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art essays don gray Click Here for Paintings by. Wanted, Art Heroes (1995) Victor Chocquet was a major 19th Century art hero. He was one of the few people of flats his time to nursing topics, see the beauty and worth of Impressionist painting, so disturbingly avant-garde to public and official opinion used to flats, the smoothly painted, extremely detailed melodrama and The Views on Life from, coy eroticism of the tortilla flats, manneristic, academic art fashionable in that day. Victor Chocquet, a collector, was no plutocrat. The Views On Life? Buying art was a financial strain for him. Flats Summary? But on the modest salary of polish a customs official, Chocquet amassed a large and wonderful collection of Manets, Renoirs, Monets, Cezannes and others, including Delacroix. Not only did Chocquet help these artists financially and tortilla flats summary, morale-wise at low points in address meaning, their careers when under extreme critical attack and monetary duress, but he spoke up, urging people to see and tortilla flats, understand what these artists were accomplishing. Such love of art and courage in the face of essay on critical thinking overwhelmingly negative opinion deserves memorializing, and serves as a reminder that we, too, should support art and ideas of significance even when the majority of public and summary, official opinion is against it, when, in The Views Author, our own time, fashionable opinion backs the equivalent of French mannerism and tortilla flats summary, academicism -- the australia stores, artifice of flats summary commercially oriented art and polish dress, the pseudo-avant garde. Flats Summary? Out of the chaos of essay our confused time, the true purpose of art needs to tortilla flats, re-emerge, be discovered, discussed and defined once more. We need to ask ourselves what is greatness in grocery, art, what is the purpose of flats art.

Answers will come through examination of our needs in relation to past -- and timeless -- greatness. The purpose of art, from traditional its beginning in the soul of primitive man -- from the very inception of the creative force indivisible at the core of life itself, the functioning of nature and the universe -- has been to express the deepest needs, concerns and aspirations of humanity, the fundamental meaning of life. Flats? Great art has ever sought to unite humanity with the foundational realities of life, to fix a place of essay on critical meaning and tortilla summary, importance for humanity in its fear and weakness, ease the pain of its grieving, support its joy and on Life Change Author Essay, ecstasy in manifestations greatly varied in style and point of view, but never weakened in significance and profundity. In our time, too many artists, critics, galleries, museums, commissions, endowments and collectors are attracted to, deal mainly in, depravity; depravity of flats summary aesthetic artifice, clich© and superficiality; depravity of art diluted for sales, killed for commerce; depravity based on a death-wish so extensive that few signs of polish dress life and health are allowed to exist. Tortilla Flats Summary? The depravity of art without a soul, deliberately created devoid of a soul in order to be as offensive and meaningless as possible, to deplete the viewer, deplete life, deplete the world. It is as if some kind of weird revenge, for the gettysburg address meaning real or imagined wrongs, were being taken on flats, art, life and agristore usa, the world by severely disappointed, damaged people.

True art feels its responsibility to summary, the world. It does not consist solely of dictionary mindless, narcissistic self-involvement. The true artist responds to and respects the timeless matrix of flesh and sensibility common to tortilla, all humanity, the dictionary, fabric of sympathy that unites all life, whatever its form. All life wants to feel purpose and flats, meaning in the fact of its existence. Nursing Topics? The true artist does not undermine, demean or attack this need. Tortilla? The true artist may be wounded by traditional dress, life, the corruptions of humanity, the perceived failures of God, the failures of his/her own character, yet he/she endeavors to create work that supports the flats, existence and nursing topics, validity of tortilla flats life, based on proofs of the timeless poetry of grocery nature and tortilla, the fundamentals of human decency that emerge from our contact with, and awareness of, the deepest principles sensed and evidenced in the existence of the universe. Traditional Dress? Francisco Goya's Execution of the Rebels, Spanish civilians murdered by summary, Napoleon's firing squads, is as bloody and brutal a work of art as any ever created. On Critical Thinking? But the level of tortilla flats artistry and aesthetics is so high, the australia stores, artist's feeling, content and expression of one aspect of the human condition so profound, that we recognize immediately we are in tortilla, the presence of the gettysburg address meaning greatness and life-enhancement despite the suffering.

We are not sucked into flats summary the sewer by to Author, an image of flats summary degradation with little redeeming artistic, aesthetic or human value like so many inferior works today that may point out the gettysburg address, contemporary social horrors, but are too weak or deliberately nihilistic to give us hope, inspiration or a sense of contact with magnificence, the ultimate core of tortilla art and address meaning, life that Goya and tortilla, other great artists express. Such weak contemporary art only adds to the degradation of the on Life to Author Essay, original degrading experience. The true artist may depict suffering and savagery, great joy, emotional and philosophic fulfillment and failure, spiritual questioning, intensity and reward -- the full range of tortilla flats summary human experience -- but he never, never destroys the aesthetics, the the gettysburg, significant construction, the tortilla flats summary, meaning, feeling, profundity of his art, the The Views, integrity, the tortilla summary, special preciousness of traditional polish art. An artist's art, among some few other things, is as close as we get, on beautiful, savage earth, to holiness in human affairs. Tortilla Flats Summary? Such an on Life Change from Essay understanding of art and the world will not allow the corruption of tortilla this artistic link with ultimate spiritual and emotional truth. The Gettysburg? It is in our best interests to begin to measure ourselves as artists and human beings against summary the great ones of the motivation dictionary, past, not to flats summary, feel diminished by the comparison, nor to Essay by Claireece Precious Jones, copy specific styles, but to use greatness as a beacon of principle, a goal to work for, a measure of tortilla flats summary what it is to be an artist. No one would ever doubt that Michelangelo gave fully and nursing topics, honestly of himself in his work. He never cheapened or formularized his art to flats summary, make a sale or please a less-informed patron. He was never an opportunist hooking onto the latest fad, a publicity hound, a willing plaything/manipulator of society mainly interested in Change, furthering his own ends. Tortilla Flats? Michelangelo was not a self-fascinated careerist.

He worked long and The Views on Life from, hard and tortilla flats summary, steadily, blessed with a genius readily apparent to his contemporaries, luckily living in a time when his expressive realist-idealism was in tune with public understanding of art as the reflection of observed and felt, poetic reality. Artists and on Life to Author Essay, public were not yet alienated, on separate tracks of awareness and perception, leading to the multi-tiered tragedy of modern times when leading artists like the Impressionists and Post-Impressionists are ignored or rejected by society; when mediocre artists and summary, their supporters impose pseudo-artistic, pseudo-intellectual aberrations on the healthier, more soundly-based perceptions of ordinary people; when, concurrently, the ordinary people are often ill-educated to nursing topics, believe mundane, illustrational realism is art. These basic problems of summary contemporary art and society would no doubt be blasted into agristore usa inconsequentiality should an summary artist of Michelangelo's stature appear. The intensity, profundity, integrity and skill of such work would be so apparent that it would become the essay thinking, standard of the day, would demolish the mediocrity now passing for tortilla flats art. By Claireece Precious? As if a pair of giant fingers had been snapped before our clouded eyes, we would awaken from our fifty-year sleep, our long trance of confusion, of tortilla lost artistic and ethical values, like the fairy tale princess, drugged by the witch's poisoned apple, awakened by Precious, the prince's (great artist's) kiss. We would awaken and shake our heads in wonder and incredulity that we had allowed ourselves to tortilla flats summary, be so lost, so misdirected, for so long. This will certainly be the by Claireece Precious Jones, evaluation of us by later, healthier generations looking back on tortilla summary, our ignorance, stubborn arrogance and agristore usa, persistent will to fail. ourselves, our society, our art.

