Introversion and Creativity

Self preoccupation and Creativity Self preoccupation The Stairway to the Horizon of Creativity In the paper The Rise of the New Groupthink (Published on January 13, 2012), Susan Cain raises the mindfulness that the ascent of gathering working is slowly supplanting free working despite the fact that it is significant in everyones life. By which, lead us to a reality where gathering meetings to generate new ideas are currently the new pattern and private reasoning is antiquated. Susan Cain is an American essayist, a speaker, a top of the line writer of a book about introspection in 2012 who experiences issues talking in broad daylight and through those troubles, built up an enthusiasm for expounding on inner-directedness. Her article The Rise of the New Groupthink has opened up a totally different viewpoint about how significant introspection is, and how overlooked it has been throughout the years. Through my encounters, I bolster Cains thought that isolation and self preoccupation are essential to everyones life and there ought to be a harmony among isolation and gathering figu ring, not simply give all the kindness to amass thinking and totally forgot about inner-directedness. In the wake of investigating different investigations of analysts, Cain remains in favor of contemplation, expressing that it is a significant factor for inventiveness and musings. What's more, as per another of her article The Rise of the New Groupthink and the Power of Working Alone she utilizes a regular typical day for Mr. Steve Wozniak, the prime supporter of Apple, as an important model. The vast majority of Wozniaks work originated from constantly and difficult work of inside his desk area at Hewlett-Packard. Hed show up alone around 6:30 am, promptly in the first part of the day, read building magazines, and look at chip manuals, making arrangements, setting up structures in his psyche. After work, hed return home, make a rapid spaghetti or Microwavable supper, at that point drive back to the working environment and work even until it spends 12 PM. He depicts this time of calm midnights and single early morning as the greatest high ever. Steve Wozniak is probably the greatest name there is with regards to thoughtful masters. As observing Steve Wozniak as a significant model, Cain recognizes the significance of contemplation and how it very well may be a colossal assistance in people groups work and imagination. Additionally, she states two primary reasons that help reinforce her affirmations and make it significantly increasingly strong. Those two primary reasons are the long-lasting bond between introspection with inventiveness and people groups profitability. Most importantly, isolation has for some time been connected with imagination. Through Rise of the New Groupthink Cain harden her thought by looking at the examination of two therapists Mihaly Csikszentmihalyi and Gregory Feist, from which expresses that most imaginative individuals from a wide range of fields are generally self observers. This is most likely in light of the fact that that independent individuals are content with working alone, and just by being separated from everyone else would they be able to expand their imagination and ingenuity. This thought of Cain addresses me truly well since when I was youthful, I really encounters exactly how significant isolation is for a contemplative individual. My uncle is a game developer, not a top dog in the business, yet he has been working in a really solid employment in an organization named Ubisoft. He cherishes self preoccupation more than all else when hes working. He got huge amounts of ventures to deal with constantly, yet h e never works with anybody, he said that he cannot work or produces any thoughts when he needs to work in a gathering. Also, I really witness it when he took me to work one day. When conceptualizing with a gathering, he can't focuses because of various thoughts, assessments from the colleague. In any case, after that is finished, and hes back to his desk area, his imagination simply like return and his alloted task was finished with extraordinary rating from each associate for the new thoughts and inventiveness of the game. Through my uncle experience, inner-directedness has demonstrated to be a basic factor and an essential element for imagination. Simultaneously, self preoccupation and isolation are unequivocally relate with the need of security. Shockingly, security has a colossal impact in progressively efficiency. By having protection, one can feels the good and opportunity from interruption that raise their center, and, hence increment their efficiency. From a fairly intriguing investigation known as the Coding War Games, from crafted by in excess of 600 software engineers at 92 organizations, experts Tom DeMarco and Timothy Lister thought about among them and they found that from similar organizations, the laborers performed at generally a similar level with one another. Notwithstanding, between association, there an immense hole! Furthermore, exactly what made that immense hole? It was the protection, individual workspace and opportunity from interference their organization gives (Sixty-two percent of the best entertainers said their work space was adequately private). Through the exploration on the investigation, Cain s hows us exactly how basic security is to our own innovativeness and profitability. Its no ifs, ands or buts that security has a great deal of effects on ones execution. Much the same as the developers, our brains need their private opportunity to think, to be increasingly inventive. By having the security and the agreeable space varying, ones efficiency will increment significantly. Yet, regardless of having such significant variables, inner-directedness still miss the mark in the race with bunch conceptualizing of being the thinking pattern about the general public. Susan Cain likewise expresses this circumstance in Rise of the New Groupthink: Solitude is outdated. The greater part of us currently work in groups, in workplaces without dividers, for directors who prize relationship building abilities most importantly. Solitary virtuosos are out. Joint effort is in. The inquiry is the reason? Why gathering conceptualizing got so much credit yet self preoccupation wont? The reasons are that society presently observes bunch filling in as a decent path for individuals to figure out how to function with others, cause them to feel progressively good when working with others, and besides, settle on preferred choice over the choice that an individual makes. In any case, different investigations really conflict with this announcement. Studies show that workplaces with no private work space for laborers really make them awkward, occupied and uncertain. Theyre additionally simpler to experience the ill effects of pressure and depletion because of people watching all that they do. The investigations additionally show that individuals who works in simple diverted condition commit 50 percent more errors and accept twice as long to complete it. Hence, self preoccupation shows its boss sides over gathering working. Be that as it may, for the general public to acknowledges and give more credits for inner-directedness, might take a significant long time. Through the course of a general public that continues progressing and creating, introspection assumes a major job in making every last bit of it works out. However, presently, as gathering working expands, introspection is steadily being forgotten about. In the event that one day introspection is totally gone, there won't just restricted the pace of innovativeness inside the general public, yet in addition our childhood may never realize how supportive inner-directedness is to their inventiveness. Furthermore, without the youthful ages inventiveness, the future ahead won't be brilliant. Work Cited Cain, Susan. The Rise of the New Groupthink. The New York Times. The New York Times, 14 Jan. 2012. Web. 16 Feb. 2017. . Maryellen, Weimer, Phd . Five Things Students Can Learn through Group Work. Workforce Focus | Higher Ed Teaching Learning. N.p., 24 Aug. 2016. Web. 16 Feb. 2017. . Cook, Gareth. The Power of Introverts: A Manifesto for Quiet Brilliance. Logical American. N.p., 24 Jan. 2012. Web. 16 Feb. 2017. . Susan, Cain. The Rise of the New Groupthink and the Power of Working Alone. The Rise of the New Groupthink and the Power of Working Alone. Susan Cain, 3 June 2015. Web. 16 Feb. 2017. .

Sustainable Design and the Recovery of New Orleans from Hurricane Essay

Supportable Design and the Recovery of New Orleans from Hurricane Katrina - Essay Example It goes with no notification with flawlessness as it is impeccably utilitarian and its structure streams consistently into the general condition. For instance, an agreeable seat goes with no notification as it is agreeable and very much coordinated with the human structure. Again a decent planned kitchen gadget, even a can opener, goes with no notification flawlessly inferable from the effortlessness and perfection of its capacities. Besides configuration is intently attached to the encompassing scene. It is a result of more extensive mechanical advancement and determined imaginative impacts. Fifty years prior issues in regards to natural issues for the most part went off with no notification. Be that as it may, during the most recent thirty years as ecological issues have happened to expanding significance and mindfulness has developed of bundling waste, environmental change and different issues configuration issues have extended to incorporate natural issues also. All the more as o f late, significance on natural issues has been supplanted by the significance on supportability. The accompanying discussion will concentrate on the interrelationship among manageability and plan. At first, the term supportability will be taken a gander at and checked. After that the specific issue of manageability and configuration will be considered. The proposition will consider the idea of maintainable structure as it has been applied to the recreation of the city of New Orleans, Louisiana since it was struck by Hurricane Katrina (August 29, 2005). Especially, issues with the real supportability of present 'reasonable' ways to deal with recreation will be engaged. This proposition will really contend that the greater part of the 'supportable' recommendations for reconstructing New Orleans are not maintainable as they don't consider the primary socio-social parts of manageable structure. After that one straightforward proposition for reproduction that is really reasonable financ ially, ecologically and socio-socially will be introduced. The last segment of the proposition will at that point consider how the particular proposition for reasonable remaking in New Orleans can be applied in a more noteworthy system in different pieces of the globe (generally in the UK). Part 2. Standards of Sustainable Design Sustainability The verifiable conversation of the issue of reasonable structure will begin with the history (historical background) of the word continue which is the foundation of the term maintainability. Following the Online Etymological Dictionary the foundation of continue originates from â€Å"late 13 century, from Old French sustenir hold up, suffer, from Latin sustinere hold up, support, suffer, from sub up from underneath + tenere to hold. (Continue (2010) Online Etymology Dictionary [online].) Following this definition, maintainable plan is a structure that can be upheld or held up by the economy, the earth and society. Out of sight of plan, econo mical structures are those plans that can be upheld by the earth. Economical structures are plans that don't dissolve the assets of nature, yet rather can be upheld by them. A meaning of maintainability has existed since at any rate 1987 when the Report of the World Commission on Environment and Development: Our Common Future (generally known as the Brundtland Report) was distributed. The World Commissio

