Wednesday, March 11, 2020

Communicative Intent in Autistic Children

Communicative Intent in Autistic Children Communicative Intent is critical for developing communication skills. In typical children the desire to communicate wants and desires is innate: even if they have impaired hearing, they will indicate wants and desires through eye gaze, pointing, even vocalizations. Many children with disabilities, especially developmental delays and autism spectrum disorders, are not hard-wired to respond to other individuals in their environment.  They may also lack Theory of Mind, or the ability to understand that other people have thoughts that are separate from their own.  They may even believe that other people are thinking what they are thinking, and may get angry because significant adults do not know what is happening. Children Who Lack Communicative Intent Children with autism spectrum disorders, especially children with apraxia (difficulty with forming words and sounds) may even show less interest than skill in communication. They may have difficulty understanding agency the ability of an individual to impact his or her environment. Sometimes loving parents will over-function for a child, anticipating his (most often) or her every need.  Their desire to care for their child may eliminate opportunities for the children to express intent.  The failure to support building communicative intent may also lead to maladaptive or violent behavior, as the child wants to communicate, but significant others have not been attending to the child. Another behavior that masks a childs lack of communicative intent is echolalia.  Echolalia is when a child will repeat what he or she hears on the television, from an important adult, or on a favorite recording.  Children who have speech may not actually be expressing desires or thoughts, merely repeating something they have heard.  In order to move a child from echolalia to intent, it is important for the parent/therapist/teacher to create situations where the child must communicate. Developing Communicative Intent Communicative intent can be developed by letting children see preferred items but blocking their access to those same items. They can learn to point or perhaps exchange a picture for the item (PECS, Picture Exchange Communication System.) However the communicative intent is developed, it will be reflected in a childs repeated attempt to acquire something he or she wants. Once a child has found a means to express communicative intent by pointing, by bringing a picture, or by uttering an approximation, he or she has their foot on the first step toward communication.  Speech pathologists may support teachers or other therapy providers (ABA, or TEACCH, perhaps) to assess whether the child will be able to produce vocalizations that they can control and shape into understandable utterances. Example Jason Clarke, the BCBA in charge of Justins ABA therapy, was concerned that Justin spent most of his time in self-stimulatory behavior, and seemed to show little communicative intent during his observation of Justin in his home.

Sunday, February 23, 2020

Biosimilar Research Paper Example | Topics and Well Written Essays - 1500 words

Biosimilar - Research Paper Example Although it is the hope that their introduction may lower the cost of such expensive medicinal products, there have been concerns over the introduction and manufacturing considerations, immunogenicity, degree of similarity of these complex drugs, and regulatory approaches to biosimilars around the world. In addition, of concern are arguments and techniques employed by pharmaceutical companies to advance or discredit biosimilars, as well as issues with post-marketing surveillance programs and their limitations. The issues associated with introduction of biosimilar medicines across a range of pharmacological indications are controversial, as well as differences between biopharmaceutical products not subjected to regulatory approval and regulatory approved medicines. There are rapid changes in licensing of biosimilars and regulatory approval. Non-transparent promotion of biosimilar products gives clinicians a need to be wary. Hopefully, widespread availability of biopharmaceutical produ cts will be provided by biosimilar medicines (Roger, 2010). ... The manufacture of a biopharmaceutical involves several isolation and purification steps, and the product is complex. In terms of safety and efficacy of the product, even minor changes in production can have serious implications, and these procedures are proprietary to the manufacturer of the originator product. Existing and future regulation should prevent inappropriate and automatic substitution of a biosimilar for a reference biopharmaceutical product, and biosimilars should not be brought to market using the same procedure applied to generics (Misra A, 2010). Living systems or organisms are used to produce biological products, medicines, and therapeutic agents. Because of their expensive cost, access to these life-saving biological products is limited. In the next few years, patents on the early biological products will soon expire. This will allow other biotech/biopharmaceutical companies to manufacture the generic versions of the biological products, which are referred to as bi osimilar medicinal products by the European Medicine Agency of the European Union, or as follow-on biological products by the U.S. Food and Drug Administration. Increase in patients' access to the much-needed biological pharmaceuticals by competition of cost-effective follow-on biological products with equivalent efficacy and safety can cut down the costs. Evaluation of equivalence (similarity) between the biosimilar products and their corresponding innovator product is a great challenge for both the scientific community and regulatory agencies due to the complexity and heterogeneity of the molecular structure, complicated manufacturing process, different analytical methods, and possibility of severe