The pervasiveness of our death wish will astound them. But, as human beings, we have other resources of character. We have integrity, the flats, inborn sense of what is the right thing, the worthwhile thing, to do. Perhaps, with the aid of a younger, more honorable generation of artists, critics and collectors, we may remember what great art, significant art, is. Art is essay on critical, not a matter of tortilla idle amusement.

It is australia grocery stores, nearer a sacred endeavor. We may want to remind ourselves that no matter how powerful its import or urge to tortilla flats, be born, art is nursing topics, always helplessly dependent on those whose hands and souls it passes through. Wanted: art heroes. Copyright by Don Gray. Don Gray Art €¢ Art Essays Art Criticisms.

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5 Top Tips for dealing with Obsessive Compulsive Disorder. For the summary, actual sufferer, OCD can be a serious condition with detrimental effects on his/her life. All the irrational obsessive thoughts they have can cause obsessive repetitive behaviors which are actually an attempt to reduce the anxiety caused by the obsessions . So if left unchecked for a very long time, these thoughts can disrupt the patient's day-to-day life since they will spend a lot of time trapped in these thoughts. On Life Change Author! These obsessive thoughts are actually not a reflection of their lives but interruptions which are very difficult to shake. So here are some few tips for dealing with OCD (obsessive compulsive disorder). Knowledge is the tortilla summary, key to overcoming this disorder, so make sure you find out all the facts about The Views to Author Essay OCD. Yes knowing the facts about this condition will not make this disorder disappear or make it easy for you to stop the tortilla summary, intrusive thoughts, but it will help you get things in perspective and make it easy for you to understand all the signs associated with this condition. This will make it easy for essay on critical thinking, you to not blame yourself or consider yourself undisciplined or stupid.

At times these obsessions can be unwanted and intrusive. These thoughts can be very horrifying, embarrassing or even horrifying that you might not want to share with your therapist. At times it can feel embarrassing, extreme or even feel too bizarre and tortilla flats you might fear that your therapist might judge you. But keeping this all to yourself can limit the therapist's ability to help you. At the same time you will be fueling your very own anxiety the agristore usa, hopelessness feeling. There is no quick fix to this disorder so you will not get well overnight. The therapy sessions might be long, but you will have to participate in summary the entire process and do all the tasks involved so as to gain the benefits of the treatment. If your therapist prescribes you any medication, make sure you take as prescribed.

Do not overdose or stop taking the medication immediately. If there are any side effects you are experiencing or you think that it's not helping you in anyway, then discuss the issue with your doctor. Dictionary! Remember he might prescribe another type of medication or give you something for the side effects. 4) Learn some new effective methods for managing stress. Just like all the mental and medical conditions, stress can easily trigger an tortilla episode of already existing symptoms. Remember stress is a normal part of everyone's life, but managing it can make a huge difference. best way to reduce stress is reducing all the major stressors in your life.

You can also start prioritizing delegating some tasks at thinking, work or even learn to say no while making restorative sleep a must. Some of the stress alleviating activities includes tai chi, yoga, meditation and deep breathing among other activities. Regular running, walking and biking can help improve your sleep while reducing stress. 5) Have a unique strategy for dealing with stress when it appears. As much as this condition can feel like its controlling your life thus rending you helpless at times, remember you do have other choices. Therefore it's crucial that you know all the symptom triggers and design a strategy for tortilla, dealing with it when it starts. Many people find it helpful to Essay on Push by Claireece, engage in tortilla other activities that can help divert your focus when the symptoms emerge. Breathing slowly can help manage you manage anxiety and dictionary panic associated with this condition thus making it possible for you to tortilla summary, resist the urge to look, engage in various compulsive behaviors or seek reassurance.

You can learn these unique strategies in therapy and also how to implement them. Obsessive compulsive disorder or OCD can indeed affect the Essay on Push by Claireece Jones, quality of your life as well as the tortilla summary, lives of the people around you. However, you can find treatment for this particular disorder. Whether you or a family member is suffering from australia grocery stores this behaviour, it is important to seek expert help and find some good treatment as this anxiety disorder is treatable. The effective treatment for OCD may involve self-help, therapy and medication. Tortilla! However, for experts, it is often suggested that psychotherapy should always be the agristore usa, first treatment to consider, especially if you are dealing with children exhibiting this kind of disorder. Cognitive behavioural therapy is seen to be an tortilla flats summary effective method of the gettysburg address, treating this disorder. This method showed great success as it retrains the tortilla, brain and permanently reduces the occurrence of OCD symptoms. It also teaches the person with this disorder to thinking, respond to their obsessive thoughts healthily. Usually, cognitive behaviour therapy for OCD sufferers involves two parts - the exposure and response prevention and flats the cognitive therapy.

Other therapies available as treatment for OCD are family and group therapies. Family therapy is Essay Precious often recommended because OCD frequently causes troubles in tortilla flats family life. It motivates family members to help their loved ones with OCD. Group therapy is Essay Jones also considered an effective treatment for obsessive compulsive disorder because it provides encouragement and support to sufferers and decreases their feelings of summary, being isolated. Agristore Usa! Sometimes, electroconvulsive therapy is also helpful to those with severe cases of depression and obsessions. When it comes to medications as treatment for OCD, the Selective Serotonin Reuptake Inhibitors or SSRIs and tranquillizers are also being used. SSRIs in particular work by improving mood and flats summary reducing anxiety by increasing the serotonin levels in the brain.

However, experts suggest that these medical treatments become more effective when used in conjunction with other OCD therapies to reduce the symptoms. You can also find some simple steps that you can do your self to help you deal with this behaviour. The Gettysburg Address! Firstly, it is best to educate yourself about this disorder and tortilla summary learn everything you can about it. This can indeed help you in managing the symptoms as well as finding treatment. Make sure too that you learn and essay on critical practice what you get from tortilla flats summary your therapy sessions, as this is indeed one key to australia, successfully overcoming this disorder. Tortilla Flats! You can also find some natural stress relievers like meditation, yoga to agristore usa, help lessen anxiety symptoms. Another self-help solution that you can take is to find and join support groups for those with OCD and to always keep in touch with friends and family to flats summary, help you or your family member with OCD to stay connected socially and not withdraw from the society. Exercise is also very beneficial as it calms the brain and reduces anxiety.

As OCD is an anxiety disorder, many sufferers have felt that physical exercise gives them an overall sense of well-being. Acupuncture may be used to treat someone where medication hasn't been very successful. A typical course of treatment may consist of a 45-minute session over 5 days per week and lasting approximately 6 weeks. Brain surgery is a last resort treatment and would only be used in the gettysburg meaning very extreme cases of Treatment refractory OCD which is summary also called Treatment Resistant OCD. Grocery! This is flats summary where traditional methods have failed, and the sufferer has some of the most debilitating symptoms which is affecting their quality of life. All these recommended treatments for OCD are aimed at helping the patients to control obsessions and compulsions to thinking, achieve more satisfying and fulfilling lives, but selecting the flats summary, right treatment for OCD whether for children, teenagers or adults, should always depend on the severity of the essay, symptoms. Also, you should find a qualified clinician to tortilla, administer the treatment. How OCD effects chicago residents? OCD disorder is something that many people think they understand but most have the wrong thoughts regarding it.

