Friday, September 6, 2019

United States and New York Times Essay Example for Free

United States and New York Times Essay What is the article or editorial about (100-150 words)? A 14 year old girl, Malala Yousafzai was shot in head and neck by Taliban while she was in her school bus with fellow students. Malala Yousafzai, who raised her voice for the education rights and opposed Taliban for their actions against women education in her home town, was a symbol of pride for the region. Malala came into attention in 2009 when she was covered by many international media groups for her brave initiative fighting for women rights. She was awarded by many organizations including the government of Pakistan. Malala was taken to a hospital in Peshawar and doctors said that there is a chance that the bullet would have damaged her brain. Many people including the Prime minister of Pakistan Condemned the incident. What are your thoughts? For instance, how does it relate to what we have discussed in class (100-150 words)? I cannot imagine how ignorant one can be and what guts it takes for someone to attack a 14 years old girl who raised her opinion for education rights. Taliban who call themselves the protectors of Islam do not even know that attacking children and elderly is strictly prohibited in Islam and that Islam has given equal rights of education to women. These incidents create a negative image of a region all over the world. We discussed about the women rights in class and that it is not like this everywhere in Pakistan, in fact this action was opposed by everyone in the country. This action by the Taliban determines how coward they have portrayed themselves. It takes a lot  of courage for a girl to come out of nowhere and fight for the rights humanity. In my opinion her efforts created a lot of awareness among the people in the country and especially her region where the literacy rate is less than 50 percent.

