Saturday, July 25, 2020
How to Give Instructions a Child With ADHD Can Follow
How to Give Instructions a Child With ADHD Can Follow ADHD Living With ADD/ADHD Print How to Give Instructions That a Child With ADHD Can Follow Tips for better behavior By Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. Learn about our editorial policy Keath Low Updated on May 14, 2018 ADHD Overview Symptoms Causes Diagnosis Treatment Living With In Children Tetra Images/Getty Images Kids with ADHD respond best to directions that are direct, simple, and clear. This helps to ensure success in following your instructions â" and success leads to a whole raft of positive outcomes. Why Chatty Instructions Dont Work for ADHD Kids Mom is washing dishes in the sink. The water is running and dishes are clinking. Her back is turned as she calls out, âJoe, finish eating your breakfast, and then brush your teeth and grab your backpack. You donât want to be late. Oh, and donât forget to grab your project. Itâs due today and you worked so hard on it. Hold it carefully in your lap when you are on the school bus. You donât want anything to happen to it.â To a child with ADHD, the directions probably sounded more like this: âJoe, finish eating your breakfast...something about the bus...blah, blah, blah.â Then Joe becomes distracted by the sound of the water running in the sink, and it makes him think of swimming, and that makes him think of summertime. He looks forward to swimming and playing Marco Polo at the pool with his brother and friends. He hopes Randall isnât at the pool a lot this summer because Randall is so bossy. That girl in science class is kind of bossy, too. Joe becomes consumed by his own shifting thoughts and isnât even aware of momâs talking. Your childâs distractions and tuning out are not purposeful, though to a parent it can be quite exasperating. With long, drawn-out directions, an ADHD child quickly finds himself in information overload. The important points you are trying to make become difficult to process, especially as he is distracted by his own thoughts or things going on around him. Rather than being able to successfully follow your directions, he misses them altogether. This sets both of you up for frustration, and it sets your child up for failure rather than success. How to Give Clear Directions Your Kid Can Follow Successfully Here are some simple tips for increasing your childs compliance when you give him a direction. You also may want to share these tips with your childâs teacher at school. When giving directions, move closer to your child and get his attention by touching his shoulder or arm and saying his name.Make sure you have eye contact with your child as you give the direction.Give simple, actionable instructions. For example, say âPut your homework folder in your book bag,â rather than Get ready for school.Speak clearly in a firm voice.If you need to provide explanation say it before giving the direction. For example, We have to go to Grandmas right after school today so we arent late for her dinner. If you want to play with toys at Grandmas, pick some out and give them to me now. If you wait and say it after giving your child the direction, he may forget your original command.After giving the direction, wait a few seconds and stay by your child to make sure he maintains his attention on the task. If he complies and properly follows through with your direction, praise him immediately for a job well done. If youre not sure he fully understood the instruction s, ask him to repeat them in his own words.If your child does not comply, give him an IFâ¦THEN statement that specifies your expectations and the consequences for not complying. For example, âIf you donât put the folder in your backpack right now, then you will lose 10 minutes off your computer time.â If your child complies, give him praise. If he does not comply, follow through with the loss of something, like computer time privilege.Be consistent and calm in your approach, and connect with other adults in your childs life to be sure you are all giving the same messages in the same way.
Friday, May 22, 2020
The Research Design And Analysis Of Data - 1318 Words
CHAPTER 3 RESEARCH METHODOLOGY 3.1 INTRODUCTION In this chapter the researcher is going to highlight the ways to be used to collect data as well as the tools which are going to be used. The researcher is to mainly focus on the research design and analysis of data. 3.2 RESEARCH DESIGN A research design is a scheme of action or frame work for answering the research questions. It is also a way in which the researcher plans and structures the research process. Magenda(2003) defines research methodology as a plan of action, design strategy or process that the researcher chooses and uses inorder to get the desired outcome. The researcher used unstructured interviews and questionnaires in gathering the necessary data. Hitchcock and Hughes (1995) assert that in an unstructured interview, there is scope for the interviewer to introduce new material into the discussion which had not been thought of beforehandbut arose only during the course of the interview. The questionnaires were issued to teachers from the commercial department and a few from the administration staff. 3.3 POPULATION AND SAMPLING Tuckman (1994) defines population as a group that a researcher is interested in , gain information and drawing conclusions. The target population in this study comprised fifty eight Form 1m pupils at Chitakatira High School who are doing Principles of Accounts and the teachers from the commercial department and other staff members. According to Hitchcock andShow MoreRelatedResearch Design Is Conceptual Structure Within Which Research Is Conducted. It Constitutes the Blue Print of Collection, Measurement and Analysis of Data .Research Design Is Needed Because It Facilitates the Smooth262018 Words à |à 1049 Pageswilamar SAMPLE DESIGN Research Design is conceptual structure within which research is conducted. It constitutes the blue print of collection, measurement and analysis of data .Research Design is needed because it facilitates the smooth sailing of various research operations, thereby making research as efficient as possible yielding maximum information with minimum time, effort and money. Research Design stands for advance planning of methods to be used for collecting relevant data and techniquesRead MoreThe Layers of Research Design1163 Words à |à 5 Pagesï » ¿The Layers of Research Design Introduction: The purpose of doing research is mostly to answer a question or to solve a problem. The research work is started by identifying what type of data is needed and sources of obtaining this data. There are a number of data collection techniques