Kimi Dora

Blog Number genius Oh, You are so Funny and Im Love it By Kenneth Esteleydiz de Guzman (Submitted for an demonstrate Class in DLSUD) I admit that you have already watched a forget me drug of funny spr step ups around. But one issue you shouldnt miss is the picture show direct by Ms. Joyce Bernal, and was produced by Spring Films. This impression exit surely dupe you laugh and laugh so hard I swear to you that incessantlyy minute that you ordain sp bar in this tear go out n of all time make you feel tentative and regretful for the fact that this is really outlay watching. Ill tell you in a flash the cognomen of this word picture.My much loved impression ever for this year is Kimy Dora, starring Eugene Domingo. Kimy Dora is a word picture that is about replicates who are identical. Kimy Go Dong Hae is the older of the two, she was non that cleverness when she was young except suddenly later on she got a typhoid fever (a actually high and severe fever), and s he became really briskness It was like she ate a lexicon Doctors said that her brain could have been affect by the severe illness she had. She became a war freak as well. She is to a fault insecure for having less attention from her pop and from her very(prenominal) much loved man, Johnson (played by Dingdong Dantes) who admires Dora a give out.Dora (Kimmys twin infant) on the other side isnt so offend scarce non so dumb as well. Dora whitethorn be compared to those who are mentally challenged because of the counsel she acts this happened because she was born inside a potentiometer bowl and got her head bumped inside it when she came out from her mothers womb. Her parents thought that they would plainly have one daughter who was Kimy but what happened was that when their mammary gland was a I cognise that you have already watched a lot of funny films around. But one affair you shouldnt miss is the movie enjoin by Ms. Joyce Bernal, and was produced by Spring Films.Th is movie depart surely make you giggle and laugh so hard I swear to you that every minute that you will spend in this film will never make you feel uncertain and regretful for the fact that this is really worth watching. Ill tell you now the title of this movie. My much loved movie ever for this year is Kimy Dora, starring Eugene Domingo. Kimy Dora is a film that is about twins who are identical. Kimy Go Dong Hae is the older of the two, she was not that stylishness when she was young but suddenly after she got a typhoid fever (a very high and severe fever), and she became really smartIt was like she ate a lexicon Doctors said that her brain could have been affected by the severe illness she had. She became a war freak as well. She is similarly insecure for having less attention from her protoactinium and from her very much loved man, Johnson (played by Dingdong Dantes) who admires Dora a lot. Dora (Kimmys twin sister) on the other side isnt so smart but not so dumb as well . Dora whitethorn be compared to those who are mentally challenged because of the federal agency she acts this happened because she was born inside a smoke bowl and got her hea bout to poop in a toilet bowl, and it was Dora who came outTheir mom died due to severe bleeding and attaint due to what happened. Knowing the fact that Dora is a bit mentally challenged, Kimy hated her so much. But one thing that proven that Dora was not retarded was when Kimy was kidnapped she was able to look at over of their company even though Dora only pretended as Kimy to make sure that people wont panic for the lost of Kimy. At the end of the film, Dora and Kimy were able to be good sisters once again and Kimy realized that she shouldnt mistreat her sister as to what she usually did before.The reason wherefore I really love this film is that Eugene Domingo is also one of my favorite comedians. She has that anatomy that of humor that would make me burst out. This was the prototypical movie wher ein she got the major role and the bully thing is that she got the best actress award for this movie. another(prenominal) reason is that the movie also has clean lessons, lessons that would surely make your heart cry. I bet you should really watch this movie not just for fun but for simple lessons as well. Just go and grab a copy of this now and be astonished of the laughter that this movie might bring to you.

'Family Witnessed Resusitation Essay\r'

'There argon several legal and ethical issues relating to FWR. about of the key legal c one and only(a) timerns expressed by healthcare professionals include the effectiveness for litigation, forbearing confidentiality, and the uncomplaining’s good to secrecy (Mian et al, 2007; Critchell et al, 2007). Litigation and liability concerns arise from the incident that, in most cases, family members allow prepare little understanding of the procedures used in the code room. The fear is that the staff’s actions could be perceived as pestiferous or harmful to the patient of in the eyes of the typical lay-person.\r\nThe reality is that once healthcare providers become educated and go through with FWR, this fear is alleviated, as found in a necessitate conducted by Mian et al (2007). In this same study however, confidentiality and cover concerns were unchanged, evokeing that this is an issue hospitals will need to spoken communication if they are to implement FWR . The ethical issues voluminous with FWR revolve around the mental and aflame impact that families and checkup professionals may make if a code is witnessed.\r\nPerformance anxiousness and the potential loss of professional outer space from the patient for healthcare providers and how traumatic the score intercourse may be for family members are major(ip) ethical concerns with FWR (Mian et al, 2007; Critchell et al, 2007). Mian et al found that think of attitudes regarding potential trauma for the family cleansed with put up it off while physician attitudes did non. Studies of family member reactions suggest that the bang is non excessively traumatic for family and may actually be a beneficial part of the grieving affect (Critchell et al, 2007).\r\nPerformance anxiety for the staff seems to be the bigger issue. Though this eventor seems to improve with let (Mian et al, 2007), staff anxiety will still be a unprompted concern when it comes to the ethical considerati on of whether or not it is beneficial for family members to be stage. converse the viewpoints of various medical professionals in regards to FWR The popular trend in intuitive feelings regarding FWR is that nurses tend to advance it while physicians tend to be against it (Critchell et al, 2007).\r\nThe study conducted by Mian et al looked at attitudes pre- and post- FWR experience and in both situations found that nurses had a more favorable view of FWR (2007). magic spell there are many potential reasons for this trend, one possible explanation is that nurses soak up more interaction with the patient and the patient’s family, thus establishing more of a connection which in turn makes nurses palpate more comfortable with family members bestow. Discuss the patient and family experiences associated with FWR\r\nMost people believe that it is their remedy to be present during a loved-one’s resuscitation, should they so desire. Contrary to the fears of the medic al community, family members who deliver been present during a resuscitation report that the experience was not traumatic for them and would in fact opt to witness it again. Also, being present seems to provide a sense of obstruction and security in knowing that everything possible was done to save their loved one’s life (Critchell et al 2007).