Tuesday, October 29, 2019
Picture Book Essay Example | Topics and Well Written Essays - 1000 words
Picture Book - Essay Example ââ¬Å"What brings you here to Honey Hollow?â⬠Marie kindly inquires. ââ¬Å"Oh, is that what this dump is called? I come from Antartica. Had to swim all the way here to save myself from the horrendous oil and gas explorations of those horrible men! They dig, and dig, and wonââ¬â¢t leave us alone. One day, my friend, Shalimar, God bless her soul, was killed because the men were afraid she would kill them first.â⬠Ursa Major came out from his room wondering what the ruckus was all about. ââ¬Å"Whatââ¬â¢s goinââ¬â¢ on?â⬠Marie stepped forward and introduced Aurora and told him her distressing story. ââ¬Å"Well then, my friend, you are welcome to stay with us as long as you need.â⬠Ursa Major decided. Serenity squeezed Auroraââ¬â¢s paw and showed her the twinkle in his eye. The next day, Ursa Major and Marie seriously discussed their fears about what man is doing to harm nature. ââ¬Å"Those poor Polar bears getting disturbed in their homes because of gas?â⬠Ursa Major asked. ââ¬Å"Oh dear! Itââ¬â¢s not only them, itââ¬â¢s us too! Imagine the group of men who arrived in trucks last week. Did you see the monstrous machines they have? You know what I think? I think theyââ¬â¢re out to cut down trees! Oh, darling, what will happen to all the forest animals? They would lose their homes! And my sweet Serenityâ⬠¦ I hate to think he will grow up without trees around him. What should we do, Ursa dear!â⬠Marie cried. Ursa Major bowed his head and slowly shook it from side to side. Serenityââ¬â¢s best friend, Mackenzie is a charming bear from Antigonish, Nova Scotia. She loved treasure hunts! Today, she wanted to look for golden nuggets that she believes are kept by fairies for smart little bear cubs to discover. Instead, she chanced upon a nest with blue spotted eggs. She looked around and realized that all the tall trees she knew were gone. She didnââ¬â¢t see it at first because she had her head bowed down
Sunday, October 27, 2019
Tissue Conditioners Soft Lining Materials Health And Social Care Essay
Tissue Conditioners Soft Lining Materials Health And Social Care Essay As a briefing history of the denture lining materials, we can find that in 1942, Matthews introduced plasticized polyvinylchloride as one of the first soft lining materials used with acrylic resin dentures (Sultana, 1991) then Lammie Storer published a summary of observations on different soft denture materials and classified the processed resilient materials as follows. (1) natural rubber, (2) polyvinylchloride, (3) polyvinylacetae, (4) methyl methacrylate copolymer, (5) silicone (Lammie Storer, 1958). Furthermore, they stated that this material became hard due to loss of plasticizer after several months, and became stained and cracked in the mouth. However, we tend to examine the composition and uses of both tissue conditioners and soft lining materials in prosthetic dentistry. Basically, Tissue conditioners composed of polyethylmethacrylate and mixture of aromatic ester and ethyl alcohol and they are found in three components system: polymer (powder), monomer (liquid) and dibutyl phthalate as plasticizer flow control (liquid) when mixed together a gel is formed (Braden M 1970). The major uses of these tissue conditioners materials are: tissue treatment, temporary obturator, baseplate stabilization, to diagnose the outcome of resilient liners, liners in surgical splints, trial denture base and as a functional impression material (Nallaswamy D. 2003). Tissue treatment: the advantage of using a tissue conditioner is to prepare the selected oral structure to withstand all the stress from the prosthesis and to preserves the residual ridge. It is also used to heal irritated hyperemic tissues before denture fabrication. Temporary obturator: tissue conditioners can be added as a temporary obturator over the existing complete or partial denture and this can be done directly in the month or indirectly after an impression of surgical area has been made. Stabilization of baseplate and surgical splints or stents: when undercuts are present on an edentulous cast, an acrylic temporary denture base cannot be used as it may get locked into the undercut and break the cast during removal. In this case tissue conditioner may be used to stabilize the record base and prevent breakage of the cast. Adjunct to an impression