Tuesday, December 24, 2019

Chronic Myeloproliferative Disorder ( Mpd ) Is Associated...

Essential thrombocythemia TERMINOLOGY CLINICAL CLARIFICATION This chronic myeloproliferative disorder (MPD) is associated with mass quantity of platelets that are put out by megakaryocytes Also known as Primary thrombocythemia Idiopathic thrombocythemia Has a prevalence 30/100000 in the general population11 CLASSIFICATION Not applicable DIAGNOSIS CLINICAL PRESENTATION History Half of all patients with essential thrombocythemia report no symptoms1 The rest of patient report symptoms either related to small or large vessel thrombosis or both Microvascular occlusion (small vessel): distal peripheral involvement like finger and toes Aspirin-sensitive erythromelalgia9 Patient might report digital pain that is made worst with exposure to heat and improves with cold and usage of aspirin Patient report s neurologic involvements like: episodic transient ischemic attacks, paresthesias, vertigo, syncope, dysphoria, seizures, but most often headaches is the most common neurological complain Macrovascular occlusion (large vessel): may involve thrombosis of large veins and arteries the can occlude entire extremities or vital organs like heart (myocardial infarction), kidney (renal failure), brain (stroke), lung (pulmonary vascular occlusions), hepatic (Budd Chiari Syndrome) or priapism (rare complication) Bleeding is associated with essential thrombocythemia Bleeding could be internal or external related Internal: post-head trauma intracranial hemorrhage, hemarthrosis External:

Monday, December 16, 2019

People Are Just as Happy as They Make Up Free Essays

â€Å"People are just as happy as they make up their minds to be. † (F) What is happiness and how is it achieved? Simple questions, with different complex answers, none of which can be proved to be right or wrong. Happiness is an individual state of being of each person, acquired by one’s perception in that special moment in time. We will write a custom essay sample on People Are Just as Happy as They Make Up or any similar topic only for you Order Now It simply depends on the individual and how they try to obtain it. Thousands of people try different paths in order to successfully achieve happiness; some of them finding it, some of them never reaching the goal. There are thousands of different answers and meanings for happiness. In this paper, I will argue that the most necessary virtue an individual needs to be have to be happy, is the virtue of mind. Aristotle, one of the most important Greek philosophers in history, defined happiness as the activity of the mind in accordance with virtue. He did not think of happiness as just a state of being; he thought of happiness to be the highest form of good. Everything people do has a specific purpose in life; it aims at something, at a final good. Happiness is an end sufficient in itself, is the end at which all our actions aim. In order to reach this perfect state, he thought the individual should possess; external, mind and bodily virtues and living and acting in accordance to them. By doing so, achieving total happiness. Virtue is what aids proper functioning, since when possessed makes the possessor good. Virtue is a matter of having an apt attitude towards pleasure and pain; therefore it lies in a mean between two extremes. Aristotle implied the mean or balance to be between two vices, the excess which is the one that exceeds and defect the one that falls short, of what is right in our desires and actions. Whereas virtue, finds and chooses what is intermediate. The idea of the virtue then, is for the desires to set the situation and for the individual to be able to choose the intermediate and act like a virtuous person. External pleasures; such as honor, wealth and power. Physical pleasures such as beauty, health, and fertility. And mental pleasures such as; patience, intelligence and honesty, are the virtues he believed lead to a good life. In order to achieve happiness, is necessary to be a virtuous person. If the individual does not have virtues, then it does not have anything to guide heir lives by. That being said, the most important virtue to possess is the virtue of the mind, which refers to peace of mind. After being able to attain peace of mind, accomplishing the other virtues and making good use of them is much easier, since mental pleasure is the basis of every other virtue. Positive thoughts, security, believing and accepting oneself, high self-esteem and more, is what make s one happy and leads the individual in the pursuit of more positive actions, therefore making the individual more likely to obtain the other virtues. The way one thinks of themselves and the attitude that one has about life tells a lot about a person. People who have virtue of the mind are going to be happy no matter what, because they know how to react towards life, even in the moments of misfortune or disgrace. For example, people who are going through hard times know how to handle the situation better because they have a positive outlook on life and are able to cope with those situations better. People who have virtue of the mind also know their various challenges and obstacles and are still able to overcome them. Having peace of mind, and knowing how to make good use of one’s internal virtues, is an effortless way to live one’s life and have a better future. By accepting oneself intellectually, physically and interiorly, as well as accepting the environment in which one lives, including the people, the traditions and society, to the point where one respects the other people, including their acts, their way of thinking and their way of living. Peace of mind is not worrying about the future or for the things that happened in the past. But to live the present in an authentic and exceptional manner, to not worry some day about the things you should have done before but to be satisfied and happy of how has lived their lives. Virtue of the mind also means to love oneself more than anything and anyone, since to love and care for someone one must first learn how to know, care and love themselves. Someone might object that the virtue of the mind is not the most important virtue to have since nowadays to have positive thoughts and a peaceful mind it’s not enough to make someone happy, but wealth and influence. Being beautiful, honest, intelligent, and healthy is nothing if one does not have money. Most people are always in the persistent struggle to be prosperous, given that the people who do not have money are miserable because they do not have â€Å"anything. † Poor people for example, are not happy, even though they possess physical and mind virtues; they lack