندارید.
    و اینجاست که اهمیت استعدادیابی مشخص می شود.

    شناسایی استعداد شما اگرچه موفقیت شما را تضمین نمی کند اما شانس موفقیت را بسیار بالا می برد.
    چرا که شما به جای سرمایه گذاری در مسیری که
    ممکن است با مشقت فراوان بتوانید به سطح متوسطی از
    موفقیت در آن دست یابید مستقیما وارد مسیری می
    شوید که شانس موفقیت در آن بالاست.

    خب حالا که با اهمیت استعدادیابی آشنا شدید
    می خواهیم در ادامه به یکی از ابزارهای استعدادیابی یعنی تست استعدادیابی اوکانر می
    پردازیم

    معرفی تست استعدادیابی اوکانر
    در مقالات قبلی به معرفی تست های گاردنر و هالند برای استعداد یابی پرداختیم.
    اکنون می خواهیم تست اوکانر را به شما معرفی کنیم.
    اوکانر را باید از پیش گامان استعدادیابی
    علمی امروزی نامید.

    جانسون اوکانر که در رشته فلسفه از دانشگاه هاوارد فارغ التحصیل شده بود در
    سال 1922 مسئولیت پروژه آزمون استعدادیابی یا تشخیص
    استعداد کارکنان در جنرال الکتریک را بر عهده گرفت.
    آن زمان این پروژه با عنوان مهندسی انسانی نام‌گذاری شده بود و در توصیف آن
    گفته می‌شد که قرار است هر کس، در شغلی مشغول کار شود که توانمندی بیشتری برای آن دارد.
    تست اوکانر برای این منظور توسط
    او طراحی و اجرا شد.

    مدیران جنرال الکتریک بر این باور بودند که با این کار، هم
    کارگران شرایط بهتر و محیط کار مطلوب‌تری خواهند داشت و هم
    خروجی مجموعه بیشتر خواهد شد.

    تست استعدادیابی اوکانر چه مواردی را می سنجد؟
    این تست 14 استعداد را در افراد
    می سنجد. این استعدادها عبارتند از:

    تجسم سازه (structural visualization)
    استدلال استقرایی (Inductive Reasoning)
    ایده پردازی (Ideaphoria)
    سرعت بالای درک دیداری (Graphoria)
    استدلال تحلیلی (Analytical Reasoning)
    استعدادهای عددی (The Numerical Aptitudes)
    استعدادهاس شنیداری (Auditory Aptitudes)
    سیلوگرام (Silograms)
    حافظه طراحی و مشاهده(Memory for Design & Observation)
    تشخیص و ادراک رنگ (Color Discrimination & Color Perception)
    طراحی بصری (Visual Designs)
    اشتعدا کار با ابزار و دستان(The Dexterity Aptitudes)
    آینده نگری (Foresight)
    ترکیب کلمات (Word Association)
    در ادامه هر یک از این موارد را برای شما توضیح خواهیم داد.

    استعداد تجسم سازه
    افرادی که این استعداد را دارند اغلب جدا کردن
    قطعات و کنار هم قرار دادن آنها را دوست دارند.

    آنها دوست دارند اشیای جدید طراحی کرده و آنها را بسازند.
    این استعداد تجسم سه بعدی شما را نشان می دهد.
    این استعداد در تست استعدادیابی
    جانسون اوکانر با دو آزمون بلوکه های
    چوبی بهم ریخته و تا کردن کاغذ سنجیده می شود.

  268. ما در این مقاله میخواهیم در ارتباط با
    اهمیت استعدادیابی کودکان صحبت کنیم
    و بگوییم که چرا استعدادیابی کودکان مهم است؟

    یکی از بزرگترین دغدغه های هر پدر و مادری در طول زندگی نگرانی از آینده فرزندان و مسیری
    است که کودک در زندگی طی می کند.

    بدون شک موفقیت در زندگی حاصل مجموعه ای از
    عوامل درهم پیچیده است که تفکیک آنها به
    راحتی امکان پذیر نیست. اما اگر به زندگی افراد موفق نگاهی بیندازیم در می یابیم همه
    آنها یک نقطه مشترک دارند و
    آن پیش رفتن در مسیری است که در آن استعداد و علاقه دارند.