or as a final impression material: when it is difficult to determine the extent of the denture base due to movable oral structure, tissue conditioner can be used to record the extensions of the denture in a dynamic form that will later help in preparing an impression tray for the final impression. To diagnose the outcome of resilient liners: patient with well-constructed denture sometimes develop chronic soreness and find it difficult to wear it comfortably. Tissue conditioners can be used to determine if this problem will be resolved with the use of a resilient liner. (Nallaswamy D, 2003). Commercially, there are a wide range of tissue conditioner products, for example, GC tissue conditioner and Visco-gel and more but here we will compare between these two only: Firstly, GC- tissue conditioner is composed of Polyethylmethacrylate (powder), methacrylate monomer (liquid) and dibutyl sebacate (plasticizer). Manufacturer claims that using of dibutyl sebacate as plasticizer instead of the conventional dibutyl phthalate has a merit of not being harmful to the human endocrine system. However, it is suitable for conditioning and relieving tissue (for example when there are areas of inflammation or pressure points on the inflamed alveolar ridge), but also for temporary soft relining of partial and complete dentures as well as functional impressions to fabricate new dentures or restore existing ones, for immediate dentures and as an interim solution for direct loading situations in implantology. It is manufactured by GC EUROPE, Belgium (www.gceurope.com). On the other hand, Visco-gel tissue conditioner is composed of Polyethyl methacrylate (powder), Phthalyl butyl glycolate, Ethanol (liquid). It is can be used prior to denture replacement, extension or rebasing, tissue conditioner where the denture-bearing tissues have become disturbed by either denture trauma or infection, temporary lining immediately after extraction or oral surgery, temporary soft liner when normal dentures are not tolerated, particularly for patients with impairment of general health and as functional impression material in post-operative cases or when ill-fitting dentures require replacement or rebasing. Visco-gel is manufactured by DENTSPLY DeTrey GmbH, Germany (www.dentsply.com). Regardless the trade, the following steps should be considered while applying a tissue conditioner, first, tissue part of the denture base, which crosses an undercut, should be reduced then the tissue surface of the denture, which covers the crest of the ridge, should be reduced by 1 mm to allow sufficient room for placement of the tissue conditioner (Nallaswamy D, 2003). Soft lining material is the second part of this review and here it is wise to understand the difference between the tissue conditioner and the soft lining material. The International Organization for Standardization (ISO) has issued two international standards related to liner materials: (ISO 10139-1:1991): first, lining materials for removable dentures-Part 1: short-term materials and soft lining materials for removable dentures (ISO, 1991) and the second, lining materials for removable dentures-Part 2: materials for long-term use (ISO, 1999). A short-term liner is one that is used intraorally for up to 30 days. A long-term liner is one that maintains softness and elasticity for more than 30 days (Garcia Jones, 2004). Practically, the ISO is differentiating between the temporary and the permanent soft ling material but theoretically, we can find that tissue conditioners can be used for more than 30 days depends on the loss of the plasticizer. Moreover, tissue conditioner and soft l ining have been used for the same purpose clinically. So then, what is the difference? Viscosity is that difference so whenever the material is with low viscosity and flow easily you can use it as a tissue conditioner while material with high viscosity is indicated to be used as a soft liner. There are two groups of soft lining material the first is the acrylic resin-based liner which consists of powder and liquid components. The powder has poly (ethyl or methyl) methacrylate, and sometimes copolymers, while the liquid contains methyl methacrylate monomer and plasticizers that are added to lower the glass transition temperature. The distribution of the large plasticizer molecules minimizes entanglement of polymer chains, which allows individual chains to slide by one another, keeping