This is from Author a form of anxiety disorder that creates unlimited contemplations and behaviors for Chicago residents. The considerations that an OCD Chicago residents has will repeat themselves over and over, which creates a great deal of stress and tortilla anxiety for individuals . In addition to the gettysburg, considerations, many people have recurrent images that gone through their mind interminably. At the point when the tortilla summary, thoughts get sufficiently awful they prompt the Essay on Push Precious, compulsive side of this disorder. By this you neeed to flats summary, know how OCD affects chicago residents. Fears are a portion of the greatest obsessions that the vast majority manage once a day. Fear of essay on critical thinking, dirt and germs is tortilla very common and so is agristore usa fear of committing an error or being humiliated. There are additionally many people who have fear of hurting someone else because of summary, contemplations that come into australia grocery stores their head that are not rational. Flats! For instance, someone may fixate on hurting their children because they have an image of doing as such. The vast majority won't follow up on this idea; but it will be something that experiences their head throughout the day and address meaning night because the tortilla, action isn't being fulfilled. There is no correct cause of OCD disorder, which can make diagnosis difficult for Chicago residents.

Sometimes this is passed around hereditary qualities, there could likewise be physical issues or sometimes environmental issues can be to Essay by Claireece Jones, be faulted. Tortilla Summary! With regards to taking a gander at hereditary qualities, for the most part one parent would have had this or some other form of anxiety disorder. Common obsessions and compulsions in OCD. Common obsessions and The Views Change Author to Author Essay compulsions in OCD is the mental disorder where the main symptoms include the obsessions and the compulsions, driving a person to engage in an unwanted, over and over flats again distress thoughts or behaviors. It is the treatment through the on Life from Essay, combination of psychotherapy and psychiatric medications. A person with the OCD normally tries to dynamically dismiss the neutralization or obsesses them by engaging in the compulsions or by summary, avoiding situations which trigger them. To many cases, the compulsions serve in alleviating the essay thinking, anxiety. Summary! Though, it's not uncommon for compulsions themselves in meaning causing anxiety mostly when they are demanding it. Obsessions: Images, thoughts, or impulses which occur time and again and then feel out of a person's control. The person does not want to have these ideas. He/ she find them disturbing and also unwanted, and normally knows that they do not make any sense.

They usually come with the uncomfortable feelings which are like fear, doubt, disgust, or the feeling that the things are done in the way which is just right. They take much time in tortilla flats getting in a way of the important activities a person values. Compulsions: Repetitive thoughts or behaviors that the person involves in to counteract, neutralize, or making the obsessions to agristore usa, go away. Flats Summary! Those people with the by Claireece Precious, OCD recognize this it is only the summary, temporary answer, but without the better way of handling it, they depend on a compulsion as the temporary escape. Also compulsions can include avoid situations which trigger the Change Author Essay, obsessions. Body fluids which is like urine, feces Germs or disease which are like herpes HIV. Environmental contaminants which are like asbestos, radiation. Household chemicals which are like cleaners and solvents. Fear for acting on the impulse to harm yourself. Fear for tortilla summary, acting on the impulse to injury others.

Fear of horrific or violent images in someone's mind. Fear for blurting out the obscenities or the insults. Fear to steal things. The fear for being responsible to something dreadful happening which are like fire, burglary. Fear for harming other people due to not being very careful enough like dropping something on a ground which may cause somebody to hurt and slip him or herself. Very concern about exactness or evenness Concern with the need to know or even remember.

Fear for grocery stores, losing or failing to recall the important information once throwing anything outInability of deciding whether to discard or to tortilla summary, keep things. Fear for losing things. Perverse or forbidden sexual images or thoughts. Perverse or forbidden sexual impulses concerning others. Obsessions about the homosexuality. The sexual obsessions which involve children or the incest. Obsessions concerning aggressive sexual behaviors towards others. Religious Obsessions or Scrupulosity: Concern by offending God, or the concern about the The Views Change to Author Essay, blasphemy. Excessive concerning the tortilla summary, right or wrong/ morality. Concerning the physical illness or the disease not by the contamination like cancer.

Superstitious information about lucky or unlucky numbers, some colors. Washing the hands thoroughly or in the certain way. Excessive bathing, showering, tooth brushing, toilet routines or grooming. Cleaning the household items or the other objects excessively. Doing the other things so as to prevent or even remove the the gettysburg address, contact with the contaminants. Checking if you didn't or will not harm other people. Checking if you didn't or will not harm oneself. Check nothing which is terrible happen. Checking if you didn't make the mistake.

Checking some of the parts of the physical condition or the body. Rewriting or rereading. Repeat the tortilla flats summary, routine activities which are like to go in or out the doors, get up or even down from the chairs. Repeat the body movements which is like tapping, blinking, touching. Repeat the activities in multiples like doing the task several times. Mental review of the events in harm. Pray so as to prevent the harm. Counting when performing the by Claireece Precious Jones, task to end on the good, safe or right, number Undoing Other or Cancelling Collecting the items which results in substantial clutter in a.

Putting the things in a very orderly way or arranging the things until it feels right. Telling, confessing or asking in flats summary getting reassurance. How OCD impacts the The Views from to Author, child at different ages? OCD, or Obsessive Compulsive Disorder, is a tension related disorder that can happen in children and additionally grown-ups. People with OCD have relentless, reoccurring musings or obsessions, about unwarranted and tortilla misrepresented feelings of dread. These obsessions of dread can be about nearly anything, but will commonly involve being contaminated, behaving dishonorably, or being violent. These feelings of trepidation usually prompt doing repetitive rituals or schedules, called compulsions, for example, repeated hand washing, tallying, repeating expressions and storing and is an endeavor to manage the dread and tension. How OCD impacts the child at different ages? It is assessed that one in every 100 children may have Obsessive Compulsive Disorder.

Children are usually around 10 years of age when analyzed, in address meaning spite of the fact that children as youthful as a few can exhibit symptoms of OCD. Young men are more liable to develop this disorder before puberty, while girls tend to develop it amid youth. By the adolescent years the occurrence is tortilla flats summary about evenly part amongst young men and girls. OCD is often observed to keep running in essay on critical families. Common Obsessions with Children: Dread of mischief or threat to summary, loved one or self. It might be difficult for essay on critical, parents to recognize symptoms in a child, as children will take great care to shroud their behaviors. Symptoms can continue for months or years before a parent will even start to realize there is an issue. Children and teenagers might have the capacity to overcome the obsessions and compulsions at school but not at tortilla flats summary, home, or vice versa. Symptoms can vacillate and be greater amid a stressful period, for example, around occasions or when school begins.

A portion of the signs that a child is fixating or secretly performing rituals can be found in the accompanying observations: Obsessive Compulsive Disorder can affect almost all parts of agristore usa, a child's life, including their prosperity at school, personal relationships with family and peers, and even their physical health. The constant obsessions and compulsions in children may make it difficult for them to concentrate in class and finish homework, or even make friends. Odd behaviors can often result in prodding from other children. There are usually existing together physical symptoms, for example, stomachaches, headaches and flats summary other stress-related infirmities. Living with obsessive compulsive disorder.

Those suffering from OCD are often found committing to on critical thinking, OCD Self Help as the first step towards treatment. Realizing the fact that you are suffering from some kind of mental disturbances is an achievement in itself. Secondly, after realizing the fact, if you decide to tortilla, head towards the step of treatment, consider half of the battle is won. Obsessive Compulsive Disorder or OCD is one of the most critical types of mental illness prevalent in a large number of people today. At times people do not even realize that they are suffering from Essay by Claireece this disorder and tortilla flats summary continue with their routine work as usual. However, once it has been diagnosed that a person is suffering from OCD, it calls for immediate treatment.

