Essay writing powerpoint
Medical School Application Disadvantaged Status Essay Samples
Tuesday, August 25, 2020
The Age of Depression Article Example | Topics and Well Written Essays - 750 words
The Age of Depression - Article Example 156). Hence, the creators underline that downturn is a term utilized both too generally and too barely. Specialists who use it also generally apply it to various ordinary states, similar to trouble and sadness, and assorted anomalous states, similar to neurotic loss of motion because of dread, and fanatical irresolute loss of motion. Progressive changes in psychiatry permit recognize new causes and appearance of enthusiastic and mental issue named melancholy. The creators concentrate on qualities and shortcomings of such kinds as DSM I and DSM II versions. The new release, DSM III proposed another way to deal with mental analysis rules. Along these lines, the creator underline that 'the fundamental disadvantage of indication based measures was they wiped out the thought of the setting wherein the side effects emerged (Horwitz and Wakefield 2005, p. 157). The creators consider research contemplates contrasting measurable outcomes got during 1980s and 1990s. They found that a few speci alists who apply the idea too barely deny burdensome elements in others to shroud them in themselves, from themselves. Or on the other hand the finding isn't made on the grounds that the patient masks the sickness: (1) as a conduct manifestation; (2) as an attitudinal side effect; (3) as a physical indication; (4) as another mental issue. The creators guarantee that the primary constraint of these examinations that they overlooked the setting of side effects. As the most significant, the customary manifestation based methodology is anything but difficult to utilize yet it is less powerful. The depiction of the clinical signs of wretchedness is sorted out as indicated by the boundaries of the psychological status assessment. While the finding of melancholy isn't justified except if countless the signs and side effects are available, it ought to be associated even in the nearness with only a couple of them. The creators express that it is essential to make qualification between the ty pical and trouble reactions so as to give viable treatment since clinical obstruction in ordinary bitterness can be even hurtful (Horwitz and Wakefield 2005, p. 159). Horwitz and Wakefield arrive at resolution that DSM III has numerous confinements and insufficient models which caused 'unintended ramifications' for overall population and society. The writers of the articles talk about a significant issue of measures applied to the condition of despondency and negative results of misdiagnosis. I concur with the creators that it is critical to apply both indication based and content-based standards to analyze mental disarranges. As per DSM III, specialists analyze despondency from burdensome like indications that are in actuality part of another condition. Since indications trademark for misery are additionally trademark for different disarranges, most burdensome side effects have a differential determination. For example, a patient can be misdiagnosed as discouraged on the grounds that he/she can't identify with others. At times, therapists analyze gloom without disease. This happens when ordinary touchiness is misidentified as discouragement. Here the clinician neglects to recognize getting discouraged from having a clinical sorrow, the side effect from the disorder. The fundamental restrictions of the article are absence of ebb and flow research and measurable information. The creator utilize factual data and examination contemplates
Saturday, August 22, 2020
I Before We The authors of Anthem and Gattaca describe collectivism and societys loss of individuality and privacy in the future Essay Example For Students
I Before We The writers of Anthem and Gattaca depict cooperation and societys loss of uniqueness and security later on Essay The creators of Anthem and Gattaca depict cooperation and societys loss of independence and protection later on. The characters in these accounts must battle with their own needs and thoughts against the chains of mankind. These chains keep Equality 7-2521 and Vincent Freeman from accomplishing their objectives and from carrying on with an actual existence they have constantly needed. In this future society, babies are brought into the world to be great, a mother hereditarily coordinated with a dad. Youngsters are instructed to do and to comprehend what is advised to them, interest is impossible. Secretly is cross examined everywhere. This understudy avoids autonomy, making the ideal society㠢â⠬â ¦ or so it appears. In Anthem, the story bases on Equality 7-2521. In this cutting edge society, realizing ones personality is taboo, all men must be indistinguishable 18, Rand. Everybody utilizes we as a pronoun㠢â⠬â ¦ there is no I. Uniformity 7-2321 was isolated during childbirth from his folks. He grew up being faster then his friends; he was considerably more brilliant then the educators. Individuals brought up his body has developed past the collections of his brothers16, Rand, which is a weight. He was victimized in light of the fact that he was unique. Being diverse could destroy their ideal society. Fairness 