Less Than Spectacular Things About Me free essay sample

I could very easily rattle of my accomplishments. I could list them off one by one as they come to me, and I could dazzle you, I am sure. Yet, people who write about the incredible obstacles they have overcome in their short seventeen or eighteen years are rarely believable. Why should my miraculous passing of a test, catching the winning touchdown, or single-handed effort to force the show to go on get me into college? I am a rebel. A wild child, if you will. So, after much internal debate and several drafts of several different kinds of essays, I have decided that I will talk about all my less than spectacular qualities and quirks. I will talk about some random thoughts that have entered my brain over the course of time. I will even talk about things I flat out bad at. I am horrible at every sport ever to exist. We will write a custom essay sample on Less Than Spectacular Things About Me or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I am the last person you would want on your gym team because I will run away from any ball that is pelted at me. To catch it is defying instinct, and I am one with nature. I have seriously speculated that my freshman year gym/theology teacher majored in dodge ball. Math is my worst enemy. I once found â€Å"Jon and Kate Plus Eight† to be a great show because the title involves math I can understand. However, that they have so deeply complicated the equation recently is why, I feel, that I have lost interest in the show; they have made simple math into long division. When I am not interested in something, I am completely gone. I can take a nap, have a dream, and analyze its meaning all within the span of one chemistry class. This is a true story. I lie about things that do not need to be lied about. By the way, I am 5’8, have an IQ of 175, drive a spaceship to school, got a 1500 on my SATS, and had lunch with President Obama yesterday afternoon. I am a procrastinator. The exact time I am writing this very sentence is 12:39 AM. I feel this may be because I work best under pressure. And, by pressure, I mean the looming fear and anxiety of failing to apply to colleges, never getting a job and living with my parents at 35. I think intensely about what I say. Though, this tends to be after I have already said it. Oops. I wrote, directed, and filmed a short movie for a local film festival. After much hard work and intense planning, all the footage had no sound. I was then visited by Charlie Chaplin in a dream and made a silent film. In light of the recession, I have thought up a great business plan to make money. I am going to create a test that ranks your abilities that all high school students will take. Then college admissions officers, like yourself, will take into serious consideration the scores students get on my test. Students will pay a fee each time they take the test. Then I will offer preparatory classes and review books for astronomical sums so that they can improve their scores. I will also then offer therapy—for a cost, of course—to counsel the students who have a nervous break down trying to get a perfect score. I ran for Senior Class President this year. In my campaign speech I told my fellow students the truth; I admitted that I could not provide them with a public health care option, bring peace to the Middle East, or lower lunch prices. I even went so far as to guarantee that we would have two days off from school each week. I lost. I am desperately trying to be witty because I really, truly want to go to college.

Case Study On Susan Cushing Syndrome- myassignmenthelp.com

Question: Discuss about theCase Study On Susan Cushing Syndrome. Answer: Introduction Cushing syndrome is the clinical depiction as a result of increased levels of plasma glucocorticoids. This condition is rare but most frequently occurs in adults aged 25-50. It may be Adrenocorticotropic hormone (ACTH) reliant or in other instances autonomous. ACTH dependent causes include adrenal tumors that secrete glucocorticoids, diffuse ACTH secreting tumors, micro nodular hyperplasia of the adrenal gland (90% being unilateral) and prolonged exposure to exogenous steroids in the management of autoimmune diseases including Systemic Lupus Erythematosus and rheumatic arthritis. ACTH independent often involve receptor signaling and expression by adrenocortical cells a case seen in Beta adrenergic agonists, ADH, gonadotrophin releasing hormone (GnRH)and in ACTH producing anterior pituitary adenomas (70% of cases). It is also commonly associated with obesity and Diabetes Mellitus Type II and hypertension (National Endocrine and Metabolic Diseases