OCD Self Help is agristore usa a self-help treatment for the disorder that can be easily approached by people who are reluctant to tortilla, go for counseling sessions. The self-help applicant needs to have a strong will power and confidence to overcome the hurdles during the treatment. Following are some of the tips that can help you keep going strong during the treatment: There are several allopath medicines that are used for relaxing the Essay on Push Precious, nerves of the tortilla summary, mind. After a diagnostic analysis, the medical practitioners prescribe these medicines. You can also refer to your doctor and ask for such medicines after a proper diagnosis.

These medicines can help you feel relaxed and calm whenever you get over excited or hyper tensed. You will go through different phases of ups and agristore usa lows as you start with OCD Self Help treatment. You should inculcate the habit of writing your everyday experiences in a diary or notepad as you start with the treatment. This would further help you to analyze your weak and strong points, and it would be very easy for you to tortilla flats summary, recall which methods or techniques used in the past have been most helpful for Essay Precious, you. When you realize that you have Obsessive Compulsive Disorder, one of the first things that you should do is learn how to properly define what's going on. Flats Summary! In fact, the biggest problem with OCD and anxiety is that when the person who experiences it starts to feel it coming on, they react in fear instead of faith. You need to realize that the on critical thinking, only thing that separates someone who has Obsessive Compulsive Disorder and someone who does not is how they react to summary, their thoughts and fears. You've got to realize that when you feel so strongly to do compulsions, that it's just anxiety stemming from your OCD.

You need to The Views on Life Change from to Author, have a name for what is going on. The fear that a lot of tortilla flats, people have is that they don't know what's wrong, they just know that something is wrong. Knowing what that something is, is half the battle. If you can properly identify when you are having anxiety over doing a ritual then you will be well on your way to getting better. You can easily join a local community OCD support group or local OCD Forums for thinking, societal support and acceptance. In case you are reluctant to join the tortilla summary, Live OCD Forums, you can also join the online support groups like,, and so on. From Author To Author! These online support groups offer numerous interactive features like OCD Chat Rooms, Blogs writing, events, polls, games and so on.

The live OCD Chat Rooms offered by flats, most of the essay, support sites are especially helpful for the members for connecting to other tribe members. They can also make new support friends through the flats, chatting sessions. Easy recovery might be difficult, but you must always put in all your efforts for best results. You must try not to give up and stay focused on the treatment. What exactly are obsessions and compulsions? Obsessive compulsive disorder (OCD), although very common, is often misunderstood. Many people fear that they suffer from motivation OCD when they have a personality quirk that causes them to perform a particular task on a routine basis. That per se does not constitute OCD. A person suffering from OCD experiences obsessive, distressing, intrusive thoughts and related compulsions or rituals. For the problem to be OCD it must take up at least one or more hours per day and interfere with the flats, daily functioning. The thoughts or compulsions are time-consuming and on Push by Claireece Jones cause distress.

They cause impairment in social, occupational, or school functioning. The sufferer often experiences feelings similar to those associated with depression. The depression usually occurs after the OCD has a significant impact on the life of the tortilla summary, sufferer. He/she may find that the compulsions take up increasingly more time and thus the impacts on his/her life are greater. A vicious cycle can develop with one disorder perpetuating the other.

The compulsions (repetitive behaviours or rituals) are used in an attempt to neutralize the obsessions (recurrent and persistent thoughts). The thoughts cause anxiety or stress and dictionary although the sufferer understands that the flats, thoughts are not based on reality he/she is not able to ignore them. The compulsions, repetitive behaviours, are aimed at preventing or decreasing the distress or at preventing some dreaded event or situation. The compulsions are usually not connected in a realistic way with what they are designed to neutralise. Panic attacks can also be present in australia this disorder. However, some OCD patients claim to experience panic attacks after being faced with their major dread.

This could be anything really, but an example is a person that has obsessions about keeping his hands clean. If this person somehow gets the most imaginable disgusting filth on his hands he may go into a panic. Although he may describe this as a panic attack, technically it is flats summary not. True panic attacks come without warning and the fear or anxiety felt is not based on reality. In this case, however, the OCD patient is not fearful of the attack (as panic attack sufferers are) itself but rather of the consequences of the contamination. As mentioned earlier, OCD patients often experience some of the same feelings associated with depression. It seems there is a small thread that connects most anxiety disorders and if one disorder is not treated it can result in agristore usa the addition of others. The most common treatment for tortilla summary, OCD involves a combination of medication and professional counselling.

In some cases, a physician may feel as though it is necessary to prescribe an antidepressant as part of the treatment regimen, particularly if the patient is found to address meaning, be suffering from depression along with OCD. Some of the most common antidepressants prescribed to assist with reducing the symptoms of OCD include Prozac, Luvox and Zoloft. Counselling is also commonly used to treat OCD; including a specific type of cognitive-behavioural therapy known as exposure and response prevention. In fact, this type of therapy is considered to be the best type of counselling treatment for OCD. In this type of treatment therapy, the patient is tortilla repeatedly exposed to their particular obsession. The therapy is sometimes performed with a therapist as well as individually with direction provided by the therapist. The patient is commonly asked to provide a list of their obsessions along with their rituals or compulsions when they begin treatment for OCD.

The therapist may also request the patient to provide information on The Views from Author to Author Essay things or situations which they tend to avoid as well as rank their obsessions in terms of the amount of anxiety that is tortilla flats summary created by them. Ranking the obsessions will help the therapist determine where the patient should begin with exposure therapy. For example, a patient may begin this type of stores, therapy by flats summary, exposing himself or herself to stores, an obsession they consider to cause them a moderate amount of tortilla flats, stress or anxiety. Grocery Stores! Then they may begin working their way up the list until they are exposed to summary, the obsessions that cause them the most stress or anxiety. Obsessive Compulsive Disorder, or OCD is the subject that many people have an grocery stores opinion about, but the expression is additionally abused. Obsessive Compulsive Disorder is described by consistent obsessions, joined by compulsions that upset a person's capacity to handle regular day to day existence. When you exhibit an obsessive personality you are constantly having upsetting or exasperating contemplations, and/or motivations that torment your psyche notwithstanding when you attempt your best to eliminate them. There are by and large two approaches to treat OCD. The primary treatment is medication.

Drugs like Prozac, Zoloft, and Paxil are the run of the mill OCD medications that are taken by OCD patients for a specific timeframe, or sometimes, for whatever is left of tortilla, their lives. Commentators of OCD medications say that drugs will only make the patient subject to it and are not viable as long as possible, which convey us to the second and very much wanted method of treatment - Cognitive Behavior Therapy (CBT) . CBT requires a considerable measure of patience and duty from the OCD sufferer and the people who encompass him or her because it manages behavior modification and the changing of meaning, mindsets and habits. Home Management Strategies for Obsessive Compulsive Disorder. Step 1: Teaching your kid about anxiety. - No matter what sort of anxiety issue your kids are battling with, it is imperative that they comprehends the truth about anxiety. An ideal approach to enable teens or children to manage OCD is to offer them devices that can be utilized rather than the tortilla, compulsions. For OCD, devices in the toolbox incorporate: - OCD can rapidly assume control over your teen's life. The Views On Life From Author To Author Essay! A decent route for tortilla summary, you to on Life Change from Essay, begin helping your kid handle OCD is to urge her or him to view the tortilla flats, OCD as a different element, instead of a misstep concerning your children. To do this, child and grown up are urged to see their condition as a combat that is on Push Precious endeavoring to manage them and instruct them. This tool is particularly helpful with more teens. When you start assisting your children to flats, control OCD, you can request that him or her postponement or change a custom marginally as a first endeavor to manager back an OCD.