7-2521was curious and he felt it was his predetermination to turn into a rationalist. However, on the day his gathering was apportioned out employments, he was picked to be a Street Sweeper. The film Gattaca is set not long from now. In this general public, theyve got individuals down to a science. They can delineate they will look, free them of maladies, and different things that are arranged by our hereditary qualities in a research center. Vincent is the primary character and he was made how God planned. This made him an invalid. His sibling, Anton, was hereditarily designed with the ideal qualities from his mom and father. This appeared. Vincent had heart conditions that made him the failure during the swimming challenges the siblings had. Anton was constantly taller, despite the fact that he was two years more youthful. Since Vincent was an invalid, he was not permitted to turn into a space explorer which was his long lasting aspiration. Rather, he needed to turn into a janitor for the starting place. Both Equality 7-2321 and Vincent were confronted with deterrents and issues since they were distinctive then their individual man. They were not permitted to follow their professions since others disclosed to them they proved unable. They would not surrender to these individuals. Too, they grew up with specific thoughts that propelled and helped them to settle on their choices. They helped themselves as well as other people. Balance needed to carry light to humankind and assist Liberty with getting away from the general public. Vincent needed assistance himself accomplish his objective of turning into a space traveler. The two of them needed the option to settle on their own free and educated decisions. Uniformity needed to be a thinker and question the world. Vincent needed to turn into a space traveler and not be restricted by the reality he was an invalid. They incompletely settled on their choices with others in the rear of their brain. Correspondence wanted to help humanity by giving them the endowment of light. Vincent needed to demonstrate that as an invalid, he could carry out a responsibility similarly in the same class as somebody who has been hereditarily built. Balance was straightforward. In the event that he didnt need to mention to the pioneers what he was doing, he just wouldnt tell㠢â⠬â ¦ he could never lie. Additionally, when he found power and light, he wasnt going to conceal it from the World Council. He proceeded to show them. Uniformity and Vincent realized they could change their fate. They were not going to allow it to wilt and kick the bucket. They were prepared to assume control over their future. .u845b727089d635f5fab96b5f2b836d61 , .u845b727089d635f5fab96b5f2b836d61 .postImageUrl , .u845b727089d635f5fab96b5f2b836d61 .focused content region { min-tallness: 80px; position: relative; } .u845b727089d635f5fab96b5f2b836d61 , .u845b727089d635f5fab96b5f2b836d61:hover , .u845b727089d635f5fab96b5f2b836d61:visited , .u845b727089d635f5fab96b5f2b836d61:active { border:0!important; } .u845b727089d635f5fab96b5f2b836d61 .clearfix:after { content: ; show: table; clear: both; } .u845b727089d635f5fab96b5f2b836d61 { show: square; change: foundation shading 250ms; webkit-progress: foundation shading 250ms; width: 100%; mistiness: 1; change: darkness 250ms; webkit-change: murkiness 250ms; foundation shading: #95A5A6; } .u845b727089d635f5fab96b5f2b836d61:active , .u845b727089d635f5fab96b5f2b836d61:hover { haziness: 1; change: obscurity 250ms; webkit-change: murkiness 250ms; foundation shading: #2C3E50; } .u845b727089d635f5fab96b5f2b836d61 .focused content territory { width: 100%; position: relativ e; } .u845b727089d635f5fab96b5f2b836d61 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; content enrichment: underline; } .u845b727089d635f5fab96b5f2b836d61 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u845b727089d635f5fab96b5f2b836d61 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; outskirt sweep: 3px; box-shadow: none; text dimension: 14px; textual style weight: intense; line-stature: 26px; moz-outskirt range: 3px; content adjust: focus; content improvement: none; content shadow: none; width: 80px; min-tallness: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: total; right: 0; top: 0; } .u845b727089d635f5fab96b5f2b836d61:hover .ctaButton { foundation shading: #34495E!important; } .u 845b727089d635f5fab96b5f2b836d61 .focused content { show: table; tallness: 80px; cushioning left: 18px; top: 0; } .u845b727089d635f5fab96b5f2b836d61-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u845b727089d635f5fab96b5f2b836d61:after { content: ; show: square; clear: both; } READ: William Trevor's short stories EssayEquality imagined the electrical light-production box and chose to demonstrate it to the World Council in the desire for being compensated. He needed this development to be utilized to benefit humanity. Lamentably, every man on the gathering was stunned and infuriated by this creation. Fairness was avoided. He ran off into the Uncharted Forest with his affection, Liberty 5-3000. Here, they were to begin another general public. Vincent, choosing he wasnt going to be constrained by being an invalid, chose to be another person; he would swindle the framework. He found a man who migh t change Vincent into