Information Service (NEMDIS), July 200 8). Presentation Individuals with Cushing syndrome present with truncal obesity, fatty buffalo shoulder, facial obesity hence the moon face appearance, poor muscle development, unproportioned arms and legs. Visible purple striae may be seen on the abdomen, arms, thighs and breasts. Women may report of infertility, irregular periods and susceptibility to fractures especially if premenopausal. In some cases, depression and anxiety disorders, hyperglycemia, fatigue and in about 85% hypertension may occur. The female-male sex based incidence ratio of Cushing syndrome due to adrenal or pituitary tumors is about 5:1. Pathophysiology Of Cushing Syndrome Extended exposure of body tissues to elevated levels of cortisol(glucocorticoid) causes Cushing syndrome. ACTH-dependent causes are mainly endogenous and include Cushings disease (60-70%), CRH-producing hypothalamic tumors and macro nodular hyperplasia. In ACTH-independent cases foundations include ectopic cortisol production by ovarian carcinomas, small cell lung carcinomas and neuroendocrine tumors resulting in high ACTH levels. Overproduction of endogenous glucocorticoids independent of ACTH is on most occasions due to adrenocortical neoplasms(adenomas). In a homeostatic body system, the hypothalamus secretes Corticotrophin releasing hormone(CRH) to the anterior pituitary which releases Adrenocorticotrophic Hormone that act on the Zona fasciculata producing cortisol from the progenitor cholesterol. The plasma reference levels are 140-700nmol/L in the morning and 80-350nmol/L at midnight (Biochemistry Reference Ranges Goodhope,2012). Cortisol functions to stimulate gluconeogenesis in fasting state, downregulates the production of interleukin-12and Tumor Necrosis Factor Alpha by antigen presenting cells upregulating the production of IL-4, IL-10 and IL-13 by the T helper cells resulting in prevention of an overactive immune response. Furthermore, cortisol antagonizes the functioning of insulin. This results insulin resistance and decreased energy dependent translocation of glucose by the GLUT-4 transporter this in the case of Cushing syndrome the hyperactivity of cortisol results in the manifestation of diabetes mellitus type II. In calcium homeostasis in bone, cortisol results in increased resorption, there is also increased potassium efflux and reduced intestinal calcium absorption. Excess of cortisol causes osteoporosis and hyperkalemia in this case (The Journal of Clinical Endocrinology and Metabolism. 15 (2): 17681). Cortisol also functions to increase the level of free amino acids through protein catabolism. It also inhibits immunoglobulins IgA and IgM, in hypercortisolism, there is evident hyperlipidemia and decreased peripheral glucose utilization as a result of liberated amino acids. There is also evident muscular atrophy, thin skin and subcutaneous tissues, scraggy thin hair and uneven fat distribution. Significant diuretic effects of cortisol occur in high cortisol levels in serum, the potassium ions are excreted and sodium retained. The salt and water retention results in the round moon face appearance seen in Cushing Syndrome The role cortisol in the CNS cannot be overlooked. In cognition it is involved the hippocampal formation on short term memory. The control of the circadian rhythm (McDonalds veterinary endocrinology and reproduction (5th ed) via control of the suprarchiasmatic nucleus. In Cushing syndrome sleep and mood disorders are common. Depression may also occur and psychologic stress exaggerated. In obese individuals there is elevated cortisol courtesy of cortisol regeneration from cortisone by hydroxysteroid 11-beta dehydrogenase 1. Susans respiratory rate was 30 breaths per minute which is higher than the normal range of 12-20 breaths per minute, she is also hypertensive with a recorded blood pressure of 160/90 mmHg (normal range of 90/60- 120/80 mmHg). Her body temperature was at 35.0C, this is below the normal reference range of 36.5C-37.3C. There is also a reported increase in the pulse, the recorded value is 128bpm, the value is elevated off the normal range of 60-100bpm. There is subclinical pain with a score of 0/10. The urinary output is reduced to 5mls per hour (normal 30-80ml/per hour). The respiratory recovery after anesthesia is slow and there is a reflex apnea due to the compensatory mechanisms of the surgically induced hypoxia. The recovery from the respiratory depression takes elimination of carbon dioxide and reduction in the ventilation to perfusion ratios in the lungs. The post-op hypertensive state was triggered by the reflex reaction to glucocorticoid suppression. There is also