Thursday, September 5, 2019

Miniplates for Osteosynthesis of Middle Facial Fractures

Miniplates for Osteosynthesis of Middle Facial Fractures INTRODUCTION Numerous biomechanical studies illustrate the stability of the rigid fixation for mandibular fractures4-6. However, little research has focused on the maxilla, despite the fact that Le Fort fractures and osteotomies are common clinical presentations. For the treatment of Le Fort maxillary fractures, the primary aims include the restoration of correct midfacial vertical height and anterior projection and restoration of occlusion. Nonetheless, the removal rate of the miniplates and screws were approximately 50% in orthognathic surgery (Le Fort I osteotomy), due predominantly to infection or wound dehiscence7. The other problem is that patients sometimes complain of weak clenching after the operation, therefore questions regarding minimum number of plates and stability following fixation have risen in recent times. Miniplate osteosynthesis, developed by Champy in 19751, is todays standard for the treatment of facial fracture. More recently resorbable plates2 and screws and 3-dimensional miniplating system3, have been introduced for fixation of facial fractures. Many studies have proved the efficacy of three dimensional plating systems in mandible fractures but very little research have been carried out on midface fractures. We studied the efficacy of three dimensional plates in midface fractures and found them efficacious enough to stabilize the bone fragments during osteosynthesis. Three dimensional miniplating system was introduced by Farmand (1992)3. The basic concept of three-dimensional fixation is that a geometrically closed quadrangular plate secured with bone screws creates stability in three dimensions. The three dimensional plates are positioned perpendicular to the fracture line. The screws adapt each part of the plate separately without any tension to the bone. The cross linking provides the stability to the system. Three dimensional miniplates are easy to adjust, requires minimal tissue dissection thus least disturbing the blood supply and because of its design fixation points remain in the vicinity of fracture line. Its low profile design and space between plate holes permits excellent revascularization. The biomechanical and technical advantages of three dimensional miniplate systems over two dimensional miniplate system promoted the current study to evaluate the efficacy of the 3-D titanium miniplates as a viable treatment modality in the osteosynthesis of middle third facial fractures. MATERIAL AND METHOD Subjects for the present study were selected amongst the patients, attending the outpatients department and emergency services of Department of Oral Maxillofacial Surgery, Kothiwal dental college and research centre,Moradabad. Study comprised of thirty patients, with isolated lefort I fracture,20 patients had bilateral fracture and 10 patients had unilateral lefort I fracture . All patients were taken up randomly irrespective of age, sex caste and creed. Patients were diagnosed on the basis of clinical examination and radiographic interpretation. Preoperative evaluation included careful examination of the soft tissues and underlying skeleton. A thorough physical examination was carried out to exclude any other injuries. All selected patients were informed about the experimental nature of the study and the possible complications were explained. Their co-operation was solicited and informed consent was obtained. The patient received prophylactic antibiotic coverage and analgesics at the time of initial presentation. INVESTIGATIONS Radiographs: The following radiographs were used to confirm clinical diagnosis and to assess the exact location of fracture and degree of displacement Occipitomental view and submentovertex view for midface PA – Mandible view OPG view (Orthopantomogram) CT scan as needed Other investigations Routine Blood investigation Urine analysis Urine analysis TREATMENT PLANNING All patients were admitted to the hospital prior surgery. Erich’s arch bar were placed on upper and lower standing teeth to stabilize the fracture segment and to achieve occlusion before plating. ARMAMENTRIUM Basic instrument set for maxillofacial surgery Instrument used for intermaxillary fixation 3-DIMENSIONAL TITANIUM MINIPLATE 1.7 MM SYSTEM PLATES DESIGN: 4 different designs of three-dimensional titanium miniplates were included. 2ц¦2 holed square plate 2 x 2 holed rectangular plates 3 x 2 holed continuous rectangle or double rectangle 42 holed –continuous rectangle plate All the plates had 1.7 mm diameter holes. PROFILE HEIGHT 0.6 mm (low profile plates) SCREWS Non compression, self-tapping, monocortical screws with round head. Diameter : 1.7 mm Length : 5mm, 7mm and 9 mm DRILL BIT: Diameter: 1.2 mm CONVENTIOANAL TITANIUM MINIPLATE 1.7 MM SYSTEM 1ц¦2 holed – straight plate PROFILE HEIGHT 1.0mm SCREWS Non compression, self-tapping, monocortical screws with round head. Diameter : 1.7 mm Length : 5mm, 7mm and 9 mm DRILL BIT: Diameter: 1.2 mm ACCESSORIES Screwdrivers Bone plate holding forceps Bone plate bending forceps Plate cutting pliers OPERATIVE TECHNIQUE FOR THREE DIMENSIONAL MINIPLATES Patients were operated either under general anesthesia (Naso-tracheal intubations) or local anesthesia. Strict asepsis was followed. In this study, the fracture sites were exposed through standard intraoral vestibular incision.(Fig.1), Following reduction of the fragments and temporary maxillomandibular fixation, a suitable 3D plate was selected and bent with a plate bending pliers to conform the proper adaptation of plates to bone surface. The three dimensional titanium miniplates were then positioned in such a way that the horizontal cross-bars were perpendicular to the fracture line and the vertical ones were parallel to it (Fig.2). Holding the plate perpendicular to the reduced fracture, drilling was performed through the hole in the plate strictly perpendicular to the bone surface. The drilling was performed at slow-speed along with copious saline irrigation to prevent damage to the bone by heat. To avoid injury to the dental roots the superior holes were drilled strictly monocortically, and directed into the space between the roots. Later screws of suitable length were selected for fixation of the plate. In each case the upper screws were tightened first, followed by the lower ones. For screw tightening the rotations were executed using the screw-holding screw driver. Maxillomandibular fixation was released and occlusion was checked by moving the lower jaw. The site was closed using 3-0 silk suture material. No maxillomandibular fixation was required in any of the patient. OPERATIVE TECHNIQUE FOR THREE DIMENSIONAL MINIPLATES Operative technique for conventional plate was similar to the one used for three dimensional miniplate.Intraoral vestibular incision was used in all the patients and after fracture reduction either conventional 2 dimensional L shaped plate was fixed at zygomaticomaxillary buttress region and 2 hole with gap miniplate was placed over nasomaxillary buttress region. POSTOPERATIVE MANAGEMENT Postoperative course of medication consisted of injection ceftriaxone 1gm 12 hourly (i.v.), injection metrogyl 100ml 8 hourly (i.v.) and analgesic and multivitamin preparation continued till 5th postoperative day. All patients were put on liquid diet for first 2 weeks. All patients were encouraged to maintained good oral hygiene. Sutures were removed on the 7th postoperative day. All patients were followed up at regular interval that is at 1st week, 3rd week, 6th week and 3 month postoperatively regarding restoration of function, stability of system used and any complication. Assessment of the patients was done under following parameters: Pain Visual Analogue Scale (VAS) (0-10) Swelling present/absent. Occlusion intact/deranged Mobility of fracture segment-present/Absent Infection/wound dehiscence -present/Absent Hardware failure present/Absent STATISTICAL ANALYSIS The following statistical tools were employed for the present study: Mean, Standard Deviation, Student’t’ test, Paired‘t’ test and Chi-square test RESULTS We obtained following results in our study Patients in the 31-40 years of age were the predominant age group presenting with midface fractures (50%). Males were most commonly affected with Lefort I fracture (92.84%). The most common cause of midface fracture was found to be road traffic accident (92.8%). There is significant decrease in pain at 3 WK, 6 WK and 3rd Months from the Baseline (1WK) for both the groups Swelling was present in 15 patients (50%). It decreased significantly at 3W, 6WK, 3 MONTHS, from baseline (1WK)(fig.3) There is significant improvement (75%) in post traumatic Parasthesia of infraorbital nerve following fixation with 3-D plating system.