\r\nWhat is your opinion regarding family presence during resuscitation ? Do you digest this practice? Why or why not? I believe that the immediate family members should be given the option to be present during resuscitation of the patient. I believe that it is the immediate family members’ right to be present if they choose to be and if they are not disruptive to the medical team that is attempting to resuscitate the patient. I support this practice because of my own beliefs.\r\nI would compulsion to be present if my family member was critically ill and needed to be resuscitated. It would give me the opportunity to support my loved one, to have closure, to have a sense of the stiffness of their illness, and to say my goodbyes if my loved one was not able to be resuscitated. If I were a patient, I would also want to have my immediate family at my side. I power be alert and scared during the resuscitation. intentional that my family was at my bedside would be comforting to me.\r\n'

'Othello – Consider the significance of Act 3 Scene 3 to the play as a whole\r'

'What impressions does this episode make on the earreach and by what soakeds? How does Shakespeargon prepare the audience to find this episode believ equal? Othello was write by Shakespeare around 1602 and was set 35 years previously to that time (around 1571) during the Elizabethan era. Shakespeare got the idea for the looseness from the Italian novelette ‘Gli Hecatommithi and only channeld minor details slightly. He kept the same patch exclusively somewhat of the characters and themes in the act upon were in truth assorted. The race itself is a tragedy and includes the things that Aristotle define as what a tragedy should include.\r\nFirstly, a takeoff rocket, this is Othello. He is the protagonist as the play shows the story of his f in solely from a ordain of eminence as is requi deprivation in all tragedies according to Aristotle. Othello is a tragicalal hero in that he portrays a troops with much impressiveness. Othello excessively has some(prenomin al) weaknesses. In order to really say the character of Othello, we m other to understand him as a tragic hero with greatness and weakness. At the beginning of the play his vivification is in order, as he was get married to the cleanse-looking Desdemona, the younger daughter of a well-respected Senator, Brabantio.\r\nHowever, Othello is a Moor, and their marriage was frowned upon. In the play Othello is essayn as a ‘moor on that pointfore an outsider, he has to try to come to terms with Venetian rules. His fatal stain is his jealous monster, which is set sour by Iago, the villain of the play. This noble man meets with tragedy by falling to Iagos temptations and accept that his wife is unfaithful to him. This is beca enforce Iago is the antagonist in the story, also a vital wear out to a tragedy. He plays on Othellos weakness, deli genuinely out his fatal flaw of jealousy and make him desire that Desdemona and Cassio are having an affair.\r\nDuring the flesh o f the play, Iago kills Roderigo and Emilia, his wife; and he stabs Cassio, wounding his leg. His handling leads to the deaths of Desdemona and Othello. In the play t present is corporeal bmment of the characters from Venice to Cyprus, which answers towards the insecurities of Othello developing further. Venice was where the acknowledge amid Desdemona and Othello developed and and then gives the relationship a sense of certificate. In Venice any problems thither is order and subdue and any problems are dealt with swiftly and heretofore though Othello is legato an outsider he is valu adapted to them.\r\nHowever, the move to Cyprus makes Othello vulnerable in that he is no longer valued and is macrocosm go away from what he knows †into the unknown, which makes it easier for Iago to play on Othellos insecurities as they are more(prenominal) vulnerable to attack. Before they move on that point is a storm, which relates to the turbulence to Othellos life that will be b rought with the move. The guess I am commission on is Act 3 stab 3; this is the longest and most prominent sight in the play.\r\nIt is the climatic turning point of the play and is significant in that it is the first time Iago really begins to transfer try for of Othello, to manipulate him and make him overleap his trust in Cassio and Desdemona. A chance on event in this candidate is when Iago says â€Å"Ha! I the standardizeds of not that” As this is the beginning of Iagos manipulation over Othello qualification Othello curious as to what Iago means and and so making sure Iago has Othellos attention. Iago plays on Othellos insecurities here and makes Cassios exit look onm guilty. In this scene one of the most noticeable changes is that of Othellos verbiage.\r\n introductory to this scene Othellos quarrel is squeamish and noble, though he claims it is not we can see clearly that it is, for fashion model when he says he does not just lust afterwards Desdem ona â€Å"To please the palate of my appetite, nor to comply with cacoethes the young affects In my distinct and tight-laced satisfaction, merely to be free and braggart(a) to her mind” At the beginning of the scene his language is still gracious and he is still free of Iago. He says â€Å" odoriferous Desdemon” which is the last time he shows his ticker to her as Iago gets his hold over him in short after this.\r\nHowever, during Act 3 dead reckoning 3 his language begins to change, it becomes more mirthful and begins to resemble Iagos language as he begins to use imagery. He also begins to condemnation as Iago has done previously, Othello damns Desdemona to hell, all this shows the hold Iago has over Othello and how he has already been able to influence him. He is doing this by use Othellos insecurities to get to him, as he is a ‘moor (is black) he has already felt like an outsider and this also allows Iago to be able to get to him.\r\nOthello says, â €Å"Thou echoest me, as if there was some monster in thy panorama likewise hideous to be shown” this metaphor shows that Iagos insinuations are beginning to affect Othello. This is an example of Othellos dramatic language and the use of different literary artifices. However previously in the play he claims to lack gracious speech â€Å"Rude am I in my speech” exclusively proves himself to vex the most exquisite and gracious use of language of all the characters, but this is all before Act 3 thought 3.\r\nDuring and after this scene, his previously emotive and fond language becomes more disordered as he becomes more consumed with his jealousy and has ravening outbursts such as â€Å"Damn her, dirty minx! ” which eat uply contrasts with the language he would produce utilise before this scene and shows how he has changed and the beginning of his downfall. He becomes really tightly fittingly unable to make rich sentences â€Å"Noses, ears, lips. Is t possible? Confess! Handkerchief! O devil! ” showing his upset and complete anger.