such as questionnaires, interviews and personal observation. Besides all these sources secondary data can also be used. The final decision about overall research design is represented by selection of technique(s) usedRead MoreWhat Research Design Requires A Quantitative Methodology?904 Words à |à 4 PagesAssignment 5-1: Reading Reflections What research design requires a quantitative methodology? There are two main types of research designs that are seen with the quantitative research methodology. These designs are the survey design and the experimental design. When using these types of research methods, it is helpful to understand how these design types are organized for the data analysis and components of the research plan. A survey design relates to a numeric representation of ââ¬Å"trends, attitudesRead MoreResearch Methodology Of The Research Approach978 Words à |à 4 Pagesoverview of the research approach adopted in the study as well as the research methodology and the practical approach adopted to achieve the set objectives of the study. In addition, it also highlights the data collection methods, ethical considerations, and data analysis. Case studies will be used as a research strategy as they are distinguished by their ability to investigate a phenomenon which, in this case, will be the upgrading heritage buildings through sustainable designs and constructionRead MoreThe Main Problems Facing Art Students Through Feedback Obtained Through Questionnaires, Interviews And Sales Data1282 Words à |à 6 Pages 3. Research Design and Methodology This chapter discussed and described the research methods; it will pay close attention to the different procedures and techniques which are used from this research. The research method includes the philosophy, method, design, sampling and data collection process, as well as showing the right direction and the results achieved. And the research strategy will use the data acquisition and analysis qualitative data collected during the research. Then, the resultsRead MoreQualitative Research Study And Action Research Essay1250 Words à |à 5 PagesIntroduction Qualitative research plays an important role in evidenced-based practice. Qualitative research often lay down the platform for added official quantitative studies or a follow up to a broad quantitative study. Qualitative research is a subjective design that investigates exceptional life concepts in a naturalistic setting using narrative descriptions as the findings (Polit Beck, 2017). There are six general types of qualitative research designs, namely phenomenological, ethnographicRead MoreEssay on Qualitative and Quantitative Research889 Words à |à 4 Pagesstudy designs both can be beneficial in research design. They both provide valuable options for researchers in the field. These techniques can either be used separately in a research study or they can be combined to achieve maximum information. This paper will define the terms qualitative and quantitative; describe the similarities and differences between each; discuss how qualitative and/or quantitative research designs or t echniques could be used in the evaluation of my proposed research; and discussRead MoreExperimental And Quasi Experimental Research Design1582 Words à |à 7 Pages Research Configuration: Research design can be categorized into two sections including experimental and quasi-experimental research design ((Soy, 2015). In an experimental research design, the researcher needs to assign the subjects based on random selection. The subjects are assigned to particular groups for a different level of treatment. On the other hand, the quasi-experiment design suggests a process where the researcher avoids randomization, as the subjects are not selected randomly. TheRead MoreQualitative And Quantitative Research Design1537 Words à |à 7 PagesResearch and Program Evaluation This paper will compare and contrast qualitative and quantitative research designs. While giving the information, I will also elaborate on the types of research designs that they both implore. At the end of the paper, the reader will have a better understanding for qualitative and quantitative research designs and when to use each type of design. Qualitative Research Design Cresswell (2014) states ââ¬Å"qualitative methods rely on text and image data, have unique stepsRead MoreA Research Study On Using Northcentral University ( Ncu ) Dissertation1261 Words à |à 6 Pagesthem through the rigorous process of developing a research topic, develop a research question, gathering information to examine the research question(s) and develop a hypothesis all the way to guidelines for submitting a dissertation for review. For this paper the NCU Concept Paper Template will be examined for its instructions on how to detail research methods for quantitative and qualitative studies. Quantitative Research Researchers or research teams who elect a quantitative study are going to
Friday, May 8, 2020
The United Nations An Internship Like No Other Essay
Xander McIntosh The Kingââ¬â¢s College Founderââ¬â¢s Competition 17 November 2016 The United Nations: An Internship Like No Other ââ¬Å"The United Nations was not created to lead mankind to heaven, but to save humanity from hell.â⬠Dag Hammarskjà ¶ld , former United Nations Secretary-General The kinds of hell Dag Hammarskjà ¶ld referred to are not difficult to imagine in a world ravished by World War II and terrified by the threat of nuclear war. Hammarskjà ¶ld is known today as the second Secretary-General of the United Nations (UN) and widely regarded as a man of unimpeachable character. His career at the UN was remarkable, in that he was completely uninterested in the bureaucratic politics many at the United Nations engage in, choosing to lead projects from the command tent instead of the corner office. He was the first and only Secretary-General to be chosen unanimously and is largely regarded as the greatest leader of the United Nations in history. John F. Kennedy once said about Hammarskjà ¶ld, ââ¬Å"I realize now, in comparison to him I am a small man. He was the greatest statesman of our century.