(Fig.4) Occlusion was achieved in all the patients after surgery No sign of infection and hardware failure was present in any patient. DISCUSSION Le Fort I maxillary fractures are among the injuries encountered most frequently in patients who suffer facial trauma and it is common in orthognathic surgery. Fixation of maxillary Le Fort I fractures(/osteotomy) by RIF of the facial skeleton has become an accepted, and even expected, form of treatment. When the teeth of the maxilla and mandible are clenched, anatomic support for the midface is provided through a series of buttresses or struts that distribute masticatory forces from the teeth to skull base.19-21 The vertical struts of the midface are clinically the most important in management of Le Fort I maxillary fractures. The 3 principal vertical buttresses of the maxilla are the nasomaxillary (medial) buttress, zygomaticomaxillary (lateral) buttress, and the pterygomaxillary (posterior) buttress.4 The internal fixation of Le Fort I fractures should use miniplates and screws and be fixed at anterior and lateral buttresses for the ideal internal fixation, whereas the posterior buttress should be without fixation due to the surgical difficulty of the operative approach.4 Surgical treatment of Le Fort I fracture according to the â€Å"ideal internal fixation† produces satisfactory results, but patients sometimes complain of weak clenching after the operation. Very few comparisons of the different maxilla fixation modalities and their behavior have been reported currently. In clinical Le Fort I fracture treatment, restoration of the correct midfacial vertical height and anterior projection and restoration of occlusion are critical. Therefore, questions have arisen regarding the stability and number of plates required of adequate fixation of lefort fractures. The fixation of 2 miniplates on each side as suggested by AO/ASIF, provides adequate stability and conventionally it has been the standard treatment for lefort fractures , Farmand8 in 1992 developed new titanium miniplate system that takes advantage of biogeometry to provide stable fixation and he called it as three dimensional plating system. A geometrically closed quadrangular plates secured with bone screws creates stability in three dimensions. .These plates have low profile design, excellent biocompatibility, and minimal rebound after bending. The present study was carried on patient’s age group 10- 50 years with the mean being 33.14 years. The maximum number of patients were in a age group between 31- 50 years (nearly 50%).This is in accordance with the study of Khateeb T,Abdulla FM(2007)9. There was predominance of males in this study, male is to female ratio being 13:1,and percentage of male patients being 92%. .Motamedi MH (2003)10 observed in a retrospective study on 237 patients, percentage of male patients being 89% and that of female patients being 11%, our study is in accordance with this study. In this study road traffic accident (92%) were found to be the major etiological factor for the fracture of the middle third of the facial skeleton .These findings coincides with the findings of, Iida S, Kogo M 11 who reported road traffic accident to be the most common cause of injury in a retrospective analysis of 1502 patients with facial fractures. In the present study it was observed that among the maxillary fractures, Lefort II fractures( approx78%) were most common, this finding is in accordance with the study Motagemi MH (2003)10 which reported the incidence of Lefort II fractures to be 54.6% among all maxillary fractures in a five year retrospective study on 237 patients . In the present study, post traumatic parasthesia of the infraorbital nerve was present was present in 4 cases (57.14%) (out of the 7 patients with zygomatic complex fractures) which was clinically inferred as compression of nerve by fracture fragments .Anesthesia was relieved in 3(75%) out of 4 patients in a three month follow up period which found to be due to infra orbital nerve relieved from compression by means of reduction of fractured segments in to its correct position. c. Demen et al (1988)12 reported the presence of sensory disturbances of infraorbital nerve in 219 cases (80.2%) out of 273 patients The influence of treatment approach on the recovery of the injured infraorbital nerve is controversial in the literature .Several authors reported that frequency of persistent sensory disturbance is independent of the method of reduction and fixation of fracture. Deman and box (1993)12 state that reduction and fixation are important factors in recovery from sensory disturbances of infraorbital nerve. Taicher (1993)13, observed that there is higher recovery rate of infraorbital nerve with miniplate osteosynthesis than with other method of treatment .We report a (75%) recovery rate of in our study, Our results support these findings .This significantly high recovery rate with 3 D plate can be explained by the fact that fixation with 3 D plate provides better stability to the complex in all the three dimensions of movement? However there is no study in the literature on the recovery of infraorbital nerve after fixation with 3-D plates. In the present study occlusion was achieved in all the patients after surgery. Conventional treatment with maxillomandibular fixation is associated with its well known limitations and disadvantages. Klotch DW(1987)14 studied internal fixation versus conventional therapy in midface fractures and found that a more stable occlusion is achieved with internal fixation .S Anand, Thangavelu (2004)15studied the use of three dimensional plate fixation of fractures and osteotomies and stated that satisfactory occlusion was achieved in all the patients after internal fixation with 3- plates and no patient required any maxillomandibular fixation. Claude Guimond(2005)16 studied the use of 3-D plate for fixation of mandibular factures and reported similar findings in their study. As three dimensional plates provide stability in three dimensions of movement the need for maxillomandibular fixation is greatly diminished or moreover eliminated. Our study is in accordance with these studies. No patient reported for any type of postoperative infection, wound dehiscence during the period of three month follow up. Lia G (1997)17 reported the similar results in his study .He found no post operative complications in 30 treated cases of 3 D titanium bone plating. S Anand, Thangavelu (2004)15 studied the role of 3-dimensional plating system and did not reported any infection in their study .Claude Guimond(2005)16studied the use of 3-D plating in mandibular fractures and reported a significantly low rate of infection as compared with other systems. Farmand(1995)3 studied the use of 3-D plates in fixation of fracture and osteotmies and reported an significantly low rate of post operative infection with 3-D plates. No infection in our cases could be attributed to the preoperative antibiotic therapy in all patients,and proper sterilization technique. In none of the patients plates need to be removed exhibiting there excellent biocompatibility in this short period of study. Farmand(1992)18, in their respective studies on the use of three dimensional plates in oral and maxillofacial region did not report any hardware failure with the use of these plates ,our study is in accordance with these studies. Thus as a result of clinical experience it can be inferred that the use of 3 D plates and screw system in the management of midfacial fractures give good results in term of function ,esthetic and acceptability. However, owing to fewer numbers of cases, no definitive conclusions can be drawn, for this; studies with larger sample size and long term follow up are recommended.

