Can Providers Education about Postpartum Depression...

Can providers’ education about postpartum depression (PPD) increase the acceptance level of pediatrics medical providers to screen mothers for PPD in a primary care setting? Postpartum depression (PPD) is a range of depressive symptoms that women may experience after giving birth. It’s onset within the first month after birth. Many studies define the â€Å"postpartum period† at a minimum of 3 months up to a year after childbirth (Chaudron, Szilagyi, Campbell, Mounts, McInerny, 2007). Symptoms range in severity and the timing post childbirth, peaking at about six weeks after delivery for major depression and two to three months for minor depression. Women can experience another peak of depressive symptoms 6 months after birth (Earls,†¦show more content†¦Infants can ultimately have developmental delay. Postpartum depression has long term effects on children of depressed mothers. The impact can extend up to puberty. Children will experience feelings of i nsecurity, poor social skills, reduce verbal and cognitive skills (Earls, 2010). Children will end up with more behavioral problems, conduct disorders, depression and anxiety. Timely identification and management of maternal depression is important for the child’s early brain development and school readiness. The negative effects of the long term exposure to maternal depressive symptoms in early childhood is concerning. Early intervention will help both the mother and the child (Horwitz, Briggs-Gowan, Storfer-Isser, Carter, 2009). In the United States, women after childbirth will typically have one postpartum visit with their obstetrician at six weeks while new mothers will see the baby’s pediatrician at least 4-6 times during the first year at the well baby visits. These are good opportunities for the detection of PPD. Mothers may be reluctant to share their feeling with family members or the medical providers secondary to fears of being seen as a â€Å"bad† mother, or being labeled as having a psychiatric problem. Pediatricians have a unique potential to intervene (Horwitz et al., 2007). The US

History of the Marine Nco Free Essays

Role of the Marine Non Commissioned Officer After the Vietnam War ended, the Marine Corps’ main focus changed from broad scale operations, to being an Expeditionary Force in Readiness. Although this was no new role for the United States Marine Corps (USMC), there have been many changes in society, technology and tactics that affect how the Corps operates. However, over the last 36 years one thing has remained the same, and that is the role of the Marine Non Commissioned Officer (NCO). We will write a custom essay sample on History of the Marine Nco or any similar topic only for you Order Now With the world changing ever so rapidly, the strong values and responsibilities of the Marine NCO are now, more than ever, necessary to carry out the operations being assigned to United States Marines. The role of the NCO is characterized by their leadership skills, ability to train and care for their subordinates, as well as their responsibility to enforce Marine Corps standards to ensure the proficiency of the Marines in their unit. 1 Strong NCO leadership is extremely crucial on the battlefield, particularly when it comes to small unit combat operations. The Marine NCO must have courage to be able to lead their Marines in the presence of danger. An excellent example of the courage shown by an NCO is portrayed through the actions of Sgt Dakota L. Meyer. On September 8th 2009 (Corporal at the time), Meyer’s unit was ambushed by over 50 Taliban insurgents. This turned into a six-hour fire-fight, in which he risked his life for his fellow service members. Meyer repeatedly exposed himself to enemy fire to rescue the wounded, and bring 13 U. S. Marines and Soldiers, as well as 23 Afghan National Army Soldiers to safety. Along with these actions he also killed over eight enemy combatants. For his actions, Sgt Meyer has been nominated for the Medal of Honor and is scheduled to receive it sometime in September 2011. Sgt Meyer’s outstanding leadership has proven how important the values of courage and selflessness are in the Marine Non Commissioned Officer. Another important responsibility of the NCO is to ensure their Marines ar e knowledgeable. During humanitarian aid missions like Operation Restore Hope (Somalia 1992) and Operation Unified Response (Haiti 2010), troops were deployed on short notice. It was imperative that these Marines understood the mission, and had the proper training before hand to carry out these tasks. The focus that NCOs put on training and preparedness was proven to be successful when it came time for their Marines to assist in expediting the relief efforts. The training Marines are given consists of maintaining annual qualifications, Military Occupational Specialty (MOS), and Professional Military Education. It is the responsibility of the Non Commissioned Officer to ensure that their junior Marines are completing rifle qualifications, physical fitness tests, swimming qualifications as well as any other yearly requirements. Marines should also be seeking knowledge in and outside of their MOS on a regular basis, and are encouraged to do so by their NCOs. The more knowledge Marines possess, the more successful they will be as individuals, as well as the USMC as a whole. The deep sense of professionalism and tradition is influenced heavily by the Marines who enforce the standards of the Corps. It is said that the Marine NCO is the Backbone of the Marine Corps. This can be attributed to the fact that it is the NCO, who enforces the regulations and standards of the Marine Corps. Non Commissioned Officers have a thorough understanding of Marine Corps Orders, and the Uniform Code of Military Justice. They make sure that Marines are conducting themselves professionally, and that they are proficient in their work. NCOs set the example by keeping a good personal appearance, attitude and sense of leadership at all times. These standards and traditions have remained strong until today because of strong NCOs. Throughout the many changes the world has experienced since the end of the Vietnam War, the Roles of the Marine Corps Non Commissioned Officer have remained the same. NCOs continuing to lead, train, set the example, and ensure Marine Corps standards are followed has contributed to the overall success of the Marine Corps. It is clear that one of the most important parts of the USMC is the role of the Marine Non Commissioned Officer. Bibliography History of the Marine NCO Student Guide. Quantico: United States Marine Corps EnlistedProfessional Military Education Curriculum Branch, 2011. The Marine Corps Organizational Structure Student Guide. Quantico: United States MarineCorps Enlisted Professional Military Education Curriculum Branch, 2010. Medal of Honor Sgt. Dakota Meyer Operation Enduring Freedom. Official U. S. Marine Corps Website: USMC Division of Public Affairs Media Team, 2011. http://www. marines. mil/community/Pages/MedalofHonorSgtDakotaMeyer-HeroicActions. aspx (accessedSeptember 7, 2011). Endnotes 1 History of the Marine NCO Student Guide. (Quantico: United States Marine Corps Enlisted Professional Military Education Branch, 2011), 5. 2 Medal of Honor Sgt. Dakota Meyer Operation Enduring Freedom. (Official U. S. Marine Corps Website: USMC Division of Public Affairs Media Team, 2011), http://www. marines. mil/ community/Pages/MedalofHonorSgtDakotaMeyer-HeroicActions. aspx (accessed September 7, 2011). 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Single Importance of Humanity free essay sample