â⬠(Cite) The question then begs to be asked: what is the driving force behind this manââ¬â¢s impeccable integrity? As we know now, it was his passionate and private Christian faith. His compassion for his fellow man manifested itself in the form of service to millions through the United Nations. In addition, a collection of vivid personal Christian reflections, hailed by many as one of the mostShow MoreRelatedThe World s Most Advanced Military959 Words à |à 4 Pagesleaderââ¬â¢s personalities, and passions of its people drive international relations. It was then I knew that I wanted to serve our nation. I want to help the United States of America remain the strongest and most influential nation in the world because we have a powerful and courageous understanding of freedom. The democracy we founded in 1776 was an experiment to see if a nation for the people could be governed by the people. It was and remains a selfless ideal that Americaââ¬â¢s leaders should strive to liveRead MoreGlobal Health And Human Rights Essay1640 Words à |à 7 PagesThere is a compassion gap in the first world. Although many believes human beings are all entitled to human dignity, they easily fail to recognize that human lives on the other side of globe are equally precious. The first world leaders still struggle to take a responsibility to appropriately intervene and protect human lives at risk. Through years of studying International Relations in college, I have learned about the politics of human rights. As my knowledge in civil wars and terrorism increasedRead MoreMedia Bias Of The United States1389 Words à |à 6 PagesI agree with you in the fact that media in the United States is indeed biased. The mainstream media particularly all seem to have a majority of the same viewpoints with little variation on their beliefs, but I must disagree when you say all journalists and writers are biased because, ââ¬Å"they push their agenda in news and entertainment.â⬠Media bias comes from a multitude of factors, who enters careers in writing and journalism, where journalists get information from, and how audiences receive newsR ead MoreUnited States Versus Nepal s Healthcare System1167 Words à |à 5 Pages United States versus Nepalââ¬â¢s Healthcare The healthcare system in each country is intended to meet the best possible medical services needs of its citizens. One countryââ¬â¢s healthcare system can vary from another. This is according to their administration strategy, training, education, technology, and spending plan. Social, economic, political, and physical parts of the nation also play huge role in defining a countryââ¬â¢s healthcare system. There are many similarities in the delivery of medical servicesRead MoreSample Letter For Wayne County Economic Development Corporation1614 Words à |à 7 Pagesand that he had hired all three interns to instill and familiarize us to what world is like outside of school classrooms and the library. After a few weeks on getting to individually know each intern I was selected for a special work load that only I would be sanctioned to work on to see my potential, as I was informed. This would lead to what would be the most motivating and academic part of my summer internship. Gett ing to know hands on how individually each community within Wayne County is leadRead MoreA Brief Note On The United States And Non Governmental Organizations1496 Words à |à 6 Pages1 LITERATURE REVIEW Local refugee resettlement agencies like New American Pathways assist newly arrived refugees in restarting their live in Atlanta, Georgia. In order to provide for newly arrived refugees New American Pathways has to rely on State funded resources. Even though refugee resettlement agencies like New American Pathways are non-governmental organizations. they still rely heavily on State government funding. In this Literature review I examine the history of refugee policy, howRead MoreEssay Challenges Affecting International Students in Australia1340 Words à |à 6 Pages1 Introduction The need for higher education has prompted many students to seek further studies in international colleges outside their countries and Australia has become an academic hub for international students who mostly come from developing nations in Asia and Africa. The students, once they secure a place in this schools, they are subjected to a new environment which comes with different challenges. International students in Australia have become an integral part of the society both socialRead MoreEducation Plays A Big Role In Society. It Is A Factor That1283 Words à |à 6 Pagesglobe. The goal One Nation, is to have a combination of the world into one school system. I would like to extend my deepest gratitude to our benefactor Mr. Larry Ellison for making all of this possible. Thanks to him, the world shall be united. One Nation is a private system of institutions all over the world. With twelve institutions around the globe, approximately 2 campuses for each habitable continent, our schools are the most diverse in the world. Students of One Nation are allowed to studyRead MoreThe Career As A Social Worker Essay1416 Words à |à 6 Pageswith what you gain in life or accomplish for yourself. Itââ¬â¢s what you do for otherââ¬â¢sâ⬠- Danny Thomas (founder of St. Jude Childrenââ¬â¢s Research hospital). That concept alone is able to inspire people every day to do better for others. Some are actually so passionate about aiding other individuals that they decide to choose a field in regards to it. In actuality a profession as a Social worker is one of the most renowned occupations when it comes to assisting people. The path to becoming a social workerRead MoreWhy I Chose Law For Law School At The China University Of Political Science And Law955 Words à |à 4 Pagesspare no effort in s tudying. During the four years of my undergraduate studies, I completed the courses with high grades. By studying Civil law, Criminal law, Intellectual law and other laws, I have formed a basic understanding of different types of law. Apart from all the basic theoretical courses, I also took some courses like Case Study and Seminar, where I learn to analyze vivid law cases and engage in discussions with classmates and teachers. After finishing these courses, my ability to deal with
Wednesday, May 6, 2020
A Persistant Lichen Sclerosus Case Health And Social Care Essay Free Essays