the liner from fully hardening. The liquids used do not contain acrylic monomers (Craig Gibbons, 1961; Anusavice, 2003). The second type of these soft lining materials is the silicone denture liners wh ich are basically polymers of dimethylsiloxane. Poly(dimethylsiloxane) is a viscous liquid, which can be cross-linked to give rubber a good elastic property. The cross-linking agent is usually an alkyl-silane (silicate) and the reaction is catalysed by an organo-metal salt such as tinoctoate or benzoyl peroxide (McCabe, 1976). Silicones are not dependent on leachable plasticizers and remain elastic for longer periods of time (Anusavice, 2003; Munksgaard, 2004). These liners cannot bind to the acrylic denture base; however, the use of an adhesive can overcome this limitation, which was shown to be a method of failure (Dogan et al., 2006). These liner materials may be selected for the treatment of the following conditions: poor stability of denture, inadequate retention of denture, reduction of vertical dimension, degradation of the denture base, improper extension of borders into the muccobuccal fold regions, mucosal irritations, atrophic ridges, bony undercuts, denture opposing natu ral teeth, reduced thickness and viscoelasticity of the mucosa, pain from gingival irritation, maxillofacial defects, traumatic or pathologic tissue loss and for reline of an existing denture (Zarb et al., 1989; Christensen, 1995; Hayakawa et al., 2000; Hill Rubel, 2011). As a conclusion then, these viscoelastic materials either tissue conditioners or soft lining materials are contributing to solve a list of dental problems that might exist in the removable prosthesis or could be used in a range of dental procedures which are related to fully or partially edentulous patients. Furthermore, these materials need a continuous care and maintenance especially, the tissue conditioner which tends to harden and roughen due to the loss of the plasticizer. However, we should not forget the primary purpose of these materials which is they are used as temporary materials during transitional situations.
Friday, October 25, 2019
huckleberry finn :: essays research papers
In the story of Huckleberry Finn, Mark Twain uses many different types of symbols to get Twains numerous messages across. Twain signifies the Mississippi river as a symbol to get away from society for Huck and Jim. Twain also criticizes the way society runs and the things it teaches everyone to be. The river vs. land setting in Huckleberry Finn symbolizes Huck's struggle with himself versus society; Twain suggests that a person shouldn't have to conform to society and should think for themselves.Throughout the novel, Mark Twain shows the society that surrounds Huck as just a little more than a set of degraded rules and authority figures. When the new judge in town allows Pap to keep custody of Huck, adopters are things he doesn't need and doesn't care for. Twain gives Huck the power to think for himself, and come to adult conclusions, which show Twains message; think for yourself.Mark Twain's book Huckleberry Finn is for the reader to interpret for him or herself. But any reader cou ld pick up on Huck's struggle with the freedom the Mississippi River gives him, and the society that holds him back. Huck realizes that he shouldn't have to conform, and he refuses to at the end of the book. Huck's trials and tribulations show the reader that he or she to think for themselves and not conform to societies standards from Huck's time period, or now. Mark Twain creatively invents many settings throughout The Adventures of Huckleberry Finn; each setting effects the characters in different ways. One of the many motifs throughout the novel is the idea of freedom versus slavery. Through various incidents, lifestyles, and character developments taking place on land and water, Mark Twain is able to create two opposing worlds; i.e. one of freedom verses one of enslavement. Twain determines the characters' situations in life in accordance with each location and surroundings. Huck and Jim are constantly moving between these two worlds. For the most part, both are presented with the luxuries of freedom and serenity while on the river, which ends up changing both of their characters for the only as more of person, but a reliable friend. The reader gets a sense of Jim's kindness when he is willing to stand watch all night so Huck can get some extra rest.