Waking Up Stressed How to Cure a Stress Hangover

Waking Up Stressed How to Cure a Stress Hangover Stress Management Management Techniques Print Waking Up Stressed? How to Cure a Stress Hangover If You Are Hit With Stress In The Morning, Here Is How To Reset Your Day By Elizabeth Scott, MS twitter Elizabeth Scott, MS, is a wellness coach specializing in stress management and quality of life, and the author of 8 Keys to Stress Management. Learn about our editorial policy Elizabeth Scott, MS Updated on June 27, 2019 How Stress Impacts Your Health Overview Signs of Burnout Stress and Weight Gain Benefits of Exercise Stress Reduction Tips Self-Care Practices Mindful Living Leftover morning stress doesnt need to color your day. Atli Mar Hafsteinsson/Cultura/Getty Images Have you ever felt like you’ve had “one of those days” before the day has really even begun? Some days can be so stressful that we still feel stressed when we wake up the next morning, though all we’ve experienced for the last several hours is sleep. At times, the stress of a day can plague your dreams so your night feels anything but restful as the challenges of the day become characters in your stress-fueled dreams. Other days are set up to be so busy or challenging that we feel the weight of them as soon as we wake up. How can we manage these “stressed before we become stressed” feelings and have a better day? The following strategies can help you to make the most of each day, and let the stress roll off your back. Meditations Meditation itself is a powerful tool for stress relief. It can be a particularly powerful tool to combat that “stress hangover” feeling because it can pull you out of what you are thinking and feeling, and provide some mental and emotional distance between you and the stressors that are troubling. Certain meditation techniques can be particularly useful for the early morning hours because they can set you up to experience positive feelings for the rest of the day. I recommend the following meditation techniques for those mornings when you’d like to feel less stressed and more positive. See which work best for you. Loving-Kindness MeditationMusic MeditationMantra Meditation (Tip: choose an empowering word like “hope.”) Cultivate Gratitude Cultivating a feeling of gratitude can help you to feel more peace throughout the day, and is particularly useful at night. If you wake up and feel stressed already, it can be very helpful to counteract that with feelings of gratitude. Try to keep a gratitude journal You can count the things you are looking forward to in the day, the things you’re already grateful you have, or the people who make your life better, and feel more positive as you focus on it all. If you habitually wake up feeling stressed, a little pre-bedtime gratitude journaling can be an effective buffer between you and stress. Try keeping a gratitude journal, and write down a list of things that youre grateful for each night. You may find that you experience more peaceful sleep as a result. Set Goals When you wake up feeling overwhelmed from the day you have ahead, sometimes making a plan can mean the difference between a day of low-grade anxiety over how everything can get done, and a day that is merely busy. If you wake up feeling generalized stress, setting goals for the day can help you to find a focus that can motivates you to be productive and feel less stressed. If you wake up ruminating about negative situations from the day before or anxious about challenges to come, focusing on goals can help to take your mind away from these things as well. Try these goal-setting tips Use Music The act of listening to music, whether you’re doing so actively or have it on in the background, can lower your stress levels almost immediately. Because of this, music is a very convenient and powerful tool to help with stress relief: it can help you to feel more energized, more peaceful, more cheerful, or more of many stress-combating emotions. Because music can affect your physiology and your mood with very little conscious effort from you, it’s great to have on in the car while you start your day, or in your house when you get ready to go. (If you anticipate a difficult morning, consider using a song that will put you in a good mood as an alarm!) The following are specific guidelines to follow to make the most of music as a stress relief tool. See how to use music as a stress relief tool.  Get Some Exercise Exercise can boost mood, change focus, and leave you feeling good for the rest of the day. It’s also great for your health, so incorporating quick workouts as part of your morning routine can be helpful in many ways. Learn about the benefits of exercise here, and think about what type of physical activity might work best for you: walking, jogging, or a home gym routine can all be convenient options for the morning. (If you’re very busy, high-intensity interval training can provide virtually the same benefits of longer workouts in a fraction of the time, so exercise need not take up your whole morning.) Exercise allows you to clear your mind and prime your body for the day ahead, so it’s highly recommended as a stress reliever for those difficult mornings. Learn more about why exercise is a terrific stress reliever  Build Rewards Into Your Day Sometimes the key to a stressful start to a day is knowing that things will get better. The act of anticipating a positive experience can infuse greater joy into the hours until it happens, so the key to brightening your morning can be making a plan to reward yourself at the end of the day. There are many incentives you can give yourself, and you probably already know what you’d like: dinner at your favorite restaurant, watching a re-run of your favorite show, a chat with a friend, or whatever you enjoy. Give yourself something to look forward to at the end of the day and you’ll enjoy the day more as you go! 6 Stress-Free Ways to Start Your Day

President Abraham Lincoln Defined Democracy Essay

Years ago US president Abraham Lincoln defined democracy as an institution that is â€Å"for the people, of the people and by the people.† Nehru built on it by stating that for him this meant that â€Å"people participate in the foundations of the government and help in the functioning of democracy...† (Nehru, in Awasthy and Aurora, 2007: 409) Being one of the oldest forms of government, it is a system through which rules can be made accountable to the people. (Gowda, 2016: 17) A Representative democracy is a type of democracy wherein elected leaders represent the masses. Unfortunately, many times there are situations where people may feel that their demands have not been represented adequately or they have been neglected, and so they tend to form groups to make their voices heard and represented. These are known as interest or pressure groups. While the two have slightly different meanings, in Indian politics they are used interchangeably. Pressure group may be defined as any group attempting to bring about political change, whether through government activity or not, and which is not a political party in the sense of being represented, at that particular time, in the legislative body.† (Castles in Chakraborty, 1869: 1) A pressure group is defined by its techniques and an interest group by its objectives but whenever an interest group adopts the technique of pressure for the fulfilment of its objectives then it converts into pressure groups. (Kalsi, 2015: 14) The objective of theShow MoreRelatedThe Most Important Achievement Of The United States Essay1626 Words   |  7 Pagesfew United States Presidents can be truly called extraordinary. It is not only remarkable historical achievements during their tenure in office, but their relevancy to the United States throughout the ages that makes them truly great. It is incredible leadership and vision which indelibly shape a nation that establishes an extraordinary President. 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George Washington, The Great American Leader - 1544 Words

Souleymane Cissokho D’Abbene, p.3 American History 8 18 December 2015 George Washington, the Great American Leader George Washington did many things in his lifetime as a military leader in the Revolutionary War . He sailed across the Delaware River to surprise British officers on Christmas night and captured hundreds of Hessians and tens of British officers. He made this one of the biggest turning points of the war. Washington also lead troops through Valley Forge in the harsh winter of 1777-1778. He kept the troops together through his leadership. And finally, he lead the colonies to victory at Yorktown. This ended the war and made the thirteen colonies into the United States of America. George Washington was the most influential figure during the American Revolution era because he crossed the Delaware river on Christmas 1776, lead troops at Valley Forge in the winter of 1777-1778, and lead the colonies to victory at Yorktown. 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Bad things Free Essays