\r\nOthello himself hates chaos and disorder but in this scene we begin to see language becoming much more disorganized and losing its order. This shows the previous scene to be wry as it shows Othello checking the battlements, which is his public life, though it is his secluded life that is real in danger. also in Act 3 outlook 2 it shows Iago helping to check the battlements, which again is teetotal as Iago is the one assay to break down his defences in his undercover life.\r\nHis language continues in this chaotic and fragmented structure until he kills Desdemona and realises his error. After this, two his character and his language are restored to their author selves. Iago also uses interesting language in the play, unless throughout his language is of a manipulative manner and does not change much throughout the play, one of his primary(prenominal) types of manipulative lang uage is imagery, for example â€Å"it is the green-eyed monster which doth mock the meat it feeds on”.\r\nThe green eyed monster represent jealousy and helping to im build ideas in Othellos mind about Desdemona having an affair, it is also ironic in that Iago is inferring that Othello is being deceived by Desdemona when it is really Iago that is deceiving him. In his deception of Othello, Iago also influences his language and Othello begins to use imagery too, this shows the issue of Iago is actually having on Othello and how successful he is. Iago manages to successfully manipulate Othello and gets a persuasive effect by manufacturing expressions.\r\nIago manages to stay in control of his language throughout the play and uses anti-heroic language, which is the complete opposite of Othello. Iago speaks plainly and directly, always being very self-assured. Iagos manipulation must have been done for a reason and there are many possible translations of Iagos motivation. u nity of these interpretations is that Iago is gay. This would explain why he wanted to trick Othello, if he was attracted to him. This whitethorn mean that Iago wanted Desdemona out of the way because he was jealous.\r\nHowever another reason may be that he is attracted to Desdemona. This would explain when Iago says â€Å"My conversancy is dead; ‘Tis done at your request. But let her live” This is either Iago actually attempting to stop Othello from killing Desdemona, however he could also have said this to plant the idea of killing her in his head. Iago also says â€Å"Now, I do love her too” in Act 2 prospect 1 which shows that it is possible that he has locomote in love with Desdemona, though he could be saying this because she is aiding him with Othellos demise.\r\nIf Iago did feel potently about her, again his jealousy could move over and cause him to manipulate Othello. His jealousy of them and their relationship is likely to have vie a big part in his motivation, any(prenominal) it may be. Even though these are all possible motivations, Iago uses the alibi that it is because Othello gave a better line of descent to Cassio and he wants revenge. A reason that I insure more likely is that Iago is racist and, like Othello, doesnt like to see people who he believes are middle-level to him tainting his superiority.\r\nSo then it angers him to see Othello, a moor, an outsider and inferior to him, having an important job and having a beautiful white wife and thus has a higher social standing than him. Basically, this interpretation boils down to Iagos pride getting the better of him and him being able to manipulate the other characters makes him feel superior. In the play Shakespeare uses many dramatic devices in order to forward the story of the play. Women in the play have been used, such as Bianca, both to help Iago in his manipulation and move the play forwards.\r\nBianca is used purely as a dramatic device, being used in I agos manipulation and being used by Cassio too. Emilia is also used as a dramatic device in that she has split loyalty and allows herself to be controlled by Iago to get love from him and unknowingly helps Iago and betrays Desdemona. Desdemona however is much less impressionable; she is more strong willed and emotional. Her loyalties are not split, as she is loyal to Othello but is unknowingly used to further Iagos plot for revenge. The hankey is a very significant dramatic device as it is used to further Iagos plot and finally sending Othello over the edge.\r\nThis hanky links all the women together and is a very meaningful symbol. The colour of the handkerchief is important. The white of the handkerchief could map honor and purity with the red of the handkerchief represent blood. This could also be blood on the wedding night, which shows the strong confederation that they have, but when the handkerchief is lost then the bond between the two of them is also wiped out(p) allow ing Iagos plan to end successfully. However the red on the handkerchief that may epitomise blood, could also be carried on to symbolise death, which is foreshadowing the end of the play.\r\nWe can believe that Act 3 Scene 3 could have actually taken bum for many reasons. Firstly we must subscribe to ‘honest Iagos status. Iago has been put in a job in which he has to be near Othello and is considered a friend by him. Iago is very trusted by all the characters that he is able to use in his plot, therefore making it much easier for himself, often being referred to as ‘honest Iago. Iago also has very strong persuasive techniques and is very ball-hawking with them, allowing him to use skills language such as imagery to his advantage.\r\nAlong with this, in dependable tragedy style, Othello has flaws, as does any protagonist in a tragedy. He is flawed in that he takes people at face value and is extremely trusting. This flaw allows Iago to manipulate and persuade him rou nd to whatever Iago wants him to think. In this scene it is easy to see that Iago has a huge hold over Othello already. This is because Othello takes Iago at face value and believes him to be an honest man, also because the problems Iago is inferring are all part of his insecurities.\r\nHe was already insecure as he was an outsider as a moor but in Venice he was needed so had some security as this was also where his and Desdemonas love developed. This meant he had a sense of security in both his public and privy life. However the move to Cyprus and into the unknown make him even less secure making him believe anything without asking about it and even the slightest evidence seems like solid cogent evidence to him. This is believable because the language change has showed us that he is insecure. This brings the play to a tragic close filled with death and recognition and shows the scene to be believable.\r\n'

'Ocd Research Paper\r'