Wednesday, September 4, 2019

The use of a counselling approach

The use of a counselling approach This essay will critically assess the use of a counselling approach which might be appropriate for supporting an identified client through the process of change or coping with stress and Illness. This will be achieved through considering the counselling skills and counselling approaches and also considering how the practitioner will use the chosen approaches to support the client. The essay will also be looking at how the approach will be used with other aspects of intervention relevant for the service users.   The chosen client is a young child, who is of the age of 6 who is currently in primary school. The special needs co-ordinator who is working alongside the client feels that the child in question is withdrawn from the rest of the class and this could possibly be due to a speech and language difficulties that the child may be suffering from. The special co-ordinator will be using art as a form of  counselling the child, alongside using the transactional analysis approach (TA) which inter-links with the psychodynamic approach.    The special needs co-ordinator was particularly used for this child over the other professionals such as a teacher assistant because the special needs co-ordinator is able to give the child regular periods of individual help, by raising the childs self-esteem this is through classroom activities such as creative arts (Szwed, 2007). For example story telling would be used by the child through puppets whereby the child would use the puppets to act out a story, this would allow the special need co-ordinator to identify how the child may be feeling through their thought process through their imagination (Wright, 1995).   It is important to understand that as children are seen to be vulnerable, that the right professional is chosen for them, as the special needs co-ordinator will be working with the child on a daily basis, the child will feel secure and is able to express how they are feeling, this will not only help the child but also the professional to, as the professional is able to gain information from the child, but also the child will feel secure (as they will feel conformable to talk to the professional) and able to recover quickly from their illness (The British Association for Counselling and Psychotherapy, 2011). Certain skills and training is required by the specials needs co-ordinator in order to support the child. For example as the special need co-ordinator is using art for counselling the child, the professional needs training on how they can interpret the art that the child has made. This is   important because if for example the child draws a firework, that could either represent the child being happy or the child being sad as they are frighten from it, however these skills by the professional only comes when training and support is provide to them (Hegarty, 1993) However, there are many problem that a child may be faced with when dealing with a special need co-ordinator. It is important that the special needs co-ordinator support both the child and the family this is because the family may feel neglected into the stages of the child development so it is important that the professional at all times informs the parent of what happening with the child (Lindsay and Dockrell, 2000)   It is essential that the professional make sure that the child needs and want are paramount this is important because the professional needs to make sure that certain barrier are not crossed and know what the limits are. For example the child may feel enhinder by the special needs co-ordinator because he/she is sitting to close to the child and the child may feel that he/she is not getting treated the same, this could be a result of peer pressure through being teased by the other children (Croll and Moss, 2000)   There are many different approaches that can by used when supporting a client who is going through the counselling process, some of which include the psychodynamic, humanistic and behavioural approach. However for the purpose of this essay, it will be focusing on the psychodynamic approach, which focus on the border picture of the therapeutic approaches (This session was introduced in the counselling module in Week 8 on 24/11/10) (The Counsellors Guide, 2011). For example the psychodynamic approach would by used on a child to try to get them to bring their feeling to the surface, so that the child is understood and can experience their feelings (Hood, 2008) The Psychodynamic approach looks at the principle of that everyone has an unconscious mind. It believes that everyone who has a feeling which is held by the unconscious   part of the mind find it painful to face their feeling. An example of this within children are that children can become very in-denial of their illness or condition. The development of psychodynamic therapy was introduced by a man called Sigmund Freud (Shaver and Mikulincer, 2005) This approach identified that the humans personality can be divided into three components of the Id, Super-Ego and Ego, through the three domains of the mental activity of the unconscious, pre-conscious and conscious (Segrist, 2009). For example the special needs co-ordinator will chose a specific art activity as a way of looking at how the development in the childhood process has had an impact on the child today (Kaplan, 2007)   The transactional analysis approach is an approach that incorporates both the theory of psychotherapy and psychology, however the transactional analysis is based on a integrative model whereby it uses an element of cognitive and psychoanalytic approach but it mainly focuses on the psychoanalytic approach. The transactional analysis approach was developed by a psychiatrist Eric Berne in the late 1950s (Hargaden and Sills, 2002).    According to Berne everyone has three behavioural characterises, which are the adult, parent and child, these are referred to as ego states. The child ego states looks at the way in which the child thinks, feels and behaves from the first few years of their life. For example, for a child it will be looking at how the child has survive through life to reach the stage that they are now (Stewart, 2007) Whereas the adult ego looks at the thinking, feeling and behaviour in the way which is appropriate with what is actually here and now. For example how a persons bereavement process is after losing a love one, through the feeling, thinking and behaviour (Pitman, 1982) However the parent ego looks at how you can copy and borrow from parent and other grown-ups through a variety of social influences such as the media. An example of this would be when a child behaviour changes through a influence of a adult peer due to peer pressure or role models (Midgley, 1999)   For example this approach in relation to the child is saying that the child always has an adult inside them and can experience different characteristics, for example they can show empathy by acting like the adult (Killick and Schaverien, 1997).    