Lichen sclerosus is a lymphocyte-mediated chronic inflammatory dermatitis that most normally involves the anogenital country. Treatment options include topical corticoids, tacrolismus, C dioxide optical maser extirpation and eventually vulvectomy as surgical attack. The aim of this survey is to describe a stubborn anogenital LS topic and depict the usage of V-Y promotion flap for the Reconstruction of the perineal defect after vulvectomy. We will write a custom essay sample on A Persistant Lichen Sclerosus Case Health And Social Care Essay or any similar topic only for you Order Now Case: A relentless LS instance who was treated succesfully with surgery is reported and literature is reviewed. The patient had good tolerated the surgical process with satisfactory decorative consequences. Decision: A multidisciplinary squad work would be ideal in the direction of relentless LS instances. Surgical intervention of LS should be reserved as a last resort for patients who were furnace lining to other medical options and in the instance of a surgical effort recontruction of the vulva should be good known. Cardinal words: Lichen sclerosus, Vulvectomy, Vulvar Reconstruction. . Introduction: Lichen sclerosus ( LS ) is a benign, chronic tegument disease that most normally occures in the anogenital epithelial tissue ( 1 ) . It affects both gender and kids particularly adult females in postmenopausal ages. Although the exact aetiology is still unknown, there is a strong association between LS and autoimmune upsets such as ; alopecia areata, vitiligo, thyroid upsets and diabetes mellitus ( 2 ) . Besides the autoimmune diseases in association with HLA category II antigens, hormonal factors, infective causes, and familial influence have besides been associated with LS ( 1 ) . Authoritative LS is characterized by pronounced redness, epithelial cutting and typical cuticular alterations with an visual aspect of all right ââ¬Å" coffin nail paper â⬠-like pursing accompanied by symptoms of pruritus, dyspareunia and dysuria ( 3,4 ) . A considerable figure of patients ( 33 % ) are symptomless but have the clinical marks of LS on physical scrutiny. The diagnosing of LS is based upon the presence of characteristic clinical manifestations, ideally with histological verification obtained from a vulvar clout biopsy. A hold in the diagnosing may originate, due to the patients ââ¬Ë embarrassment and/or reluctance of the doctor to to the full measure the symptoms every bit good as strangeness with the disease ( 5 ) . The optimum direction of LS could be achieved with a multidisciplinary attack. Surgical intervention is preferred in the instance of a post-inflammatory sequelae, phimosis or in a malignant province. Although the presence of vulval cicatrixs or the features of the defect will restrict our surgical preferance there are many surgical options proposed for the perineal Reconstruction, including local musculus and fasciocutaneous tegument flaps ( 6,7,8 ) . We are depicting a persistant lichen induration instance who was treated surgically and recontructed with V-Y promotion vulvar flaps. Case study: A 49 twelvemonth old Caucasian adult female married for 30 old ages G3, P2, A1 enduring from vulvadynia because of relentless vulvar LS for 16 old ages, admitted to our clinic. She has been having medicine with carbamezepine for ungratified leg syndrome for six old ages. She had two cesarean subdivisions and three lumbar phonograph record hernia operations in which an internal fixator was placed to the lumbar vertebras. She used to hold local cortisol, estrogen and testosterone therapies since she received her initial diagnosing. She has had vulvar alcohol injection one time and vulvar betametasone, lidocain injections and phototherapy several times. Her history revealed a vulval denervation operation to the pudental nervus with the diagnosing of vulvadynia. Furthermore she had three times simple vulvectomy and vulval Reconstruction operations. These intervention modes failed to relieve her symptoms, and sclerosing alterations of vulvar country which extends to posterior, affecting the perineum and anus. The singular findings in her pelvic scrutiny were the hyperkerotic lichen plaques spread to anus, vaginal orifis and periclitoral country ( Figure 1a ) . We observed the vaginal orifis as narrow shaped and labia majora ââ¬â minora were absent. Hyperkeratotic scars were noticable on her mons pubis due to her old surgical operations and lichen plaques. In her speculum scrutiny, vagina and neck were normal in form and uterus ââ¬â bilateral ovaries were normal by transvaginal ultrasound and no malignant cells were reported in her pablum smear trial. Histopathological diagnosing of the topic was confirmed with two antecedently performed consecutive vulvar biopsies that revealed characteristic cuticular wasting and cuticular hyalinisation ( homogenisation of the collagen in the upper corium ) . Our patient had relentless and worsening symptoms and we decided to execute simple vulvectomy and V-Y promotion flap for the Reconstruction of vulvar defect ( Figure 1a ) and obtained informed consent consequently. Briefly ; urinary catheterisation was needed to forestall urethral hurt and to supply plenty wound hygiene after surgery. After vulvectomy ( Figure 1b ) , we performed V form scratchs bilaterally widening to median part of the thigh without any complication ( Figure 1c ) . The scratchs were profoundly performed until the superficial genital facia to travel the flaps freely and punctilious haemostasis was done. The mobility of the cutaneal flaps are tested. Following the release of the flap, this extra block of hypodermic tissue is folded into the defect. The sidelong transverse defect which was formed when the island flap moved medially is closed horizontally, therefore giving the concluding cicatrix a horizontal ââ¬Å" Y â⬠form. We aproximated the hypodermic tissue with 2/0 polyglactin 910 [ Ethicon, Edinburgh, UK ] . The tegument was closed by interrupted 3/0 polyglactin 910 [ Ethicon, Edinburgh, UK ] suturas ( Figure 1d ) . We repaired the round defect above the vaginal orifis with free rotary motion flap. No drains were placed. Postoperative closing of vulvar defect was seen perfect in form. She was hospitalized for the undermentioned two yearss ( Figure 2a ) and uretral catheterisation was removed on her 2nd twenty-four hours. All the critical marks of the patient were usual without any wound infection or haematoma in the closing. In the early postoperative period, the healing of vulva was uneventful and completed after three hebdomads ( Figure 2b ) . Discussion: A assortment of names and descriptions have been used for the disease that is presently named lichen sclerosus. In 1887, Hallopeau was the first to depict the histological characteristics of the disease ( 9 ) . LS occurs at all ages but non in newborns and is rare in the first twelvemonth of life. The disease has a bimodal extremum incidence in prepubescent misss and menopausal adult females. In a survey the prevalence of lichen sclerosus in childhood was found to be 1:900. The bulk of patients consists of adult females aged between 50-70 old ages, while 5-15 % of the LS topics were kids. Lifelong surveillance of all adult females with LS is considered indispensable because of the hazard of malignant patterned advance, ( 10 ) . Although adult females with vulval LS are at increased hazard of developing invasive squamous cell malignant neoplastic disease ( SCC ) of the vulva ( 4 ) , the estimated hazard is to be less than 5 % ( 11 ) . No grounds exists that regular check-ups cut down the hazard of malignant patterned advance. Nevertheless, patients with vulval LS should be examined at least annually