'Obsessive-Compulsive Disorder OCD stands for obsessive- neurotic overturn. An various(prenominal) with OCD tends to dread ab verboten m all an some other(prenominal) different things. On h whizst, hotshot break finished of fifty adults presently confirm from this inconvenience oneself, and twice that many put on had it at wellhead-nigh plosive consonant in their lives. When worries, doubts, or superstitious beliefs give-up the ghost overweening then a diagnosis of OCD is do. With OCD it is impression that the champion arse arounds stuck on a divideicular cerebration or urge and still squeeze revealt let go. roughly pr procedureically mass with OCD describe the symptoms as a case of mental hiccups that wont go a mood. This piddles problems in development processing.OCD was generally thought as untreatable until the arrival of innovational medications and cognitive carriage therapy. Most flock plow to offend redden off though they had old age of otiose psych early(a)apy. Today treatments tend to tending most populate with OCD. OCD is non require it awayly curable just is some treatable. OCD is a potentially disabling determine that whitethorn persist throughout a souls life and get worse without treatment. An individual with OCD becomes trapped in a pattern of repetitive thoughts and behaviors that argon sense scant(p) and condemnable just now atomic subprogram 18 extremely powerful and life-threatening to all overcome.OCD rear end occur in cases from mild to severe, but if left untreated underside destroy a soulfulnesss life and capacity to function at work, organise, and nonethe slight at home. some of the worries and rituals can get out of control. An individual life becomes dominated by thoughts and behaviors they neck act absolutely no sense but they atomic trope 18 powerless to control. People with OCD tend to aid un plasteredty; these good deal ar plagued by immovable and recurring t houghts or â€Å"obsessions” that they ascertain very disturbing. These thoughts ordinarily reflect exaggerated anxiousness or charges that have no basis on existentity.A someone who re primary(prenominal) firms from OCD has unalterable doubts slightly(predicate) their behaviors and always seeks assurance from other people. some people who suffer from this disorder feel compelled to consummate certain rituals or routines to help write the anguish caused by their â€Å"obsessions”, however the alleviation is only temporary worker. or so rituals or â€Å"obsessions” include cleaning, checking, iterate, slowness, and hoarding. Usually an individual has twain(prenominal)(prenominal) obsessions and fatalitys, though some eons they have only i or the other.A person with OCD ordinarily indigences everything around them to be perfect. {What is 1}? Most car parkalty symptoms of OCD go on with a certain compulsion for instance: A need to regu larize, take on, or confess goes along with praying. A need to have things â€Å"just so” goes along with hoarding or conservation. Forbidden thoughts equals arranging. Excessive ghostly or moral doubt = ascertain. Intrusive familiar thoughts or urges cause touch oning. Imagining losing control or predatory urges causes checking. Imagining having defileed ones self or others scores the symptom of repeating.Fear of befoulment or germs causes constant breaking. Compulsions argon scrutinizing thoughts, impulses, and images that feel out of control and occur over and over again. A sufferer does non want to have these ideas and knows that they dont nominate any sense but find them intrusive and disturbing. A person with OCD whitethorn be obsess with the idea they be contaminated or whitethorn contaminate someone else and worry excessively some dirt and germs. This person could as well have an acuate worry that they harmed someone else although they commonly know it is not realistic. {What 3}Some of the most common obsessions of OCD in baby birdren atomic number 18 extreme concern with order, concern that a t pack or as theatrement has been done gravely or incorrectly, concern with certain sounds or images, fear that a disaster get out occur, thither is too the fear of AIDS, fear of acquiring dirty, fear of losing key things, recurring thoughts, and a fear of saying something wrong. Checking compulsions are rituals that are precipitated by fear of harm to oneself or others and this includes the checking of doors, locks, heaters, affrights, faucets, switches, and other objects that could be a threat.This can take a crap problems for the learning of a squirt. For sample while getting ready for school a churl whitethorn check his or her books several times to pip sure they are all there until now to the point where the boor is late for school. Once the child is in school they whitethorn call to go along home and check th eir books once more(prenominal). These rituals may withal interfere with the completion of homework. This could make a child work late at night to complete an assignment that could have taken ten proceeding to complete. Repeating compulsions are rituals in which some one repeats a certain carry through over and over again.These rituals can in some cases be fretfulness driven and in other cases have to be done â€Å"just so”. For instance a person might walk backward and previous or get up and deck from a c bull many times until the ritual is per stressed â€Å"just right”. These rituals are besides connected with counting rituals. In children the rituals can assume many forms in the classroom. This could ternion to many repeated head teachers because the child may need to remember or know something. On written assignments the student could everlastingly cross out, trace, or rewrite letters or phrases.Lockers can also cause a problem because the combination may need to be repeated several times till it feels right. Note victorious is most belike impossible because the student is compelled to take every word down. Computer scored tests are a nightmare because the student has to fill in the circles perfectly. Uncomfortable feelings such as fear, disgust, doubt, or a sensation that things have to be â€Å"just so” normally accompany obsessions. A person tries to make their obsessions go away by performing certain compulsive rituals. These compulsions are acts that an individual may perform repeatedly, lots according to certain â€Å"rules”.OCD symptoms do not give a person pleasure but a sense of temporary relief for a short period of time. The relief is only temporary and the discomfort always comes back. These relieve make up a lot of time and interfere with a persons social life and similarityships. The less common form of OCD is hoarding which is the excessive saving of typically worthless items. A most normally th ought form of OCD is pollution. This is the ken of germs, disease, or the fore voice of dirt that evokes a sense of threat and an flimsy inspiration to descend the presence of befoulment.The compulsion of contamination involves a cleaning answer such as hand slipstream and chronic cleaning. {St purge1} Another common form of OCD is checking. Checking involves door locks, lights, switches, faucets, stoves, or items left uncurbed that might pose a threat to ones well being or the well being of others. It is not uncommon for people to check items among 10 to 100 times a day. The impulse to recheck can remain until the person experiences a reduction in tension despite the realization that the item is secure.One other less common form of OCD is ordering in which a person feels compelled to place items in a designated spot in order. Although contamination fears ofttimes film to excessive purifying they can also have the opposite run into, shoes may be untied, teeth unbrushed, clothing may be slovenly and hair may be dirty. In these cases, fear of contamination of personal objects or body parts leads to the individuals’ refusal to touch them. A combination of excessive hand resolve and sloppiness in other areas of grooming had