Thursday, October 24, 2019
To an Athlete Dying Young Poetry Analysis
Sydney Walcher Instructor, Lisa Ward English 1213 8 April 2013 To an Athlete Dying Young A. E. Housman was a poet born in 1859 who became very successful during his lifetime. ââ¬Å"To an Athlete Dying Youngâ⬠represents the theme of glory is fleeting by illustrating the point that if a successful athlete dies young, they will not have to worry about their glory of victory fading. They can rest in peace knowing they will be remembered at their athletic peak when they were successful and victorious.They will not have to go through the pain of watching their fame disappear or whither out with time. In this poetic masterpiece, Housman pulls together figurative language, sound devices, and structure to illustrate that glory is fleeting through a majestic poem that will be remembered for many years. Figurative language consists of many different devices including metaphors and similes which are often used in poetry like ââ¬Å"To an Athlete Dying Young. â⬠Metaphors compare unli ke things but does not use like or as, the comparison is implied.Some metaphors that stick out in ââ¬Å"To an Athlete Dying Youngâ⬠are the phrase ââ¬Å"stiller townâ⬠which is a metaphor for a cemetery and the line ââ¬Å"Eyes the shady night has shutâ⬠which metaphorically states that someone has died. Another device often used in Housmanââ¬â¢s poem is similes, which compare unlike things while using like or as to make a direct comparison. Some examples like ââ¬Å"It withers quicker than the roseâ⬠use than instead of the like or as which is commonly used for similes. Most, if not all, similes in this poem use this method.When contradictory terms are used consecutively they are called an oxymoron. The only line in this poem sticks out as an oxymoron is ââ¬Å"silence sounds. â⬠Poems are usually known for rhyming, but not all do. Many poems use other sound devices such as alliteration and rhyme. ââ¬Å"To an Athlete Dying Youngâ⬠uses both of th ese devices throughout the poem. Alliteration is the similarity of the same letter or sound at the beginning of adjacent or consecutive words. One example of alliteration is ââ¬Å"The fleet foot on the ill of shadeâ⬠because of both fleet and foot and sill and shade. Another example is ââ¬Å"Today, the road all runners comeâ⬠because of road and runner. Rhyme is similarity of sound between words or the endings of words when used at the end of a line of poetry. The rhyme scheme of ââ¬Å"To an Athlete Dying Youngâ⬠is ABAB. This means that the last word of every two lines rhymes. For example, ââ¬Å"So set, before its echoes fade,/The fleet foot on the sill of shade,/And hold to the lintel up/The still-defended challenge cup. This is an excellent demonstration of the ABAB rhyme scheme because ââ¬Å"fadeâ⬠and ââ¬Å"shadeâ⬠rhymes, as does ââ¬Å"upâ⬠and ââ¬Å"cup. â⬠In ââ¬Å"To an Athlete Dying Young,â⬠Housman uses iambic tetrameter, w hich refers to a line that is four iambic feet long, to create a lyric poem that can otherwise be known as an elegy since it praises an athlete that died young. Iambic tetrameter affects the beat of the words and how they flow together gracefully. Iambic tetrameter consists of a stressed syllable followed by an unstressed syllable. Most lines in these poems tend to have eight syllables.However, lines thirteen and fourteen, ââ¬Å"Eyes the shady night has shut/Cannot see the record cut,â⬠stray from iambic tetrameter to trochaic tetrameter, one stressed syllable plus one unstressed syllable in four feet, with catalexis, which is an incomplete foot at the end of a line. The literary masterpiece, ââ¬Å"To an Athlete Dying Young,â⬠uses figurative language, sound devices, and structure to illustrate a poem that demonstrates the fact that glory is fleeting. The figurative language is used to create imagery, or to provide visual descriptions to create images in oneââ¬â¢s hea d.Figurative language paints a picture with words to help readers see the story. It also creates many different perspectives based on the readers and their perspectives. The sound devices help create lines and rhythms that gracefully flow off the readerââ¬â¢s tongue. Structure is what incorporates the rhythms and other devices into a pattern that binds the lines of a poem into a small story with a moral that can be told to many different generations. ââ¬Å"To an Athlete Dying Youngâ⬠is a magnificent example of a lyric or an elegy that will be told for years to come.