and localized, relentless, nonresolving lesions should be biopsied ( 4 ) . In contrast to vulvar LS extragenital LS lesions are non associated with an increased hazard of malignance ( 9,12 ) . There is non a universally recognized direction scheme for adult females with LS. It normally provides diagnostic alleviation, without needfully rectifying the implicit in upset. The intervention of LS consists of instruction and support, behavioural alteration to keep good perineal hygiene and turning away of any local thorns, medicine and surgery. Assorted conservative curative options such as, topical testosterone, topical Lipo-Lutin, topical corticoids, estrogens, retinoic acid, retinoids, vitamin A, chloroquine and a short class of systemic corticoids are wholly accepted as intervention options ( 13 ) . All published studies on the direction of LS indicate centrist to strong topical steroids as the intervention option of pick ( 12,14,15 ) . Mild to chair authority topical corticoids are besides normally used for intervention of grownup vulvar LS ( 3 ) . Recently, ace potent topical steroids were found to be an effectual intervention for this job with both short- ( 16 ) and long-run ( 17 ) efficaciousness. Topical steroid therapy is non without complications, including the possibility of wasting, contact sensitisation, tegument alterations, and secondary infection. Although there are no good studied therapies in adult females who failed to react to corticoids, Lipo-Lutin, testosterone, retinoids, topical immune system modulating agents ( tacrolismus, pimecrolimus ) and cyclosporine has been used in some randomised tests ( 4 ) . Small randomized tests showed that Lipo-Lutin and testosterone picks are less effectual than corticoids ( clobetasol ) with more side effects ( 18 ) . Treatment with an unwritten retinoid ( acitretin ) was found to be effectual in one randomised test ( 19 ) . Successful interventions with tacrolimus oinment was reported ( 20 ) but frequently discontinued due to Burnss on application sites. As presented in our instance furnace lining instances have been treated with intradermic intoxicant injections with variable consequences ( 21 ) . Another concern must be the physicological jobs that may look ( i.e. narcotic maltreatment ) in relentless LS topics due to chronic vulvar hurting. The American College of Obstetricians and Gynaecologists suggests one-year scrutinies for patients whose LS is good controlled and more frequent visits for those with ill controlled disease ( 15 ) . Surgery does non hold a cardinal function in the intervention scheme of LS and could be considered as a last resort to handle complications secondary to the LS ( 22,23 ) . Surgical intercession in LS should non be aimed at taking the disease but at deciding complications of the disease: to let go of a inhumed button, to divide fused labia, or to widen a narrowed introitus in instance of ailments about clitoric symptoms ( hurting or sexual clitoric disfunction ) ( 22 ) . Its usage is limited since scars and contractures may look after surgery. However, if surgery is the preferable intervention mode, it is of import to cognize how to retrace the vulva. Patients wish to go on their sexual life every bit shortly as possible. V-Y promotion flap is an effectual method for Reconstruction of the perineal part. This technique will supply better blood supply and nervus esthesis and will let the expanding of the vaginal orifis. The principle behind the surgical therapy is chiefly to handle those patients who did non or react ill to medical intervention and secondly to forestall the development of invasive carcinoma of the vulva ( 23 ) . Our patient had a long medical history about LS in which she had received several local therapies, phototherapy, surgical efforts and systemic medicines for 16 old ages. All intervention modes were discussed with the household and the concluding determination of the patient was surgery due to her exhaustion and better decorative outlook. Consequently, surgical intercession must be deferred until LS has been controlled with medicine or should be reserved for pull offing postinflammatory sequelae. If an excisional process ( i.e. vulvectomy ) is the preferable intervention mode, Reconstruction of the vulvar defect with V-Y promotion flap seems to be an applicable and extremely effectual surgical technique with its good decorative consequences and rapid healing after surgery. Legends Figure 1: Pre and intraoperative images of vulvar lichen sclerosus patient. 1a ; hyperkerotic lichen plaques spread to anus, vaginal orifis and periclitoral country, 1b ; vulvectomy was performed, 1c ; V form scratchs bilaterally widening to median part of the thigh, 1d. closing of the tegument, giving the concluding cicatrix a horizontal ââ¬Å" Y â⬠form. Figure 2: Postoperative images of vulvar lichen sclerosus patient. 2a ; station operative 2nd twenty-four hours, 2b ; completed vulvar mending three hebdomads subsequently. How to cite A Persistant Lichen Sclerosus Case Health And Social Care Essay, Essay examples
Monday, April 27, 2020
Okinawan Music
Okinawan music is a traditional type of music in Japan, sang by Okinawa people. Most of the Japans traditional songs have been forgotten by various societies. Currently, Okinawa music remains as the only traditional music surviving in Japan. In most of the festivals in Japan Okinawa music is sang by hundreds of people. Okinawa people parade themselves along the streets as they accompany the Okinawa music with fabulous dance called the katcharsee. Advertising We will write a custom essay sample on Okinawan Music [FREE Paper Example!] specifically for you for only $16.05 $11/page Learn More The okinawan people are known to have a special liking of songs and dances (Lipsitz 88). There are unique dances that accompany each Okinawa song during the festivals. The okinawan songs and dances have been passed from one generation to another with a lot of improvements in them. There are specific musical instruments that are preferred when Okinawa music is played for instance the three-string lute is commonly played. In several occasions where Okinawa songs are played a celebration song known as kajade Fu is played to open the ceremony. Such occasions where Okinawa songs are played include wedding ceremonies, presidential gatherings, and other special occasions (Young 103). During the okinawan performances ââ¬Å"kadiku and Atchame Guwaâ⬠are the songs that are played to end the ceremony. At this time of ending the ceremony singers, dancers, and the audience gather on the stage to sing as well as dancing to close the occasion. Songs and dances are sung over and over again at the stage until every audience comes at the stage to join the