even been reported. Obsessions revolving around a need for symmetry may gist in compulsive arranging.Children who engage in symmetry-related rituals may also feel compelled to have both(prenominal) sides of their bodies identical. For instance a child my spend an unwarranted amount of time tying and retying shoelaces so that individually side of the bow is perfectly even or â€Å"balanced”. Symmetry rituals may consist of taking steps that are identical in duration or speaking with equal stress on each syllable. In a classroom, symmetry rituals may be seen in the students compelling need for order. Books on a shelf, items on a desk, or problems on a page must be arrange in a precise style so that they can appea r symmetrical to the student.Most people severalise at some point that their obsessions are not just worries virtually real problems but are coming from their minds. Compulsions are excessive or mistaken but the sufferer has to perform them. OCD poor brainstorm is an individual that not recognize that their beliefs and actions are incorrect and unreal. Extreme severe distress tends to happen when the symptoms turn out and ware over time. OCD symptoms can start at any age from as early as preschool too as late as adulthood. 1/3 of 1/2 of adult sufferers verbalise that their symptoms started during their childhood.On an flesh people spend 9 geezerhood seeking a diagnosis and see up to 3 to 4 resorts. Studies also show that it takes an average 17 years from the time OCD begins for an individual to find appropriate treatment. {What 3} OCD may be chthonian diagnosed and untreated for a number of reasons. People with OCD may be incommunicative about their symptoms or wishing insight on the illness. umteen health care providers are not familiar with the symptoms and are not teach to provide treatment. Some people may also not have entrée to treatment resources. This is ominous since early diagnoses and congruous treatment can help an individual.Research suggests genes do play a role in development of the disorder yet no limited genes have been found for OCD. Childhood onset tends to endure in the family. An increasing risk for a child getting OCD is if the parent has it. When OCD runs in families it seems to be hereditary but not the special(prenominal) symptoms. One example is if a child has checking rituals his mother might wash excessively. There is no single proven cause for OCD. Research suggests that OCD could involve problems in communication between the brain and deeper structures although this is not proven. what 4} For many years only a small minority of healthcare professionals patients had OCD there for it was thought to b e rare. OCD went unrecognized often because many of those afflicted with it kept their repetitive thoughts a secret and failed to seek treatment. This led to the underestimate of the number of people with the illness. {obsessions 1} In approximately 80% of all cases, people performing the rituals are painfully aware that their behavior is unreasonable and ir rational number. OCD is an disquiet disorder the thought associated with OCD is bizarre.The thoughts associated with OCD are recurrent obsessions that create an consciousness of alarm or threat. Obsessions can take form of a threat or physiological alarm to oneself or others. People typically engage in some escape or escape reaction in reaction to the obsessive threat. There are three main fall apartes of OCD. The most common and well-known branch of OCD is known as OC where the undoing response generally involves some overt behavior. The next branch of OCD is purely obsess ional this involves the escape or avoidance of n oxious and unwanted thoughts.There are a number of treatment strategies, which are peculiar(prenominal) to obsessive problems. For example, motivations neutralizing behavior and other counter- productionive strategies, increasing selective attention and change magnitude negative mood. These serve to maintain the negative beliefs and therefrom the obsessive-compulsive problem. Most recently developments in cognitive therapy suggest that the key to understanding obsession problems lies in the way the intrusive thoughts, images, impulses and doubts are interpreted. The general and specific feel ats of cognitive-behavioral treatment are described.The all-important(prenominal) negative variants usually include the idea that a persons actions can result in harm to onset to others. This responsibility interpretation has several consequences. { steven 1} OCD can change and affect a person’s life in many ways sometimes alienating them from their friends and family. Many suffer ers with OCD are never diagnosed because they are so secretive about their symptoms. They are afraid to let people know and are even embarrassed about their compulsive reactions. It is a fact that approximately one million children and adolescents in the United States alone suffer from OCD.This nub that 3 to 5 children in an average elementary school and 20 teenagers in a large high school are currently suffering. OCD affects adolescents during an important time of social development. Schoolwork, homework, and friendships are touched most often. Most children are to young to suck up that there obsessions and compulsions are unusual. Adolescents are embarrassed because they dont want to be different from other people and they worry uncontrollably about their behavior. These adolescents usually hide their rituals in front of friends at school or at home and become mentally exhausted and strained.Children and adolescents that suffer from OCD are different from adults because they exp ress their disorder in special ways. Young children often say their rituals are silly. Young childrens OCD is never really recognized by their parents until they are about 3 or 4 sometimes even older. To get a proper diagnosis the child should be brought to a doctor or psychiatrist. While a child is at school they usually erase and redo their assignments, which usually results in late schoolwork. Classroom concentration is usually limited because a child is obsessing about their fears and rituals.Parents should tell a childs teacher about the OCD and may ask for occasional progress reports. OCD is not contagious and parents are often blamed for the disorder they are state to have parental perfections, inappropriate toilet training, or even under parenting. The cause for OCD is neurobiological. Although life events can also aid in the onset of OCD. Childrens OCD is often said to be started by a oddment of a loved one, a divorce, moving to a raw(a) location, or unhappiness with chan ges in school. slightly 80 percent of children and adolescents with OCD at some point during their illness will develop a washing or cleaning ritual.The most common compulsion is hand washing. An individual may feel compelled to wash their hands extensively and according to a self-prescribed manner for minutes or hours at a time. opposite individuals may be less thorough about washing or cleaning but may engage in the act a number of times a day sometimes even hundreds. During school these rituals may manifest themselves in the school setting as subtle behaviors not evidently or immediately related to washing or cleaning. The student’s teacher should be spiffy if the student frequently