    برای کلاس … نیاز به راهنمایی دارید؟ اطلاعات خود را از طریق دکمه نارنجی رنگ پایین صفحه ثبت کنید.
    با شما تماس می‌گیریم.

    مردم غالبا برای رسیدن به موفقیت و
    رضایتمندی راه های مختلفی را امتحان کرده و با آزمون و خطای فراوان سعی در کشف مسیر زندگی خود دارند.
    اما وظیفه والدین به عنوان نزدیک ترین افراد به کودک در این زمینه چیست؟در این مقاله سعی کرده ایم به این پرسش پاسخ دهیم.

    اگر جزو افرادی هستید که از رشته تحصیلی، شغل و
    به طور کلی مسیر زندگیتان راضی هستید به شما تبریک می
    گوییم. اما درصد کمی از افراد در رشته دانشگاهی و شغلی مشغول می شوند که در آن استعداد و به آن علاقه دارند.
    بخشی از این امر ناشی از مشکلات فرهنگی ، اجتماعی و اقتصادی جامعه است
    اما بخشی نیز از عدم وجود خودشناسی و
    راهنمای خوب نشات می گیرد.

    واقعیت این است که افراد کمی این شانس را دارند که از سالهای اولیه کودکی و بدون از این شاخه به
    آن شاخه پریدن و صرف وقت و هزینه بسیار در مسیر
    درست زندگی خود قرار بگیرند. در اغلب موارد والدین خواسته یا ناخواسته کودک
    را در مسیری پیش میبرند که خواسته و آرزوهای خود را کامیاب کنند.
    در این مطلب قصد داریم تنها تلنگر کوچکی برای
    والدین آگاه باشیم تا از خود بپرسند نقش من در یافتن مسیر
    آینده فرزندم چیست و چگونه می توانم فرزند شاد، موفق و رضایتمندی داشته باشم؟

    چرا استعدادیابی کودکان مهم است؟
    تعاریف استعداد، علاقه، هوش و خلاقیت
    قبل از هر چیز بهتر است بدانید استعداد، علاقه، هوش و خلاقیت مفاهیمی متفاوت هستند و آشنایی با این مفاهیم باعث می شود
    شما مسیر درست تری را در انتخاب های زندگی پیش بگیرید.
    البته تعاریف مختلفی برای هرکدام
    از این موارد وجود دارد اما
    برای آشنایی اولیه بیایید تعریفی کوتاه از
    هر کدام از آنها داشته باشیم:

    این مطلب را هم از دست ندهید:

    از کجا بدانید فرزندتان استعداد نقاشی دارد؟

    بهترین سن برای استعدادیابی چه زمانی است؟

    استعداد موسیقی در کودکان

    چگونه استعداد خود را کشف کنیم؟

    تست هالند؛ استعدادیابی و هدایت شغلی

    استعداد: یعنی یادگیری یک مهارت با صرف انرژی و زمان کمتر.
    به عبارت دیگر اگر شما مثلا نقاشی را در
    3 جلسه یاد میگیرید در حالیکه متوسط افراد در 7 جلسه آن را یاد می گیرند می توان گفت شما استعداد
    نقاشی دارید.

    علاقه: علایق غالبا ترجیحات افراد
    هستند. این امور غالبا شامل مواردی است که پرداختن به
    آن شما را به وجد می آورد اما لزوما در آن توانایی ندارید.
    مثلا ممکن است شما به موسیقی علاقه داشته باشید اما نتوانید یک موزیسین
    فوق العاده شوید.

    هوش: هوش توانایی کلی وجامع فرد است برای اینکه به طور هدفمند عمل کند، به طورمنطقی بیندیشد و به طور
    موثر با محیطش به مبادله بپردازد.

    خلاقیت: به کار گرفتن توانایی های
    ذهنی برای خلق یک فکر، ایده و یا اثر جدید را خلاقیت
    می گویند.

    حالا که با هر یک ازین موارد آشنا شدید بهتر در می یابید که همه موارد فوق در رسیدن به
    موفقیت ما نقش دارند. در واقع برای حصول به بهترین نتیجه هر یک از این موارد باید در حالت بهینه برای
    یک فرد قرار بگیرند.