rest. Different songs of Okinawa have different meanings ranging from love songs, patriotic songs, and educative songs. For instance, kana-yo Bushi is an Okinawa song of love sang by women as they express their love to their men through a hand towel woven by them. Another example of Okinawa colorful music i s Toshin Doi that was played to American and other nations in the year 2000. This is the year when the United States president Bill Clinton attended the G-8 summit on Okinawa, and this song was sung. The okinawan music culture is interesting. Okinawa people mostly make use of sanshin in their traditional music that is believed to have come from Ryukyuan dignity during the ruling of Sho Shin. The introduction of sanshin in Okinawa music made the musicians to express their feelings in amore striking manner. Sanshin in English means a three stringed guitar though itââ¬â¢s an instrument relatively smaller than a guitar, and is covered by a snakeskin (Selden and Hein 120). The sanshin is a small musical instrument and produces a very high sound, its also called banjo when played together with Okinawa music. Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More Traditionally the okinawan music is playe d into four categories. Itââ¬â¢s categorized depending on the island of origin. The first category is Okinawa-honto; these are songs that are smoothly sung with standard tunes of singers, they are also considered to be more stylish than the rest. The second category is Miyako music, songs that have well designed melodies and legend of the natural calamities concerning the history of the island. The third category is Yaeyama music that is mainly composed of festive songs sung in most of the ceremonies and special occasions (Nakasone 82). The final category of Okinawa music is Amami songs that are composed of both styles of Japanese and Okinawa, this category seem to be also classic. When Minyo and Shimauta are played traditionally, the dancers enjoy themselves as they do it with interesting styles capturing the attention of the audience. Most of the songs that are okinawan minyo depend on the life experiences of the writer, and they are all over Japan. Shimauta refers to island m usic and has been there for a long duration of time approximately 30 years. The culture of okinawan music approves the use of musical instruments. The commonly used musical instruments are the sanshin and taiko, as they are found to accompany the traditional okinawan music very well. For over the years, modern okinawan artists have been using some other instruments like violin, tambourine, and flutes among other modern musical instruments. The okinawan music community has a culture of writing a new song every day (Young 270). This community has remained as aggressive as it was 500 years back. Their songs cover almost everything in the universe as its possible to find vegetable songs, sky songs and many more. Okinawa music has evolved in three perspectives such as minyo, rock and jazz. After the Second World War the okinawan musicians chose jazz as a way of expressing their songs well and passing their intended message to the audience. Jazz developed well with the rock adding more v alue to the traditional okinawan music. Some famous okinawan artists like Paul Ishigaki made popular performance with his jazz and initiated the spread of jazz singers all over Japan (Sakamoto and Allen 78). Up to now there are many jazz artists in Japan live houses. From the look of the things the okinawan rock and jazz is alive and advancing forcefully within the music industry, thus encouraging more and more audience of their performances.Advertising We will write a custom essay sample on Okinawan Music [FREE Paper Example!] specifically for you for only $16.05 $11/page Learn More For many years now, the Okinawa music is expanding and blossoming as the musicians continue to enjoy the traditional tunes while inventing new music for the future. Currently, the Okinawa music is receiving much attention from the audience and other dignitaries in all over Japan. For the last few years Okinawa singers have been influencing other singers from the mainland J apan to work together and expand the Okinawa music and attract more audience (Lipsitz 45). The Okinawa music still has become so popular due to its current hitting songs concerning the modern social life in Japan. The most famous songs are those criticizing the young schoolgirls who are being cheated by old men for money. This type of music pleases more and more people as it is educating these youngsters to have a bright future. During the world war 11, the Okinawa people were frustrated, but their classical music expanded and gave them much hope for the future. This okinawan music has evolved from traditional perspective to a classical type of music attracting many funs. The okinawan music has crossed the bounders to educate as well as entertain people internationally (Selden and Hein 160). The funs of okinawan music are over the world. Even those people, who can hardly understand the Japanese language, enjoy the sweet lyrics and melodies. Most of the best CDs of okinawan music c an be purchased online and their videos can also be watched online. The availability of the okinawan music online has helped in the expansion of their market. Famous musicians, guitarists, and dancers in Okinawa music have also contributed much in the growth of this music. The Okinawa music has musicians who are recognized globally and are acceptable in entertaining and educating people. The okinawan music has evolved drastically from being a local music to an international music. Works Cited Lipsitz, George. Dangerous Crossroads: Popular Music, Postmodernism, and the Poetics of Place. ISBN1859849350, 9781859849354, Verso, 2009. Nakasone, Ronald. Okinawan Diaspora. ISBN0824825306, 9780824825300, University of Hawaii Press, 2002.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More Sakamoto, Rumi and Allen Matthew. Popular Culture, Globalization And Japan. ISBN0415368987, 9780415368988, Taylor Francis, 2006. Selden, Mark and Hein, Laura Islands Of Discontent: Okinawan Responses To Japanese And American Power. ISBN0742518663, 9780742518667, Rowman Littlefield, 2003. Young, Richard. Music, Popular Culture, Identities. (Vol 19), ISBN9042012498, 9789042012493, Rodopi, 2002. This essay on Okinawan Music [FREE Paper Example!] was written and submitted by user Saanvi A. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Thursday, March 19, 2020
The eNotes Blog I Spy Ten of the Best Works AboutEspionage