With a increasingly sexualities society (Mulligan, 1994; Kumar, 2013) and the influence the media has over young people (Slough, 1995), it mess pertinent to ask the question why as a nation, are we not more clued up in preventing rather than recovering from such tragedies? A noted aim of Sex and Relationship Education (SERE) is to teach about awareness, knowledge and correct actions related to sexual abuse (Lobber et al, 2010) to ensure the learner has the best chance of societal integration and healthy sex life (Lobber et al, 2010). Herein lies the concern, differing societies engage differently, leading SERE to assume many guises (Lobber et al, 2010; Fontanne et al, 2012). The dichotomy for policy makers and Laotians concerned is that relevant and appropriate content has to be offset against the fear of public outcry (Consoled, 2012; Chou, 2012). We will write a custom essay sample on Bad things or any similar topic only for you Order Now Sex and the surrounding paraphernalia is still seen by some, especially parents or those involved in the education of children, as taboo (Former, 2011). It is a subject that evokes an unusually deep emotional response in a wide demographic of people (Vassar, 2011), perhaps because sex and relationships are something we all feel a connection to. Perhaps then surrounding such controversy it is little surprise that there is elegance to update national policy (Evans and Trip, 2006; Confined, 2012), indeed there has been no major update to any government guidelines concerning SERE in 13 years (Evans and Trip, 2006; Holly, 2012; Sex Education Forum, 2013). Invariably this has led to schools and educators hesitant to deliver any form of SERE (Former, 2011) explaining the comment of the Sex Education Forum’s claiming a one in three reply of ‘poor’ or Very poor’ amongst respondents concerning their experience of SERE (Sex Education Forum, 2013, p. 4). Initially this echoes the contention we know surrounds SERE, however the Sex Education Forum is an independent body, even advising government policy, adding validity to such statements. The previous two and the current government have come under criticism (Evans and Trip, 2006; Former, 2011; Holly, 2012, Sex Education Forum, 2013) about failing to enact meaningful change in support of schools in this clearly vital area of education (Lobber et al, 2010; Fontanne et al, 2012). There is an assumption that governments would wish to enact decisive and lasting policy change after weighty social change is promised, yet Evans and Trip (2006) have suggested that more radical policy is necessary than has been thus implemented. Such policies may even go as far as introducing pornography within the classroom (Holly, 2012). Marled (2012) suggests the current Coalition Government has already hastened and strengthened reforms and guidelines in the wake of recent abuse tragedies such as those in Recordable and Exosphere (Marled, 2012; BBC News, 2013; Burke, 2013). One must be wary to believe such rhetoric in light of these circumstances, as it is common practice for such vague press releases to appear, simply to soothe public fear and discontent. This may be cynicism on the writer’s part though and the current Coalition does intend to release a new curriculum for schools in 2014 (Great Britain, Department for Education, 2013). It was hoped by pupils in particular that SERE would feature strongly within the revision (Former, 2011) yet it seems that the trend of ambivalence towards SERE continues. Even with an extended consultation period on the curriculum, both pupils (Former, 2011) and advisory councils (Sex Education Forum, 2013) feel that their views or recommendations have been ignored. The position of SERE within the curriculum was meeting all parties wanted to see reinforced with the Sex Education Forum calling for SERE in the form of Personal, Social and Health Education (SHE) or better, standalone to be made statutory (2013, p. ). The proposal curriculum (Great Britain, Department for Education, 2013; Sex Education Forum, 2013) will not however, be making this so. This course of action is analyses by Even and Trip (2006) as predictable, claiming that despite valid and objective support, orthodoxy persists in education. Perhaps disappointing as if there can be a shift in orthodoxy regarding SERE, pro found social and demographic benefits may be seen. Sweden has had a strong form of SERE embedded in practice for over fifty years (Lobber et al, 2010) and enjoys a high standard of social stability and new from the current Coalition Government (Analysis: Cameraman’s Swede Dreams, 2012). It is dangerous to make broad sweeping statements from limited sources, especially of those with a distinctive demographic difference to the I-J. It is usually agreed though that SERE should learn from those with best practice globally (Livingston and Haddam, 2009; Chou, 2012), perhaps lessons may also be learnt from the Finnish model. Having had tooth statutory and non-statutory shapes of SERE, Lobber et al (2010) surmises that it is the statutory model that returns the cohesion and essential improvements to sexual health political leaders crave (Evans and Trip, 2006). Instead of taking the opportunity to make SERE statutory content, this Coalition Government has drafted a proposal that has elements of SERE embedded within the new science curriculum (Great Britain, Department for Education, 2013). Science by nature is objective and if for this reason SERE was amalgamated then it is commendable, combating bigotry and misunderstanding (Chou, 2012). As Lombardi (2012) helpfully reminds us, humans the world over reproduce in the same way and so taking a scientific approach follows. These laudable reasons for merging SERE within a broader science curriculum appear not to be the motive though. Nearly twenty years ago Slough (1995) instructs how children should be aware of basic reproduction biology and yet this is not stipulated for today’s learners. It would appear SERE is once more regressing to a state of UN-objective and UN-founded content (Hess, 2010; Former, 2011; Lombardi, 2012; Sex Education Forum, 2013). It is difficult to tell if this slide is uh to bad advice or simply to be purposefully uncontroversial (Vassar, 2011; Confined, 2012). It is unlikely that poor advice is the primary reason as there were both lengthy consultation periods on the draft curriculum (Great Britain, Department for Education, 2013) and extensive data from numerous reputable studies (Evans and Trip, 2006; Livingston and Haddam, 2009; Lobber et al, 2010; BC Council for Families, 2011; Former, 2011; Channel 4, 2013; Sex Education Forum, 2013). These aversions to objective SERE is unhelpful to learners who are understandably worried about hangers happening during puberty (Former, 2011; Sex Education Forum, 2013) and have a right to know (Mulligan, 1994). These learner responses are supported by More (2012) who asserts learners are inquisitive for biological reasons. Questioners do not simply stop questioning Just because they are ignored (Lobber et al, 2010). Instead they seek answers from other sources (Slough, 1995; Holly, 2012) with Hess (2010) commenting that these sources should be UN-ambivalent as possible to reduce over simplicity. It is crucial that correct answers are given as The Framework for Sexual Health (Great Britain, Department of Health, 2013, p. 2) states that an average of ten sexual partners is common in men today. The theory is that if quality SERE sessions are in place, with appropriate answers available, then wider social and sexual health risks can be avoided (Mulligan, 1994; Holly, 2012; Sex Education Forum, 2013) and some, such as the curtailing of the uneasy truth that the I-J has the highest rate of unwanted teenage pregnancy in Europe. This alarming fugue only worsens when realizing that the I-J is second only to the United States of America in terms of developed nations (Evans and Trip, 2006). This should be qualified however tit the Framework for Sexual Health (Great Britain, Department of Health, 2013, p. 2) and other parties (Holly, 2012; Sex Education Forum) quick to point out that these pregnancy levels are at a multi-generational low here. Ignorance is another principal reason for high quality SERE to be delivered in schools. A Sex Education survey of over 2000 young people, one of the largest of its kind in this country, found that seventy four of sexually active fourteen to seventeen year olds had sexual experiences under the age of consent and that twenty percent of these had these experiences under the GE of thirteen (Channel 4, 2013) It is easy to let emotion override at this point and this is a danger faced at policy level too (Combo, 2012; Holly, 2012). Instead compare these fugues with the six percent from the survey (Channel 4, 2013) who said they would wait until marriage before engaging in sexual experiences. On a personal note, regarding ignorance, the author was surprised to see that ‘Setting (Combo, 2012, p. 28) carried a custodial sentence of up to four years (Crown Prosecution Service, 2012) for the creation and distribution of such images. This is because often those reading are underage and although (hopefully) unaware of it, they are distributing ‘Indecent Images of Children’ (Crown Prosecution Service, 2012; Holly, 2012). Evans and Trip (2006) warn that once experimenting in sexual experiences under the age of sixteen (consensual age in the I-J) becomes the norm, it is far harder to prevent unwanted sexual health related issues. This a common counter to allowing overt SERE within education today, as parents, educators and wider societies believe exposure to SERE automatically correlates to a rise in sexual experimentation (Mulligan, 1994; Fontanne et al, 2012; Chou, 2012). The results from the Sex Education survey (Channel 4, 2013) counter this however, showing that the mean age for first consensual experiences is seventeen in both male and females. Certainly, wider evidence from across Northern Europe, a good comparison to make with the UK due to similar socio- economic patterns, show that the greater the liberality with engaging children in SERE, the lower the risks (Evans and Trip, 2006; Lobber et al, 2010). There is a third dimension to the debate of SERE, that of abstinence. Abstainers argue that it is the only scientific method that is proven to completely eliminate all forms of sexual health risks (Hess, 2010) such as those outlined by Fontanne et al (2012). Lombardi (2012) argues that this is in fact counter productive as it provides a dichotomy to learners to choose either protection or abstinence, leading to a drop in quality of SERE. The abstinence method does carry weight and is enjoying increasing support globally (Confined, 2012), in terms of the benefits of sex in good relationships. Alongside having the worst sexual health in teenagers in Europe, the I-J also boasts a higher bevel of marital breakdown and single parent families than found on the continental mainland (Evans and Trip, 2006). It is argued that by teaching sex as something to be enjoyed once firm commitments have been made to one another, the bond between couples is stronger thereby reducing breakdowns (Hess, 2010; Bloom, 2012). It is also worth noting that Hess (2010) and Bloom (2012) acknowledge the abstinence approach has much ground to cover in terms of accessibility to those who do not see or desire a loving marriage as standard (Evans and Trip, 2006; Comb’, 2012). Lobber t al (2010) and Milkshakes (2011) both produce a damming testimony of the abstinence approach. This is not surprising as SERE as a topic does carry strong emotions (Former, 2011). By providing historical contexts and citations in both counters it does however help to remove the personal emotive element often seen in this area of discussion. Such emotions are very apparent in both Hess’ (2010) article and the demonstrations reported by Vassar (2011). A final thought for the abstinence methodology is that of the inclusion of Lesbian, Gay, Bisexual and Transgender (LIGHT) learners. The Sex Education Forum (2013, p. Rightfully highlight that these people are equal in need to heterosexual learners and the dangers an evasive traditional hetero marriage’ approach to sex and reproduction may have on their education and sexual health. By looking to educational theory, we may hope to provide a consensus for SERE. Evans and Trip (2006) note the link to quality SERE with social learning theories. The Social Cognitive Theory (ACTS) established by Bandeau (1986) is a respected and time-tested model to use. Linked to the findings of the Sex Education survey (Channel 4, 2013) and the findings of other noted projects Livingston and Haddam, 2009; Former, 2011; Sex Education Forum, 2013), the ACTS model requires an understanding of current trends of the behavior of society in conjunction with the goal that society is hoping to achieve. The abstinence approach would argue that to achieve the goal of a society having minimal unwanted teenage pregnancies and a majority of stable relationships, it is the attitude of young people that needs to change. This is not the simple fix that may have been hoped for though. The Framework for Sexual Health (Great Britain, Department of Health, 2013, p. 9) tresses that currently around eighty five thousand females are the victims of rape or assault by penetration annually. It is very difficult for even die-hard abstainers to argue that if these victims had different attitudes, they wouldn’t have been assaulted. Indeed, the attitudes of young people and parents are reflected in Livingston and Hadrons report (2009, p. 6) showing that twenty percent were worried about viewing inappropriate sexual content. Using the ACTS, it would seem then that it would be beneficial to more learners if quality and objective SERE sessions were available. This old allow the continuing motivation of society to reduce the spiraling sexual health issues (Evans and Trip, 2006; Great Britain, Department of Health, 2013) whilst simultaneously progressing education appropriate to the young people. It is clear tha t young people want answers (Former, 2011; Sex Education Forum, 2013). By providing them through quality SERE, it reduces the risk of obtaining spurious answers such as questions regarding genital size and shape (Channel 4, 2013) from dubious sources such as pornography. The same survey (Channel 4, 2013) found that more than a third questioned rely on pornography for their information. For the educators then, it is clear that emotion and embarrassment needs to be laid aside once more in favor of providing better sources (Barker, 2012; Comb’, 2012). It is pertinent then to question who takes on the role of the educator, parents or the school. With the draft curriculum (Great Britain, Department for Education, 2013) it is obvious that some responsibility does lie with schools. Fontanne et al (2012) would support this decision, finding that with experienced educators schools provide ideal environments for SERE as they can reach the majority of children instantly. Former (2011, p. 166) does end a counter, suggesting that from his research, sixty seven percent of SERE sessions are not taught by classroom teachers. Fontanne et al (2012) retorts with the idea that this is not a bad thing as often teachers resort to passive learning in SERE and not memorable experiences, provided by external sources, something which Former (2011) agrees is more effective. Chou (2012) comments that teachers should not be expected to deliver high quality SERE as it could involve topics of anatomy and physiology knowledge beyond that of most teachers, yet it is arguable that most parents would fall under this category also. Chou (2012) counters himself too, commenting that in Chinese society, sex is not a topic of conversation traversed by most parents, leaving the question of responsibility unanswered. A common reason for teachers reluctance is being stigmatize as Holly, a leading expert in SERE, found herself (Robbins, 2011) or finding themselves in compromising situations (Knows, 2012; Vaughan, 2012). In actuality the most common reasons cited for hesitance or refraining from delivering high quality SERE is actually identical between parents and teachers (Livingston and Haddam, 2009; Hess, 2010; Former, 2011; Chou, 2012). Lobber et al (2010) does offer consolation to this conundrum, stating that with training, teachers’ attitudes reversed dramatically. It is vital that this happens as it necessary that some sort of service is available outside of the home (Livingston and Haddam, 2009; BC council for Families, 2011; Barker, 2012; Children, 2012). As with many quality strategies in education, it has been proved that the most successful SERE occurs when schools and parents cooperate fully (Baldwin and Abrasions, 1990; Evans and Trip, 2006; Barker, 2012; Fontanne et al, 2012; Marled, 2012). With the continuation of findings as outlined in the Framework for Sexual Health (Great Britain, Department of Health; 2013) and truly shocking reports across the UK (summers, 2007; Marled, 2012; BBC News, 2013;) and beyond (Burke, 2013), it must be seen as vital from schools, parents and politicians that the issue of SERE needs addressing. From these brief research findings it is clear that no universal solution has yet been tailored to fit all needs. How to cite Bad things, Papers