a legitimate. This man was named Jerome. Vincent colored his hair, wore contact focal points, worked on his legs to make him taller, everything without exception to make him into this individual. Everybody thought he was Jerome and he proceeded into preparing to be a space explorer and was doled out to go on the crucial Triton. They required restrictions of society so they could calculate their way around, to arrive at their objectives at long last. Uniformity and Vincent were exceptionally egocentric. They were worried about themselves and had the option to invoke the solidarity to separate themselves from others㠢â⠬â ¦ to have the option to shading outside the lines. They had a considerable amount of confidence and accepted that they could force social measures and perfect conduct, to get what they needed. Self image is an ethical guideline. It is something they think about when they act and decide, they should bring oneself into concern. Its how the two represented their life. Balance did things no other man has done; he broke the standards of society since he was extraordinary. He went gaga for Liberty. Vincent needed to think about his profession every day, when he woke up and became Jerome. He needed to shed himself of Vincent. He needed to ensure he WAS Jerome. The characters vanquished the limitations of society. Balance lived with Liberty, changing their names and making another culture where uniqueness is esteemed. They changed from utilizing we as a pronoun, to I. Vincent followed his fantasy. In spite of the fact that he was an invalid, he had the option to swindle the ideal framework despite the fact that he was definitely not. There can never be an ideal society in light of the fact that there will be one who thinks outside the box㠢â⠬â ¦ there will be one who will accomplish the objectives that they have set out for themselves㠢â⠬â ¦ that individual will confront the entirety of mankind, to do whats right.
Wednesday, July 29, 2020
Tips to Help You Date More Mindfully
Tips to Help You Date More Mindfully Relationships Print What Is Mindful Dating? Gain a better sense of yourself and what you want By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Updated on January 14, 2019 More in Relationships Spouses & Partners LGBTQ Violence and Abuse Mindfulness can be defined as the deliberate act of paying attention to the present moment without judgment. Its a concept that has sprouted from the self-help movement and has been used to combat all manner of problems from anxiety to eating disorders. What Is Mindful Dating? In the context of dating, mindfulness refers to approaching dating in a conscious and proactive manner. It means having a sense of what you are looking for and a sense of yourself. It refers to setting boundaries and being okay with rejection. It is also about sending out positive vibes that you hope will be reciprocated. In contrast, many people engage in the opposite of mindful dating. You might log on to dating apps and scroll mindlessly. You complain about not being able to meet people but ignore good opportunities to do so. Or, you move through dating on autopilot without stopping to have a real conversation and listening to a person to learn more about him/her. Tips for Mindful Dating What can be done? There are plenty of strategies to help you become a more mindful dater. If youre struggling with dating or feel that youre not getting anywhere, see if you can recognize the flip side of each of these tips and if you need to focus more on mindfulness. Set a Goal What are you hoping to be the outcome of your dating experience? Being specific about what you are looking for will help you to be more mindful in your dating. If youre looking for a long-term relationship, you might not want to engage with some dating apps that are targeting more casual users. By the same token, if you do want to date casually, going on a blind date with someone who wants to get married and have kids as soon as possible is not the best idea. Curate Prospects Be mindful in how you find your dating prospects. Instead of looking absolutely everywhere, try to curate your prospects based on how well they align with the goals you have chosen. Often, meeting someone through mutual friends can be the most successful method because you can find out more about the person beforehand. If the usual suspects in your dating scene are not working out, you might need to branch out and start spending time in places that reflect you. For instance, if you going to the library, this might be a place you could meet someone with common interests. Or, if you love food, perhaps a specialty grocery store or food festival would be a place you could meet someone interesting. Use Technology In this day and age, you would be remiss not to include technology in your dating arsenal. There are several options specifically geared toward being more mindful when dating. For instance, eHarmony uses comprehensive questions to match you with an ideal date, while the less well-known site called Sapio helps to connect you with a match by showing you answers to open-ended questions from a potential partner. Most dating apps will also send you your best matches each day so that you dont have to waste time hunting them down. Not having to mindlessly scroll through a