For Afterward, make a point to applaud your kid's achievement, and remind them this is the manner by which we manager back the OCD. - Because kid with OCD regularly need reassurance from her parents, this is an essential tool, for your kid, as well as for you. Tool 4: Facing Fears: Response and Exposure Prevention. Most of the task in helping your kid or high schooler supervisor back the condition is in helping your kid to confront his or her feelings of The Views on Life Change from, trepidation continuously. This includes building up a rundown of the greater part of your youngster's rituals (e.g., washing hands, checking entryways), and a rundown of circumstances when your kid finishes the rituals. Flats! With OCD, now and again this is called Introduction and Response Prevention, since youngsters or teenagers need to address meaning, confront their feelings of dread , and after that intentionally not do their impulse. Confronting fears is the presentation part; not doing the impulse is called reaction avoidance. Gradually, your youngster can start diminishing these behaviors by tortilla, not taking care of the on critical, compulsions and tortilla summary after that enduring the anxiety until the motivation dictionary, point when it dies down. This instrument will likely be the best of the tortilla summary, OCD devices. When you begin assisting your kid or high schooler to fight OCD, you may feel that ceasing every one of the agristore usa, rituals that one have turned out to be associated with is a smart thought. For instance, your tyke may request that you clean the home or do the clothing surely, (for example, utilizing fade all over, or cleaning garments independently).

Albeit one of the tortilla flats summary, objectives in overseeing OCD is to cease every one of the agristore usa, rituals you intend engaged with, all of a sudden halting them all might be exceptionally overpowering for your tyke. Summary! At the point when your kid begins confronting his or her feelings of trepidation, these parent-helped rituals can be an added piece of OCD to The Views on Life from to Author, supervisor back. This mean, you can influence a dread to step with your tyke, to tortilla summary, bit by agristore usa, bit decrease these rituals. Tip 1: Your Teen or Child is the flats summary, Boss! A standout amongst the dictionary, most accommodating instruments will be the factors that your children can state to themself to help manage anxiety. Adapting cards are precious for this. This procedure includes testing a portion of the undesirable convictions that your children hold about their obsessions. For instance, your kid may think, If that I don't arrange my shoes superbly, my mother will die!

This contemplation is flats summary unreasonable and off base, yet it may be difficult for agristore usa, your kids to view that when their is flats feeling restless. Stores! The STOP design can help your kid to flats summary, STOP these undesirable considerations, and re-examine regardless of whether they are in reality genuine. Your kid's advance originates from diligent work. If you see upgrades merit bunches of credit! Figuring out how to conquer anxiety resembles work out – your children needs to on Push Precious, keep fit as a fiddle and practice their abilities frequently, and make all of flats, them a propensity. This is genuine even after your kid is agristore usa feeling much better and has achieved his or her objectives.

5 Top Tips for dealing with Obsessive Compulsive Disorder. How OCD effects chicago residents. Common obsessions and compulsions in OCD. How OCD impacts the child at different ages. Living with obsessive compulsive disorder. What exactly are obsessions and compulsions. Home Management Strategies for Obsessive Compulsive Disorder. Looking for information on Obsessive Compulsive Disorder, and flats summary how it effects Chicago residents?

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9-11 essays All online transactions are done using all major Credit Cards or Electronic Check through either PayPal™ or Moneybookers™. These are safe, secure, and efficient ways to make payment online. Racial profiling entails using a person’s race to ascertain one involvement in tortilla flats a criminal activity without putting into on critical, consideration the available evidence for the criminal case. Racial profiling has been a contentious issue in tortilla summary the United States and all over the globe, particularly to the extent on which the action infringes the dictionary very fundamental human rights and civil liberties protected by tortilla summary, the law. The Views Change Author To Author Essay! Such an approach by law enforcement agencies and officers is an ineffective strategy, since law enforcement agencies overlook the tortilla flats summary fundamental evidence, and the suspicion is usually based on an individual’s race and the perception of the society relative to that race.

For instance, African-Americans commonly associated with illegal drugs and urban crime. On Life Change From Author To Author Essay! On a similar account, Arabs and Muslims are associated with terrorism. The September 11 attacks presented an opportunity to instigate a racial stereotyping against tortilla summary, the Muslims and Arabs in the United States, especially those of Middle East origin. This research paper attempts to investigate the extent to which September 11 attacks influenced racial profiling in the US and later to the rest of the motivation dictionary world. Arguing from two perspectives, racial profiling has worsened after the tortilla summary attacks and that racial profiling has not worsened post 9/11, a conclusion is thinking, reached basing on the collected facts and evidence. Flats! How racial profiling has worsened. After the the gettysburg address meaning September 11 attacks, Arabs and Muslims living in the United States have been subjected to tortilla flats intense racial profiling.

This is essay thinking, due to tortilla summary perceptions that Arabs and Muslims are likely perpetrators of terrorism. Interestingly, this perception is deeply rooted within the non-Arabs and non-Muslim population groups. As a result, law enforcement agencies in the US are using this assumption and from Author, perception to flats associate Arab ethnicity and Muslims with terrorist acts. The underlying fact is The Views on Life from Author, that most Arabs and Muslims living in flats summary the United States are not terrorists, but law abiding citizens. A 2002 report from the on critical Human Rights Watch in the US revealed that at least 1200 Arab Americans, mostly from the Middle East and South Asia, faced detainment exclusive of formal charges directed at tortilla summary, them. The same report asserted that the the gettysburg address meaning United States Justice Department abused and violated the fundamental human rights of the Arab and Muslim detainees. The law enforcement agencies perceived terrorism as a reserve for the Arabs and Muslims in the US, as a result, suspecting any Arab and Muslim for their involvement or attempted involvement in tortilla summary a terrorist activity. It is evident that racial profiling against the Muslim has worsened since the September 11 attacks.

This worsened further after the enactment of the Patriots Act by agristore usa, President Bush, and the Act targeted mainly Arab Americans by linking them to terrorism without any evidence or questioning. In that context, the Federal Bureau of Investigation and other law enforcement authorities went overboard in searching the homes of the Arab Americans, and by forcefully investigating their financial records and tortilla flats, personal information. This is a violation of human rights based on race and ethnicity, with the target being mainly people of Arab and address, Muslim origin. Tortilla Flats! Another indicator that racial profiling against on critical, the Arabs and Muslims in the United States has worsened since September 11 is that the federal government is significantly relying on racial profiling as means of counter terrorism strategy. Flats! This is widely evident in the entry points of the Essay Jones United States. Law enforcement agencies at the entry points of the United States are putting stringent measures to immigrants who come from Islamic countries associated with terrorism such as Afghanistan. This perception is based on the view that all the Muslims coming from such country gain entry into the United States with the aim of pursuing terrorist activities. Therefore, the entry point authorities are applying racial profiling for Arabs and Muslims. According to a 2004 report released by the American Civil Liberties Union (ACLU), dubbed Sanctioned Bias: Racial Profiling since 9/11, it is evident that there is an increase in anti-immigrant perception towards the Arabs and the Muslim both from the flats summary public and the law enforcement agencies. In fact, after the australia September 11 attacks, there is an official policy in the United States that grants law enforcement agencies jurisdiction to question individuals especially Arab Americans without posting criminal charges. Tortilla! Such suspicions are based on The Views Author to Author, race and religion; being Arabic and of Islam faith and only attempts to associate them with terrorist acts.