    خیلی از ما اشخاصی در زندگی می شناسیم که
    هوش زیادی دارند. اما شغل و جایگاه
    اجتماعی مناسبی ندارند. حتی این هوش را در مسیر نادرست به کار
    می گیرند. و یا فرد در مسیری پیش می رود که به آن علاقه داشته اما در آن استعداد کافی ندارد.
    بنابراین با کندی بسیار مسیر را طی
    کرده. تازه بعد از همه اینها به فردی متوسط و نه عالی در آن زمینه تبدیل
    خواهد شد.

    اینها تنها مثال هایی برای درک اهمیت
    همراهی همه این عوامل است.

    چرا استعدادیابی کودکان مهم است؟

    جلوگیری از اتلاف وقت
    استعدادیابی باعث می‌شود افراد وقت خود را در زندگی تلف نکنند و از همان ابتدا سراغ کاری بروند که در آن بهتر
    هستند. عدم شناخت صحیح استعدادها و علایق باعث می شود کودک در زندگی مسیرهایی پیش بگیرد که در آن راضی و خوشحال
    نیست. این امر در همه انتخاب های مهم زندگی
    از جمله انتخاب رشته دبیرستان
    و دانشگاه و انتخاب شغل نمود زیادی دارد.

    جلوگیری از اتلاف انرژی
    وقتی کودک در کاری استعداد دارید آن را با صرف انرژی کمتری انجام
    می دهد. مثلا اگر در موسیقی استعداد دارد آن را بسیار سریعتر از متوسط افراد یاد میگیرد.
    این امر هم باعث افزایش انگیزه کودک می شود و هم موجب می شود
    او برای امور دیگر زندگی انرژی بیشتری داشته باشد.

    جلوگیری از اتلاف سرمایه
    وقتی شما استعداد کودک خود را نمی
    شناسید ممکن است زمان و پول زیادی صرف کلاس های
    مختلف برای یادگیری مهارت هایی
    کنید که کودک در آن احساس خوبی ندارد.
    شناخت استعدادها موجب می شود کودک تنها مهارت هایی را یاد بگیرید که موجب موفقیتش می
    شود.

  269. اگر از آن دسته والدین آگاهی
    هستید که به اهمیت استعدادها در زندگی آگاهید
    و به دنبال پاسخ این سوال هستید که چگونه استعداد کودکان را
    کشف کنیم تا آخر این متن با
    ما همراه باشید. چرا که ما به شما خواهیم گفت چگونه می توانید در این مسیر موفق
    شوید.

    استعداد چیست؟
    پیش از آنکه وارد این موضوع شویم که “چگونه استعداد
    کودکان را کشف کنیم” ابتدا باید بدانید استعداد چیست؟

    استعدادها توانایی های بالقوه ذاتی ما هستند که
    وقتی ور محیط مناسبی قرار بگیرند رشد کرده
    و شکوفا می شوند. به عبارت دیگر استعدادهای ما ویژگی
    های درونی و ذاتی ما هستند که از بدو تولد در ما وجود دارند و هنگامی که بروز پیدا
    کنند می توانند رشد کرده و به حداکثر ظرفیت خود برسند.

    برخی از دانشمندان معتقدند برای هر
    استعدادی مسیر عصبی در مغز ما وجود دارد و وقتی شما آن استعداد
    را کشف کرده و روی آن کار می کنید این مسیر عصبی قوی و قوی تر می شود.

    چگونه استعداد کودکان را کشف کنیم؟
    چرا باید استعدادهای کودکان را
    کشف کنیم؟
    احتمالا آنچه که شما را به این وا
    داشته که از خود بپرسید چگونه استعدادهای کودکان را
    کشف کنیم این حقیقت بوده است که یا نتوانسته
    اید استعدادهای خود را به درستی بشناسید
    یا اینکار خیلی دیر صورت گرفته است.

    همان طور که می دانید شناسایی زودهنگام
    استعداد فرد به ویژه در سنین کودکی موجب می شود فرد مسیر اهداف و زندگی اش
    را به گونه ای بچیند که در راستای استعدادش باشد و به این
    ترتیب احتمال موفقیت او در آن مسیر بیشتر می شود.