In the website essay, Special Report: Could Wikileaks Cause World War III or the End of the World? David Gewirtz, the author, discusses about the importance of the bond of trust between the people and their government and also between nations internationally. Although the bond of trust may result in betrayal and pain to others, the bond of trust still have to exist between people to improve the society and to prevent careless mistakes. Gewirtz uses rhetorical strategies such as his diction and organization in his argument to effectively convey his perspective on the bond of trust along with his reasoning and analysis. At the start of the essay, Gewirtz dives into the meaning of trust and its possible consequences in a person-to-person manner by saying â€Å"If you think about it, trust is all that stands between us and terrible circumstance† (Gewirtz). As Gewirtz moves on with his arguments, he also states that â€Å"we have to trust some people† because we cannot simply do everything and it’s definitely â€Å"not possible to do everything yourself† (Gewirtz). We will write a custom essay sample on Single Importance of Humanity or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page From these statements, we can all agree on the fact that no one could do everything on earth himself because then, there is no need for the government and various specialties. To convey this idea to his audience effectively, Gewirtz uses diction that sets the atmosphere into more personal and appealing directly to his audience. Contractions like â€Å"it’s† and â€Å"I’m† lightens the serious atmosphere in the discussion about the gravity of trust and allow the readers to easily follow along. Also, the first-person perspective of this essay allows more attention from greater number of readers since the first-person diction is more personal and less formal, which that eliminates the seriousness and provides easy comprehension for people that does not have any knowledge of politics. Similar to how Martin Luther King Jr. appealed to his audience by using the first-person point of view in the famous I Have a Dream speech. The constant repetition of the â€Å"I have a dream†¦Ã¢â‚¬  statements indicates the strong person-to-person appeal to the audience by providing more thinking through the emotion and moral of his audience. Gewirtz also implements his own opinions of the importance of trust by such extreme word choices such as the term, â€Å"nuclear Armageddon. † The organization of the essay is organized in a way that helps emphasize the word â€Å"trust† by making a separate paragraph with only the word â€Å"trust† in it. Gewirtz utilizes this technique to let his audience know the importance of â€Å"trust† since his main point of this entire essay is about trust. Throughout the essay, Gewirtz also implements his own thoughts and words in parenthetical statements along with his argument in the essay. These include, â€Å"or possibly care,† â€Å"unless, of course, it’s not time to be nice,† and â€Å"yes, pressure† which all of these thoughts are implemented in parenthetical statements along with Gewirtz statements. These implements meant to effectively allow Gewirtz and his audience to â€Å"literally† speak to them face-to-face instead of being formal for the selective fewer audience. Through this rhetorical strategy, reader can conclude that Gewirtz wants his essay to be spoken to the general population and not the selected individuals with the knowledge of politics. At the very beginning and the ending, Gewirtz uses the same format of â€Å"trust† in its own separate paragraph and uses a conclusion that is very similar to his introductory paragraph as his final wrap-up. From this strategy, the reader can infer that not only was Gewirtz tried to maximize his emphasis, but to allow his audience to think differently from when they read his introductory paragraph and what they think about the paragraph at the end of the essay after all of Gewirtz arguments has been made. The arguments made by David Gewirtz strongly appeal to his audience through the use of rhetorical strategies like the diction and organization of his essay. Because of the elaborate use of these rhetorical strategies, the reader can incorporate his or her thoughts into the emotional thinking which Gewirtz purposely intended to do so. Although there are some logos appeals in his essay, he mainly focuses on the pathos approach to fully earn all of the agreements of his audience. Overall, I strongly believe that Gewirtz essay made his audience think twice in another perspective as a means of fully understanding the gravity of the dangers of WikiLeaks and the importance of trust.