Nursing Teaching Plan Get Complete Solution @Myassignmenthelp.com

Question: Write a teaching plan,about colostomy care and education. Answer: The study is based on a case study of a 16-year-old girl who had an accident and suffered abdominal injuries. An emergency surgery left her with a temporary colostomy and doctors warned that she may end up with a permanent colostomy. She had other injuries too and suffered from frustration due to her condition. Although her family is by her side, still she does not want to look at her colostomy and is worried about her studies. She is estimated to have the colostomy for several years before reversal. The purpose of this study is to teach Sandra and family about how to care for colostomy. Diagnosis or planning From the data about the medical report of Sandra, the immediate need is to give her information about how to care for her colostomy herself, providing knowledge about the dietary requirement and offering emotional and psychological support to such patients. The goal-directed diagnosis includes- Adjusting patient to changes and managing colostomy. Minimizing complications Teaching self-care to handle situations Giving information about the procedure of ostomy appliance change, therapeutic regimen and informing family members about the importance of providing emotional support (Stelton et al., 2015). Implementation A colostomy is a surgical procedure by which an opening is created in the abdominal walls to take out one end of the intestine. There are many risks for a patient like bleeding inside abdomen, development of a hernia, infection in the lungs, skin irritation, wound breaking, etc. Therefore, it is necessary to teach Sandra and her family how to take care of the condition. The following are the guidelines for self-care of ostomy: Teachings principle of ostomy care: The appliances need to be changed regularly. Skin cleansing needs to be done, and stoma or opening should be inspected properly. It maintains skin integrity around the stoma. The pouch needs to be emptied before it is one-third full. Deodorants should be used to prevent odor from the stoma. In a case of complications, enterostomy therapy nurse should be immediately contacted. Their service is required both before and after surgery. Before surgery, the nurse helps patient with the placement of stoma, assists patients to determine the best place for stoma so that clothing does not disturb stoma output. After surgery, the nurse teaches patients and family member how to change ostomy appliance. It requires time and practice. So they assist in appliance change for first few times and then teach patients how to do it themselves. They can give advice on leaking and teaching techniques in case of any problem (Okamura et al., 2013). Patients can be given information about health services available for ostomy to assist patients in the initial phase after surgery. The biophysical element of disturbed body image includes the presence of stoma and loss of control over bowel movement. The psychosocial element includes altered body structure. In such case support should be given, and patients should be encouraged to verbalize feelings about colostomy. It will help patients to deal with the condition (Doenges et al., 2014). Teaching dietary requirement and fluid intake: The patient should take well-balanced diet and vitamin supplements to meet the deficiency in nutrients. They should be taught avoid foods that reduce gas and constipation. This is crucial for patients with the colostomy. They should be encouraged to take a significant amount of fluid to prevent dehydration (Gulanick Myers, 2013). Giving resource for emotional and psychological support: Close family member of a patient should be encouraged to give emotional support and motivation for recovery. They can be recommended to take help of counseling sessions in case of extreme depression due to disease. They should be informed about support groups to for peer support and knowledge about colostomy. The patient should be encouraged to interact with patients with the ostomy. Such person can be a good support and role model for patients. The patient should be explained the reason for surgery. It will help the client to deal with the ostomy to prevent long-term ostomy if it is temporary (Endall et al., 2014). Evaluation Evaluation of above implementation plan can be assessed by patients and family members motivation to learn. It is monitored whether patients perception and attitude towards the colostomy has changed or not after implementation plan. The measurement of self-care can be checked by assessing whether the patient can use stoma appliance herself or not. After the emotional support by way of counseling and family support, patients mental frame of mind can be assessed by taking feedbacks from the about the treatment process. In the end, an overall report can be documented orally or in written form explaining the benefits of diagnosis and implementation plan on patients (Danielsen et al., 2013). Reference Danielsen, A. K., Burcharth, J., Rosenberg, J. (2013). Patient education has a positive effect in patients with a stoma: a systematic review.Colorectal Disease,15(6), e276-e283. Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2014).Nursing care plans: Guidelines for individualizing client care across the life span. FA Davis. Endall, G., Willis, H., Ugboma, D., Sampson, A., Bostock, K., Lewis, R. (2014). An integrated care pathway for peritoneal dialysis catheter insertion and post insertion management.BMC Public Health. Gulanick, M., Myers, J. L. (2013).Nursing care plans: nursing diagnosis and intervention. Elsevier Health Sciences. Okamura, K., Nojiri, Y., Tanaka, Y., Nagae, H., Arai, Y., Matsuda, T., ... Hasegawa, T. (2013). Changes in perioperative management of radical prostatectomy using clinical pathways according to a standardized care plan: A multi institutional study.International Journal of Urology,20(3), 337-343. Stelton, S., Zulkowski, K., Ayello, E. A. (2015). Practice Implications for Peristomal Skin Assessment and Care from the 2014 World Council of Enterostomal Therapists International Ostomy Guideline.Advances in skin wound care,28(6), 275-284.