marked reduction of the production of aldosterone. This mechanisms involve a secondary adrenal insufficiency resulting from the suppression of the Hypothalamic-pituitary adrenal axis (HPA). Suppression of the renin angiotensin system and reduction of the diuretic mechanism of action of cortisol produce a resultant increase in the cardiac output thus an elevated blood pressure. Additionally, the basal body temperature is reduced, this is as a result of the suppression of the pontine temperature control centers and the recovery phase from the surgical anesthesia. Susan is also in a steroid crisis and the physiological mechanisms are sabotaged by the sudden withdrawal of he obviously high levels of cortisol. The reduction is the metabolism by these two individual triggers result in the transient hypothermia. Coupled with the hypothermic state is the increased pulse rate. This is produced as a result of tachycardia and increased nervous stimulation after the surgical pressure. The body registers a shock which culminates in the increase in the heart rate. Reduction in aldosterone and altered feedback to the HPA axis causes a reduced production of urine. There is recorded retention of sodium of potassium ions thus a hypovolemic shock. A conglomeration of all these pathological cases result in Susans post-operative presentation. Considering the presentation, Susans management involve the monitoring of all her vital signs. The values are measured and recorded two hourly. Any notable change is reported for further intervention. Electrolyte values are also taken on a frequent schedule especially in the first 48 hours after the surgery. Administer intravenous fluids and account for the fluid intake and output at regular intervals. Pain is also monitored and analgesics administered accordingly to alleviate pain. To avert any episode of hypovolemic shock or Addisonian crisis, Cortisol is administered to replace the inadequate hormonal levels. Care for the laparoscopic site, the wound is drained and cleaned using a sterile technique to reduce the risk of an infection. The indwelling urinary catheter is removed on the first day post-op and a clear liquid diet is started on the first day. Dietary progression is made on a need-basis. Psychosocial support is given to relieve anxiety. On discharge, the Susan and any appropriate family members will get an explanation and schedule on the take home medication and prescription. General health messages on the effect of the surgical procedure and physiological response to the resultant procedure. The messages include dietary management of sugar, side effects of glucocorticoid therapy and the importance of physical exercise of the overall outcome of the recovery process. Details of the next checkup are also provided for .Susan also has to report any alarming signs in the process. Interdisciplinary Heathcare Team Susans condition requires an entire team approach to effectively manage her condition. Apart from her the primary medical and nursing team the social worker, nutritionist and the health educator are involved. The integration of the entire team is required to produce an outcome sufficient to make Susans life more productive and fruitful. The medical condition will become more lucid. The social worker provides is the backbone of the familial responsibility at hand. The care of all her three children verses her income from the casual employment. She does require an extensive monetary plan and linking up to more agencies to provide financial support and education to children. On the returns from her wages, the social worker provides liaises with monetary organizations that provide saving plans and insurance policies suitable to the financial muscle Susan has. The nutritionist evaluates and provides the nutritional needs of Susan. They assist in providing a treatment plan which may include special diets, foods that help ease swallowing, dietary changes as a result of the condition and also patient and family education on nutrition topics related to Susans condition. The health educator will also be of much importance in educating Susan and his family on topics related Cushings syndrome and other general health concerns. This include causes, prevention and even treatment. Topics concerning usage of over the counter drugs can also be handled by the health educator. Others include personal hygiene and general cleanliness. Conclusion Susan is obese and presents with a typical case of Cushing syndrome, determination of her differential diagnosis is based on her presenting case of primary depression and alcoholism. The diagnostic approach to the cause of the hypercortisolism involves