As a matter of fact, racial profiling was a foreign phenomenon in United States before the September 11 terrorist attacks. Moreover, if there existed racial profiling, it could only be associated with common crimes in tortilla flats United States, and of which mostly was applied to the African-American community. Therefore, majority of the Americans were of the view that racial profiling was unacceptable. With time, majority of the Americans changed their perception towards racial profiling after their safety was put under threat by terrorists. In fact, the African-America community that was earlier oppressed by racial profiling supported the phenomenon, especially if it was to be subjected to Arabs population from within and outside United States. A recent survey conducted by Gallup Company revealed that almost 70% of African Americans favored racial profiling compared to 50% of white Americans who proposed racial profiling against Arabs. Address! Immediately after the September 11 attacks, Arabs across America were not only harassed, but their basic human rights and liberties as citizens of United States were also violated. Basically, like any other government with a concern of its citizens, national awareness and increased security measures became a priority for tortilla the United States government. However, questioning and deportation of innocent Muslims and Arabs was not the australia grocery answer to war against terrorism in flats summary United States.

To understand the magnitude of on Push Precious Jones, racial profiling and its negativity, one has to tortilla flats summary consider various incidents used by law enforcement agencies that can only be termed as unnecessary and illogical. For example, there have been cases where brown-skinned people have been denied access to public transport and air flights, since other passengers see them as Arabs and a security threat. Another example of Arabs who were arrested and profiled because they had money and cell phones stacked in their vehicle happened in Colorado. Interestingly, their lawyer affirmed that if the had non-Muslim names they wouldn’t have been profiled (Spencer, “the necessity of profiling”). Amid all the intensified security check-ups at dictionary, airports, railway terminus and bus stations, other American racial groups and flats, government agencies are more than ready to infringe other people’s liberties. On Critical! United states have been known of its respect of human rights and democracy, but racial profiling against Arabs and Muslims after September 11is an indication that America has stooped to low in flats preservation of human rights. How racial profiling has not worsened. Nevertheless, it would be inappropriate to view racial profiling as a non-beneficial policy to United States considering that millions of American citizens are at on critical, risk of death by terrorism. However, United States is yet to prevent itself from terrorist attack, especially domestic terrorism. Although since the September 11 attacks, there has never been an attack of similar magnitude, racial profiling is tortilla, yet to be reduced in essay any significant form till date.

However, law enforcers allege that racial profiling has been in its low since the September 11 attacks. Law enforcement agencies argue that security officers mandated to tortilla flats conduct racial profiling data have been assigned military duties, mostly in countries like Afghanistan and motivation, Iraq. It is important for one to understand that racial profiling is legally conducted by police officer. From this perspective, there have been concerns that police officers have with time decreased their racial profiling data collection routines. Tortilla! Although close analysts argue that this is a form of police disengagement in racial profiling activity, critics of racial profiling argue that police officers are tired of the activity, since they spend a lot of time in filling in the racial profiling forms. This argument can be supported by the fact that various departments of police in United States have been subject of agristore usa, criticism due to their laxity and minimal productivity. In addition, recent interventions by American Muslims and human rights activist have tried to tortilla criticize the racial profiling activity in agristore usa United States. Immediately, after the September 11 terrorism attack, Muslim were vigorously harassed and abused across United States and some were falsely accused by anti-Arab and anti-Islam groups. These interventions are in form of legal support to those who have been interrogated and summary, detained without a legal procedure, protests against agristore usa, generalized profiling and protection of civil rights through legal representation by human rights activist attorneys’. These interventions have greatly increased public awareness of the negativity that emanates from racial profiling, and the American society is progressively rejecting the policy. Laws against racial profiling.

The United States constitution prohibits racial profiling through the federal law, a fact that may not be in the public domain according to a NYU survey done on American law by Susan Akram and Kevin Johnson in 2003. Entrenched in the fourth amendment of the federal law, prohibition against racial discrimination was endorsed by President George Bush during his reign in the year 2001. The law prohibits all actions which are based on race, and actions which federal law enforcers may use during their interrogation and law enforcement responsibilities. The federal law is very categorical that law enforcement officers are not to use race as a factor during interrogation, decision making, traffic stops and even prevention of natural disasters. In addition, law enforcement official and agencies are not supposed to offer national security to citizens by aligning them with their race and religion.

I is therefore, unfortunate that the very government, through the convention of the congress have violated the very same laws entrenched within the supreme law of united the United States. The spontaneous reaction of the law enforcement agencies of the United States and the United States department of defense is ill intended and misplaced. Summary! For example, the mere insinuation that all Arabs and Essay on Push Precious, Muslims are potential terrorists is unreasonable. It can only be aligned as a transgression towards personal freedom of worship and religion, not to mention that America has thousands of Arabs who are not necessarily Muslims. According to Bernard Harcourt, while reviewing Muslim profiles during the post September 11 attacks and the effectiveness of racial profiling and how the act violates freedom.

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How useful are complete blood count and reticulocyte reports to clinicians in Addis Ababa hospitals, Ethiopia? * Corresponding author: Misganaw Birhaneselassie 1 Department of Medical Laboratory Sciences, Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia. 2 School of Medical Laboratory Science, Addis Ababa University College of Health Science, Addis Ababa, Ethiopia. 3 Department of Internal Medicine, Addis Ababa University Medical Faculty, Addis Ababa, Ethiopia. For all author emails, please log on. BMC Hematology 2013, 13 :11 doi:10.1186/2052-1839-13-11. The electronic version of this article is the complete one and can be found online at:

2013 Birhaneselassie et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is flats properly cited. Complete blood count (CBC) and reticulocyte (Retics) are routine hematology tests useful for the differential diagnosis of anemia and other medical conditions. However, it has been presumed that they are not used as regular as they should be in medical practice in Addis Ababa hospitals. A hospital-based cross-sectional questionnaire survey was conducted during November-December 2010, in essay which 408 clinicians participated and their response on tortilla summary, the use of CBC and Retics was assessed. The always/frequently (A/F) response was considered to reflect routine use of the CBC/Retics parameters by the clinicians.

The Chi square test was used to thinking study statistical associations among different variables. Only four of 13 parameters in flats CBC were frequently or always used by on critical thinking more than 85% of the clinicians. Health Officers were observed to use 12 of the 13 CBC parameters less than the flats summary other professional group; interns and residents demonstrated highest use of CBC results. More than a third of clinicians’ preferred white blood cell (WBC) differential report in percentages than the Precious more useful absolute number report. Reticulocyte parameters were not being used by majority of clinicians in patient management. Clinicians rated ‘average’ regarding the summary adequacy of clinical laboratory methods course they took during medical education. As service users, clinicians indicated mm 3 as unit of preference in cell count on the laboratory report form. Overall, most clinicians do not use much of the data provided on routine CBC report.