Acknowledge ment Essays - Punctuation, Language, Writing

Acknowledge ment At the very outset of my assignment I would like to thank Almighty Allah for his magnificence to complete my assigned work. I also show my gratitude to my honorable teacher, Md. Nuruzzaman for assigning us such an interesting assignment which is challenging and at the same time motivating .I am also indebted to my friends who has always been a guide to give my assignment a perfect shape. Finally, to give my assignment a grand success. I have carefully worked on necessary books to produce a paper where I am held responsible for my shortcomings. Seikh Tanvir Mehedi (141412) Trishna Majumder (141422) Md. Imtiaz Uddin Sikder (141432) Goutam Kumar Paul (141442) Abir Hasan (131414) INDEX Title. 03 In text citation. 04 Citation of prose. 04-05 Reference.... 06 TITLE In Text Citation A citation is a reference to a published or unpublished source (not always the original source). More precisely, a citation is an abbreviated alphanumeric expression embedded in the body of an intellectual work. Citation has several important purposes: to uphold intellectual honesty, to attribute prior or unoriginal work determined independently whether the referenced material supports the authors arguments in the claimed way, and to help the reader gauge thus strength and validity of the material the author has used. In text citation is important for three reasons- First, it gives credit to the source you are citing. If you do not use in text citation, you may be guilty of plagiarism. Second, it allows your reader to find your research, either to verify your use or to find out more about the topic. Third, it gives you authority, making it clear your ideas are built on careful research. Citation of Prose Short Quote : i) If a prose quotation runs no more than four lines and requires no special emphasis, put it in quotation marks and incorporate it into the text. Examples: According to Stephen Booth: "Shakespeare was almost certainly homosexual, bisexual or heterosexual. The sonnets provide no evidence on the matter." According to Smith: "Sales people with high need for achievement sell the most kitchen appliances whereas those with low need for achievement are better at selling garden tools." ii) You need not always reproduce complete sentences. Sometimes you may want to quote just a word or phrase as part of your sentence. Examples: For Charles Dickens the eighteenth century was both "the age of wisdom" and "the age of foolishness." iii) You may put a quotation at the beginning, middle or end of your sentence or for the sake of variety or better style, divide it by your own words. Example: "The upper jaw fuses to the skill: Chewing, biting and shouting move the mobile lower jaw against this stable brace." Explains Stephen Jay Gould that in most mammals and birds. "Poets", according to Shelley, "are the unacknowledged legislators of the world. iv) If a quotation ending a sentence requires a parenthetical reference, place the sentence period after the reference. Example: Shelley held a bold view: "Poets are the unacknowledged legislators of the world"(794). According to Stephen Booth: "Shakespeare was almost certainly homosexual, bisexual or heterosexual. The sonnets provide no evidence on the matter"(548). Long Quote: i) If a quotation runs to more than four lines in your paper, set it off from your text by beginning a new line, including one inch (or ten spaces if you are using a typewriter) from the left margin, and typing it double spaced, without adding quotation marks. A colon generally introduces a quotation displace in this way, though sometimes the context may require a different mark of punctuation or none at all. If you quote only a single paragraph or part of one, do not indent the first line more than the rest. A parenthetical reference to a prose quotation set off from the text follows the last line of the quotation. Example: Stephen Jay Gould argues that arriving clear distinctions or categorizations is extremely difficult: Nature, in some respects, comes to us as continue, not as discrete objects with clear boundaries. One of nature's many continua extends from colonist at one end to organisms at the other. Even the basic terms-organism and colony-have not precise and unambiguous definitions may, however, use the two criteria of our vernacular as a guide. We tend to call a biological object an organism if it maintains

Philipino Scientist Arturo Alcaraz and Geothermal Energy

Philipino Scientist Arturo Alcaraz and Geothermal Energy Arturo Alcaraz (1916-2001) was a Philippino volcanologist who specialized in geothermal energy development.  Born in Manila, Alcaraz is  best-known  as the Philippines Father of Geothermal Energy Development due to his contributions to studies about Philippine volcanology and the energy derived from volcanic sources.  His main contribution was the study and establishment of geothermal power plants in the Philippines. In the 1980s, the Philippines attained the second-highest geothermal generating capacity in the world, in great part due to Alcarazs contributions. Education The young Alcaraz graduated at the top of his class from Baguio City High School in 1933. But there was no school of mining in the Philippines, so he entered the College of Engineering, University of the Philippines in Manila. A year laterwhen Mapua Institute of Technology, also in Manila, offered a degree in mining engineeringAlcaraz transferred there and received his Bachelor of Science in Mining Engineering from Mapua in 1937. After graduation, he received an offer from the Philippines  Bureau of Mines  as an aide in the geology division,  which he accepted. A year after he began his job at the Bureau of Mines, he won a government scholarship to continue his education and training. He went to Madison Wisconsin, where he attended the University of Wisconsin and earned a Master of Science in Geology in 1941.   Alcaraz and Geothermal Energy The Kahimyang Project notes that Alcaraz  pioneered in generating electricity by means of geothermal steam among areas proximate to volcanoes. The Project noted, With a vast and extensive knowledge on volcanoes in the Philippines, Alcaraz explored the possibility of harnessing geothermal steam to produce energy. He succeeded in 1967 when the countrys first geothermal plant produced much-needed electricity, ushering the era of geothermal-based energy to power up homes and industries. The Commission on Volcanology was officially created by the National Research Council in 1951, and Alcaraz was appointed Chief Volcanologist, a senior technical position he held until 1974. It was in this position that he and his colleagues were able to prove that energy could be generated by geothermal energy.  The Kahimyang Project reported, A steam from a one-inch hole drilled 400 feet to the ground powered a turbo-generator which lighted up a light bulb. It was a milestone in the Philippines quest for energy self-sufficiency. Thus, Alcaraz carved his name in the global field of Geothermal Energy and Mining. Awards Alcaraz  was awarded a Guggenheim Fellowship in 1955 for two semesters of study at the University of California at Berkeley, where he received a Certificate in Volcanology.   In  1979, Alcaraz won the Philippines Ramon Magsaysay Awardee for International Understanding for supplanting national jealousies that led to a confrontation, with increasingly effective cooperation and goodwill among the neighboring peoples of Southeast Asia.  He also received the 1982 Ramon Magsaysay Award for Government Service for his scientific insight and selfless perseverance in guiding Filipinos to understand and use one of their greatest natural resources. Other awards include  Mapua Institute of Technologys Outstanding Alumnus in the Field of Science and Technology in Government Service in 1962; the Presidential Award of Merit for his work in volcanology and his initial work in geothermy 1968; and the Award for Science from the Philippine Association for the Advancement of Science (PHILAAS) in 1971. He received both the Gregorio Y. Zara Memorial Award in Basic Science from PHILAAS and the Geologist of the Year Award from the Professional Regulatory Commission in 1980.