Wednesday, October 23, 2019
Use of Prayer and Scripture in Cognitive-Behavioral Therapy
Use of Prayer and Scripture in Cognitive-Behavioral Therapy: A Journal Article Beatrice St. Surin Liberty University COUN-506 September 23, 2012 Abstract According to the article Use of Prayer and Scripture in Cognitive-Behavioral Therapy, published in the Journal of Psychology and Christianity in 2007, Siang-Yang Tan talked about how prayer and scripture can be incorporated into the practice of cognitive-behavioral therapy (CBT).Lately, in the field of CBT, there have been an increased on a suggestive awareness regarding a two-component model that involves self-regulation of attention in order to preserved on instant knowledge, centers on present circumstances, and implements an orientation to the acceptance of a personââ¬â¢s situation. Tan demonstrated that this model of CBT can be combined with prayer and scriptural truth to bring long-term benefit to clients.He mentioned a study by Hayes, Luoma, Bond, Masuda and Lillis (2006) that defined an ancient method of behavior therapy that was divided into three generational actions and involved a gradual transition from traditional behavior therapy and CBT to a collection of views and approaches like Acceptance and Commitment Therapy (ACT) (Tan, 2007, p. 101). Tan referred to a self-developed biblical model to this approach that consists of an 8-part process. These processes consist of emphasizing agape love, the necessity to cultivate a sincere and open relationship with the client.While they ease the process of settling with past unresolved issues they also help with discovering spiritual meaning; by means of scriptural truth to stimulate behavior change; depend on the Holy Spiritââ¬â¢s ministering; concentrating on the main goal and stick to techniques that are biblical. The discussion of ongoing research before generated irrefutable statements about the advantage of CBT (Tan, 2007, p. 102). Tan also addressed the use of implicit and explicit integration in therapeutic situations.He vowed that the choice o f either an implicit or an explicit method should be decided first and foremost by the necessities of the client, and that the Holy Spirit should be relied upon for guidance (Tan, 200, pp. 102-103). According to the article, Tan however, did not emphasize to take for granted that all clients will be comfortable with the inclusion of prayer and scripture in the CBT process. He stated that this approach may not be suitable with more severely distressed or psychotic clients (Tan, 2007, p. 104).A complete intake interview will obviously reveal whether the client is open to this method or whether this technique is appropriate. Tan stressed that this type of approach is very beneficial to clients who are experiencing depression, anxiety and anger issues, as well as those struggling with addictions. One method, developed by Tan in 1992, is a 7-step inner healing prayer. This method is a form of communication between the Counselor and the client to concentrate more on Christ than upon the h urt or childhood trauma they have experienced.It is really good that Tan also described actual interaction between client and counselor (Tan, 2007, p. 105). Tan indicated that the appropriate and ethical use of Scripture and prayer in CBT can be a significant help to Christianââ¬â¢s clients who completely believe the Bible to be the inspired Word of God and their definitive authority in life (Tan, 2007, p. 108). He also expressed how the use of Scripture can enhance cognitive restructuring.Although, this technique of combining prayer and scripture with CBT appeared to be a very good approach, Tan cautioned the readers that there are some clients who will not accept it, even though several empirical studies have shown its benefits. It is evident to see how the author is addressing an approach to therapy that has in the past been overlooked by many typical practitioners. The combination of CBT with prayer and scripture obviously provides most clients with durable, maintenance-free resolution.Since we are created by God (Genesis 1:27), in my opinion, it makes perfect sense to go to him when something is broken and need repairing. As Christians, we understand that absolute truth comes only from the Scriptures and that God alone is truth. In the beginning was the Word, and the Word was with God, and the Word was God (John 1:1). I believe Christian counselors should, therefore, make positive use of what God has given them in their attempts to reconstruct an individualââ¬â¢s thought rocesses. Subsequently we all have bad thinking sometimes and are in need to reframe the mind. For instance, according to the word, Jesus died for all of our sins (John 3:16, 1 John 2: 1-2), but after we accepted Jesus Christ in our lives, most of us struggled with self- forgiveness. We can only count on the Holy Spirit to change our thoughts and reveal the truth through the Scriptures to replace all the lies and misconceptions, we formulated from old traumatic experiences.The