Transactional analysis is used on children so that they are able to understand their own emotions and how this affects the childs behaviour. For example the transactional analysis approach would be used on a chid who may have a speech and language difficulty by using drawing to express how the child maybe feeling. For example, when the child has drawn the picture if he/she is feeling anything different and if he/she does feel different, what is it, that is making the child feel the way that they are. If they drawing made the child feel happy what is it that made them feel that way, it could possibility be the use of the creativity used in art through the colourful drawing, then you would look at the past and ask the child how they were feeling then (Teacher.Tv, 2006).    Art is used by the transactional analysis approach for children as it provides an aid which enable the child to communicate in an creative way. This is because as the chosen child is withdrawn from the class due to a speech and language difficulty, the child is less likely to open up and express how they are feeling. Art provides a good bases for the professional to understand the child and change the way in which the child is thinking (Clarkson, 1992). An integrated art therapy exercises was used in the counselling module on the 26/01/11 through creativity by making an object out of art material to identify the process of university life in the last year. From this activity it identified that arts can bring out what the person is feeling and the way in which they can express their feeling and through through the use of art. The approaches to counselling can overlap each other for example transactional analysis and cognitive behavioural therapy according to Hann (2011) stated that both of   these approaches use a collaborative methods, this means that the child and the professional work on equal grounds. However these both do have some limitations, for example although both of the approaches look at the childs past experiences the transactional analysis approach focuss more on the childhood rather than focusing on the here and now whereas the cognitive behavioural approach look at both however it mainly focuss on the behaviour of the child and how that can change the childs thoughts and feeling (Taylor and Francis, 1977).      The transactional analysis approach itself both has it strengths and limitations. For example the strength of the approach is that it look at the childs childhood experience this is a positive as you are able to identify the root cause of the problem however this also can be seen as a disadvantage as you are not considering other factors that may have contributed to the illness such as lifestyle factors. In relation to the ego states the egos may overlap this could be seen both as a positive and a negative, it can be seen as a positive as the communication can be lost when the egos overlap this can be seen as be a negative as the child may loose trust, however it can bee seen to be positive as it considering the overlapping factor of all the egos because the child cant just have one egos sometime a child may overlap through different stages of counselling.    Overall it can be concluded that   Reference à ¢Ã¢â€š ¬Ã‚ ¢ Clarkson, P (1992) Transactional Analysis Psychotherapy (An integrated approach). London: Routledge   à ¢Ã¢â€š ¬Ã‚ ¢ Croll, P and Moses, D (2000) Special Needs in Primary School.   London: Cassell à ¢Ã¢â€š ¬Ã‚ ¢ Hargaden, H and Sills, C (2002) Transactional Analysis (A Relational Perspective). Sussex: Routledge   à ¢Ã¢â€š ¬Ã‚ ¢ Hann, C (2011) About Counselling/Psychotherapy [WWW]   Counselling/Psychotherapy. Available from: http://www.caroledehaancounselling.co.uk/phdi/p1.nsf/supppages/3459?opendocumentHYPERLINK http://www.caroledehaancounselling.co.uk/phdi/p1.nsf/supppages/3459?opendocumentpart=2HYPERLINK http://www.caroledehaancounselling.co.uk/phdi/p1.nsf/supppages/3459?opendocumentpart=2part=2 [Accessed 02/03/11] à ¢Ã¢â€š ¬Ã‚ ¢ Hegarty, S (1993) Meeting special needs in ordinary school, 2nd ed. London: Cassell Education Limited à ¢Ã¢â€š ¬Ã‚ ¢ Kaplan, F.F (2007) Art Therapy and Social Action. London: Jessica Kingsley Publishers à ¢Ã¢â€š ¬Ã‚ ¢ Killick, K and Schaverien, J (1997) Art, Psychotherapy and Psychosis. London: Routledge à ¢Ã¢â€š ¬Ã‚ ¢ Lindsay, G and Dockrell, J (2000) The behaviour and self-esteem of children with specific speech and language difficulties. The British Journal of Educational Psychology, 70 (4), pp. 583-601 à ¢Ã¢â€š ¬Ã‚ ¢ Midgley, D (1999) New Direction in Transactional Analysis Counselling. London: Free Association Book Ltd à ¢Ã¢â€š ¬Ã‚ ¢ Pitman, E (1982) Transactional Analysis: An Introduction to its Theory and Practice . Journals of Social Work, 12, pp. 47-63 à ¢Ã¢â€š ¬Ã‚ ¢ Segrist, D (2009) Whats going in your professors head? Demonstrating the Id, Ego and Superego. Teaching of Psychology, 36 (1), pp. 51-54 à ¢Ã¢â€š ¬Ã‚ ¢ Shaver, P and Mikulincer, M (2005) Attachment theory and research: Resurrection of the psychodynamic approach to personality. Journal of Research in Personality, 39 (1), pp. 22-45 à ¢Ã¢â€š ¬Ã‚ ¢ Stewart, I (2007) Transactional Analysis Counselling in Action, 3rd ed. London: Sage Publication Ltd à ¢Ã¢â€š ¬Ã‚ ¢ Szwed, C (2007) Reconsidering the role of the primary special educational needs co-ordinator: policy, practice and further priorities. British Journal of Special Education, 34 (2), pp. 96-104 à ¢Ã¢â€š ¬Ã‚ ¢ Taylor and Francis (1977) Free Paper. Cognitive Behavioural Therapy, 6 (4), pp. 25 146   à ¢Ã¢â€š ¬Ã‚ ¢ Teacher.Tv (2006) Transactional Analysis [WWW] Teacher.Tv. Available from: http://www.teachers.tv/videos/transactional-analysis [Accessed 02/03/11] à ¢Ã¢â€š ¬Ã‚ ¢ The British Association for Counselling and Psychotherapy (2011) What is therapy? [WWW] The   British Association for Counselling and Psychotherapy. Available from: http://www.bacp.co.uk [Accessed 28/02/11] à ¢Ã¢â€š ¬Ã‚ ¢ The Counsellors Guide (2011) Psychodynamic Approaches to   Counselling [WWW] The Counsellors Guide. Available from: http://www.thecounsellorsguide.co.uk/psychodynamic-approaches-counselling.html [Accessed 02/03/11] à ¢Ã¢â€š ¬Ã‚ ¢ Wright, A (1995) Storytelling with children. Oxford: Oxford University Press   