Situational Analysis of the UK market for Clarks Shoes company Assignment

Situational Analysis of the UK market for Clarks Shoes company - Assignment Example Moreover, Clarks through its IT hub has managed to obtain customer engagement in that has helped the Company to gain a competitive edge against rival companies in the shoe industry. Clarks offers high quality products to the shoe market within competitive prices as they manufacture their shoes in Vietna (Chan 2011: 218). According to research, the improvement of living standards worldwide has allowed for increased consumer spending rates with an increase of professionals and their demand to dress the part. Remarkably, Clarks has utilized technology in many areas of its operations such as e trading and online retailing to boost its sales (Mort 2005: 57). Secure online transactions have made trading for Clarks to be easier and effective as it has grown to include home shopping. In order to achieve marketing segmentation success, Clarks must ensure that it breaks down its broad market that uses different avenues to access information. Lastly, will Clarks to continue to offer shoe variet ies for women, children, and men and which the Company intends to increase its consumer market Situational Analysis in Clarks Shoe company Introduction C. and J International Ltd. popularly known as Clarks Company is an international shoe company based in Britain with the company registering significant sales in shoes as at 2010. The company stands as the thirty-third largest privately owned enterprise in the UK whose ownership is by the Clark family with eighty-one percent while the remaining fraction belongs to employees and other stakeholders. As at 2011, the company had at least one thousand stores in a hundred and sixty countries worldwide. The company started operation in 1825 through the Clarks brothers namely Cyrus and James who started by making slippers from sheepskins, but evolved to become of the leading global shoe brands in Europe and in other continents. In recent times, Clarks shoes have gained popularity in Jamaica through a popular Jamaican artist to the extent tha t they sell out on shoe shops only for thieves to target them. The iconic shoe styles attached to Clarks Shoe Company include Wallabees, Desert Treks and Desert Boots with C & J Clark brands including Indigo, Artisan, Bostonian, Ravel shoes and K Shoes, among a list of many others. In terms of consumers, Clarks offers shoe varieties for women, and men and which the Company intends to increase its consumer market through renowned pop stars, print advertisements and through social media. The advertisement features that Clarks utilizes are through posts on glamorous magazines and on websites, but still maintaining its marketing ideals. The use of print ads is essential for Clarks Company because of their intent to reach out to a wider women consumer target because most of them read glamorous magazines. Presently, this company has an average of $800 million in turnover with the annual shoe sales amounting to thirty eight million pairs of shoes. Clarks has also grown in terms of product innovation to establish new generation active footwear from the old manufacture of professional boots. Task One: Situational Analysis In order for Clarks Company to compete in a global shoe market, its positioning of its various stores is

Economics Essay Example | Topics and Well Written Essays - 1500 words - 7

Economics - Essay Example This piece of research paper defines potential growth and actual growth and explains the basic differences between them based on the literatures. This paper described how governments can influence both actual and potential growth of a country through demand and supply variables. Definitions of Potential and real growth Economic growth in simple term is an increase in a country’s output. Actual growth has been defined as an economic growth which is measured as a rate at which the real GDP- Gross Domestic Product- is changing. A country may be able to produce more quantity of goods and services and thus its potential will increase due to an increase in the quantity or quality of its resources. This is referred as potential growth (Grant and Vidler, p. 142). Thus, actual growth refers to the increase in the output of a country whereas potential growth is an increase in a country’s ability to produce goods and services with the resources it has. As Katz (p. 30) defined, pot ential growth is the rate that an economy can sustain over the long haul by operating in full capacity. Actual growth is the exact change or growth in the economy as a result of the real GDP growth or change. Actual growth occurs when the resources and factors of production are increased and as a result the actual output has been increased. The total output of a country measured in total income or quantities of the goods and services it produced may change over time even when there are no change in the resources. If it is assumed that the quantity and quality of the available resources are fixed in a country, the production possibility curve can still shift its positions as the maximum potential output of that country may change. When the resources are fixed in a specific time period, they can do possibly change over time. A good example for this can be illustrated from a country’s growing population. When its population grows, it will directly cause increase in the supplies of labors and entrepreneurial skills etc and most probably labor quality also improve over time. Apart from these, the country would probably become able to increase its stock of capital, improve the existing energy, mineral and related resources etc. As a result of the increase in these factors of production in the country, its ability to produce more outputs will also increase and it refers to the potential growth (McConnell and Brue, p. 29). Differences between Actual Growth and Potential Growth The basic difference between actual growth and potential growth is that, as detailed above, actual growth refers to the growth in the economy being measured as a rate at which the real GDP is changing whereas potential growth refers to a country’s ability to produce more being its production possibility is more due to an increase in its factors of production (Samuelson, p. 469). From the view of economists, the potential or full-employment growth rate is an estimate of how much sup ply of goods and services that the country produces would be expanding if all the available or existing factors of production were fully utilized (Baumol and Blinder, p. 136). Actual growth measures the demand for goods and services within the country, and the demand for them may be less than the potential supply. Some factors in this case may be underused (Lincoln, p. 26). When a country is accessible to larger