a 24-hr urine sample collection and assay of cortisol levels. In elevated cortisol levels, a low dose of dexamethasone (2mg/day for 2 days) is administered and on the subsequent urine collection if the cortisol is suppressed by more than 50% then it is definitive case (European Journal of Endocrinology, vol. 176, no. 5, pp. 613624, 2017). When suppression is non-evident a repeat test is done with a higher dose of 8mg /day for 2 days and as in the case there would be no suppression because the cause of ACTH suppression secondary to an adrenal tumor. The adrenal tumor is visualized via a CT Scan and as indicated a surgical plan of a right adrenalectomy is done. The procedure is done and she has due rehabilitation and integration to her s tate. References Barrett, K. E., Barman, S. M., Boitano, S., Brooks, H. (2016). Ganongs review of medical physiology. 26th edition page 364.NY: McGraw-Hill Medic Boscaro, M., Barzon, L., Fallo, F., Sonino, N. (2013). Cushing's syndrome.The Lancet,357(9258), 783-791. Chyun, Y. S., Kream, B. E., Raisz, L. G. (2015). Cortisol decreases bone formation by inhibiting periosteal cell proliferation.Endocrinology,114(2), 477-480. Lindholm, J., Juul, S., Jrgensen, J. O. L., Astrup, J., Bjerre, P., Feldt-Rasmussen, U., ... Laurberg, P. (2014). Incidence and late prognosis of Cushings syndrome: a population-based study.The Journal of Clinical Endocrinology Metabolism,86(1), 117-123. MARIEB, N. J., SPANGLER, S., KASHGARIAN, M., HEIMANN, A., SCHWARTZ, M. L., SCHWARTZ, P. E. (2012). Cushings syndrome secondary to ectopic cortisol production by an ovarian carcinoma.The Journal of Clinical Endocrinology Metabolism,57(4), 737-740. Newell-Price, J., Bertagna, X., Grossman, A. B., Nieman, L. K. (2016). Cushing's syndrome.The Lancet,367(9522), 1605-1617. Palmore, W. P., Anderson, R., Mulrow, P. J. (2013). Role of the pituitary in controlling aldosterone production .Endocrinology,86(4), 728-734. Lodish M, Stratakis CA. A genetic and molecular update on adrenocortical causes of Cushing syndrome. Nature Reviews Endocrinology. 2016 May;12(5):255. MARIEB, N. J., SPANGLER, S., KASHGARIAN, M., HEIMANN, A., SCHWARTZ, M. L., SCHWARTZ, P. E. (2012). Cushings syndrome secondary to ectopic cortisol production by an ovarian carcinoma.The Journal of Clinical Endocrinology Metabolism,57(4), 737-740. Stimson, R. H., Andersson, J., Andrew, R., Redhead, D. N., Karpe, F., Hayes, P. C., ... Walker, B. R. (2015). Cortisol release from adipose tissue by 11-hydroxysteroid dehydrogenase type 1 in humans.Diabetes,58(1), 46-53. Ushiyama, T., Suzuki, K., Kageyama, S., Fujita, K., Oki, Y., Yoshimi, T. (2014). A case of Cushing's syndrome due to adrenocortical carcinoma with recurrence 19 months after laparoscopic adrenalectomy.The Journal of urology,157(6), 2239.

An Online Essay Sample is a Great Idea

An Online Essay Sample is a Great IdeaA lot of people are looking for an Osu Essay Sample when trying to get a college degree online. They are looking for a quality essay that will help them get accepted into a school that they are interested in.It's important that you take your time when taking a University course online because there is so much more going on than just sitting in a classroom and sitting at your desk. The things that will happen while you are learning how to play the game competitively are things that you need to be aware of, but in a short amount of time.It's great to find an essay that is designed specifically for a college online course. There are many of these online, but if you're looking for a free one, the most common one that is found is a word document. You can just right click on it and choose 'Save As' to save it to your computer.Another common Osu Essay Sample that you may find is a free trial version. These are usually found by searching on Google or Yah oo, although some places offer it for free. This is a good option for someone who doesn't have time to check their email for anything else.You can get your essays through several different places. If you have trouble with a particular site or can't find one on the first page of results, go to Google and type in the site and hit enter.The advantage of using an essay sample for an Osu game is that it is already formatted so you only have to write what you need. For example, if you want to write about an opponent who is playing a certain character, all you have to do is add it to your text file.When it comes to using an essay for college online, it's a really good idea to use one that is ready for you to use. It will save you a lot of time and energy for you to have to look for a free one, especially if you don't have the time to write essays.