dating app means more time to focus on whats important. Good Vibes It sounds simple, but when you are actually on a date, its important to have good vibes. If youve been dating unsuccessfully for a while, it can be easy to slide into negative thinking, which sends out a negative message to your date. Instead, try to be warm, open, and happyâ"you should always keep an open mind and remain hopeful that the person you are on the date with has the potential to be a special person in your life. Try to find the good qualities in your date (within reason), and let your happy side shine through. Even if you end up not being a good match, at least you will have enjoyed yourself. Be a Good Listener How often have you been on a date and noticed the other person wasnt paying attention to what you were saying? Try to practice being an active listener on dates. Being mindful in this way will help both you and your date. Your date will feel appreciated and that you are interested. This way you will also get a better sense as to whether you are a good match. Ask lots of questions, seek clarification when you arent sure about something, and avoid becoming distracted (by your phone and other things). Set Boundaries Part of mindful dating also involves setting boundaries for yourself. If you dont have boundaries, you wont have a framework from which to decide whether someone is right for you or not. Decide how you want to be treated and dont accept anything less than that. Doing so will help to promote your well-being and self-esteem. If someone repeatedly pushes through your boundaries, let them know that its not working out. By the same token, have boundaries for yourself. Dont get intimate too quickly (emotionally or physically), or you may find yourself attached to someone before you know them well enough to decide if they are a match. A first date is not a therapy sessionâ"talk to your friends about your problems, and to your first date about your hopes, dreams, passions, and plans for the future. Avoid Complaining Similar to sending out good vibes, dont complain when dating. Dont engage in self-pity. Be mindful of the message you are sending on your dates. Are you showing interest in the person you are with or complaining about an ex? Treat each date with respect and courtesy. Unless your date does something terribly wrong or offensive that you need to address, keep your complaints to yourself. Be Reflective Its easy to coast through dating without stopping to consider why things went right or wrong with each date. Take some time for reflection. Were you being mindful of your goals? Did you adhere to your boundaries? Were you sending out good vibes and being a good listener? Did you sense a match? Was the other person respectful of you? Ask yourself a long list of questions after a date (you could even write down your answers in a journal). Above all else, never feel guilty about having to say goodbye to someone. Not everyone will be a match for you, and thats okay. Be Mindful Together When you finally meet someone you like, practice being mindful together. Go on hikes. Go to a meditation retreat together. Go on a mindful vacation where you have time and space to really be aware of your surroundings. If you carry mindfulness from your dating life to your relationship, the odds of being satisfied with each other will be higher. Accept Rejection It happens. There will be dates where you dont hear anything back or the person doesnt want to go out again. Try to be understanding about rejection and not take it personally. Be mindful of the fact that not everyone will be a match, and that your date has a right to feeling that way about you. While rejection never feels good, if you can avoid taking it personally, you can view it as a stepping stone to someone who is actually a good match for you. A Word From Verywell Mindful dating means the chance to learn and grow as you search for potential mates. Try to embrace the journey of dating rather than fighting against it. Keep a solid sense of self through the ups and downs of dating by using your mindfulness. Approaching dating in this way will help to keep you level-headed and open to the right person when he or she comes along. Tips to Relax and Have Fun When You Have Dating Anxiety
Friday, May 22, 2020
Saturday, May 9, 2020
The Honest to Goodness Truth on Chronological Essay Topics
The Honest to Goodness Truth on Chronological Essay Topics Though, there are specific patterns that you are going to follow when you compose a descriptive essay. A descriptive essay is a sort of essay which aims at aiding you to illustrate something to your reader in a manner which they can see, feel, or hear what it is you're referring to. For instance, an essay on the very first topic can tell your private story. However, it may also be based on your imagination. Writing a superb descriptive essay is basically giving a comprehensive explanation of a specific feature or phenomenon. What You Don't Know About Chronological Essay Topics If you are searching for tips about how to compose a descriptive essay, you've come to the correct spot. A descriptive essay conclusions should supply the reader with a mental picture of a certain matter. Basically, you simply select a topic that is simpler for you so you can paint palpable pictures in the mind of the reader. Mastering the th e inner workings of descriptive writing can help you paint an image with words. Maybe you'll need to rewrite whole paragraphs so they'd create more sense and convey the topic better. Perhaps the most crucial thing you must not forget is that you're expected to compose an essay instead of simply to describe something. 