    در واقع شناسایی استعدادها در سنین کم باعث می شود
    فرد از سردرگمی های بعدی در سنین نوجوانی و جوانی و حتی
    بزرگسالی رها شده و بداند برای رسیدن به موفقیت
    در چه مسیری گام بردارد.

    یکی دیگر از فواید شناسایی استعداد در
    سنین کم این است که شما پدر و مادر برای مهارت آموزی به کودک نیاز نیست با آزمون و خطا پیش بروید.

    به عبارت دیگر نیاز نیست کلاس های مختلف کمک آموزشی و مهارتی را امتحان کنید تا ببینید فرزندتان به کدام یک علاقه و در آن
    استعداد دارد. در عوض مستقیما او را
    به کلاس هایی میفرستید که می دانید در آن استعداد داشته و برای آینده مسیر حرفه
    ای و شغلی اش لازم است.

    مثلا اگر می دانید فرزند شما استعداد نقاشی داشته و به آن علاقمند است چه نیازی به فرستادن او به کلاس های کمک آموزشی ریاضی هست
    که اتفاقا فرزندتان در آن درس ضعیف هم هست؟

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  273. در این مقاله میخواهیم به معرفی بهترین کلاس زبان آلمانی در مشهد
    بپردازیم. تا انتها همراه ما باشید.

    زبان آلمانی
    امروزه افراد زیادی به دنبال یادگیری
    زبان المانی هستند و با هدف های مختلفی
    مثل کار، سفر یا تحصیل به آلمان و … در کلاس آموزش زبان آلمانی ثبت
    نام می کنند. زبان آلمانی پر گویش ترین زبان اتحادیه
    اروپا می باشد و توسط 95 میلیون نفر مورد استفاده قرار می گیرد.
    این زبان در کشور هایی مثل آلمان، اتریش، سوئیس،
    لیختن‌اشتاین، لوگزامبورگ، شرق
    بلژیک، آلتو آدیجه، آلزاس، لورن
    و جنوب دانمارک و … به رسمیت شناخته می شود.

    زبان آلمانی بعد از انگلیسی دومین زبان استفاده شده در اسناد
    رسمی، و بعد از انگلیسی و روسی سومین زبان استفاده شده در
    تارنماهای اینترنتی می باشد. همچنین طبق
    تحقیقات انجام شده یک دهم کل کتاب هایی که هر
    سال در کل جهان نگارش می شوند به این زبان می
    باشند.

    کشور آلمان بیش از 80 میلیون نفر جمعیت دارد که 93
    درصد آن ها آلمانی و مابقی اتباع خارجی هستند.
    زبان رسمی کشور آلمان زبان آلمانی است و 95 درصد مردم آلمان به همین زبان و یا گویش هایی از این
    زبان صحبت می کنند.

    زبان آلمانی شامل دو گویش اصلی آلمانی بالا و آلمانی پایین و همانند
    انگلیسی دارای تعداد زیادی از گویش‌های فرعی است.
    بر اساس این زبان، زبان معیاری
    با نام آلمانی معیار وجود دارد که بیش‌تر به آلمانی بالا شبیه
    است، به خارجی‌ها آموزش داده می‌شود و نوعی زبان
    میانجی است. بخشی از کلمات زبان آلمانی ریشه در زبان‌های لاتین و
    یونانی دارد و قسمت کوچکی نیز از فرانسوی
    و انگلیسی به عاریه گرفته شده‌است.

    تنوع در زبان آلمانی:
    زبان آلمانی با گویش ها و لهجه های خاصی در نقاط مختلف اروپا مورد استفاده
    قرار می گیرد. این گویش ها عبارتند از:

    آلمانی والا یا عالی:
    زبان آلمانی والا در قرن 16 میلادی به وجود آمد
    و به عنوان زبان ادبی استاندارد شناخته شد.
    مارتین لوتر در سال 1534 ترجمه کتاب مقدس
    را به پایان رساند که آغازی در
    شکل گیری این زبان می باشد. زبانی که او در
    کتابش استفاده کرد بر پایه زبان
    آلمانی بود که آن زمان صحبت می شد.