excuses himself or herself from the classroom under voiding or guise.This child could actually be seeking a private area in which to carry out the cleaning rituals. Another sign is the presence of dry, red, chapped, cracked, or even bleeding hands. exhaust hands are a result of washing wit h strong cleaning agents such as â€Å"Mr. scant(p)” to free themselves of â€Å"contaminants”. OCD sufferers usually experience obsessional thoughts that lead to compulsive avoidance in these cases, individuals may go to great lengths to avoid objects, substances, or situations that are adequate of triggering fear or discomfort.For example, fear of contamination may result in the avoiding of objects usually found in the classroom, things like paint, glue, paste, clay, tape, and ink. A child may even inappropriately cover their hands with clothing or gloves or may use facial tissue, shirts, or shirt cuffs to open doors or turn on faucets. A student with an obsessive fear of harm may avoid using scissors or other sharp tools in the classroom. A child may even circumvent the use of a certain doorway because a passage through that entry may trigger a repeating ritual.Children and adolescents with OCD may also engage in compulsive reassurance seeking. In the school setti ng, they may continually ask teachers or other school personnel for reassurance that there for example are no germs on the intoxication fountain or that they have not made any errors on a page. Although reassurance may serve to allay the anxiety or discomfort that frequently accompanies their fears the relief is often short lived, different situations typically arise in the classroom that pose new fears or discomfort for the student.Number obsessions are typically common among young boys. Only certain numbers are â€Å" fail-safe” other numbers are â€Å" sad”. An obsession with a particular number may result in a childs having to repeat an action a given number of times or having to repeatedly count to a particular number. Some children with strong religious ties have an obsessive fear that they are doing something evil. This symptom of OCD is called â€Å"scrupulosity” and causes an individual to tell themselves that they constantly commit sins, and they must pray constantly or find ways to condone their imagined sins.Members of the catholic godliness who suffer from this may go to confession many times a week. Some individuals create sybaritic systems to avoid certain thoughts, memories, or actions, or to deputize or equalize â€Å"sinful” thoughts with pure mature ones. One of the most reported obsessions in offspring with OCD is a fear of contamination. This fear may nub on a concern with germs, dirt, ink, paint, excrement, body secretions, blood, chemicals, and other substances. Recently, an increase in obsessions with AIDS had also been witnessed.Preoccupation with contamination may lead to the avoidance of suspected contaminants or constant findings in studies such as scrutiny the effectiveness of different therapies; strongly suggest that it is the workings alliance or bond between therapist and patient, which is paramount to therapeutic success. Interpersonal aspects of treatment such as 1. comfort 2. confidence a nd 3. a truthful commitment from both patient and therapist make a great deal of passing in fostering an atmosphere of collaboration. To be successful both the patient and the therapist need to form their fullest awe to the explicit and implicit contract of therapy.By saying this it intend that at the end of each session both parties need to come to an agreement of the next weeks challenges. The patient must except the responsibility and be involuntary to participate in his or her challenges. Clients can subscribe to to share the challenges of this therapy with an experienced partner or they can choose to decline. The principles of this therapy focus on fostering a sense of therapeutic independence on the part of the client. Equally important to training, knowledge, experience, and credentials are understanding, ruth and warmth.Most often the cognitive-behaviorist believes that self-disclosure is a healthy part of any relationship, including a therapeutic one. wherefore wh en a client answers questions about themselves it is considered a natural and healthy part of the therapeutic exchange. {steven phillipson 1} The grassroots premise of this therapy is establish on the belief that at the heart of opinion exist distorted and irrational number thinking patterns. such(prenominal) patterns revolve around our automatic pistol reactions toward life circumstances, which create upsetting delirious consequences.CBT was create to aid patients to move rationally to automatic irrational thoughts. Here automatic thoughts are said to be mental automatic reactions to upsetting events. Typically, the woo teaches people to learn to site our reflexive reactions or â€Å"beliefs” that occur as a consequence to upsetting events, that are responsible for the weekly upset we experience. tralatitious therapist that specialize in CBT focus on article of faith clients to substitute rational thinking for automatic irrational thinking. {steven phillipson 2 } elementary CBT believes that within all of us exist irrational ideas. This therapeutic intervention is based on therapists trustingness in our ability to learn how to sort out the difference between being rational and irrational. At the heart of learning is the belief that we learn from society, family, and theology how to think in dysfunctional and irrational ways. Traditional CBT for patients suffering with OCD is therefore likely to be counter productive toward achieving a beneficial therapeutic outcome. This approach assumes that persons are reacting irrationally to a rationally safe situation.The problem is that the majority of OCD patients are aware that what they are doing is bizarre and irrational. Most can even hazard that the risk of endangerment is infinitesimal. Yet they feel overwhelmingly compelled to act out some escape response. indeed using traditional CBT: activating event, automatic thought, aflame reaction, and rational response would be futile. Tradition al CBT was developed as a treatment for depression. The two basic components entail, 1. the behind the scenes strategizing and 2. the front line conflict.It is very important not to mix up the appropriate practise of these two separate strategies when dealing with OCD. The manner in which one conceptualizes a battle and the behavior exerted in fighting it, are very different. {steven phillipson 3} cognitive therapy for OCD predominantly focuses on the two mentioned aspects of this disorder. The first aspect initially involves having sufferers develop a healthy and intercommunicate understanding of how the mechanisms of OCD operate. This focus will be referred to as cognitive expression.Cognitive conceptualization includes having the sufferer separate themselves from the emotional or moral implications of what the disorder seems to represent. Many people who suffer from the purely obsessional form of this delay and responsibility experience tremendous amounts of guilt and pathos for having these thoughts or being responsible for the wellbeing of others. in any case knotty with the first aspect is having clients appreciate that fully grown in to a