knowl edge I accrued from this article are similar to what I went through myself last year around this time; but, I would say I found it very encouraging that experimental studies are beginning to demonstrate the benefits of incorporating prayer and scripture into CBT, and that the scientific community is beginning to take notice. After reading this article, I was inspired to look for more information on this subject, and see what others are doing in this area to help people who profoundly brokenhearted.Itââ¬â¢s acknowledged that in CBT a therapist with the best intentions can convince a client to reason differently about themselves and to change their views about their history. Although, after I observed a family member fell into a deep depression after she lost of her husband, got better with Therapy then lost it completely when her mother passed away. It is apparent that at any particular time in a clientââ¬â¢s life one day, something dramatic can happen and all the work accompli shed can be undone by another disturbing event that can cause the client to regress to the previous defective thinking.I would say, I truly believe until a client is set free by the Lord Jesus Christ, the giver of life (Genesis 2:7); they will never be completely free. Application As a Christian who had to face my own demons in life, I could say before July 2011 I never used the principles of the inner healing prayer. It was not until I was strike by a very rare illness that was destroying me mentally and physically, no doctor or specialist knew what was wrong with me when part of the sickness was visible physically. All tests ran was very good but no one new or could explain why I was so sick.It wasnââ¬â¢t until a friend of mine took me to his Co-Pastor at a new Church, and the pastor and his wife are both professional Christian counselors. They used that approach for me and I found it to be a very effective approach. Although, I have to say that I truly believed God did a mirac le for me due to the fact that I was not only healed mentally, but also physically. I will definitely use this method when I complete my degree and begin helping people. Furthermore, I plan to use this approach with references to the Scriptures, as the Lord guides me for all my clients who will be open to this method.Even though, right now I am working as an accountant, my line of work does not involve any counseling or helping people but I have many of my tax clients, business clients, Church brothers, sisters and friends with various problems. Many are depressed, suffer from gender confusion, childhood traumas and addiction issues. I believe with the help God, this extra education and with support from my husband and children, I will incorporate prayer and scripture with CBT in my ministry at my church and in my community. My approach with my clients will be to always begin a session with prayer.Then a complete intake interview, follow with encouraging the client to reflect and re trieve the memories that have been the most traumatic if it is a new client. I will help the client to develop a warm and open relationship with me, make he/she feels safe and that it is okay to accept the truth of what happened, and recognize the hurts and dishonesties associate with the memories. As the client re-live the events of what took place in the past, I will pray silently and call upon the Holy Spirit to take control, to give me discernment and reveal the truth to me about the memories.I will then encourage the client to tell me what he/she is feeling and discern from the answers what book of the Bible can be helpful according to the Word of God. I will also tell the client to do a confession prayer to ask God for forgiveness and help to forgive anyone that was not easy to forgive. This will then be followed by giving the client some homework that might include a 3 day of fast while asking God to reveal more memories. I will ask them to write down anything else that God r eveals during the fast after the previous session.After the client has obtained truth from the Lord regarding the painful event, we will then re-visit that place and see how the client feels about the memory and how he/she relates to the new experience. From there I will ask the Holy Spirit to guide me to what to do next. I will encourage prayer, reading the scriptures, meditation on the word and anything that transpires before the next session. I will end the session by asking the client to pray and thank God for revealing the truth.The use of prayer and scripture in combination with CBT seems to be a very effective technique to help clients make sense of their difficulties. I believe this approach can be the best medicine for a long-term change and freedom from memories who are affecting peopleââ¬â¢s lives. References Dake Annotated Reference Bible. Tan, S. -Y. (2007). Use of prayer and scripture in cognitive-behavioral therapy. Journal of Psychology and Christianity, 16(2), p. 101-111.
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