4 Components to an Award-Winning Resume

4 Components to an Award-Winning Resume Last Monday, Career Directors International (CDI) announced the winners of their 17th annual Toast of the Resume Industry (TORI) award competition. TORI award winners are truly outstanding writers. I am very proud and excited that two members of The Essay Expert’s resume writing team won two awards each! Following the awards announcement, TORI judge Gillian Kelly wrote an article on What the Best Resume Writers Are Doing in 2016. The actual resumes will not be released until next month. In the meantime, Ms. Kelly’s observations serve as valuable advice for resume writers, as well as for job seekers writing their own resumes in 2016-2017. Here are the four main areas where the TORI-award-winning resumes stood out: 1. Storytelling Top-level resumes don’t rattle off boring job duties in long blocky paragraphs. While job duties might be covered in a winning resume, they are connected with a story or accomplishment. Great resumes don’t stop at results. They also explain how that result was achieved, what transformation was necessary to achieve it, and what was unique about the solution. These succinct narratives keep the reader engaged and illustrate the job seeker’s unique brand. Here’s an example from an Essay Expert resume that illustrates story-telling. The following paragraph is the opening paragraph to a position description – a paragraph that often is relegated to a list of job duties: Led largest dollar volume division in country to record sales volume, managing four General Sales Managers and 43 Sales Representatives. Transformed division’s approach to competitive data and market analysis while monitoring lot mix, phasing, new starts, lot premiums, specifications, and promotions. Notice how job duties and scope are covered in this paragraph, but they are made more engaging by wrapping in results and transformative results. 2. Visuals TORI award winners used graphics and other images in their resumes, avoiding the text-heavy look and feel of more traditional resumes. Tools like color, infographics, and text boxes served to accentuate the content of the resume. It’s important to note that if you choose to represent an accomplishment using a graph, you must also write about that accomplishment in a bullet. There are two reasons for this duplicative effort: 1) Since not everyone is visually oriented, they might not even look at the details of the image to understand what it represents, and 2) If the resume gets submitted through an Applicant Tracking System, the data in the graph or image will be lost. Here are just a few examples of graphics used in executive resumes by The Essay Expert: Tools used to create these graphics include basic text boxes, borders, SmartArt, and Excel. You can see how they add pop and interest to what could otherwise be a visually bland resume. 3. Succinct Writing As pointed out by Ms. Kelly, less is more when it comes to resume writing. The best bullets are tightly written, getting each point across in as few words as possible. The fewer words on a resume, the more white space there can be – which is a good thing! White space allows the content to be more easily absorbed. Stay away from densely written, text-heavy resumes, which risk losing the attention of your reader. Here are a couple of examples of tightly written resume bullets: Realized three monthly closing projections in a row, a feat never before achieved in division history. Took one of least profitable divisions and achieved #3 ROI, ranking #2 for lowest overhead and #3 for asset turn. Notice how every word counts! Are your resume bullets this concise, and do they show the true impact you made on your organization? 4. Quantifiable Achievements The best resumes use metrics to nail down achievements, avoiding generalities about a person’s greatness. Buzz words like â€Å"results-oriented† will not fly. And don’t wait to convey your greatest achievements; showcase them in the top 1/3 of the resume! One technique used by TORI award winners was to write â€Å"reverse CAR stories† which state a result, followed by the challenge and action that got the result. Here’s an example of a highlight from the top 1/3 of a resume by The Essay Expert: Built intuitive, interactive user interface for Java web-based delivery system, increasing Java technology downloads by 112% in 3 months. Used Java FX to build Oracles showcase Advanced Results website for 2010 Winter Olympic Games, accessed by 1.2M unique users. Notice there are no generalities in this paragraph; it’s all concrete, factual, quantifiable information. That’s what makes good resume material. Did you learn something from the observations of a TORI judge? How might you change your resume based on her advice and The Essay Expert’s samples? For more examples and tips on how to write a top-notch resume, check out How to Write a WINNING Resume and How to Write a STELLAR Executive Resume, both written by me, Brenda Bernstein. The most current versions of the books are available in PDF through The Essay Expert’s website. Save