Tuesday, September 3, 2019

Varying Patterns of Speciation Essay -- Wallaces Line Plate Tectonics

Varying Patterns of Speciation Wallace’s line, located in the Malay-Archipelago, is one of the best known and most studied boundaries of zoogeography in the world. It is a transition zone between the islands of Borneo and Sulawesi and the islands of Bali and Lombork, which marks both the convergence and division of the diverse flora and fauna found in the Asian (Borneo, The Philippines, and Western Indonesia), and the Australian regions (Sulawesi, Eastern Indonesia, Australia, and New Guinea) (Schulte 2003). The hypothetical line was first proposed by Alfred Russel Wallace in 1858 after observing many morphological differences of various bird species in the Asian and Australian regions (Raven 1935). In the past, to confirm the placement of Wallace’s hypothetical line, researchers have applied the theories of plate tectonics and continental drift in order to create geographical reconstructions of land masses. From this information, researchers were able to substantiate a majority of the boundaries of the originally drawn line. Presently, however, due to the enigmas found on the island of Sulawesi, a portion of the line between Borneo and Sulawesi (Celebes) still remains uncertain (Whitmore 1981). Researchers have identified two genera that contradict the location of the line: the macaque monkey (Macaca species) and the Sulawesi toad (Bufa celebensis) (Evans et al. 1998). Whereas geographical phenomena such as tectonic plate shifts, rising and falling sea levels, and climatic fluctuations have caused the morphology of the Sulawesi toad to remain fairly undifferentiated, the ancestral macaque monkeys have evolved into seven distinct endemic species. The zoogeography on the eastern and western sides of Wallace’s line... ...esi. Evolution. 57:6:1436-1443. Evans, Ben J., Juan Carlos Morales, Jatna Supriatna, and Don J. Melnick. 1998. Origin of the Sulawesi Macaques (Cercopithecidae: Macaca) as Suggested by mitochondrial DNA phylogeny. Biological Journal of the Linnean Society. 66:539-560. Michaux, B. Land Movements and animal distributions in east Wallacea (eastern Indonesia, Papua New Guinea and Melanesia). Palaeogeography, Palaeoclimatology, Palaeoecology. 112:323-343. Raven, Henry C. 1935. Wallace’s Line and the Distribution of Indo-Australian Mammals. New York. Schulte, James A. II. Jane Melville, and Allan Larson. 2003. Molecular phylogenetic evidence for ancient divergence of lizard taxa on either side of Wallace’s Line. The Royal Society. 270:597-603. Whitmore, T.C. 1981. Wallace’s Line and Plate Tectonics. Clarendon Press. Oxford University Press, New York.