    آلمانی – سوئیسی:
    این نوع از زبان آلمانی توسط 4 میلیون نفر در سوئیس
    به کار برده می شود و گاهی در برخی از رمان ها، روزنامه ها، نامه
    ها و دفتر یادداشت ها مشاهده می شود.

    آلمانی – پنسیلوانیا:
    این نوع از زبان آلمانی توسط 250 هزار نفر در پنسیلوانیا، اوهایو و ایندیانا در ایالات متحده
    و اونتاریو در کانادا مورد استفاده قرار می گیرد.

  274. در این مقاله قصد داریم به معرفی بهترین کلاس آیلتس مشهد
    بپردازیم، اما قبل از آن می‌خواهیم کمی با ازمون ایلتس آشنا
    شویم. تا انتها با ما همراه باشید.

    آزمون آیلتس
    آیلتس یکی از آزمون های برجسته در زمینه سنجش
    علم زبان انگلیسی شما به شمار میرود .
    آزمون آیلتس هر ساله در تاریخ
    های مشخصی برگزار میشود و متقاضیان زیادی برای اهداف گوناگون در این آزمون بین المللی شرکت
    میکنند. آزمون آیلتس برای مهاجرت؛ ویزای کاری ویادرسی از موارد لازم به
    شمار میرود. ما دراین مقاله سعی داریم به معرفی بهترین کلاس آیلتس مشهد بپردازیم.
    تا انتخاب برای شما ساده تر شود و بتوانید با خیال راحت به
    کلاس زبان بروید . پس تا انتها
    با ما همراه باشید.

    مراحل گرفتن مدرک آیلتس به صورت گام به گام:
    قبل از شرکت در آزمون آیلتس باید سطح دانش شما مشخص شود.
    به همین علت اولین مرحله ی
    آزمون آیلتس سنجیدن دانش فعلی شما از طریق شرکت در آزمون تعیین
    سطح می باشد.

    لازم به ذکر است که آزمون های تعیین سطح موسسات زبان نمی تواند سطح زبان دقیق شما را مشخص کند و
    به همین علت به شما پیشنهاد می
    کنیم که در یکی از آزمون های شبه آیلتس که
    هر 4 مهارت Speaking و Writing و Reading و Listening را ارزیابی می کنند شرکت نمایید.

    بهترین کلاس آیلتس مشهد کجاست؟
    در لیست زیر به معرفی تعدادی
    از بهترین کلاس های آیلتس در مشهد میپردازیم.

    آموزشگاه زبان راه پویندگان
    مشاهده صفحه آموزشگاه

    توضیحات:

    تدریس زبان های انگلیسی، آلمانی، فرانسوی
    برگزاری دوره های آمادگی آزمون
    های بین المللی جی آر آی – جی مت – یوس – پی تی
    ای – دولینگو

    موسسه بین المللی راه پویندگان فعالیت حرفه ای خود
    را در سال ۱۳۸۵ در قالب برگزاری
    دوره های آمادگی آزمون های بین المللی به ویژه آیلتس آغاز نمود.
    پس از آن، اخذ مجوزهای لازم
    و رسمی از وزارت فرهنگ و ارشاد اسلامی در زمینه یاددهی و
    آموزش زبان های خارجی، اخذ مجوزاز وزارت علوم، تحقیقات و فناوری در زمینه
    ارائه مشاوره برای اخذ پذیرش
    تحصیلی از دانشگاه های بین المللی، و
    سازمان فنی و حرفه ای برای برگزاری دوره های مرتبط به هتلداری باعث
    شد تا فعالیت های موسسه شکل متفاوت و متنوعی به خود بگیرد.

    آنچه موسسه بین المللی راه پویندگان را متمایز می سازد داشتن
    کادر قوی علمی، برنامه ریزی دقیق، برخورداری
    از دانش روز، وجود دپارتمان های تخصصی و بهره مندی از مشاوران و کارکنان متخصص و متعهد
    است.هدف ما خدمت رسانی مطمئن به مراجعه کنندگان محترم موسسه است.
    در این راستا، هیات مدیره موسسه از هر پیشنهادی که بتواند باعث ارتقای سطح و تنوع
    بخشیدن به مجموعه خدمات ارائه شده شود
    استقبال می کند و آن را مورد برسی قرار میدهد.