I Spy Ten of the Best Works AboutEspionage Today, of course, we all learned of the death of Osama bin Laden by Navy SEALS, the culmination of years and years of military intelligence and super sleuthing. The world of espionage is undeniably fascinating and thousands of works, both fiction and nonfiction, have been written on the topic. If you cannot get enough spy stories, but have been burned by some stinkers, here is a list of the ten best out there, as recommended by loyal Official Blog readers. 1.à Body of Secrets: Anatomy of the Ultra-Secret National Security Agency by James Bamford From the Publishers Weekly review: With remarkable access to highly sensitive documents and information, Bamford takes the reader from the beginnings of NSA during the early cold war, through its roles in such watershed events as the Cuban Missile Crisis and the Vietnam War, to the amazingly sophisticated developments in information technology taking place within NSA today. What Bamford discovers is at times surprising, often quite troubling but always fascinating. In his conclusion, he is at once awed and deeply disturbed by what NSA can now do: ever more sophisticated surveillance techniques can mean ever greater assaults on the basic right of individual privacy. In a computer system that can store five trillion pages of text, anyone and everyone can be monitored. Writing with a flair and clarity that rivals those of the best spy novelists, Bamford has created a masterpiece of investigative reporting. 2.à Spy: The Inside Story of How the FBIS Robert Hanssen Betrayed America by David Wise From the Library Journal review: Journalist Wiseinterviewed Hanssens case psychiatrist and thus provides considerable informed discussion about motive. Was it for the money to support his big family, the thrill of playing a dangerous game, or to get back at a never-satisfied father? Hanssen apparently walked right into a Soviet office in 1979, which leads to the question whether the CIA and FBI were watching this office-and if not, why not? 3.à The Armies of the Night by Norman Mailer From Alfred Kazins 1968 review in the New York Times: The book cracks open the hard nut of American authority at the center, the uncertainty of our powerand, above all, the bad conscience that now afflicts so many Americans. Armies of the Night is a peculiarly appropriate and timely contribution to this moment of the national dramas, and among other things, it shows Mailer relieved of his vexing dualities, able to bring all his interests, concerns and actually quite traditional loyalties to equal focus. The form of this diary-essay-tract-sermon grew out of the many simultaneous happenings in Washington that weekend, out of the self-confidence which for writers is style, out of his fascination with power in American and his fear of it, out of his American self-dramatizing and his honest fear for his country. 4.à The Cuckoos Egg: Tracking a Spy Through the Maze of Computer Espionage by Cliff Stoll From the Publishers Weekly review: A 75-cent discrepancy in billing for computer time led Stoll, an astrophysicist working as a systems manager at a California laboratory, on a quest that reads with the tension and excitement of a fictional thriller. Painstakingly he tracked down a hacker who was attempting to access American computer networks, in particular those involved with national security, and actually reached into an estimated 30 of the 450 systems he attacked. Initially Stroll waged a lone battle, his employers begrudging him the time spent on his search and several government agencies refused to cooperate. But his diligence paid off and in due course it was learned that the hacker, 25-year-old Markus Hess of Hanover, Germany, was involved with a spy ring. Eight members were arrested by the West German authorities but all but one were eventually released. Although the book will be best appreciated by the computer literate, even illiterates should be able to follow the technical complexities with little diffic ulty. 5.à Tinker, Tailor, Solider, Spy by John Le Carre A favorite among many responders, Le Carres novel Tinker, Tailor, Soldier, Spy first appeared in 1974, is arguably Le Carrà ©s masterpiece and is surely one of the great spy novels of the 20th century. Loosely inspired by the career of Kim Philby, a Russian double agent who worked his way into the upper reaches of the British Secret Service, Tinker, Tailor, Soldier, Spy tells the story of donnish, unprepossessing master spy George Smiley and his quest to identify the mole the deep-penetration agent who has turned Britains Intelligence Service (commonly known as the Circus) inside out. (From the Barnes and Noble review). 6.à Invitation to an Inquest: Reopening the Rosenberg Case by Walter and Miriam Schneir From the New York Review of Books: There have been several books on the Rosenberg case, none of them very satisfactory and at least two (taking diametric views of the case) quite appallingly bad. Invitation to an Inquest is in another category altogether. Mr. and Mrs. Schneir have not only examined the record with care but, going beyond the record and exhibiting the most admirable tenacity, have uncovered significant facts not previously brought to light. The net effect of their researches is to cast considerable doubt on the veracity of Harry Gold and David Greenglass, the principal witnesses against the Rosenbergs, and on that of Max Elitcher, who supplied the only testimony directly linking Morton Sobell to the alleged Rosenberg spy ring. If the information now brought forward by Mr. and Mrs. Schneir had been used by the defense at the time of the trial, the result might have been different. 7.à The Bourne Trilogy by Robert Ludlum Almost everyone who suggests Spy Favorites mentioned Ludlums Bourne Trilogy.à I havent read any of them, but my friends enthusiasm for the works have put the set on my summer reading list. If, like me, you are one of the few who does know what the books are about, here ya go: THE BOURNE IDENTITY: He has no past. And he may have no future. His memory is blank. He only knows that he was fished out of the Mediterranean Sea, his body riddled with bullets. There are a few clues: evidence that plastic surgery has altered his face, a Swiss bank account containing four million dollars, and a name: Jason Bourne. But he is marked for death, racing for survival through the layers of his buried past into a world of murderous conspirators led by the worlds most dangerous assassin, Carlos. And no one can help Bourne but the woman who once wanted to escape him. THE BOURNE SUPREMACY: In a Kowloon Cabaret, scrawled in a pool of blood, is a name the world wanted to forget: Jason Bourne. The Chinese vice-premier has been slain by a legendary assassin. World leaders ask the same fearful questions: Why has Jason Bourne come back? Who is the next to die? But US officials know the truth: there is no Jason Bourne. The name was created as cover for David Webb on his search for t he notorious killer Carlos. Someone else has taken the Bourne identity and unless he is stopped, the world will pay a devastating price. So Jason Bourne must live again. THE BOURNE ULTIMATUM: The worlds two deadliest spies in the ultimate showdown.Two men, each mysteriously summoned by telegram, witness a bizarre killing. The telegrams are signed Jason Bourne. Only they know Bournes true identity and understand the telegram is really a message from Bournes mortal enemy, Carlos, the worlds deadliest and most elusive terrorist. And they also know that he wants a final confrontation with Bourne. Now David Webb must do what he hoped he would never have to do again assume the terrible identity of Jason Bourne. 