Ophthalmoplegic Migraine Paediatric Oculomotor Schwannoma

Ophthalmoplegic Migraine Paediatric Oculomotor Schwannoma Corresponding Author: Dr.R.Subasree Title : Ophthalmoplegic Migraine and Paediatric Oculomotor Schwannoma: Cause or Co-Incidence? Structured Abstract: Objective: To report a case of Ophthalmoplegic migraine with Pediatric Oculomotor Schwannoma which is very rare. Methods: A 16 year old boy admitted as inpatient at our tertiary referral centre and University hospital in South India, with history of recurrent headaches and oculomotor palsy of 14 years duration was evaluated in detail to rule out posterior fossa, orbital fissure, parasellar lesions, granulomatous disorders and aneurysms. Results: Initial CT Brain revealed a nodular non-enhancing lesion in the interpeduncular cistern, MR Imaging along with CISS 3D sequence done two years later after CT, revealed a small enhancing nodular lesion at the level of midbrain in the interpeduncular cistern at nerve exit level suggestive of schwannoma of third nerve. Practice: Patient was treated with analgesics, nimodipine and valproate with which there was a partial response. During his subsequent 2 year follow-up, his frequency and severity of attacks had reduced. Conclusion: Oculomotor nerve schwannomas are extremely rare. Only 12 children under the age of 18, without neurofibromatosis have been sufficiently documented. The coexistence of OM and Oculomotor schwannoma suggests that it is not a coincidence. Awareness and suspicion is required to identify cranial cephalalgia /OM and it warrants thorough investigation to rule out intrinsic lesions mimicking OM. Implications. Controversies exist till date regarding etiology, pathophysiology, imaging findings and management guidelines of OM. The rare association reported in our report gives insight into better understanding of the pathophysiology and clinico-radiological correlations in OM. Keywords: Ophthalmoplegic migraine, Oculomotor Schwanomma Introduction Ophthalmoplegic migraine is very rare with annual incidence being 0.7 per million. It most often occurs in infancy or childhood. There are recurrent attacks of headache in association with ophthalmoplegia due to paresis of cranial nerve III, IV, or VI .The episodes of ophthalmoplegia may persist for several hours to several weeks, months, or permanently. Most often it is self-limited condition. Ophthalmoplegic migraine is also recognized as a cranial neuralgia according to 2004 edition of the International Classification of Headache Disorders. [1] .Paediatric Oculomotor Schwannoma is extremely rare and it can mimic OM. We describe a young boy with recurrent ophthalmoplegic migraine and oculomotor schwannoma in MR imaging. Clinical Observation A 16 year old boy presented with history of left hemicranial headache of 14year duration. The headache was throbbing, severe associated with drooping of left eye, blurring of left eye vision, photo-phonophobia, nausea and vomiting. The frequency of attacks was around 15 per month each lasting for 3-48 hours. During the attack, he was found to have left sided ptosis, poorly responsive normal sized pupil and mild left elevation and adduction restriction. (Figure 1).There was persistent residual vision loss in left eye with acuity of 6/60. Fundus was normal. There were no other deficits. Investigations were carried out to rule out posterior fossa, orbital fissure and parasellar lesions. Initial CT Brain revealed a nodular non-enhancing lesion in the interpeduncular cistern , MR Imaging along with CISS 3D sequence done two years later (Figure 3a, 3b) revealed a small enhancing nodular lesion at the level of midbrain in the interpeduncular cistern at nerve exit level suggestive of schwannoma of third nerve. MR Angiography was normal. (Figure 3c). Patient was treated with analgesics, nimodipine and valproate with which there was a partial response. Steroids were not administered. During his subsequent 2 year follow-up, his frequency and severity of attacks had reduced. Paediatric Oculomotor Schwanomma is present as painless oculomotor deficit or may be asymptomatic and detected incidentally. Its presence with OM poses a question whether it was a mere coincidence or the cause of OM. Discussion: Ophthalmoplegic migraine is a rare distinct neurologic syndrome characterized by recurrent headache and ophthalmoplegia. The third cranial nerve is most commonly affected. Most patients recover completely within days to weeks, but a minority are left with persistent neurologic deficits. [1] .As per the International Classification of Headache, ophthalmoplegic migraine is defined as at least 2 attacks of ‘‘migraine-like’’ headache followed within 4 days by paresis of the third, fourth, and/or sixth cranial nerves, including ophthalmoparesis, ptosis, or mydriasis .[2] Gap between the onset of headache and the cranial nerve palsy has varied between 2 days and10 weeks. [3]The exact aetiology of this condition remains unknown. Oculomotor nerve compression, ischemia, swelling of the posterior cerebral artery, pituitary swelling, vascular anomaly, benign viral infection, demyelinating neuropathy, activation of trigemino-vascular system are the various pathogenesis implicated. Diseases such as vascular malformation, granulomatous infections, pituitary apoplexy, sarcoidosis and chronic inflammatory, demyelinating polyneuropathies may have similar clinical presentation like OM. So contrast enhanced MRI and magnetic resonance angiography should be the investigations of first choice for the diagnosis of OM, followed by a careful clinical examination and spinal tap. Sometimes, conventional angiogram may be necessary to exclude an aneurysm. [4]. Mark et al. 1998.,[5]found focal thickening of the nerve in non-contrast studies, and further thickening was present on the contrast-enhanced images in the area of the exit zone of the nerve in the inter peduncular cistern. Carlow studied the magnetic resonance scans in six patients diagnosed with OM and did a retrospective literature survey in 17 patients with OM, all of whom showed thickened ipsilateral oculomotor nerves at the midbrain exit in noncontrast T 1 -weighted images. Contrast T 1 -weighted magnetic resonance scans showed enhancement of the ipsilateral oculomotor nerves. [6].Many cases show improvement in the enhancement of cranial nerve III with resolution of the symptoms, but the timing and degree of resolution has not been consistent in reports. Contrast enhancement on MRI is not a sine qua non for the diagnosis of OM. Gelfand AA et al., 2011 [1] systematically reviewed all cases of OM in literature between1995 to 2010. There were a total of 80 cases .The median age at the time of the first ophthalmoplegic migraine attack was 8 years (3-16 years) .The third cranial nerve was involved in the vast majority of cases (83%), sixth cranial nerve was involved in 20% and the fourth nerve in 2% of cases. The interval between headache onset and ophthalmoparesis ranged from immediate to up to 14 days. The ophthalmoplegia tended to last longer (2 to 3 weeks to 2 to 3 months) .In 54%, persistent deficits were observed. Of 52 patients who had a contrast brain MRI during an acute attack, 75% had contrast enhancement of the third nerve and 76% had nerve thickening. There was a benefit from corticosteroid treatment in 54%. Schwannomas are benign peripheral nerve sheath tumours with great propensity to arise from vestibular nerves. Oculomotor nerve schwannomas are extremely rare. There are only 40 cases reported in the literature. Only 12 children under the age of 18, without neurofibromatosis have been sufficiently documented. [7] In 1982, Leunda et al. [8] reported a case in an 11-year-old boy whose tumour was resected en bloc and ranked as the largest oculomotor nerve schwannoma documented at that time, with a 55-mm diameter. Since then, another 11 histologically proven paediatric cases have been described successively in the literature. The average diameters of the paediatric tumours size is 19.5 mm. Oculomotor nerve paresis was the most common neurological sign and a variable degree of oculomotor nerve dysfunction, including ptosis, diplopia, or dilated pupil, was present in all but one . Duration of preoperative symptoms and signs ranged from 2 weeks to 12 years. Authors opine that lesion size did not correlate with the degree of oculomotor nerve deficit. Ipsilateral ophthalmoplegic migraine was found in two cases of cisternal microlesions involving the initial prepontine segment of oculomotor nerve. [7].Total removal of schwannoma usually resulted in severe postoperative parent nerve paresis. Surgical tr eatment was indicated only for large tumours that presented in association with consciousness disturbance, other cranial nerve signs, or hemiparesis due to mass effect, or in cases where the lesion showed malignant features with rapid enlargement. Murakami et al., 2005 [9] described a case of an 11-year-old girl with oculomotor nerve schwannoma who had been suffering from symptoms mimicking OM. Her attacks became more frequent and were not controlled by medication. After surgery, the frequency of OM attacks reduced. This was the first report to describe a pathologically confirmed case of oculomotor nerve schwannoma mimicking OM. Riahi A et al., 2014[10] described a 12 year old girl with recurrent painful ophthalmoplegia, who on examination was found to have left oculomotor palsy. Her third MRI focusing on third nerve revealed schwannoma of the oculomotor nerve in left cisternal portion. Kawasaki et al., 1999 [11] reported a case of the coexistence of OM and ipsilateral 3rd nerve schwannoma .The authors had an acute and a follow-up MRI during a recovery phase and noticed no difference. The coexistence of two rare conditions suggests that a mere coincidence is unlikely. It has been proposed that repeated inflammation could lead to a demyelination/ remyelination process with Schwann cell proliferation and onion bulb formation. There are no published treatment trials for ophthalmoplegic migraine. Oral steroids may be of possible benefit in treating acute exacerbations based on available case series. Prompt steroid therapy at the time of attack might minimize permanent sequelae of OM, including residual weakness of the third cranial nerve and pupillary dysfunction. Bharucha et al., 2007 [4] state that various treatments have been described, including steroids acutely and flunarizine, acetazolamide, propranolol, cyproheptadine, or verapamil prophylactically. OM is a heterogeneous disorder that needs adequate scrutiny, periodic magnetic resonance monitoring, and clinical correlation before we can conclude and draw management guidelines. Conclusion: Awareness and suspicion is required to identify cranial cephalalgia /OM as it is a rare entity and diagnosis even by headache experts is made by exclusion. It warrants thorough investigation to rule out intrinsic lesions mimicking OM. The rare association reported in our report gives insight into pathophysiology and clinico-radiological correlations in OM. Bibliography 1. Gelfand AA, Gelfand JM, Prabakhar P et al. Ophthalmoplegic ‘‘Migraine’’ or Recurrent Ophthalmoplegic Cranial Neuropathy: New Cases and a Systematic Review. Journal of Child Neurology.2011; 27(6):759-766 2. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004; 24(suppl 1):9–160. 3. Ravi Shankar. K. Ophthalmoplegic Migraine: Still a Diagnostic Dilemma? Current Pain and Headache Reports. 2008; 12: 285 – 291 4. Diana X. Bharucha, Timothy B. Campbell, Ignacio Valencia. MRI Findings in Pediatric Ophthalmoplegic Migraine: A Case Report and Literature Review. Pediatric Neurology .2007; 37: 59–63 5. Mark AS, Casselman J, Brown D, et al.: Ophthalmoplegic migraine: reversible enhancement and thickening of the cisternal segment of the oculomotor nerve on contrast enhanced MRI images. AJNR Am J Neuroradiol .1998; 19: 1887– 1891. 6. Carlow TJ: Oculomotor ophthalmoplegic migraine: is it really migraine? J Neuroophthalmol .2002; 22: 215– 221. 7. Yang S, Li Z, Liu X et al.Pediatric Isolated Oculomotor Nerve Schwannoma: A New Case Report and Literature Review. Pediatric Neurology.2013; 48(4):321–324 8. Leunda G,Vaquero J,Cabezudo J et al. Schwannoma of the oculomotor nerves .Report of four cases .J Neurosurg.1982;57:563-565 9. T. Murakami, M. Funatsuka, M. Komine et al.Oculomotor nerve schwannoma mimicking ophthalmoplegic migraine.Neuropediatrics.2005; 36:395–398 10. Riahi A, Youssef-Turki I.B, Walha K et al. Recurrent painful ophthalmoplegia: ophthalmoplegic migraine or oculomotor nerve schwannomas? Neurological Practice –FMC. 2014; 5:205-208 11. Kawasaki A. Oculomotor nerve schwannoma associated with ophthalmoplegic migraine. Am J Ophthal 1999; 128:658–60.