    آموزشگاه زبان ماهان
    مشاهده صفحه آموزشگاه

    توضیحات:

    کالج زبان ماهان کار خود را در مشهد
    مقدس از سال ۸۸ و با هدف ایجاد انقلاب
    و تفاوت‎ ‎های بنیادین در زمینه
    آموزش زبان های خارجی و با محوریت زبان انگلیسی به
    کلیه گروه های سنی آغاز نمود. تلاش شبانه روزی و بی وقفه مسئولان ماهان
    در جهت ایجاد تفاوتها و نوآوری های چشمگیر در
    عرصه مهم زبان آموزی، منجر به ایجاد دوره های ویژه
    و منحصرفردی شد که سابقه‎ ‎تشکیل آنها در هیچ کجای ایران بلکه جهان دیده نشده بود.

    در سال 94، این مرکز موفق به دریافت
    مجوز رسمی برگزاری آزمون های بین المللی IELTS از طرف سازمان
    سنجش آموزش کشور و IDP در مشهد و تهران شد.
    در سال 95 نیز، دو شعبه ی دیگر برای آموزش زبان بزرگسالان و خردسالان افتتاح نمود.
    این مجموعه دارای 5 شعبه فعال در
    سطح شهر مشهد است که تمامی سنین را
    در برمیگیرد .

    آموزشگاه زبان سفیر گفتمان
    مشاهده صفحه آموزشگاه

    توضیحات:

    مجوز رسمی از وزارت آموزش و پرورش،وزارت فرهنگ و ارشاد اسلامی
    گواهینامه بین المللی ISO 9001 در مدیریت کیفیت
    گواهینامه بین المللی ISO 10002 در رسیدگی به شکایات مشتریان
    نمایندگی رسمی آکادمی مدرسین آکسفورد (OTA) تحت
    نظر انتشارات دانشگاه آکسفورد OUP
    مرکز مجاز برگزاری دوره های تربیت مدرس CELTA تحت نظر دپارتمان ESOL Examination دانشگاه
    Cambridge
    آموزش سریع مکالمه زبان انگلیسی و فرانسه
    به صورت فشرده، ترمیک، جمعه، دو روز در هفته، فوق فشرده و پنجشنبه
    استفاده از تجهیزات مدرن آموزشی (DVD player و LCD) و سیستم های صوتی پیشرفته در کلاس ها
    برگزاری کلاس های کم جمعیت با محدودیت
    تعداد دانشجویان(حداکثر 12نفر در مقاطع پیشرفته و
    حداکثر 17 نفر در سایر مقاطع)
    کنترل مداوم کیفیت آموزشی در طول ترم از طریق دوربین های مدار بسته توسط مدیران آموزش واحدها
    برگزاری کلاس های تخصصی آمادگی آزمون IELTS
    کالج زبان آریان پور

  275. منو جا نذار بغل بگیر تو بمون برام تو بگو بمیر منو اشک خودم
    روی شونه ی تو خالی میشه دلم به بهونه ی تو خوبه با من همیشه میونه تو عشق دیوونه
    ی تو … همه کس تویی تو آخه هرچی تو قلبمه
    میدونی تو بلدی تو منو همه میرن و باز داری میمونی تو چه قشنگ داری رنگ
    سفیدو رو قلب من میزنی تو
    همه کس تویی تو آخه هرچی تو قلبمه
    میدونی تو بلدی تو منو همه میرن
    و باز داری میمونی تو چه قشنگ داری رنگ سفیدو رو قلب من میزنی تو تو یه وقت قعر نکنی
    با من میشه باشی واسم میشه صدات بزنم تو نگاه کنی من
    به یذرشم قانعم منو اشک خودم روی شونه ی تو خالی میشه دلم
    به بهونه ی تو خوبه با من همیشه میونه تو عشق دیوونه ی تو …
    بلدی تو منو همه میرن و باز داری
    میمونی تو چه قشنگ داری رنگ سفیدو رو قلب من میزنی تو همه کس
    تویی تو آخه هرچی تو قلبمه میدونی تو بلدی تو
    منو همه میرن و باز داری میمونی تو چه
    قشنگ داری رنگ سفیدو رو قلب من میزنی تو

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