My Counseling Theory Paper free essay sample

Running head: Finding Meaning Finding Meaning in Life Sandy Patty Made Up University Abstract What is to be said about life and circumstances? There are many different theories and perspectives about it, but my concern is when someone feels they have to be subject to their circumstance. Further in this paper I will discuss my personal counseling theory and how I believe that not one person has to be ruled by a certain circumstance and that they are not by any means validated by one person because they have the opportunity to discover meaning in their life for themselves and discover an array of opportunities in life.Finding Meaning in Life Introduction My story is not something new or one that has never been told before, but it is unique to me and bears significant value due to the way that it shaped and formed me into the person I am today and the reason for me pursuing a career in counseling. We will write a custom essay sample on My Counseling Theory Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I come from a mixed, biracial, and very religious family. The women in my family all seem to have gone through significant and grave hardships and/or traumatic experiences. My grandmother was sold as a sex slave when she was 3 years old because her Mother was dirt poor and needed money to sustain her drug/alcohol addiction.At an early age my grandmother was forced into prostitution as a way of life and a means to sustain herself. She then later met my grandfather who was a minister in a local religious church and they married. My mother was born into a very religious environment, strict dress codes, no jewelry, makeup, pants, they were forcefully instructed that they were the lesser of men, and they were to always obey their husband regardless of the issue or circumstance. During my Mother’s adolescent years she was a victim of child molest and the perpetrator was an important figure in the church. When my Mother attempted to tell my grandmother what had happened, she was severely physically punished and accused of lying. Since then, she never once told a soul as it continued to occur. She had become a pin-cushion for a â€Å"religious leader† within the church. Later on in life, my Mother met my father who was a young youth pastor in town and they married. My father was also a very religious man and held strongly to his beliefs. My parents struggled financially and experienced many hardships due to church and family.I believe my parents were somewhat forced in marriage at such an early age due to their religious setting and they were not prepared at all for what faced them ahead. My mother had children by age 19 and her life changed dramatically. My one and only older sibling was born and he became the closest thing to a mentor that I had. I too, grew up in a very religious and strict home environment. We were taught that there was only one way to live and it was according to the Bible and the rules taught in Church, anything else was unacceptable and reprimanded.My father was always a very hard worker and was hardly home due to working so many jobs in order to provide for the family. When he was home, I remember him and my mother arguing constantly due to issues with his family interfering with their marriage and finances. From an early age, I remember my mother crying and coming to me to talk about what was bothering her or issues with my father. I would just listen and offer advice as best as an 8 yr. old could and I remember thinking to myself, â€Å"Is this normal, am I supposed to be doing this? It felt strange and hard to not be biased in a situation involving my family, but I learned at a very young age things a child should not know or experience. I definitely had to grow up quick and learned to figure things out on my own. My older brother pretty much raised me and was the only person I could confide in or talk to. My family was not very affectionate, but rather very cold and distant and always brought everything back to a religious setting.I have always been told I was very mature for my age and I attribute this to my childhood or lack thereof and being forced to play an adult role due to circumstance. I do not write this story for pity, but rather because I believe it played a significant role in me pursuing counseling as a career path. It feels so natural for me when I’m talking to people because it was something I can always remember doing. From such an early age, I have always been engaged with older people and hearing about issues from failed relationships to traumatic/crisis situations.I strongly believe that this is one of the reasons I am not a very judgmental person because I feel I have experienced so much that I know what it is like to go through many different situations and not so pleasant circumstances. Core Theoretical Principles My counseling theory is that even though human beings have the need for approval or longing of someone else to bring substantial meaning in their life, they are not by any means validated by any one person or situation because you focus on the present and future and make the most of your circumstance.I experienced that in my childhood every time I saw my mother and father arguing and later I would hear from her what exactly happened between them. I remember thinking to myself that why would someone stay in an abusive