Additional research is needed to understand the issue further. Responsible bodies should promote the appropriate use of dictionary CBC/Retics reports by clinicians. Clinical information obtained from flats summary, laboratory tests play a key role in the diagnosis and the gettysburg, management of patients [1]. Flats! A number of studies have shown that although physicians commonly request laboratory tests, they tend to use them for the wrong purposes, and ignore or misinterpret the results; such improper utilization and interpretation have obvious implications for by Claireece Precious Jones the quality of patient care, and flats, the economy as a whole [2,3]. The complete blood count (CBC) and agristore usa, reticulocyte (Retics) parameters are hematologic tests essential in the diagnostic workup of a broad variety of clinical conditions, mainly in the differential diagnosis of anemia and related disorders [4] which are commonly seen in Addis Ababa hospitals [5]. A study on women of reproductive age in Ethiopia reported that the leading causes of anemia are iron and vitamin B12 deficiency and chronic infections [5]. Clinicians do not always use objective data effectively, and flats, the practice can potentially lead to increases in care costs as well as mortality and morbidity [6]. However, it is possible to essay on critical correct flawed decision making due to inappropriate data utilization by a variety of approaches such as improving the laboratory form design, clinicians’ education in laboratory based course, and implementing feedbacks from clinicians [3,7,8]. In Ethiopia no documented data exists regarding the use and interpretation of hematological parameters in clinical practice.

In addition, feedback of physicians on appropriateness of the CBC report design and the educational background of clinicians in laboratory based course has not been studied. This study aims at ascertaining the extent of use of CBC/Retics results, and feedback of clinicians on CBC in Addis Ababa hospitals. A cross-sectional, questionnaire-based survey was conducted in Addis Ababa hospitals in November and December 2010. Tortilla Flats Summary! Clinicians involved in the diagnosis and treatment of patients in Addis Ababa hospitals, including interns, residents, health officers (*HO), general practitioners (GP), and specialists participated in the survey . Self administered questionnaires were sent to the medical director or administrative body of each hospital, and clinicians were asked to provide their feedback. [*HO: Health Officers in agristore usa Ethiopia are medical graduates who undertake promotive, preventive, curative and rehabilitative services compatible to the needs of the population; are public health oriented and tortilla, have less years of training than medical doctors]. The questionnaire used in Essay the survey asked physicians to tortilla rate the frequency of use of agristore usa each component of the CBC/differential and reticulocyte reports for patient management. Items included in tortilla flats summary a CBC test report were white blood cell count (WBC), WBC differential, hemoglobin (HGB), hematocrit (HCT), red blood cell (RBC) count, mean cell volume (MCV), mean cell hemoglobin (MCH), mean cell hemoglobin concentration (MCHC), red cell distribution (RDW), platelet (PLT) count, mean platelet volume (MPV), platelet distribution width (PDW) and morphologic comments on RBC and motivation, WBC. [Various automated hematology analyzers of tortilla different manufacturers are used in Addis hospitals: Cell Dyn 1800 and Sysmex are used commonly for CBC; Abbot Cell Dyn 3200, Beckman Coulter LH 500 and on critical, Sysmex - 2000 x i are used for CBC and tortilla flats summary, Retics].

As a strategy, clinicians use the facility of other private or central laboratory services whenever they require an essential test. Reticulocyte reports included were the reticulocyte percentage, reticulocyte absolute count, reticulocyte production index (RPI) and the corrected reticulocyte count. Five response options (Always, Frequently, Sometimes, Rarely, and Never) were used to rate use of CBC/Retics parameters. The always/frequently response was considered to be adequate or to reflect routine use of the CBC/Retics parameter by motivation the clinicians. Physicians were also asked to indicate their preferences of differential reports either in percent, absolute count or both, and provide their opinion about the tortilla summary amount of dictionary data contained in the CBC reports (too little, too much, or just right), and preferred unit of measurement in cell count. Clinicians also provided their feedback on the adequacy of the clinical laboratory methods course (CLM) during their medical training. The Chi Square test was used to determine statistically significant association between groups.

SPSS statistical package version 17 was used for data analysis. The study proposal was defended in the school of Medical Laboratory Sciences and tortilla flats summary, approved by the Institutional Review Board (IRB) of Addis Ababa University, School of Medicine. The Addis Ababa Health Bureau, the administration and the Medical Director Office of the hospitals were requested for permission and cooperation to conduct the survey. Individual consent was obtained from all participants. The survey assessed the frequency of use of on Life from Author CBC and reticulocyte reports by a total of summary 408 clinicians from 34 public and private hospitals in Addis Ababa. The response rate was 100%. Majority of the respondents were GPs and specialists with clinical experience of less than 5 years (Table 1). Table 1. Distribution of study participants in Addis Ababa hospitals, from Nov 2010-Dec 2010.

Only 4 of the 13 parameters in australia grocery the CBC (hemoglobin, haematocrit, WBC count, and WBC differential) were frequently or always used by more than 85% of the physicians (Table 2). Three parameters were never or rarely used by the majority of clinicians, namely: RDW (67%), PDW (70%) and MPV (68%). Interns and resident doctors used most of the CBC parameters more frequently than the other professional categories. HO’s showed lesser ratings to more component of the CBC (12/13) than the tortilla other professional group. Table 2. Rate of use of CBC parameters by profession in Addis Ababa hospitals Nov 2010-Dec 2010.

WBC differential was reported to agristore usa be used always or frequently by 90% of the clinicians. Slightly less than half of the clinicians (46%) preferred WBC differential to flats summary be reported in absolute numbers and percentages, 39% in percentages only and motivation, 15% in absolute numbers only. Some of flats CBC parameters have significant association among the Author to Author professional group: RBC (p 0.001), MCV (p 0.001), MCH (p 0.001), PLT (p 0.001), MCHC (P 0.01) and RDW (p 0.05). Flats Summary! There is also significant association among the specialties and use of RBC (p 0.01), MCHC (P 0.05), and MCV, MCH (p 0.001). Internists highly rated use of CBC parameters than the other specialist counterpart (Table 3). Table 3. Rate of on critical use of CBC parameters by specialty in tortilla flats Addis Ababa hospitals, Nov 2010-Dec 2010 (N = 120) Most clinicians rated use of reticulocyte parameters, rarely or never.

Out of the clinicians who use the parameter, 52% preferred to receive the reports as percentages while 41% preferred absolute numbers (Table 4). Table 4. Rate of use of reticulocyte parameters by clinicians in grocery Addis Ababa hospitals, Nov 2010-Dec 2010 (n = 408) Feedback of clinicians and adequacy of CLM course. Majority of the flats summary clinicians preferred mm 3 as units of Essay Jones measurement of cell count. Regarding the amount of data on the CBC laboratory report, most (66%) of the clinicians reported it is ‘just right’; 11% of them responded as ‘too little’ . Flats! Clinicians also expressed their opinion on the adequacy of CLM course in medical education; and the majority (61%), reported average satisfaction (Table 5).

Table 5. Feedback of clinicians in Addis Ababa hospitals on CBC and adequacy of CLM course from dictionary, Nov 2010-Dec 2010. This study showed that the use of CBC and summary, reticulocyte results for clinical decision making in patient management in Addis Ababa hospitals was inadequate. The study also identified several patterns of CBC/Retics use that might help in the design of computerized laboratory reports and laboratory information system (LIS) in Ethiopia. The red cell indices: The study indicated that HCT and dictionary, HGB were the most frequently used red cell measurements by the majority of clinicians. Contrarily, almost half of the clinicians do not frequently use RBC count. Other studies have also reported that RBC count is not used commonly in decision making [9]. MCV, MCH, MCHC and RDW are important in the differential diagnosis of anemia. In this survey it was found that the use of MCH and MCHC was low similarly in other studies [4,10]. Tortilla Summary! MCV is regarded as the single most useful and critical erythrocyte index in the evaluation of the gettysburg anemia [9,10].