1 essential suggestion to bear in mind is that the very best topic for a very good descriptive essay is one which you are in possession of a deep connection with. There are a number of things you are able to write about as an author so you've got to choose if it is going to be about a place you've visited, a person who you know or something completely different. New Ideas Into Chronological Essay Topics Never Before Revealed When you begin choosing the topic, please assure that you're likely to write about something which will entice people's attention and grasp their interest. Sometimes you may require a small help in getting started. The ability to spell out something doesn't come easily for a good deal of individuals. With that personal connection, the capacity to write descriptively will be a lot easier. When you're working on your essay, you should select your topic carefully. Utilize our descriptive essay topics list to get the topic you want. To begin with, you should select the topic from the descriptive speech topics you're going to be interested in. There are a number of certain suggestions to pick a great descriptive essay topic. The topics are abstract because thus you might be in a position to locate your own approach better. If you are searching for topics for descriptive essays then there's a great likelihood that you're unsure of your abilities of how to compose a very good essay. The absolute most important thing here is to choose among the most effective descriptive essay topics, as failing to decide on a write topic will prevent you from turning in a fantastic essay. In fact, there are several descriptive essay topics out there that it's quite tough to choose only one. Chronological Essay Topics - Dead or Alive? If you would like more descriptive essay examples like the one added in the last section, there are numerous easy techniques to acquire high-quality samples of academic papers. In reality, you can describe a subject of any size and nature, but it's almost not possible to prepare a very good descriptive essay should you not really like it. Examine the source in which you have located the s ample. Descriptive essay samples can help you with writing a description of sensory details which are an essential portion of descriptive writing. The main purpose of a descriptive essay is to allow the reading audience understand and visualize the particular thing by improving the overall understanding of the topic. Seamlessly applying the new complex vocabulary learned in the present level is the proper method of exercising language abilities. You may also read your essay to other individuals to obtain their feedback. You'll get your essay in time and, ever since your satisfaction is guaranteed, you won't need to worry! The Chronological Essay Topics Cover Up It is tough to write customized essays mainly because you need to recognize the type initially and then determine how to proceed with this. Writing descriptive essay students need to be more personal and use their imagination to the complete extent. There are lots of subjects you're able to select from for a descript ive essay. Of all several types of essays a student may need to write, the descriptive one is unquestionably the easiest. The options are endless. At the right time of choosing a topic for your descriptive essay, you should continue to keep a few vital things in your thoughts. Having numerous topics in mind is going to be of help since you'll finally pick the ones which you own a lot to write about. Not merely it's ok to mix certain topics like events and memories, but in actuality, it's highly appreciated. Up in Arms About Chronological Essay Topics? It is essential to list the particular characteristics of the tornado there are several of them. The statement functions as the opening sentence and sets out the manner information relays in the remainder of the essay. When you choose the topic which suits you most, remember the reason you write your essay, concentrate on the most significant details to tell about in your text and don't neglect the value of senses and feelin gs in your essay. Enjoy the procedure for describing the subjectit may be a rewarding experience. Selecting the accurate descriptive essay topics is the most crucial portion of essay writing. A descriptive essay is an essay that's bound to supply some kind of detailed info on a specific subject. It is a short paper which is all about describing or summarizing a topic. A decent descriptive essay comes out of a knowledgeable and imaginative mind. Before writing, you've got to understand the subject of your essay! Make sure your essay follows a particular format, consisting of the correct partsA of essay. As you begin on your descriptive essay, it's important that you identify just what you wish to describe. Descriptive essay always includes creative writing, even when topic appears to be dull and boring at first.