situation or at least not stand up for themselves. I concluded that she needed to be validated by the relationship and for her to leave the relationship or stand up for herself would mean to defy her husband, church, and God. The Existential theory really brought insight into my life because it helped me understand what I always knew and from what I had experienced at an early age. In essence Existentialism states that we are not victims of circumstance because, to a large extent, we are what we choose to be (Corey, 2009, pg. 133). It is about recognizing certain tragedies experienced in life, but also embracing and understanding the positive opportunities that lie ahead, and to also comprehend the fact that we are human and what it means to be just that.It is a difficult concept to grasp at first because society teaches us that it is about building relationships and finding someone to validate who you are as a person, but existentialism is about understanding and facing the fact that we are essentially alone and facing that anxiety. It is in this theory that we tend to discover just who we are as a person and are able to discover more about ourselves and make sense of our existence. According to Carl Rog ers, his experience taught him that if one is able to get to the core of an individual, one finds a trustworthy, positive center. He believed that people are trustworthy, resourceful, capable of self-understanding and self-direction, able to make constructive changes, and able to live effective and productive lives. In this theory, I believe that despite circumstance, a person is able to â€Å"bounce back† and still be able to live a healthy and high functioning life. I would incorporate what Car Rogers expressed as the three main attributes needed to foster change, Congruence, Unconditional Positive Regard, and Accurate Empathic Understanding.For me, it has always been very important for me to deal with someone on a personal level, never forgetting that we are all humans and not above anyone else. I honestly believe that when you treat someone with respect regardless of age, gender, race, etc. then trust and respect is created and that is the number one element in any counseling relationship. Gestalt is another form of holistic psychology theory and one that I would strongly employ because I am a firm b eliever in perception and the meaning-making process. Gestalt therapy suggests that the objective is to enable the client to become more fully and creatively alive and to become free from the blocks and unfinished business that may diminish satisfaction, fulfillment, and growth, and to experiment with new ways of being (Corey, 2009, pg. 204). It looks at the bigger picture as a whole not just one part of the whole because I believe in order to truly understand someone you need to perhaps dissect pieces, but only in order to understand the whole.Anticipated Settings I currently am employed at a Child Family Advocacy Center that helps victims of domestic violence, sexual assault, child abuse, and elder abuse. I have always been interested in the helping profession and because of my childhood and the many different experiences and circumstances I encountered, I have always known I wanted to work in this specific area in order to attempt to make a change and help people who fall victims of such a terrible circumstance.As a future counselor I would like to remain relatively in the same field of helping victims of a crime, which include sexual assault, child molest, and domestic violence. I have seen and experienced all of this personally whether with family or friends and I have a passion and urge to help make a difference. I believe that life is definitely not fair, people are played the cards they are dealt, but also that a person is not validated by their past circumstances or anyone and it is up to them to find meaning in their life and discover who they are and want to become.Techniques I believe that it is necessary to provide adequate education and training to all the community because there are many people who unaware of the laws that can protect them from crimes and they are also unaware of the many various options they have to change their situation. I would employ an ongoing community education program offering free training to local offices, schools, day cares, etc. , just to spread the word of the different community resources available to help the people.In working closely with and advocacy center, I would incorporate a domestic violence group that is not biased and one that actually helpful to people and does not enable them. Unfortunately, services in this area are limited to the same s ervice providers and people are left with limited options. Too many times, clients have approached me with disappointment in therapist they have encountered and they are turned off by the idea of counseling because of several negative experiences. I am very passionate about this type of work specifically because of my past and I would like to genuinely be able to help people in these types of situations and therefore, would in the future, like to offer counseling services specifically to victims of domestic violence, sexual assault, and/or child abuse. I would not be biased, and because of my past I understand what it is like to live in that type of situation and I also understand leaving is not always the easiest