Friday, February 7, 2020

Marketing Essay Example | Topics and Well Written Essays - 250 words - 79

Marketing - Essay Example they are done with holidays and return back home, they buy coca cola whenever they feel thirsty because they recall having a good experience in the beach house. For coca cola to attract more people they organize for parties every night and occasionally they blend the nights with pop music and great performance. Moreover, a private media company televises coca cola products in their morning program during the whole of summer (Adweek, pp.98) Alternative marketing plays a big role in the life of business if applied properly and at the right time. Firms can get advantage if they use alternative method when they make a commercial a trend, not essentially from their product. For instance Budweiser commercial players are taken to be great stars like a professional actor and athlete, as they established an image, a tendency that transformed into a culture. For a conclusion on this commercial, all of the people available shouted â€Å"what’s up† and in everyday life people do the same. Alternative advertising is the best for

Wednesday, January 29, 2020

Pre-operative assessment Essay Example for Free

Pre-operative assessment Essay Pre-operative assessment (POA) and planning, carried out prior to treatment, ensures that the patient is fully informed about the procedure and the post operative recovery, is in optimum health and has made arrangements for admission, discharge and post operative care at home. POA and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways. * If a patient is fully informed, they will be less stressed and recover more quickly * A health check ensures good medical health before anaesthesia and surgery * Planning admission and discharge individually ensures that patient and carers know what to expect facilitating earlier post operative care at home * Cancellations due to patient ill health or DNAs are reduced * Admission on the day of surgery and early discharge are more likely By improving the planned admission process, you also enhance the patient experience and the clinical process, as well as the efficiency and productivity of the trust. POA and planning should form a natural part of the process for all planned surgery. You may wish to match the intensity of the process to the patients level of fitness and complexity of the procedure. The key areas covered in the National Good Practice Guidance on Pre-operative Assessment for Inpatient and Day Case Surgery include: * The objectives of pre-operative assessment  * Who should undergo pre-operative assessment * When and where pre-operative assessment should take place * Who should perform pre-operative assessment * The risks, benefits and informed consent * What should happen after pre-operative assessment * What information should be given to patients * How records should be kept * How the pre-operative assessment service should be audited * Training in pre-operative assessment * Examples of effective practice

Tuesday, January 21, 2020

The Subtle Truth of Charlotte Brontes Jane Eyre Essay -- Jane Eyre Es

The Subtle Truth of Jane Eyre      Ã‚  Ã‚   The role of a woman in Victorian England was an unenviable one. Social demands and personal desires were often at cross-purposes. This predicament was nothing new in the 19th century, yet it was this period that would see the waters begin to stir in anticipation of the cascading changes about to shake the very foundation of an empire on the brink of global colonization and industrialization. The question of what role women would play in this transformation came to the forefront.    Charlotte Brontà «'s female bildungsroman, Jane Eyre, attempts to spotlight many of the issues of the "woman question" facing this period and to draw a balance between a woman's social role and her need for personal freedom. Simply stated, Jane Eyre's childhood and her transition into adulthood are characterized by two competing needs: the one to love and be loved, and the other to be somebody in her own right, a woman of achievement and integrity, with an outlet in the world for her passions and her energies.    We are frequently reminded that Jane is a passionate woman-an often dangerous quality for the Victorian female-and through her passion, Brontà « delivers to us a message which, if it came by means of a sober treatise calling for a reversal of the status quo, would frighten us with its indignation, but appears softened with the venting frustration of a misfortunate orphan trying to find her station in life. The message, however, is clear to all who choose to acknowledge the truth delivered in its passion:    It is in vain to say human beings ought to be satisfied with tranquility: they must have action; and they will make it if they cannot find it ... Women are supposed to be very calm g... ... novels, that is happily, and yet the reader seems to take away something more than just a warm feeling of romance: there is a sense of justice in Jane Eyre. We are drawn back to Jane's insistent plea: "women feel just as men feel: they need exercise for their faculties, and a field for their efforts, as much as their brothers do...."    Charlotte Brontà « engaged various facets of what came to be known as the "woman question" in Victorian England, but the longevity of Jane Eyre's appeal rests in its subtle truth and justice that "it is thoughtless to condemn [women] if they seek to do more or learn more than custom has pronounced necessary for their sex" (114).    Works Cited Brontà «, Charlotte. Jane Eyre. Oxford: Oxford University Press, 1975. Gilbert, Sandra A and Susan Guber. The Madwoman In The Attic. New Haven: Yale University Press, 1979.   