Wednesday, May 6, 2020
Short Notes Free Essays
ââ¬Å"Two gentlemen of Veronaâ⬠ââ¬Å"An Irish Roseâ⬠are the two heart touching stories written by A. J. Cronin. We will write a custom essay sample on Short Notes or any similar topic only for you Order Now In an Irish Rose, the 14 year old Rose plays the central character of the story. She sacrifices her life to look after her baby brother who lost his mother when he was just one month old. In the ââ¬Å"Two gentlemen of Verona â⬠we find the touching story of Jacopo Nicola ,two brothers aged 12 13 who do odd jobs and live a hard life themselves to sustain and treat their elder sister Lucia who is suffering from tuberculosis of spine. Both stories of A J Cronin are heart touching. In an analysis of the characters portrayed in both the works we can find certain similarities. As stated above we can see the characters themselves in a moral and sacrificial light wherein they are not thinking or living for themselves but for their respective siblings. If we go into the actual character portrayal too, we can find how the characters are dressed in rags to save even the smallest penny for their siblings comfort. They do not even eat or dress well lest they have to spend any money, which can be found to have a better use for their siblings. In the Irish Rose as well as the Two Gentlemen of Verona, we find that the author finds hope for a better future of the world after meeting Rose, Jacopo and Nicolo. Never thinking for themselves, all three of his characters have fought to better the lives of their loved ones in every way possible. In both the stories the plot is set in a rousing manner and giving a detailed and graphic expression till the climax. In the Irish Rose, the main character Rose Donegan has to earn for the family, buy milk for her youngest brother Michel. She had to cook, attend to the children and father. With a slum childââ¬â¢s elemental knowledge she had to do everything, even she would bargain the baker to extend her credit for an extra loaf. As in the case of the Two Gentlemen OF Verona, the writer himself becomes a character in the plot of Irish Rose. Along with the writer the rest of the characters too play a significant role in the plot to finally bring out the actual sacrifice of the three children. In both the stories the importance given to the childrenââ¬â¢s attitude towards work, love and responsibility shows how important the said characters are in the view of the author too. Herein we find the hope for a better world when these children grow up rather than the war ravaged time frame in which the stories are set. It was W. B. Yeats who said that, ââ¬Å"Too long a sacrifice can make a stone of the heartâ⬠. But through these stories Cronin has endeavored to prove Yeats wrong, as nicely as possible. He was also able to teach us the value of not running away from our responsibilities. How to cite Short Notes, Essay examples
Wednesday, April 29, 2020
Treatment of Tb free essay sample
Tuberculosis, they say, is a disease of the poor and truly it is a disease that puts us high above other nations in the world. We are currently among the 22nd high TB burdened countries and are under the WHO TB watch list. Tuberculosis is such a problem for us. Imagine, 75 of our fellowmen die each day because of TB. Tuberculosis, however, is not a terminal disease. Before, people thought once you have TB youââ¬â¢ll just die not cured with the disease. But now, it is actually very curable. Our government, in addressing to this dreaded disease, formulated the National Tuberculosis Program or NTP. This program envisions our nation as a country where TB is no longer a public health problem. The goal therefore is to reduce the prevalence and mortality from TB by half by the year 2015. Now, this is where DOTS comes in. At first, I thought DOTS is just about making sure that the patient is really taking in his TB regimens ââ¬â like literally swallowing the medicines on schedule. We will write a custom essay sample on Treatment of Tb or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It, however, is not just as simple as that. DOTS or Direct Observed Treatment, Short-Course is the WHO-recommended strategy for diagnosis, treatment and management of TB. Since TB is curable, the WHO believes that the best way to cure TB is through DOTS. It is a health strategy made up of five important components: Political