Irrealis Were - Definition and Examples

Irrealis 'Were' s Definition In English grammar, irrealis involves the  use of were with a  subject  in the  first-person  singular or third-person singular  to  refer to an unreal or hypothetical condition or eventone thats not true or that hasnt occurred (e.g., If I  were  you, Id go home). In contrast to the more common use of were as a past-tense form (e.g., They were lost), irrealis were is a nontensed mood form, similar to the subjunctive. Irrealis  were  is sometimes called the were-subjunctive or (somewhat misleadingly) the past subjective. As Huddleston and Pullum point out, Irrealis were does not refer to past time, and there is no synchronic reason to analyse it as a past tense form (The Cambridge Grammar Of The English Language, 2002). Defined more broadly, irrealis refers to an event that hasnt occurred (or at least hasnt yet occurred), while realis refers to an event that has occurred. Examples and Observations I was telling Grant that  if I were an  alien and I came down to earth from some far-off planet, there are a few things I would notice about people, and the first thing I would notice is the way they looked, that is, if people looked different on my planet.(Donald Miller, Blue Like Jazz. Thomas Nelson, 2003)Roxanne stood talking to him with one long-nailed hand on his shoulder, the other at her hip as  if she were a  model at a trade show trying to sell him the grill.(Kate Milliken, The Whole World.  If Id Known You Were Coming. The University of Iowa Press, 2013)They took to looking at him as  if he were  on the other side of a dirty window.(Kate Milliken, Inheritance.If Id Known You Were Coming. The University of Iowa Press, 2013) If I werent  so broke and unsettled, Id adopt a dog tomorrow.(Andrea Meyer, Room for Love. St. Martins Griffin, 2007) Moodiness: The Subjunctive and the Irrealis Were Traditional grammarians get tripped up by the verb be because they have to squeeze two different forms, be and were (as in If I were free), into a single slot called subjunctive. Sometimes they call be the present subjunctive and were the past subjunctive, but in reality theres no difference in tense between them. Rather, the two belong to different moods: whether he be rich or poor is subjunctive; If I were a rich man is irrealis (not real). . . . In English [the irrealis] exists only in the form were, where it conveys factual remoteness: an irrealis proposition is not just hypothetical (the speaker does not know whether it is true or false) but counterfactual (the speaker believes its false). Tevye the Milkman [in the musical Fiddler on the Roof] was emphatically not a rich man, nor were Tim Hardin, Bobby Darin, Johnny Cash, or Robert Plant (all of whom sang If I Were a Carpenter) in any doubt as to whether they were carpenters. Counterfactual, by the way, need not mean outlandisho ne can say If she were half an inch taller, that dress would be perfectit just means known to be not the case. (Steven Pinker, The Sense of Style. Viking, 2014) An Exceptional Form This use of were is highly exceptional: there is no other verb in the language where the modal remoteness meaning is expressed by a different inflectional form from the past time meaning. The irrealis mood form is unique to be, and limited to the 1st and 3rd person singular. It is an untidy relic of an earlier system, and some speakers usually, if not always, use preterite was instead. (Rodney Huddleston and Geoffrey K. Pullum,  A Students Introduction to English Grammar. Cambridge University Press, 2005) AlsoSee Past SubjunctiveSubjunctive Mood