decision a person can make because there are many factors to consider.People in these types of situations are very unique in the fact that they have learned to survive on their own and know what they need to do or to say the right thing in order to survive. This is not a situation where one counseling theory covers all clients, so I would tailor each to the specific person because I understand their situation is unique and requires a technique to match. Also, I believe that it is vital to establish a healthy relation ship with the client in order for them to trust you and open up to you. I would incorporate many of the Rogerian techniques regarding the genuine relationship with the client, trusting environment.Victims of any of these types of crime have been through some of the most horrendous situations and they have learned to adapt to the perpetrators needs and threats. If a counselor walks into a session with an â€Å"all knowing† authoritative attitude it will discourage the victim from speaking the truth and the counselor will have lost, which may have been the only opportunity, to help the victim possible change their circumstance. I would enter into the counselor/client relationship giving respect and trust on my part and genuinely attempting to get to know the client and their unique situation.I would also involve the client every step of the way because it is this same client that returns to their situation at home and not me so I would always need to have their best interest and safety in mind. The clients would not just be another file on my desk, but rather a person who’s life can be altered by perhaps just one meeting in counseling so what better change to reach out and try and help someone. It is with this that I would definitely incorporate many of the existential techniques in helping clients find meaning in their life b y exploring their different life situations.Limitations A very common limitation that I experience already in the line of work I do now is the fact that even though I am passionate about this field, the actuality of it is that I cannot change a person, they have to decide for themselves when that change is appropriate. Many times I have seen counselors burnout in this field because they feel they are not making any significant change due to many victims returning to the same abusive relationship or circumstance. So in theory, all of these techniques and theories are wonderful, but in reality they are dependent on the client.Summary Life is simple, it’s just not easy. People have to play the cards they are dealt. Life is not fair by any means and we could use this as an excuse to wallow in pity or use it to motivate us to overcome and conquer our situation. We are not validated by any one circumstance or person, we can choose to discover for ourselves who we are and who we wish to become. My personal counseling theory is just that, very personal because it was unknowingly developed over time due mostly through what I have experienced in life.

Size Matters

Size Matters â€Å"Size† Matters â€Å"Size† Matters By Mark Nichol How do you treat the word size (or is it sized?) when it’s used in combination with other words as an adjective? Here’s a rundown of the options, with judgments about the best bets. The combination of mid with size is treated in various combinations: as midsize, mid-size, midsized, and mid-sized. The most prevalent form, logically following the tendency to omit hyphens after prefixes and because omitting the second d is simpler than retaining it is midsize. Medium-sized, however, prevails over medium-size; the hyphen is to be expected, because medium is an entire word, not just a prefix, like mid, but the retention of the final d is puzzling. Midsize is the adjective of choice for vehicles, while medium-sized is much more likely to apply not only to entities such as businesses and organizations but also to most other products and objects. And how should references to comparatively small or large phenomena be styled? Some people would follow the pattern by writing small-size or small-sized, or large-size or large-sized, but -size or -sized is redundant because small and large provide a frame of reference to the quality being discussed, whereas medium is vague enough to require the contextual clue of -sized, even when small and/or large are also employed in the passage. (A range should be rendered as follows: â€Å"Small to midsize cars were tested† or â€Å"The survey applied to small to medium-sized businesses.†) Words for bed sizes are expressed as, for example, king-size or king-sized. Merriam-Webster’s Collegiate Dictionary, probably the most widely consulted dictionary in the publishing industry, notes that king-size is prevalent, which is consistent with its entries for similarly constructed words, include bite-size, legal-size, life-size, man-size, plus-size, pocket-size, in which the -sized form is regarded as a variant. Similar terms, such as those in the sentences as â€Å"We watched a car-size boulder tumbling down the slope† or â€Å"A house-size depression appeared in the field,† can be created as needed. However, writers should take care in producing such constructions with less common references. â€Å"He approached the brick-size object as it hovered in front of him† is reasonable, because although bricks vary in size, most readers will probably think of the typical red clay building material. But â€Å"a dog-size creature† is vague because of the disparity of size among dog breeds, and â€Å"a cell phone–size device† may seem awkwardly constructed. (Try â€Å"a device the size of a cell phone† instead.) Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Spelling category, check our popular posts, or choose a related post below:7 Examples of Passive Voice (And How To Fix Them)8 Proofreading Tips And TechniquesHyphenation in Compound Nouns