Commitment for TB Control; Facilities for Microscopic Diagnosis of Sputum Positive Smear Patient; Unlimited Supply of Good Quality Anti-TB Drugs; Direct Observation of Therapy; and, Good Record Keeping. Through these components, it is made sure that the program is managed properly and that the sputum microscopy is of good quality. The program is embraced by the government and made sure it is implemented. Health professionals are taught and trained well on the importance of the program, precautionary measures, how to deal with the TB patient, and, most importantly, on the proper identification and reporting of sputum microscopy results. There is therefore uniformity in the reporting of laboratory results. The government has also allotted a specific monetary budget for the services of the health professionals under this program. There is also the regular supply of drugs, not only just drugs but medications that are of good quality and recommended by the WHO. More importantly, these drugs are FREE! All the patient has to do is to comply with the treatment. But, there are still patients who are, well, ââ¬Å"humanâ⬠ââ¬â remarkably wise, talented entrepreneur (because some sell their TB medicines to others who also present with TB symptoms as they have). They have a mind of their own; they have their own treatment strategy. These make TB treatment difficult and pose threat on the development of resistant organisms because the medications are not taken on proper dosage and duration. It is because of this that there is this 4th element of the DOTS strategy ââ¬â the direct observation of the treatment partner (treatment partners could either be a Staff of the Health Center, Member of the Community , or Member of the patientââ¬â¢s family (last priority)) of the patient taking in the TB medications. With good record keeping, the patients are properly monitored and followed up wherever they may be in the country. With just one missed appearance on treatment appointments, the in-charge health partner is alerted. Thereââ¬â¢s no reason at all for non compliance. What is more wonderful with DOTS in our country is that we have this PPMD or the Private ââ¬â Public Mixed DOTS. This is very important because even the private health institutions apply DOTS so that wherever may the patient consult he or she is directed to the same treatment strategy for TB which ensures patient receives proper treatment and program benefits. Upon enrollment with the DOTS program, there is an allotted box of medications both for the intensive phase and the maintenance phase ââ¬â the Stop TB Kit. With those new pulmonary smear positive cases and new seriously ill pulmonary smear negative cases, the intensive treatment is made up of four regimens: Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. The number of capsules taken will depend on the weight of the patient (since usually the four drugs mentioned are formulated on a single capsule). Like for example, a patient weighing between 38-54 kg will be taking 3 tablets each appointment time with the treatment partner. The intensive treatment lasts for 2 months then a sputum smear will be requested. If patient is still sputum AFB smear positive there will be a month extension for the intensive phase. Afterwhich is the 4 months of maintenance phase. The regimen usually is composed of Isoniazid and Rifampicin. The kind and number of treatment regimens for tuberculosis is such because the TB bacilli, although TB is curable, is very difficult to eradicate and are prone to resistance. This is also why compliance is very important to prevent further development of resistant organisms. Whenever there are MDR TB patients (Multi Drug Resistant TB), they are referred to a higher center in Manila. There, patients are housed for 24 months, still free treatment. I think each MDR patient is budgeted with 500 1 million pesos such a huge amount. It is important therefore for us to prevent the development of such resistant organisms if we want our taxes serve the majority and give us better lives. Through the exposures regarding the DOTS, I now have a great appreciation for this program of the government. Whenever I will have an encounter with a possible TB patient, I could confidently refer him to a DOTS facility. I am hoping that we will truly be able to achieve our vision with regards to tuberculosis control as a nation.
Subscribe to:
Posts (Atom)