Renewable Energy Systems Research Paper Example | Topics and Well Written Essays - 6500 words

Renewable Energy Systems - Research Paper Example astest power manufacturing segments of the world now and there is urgent necessity to minimise the maintenance and operation costs of electricity production. This research essay will make an earnest attempt to elucidate the wind and hydropower generation of manoeuvres of both Australian and Bangladesh government, in particular, to minimise the global warming and of that USA, China, Brazil, Russia and Canadian governments in general by giving unique attention to various empirical studies and eminent authors’ views on the subject. 1-Introduction Both wind energy and hydropower comprises of the renewable energy mix, these bring a lot of economic, technical and environmental advantages both to the developed and developing nations. Energy policy makers all around the world are now paying great attention to harness the renewable energy as they have a duty to safeguard the environment thereby by restricting greenhouse gas emissions into the atmosphere. Both wind energy and hydropower are resources which are abundantly available all around the globe, the technology has been well advanced and proven technology, are having longest plant life and lowest operating cost and the plant life can be extended at minimal costs .This research essay will analyse the hydropower and wind energy capabilities of Australia and Bangladesh in an exhaustive manner and that of USA, China, Russia, Brazil and Venezuela in a crisp. 2-â€Å"What is Hydropower?† As of date, hydropower is the largest renewable-energy source and about 16% of the globe’s electricity needs is catered by the hydropower and hydropower occupies about 80% of the globe’s renewable-energy resource. For 90% of their electricity needs, about 25 countries in the globe are now relying on the hydropower. For example, about 99.3%... This essay stresses that Australian government has set a target of 20% of Australian electricity needs to be catered from the renewable- energy sources by the year 2020. As this is an ambitious target, this can be achieved by developing and harnessing more percentage of energies from hydropower and wind farms. Hydropower is environmental friendly as it creates no pollution and maintains the stream flow of the rivers and the ecological balance. With the help of micro hydropower projects, tiny villages and remote hilly areas can be given electricity through off-grid, which would definitely help to enhance the socioeconomic growth of these remote regions. This paper makes a conclusion that Hydropower as one of the renewable energy helps to avoid about 225 million tons of CO2 emissions in the atmosphere in the USA, and this is equivalent to taking about 42 million cars out of the American roads. According to satellite imagery , the pacific Northwest which is the home of the majority of the hydropower projects in USA is an island of low carbon emission, and this is conclusive proof that hydropower can reduce the CO2 emission into the atmosphere. Thus, renewable energy like wind energy and hydropower are the energies of the future and both Australian and Bangladesh government energy policy makers should give more priority in the near future to these sectors so as to afford a clean, economical and environmental friendly energy to its citizens.

Free Will Essay Example | Topics and Well Written Essays - 1750 words

Free Will - Essay Example He argues that though indeterminism and freewill are incompatible, human being’s ‘self-forming’ or libertarian actions are essentially the result of freewill. Therefore, they are morally responsible for their actions. Unlike Kane, Derek Pereboom argues that both determinism and libertarianism are incompatible with freewill. Indeed, he remains agnostic about the truth of determinism. But he argues that whether determinism is true or not, freewill is incompatible with it. So, human being should learn to live without freewill. Yet the incompatibility of freewill with determinism does not imply that man is free from moral responsibility. Since, according to him, an agent’s action is either the result of causal determinism (self-forming action) or the manipulation of some external power, in both cases, the agent will remain responsible for his action. It is because though freewill does not exist, man’s action (even though the agent is tricked, by some ext ernal power to perform that action) will seem to be caused by his freewill. In fact, Kane has an impulsive tendency to argue against â€Å"compatibilism† on the ground that man will never be able to learn whether his ‘will’ is determined by some other power or not. Therefore, the question about the compatibility of Freewill and determinism is absurd. Referring to Frazier’s perception of Skinner’s â€Å"Walden Two†, he says that â€Å"the deeper freedom of the will is an illusion in the first place. We do not have it anyway† (Kane 427). This assertion has two meanings simultaneously: first, it can be assumed that he attempts to says that man does not freewill, since it is an illusion. Secondly, it can be assumed that since the concept of freewill is an illusion, man is free to act according to what he calls his will. Kane calls this freedom of man to act on his own at some particular moment as ‘libertarianism’. Indeed, he believes in the agent’s mundane power