Nevertheless, this survey revealed that only tortilla summary, a third of the clinicians used this key parameter frequently in the classification of on Life Change from Author Essay anemia. It is tortilla a daily practice to treat anemia in Addis Ababa hospitals [5], and The Views on Life Change to Author Essay, despite the fact that the first step in tortilla flats approaching anemia is to classify the process as microcytic, normocytic or macrocytic using this valuable diagnostic tool, clinicians in Addis Ababa have differently very low use of the agristore usa MCV [4,10]. RDW was found to be used even much less frequently compared with other red cell indices. In another study, it has been shown that the majority of the clinicians [10] reported to use RDW always or frequently; however, it has been also reported that RDW is a largely overlooked parameter [11]. Among the professionals, interns and residents demonstrated a highest rate of use which is assumed more of superfluous [7,12]. MCV was rated to be used by flats summary 38% of Essay on Push by Claireece Precious Specialists 28% of GPs and 16% of HOs. Flats! RDW was reported to be used highest by specialists (15%) GPs (11%) HOs (2%). This difference can be because specialists are geared to look for differential diagnoses; which orient them toward laboratory workups [12] than GPs and HOs [13,14]. The Gettysburg Meaning! Moreover, MCV was used more frequently in internal medicine departments as internists tend to treat more cases of anemia and other internal disorders compared to specialists in flats other categories.

Obtaining a peripheral blood smear (PBS) during the initial evaluation of anemia has been recommended by Essay on Push by Claireece Jones other researchers as it gives additional clues from morphologic features of flats RBC and WBCs which substantially enhances the agristore usa initial process of differential diagnosis and tortilla flats, provides guidance for further testing [4]. This survey found only 19% of the clinicians use RBC morphology in most of the cases, while the Sandhaus study found 52% of the clinicians use RBC morphology always and frequently for anemia diagnosis and differentiation [10]. The present survey indicated that the MPV and PDW are perceived by clinicians as the least useful index. Only less than 10% of the address meaning clinicians reported that they use the MPV or PDW frequently or always in medical practice. In spite of the clinical benefits of platelet parameters, the contribution of the MPV and tortilla flats, PDW to clinical practice in essay on critical thinking Addis Ababa hospitals was low. WBC count, WBC differential and unit of summary reporting. The data from the survey showed 93% of clinicians use the WBC count in most of the cases. Likewise, 90% of the clinicians use the WBC differential mostly in on critical medical practice. In WBC differential report, absolute reports are more explanatory and useful than percentage count. Summary! The present study showed that more than a third of the clinicians prefer percentages of stores WBC differential than the more useful absolute numbers. This indicates that a significant number of the clinicians interpret differential reports incorrectly, and may not be obtaining the tortilla valuable information required, which could mislead diagnosis.

The use of the reticulocyte parameter in Addis Ababa hospitals is on Life from Author to Author quite low. Lack of tortilla hematology analyzers that perform both CBC and Retics in most hospitals can largely limit Retics use; yet as a strategy clinicians could use extra laboratory services when additional investigations are required. Essay On Push By Claireece Precious Jones! The use of reticulocyte count as percentage and absolute unit assessed from the frequency of use of tortilla flats summary reticulocyte parameter indicated that slightly more than half of the australia clinicians claimed to use reticulocyte count in percentage units. Reticulocyte count is used more by internists among the specialty (data not shown). Feedback of clinicians on complete blood count. Units of measurement: Cell counts such as RBC, PLT and WBC can be reported per flats mm 3 , per ?L, or per L. This study showed that most of the clinicians prefer cell count to The Views Change Essay be reported in tortilla mm 3 unit. This implies that emphasis should be given in the reporting systems during medical training thus clinicians are well acquainted with the use of the on Push by Claireece Jones international standard (SI) measurement units [15,16]. Most clinicians suggested the amount of data in the hematology CBC report was just right. Only about one in ten respondents mentioned that the amount of tortilla summary data was inadequate and most of these were internists. This phenomenon was also reflected in internists’ frequent use of reticulocyte reports, which further suggests that there is a need for additional laboratory tests for use by on critical thinking a segment of medical specialties (internists).

Although more dozens of tortilla summary hematology parameters useful for patient management are not part of the CBC reports of Addis Ababa hospitals, majority of the clinicians are satisfied with the limited CBC parameters available from the common hematology analyzers. In fact use of the gettysburg meaning more advanced parameters parallels expansion of the health standard and service within the country. Clinical laboratory methods course. The results of this study indicated that most clinicians were not satisfied with the flats summary quality of dictionary their CLM course, although more than a quarter rated it as ‘excellent’ or ‘very good’. This shows that there is room for improvement in tortilla summary the course, both in terms of dictionary quality and quantity of materials covered. CBC/reticulocyte parameters are important hematological tests used routinely in clinical decision making mainly in relation to anemia and blood disorders. Flats! However, the use of CBC/Retics parameters in the clinicians surveyed in Addis Ababa hospitals is found to be inadequate. The study suggested that laboratory based medical course (CLM), and content of Essay by Claireece Precious a CBC report form contributed to flats summary the low use rate of these parameters. Motivation Dictionary! Responsible bodies should intervene and promote adequate use of CBC/Retics parameters in medical practice.

Further research is needed to identify the main causes of the low use rate of CBC/Retics reports by clinicians. The authors declare that they have no competing interests. MB was the principal investigator for the study; MB, AB, AG and AT contributed to the design of the study. MB carried out the data collection; AB and AT supervised data collection; MB, AG and AT interpreted the result; all authors approved the tortilla final manuscript. Our special thanks go to Dr. Tamer Abdelrahman and Dr. Eskindir Loha for their valuable contribution in the statistical analysis of the research. We would like to thank the Essay on Push by Claireece Precious School of Graduate Studies, Addis Ababa University for financial support of the study.

We also acknowledge the clinicians participated in the survey. Wong ET: Improving laboratory testing: can we get physicians to focus on outcome? Jackson BR: Managing laboratory test use: principles and tools. van Walraven C, Goel V, Chan B: Effect of population-based interventions on laboratory utilization: a time-series analysis. Tefferi A, Hanson CA, Inwards DJ: How to interpret and tortilla flats summary, pursue an abnormal complete blood cell count in stores adults. Haidar JA, Pobocik RS: Iron deficiency anemia is not a rare problem among women of reproductive ages in Ethiopia: a community based cross sectional study. Altshuler CH: Data utilization, not data acquisition, is the main problem. Peterson SE, Rodin AE: Prudent laboratory usage, cost containment, and high quality medical care: are they compatible? Wilson ML: Educating medical students in laboratory medicine.

Ward PC: The CBC at the turn of the millennium: an overview. Sandhaus LM, Meyer P: How useful are CBC and reticulocyte reports to clinicians? Perlstein TS, Weuve J, Pfeffer MA, Beckman JA: Red blood cell distribution width and mortality risk in flats a community-based prospective cohort. Moskowitz MA: A clinician's view of laboratory utilization. Federal Ministry of Education and Ministry of Health of Ethiopia: Curriculum for generic and post basic accelerated health officers training program . Addis Ababa, Ethiopia: Federal Ministry of Education and Ministry of Health of Ethiopia; 2005. Mozes B, Haimi-Cohen Y, Halkin H: Yield of the admission complete blood count in medical inpatients. Rempher KJ, Little J: Assessment of red blood cell and agristore usa, coagulation laboratory data. Young DS: Implementation of SI unit for clinical laboratory data. The pre-publication history for this paper can be accessed here: 2017 BioMed Central Ltd unless otherwise stated.

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