8.à The Hunt for Red October by Tom Clancy No list of best spy works would be complete without a nod to the master of the spy novel, Tom Clancy. In this popular work, which launced the authors career, The Hunt for Red October isà a deadly game of hide-and-seek played out in 18 days over 4000 miles of ocean. Red October is the Soviet Navys newest ballistic missile submarine. When the whole crew decides to defect, the Soviet fleet sets out to destroy it, while the US and British fleets attempt to prevent them. 9.à Eye of the Needle by Ken Follett There were several hearty recommendations for this novel from commentors. Eye of the Needle is about one enemy spy [who]à knows the secret of the Allies greatest deception, a brilliant aristocrat and ruthless assassin- code name: The Needle- who holds the key to the ultimate Nazi victory. Only one person stands in his way: a lonely Englishwoman on an isolated island, who is coming to love the killer who has mysteriously entered her life. à Written in 1978, Eye continues to enthrall readers. 10.à From Russia With Love by Ian Fleming Finally last, but certainly not least what list of best spy writing would be complete without an showing from Sir Ian Fleming, whose hero, James Bond 007, set the standard for the spy novel genre? In this classic tale from 1957, our hero has gotten himself into another fine mess asà Russias lethal SMERSH organization has targeted him for elimination. SMERSH has the perfect bait in the irresistible Tatiana Romanova, who lures 007 to Istanbul promising the top-secret Spektor cipher machine. But when Bond walks willingly into the trap, a game of cross and double-cross ensues, with Bond both the stakes and the prize.
Tuesday, March 3, 2020
Paying for Private School in Tough Times
Paying for Private School in Tough Times We all know that private school is expensive, and its not uncommon for parents to sometimes have trouble paying private school tuition. Dr. Wendy Weiner, Principal of Conservatory Prep Senior High in Davie, Florida answers some of the questions parents have and explains their options. 1. The major breadwinner in the family has been laid off. The family has one child in tenth grade at private school. They cannot afford to pay the next four months of tuition. What do you suggest they do? This is a phenomenon we are seeing more and more. Individuals with high paying jobs being laid off. First, go through your finances and determine your budget and what you can realistically afford for the next four months. Even if it is $200 per month, rather than $1,500. The economic situation, although may seem bleak, can turn around quickly and you may be wanting to place your child back at the school. Speak with the administration regarding your financial situation. Be up front and honest. Is there a service you can provide to the school for the next four months? Schools dont want to lose their students midway through the year, especially good students. 2. If parents have savings for college, should they use these funds to pay for private school tuition? I am asked this question regularly. What is most important is if your child is thriving in a particular school during the teen years, both academically and socially, dont move. I cant emphasize this enough. The high school years are very difficult and to find an environment where your child excels is very important. I have seen students placed in a large high school, feel very lost and not involved in activities and earn poor grades. The parents dont want to move him to a private school, because the money is being saved for college. However, if the child continues to earn low grades and does not develop extra-curricula interests, paying for college wont be a problem. Granting acceptance will be. The reality is that there are more scholarships available for colleges than for private high schools. Even with the turbulent economy, there are many options including scholarships and very low-interest loans for college. 3. Arent parents obliged by contract to pay tuition and other expenses? Yes. Parents sign a contract that they agree to pay tuition for the year. The schools count on this money to meet their expenses. The school is put in a very bad predicament when teachers are hired, leases are signed for buildings, etc. and then students do not fulfill their contracts. If you are not sure if you will be able to fulfill your contract, speak with the school about your concerns. Sometimes schools may put in provisions in the contract for special circumstances. 4. Cant parents go back to the school and renegotiate their financial aid package for the current year? Definitely. Schools are businesses and need students to survive. Often you can re-negotiate a new payment plan or financial aid package. The institution would rather receive some money to cover basic costs than ââ¬â¹toà receive nothing. However, there are some students who drain the system with their needs. Be realistic with your expectations and your childs needs. 5. What advice can you offer parents who are looking at private school for the coming year? With all of the negative, there is a positive side. Private schools have been forced to up their game. Faculty who were not of the highest standards have been let go and programs which are of low quality have been cut from the budget. Schools know that parents have choices and are competing for each child. The schools have had to re-evaluate their own programs, curriculum and expectations. Those schools which are not able to offer a high standard of education will be closing, while those which are strong will flourish. Parents will find a higher quality of school at a fair price than they have known in the past. With budget cuts in the public schools, academic standards and expectations have been lowered, therefore making it difficult to obtain a publicly funded quality education. à Updated by Stacy Jagodowski
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