external ones, such as money and are unfortunate because without wealth you are nothing. In the society of nowadays, being wealthy is not an option, but a must to be happy. One might object to it, but how can one explain that some wealthy and influence people are unhappy. Wealth and influence does not give people happiness. Just a positive attitude towards life would give someone the final good. There are some famous people that despite great wealth seem miserable. Some of them don’t even have a stable partner, usually get in trouble with the law all the time, fall in the live drugs, and some of them even commit suicide. Heath Ledger, for example, known as one of the best actors in history for the leading role of the joker in â€Å"The Dark Night†, recognized as one of the best-selling movies of all time. Famous, with family, wealthy and in the media everywhere, but despite all that â€Å"happiness† he had, he still committed suicide, possibly caused by a depression of not fulfilling the expectations of the fans or even not knowing how to cope with the pressure of the role. For some people money can bring a lot of happiness in the sense of stability, freedom and independence. However, money with lack of peace of mind is nothing and would get the individual nowhere. A survey titled â€Å"Joys and Dilemma of Wealth† by Boston College revealed that the wealthiest people are unhappy because they are worried about seeming ungrateful, rearing spoiled children and failing to meet expectations. These people are in the mouth of everyone; their names appear in the media with false gossip, and their privacy is always intruded. This a mistake where the individuals centered their lives on the external, and are concerned too much about what other people think without believing in themselves, leading them not only to auto destructive acts but violent actions for them and their families. For some, money and wealth gives happiness, but definitely not the truly one. Only mental pleasure; believing in oneself, having a positive attitude, having high self-esteem and loving oneself like no other, would lead one to complete happiness. Material or external possessions are not essential, if the individual knows and recognizes what their goals in live are. To corroborate the importance of the virtues of mind to reach happiness, first of all the individual needs to realize and be aware that happiness is an internal state of being of each person. There are numerous amounts of people in the world who could serve as examples to support the importance of the virtue of mind in the path of achieving happiness. Nelson Mandela, for example, one of the most recognized, respected and admired political leaders of our time. In spite of the extremely poor conditions he had to live in during his early life and nearly three decades of imprisonment, he still struggle and did everything he could to fight for his believes against racial oppression. His heroic acts made him win the Nobel Peace Prize and the presidency of his country. By this and many other important things that he has done, is when he saw his ideals and purpose in life, coming true. Most likely, giving him the complete happiness he has always fought for. Nick Vujicic is an admirable person, and another great example of the importance of just having a positive attitude towards life to be happy. Nick was born with no limbs, he is practically just torso, and has a small foot on his left hip which helps him with balance. Nick’s father taught him to swim at 18 months, to type with his little toe at just 6 years of age, and his mom invented a special plastic device for him to hold a pen or pencil with his mouth to be able to write. He plays golf, swims and surfs. Even though it was really difficult for him to adapt to his difference when little, he overcame every issue he had and nowadays is an admirable person, who has traveled to 24 countries of the world sharing how this problem has become a blessing for him, and how just by changing your attitude towards life makes a great difference in every individual. Just like these examples, there are many more cases of people that just by having a positive attitude towards life have been able to succeed or overcome obstacles even though they have had a hard life. Supporting that if an individual has virtue of the mind, and has always a positive view, fights for their ideals and know what they want for their life they will achieve happiness. DO NOT USE â€Å"YOU†Ã¢â‚¬ ¦ Works Cited Little, Lyneka. Miseries of the Rich and Famous: The Concerns of the Super Rich: Wealth Does Not Bring Happiness-ABC. Bill Melinda Gates Foundation and Calibre Wealth Management, Boston College. 21 March. 2011. Web October 14. http://plato. stanford. edu/entries/aristotle/ http://answers. yahoo. com/question/index? qid=20080716235657AAyU5iY http://www. britannica. com/EBchecked/topic/34560/Aristotle/254722/Happiness#ref923103 http://abcnews. go. com/Business/concerns-super-rich-wealth-bring-happiness/story? id=13167578#. UHsgpMVYuSo ——————————————– [ 1 ]. Abraham Lincoln How to cite People Are Just as Happy as They Make Up, Essay examples