Monday, January 13, 2020

High School and College Essay

Many aspects of both high school and college can be tied together. People learn many of the same things they learned in high school during their first year or two of college. They are basic general education classes. They are similar in such ways that you still have to go to class, do class work, home work, take test, and study hard. Depending on the school, teachers can also give you that one on one help. Class sizes can also be similar to high school if you attend a small college. They are both learning experiences that the individual helps write for themselves by their choices and decisions. There are similarities in the people also. Even in college cliques and groups develop, just like in high school. On the other hand, we all know that high school and college are very different. The work in high school is kind of easy. In college, it’s time to strap down and get to work. There’s really no room for error. Attendance is very important in high school. If you miss a day in class, the teacher would call home. In college, it’s your own responsibility. Students end up having the same friends throughout high school, because they grew up with them in elementary and middle school. Because of this, they earn an image or reputation. College is a new beginning. People are not tagged with a prior social status or image. It is an opportunity to start new and meet new people. Some people meet many of their lifelong friends in college, because they go through so much together. In a way, they are transferring to adulthood, with them by their side. High school and college are what students makes of it. High school prepares people for college. College is a new chapter in life, and also a new beginning. In a way, college is a mature version of high school. To find the true similarities and differences, people must experience both for themselves.

Saturday, January 4, 2020

What Makes Good Sex Essay - 742 Words

What exactly defines â€Å"good† or â€Å"great sex† and what are the conditions to having â€Å"great sex†? The media often times tries to influence its audience to associate what it perpetuates as reality. One’s own personal experience can help outline conditions for great sex. According to Zilberg, â€Å"In a sexual situation, a condition is anything that makes you more relaxed, more comfortable, more confident, more excited, more open to your experience.† Good sex involves many factors. Of these factors, non-verbal and verbal communication are of the most importance. Feeling intimate and emotionally close to your partner, feeling sexually capable, feeling trust, feeling positive about the environment or the situation, and embracing one’s own sexual desire and eroticism are all requirements for good sex, according to Zilberg. Bernie Zilberg’s conditions of good sex challenges the media’s depictions and portrayals of wh at good sex is and what good sex shall appear as. Fox’s primetime hit melodrama series â€Å"Empire† features a young and talented aspiring African American musician Jamal Lyon (Jussie Smollett) whose father Lucious Lyon (Terrance Howard) owns ‘Empire Records’ to which he is signed. Lucious has expressed his disapproval of Jamal’s gay lifestyle and in doing so does not show Jamal the emotional, and in some cases, financial support he needs to help get his career off the ground. At a latter point in the series, Lucious hires videographer and photographer Ryan Morgan (EkaShow MoreRelatedEssay about Sexual Ethics: Gay Marriage Should Not Be Allowed1343 Words   |  6 Pagesgay marriage should not be allowed. However, what is it that makes homosexuality considered wrong? Critics argue that homosexuality goes against the Bible—the word of God—and is immoral. 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