ritual or include the risk of the obsession, requires devising a series of true pickaxs and are not pre-programmed reflexive reactions.Critical aspects of this focus involve reshaping ones response set to the risk. This involves concentrating on ones relationship with their condition as that of making choices in the matter of swelled in the ritual, or not. This viewpoint is in difference to perceiving the reaction to cognitive threats as obligatory or as having no choice in the matter. In practice this translates into having patients reframe their proclivity from, â€Å"I had to” to â€Å"I chose to”.Research has clear showed that acknowledging our choice in the matter of facing operose life challenges increases ones tolerance to adversity. Consistently studies have present that our abilit y to die hard pain is greatly increase as we acknowledge our choice in relation to the decision to seek relief or to tolerate the discomfort. As our perceptible sense of control increases so does our willingness to tolerate discomfort. A minor but crucial aspect of cognitive-conceptualization involves educating people about the actual risks pertaining to their specific concerns.Unfortunately medical science doesnt offer total certainty. Therefore telling someone that the take places of getting AIDS from a door knob is slim at best, does little to take away the general concern. Some people claim to have been guided by their disorder for so long that they have forgotten their real instincts. In addition, becoming informed that people who plait about being a danger to others seldom actually do damaging things or that person with anxiety disorders almost by no means develops schizophrenia might educate, but rarely provides abiding relief. Steven Phillipson 4} Cognitive- coifment is the second goal of CT; this involves teaching individuals to respond to obsessive threats in a way that there is little to no debate in response to being spiked. The main goal is to reduce conflict or mental escape in formulating a response to the upsetting thought. The end product is referred to as habituation. Principles are also included in cognitive-management. These principles enhance greater levels of tolerance toward the physical discomfort, generated by the anxiety.The principles include making space for the discomfort and looking upon it as something to be managed effectively, rather that just achieving a period of relief. The search to eliminate the spike is more than likely the greatest cognitive misconceptualization that people bring to the therapeutic process. Eventually the goal of CT for OCD is to manage he spike effectively, not to focus on its existence or disappearance. The same thing could be said about the experience of anxiety. Tolerating anxiety focuses on dev eloping room for the experience.Developing room for its presence enables the brain to focus on other information. Cognitive conceptualization focuses on helping take out a sense of culpability, guilt and shame, which is pervasive among obsessive-compulsive sufferers. To access the ideas and philosophy of cognitive-conceptualization in the midst of the challenge would be unadvised because it would tend to be reassurance oriented. The goal for later on in the treatment is instructive in aiding a persons respond effectively to the cognitive strike of the danger with the least resistance, which thereby allows habituation.Creating an aggressive disposition toward a challenge is tremendously advantageous toward a successful recovery. Aggressiveness is defined as actively looking for anxiety provoking challenges. Paradoxically, when a person seeks an anxiety provoking challenge there tends to be a greater likelihood that experiencing reduced levels of anxiety is achieved. This comes out due to changing the conditions momentum from endless escape to approach. â€Å"As we seek challenges there is less likelihood of finding them”. Cognitive therapy for OCD has two main applications 1. o help people understand the guidelines of anxiety disorders overall plan 2. to provide specific suggestions in response to the moment of being challenged by awareness that there is some imminent danger. Cognitive principles to assist sufferers develop a healthy disposition in the direction of their anxiety is The statement â€Å"within the question lies the answer” proposes that when confronted with a seemingly sincere risk, relying on the consciousness that there is doubt and therefore making the strength of mind to receive the possibility will get rid of a enormous measuring stick of difficulty solving. steven phillipson 6} The ultimate aspect of cognitive management entails deliberately creating the consciousness and nature of the chance while engaging in the uncoverin g exercise. This strategy suggests that combining the behavior a compulsive act with a self-talk enhances the impact of an uncovering exercise. Making the choice to put up with the risk tends to close down the brains natural propensity to alert its host, through physical uneasiness and cognitive warnings, that you should feel unpleasant until the danger is removed.Overall CT involves providing a sufferer with specific responses to the spikes and educating them about the distinction between having these concerns and separating ones identity from the topics of the condition and high spot general strategies which facilitate anxiety management. This goes to say that providing reassurances and attempting to educate the sufferer about the truly limited risks involved in the spikes is counterproductive and alienating. {steven phillipson 7} lead to excessive washing.\r\n'

'Literary Theme A Worn Path Essay\r'

'In â€Å"A Worn Path”, the etymon though out the account statement is about a strong endless make savour an geniusness- sequence(a) charr has for her grand barbarian. According to Clugston 2010, the theme in a account statement is associated with an idea that lies behind the report card. Every horizontal surface narrows a broad underlying idea, shapes it in a peculiar way, and puffs the underlying idea concrete. That’s how theme is created. In other words, the theme in a story is a representation of the idea behind the story. time a hard locomote for an doddering char, a grand puzzle’s undying esteem shows the depths she was unstrained to go to take care of her grand churl.\r\nWhen you love someone, t present is no journey too uttermost or too hard when that person is in need. The overage womanhood took that journey to get the treat mandatory to help the child. Although the medicine did not component part the child in the past, this w oman had hopes that maybe, this time it would, and was willing to go to each length to find out. When it comes to a one’s child or in this facial expression a grandchild, there are no lengths one would not go to make them healthy and happy.\r\nthough the story does not tell us where the mother of this child was, it does indicate that the child was depending on his nan to help him, and it also seems as though the child was all old Phoenix had, and she did not lack to loose him. Any one who has children would do virtually anything to protect that child, even if it meant passing playing miles through the muddy woods in the blazing insolate to make sure you did everything possible to make that child aspect better.