Applying Stanislavski’s Principles to a Role in Volpone Essay -- Konst

Applying Stanislavski’s Principles to a Role in Volpone As founder of the first acting system, co-founder of the Moscow Art Theatre, and an eminent practitioner of the naturalist school of thought, Konstantin Stanislavski challenged traditional notions of the dramatic process, establishing himself as one of the most pioneering thinkers of his time in modern theatre. His process of character development, the Stanislavski Method, was the catalyst for method acting- one of the most influential acting systems on the modern stage and screen. Such renowned schools of acting and directing as the Group Theatre and The Actors Studio are a legacy of Stanislavski's pioneering vision. Stanislavski developed this unique system of training to change the way that people saw their characters. The actors would research the situation created by the script, break down the text according to their character's motivations and recall their own experiences, therefore causing actions and reactions according to these motivations. The actor would ideally make his motivations for acting identical to those of the character in the script. He could then replay these emotions and experiences in the role of the character in order to achieve a more genuine performance. This was Stanislavski’s main aim to create a more genuine performance. ACTION â€Å"In every physical action, unless it is purely mechanical, there is concealed some inner action, some feelings. This is how the two levels of life in a part (dramatic role) are created, the inner and the outer. They are intertwined. A common purpose brings them together and reinforces the unbreakable bond.† - ‘Creating a role’ In Volpone, it would be most likely to happen in the market place. The busy market place would be played by a group of people that would need to show a complicity of lives that intermingle with other characters just as if they were a real community. This would be hard to show, as they are not a real community. Good methods of getting these groups of characters to resemble villagers would be to give them little scenarios to act out in which all the characters intermingle and have lines to say to each other. This would help them realise each other’s inner character and feeling and therefore are then able to react in the way their character would to that situation. Then use what they ... ...must find out all he can about the character and the situation. This helps to create an overall realistic reaction to that particular situation. To be able to use ‘Magic if’ the actor must know a lot about his character and his or her personality. Stanislavski teaches the actor to become the character by asking questions that are answered by action based on emotional response. For example, the actor that plays Volpone in the rape scene must ask before he plays the scene, ‘What if I am Volpone and I am just about to rape Celia and Benario jumps out from the cupboard? What will I do?’ Another good question from Celia’s point of view: "What if I'm Celia and I am being raped by an old dirty man and I have no one to help me would I give in or stand my ground? "Magic if" questions contain motivation and awareness of "the now." The questions are cast in the first person, in the present tense, and therefore they pull you into the character's major concerns. Very importantly, the questions suggest not one but two attitudes: The character toward her or him, and toward other characters. These types of questions help the actor figure out the action to take in response.

Monday, September 2, 2019

Mobile Phone Addiction

Those who remain fear the loss of mobile phones, or the presence of outside the coverage of the network, and thus the inability to communicate or receive communications .. It is a concern to hit the world and destroyed the ability of people to develop solutions to what the phone is forced suffering .. ..With a little thought, there are people who feel and enjoy the latest devices and smart phones .. To enjoy the modern programs in addition to the many features provided by these devices .. It is normal when a person uses his mobile phone to make calls or talk to friends and relatives from time to time .. Or Download game compete with friends .. But what if the transformation of the use of smart phone to addiction? .. See what the problems that can be caused by this addiction to the owner? .. So warned surveys and studies on the smartphone from the increasing signs of addiction, and concluded studies to That people stare at the phones screens For approximately 3 hours a day or more, in addition to the time spent in making calls. .. It was noted that psychiatrists, are those who initiated to consider the fight against the problem – phenomenon, in order to recognize that addiction to smart phones, psychological disorder. Experts warn that the use of new technologies at an early age may compound the risk of addiction, isolation and school failure. Where the smartphone is no longer a means to communicate with others only, but the smartphone is used to finish and follow the work of private and is used in the study and entertainment of the self through the games or watching movies and hear songs and networking sites such as Facebook, Twitter and other programs, â€Å"People are checking their mobile phones at 34 times a day, and there are five, 81 and eighty-one percent of people who keep their phones near them, and 63 percent are checking their phones even while they sleep. People who are afraid of losing a mobile phone or being out of network coverage and therefore unable to communicate or receive communication suffer from the disease of sleepophobia. Monophobia can be monitored through a range of behaviors, for example, that a person checks his or her mobile phone more than 30 times a day , Or simply feel that it is impossible for him to give up his phone and live without him. Experts have found that smart phone addicts have become so many around the world that if they are removed from their phones they feel nervous and angry and can do things beyond their control. The use of the smartphone also leads to poor cognitive skills, especially among students. Surveys showed that the degree of addiction to the smartphone is increasing among young people, where one in every five young people check his phone once every few minutes, and drew attention to all this. For phones comes at the expense of neglecting the world around us, causing increased anxiety, tension and distraction. Stressing that each user to evaluate the fact that attached to his smartphone, and begin to get rid of this attachment step by step. Radio France International highlighted in a report published on its website the phenomenon of â€Å"addiction† of the inhabitants of the earth to the use of mobile phone. A study by the High Tech Web site showed that around 1.5 billion people around the world have mobile phones, while the study revealed that if this upward development revolutionized communications worldwide, it certainly had a significant impact on behaviors Individuals in the community. The study found that the use of intelligent mobile phones with the Internet causes â€Å"addiction† to this technology, and this situation is widespread and widely, among the 8.6 billion people of the earth, 1.5 billion people have mobile phones. But far from the figures and comparisons, the widespread use of mobile phones, especially smart phones, has led to a radical change in societal behavior. According to the study, 60% of mobile phone users sleep with their hands in their hands, and 15% of them may stop their entertainment and chat conversations just to answer the mobile phone. Many researchers have pointed out that there is a threat to the Earth's population from these mobile phones, that is, the addiction to this technology is already the same as when playing a game of video games continuously can be considered a form of addiction. Is addiction to smart phones a disease In Singapore, as in many other countries, doctors are struggling to recognize smart phone addiction as a form of psychological disorder. If you are difficult to break away from your smartphone or from people who seek it for no particular reason, you may be threatened with an addiction that may require the help of a psychiatrist. Singapore and Hong Kong broke regional records on the number of smart phone users, according to the latest report by the Nelson Office of Studies. According to Experience, 87 percent of Singapore's 5.4 million people have multi-function phones, compared to 65 percent in the United States.