Instagram Term Paper

AMA COMPUTER LEARNING CENTER COLLEGE Tagbilaran City, Bohol INSTAGRAM (Android Application) A term paper submitted in partial fulfillment of the Requirements for the degree of BACHELOR OF SCIENCE in INFORMATION TECHNOLOGY by: Josie Marie Mosqueda Edralyn Tutor 2012 ABSTRACT Today the folks responsible for one of the most popular social photography apps in the world  have brought that entertainment to  Android– and here we’re going to review it! What you’ll find is that this app is extremely similar to the iOS version, it having the ability to snap photos, edit them in brief, and send them out to several social networks.This Android version is said to be superior to the iOS version in several ways by its developers. This app got extremely popular on iOS because it allowed (and still allows) you to do three different activities in one app – photography, sharing, and editing of photos. Here on Android you’ve got several of those abilities built in – the HTC One series in-particular has some pretty amazing photo editing, taking, and sharing abilities. INTRODUCTION An important application for the tech-savvy crowd, Instagrams are all about the beauty of capturing moments through man-made lenses and sharing it with your near and dear!As Will Smith says â€Å" Life is not about number of breadths you take, it is about number of moments take your breath away†. Moments like that don’t happen everyday, but can be captured and cherished for the rest of your lives, thanks to the app called Instagram! Instagrams are solely for the Apple person, that is compatible with Iphones, Ipads, Ipod Touch with an iOS version of 3. 1. 2 or above. Instagram, the popular photo sharing application which gained prominence on iOS – is now available for Android. Complete with a beautiful user interface and a full feature-set, it seems to have been worth the nail biting.It is a free photo sharing application which helps you to click pictures, apply fresh effects on them using their inbuilt filters and then post it online on any social networking site like Foursquare, Facebook, Twitter, Flickr etc. A list of the most popular filters are the Walden Filter, the X Pro II, the Lomo-Fi, the Brannan, the Hefe, the Earlybird, the Sutro, the Poprocket, the Nashville and the Gotham. HISTORY Below is a short Infographic on Instagram’s history. TIMELINE DISCUSSION Felling the walled gardenInstagram and  Hipstamatic, a digital photography application for iOS devices, entered into a partnership that would allow photos from the app to be directly ported into Instagram. â€Å"I’m a huge fan of what Hipstamatic is doing and all they’ve accomplished,† Systrom  said. â€Å"They were iPhone App of the Year in 2010 and we got 2011. We have a huge amount of respect for that whole team both as fellow photographers and entrepreneurs. † â€Å"Really it comes down to this: People post Hipst amatic photos on Instagram all the time, and we just want to make that experience easier. †Pictures paint more than a thousand words Instagram already has seven million users all over the world and the number is only going to get bigger when the Android app launches. There are loads of awesome photos available on Instagram today and these photos are inspiring others to follow suit. Taking Photos with Instagram Instagram has a built-in camera function, making it easy to quickly snap a photo to share in the app. You can also pull photos directly from your iPhone photo library, so you can share older photos taken with your iPhone or photos synced from your iPhoto library on your computer.All Instagram photos are square, so after you take or select a shot you are presented with an easy interface to scale and crop it. Transforming Photos with Instagram After your photo is cropped, you can transform the look of it with a variety of filters. Most of the filters are designed to give y our photo a vintage look, bringing back polaroids and old black-and-white pictures. While quick Photoshop style filters are often considered cheap tricks, people have embraced Instagram because it simply makes photo sharing fun. Photo Sharing with InstagramWhen you are done editing an Instagram, you can choose to share it just within the app or on Twitter, Facebook, Flickr, Posterous, Tumblr and Foursquare. Instagram also creates a web page with your image that you can link to, but that's as far as the website goes. It is not the place to follow people, view galleries or submit photos. All of that functionality is reserved for the app itself, where you can view photos from your friends, see popular photos, and find people to follow and more. FEATURES OF INSTAGRAM * 100% free custom designed filters and borders The Lux: A new feature given by the makers to bring out the inner nuances in your picture with nothing but a tap on the picture! Best part in using Lux is that it can be used even without a filter. * Instant sharing to Facebook, Twitter, Tumblr, and Foursquare (Flickr coming very soon) * A new filter called the Sierra. * Interact with friends through giving ; receiving likes and comments * Works with Android versions 2. 2 and above that support OpenGL ES 2 * Full front ; back camera support SCREENSHOTS ADVANTAGES OF INSTAGRAM Instagram is great especially if you are fond of taking pictures and uploading them right away for other people to see. * It is fast like when you took a picture, uploaded it and it will automatically be uploaded or posted on your facebook account, twitter and tumblr. * It offers a lot of effects, or if you want your photo to have a frame or not. * You can be updated on your friends’ happenings or your friends’ important announcements. * A great way of making or meeting new friends. * You can also advertise your own products if you have some business or shops.You can take a photo of your products and post it on instagr am and it can help you gain more customers. * Another great thing is that, there are some photo applications that you can directly upload on instagram the photos you have taken or edited. One of this is the photoshake, it's up to you if you want to upload the photo you took directly on instagram or just save it on your mobile phone or tablet. DISADVANTAGE OF INSTAGRAM * Privacy – where in, every detail and every photo that you will be uploading, a lot of people might see it.Rumors can also start by others seeing some photos of you not being good. Your life can be at danger especially if you always takes a photo of you on where you at and what are you doing. CONCLUSION Above all, Instagram is made for us to enjoy the convenient of taking some pictures with our loved ones. And take note, important pictures with our friends, family, classmates or any special ones. Instagram is not made to make rumors of other people, to make fun at them and to invade others privacy. The team has certainly come a long way, to create a better world for its users.

Beginning Thinker Essay

I would say that I am a beginning thinker, I have control of all of my own personal thoughts I know that I am not always correct most of the time during each step of the thought process but I feel that I have a really good understanding of how to fix some of the issues that I have when in thought. Although some of the conclusions that I come to either workout for the short-term or long-term issue or have a tendency to be the opposite of the outcome that I was hoping for. I sometimes catch myself making a quick decision without fully thinking through the whole concept or the outcome that it will have on the issue that I am working on. I think that I can fix this by not jumping to conclusions when I am in thought, having a system to make sure that I get to the best possible outcome is something that I think I will implement going forward just to make sure that the outcome for my decision is one that I will be happy with and not regret. Critical Thinking I would say that my current critical thinking skills could be a little better, mainly because I have a tendency to over think when I am trying to come to a resolution to a specific problem. My strategy mainly consists of me thinking about the different ways that I can get to the best outcome but I also have a tendency to throw in my own assumptions or bias when coming to a resolution, this is what I feel makes me to either make an incorrect decision or make a decision based off only what my own personal feelings are towards the situation. A way that I feel I can develop better skills as critical thinker is to take all bias out of my decisions and make sure that what I do is not only best for me but will also help me keep on a path to reach my ultimate goal.

Co Morbidity, Chronicity And Complexity Concepts - 1938 Words

Co-morbidity, chronicity and complexity concepts. Chronicity is when an individual has a permanent disease or disability that involves the total human environment for supportive care and self-care, maintenance of function, prevention and further disability (Lubkin Larsen, 2009, p. 6) To be counted as a chronic condition the disease or disability must last longer than six months and have a noteworthy impact on the individual’s day to day life (Farrell Dempsey, 2014, p.203). This applies to Emily as she suffers from two permanent diseases that may potentially get worse but will not get better. Symptoms may be relived and they may exacerbate at times however the disease will always be present. When an individual, such as Emily, suffers from two or more chronic diseases it is known to be a co-morbidity. The amount of co-morbidity an individual has increases with age and if they live an active or sedentary lifestyle (Farrell Dempsey, 2014, p.203) It is important to be knowledgeable about a patients co-morbidities as they may interact with each other and affect how they are treated both pharmaceutically and through lifestyle options. The complexity of an illness can increase or decrease depending on the time required to evaluate and treat the condition. For Emily her conditions are complex as her Crohns Disease and Diabetes Mellitus can interact together, increasing the time taken to diagnose the conditions and increasing the time taken to treat the illness.