\r\nThis story is about the sacrificial love this nanna had for her grandson who was sick from swallowing lye and the only way to make his pharynx feel better was for this old woman to walk miles through treacherous woods to get medicine for him that may or may not work. The story is told in the â€Å"Thirdâ€person point of put one over which occurs when the speaker is not a participant in the story. It has two forms: omniscient point of picture and verifiable point of viewâ€Å" (Clugston 2010, ch 5. 2). This can be seen in the narrator grave the story about an old Negro woman call upd Phoenix, making a journey to the Dr. ’s office, for her grandson’s medicine.\r\nThe story is told from a especial(a) omniscient point of view observed here: â€Å"On she went. The woods were deep and still. The sun make the pine needles almost too bright to image at, up where the wind rocked. The cones dropped as light as feathers. Down in the hollow was the mourning peacenik†it was not too late for him” (Clugston 2010, ch 6. 3). The point of view affects the narrative theme by the narrator telling what was going on in the old woman’s mind and showing the determination and the deep love she had for her gran dson to enable her to brave the harsh elements of the sun and the woods to complete her mission.\r\nThe point of view gives the indorser more insight as to what was going on beyond what was being said, what old Phoenix was thinking. The story also had a lot of symbolism in it and Clugston 2010, tells us that a symbol is something that has a factual identity just now also stands for something elseâ€something that is widely silent and has been developed over a long geological period of time or by common agreement. This endorse identity (or referent) is always abstract in nature.\r\n close to of the symbolism in this story starts off with the old woman’s name, Phoenix, and according to Clugston 2010, a capital of Arizona is a mythical creature that rises from its own ashes, â€Å"Her name was Phoenix Jackson” (Clugston 2010, ch 6. 3). The narrator giving the month of December which is winter, symbolising death, stagnation and sleep, and considering the old wom an’s age, showing that even after much(prenominal) a long journey, she temporarily forgot what she had traveled so far for. The narrator also tells how Phoenix is view during a certain point in the journey, â€Å"count like there is chains about my feet, time I get this far” (Clugston 2010 ch 6. ), with chains symbolizing a struggle.\r\nThe oak trees that are spoken about, symbolized expertness and wisdom, of which the old woman exhibited both of these traits, â€Å"Now follow up through oaks” (Clugston 2010 ch 6. 3), â€Å"She passed through the old cotton and went into a field of dead corn” (Clugston 2010 ch 6. 3), as rise up as the buzzard, also symbols of death. She also drank â€Å"water which symbolizes lineage of life and regeneration” as noted, â€Å"In a ravine she went where a spring was silently flowing through a hollow log. â€Å"Old Phoenix deform and drank” (Clugston 2010 ch 6. 3).\r\nIn the end Phoenix did get the medi cine and was so happy when she left the Dr. ’s office, she trenchant to buy the child a little hornswoggle from the atomic number 28 she found on the ground and the nickel the nurse had given her. She decided to buy her grandson a pinwheel, knowing this was something that would make him happy. The narrator made me feel that the journey home was a much lightness on Phoenix than the one going to the Dr. ’s office, not only because she had the medicine and she accomplished her mission, but also that fact that she was able to come bum with a gift for the child, also showing her love for him.\r\nIndeed, while a hard journey for an old woman, a grandmother’s selfless undying love shows the depths she was willing to go to show it. When you love someone, there is no journey too far or too hard when the one you love is in need. Though the medicine was not helping the child, this woman had hopes that maybe this time it would, and would go to any length to find out. W hen it comes to your children or this case a grandchild, there are no lengths you would not go to make them healthy and happy.\r\n'

'Issuing Debt and Bond Valuation Essay\r'

'1. Internally gene placed funds and stock issuances be available for for-profit and internally generated funds, philanthropy, government grants, and sale of literal estate argon available to not-for-profit health c arfulness providers to increase their equity position.\r\n2. The advantages of a assesspaying entity in issuing debt are firm debt service payments, fixed interest rate, no risk ha investor sells gravel back, and no leer of credit needed, while disadvantages are higher issuance expenses, may result in higher interest greet over flavour of add, no refunds for ties, unstable deb service payments, and mitigate in cash flow if interest evaluate increase.\r\n3. Debenture is an unsecured link, which is not backed by specific assets of the organization; so, it carries higher risk with a high interest rate. On the another(prenominal) hand, subordinated unsecured bond is an unsecured bond that is junior to debenture bonds.\r\nIn a case of default, the bondholders ar e paid first.\r\n4. An investment banker syndicate a bond issue with other investment bankers to work as an underwriter for undercover placements to sell to a particular institution or group of institutions (banks, pension funds, or insurance companies).\r\n5. $1,000 slide fastener coupon bond with a 20-year maturity has a market price of $311.80. Rate of return = (railyard / 311.80)^(1/20) = 1.7 special K / 311.80 tells you how many times the money multiplies over 20 days.\r\n6. A tax-exempt security bond was recently issued at an annual 8 percent coupon rate and matures 20 years from today. The par esteem of the bond is $1,000.\r\n7. If postulate market rate are 8 percent, the market price of the bond = $80 x PVFA (0.08,20) + $1000 x PVF (0.08, 20) = $80 x 9.8181 + $1000 x 0.2145 = $1000 8. If postulate market rates fall to 5 percent, the market price of the bond = $80 x (0.08,20) + $1000 x (0.05,20) = $750 9. Charles metropolis Hospital plans on issuing a tax-exempt bond at the bond are $1,000. 10. If required market rates are 6 percent, the care for of the bond= 60 x PVFA (0.06,1)+1000 x PVF (0.06,1)= 60 x 0.943 + 1000 x 0.943=$996.4 11. If required market rates fall to 12 percent, the value of the bond=120 x PVFA (0.12,1) + 1000 x PVF (0.12,1) = 120 x 0.892 + 1000 x 0.892 = $ 996.8 12. Since 3 percent, 6 percent, and 12 percent values are lower than $1000. They are sold at a discount. 13. Option#1 Device cost 400,000\r\n serviceable value 5\r\n periodic Depreciation 80,000,00\r\n pastime rate 15%\r\nLoan period 5\r\nLoan yearly installments 119,326.22\r\nOption#2\r\n wage Yearly Payment $80,000.00\r\nDifference between loan & Lease $39,326.22\r\nTax Saving=Yearly Depreciation X 40% =$32,000.00=$400,000/5 years X Tax %\r\nAfter tax cost of debt $3,539.00 interest component X after tax rate 9%\r\nTotal saving from choice#1 $35,539.00\r\nOption #1 (Borrowing) $83,787.22\r\nOption#2 (Leasing) $80,000.00\r\nTherefore, Mercy medical mega center sho uld lease the working(a) device because the total cost will be less than to borrow the money to purchase the device.\r\n'