Sunday, September 1, 2019

Grade 10 History Notes Essay

The Canadians had to take over the ridge which was located on the Douai plain, in France, and was in control by the Germans * To take over the ride it was split into 5 parts| * This was the high point of Canadian military * The use of â€Å"creeping barrage† allowed the ridge to be taken over quickly * The battle was short * Years later they made a memorial to commemorate the 11,000+ soldiers who died at Vimy ridge. | The Halifax Explosion| * This took place when two ships that had explosive materials aboard, they collided while pulling out of the port * This explosion ruined about 1. km of land mass| * Left many Canadians dead or blind * Damaged the economy * Later months when the war ended, the port was not ready to take ships which was also a factor that delayed the soldiers from returning| Life in the Trenches| * Horrible, the trenches were filled with rats and lice * Soldiers were always cold, soaking wet, and hungry * Trenches were uneven and intricate| * Soldiers were r eally messed up by the life in the trenches. The content gunfire caused soldiers to develop a mental illness known as â€Å"shell shock† * They could develop trench foot which was the rotting and swelling of flesh| Women and World War One| * Men that left for the war, left families and jobs behind * Women took the jobs of the men because they needed to provide for a family * Other women were war nurses| * Without the women urging the war years, the factory industry would have died. Sparked the feminist movement * Women thrived in fields such as journalism, social work and nutrition| * A short term cause of world war one included Archduke Franz Ferdinand’s trip to Sarajevo * Britain, France, Canada and Russia were all members of the triple entente * Contributing factors to the failure of the schlieffen plan are Russia mobilized more swiftly than expected, the British sent their army to France to defend the channel ports, the Belgian forces put up much strong resistance than expected, and the French were able to gather reinforcements in the time to prevent Paris from falling * In 1914, many people felt that the great war would all be over by Christmas * Both sides on the western front built trenches to protect themselves from attack, to prepare for counterattack, to provide safe communications for supply lines, and to prevent being outmanoeuvred by the enemy * Most Canadians were happy to be involved with WW1 because many Canadians had been born in Britain or were British descent * Dreadnoughts was not a technological advance that caused horrific causalities * The only important naval battle of world war one was the battle of Jutland * Lord Kitchener was an important British general * Income tax was introduced by prime minister burdens government as a temporary measure to help pay for the hu ge costs of war * The Zimmerman telegram, the sinking of the Lusitania in 1915,and German unrestricted submarine warfare were all reasons for the USA joining the war in 1917 * Mata Hari was a double agent in WW1 for Germany and French * The Treaty of Versailles was signed in 1919 One of the clauses of the treaty of Versailles mention reparations which was a means of payment for land destruction * A positive outcome of the technology developed during the great war was the use of gas to kill unwanted predatory animals * Poland, Yugoslavia, Czechoslovakia and irag were countries made by the treaty of Versailles * The Canadian government delayed the return of their soldiers until spring 1919 because of the winter weather, Canadians troops helped to occupy parts of Germany, and limited number of ships at the time. * After war measures included income tax, department of health and pensions for the returning soldiers Unit Two: Canada and the 1920’s + 1930’s Term | Definition| Significance| Flapper| A young fashionable women| * Brought new styles (bob haircuts, above the knee dresses) * They pushed the boundaries by staying out late , smoking and swearing. These women helped with the feminism movement during this time| Group of seven| A group of Canadian painters| * Inspired later Canadian artists such as Emily Carr * These artists painted Canadian Landscape, and now ar e very famous now, to own a painting is to own a part of Canadian history| Roaring Twenties| A time of prosperity for Canada | * Feminism movement allowed women to vote and led to later movements in the 1960s * Music, dances and slang words led to the quick development of agriculture * Everyone was niave in a sense that they believed the amazing prosperity of the twenties could last forever, it all came to a crashing end when the great depression began in the late 1920s| Prohibition| The ban of alcohol in a certain country or city.