Sunday, December 8, 2019

Quantitative Study Evaluation Essay Sample free essay sample

The intent of this research is to measure the Effectss of Classroom Structure on Student Achievement Goal Orientation. There were three categories chosen and the pupils had to put hebdomadal ends based on public presentation and acquisition. Many of the pupils in the eventuality group based their hebdomadal ends more on larning than public presentation and many of the pupils in the nominal economic system status set were more based on public presentation ends. Evaluation of the Title In this survey of schoolroom construction on pupil accomplishment end orientation the rubric does reflect the major independent variable ( schoolroom construction ) and the dependant variable ( student accomplishment end orientation ) . The rubric expresses a relationship/correlation among the two variables. For illustration. is at that place a relationship between the consequence of schoolroom construction ( IV0 and pupil accomplishment end orientation ( DV ) ; or does student accomplishment end orientation ( DV ) cause the consequence of schoolroom construction ( IV ) ? Evaluation of the Problem Statement This survey is geared towards an educational survey of pupil accomplishment and schoolroom construction. Does construction in the schoolroom have an consequence on pupil accomplishment ; harmonizing to the research this issue is highly of import in the universe of pedagogues and the job statement does bespeak an educational issue. Harmonizing to Ames ( 1992 ) pupils with a public presentation end orientation can go vulnerable to helplessness. particularly when they perform ill on academic undertakings. Besides. pupils frequently avoid more hard undertakings and exhibit small intrinsic involvement in academic activities. and that a negative relationship exists between public presentation ends and productive accomplishment behaviour ( Greene A ; Miller. 1996 ) . The writer of this survey has provided several groundss sing the importance of the issue. For illustration. research workers have systematically found grounds for a positive relationship between larning ends and productive accomplishment behaviours ( Ames A ; Archer. 1988 ) . Other grounds that have been found is that pupils wh o are focused on larning ends typically prefer disputing activities. persist at hard undertakings. and describe high degrees of involvement and undertaking engagement. The writer located this issue through several empirical surveies. and laboratory surveies. Harmonizing to Schunk ( 1996 ) in several empirical surveies. research workers have established a relationship between the saliency of certain end orientations and alterations in single behaviour and every bit far as old research lab surveies have created acquisition and public presentation end conditions by pull stringsing the instructions provided to kids sing the undertakings at manus. This research job does suit a quantitative attack because a quantitative survey explains and predicts dealingss among two variables the independent and dependent variables. There is an premise of the survey that is consistent with the survey quantitative attack. One of the premises that are consistent with this survey is that a pupil. who has a learning disablement in mathematics. will non be motivated by the same sum of items to finish mathematics assignments as other pupils in the same schoolroom who have me an abilities in this topic. We can non presume that one pupil can be less motivated from the other pupil. Evaluation of the Literature Review The writer did reexamine the independent and dependent variable in the analysis of this survey. The writer examined the consequence of the schoolroom rating construction on students’ achievement ends. The independent variable in the analysis was schoolroom construction. which is consisted of three degrees: nominal economic system. eventuality contract. and control. The dependent variable was end type ( public presentation or learning ends ) that pupils set for mathematics. As I viewed the survey I do non experience as the survey followed the APA format. Evaluation of the Purpose. Hypotheses. and Research Questions In this survey the writer does non stipulate a purpose statement. The purpose statement is non clear in this survey and it does non bespeak the variables. nevertheless in the abstract the writer indicate that she is seeking to compare the figure of larning vs. public presentation ends that pupils set within and across schoolroom construction conditions. A good intent statement for this survey could be: The intent of this survey is to depict how schoolroom construction is influenced by pupil accomplishment end orientation in mathematics for pupils in simple school. The participants in this survey were indicated every bit good as the site to be studied. For illustration. participants included 2 fifth grade categories and 1 fourth-grade category and the site is at a local simple school. Merely one inquiry was written and the inquiry is whether an intercession such as eventuality catching will take to an addition in larning ends comparative to public presentation ends? There are three hypotheses: ( a ) the token-economy schoolroom construction would be related positively to student performance-goal orientation. ( B ) the eventuality contract schoolroom construction would be related positively to student learning-goal orientation. and ( degree Celsius ) the control schoolroom construction would be unrelated to student end orientation. Evaluation of Data Collection In order to carry on this survey the writer tells that he obtained entree to participants at a local simple school. The participants include 2 5th class categories and 1 4th grade category. In this survey a strict chance trying scheme was in usage. It was stated in the research that each integral schoolroom was assigned indiscriminately to either a token-economy schoolroom construction. contingency-contract schoolroom construction. or a control schoolroom construction. A two manner analysis of discrepancy ( ANOVA ) was used to analyse the information. There were some instruments that were non administered in this survey hence bias and mistake was non eliminated. For illustration. there were restrictions to the survey. as stated in the text. there was no control for instructor anticipations and how this would act upon pupil puting their ends. The 2nd restriction was that merely one capable country was used in the survey. The tonss on the steps of this research are both valid and depen dable because the research worker has attended to possible menaces of cogency Evaluation of Data Analysis and Results The consequences from the end analyses indicated important differences within and across schoolroom construction conditions. The consequences of the statistics chosen for the analysis were consistent with the theoretical relationship and the hypothesis. The information from this research is represented in two tabular arraies. The first table reflects information in respects to the acquisition ends and public presentation ends of the three schoolroom constructions. The tabular array disaggregates the information by agencies and standard divergences. The 2nd table gives a sum-up of for schoolroom construction by ends interaction. The consequences from the survey support the thought that a eventuality contract schoolroom construction. in which pupil were evaluated separately and allowed to find their ain accomplishment ends. allow pupils to follow a learning-goal orientation versus a performance-goal orientation ( Creswell. 2012 ) . Evaluation of the Writing The construction of the overall survey was consistent with the subjects addressed in quantitative surveies. That is true because this survey is equal in the research design stage. It gives an extended mentality on the process and consequences obtained during the survey. The survey besides follows the research procedure with an accent on the variables. The variables are labeled in this survey as independent variable ( schoolroom construction ) and the dependant variable ( student accomplishment end orientation ) . The mentions throughout the survey scope from 1984 to 2000 and utilize diaries. newspaper Hagiographas. text editions. psychologist. and educational specializers. This survey was written for the audience that may include but is non limited to pedagogues in the category room and in the administrative staff of a school environment along-side cardinal office staff. members of the school board. parents and pupils. Decision I believe that the writer of T his survey could hold incorporated the influence of the pedagogue in its research. After acknowledging this restriction it changed my ideas about the cogency of the research. Educators are cardinal subscribers to students’ accomplishment and public presentation. It besides would hold been indispensable to this research if among the categories that were chosen the pupils could hold been evaluated in two academic countries. possibly linguistic communication humanistic disciplines and mathematics alternatively of merely mathematics. Mentions Ames. C. . A ; Archer. J. ( 1988 ) . Achievement ends in the schoolroom: Student larning schemesand motive processers. Journal of Educational Psychology. 80. 260-267. Ames. C. ( 1992a ) . Achievement ends and the schoolroom motivational environment. In D. L.Schunk A ; J. L. Meece ( Eds. ) . Student perceptual experiences in the schoolroom ( pp. 327-343 ) .Hillsdale. New jersey: Erlbaum. Creswell. J. W. ( 2012 ) . Educational research: Planning. conducting. and measuring quantitativeand qualitative research. Upper Saddle River. New jersey: Prentice Hall. Greene. B. . A ; Miller. R. ( 1996 ) . Influences on Accomplishment: Goals. perceived ability. andcognitive battle. Contemporary Educational Psychology. 21. 181-192. Schunk. D. H. ( 1996 ) . Goals and self-evaluative influenced during children’s cognitive accomplishmentlarning. American Educational Research Journal. 33. 359-382