Topic 4-1 Essay Example | Topics and Well Written Essays - 250 words

Topic 4-1 - Essay Example The student may interest in a given career such as teaching but depicting behaviors that are not appropriate for the teaching career. For example, the student may introvert and has low motivation to research. The student may also like doing things in isolation than group (Brown & Lent, 2013). When attending to such a student, a counselor applying the Social Cognitive Theory may train the student to develop extrovert behavior to enable open interaction with others. The counselor may also encourage and admit the student in tasks that require group participation so that the latter can develop skills and behaviors that support open socialization and corporation. The counselor may also urge the student to identify the best teacher and note the characters that make them perform to attract admiration. The counselor should then train and encourage the student to emulate and practice the behaviors of the role-model teacher (Brown & Lent, 2013). The choice of the Social Cognitive Theory relates to it ease to assist in effective counseling of career related problems. Focus on social interactions and environmental influences on human behavior provide immediate elements to check when attending a client. It is easier to analyze and influence behaviors of a client by studying the social and environmental forces that influence

Compare the parliamentary and presidential forms of government. What Essay

Compare the parliamentary and presidential forms of government. What are the strengths and weakness of each - Essay Example The Prime Minister (who is the chief executive) may be elected to the legislature in the same way that all other members are elected" (Governing Systems and Executive-Legislative Relations n.d.). Power in Parliamentary systems is concentrated in the Parliamentary leaders. It follows that pressure groups, to promote their interests, must influence the leaders, and this they can do effectively only by putting pressure on them directly or by acting through agencies that can, above all the parties and civil servants. Parliament, of course, also has some influence with its leaders, hence it is not entirely useless for British pressure groups to try to influence Prime Ministers (Mettenhiem 27). But compared to the pressures exerted through parties and civil servants their parliamentary activities are secondary. For instance, the need to focus pressure on the bureaucrats is reinforced by the activities of British government. First, the vast scope and technical character of decision-making r equired by welfare-state policies has led to the devolution of more and more decision-making authority to the bureaucracy, so that there is in Britain a vast amount of executive legislation (Ben-Zion Kaminsky 221). Equally important, the decision-making powers delegated to the Departments are likely to be of special concern to interest groups (Lijphart 129). General policy, of course, is still predominantly made by the Government, but technical details, especially the sort needing fairly frequent revisions (e.g., how much money is to be paid to doctors; what prices to guarantee to the farmers; on what basis to grant or withhold licenses to build, import, issue securities or acquire raw materials), are taken care of by the Departments, and such details are likely to be of as great concern to interest groups as policy in its broad sense (Mettenhiem 29). In contrast to Parliamentary systems, where the P.M is a party leader, the President is chosen by a separate election. "The President then appoints his or her cabinet of ministers (or "secretaries" in US parlance). Ministers/Secretaries usually are not simultaneously members of the legislature, although their appointment may require the advice and consent of the legislative branch" (Governing Systems and Executive-Legislative Relations n.d.). In this view, the constitutional separation of the executive and the legislature is the main culprit in the now excessive fractionizing of governmental power. Following Lijphart (1992): "the notion of the supremacy of parliament as a whole over its parts is a distinctive characteristic of parliamentary systems" (37). The main differences between the Parliamentary and Presidential forms of government are found in separation of power (Lijphart 16). In general, the Presidential form stipulates separation of power between different branches while the Parliamentary form means a fusion of power. In both forms, corporatism is characterized by high concentrations of government power as well as private power (Ben-Zion Kaminsky 221). Pluralism, on the other hand, is based on low concentrations of government and private power. A state-directed system is characterized by high concentration of government power, and low concentration of private power. And, finally, high concentratio